HCR210 record formats Essay Example for Free

HCR210 record formats Essay Source oriented medical record (SOR), is a traditional patient record format that organizes information about a patients care according to the source of documentation within the record. Patient records are filed under their specific sectionalized areas in chronological order. Many medical facilities use this format. One of the advantages is that it is easy to locate documents. For example, if a physician needs to reference a recent lab report, it can easily be found in the laboratory section of the record. Another advantage is that same source documents can be filed together. Some of the disadvantages of the SOR format is that filing reports can be time consuming, several sections within a record need to be created and it can be difficult to follow one diagnosis. The Problem oriented medical record (POR), was developed by Lawrence Weed in an effort to improve the organization of patient records. This format is a more systematic method of documentation, which consists of four components, database; problem list; initial plan and progress notes. The POR record also utilizes the SOAP structure (subjective, objective, assessment, plan). The database serves as an overview of patient information such as chief complaint, present conditions and diagnoses, social data; past, personal, medical, and social history, review of systems, physical examination and baseline laboratory data. The problem list is filed at the beginning of the patient record and serves as a table of contents, containing a list of all the patient’s problems. Each problem is numbered, which aids in indexing documentation throughout the record. The initial plan, describes what actions will be taken to learn more about the patient’s condition according to three categories, diagnostic/management and therapeutic plans as well as patient education. The discharge summary is documented in the progress note section of the POR, and summarizes patient care, treatment, response and condition. If a patient is transferred, a transfer note is also documented. Some advantages of using the POR are that it is very organized, it facilitates patient treatment and education and that all documentation is linked to specific problem. Some disadvantages are that filing this format is time consuming, it requires specific training and that all data associated with more than one problem must be documented several times. The Integrated record format arranges reports in strict chronological date order or in reverse date order. This format allows for observation of how the patient is progressing and responds to treatment based on and according to test results. Most hospitals integrate physician and ancillary progress notes only, requiring progress note entries to be clearly identified by discipline, which needs to be identified at the beginning of each progress note, (i.e. dietary). The advantages of using this format is that it is easy to use, it is less time consuming to file reports and all information on care is filed together. Some disadvantages of this format are that it is difficult to compare as well as retrieve information from the same discipline.

The Racial Struggle of Afro-Cubans Essays -- Race Ethnicity Discrimina

The Racial Struggle of Afro-Cubans Introduction Afro-Cubans struggled to no avail for racial equality between the years 1886-1912. The slaughter of protesting blacks in 1912 shows that the battle cries for equality of Antonio Maceo and Josà © Martà © during the war for independence had dissolved. What was left was a unequal Cuban society, divided racially and fearing a black revolution. Aline Helg speaks directly to this issue in her book Our Rightful Share: The Afro-Cuban Struggle for Equality, 1886-1912. The aforementioned period was one in which the nation’s formation was taking place, thus the unsuccessful attempt at equality has left difficult remnants of racial inequality buried deeply in the fabric of the nation. The Unique Cuban Situation According to Aline Helg In discussing the experience of blacks in Cuba between 1886-1912, Helg gives six "Cuban particularities" which made the experience what it was. She first mentions how Cuba’s racial construct strayed from the norm in Latin America and the Caribbean. Cuba had a two-tier racial system where the group of "others" did not differentiate between mulattoes and blacks. In the other Latin American and Caribbean societies, multi-tier racial systems existed where the stratifications were numerous. Helg suggests that the joining of all blacks and mulattoes into one group may have stemmed from the Conspiracy of La Escalera in 1844, in which both free blacks and slaves were accused of plotting an insurrection against the white Spanish domination. Helg is also quick to point out the differences between the two-tier racial system in the United States, and that of Cuba. In Cuba, the distinction is made by visible physical differences, whereas the United States racial line is... ...from el Oriente initiated everything with their rebellion. It is an important distinction to make I think, because it not only places the blame where the blame belongs, but it also highlights the idea that racial myths put Afro-Cubans in a no-win situation. The lack of further open protest after the massacre of 1912 showed the sense that more protest would only lead to more extensive repression. Similar to the punishment of slave resistance before abolition, the punishment inflicted upon the Afro-Cubans in 1912 showed the Afro-Cubans were still to be considered lesser and somehow less human (Helg 1995, p. 241). These inequalities have reached as far as today, with remnants of racial inequality easily visible in the disproportionate number of Afro-Cubans in high ranking positions in society. Afro-Cubans yearned and continue to yearn to attain their "rightful share".

