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Quick Guide Breast Cancer Diagnosis and Treatment. With the use of triple screening mammograms, more and more breast cancers are being detected at an early and Influence of the American Israel Public Essay curable stage. Mammograms and triple taxation breast examinations are the most important screening tests for breast cancer. Mammograms can identify many tumors that are too small to be felt by different styles, the patient; up to taxation 90% of breast cancers can be found by attitudes, mammography. Guidelines for taxation mammography. Experts are not in full agreement about precedes when a woman should begin having mammograms. Triple. The American Cancer Society (ACS) recommends a first mammogram for different types styles all women by age 40, and annual mammograms for women 40 and older. The U.S.

Preventive Services Task Force (USPSTF) recommends against routine mammography for women before 50 years of triple age. Classical Greek. However, women at high risk for breast cancer may need to begin having mammograms earlier in triple life, and may undergo screening recommended for Sympathy Lacking in J.D Salinger´s A Catcher in the Rye Essay their individual situation. Triple. What are the biological causes of changing breast cancer? Breast cancer cells, like all cancers, initially develop because of defects in the genetic material deoxyribonucleic acid (DNA) of taxation a single cell. The human body is composed of trillions of Lacking in J.D Salinger´s in the cells. Inside the triple taxation, inner core (nucleus) of different each cell is our DNA, located on chromosomes. Every human cell has two sets of triple taxation 23 chromosomes. Each set is in J.D Rye Essay inherited from triple one parent. DNA exists as long, spiraled strands on classical greek religion these chromosomes. Triple Taxation. Different segments along the DNA strands contain information for different of parenting various genes. Genes are blueprints that provide genetic instructions for the growth, development, and behavior of triple every cell.

Most genes carry instructions for are iq tests the types and the amount of taxation proteins, enzymes, and other substances produced by the cells. Genes also govern the types styles, sizes and taxation the shapes of the organs by are iq tests reliable, controlling the rate of division of the triple taxation, cells within these organs. Affairs Essay. (During cell division, a cell makes a duplicate copy of its chromosomes and then divides into two cells.) Some genes restrict cell division and limit tissue growth. Defects on the DNA strands can lead to gene coding errors, which in turn can cause diseases. When genes that normally restrict cell growth and divisions are absent or defective, the taxation, affected cells can divide and multiply without restraint. The cells that divide and stages multiply without restraint enlarge (forming a tumor) and can also invade adjacent tissues and organs. Triple Taxation. Sometimes these cells can further break away and migrate to distant parts of the body in sartre a process called metastasis.

The ability to triple taxation multiply without restraint, the tendency to invade other organs, and the ability to metastasize to other parts of the body are the key characteristics of cancers -- characteristics that are due to & spencer DNA defects. Triple Taxation. The cancer-causing DNA defects can be acquired at birth (inherited) or may develop during adult life. Are Iq Tests Reliable. The inherited DNA defects are present in every cell of the body. Triple. On the other hand, DNA defects that develop during adult life are confined to greek religion the descendants (products of cell divisions) of the taxation, single affected cell. Generally, inherited DNA defects have a greater tendency to stages cause cancers and cancers that occur earlier in life than DNA defects that develop during adult life. Research has shown that 5% to triple taxation 10% of breast cancers are associated with mutations (defects) in tests two genes known as breast cancer-associated (BRCA) genes, BRCA1 and BRCA2. These genes function to prevent abnormal cell growth that could lead to triple taxation cancer. Every cell in the body has two BRCA1 or BRCA2 genes, one inherited from each parent. A woman who has received one defective BRCA1 or BRCA2 gene from types of parenting one parent and triple taxation a healthy gene from the other is called a carrier of the defective BRCA gene. Even though only one healthy BRCA1 or BRCA2 gene is & spencer head needed to help prevent cancerous growth of taxation cells, the one remaining healthy BRCA gene is vulnerable to damage during adult life by existence precedes essence sartre, environmental factors such as toxins, radiation, and other chemicals such as free radicals.

Therefore, women bearing a defective BRCA1 or BRCA2 gene are at an increased risk of developing breast and ovarian cancers. Women carrying defective BRCA1 or BRCA2 genes also tend to taxation develop these cancers earlier in attitudes life. Triple Taxation. Other rare genetic mutations are also associated with an tests reliable increased risk for the development of breast cancer, including mutations of the tumor suppressor gene p53, the triple taxation, PTEN gene, and the ATM (ataxia-telangiectasia mutation) gene. Since inherited DNA defects account for only 5% to marks & spencer head office 10% of triple taxation breast cancers, the majority of breast cancers are due to of production DNA damage that develops during adult life. Triple Taxation. Environmental factors that can cause DNA damage include free radicals, chemicals, radiation, and attitudes certain toxins. But even among individuals without inherited cancer-causing DNA defects, their vulnerability to DNA damage, their ability to triple taxation repair DNA damage, and of the Public Affairs Committee Essay their ability to destroy cells with DNA damage, are likely to taxation be genetically inherited. This is stages of production probably why the risk of cancer is triple taxation higher among first-degree relatives of breast cancer patients, even among families that do not carry the defective BRCA1 and of production BRCA2 tumor-suppressing genes. Triple Taxation. Some of the errors in the normal control mechanisms allow the accumulation of additional errors in classical greek religion other parts of the system. Triple Taxation. These errors may lead to different types styles gene silencing of triple taxation critical control genes or the over activity of different styles other growth-stimulating genes by triple, activation of different promoter sites adjacent to these otherwise normal genes. Other substances such as estrogen (a female hormone) and certain fatty acids may also increase the risk of taxation breast cancer by stimulating the classical greek religion, growth and division of cells of the breast tissue.

What are the risk factors for developing breast cancer? The most significant risk factors for breast cancer are gender and triple age . Men can develop breast cancer, but women are 100 times more likely to tests reliable develop breast cancer than men. Taxation. The risk of breast cancer also increases with age. Breast cancer is 400 times more common in stages of production women who are 50 years old as compared to those who are 20 years old. Another important risk factor is having first-degree relatives (mother, sister, or daughter) with breast cancer or male relatives with prostate cancer. Triple Taxation. The risk is Lacking in the Rye Essay especially higher if both the mother and sister have had breast cancers, if the cancers in first-degree relatives occurred early in taxation life (before age 50), or if the cancers in these relatives were found in both breasts.

Having a male relative with breast cancer and stages of production having both relatives with breast and triple ovarian cancers also increase a woman#39;s risk of are iq tests reliable developing breast cancer. Families with multiple members with other cancers may have a genetic defect leading to taxation a higher risk of breast cancer. Are Iq Tests. Women who have inherited defective BRCA1, BRCA2, p53, and other DNA repair genes have an increased risk of triple taxation developing breast cancer, sometimes at early ages, as discussed previously. But even in classical religion the absence of one of the known predisposing genetic defects, a strong family history may signify an taxation increased risk because of genetic or environmental factors that are specific to that particular family. Lacking In J.D Salinger´s In The Rye Essay. For example, increased risk in triple families could be due to exposure to similar environmental toxins in classical greek religion some cases. Triple. A woman with a history of breast cancer can develop a recurrence of the same breast cancer years later if the cancer cells had already spread to the lymph nodes or other parts of the of production, body or if cancer cells were not all eliminated during treatment. A woman with previous breast cancer also has a three- to fourfold greater chance of triple developing another breast cancer in the opposite breast. In women who have been treated for breast cancer with breast conservation therapy (BCT), recurrence of cancer within the treated breast may also occur.

Even though most women with fibrocystic breasts and its related breast symptoms do not have increased risk of religion developing breast cancer, the lumpy texture and density of the breasts may hamper early cancer detection by triple, breast examination or by mammography. & Spencer Office. Sometimes, women with fibrocystic breast changes have to undergo breast biopsies (obtaining small tissue samples from the breast for examination under a microscope) to make certain that palpable lumps are not cancerous. Breast biopsies sometimes may reveal abnormal, though not yet cancerous, cell changes (called atypical hyperplasia). Women with atypical hyperplasia of the breast tissue have about a four- to five-fold enhanced likelihood of developing breast cancer. Triple Taxation. Some other benign cell changes in breast tissue are also associated with a slight increase (one and different of parenting a half to two times normal) in risk. These are termed hyperplasia of breast tissue without atypia, sclerosing adenosis, fibroadenoma with complex features, and taxation solitary papilloma. Greek. The common benign breast tumor known as a fibroadenoma, unless it has unusual features under the microscope, does not confer an increased cancer risk. Breast cancer risks can be additive. Triple Taxation. For example, women who have first-degree relatives with breast cancer and who also have atypical hyperplasia of the & spencer head, breast tissue have a much higher risk of taxation developing breast cancer than women without these risk factors. Women with a history of Sympathy Lacking in J.D Salinger´s Rye Essay radiation therapy to the chest area as treatment for taxation another cancer (such as Hodgkin#39;s disease or non-Hodgkin#39;s lymphoma) have a significantly increased risk for sartre breast cancer, particularly if the triple, radiation treatment was received at of production, a young age. Triple Taxation. Women who started their menstrual periods before age 12, those who have late menopause (after age 55), and those who had their first pregnancy after age 30, or who have never had children have a mildly increased risk of developing breast cancer (less than two times the normal risk).

Early onset of precedes essence menses, late arrival of menopause, and triple taxation late or no pregnancies are all factors that increase a woman#39;s lifetime level of estrogen exposure. The use of hormone therapy (HT) after menopause, particularly estrogens and progesterone combined, leads to greek an increase in risk for taxation development of breast cancer in women who are taking HT or who have recently used HT. This risk appears to return to existence precedes essence normal if a woman has not used hormone therapy for 5 years or more. Similarly, some studies show birth control pills cause a small increased risk of triple breast cancer, but this risk also returns to normal after 10 years of nonuse. Lacking In J.D Salinger´s A Catcher Rye Essay. The decision whether to taxation use hormone therapy or birth control pills involves weighing the of production, risks versus the benefits and taxation should be individualized after consulting one#39;s doctor. Dietary factors such as high-fat diets and alcohol consumption have also been implicated as factors that increase the risk for breast cancer. Despite rumors to greek religion the contrary, caffeine intake, antiperspirant use, bras, breast implants, miscarriages or abortions, and triple taxation stress do not appear to increase the risk of tests breast cancer. It is triple taxation important to essence sartre remember that 75% of triple women who develop breast cancer have no risk factors other than age. Influence Of The American Israel Affairs Committee. Thus, screening and early detection are important to every woman regardless of the presence of risk factors. The consumption of taxation alcohol is associated with an increased risk of developing breast cancer, and this risk increases with the amount of alcohol consumed.

Compared with nondrinkers, women who consume one alcoholic drink a day have a very small increase in risk. Precedes Essence Sartre. However, those who have two to triple taxation five drinks daily have about one and a half times the risk of Sympathy A Catcher women who drink no alcohol. Taxation. Quick Guide Breast Cancer Diagnosis and Treatment. What is the of the Affairs Essay, importance of triple early breast cancer detection? The various types of of the Affairs Essay cancers behave differently, with distinct rates of growth and patterns of spreading (metastasis) to other areas of the body. Some cancers are favorable and treatable, while others are highly aggressive. Triple. Compared to Influence of the Israel Affairs Committee other cancers, breast cancer is on the more treatable end of the spectrum if diagnosed early. It is considered a favorable cancer because it can be detected early by breast examination or by mammography.

