Thursday, January 30, 2020

Nursing Leadership Paper Essay Example for Free

Nursing Leadership Paper Essay They have an open concept design, select menus, and our outside landscaping that allows their residents to enjoy a comfortable setting during either their short or long term stay. Their care is directed by an interdisciplinary team of professionals that includes a Medical Director, attending physicians, 24 hour licensed nurses, a dietary manager, activity director, social worker, and therapist for physical, occupational and speech rehabilitation. At Park Manor, the goal is to provide the care and services to meet the physical, emotional and social needs of each of our residents. I got to work with the MDS nurse, an MDS nurse is the nurse in the long term care facility who schedules and completes the RAI-Resident Assessment Instrument, a detailed assessment done at least quarterly on every nursing home resident. The MDS nurse is also usually responsible to coordinate the completion of the care plans for the resident based on the results of the assessment. We were collecting data from a whole bunch of sources; from the nurses, aides, resident, families, doctors, progress notes, therapy notes, etc. Then we completed the paper/computer MDS form based on our complete assessment (using the data collected). A RUG score (or resource utilization grouper) score is generated based upon our answers which is used to determine medicare/medicaide reimbursement rates for the facility. The MDS is used to create the care plan, determines reimbursement rates and determines quality measures/indicators per federal standards. State Surveyors pull these reports prior to inspection visits and to know who is losing weight and who may have pressure ulcers, etc.

Wednesday, January 22, 2020

The Life and Work of George Orwell :: Biography Biographies Essays

The Life and Work of George Orwell George Orwell is the name of the person behind brilliant works of literature such as Animal Farm and "1984". After my closer study of his book Animal Farm, I decided to look more closely into the person who wrote that brilliant allegory. I also tried to understand why, and how it was possible for a man raised far from communist/totalitarian regime could describe it so precisely in such an amazing prophetic way. Born under the name of Eric Blair on June 25 1903, in India in the family of an Imperial Officer, after going to boarding school and then to Eton, he decided to stop with his education and enlisted in the Indian Imperial Police at the age of 20. He served in Burma for 5 years and later described that period as the most miserable times and that he hated being the bully arresting people to be beaten. After he left Burma Eric wanted to experience the life of the oppressed, so he moved to Paris disguised as a homeless poor. He started living the life of tramps and all kinds of poor homeless, but soon he found himself in their true situation, without a serious job, Eric was forced to live on the streets and to make only enough not to starve. At that time he wrote his first book: "Down and Out in Paris and London" and was able to publish it under the pen name of George Orwell. The book was a success, and after that he wrote and published in three years three more books: "Burmese days," "a Clergyman's daughter" and " Keep the Aspidistra Flying." In 1937 Orwell went to Spain to report on the civil war and, according to Judy P. Sopronyi's article George Orwell on the Road to Nineteen Eighty-Four", got really involved in the idea of Socialism, he was thrilled by the idea of everyone treating each other as equals and his log sense of guilt for being born in the upper-middle class, as he called it, had found its cure. It wasn't long before he found out that regardless of how flawless an ideology was, people could twist it viciously in order to make it work for their own political ambitions. His personal experience was involved in that notion, because after being loyal to, and fighting on the side of the Republicans, he was quickly turned into the enemy for no apparent reason, and was forced to return to England to avoid arrest.

