Tuesday, December 31, 2019

Does the amount of time on social media hinder or help an individuals grades at school - Free Essay Example

Sample details Pages: 2 Words: 586 Downloads: 5 Date added: 2019/04/10 Category Society Essay Level High school Tags: Social Media Essay Did you like this example? Social media usage by students has recently increased because of easy access to devices such as smart phones, tablets and laptops which are connected to the internet. It is perceived that school grades will suffer when spending too much time on social sites such as Facebook. Social media is an online platform in which the exchange ideas, feelings, personal information, pictures and videos is shared. Don’t waste time! Our writers will create an original "Does the amount of time on social media hinder or help an individuals grades at school" essay for you Create order The number of students that use social media is drastically increasing it has gone to seventy-three percent of wired American teens now use social media websites (Dijck). Social networking became popular between 2004 and 2006, after Facebook and Myspace were created. Facebook, for example has over 500 million members and it is still growing and approximately 85% of undergraduate students are Facebook users. These numbers are expected to grow since Facebook users will continue to grow (Dijck). Just like that an overwhelming number of students are using social media and this new trend does not seem to be slowing down any time soon. This relates to sociology because in the upcoming years social media and the usage of phones has drastically increased and social media is another potential distraction to a student. With the popularity of social networking websites on the rise, our social interaction is affected in multiple ways as we adapt to our increasingly technological world. The way web users interact and talk to each other has changed and still is changing continuously. But what makes social media different from any other distractions that kept students away from their academic potential? It is the fact that people just pick up the phone and start scrolling through Instagram without even noticing. Since most people always have their phones on them, it is very convenient. Social media comes with both good and bad when it comes to how it influences a persons education. Some ways social media benefits an individual is by making it easier to collaborate with other students, it can help receive instantaneous feedback and even foster creativity. The internet has changed the way teenagers speak and write the English language by making misspelling and shorten words, people tends to type faster on the Internet and this generates a unique behavior that ignores proper language. On top of that many student type/texts more than they write so this trait may even be carried on to school. With all this good, comes its negative as well. Social media now directly influences how people communicate with one another, although it is now easier to communicate with someone far away, social media has shown to decrease face to face interactions (Staff writers). Also, not as many people use social media for academic use. In a study conducted by Shana, (2012), it was revealed that students use social network mainly for making friends and chatting. The result showed that only 26 percent of the students (respondents) indicated that they use social media for academic purpose. To carry out this experiment I would be send out as an anonymous survey asking about how much time a person spends on social media a week and then ask what their current gpa is. The paper will also ask them to identify their gender. This survey can be asked to not only college students but high school students as well. Not only will the data be separated by age but also by gender to see if that has any influence as well. The location in which this survey will take place is New York City, since this is a very diverse city.

Monday, December 23, 2019

Christianity, Islam, And Buddhism - 1474 Words

religion is an organized collection of beliefs, cultural systems, and world views that relate humanity to an order of existence. Many religions worship one God. A God is a superhuman being or spirit worshiped as having power over nature or human fortunes. Like many religions, it has to be founded by someone who has had a revelation. Every great religion acknowledges revelation in the wide sense that its followers are dependent on the privileged insights of its founder or of the original group or individuals with which the faith began. In the essay I will explain how Christianity, Islam, and Buddhism were founded. Christianity is the world s largest religion, with over 2.4 billion adherents. Christians believe that Jesus is the Son of God†¦show more content†¦He brought the family back afterward and settled in the town of Nazareth, in Galilee. Jesus began his ministry at age 30 when he was baptized by John the Baptist, who declared him the Son of God. After baptism, Jesus went to the Judean desert to fast and meditate for 40 days and nights. The Devil tempted Jesus three times, once to turn stone to bread, another to cast himself off a mountain where angels would save him, and last to offer him all the kingdoms of the world. All three times, Jesus rejected the Devil s temptation and sent him off. Jesus returned to Galilee and made trips to other villages. During this time, several people became his disciples. Mary Magdalene became a disciple. He and his disciples traveled to a wedding at Cana in Galilee. The wedding host ran out of wine and Jesus s mother came to him for help. Jesus refused to intervene, but then he relented and asked a servant to bring him large jars filled with water. He turned the water into a wine of higher quality than any served during the wedding. Jesus continued preaching about the kingdom of God, the crowds grew larger and began to proclaim him as the son of David and as the Messiah. The Pharisees heard this and publicly challenged Jesus, accusing him of having the power of Satan. He defended his actions with a parable, then questioned their logic and told them such thinking denied the power of God, which only further hardened their resolve to work against him. Jesus

