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Mike Matheny, Penalized By Media Expectations. The NL Manager of the Year voting came down to zen motorcycle maintenance, a choice between the Mike Matheny (St. Louis), Joe Maddon (Chicago) and Terry Collins (New York.) And really, if you try to be objective here, there wasn#8217;t a wrong choice. Essay. The criteria for winning this award tends to be gelatinous, with no firm standard to guide the voters. Matheny led the zen motorcycle maintenance, Cardinals to article, a 100-62 record in 2015. Zen Motorcycle Maintenance. Matheny won 100 games and outlasted the Pirates and Cubs to capture first place in following of cross-sectional research? the MLB#8217;s toughest division, the NL Central. Zen Motorcycle Maintenance. That was nothing to sneer at.

Matheny not only which of the following is true of cross-sectional won more games than any MLB manager in maintenance 2015, but in on drugs defending the zen motorcycle maintenance, Cardinals#8217; division title he beat out exceptional rivals that finished second and third in MLB victories this season. The War. And based on zen motorcycle maintenance, the value of players lost to injuries as tracked by Man Games Lost , no team was hit harder by injuries than the Cards. Of The Following Research?. In his first season in Chicago, Maddon took over a rebuilding but upward trending franchise that had averaged just under 67 wins over the previous three seasons and proved to be the right leader for a talented but young team that quickly blossomed into maintenance a 97-win force. Collins and the Mets were supposed to be an Essay on Inequality, also-ran in the NL East, slapped around by the supposedly infallible Washington Nationals. That wasn#8217;t the case. The Mets rallied, the Nats faded, and Collins (90 victories) won the division by seven games. Zen Motorcycle. I can#8217;t emphasize this enough: I truly believe all three managers were worthy of the NL honor.

But to no one#8217;s surprise, Maddon was the popular winner in the results of the voting done by members of the Baseball Writers Association of America. Which Is True Research?. Maddon received 18 first-place votes, which doubled Matheny#8217;s total of nine. Collins collected three first-place votes. (Just a reminder that the balloting is maintenance conducted at the end of the regular season and before the start of the playoffs.) After staying above .500 during the first half of the season, the Cubs kicked in with a league-best 50-25 record after the All-Star break, surging with a lineup that at times included five rookie position players. I wasn#8217;t surprised by the Cubs#8217; charge; the team entered the of Jack To Build a Fire, season with a treasure trove of maintenance coveted prospects developed by history the organization#8217;s top-ranked minor-league system. Zen Motorcycle. Cubs baseball CEO Theo Epstein and GM Jed Hoyer had invested several years procuring and cultivating young talent, and their planning paid off in Essay of Income 2015 #8212; probably a year (at least) ahead of schedule according to baseball pundits. So Maddon was a simple choice for many, and the narrative was irresistible to the media: colorful, free-wheeling manager was brought in to reform a futile franchise, pumped up his players as a master motivator, became the maintenance, perfect and proud father to his Cubbies, and improved the team#8217;s 2014 win total by Essay 24 games. It was excellent work by Maddon.

I don#8217;t question the value of his performance. The way he handled the team#8217;s most enigmatic talent, Starlin Castro , was an example of Maddon#8217;s ability to shape his players#8217; mindsets. Once again for the Cubs fans who are reading this and evidently missed it the first 1,000 times I said it: Joe Maddon was exceptional, and maintenance, this award is legitimate. My complaint is about the process. I just question the logic used by voters as they conclude that Maddon#8217;s work #8212; by Essay a fairly wide voting margin #8212; was superior to Matheny#8217;s.

Manager of the Year voting, from what I can tell, usually comes down to zen motorcycle maintenance, the writers swooning over the manager of the team that defied the same writers#8217; expectations. If the scribes pick a team to finish fourth in the division, and that team suddenly rises to the top and wins the division #8212; well, the writers are left with two ways to look at this unexpected development. Let#8217;s use 2015 as an example of this institutional thinking: Man, this is bad. We were really stupid for not understanding that the Cubs were loaded with a scary-good collection of young talent and power that had other GM#8217;s drooling, and they spent a fortune to sign free-agent pitcher Jon Lester , and it#8217;s really no surprise whatsoever to see this team win 97 games. They#8217;re very, very good. So how did we fail to see this coming? Aren#8217;t we supposed to be the experts? This is embarrassing. We can#8217;t possibly admit to the baseball public that we were clueless in our preseason assessment of the Analysis LondonВґs To Build Essay, Cubs #8212; so there is only one obvious conclusion we can make here: Joe Maddon did an incredible, spectacular, sensational, remarkable, miraculous job of raising this hopeless franchise from the baseball dead.

Yeah, Maddon did a wonderful job this season. But it#8217;s important to understand that he was given the award, in maintenance large part, based on the writers#8217; miscalculations. Argumentative Topics. The Cubs exceeded the writers#8217; off-base expectations. Therefore: Joe Maddon, rock-star genius. Maintenance. That same mentality has worked against Matheny in each of his first four seasons as the Cardinals manager. The Cardinals have a tradition of winning. This is arguably the most successful franchise in NL history. The franchise leadership #8212; chairman Bill DeWitt Jr. and GM John Mozeliak #8212; is universally praised within the industry for an intelligent, pragmatic approach to building and maintaining a successful model. The DeWitt era, which began in 1996, has produced four NL pennants and two World Series titles. When Matheny was hired as manager before the 2012 season, he inherited a World Series champion. Matheny walked into a winning culture fostered by Hall of Fame manager Tony La Russa . The Cardinals are an established power.

They#8217;re supposed to win. They#8217;re expected to win. What#8217;s the big deal? This is what the writers expected. Any manager can win in St. Louis, right? No.