Tuesday, January 14, 2020

Qualitative Analysis of Anions Essay

The objective of this experiment was to use qualitative analysis to determine the chemical characteristics of four known anions by systemic confirmatory testing. The chemical characteristics observed were to be used to identify an unknown sample. Sulphuric acid was to be added to a carbonate solution and an effervescent reaction would confirm the presence of carbonate anions. Another sample of carbonate solution was to be reacted with hydrochloric acid and the gaseous product was to be reacted with a suspended drop of barium carbonate. The presence of clouding in the droplet would also confirm the presence of carbonate anions. Silver nitrate was to be added to chloride solution and the formation of a white precipitate, silver chloride, would confirm the presence of chloride anions. Ammonium hydroxide would be added to dissolve part of the precipitate. The resultant supernatant solution was to be decanted and re-acidified with nitric acid to reform the precipitate and definitively confirm the presence of the chloride anion. Silver nitrate was to be added to iodide solution and the formation of a yellow precipitate, silver iodide, would confirm the presence of iodide anions. Another sample of iodide solution was to be reacted with drops of acetic acid until sufficiently acidic. Potassium nitrate was to be added to the solution causing a colour change. Methylene chloride was to be added to this sample and shaken to confirm the presence of iodide anions by forming two separate and differently coloured layers. A barium chloride-calcium chloride mixture was to be added to sulphate solution and heated to 90oC. The sample was to stand for a period of time to allow the formation of a  white precipitate, barium sulphate, confirming the presence of the sulphate anion. The addition of hydrochloric acid and subsequent heating were to have no effect on the presence, further confirming the presence of sulphate anions. MATERIALS AND METHODS EQUIPMENT CHEMICALS Test tubes Carbonate Solution, Test tube rack Concentrated Sulphuric acid, H2SO4 Eye dropper 6M Hydrochloric acid, HCL Graduated pipette Barium hydroxide solution Ba(OH)2 Pipette bulb Chloride solution, Cl- Pasteur pipette Iodide solution, I- Beaker 0.1M Silver nitrate, AgNO3 Thermometer Concentrated Ammonium hydroxide, NH4OH 6M Nitric acid, HNO3 6M Acetic acid. HC2H3O ­2 Potassium nitrate, KNO2 Methylene chloride solution, CH2Cl2 Sulphate solution, Barium chloride-Calcium chloride mixture, BaCl2-CaCl2 Unknown Sample 7 SAFETY Carbonate solution is hazardous in case of skin contact (sensitizer, irritant), of eye contact (irritant), inhalation (lung irritant), and ingestion. It should be kept in a cool, well-ventilated area. In case of spill, use appropriate tools to put the spilled solid in a convenient waste disposal container and neutralize the residue with a dilute solution of acetic acid. Hydrochloric acid is very hazardous in case of skin contact (sensitizer, corrosive, irritant, permeator), eye contact (corrosive, irritant), of inhalation (lung sensitizer, respiratory tract irritant), and ingestion (toxic). It should be kept in a dry container, kept away from oxidizing agents, organic materials, metals, alkalis, and moisture. In case of spill, dilute with water and mop with an inert dry material. Residue should be neutralized with dilute sodium carbonate. Chloride solution is hazardous in case of skin contact (irritant, permeator), of eye contact (irritant), ingestion, and inhalation (irritant). In case of spill, dilute with water and mop with an inert dry material and spread water on the contaminated surface. Iodide solution is lightly hazardous in case of skin contact (irritant), of eye contact (irritant), of ingestion, and inhalation. In case of spill, use appropriate tools to put the spilled solid in a convenient waste disposal container. And spread water on the contaminated surface. Silver nitrate is very hazardous in case of skin contact (corrosive, permeator), of eye contact (irritant), of inhalation, and ingestion.. Silver nitrate kept away from heat, sources of ignition, and combustible material. In case of spill, use appropriate tools to put the spilled solid in a convenient waste disposal container. Ammonium hydroxide is very hazardous in case of skin contact (toxic, corrosive, irritant, permeator), eye contact (irritant), inhalation (toxic to upper respiratory tract), and ingestion (toxic). Water should never be added to ammonium hydroxide and it should be kept a way from incompatibles such as metals, acids. In case of spill, dilute with water and mop with inert dry material. Neutralize residue with dilute acetic acid. Nitric acid is very hazardous in  case of skin contact (corrosive, irritant, permeator), of eye contact (irritant, corrosive), and ingestion. It is slightly hazardous in case of inhalation (lung sensitizer, respiratory tract and mucus membrane irritant). Nitric acid is explosive in the presence of reducing materials, of organic materials, of metals, of alkalis. In case of spill, dilute with water, mop with an inert dry, and neutralize the residue with a dilute