Sunday, December 15, 2019

Consumption of Caffeinated Beverages Free Essays

[pic] UNIVERSITI TEKNOLOGI MARA (UiTM SHAH ALAM) FACULTY OF BUSINESS MANAGEMENT BEL422 REPORT WRITING GROUP REPORT COMSUMPTION OF CAFFEINATED BEVERAGES AMONG UiTM STUDENTS PREPARED BY: |NAME |MATRIX NO. GROUP |SIGN | | |2010528723 |BM2254A | | |NAWWAR KHALEEFUR RAHMAN | | | | | |2010729017 |BM2254A | | |NUR KHALIJAH ZAIDAN | | | | | |2010572149 |BM2254A | | |NURANIKA SHAMIMI SHAMSDIN | | | | | |2010549887 |BM2254A | | |YUSMAH YUSOF | | | | PREPARED FOR: MADAM ASHA LATHA B. S. We will write a custom essay sample on Consumption of Caffeinated Beverages or any similar topic only for you Order Now BEL422 LECTURER (BM2254A) UiTM SHAH ALAM DATE OF SUBMISSION: 12TH DECEMBER 2012 (WEDNESDAY) ACKNOWLEDGEMENTS We have taken a lot of efforts in completing this report. However, it would not have been possible without the kind support and help of many individuals who have been there for us along this journey as to complete this report in time. Alhamdulilah, first of all we would like to thank God for given us the strength and wisdom as finally we were able to complete our report effectively and efficiently. Thank God for letting us through all the difficulties and have experienced His guidance day by day. A special appreciation to our family. Words can not express how grateful we are to our mother, father, and our siblings for all of the sacrifices that they have made on our behalf. Their prayer for us were what sustained us thus far. We would like to express our special appreciation and thank to our BEL422 lecturer, Madam Asha Latha B. S. for the valuable advice and support she has given to us in the writing of this report apart from being a tremendous mentor for us through out this semester. This report had been done with all afford by group members eventhough there were constraints while doing this report. Fortunately, all the constraints are settled due to our group members co-operation and ideas. We are highly indebted to our friends for their support as well as they diligence extended in providing us necessary information in completing this report. Last but not least, our deepest thank to our respondents for their understanding and support. THANK YOU ( [pic] SUMMARY This study was conducted to gauge on consumption of caffeinated beverages among UiTM students. It was requested by our BEL422 lecturer Mdm. Asha Latha B. S. to fulfill the course requirement. It was requested on 19th September 2012. The investigation was done by distributing questionnaires to 20 respondents comprising Business and Law students at UiTM Shah Alam. Data was collated and analyzed using a basic frequency analysis derived from Microsoft Excel Software. Secondary sources were also referred to, to obtain background information required for this report. The main finding _______________ TERMS OF REFFERENCE On 19th September 2012, Nawwar Binti Khaleefur Rahman, Nur Khalijah Bt. Zaidan, Nuranika Shamimi Binti Shamsdin and Yusmah Binti Yusof, from the Faculty of Business Management, UiTM Shah Alam, were instructed by Mdm. Asha Latha B. S. , the Report Writing lecturer (BEL) to write a report on consumption of caffeinated beverages among UiTM students on questionnaires. The report which includes the background information, findings, conclusions and recommendations is to be submitted on 12th December 2012. TABLE OF CONTENT |No. |Title |Pages | | |Acknowledgement | | | |Summary | | | |Terms of Refference | | | |List of Illustrations | | |1. |Introduction | | | |Background of study | | | |Statement of The Problem | | | |Research Questions | | | |Objective of The Report | | | |Scope of Report | | |2. 0 |Literature Review | | |3. 0 |Methodology and Limitation | | |4. 0 |Findings | | |5. 0 |Conclusions | | |6. |Recommendations | | | |Bibliography | | | |Appendices | | LIST OF ILLUSTRATIONS |No. |Title |Pages | |1 |Figure 4. 1 | | | |Respondents’ gender | | |2 |Figure 4. | | | |Age of tertiary students | | |3 |Figure 4. 3 | | | |Tertiary students who consume caffeinated beverages | | |4 |Figure 4. 4 | | | |Number of respondents who consume caffeinated beverages | | |5 |Figure 4. | | | |Types of caffeinated beverages | | |6 |Figure 4. 6 | | | |Frequency of tertiary students drinking caffeinated beverages | | |7 |Figure 4. 7 | | | |Awareness of the contents of caffeinated beverages | | |8 |Figure 4. | | | |Addictiveness towards caffeinated beverages | | |9 |Figure 4. 9 | | | |Reasons why respondents consume caffeinated beverages | | |10 |Figure 4. 10 | | | |The consequences if the respondents cut down caffeinated beverages | | |11 |Figure 4. 1 | | | |Respondents’ response towards statement on caffeinated beverages | | 1. INTRODUCTION 1. 