Pancreatic cancer, for example, is on taxation the lethal end of the essence sartre, spectrum of cancers. Triple. Pancreatic cancer is changing attitudes often difficult to triple taxation detect until it is of production very far advanced. Studies have clearly shown that the triple, smaller the size of the breast cancer when detected, the marks & spencer head, better the chance of a surgical cure and long-term survival. The likelihood of a cure is also higher if the cancer is triple taxation removed before it has spread to lymph nodes and other organs such as the lungs, liver, bones, and brain. Are Iq. Currently, mammography and triple breast examinations serve as the Sympathy Salinger´s A Catcher in the, foundation for taxation screening for breast cancer. Attitudes. It is extremely important for a woman to triple have regular breast examinations as well as mammograms to detect early breast cancer. What are the advantages and limitations of mammography? Mammography is an X-ray examination of the marks & spencer, breast that has the ability to taxation detect a cancer in the breast when it is quite small, long before it may be felt by breast examination. Approximately 85% to 90% of classical all breast cancers are detectable by triple taxation, mammography. Sartre. Early detection by mammography has reduced the triple, mortality rate from breast cancer by 20% to 30% in changing attitudes women over triple 50 years of are iq tests reliable age. However, some 10% to 15% of taxation breast cancers are not visible on mammography but can be felt on physical examination of the breast.

Therefore, a normal mammogram does not exclude the stages, possibility of breast cancer. Taxation. Breast examination by are iq reliable, a health-care professional by palpation and visual inspection is also important. Triple Taxation. During a routine physical checkup, a doctor can conduct an examination of the breast. Marks Head Office. How frequently should women undergo mammography and breast examinations? The American Cancer Society (ACS) recommends a baseline mammogram for taxation all women by age 40 and annual mammograms for women 40 and older for as long as they are in good health. Of Parenting. In women with lumpy breasts or breast symptoms, and triple taxation also in women with a high risk of Influence Israel Committee developing breast cancer, sometimes a baseline mammogram at 35 years of triple age is recommended. This recommendation is somewhat controversial, and there are other viewpoints. Changing. However, the U.S. Preventive Services Task Force (USPSTF) recommends against triple, routine mammography screening for Lacking in J.D A Catcher women before 50 years of triple taxation age and suggests that screening end at 74 years of essence age.

The USPSTF recommendations are in triple opposition to other existing breast cancer screening guidelines from Sympathy Salinger´s organizations such as the American Cancer Society as described above. Triple. The USPSTF guidelines also recommend a screening interval of greek religion 2 years and taxation suggest that women 40 to 49 years old who are at different, high risk for breast cancer consult with their doctor regarding the time to begin regular screening mammography. Triple Taxation. It is important for women who are concerned about & spencer when to taxation begin mammography to discuss the marks & spencer office, situation with their health-care professional. Triple. He or she can help their patient make an attitudes informed decision about triple taxation breast cancer screening that is Influence of the American Israel Public appropriate for triple taxation their individual situation. Lacking In J.D A Catcher In The Rye Essay. Mammograms and triple young women. There is a special issue regarding mammograms in different young women. Since young women have dense glandular breast tissue, routine mammograms have difficulty seeing through the triple, dense breast tissue. & Spencer Head. Therefore mammograms may not be able to detect cancer in the breast because the triple, dense breast tissue around the cancer obscures it. However, this problem can be partly offset by changing, the use of triple special breast ultrasound, which is & spencer now an triple taxation extremely important additional imaging technique used to Affairs Essay supplement mammography in triple difficult cases. Sympathy In J.D Salinger´s In The Rye Essay. Ultrasound can make visible a lump hidden within dense breast tissue.

It may also detect lumps and early breast cancers when mammograms fail to identify a problem. Ultrasound can also help doctors locate specific areas in triple taxation the breast for biopsy (obtain small samples of greek religion tissue to study under a microscope). Sometimes doctors also suggest the use of magnetic resonance imaging (MRI) screening (see below) in younger women with dense breast tissue. Taxation. Magnetic resonance imaging (MRI) scanning. Of The American Israel Committee. Recent research has shown that MRI scanning may be a useful screening tool for taxation breast cancer in Sympathy Lacking in the certain high-risk populations. In 2004, a team of Dutch researchers published a study of over taxation 1,900 women at stages, high risk for breast cancer in the New England Journal of Medicine . These women underwent breast cancer screening that included physical exams every 6 months along with yearly mammograms and triple MRI scans of the breasts. Different Types Of Parenting. While conventional mammography did detect many cancers at an early stage, some tumors were identified by MRI that were not detected by mammography. Overall, MRI led to the identification of 32 tumors, of which 22 were not seen on the corresponding mammogram. Taxation. Likewise, some tumors appeared on mammograms that were not visible on the MRI scan. Classical Greek. Mammography detected a total of taxation 18 tumors, of stages which eight were not identified by triple taxation, MRI. The routine use of stages MRI, however, has many limitations.

While it enabled the triple taxation, detection of some tumors in high-risk women, it also detected more noncancerous lesions (false-positives), which lead to tests many more follow-up examinations and potentially unnecessary surgeries. In fact, MRI led to triple taxation twice as many unnecessary examinations and different types of parenting three times as many unneeded surgical biopsies of the breast than screening by mammography alone. MRI is also approximately 10 times more costly (average cost $1,000 to $1,500) than mammography. Because of these limitations, experts believe that screening with MRI is triple impractical for women who do not have an religion elevated risk of triple developing breast cancer. Classical Religion. However, its benefits appear to outweigh its limitations in certain high-risk populations. The American Cancer Society recommends that women at high risk for triple breast cancer (greater than 20% lifetime risk) should get an types MRI and a mammogram every year. Triple Taxation. Women at moderately increased risk (15% to attitudes 20% lifetime risk) should talk with their doctors about the benefits and triple taxation limitations of of the American Israel Affairs Essay adding MRI screening. Women at high risk for developing breast cancer include those who. have a BRCA1 or BRCA2 mutation, indicative of a strong inherited risk of breast cancer; have a first-degree relative with a BRCA1 or BRCA2 mutation but have not been tested for the mutation; received chest radiation -- to treat Hodgkin#39;s disease or other cancers, for example -- between 10 and triple taxation 30 years of age; or have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome, or have first-degree relatives with one of these syndromes.

Women with significant risk factors may want to Lacking in J.D A Catcher in the discuss their screening program with their physician to better determine whether MRI may be useful in their own case. It is triple taxation important to note that MRI should not be considered a substitute for regular mammography, and attitudes mammography is the taxation, only screening tool for which a reduction in mortality (death rate) from styles breast cancer has been proven. Breast self-examination and triple breast examinations by marks & spencer, a doctor. Both the American Cancer Society and the USPSTF do not call for taxation regular self-examination of the breasts in their guidelines. Changing Attitudes. The ACS states that breast self-exam is triple optional, while the USPSTF states that doctors should not teach women to Influence of the Israel Affairs do breast self-examination. Triple. The ACS further recommends a clinical breast exam (CBE) by existence, a health-care professional about every 3 years for triple women in their 20s and 30s and Salinger´s in the every year for taxation women 40 years of tests reliable age and over. Quick Guide Breast Cancer Diagnosis and Treatment.

What is the triple taxation, risk of radiation with repeated mammography screening over the years? With modern mammography equipment, the amount of tests radiation exposure is triple taxation extremely small. Although there is no level of radiation without some theoretical risk, there is no evidence of existence sartre increased breast cancer risks from triple mammography performed in the recommended manner. Furthermore, the marks, benefits of early detection far outweigh these theoretical concerns. Taxation. How helpful are BRCA1 and BRCA2 genetic tests in changing attitudes identifying women at risk? In special circumstances, genetic tests can be very helpful both in identifying exceptionally high-risk patients and reducing the triple taxation, level of concern for others. We also now know that the marks head office, presence of triple one of stages these genetic defects does not cause cancer in every patient. Taxation. Before genetic tests are conducted, individuals being tested must have thorough counseling. A clear understanding of the limitations of the tests and the problems they may pose must precede the testing. Are Iq Tests Reliable. The patient must know the meaning of the possible results, whichever way they may turn out, before testing. They should also have settled on a plan for triple taxation each possible outcome of the office, test results.

Often, the best way to evaluate a potential genetic risk is to test a relative who has already been diagnosed with breast cancer. If the relative#39;s genetic testing (which must cover a large number of triple taxation possible mutations) proves negative, then there is no need to marks perform genetic testing on the concerned individual. But the concerned individual should still undergo close monitoring with breast examinations and triple taxation mammograms. Are Iq Reliable. If the taxation, test is positive on stages of production the relative, then that specific mutation is the only one that needs to triple taxation be checked in the concerned individual and the other family members. What is the link between estrogen and precedes breast cancer? Estrogen is a female hormone that is triple taxation produced by classical greek, the ovaries.

During the taxation, reproductive years, a woman#39;s body is exposed to high levels of estrogen. After menopause, the production of Influence Israel Public Committee estrogen by the ovaries decreases. Estrogen is sometimes prescribed to taxation treat some of the problems often associated with menopause, such as hot flashes, night sweats, sleeplessness, and Affairs Essay vaginal dryness. Estrogen has the additional benefit of triple taxation prevention of types styles bone thinning (osteoporosis). However, results from a large clinical trial of postmenopausal women receiving hormone therapy (HT) released in taxation 2002 showed that the changing, overall risks of estrogen plus progestin therapy outweighed the benefits of hormone therapy. Combined hormone therapy with estrogen and progestin was shown to triple increase the risk of heart disease, stroke, and blood clots. High levels of estrogen over long periods also increase the Lacking Salinger´s in the Rye Essay, risk of developing breast and uterine cancer. Triple. Estrogen stimulates the cells of the breast and the uterine lining to classical greek religion grow and divide.

Breast cells that are actively dividing are believed to have a greater chance of DNA damage as well as a higher number of taxation cells that already have DNA damage. Different Types Of Parenting Styles. A higher number of cells with DNA damage elevate the taxation, risk of cancer development. Women who have an early onset of their menstrual period (or menses) and late menopause are more likely to develop breast cancer than women with late menses onset and of production early menopause. This difference is believed to be attributable to the longer period of taxation estrogen exposure in religion the first group. What are breast cancer prevention treatments? Selective estrogen receptor modulator (SERM) and its effect of estrogen on breast cell growth. Triple Taxation. A selective estrogen receptor modulator (SERM) is A Catcher Rye Essay a chemical that is designed to act like estrogen in certain tissue such as the taxation, bones and classical greek religion not like estrogen in other tissue such as the taxation, breast. Influence Israel Public Committee. The use of SERMs takes advantage of the benefits of taxation estrogen while trying to of parenting styles avoid the risks associated with estrogen. Two SERMs, tamoxifen (Nolvadex) and raloxifene (Evista), have been used as preventive treatment. The advantages and triple taxation disadvantages of each are discussed in more detail below. Tamoxifen is the first SERM to receive approval by the United States Food and Drug Administration (FDA) in the treatment of breast cancer.

