Friday, December 27, 2019

Claude Manet †Impressionism †19Th . Oscar-Claude Monet

Claude Manet – Impressionism – 19th Oscar-Claude Monet was a founder of French Impressionist painting, and the most consistent and productive expert of the movement s philosophy of communicating one s observations before nature particularly applied to plein-air landscape painting. The expression Impressionism is from the title of his piece Impression, soleil levant (Impression, Sunrise), which was shown in 1874 in the first of the independent presentations mounted by Monet and his partners as an alternate choice to the Salon de Paris. Monet s aspiration of painting the French countryside drove him to embrace a technique for painting the same scene repeatedly, trying to catch the changing of light and the death of the seasons. From†¦show more content†¦35. Monet painted the subject twice, and it is unknown which of the two pictures was the artwork that showed up in the pivotal 1874 presentation, however more as of late, the Moscow picture has been favoured. Monet has been portrayed as the main thrust behind Impressionism. Essential to the art of the Impressionist painters was the comprehension of the effects of light on the local colour of objects, and the impacts of the contrast of hues with each other. Monet s long profession as a painter was spent in the quest for this aim. In 1856, his shot meeting with Eugene Boudin, a painter of little beaches, opened his eyes to the idea of plein-air painting. From that time, with a short intrusion for military administration, he committed himself to hunting down better than ever strategies for painterly expression. In 1877 a progression of works of art at St-Lazare Station had Monet taking a gander at smoke and steam and the way that they influenced shading and perceivability, being here and there misty and some of the time translucent. He was to further utilize this in study in the painting of the effects of mist and rain on the landscape. The investigation of the impacts of climate was to develop into various arrangements of works of art in which Monet often painted a similar subject in various lights, at various hours of the day, and through theShow MoreRelatedClaude Monet and Impressionism1107 Words   |  4 PagesWhen you talk about impressionism, you will always connect it with Oscar Claude Monet but there were many impressionist artists beside Claude Monet. But in this composition we will talk more about Claude Monet because he was the founder of Impressionism in the world. Oscar Claude Monet was the founder of impressionism. He is a famous french painter whose work gave a name to the art movement impressionism. Claude Monet’s famous quote is â€Å"merely think here is a little square of blue, here an oblong

Thursday, December 19, 2019

Essay on Cultural Competency and Health Disparities

The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse†¦show more content†¦Without these methods, the work of public health practitioners would be inadequate. The first step to achieving complete cultural competency is valuing diversity. It is a process that requires cultural humility. Unlike competency, cultural humility goes beyond simply being knowledgeable of differences, but having a humble desire to ensure a lifelong commitment to intercultural exchange (Tervalon Murray-Garcia, 1998). I have witnessed some Americans oppose the idea of immigration and strongly believe that American services should not cater to immigrants. They believe that all foreigners should learn English and the United States should not accommodate their linguistic needs. These same people are aware of the cultural differences that exist in America, but lack cultural humility and appreciation for diversity, making it difficult for them to attain complete cultural competency. A public health professional cannot go into a community, assuming that everyone thinks and behaves like them. They must be open-minded, flexible, empathetic, and aware of the differences and similarities that exist. Therefore, cultural humility is a prerequisite in achieving cultural competence. The next step in cultural and linguistic competency is conducting both aShow MoreRelatedThe Effects Of Culture On Health Care1642 Words   |  7 Pagesthe health care disparities. Consequently, it is essential that health care organizations improve its cultural competency. Overall, the increased diversity in the population and the documented health care disparities have made cultural competency essential in order, to ensure that every patient receives quality health care services (Haynes, 2016). The