Creating a Quality Application Essay

Creating a Quality Application Essay There is no question that the application essay process can be a bit intimidating. As someone who has written several admissions essays, I know exactly how exasperating a process it can be! And that is why I have created this website. After years of school and dozens of compositions, I believe that I have come up with an effective formula for writing application essays from which anyone can benefit. If you wish to write a quality application essay, the first thing to which you must commit is the simple fact that it is going to take a while. So, do yourself a favor and get any ideas you might have of completing your admissions essay in a few hours out of your head. In fact, I would recommend that you give yourself at least a month to work on your admissions essay so that you dont feel rushed or anxious (as this could have a negative effect on your writing). The more time you allow for your work, the more fully you will be able to experience the creative process. This is why I believe that every student should start working on his or her application composition several weeks and/or months in advance. If you are planning to apply to college next year, I recommend that you get a calendar and map out a specific schedule for your work. Although this might seem unnecessary, I promise you that making this schedule will aid tremendously in the overall process. Designing a personalized schedule for your work is the first step toward an excellent application essay. Once you have created this schedule, feel free to read on to the next page. In the meanwhile, if you have any questions about admissions essays and/or graduate school essays, please dont hesitate to contact me.

Documentation And Informatics Essay Example

Documentation And Informatics Essay Example Documentation And Informatics Essay Documentation And Informatics Essay A factual record contains descriptive, objective Information about what a nurse sees, hears, feels, and smells. . An accurate record uses exact measurements, notations concise data, contains only approved abbreviations, uses correct spelling, and Identifies the date and caregiver. C. A complete record contains all appropriate and essential information. D. Current records contain timely entries with immediate documentation of information as it is collected from the patient. E. Organized records communicate information in a logical order. 3. Describe methods for multidisciplinary communication within the health care system Case management model of delivering care incorporates an interdisciplinary approach to documenting patient care and critical pathways are interdisciplinary are plans that include patient problems, key Interventions, and expected outcomes within an established time frame unexpected outcomes, unmet goals, and interventions not specified within the critical pathways time frame are called variances Ex: when a patient develops pulmonary complications after surgery, requiring oxygen therapy and monitoring with pulse geometry. A positive variance occurs when a patient progresses more rapidly than expected (use of Foley catheter is discontinued a day early) 4. Identify common record-keeping forms. (See Section Below: Page 8) Most charts will Include (Extra Notes): Patient Identification and demographic data Informed consent for treatment and procedure Admission data Nursing diagnosis or problems and nursing or interdisciplinary care plan Record of Medical history Medical diagnosis Therapeutic orders Medical and health discipline progress notes Physical assessment findings Diagnostic study results Patient education Summary of operative procedures Discharge plan and summary CHI. 6 Lecture Notes Documentation is anything written or printed on which you rely as record or proof of patient actions and activities Information in the patient record provides a detailed account of the level of quality of care delivered to patients. The quality of care, the standards of regulatory agencies and nursing practice, the reimbursement structure in the healthcare system, and legal guidelines make documentation and reporting extremely important responsibilities of a nurse. Whether the transfer of a patient info occurs through verbal reports, written documents, or electronically, you need to follow basic principles to maintain confidentiality of information Confidentiality Nurses are legally and ethically obligated to keep information about patients influential Only staffs that are directly involved in a patients care have legitimate access to records. In most cases, patients are required to give written permission for release of medical information. HIPPO Governs all areas of patient info and management of that information. To eliminate barriers that can delay access to care: providers must notify patients of their privacy policy and make a reasonable effort to obtain written acknowledgement of this notification. Disclosure must be limited to the min necessary EX. If you need a patients home number to reschedule an appointment, access to the deiced record is limited solely to the telephone number. As a nursing student you must abide to the HIPPO standards of confidentiality and compliance and NEVER share information about patients with classmates or look into medical information about other patients. Standards Standards of documentations differ within a healthcare organization. Institutional standards or policies dictate the frequency of documentation. Ex. How often you record a nursing assessment or a patients level of pain. Patients records can be used as evidence in a court of law if standards of care are not met The National Committee of Quality Assurance and The Joint Commission maintain institutional accreditation and minimize liability. Current documentation standard require that all patients admitted to a health care facility have an assessment of physical, psychosocial, environmental, self-care, patient education, knowledge level, and discharge planning. Also, evidence of patient and family teaching and discharge planning. Interdisciplinary Communication within the Healthcare Team Patient care requires effective communication among members of the healthcare information relevant to his or her health care. Reports are given oral, written, or audiotape exchanges of information among caregivers. Common reports given by nurses: change-of-shift reports, telephone reports, hand off reports, and incident reports. Ex. Healthcare provider calls nurses to get a verbal report to receive patients conditions. Laboratory submits a written report for results of diagnostic test and verbally notifies