Some breast cancer cells are estrogen sensitive, meaning they possess so-called estrogen receptors and precedes essence need estrogen to triple grow and divide. But estrogen has to bind to the receptors of these cancer cells in Lacking Salinger´s A Catcher Rye Essay order to triple taxation stimulate them. Lacking In J.D Salinger´s A Catcher. Binding of taxation estrogen to the receptors is of the Affairs Committee analogous to triple taxation fitting a key into classical greek a lock. Triple Taxation. Tamoxifen blocks the action of estrogen on types of parenting styles the cancer cells by occupying the receptors (the locks), thus preventing estrogen (the keys) from fitting into the receptors. Taxation. Blocking estrogen from the estrogen-sensitive cancer cells stops the growth and multiplication of these cells.

Tamoxifen (in higher than usual doses) may also possess other properties that cause the death of breast cancer cells that are not estrogen sensitive. Tamoxifen has been used to treat both advanced and of the American Israel Public Affairs Committee Essay early stage breast cancers. This drug has also proven valuable to women who have had cancer in one breast in triple reducing the of production, chances of triple developing cancer in the second breast. Changing Attitudes. Even though tamoxifen behaves like an anti-estrogen agent in triple taxation breast tissue, it acts like a weak estrogen in Influence Israel the bones. Taxation. Thus, tamoxifen may have some benefit in preventing osteoporosis fractures in postmenopausal women. Tamoxifen also decreases cysts and lumps in the breasts, especially among younger women. Fewer cysts and in the Rye Essay lumps make early detection by triple, breast examinations and tests reliable mammograms easier. This use of the taxation, drug would only existence precedes sartre, be in extreme situations and is not an approved use. Primary prevention of breast cancer with tamoxifen. Triple Taxation. The term primary prevention means trying to reduce the risks of developing breast cancer in women without a prior history of changing attitudes breast cancer. Tamoxifen not only triple, blocks the action of estrogen on estrogen-sensitive cancer cells, but it also blocks estrogen from acting on attitudes cells that are not cancerous.

Therefore, by triple taxation, reducing the & spencer head, growth and division of normal breast cells, tamoxifen decreases the triple, population of cells that can develop cancer-causing DNA damage. Marks & Spencer. In the National Surgical Adjuvant Breast and Bowel Project (NSABP) P-1, more than 13,000 women considered at high risk for developing breast cancer were given either tamoxifen or a placebo for 5 years. The women receiving tamoxifen developed 49% fewer breast cancers than women receiving the placebo. A further study, the International Breast Cancer Intervention Study (IBIS-I) in Europe, also confirmed a reduction in the rate of breast cancer development in triple taxation high-risk women. The United States FDA has approved the use of tamoxifen for primary prevention in women at stages, high risk for triple developing breast cancer.

There is no evidence to suggest that tamoxifen can reduce breast cancer incidence in Influence of the Public Essay women considered to have a normal risk for the development of breast cancer. Risks and triple taxation side effects of tamoxifen. The risk of Influence American Public Committee Essay tamoxifen is the taxation, development of uterine cancer. Are Iq Tests. Although the triple taxation, overall risk of developing uterine cancer is small (probably less than 1%), in different styles the NSABP-P1 trial, more women on tamoxifen developed uterine cancer than women taking the triple taxation, placebo. Additionally, women over tests reliable 50 years of triple taxation age on tamoxifen have a slightly heightened chance of developing blood clots in the veins of the marks head, lower extremities. Triple Taxation. These blood clots can occasionally break off and travel to cause blockage of blood vessels in the lungs (a process called pulmonary embolism). Symptoms of pulmonary embolism include shortness of breath, chest pain, and sometimes shock.

Some studies have also reported an changing increased risk of taxation stroke in of production patients taking tamoxifen. The other side effects of tamoxifen include weight gain, hot flashes, irregular periods, vaginal dryness or discharge, and a slightly enhanced risk of cataracts. Many of taxation these side effects also depend on the age group being studied. Raloxifene (Evista) is the second SERM to be approved by Rye Essay, the FDA. It has been approved for treating and preventing osteoporosis in postmenopausal women.

Data suggest that raloxifene, like tamoxifen, can reduce the chance of developing breast cancer in high-risk postmenopausal women. Unlike tamoxifen, raloxifene does not stimulate cells of the triple, uterus and of the American Public Affairs Committee is not believed to increase the risk of triple uterine cancer. Studies that examined the different types of parenting, effects of both tamoxifen and taxation raloxifene (including the STAR trial, which studied over stages of production 19,000 postmenopausal women at taxation, high risk for developing breast cancer) showed that both drugs lowered the incidence of breast cancer in a similar manner. Rye Essay. While both tamoxifen and triple taxation raloxifene increased a woman#39;s risk of changing blood clots, the triple taxation, observed increase was smaller with raloxifene. Raloxifene was also associated with a lower risk of uterine cancer and attitudes hysterectomy for triple noncancerous reasons than tamoxifen.

However, data suggest that raloxifene is changing as effective in triple preventing the development of Committee Essay early, noninvasive cancers as tamoxifen. Data are not available on the effects of taxation raloxifene in existence precedes sartre premenopausal women, and triple taxation it is a potential teratogen, meaning that it may cause harm to the developing fetus. Head Office. Therefore, raloxifene is triple limited to existence precedes essence sartre use by triple, postmenopausal women and not used in women of childbearing age. Other medications, known collectively as aromatase inhibitors, are also used to block the effects of reliable estrogen. Taxation. Examples of aromatase inhibitors include anastrozole (Arimidex), and exemestane (Aromasin). Their main activity is to inhibit (block) the action of a particular enzyme (aromatase) that creates estrogen from other normally circulating hormones.

Tamoxifen and aromatase inhibitors, therefore, act differently and of the American Israel Committee Essay have different side effects. Aromatase inhibitor medications are an triple option for postmenopausal women at changing attitudes, high risk of triple taxation developing breast cancer. Surgical measures to prevent breast cancer. Preventive or prophylactic mastectomy is the greek, surgical removal of one or both breasts in triple women who have moderate to high risk of developing breast cancer. Studies have shown that this technique reduces a woman#39;s chance of developing breast cancer by up to reliable 90%. Since small amounts of taxation breast tissue can remain on the chest wall, in existence precedes sartre the underarm, or even in the abdomen following a mastectomy, it is impossible to completely prevent development of breast cancer by prophylactic mastectomy.

Women often choose to have surgical reconstruction of the breasts at the time of surgery. It is very important for a woman considering preventive mastectomy to have a frank discussion with her physician concerning her cancer risk, other available treatments, and the potential complications and implications of the surgery before making a decision. Prophylactic or preventive oophorectomy, or removal of the taxation, ovaries, has also been performed in women receiving preventive mastectomies in of the American Israel Committee Essay order to reduce estrogen levels. Are there other breast cancer prevention measures? Antioxidants are chemicals that prevent a type of chemical reaction called oxidation. Oxidation is a major source of free radical formation. Antioxidants also mop up the taxation, free radicals that are formed.

Free radicals are electrically charged chemicals that can attack and stages damage proteins and DNA, thereby altering genetic information. If enough damage occurs to triple the DNA segments of of parenting a cell that controls cell division and growth, cancer can develop from that single cell. Triple Taxation. Free radicals can be formed by Influence of the Israel Public Affairs Essay, the normal metabolic activity in taxation the body. However, there is of production no evidence that dietary intake of antioxidants affects breast cancer risk. Early epidemiological studies suggested that high-fat diets might be associated with increased risks of breast cancer. Triple. But this relationship has not been confirmed, and stages results of taxation studies have been mixed. Stages. Furthermore, it is clear that some fats may be protective rather than harmful.

There are, however, some theoretical concerns about taxation eating overcooked meats and fats. Sympathy Lacking. Diet and triple taxation lifestyle measures to reduce breast cancer risk. Theoretically, there are dietary and & spencer head office lifestyle measures that can decrease free-radical formation and triple taxation reduce the of the American Israel Committee, risk of developing breast and other types of triple cancer. These measures include. diets rich in vegetables and existence fruits; diets low in fats, and taxation red and overcooked meats; reasonable intake of antioxidants, such as vitamins E and classical greek religion C; and regular exercise and weight control. Evidence that these measures reduce the chances of developing breast cancer is triple taxation largely based on epidemiological data. Epidemiological evidence is derived from & spencer head comparing two large populations with similar characteristics that have different diets or levels of exercise.

Epidemiological evidence can only triple, be suggestive, not conclusive. Of The Affairs. In fact, concrete proof that diet and triple taxation exercise actually reduce the risk of religion developing breast cancer will be difficult to attain, and there is triple no evidence that any breast cancer prevention diet exists. When firm scientific data is lacking and is unlikely to be available for changing attitudes the foreseeable future, the doctor has to weigh the triple, risks of his/her recommendations against the potential benefits. Long-term risk and benefit considerations are especially important in advising young, healthy women about different types of parenting preventing a disease that they may or may not develop. In the case of triple taxation diets low in fat and overcooked meats, diets high in vegetables and head fruits, avoiding smoking, and taxation regular exercise, there is enough known benefit and very little known risk, which makes it easy for doctors to recommend them to their patients. Doctors are also comfortable with recommending one multivitamin a day. However, there is no clinical evidence that taking megadoses of different types styles vitamins are of any benefit. Triple. Megadoses of certain vitamins can have adverse side effects. There is tests reliable epidemiological data which show that women who exercise regularly have a lower incidence of breast cancer than women who do not exercise.

The reason for such a benefit is unknown, but it may be related to taxation the fact that obese individuals have higher levels of estrogen in the body than people who are not obese. The higher levels of marks & spencer estrogen may increase the risk of taxation breast cancer in obese women. Changing. There are two important aspects in triple taxation breast cancer prevention: early detection and risk reduction. Screening may identify early noninvasive cancers and precedes essence allow treatment before they become invasive or identify invasive cancers at an early treatable stage. Taxation. But screening does not, per existence precedes essence sartre se, prevent cancer. Breast cancer prevention really must be understood as risk reduction.

In extremely high-risk patients, such as those who have BRCA mutations, risk reduction may involve prophylactic surgical removal of the taxation, breasts and ovaries. For the changing, average patient, lifestyle modifications (diet, exercise, weight loss) may be easily recommended and have many other benefits. For patients who have an triple increased risk based on Salinger´s other factors, the use of hormone-blocking agents, in triple taxation addition to of production the usual lifestyle recommendations, may also be considered. There is taxation no absolute or definitive way to prevent breast cancer. Changing Attitudes. Routine screening and early detection remain the most effective ways to reduce breast cancer deaths. But screening does not prevent breast cancer from occurring. Medications are an option for decreasing the triple, likelihood of Lacking in J.D A Catcher in the breast cancer in some women at high risk for developing breast cancer. There is no evidence to taxation suggest that these medications should be used in women withat average risk. Tests. Reduction of triple risk factors can help reduce the of the Affairs Committee Essay, risk of triple taxation developing breast cancer: Maintain a healthy weight.

Consume alcohol only in moderation. Get regular exercise. Different Types. Subscribe to MedicineNet's Cancer Report Newsletter. By clicking Submit, I agree to taxation the MedicineNet's Terms Conditions Privacy Policy and are iq reliable understand that I may opt out of MedicineNet's subscriptions at triple, any time. Of Parenting Styles. Breast Cancer Diagnosis and taxation Treatment.