purpose of this paper is to explore the effect of culture on health care. Define the Role of Cultural Awareness in the Management of Health CareRead MoreDiversification Continues To Rise In The United States1626 Words   |  7 Pagespopulation health. Additionally, health disparities are growing and impacting the health care field. Cultural competency and communication across language barriers are influential in producing quality care for socioeconomically challenged minorities. However, educational attainment and health literacy are the most influential factors for minorities’ well-being. Better quality of care for minorities ultimately results in an improvement in population health. Keywords: health disparities, health literacyRead MoreIn The United States It Is Estimated That By 2043, Nonwhite1558 Words   |  7 Pagesmore people who are of a diverse culture will have to use medical services. As of right now, there are many health disparities when it comes to the ethnic population. With a shift in demographics, the health sector in various central Ohio counties has proven that they are not prepared enough to handle a diverse community. There are many reasons as to why cultural competence is lacking in health care. From racism, lack of proper education, lack of diversity in the workforce, communication problems,Read MoreHow Can Education Be A Solution For Increase Cultural Competency?1386 Words   |  6 Pagesbe a solution to increase cultural competency? It is beneficial to establish cultural competency skills in students to prepare them for future work in the health sector especially as there continues to be growth in the minority population. Cultural comp etencies must be meaningfully incorporated into the curriculum to show student for how important it is for their community to be able to help people of different ethnic backgrounds (Knox and Haupt, 2015). Cultural competency can be incorporated intoRead MoreThe Culturally Competent Health Care Workforce949 Words   |  4 PagesThe Culturally Competent Health Care Workforce Reduces Disparities Cultural competence is the knowledge, skills and attitudes of the individual health care professionals when they treat individual patients who are from different race, ethnicity, and religion and diverse backgrounds. In the U.S, some patients receive equal treatment in the health care facilities, but others receive unequal treatment because they are from diverse backgrounds. In the article, â€Å"Cultural Clues† Melissa Hansen focusesRead MoreNational Health Care Quality and Disparities Report Essay602 Words   |  3 PagesThe National Healthcare Quality and Disparities Report (NHQDR) (2012) identified three key themes. The themes are health care quality and access are suboptimal, especially for minority and low income groups; overall quality is improving, access is getting worse and disparities are not changing; and urgent attention is warranted to ensure continued improvements in: quality diabetic care, maternal and child health, adverse events, disparities in cancer care and quality care among the states in theRead MoreThe American Association Of Nurse Practitioners1631 Words   |  7 Pages(SFCAPN, 2015). Core Competencies and Certification Requirements The curriculum for nurses in advance practice requires that every APRN is academically prepared by adhering to the seven core competencies for APRNs. Moreover, NP students of all specialty tracks and population foci, have to meet a set of criteria and academic standards developed by the National Organization of Nurse Practitioner Faculties (NONPF). This framework, known as the Nurse Practitioner Core Competencies, is comprised of nineRead MoreGlobal Health Competency Among Advanced Practice Nurses1515 Words   |  7 PagesThere is no documentation of global health competency among advanced practice nurses, specifically for Nurse Practitioners in current health related literature. Global health competency is an issue of increasing importance as we face an era of immense globalization, migration, immigration, and widening income gaps. It is widely accepted that lower income status, ethnic and racial disparities place persons at risk for increased morbidity and mortality globally and locally. Additionally, advancedRead MoreCultural Influences On The Health Care Delivery System1482 Words   |  6 Pagesand health practices within various cultural groups (Riegelman, Kirkwood, 2015). These diversities influence patient interactions in the health care delivery system. Consequently, cultural influences have led to various disparities in healthcare. A culturally competent healthcare