Sunday, March 15, 2020
How To Stop Running Out Of Time On SAT Reading
How To Stop Running Out Of Time On SAT Reading SAT / ACT Prep Online Guides and Tips Feeling pressed for time on any test is extremely frustrating. Itââ¬â¢s even worse on tests like the SAT and ACT because theyââ¬â¢re so lengthy: if you run out of time on a section, you don't get the relief of "Well, at least I'm done with the test" because you have to move right on to the next section. Since you canââ¬â¢t stop time (probably?) and, except for some special circumstances, canââ¬â¢t get extra time, you'll need another solution to help you avoid running out of time. So what strategies can you use? Iââ¬â¢ll discuss the top misconception students have about running low on time on the SAT Reading section and strategies to avoid running out of time. First, however, I want to do a quick run-through of the timing for SAT Reading- after all, in order to stop running out of time on the section, you first must know its basic layout. We have an in-depth explanation of this in another article, but in case you don't have the time to read it through I've written up a summary below. feature image credit: 12 sec by Peter, used under CC BY-SA 2.0/Cropped from original. How Long Is the SAT Reading Section? The new SAT Reading section is the first section of the SAT and consists of 52 questions over 65 minutes. You'll answer these questions based on the contents of six passages (four single passages and a set of shorter paired passages) spanning three different subject areas (U.S. and world literature, social science, and natural science). Two passages in each SAT Reading section will also be accompanied by charts or graphics that you'll have to look at to answer a few of the questions. (If you want more specifics, we go into all this in much more detail in our article on what's actually tested on SAT Reading). SAT Reading questions come in eight main flavors: Big Picture: Questions about the main point of the passage. Detail/Little Picture: Questions about a specific line or lines in the passage. Inference: Questions that ask you to interpret the meaning of line or two in a passage. Words In Context: Questions that ask for how a word is used in a particular instance in the passage. Function: Questions that ask how a phrase, sentence, or paragraph functions in the larger context of the paragraph or passage. Author Technique: Questions that ask about the passage's tone or style; you'll often be asked to compare and contrast different authorsââ¬â¢ techniques. Evidence Support: Questions that ask you what specific evidence supports the correct answer to a previous question. Data Intepretation: Questions that ask you to analyze and answer questions about the charts and graphics accompanying the passage(s). The #1 Reading Misconception The number one thing I've heard when it comes to the SAT Reading is something along the lines of "Iââ¬â¢m a slow reader, so Iââ¬â¢ll never be able to finish the SAT Reading section in time and I won't be able to bring my reading score up". FALSE. Excelling on the SAT Reading section is not just about reading speed- otherwise, it would be called the SAT Speed Reading section (or something like that). If you read a lot, or read quickly, that may give you a little bit of an edge, especially with big picture questions that require you to synthesize information from the whole passage. If youââ¬â¢re a slow reader or donââ¬â¢t read a lot, you might be reading this and thinking "Well, great. Iââ¬â¢m already starting from behind." But reading quickly in no way guarantees that you will excel on the SAT Reading, or even that you wonââ¬â¢t be rushed. There are several different ways to approach passages in SAT Reading, and the optimal strategy for one person may be the worst possible idea for another. In reality, the key skill to doing well on the SAT Reading section is the ability to skim text while retaining meaning. If you're a slow reader, you can learn to skim through practice. If you're a fast reader, you must be aware that SAT Reading is very different from light fiction reading; you'll need to practice to get the important points from the SAT passage. So how do you avoid being rushed and running out of time on SAT Reading, even if you are a slow reader? Practice, practice, practice! Practicing isn't just the way to get to Carnegie Hall (as the old music joke goes)- practicing the SAT will help you get better at taking the SAT. But it's not enough to practice in any way you can think of- you must practice/study effectively. When studying for SAT Reading, there are three main strategies you should use to focus on to get better at finishing the section in time. Strategy 1: Practice Monitoring Your Time The first step to improving your ability to finish the Reading section without running out of time is to keep track of your time. The two ways to do this are by recording how long you're taking to answer each question and, during the test, being aware of how much time you have left until the end of the section. Know How Long Youââ¬â¢re Taking on Each Question If you find youââ¬â¢re taking too much time on a question, mark it and come back to it in review. But what is "too much time?" Well, it depends on your target score, or the score you are aiming for on a particular section; therefore, when preparing for the SAT Reading, you must know your raw and scaled target scores. Why does this matter? If youââ¬â¢re aiming for a lower target score, you can skip more