Inhibitor Improves Learning Essay

The article is entitled, Peripheral Delivery of a ROCK Inhibitor Improves Learning and Working Memory. Title of the diary the article was distributed in and date distributed: This article was distributed in the diary entitled Behavioral Neuroscience in February 2009. The diary is distributed by the American Psychological Association. Portray the subject and the trial led. What did they do? The article noticed that in related examinations, the RhoA/ROCK/Rac pathway is associated with the intellectual procedures. Hence, they hypothesized that if this pathway could be repressed, learning and memory can be upgraded. The article clarified that fasudil has been utilized in tests for the treatment of vasospasm and angina however not for learning and memory. Hydroxyfasudil is a functioning metabolite of fasudil. The examination subjects were 27 rodents who were 17 months old and year and a half old at the hour of genuine conduct testing. In particular, the investigation utilized Fischer-344 male rodents who were reproduced at the maturing settlement of the National Institute on Aging at Harlan Laboratories (Indianapolis, IN). All the rodents were acclimatized before the real investigation as per IACUC norms and all the system done were with the endorsement of the nearby IACUC board of trustees. NIH gauges were followed. The examination was done in Arizona State University. The examination gathered the rodents into three trial gatherings. The principal gathering of rodents got saline and was named as the â€Å"aged vehicle† gathering. The subsequent gathering got 0. 1875 mg hydroxyfasudil and was marked as the â€Å"aged low dose† gathering. The third gathering got 0. 3750 mg hydroxyfasudil and was named as the â€Å"aged high dose† gathering. Of the 27 rodents, nine had a place with the â€Å"aged vehicle† gathering, another nine rodents in the â€Å"aged low dose† gathering, and another nine rodents in the â€Å"aged high dose† gathering. Since hydroxyfasudil has a half-existence of around 5-7 hours in people, the medications were totally regulated in the first part of the prior day conduct testing was finished. All infusions were given by subcutaneous infusion at the scruff of the neck of the rodent. All experimenters who played out the conduct testing and succeeding analyzations of the rats’ cerebrums were incognizant in regards to the individual treatment gatherings of the rodents. The conduct testing utilized the Water Radial Arm Maze to test working and reference memory, and the Spatial Reference Memory Morris Maze to test for spatial learning and memory. The exhibition of the rodents in these two labyrinths were contrasted and utilized as premise likewise with whether psychological capacities were upgraded or not with the organization of hydroxyfasudil. Sum up the most significant outcomes. What did they find and I'm not catching that's meaning? 4 pts The consequences of the social testing done utilizing the water spiral arm labyrinth, the â€Å"aged high dose† bunch was predominant in all measures assessed: learning record scores for all out mistakes, working memory right blunders, and working memory erroneous blunders. Better learning was demonstrated by having a higher learning record. Matured high dose† bunch demonstrated better learning on every one of the three measures. The group’s learning file when contrasted with the â€Å"aged vehicle† bunch was fundamentally higher. With respect to the â€Å"aged low dose† gathering, it despite everything had a higher learning record when contrasted with the â€Å"aged vehicle group† yet just possibly for the working memory off base mistakes. For the other two measures, the gathering despite everything had a higher learning file yet no longer possibly, however transitional between the â€Å"aged high dose† and â€Å"aged vehicle† bunches recommending that the relationship might be portion subordinate. Another significant outcome noted was that hydroxyfasudil didn't essentially modify spatial reference memory execution in either labyrinth. 5) What suggestions do these outcomes have for future exploration? What would it be a good idea for them to take a gander at next? The ramifications of study would imply that if hydroxyfasudil can repress occasions that impact cognizance, the subsequent stage is affirm this in bring about a bigger number of mice or even in bunnies. They ought to likewise investigate the reactions of hydroxyfasudil and a decent beginning is search for a similar symptoms found in its parent compound which is additionally being right now examined. ) Does this examination uncover whatever could be valuable to society (everyone, not science), and provided that this is true, what's going on here? This examination indicated that in the event that hydroxyfasudil improves subjective capacity by improving spatial learning and memory, at that point science has discovered an other conceivable response to age-related or neurodegenerative-related memory brokenness. To lay it out plainly, hydroxyfasudil, if protected and compelling in improving spatial learning and memory, will help patients who experience the ill effects old enough related or neurodegenerative-related memory brokenness. ) What are some conceivable bewilders or mistakes that this examination ought to have controlled for, yet didn't? Basically, what might improve this an investigation? As I would like to think, this investigation was a decent one with truly irrelevant confounders. One thing that may have improved the examination however was the conceivable symptoms of hydroxyfasudil on the present moment and furthermore long haul. 8) What did you discover that you didn't know previously? What did you find generally fascinating? I found that reality that such a medication as hydroxyfasudil being a potential treatment for those experiencing age-related memory brokenness, intriguing. I didn't have the foggiest idea about this until I read this article. On the off chance that it is for sure a potential fix, numerous individuals everywhere throughout the world would carry on with a superior life in their propelled age since their memory will serve them better and they will rely less upon their kids and therefore, have a more outlandish possibility of being put in homes since families experience issues thinking about them.

