Anne Sullivan: A Woman of Strong Conscience :: Essays Papers

Anne Sullivan: A Woman of Strong Conscience At the point when I consider influential ladies from an earlier time, Anne Sullivan is one of the main ladies to fly into my brain. Anne Sullivan was conceived on April 14, 1866 in Massachusetts. Her genuine name is Joanna, however she was called Anne for an amazing duration. At the point when Anne was as yet youthful she experienced a genuine disease that left her almost visually impaired. Anne’s mother kicked the bucket when Anne was just eight and her dad left Anne and her two kin two years after the fact. The youngsters were then positioned into an almshouse to be thought about. After a forlorn and hopeless couple of years, Anne had a medical procedure that reestablished a portion of her sight. With the recapture of some sight, Anne felt resuscitated and chose to proceed onward to Tuscumbia, Alabama where she would turn into the tutor of a six-year old young lady named Helen Keller. It was through thinking about this six-year old young lady, Helen, that formed Anne Sullivan into a lady of still, small voice. At the point when Anne initially met Helen Keller, she was visually impaired, hard of hearing, and quiet since she was 19 months old. Helen was left disorderly, grumpy, and ignored with no contact with the external world. Anne’s troublesome employment was to tame Helen. Helen shouted, piece, hit, and kicked Anne, however Anne, reliably, never surrendered. Anne Sullivan showed the excellencies of guts, sympathy, and above all tolerance while thinking about Helen. Anne had a regard forever that gave her the conviction that all people were made in the picture of God, and WE ALL ARE GOOD. Anne Sullivan rewarded Helen with equity, similarly as Jesus restored the outsiders when the remainder of the network cast them out of society. Helen continually moved Anne to discover better approaches to cause her to learn. Anne continually tested Helen by not permitting her to surrender and to be there to help Helen. In the wake of conveying by spelling the name of items into Helen’s hands and afterward permitting Helen to feel the article and continued spelling it, Helen at last found the association. Anne Sullivan’s perseverance and assurance is the thing that made her an ideal good example to every one of us. Anne Sullivan contributed such a great amount to society. After the supernatural salvage of Helen Keller, Anne kept on experiencing school with Helen and sign the talks into Helen’s hands.

Knowledge by the Colors free essay sample

The fifty meter mass of gods, figures, and sculptures loom high above. Delineating the life of Princess Meenakshi, one couldn't be progressively stunned. They grin, they glare, they murder, they grasp; the sculptures see stories rehashed consistently, stunning, mesmerizing. The Meenakshi Amman Temple, a mind-boggling scene, offered a story one couldn't overlook. I, in any case, couldn't start to comprehend. A worker to the United States, Ive continuously acknowledged the American culture instead of keeping up my own. From the outset, very little had changed, my folks and I being every others just companions, I was a modest youngster to any other person. Sadly, as my viewpoints extended and cooperation with my American environmental factors turned into the standard, the ties between the Indian culture and me gradually started to blur away. It was not that I didnt care, seeing as my folks are solid promoters of strict practice, however strict history was not all that firmly implemented . We will compose a custom exposition test on Information by the Colors or then again any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Since adolescence, Ive comprehended the essential data in regards to our divine beings and goddesses, yet the definite history of Hinduism and how these Gods became, I was curious about. At strict social occasions, I was minimal influenced when seeing other Hindu youngsters perform productions and plays, discuss sonnets, and sing tunes about our religions history. I couldnt imagine any critical profit by this extra data. Nonetheless, strolling into the fantastic Meenakshi Amman Temple, I understood how significant ethnic history truly is. Feeling as though the sanctuaries guests, including my folks, all comprehended what the models, artistic creations, and curios implied, I was somewhat envious. My sister, being the most youthful in the family, tapped my hand, highlighting the energetically hued artistic creations. Dada! (Sibling) Look at that pink sari! Better believe it that is a decent shading isnt it? I answered while attempting to comprehend the image itself. I knew I wouldnt ge t a lot of fulfillment from this Temple through just making the most of its pretty hues. I was anxious to comprehend the pictures I was encircled by. In spite of the fact that I realized my folks were fit for disclosing them to me, I chose to move toward the minister for answers to my numerous inquiries. Being 13 years of age at that point, I felt some inward disgrace for being so badly educated, however I expected the cleric would be glad to enjoy my long for information. Pujari (minister), ei painting golo kei bolche? (What do these works of art delineate?) As anticipated, the cleric was glad to help, yet I could detect his slight shock in my naivet. This inconspicuous response was adequate for me to acknowledge how significant our ethnicity is. As the minister clarified the epic legend, MahA?bhA?rata, and its likenesses to todays driving issues, for example, governmental issues, social contentions, and universal relations, I understood the significance of social history. The info rmation is just a need. I left the Meenakshi Temple with a lot of Hinduism history. The presence of a considerable lot of the Gods seemed well and good and I left valuing my way of life more than previously. I discovered that the outflow of ones ethnicity and strict foundation is vital to communicating ones self. Presently progressively proficient about my religion, I recount sonnets like different children, and take part in the occasions I was once hesitant to. I at long last comprehend my ethnicity, I at long last comprehend my starting points, and I at long last get myself.