nurse if results are critical. Forms of communication Discharge planning conference: involves all members of all disciplines who meet and discuss patient progress towards discharge goals. Consultations: one reflections caregiver gives formal advice about the care of a patient to another caregiver Ex: a nurse caring for a patent with a chronic wound consults with a wound care specialist Referrals: arrangement for services by another care provider. Purposes of Records Communication Patients records are useful for healthcare team members to communicate patients needs and progress, individual therapies, content of consultations, patient education, and discharge planning. They also allow healthcare team member to know a patient thoroughly, facilitating safe, effective and timely patient-centered decisions. Legal accumulation To limit nursing liability documentation must indicate clearly that a patient received individualized, goal-directed nursing care based on the nursing assessment. Common charting mistakes: writing illegibly or incomplete, failure to record pertinent health or drug information, failure to record nursing actions, failure to record that medications have been given, failure to document discontinued medications. Dress are classifications based on patients medical diagnosis Your documentation clarifies the type of treatment a patient receives and supports reimbursement to the health care agency Education Patients records includes many information such as diagnosis, signs and symptoms of a disease, successful and unsuccessful therapies, diagnostic finding, and patient behavior which is why all nurses should read their patients record. With this information and past experience you can learn to anticipate the type of care required for a patient. Research Nurse researchers often use patients records for research studies Also use to investigate nursing interventions or health problems. Ex. A nurse wants to compare a new method of pain control with a standard pain protocol using two groups of patients. Auditing and Monitoring ETC require quality improvement programs and set standards for the information located in a patients record. Guidelines for Quality Documentation and Reporting Factual Descriptive, objective information about what the nurse sees, hears, feels and smells. Ex: B/P 80/50, patient diaphragmatic, heart rate 102 and regular and the patients pulse rate is elevated 110 beats/min, and the patient reports increased restlessness. Accurate Use of exact measurements establishes accuracy to determine if a patients condition drainage, or edema All entries in medical records must be dated and end with the receivers name or initials and status (ex: J. Woods, RAN). Complete The information within recorded entry or report must be complete, containing appropriate and essential information Use flow sheets or graphic records when documenting routine activities such as daily hygiene care, vital signs, and patient assessment. Describe in greater detail when they are relevant such as when a change in functional ability or status occurs. Current Timely entries are essential ongoing care. Delays in documentation lead to unsafe patient care. Document the following activities or finding at the time of occurrence: ITIL signs, pain assessment, administration of medications and treatments, preps for diagnostic testing, admission, transfer, discharge or death of patient etc. USE MILITARY TIME Organized Communication information in a logical order. It is also effective when notes are concise, clear, and to the point. Ex: an organized entry describes the patients pain, your assessment and interventions, and the patients response. Methods of Documentation Paper and Electronic Health Records Paper records are episode oriented, with a separate record for each patient visit to a health care agency. EMMER (ELECTRONIC MEDICAL RECORD): contains patients data gathered in a healthcare setting at a specific time and place ERR (ELECTRONIC HEALTH RECORD): an electronic record of patient health information generated whenever a patient accesses medical care in any healthcare delivery setting It integrates all pertinent patient information into one record; regardless of the number of times a patient enters a healthcare system. In hospital setting it gathers data and performs checks to support regulatory and accreditation requirements and includes tools to guide and critique medication administration Key advantage for urging: provides a means to compare ongoing clinical data about a patient with original baseline information and maintaining ongoing record of a patients health education. Narrative Documentation (the traditional method) Use of a story like format to document information specific to patient conditions and nursing care. Disadvantages: tend to be repetitious and time consuming Problem Oriented Medical Records Method of documentation that emphasized patients problems. Data are organized by problem or diagnosis. SECTIONS INCLUDE: database, problem list, care plan and progress notes Database: notations all available assessment information pertaining to a patient The foundation for identifying patient problems and planning care Problem list After analysis of data, HECK identify problems and make a single problem list (physiological, psychological, social, cultural, spiritual, developmental, and environmental needs) List the problems in chronological order and when a problem is resolved, record the data and highlight it or draw line through the problem or its number. Care plan Disciplines involved in the patients care develop a care plan or plan of care for each Progress Notes: monitor and record the progress of patients problems. SOAP: Subjective Data (fertilization of the patient) Objective data (that which is measured and observed) Assessment (diagnosis based on the data) Plan (what the caregivers plan to do) or COPIES where Intervention and Evaluation. The nurse numbers each SOAP note and titles it according to the problem on the list Originated from medical records PIE: Problem Intervention Evaluation Nursing origin The narrative does not include assessment information (appears on the flow sheet) Notes are numbered of labeled according to the patients problems. Focus Charting: DARK: Data (problem) Action (intervention) Response (evaluation) Addresses patients concern: signs/symptoms, condition, nursing diagnosis, behavior, significant event or change in patients condition. Incorporates all aspects of the nursing process, highlights a patients concerns, and can be integrated into any clinical setting. Source Records or charts A place in a patients chart that has separate sections for