questions, and spend more time on the questions you do answer. Remember, the SAT Reading section consists of 52 questions over 65 minutes: if youââ¬â¢re spending more than one minute 15 seconds per question, youââ¬â¢re going to run into problems, just by the simple math (bonus practice). This 75 seconds-per-question time constraint only applies, however, if you are aiming for a perfect or near-perfect score and need to give every question a fair shot. If you're aiming for a Reading score of 30/40, you can guess on the hardest 25% questions and focus your answering energies on easier questions (although of course which questions these are will be different for everyone). Only aiming to get a 30 on Reading also means you get more time to spend on the questions you are answering. If you only need to get around 36 questions right to reach your target score, then you can spend up to 23 seconds more on each question (36 questions in 65 minutes vs 52 questions in 65 minutes- even more math!). Read our article on getting a 30 on SAT Reading for more strategies like this. Know How Much Time You Have Remaining During the Test This doesnââ¬â¢t necessarily mean dividing up the time beforehand, as in, "Okay, I have 65 minutes with six passages to read (four single, one set of paired) and 52 questions to answer, so I should spend 12 minutes on each single passage and questions and 14 minutes on the paired passages and questions and then Iââ¬â¢ll have three minutes to go over everything at the end." Those calculations (a) hurt my brain, and (b) take up way more time than theyââ¬â¢d save. Instead, get used to keeping an eye on the clock. You'll need to be able to balance reading the passages with answering questions on them- donââ¬â¢t let one passage suck up all of your time and force you to scramble to get through the rest of the passages and questions. I personally try to check the time only after I've finished skimming a passage and after I've answered all the questions on that passage (even though my initial instinct is to constantly be time-checking). You'll need to figure out what works best for you, but my advice is to avoid checking the time more than once every few questions- otherwise, you'll end up wasting time trying to save time. If you find that you have zero concept of time when youââ¬â¢re practicing answering questions, you can practice with a stopwatch set to go off at five minute increments. Just remember that you wonââ¬â¢t actually be able to do this on test day (although the test proctors may give verbal warnings at 10 minutes left and five minutes left). Other SAT Reading Time Monitoring Strategies When looking over the test, mark questions you end up spending a long time on as well as the ones youââ¬â¢re not sure about. Really break down what stumped you about the questions you spent too much time on as well as the ones you got wrong or were uncertain about. Was it the wording of the question? The type of question (paired passage, big picture, inference)? Were you just tired and misread the passage, so you didn't see the answer? Is there a pattern to the questions you're running out of time on? All of this data is valuable fodder for your test prep process: establishing a feedback loop of testing, reviewing your mistakes, and testing again. It is essential not to skip over the middle step of reviewing your mistakes thoroughly. (For more on this, read my article on the best way to review mistakes on the SAT.) Not sure running out of time is your only issue? Read the section on understanding your high level weaknesses in this article. Great! Time left for a beer! by Mike Schinkel, used under CC BY 2.0/Cropped from original. Pace yourself to avoid RUNNING out of time. Strategy 2: Practice Reading Passages and Answering Questions No, practicing SAT Reading questions over and over wonââ¬â¢t necessarily make you a faster reader. But it will make you better at reading the passages in a way that will help you answer the questions more efficiently. Because every person processes information differently, I can't dictate the best way for you to read the passages. However, if your current approach isn't working, you might want to consider switching it up. There are three main approaches to choose from: #1: Read the whole passage in detail. This is really only a good strategy if you are both a quick and thorough reader. It's probably the worst option if you're already worried about running out of time. #2: Read the questions first. Determine which details you look for in the passage by reading the questions first, then jumping back to the passage to find the answer. #3: Skim, then attack the questions. Quickly read through the passage to get a sense of its content, structure, and purpose, then approach the questions. Finally, return to the passage to get any more detailed information required by specific questions. The more familiar you get with SAT Reading passages and questions, the more you'll be accustomed to the test and the better youââ¬â¢ll know what to pay attention to and when to use which strategy. For instance, if you read the questions first, if a question has specific lines associated with it (e.g. "In lines 10-38"), only read those specific lines to answer it; do not pull your answer from the rest of the passage. On the other hand, if you skim first, get used to noticing words and phrases like "however" and "in contrast." These words are important because they indicate a change in tone, as in: "Despite the fact that