App Essay Sample - Three Common App Essay Examples

App Essay Sample - Three Common App Essay ExamplesAs you are beginning to write your app essay, you should consider taking on three samples and applying what you learn from them to the content of your app. When you begin to write your app essay, you will notice that your paper begins to take shape as a result of your application.Three common app essay examples that you can use in this way include the following: The first is an online version of an app used to help students plan their weekend vacation. In this example, you will want to make sure that you use examples of some of the items that you are planning to discuss. For example, you might say something like this:It's easy to say that students can get professional assistance to help them find out what they need to know, but when you want to make sure that you are clear about that statement, you can just rephrase it. You will want to also include a few examples in this case. For example, you might include a link for those students who want to learn more about the topic. In addition, you might provide links to other websites that offer advice about the topic as well.The second example is for students who are going to college online. In this case, you will want to look at the typical work that students do during their first semester. You might make a sentence that says something like this:When you look at these three examples, you will see that there are plenty of ways that you can apply what you have learned in your app essay to help students in your class. In addition, you will be able to incorporate some elements of your own personal experience into your app essay.For example, you might use one of the examples from the first set of common app essay examples to compare the differences between studying abroad versus online study. When you use an example from the first set, you can talk about how certain types of learning may be better done online. When you talk about your own experiences, you can include perso nal stories that you have been a part of or other personal facts about yourself that will help you relate your app essay to the topics discussed in class.Third, you can apply what you have learned about what is included in your app essay to a number of the topics that you have studied during the semester. You might go over one of the ideas that you have been working on and include it in your app essay. As a result, you will be able to show your readers how your opinion has changed and that you have gained new knowledge about that topic.By using some of the examples from the previous section of this article, you will be able to understand what happens in an app essay. You can also incorporate the ideas that you have learned and adapt the contents of your app essay in order to help students write more appealing app essays.