Polyamory Essays - Sexual Fidelity, Human Sexuality, Human Behavior

Marlon Josephs Educator Ehtesham-Zadeh ENGL 1101: Composition Rhetoric 13 October 2018 An Abundance of Lovers For what reason do we expect ladies cheat because of dejection and a craving for love? For what reason do we induce men cheat as a result of fatigue and desire for closeness? On the off chance that glad, satisfied individuals become unfaithful, what drives us to do as such? Most Americans' accept treachery happens, due to stressed connections and individual inadequacies. Society, world religions, and social foundations have kept up that humankind advanced in families. As a general rule, Human nature isn't at all monogamous. We may know this mentally, yet on an enthusiastic level, we appear to be designed for refusal. Our wanton past exacerbates battles over monogamy, sexual direction, and relational intricacies. Given that individuals acknowledge love, sex, and friendship. For what reason don't individuals consider consensual non-monogamy? We have to look at the establishment of a polyamorous way of life. Talking about this in a significant manner, requires standing up to the incorrect assumptions that connections comprising of more than one accomplice include one man and his group of concubines of abused ladies. A reasonable generalization that is intensely instilled in our general public in light of the fact that these sorts of elements have been energized by various strict gatherings and prior social orders, and are dependent after painting ladies as the substandard sexual orientation. In any case, the present polyamory development doesn't accept this thought. As a general rule, some contend polyamory's ascent is owing to the women's activist upheaval: as ladies increased monetary and social autonomy, they had the option to pick their own connections. Today, sexual orientation fairness is a focal estimation of the polyamorous network, and the cosmetics of connections is resolved not by sex, yet by singular inclinati ons. It is clear: polyamory isn't a solution for low confidence, passionate injuries or lovesickness. It doesn't dispose of desire or serves well to keep up connections without settling. It's anything but a break or break. It is more similar to a start than an end, a shelter than a gathering. Polyamory is progressively similar to a perspective that stayed covered up in the backwoods of typicality: a spot to evacuate, just because, the critical weight we convey, our cutoff points and wants. In the event that we need it can give us organization for the street.