Reservoir Dogs

Reservoir Dogs Postmodernism theory when related to films can be described when the audience’s delay of skepticism is shattered, in order to free the audience’s grasp of the director’s work. Small changes are made to create a significant meaning in the audience’s mind. The director has created a piece of art that removes the audience from the conventional and emotional bond to the subject, creating a new perspective.Postmodern films apply the usage of four concepts: simulation, reusing styles, typically drawing irony to the new style; pre-fabrication, drawing a closer attention to already existing scenes and using them in the films narrative or dialogue; intertextuality, using text that has already been used and finally bricolage, creating a film based on a collage of various other film styles and genres. Quentin Tarantino, the famous film director, screenwriter, producer, cinematographer and actor followed his passion from an early age. He did not watch m ovies as a child and adolescent, but he made the films a large part of his life.Tarantino, though he may deny his films to fall in the category of postmodernism, portrays various genres and styles from other movies, typically of his childhood very well. Tarantino draws upon the genres of martial arts, kung fu, grind-house, and spaghetti western films. Typically starting his films, Tarantino opens with â€Å"Our Feature Presentation† drawing immediate attention to the audience, transporting them in time to their days of childhood and adolescents. A director is an artist, Tarantino, though he recreated previous works of other artists, is one too.He adds his own twist to his films, in order to create a new, distinctive and pioneering film. Tarantino uses the concept of bricolage to fuse genres together in an original fantasy-like story with exaggerated confrontation scenes and violence. Reservoir Dogs, directed and written by Quentin Tarantino first premiered in October 1992. It is about a group of criminals who where hired for a job to retrieve diamonds from a jewelry store. Things do not go as planned during the heist and the gang thinks that there may be a police mole among the group. But who could it be? Mr. Pink, Mr. Orange, Mr.White, Mr. Brown, Mr. Blue, Mr. Blonde, Nice Guy Eddie, or even head gang leader, Joe Cabot? Strangers to one another, Joe (Lawrence Tierney) assigns each member a color code alias. The opening scene is in a diner with all gang members sitting around a table, eating breakfast, while Mr. Brown (Quentin Tarantino) explains his interpretation of Madonna’s song ‘Like a Virgin’. The men continue to discuss the importance and the meanings of popular songs, especially bringing up songs of the 1970s. Though this dialogue is rather unimportant, it shows Tarantino’s intricate eye to detail.It is ironic to see Tarantino the one explaining Madonna’s song, for it is his intention to set the stage for the au dience’s interpretation of the film. Mr. Brown explains Madonna’s sexual encounters, as she continues to remember the first time she lost her virginity and the pain she had to encounter. Tarantino intends for Reservoir Dogs to have many interpretations, and one may consider that the gang members have to be redeemed through pain and suffering. The styles that we can see throughout the film use exaggerated confrontations and violence.After the diner scene, the film continues with a â€Å"Men in Black† take of the gangsters walking towards the camera. Mr. White (Harvey Keitel) and Mr. Orange (Tim Roth) are now on pursuit away from the heist, as things did not go as planned as the cops showed up unexpectedly. Running on foot, they stop a car and the owner and driver shoots Mr. Orange in the abdomen. For the remainder of the film, Mr. Orange laid on the floor of the warehouse bleeding profusely in excruciating pain. The pain that Mr. Orange faced throughout the film is the interpretation that Tarantino had intended to compare to the suffering of Madonna.Mr. Orange (Roth) was the undercover mole that was ordered to bust the head of operation, Joe Cabot (Tierney). Aside for Tarantino’s significance of popular songs, he also used images inter-dispersed throughout the film; Silver Surfer comic and the Get Christie Love! TV show. These are a few examples of how Reservoir Dogs falls into the category of being a postmodern film through the usage of image and text, posing as in intricate part to media and society. Reservoir Dogs, a postmodern film, includes the usage of criminals falling; indicating a crime and gangster movie.It also uses the formula of a western movie. Though, usually in a traditional western there is one individual who upholds law and order, Tarantino put a spin on western genres when including the style throughout his films. Reservoir Dogs use of western is slightly different, instead of one individual; there is a group of me n who try to restore order that has spun out of control to arrange a logical explanation and conclusion of who the possible informant might be. Tarantino is specific about his films, he does not intend for them to represent real life, but rather mimic other movies.In Reservoir Dogs initial scene, the men are sitting in the diner, a very similar scene to Woody Allen’s film Hannah and Her Sisters (1986) when they are sitting in a restaurant. Woody’s film is considered to be a romantic comedy drama, where Tarantino, though not considering Woody when creating the scene, did not create a romantic comedy drama film, but rather a film that fell into the category of crime, mystery and thriller. Quentin Tarantino pulls from previous artists, not only text and images, but also styles, such as cinematography. In Reservoir Dogs, Tarantino uses extreme conflict and intense violent scenes.Aside from the acting, Tarantino creates a character, Mr. Pink (Steve Buscemi), who is constant ly reminding the team that he is acting professional, while everyone else is fighting and not thinking of the future affects of their actions. Mr. Pink aside from being a â€Å"better† criminal, draws upon the belief that if you are not wearing a uniform you therefore fall into the â€Å"real person† category. Tarantino, throughout all his films, Reservoir Dogs, Pulp Fiction (1996) and Kill Bill (2003; 2004) the assassins, criminals, and law enforcements are all distinguished by their uniforms.Those who are â€Å"real people† wear real, daily, regular clothing, nothing that is out of the ordinary. The gang members who work for Joe Cabot are all dressed in the classic black suits with white button down dress shirts and thin black ties. The cops are wearing the typical blue uniform. It is interesting to notice that Joe and his son, though apart of the gang operation do not wear the â€Å"uniform†. The majority of Reservoir Dogs takes place in the dingy ware house, where no gangster becomes a â€Å"real person†; they do not undress from their uniforms, therefore staying as a gangster.Though they do not succeed in becoming real people, they are redeemed of being a gangster through death, unlike Mr. Pink who runs out after they go on a â€Å"trigger happy frenzy† shooting one another. The idea of the members, including the cop that was taken hostage is a similar idea to William Shakespeare, who was considered an outstanding poet and playwright during the 16th century. Typically, at the end of the plays, Shakespeare would conclude that the characters all be killed. Tarantino, a rather outstanding director and writer, pulls from these great artists to create an even greater piece of work.Quentin Tarantino, considered a postmodern filmmaker, uses references to earlier films. He blends genres from A-Z. In Reservoir Dogs, he uses many references from the French new wave directors, who were highly influential to his Production Com pany as well as his work. Francois Truffaut and Jean-Luc Godard were influential; he named his production company â€Å"A Band Apart†. In Reservoir Dogs, Tarantino named the jewelry store â€Å"Karina’s† after Anna Karina, star from Bande apart (Band of Outsiders, 1964).Postmodernism is a concept that pulls from many genres, and it is Reservoir Dogs that Quentin Tarantino first begins his voyage as an up and coming director to use this style of creativity and expression. Today, we entertain ourselves with concerts, movie theater, broadways, radio, and television. It is these social medias that people like Quentin Tarantino create for our enjoyment. Pulling on our childhood memories, familiarity, comfort, and most importantly clues to other important images of our past, bring a deeper appreciation to the work and creativity that has been produced.