solution of sodium carbonate. Acetic acid is very hazardous in case of skin contact (irritant), of eye contact (irritant), of ingestion, of inhalation. It is hazardous in case of skin contact (corrosive, permeator), of eye contact (corrosive). It should be kept away from sources of heat, ignition, and oxidizing material. In case of spill, Dilute with water, mop with an inert dry, and neutralize the residue with a dilute solution of sodium carbonate. Potassium nitrite is extremely hazardous in case of skin contact (corrosive, irritant), of eye contact (irritant), of ingestion, and inhalation. In case of spill, use appropriate tools to put the spilled solid in a convenient waste disposal container. Potassium nitrite should be kept dry, away from sources of ignition, heat, and combustible materials. Methylene chloride is very hazardous in case of eye contact (irritant), of ingestion, of inhalation, and skin contact (irritant, permeator). In case of spill dilute with water and mop with an inert dry material. Sulphate solution is hazardous in case of eye contact (irritant), skin contact (irritant), and ingestion. In case of skin contact, wash with soap and water, and cover area with an emollient. In case of spill, Dilute with water, mop with an inert dry material spread water on the contaminated surface. (ScienceLab, 2005) PROCEDURE Please refer to Lab 3: Qualitative Analysis Part 2- Anions chemistry Laboratory Manual 2013-2014, Durham College, pages 11-12 for full list of Materials and Methods. OBSERVATIONS Table 1a: Testing for the presence of Carbonate, CO32- anions 2 drops concentrated H2SO4 added, Test tube shaken Additional Observations Carbonate Solution, 3mL effervescence seen as colourless gas rises from bottom of test tube test tube feels much warmer, upon wafting the gas has a mildly unpleasant, acrid smell The presence of an effervescent reaction indicated that the sample had carbonate anions present. Table 1b: Testing for presence of Carbon Dioxide, CO2 ­ to confirm the presence of CO32- anions 2 drops 6M HCl 1 drop BaOH suspended over test tube Carbonate Solution, 3mL small amount of effervescence noted about 5 seconds after being suspended over test tube, the base of the droplet clouded with white precipitate The addition of HCl to the sample resulted in some rising gas bubbles, indicated that a gas was being formed. The clouding of the barium hydroxide droplet indicated it was reacting with carbon dioxide escaping the tube and thus confirmed the presence of carbonate anions in the sample. Table 2: Testing and confirming for the presence of Chloride, Cl- anions 5 drops 0.1M AgNO3 added NH4OH is added drop-wise Supernatant solution is decanted, 6M HNO3 is added Chloride Solution, 5mL cloudy white precipitate formed precipitate partially dissolved upon addition, distinct clear supernatant formed above remaining precipitate cloudy white precipitate reformed, small white granulations settled at bottom of test tube 6 drops of ammonium hydroxide, NH ­4OH, were added to the sample 6 drops of the nitric, HNO3, were added to acidify the sample The formation of a cloudy white precipitate in the presence of silver nitrate indicated that the sample had chloride anions present. The subsequent addition of ammonium and re-acidification of the sample resulted in the reformation of a cloudy whit precipitate, thus confirming the presence of chloride anions. Table 3a: Testing for the presence of Iodide, I- anions 5 drops 0.1M AgNo3 added Iodide Solution, 5mL cloudy pale yellow precipitate formed The presence of a cloudy yellow precipitate with silver nitrate indicates presence of iodide anion. Table 3b: Testing and confirming the presence of Iodide, I ­- anions Acetic acid is added drop-wise 2 drops KNO2 added 15 drops Methylene chloride added, test tube shaken Iodide Solution, 5mL Blue Litmus Paper confirmed the solution was acidic by turning red solution turned a mustard-brown colour 2 distinct layers formed in the test tube. The bottom layer was reddish magenta, and the top layer was a burnt-orange colour 2 drops of acetic acid, HC2H3O2, were added to acidify sample Upon confirming the sample was indeed acidic, it reacted with the potassium nitrate to change to a mustard-brown colour. The addition of the methylene chloride formed 2 distinctly coloured layers, thus confirming that the solution had iodide anions present. Table 4: Testing and confirming the presence of Sulphate SO42- anions 0.5mL of BaCl2-CaCl2 mixture added Test tube heated, stood for 10 minutes 5 drops 6M HCl, test tube heated Sulphate Solution, 3mL very faint wisps of cloudy white precipitate appeared noticeable cloudy white precipitate distributed throughout solution addition of HCl made test tube feel warm after heating test tube precipitate remained dispersed in solution In each instance of heating, the test tube was placed in a boiling water bath at 90oC The final heating of the test tube was for approximately 5minutes at 90oC The reaction of the sulphate solution with the barium chloride-calcium  chloride solution, when heated, resulted in the appearance of a fine white precipitate, indicating the sample had sulphate anions present. The