the viola has a long and noble history, negative stereotypes about violas (and violists) abound in modern day classical music communities." You'll find more strategies, as well as more detailed information on why you might want to choose one approach over the others, in our article on the best way to read the passage on the SAT Reading section. More Passage-Reading Strategy Suggestions The passage you read first can make a big difference if you tend to run out of time. Scan through all the passages in the section and see if any subject matter looks easier to tackle for you and then start with those, rather than taking the section in order. That way, you wonââ¬â¢t be rushing through and getting things wrong on passages you should get and can with a clear mind devote yourself to passages that are more difficult for you. You can also see if bubbling in all your answers at the end helps (read more about this in the Quick Tip section of our perfect scorer article). This strategy is only helpful, however, if you can make sure to leave a good two to three minutes at the end of the section to do this, since you donââ¬â¢t want to run out of time before you bubble in answers that you got (the ultimate in frustrating). If you can think of other ways to keep yourself from running out of time on SAT Reading (perhaps by using some mindfulness techniques to focus?), that is also great. As always, you should only use strategies that work for you. Chess game by Kamil PorembiÃ
âski, used under CC BY-SA 2.0/Cropped from original.Think about which strategies will work for you. Want to learn more about the SAT but tired of reading blog articles? Then you'll love our free, SAT prep livestreams. Designed and led by PrepScholar SAT experts, these live video events are a great resource for students and parents looking to learn more about the SAT and SAT prep. Click on the button below to register for one of our livestreams today! Strategy 3: Practice Taking SAT Reading as Part of the Whole SAT Thereââ¬â¢s knowing the material on the SAT Reading section...and then thereââ¬â¢s building up the stamina to make it through. Fortunately, the SAT always presents the sections in the same order: Reading, Writing, Math (No Calculator), Math (Calculator), and the optional essay. This predictability gives you an advantage when prepping, because you can actually simulate test-date conditions when you take full-length practice tests by taking everything in the correct order. It's important to take at least some practice tests all the way through in the correct order so that you can get used to what it feels like to take the full test. Reading is always the first section, so you'll probably always have the most energy to spend on it, but you'll need to be careful not to burn through all your reserves with the Reading section, only to find that you're too drained to perform well on the rest of the test. Another thing to keep in mind is that youââ¬â¢ll most likely be taking the SAT on a Saturday morning. Be extra sure to do some practice Reading sections in the morning (especially if youââ¬â¢re not a morning person!) to give yourself a good idea of your energy levels at that time of day. If youââ¬â¢re more sluggish in the mornings in general, your reading speed will probably also be slower. It's okay to take some or most of your practice tests in the afternoon if that's when you have the most time, but exclusively doing this may not give you an accurate picture of how quickly you can complete the SAT Reading section under real test conditions. Do You Qualify for Testing Accomodations? If you really have trouble with reading in time-constrained situations, you might qualify for special testing accommodations. It's unlikely that prepping for and taking the SAT will be the first time you notice you have major problems with reading; however, it may be the first time you won't be able to compensate for it in other ways (like spending hours and hours on homework and extra credit to make up for low test scores). The College Board does offer accommodations on the SAT for eligible students with documented issues. You can get more information here on the steps you'll need to take in order to get accommodations on testing day. But a word of warning: Accommodations are far more likely to be granted to students if their special circumstances have been documented for a longer period of time. CollegeBoard tends to be leery of students who get diagnosed with something or other just in time to take the test, since the students might be stretching the truth in order to get extra time. How can you avoid getting caught in red tape and having your accommodations held up? Plan and apply for special accommodations early, if at all possible- the request process alone can take up to seven weeks. If you're in middle school or early high school and are having serious problems with reading when compared to your peers, get psycho-educational testing then, rather than waiting. If for whatever reason you couldn't apply for special accommodations until recently (for instance, if you only just developed a hearing or visual impairment), make sure it's clear to the person documenting your conditionwhy you're only doing something about this now. Also, while this documenter will provide you with information to send on to the CollegeBoard, the College Board may also want you to explain why you applied for special accommodations only recently, so itââ¬â¢s good to have an explanation ready. How to