organization is one that recognizes the influences of culture and the subsequent disparities created. These organizations have focused efforts which tailor their delivery of care in order to meet the cultural, socialRead MoreHealth Care Delivery System Of The United States877 Words   |  4 PagesHealth Care Delivery System The health care delivery system of the United States is unique compared to the other developed countries. The health care system of United States relies on the development and implementation of new health care technology. The use of new technology in the field of health care will help to provide services with increased quality and efficacy (Shi Singh, 2015). The external forces affecting the provision of health care delivery also has an inevitable role in the functioning

Wednesday, December 11, 2019

Snapshot If The Psychological Functioning †Myassignmenthelp.Com

Question: Discuss About The Snapshot If The Psychological Functioning? Answer: Introducation The purpose of Mental State Examination (MSE) is to assess the mental state and behaviour of an individual at the time of interview. The goal of MSE is the identification of signs and symptoms pertaining to mental illness for providing proper assistance to the client and addressing of related risks. This exam provides a systematic appraisal and reflects the snapshot if the psychological functioning of a person at a given time period. This examination provides a comprehensive and cross-sectional mental state description of a patient that help a nurse or clinician for making accurate diagnosis for the planning of coherent treatment (Dong, et al., 2012). MSE can be performed in a wide range of settings like psychiatric or in an outpatient hospital settings by registered nurses and clinicians. For the registered nurses, MSE is useful as it provides a comprehensive assessment of mental state that include medical, psychiatric, medication and personal history of the client. It is useful for the screening of cognitive impairment and its monitoring over time. This examination help the RNs to assess the general behaviour and appearance, attentiveness, level of consciousness, mood and effect, language, memory, alertness, abstract reasoning and constructional ability which are most clinically relevant for measuring cognitive abilities (Wajman, Oliveira, Schultz, Marin, Bertolucci, 2014). Various domains are considered in a typical MSE for the systematic appraisal. Appearance: The appearance of the client is important that provide significant clues about their quality of life, lifestyle, self-care and ability to perform the activities of daily living. For example, if a client is well dressed, it demonstrates the clothing and grooming of that person. If a persons clothing is clean, it demonstrates that if the person performs hygiene on a daily basis or not. These distinctive features are being demonstrated in the appearance domain (Saliba, et al., 2012). Behaviour: This important domain demonstrates the behaviour of a person during the examination. Non-verbal communication is given special attention and monitoring is done during the interview that reveals the attitude, emotional state of a person. For example, if the level of arousal is high during the examination, it demonstrates agitation or aggressive behaviour of a person. The body language, facial expression, posture, eye contact is noticed during MSE. For example, if a person lacks eye contact during MSE, it demonstrates the poor response of the client to assessment and level of social engagement and rapport with the registered nurse or the clinician. Movement and psychomotor activity is also noticed under this domain such as the client is hypoactive or hyperactive. It also depicts the unusual features like tremors, repetitive, slowed or involuntary movements (Taylor, 2013). Speech and content of speech: This domain is helpful in revealing the presentation of a persons feature during MSE. The behaviour and content of the speech is important as it help to depict the language of a person. For example, if the person demonstrates unusual speech that might be associated with anxiety and mood problems, organic pathology or schizophrenia. It is observed that if the persons speech rate is rapid, pressured or reduced. The volume (normal, loud, soft) is observed along with tonality (tremulous, monotonous), quantity (voluble, minimal) and ease of conversation. This is useful in the demonstration of these possible descriptors along with rhythm and fluency whether the content of speech is clear, slurry, hesitant, aphasic or with good articulation (Altmann, Tian, Henderson, Greicius, 2013). Mood and Affect: This domain is useful in the conceptualization of the relationship between the economics affect and mood. Affect is defined as the immediate emotional expressions. On the other hand, mood explains the emotional experience of a person over a prolonged time. For example, affect demonstrates the stability of a person like labile or stable. Happiness is demonstrated by mood whether it is elevated, ecstatic, depressed or lowered. Affect also explains the appropriateness (inappropriate, appropriate or incongruous) and range (flat, restricted, expansive or blunted) of a person. Irritability is defined by mood whether the person is calm, explosive or irritable by nature (Cumming, Churilov, Lindn, Bernhardt, 2013). Thought: The thinking of a person is evaluated based on nature or thought content and process or thought form. Content explains various aspects of thought process like delusions, ideas, suicidal or self-harm ideation, obsessions or anxiety. For example, if a person demonstrates false beliefs that are rigidly this is not consistent to ones background depicts delusions. Unreasonable beliefs demonstrate overvalued ideas, preoccupations and depressive thoughts. Repetitive thoughts about a catastrophic or feared outcome greatly illustrate obsessions of a person. Anxiety is explained by phobias where a person demonstrates heightened anxiety (Forbes Watt, 2015). Thought process shows coherence and formation of thoughts which is greatly reflected in the speech of a person and expression of ideas. Various thought levels are explained through process like if a person demonstrates derailment or loose associations, it reflects irrelevant thinking. Tangential thinking or flight of ideas reflects frequent changing of topic, excessive vagueness depicts circumstantial thinking, use of nonsense words and thought clocking or racing is reflected in halted or pressured speech. Perception: This domain is important for the detection of serious mental health issues like psychosis, mood disorders or severe anxiety. It is also helpful in the measurement of perceptual disturbances marked by frightening or disturbing perceptions. For example, if a person demonstrates derealisation or depersonalization, it depicts dissociative symptoms. For example, if a person who thinks that surrounding things are not real and unusual characterizes illusions. Hallucinations can be auditory, visual where a persons sensory modalities are affected and the nurse or clinician note the degree of distress or fear that are associated with hallucinations (Douglas Robertson, 2013). Cognition: This domain refers to the current capacity of processing of information, as it is sensitive in case of mental health problems. If a person is unaware of the time, place or person and incapable of providing his or her personal details, it depicts disorientation to reality. It also measures the level of consciousness whether the person is drowsy, alert, stuporous or intoxicated. It also measures the memory functioning, arithmetic and literacy skills, concentration and attention and the ability of a person to deal with the abstract concepts (Sattler, Toro, Schnknecht, Schrder, 2012). Insight: It is the triaging of the psychiatric presentations and the persons ability to take decisions about their safety. For example, it is the acknowledgement of a person regarding possible mental health problem in understanding the possible treatment and its compliance. It also measures the ability for the identification of potentially pathological episodes like suicidal impulses or hallucinations (Douglas Robertson, 2013). Anxiety and depression: Severe anxiety disorders are characterized by the depressive symptoms and may produce suicidal ideation, agitation and risk for suicide. In anxiety and depression, speech domain in MSE is affected where the person demonstrates unusual speech that might be pressured, rapid or with reduced tempo. Thoughts are also affected due to anxiety where there might be heightened anxiety or the person witness specific phobia. Most importantly, if a person is suffering from anxiety and depression, there is disturbance in perceptions like dissociative symptoms, illusions, hallucinations. Based on the physical appearance, anxious patients would exhibit restlessness, sweaty palms and distractibility. The mood might be normal or depressive. The behaviour and psychomotor activity is also affected in anxiety and depression where the patient exhibit hyperactivity and agitation (Cosco, Doyle, Ward, McGee, 2012). Behaviour and mood is significant