Makings of a Tunisian Revolution - 997 Words

Makings of a Tunisian Revolution Catalyzed by the Egyptian-born Wael Ghonim, who in June 2010 created a Facebook page in response to a picture of â€Å"28-year-old† Egyptian Khaled Mohamed Said, â€Å"who had been beaten to death by the Egyptian police†, young people in Egypt unleashed a social and political revolution against Hosni Mubarak’s repressive regime. Within months of setting up the page, called ‘We Are All Khaled Said’, over 250,000 people followed it. Inspired by Ghonim’s call to action, demonstrators protested against torture and other regime-led human rights abuses, high unemployment, poverty, and corruption, which â€Å"led to the resignation of President Hosni Mubarak and the dissolution of the ruling National Democratic Party.† Seeing how Egypt’s masses were able to affect political and social change, young pro-democracy advocates in other Arab countries—including Tunisia, Yemen, and Morocco—were encouraged to followed suit. The Tunisian revolution began in December 2010, when fruit vendor Mohammed Bouazizi set himself on fire to call attention to government and police corruption, as police officers attempted to steal his fruit and beat him. After being told off by the city government when he tried to report the incident, Bouazizi decided that burning himself would be the most effective way to demonstrate how poorly low income workers like himself were being dealt with. Once video of a small-scale city hall protest to demonstrate againstShow MoreRelatedThe Effect Of The Arab Spring On The Muslim Brotherhood1716 Words   |  7 PagesIn this paper, I will be explaining the concept of revolution, its definition, and application in Egypt and Tunisia. I will further discuss the achievement that took place since the revolutions in both countries and finally will conclude by demonstrating the effect of the Arab spring on the Muslim brotherhood. ‘Revolution’ tend to occur when the basic needs of a population are not met by its government, when there is a violation of basic human rights, when there is no hope, when people are oppressedRead MoreWhy and How Arab Spring Became Successful? Essay1702 Words   |  7 PagesWhy and How Arab Spring Became Successful ? The progress of Tunisian Revolution started with a police officer’s knocking Fadiye Hamdi and seizing his bench and then Muhammed Buazizi, who is an Tunisian young man, burning himself and die in the hospital. The groups that attended to the funeral of Buazizi protested the regime and Zeynel Abidin, who stayed inefficient to had to resign after the many deaths resulted from conflict. Zeynel Abidin’s leaving the country caused theRead MoreImpact Of Globalization On The Economy2380 Words   |  10 Pagescapital and spreads of technology. Naturally, the impact of globalization over the last few decades has been very significant, in particular on the macroeconomic dynamics in small economies, such as the Tunisian economy. The consequences of globalisation are felt on many levels in the Tunisian economy, in particular with respect to its financial markets which include its money and capital markets. The performance of its exports and imports, and the dynamics of its trade policies have also beenRead MoreA Report On The Tunisian Government1194 Words   |  5 PagesHistorically, the Tunisian economy was based on traditional services such as trade, tourism, transport and manufacturing outsourcing like Textile, Clothing and automotive components. But the growth rate was not enough to improve the living standards and the resorption of unemployment. The perfect Solution at that time was a