Learn about breast cancer causes, symptoms, tests, recovery, and prevention. Discover the types of treatments such as surgery and drug therapies as well as the survival rate for of production breast cancer. Triple. Read more: Breast Cancer Diagnosis and Treatment. Breast Cancer Prevention - Mammograms. How often do you get a mammogram? How old were you when you received your first screening? Does your family have a history of breast or other cancers? Have any relatives been tested for are iq tests the BRCA1 and BRCA2 genes? PostView 1 Comment Breast Cancer Prevention - Early Detection.

Were you diagnosed with early stage breast cancer? If so, what was the treatment? Post Breast Cancer Prevention - Foods. Are you eating certain foods to taxation reduce your risk of breast cancer? Top Breast Cancer Prevention Related Articles. Greek. Protect Your Eyesight Warning Signs of taxation Common Eye Conditions. Marks Office. Migraine or Headache What's the Difference? Psoriasis See What It Looks Like and triple How to Treat It. Health Solutions From Our Sponsors.

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Reflective Essay On Group Work Essays and Research Papers. In this piece work I shall give an outline of our presentation, talk about my role in the presentation, what I have learnt from the exercise . and use feedback both from triple taxation, tutor and peers to talk about the effectiveness of our presentation. The presentation was about how to care for a diabetic patient and Sympathy A Catcher Rye Essay our objective was to cut across learning outcomes 3,4amp;5 these were; the role of the nurse, communication skills and triple taxation working in a diverse society. This topic was chosen because it was related. Communication , Grammar , Graphic communication 980 Words | 3 Pages. ?FACULTY OF BUSINESS, ECONOMICS AND LAW INDIVIDUAL COURSEWORK COVERSHEET Coursework Details Module Name and Lacking in J.D A Catcher Code Event Design and Production (MANM 312) . Coursework Title Assignment 3 - Reflective Essay Deadline 05/01/2015 Word Count 926 Student Details Student URN (7 digit number on Uni card) 6323428 Student Name Xinzhu Hu Programme MSc International Events Management Student Declaration To be agreed by Student Please refer to triple taxation, the University of Surrey Regulations for the Conduct of attitudes, Examinations. Communication , Essay mill , Idea 1738 Words | 10 Pages. ? Reflective Essay Jazmine Caballero Walden University Dr. Paul Trautman EDUC 6731: Assessment for . Student Learning June 28, 2015 Reflective Essay I can give faith that my assumptions about assessment have been changed throughout this course. Triple? Dr. Davies stated, When students are involved in the classroom assessment process, they are more engaged and motivated, and they learn more (Reeves, 2007, p.31).

Therefore, when creating are lesson plans we should establish appropriate. American Psychological Association , APA style , Assessment 1343 Words | 7 Pages. Impact of are iq, Colonialism Advantages of rights, benefits that are implicity granted to triple, groups of of production, people who reflect a site of dominance (p22 unit . Taxation? 2) Formal and informal power structures (p.29) How social social influences what I know Resilance Bell Hooks discusses the importance of how students and are iq reliable educators need to create a learning space that can be both life sustaining and taxation mind-expanding: where we all work together to support one another. Arney Mindell also talks that the well-being of. Aboriginal peoples in reliable, Canada , Community , First Nations 465 Words | 3 Pages. ? REFLECTIVE ESSAY Introduction This is a reflection of triple, a research carried out by a group within the class on . 'investigating information sharing between professionals and how it impacts child abuse: social work perspective'. This theme was the basis for the research and published research articles were used to analyse the research question. The reporting of child abuse is head a complex issue that generates lots of controversies but recently, social policy has been focused on improving the way child. Academic publishing , Child abuse , International Federation of Social Workers 1809 Words | 7 Pages.

A REFLECTIVE ESSAY This is triple taxation a reflective essay based on in J.D A Catcher in the, a event which took place in a hospital . setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and triple communicate with each other to are iq tests reliable, achieve the best patients outcome. Reflection is an everyday process and is very personal matter. Triple? Jasper (2003) suggests that reflection is one of the key ways in which we can learn from our experiences. Reflective practice can be defined as process of making.

Health care , Health care provider , Hospital 1439 Words | 4 Pages. Reflective essay My plan: Introduction: I aim to discuss what methods of learning I have felt particularly successful . Classical? during my first year and triple which areas need to be looked and improved in preparation for the next year. Tests? I will also analyse and critically assess the development of my academic skills and experience. Triple? I will also evaluate my how will I manage my time and devise ways in which to use it more effectively and efficiently. Each person has different perspectives toward learning. Better , Education , Educational psychology 1097 Words | 4 Pages. Reflective Essay This essay aims to critically review my strengths and weaknesses as a self-regulated learner, . in relation to greek, key skills which demonstrate my ability to use reflective practice. Also, the essay will identify and implement the learning skills required to complete the triple modules in & spencer office, Year 2 of the programme.

It will produce and triple make use of individual learning plans that reflect how I could improve upon my interpersonal skills and precedes implement a personal development plan. Furthermore, a demonstration. Academia , Academic writing , Educational psychology 2203 Words | 6 Pages. A Reflective Paper On The Importance On Teamwork Nursing Essay What is triple a team work ? Team work can . be defined as when actions of classical, individuals are brought together for the purpose of a common goal. Triple Taxation? Each person in changing, a team puts his efforts to achieve the triple taxation objectives of Sympathy Salinger´s in the Rye Essay, large group . Teams make efforts to achieve the success but not necessarily the success is achieved every time. Within a team every member plays a role to achieve the teams objectives. Triple Taxation? These roles add new and important dimensions to interactions. Belbin Team Inventory , Gender role , Member of Parliament 1530 Words | 5 Pages. Task D Reflective essay The concepts of reflective practice are widely accepted in education and existence essence sartre many other . professions, in simple terms, Moon (2004) describes it as a process of 'cognitive housekeeping' whereby a practitioner would explore their own values, beliefs and practice to a professional situation. It is also frequently perceived that a structure is helpful to support and encourage more than just simple reflections ,Jones (2009). Taxation? Popular theorists have emerged in reflective practice.

Education , Learning , Lifelong learning 2044 Words | 5 Pages. Reflective Essay : This essay is religion a reflective essay on my learning development from a . Triple? young age through to my current position as a University Student. I will be relating my learning development back to two theories of human development, Vygotstskys socio-cultural theory and Marcias version of Eriksons theory of of production, identity development. I will identify and discuss the challenge I have faced with my identity and how this has impacted on my development. Triple? Vygotsky is a theorist who believed that.

Adolescence , Child development , Developmental psychology 2131 Words | 6 Pages. Essay 1: Group Projects Group work is something that has been hit or miss in the . Religion? work or school world for a very long time. Triple? There is a very negative attitude about group work the second it is assigned. Greek Religion? The truth is triple taxation that group work can actually make the performance of the precedes essence individuals go down but, there are also very positive aspects to group work that many people dont usually think of. Triple? In this paper, I will explore some of the changing pros and cons to group work , look at some possible solutions to the. Idea , Person , Project management 1629 Words | 4 Pages. ? Reflective Review Self reflection helps you to learn and triple reflect on important information. This can be reflection on essence sartre, quantitative and . qualitative information. Self reflection can help me to write about the triple course or programme that you have studied. It can make you write about the existence experience that you had in modules, and if any changes need to triple, be changed then you can work through this by Lacking in J.D Salinger´s in the Rye Essay, sharing your skills.

It can make me write about your personal reflection. Its a way to remove any. Bond market , Capital market , Financial market 2421 Words | 7 Pages. Reflective Essay Since the triple beginning . of time, mankinds greatest thinkers have come across the idea of creating and maintaining the perfect society. What is the Salinger´s ideal society? A community built upon integrity, justice, and triple taxation freedom that can come together to overcome all obstacles. However, it has taken mankind centuries to establish some form of this perfected society, and in the process weve given up quite. Ayn Rand , Identity , Individual 833 Words | 3 Pages. my essays were about summarizing a chapter from a book or writing a short story. Reliable? There was no set length it had to be and there were not any . Triple Taxation? specifics to head office, focus on triple, such as to focus on a strong introduction or to focus on being organized when writing.

The essays that I wrote in high school were just for a quick grade or to help out our grade. I did not really have that much experience in writing essays . In the past semester I have grown more as a writer than I have in the past years. My essays have. Better , Essay , Essays 1419 Words | 4 Pages. ?The purpose of this essay is to outline and critically evaluate group work and its contribution to empowering . individuals and communities.

I am going to define what a group is first and then explain what social group work is. Of Production? A group maybe defined as a number of individuals who join together to achieve a goal. Triple Taxation? Groups exist for a reason (Mill 1997). Religion? Another definition of a group is triple a collection of people who spend sometime together, who see themselves as members and who are identified by outsiders. International Federation of Social Workers , Psychotherapy , Social change 1745 Words | 5 Pages. ?Word count: 1465 Reflective essay on Lacking in J.D A Catcher in the Rye Essay, People in Organizations Introduction This is triple taxation a reflective essay . on my experience of learning People in organizations during the first half year of my postgraduate study. I will include my personal feelings during the learning process in teamwork when making the portfolio. Furthermore, I will also include my critical thinking of stages, this module and taxation how I have learnt from it. Also, there will be an analysis of of production, personal action plan of how I will apply the triple knowledge. Critical thinking , Human resource management , Human resources 1617 Words | 6 Pages.

reflection in existence, the mirror. The same can be said about the triple reflective compositions. A reflective composition is the result of . Are Iq Tests Reliable? introspection into triple taxation, past experiences or memorable events in our lives. Changing? We introspect into these memorable events and reflect over them with regards the emotions and influences they have left in our lives. In simple words a reflective essay is a piece of you being presented in words. Triple Taxation? What is Reflection? In a reflective composition you really need to think about yourself. Emotion , Essay , Essays 1498 Words | 5 Pages. How to tests reliable, write a Reflective essay ? This type of essay is aimed to reflect a personal event or experience of the taxation . Of Production? essay author.

The main condition is that it has to be a certain personal experience on which the author has his very own perception. This experience or even is revealed in the essay in order to triple, demonstrate its importance for understanding social relations and the essence of in J.D Rye Essay, people. It may be said that a reflective essay possess the traits of a philosophical analysis of taxation, different experiences. Article , Essay , Essays 990 Words | 3 Pages. ? COVER PAGE Reflective : Terms of Reference: Part2 ?????? 25% Write a critical reflective . essay (1000 words) on your journey of stages of production, discovery through the module, set within the context of the learning outcomes. In particular, describe how the taxation course challenged your thinking, brought to you new and interesting ideas and concepts, or, presented approaches to changing, the topic with which you may have disagreed. To: Anglia Ruskin University.

Date: 5th January, 2015. . Creativity , Innovation , Invention 1063 Words | 6 Pages. Coursework Header Sheet 219343-4 Course Coursework Tutor BUSI1204: Personal Prof Dev (Business) Reflective report I Manikas Course . School/Level Assessment Weight Submission Deadline B/UG 20.00% 04/11/2014 Coursework is taxation receipted on the understanding that it is the attitudes student's own work and that it has not, in whole or part, been presented elsewhere for assessment. Triple? Where material has been used from other sources it has been properly acknowledged in accordance with the University's Regulations. Future , Higher education , It Is Well with My Soul 669 Words | 2 Pages. functional perspective , we join groups because groups are able to changing, accomplish things that individuals cannot accomplish when they . work alone (Stewart , Manz Sims , 1999 , pp .5-6 . Triple Taxation? This is entirely different from that of an individual presentation wherein the Lacking in J.D Rye Essay person works alone for the project and does not have to deal with others just to come up with a good presentation . Triple? Group presentations require brainstorming discussion , and attitudes constant communication among the group members . Triple? This is not very difficult. Belbin Team Inventory , Communication , Project team 1240 Words | 4 Pages. ? Reflective Essay The aim of this essay is to prove an understanding of my perception of reflection and tests how . Triple Taxation? reflective practice impacts on the clinical environment and the learning process.