each discipline (I. E. Nursing, medicine, social work, or respiratory data) to record data The method by which source records are organized does not show how information from the disciplines re related or how care is coordinated to meet all of the patients needs Charting by Exception Focuses on documenting deviations from established norms. Reduces documentation time and highlights trends or changes in a patients conditions. Nurses only document significant finding or exceptions to the predefined norms and writes a progress note only when the standardized statement on the form is not met Assumption: all standards are met unless otherwise documented. Case management plan and critical pathways (described above) Common Record Keeping Forms Admission Nursing History Forms: nurses complete a history form when a patient is admitted too nursing unit. Guides the Nurse through a complete assessment to identify relevant nursing diagnoses or problems Flow Sheets and Graphic Records: allow you to quickly and easily enter assessment data about a patient (including vitals signs, routine repetitive care such as hygiene measures, ambulation, meals, weights and safety and restraint checks. Provide current patient information that is accessible to all HECK Helps team members quickly see patient trends over time and decrease time spent on writing narrative notes. Patient Care Summary or Carded: computerized systems that provide information in the form of a patient care marry that is often printed for each patient during each shift. Carded: a portable flip over file or notebook that is kept at the nurses station Includes an activity and treatment section and a nursing care plan section that organizes information for quick references. Eliminates the need for repeated referral to the chart for routine information A Carded is a written form that contains basic client information. A Carded contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client. Based on the institutional standards of nursing standards of nursing practice, are preprinted, established guidelines used to care for patients who have similar health problems. Useful when conducting quality improvement audits. Discharge Summary Form Interdisciplinary discharge planning ensures that a patient leaves the hospital in a timely manner with the necessary resources. Discharge documentation includes medications, diets, community resources, follow-up care, and who to contact in case of an emergency or for questions. Acuity records Not part of a patients medical record. They are used for determining the hours of care and the staff required for a given group of patients. Home care documentation Documentation in the home care system is different from other areas I nursing Home care documentation systems provide the entire HOC with information needed to enhance teamwork. Documentation is both the quality of control and the Justification for reimbursement from Medicare, Medicaid, or private insurance companies. Nurses must document all of their services for payment (ex. Direct skilled care, patient instructions, skilled observations, and evaluation visits) Long Term Health Care The Centers for Medicare and Medicaid Services guidelines requires careful documentation for appropriate reimbursement in long term care agencies. The Resident Assessment Instrument/Minimal Data Set provides standardized protocols for assessment and care planning and a min data set to promote quality improvement within facilities. Reporting Hand off Reporting Happens anytime one healthcare provider transfers care of a patient to another healthcare provider. Purpose is to provide better continuity and individualized care for patients. Ex. Change-of-shift and transfer reports Information during apt. Anodal can be given face to face, in writing, or verbally such as over the telephone or via audio-recording Report elements do not include: normal findings or routine information retrievable from other sources or derogatory or inappropriate comments about a apt. Or family. Telephone Reports and Order Telephone Reports: make a telephone report when significant events or changes in a apt. Condition have occurred. Needs to be clear, accurate, and concise information. Use SABA: Standardizes telephone communication of significant events or changes in patients and is a communication strategy designed to improve apt. Safety Document EVERY phone call you make to a health care provider and use the read back method when receiving information or critical test results. Telephone and Verbal Order Telephone Orders: occurs when a healthcare provider gives an order over the phone to a RAN Verbal Order: involves the healthcare provider giving orders to a nurse while they are standing near each other. Usually occur at night during emergencies (cause medical errors) Nurse: writes down the complete order or enters it into the computer as it is being given. Then reads back and waits for confirmation from the person who gave the order that it is correct Healthcare Provider: later verifies the TO or VOW by legally signing it within a set time. Incident or Occurrence Reports Any event that is not consistent with the routine operation of a health care unit or systems and unit operations that provide Justification for changes in policies and procedures or for in-services seminars. DO NOT mention the incidence report in patients medical record Instead you document an objective description of what happened, what you observed, and the follow-up actions taken in the patients deiced record. Health Informatics Application of computer and information science for managing health-related data Focused on the patient and the process of care and the goal is to enhance the quality and efficiency of care provided. Becoming a priority as health care facilities adopt EMMER/HER Nursing Informatics (See Slides 20-24 in Power point) Facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in decision-making in all roles and settings. Clinical Information Systems CICS: Include monitoring systems (devices that automatically monitor and record metric measurements (vital signs, oxygen saturation, cardiac index, and stroke volume)) order entry systems, and laboratory, radiology, and pharmacy systems in critical care and specialty areas. Electronically sends measurements directly to the nursing documentation system Computerized provider order entry A process by which a health care provider directly enters orders for patient care into the hospital information system Reduces transcription errors. Potentially speeds up the implementation of ordered diagnostic tests and treatments which improves staff productivity and saves money