1 Background of the Study The report was written to gauge and identify the consumption of caffeinated beverages among tertiary students. It has been observed that some students drink caffeinated beverages and after it has become a habit among students. This report identifies the short term and long term effects of taking caffeinated beverages and determines why these students are reluctant to stop consumption of these caffeinated beverages. This report was requested by Madam Asha Latha B. S on 19th September 2012. 1. 2 Statement of the Problem The meaning of â€Å"caffeinated beverage† is â€Å"a drink that contains caffeine. † Coffee is the most common one. Black, green and white tea also contain caffeine. Some sodas have caffeine added to them (Coke, Pepsi, Mountain Dew, for instance), as do many energy drinks. There are variety reasons why people like drinking caffeinated beverages. Many folks have coffee to help wake up in the morning. College students are known for knocking back coffee and caffeinated sodas to keep them up for studying the night before a big test. In some studies, caffeine has been shown to help concentration and memory. Too much consumption can increase person nervousness. If they drink cheap coffee that’s made with robusta beans instead of 100% arabica beans, they may suffer stomach problem. If there is an addiction, measures must be suggested to reduce this and to introduce other form of healthier beverages. 1. 3 Research Questions This report seeks to answer the following questions: 1. 3. 1 What is the definition of caffeinated beverages? 1. 3. 2 What types of caffeinated beverages are popular among tertiary students? 1. 3. 3 Why are such beverages being consumed by tertiary students? 1. 3. 4 Are the tertiary students aware of the effects of heavy consumption on caffeinated beverages? 1. 3. 5 What are the drawbacks or setbacks experienced when attempting to stop caffeinated everages? 1. 3. 6 What are the suggestions for tertiary students to reduce the consumption of caffeinated beverages? 2. 0 LITERATURE REVIEW Caffeinated beverages have always been consumed by adults. However, nowadays, most tertiary students are consuming these beverages. C affeine products are so widely distributed these days that abuse of the substance may be unnoticed. In fact, caffeine is the world’s most widely consumed stimulant, with 54 percent of adults in America consuming on average three cups of coffee a day (Chen and Parrish, 2008). Diet Health Club on September 2011 identifies these beverages as: Any drinks which contain caffeine. This caffeine is a stimulant that is legal and is one of the most popular stimulants in the world especially among the developed countries. Some of the common caffeinated content beverages include teas, coffees, various kinds of energy drinks and soft drinks. Tea and coffee are found to naturally have caffeine. Whereas some of the popular drinks like cola have intentionally used this caffeine stimulant as one of the ingredients. The relationship between an individual’s amount of caffeine consumption during his/her study session and the individual’s study habits were investigated by Hope (2009). Most of the students revealed their personal consumption of caffeine as well as their study habits when preparing for a test or examinations. As determined by the researcher, it has been hypothesized that the more the caffeine a student consumes while studying, the more accurately his or her study habits would be labelled as ‘unhealthy’. To keep them ‘up’ for late night sessions, many college students rely on caffeine-packed sodas and coffee drinks which will increase vigilance, sadly this is unhealthy. A research by the (â€Å"National Council On Strength and Fitness), it shows that caffeinated beverages have become gradually more accepted within the diets of tertiary students. That shows the consumption of caffeinated beverages can cause long-lasting effects on brain function when utilized during the formative years. However drinking too much of caffeine can cause health problems or side effects to drinkers. Some side effects from caffeine use can be mere irritation. Others are downright dangerous. For smokers, caffeine can be especially harmful. Nicotine will raise blood pressure and increase the risk of cardiovascular complications. This is because caffeine is the drug used in the world and is part of everyone’s daily life-style, it has gone unnoticed as a potentially harmful substance to most people’s health. An article â€Å"Caffeine Awareness Association†(2010) also indicates that excessive coffee drinking can increase a person’s risk of heart attack. Thus, caffeine can also cause irregular heart rhythms. And some researchers believe it can increase a woman’s chances of getting cancer. Caffeine has also been linked with central nervous system disorders, Parkinson’s disease, diabetes, and incontinence. The medical community has recently taken caffeine withdrawal quite seriously. It is estimated that one in eight people will experience symptoms that will interfere with ability to work or function for at least a couple of days. Jordan (2004), suggested including caffeine withdrawal as a verifiable condition in the Diagnostic and Statistics Manual of Mental Disorders (DSM). However, caffeine withdrawal is seldom dangerous, though it can make one uncomfortable for a few days. The most frequent symptom ssociated when we attempt to stop caffeinated beverages is moderate to severe headaches. This can occur between 12 and 24 hours after the last intake of