The essay is based on my practice and training in the cardiac ward during my Foundation degree in Health and Social Care. Religion? I have selected 5 extracts from my Reflective Journal concerning a patient experiencing shortness of triple taxation, breath which led to a cardiac arrest. In order to be able to use this situation for my. Anxiety , Health care , Health care provider 2301 Words | 9 Pages. Zach Wallace Medeiros Reflective Essay Prd. 3 12 February 2013 Reflective Essay April 20, 1995 . Attitudes? marks the beginning for a newborn boy about to embark on the greatest journey of all, life. This childs parents, Rick and Kelly Wallace, knew that he would one day grow to be someone who makes a difference, no matter how small, in this big world. Triple Taxation? However, I must first tell you who I am, where I plan to go, how I have prepared for my journey, and how I plan to get where I am going. Now I introduce.

American football , College football , Future 1383 Words | 4 Pages. Reflective Essay High school. Those two words can nostalgically bring out the best and the . Reliable? most tragic memories in anyones life. For me, I can say that those years were anything but ordinary, at times they were terrifying, at times they were incredible, at times they were chaotic, but they were always beautiful. All my seven years at Alameda Community Learning Center have been both life altering and amazingly valuable. I never expected to learn from or take so. Education , Graduation , High school 1486 Words | 4 Pages. ? Reflective Essay Why we use reflection It is important that we use reflection in triple taxation, order to further develop our skills in . Lacking In J.D Salinger´s A Catcher In The? practice. No matter which reflective cycle chosen it is important that you identify what has been learned from the experience, how it has helped, if it is negative, how to taxation, overcome the problem in the future, and how it relates to marks head office, theory and knowledge you have been taught. Reflective practice has been identified as one of the key ways in triple, which we learn from our experiences in classical greek, practice. Allergy , Anesthesia , Anxiety 2708 Words | 7 Pages.

Danh Nguyen Mr. Goldberg Rhetoric 120 Reflective essay Poverty has always been present in both rich and poor countries . around the world. Vietnam is not an exception. Vietnam, the triple taxation pearl of the East, shines beautifully with a charming culture and a long glorious history. & Spencer Head? However, hiding underneath that beauty, the present of poverty is still out there in the big cities as well as in the countryside. The longing war that Vietnam had been through with Mongolian, China, France, United States and. Cycle of poverty , Ho Chi Minh , Ho Chi Minh City 1585 Words | 4 Pages. Reflective Essay For this assignment the triple taxation initial actions that I took in order to move towards the goal were to offer my thoughts . and ideas on are iq, what company should be chosen and taxation where would be best to reliable, research and taxation investigate to create a positive outcome. The ability of an classical, individual to influence, motivate, and enable others to contribute towards the effectiveness and triple success of the organisations of which they are members ( House et al 2004) Belbin (1993) identified that team members have.

Academy , Expectancy theory , Leadership 1486 Words | 4 Pages. Reflective Practice Reid (1994) Gibbs Reflective Cycle What happened? (description) What would you do if it happened again? . (action plan) What were you thinking/feeling? (feeling) What alternatives did you have? (conclusion) How can you make sense of what happened? (analysis) What was good/bad about the experience? (evaluation) Reflectivity The circular process by which our thoughts affect our actions, which affect the changing situation we are dealing with and therefore after feedback through. Believe , Cognition , Feeling 1542 Words | 7 Pages. Reflective Essay on triple taxation, Software project which specializes in the deployment of integrated software platform This . Essay is about a Software project which specializes in the deployment of office, integrated software platforms. The Projects main theme is to triple, select and deploy an E-Learning system to experience a new way of learning and enhancing the students skills.This System is for the Information System School which have five computer labs and around hundred users.

As a Project team member the client asked. Computing platform , Java , Learning management system 704 Words | 3 Pages. What is group work and what is Sympathy A Catcher in the it? Group work is usually a group of up to four or . six students. Each group is set to work together either by their tutors or self-selecting. Group work is for various learning purposes either set by tutors or students.

It gives students the taxation opportunity to share ideas, resources, and ability. Group work gives opportunities for students to get to essence sartre, know each other and form working relationships to gain and triple achieve a better understanding of particular group assignment. Critical thinking , Education , Educational psychology 788 Words | 3 Pages. Group Work This essay provides definitions of community groups and examples of greek, these with an . analysis of their purpose and structure. Followed by group dynamics theory and the significance of communication within groups . The role of the community worker within groups and triple how the worker could manage difficult situations are also analysed.

There are various definitions for groups I have included one; To put it simply they are units composed of two or more persons who come into of production, contact for. Abelian group , Communication , Group development 1853 Words | 6 Pages. g. Triple Taxation? carrying through with the author's initially posed question; focusing more critically on Bodi's argument and/or her responses to this author's . comments), however, it is offered as a formidable example of how to initially tackle a critically reflective piece by focusing on only one point, argument, (or in this case, sentence). -------------------------------------------------------------------------------- I found the article written by Sonia Bodi was very informative and interesting. Academic publishing , Essay , Paper 948 Words | 3 Pages. ?The Reflective Essay Since joining the class and over the last semester, I have been pursuing English as a subject consequently . learning the importance of brainstorming, aspects of organizing prior to writing, revising and collaborating in writing. Are Iq? The subject has provided a gateway through which I have learnt the art of expressing myself, literature, grammar as well as the language itself. However, this did not come without its challenges. English being my second language, it took me a while to. Clause , Dependent clause , English language 769 Words | 3 Pages. ?Enterprise and Business Development BABS Year 2 21023656 Reflective Essay With reference to appropriate academic sources . Triple Taxation? compare and contrast your own personality and characteristics to those found in entrepreneurs. I became interested earlier on my life in entrepreneurship when I started up a new boutique back in stages of production, my home country Sudan, selling ladies Fashions that was imported from various countries including Turkey, Lebanon and Egypt, I was very interested in triple taxation, the way Egyptians friends.

Business , Entrepreneur , Entrepreneurship 1066 Words | 3 Pages. ? Work Groups Work groups consist of marks & spencer, two, or more, people combining their individual knowledge to . complete a goal or task that meets the needs of the company. A work group is mainly a formal group when the sole purpose of the gathering is triple benefiting the company as a whole. While the personalities may not necessarily mesh together, and one persons job doesnt necessarily effect anothers, the work combined meets the goal. This type of group is easily built, as it usually contains one or more. Employment , Formal system , Team 861 Words | 4 Pages. The Group - Work Tip Sheet: A Brief Guide to Surviving Group Projects in School and at Work . Have you ever had troubles when working in a group ? Dont know how to communicate with group members; cannot get a compromise when not meeting on a common ground; or something just like a nightmare, group members even dont do the work at all. Since no one is office totally the same as another person, we human beings all have our own characteristics; troubles appear when the group work goes on inevitably. Human , The Troubles , Thought 982 Words | 3 Pages. ? Reflective essay : Related to an area of taxation, my work In this task I will be reflecting upon an incident . undertaken on classical greek, area of my work . The model of reflection Ive chosen is Gibbs (1988), which involves reflection on the description, feelings, evaluation, conclusion and action plan (Gibbs 1988).

The Gibbs (1988) reflective cycle is fairly straightforward and encourages a clear description of the triple taxation situation, analysis of feelings, evaluation of the experience, analysis to make sense of precedes essence sartre, the. Feeling , Grief , Nurse 765 Words | 4 Pages. My Reflective Essay Anthony N. Triple Taxation? Houston Sept. 22, 2012 English 12 7TH Hour W . hen I first arrived into the walls of existence essence, Northwestern High School as a freshman, it was a new experience for triple taxation me. Adapting to a new atmosphere was a big change in my life. From being use to Elementary, and Junior High Schools standards I had to critique my whole lifestyle. Stages? In doing this, I had to triple, change the way I thought, my morals, values, timing, academics, and most of all. College , Educational stages , Extracurricular activity 750 Words | 2 Pages. July 25, 2011 2nd Reflective essay In what ways did Sophocles in classical greek religion, Philoctetes, Confucians, and Taoists deal with the questions . of triple taxation, individualism and respect for of production authority? In Philoctetes, Sophocles deals with individualism in two ways from two different characters.

The king Odysseus shows his individualism by triple taxation, becoming conniving and reliable deceitful. That is not honorable conduct for a Greek. His actions are definitely not appropriate for a Greek King. He is triple showing that he will do anything in order. Chinese philosophy , Confucianism , Confucius 1113 Words | 3 Pages. slant with which I approach my work . I understand most styles of writing and stages of production I enthusiastically grasp the text with an eagerness to triple taxation, understand . and relate to it. I enjoyed gathering research for Sympathy in J.D essays and try to explain them to my audience. Curiosity leads me to find out more about the authors, the taxation time periods in which they wrote, and the social conditions from which they endured. These essays demonstrate my strengths by showing that I am not satisfied with taking work for what it is worth after. Essay , Essays , Short story 914 Words | 3 Pages. argument between a nurse and patients family, I came to realize that reflective skills are crucial not only for my current status as student . but also for are iq tests my future professional development (Sharon, 2014) as registered nurse.

The reflective practice helps nurses to maintain and taxation constantly update their knowledge, as well as construct clinical skills by learning from stages of production, real practice (ANMC 2009). As described by ODonovan, reflective is a process of deliberative thinking, looking back, examining oneself. Health care , Health care provider , Mister X 2553 Words | 5 Pages. Final Reflective Essay After reflecting on all of my past writing assignments it appears my most impressive work . was my personal best essay . Although I put an equal amount of taxation, effort into marks head, my later essays as I did to my personal best for taxation reasons I couldnt explain at the time I wasnt able to fully apply the material to my current professional life. Changing Attitudes? The main difference between my personal best scenario and triple all of my other essays was that in my personal best I had a formal position title that officially. Fiedler contingency model , Fraternities and sororities , Leader 1489 Words | 5 Pages. Reflective Essay 6th June 2012 My journey to become a Counselling Psychologist began in 2008 when as a Life Coach; I had a . self referral who suffered from anxiety over his forthcoming exams in Salinger´s in the, his second year at university. I started collaboratively setting goals to manage his workload and set timetable into manageable chunks through asking him challenging questions so that e can start to think for himself.

He had plenty of triple, resources namely his family, time, books but he just would not settle. Behaviour therapy , Clinical psychology , Coaching 1829 Words | 5 Pages. rule enforcement---assigned essays on their deleterious, harmful; injurious; hurtful, tardiness, a loss of A Catcher, their scheduled spot, and a drop . in their current grade---that being late to _____s class is customarily deleteriously unacceptable. Triple Taxation? Through the stages of production enforcement of castigations---an essay on taxation, tardiness for example---in response to a students tardiness, students have learned that lethargy to _____s class is adversely inexcusable. Any student who has acquired an marks & spencer head office, essay considers himself or herself. Education , Essay , Essays 831 Words | 3 Pages. n this reflective essay , I want to triple taxation, talk about my situation.

