Transition to Adulthood Essay Sample

Transition to Adulthood Essay SampleA transition to adulthood can be a tumultuous time for many young adults. Some of them wonder if they will ever get married, have children, and take care of themselves financially. Others think that they are too old to start a family or start a business. Still others wonder if they really want to change jobs.Many psychologists theorize that adolescents and young adults are the most susceptible to the effects of adolescence transition to adulthood. They may have trouble adjusting to society, cope with constant change, and even develop problems with peer relationships. Unfortunately, this 'gateway' to adulthood is often inevitable. Here is a way to write a transition to adulthood essay sample to help you talk about your transition to adulthood.Often, the first difficulty as an adolescent or young adult is that you have never experienced it before. You may be a bit self-conscious and not be comfortable sharing personal information or expressing feelin gs. This will be reflected in the content of your essay. Try to keep the writing as simple as possible.The next phase of your transition to adulthood will probably be the fear of failure. If you have never been successful in school or in sports, you may feel reluctant to try again. This can sometimes be expressed through lack of interest in academics or sports. Just remember that everything takes time and that failure should not be feared, but rather used as a learning experience.As your life gets older, you will find yourself needing more emotional support. You may need to seek out someone to talk to about your feelings may need to be expressed. The more detail you add to your essay, the more convincing it will be. Plus, you will have time to reflect on your thoughts and your feelings when you have less pressure.As you progress through your life, the final step of a transition to adulthood can include adding a new identity to your life. For example, you may decide to start your own business, move to a different city, or go back to school. Try to choose a cause that you feel passionate about. Whether you are volunteering at a homeless shelter or teaching English abroad, writing about your experience will help you put your ideas into words. Also, consider your reasons for wanting to volunteer or teach overseas.Every single person on this planet has a reason for wanting to transition to adulthood. What is important is to write an essay that expresses your feelings and explains how you are living your life as an adult. Don't worry about being creative - just think about your life now and how it will be different once you have reached your transition to adulthood milestone. Sometimes a person needs to just start fresh.