caffeine. It usually lasts for one to two days, though some may have a headache for longer. Furthermore, according to Lee (200 6), drinking too much of caffeine will impact one negatively. It causes palpitations and withdrawal systems that include headache and drowsiness. Tertiary education often requires students to study for extended hours, especially during periods of increased workload prior to tests and examinations. Removing caffeine from one’s daily routine can be done by approaching the task of lowering the intake of caffeine. Switching to a coffee with less caffeine and checking labels on medications are the approaches to gradually reduce the amount of caffeine consumption for each day, (â€Å"Fit Day†, n. d). According to Haupt (2012), suggests go for an espresso shot because it contains only about half the amount of caffeine as a cup of regular coffee. 3. 0 METHODOLOGY AND LIMITATIONS 20 respondents were chosen randomly. The respondents were required to answer a questionnaire. These questionnaires were distributed on ______ and collected on ____. Data was collected and analyzed using a basic frequency analysis that was derived from Microsoft Excel software. Various secondary sources and materials were also looked into as differences and guides. Although this research was carefully prepared, there were still limitations and shortcomings. This report was done on a small scale involving 20 respondents. Since the population was small, the findings presented may not be applicable as general representations. To do so a large sample would be required. The period given to conduct and complete this report was 11 weeks only. Background information for the report was limited to articles from various websites. 4. 0 FINDINGS 4. 1 RESPONDENTS’ GENDER [pic] Figure 4. 1 The pie chart in Figure 4. 1 shows the gender who consumed caffeinated beverages. The gender is divided into two categories which are females and males. Based on the pie chart, it shows that the percentage of females who consume caffeinated beverages among tertiary students is higher than males where by females involve 70% and male 30% only. 4. 2 AGE OF TERTIARY STUDENTS [pic] Figure 4. 2 The table in Figure 4. 2 shows the age of the respondents who consume caffeinated beverages. It shows that the age of 19 – 21 years old has the highest no of respondents at 12 respondents while the age of 30 – 32 years old has the lowest number of respondents at 1 respondent only. 4. 3 TERTIARY STUDENTS WHO CONSUME CAFFEINATED BEVERAGES [pic] Figure 4. 3 The diagram above shows the number of students from universities that consume caffeinated beverages. It shows that University Technology Mara has the highest no of respondents who consume caffeinated beverages among all tertiary students at 9 respondents. The lowest numbers of respondents who consume caffeinated beverages are tertiary students for University Malaya at only 3 respondents. 4. 4 NUMBER OF RESPONDENTS WHO CONSUME CAFFEINATED BEVERAGES [pic] Figure 4. 4 The pie chart above shows the number of respondents who consume caffeinated beverages. It shows that 20 respondents answered â€Å"yes† in this questionnaire. 4. 5 TYPES OF CAFFEINATED BEVERAGES [pic] [pic] Figure 4. 5 Figure 4. 5 shows the types of caffeinated beverages that are taken by tertiary students. According to the chart, tea is the highest for the types of caffeinated beverages at 52% followed by coffee at 25% and sodas at 25%. Sodas are divided into four types which are Coke at 23%, Pepsi at 59%, Mountain Dew at 10% and others at 9%. 4. 6 FREQUENCY OF TERTIARY STUDENTS DRINKING CAFFEINATED BEVERAGES IN A WEEK [pic] Figure 4. 6 Figure 4. 6 shows the frequency tertiary students drink caffeinated beverages. Based on the chart above, it shows that 40% of tertiary students drink caffeinated beverages 2 – 4 times in a week. 25% of tertiary students drink it once a week, 20% drink it every day and only 10% of the tertiary students drink it 5- 6 times in a week. 4. 7 AWARENESS OF THE CONTENTS OF CAFFEINATED BEVERAGES [pic] [pic] Figure 4. 7 Figure 4. shows the awareness of the contents of such beverages by tertiary students. According to the chart, it is clear that most students are aware of the contents of caffeinated beverages since 64% answered so. Another 36% of tertiary s tudents are not aware of the contents of such beverages. Therefore, for those who are aware of the contents in caffeinated beverages, the results show that 41% realise the sugar, 23% know of their preservatives, 9% the colouring and 27% the caffeine contents. 4. 8 ADDICTIVENESS TOWARDS CAFFEINATED BEVERAGES [pic] [pic] Figure 4. 8 Figure 4. 8 shows the addictiveness towards caffeinated beverages by tertiary students. From the chart above, it is clear that 55% of the tertiary students are not addicted to caffeinated beverages. Only 45% of tertiary students are addicted to caffeinated beverages. When they are addicted to caffeinated beverages, most of them control addiction by carrying with plain water (60%), followed by 30% who revert to de-caffeinated beverages and 10% who resort to junk food / fast food. 4. 9 REASONS WHY RESPONDENTS CONSUME CAFFEINATED BEVERAGES [pic] Figure 4. 9 Figure 4. 9 illustrates the reasons why respondents consume caffeinated beverages. Firstly, 8 out of 20 respondents say they find caffeinated beverages tasty. Next, 30% of the respondents consume such beverages because find them inexpensive. respondents ranked they find caffeinated beverages convenient. Moreover, no respondents ranked finding such beverages inexpensive or tasty. Meanwhile, 40% of the respondents rank they follow their friends as the reason why they consume caffeinated beverages. 