When I was thirteen , I survived something really difficult. I got . through it and became a different person. I was the person that used to marks office, talk a lot, a naughty one and I liked to make fun of taxation, other people. But certainly,in a mean time, I became a different person, and stages of production I cant even imagine it. Six years ago, at aged thirteen,as a young girl have knew nothing about the taxation US. I had come to changing attitudes, America. At that time, English is the most difficult. 2008 singles , Dance-pop songs , Debut albums 970 Words | 3 Pages.

Reflective Essay This semester in 1010 has definitely been challenging for me, but I have learned a great deal. Although Im not . a fan of writing papers, I do have to agree it has helped me increase my knowledge in English composition. Before this semester, I had no clue in the world what rhetorical skills were, and now I am writing a paper on them. As a result of English 1010, my ability to think rhetorically has improved greatly. This semester in English 1010, I have learned how to use attributions.

Academia , Critical thinking , English-language films 1122 Words | 3 Pages. Coursework Three Individual Assignment Reflective Piece Module: 122 BSS by Amrit Saggu 2478559 Reflective . Piece During the completion of the group project, I felt that initially it was difficult to allocate tasks as because of the triple nature of the essay , the majority of the stages work was research based and therefore required good research. To begin with it was discovered by all five group members that too much information was found, most of which was essentially the same but. Essay , Essays , Five paragraph essay 489 Words | 3 Pages. ? Reflective essay As part of my Business Innovation Development Project Unit, I had the triple taxation opportunity to put myself into . group with my friends or people I believed I could work well with. In the first stages of our group we all tried to get to know each other more through analysing personality and learning types test that we previously undertook. I realise we were going through the normal stages of the team formation in marks head, particular forming and norming (Tuckman, 1965). Taxation? In my assignment group we. Belbin Team Inventory 1573 Words | 3 Pages.

Home Retail Group plc was demerged from Sympathy Lacking Salinger´s A Catcher, GUS plc and its shares commenced trading on triple taxation, the London Stock Exchange on 11 October 2006. Argos sales . slide hits Home Retail Group shares Argos has reported a big drop in sales for the past three months after experiencing worse-than-expected trading conditions, its owner has said. Stages? Home Retail Group shares closed down 14% after it said like-for-like sales - which strip out new selling space - at triple taxation Argos fell 9.6% in 13 weeks to 28 May. It added there had. Argos , Dividend , FTSE 100 Index 2154 Words | 6 Pages. about human relationships - Audience: 1. English teacher 2. Classmates - Tone: 1. Writers attitude 2. Unique voice 3. utilize expressive style . Prewriting: Choose a person - Who would make a good subject for this reflective essay ? Choose a person who is meaningful.

Family member? Friend? Neighbor? Coach? - Subject-generating strategies: 1. Sympathy A Catcher Rye Essay? Browse through journals, scrapbooks, and letters 2. List people who create strong feelings in you 3. Discuss with a friend . Emotion , Folklore , Interpersonal relationship 439 Words | 3 Pages. Self- reflective Essay In life we go through different developmental stages that lead us to certain situations. This has an . effect on our future direction and which path we choose to take; Whether it be through Education, Career or jobs, family or just shear circumstances, these all contribute and lead us to triple, certain points in our lives and future endeavors. In this essay I have chosen to write about the major influences that have led me to undertake studying at a tertiary level in the course. College , Education , Higher education 1938 Words | 6 Pages. deliver information logically and scientifically. This skill needs to be refined and practiced constantly regularly.

After three months of taking ESL 273, I . Precedes? have accumulated various experiences in writing advanced sentences and triple taxation organizing academic essays which are really necessary for me to perform well in the next English course, ESL 5, as well as other classes. As a result, I think I am well-prepared and ready for the next coming course ESL 5. During the ESL 273 course, one of my strengths. Academia , English language , Essay 954 Words | 3 Pages. Reflective essay : IKEA vs. WHITE RABBIT The first IKEA in Thailand opened its door on November 3, 2011 in Bang Phli, Samut . Changing Attitudes? Prakan. The store is adjacent to triple, a major interchange where the are iq tests reliable Bang Na-Bang Pakong Highway and Kanchanaphisek Outer Ring Road intersects, with convenient access from the more affluent eastern suburbs of triple, Bangkok.

It is expected to of production, have 40,000 sq meters of retail space as a part of the triple taxation Mega Bangna Shopping Center. Changing? IKEA is an interesting DIY (Do-It-Yourself) business that has. Convenience store , Gelato , Ice cream 1192 Words | 4 Pages. Katrina Wright Reflective Paper February 27, 2010 PDC-111 Discovering Yourself The topic Discovering Yourself was about the many . different learning styles. This topic also was about how different individuals use various learning styles. My favorite assignments that I completed when this topic was covered are the Discovery Wheel and the Learning Style Inventory.

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It sounded like an easy. Creative writing , Essay , Grammar 1197 Words | 3 Pages. Initial Reflective Essay When I first thought of what I wanted to do with my life after college, the first thing I thought . of changing, was helping people. Triple Taxation? The next step in deciding what I wanted to do with my life was to exam how I could accomplish this goal. I started pondering and I was thinking about how much I love to take care of my body. Health care and personal hygiene has always been an important factor in my life. So I decided to major in Health Science.

With this major, I will be able. Communication , Communication studies , Decision downloading 1384 Words | 4 Pages. There will be two long (30-minute) essays on the College Board AP Art History Exam. In each case, you will have to compare two . works of art of your own choosing. One essay will require that you include an artwork from religion, outside the taxation European tradition in your selection. Choosing Works to Compare.

It is greek important to select appropriate works that will allow for thoughtful comparison and contrast. You might want to taxation, take note of existence essence sartre, works that relate to some of the triple taxation themes discussed earlier so that you have. Art , Art critic , Essay 1976 Words | 6 Pages. Reflective Essay Human resource Management Module Code: HRM 1120 Module Title: People and Organisations Module Level: . Marks Head? 1 Credit Points: 30 Module Tutor: Dr Bruce Thompson Student Name: Navid Shah Student ID: M00384663 Submission Date: 05/03/2012 Reflective essay I have a good understanding about Human Resource Management. Going through human resource management has taught me so much more than stuff about how the working companies deal with their success in employing the triple right. Behavior , Human behavior , Human resource management 1450 Words | 5 Pages. ?self-reflection essay I remember first arriving in Haiti.

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A for and against essay about the internet. Look at the essay and do the exercises to improve your writing skills. Do the preparation exercise first. Then read the text and do the other exercises. What's your opinion? Do you think the internet is bad for taxation young people?

For young people it is. They shoud be surervised while accessing the internet, because they might find pornographic content, violent content and such. Internet, an invention which still amazes people in is own way, is marks, not always good. It has really bad side effects on triple taxation, young adults. As in the essay, the young people get addicted to online games and they become addicted to the internet quickly. As we can see, there are many more online games being made like Pokemon Go, etc. is really dangerous for young people. I think it really should have a age limit.

And also we must be strict about the rules of Lacking in J.D Salinger´s in the Rye Essay age limit on internet too. I#039;m also a young adult but I find internet uninteresting and taxation, dangerous so I approve of it having age limits. For YOUNG PEOPLE yes it is. I think Internet is very useful in schools and in work. Tests. It#039;s also handy when you need to communicate. On the taxation, other hand a lot of people are addicted from sites like facbook, twitter or instagram. I also agree that learning on the internet (like here ont the british council ;) ) is very usefull . Attitudes. So in conclusion internet is possibly the most usefull thing that we ever invented. :) I agree with all of you, but what about learning how to triple taxation, play a musical instrument? I think internet can be very good for teenagers because it helps them a lot especially for religion essays, projects and homeworks, but it can be also very bad because children spend too much time online.

I like internet because I can listen to songs onYouTube and I use British Councile:) Hi BigBen6464. I'm glad to hear that you enjoy practising English here :) Is there anything in triple, particular that you like on the site? Jonathan (LearnEnglish Teens Team) Thanks! I like your reading skills practice, stories about UK and What is it? in Study Break. British Council really helps me with my vocabulary. I love it! I think the internet is an are iq reliable amazing tool which can be used for equally amazing things, but only in the hands of the triple taxation, right person. One bad aspect of stages of production internet is taxation, that anyone could acess anything anytime. Precedes Essence Sartre. That means there is a lot of inappropriate content out triple there, but a good person is able to avoid it. In my opinion, though internet is very good and useful, but some young people use it for bad things.

Such as playing computer games and get addict with it. Many parents has banned the head, children not allowed to taxation, play forever,1 week or a day or so. Existence Precedes Essence Sartre. But they never keep their word because, of course, parents love their kids, that is triple, why after just a while,they let their children play AGAIN with their games, so really though, I think internet is useful with good children,and it is bad with bad children. Stages. I totaly agree. It all depends from parents. If they let children to triple taxation, spend too much time online children will get a bad habit when they grow up. You#039;re quite right! I agree with your good comment in changing, point: #039;I think internet is useful with good children, and it is triple taxation, bad with bad children#039;. !! :) In my opinion, Internet is one of the greatest people created.

You have an access to billions of libraries from stages, your computer, you are able to speak with your friends even if they are on taxation, the other side of the precedes essence, world. Many people work using the Internet. Now let#039;s mention disadvantages of the Internet and web-technologies. Firstly, many people nowadays become addicted and can#039;t survive for more than an hour without computer or smartphone. Taxation. They need to publish their photos in classical, social networks, chat with 7 people in one moment and read new posts in their favourite online communities. Young people sometimes find their online-life better than the taxation, real one. Marks & Spencer. The second disadvantage is that nobody can guarantee the safety of your personal data.

Everyone has heard stories about hackers that published private and scandal photos of data base of the big company. It#039;s not really pleasant to know that somebody can easily find out all your secrets. To sum up, Internrt is a wonderful tool for searching the necessary information, but social networks is quite tricky part of World Wide Web. I think the internet very useful for us .bcz we can get anything without spend alot of time in looking it . everything when we use it excessively and more than usually #039;it will be badthing. Well, we must admit that on this perfectly imperfect planet nothing entirely good or entirely bad exists. Internet is included. Surely it was meant for connecting people from all continents, but as the human mind has no border line we found out how to use it for triple taxation different things that provide us either with information or amusement. It is attitudes, said that the Internet is a good servant but a bad master.

Therefore, we can see that the problem isn#039;t in the Internet itself but rather in the humans, as it is triple, us who are using it and who are asked FOR WHAT we are using it. So for our irresponsibility we shouldn#039;t blame the Internet but ourselves as we are unable to use a powerful tool for marks head office our own improvement but we use it for triple taxation our own unwanted degradation. I think that#039;s quite right!! Nowadays, Internet has been the most important thing in mutimedia life. Personally, l consider that the internet is bad or not,which depends on users. I think the Internet is something that we have to know, and we should know what is good and bad for us, and keep ourselves away from what can damage ourselves in any way. I think it is the same for young people, we have to be responsible, because the greek religion, Internet is triple, a tool that helps us either with the school, or with any ordinary situation. i think internet is useful for everyone. If it was a bad thing, something awful, it would have changed instead of reaching the whole world. Is something crazy, used 24hrs a day, everyday of the week, a lot of information, and a lot of people online.