Research Paper Tap water vs. Saline free essay sample

Proper cleansing is perhaps the key component for acute and chronic wound management. Cleansing methods differ among health care providers and institutions, and many times is based on an individual’s experience and preference. Many cleansing solutions exist today. In this research, the author focused on the use of tap water versus sterile cleansing solutions such as Normal Saline and sterile water. Many cleansing solutions are safe and have been proven to provide effective results, whereas others may damage the tissue, destroy cells, increase infection rates and delay the healing process. Normal saline is regarded as the most appropriate and preferred cleansing solution by health care providers because it is nontoxic, isotonic solution that does not damage healing tissue. However, tap water is most commonly used among people, especially those that are discharged home and ordered to continue wound care at home. Tap water is cost effective and easily available, therefore of interest as a cleaning solution. We will write a custom essay sample on Research Paper Tap water vs. Saline or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Tap water showed to be as effective as any sterile solution in acute and chronic wound care. As an emergency and trauma nurse, I am often involved in the care of acute traumatic wounds and chronic wounds as well. Many practitioners prefer the use of a sterile isotonic solution, such as Normal saline while irrigating and cleansing wounds. After many years working with traumatic and chronic wounds, I have wonder if there is significant evidence to argue the following PICO question: When caring for patients in need of wound care, does sterile isotonic saline reduce infection rate and shorten healing time when compared to tap water? The following research will give us a better understanding on the use of sterile water versus tap water in the treatment of acute and chronic wounds from the emergency room perspective. Patients with acute or chronic wounds that present to the ER for wound care. I- Using tap water for wound care. C- Using a sterile solution, such as Normal Saline (an isotonic solution) for wound care. O- Infection rate and differences in healing time. When caring for patients in need of wound care, does sterile isotonic saline reduce infection rate and shorten healing time when compared to tap water? Article #1. Water for Wound Care. A level 2 research study. Reference Fernandez, R, Griffiths, R, Ussia, C. (2008). Water for wound cleansing. Cochrane Database of Systematic Reviews. Issue 1. Art. No:CD003861. DOI: 10. 1002/14651858. CD003861. pub2. Normal saline has been the favored isotonic solution used for acute and chronic wound care, since it does not interfere with the normal healing process. However, tap water is commonly used for cleansing wounds because it is easily accessible, efficient and cost effective. For this study, a randomized and quasi-randomized controlled trial was identified by electronic searches of Cochrane Wounds Group Specialized Register and the Cochrane Central Register of Controlled Trials. Eleven trials were included in this review. Seven trials compared rates of infection and healing in wounds cleansed with water and normal saline. Three trials compared cleansing with no cleansing and one trial compared procaine spirit with water. There were no standard criteria for assessing wound infection across the trials. The major comparisons were water with normal saline, and tap water with no cleansing. For chronic wounds, the relative risk of developing an infection when cleansed with tap water compared with normal saline was . Tap water was more effective than saline in reducing the infection rate in adults with acute wounds (0. 63). The use of tap water to cleanse acute wounds in children was not associated with a statistically significant difference in infection when compared to saline (1. 07 from 0. 43-2. 64). No statistically significant differences in infection rates were seen when wounds were cleansed with tap water or not cleansed at all. When caring for patients in need of wound care, does sterile isotonic saline reduce infection rate and shorten healing time when compared to tap water? Article #2 Water is Safe and Effective. A level 3 research study. Reference Weiss, E. (2012). Water is a safe and effective alternative to sterile normal saline for wound irrigation prior to suturing: a prospective, double-blind, randomized, and controlled clinical trial. British Medical Journal. http://bmjopen. bmj. com/content/3/1/e001504. full DOI: 10. 1136/bmjopen-2012-001504. This was a single centre, prospective, randomized, double-blind controlled trial. The wound solution type was computer randomized and allocation was done on a sequential basis. The patients were older than 1 year of age, who presented to the emergency room with a soft tissue laceration requiring repair. The primary outcome measure was the difference in wound infection rates between the two randomized groups. During the 18 month study period, 663 consecutive patients were enrolled, but only 631 were used for the study. From the 631, 318 were randomized into the Tap Water (TW) group and 313 into the Sterile Saline (SS). There were a total of 20 infections (6. 4%) in the SS group compared to 11 infections (3. 5%) in the TW group. Indicating that there is no difference in infection rate of wounds irrigated with either TW or SS solution, with clinical trends towards fewer wound infections in the TW group, making it easy to conclude that tap water is a safe and cost effective alternative to sterile saline for wound irrigation. When caring for patients in need of wound care, does sterile isotonic saline reduce infection rate and shorten healing time when compared to tap water? Article #3. Cleansing chronic wounds with tap water or saline: a review. A level 4 systematic reviews research. Reference Ljubic, A. (2013). Cleansing chronic wounds with tap water or saline: a review. Journal Of Community Nursing. 27(1), 19-21. Some practitioners advocate that cleansing with tap water is better than with saline for healing and has economic benefits; others say there is no difference in the infection rates or healing with either solution. A literature search was undertaken of the electronic databases for relevant systematic reviews, randomized control trials (RCT) and other evidence based literature using the key words chronic wound, wound cleansing, tap water,  saline, infection. No evidence suggesting the use of tap water instead of saline was inappropriate was found. Four studies of 14 RCTs comparing infection rates in wound cleansing with tap water and normal saline in adults and children were identified. The studies evaluated patients in hospitals emergency departments. The trial was a comparison of the effects of tap water and normal saline on the healing and infection rates of acute and chronic wounds. The researchers concluded that there was no significant difference between the infection and healing rates in wound cleansing with normal saline and tap water, and that tap water appears to be a safe alternative. The limitations of this review is that sparse evidence is available to support that the practice of using tap water is a viable option for wound cleaning. Much of the evidence on wound cleansing appears to be based on expert opinion rather than scientific studies, and published studies are not always of good quality. Summary Despite a significance progress in technology for wound care during the last decades, little attention has been directed to wound cleansing. Most providers tend to practice according to experience rather than to evidence based practice when it comes to this subject. Even though there has not been a lot of research done in this area, a few research studies suggest that there’s no significant difference in the patient outcomes when using tap water instead of normal saline, whether is used to cleanse an acute or chronic wound. There is no difference in the infection rate of wounds irrigated with either tap water or saline solution, with a clinical trend towards fewer wound infections in the tap water group, making it a safe and cost-effective alternative to saline solution for wound irrigation. However, there’s not enough evidence to suggest that cleansing wounds per se increases healing or reduces infection either. Some recommendations for this practice have been made: is water is used; it should be at body temperature as it can take 40 minutes for a wound to return to normal temperature after cooling. Nurses must be able to identify the most appropriate solution to use. However, the decision to use tap water for cleansing wounds should take into consideration the quality of tap water, comorbidities that compromise immune function of the patient, and the extent and nature of the wound. But it is safe to say that, in absence of portable water, boiled and cooled water as well as distilled water can be used as wound cleansing agents. Appropriate wound cleansing will continue to be a debate within practitioners until more research is available. The review by Fernandez, â€Å"Water for wound cleansing† (2008), provides some clarity about the comparative benefits of these cleansing solutions in wound care. In order to implement this study in the area I practice, I would implement an experimental study, using a random amount of emergency room patients with acute and chronic wounds. I wound implement the random use of tap water for some as well as normal saline for others and keep track of their wound healing process. I would make sure the candidates are aware of the trial and document my findings after executing a random selection of a large sample. I would focuse on healing time for both, saline and tap water participants, as well as for any infection or complications. The results would be shared with the staff during a staff meeting or in-service in order to apply evidence based findings to our practice. In conclusion: patients with acute or chronic wounds, wound cleansing with tap water does not differ from no cleansing or wound cleansing with sterile normal saline for rates of healing and infection.