part of anxiety because it changes these parameters in some way or the other. Certain neurotransmitters acting as chemical messengers help in the communication of different nervous system parts and regulate behaviour and mood. In anxiety, GABA (gamma-aminobutyric acid) does not work properly that leads to overreaction or vigilance feeling and hyperactive behaviour. Anxiety affects cognition like thoughts about fear of dying and suspected dangers where amygdala and hippocampus are affected. There is high response to the emotional stimuli that increases anxiety. Unusual speech is recognized in anxiety as muscle tension makes the movement harder resulting in abnormal speech. During anxiety or depression, speech is controlled by the person rather than by subconscious mind resulting in abnormal speech (Ng, Y., Schlaghecken, 2012). Psychotic disorders: There is abnormal thinking, delusions, hallucinations and perceptions that are affected by psychotic disorders. The person experience visual or auditory hallucinations that are considered perpetual disturbance. The thinking ability is disrupted in psychotic disorders and delusions occur where the person has false beliefs that are rigidly held. Dopamine plays an important role in the internal representations, pays attention to the emotional stimulus, and prepares response. However, in psychosis, dopamine is released at random events leading to abnormal information gating and aberrant salient experiences. Hallucinations are accompanied by auditory or visual hallucinations where there is activation of modality-specific activation in the cerebral areas that are involved in sensory processing. However, there is alteration in the Amygdala-Visceral and Hippocampus leading to over activation and inability to distinguish between external stimulation and self-generated tho ughts including activation of Wernickes area and there are auditory hallucinations (vices heard outside in contrast to the inside due to plenum temporal activation). The primary neurotransmitter, dopamine has increased pharmacological effect that gives rise to hallucinations or psychotic delusions. There is delusional thinking and the person is unable to find or connect the meaningful relationships between ideas or unrelated stimuli. This is the reason the person have an impaired relationship with the reality (Fusar-Poli, et al., 2012). Patient-centred care: It is a holistic approach where the specific needs of the individual are respected. There is personalization of the care and support given to the client where the mental health nurses understand the culture and specific needs are included in the mental health services given to the client. Their choices and needs are supported in a way that fits the way they want to live. In mental health nursing, personalized service is given that reflect listening and improved understanding and empathy towards the people who experiences mental health issues as witnessed in MSE (Barry Edgman-Levitan, 2012). Cultural appropriateness: In mental health nursing, cultural appropriateness is important as the healthcare providers have to be aware of the mental health issues faced by diverse groups. The mental health services need to be culturally competent so that they are able to support the clients with mental health issues from culturally diverse groups. The healthcare services should be adequate to identify and understand the language and cultural differences of the mental health patients and in reducing the stigmatization associated with them (Doyle, 2012). The multidisciplinary team: In mental health nursing, the multidisciplinary system comprises of the psychiatrists, clinical nurses, specialists, psychologists, mental health nurses, occupational therapists, medical secretaries and sometimes advocacy and care workers. These professionals have different expertise combined with skills who work together in tackling challenging and complex mental health issues of the patients. This team work in collaboration and in a dedicated manner contributing to the assessment, diagnosis, treatment and management of the mental health issue towards holistic patient-centred care (Chalmers, Harrison, Mollison, Molloy, Gray, 2012). Psychotropic medications: The psychiatric drugs are used for the alteration of chemical levels in the brain that has an impact on the behaviour and mood. This medication provides safety and stability from paralysing anxiety, however, the benefit differs from patient to patient. Some important drugs include Xanax, Zoloft, Celexa, Prozac, Ativan, Desyrel and Lexapro help to improve the symptoms of