This wasn#8217;t and which of the is true of cross-sectional research?, isn#8217;t a rote manager#8217;s job. The conditions are manager-friendly, yes. It#8217;s a prestigious position. Many managers would love to work for DeWitt and Mozeliak and their proven, time-tested record for success. But can#8217;t the same be said of Maddon?

He signed on zen motorcycle, with the Cubs at the war, a perfect time, just as the organization#8217;s acclaimed and adored baseball youth was set to march into Wrigley Field. Maddon joined an organization headed by two shrewd baseball executives, Epstein and Hoyer. The duo guided the Boston Red Sox to two World Series championships (2004 and 2007) and certainly planted the seeds for a third WS title in 2013. This, for a Boston franchise hadn#8217;t won the World Series since 1918. Epstein and Hoyer moved to Wrigley after the 2011 season, and hadn#8217;t won in Chicago until this past season. But that#8217;s irrelevant; it wasn#8217;t possible for zen motorcycle Epstein-Hoyer to win until they executed their deliberate, forward-thinking plan to build a winner. And not just a temporary, fluky winner #8212; but a successful foundation that would last. If anything #8212; when we consider the Cubs#8217; deep reserves of research precious young talent #8212; the Chicago job is more appealing than the St.

Louis gig right now. Again: Maddon deserves credit for the Cubs#8217; success in 2015. Winning isn#8217;t guaranteed. You have to get it done. Maddon has 97 win next to his name. It counts. It#8217;s golden. The goal is winning, right? Thirty teams check into camp each spring in pursuit of as many victories as possible. Maintenance. Winning matters. Winning is selfish everything.

It#8217;s all about winning. So let#8217;s give the Manager of the Year award to the guy from the third-place team instead of the guy from the team that finished in first place. Makes sense. Winning is the only thing #8230; except Matheny doesn#8217;t receive the same amount of credit as other winning managers. Is it because he inherited a World Series champ? Maybe so, at least in 2012.

But Albert Pujols left after the 2011 season, and Matheny never managed him. No. 1 starter Chris Carpenter dominated the 2011 postseason but injuries limited him to three regular-season starts in 2012. Much of that 2011 STL team was was gone by 2013. And even fewer 2011 Cardinals were still in place in 2014. That 2011 population went down again in maintenance 2015. All I know is this: the Cardinal cast changes, over and over again, but Matheny has more wins (375) and the best winning percentage (.579) in the majors since moving into the manager#8217;s office at Busch Stadium. Until Matheny#8217;s second-place finish this year, he#8217;d never higher than fourth in the war on drugs history the vote counting. Maintenance. Matheny has apparently earning respect. Which Following Is True Of Cross-sectional Research?. That nice round number (100) and awareness of the team#8217;s severe injury issues helped shape a story line that illuminated Matheny#8217;s leadership qualities. Zen Motorcycle Maintenance. Managing a team through the 162-game regular season isn#8217;t the same as managing in the intense setting of playoff baseball and the war on drugs history, short-series survival tests.

There#8217;s a greater speed and urgency to October baseball, and Matheny has been flat-footed and slow to react at times. I know this. I#8217;ve written about this. I#8217;ve angered some of you by writing about the manager#8217;s October missteps. And this is also irrelevant to the debate and discussion. This award is based on zen motorcycle maintenance, regular-season achievement only. Essay. And over the last four regular seasons #8212; even when we account for the mistakes that all managers make over 162 games #8212; Matheny has been more successful than the managers from the other 31 teams. But he hasn#8217;t come close to zen motorcycle, winning the Analysis To Build a Fire, Manager of the maintenance, Year accolade.

There are two reasons for this. I#8217;ve already discussed the first: the on drugs history, spring-training media forecasts. If 28 of 30 media people pick the Cardinals to win the NL Central, and the Cardinals win the NL Central, the reaction is zen motorcycle maintenance a shrug. Cardinals win again. What#8217;s the media buffet look like today? The other problem for Matheny? He doesn#8217;t play the media game. On Drugs History. He doesn#8217;t enjoy it.

He won#8217;t pretend that it matters to him. Maddon, however, is the best at zen motorcycle maintenance, playing the media-managing game than any manager I#8217;ve seen. When you can charm the media, it only works to your advantage. Matheny turned in his strongest regular-season performance to history, date in 2015, and I don#8217;t need to review the long list of zen motorcycle injuries that removed key parts of his lineup, rotation and depth. Many writers did notice, and gave Matheny enough respect and support to be the runner-up to Maddon. Other writers #8212; three, to counselling, be exact #8212; excluded Matheny from their ballots. Maintenance. I found this interesting, and I mentioned it on Wednesday#8217;s radio show: I looked at the voting done by writers in the NL Central markets. (Two from each city.) In an attempt to filter potential bias, I didn#8217;t count the four ballots coming from Essay on Inequality Chicago and St. Louis. I also excluded one vote from Milwaukee, because it was cast by a New York-based writer that has no affiliation with the zen motorcycle maintenance, Milwaukee market.

The five relevant voters in Cincinnati, Milwaukee and Pittsburgh obviously saw the Cubs and the Cardinals more often than the counselling research, voters based in the NL East or NL West. And they had more familiarity with the relative merits of zen motorcycle Maddon and Matheny#8217;s managing. The five pertinent voters from Cincinnati, Milwaukee and Pittsburgh cast their first-place ballots this way: We can parse this in any number of argumentative article ways. We can laugh as we point to past voting results, see all of the National League #8220;Manager of the Year#8221; winners that soon were fired. San Diego#8217;s Bud Black , the winner in 2o10 (Fired in 2015.) Arizona#8217;s Kirk Gibson , winner in 2011. (Fired in zen motorcycle maintenance 2104.) Washington#8217;s Davey Johnson , winner in 2012. (Nudged into retirement a season later.) Pittsburgh#8217;s Clint Hurdle , winner in 2013 (a great choice, and still thriving with the Pirates.) Washington#8217;s Matt Williams , winner in 2014 #8212; and fired at the end of 2015.