Healthcare Service Marketing

Question: Compose a paper on Healthcare Service Marketing. Answer: Human services administration showcasing: Advertising is characterized as an instrument for execution of the origination, evaluating, advancement and dispersion of the products, thoughts and administration. Here the term human services showcasing is applied to comprehend the prescription in the zone of social insurance advertising. It is seen that however there is a prohibitive plans, for example, the medicare, it is seen that elective must be given. With medicare is for some time considered as the procedure of administration which isn't secured to the patients. There are some basic models, for example, the gastroenterology administration, sigmoidoscopies administrations, weight control administration are sure number of administrations which can be accommodated a specific conclusion (Blackwell et al., 2015). With the quick development and extension of oversaw care and particularly with the pressing out of the master it has just been seen that the human services showcasing is growing for elective consideration. Notwithstanding this a portion of the regular administrations like stomach related sickness system by the gastroenterologist alongside that it has likewise been notice that administrations like blepharoplasty Underneath recorded in the referral map which mirrors the human services advertising administration Where Business Originates Nutritional Consultant and Diablites screening Figure 1: Referral map for medicinal services showcasing Radiation Oncologist The examination mirrors that there are some fundamental devices for showcasing are accessible to advance increasingly elective consideration for the rehearsing specialist. The primary goal is to endorse the patients especially and to stay moral about it and guaranteeing that an individual who is recommended moves to remote territory without the correct clinical consideration. In discussion to the plastic medical procedure rehearsing specialist it urges all the staff to have a corrective medical procedure in any way just to empower them self to speak with the patients (Kongstvedt, 2012). While then again there are a few, other limited time apparatuses to offer administrations to the patients. Key instruments, for example, patients can be given information about the chose type of social insurance administrations. Some different apparatuses like organizing the administrations in accordance with the contributions alongside including the doctors and building a criticism frameworks. There are question that have raised about the social insurance advertising is the suitability of the administration. It is noticed that center having high caliber can possibly perform preferable in the commercial center over the one that is enlisting. It is noticed that couple of the administrations have the situating power, which makes a representative effect on the general notoriety of the quality and the administrations situating of the association overall. Administrations, for example, heart medical procedure, neurosurgery and injury administrations characterize the situating power as thes e administrations covers the parts of death and life Figure 2: Chart Illustrating Health Care Service Cases Then again, productivity of the social insurance administrations is a significant limitation for the association. Productivity ought to be evaluated exceptionally appraised, as it is one where the human services administration can't sponsor. The referral map shows the most noteworthy gathering of clients. It gives that internists and family specialists comprise of about 70% of the referrals. The referral map delineates the most critical systems, which is spoken to in the gathering when an examination is drawn with the staying 30% of internist and family professional who allude. There is likewise another method of giving human services administration is by focussing on the development of advertising. It is obvious that there is additionally an ascent of a few ailment like malignant growth, prostate bladder, lung disease which are responsible for the treatment in emergency clinic. This referral overview map features that six out of ten cases ought to be treated in medical clinic. Then again it is seen that there are various such administrations that includes the buyer to spend past the breaking point. A significant representations has been sited is the dexa screening for osteoporosis. Figures acquired from look into shows that the age bunch extending from 45 to 65 are bound to benefit such administrations and they are likewise ready to pay out of the pocket. Figure 3: Healthcare Cases in Percentage In a few different cases screening has been distinguished as procedure which creates incomes. It is hence, proposed that the advertisers must assess such line of administration so as to decide the objective zone of advancement for social insurance administrations. Thus, advertise division causes the association to distinguish the objective arrangement of indicated administrations and promoting issues. It is significant to signify that showcase division in human services administrations is normally characterized by the segment qualities and topographical areas. Likewise if a patients chooses non-shrouded care in wellbeing and administrations, it is the commitment of the human services facilities to fulfill the clients with their consumption, which help in progress of showcasing in social insurance administration (Kotler Clarke, 2012). Reference list: Blackwell, R. D., Johnston, W. J., McKay, M. E., McNeeley, B. (2015). Showcasing Oriented Strategies for Physicians: The Coming Competition in Health Care Delivery. InProceedings of the 1982 Academy of Marketing Science (AMS) Annual Conference(pp. 544-544). Springer International Publishing. Kongstvedt, P. R. (2012).Essentials of oversaw social insurance. Jones Bartlett Publishers. Kotler, P., Clarke, R. N. (2012).Marketing for social insurance associations. New Jersey: Prentice-Hall, 1987.. Rutten, L. J. F., Ebbert, J., Greene, S. M., Mazor, K., Nekhlyudov, L., Dearing, J. W. (2014). SOCIAL MARKETING TO SUPPORT ADOPTION, EVALUATION, AND CONTINUOUS IMPROVEMENT OF HEALTH INFORMATION TECHNOLOGIES IN CLINICAL CARE.International Journal of Medical and Biological Frontiers,20(2), 179.

The Dell Theory of Conflict Prevention Essay Example | Topics and Well Written Essays - 750 words - 1

The Dell Theory of Conflict Prevention - Essay Example Exchange among nations assumes a basic job in building their efficient force. With common cooperation as far as exchange, various countries fulfill one another’s needs. Truth be told, numerous countries rely on exchange and will experience the ill effects of serious financial decrease if the exchange finished. When this occurs, monetary decrease will before long be trailed by social and social decay, and such a country may crumple all in all. Job of exchange keeping up the solidarity and respectability of a country can not be denied. However, Friedman’s attestation that exchange accomplices can never battle with one another appears to be very overstated and dynamic, and history gives proof to this. In spite of the fact that Friedman has alluded to the instance of India and Pakistan, and China and Taiwan trying to help his contention with realities from the history, yet a cautious examination of the very cases recommends that there were a few different reasons that shiel ded India and Pakistan from battling with one another that were substantially more grounded than the support of exchange. India and Pakistan didn't battle with one another in the beginning of 21st century since India had understood that Pakistan is additionally furnished with atomic force. Had she begun the war, Pakistan would have paid her in a similar coin, and the results would have been as horrible for India herself, concerning Pakistan. To state that India didn't begin a war with Pakistan around then since she dreaded she would free her exchange accomplices is for sure, fragmented truth. Comparable reasons can be sifted through for the instance of China and Taiwan. Corporate bodies have opened their establishments practically everywhere throughout the world. Same remains constant for government offices. All nations have ordinarily kept up their international safe havens in clashing nations. The security of government offices has never been on stake regardless of that reality th at a great deal of nations have enjoyed war with each other before. Then again, William Duiker is suspicious about the solidarity among singular countries on the