4. 10 THE CONSEQUENCES I F THE RESPONDENTS CUT DOWN CAFFEINATED BEVEREAGES [pic] Figure 4. 10 Figure 4. 10 shows the percentages of the consequences if the respondents cut down on caffeinated beverages. 60% of the respondents will feel sleepy if they cut down their consumption on such beverages. Meanwhile, only 10% of them feel moody after they reduced their intake. None of them feel sick easily if they cut down their consumption. Statements |Strongly Agree |Agree |Neutral |Disagree |Strongly | | | | | | |Disagree | |Caffein|6 |30% |9 |45% |3 | |ated | | | | | | |beverag| | | | | | |es have| | | | | | |adverse| | | | | | |effects| | | | | | |on the | | | | | | |body. | | | | | |   |   | Universiti Teknologi Mara | | | |   | |   |   | Sunway College University | | |   | |   |   | Taylors College University | | | |   | |   |   | University Malaya | | | |   | |   |   | Others ( Please state : _______________ ) | |   | |   | | | | | |   |   | Yes |   | |   |   | Coffee |   | |   | |   |   | Coke |   | |   |   | Once a week | | | | | |   |   | 5 – 6 times a week | | | |   | |   |   | Everyday | |   |   | Yes|   | |   | |   |(Tick v for suitable options) | |   | |   | |   | |   |   | Yes|   | |   | |   |(Tick v for suitable options) | |   | |   | |   |   | Seek medical help | |   | |   | |   |   | Carry with me plain water |   | |   | |   |   | Revert to de-caffeinated beverages | |   | |   |   | Replace these drinks by chewing gum or sweets | |   | |   |   | Resort to junk food / fast food |   | |   | |   |   | |   |( Rank 1 for major reason and 6 for least major reason) | |   | | | | | |   |   | | | | |   |   | I find them convenience |   | I consume them to help | |   | | |   |   | become moody | |   | become sick easily | |   |   | become less alert / active |   | become sleepy / lazy | |   |   |   |   |   |   |   | | | | | | | | | |13) |Consumption of caffeinated beverages leads to emotional disturbances.    |   | |   |   | | | | | | | | | |14) |I find it difficult to cut down on my consumption of such beverages. |   |   |   |   |   | | | | | | | | | |15) |I require help to overcome my addiction towards caffeinated beverages. |   |   | |   |   | | | | | | | | | |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   | | THE END THANK YOU How to cite Consumption of Caffeinated Beverages, Papers

Saturday, December 7, 2019

Management And The Ethical Concerns Related-Myassignmenthelp.Com

Question: Discuss About The Management And The Ethical Concerns Related? Answer: Introduction The case study below shows an illustration of a patient, with external ventricular drain. This reflective essay illustrates on the pathophysiology , nursing intervention and management and the ethical concerns related to the case. The case involves Mr. Knight admitted in the health facility with numerous diagnostics symptoms which is attributed to occurrence of Cerebrospinal fluid. The nursing intervention employed is EVD administration as a way of easing the pressure on the intracranial region. This essay covers the environmental and family issues which affect the nursing intervention and the legal issues pertaining health care delivery. History of the Patient This is a cases study of Mr Knight, aged 35 years old male, who was admitted in the health facility with complains from dysphagia and weakness throughout the body. His medical history is negative with no record of previous surgical procedures. The patient was well till 3 months when he started to develop general weakness and sleep apnea, with dysphagia and experiencing difficulty in swallowing. Upon admission, he was taken through blood investigation, with CBC, ABGs reflecting normal values, the CXR showed no abnormalities. The brain showed mass lesion in the 4th ventricle which was diagnosed with brain tutor. Upon this discovery, the patient underwent craniotomy procedure. Post operation status was that the patient was admitted in the ICU mechanical ventilation, with physical signs showing he was a wake, while spontaneously opening the eyes. The progress was positive on the next day with improvements on the limbs signifying 5/5 limbs. Comprehensive Nursing Assessment Integrating Pathophysiology The patient was taken through physical examination, whereby his head temperature was at 30 degrees, with key vital signs depicting temperature of 95.5degress F, while BP was of 130/79mmHG, pulse of 63, respiratory rate of 25 and oxygen saturation at 97%. His Glasgow coma scale was at 14, with dense left hemi paresis. There was occurrence of generalized symptoms of unconsciousness with mild headache with vomiting. The patient exhibited seizures similar to mild stroke. There was presence of binocular blindness, facial drop and aphasis. Other symptoms depicting subarachnoid haemorrhage included sudden onset of severe headache with vomiting and nausea. The physical signs on vital organs such as the heart, lungs and other extremities showed exacerbation. Altered level of conscious was also evident from the patient with signs of semi coma. This is associated with hemorrhagic stroke, which is often caused by the increased intracranial pressure. Subarachnoid haemorrhage can occur among patie nts without signalling any signs. It has devastating effects on the patient state, (Van, Kerr Rinkel, 2007). The physiological process that the patient exhibited altered levels of