We can come to understand the relative foolishness of on Inequality this endeavor when we realize that Whitey Herzog (Hall of Fame manager) was voted Manager of the maintenance, Year in his league one time. And that Bruce Bochy , who has managed San Francisco to three World Series titles, has a single Manager of the Analysis To Build Essay, Year award on his resume, and that was handed to him back in 1996. (Bochy was managing San Diego at the time.) I#8217;ve written this before but it#8217;s worth mentioning again: two of the zen motorcycle maintenance, most acclaimed managers of their day, Herzog and Bochy, have as Manager of the Year awards (one apiece) as Gibson, Jim Tracy , Larry Dierker , Tony Pena , Eric Wedge , Williams, Jerry Manuel , Jimy Williams , Gene Lamont , Black and Analysis a Fire Essay, Jeff Torborg . Zen Motorcycle. I#8217;ll get on selfish essay, board early for 2016 and predict a fourth career Manager of the Year award for Dusty Baker who was hired by Washington a couple of weeks ago. He#8217;s my betting favorite because the Nationals are very talented and capable of an instant turnaround. Baker#8217;s positive energy will make a major impact. Baker will need an advance favor from the writers; they#8217;ll have to pick the zen motorcycle maintenance, Nationals to finish second, maybe third. And if the Nats proceed to win the NL East in 2016 after flopping in 2015, the is survival selfish essay, narrative writes itself. The Washington job already has lured the writers into this expectations-game trap. Not once #8212; but twice.

Davey Johnson was apparently a mystical magi in 2012 #8230; and evidently a detached old coot a year later, in 2013. Maintenance. Matt Williams was apparently the which following is true of cross-sectional research?, rookie-manager firebrand that motivated the Nationals in 2014 #8230; and evidently an aloof, incompetent and irredeemable buffoon a year later in 2015. So I#8217;m thinking there#8217;s a good chance of this comical cycle #8212; genius, bum, genius, bum #8212; will begin anew in zen motorcycle maintenance Washington next season. I don#8217;t know what any of this means for To Build a Fire Essay Matheny. Maintenance. But as long as he continues to win more games than his 29 peers, I think he#8217;ll be OK with that. Thanks for reading #8230; Matheny was caught #8220;flat footed#8221; in the playoffs. That is true, since, as the selfish, manager, he can#8217;t make the zen motorcycle, plays (fielding a bunt or ground ball to second in Game 2 vs, the Cubs), or make the on drugs, critical pitches (Lackey allowing a hit to the pitcher and HR to a light-hitting shortstop) . I do think he looks a bit flat-footed when watching from the zen motorcycle, dugout. Can#8217;t argue with that. I hope you#8217;re joking.

Spot on. BTW, here#8217;s a pretty laughable note about the voting. Two of the NL MOTY voters (representing Chicago LA) are from Japanese publications. Now that alone shouldn#8217;t necessarily disqualify them #8212; for all I know they#8217;re more qualified than most. BUT they aren#8217;t beat writers covering a specific team or MLB as a whole (like Verducci et al).

Their jobs are pretty much solely about covering Japanese players in MLB, which still might not be an issue except that other than an argumentative article, aging and platooning Ichiro, ALL of the top current Japanese players are in the AL (Darvish, Tanaka, Iwakuma, Uehara, etc). Hard to imagine they spent any significant time #8220;covering #8221; the NL. (Both voted for Maddon of course) I will try to maintenance, be objective in responding, but in fairness admittedly Matheny at times drives me crazy with in-game decisions and at counselling, times appears to be frozen in time on maintenance, the dugout steps. I agree it is more than fair to judge a manager based on wins and selfish essay, that likewise it makes sense to point out how they got there such as managing through injuries or mentoring rookies. But there is another dimension to zen motorcycle, that, namely at what cost did you pay for those wins and in Matheny#8217;s situation he paid dearly by way, way over-using Maness, Siegrist, Rosenthal, Peralta, Yadi, and arguably bears some blame for pushing two young starters Wacha and Martinez beyond a prudent amount of innings given the Essay on Inequality of Income, former#8217;s previous season injury and the latter#8217;s record number of innings pitched. Zen Motorcycle. For reasons only known to him, Matheny could have used Pham and Garcia more and could have made wider use of his bullpen instead of going to the well way too often with the usual suspects. Instead, he oversaw a ton of wins, but at two key points the All Star Break and the end of the regular season it was clear to any observer that he had sunk his ship in order to reach the topics, harbor (playoffs). Given that, I find it really difficult to maintenance, see him as the manager of the year and all the more so if you throw in his suspect in-game managing. But he did all that in an effort to win the division, which he did. If he hadn#8217;t done all that the Cards would have gotten knocked out a week earlier than they did (in the WC game). And a quibble: you say he #8220;arguably bears some blame#8221; for Wacha and Martinez, but it#8217;s a weak argument indeed.

It#8217;s Mo#8217;s responsibility to chart out their use and is survival selfish essay, enforce the limits he and MM decide on together. He is Matheny#8217;s boss. Mo#8217;s the one who should have given them a month off around the zen motorcycle maintenance, All-Star break when Cooney was still healthy. Mo is similarly to blame for being too conservative at the trade deadline, especially with regards to pitching and infield help, which he has basically admitted since the season ended. Which Of The Following Is True Of Cross-sectional Research?. I am a huge fan of Mo and believe him to be one of the zen motorcycle maintenance, top 3 GMs in baseball, but he had some #8220;flat-footedness#8221; of his own going on counselling research, this season. I look forward to him adjusting for the future. I believe he will, because if he doesn#8217;t he#8217;s not as good as I think he is. Zen Motorcycle. Understand and respect your points. The question though is what#8217;s the goal?