True Life: Reality Television Is Scripted

Since the 1990’s, when unscripted tv initially began getting generally well known, we have had the option to see into the lives of various types of individuals, frequently transforming regular individuals into famous people. With the absolute most well known unscripted tv appears, as Big Brother, True Life, American Idol, and most as of late Jersey Shore, we are persuaded that it is all genuine (â€Å"The Hunger Games Theme of Versions of Reality†). The truth of this TV however is that the majority of it is either adjusted or controlled only for our own entertainment.The chiefs of a portion of these shows regularly content, control and plan circumstances to make the shows all the more speaking to their crowds (â€Å"How Much of the Reality†). Indeed, even in mainstream books like The Hunger Games where unscripted tv is a topic, it is demonstrated that it is changed only for the amusement of the watchers (â€Å"The Hunger Games Theme of Versions of Reality† ). While it is seen to be genuine, the title of â€Å"reality television† is a misnomer in light of the fact that most demonstrated end up being phony and scripted.Reality TV chiefs drive their members into misusing themselves for the amusement of their watchers. There are many unscripted tv shows right now on, and they make up a huge bit of what individuals are presented to in well known media, particularly youngsters. While most shows won’t confess to being scripted, in dread of losing their â€Å"reality television† title, a few shows have confessed to arranging circumstances to get a decent response out to the cast, which makes for additionally intriguing television.Also, a few executives have said that they do push the members to the edge when they can to get fascinating responses out of them. They state there are lines that they don’t will in general cross, yet they like to play with the psyche of their members of their shows (â€Å"How Much of the Reality†). By pushing the individuals as far as possible, and controlling circumstances, they essentially do whatever they can to create an engaging show.In the nation of Panem, where the book The Hunger Games happens, unscripted tv is something that the individuals anticipate every year. The individuals of Panem and particularly the individuals in the Capitol assemble and anticipate seeing the games every year; similarly as a gathering of companions may get together and watch the season debut of Jersey Shore. The individuals anticipate one show specifically however, called The Hunger Games.But this unscripted TV drama they watch is somewhat not quite the same as the ones we watch; rather than living in a house with outsiders, or ideally discovering genuine romance, the hopefuls slaughter each other until one is left standing (â€Å"The Hunger Games Theme of Versions of Reality). The game creators, who are the ones controlling the game don’t appear to consistently mak e it reasonable, that’s where is appears to be scripted as it were. There are a few models in the book where The Hunger Games was modified basically for the diversion of the viewers.First, all through the preparation Katniss, the primary character of the story, is advised to be and act like somebody whom she isn't. Katniss is advised to act benevolent, and amiable, and attractive so she will have a more grounded opportunity to enduring the games and it will make the watchers like her (Collins 135). Likewise another significant case of when the Capitol changed the game for amusement objects is the point at which they put a match to the timberland to keep Katniss in the game (Collins 171). They likewise set the fire to give the watchers some excitement.In today’s unscripted television, the executives will work up clashes and circumstances frequently to make fervor. In cutting edge unscripted tv and furthermore an anecdotal variant of unscripted television in The Hunger G ames, diversion of their crowds is a higher priority than the real realness of what they are appearing. Being supposed to be probably the most sentimental shows on TV, a normal of 17 million individuals tune in every week to see The Bachelor and The Bachelorette. What is by all accounts genuine affection on screen, doesn’t consistently mean that off screen.The achievement paces of the show’s connections are low. In the 23 consolidated periods of The Bachelor and The Bachelorette just 17% of couples are still attached. The vast majority of the couple who are not together any longer separated between multi month and 1 year after the finale of the show. With such a significant number of bombed connections coming about so rapidly from the show, it makes watchers wonder the amount of the sentiments were really improved for the for diversion of the show (â€Å"How Many Bachelor†).Reality TV is broadly mainstream in today’s amusement; it appears you can’t turn the TV on without having not having the choice of getting up to speed with an alternate rendition of unscripted tv. We are persuaded that it is all genuine, however the truth of these TV programs is that it isn’t all genuine. A ton of it is faked just to get a decent show, and to engage individuals. While essentially the class of unscripted television normally drives people’s interests in, so the chiefs control circumstances and individuals responses to deliver something that they would like to get the same number of watchers as possible.Its probably â€Å"reality television,† so why isn’t it all genuine? Work Cited â€Å"How Much of the Reality Show Is Scripted? † Forbes. Forbes Magazine, 30 July 2010. Web. 04 Oct. 2012. . â€Å"The Hunger Games Theme of Versions of Reality. † Shmoop. Shmoop University, Inc. , 2010. Web. 04 Oct. 2012. . Collins, Suzanne. The Hunger Games. New York: Scholastic Press, 2008. Print. â€Å"How Many Bachel or and Bachelorette Couples Actually Make It? †The Bachelor. † Home †wetpaint. com. N. p. , n. d. Web. 17 Oct. 2012. .