blood pressure, body temperature, blood glucose and blood oxygen saturation, (de Rooiji et al., 2007). The impacts this changes have on stroke have an impact on stroke and blood haemorrhage related factors. Thus the limits for offering treatments to these level of treatment incorporate well elaborated physiological variables process. Studies have shown that patients with internal bleeds often correspond to brain damage by the bleeds which lead to rise in intracranial pressure. Often severe headache with vomiting accompanies this condition. Gastrointestinal functions have been shown to have an effect on the patient eating pattern like swallowing and other impairments which often leads to effects on swallowing and impairment factors. Impaired nutritional functionality in brain haemorrhage can lead to reduced functional improvement and increased complication rates. The prevalence of brain haemorrhage is much associated with chronic kidney disease. Thus management of kidney related factors play a critical role in managing the patient. Neurological observation is crucial for early management and caring for complications of subcranoid haemorrhage. At times pain might persist due to intracranial pressure and is often important to make pain relief plan for such patients, (Rodrguez Gregorio, 2005). Evaluation of Nursing intervention/Management Strategy As a practising nursing practitioner, I administered the insertion of external ventricular drain. It is termed as the most common and important lifesaving technique often encountered in the neurological care unit, (Lo et al., 2007). This technique has been applied in brain injury such as intracranial haemorrhage, brain injury and meningitis. These conditions have been closely linked to .intracranial hypertension above 20 mmHg related to the obstruction of cerebrospinal fluid, (CSF) Upon closer examinations, the production of CSF was estimated at higher than 500-6000mL normal levels, (Loiselle et al., 2012). The fluid is often circulated in the ventricular system into the subarachnoid space and then taken into the nerves. There often exists equilibrium between the production and at levels of production and absorption. The disruption of this balance leads to intracranial hypertension with acute hydrocephalus, condition of excess fluid in the part of the CSF space in the brain lobe, (Sl azinski et al., 2011). Thus nursing intervention treatment of EVD, was evident to offer medical help and assistance to this patient. EVD administration aided on reduction of intracranial hypertension through diversion of CSF and the intravenous blood, which allows continuous intracranial pressure which helped in the resuscitation of these patient in the ICU bed, (Sarrafzedeh, Smoll Schaller, 2014). As a medical nurse I used freehand technique on the surface of the land marks as done by the clinicians, (Stanojevic et al., 2008). In this process I preferred the frontal cerebral hemisphere as the right entry for given to non dominance for language function for this patient. I maintained the patient on head of bed elevated at a degree of 45 degrees in the supine mode. I removed the hair using the callipers and the scalp which it was prepared in a sterile function. I placed a burr hole at Kocherr position order to avoid the superior sagittal sinus and the frontal cortex on the motor strip, (Kim et al., 2015). This point can be located through the drawing of the one line along the midpoint from the nasion to appoint of approximately 10 cm back and another from the previous point to a different location. After i had administered anaesthesia, I made linear incision down to the bone and i scrapped the perostema. I made a drill in order to penetrate the cranium in the trajectory area in order to determine the ventricular cannulation . I passed the ventricular catheter entering not more than 7 cm towards the coronal plane into the medical canthus of the eye in the ipsilateral area. Once the CSF flow had visualized, I removed the catheter sty let and trans duced it to obtain an opening in the intracranial pressure. I then tunnelled it down into the skin away from the skin away from the point of entry, (Wong, 2011). As a way of managing the EVD, after insertion, i raised the height of the mean pressure in collections system. While doing this i undertook carefully the pathology displayed by the patient to determine the height of the collecting duct. Using the unsecured aneurismal subarachnoid haemorrhage, the first height of the collecting system is set low so that the CSF was drained quickly to avoid rapid change in the transmural pressure in the aneurysm wall, which can be a factor in bleeding process, (Sheifer , 2010). At this level negative drainage was encountered with these patients with negative pressure placed on the hydrocephalus. When i had determined the needed height of the collection system, the EVD management remained to be a crucial activity. As a effective approaches in nursing management, there is need to adjust the height so that the transducer is nil in the Forameno of Monro. I had to adjust the drip so that it reaches the desired height. This way the CSF will be in a position to drain the intraventricular pressure, (Hunn et al., 2014). As a way of ensuring cleanliness i, ensured that the EVD collection is obtained and rinsed using clean detergents and using sterile technique to avoid risks. As a way of ensuring sober recovery, i ensured the vitals and signs and symptoms are always checked for any intracranial