To win the division or to position yourself to win in the playoffs. Winning pennants is the war on drugs history nice, but making sure you can field a competitive team come playoffs is paramount if winning the zen motorcycle maintenance, World Series is argumentative article your ultimate goal. Bernie would have to answer this to zen motorcycle maintenance, make sure I am correct, but my understanding is Mo#8217;s relationship with Matheny is argumentative based on Mo providing him the zen motorcycle maintenance, talent, but Matheny decides on on drugs, how to use it as the zen motorcycle maintenance, manager. By no means am I saying Matheny needs to go, rather only saying if the entirety of your season comes down to argumentative, the manager wrecking a Ferrari, then he bears responsibility. Zen Motorcycle. As for Maddon, I can tip my cap to him but completely agree with Bernie that his winning was driven by a media narrative more than anything else. As for Mo, I agree. His bets haven#8217;t paid off mid-season but in argumentative article topics fairness to him between the death of Taveras and the multitude of maintenance injuries, he wasn#8217;t in Analysis To Build a Fire Essay a great negotiating position in terms of trades. Agree in zen motorcycle general. I still think you#8217;re misplacing blame from Mo onto Matheny. Essay. And IMO winning the division in the two-WC system is SYNONYMOUS with positioning yourself for the playoffs, or at least it was this year. Zen Motorcycle. Would you really have preferred Matheny to better rest his players but then go up against the war on drugs, Arrieta in the WC game?

As I said, if Matheny had done what you#8217;re criticizing him for NOT doing, the Cards post-season would have ended even a week earlier. I didn#8217;t see you respond to that but I can#8217;t see how you can disagree with it. Zen Motorcycle. I take issue with the Ferrari metaphor. Of Jack LondonВґs To Build. The team this year after all the zen motorcycle maintenance, injuries was a Mustang at best and it was racing a Ferrari and a Lamborghini. Article. Matheny won the race with it anyway, but in doing so the car overheated and couldn#8217;t race anymore. I get what you are saying but unless I am mistaken, Matheny is the guy who fills out the line-up card and decides when to make subs and pitching changes and as such to the extent he overused the usual suspects, that#8217;s on him. Absolutely, there is also organizational fault here whether it was bringing Holliday back too soon or questionable weight room training that felled Grichuk twice and Carpenter at least once (fatigue). Lastly, the reason I used Ferrari as an analogy was that given its torque reserve, you can afford to maintenance, take your foot off the gas and know that extra power is there when you need it.

Yes, technically, he one the race, but isn#8217;t that more akin to winning a qualifying race or time trials? PS: As I need to step into a meeting, my comments here aren#8217;t to trash Matheny at all. He#8217;s a great guy and I admire his position on youth coaching. Rather they are just focused on what kind of learning curve he needs to go through in selfish essay order to maintenance, have more success in the post-season. Following Of Cross-sectional. I think we#8217;re talking past each other. Agree to disagree? I appreciate how consistently respectful you maintain these discussions. Agreed. And yes, it is amazing to see how many online #8220;debates#8221; quickly become laced with vitriol and zen motorcycle, devolve from there.

Best/ct. Counselling. Great thoughts yet again Bernie. I especially liked how you analyzed the votes from NL Central writers, fascinating. I#8217;m actually surprised Matheny got as many votes as he did, just because I generally consider the media to be as bumbling as you characterized above. I thought Maddon would be near-unanimous.

A fair amount of them got it right though, more than I thought would anyway. Agree with you that detailing the Central#8217;s votes is very illuminating and telling. Previous Story Lack of Triple Crown Threats Another Reminder of Easier Sports Era. Next Story Daily Bernie: Apr. 21 Crunch Time for maintenance Tarasenko?; Cards Suiting Cuban Prospect Luis Robert.

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Monzurul Hoque |54 A/B 2nd colony | | |Chowdhury is an Advocate; my mother Mrs. Kohinoor Begum is|Mazar Road, Mirpur-1 | | |a housewife. I was born on May 25. High school , Managing director 267 Words | 3 Pages. An Individual Training Program for Cricket. What is interval training and how can it make you a better player? Back in 2006 I answered that question with a post about the best way to run to . cricket success. To summarise my stance then (and now): I love interval running for maintenance the following reasons: It's cricket specific because it reflects the stop-start nature of the game . You can the same fitness results in less time. You can integrate it with fielding drills. It speeds up your metabolism which is good for is survival selfish essay fat burning.

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by many people in the year 2010 has made India proud and it will be remember for zen motorcycle maintenance many years. India did not only achieve a lot in cricket in . 2010 but achieved a lot in many others sports. Indian cricket team achieved a lot in 2010. Indian cricket team did not only won many one day series and test series in the year 2010 but it also got the counselling number one rank in ICC Cricket Ranking for maintenance Test teams . India is still the number one team in test matches and if India keeps doing well Indian team may keep the. Chess , Corus chess tournament , Cricket 830 Words | 3 Pages.

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Essay: Health promotion and zen motorcycle chronic kidney disease. What is health? According to the World Health Organization (WHO), health is Analysis of Jack LondonВґs a Fire Essay, ‘a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and maintenance personal resources as well as physical capacities’ (WHO). Decades ago governmental officials of the the war on drugs, world, agreed to come together, despite of maintenance whatever conflicts, or political disagreements, to attain health for all the people of the is survival selfish essay, world by the year 2000. They wanted citizens of the zen motorcycle, world to all have access to basic, essential health care. The Alma-Ata of 1978 was the first international declaration professing the significance of public healthcare. The Alma-Ata commences by stating that health, ‘which is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity is LondonВґs a Fire Essay, a fundamental human right and that the zen motorcycle, attainment of the highest possible level of health is a most important world-wide social goal” (WHO) The countries of the world, worked towards their goal but unfortunately did not achieve it by of Jack To Build a Fire Essay, their targeted date.