Readjustment Program which requires guidance of the economy for activities with high technology and intensive skills: ICTs. The Tunisian government has positioned these technologiesRead MoreSwot Analysis Of Tunisian Energy System Essay1688 Words   |  7 Pagesï€   SWOT Analysis: Tunisian Energy System First A. Author, Fellow, IEEE, Second B. Author, and Third C. Author, Jr., Member, IEEE Abstract— The development of Renewable Energy (RE) sources and Energy Efficiency (EE) technologies is a central aim of the world energy policy. A several international programs and investments was developed in order to contribute in reducing Greenhouse Gas (GHG). The majority of the Middle East and North Africa (MENA) countries possess substantial potential for the implementationRead MoreWho Lost Tunisia?962 Words   |  4 PagesSousse, a popular beach resort, killing dozens of European vacationers. The attack’s clear objective was to destroy Tunisia’s tourism industry, destabilizing the economy and undermining the new democratic state. The carnage at Sousse exposed the Tunisian authorities’ inability to tackle on their own the country’s growing security challenges. Tunisia’s successful transition to democracy, the legitimacy of its government and the bravery of its armed forces are not enough to save it. Nor should anyoneRead MoreTunisian War Essay2625 Words   |  11 PagesRevolution is a way to make change in power, or a country’s governmental system. For some people it is a step towards freedom, a new beginning, also an action against injustice, corrupted government and leaders. Revolution is a movement to bring down a distorted regime and to make a complete change to a nation’s fundamental institutions. There were several revolutions that occurred in history such as the American, French, and Iranian Revolution among many others. Each of these revolutions broughtRead MoreSouth East Asia, Africa, And Latin America896 Words   |  4 PagesBouazizi, a Tunisian fruit vendor, set himself on fire after having his goods confiscated unjustly by a police officer. Just like a falling row of dominos, Bouazizi’s decision caused a chain reaction causing millions of angry Tunisians to take a stand, finally deciding to face their corrupt government and leader. The rebellion didn’t stop there, making its way eastward until it finally reached Cairo, also known as the â€Å"mother of the world.† Soon enough, it would result in a revolution that went downRead MoreNetworks Of Outrage And Hope : Social Movements922 Words   |  4 Pagesworld recently. Examples of such movements are the revolutions in Tunisia, Egypt, and Spain. These revolutions demonstrate the role of social networks and the Internet which broadcast the details of these social movements. Each movement has social, cultural, and political aspects, which are what Castells examines in his book. The Internet and social networks obviously give people a greater power of communication to achie ve the goals of their revolution. Their success has proved the internet and socialRead MoreTunisia: The First Social Media Revolution Essay example2080 Words   |  9 Pagesuprising was an â€Å"act of desperation,† the self-immolation of 26 year old Mohamed Bouazizi, a Tunisian merchant (The Star). Bouazizi had been an unlicensed vegetable merchant for seven years before his cart was confiscated by a police officer who then â€Å"slapped the scrawny young man, spat in his face, and insulted his dead father,† (Abouzied). However, the revolution was also a consequence of the Tunisian government’s sudden transparency, thanks to the government cables published on WikiLeaks.org