subsequent addition of HCl and reheating resulting in the solution remaining relatively the same further confirmed that sulphate anions were present. Table 5a: Testing for Unknown Sample 7 for the presence of Carbonate, CO32- anions 2 drops concentrated H2SO4 added, Test tube shaken Additional Observations Unknown Sample 7, 3mL no visible effervescence no noticeable change to test tube’s temperature The lack of effervescence and heat produced by the sample indicated the absence of carbonate anions in the sample. Table 5b: Testing Unknown Sample for presence of Carbon Dioxide, CO2 ­ to confirm the presence of CO32- anions 2 drops 6M HCl 1 drop BaOH suspended over test tube Unknown Sample 7, 3mL no noticeable effervescence suspended droplet remained clear, despite being held over test tube for 15 seconds The sample did not react with the hydrochloric acid to produce a gas that reacted with the barium hydroxide, thus the suspended droplet remained clear. The results further confirmed the absence of carbonate anions. Table 6: Testing and confirming Unknown Sample for the presence of Chloride, Cl- anions 5 drops 0.1M AgNO3 added NH4OH is added drop-wise Supernatant solution is decanted, 6M HNO3 is added Unknown Sample 7, 5mL pale yellow precipitate formed no change to solution no change to solution 6 drops of ammonium hydroxide, NH ­4OH, were added to the sample Nitric acid, HNO3, was unable to be added to the precipitate as no clear supernatant was formed The lack of formation of a cloudy white precipitate in the presence of silver nitrate indicated that the sample did not have chloride anions present. The subsequent addition of ammonium and re-acidification of the sample were rendered purposeless. Table 7a: Testing Unknown Sample for the presence of Iodide, I- anions 5 drops 0.1M AgNo3 added Unknown Sample 7, 5mL cloudy pale yellow precipitate formed The presence of a cloudy yellow precipitate with silver nitrate indicates presence of iodide anion. Table 7b: Testing and confirming Unknown Sample for the presence of Iodide, I ­- anions Acetic acid is added drop-wise 2 drops KNO2 added 15 drops Methylene chloride added, test tube shaken Unknown Sample, 5mL Blue Litmus Paper confirmed the solution was acidic by turning red solution turned a mustard-orange colour  2 distinct layers formed in the test tube. The bottom layer was reddish-purple, and the top layer was an orange-brown 2 drops of acetic acid, HC2H3O2, were added to acidify sample Upon confirming the sample was indeed acidic, it reacted with the potassium nitrate to change to a mustard-orange colour. The addition of the methylene chloride formed 2 distinctly coloured layers, thus confirming that the solution had iodide anions present. Table 8: Testing and confirming Unknown Sample for the presence of Sulphate SO42- anions 0.5mL of BaCl2-CaCl2 mixture added Test tube heated, stood for 10 minutes 5 drops 6M HCl, test tube heated Unknown Sample, 3mL no precipitate formed no noticeable precipitate formed no change to solution In each instance of heating, the test tube was placed in a boiling water bath at 90oC The final heating of the test tube was for approximately 5minutes at 90oC The lack of precipitate formation in the test indicated that the sample was absent of sulphate anions. This result was further confirmed by the subsequent addition of hydrochloric acid and reheating failing to produce a precipitate. DISCUSSION: A strong acid such as H2SO4, sulphuric acid, combined with carbonate produces an effervescent reaction due to the formation of carbon dioxide. The heat felt from the test tube was a result of the exothermic reaction that the carbonate solution underwent in the presence of a strong acid. Sulfuric acid is a strong acid, but only for the first H, so it dissociates into H+ ion and the bisulfate ion, HSO4-. HSO4- is a weak acid and does not dissociate to a great extent, but it also reacts with carbonate (Dartmouth College, 2003). The presence of sulphur may have accounted for the mildly unpleasant scent wafted during the experiment. As indicated by the results of Table 1b, the formation of CO2 acted as a positive indicator for the presence of CO32- in a solution, as expressed by: 2H+(aq) + CO32-(aq) → H2O(l) + CO2(g). The exposure of the produced gas, carbon dioxide, to barium hydroxide resulted in the a cloudy white precipitate due to the formation of barium carbonate as expressed by: H2O (l) + CO2 (aq) + Ba2+ ­Ã‚ ­(aq) → BaCO2 (s) + 2 H+(aq). The addition of 01M AgNO3, silver nitrate, to the chloride solution resulted in the formation of a white precipitate due to the formation of silver chloride as expressed by: AgNO3 (aq) + Cl-(aq) → AgCl(s) + NO3 (g). It is interesting to note that chlorides are generally soluble, with the exception of lead(II) and silver chloride. When concentrated NH4OH was added to the silver chloride precipitate dissolved due to the formation of an ammine complex, [Ag(NH3)2]+. Silver nitrate is generally acidified with dilute nitric acid to prevent the precipitation of other non-halide silver salts (Brown, 2012). Nitric acid acidified the solution due to the addition of H+ ions to the solution, resulting in