On November 21st, 1986 thke first international conference on zen motorcycle, Health Promotion was held. Health promotion is defined as the process in which a person or people are encouraged to live healthier lifestyles. This promotion is topics, expected to be holistic-physically, mentally and socially, so that everyone’s basic needs can be satisfied. A person cannot function in this world if he doesn’t know where his next meal is coming from. How can he focus on his health, if he has no home? An unemployed man’s last thought is to get his annual physical done. Food, shelter, income and more were listed as prerequisites to health under the Ottawa Charter for Health promotion.

Without basic needs being met a person cannot be complete physically, mentally and socially, which is part of the goal. According to the Department of Health and Human Services (DHHS) there are seven principles of health promotion, which are as follows: i. Evidence informed practice. ii. Determinants of health. v. Action across the continuum. vi. Cultural change. vii. Supportive environments.

viii. Community participation (DHHS, 2012). Evidence informed practice seeks to ensure that the provision of healthcare is guided by the best researched and information currently available (DHHS, 2012). Purveyors of healthcare should understand the presenting problems and based on evidence, know what has been used to successfully treat the problem, Finally, the provider must know how to adopt the solutions to maintenance the current situation(DHHS, 2012) In health promotion, the research, evidence used, must be of excellent quality and be derived from zen motorcycle maintenance, a reliable source. It should take into account that cultural, moral, ethical and on drugs history spiritual values have a direct influence on what we do to zen motorcycle maintenance improve health both as clients and as practitioners (DHHS, 2012). Finally, during each step health promotion there should be solid evaluation because this will ensure that valid information is added to article topics the evidence base (DHHS). Determinants of zen motorcycle maintenance health are about the factors that affect health.

Typically, it involves looking at how and where people live and of the of cross-sectional play as well as examining their work environment, and evaluating how these factors affect their health and behavior (DHHS, 2012). Equity means that healthcare is evenly and fairly distributed to all persons across society. This is a mean of ensuring that the vulnerable and ‘at risk’ groups ‘ minorities – in zen motorcycle maintenance society will also have access to modalities that can be life -saving (DHHS, 2012). Partnership in healthcare means working with different people or organization to improve the health and well- being in on drugs individuals as well as communities (DHHS, 2006). One such partnership is the zen motorcycle maintenance, nurse-client relationship in healthcare. Action across the continuum adopts a myriad of strategies to research create change in how healthcare is offered. Changes can start with the individual, then progress to the community and maintenance eventually changes in public policies.

According to the DHHS, ‘action across the continuum is research, about looking for opportunities to develop a comprehensive approach to promoting health and maintenance well- being in our communities’ (DHHS, 2006). Cultural changes involve incorporating health promotions, in our health practice and services across the community. Simply put, nurses and other practitioners ought to provide health promotion as part of the service that we provide in the community (DHHS, 2012). Supportive environments seek to ensure that patients and indeed the society in general are provided with healthy choices, for example fresh fruits and vegetables, so the consumer has options with regards to things that can increase his well-being (DHHS, 2012). Community participation require healthcare workers to have a good understanding of the communities, groups and individuals with whom they work so that they can foster acceptance and participation of the health promotion principles( DHHS, 2012). PENDER’S HEALTH PROMOTION THEORY. Nola J. Selfish Essay. Pendler designed the Health Promotion Model to compliment the models of zen motorcycle maintenance health protection.

Health promotion is argumentative, directed at increasing a patient’s level of well-being. The health promotion model describes the multi-dimensional nature of zen motorcycle persons as they interact within their environment to pursue health. Her model focuses on individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes. Pendler identifies that each person has unique personal characteristics and experiences that affect subsequent actions. Health promoting behavior is the optimal outcome, which makes it the end point in the Health Promotion Model. These positive behaviors should result in improved health, which strengthens functional potential and improves quality of life in counselling all stages of development. The Health promotion Model makes four assumptions: 1. Individuals seek to zen motorcycle maintenance actively regulate their own behavior. 2. Individuals progressively interact with and the war on drugs history transform the environment as well as being transformed over time. 3. Zen Motorcycle. Health professionals, such as nurses, make up part of the interpersonal environment, which influences people through their life span.

4. Self-initiated reconfiguration of the person-environment interactive pattern is essential to changing behavior. Health-promoting behavior is the action outcome desired to attain a positive health, and most favorable well-being, which enhances productive living. Picture the whole country of argumentative article topics Cameroon that has a population size of 19,958,000. Zen Motorcycle Maintenance. Based on the Center of Disease Control, that and more people in the United States have Chronic Kidney Disease (CKD). CDC stated that more than 20 million people in the United Sates may have CKD. That is about ten percent of the U.S. population. Counselling. So, what is Chronic Kidney Disease? Chronic Kidney Disease is a condition in which your kidneys can not perform its normal function to the best of its ability. The kidneys have many functions but one of its main roles is to zen motorcycle maintenance filter the waste or toxins from the blood that passes through it.

Filtration occurs in the nephrons, which are located in the cortex of the research, kidneys. There are millions of nephrons in each kidney to facilitate the maintenance, process. The waste that is selfish, filtered out of the system is then excreted from the body in the form of urine. Without the maintenance, filtration process wastes from the bloodstream stays and accumulates in the body and can be very hazardous to the individual’s health. As more and more toxins starts collecting in the body an Essay on Inequality, individual may begin to experience symptoms. Chronic Kidney Disease is diagnosed by the results of maintenance blood and urine samples. The blood tests checks the GFR (glomerular filtration rate) and the urine test checks for albumin or protein. Counselling. The GFR tells how well your kidneys are filtering.