depression, neuroticism and extroversion by calming them down in few weeks of use (Rssler, 2012). Depression Anxiety Stress Scale (DASS): A self-reported instrument of 42 items measures the negative states of emotion of anxiety, depression and stress or tension. DASS scores interpret that the values for depression, anxiety and stress should be low as much as possible and has certain cut-off values. The scores range from zero depicting that the items are not applicable for them to three that means items can be applied to them for most of the time. The main purpose of this tool is to identify and isolate the emotional disturbance aspects. For example, in psychiatric or outpatient settings, the registered nurses or clinicians do the assessment for the degree of severity for the core anxiety, depression or stress symptoms. It is helpful for the registered nurses as it helps to measure the negative and emotional states of anxiety, depression and stress. The scores obtained by the patient would help the nurses to calculate by summing the scores for the relevant parameters. In the clini cal setting, the nurses clarify the emotional disturbance that is the broad task for the clinical assessment. DASS scale help them to make decisions based on the score profiles in the clinical examination. Moreover, the clinicians would be able to determine the suicidal ideation and risk for any kind of suicide in the disturbed persons. The aim of this scale is to define and explore the core symptoms of anxiety, depression and stress and meeting of the rigorous standards of psychiatric adequacy and development of discrimination between the anxiety depression scales to the maximum. The experienced registered nurse or clinician interpret and decide based on DASS result score for the anxiety, depression or stress (Happell, Scott, Platania?Phung, Nankivell, 2012). There are specific ethical and legal considerations while conducting the mental health assessment by the mental health professionals. Firstly, informed consent need to be obtained from the patient or client before the commencement of mental health assessment as it the ethical duty for the evaluation of the mental health issues. In this, the patient or client need to know about the nature and purpose of the mental health assessment along with potential disclosures and confidentiality associated with the assessment. In cases where there is third party involvement that also need to be informed to the patient. Confidentiality is the second ethical consideration where the mental health professional conducting the assessment are obliged to maintain a certain degree of confidentiality, respect for patient privacy in the legal and ethical context. There should not be any kind of disclosure of the patient information associated with the particular evaluation. Apart from these ethical and lega l considerations, the mental health professions have the obligation to disclose only relevant information with the healthcare team for the diagnosis, treatment and management of the mental health conditions. The legal considerations involve no breaching of these ethical considerations while conducting the mental health assessment. It is the duty of the mental health professionals to maintain the confidentiality of the evaluee by writing an authorization before the release of information and taking into consideration to release only the authorized information (Oei, Sawang, Goh, Mukhtar, 2013). Patient-centred care: It is a measure where the metal healthcare professionals work for the development and implementation of actionable plan for the patient who scored concerning scores in DASS scale. The care is developed to fulfil the goals of personal recovery that scored significant marks in DASS scale. There is designing of care plans that promote oriented care and recovery that minimizes symptoms of anxiety, depression or stress (Manary, Boulding, Staelin, Glickman, 2013). Cultural appropriateness: Many patients come from culturally and diverse backgrounds suffering from mental health issues and stigmatization. There is lack of healthcare services in the mainstream that works to meet the cultural needs of these diverse patients and acts as a barrier. Therefore, there is need for mental health givers to be knowledgeable and culturally competent in providing culturally appropriate care for the ethnic patients as cultural factors greatly influence the therapeutic process (Purnell, 2014). The multidisciplinary team: MDT comprising of psychiatrist, clinical and mental health nurses, therapists and psychologists work in inter-professional collaboration