Improve Pacing on SAT Reading: A Recap #1: Take timed practice tests and monitor your time. #2: Get comfortable with taking the SAT Reading so you can use strategies effectively #3: Make sure you take entire practice tests in sequence a few times so you know what to expect. #4: If you think thereââ¬â¢s a bigger problem that's causing you to run out of time on the SAT Reading, get psycho-educational testing as early as possible to confirm it and see if you are eligible for special accommodations on the SAT. Now, go forth and read! Whatââ¬â¢s Next? Want more strategies for avoiding a time crunch? Read about the 9 ways to buy time on the SAT. How can you figure out whatââ¬â¢s tripping you up on SAT Reading? Check out our detailed analysis of each question and passage type. We also have more in-depth information on figuring out what approach to reading the passage works for you in another article. Learn more about the format of the SAT with our article on the timing and content of each SAT section. For more on how to master SAT Reading, read our guide to getting a perfect Reading score. You might also be interested in our ultimate guide to SAT Reading, which lists all of our articles on SAT Reading, along with a brief description of what's in each article. Want to improve your SAT score by 160 points?We have the industry's leading SAT prep program. Built by Harvard grads and SAT full scorers, the program learns your strengths and weaknesses through advanced statistics, then customizes your prep program to you so you get the most effective prep possible. Check out our 5-day free trial today:
Thursday, February 27, 2020
Architecture of Al Andalus Essay Example | Topics and Well Written Essays - 500 words
Architecture of Al Andalus - Essay Example The exposure to these buildings helped eliminate the previous prejudices, and valuing the art in respect to Islamic architecture, which is prevalent in Islamic countries and cities. The existence of an autonomous territory during the caliphate period called Ath-Thagr al-ala led to the use of the terms Thagr or Zagri to define the Islamic architecture in Aragon (Anderson and Rosser-Owen 73). The cultural manifestation of religion, nation and ethnic movement is expressed intensely in the city especially a strong sense of orientalism. One of the major contributors to the change in the architecture is mobility of the Islamic culture. The mobility led to the realization of orientation and freedom. The developed of attraction led to the increase in travelers which brought about change as a result of new intellectual artist arriving in the city. The combination of the Islamic and the Spanish Islamic culture in Al-Andalusia is an indication of the existence of movement between the towns and the integration of the various forms of architecture in designing of houses in the area (Eaves 165). However, the Spanish Islamic architecture has not been clearly studied leading to serious challenges in the evaluation of the changes in the new designs. The presence of the Caliphal art with formal characteristics of the mosque-Aljama of Cordova indicates the existence of integration between different forms of culture and architecture (Eaves 167). During the 10th and 11th century, systemic use of masonry and elegant use of Caliphal fabric was common because many inhabitants used horse shoe arch or the lobeled arc in the design process. However, the incorporation of the Granada kingdom into the Castile kingdom under the supervision of King Aragon Ferdinand led to the protection of all the Moslem building in Granada (Barnet 78). The approach
Tuesday, February 11, 2020
Managing the Asian Meltdown Case Study Example | Topics and Well Written Essays - 1000 words - 1
Managing the Asian Meltdown - Case Study Example As a result of the country developing as a major industrial nation, the country begun to receive pressure from other economic powers in relation to liberalizing its economy (Corning 3). The labor, on the other hand benefited from Koreaââ¬â¢s developmental state by mainly improving the Chaebol businesses and privileges for the labor unions. The Chaebol amassed more assets, which they used as collaterals to secure loans. In addition, the expansion in terms of development during the 1980s, created a favorable environment for labor and guaranteed a lifetime employment (Corning 3). The collapse of the Hanbo Steel was significant in the sense that it contributed to the collapse of other four group companies, and almost brought down the Korea First. Further, the collapse of the Hanbo Steel was significant in terms of revealing the problems that existed with the Koreaââ¬â¢s financial system (Corning 3). On another note, the term ââ¬Å"connected lendingâ⬠in this context, means the focus by the Korean banks on lending loans for expansion to the Chaebol without considering the financial risk of accumulating bad loans. The countryââ¬â¢s current account deficit increased inn 1996 as a result of a slowdown in exports. The government and investorââ¬â¢s view of the countryââ¬â¢s economic development revolved around a lack of questioning the economic model (Corning 4). Further, the term ââ¬Å"Asian contagionâ⬠means the spread of tensions related to the economic crises that caused investors to explore other financial markets. Koreaââ¬â¢s initial position in regard to the assistance from IMF involved a focus on improving the depreciating won that was sending investors away to other financial markets(Corning 5). The person who contributed to the IMF-brokered bailout was Michel Camdessus, and the funds were to be used to replenish the countryââ¬â¢s foreign-currency reserves so as to improve the