Your GFR should be 60mL ?? min’1 per 1.73 m2 or higher for normal function. Zen Motorcycle. If the GFR is below 60mL ?? min’1 per 1.73 m2 it means that the is survival selfish essay, person has kidney disease. A GFR of 15mL ?? min’1 per maintenance, 1.73 m2 or less means kidney failure. Research. Protein is not normally found in urine because of its size, so therefore if found in zen motorcycle maintenance the urine it indicates damage to the kidney. It is of great importance to have urine and is survival blood test done annually. A person may have CKD and may not know it because the symptoms may not present itself until a great amount of zen motorcycle maintenance damage is down. CKD can progress to Kidney Failure if left untreated.

Kidney Failure is when the kidneys stop working. At this point the individual either has to have a kidney transplant or have dialysis. There are numerous risk factors of on Inequality CKD and some of them are genetics, high blood pressure, obesity, high cholesterol, kidney stone, kidney infection and many more. The two main risk factors for CKD are hypertension and diabetes and will be discussed in this paper. Maintenance. African Americans, Hispanics and American Indians are the populations at highest risk for CKD and those two risk factors are prevalent amongst these cultural groups. It is said that CKD occurs in Essay on Inequality African Americans four times as much as in Caucasians. People with hypertension and diabetes should follow a healthy diet and keep a close eye on their blood pressure and glucose. Zen Motorcycle. Uncontrolled diabetes and hypertension causes damage to organs in the body including the kidneys.

It is said that 1 in 3 people with diabetes develop CKD and 1 in 5 with hypertension develops it ( Their foods should be low in sodium and sugar. They should have lots of fruits and vegetables. Factors that increase the cultural group/population risk are non-compliance with medication regimen, smoking, BMI greater than 25, unhealthy diet, over use of NSAIDs and high consumption of alcohol. Factors that decrease the Analysis of Jack To Build a Fire, risk for CKD are exercise, smoking cessation, constant monitoring of blood pressure and zen motorcycle glucose, a diet low in argumentative article sodium and sugary foods and following medication regimen. High blood pressure and diabetes may be inherited diseases but we can prevent it from occurring if we eat healthy and follow a regular exercise program. The African American population has always been one of the groups with the highest incidence rates but as of lately, this group’s rate has begun to drop. This could be because of the increase awareness and zen motorcycle maintenance health promotion efforts of the government. CKD is un-bias to age, it occurs in the elderlies above age 60 but it also occurs in the younger population, mainly due to uncontrolled diabetes and hypertension.

The incidence rate of CKD in adults 65years and older has doubled between 2000 and 2008. On Inequality. In the adults between ages 20 and 64, the incidence rate is less than 0.5 percent. Zen Motorcycle Maintenance. The prevalence of CKD in adults 60 years and older went from 18.8 to 24.5 between 1988-1994 surveys and argumentative 2003-2006 surveys. During the same time frame, the prevalence of CKD between the ages 20-39 was 0.5 ( As stated above, CKD leads to kidney failure and according to CDC’s fact-sheet, in 2011 forty-four percent of zen motorcycle new cases had a primary diagnosis of on Inequality of Income diabetes.

Twenty-eight percent of the new cases had a primary diagnosis of hypertension ( One of the objectives, listed on Healthy People 2020 for CKD is to reduce the zen motorcycle, proportion of the Analysis LondonВґs To Build Essay, U.S. population with chronic kidney disease. The baseline they have is 15.1 of the population for the years 1999-2004. They are aiming to have this number reduced by 10%, which will be 13.6 of the population. Pathophysiology of Risk Factors for CKD. Chronic Kidney Disease has multiple risk factors, but we will be focusing on Diabetes and Hypertension. Zen Motorcycle. Hypertension is a major cause of morbidity and mortality because of its association with coronary heart disease, cerebrovascular disease and renal disease. The blood pressure level which treatment is indicated is of cross-sectional research?, now 140/90 mm Hg. Increased systemic resistance, increased vascular stiffness, and increased vascular responsiveness to stimuli are central to the pathophysiology of hypertension. Morbidity and mortality attributable to hypertension result from target organ involvement. National surveys continue to zen motorcycle maintenance reveal that hypertension is often not detected and when diagnosed, it is often inadequately treated.

Blood pressure is the combination of cardiac output and systemic vascular resistance. Cardiac output is usually elevated in of Income younger people and decreases with age. This is due to increased systemic vascular resistance and increased stiffness of the vasculature. Stiffening of the zen motorcycle, aorta and elastic arteries increases the pulse pressure, this result in Analysis of Jack an increase in left ventricular afterload, and contributes to left ventricular hypertrophy. The widening of the pulse pressure with aging is a strong indicator of coronary heart disease. (Frey Wexler, 2013). The autonomic nervous system plays an important role in blood pressure control. (Leach, 2013) Increased release and enhanced peripheral sensitivity to norepinephrine can be found in hypertensive patients, and also increased responsiveness to zen motorcycle stressful stimuli. The renin-angiotensin system is also involved in some forms of counselling hypertension. Elderly or black patients usually have low ‘renin hypertension. The renin-angiotensin ‘aldosterone system helps to maintenance regulate blood pressure.

When blood pressure falls, the kidneys release the enzyme renin into is survival selfish essay, the blood stream. Renin then splits angiotensinogen; a large protein that circulates in the bloodstream, into pieces, one piece is angiotensin 1. Angiotensin 1, which is inactive, is split into pieces by angiotensin- converting enzyme(ACE).One piece is angiotensin 11, a hormone , which is very active. Angiotensin 11 causes the maintenance, muscular walls of small arteries to constrict, increasing blood pressure. Angiotensin 11 also triggers the release of the hormone aldosterone from the on Inequality, adrenal glands and antidiuretic hormone from the maintenance, pituitary gland. Aldosterone and antidiuretic hormone cause the kidneys to retain salt. Aldosterone also causes the kidneys to excrete potassium. The increased sodium causes water to be retained, which increases blood pressure and the war on drugs history blood volume. Whenever a person experiences a change such as increased activity or a strong emotion, a transient increase in blood pressure occurs. One of the body’s compensatory mechanisms is triggered to counteract the change and maintenance keep the blood pressure at normal levels. An increase in the amount of blood pumped out by the heart increases blood pressure, which causes dilation of blood vessels and an increase in counselling research the kidney’s excretion of salt and water which decreases blood pressure. Renal disease may progress slowly and becomes evident in later year.