Historical Poems of Social Protest and Revolution

Nearly 175 years ago Percy Bysshe Shelley said, in his Defence of Poetry, that â€Å"poets are the unacknowledged legislators of the world.† In the years since, many poets have taken that role to heart, right up to the present day. They’ve been rabble-rousers and protesters, revolutionaries and yes, sometimes, lawmakers. Poets have commented on the events of the day, giving voice to the oppressed and downtrodden, immortalized rebels, and campaigned for social change.   Looking back to the headwaters of this river of protest poetry, we’ve gathered a collection of classic poems regarding protest and revolution, beginning with Shelley’s own â€Å"The Masque of Anarchy.†Ã‚   Percy Bysshe Shelley:  Ã¢â‚¬Å"The Masque of Anarchy† (published in  1832; Shelley died in 1822) This poetic fountain of outrage was prompted by the infamous Peterloo Massacre of 1819 in Manchester, England. The massacre began as a peaceful protest of pro-democracy and anti-poverty and ended with at least 18 deaths and over 700 serious injuries. Within those numbers were innocents; women and children. Two centuries later the poem retains its power. Shelleys moving poem is an epic 91 verses, each of four or five lines a piece. It is brilliantly written and mirrors the intensity of the 39th and 40th stanzas:     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  XXXIX.What is Freedom?—ye can tellThat which slavery is, too well—For its very name has grownTo an echo of your own.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  XL.’Tis to work and have such payAs just keeps life from day to dayIn your limbs, as in a cellFor the tyrants’ use to dwell, Percy Bysshe Shelley:  Ã¢â‚¬Å"Song to the Men of England† (published by Mrs. Mary Shelley in The Poetical Works of Percy Bysshe Shelley in  1839) In this classic, Shelley employs his pen to speak specifically to the workers of England. Again, his anger is felt in every line and it is clear that he is tormented by the oppression he sees of the middle class. Song to the Men of England is written simply, it was designed to appeal to the less educated of Englands society; the workers, the drones, the people who fed the wealth of the tyrants. The eight stanzas of the poem are four lines each and follow a rhythmic AABB song-like format. In the second stanza, Shelley tries to wake up the workers to the plight they may not see: Wherefore feed and clothe and saveFrom the cradle to the graveThose ungrateful drones who wouldDrain your sweat—nay, drink your blood? By the sixth stanza, Shelley is calling the people to rise up much like the French did in the revolution a few decades prior: Sow seed—but let no tyrant reap:Find wealth—let no imposter heap:Weave robes—let not the idle wear:Forge arms—in your defence to bear. William Wordsworth:  Ã¢â‚¬Å"The Prelude, or, Growth of a Poet’s Mind† Books 9 and 10, Residence in France (published in 1850, the year of the poets death) Of the 14 books that poetically detail Wordsworths life, Books 9 and 10 regard his time in France during the French Revolution. A young man in his late 20s, the turmoil took a great toll on this otherwise home-bodied Englishman. In Book 9, Woodsworth writes passionately: A light, a cruel, and vain world cut offFrom the natural inlets of just sentiment,From lowly sympathy and chastening truth;Where good and evil interchange their names,And thirst for bloody spoils abroad is paired Walt Whitman:  Ã¢â‚¬Å"To a Foil’d European Revolutionaire† (from  Leaves of Grass,  first published in the 1871-72 edition with another edition published in 1881) One of Whitmans most famous collections of poetry, Leaves of Grass was a lifetime work that the poet edited and published a decade after its initial release. Within this is are the revolutionary words of  Ã¢â‚¬Å"To a Foil’d European Revolutionaire.† Though its unclear whom Whitman is speaking to, his ability to spark courage and resilience in the revolutionaries of Europe remains a powerful truth. As the poem begins, there is no doubting the poets passion. We only wonder what sparked such embroiled words. Courage yet, my brother or my sister!Keep on—Liberty is to be subserv’d whatever occurs;That is nothing that is quell’d by one or two failures, or any number of failures,Or by the indifference or ingratitude of the people, or by any unfaithfulness,Or the show of the tushes of power, soldiers, cannon, penal statutes. Paul Laurence Dunbar,  Ã¢â‚¬Å"The Haunted Oak† A haunting poem written in 1903, Dunbar takes on the strong subject of lynching and Southern justice in The Haunted Oak. He views the matter through the thoughts of the oak tree employed in the matter. The thirteenth stanza may be the most revealing: I feel the rope against my bark,And the weight of him in my grain,I feel in the throe of his final woeThe touch of my own last pain. More Revolutionary Poetry Poetry is the perfect venue for social protest no matter the subject. In your studies, be sure to read these classics to get a better sense of the roots of revolutionary poetry. Edwin Markham,  Ã¢â‚¬Å"The Man With the Hoe† -  Inspired by Jean-Franà §ois Millet’s painting Man with a Hoe,† this poem was originally published in the San Francisco  Examiner in  1899. Upton Sinclair noted in The Cry for Justice: An Anthology of the Literature of Social Protest that Markhams poem  became  Ã¢â‚¬Å"the battle-cry of the next thousand years.† Truly, it speaks to hard labor and the working man.Ella Wheeler Wilcox, â€Å"Protest† - From Poems of Purpose, published in 1916, this poem embodies the spirit of protest no matter the cause. To speak up and show your bravery against those who cause suffering, Wilcoxs words are timeless.Carl Sandburg,  Ã¢â‚¬Å"I Am the People, the Mob† -  Also from a 1916 collection of poetry,  Chicago Poems, Sandburg reinforces the thoughts of Wilcox. He speaks of the power of the people — the mob — the crowd — the mass and the ability to remember wrongs while learning a better way.Carl Sandburg,  Ã¢â‚¬Å"The Mayor of Gary† -  A free-form verse that appeared in 1922s Smoke and Steel, this poem looks at the Gary, Indiana of 1915. The 12-hour day and the 7-day week of the workers drew a sharp contrast to Garys trim and proper mayor who had time for a shampoo and shave.

Prospects and Perils in the 21st Century Artificial...