hypertension. Environmental Considerations and Family The environmental surrounding the admission of the patient to the ICU units and the surgical process to be initiated for the patient is often stressful to the patient and the family members, (Benarroch , 2006). Often when admitted to ICU units have always been viewed as crisis moment for both the patient and their families. Thus mental preparedness is always the key aspect in managing the patient affairs. Having loved ones in the intensive care units is often helpful and triggers changes in the family roles and shift in responsibilities roles, (Rincon et al., 2014). Often the fear of death and permanent disability has always been the fears of the family towards managing the patient. In this case study, the family of this patient was so worried and being unsure of what might take place with their patient in the facility upon the EVD process, (Guerra et al., 2017). These feelings of fear can trigger panic among the family members. The family often experiences feelings of high anxiety and insecurity which often leads to increased stressful circumstances. These events lead are catapult by the presence of the huge medical equipments and machines often employed in managing the patients. This scenario often affects the patient recovery process and dampens confidence of easy recovery. Family members have been found to experience difficulty in managing the stress and painful emotions and have often resorted to maladaptive coping strategies. At this juncture the patient family was forced to make decisions regarding the process of treating and managing the patient. This was significant in that it raised the stress levels of the patient. The nurses on the other hand play crucial role in managing the patient. As a nurse my role in being constantly managing the patient, was very crucial. My role in helping the patient was very crucial in helping even the parents to make certain decisions which are not in the capacity. As much as nurses being in a position to help and manage such situations, the needs of the family members are often neglected. The experiences of the nurses on the psychological needs they often encounter are enormous. Nurses and families have different priorities in terms of the needs and the psychological needs of the families are often critical, (Li, Gao, Wei and Wang, 2016). In health care practice, the health professionals are not well conversant with the needs of the patients. The knowledge that most health care professionals are not in a position to ensure that patients outcomes are improved, (Bijitterbier et al., 2001). Health care practitioners, I included as a nurse need to ensure that families are supported during the most needed time especially during the crisis moments. Thus meeting their immediate needs will often reduce the effect of the disease in both families and the health care system. The need to support the family to clarity of roles is essential in helping them gain confidence in the health care system. There is need to be aware of the treatment plan offered to their kin, which may have an effect on enhancing confidence among family members team. As much the anticipation from the family members has often been seen to reduce the tension and stress levels in the early phases of disease prognosis. Legal and Ethical Issues As a way of ensuring that there is informed consent on behalf of the patient, ensure that the family is clearly explained while the use of medical jargon and language. The information given must be in accordance with the patients rights and understanding. While ensuring that there is explanation for the need for the EVD, the reason for the EVD, the procedures it entails and length of EVD if placed. This is crucial in managing and building consensus for easier work during. As a way of ensuring that the patient information is kept in a non disclosed manner, there is need to ensure confidentiality in the nurse-patient relation. Often patients do share their information regularly. Failure to protect this crucial information from the patient will lead to diminish trust on the patient towards patient client relationship. The patient will thus be less likely to share sensitive information regarding this state. Creating an environment of trust among the different levels of care both the patient and nurse ensure the patient seek care and be honest as possible during the process of health. The duty of being confidential in health care practice is meant to ensure that the provider discloses that the information concerning the patient without permission and thus encourages the healt h care team to be more cautious and ensure unauthorised access. When family members seek the program of the patient, the obligality often dictates that they share the information of the patient. However the obligalities for sharing the information may not be met and thus if there is no explicit permission, t is always non ethical and non justifiable to do so, however this is exceptional in cases when the harm is significant and at high risks. Disclosures of patient information are often common and come in various ways. At times health care practitioner can discuss the status of the patient in places such as an elevator or in public. In which the act of maintaining privacy in these case is often hectic. Access to patient medical information by third parties is often prohibited. Thus the nurses have the responsibility of protecting this information in a comprehensive manner as much as