Diabetes mellitus is a disorder in which the blood sugar is elevated because the body cannot produce enough insulin to meet its needs. Diabetes damages blood vessels, which increases the risk of strokes, heart attack and zen motorcycle kidney failure. Impaired insulin secretion and insulin resistance contribute to the development of pathophysiological conditions. Impaired insulin secretion is a decrease in glucose responsiveness, which occurs before the clinical onset of the topics, disease. Impaired insulin secretion is usually progressive, and involves glucose toxicity and lipo-toxicity. The progression of the impairment of maintenance pancreatic B cell production affects the long term control of blood glucose.

Patients in the early stage after onset of the disease show an increase in postprandial blood glucose as a result of increased insulin resistance and on Inequality of Income decreased early phase secretion. This in turn causes permanent elevation of blood glucose (Kaku, 2010). Some of the environmental risks for Diabetes are aging, obesity, alcohol drinking, smoking, lack of exercise. Decreased activity is accompanied by zen motorcycle, a decrease in muscle mass, induces insulin resistance, and is associated with the rapid increase in argumentative article the number of middle age and elderly patients. The changes in diet such as increased fat intake, and consumption of simple sugars, and decrease of dietary fiber promotes obesity, and cause deterioration of glucose tolerance. Diabetes may cause many long term complications as a result of the effect it has on blood vessels, which cause narrowing of the blood vessels, which in turn reduces the maintenance, flow of blood to many parts of the body. This problem occurs when complex sugar- based substances build up in the vessel walls and cause thickening and leakage.

Fatty substances in on Inequality the blood also rise as a result of poor glucose control, and the vessels accumulate plaque, leading to Atherosclerosis, which is high risk factor for strokes and heart attacks. Zen Motorcycle Maintenance. Over time, uncontrolled blood glucose and inadequate circulation can affect the argumentative article, brain, legs, eyes kidneys, and nerves. (Kaku, 2010). High blood pressure effects on the kidneys as mentioned can be very severe. It can cause the kidneys to malfunction, leading to kidney failure that can require dialysis or kidney transplant. Chronic kidney disease (CKD) has several risk factors including, but not limited to diabetes, high blood pressure (HTN), age 65 and older and obesity (Ernst, 2010).

Diabetes and maintenance HTN accounts for almost 70% of CDK incidence (Ernst, 2010). Had these patients managed their disease properly, it would not have progressed further. An important element in disease management is knowledge and this is where the following is true of cross-sectional research?, nurse’s role as a teacher becomes important in the prevention and management of CKD (Ernst, 2010). There is an old saying that, ‘Prevention is better than cure’ and this is absolutely true with regards to CKD. To successfully prevent the occurrence of CKD, patients need to know the cause of the disease, the modes of transmission and the identified risk factors (Levey et al, 2008). Nurses as primary care givers have the enviable task of teaching primary, secondary and maintenance tertiary methods of prevention (Ernst, 2010). The World Health Organization (WHO) defines health as a process of is survival essay enabling people to increase control and improvement in their health (WHO, 1996). Zen Motorcycle. This definition apply aptly describes the nurse’s interventions in the primary prevention of CKD. Counselling. Diabetes and HTN are the maintenance, primary risk factors associated with CKD, and as such nurses has a key role in of Jack LondonВґs Essay providing information to clients affected by maintenance, these chronic illnesses, as well as to following of cross-sectional research? the public in zen motorcycle general(Levey et al, 2008). Primary prevention seeks to prevent the disease – CKD – from occurring in these patients the first place.

Nurses should teach all their patients ‘ with HTN and diabetes ‘ about the impact of mismanagement of these diseases. They must be encouraging them to take their medication in a timely manner as well as adopt a healthy lifestyle ‘ diet and exercise. These measures, if employed by these patients would reduce the risk of them developing CKD (Levey et al, 2008). A further strategy that can be employed is screening. On Inequality. Screening can be two fold; firstly persons with known risk factors can be screened for CDK and secondly the so call healthy people can be screened for the know risk factors ‘ especially amongst Blacks/African American, Native Indians and Hispanics (Levey et al, 2008). Nurses should promote regular CDK screening for all their clients, since early detection can stop or significantly reduce the progression of the disease Corazon, 2010). Another intervention in zen motorcycle maintenance primary prevention could include health fairs in targeted communities ‘ blacks/African American, Native Indians and the war history Hispanics – where the disease is most devastating. Teaching should include information about the risk factors, as well as the effects of CKD on the human body.

Participants should also be screened for the known/modifiable risk factors ‘ diabetes and HTN – because early detection means early intervention and zen motorcycle maintenance prevention of CKD (Levey et al, 2008). Nurses can also use the internet to self-educate themselves about risk factors and on Inequality ways to reduce them; so that they can answer particular queries by zen motorcycle, clients and point them to To Build Essay reputable website for information (Levey et al, 2008). As the focus of healthcare moves away from curing diseases to prevention, nurse must take greater role in health promotion as a deterrent to disease manifestation (Levey et al, 2008). Secondary prevention seeks to identify factors that exacerbate or hasten the destruction of the kidneys. This population involves patients that have CKD and are being actively treated. Secondary prevention seeks to slow the disease progress or stop it altogether. There are two types of zen motorcycle risk factors, those that are modifiable and those that are non-modifiable. Modifiable risk factors include increasing proteinuria, elevated or uncontrolled blood pressure, and poor glycemic control in diabetes, smoking, NSAIDS and of Income dehydration (Levey et al, 2008). Critical nursing intervention in this phase again, involves patient teaching.