Should We Undergo Plastic Surgery - 1489 Words

Some young women have even taken more drastic measures by turning to plastic surgery to alter their appearance. However, unlike makeup, plastic surgery is definitely something that can be taken too far since it is permanent. Women should not have to feel the need to undergo plastic surgery at all: unless it is for reconstructive purposes. Sadly, last year alone, facial plastic surgeons recorded 64% of their patients under the age of 30 had undergone cosmetic surgery or injectable treatments (Matthews, 2016, para. 8). Some surgeons, including Matthews, have credited this increase in cosmetic procedures to the â€Å"Kardashian Effect† or â€Å"Selfie Mania†. Thus, demonstrating how powerful social media’s influence is on a woman’s decision to undergo†¦show more content†¦Images on social media seem to be flawless and perfect, however, most of the images out there are distorted, Figure 3 shows how Photoshop can be used to turn a regular sized womanâ €™s body into the body of a coveted supermodel. These unrealistic expectations are what push consumers to turn towards excessive or extreme cosmetic surgery. The fact is, there is no guarantee when it comes to plastic surgery. There are risks such as infection, nerve damage, swelling, and even scarring. Furthermore, some cosmetic surgeons even tell some of their patients upfront about not bringing in pictures of famous celebrities that they want to emulate, because the results might not be what they pictured (Matthews, 2015, para. 11). These toxic ideas are slowly being diffused into our culture through all sorts of mediums. One study analyzed the amount of advertisements about weight and dieting in women’s magazines, and shockingly it contained ten times more advertisements than the magazines read by men. At the end of the century, the study found that about 85% of those who suffered from eating disorders were women (Chapman, 2011, p.7). It has been proven time and time again that human beings are affected by what they see. The media feeds on low-self esteem and addictive behavior to keep their industry afloat. For instance, the media has labeled Caucasian women as the ideal standard of