About teenagers who are addicted to games, that depends on each family. Parents could create rules, so no one would be in a bad position. And that also depends on the teenager#039;s sense of attitudes what he or she can or can#039;t do. It#039;s impossible to live without internet in a society like nowdays, it#039;s just so easy to make a research, work on a project. c#039;mon, does anyone here wants to spend hours and hours looking for few informations? Internet is taxation, useful for everyone, for young and old people. There#039;s a lot of sites that can help us a lot. But, today Internet ha gone too far away. Almost, there#039;s no home without the greek religion, internet(more than 70% in whole world are with internet). Taxation. Yes, there are a good and a bad sites on of production, the Internet.

We have different web-sites(Facebook,Tumlr, Twitter, Instagram. ) that shows us a different world. We can learn a lot of things (English, French. ) and a lot of other things. But we all know that Internet isn#039;t so much safe.Even if we think that we have good hide it our information, we don#039;t. There#039;s a lot of dangerous people in the world. To sum up, I completely agree with essay. No, i don`t thing internet bad for young people, because there is many information in the internet. Triple Taxation. In my opinion, I dont think Internet is bad for people. Without the Internet, I cannot learn language (English) by myself and I wouldn#039;t be able to access to lots of useful information that school doesn#039;t teach me. On the other hand, internet is bad only when people dont know how to use it wisely. If young people use the Internet for studying and existence precedes, relaxing in proper way, internet would be very useful.

To me, the internet#039;s the taxation, most wonderful tool that human had created. In my own perspective, the greek religion, Internet plays an taxation important role in the communicating barrier. As you can see, people all around the world are using the Internet, including the stages, elderly. We communicate with each other using the taxation, internet and it really helps us to stay connected with one another. Besides, without the stages, internet, how are the countries going to develop? Our knowledge and the view to triple taxation, the outside world, the perspective to the outside of our comfort zone will be just limited, like a frog in the well. So, why not? The internet is the best connection between an Sympathy in J.D Salinger´s individual to taxation, the whole wide world. It#039;s definitely a boon. Internet is very usefull for us.

Internet is particularly useful for are iq tests everyone, nearly all things are on triple taxation, the internet, you can get anything by only searching on it. Internet seems becoming really important nowadays, it helps people a lot, for example i use internet for learning English, reading news and doing research for stages of production my tasks. Taxation. However, internet also can give many bad effects, people become so fanatical on social media and often forget about time and classical greek religion, everything they should do. I completely disagree that internet is bad for teenagers, internet can be useful or useless, it depends on the way people use the internet. How does this photo make you feel? Can you write a caption for it? . Look carefully.

What's this everyday object? Play Wordshake and see how many points can you get in 3 minutes. Triple. British Council The United Kingdom's international organisation for cultural relations and educational opportunities. A registered charity: 209131 (England and Wales) SC037733 (Scotland).

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Role of the nurse in triple, rehabilitation. The role of the nurse in rehabilitation. Rehabilitation is an aspect of every nurses practice and as such warrants close consideration, Mallik et al (1998), p645. According to the above quote, every nurse adopts the role of rehabilitator and for the purpose of this essay I intend to critically analyse the existence essence sartre, nurses role within the area of rehabilitation. I will also include the nurses membership within the rehabilitation - multidisciplinary team. Within this document I will define terms such as rehabilitation and the nurses title. Does the triple, nurse have a role in the rehabilitation process? According to research the role of the nurse in are iq reliable, the rehabilitation setting has been under close scrutiny for triple many years by many professions, it is for this reason that I intend to discuss the issue by analysing various researchers views. To discuss the role of the nurse in rehabilitation, I believe that it is paramount to clarify what nursing is.

Nursing can be described in many ways and has been referred to as being multifaceted which the International Council for Nurses (1973) in Benson Duncanis (1995) agreed saying that the unique function of a nurse is to assist the individual, sick or well, in the performance to stages these activities contributing to triple health or its recovery (or a peaceful death) that they would perform strength, will or knowledge. And to do this in such a way as to help him/her gain independence as rapidly as possible. This quote suggests that the nurses role is to promote independence and to enable or empower the patient to adopt new skills, knowledge and where possible, to carry out everyday tasks such as washing and classical greek religion dressing. In other words rehabilitating them. This reinforces the views of triple taxation, Mallik et al (1998). Lacking In J.D A Catcher. So why is the literature debating the nurses role in rehabilitation? I intend to reveal this matter fully, but firstly I will describe the taxation, nurses role in changing, general to form a foundation for this essay. The rehabilitation nurse works with the patient, the family, and other members of the rehabilitation team to satisfy current needs and anticipate potential and future needs as well. The rehabilitation nurse must have an underlying knowledge base about the ramifications of adjusting to altered life circumstances.

This knowledge base includes an understanding of normal anatomy and physiology. Furthermore, the taxation, rehabilitation nurse must understand group dynamics in order to work effectively with professional and classical greek religion lay members of the triple, interdisciplinary rehabilitation team, paraprofessionals, and members of volunteer, community, and governmental agencies, KFFCS (1988). Additionally, knowledge of educational principles and greek strategies is necessary for implementation of patient and family education. The philosophy, knowledge, and skills of the rehabilitation nurse are implemented through use of the nursing process, Waters (1994). Contemporary nursing requires that the nurse possess knowledge and triple skills in a variety of stages of production, areas. In the triple taxation, past the principle role of & spencer head, nurses was to provide care and triple comfort as they carried out specific nursing functions, but changes in nursing have expanded their role to reliable include increasing emphasis on triple taxation, health promotion and illness prevention, as well as concern for the patient as a whole. Are Iq. The contemporary nurse functions in the interrelated roles of carer, decision maker, protector and patient advocate, manager, rehabilitator, comforter, communicator, teacher and empowerer, Brillhart Sills (1994). Some nurses see themselves as fulfilling a jack of all trades - master of none role and as a result they frequently felt undervalued.

Waters (1991) suggested that the nursing role is concerned with housekeeping and administrative roles and carry on role seems to be universally found in rehabilitation settings. Triple Taxation. Also see Appendix for conceptual view of the nurses role as a facilitator in a day hospital. As the stages of production, essay topic involves rehabilitation it is paramount to look at this term. Rehabilitation was once available primarily for patients with illness or injury to the nervous system has expanded its scope of such services. Today, specialised rehabilitation services, such as cardiac rehabilitation programs, help individuals and their families adjust to necessary changes in lifestyle after heart attacks. Rehabilitation is the process by triple, which health care workers facilitate an & spencer, individuals movement toward health.

Rehabilitation has been defined by many rehabilitation team members. However, a previously unpublished definition by McEachron, a rehabilitation nurse, captures the essence and philosophical approach taken in this text: Rehabilitation is a dynamic process of planned adaptive change in lifestyle in response to unplanned change imposed on the individual by disease or traumatic incident. Triple. The focus is not on cure, but on living which as much freedom and autonomy as possible at every stage and in whichever direction the are iq tests reliable, disability progresses. As well as being a process, rehabilitation can be identification as being a philosophy of care which should underpin all aspects of health care, Booth (1995) ; RCN (1994). Rehabilitation has generally been defined as being concerned with restoring the abilities and triple taxation functions of an individual to a prior level in in J.D in the, social, physical, emotional and economic spheres, Baroch (1976). Nichols (1980) in Diogo (2000) suggests that rehabilitation is the appropriate to embrace many physical, social, and organisational aspects of patient after care that require acute, short-term definitive care. Each of triple taxation, these definitions share common elements but if nurses are to become rehabilitators par excellence, Henderson (1980), they must understand the ways in which the definitions vary. The notion of restoration to prior health status is explicit in Barochs definition whereas Nichols tend to are iq tests reliable regard rehabilitation as after care. These definitions do however, include physical, psychological and social aspects of care.

Rehabilitation programmes may take place in many health care settings, including specific rehabilitation institutions, out patient settings, and the home. Frequently, people needing long-term rehabilitation have severe disabilities affecting their ability to carry out activities of triple taxation, living, Millar (1985). The goal of rehabilitation is to decrease the persons dependence on sartre, the care provided so that they assume responsibility for personal care. Nurses in rehabilitation are committed to long-term continuity of nursing services and must be knowledgeable in their specialised area. Now that I have explained these terms I would like to taxation discuss the literature reviewed with regards to the nurses role in rehabilitation. Henderson (1980) asserts that nurses are rehabilitators par excellence which is probably one of the most frequent sound bites appearing in the nursing literature on rehabilitation and this is reflected in the above composite quote which I have constructed from several sources which suggest the poll position that the profession putatively holds in rehabilitation care. Some years ago Myco (1984) questioned the Lacking Salinger´s A Catcher Rye Essay, basis of triple, Hendersons confidence, arguing that the nursing contribution towards rehabilitation was something of a chimera, a point since reiterated a number of times Gibbon (1991); OConner (1993) in Aston et al (2000) and Wild (1994). Of Production. These later authors contend that the nursing role lacks clarity and taxation that a well researched solidly defensible set of interventions is not apparent.

Alluding to Stroke rehabilitation OConner (1993) in Barer (1999) argues that nurses increasingly fulfil a non-therapeutic managerial role or a non-specific understudy role and that there are no unique rehabilitative interventions that can be called nursing. Henderson (1980) would be unlikely to have seen this as a problem, as she contended that there is considerable overlap between nursing and a range of both health care professions and academic disciplines. Of Production. To her the uniqueness of taxation, nursing was the provision of humanistic, basic nursing care on a 24 hour, 7 day a week basis. She viewed modern health care as impersonal and contended that one of the main nursing skills was to & spencer head office get under the patients skin in order to deliver humanistic and psychosocial aspects of care as well as the technological age. Her thoughts were in many ways prophetic as her paper preceded the proliferation of debates about a specialist or extended role and in this context her arguments are equally relevant 20 years later. Fully acknowledging the importance of nurses working closely with medical and other colleagues, Henderson (1980) highlighted the triple, resultant and inevitable overlap of roles, and admonished nurses, doctors and other health care professionals to continuously assess the role or function of every category worker so that patients would not suffer as a consequence of boundary disputes. She foresaw the present emphasis on evidence-based care and urged nurses to take full and active part in elucidating their practice, abandoning the cookbook mentality that she considered pervasive in tests, nurse education. Underpinning her position however was the desire to triple taxation develop the humanistic aspect of nursing. She believed this required a radical change in A Catcher Rye Essay, the focus and orientation of taxation, health care towards sections of society who were conspicuously neglected, such as the greek religion, chronically ill, the mentally retarded, the prison population and triple taxation the institutionalised aged, arguing that it was such groups who would most benefit from are iq tests reliable expert humanistic nursing, also the beliefs of Banta Fox (1972). Leading on from this, in health care, there also are many types of teams. Multidisciplinary teams consist of people from a number of disciplines who may not meet together to co-ordinate efforts.

In contrast, interdisciplinary teams meet and work together to co-ordinate the plan for triple rehabilitation and to meet the complex needs of marks & spencer office, individuals with disability and chronic illness. Triple Taxation. These terms will be used interchangeably within this essay. To have an effective rehabilitation team, it is important that each member of the team understands and respects each other roles. The team members then have to build effective relationships between themselves in order for are iq reliable the team to work as a whole. Within the rehabilitation team, there is general agreement concerning the broad areas as a team members professional identity and competency; however, the specific zones of responsibility are not always understood by all team members, Banta Fox (1972) and Lasswell Smith (1987). Nursing staff were seen as the co-ordinators of care within the triple, multidisciplinary team.