How to Know if You Need Marriage Counseling

How to Know if You Need Marriage Counseling Relationships Spouses & Partners Marital Problems Print When Your Marriage Needs Counseling By Sheri Stritof Sheri Stritof has written about marriage and relationships for 20 years. Shes the co-author of The Everything Great Marriage Book. Learn about our editorial policy Sheri Stritof Medically reviewed by Medically reviewed by Carly Snyder, MD on February 01, 2020 facebook twitter linkedin Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments.   Learn about our Medical Review Board Carly Snyder, MD Updated on February 05, 2020 Spiderplay / Getty Images More in Relationships Spouses & Partners Marital Problems LGBTQ Violence and Abuse If your marriage is having problems, do not wait too long to seek professional help. Marriage counseling (also called couples therapy) can be very effective, especially if couples seek it out sooner rather than later. Start by finding a counselor  who specializes in marriage or couples therapy. They are out there and willing to help. You may have to meet with more than one to find the right fit. Its important that both spouses feel comfortable with the therapist, so keep trying until you find the right person. The Best Online Marriage Counseling Programs Do You Need Marriage Counseling? Consider these questions about yourself, your partner, and your marriage. Did you marry at an early age?Did you not graduate from high school?Are you in a lower income bracket?Are you in an interfaith marriage?Did your parents divorce?Do you often criticize one another?Is there a lot of defensiveness in your marriage?Do you tend to withdraw from one another?Do you feel contempt and anger for one another?Do you believe your communication is poor?Is there a presence of infidelity, addiction, or abuse in your marriage? If you answered yes to most of these questions, then you are statistically higher risk for divorce. It does not mean that divorce is inevitable. But it may mean that you have to work much harder to keep your relationship on track. A marriage counselor can help you with that work. Spouses who have realistic expectations of one another and their marriage, communicate well, use conflict resolution skills, and are compatible with one another are less at risk for divorce. They still may benefit from counseling at times of transition or simply to reinforce their communication skills and strong connection. The Effectiveness of Marriage Counseling The most studied, and effective, form of treatment is  emotionally-focused couples therapy  (EFT) developed by  Dr. Sue Johnson. Research shows that this treatment is long-lasting and helpful with those of different ethnic and cultural backgrounds as well. One 2017 study, for example, looked at the effectiveness of couples therapy in a group of veterans, with variation in age and race, and found it to be generally effective, with relationships still improved 18 months after treatment. Another study from 2017 also found improvements lasting 24 months after treatment. Research published in 2015 found EFT helpful in couples experiencing infertility. There are also ways to gauge if counseling will actually work for your marriage. Counselors suggest that different types of couples may get more out of marriage counseling. Which Couples Get the Most From Marriage Counseling? If you see yourself here, you are likely to benefit from seeing a marriage counselor. Younger couplesNon-sexist and egalitarian couplesCouples who are still in love with each otherCouples who are open to therapy and changePartners willing to look at themselves and their flaws Which Couples Get the Least from Marriage Counseling? If your marriage is more like these, counseling may not be effective for you. That doesnt mean you should give up, but have realistic expectations. Couples who wait too long before seeking helpMarriages with one or the other spouse set on getting a divorceMarried individuals who are closed to any suggestions that may save the marriageMarriages with one partner addicted to alcohol, drugs or pornographyMarriage with one partner showing up to sessions but is not invested in the work Solutions Learned From Happy Couples John Gottmans research looks at happy couples for solutions. He has discovered that even though all couples experience conflict in their marriages, happy couples apparently know how to handle their disagreements because of a foundation of affection and friendship.  Unhappy couples do not have this skill set. Generally, marriage and relationship researchers  suggest that the goal of couple therapy should be to change the patterns of interaction, emotional connection,  and communication  between the partners. Dont Wait to Get Help If you think your marriage is in trouble, do not wait.?  Seek help as soon as possible. Plan to budget money and time for this treatment. The longer you wait, the harder it will be to get your relationship back on track. Find professional couples counseling or attend a marriage course or weekend experience as soon as warning signs appear. Can an App for Couples Really Improve Your Relationship?