Intermediate Level English for Medical Purposes

Intermediate Level English for Medical Purposes This sample conversation is for a physical examination. Doctor: When did you last come in for a physical exam?Patient: I had my last physical two years ago. Doctor: Have you had any other exams recently? Blood work, an EKG or an ultra-sound?Patient: Well, I had a few X-rays at the dentist. Doctor: How have you been feeling in general?Patient: Pretty well. No complaints, really. Doctor: Could you roll up your left sleeve? Id like to take your blood pressure.Patient: Certainly. Doctor: 120 over 80. Thats fine. You dont seem to be overweight, thats good. Do you exercise regularly?Patient: No, not really. If I run up a flight of stairs, it takes me a while to get my breath back. I need to get out more. Doctor: That would be a good idea. How about your diet?Patient: I think I eat a pretty balanced diet. You know, Ill have a hamburger from time to time, but generally, I have well-balanced meals. Doctor: Thats good. Now, Im going to listen to your heart.Patient: Ooh, thats cold! Doctor: Dont worry its just my stethoscope. Now, breathe in and hold your breath. Please pull up your shirt, and breathe deeply... Everything sounds good. Lets take a look at your throat. Please open wide and say ah.Patient: ah Doctor: OK. Everything looks ship shape. Im going to order some blood work and thats about it. Take this slip to the front desk and theyll arrange an appointment for the tests.Patient: Thank you, doctor. Have a nice day. Key Vocabulary physical examination (exam)blood workEKGultra-soundx-raysto roll up sleevesoverweight - underweightto exercise regularlybalanced dietwell-balanced mealsstethoscopeto breath into hold ones breathto pull on ones shirtto breathe deeplyto open wideto look ship shapeslipfront deskto arrange an appointment