in the diagnosis, treatment and in providing metal health services that improve the state of anxiety, depression or stress and enhance services rendered by the institutions. Among the MDT, nurses are the most important professionals who help to establish contact and interpersonal relationship with the patient and provide highest quality of care (Videbeck, 2013). Psychotropic medications: For the patients who scored significant marks in DASS scale, it is important to give class of psychotropic medications like antidepressants and anti-anxiety agents. These treatments are safer as antidepressants help with phobias, panic attacks, suicidal thoughts, sleeping thoughts and eating disorders. Tranquilizers or anti-anxiety drugs are used to treat anxiety that interfere the patients in their daily life. Benzodiazepines are also used acting as tranquilizers (Wexler, 2013). References Altmann, A., Tian, L., Henderson, V. W., Greicius, M. D. (2013). Sex modifies the APOE?related risk of developing Alzheimer disease. Annals of neurology, 122-129. doi: 10.1002/ana.24135. Retrived from: https://www.ncbi.nlm.nih.gov/pubmed/24623176 Barry, M. J., Edgman-Levitan, S. (2012). Shared decision marketingthe pinnacle of patient-centered care. New England Journal of Medicine, 780-781. DOI: 10.1056/NEJMp1109283 Retreived form: https://www.nejm.org/doi/full/10.1056/NEJMp1109283#t=article Chalmers, A., Harrison, S., Mollison, K., Molloy, N., Gray, K. (2012). Establishing sensory-based approaches in mental health inpatient care: a multidisciplinary approach. Australasian Psychiatry, 35-39. doi: 10.1177/1039856211430146 Retreived from: https://sci-hub.io/10.1177/1039856211430146 Cosco, T. D., Doyle, F., Ward, M., McGee, H. (2012). Latent structure of the Hospital Anxiety And Depression Scale: a 10-year systematic review. . Journal of psychosomatic research,, 180-184. doi:10.1016/j.jpsychores.2011.06.008. Retreived from: https://sci-hub.io/10.1016/j.jpsychores.2011.06.008 Cumming, T. B., Churilov, L., Lindn, T., Bernhardt, J. (2013). Montreal Cognitive Assessment and MiniMental State Examination are both valid cognitive tools in stroke. Acta Neurologica Scandinavica, 122-129. : DOI: 10.1111/ane.12084. retreived form: https://sci-hub.io/10.1111/ane.12084 Dong, Y., Lee, W. Y., Basri, N. A., Collinson, S. L., Merchant, R. A., Venketasubramanian, N., Chen, C. L. (2012). The Montreal Cognitive Assessment is superior to the MiniMental State Examination in detecting patients at higher risk of dementia. International Psychogeriatrics, 1749-1755. doi:10.1017/S1041610212001068. retreived from: https://sci-hub.io/10.1017/s1041610212001068 Douglas, G. N., Robertson, C. (2013). Macleod's Clinical Examination E-Book. Elsevier Health Sciences. Doyle, K. (2012). Measuring cultural appropriateness of mental health services for Australian Aboriginal peoples in rural and remote Western Australia: a client/clinician's journey. International Journal of Culture and Mental Health,, 40-53. doi: 10.1080/17542863.2010.548915 Retrieved from: https://sci-hub.io/https://www.tandfonline.com/doi/abs/10.1080/17542863.2010.548915 Forbes, H., Watt, E. (2015). Jarvis's Physical Examination and Health management. Elsevier Health Sciences. Fusar-Poli, P., Bonoldi, I., Yung, A. R., Borgwardt, S., Kempton, M. J., Valmaggia, L., ... McGuire, P. (2012). Predicting psychosis: meta-analysis of transition outcomes in individuals at high clinical risk. Archives of general psychiatry, 220-229. doi: 10.1001/archgenpsychiatry.2011.1472 Retrieved from: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1107408 Happell, B., Scott, D., Platania?Phung, C., Nankivell, J. (2012). Should we or shouldn't we? Mental health nurses' views on physical health care of mental health consumers. International journal of mental health nursing, 202-210. doi: 10.1111/j.1447-0349.2011.00799.x Retrieved from: https://sci-hub.io/https://onlinelibrary.wiley.com/doi/10.1111/j.1447-0349.2011.00799.x/full Manary, M. P., Boulding, W., Staelin, R., Glickman, S. W. (2013). The patient experience and health outcomes. New England Journal of Medicine, 201-203. doi: 10.1056/NEJMp1211775 Retrieved from: https://sci-hub.io/https://www.nejm.org/doi/full/10.1056/NEJMp1211775 Ng, J., Y., C. H., Schlaghecken, F. (2012). Dissociating effects of subclinical anxiety and depression on cognitive control. Advances in cognitive psychology, 38. doi: 10.2478/v10053-008-0100-6 Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303107/ Oei, T. P., Sawang, S., Goh, Y. W., Mukhtar, F. (2013). Using the depression anxiety stress scale 21 (DASS-21) across cultures. International