Nurses should inform their patients that the disease can be control at this juncture, but they have to be vigilant in controlling the risk factors and watching for sign of escalation (Levey et al, 2008). Zen Motorcycle Maintenance. One of the most significant intervention, is regular screening for proteinuria- protein in the urine ‘ as this is Analysis To Build, a tell tale sign of disease progression (Levey et al, 2008). Zen Motorcycle. If excess proteinuria is found, that would require immediate intervention by the primary care provider (PCP) (Levey et al, 2008). Clients, family and caregivers are also taught about maintaining blood pressure at normal levels. Hence, daily monitoring is required and patients should take their medication consistently. Increasing blood pressure levels will hasten the deterioration of the kidneys (Levey et al, 2008). Additionally, patient with diabetes are encourage to is survival selfish maintain good glycemic control. Medication must be taken regularly and PCP instructions followed.

Patient with early CKD must stop smoking, eliminate taking NSAID and stay well hydrated (Levey et al, 2008). Also important in patient teaching is diet and exercise. Diet must include ‘limiting protein intake as it is contraindicated in patients with CKD’ (Levey et al, 2008). Maintenance. Thus, patient now empowered with knowledge, will be able to take control of their disease and improve their own health as recommended by the health promotion model (Levey et al, 2008). They will know the argumentative, warning signs of escalation and know the corrective actions to take, whether it be calling the PCP or doing a simple blood test (Levey et al, 2008).

As Chronic Kidney Disease progresses, deterioration in the kidney function become self evident. The patient develops anemia, so they become tired more easily and their arms, legs and faces may become swollen from excess fluid ‘ kidney unable to expel excess fluid (Corazon, 2010). Tertiary prevention therefore is aimed at maintaining homeostasis, preventing possible complication, ensuring comfort, supporting independent self care and providing information about the disease and zen motorcycle maintenance treatment needs of patients (Corazon, 2010). A person suffering from kidney failure is most likely to counselling retain excess body fluid which is manifested in swollen arms, legs and face. Maintenance. Nursing intervention for Analysis LondonВґs a Fire, such a client is maintenance, focus on counselling research, maintaining homeostasis in the body and hence specific intervention may include monitoring the client’s vitals, heats sounds, lungs sound, pulse, blood pressure, pain, temperature, mentation and ability to respond (Corazon, 2010).

It is important that these vitals be monitored to zen motorcycle maintenance detect any sudden changes in is survival the client’s internal environment or signs of complications (Corazon, 2010). It is maintenance, indeed extremely serious if any changes occur, particularly with regards to fluid shifts, because this could signal the worsening of the person’s condition which can lead to heart failure (Corazon, 2010). People who suffer from kidney failure are generally very weak and of Jack get tired easily because they do not have enough have enough oxygen flowing throughout the body (Corazon, 2010). This is because; the diseased kidneys now have a compromised erythropoietin production, resulting in zen motorcycle maintenance decreased red blood cells (Corazon, 2010). Nursing intervention is geared towards ensuring the which of the of cross-sectional, comfort of the patient; therefore the nurse should note reports of maintenance client weakness and Essay fatigue as well as observe and also note signs of anemia and difficulty in breathing (Corazon, 2010).

The nurse should correspondingly monitor the client’s level of consciousness and ability to perform tasks and zen motorcycle provide assistance when necessary (Corazon, 2010). The nurse should nevertheless, let the client perform as much self-care as is possible and when general weakness has been established, she should limit venipuncture and the sites monitored for bleeding (Corazon, 2010). Anxiety often accompanies a CKD diagnosis and most patients view symptom escalation as alarming. To alleviate much of this fear, appropriate nursing intervention is to provide the necessary information about the disease process, dietary procedure, medical details, nutritional concerns and argumentative topics signs to maintenance monitor (Corazon, 2010). Patient teaching again is the nurse’s tool in helping the following research?, client to realize their full potential. Maintenance. Nurses have various opportunities to transfer knowledge, a typical example being after dialysis. She will remind the patient of the risk involves in managing the disease at this stage. The patients are encouraged to follow the diet recommended by history, the PCP, particularly protein reduction (Levey et al, 2008).

Water maybe restricted and most importantly HTN and diabetes most be controlled. Nurses could also introduce the patient to maintenance the nutritionist, who could help with nutritious meal that is CKD compliant. She encourages the patent to join the American CKD Association, where they could get support and encouragement from people with similar condition (Levey et al, 2008). Dialysis nurses and nurses in general can have forums in the communities, which aims to provide information about ways to control the disease and necessary steps to take in improving quality of life (Levey et al, 2008). These health teaching should be designed to help patient, in taking greater interest in their healthcare and wellbeing, as well as providing the argumentative topics, necessary information to help them to have a good quality of life when faced with this challenging disease (Corazon, 2010). Search our thousands of essays: If this essay isn't quite what you're looking for, why not order your own custom Health essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to help you. Each of us is qualified to a high level in our area of expertise, and zen motorcycle we can write you a fully researched, fully referenced complete original answer to your essay question.

Just complete our simple order form and you could have your customised Health work in your email box, in as little as 3 hours. This Health essay was submitted to us by a student in order to help you with your studies. This page has approximately words. If you use part of this page in is survival essay your own work, you need to provide a citation, as follows: Essay UK, Essay: Health promotion and chronic kidney disease . Available from: [03-10-17]. If you are the zen motorcycle maintenance, original author of this content and no longer wish to have it published on our website then please click on the link below to request removal:

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