Features and Consequences of Globalization Essay

Features and Consequences of Globalization - Essay Example Globalization has rapidly changed the lifestyles of many people without their even being unaware. To take an example, most people had not even heard of the Internet in 1990. Also, few people had an e-mail address then. But today the Internet, cell phones and e-mail have become essential tools that many people just cannot live without, in both developed and developing countries. But globalization does have its opponents. This essay examines the fundamental aspects of globalization such as meaning and definition, features, aims and organized and un-organized globalization. Globalization is commonly understood as the process by which physical, political, economic, cultural barriers separating different regions of the world are reduced or removed, thereby paving the way for exchanges of goods and knowledge. Globalization facilitates freedom of movement without political and geographical hazards and this seems to be the attraction of globalization to most people. Globalization also promotes mutual reliance. As the number of exchanges of goods and of information increase, the result is a growing interdependence between countries as they come to rely on various imported products, services, and cultural input. Thus, from economic point of view globalization is the integration of world economies into a single economy. Definitions Globalization means and includes increased closeness among countries most notably in the areas of economics, politics, and culture. The term 'globalization' has been defined by various authors in different ways. In fact, it has as many definitions as there are authors. The most commonly used definitions include the following: 1. Globalization is "a complex set of distinct but related processes-economic, social and also political and military-through which social relations have developed towards a global scale and with global reach, over a long historic period" (Rajaee Farhang, 2000, p.44) 2. The prominent Islamic scholar, Muhmoud Ayoub, defined globalization in the following way: "It is said that we now live in global village. To extent that it is true, it is a negative process. Globalization is a latest manifestation of Western Imperialism" (Rajaee Farhang, 2000, p.30) 3. In its most concise definition, globalization "simply refers to the complex of forces that trend toward a single world society. Among these forces are mass communications, commerce, increased ease of travel, the internet, popular culture, and increasingly widespread use of English as an international language." (Lautier Frannie, 2006, p.34) Features of Globalization Globalization means the integration of an economy with the rest of the world so as to ensure free flow of goods and services without any legal political and geographical boundaries. Globalization is different to different countries. The way in which one country approaches globalization phenomenon is different from that of another country. It depends upon the nature of economy, the political scenario and many other similar factors. However, the common features of globalization remain the same to all countries. They include: (OECD Handbook. 2005. p. 18) 1. Reduction of barriers to trade 2. The high interaction of financial markets is increasingly impacting on the conduct and performance of

Children asthma Research Paper Example | Topics and Well Written Essays - 1500 words

Children asthma - Research Paper Example Children with acute exacerbation of asthma are frequently seen in out-patient settings and emergency rooms. They are administered bronchodilators like albuterol to cause relief of symptoms. Albuterol is administered either through metered dose inhalers-spacer or jet nebulizer. Metered dose-inhaler spacer is an efficient and useful method of delivering albuterol for bronchodilatation. It delivers the drug quickly and can cause effects in few seconds. Delivery of the drug can be optimized using suitable mask. On the other hand nebulization is also an effective tool to deliver the drug. It is however cumbersome and needs atleast 15 minutes for one dose administration. The most commonly used delivery systems for asthma are nebulizers, dry-powder inhalers and metered dose inhalers with or without spacers (Smith and Goldman, 2012). In children less than 5 years of age, it is not possible to generate adequate inspiratory inflow and hence, effective use of dry-powder inhaler devices is not p ossible. Whether to use metered dose inhalers or nebulizers in acute exacerbation of asthma in children is a much debated topic. The main advantage with nebulizer is that the drug can be delivered even without the cooperation of the child. However, during this mechanism, only less than 10 percent of the aerosolized drug reaches the lungs (Smith and Goldman, 2012). The remaining drug gets deposited in the nebulization system or on the face or is lost to the surrounding regions. On the other hand upto 40 percent of the drug can be deposited in the lungs with metered dose inhalers. In infants and young children, the main difficulty in using metered dose inhalers is lack of coordination in triggering and inhaling the drug (Smith and Goldman, 2012). To overcome these aspects, spacers and masks are used. Spacers are able to eliminate the need for coordination in metered dose inhalers. The spacers have a valve "with the particular advantage of allowing aerosol to move out of the chamber at inhalation but holding particles in the chamber during exhalation" (Smith and Goldman, 2012). In this research essay, whether nebulizer or metered dose inhaler with spacer is a suitable method for administering albuterol therapy in children will be discussed through review of suitable literature. The research is made through PICO format and the steps involved in arriving at the evidence will be discussed. PICO Format When clinical decisions are made based on appropriate scientific evidence, it is nown as evidence-based practice. According to McKibbon (1998), "Evidence-based practice (EBP) is an approach to health care wherein health professionals use the best evidence possible, i.e. the most appropriate information available, to make clinical decisions for individual patients. EBP values, enhances and builds on clinical expertise, knowledge of disease mechanisms, and pathophysiology. It involves complex and conscientious decision-making based not only on the available evidence but also on patient characteristics, situations, and preferences." The most critical exercise for evidence-based practice is literature review. This can be done by approapriate search strategy and by creating a