Journal of Psychology,, 1018-1029. doi: https://dx.doi.org/10.1080/00207594.2012.755535 Retrieved from: https://sci-hub.io/https://www.tandfonline.com/doi/abs/10.1080/00207594.2012.755535 Purnell, L. D. (2014). Guide to culturally competent health care. FA Davis. Rssler, W. (2012). Stress, burnout, and job dissatisfaction in mental health workers. . European archives of psychiatry and clinical neuroscience, 65-69. doi: https://dx.doi.org/10.1007/s00406-016-0688-3 Retrieved from: https://link.springer.com/article/10.1007/s00406-012-0353-4 Saliba, D., Buchanan, J., Edelen, M. O., Streim, J., Ouslander, J., Berlowitz, D., Chodosh, J. (2012). MDS 3.0: Brief interview for mental status. Journal of the American Medical Directors Association, 611-617. doi: https://dx.doi.org/10.1016/j.jamda.2012.06.004 Retrieved from: https://sci-hub.io/https://www.sciencedirect.com/science/article/pii/S1525861012001831 Sattler, C., Toro, P., Schnknecht, P., Schrder, J. (2012). Cognitive activity, education and socioeconomic status as preventive factors for mild cognitive impairment and Alzheimer's disease. . Psychiatry research, 90-95. doi: https://doi.org/10.1016/j.psychres.2011.11.012 Retrieved from: https://sci-hub.io/10.1016/j.psychres.2011.11.012 Taylor, M. A. (2013). The neuropsychiatric mental status examination. Elsevier. Videbeck, S. (2013). Psychiatric-mental health nursing. Lippincott Williams Wilkins. Wajman, J. R., Oliveira, F. F., Schultz, R. R., Marin, S. D., Bertolucci, P. H. (2014). Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination. Arquivos de neuro-psiquiatria, 273-277. doi: https://dx.doi.org/10.1590/0004-282X20140002 Retrieved from: https://www.scielo.br/scielo.php?pid=S0004282X2014000400273script=sci_arttexttlng=pt Wexler, D. B. (2013). Mental health law: Major issues. Springer Science Business Media.

Wednesday, December 4, 2019

Malaysian National Snack Essays - Malaysian Cuisine,

Malaysian National Snack I went to a Malaysian restaurant with my family last weekend to try some new Asian dishes we never tasted before. The name of the restaurant is Yazmin Malaysian Restaurant. That restaurant is located on Las Tunas Drive, San Gabriel. We ordered the curry noodles, the spicy chicken wings, the curry squids, and the satay. Among the foods we ordered, I would like to describe a dish that is called "Satay." It is so delicious, and it is a new Asian dish that I never tasted before. There are many interesting Malaysian traditional things in that Malaysia restaurant. The restaurant was decorated by hanging the Malaysian traditional kites and posters with Malaysia famous places. Besides the kites and the posters, there also has some traditional clothes on the walls. The boss called that is the "Batik" clothes. Thus, I felt that I was like that I was eating in Malaysia in that time. We ordered some Malaysia traditional foods, and one of those dishes that I like it very much. That is "Satay." Satay is a barbecued meat on a skewer. There are five skewers on a plate accompany with some bite-size cubes of cold, cook rice and the cool slices of cucumber, and uncook red onion. Along with it, there is a smaller plate filled with spicy peanut gravy. By using the same skewer, I dipped the meat into the spicy peanut gravy before I tasted it. Then, I speared a cube of cold, cook rice, and dipped into the gravy. Besides the bite-size of rice, I also speared a slice of cucumber and a slice of red onion, and dipped them into the gravy. It is so delicious until I had eaten up all the satay. Satay's meat is marinated and threaded through thin bamboo skewers before grilled. When it is grilled, it is basted with margarine by using a lemon grass as brush. I believe this made the smell better. However, the satay gravy has more complicated ingredients. It contains of peanuts, onion, garlic, chilies, lemon juices, coconut milk, ground cumin, ground turmeric, and chopped lemon grass. The cucumber and onion are prepared uncook and cut into slices. The rice cubes are made of plain rice which cook with coconut milk instead of water. I like to eat the gravy because it contains peanuts in it. The peanuts made the gravy so crunchy and I like it very much. The satay's meat is also good. However, when the satay became cold, I felt hard to chew. I like the rice cubes and the cucumber very much, but not the uncook onion because it was smelled bad after eating. Satay is a traditional food of Malaysia. It is so special compared to the other Asian's food I had tried. Of course, I would like to eat the satay again if I have a chance to go back to that Malaysian restaurant.