Friday, January 31, 2020
Verbal Communication Essay Example for Free
Verbal Communication Essay Verbal and nonverbal communication can affect the way that communication is interpreted among many people throughout society and within the criminal justice system. Communication is the best way to relay information whether it is verbal or nonverbal. Both of these forms of communication can be effective throughout the criminal justice system from police situations, courtroom settings, and correction facilities to a juvenile facility. Verbal and nonverbal communication can be valuable when there is a police situation. In a situation such as a robbery, the witnesses would use both verbal and nonverbal communication in order to help the police with the investigation. Witnesses are most likely to use body language such as putting their head down, not looking directly at the officer or crossing their arms during an interrogation. They would also use gestures with their hands to identify different descriptions of a suspect or the scene of the crime. Witnesses are also likely to tell the investigator verbally what they saw. In a police situation where an officer or the chief of police is making a public announcement verbal communication would be the most important and the most used form of communication when making a public announcement. While making a public announcement, the officer or chief of police will have to verbally inform the public of whatever the situation is going on. Verbal communication would be the primary choice when it comes to testifying in court. Verbally, all parties in the court room setting would use this form of communication to get information throughout the courtroom. The attorneys will communicate verbally among each other, the witnesses, the jurors and the judge. An example of the communicating verbally when testifying would be the attorneys questioning the person that is on the stand which would be a witness or the defendant in the case. When the witness or defendant is giving their testimony it will be communicated to the attorneys, jurors and the judge in order for jury to come to a verdict in the case. I do also believe that nonverbal communication can be used when testifying. Nonverbal communication while testifying would include not looking directly at the attorney who is asking the questions. In a corrections facility both verbal and nonverbal are factors when dealing with your peers, inmates or other employees within the facility. Depending on the situation, I believe that both of these communication methods are able to beà used successfully to communicate with one another. When dealing with the inmates, using nonverbal communication could work just as well as verbal communication. Most of the time, once an inmate sees a worker or correction officer they will know what is to be done without the officer speaking a word to them. Then, there are times where officers will have to use verbal communication, to get a direct order across to an inmate. In particular, if a hostile situation that is taking place and they have to take in control of the situation. When dealing with other employees in the facility, officers can communicate with each other through verbal communication or nonverbal if they want to become discreet around the inmates. Most of the time, the employees may be verbal through walkie talkies or in person with one another. In a juvenile facility, verbal communication may be the best way to communicate with the juveniles. Juveniles may find it very hard to listen to direct orders coming from superiors but, communicating to them verbally will have a better outcome than trying to communicate with them nonverbally. Juveniles will respond to nonverbal communication such as gestures from the officers. Juveniles dealing with other juvenile inmates, they would use nonverbal communication. Many times juvenile facilities will have gangs or multiple juveniles who are friends or associates before they came to the juvenile facility. These juveniles will use nonverbal communication to communicate with each other under the radar of the officers. They may use gang hand signs, body gestures or possibly the way that they wear their clothing. If a juvenile rolls their sleeve up on their shirt, this could be a way of communicating with other juveniles telling them what gang they are a part of or if they are trying to pick a fight. Verbal communication between the juveniles in the facilities is also used. Juveniles would most likely speak in code to one other so the officers would not know what they are saying to each other. Speaking in code is a big form of communication among the juveniles in the detention centers. This could leave the officers out of the loop or distract them from leads on possible escapes or fights that are going to take place. Among all of these areas of the criminal justice system, all of them deal with verbal and nonverbal communication. Both forms of communication verbal and nonverbal are effective in all areas in the justice system. Police situations, courtroom settings, corrections facilities and juvenile facilities all use these forms of communicationà different to make them effective for their use. Communication is a key part in making all areas of the criminal justice system function with clarity and understanding.