Professional Standards Effective Nurse Leaders Decisions - 275 Words

How Professional and Legal Standards Guide the Effective Nurse Leader When Making Decisions (Essay Sample) Content: COMPETENCY 4How professional and legal standards guide the effective nurse leader when making decisionsINTRODUCTIONprofessional and legal standards according to American nurses association are are authoritative statementsof the duties that all registered nurses, regardless of role, population, or specialty,are expected to perform competently.BODYStandards of PracticeStandard 1. Assessmentthe healthcare consumer's health and/or the situation.competenciesThe registered nurse:(1)Collects comprehensive data including but not limited to physical ,functional, psychosocial, emotional, cognitive, sexual, cultural ,age-related ,environmental ,spiritual/transpersonal, and economic assessments in a systematic and on going process while honouring the uniqueness of the person. Thus help in deciding the fate of the patient(2) Elicits the healthcare consumer's values, preferences, expressed needs ,and knowledge of the healthcare situation.(3) Involves the healthcare consumer, famil y, and other healthcare providers as appropriate, in holistic data collection.(4) Identifies barriers (e.g., psychosocial, literacy, financial, cultural) to effective communication and makes appropriate adaptations.(5) Recognizes the impact of personal attitudes, values, and beliefs.(6) Assesses family dynamics and impact on healthcare consumer health and wellness.(7) Prioritizes data collection based on the healthcare consumer's immediate condition, or the anticipated needs of the healthcare consumer or situation.(8) Uses appropriate evidence-based assessment techniques, instruments ,and tools.(9) Synthesizes available data, information, and knowledge relevant to the situation to identify patterns and variancesStandard 2. DiagnosisThe registered nurse analyses the assessment data to determine the diagnoses or the issues.competencesThe registered nurse: 1 Derives the diagnoses or issues from assessment data. 2 Validates the diagnoses or issues with the healthcare consumer, family ,a nd other healthcare providers when possible and appropriate.(3) Identifies actual or potential risks to the healthcare consumer's health and safety or barriers to health, which may include but are not limited to interpersonal, systematic, or environmental circumstances(4) Documents diagnoses or issues in a manner that facilitates the determinationof the expected outcomes and plan.(5) Uses standardized classification systems and clinical decision supporttools, when available, in identifying diagnosesStandard 3. OutcomesThe registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation.COMPETENCES(1)Involves the healthcare consumer, family, healthcare providers, and others in formulating expected outcomes when possible and appropriate.(2) Derives The registered nurse: culturally appropriate expected outcomes from the diagnoses.(3)Considers associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition, and clinical expertise when formulating expected outcomes.(4)Defines expected outcomes in terms of the healthcare consumer, healthcare consumer culture, values, and ethical considerations.(5)Includes a time estimate for the attainment of expected outcomes.(6)Develops expected outcomes that facilitate continuity of care.(7)Modifies expected outcomes according to changes in the status of the healthcare consumer or evaluation of the situation.(8) Documents expected outcomes as measurable goals.Standard 4. IMPLIMENTATIONCOMPETENCESThe registered nurse: 1 Partners with the person, family, significant others, and caregivers as appropriate to implement the plan in a safe, realistic, and timely manner. 2 Demonstrates caring behaviours toward healthcare consumers, significant others, and groups of people receiving care. 3 Utilizes technology to measure, record, and retrieve healthcare consumer data, implement the nursing process, and enhance nursing practice