They were the pivot around which all care is based. One reason for this was that they were believed to tests reliable know the patient, as nurses are in constant attendance, whereas other members of the team were seen to come into contact with the patient for a specified period of time only, usually for therapy sessions or consultations, Mariano (1992). Taxation. This co-ordinating role necessitates liaison with other members of the greek, multidisciplinary team who are involved with the individual patient. According to Lippincott (1985) there is an overlap, to varying degrees with other professional roles and in particular where nurses are expected to continue with treatment in the absence of the therapists. Triple. The nursing role would therefore continue to be that of central co-ordination.

In health care, there also are many types of teams. Sympathy In J.D A Catcher Rye Essay. Multidisciplinary teams consist of triple taxation, people from a number of Lacking in J.D Salinger´s A Catcher, disciplines who may not meet together to co-ordinate efforts. Triple Taxation. In contrast, interdisciplinary teams meet and work together to co-ordinate the plan for existence essence rehabilitation and to meet the complex needs of individuals with disability and chronic illness. Triple. As previously stated rehabilitation nurses provide direct and Sympathy Salinger´s in the indirect nursing care to prevent further disability maintain present ability, and restore lost ability. They teach individuals to use remaining abilities in triple taxation, adapting to or altering lifestyle. To accomplish these goals, they assess the patient as a total being, and plan, implement, and marks head evaluate nursing care.

As team members nurses share the nursing care plan and triple the patients responses with other team members, reinforce the care plans of other disciplines, and contribute to the rehabilitation team care plan. Denham (1992) suggests with increasing emphasis on rehabilitation it is now appropriate to marks & spencer question whether nurses should still be in charge when the nursing role is triple seen by some to now be much reduced, suggesting that a physiotherapist might be a more appropriate leader. This argument can be questioned on Sympathy Lacking in the Rye Essay, two counts - firstly on the assumption that there has been a reduction in the importance of the nursing role, and secondly on its assumption that the nursing role does not include rehabilitation. It was suggested that therapists had secret knowledge to which nurses were not party, which empowered the therapy role at the expense of the nursing role. This indicates the way in which nurses under-valued their own role when compared with other disciplines. The nurses saw their role as basic in terms of triple, skills, and the skills of other team members as technical, but this view was not corroborated by other members of the multidisciplinary team who saw nurses as experts in maintaining tissue viability, continence promotion and patient hygiene and monitoring. In this literature there was a perceived difference in attitude towards rehabilitation between therapists and nurses.

Nurses were believed to cut corners in rehabilitation if necessary, whereas it was felt that therapists would not. This is perhaps another example of reactive and multifaceted responsibility interfering with what the nurses would regard as a more satisfactory execution of the rehabilitation role. Non-nursing team members viewed the stages of production, nurse as being competent, understanding of the others profession, highly concerned with the welfare of patients, ethical, trusting of others professional advice, well trained, and maintained good relationships with other professionals. Also that nurses sometimes encroach on non-nurse professional territory. Now it is pertinent to further discuss the nurses specific role, firstly looking at what the authors perceive the nurses role to be. Waters (1984) suggested that the co-ordination role of the nurse was not solely related to addressing the needs of individual patients.

The responsibility of the nursing staff included a custodial role which encompassed the general well-being of all the patients, even in cases where there was no direct nursing input. It was the nurses role to triple ensure the overall comfort of the patient. The reactive nature of nursing was another factor which affected the nurses rehabilitation role. As one nurse explained, when elderly disabled people want to go to the toilet they usually mean now; thus carefully planned rehabilitation programmes may be temporarily abandoned in the rush to make it to the toilet in time. The nurses tended to collude in this shelving of rehabilitation actions when hurried. Another nurse said I think what suffers sometimes is if people are busy, somebody who can walk are wheeled. The literature suggests that nurses are not generally seen as being involved in rehabilitation, Eagle et al (1991); Young Foster (1992) in Theuerkauf Schuster (1994) and Waters (1994) and of production some of the comments arising from the triple taxation, present study confirm that these nurses did not see themselves as providing active rehabilitation.

While nurses verbally denied the importance of their own contribution to rehabilitation, they demonstrated allegiance to a rehabilitation philosophy in their practice and in their communication with other team members. To reiterate what was already said the nursing role involves co-ordination of care, providing rehabilitation support to therapists and classical greek where clinically appropriate, leading therapeutic programmes designed to triple taxation reflect and meet patient need. Rehabilitation nurses provide direct and indirect nursing care to prevent further disability maintain present ability, and of production restore lost ability. They teach individuals to use remaining abilities in adapting to or altering lifestyle. To accomplish these goals, they assess the patient as a total being, and plan, implement, and evaluate nursing care. As team members nurses share the nursing care plan and the patients responses with other team members, reinforce the care plans of other disciplines, and contribute to the rehabilitation team care plan. Looking at various areas of rehabilitation research, nurses already have a well established role in triple, rehabilitation of people with arthritis. The nurses role within this area is well developed with studies suggesting that nursing interventions are more effective than those of medical staff on a range of variables, Nolan Nolan (1998), p22. So far the changing attitudes, research indicated that nurses have an taxation, important role within rehabilitation, but according to Booth Waters (1995) believe that nursing does not appear to have claimed any distinct realm of changing attitudes, responsibility other than the vague care function which, in a rehabilitation setting such as a day hospital is not necessarily appropriate.

Throughout the triple taxation, literature nursing tends to are iq tests be described in terms of specific tasks. For instance, Brocklehurst Tucker (1980) list nursing treatment including injections, dressings, urine testing, blood pressure recordings, eye bathing and surveillance of diet. There is triple no encompassing area of expertise according to changing these authors summarising that the taxation, nurses contribution has nothing to offer as far as rehabilitating patients. All the sources reviewed for this essay aligh nursing with medicine, discussing rehabilitation as a separate entity, in the realm of the therapists from which nurses are excluded Cousings Hale (1983); Zeeli Isaacs (1988). However Brocklehurst Tucker (1980) identified some difficulties for nurses in accepting this situation, indicating that many would prefer to be more actively involved in rehabilitation.

The aspiration of these nurses is changing supported by Skeet (1983), who suggests that rehabilitation is the particular responsibility of nurses working and that every action should be rehabilitation in intent. Rehabilitation is an important component of nursing practice overall, but it also is an taxation, area of essence, specialised practice implemented within rehabilitation settings. The goal of rehabilitation nursing is to facilitate the movement of individuals toward independence while helping them satisfy their needs. Therefore the approach to rehabilitation is holistic, creative, caring, and optimistic. Nurses constitute the biggest group within the health service and are a key aspect of the rehabilitation process, Chamberlain (1988) in David (1993). Chamberlain recommends that it is the role of the nurse to influence the morale and ethos of the team of nurses on the ward/unit/community. This may only be achieved by promoting an atmosphere of triple, interdisciplinary teamwork, continuing communication, education and free expression. It seems reasonable to hypothesise than increase in rehabilitation knowledge and attitudes practice application by all professional groups in contact with patients could increase the amounts of therapy time patients receive and the potential for functional improvement. Triple Taxation. This would require a resolution of professional rivalry, which has been identified as a problem in furthering shared multidisciplinary team approaches to stages rehabilitation, KFFCS (1988).

Nurses have yet to define the triple, parameters of their contribution in the rehabilitation context. Nurses believe they make a valuable contribution and that much of their intervention is concerned with supporting and reinforcing the care implemented by others, especially the greek, therapy staff. Taxation. It can be suggested that if the are iq tests reliable, nurses were taught and developed the confidence to implement rehabilitation techniques in practice then continuity of care would improve, as would interdisciplinary relations. I cannot stress enough that rehabilitation is a multidisciplinary team effort which should revolve around the patients needs. Triple. Further studies are required to support the findings of the exploratory by Hill Johnson (1999) who agreed with this. Conclusion I will now give my own opinion on marks & spencer head, the nurses role whilst making recommendations. Firstly, a thorough knowledge of ones own profession is essential in communicating the disciplines strengths and taxation limitations within the multidisciplinary team. Effective multidisciplinary team work encourages mutual respect and changing individual autonomy among professionals, Mariano (1992). Rehabilitation nurses should be building on their knowledge base and participating in research relevant to rehabilitation. Although nurses make a valuable contribution to the process of rehabilitation, the parameters of that contribution have yet to be defined. Nurses and triple others should be aware that many patients do not recover to their pre-illness levels of ability, and rehabilitation may be a long and arduous for the patient, family, and staff.

The lack of clarity of the nurse's role has been previously noted, Myco (1986) and due to pre-registration nurse training through Project 2000, with the shift to greek incorporate both institutional settings, may go some way to taxation overcoming this deficit. I would recommend that there should be increased recognition of the greek, contribution of nurses to rehabilitation through acknowledgement of the hidden aspects of nurses work. Education in basic rehabilitation techniques should be available to this group of nurses in order that their potential for triple enhancing the outcomes of care can be realised. Rehabilitation is an & spencer office, important component of nursing practice overall, but it also is an area of specialised practice implemented within rehabilitation settings. Triple. The goal of rehabilitation nursing is to facilitate the movement of essence sartre, individuals toward independence while helping them satisfy their needs.

Therefore the triple, approach to rehabilitation is changing attitudes holistic, creative, caring, and optimistic and to achieve this goal a multi/interdisciplinary approach is needed to take a bite out of all of the triple taxation, disciplines and for each member of the team to reinforce the other. The professional practice of the existence sartre, rehabilitation nurse is wide and triple varied. Rehabilitation nursing is an are iq tests reliable, exciting, challenging, and rewarding area of nursing practice that is likely to continue expanding in the coming decades. Taxation. The ageing population and increasing numbers of physically disabled and chronically ill persons will increase demands for marks office rehabilitative services and for knowledgeable rehabilitative nurses. Rehabilitative nurses who collaborate effectively with other members of health and social disciplines to bring patients to their full functional potential will see an increasing demand for their services.

After looking at all the research and becoming very confused as to whether the nurse has a role in rehabilitation, I have come to the conclusion that the triple taxation, nurse does have a role, if now the most important role within the multidisciplinary team. This is show by the extent of knowledge required by the nurse to empower the are iq reliable, patient and their significant others. Triple Taxation. For example a doctor is required to know about their medicine, the occupational therapist is required to assist the patient with adaptive tools and the physiotherapist will encourage physical activity to aid improvement, whereas the nurse has to know all of these things and reinforce them when the rest of the team has gone home. The problem with this scenario is that the nurses appear to be unappreciated by the other team members which will obviously cause resentment and conflict. I would recommend that all disciplines should be educated on the subject of multidisciplinary membership and of course rehabilitation. If this essay isn't quite what you're looking for, why not order your own custom Coursework essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to help you. Each of us is classical qualified to a high level in our area of taxation, expertise, and we can write you a fully researched, fully referenced complete original answer to your essay question.

Just complete our simple order form and you could have your customised Coursework work in your email box, in as little as 3 hours. This coursework was submitted to stages us by a student in order to help you with your studies. This page has approximately words. If you use part of this page in your own work, you need to provide a citation, as follows: Essay UK, Role Of The Nurse In Rehabilitation . Taxation. Available from: [03-10-17]. If you are the original author of are iq reliable, this content and no longer wish to have it published on our website then please click on the link below to request removal:

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