Thursday, January 23, 2020
OUR SENSES: A DANGEROUS GIFT :: essays research papers
à à à à à The issue of our mistrust and or trust in our humanly senses remains a building block for philosophies of many notorious philosophers. In the discussions ââ¬Å"The Allegory of the Caveâ⬠written by Plato and ââ¬Å"Meditation: The Path to Enlightenmentâ⬠by Siddhartha Gautama, The Buddha, both analyze the issue of our senses. Both philosophies are reasonably logical and realistic in their approach to the humanly senses and whether or not they should be trusted or mistrusted, however, they seem to contradict each other somewhat. à à à à à In both discussions, our senses are essential to reach our so called goals in life: In Platoââ¬â¢s discussion, our goal is to find Truth; and in Buddhaââ¬â¢s discussion, to reach enlightenment. Platoââ¬â¢s philosophy holds senses to be of an untrusting or false guide to reality. He argues that if everyone relied on their senses to interpret reality and find the Truth, everyone has different perceptions of their senses and the reality would be different depending upon the individual. Basically Plato suggests that our senses can be a distraction from the Truth, and therefore, should not be trusted. Buddhaââ¬â¢s reasoning of the senses is slightly different from those of Plato. Buddha chooses to not focus on the falsity of our humanly senses, but the element of imagination and how that can alter our perceptions. If we see something as it really is, without integrating our imagination, we are given a freedom to come to a true understanding of the world. Th erefore, Buddha suggests that the senses can be trusted, however the imagination is untamed and when mixed with our senses, creates a distorted perception. The main discrepancy between the two philosophers is that Plato believes that senses themselves should be mistrusted, and Buddha believes that only our senses combined with our imaginations are to be mistrusted.
Wednesday, January 15, 2020
TransitionTheoryAfafIbrahimMelesis
My goal was to help hem stay as independent as possible so they could remain in their own living environment as well as reduce hospitalizing and improve outcomes for the company worked for. Started to incorporate some of the concepts used in the Transition Theory but more specifically the work of Mary Anally and Janet Van Cleave who developed the Transitional Care Model from the University of Pennsylvania. By implementing the role of a transitional care nurse, I was able to support my patient's with tools and information they needed to help them stay healthy enough to remain in their own home.FAA Abraham Miles is a reorient nurse sociologist, educator, theorist, and researcher that began her nursing career in her native Egypt in the sass's (Alligator, 2014). FAA Miles first developed Transition Theory while working on her doctorate in the mid sass's and further developed it over the next three decades while working as a nurse educator and researcher. She conceptualized the idea of Tr ansition Theory as it applies to nursing practice while working on her idea of role supplementation.Her theory is described as having four types of transition- developmental, situational, health/illness, and organizational Mà ªlà ©es, Sawyer, Im, Hollering-Messiahs, & Schumacher, 2000, p. 17). FAA Miles Transitions Theory is used as its theoretical basis for the University of Pennsylvania center call Transitions and Health, directed by Mary Anally (Alligator, 2014). Was first introduced to transitional care at a nursing conference attended to seek ways to improve outcomes for our chronically ill older patients and to keep them at home instead of being admitted in the hospital or nursing home.Often times a patient who is chronically ill is admitted to the hospital over multiple episodes of care for an exacerbation of an illness along with other commodities. Once the patient is stable, they are discharged to home with a plan of care that does not reflect their needs, goals, learning style, or literacy level (Anally & Van Cleave, 2010, p. 459). Usually nobody is involved in developing the discharge plan from his family or in the teaching of new medications prescribed. There may even be possible dietary changes that need to be made by the patient.I am sure the hospital does an exceptional job managing their acute medical episode but they do not have time to address the ââ¬Å"root causeâ⬠of their multiple, recent hospitalizing (Anally & Van Cleave, 2010, p. 459). Most patient's do not understand what was discussed with them while inpatient. They just want to go home and will say they understand just to be able to do just that. They may not have the means to get to the pharmacy to get their new medications or they may not be able to afford the new medication. There are so many variables that can occur and that is why a transitional nurse may be beneficial.According to Anally & Van Cleave, the Transitional Care Model (ETC) provides comprehensive discharge pl anning and home follow-up care for chronically ill, high risk older adults admitted to the hospital for common deiced conditions. A transitional care nurse, who is usually