re-precipitation, thus definitively indicating the presence of chloride anions. This is expressed as AgCl(s) +  2NH3(aq) → Ag(NH3)2+(aq) + Cl-(aq) Ag(NH3)2+(aq) + Cl-(aq) + 2H+(aq) → AgCl(s) + 2NH4+(aq) The addition of 0.1M AgNO3 to the iodide solution resulted in the formation of a cloudy yellow precipitate as expressed by: AgNO3(aq) + I- → AgI(s), which as a precipitate is insoluble in concentrated ammonia. The addition of 6M acetic acid, HC2H3O2, acidified the solution, as confirmed by the litmus test. The newly acidic solution reacted with potassium nitrite, KNO2, reducing the nitrite to nitrogen dioxide as expressed by: I-(aq) + KNO2 → KI(aq) + NO2(g). The liberation of iodine in the reaction resulted in a brownish change in colouration of the solution (SUNY Chemisty, 2005). The failure of the sample to turn a reddish-brown may have been a source of error due to a failure to sufficiently rinse the cleaned test tube with DI water. Methylene chloride, CH2Cl2, which is a non-polar organic compound was added to the solution reacted with the iodide in the solution to form a violet coloured layer of denser solution, which settled at the bottom of the test tube. An alternative means of testing for the presence of iodide anions would have been to use starch, which forma a characteristic blue-black complex. The addition of the barium chloride-calcium chloride mixture, BaCl2-CaCl2, to the sulfate solution resulted in the formation of an insoluble white sulphate, barium sulphate as expressed by: Ba2+(aq) + SO42-(aq) → BaSO4(s). Other insoluble barium salts contain anions of weak acids (CO32-, SO32-and PO43-). Precipitation of these anions is generally prevented by acidifying the solution (Yoder, 2014). The products of the reaction were made more prominent by the catalyzing the reaction with heat, resulting in a more noticeably fine white precipitate distributed throughout the solution. The addition of 6M HCl, hydrochloric acid, served to acidify the solution, further illustrating the insolubility of the barium sulfate precipitate, thereby confirming the presence of sulphate anions. The unknown sample was placed through all confirmatory tests. It failed to react with Sulphuric acid and hydrochloric acid to produce an effervescent reaction, indicating it was carbonate absent. Unknown Sample 7 did not react with the BaCl2-CaCl2 mixture to form a precipitate regardless of heat, indicating the absence of sulphate anions. Unknown Sample 7 formed a pale cloudy yellow precipitate upon the addition of silver nitrate, immediately indicating the presence of iodide anions, disqualifying the need to test  further for chloride. The addition of acetic acid to Unknown Sample 7 provide a sufficient acidic environment for the potassium nitrate to release iodine, thus the solution appeared as a dark mustard orange. The methylene chloride confirmed the presence of iodide anion when a distinct reddish-purple layer settled at the bottom of another distinctly coloured layer of solution. CONCLUSION: Based on the results of the experiment, Unknown Sample 7 demonstrated the formation of a precipitate in the presence silver nitrate, a change in colouration when mixed with potassium nitrate, and the formation of 2 distinctly coloured layers when methylene chloride was added to the solution and shaken. In accordance with the chemical properties exhibited by the 4 known anions during the qualitative testing, it can be concluded the Unknown Sample 4 clearly demonstrated the characteristic chemical responses of a solution with I- ions present. QUESTIONS 1. An ion is an atom that has lost or gained an electron to form a charged particle. 2. An anion is a negatively charged particle due to the atom gaining one or more electrons. A cation is a positively charged particle due to the atom losing one or more electrons. 3. H2SO4(aq) + Na2CO3(aq) → Na2SO4(aq) + H2O(l) + CO2(g) 4a. Aluminum ion: Group IIIA, Al3+ 4b. Sulphur ion: Group VIA, S2- 4c. Iodide ion: Group VIIA, I- 4d. Oxygen ion: Group VIA, O2- 4e. Chloride ion: Group VIIA, Cl- REFERENCES Birk, J. P. (2001, December 4). General Chemistry With Qualitative Analysis. Retrieved from Arizona State University: http://www.public.asu.edu/~jpbirk/qual/qual.html Brown, W. (2012). Chemical Tests. Retrieved from Doc Brown’s Chemistry: http://www.docbrown.info/page13/ChemicalTests/ChemicalTestsa.htm Dartmouth College. (2003, May). ChemLab Chapter 5. Retrieved from Qualitative Analysis of Cations: http://www.dartmouth.edu/~chemlab/chem3-5/qual_an/overview/procedure.html ScienceLab. (2005, October 10). Material Safety Data Sheet (MSDS) List. Retrieved from Science Lab: http://www.sciencelab.com/msdsList.php SUNY Chemisty. (2005, December). Anion Analysis. Retrieved from Chemistry 112: http://employees.oneonta.edu/kotzjc/LAB/Anion.pdf Tro, N. J. (2011). Essential Introductory Chemistry (4th ed.). Toronto: Prentice Hall. White, R. (2013-2014). Qualitative Analysis Part 2- Anions. Chemistry 1 Laboratory Manual, 7-9. Yoder, C. (2014, November). Qualitative Analysis of CAans and Anions. Retrieved from Wired Chemist: http://www.wiredchemist.com/chemistry/instructional/laboratory-tutorials/qualitative-analysis