possible. At times there comes a situation which you believe that the ethical and legal exception is often exception in confidentiality process. There is need to ensure the disclosure of the patient information can signify potential harm or damage which might be disastrous, thus there is need for critical care for patient privacy information. Avoidance of medical errors are often critical steps in these critical places. Especially when dealing with an EVD case, due diligence is needed as any medical error while facilitating nursing interventions puts the patient at jeopardy of death. There is an urgent need for preventing adverse effects which often include diagnosis, treatment and infection process. Research has put that 1% of hospitals admissions are happening due to adverse effects of negligence. Mistakes have led to immeasurable effects on the patient. The cost of these error management are often highly expensive and thus puts the health care practice of anyone at jeopardy, the impact it has on the nursing practice is so immense in that, there is need to avoid such errors as they are costly and have negative impacts. Thus with this view, there is need for comprehensive approach when dealing with patients. The nursing practice they receive should be geared towards promoting the health and positive outcome. In the case study, that patient diagnosed with EVD, has been successfully been managed to ensure the applied nursing practice management care is essential and productive. The management and intervention of managing the patients is crucial which entails the traits of being diligent and hard working. The environmental factors which surround the patient often play a crucial role in the overall care process for the patient. As a nursing practitioner, there is need to ensure that all guidelines are adhered to and minimising the legal and ethical issues as to pertaining the patients is followed. References Benarroch, E.E., 2006. Basic neurosciences with clinical applications. Elsevier Health Sciences. Bijttebier P., Vanoost, S., Delva, D., Ferdinande, P. and Frans, E., 2001. Needs of relatives of critical care patients: perceptions of relatives, physicians and nurses. Intensive care medicine, 27(1), pp.160-165. Hunn, B.H., Mujic, A., Sher, I., Dubey, A.K., Peters-Willke, J. and Hunn, A.W., 2014. Successful treatment of negative pressure hydrocephalus using timely titrated external ventricular drainage: a case series. Clinical neurology and neurosurgery, 116, pp.67-71. Loiselle, C.G., Glinas, C., Cassoff, J., Boileau, J. and McVey, L., 2012. A prepost evaluation of the Adler/Sheiner Programme (ASP): A nursing informational programme to support families and nurses in an intensive care unit (ICU). Intensive and Critical Care Nursing, 28(1), pp.32-40. Lo, C.H., Spelman, D., Bailey, M., Cooper, D.J., Rosenfeld, J.V. and Brecknell, J.E., 2007. External ventricular drain infections are independent of drain duration: an argument against elective revision. Journal of neurosurgery, 106(3), pp.378-383. Reynold J. and Prakink S., 2008. Needs of Family Members of Gritically ill Patients in Cardiac Care Unit: A Comparison of Nurses and Family Perceptions in Thailand. JOURNAL OF HEALTH SCIENCE RESEARCH ( ), 2(1), pp.31-40. Sarrafzadeh A., Smoll N. and Schaller K., 2014. Guided (VENTRI-GUIDE) versus freehand ventriculostomy: study protocol for a randomized controlled trial. Trials, 15(1), p.478. Sheaffer H., 2010. The met and unmet needs of families of patients in the ICU and implications for social work practice. Slazinski, T., Anderson, T., Cattell, E., Eigsti, J.E., Heimsoth, S., Holleman, J., Johnson, A., King, M., Lay, T., Presciutti, M. and Prior, R., 2011. Nursing management of the patient undergoing intracranial pressure monitoring, external ventricular drainage, or lumbar drainage. Journal of Neuroscience Nursing, 43(4), pp.233-235. Stanojevic S, Wade A, Stocks J, et al. (2008). "Reference Ranges for Spirometry Across All Ages: A New Approach". Am. J. Respir. Crit. Care Med. 177 (3): 25360. Wong, F.W., 2011. Cerebrospinal fluid collection: A comparison of different collection sites on the external ventricular drain. Dynamics, 22(3), pp.19-24. Van Gijn, J., Kerr, R.S. and Rinkel, G.J., 2007. Subarachnoid haemorrhage. The Lancet, 369(9558), pp.306-318. Guerra, M., Blzquez, J.L. and Rodrguez, E.M., 2017. Bloodbrain barrier and foetal-onset hydrocephalus, with a view on potential novel treatments beyond managing CSF flow. Fluids and Barriers of the CNS, 14(1), p.19. Kim, J.H., Cho, T.G., Moon, J.G., Kim, C.H. and Lee, H.K., 2015. Stereotactic Hematoma Removal of Spontaneous Intracerebral Hemorrhage through Parietal Approach. Journal of Korean Neurosurgical Society, 58(4), pp.373-378. de Rooij, N.K., Linn, F.H., van der Plas, J.A., Algra, A. and Rinkel, G.J., 2007. Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends. Journal of Neurology, Neurosurgery Psychiatry. Macdonald, R.L., 2014. Delayed neurological deterioration after subarachnoid haemorrhage. Nature Reviews Neurology, 10(1), pp.44-58. Rincon, F., Hunter, K., Schorr, C., Dellinger, R.P. and Zanotti-Cavazzoni, S., 2014. The epidemiology of spontaneous fever and hypothermia on admission of brain injury patients to intensive care units: a multicenter cohort study. Journal of neurosurgery, 121(4), pp.950-960. Li, W., Gao, J., Wei, S. and Wang, D., 2016. Application values of clinical nursing pathway in patients with acute cerebral hemorrhage. Experimental and therapeutic medicine, 11(2), pp.490-494.