Before you lament the loss of jobs, take a moment and watch how robots earn their role every day in the workplace† The only reason why companies still need at least a few human workers is because machines are still unable to fully grasp common sense and are unable to make decision in a matter of emergency but if a truly artificially intelligent machine was to be created most tasks in the labour force could easy be replaced by machines. There are many different viewpoints on whether Artificial intelligence is something that will affect our societies and community’s in our day to day lives, from a negative and/or a positive aspect. It is too soon to judge whether these machines with AI will take over the world like in the terminator movies, or if they will start out as amazing things that make our lives easier like in ‘I, Robot’, but the one thing that is guaranteed is that it will have a huge impact on our species as whole. People believe that a true AI system will assist us in exploring parts of our planet, solar system and even our universe, by being able to withstand force s (i.e. temperature, weather, etc.) that we as humans could imagine confronting. They will be able to travel through space without worrying about age and will be able to make decisions based on logical and rational reasons rather than being affected by emotion. People are also correct when they say that if an AI program becomes advanced enough they could easily replace people in the work place:Show MoreRelatedMarketing Management130471 Words   |  522 Pagesthe rise of pressure group activity, tougher legislation and major industrial disasters. Concern has moved from the local scale to a national and increasingly global scale. The rate of environmental degradation has intensified. The nineteenth century brought the first large scale pollution as companies geared themselves to produce goods as fast as possible, with virtual disregard for human or environmental well-being. Nations battled for industrial supremacy using raw materials and creating pollutionRead MoreDeveloping Management Skills404131 Words   |  1617 PagesSelf-Awareness 46 Self-Awareness Assessment 46 Emotional Intelligence Assessment 47 The Defining Issues Test 48 v Cognitive Style Indicator 52 Locus of Control Scale 52 Tolerance of Ambiguity Scale 54 Core Self-Evaluation Scale (CSES) 56 SKILL LEARNING 57 Key Dimensions of Self-Awareness 57 The Enigma of Self-Awareness 58 The Sensitive Line 58 Understanding and Appreciating Individual Differences Important Areas of Self-Awareness 61 Emotional Intelligence 62 Values 65 Ethical Decision Making and ValuesRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 PagesThus, with their perspective, there is recognition of the importance of having superior human resources. There is little doubt that organizations will need to invest heavily in their human resources in order to be competitive during the twenty-first century. Management scholar Edward Lawler has described these investment requirements as follows: To be competitive, organizations in many industries must have highly skilled, knowledgeable workers. They must also have a relatively stable labor for ce sinceRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesMoods 97 What Are Emotions and Moods? 98 The Basic Emotions 100 †¢ The Basic Moods: Positive and Negative Affect 100 †¢ The Function of Emotions 102 †¢ Sources of Emotions and Moods 103 Emotional Labor 108 Affective Events Theory 110 Emotional Intelligence 112 The Case for EI 113 †¢ The Case Against EI 114 †¢ Emotion Regulation 115 OB Applications of Emotions and Moods 115 Selection 116 †¢ Decision Making 116 †¢ Creativity 116 †¢ Motivation 117 †¢ Leadership 117 †¢ Negotiation 117 †¢ Customer Service 118Read MoreOrganisational Theory230255 Words   |  922 Pagesscholars and students of organization theory. Henk W. Volberda, Chair of the Department of Strategic Management Business Environment and Vice-Dean of the RSM Erasmus University, Netherlands At last, a text that brings organization theory into the 21st century! This is the first organization theory textbook to provide full and informed coverage of a range of contemporary developm ents in the field. Notably, it includes diverse contributions to organization theory made by critical management studies. ItRead MoreManagement Course: Mba−10 General Management215330 Words   |  862 Pagesincome comes from its customers, not from Wall Street. NEW LEADERSHIP AND NEW MANAGEMENT MODELS ARE REQUIRED TO MEET THE BREADTH OF NEW CUSTOMER DEMANDS Most management leaders fully understand that the one certainty in the volcanic twenty-first-century economy is that the terrain on which their businesses will operate tomorrow will be shaped differently from the terrain of today. They recognize that the business requirement is to lead accordingly, and they know that this type of leadership requiresRead MoreHbr When Your Core Business Is Dying74686 Words   |  299 Pagesadding more does nothing for their level of satisfaction. Instead, family and friends make the difference. As McKibben, a social critic, points out, the Western economic culture of â€Å"more is better† may have run its course. It made sense in earlier centuries, when most people had few things and plenty of companions. Now we have the opposite situation – with global warming and resource depletion to boot. What’s a customercentric company to do? Much of the book describes the growing movement of â€Å"buying

Adaptation of nursing care - Free Samples - Myassignmenthelp.Com

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