Monday, January 6, 2020

The Should Not Be An Official Sport - 1872 Words

Just imagine, with ten seconds left on the clock, one final push can determine whether you take the title as a champion or whether you be branded as another loser. With the popularity of video games rising, the world was introduced to eSports, a global phenomenon which took the entertainment world by storm. Major controversy regarding whether or not eSports is considered an official sport has erupted through global communities. Many debates that it shouldn’t be since players are playing video games, others state it should be because it requires what many other sports require. Although eSports requires little to no physical labor, players require extremely well coordinated teamwork, months of practice, and need to be in top physical†¦show more content†¦Chinese universities that have conducted MRI scans on professional gamers who have won world championships have found that these gamers have increased brain activity and an increase in body reflex, this reveals how these pros are able to make split second decisions that can determine the outcome of a team play.(BEC CREW) Teams in eSports are expected to be able to adapt and strategize in different situations to keep up the pressure against the enemy team. Research shows that teams who are able to adapt and configure new team plays have a higher percentage of winning compared to those who choose to stick to plans premade before the match. Teams in eSports usually train for days with one another in order to create a strategy that best exemplifies all of the members abilities. When asked how long they train for a championship, Team Liquid member Diego â€Å"Quas† Ruiz reveals that each member practice for a minimum of fifty hours a week and play the game for a far longer period of time. Ruiz states that â€Å"Being pro is too time-restrictive, to stay competitive with other pros, you can’t stop playing.† (Business Insider) In order to create a plan to counter another team’s play style, teams rewatch previous championship matches in order to create a strategy for countering the top competitive teams. When asked how long it takes to develop a play, Ruiz says it can take at least a few months of reviewing previous championships and playing before theyShow MoreRelatedShould Cheerleading Be An Official Sport Or Not?921 Words   |  4 Pagesathletics, judges and ESPN have debated on whether or n ot if cheerleading should be an official sport or not. Lots has changed since the first cheer at a University of Minnesota football game. 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