Pressure ulcer prevention Essay Example | Topics and Well Written Essays - 1000 words

Pressure ulcer prevention - Essay Example It is the health care professional who is entrusted with the assessment of risk of pressure ulcers in a person, usually suffering from some health issue where the patient is bedridden, or in the elderly population with decreased mobility. Although ulcers can be prevented using aggressive measures, it is found to be having a â€Å"floor effect† with the probability of another ulcer developing in the same area. Strategies for prevention include assessment for risks of developing pressure ulcers in outpatients or inpatients. Perry et al. (2010) have discussed the prevention and treatment protocols for outpatients and inpatients that offer recommendations for assessment, prevention and treatment on a continuous basis. While a list of questions are used to assess risk for outpatients, risk assessment among inpatients uses standard tools like the Braden (Q) Scale, Norton Scale or the Waterlow Scale (EPUAP & NPUAP, 2009). Braden Scale for Predicting Pressure Sore Risk (Braden Scale) Braden Scale is the most widely used risk assessment tool for pressure ulcer development and is found to be an enhancement of the Norton Scale and is used as a general tool for predicting pressure sore risks on four different scales based on six factors. The six factors or sub-scales include: sensory perception, activity, mobility, skin moisture, friction, and nutrition. The scores of Braden Scale assessment determine the level of risk of development of pressure ulcer in inpatients, and this scale provides a systematic and quantitative risk assessment aiding interdisciplinary team communication for effective prevention and treatment by the health care professionals (Reilly et al., 2007). Figure 1 below represents the Braden Scale factors: Figure 1: Braden Scale factors. Source: (Reilly et al., 2007). It is seen that a risk factor score of

Hakuin's art associated with Zen's mind Essay Example | Topics and Well Written Essays - 1250 words

Hakuin's art associated with Zen's mind - Essay Example The art surprised out from him as an over whelming response to express his vision over Zen. His painting and inscriptions had spread all over the Japan about his genius wisdom and his wily sense of hum -our. Of about a thousand or more of Hawkins paintings survive till today. Hakuin felt that word are not the only media through which Zen could be passed on to the bent genere, but there are others respects through which teachings of Zen can be visualized. His paintings were filed with novel ideas that never existed before, with liveliness and as through it is the source of Zen, they represented of new themes to a great extent. He regarded the paintings as visual sermons. Though he started painting at the age of sixty, he is considered as one of the greatest painter of Japanese tradition The Zen master started following Hakuin, taking him as example to teach through brush and ink. This tradition is being carried on till today. The main aim in making the paintings is to inspire and instruct about the Zen, that has a very exclusive set of aesthetics principles. The paintings doesn't depict the pure aesthetic phenomena of Zen and so it was reversed as "folk art" The art of Zen doesn't had any pictorial representation of mind, whether symmetrical or asymmetrical, simple of complex. It even ignores the round Zen circles. The thing that is given highest importance in Zen art is the level of "bokki" included in the work. "bokki" here is enlightment of the soul that is achieved thought continuously meditating suppleness, clarity, vigor, intensity, extension and scale through art. And hence the work of art represents the state of enlightment in the artist. The Zen masters, to bring enlightment from deep inside the mind of the people, they performed the duty of shouting as for, they realized that any pain within could be drawn out and that energy is the heat equalized with shouts. So they can cool down their pupil and then give a sharp blow of enlightment. This way he is mobilizing the eyes properly and they attain enlightment unswervingly. Some of the Hakuin's paintings depicted bodhisattva or were almost Buddha like statures. He first outlined and brushed them deeply and filled color lightly. "Daruma", a Zen patriarch was Hakuin's major subject, and the first subject he painted for. The works of Hakuin's with an impression of monumentality conveys that they are with full of sprit and are very vital but exist in an animated manner. The boudhi dharma or Daruma and its spirit work out the real Zen. Hakuin added the most vital messages to the drawings of Daruma, which directly pointed to the heart of the human and insisted the pupil to see their own nature and become Buddha. According to him a human heart has Buddha hood deep within. The Zen is depicted using very few words. Mostly, it is depicted quietly. Enlightment is not attained by the unblinking eyes or by carefully mobilized eyes but by going to a state of immobility. He also taught that students must take care in spreading their rare, innate, own penetrating old wit. They should stay firmly instead. Hakuin as said to be had given lecture fourteen