master-prepared, follows patients from the hospital to their homes, providing evidence-based services aimed to meet the patient and family goals, improve health outcomes, and stop usual patterns of going to the emergency room for non- emergent needs (Anally & Van Cleave, 201 0, p. 60). The transitional care nurse focuses on increasing the patient and family ability to manage the frequent transitions in health that characterize chronic illness trajectory (Anally & Van Cleave, 2010). In relation of person, transition theory takes into inconsideration that all people are unique and will interpret their transition in different ways. The nurse must be able to assess how the patient perceives their change and develop therapeutics geared toward their perception, assessing for feedback along the way (Chick & Miles, 1986). This can be achieved by using the Transitional Care Model as a guideline. The home care agency worked for decided that I would follow our patients with a diagnosis of congestive heart failure and/or chronic obstructive pulmonary disorder with commodities and Medicare was their primary insurance. My role as the ruinations care nurse was to be the primary coordinator of care to assure that there was continuity of care throughout the next thirty days (episode of care) and readmission would be avoided.When a patient of ours was admitted to the hospital, I would visit the patient to do an in-hospital assessment and speak to the discharge planner to let them know what my role was once the patient was discharged. Once the patient was home, I would make home visits every week for the first two weeks and then follow- up phone calls the third and fourth week. Also was available by phone if they needed me anytime in between. My first home visit consisted of helping them fill out a personal hea lth record which included current medications, medical conditions, emergency contacts and so forth.This is when I would discover if they really understood what medications they were supposed to be taking and if they knew the reason why they were taking it for. Most patients had no clue why they were taking medicine for what medical condition or they were not taking the medication as prescribed by their physician because they did not think it was that important or they could not afford it. Sometimes the patient was taking the same medication but the deicing was labeled differently from different pharmacies. Ad the time to explain what each medication was and what it was used for. Was also able to resolve any medication discrepancy from the discharge instructions for the patient. We would call the physician's office together so it gave them a sense of well-being and gave them control of their own health which is a positive outcome according to Melanie's transition theory. The second h ome visit usually consisted of education regarding their diagnosis and which ââ¬Å"red flagsâ⬠to be aware of pertaining to their illnesses.Socioeconomic status, education bevel, and cultural beliefs all affect potential health related outcomes (Mà ªlà ©es et 2000). It is important as a nurse to be mindful of how to present information in a way that the patient will understand and be willing to make the changes needed to remain a healthful person. Emphasis on early identification of ââ¬Å"red flagsâ⬠and how the patient and/or family responds to the symptoms is a way to achieve positive outcomes and avoid readmission (Anally & Van Cleave, 201 0, p. 461).Contact is made via a telephone call instead of a home visit for the third and fourth consultation. This is the time hat would answer any remaining medication questions, discuss the outcomes of their recent follow-up appointment with either their primary care physician or specialist, help them make an appointment with t heir physicians if they have not already done so, and reinforce when or if the patient would need to seek medical treatment. Often times, the patient and or family felt comfortable with their health goals because they were a part of making them which made them feel more accountable.Even though would not be following up with them on a regular basis they knew they could contact me and I would help them in any way I could. While in my role as the transitional care nurse, felt I made a difference in the company by improving outcomes and patient satisfaction. It was very rewarding to be a part of the patients health experience but in a different way than I was before. I witnessed a transition or change in the patients attitude towards their health because they were made to be a part of the process not just a person with an illness who did not know anything.Unfortunately, due to zero reimbursement from insurance companies, the transitional care nurse position was eliminated. The Transitio nal Care Model is a good concept but more research deeds to be done so insurance companies can see the value in such a program. Ms. Melanie's Transition Theory has been applied to many different nursing research projects that apply to distinct populations undergoing change (Alligator, 2014). Through the nursing research that is being performed at the university of Pennsylvania where Ms.
Monday, January 6, 2020
Hypothalamus - Function, Hormones, and Structure
About the size of a pearl, the hypothalamus directs a multitude of important functions in the body. Located in the diencephalon region of the forebrain, the hypothalamus is the control center for many autonomic functions of the peripheral nervous system. Connections with structures of the endocrine and nervous systems enable the hypothalamus to play a vital role in maintaining homeostasis. Homeostasis is the process of maintaining bodily equilibrium by monitoring and adjusting physiological processes. Blood vessel connections between the hypothalamus and pituitary gland allow hypothalamic hormones to control pituitary hormone secretion. Some of the physiological processes regulated by the hypothalamus include blood pressure, body temperature, cardiovascular system functions, fluid balance, and electrolyte balance. As a limbic system structure, the hypothalamus also influences various emotional responses. The hypothalamus regulates emotional responses through its influence on the pituitary gland, skeletal muscular system, and autonomic nervous system. Hypothalamus: Function The hypothalamus is involved in several functions of the body including: Autonomic Function ControlEndocrine Function ControlHomeostasisMotor Function ControlFood and Water Intake RegulationSleep-Wake Cycle Regulation Hypothalamus: Location Directionally, the hypothalamus is found in the diencephalon. It isà inferior to the thalamus,à posterior to the optic chiasm, and bordered on the sides by the temporal lobes and optic tracts. The location of the hypothalamus, specifically its close proximity to and interactions with the thalamus and pituitary gland, enables it to act as a bridge between the nervous and endocrine systems. Hypothalamus: Hormones Hormones produced by the hypothalamus include: Anti-Diuretic Hormone (Vasopressin) - regulates water levels and influence blood volume and blood pressure.Corticotropin-Releasing Hormone - acts on the pituitary gland causing the release of hormones in response to stress.Oxytocin - influences sexual and social behavior.Gonadotropin-Releasing Hormone - stimulates the pituitary to release hormones that influence the development of reproductive system structures.Somatostatin - inhibits the release of thyroid-stimulating hormone (TSH) and growth hormone (GH).Growth Hormone-Releasing Hormone - stimulates the release of growth hormone by the pituitary.Thyrotropin-Releasing Hormone - stimulates the pituitary to release thyroid-stimulating hormone (TSH). TSH regulates metabolism, growth, heart rate, and body temperature. Hypothalamus: Structure The hypothalamus consists of several nuclei (neuron clusters) that may be divided into three regions. These regions include an anterior, middle or tuberal, and posterior component. Each region can be further divided into areas that contain nuclei responsible for a variety of functions. Region Functions Anterior Thermoregulation; releases oxytocin, anti-diuretic hormone, and gonadotropin-releasing hormone; controls sleep-wake cycles. Middle (Tuberal) Controls blood pressure, heart rate, satiety, and neuroendocrine integration; releases growth hormone-releasing hormone. Posterior Involved in memory, learning, arousal, sleep, pupil dilation, shivering, and feeding; releases anti-diuretic hormone. Hypothalamus Regions and Functions The hypothalamus has connections with various parts of the central nervous system. It connects with the brainstem, the part of the brain that relays information from the peripheral nerves and spinal cord to the upper parts of the brain. The brainstem includes the midbrain and portions of the hindbrain. The hypothalamus also connects to the peripheral nervous system. These connections enable the hypothalamus to influenceà many autonomic or involuntaryà functions (heart rate, pupil constriction and dilation, etc.). In addition, the hypothalamus has connections with other limbic system structures including the amygdala, hippocampus, thalamus, and olfactory cortex. These connections enable the hypothalamus to influence emotional responses to sensory input. Key Takeaways The hypothalamus is located in the diencephalon region of the forebrain, directs a number ofà needed functions in the body and is the control center for severalà autonomic functions.These functional controls include: autonomic, endocrine, and motor function control. Ità is also involved in homeostasis and the regulation of both the sleep-wake cycle and in food and water intake.A number of important hormones are produced by the hypothalamus including: vasopressin (anti-diuretic hormone), corticotropin-releasing hormone, oxytocin, gonadotropin-releasing hormone, somatostatin, growth hormone-releasing hormone, and thyrotropin-releasing hormone. These hormones act on other organs or glands in the body. Hypothalamus: Disorders Disorders of the hypothalamus prevent this important organ from functioning normally. The hypothalamus releases a number of hormones that control a variety of endocrine functions. As such, damage to the hypothalamus results in a lack of production of hypothalamic hormones needed to control important activities, such as maintaining water balance, temperature regulation, sleep cycle regulation, and weight control. Since hypothalamic hormones also influence the pituitary gland, damage to the hypothalamus impacts organs that are under pituitary control, such as the adrenal glands, gonads, and thyroid gland. Disorders of the hypothalamus include hypopituitarism (deficient pituitary hormone production), hypothyroidism (deficient thyroid hormone production), and sexual development disorders.Hypothalamic disease is most commonly caused by brain injury, surgery, malnutrition related to eating disorders (anorexia and bulimia), inflammation, and tumors. Divisions of the Brain Forebrain - encompasses the cerebral cortex and brain lobes.Midbrain - connects the forebrain to the hindbrain.Hindbrain - regulates autonomic functions and coordinates movement.
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