Leadership Ethics and Diversity Case Study Example | Topics and Well Written Essays - 1250 words

Leadership Ethics and Diversity - Case Study Example Again the Executive Leader could have also worked in helping Michael get leave on medical grounds. This policy would have helped the company in reducing the level of disturbances gained owing to the behavioral conducts of Michael and similarly would have helped Michel in leading a tension and stress free life being way from the workplace. However adequate privacy should be held pertaining to the medical information of Michael gained in the course such that it does not lead to any kind of embarrassment. Thus rather than treating him to be disabled the acts should work in understanding how to ease the situation for Michael and thereby effectively accommodate him in the concern (Harvey and Allard, 2008, p.265). This stance would have helped Harvard from countering any Discrimination Suit such that Michael would have felt to have been cared for by his superiors. Again the above case would have helped in gaining Michael back to work with effective treatment conducted. Case 2 The Executive Leader duly appointed would have worked to make the passengers understand and honor the religious sentiments of the Muslims through rendering of examples in which an activity conducted would have affected the latter’s religious sentiments. Justification of the religious sentiments of the Muslim cab drivers would have helped in abolishing the mental conflicts pertaining to the same between the cab drivers and passengers. The Executive Leader must endeavor to enhance the religious position and sentiments of both the parties to the issue and also must act in enhancing the number of cabs not driven by Muslim drivers in the region (Harvey and Allard, 2008, p. 265). Case 3 In this case the Executive Leader should have worked in creating an intervention program to treat Brown’s problem of Sleep Apnea to effectively increase his efficiency at the workplace rather than working on termination standards. Thus firstly the Executive Leader would work in identifying the level of ps ychiatric ailment pertaining to Brown through the assistance of a psychiatrist appointed by the company. This psychiatrist can work to evaluate the history and the medical help gained till now at the personal level by Brown. Such intervention process coupled by steady documentation would help the company management gain adequate knowledge of the present condition of the Sleep Apnea aliment of Brown. Depending on such knowledge the company can adequately change the work environment for Brown by temporarily putting Brown on leave or relocating him to other departments. The Executive Leader must also work in getting feedback and information from time to time relating to the level of revival gained in by Brown through such medical interventions carried out. Feedbacks can be gained both at the personal and at the medical level by consulting with Brown and the psychiatrists respectively. This intervention process needs to be carried on till the time the psychiatrists consider him fit to r ejoin the duty of ‘Emergency Dispatcher’ (Harvey and Allard, 2008, p.265). The above intervention program carried out by the Executive Leader would help in enhancing the level of commitment and loyalty of Brown towards the

Using 3D photogrammetry to monitor a simplex tensegrity structure's Assignment

Using 3D photogrammetry to monitor a simplex tensegrity structure's deformation - Assignment Example The example dwells on a mesh reflector. The mesh reflector is extensively used for apertures space aerial systems that are large due to their light weight and are packed easily and compactly. The reflector’s radio frequency exterior comprises of a mesh with reflective faces. It is bound from interlaced thin wires that are electrically conductive. This wires are made from molybdenum that are gold plated having diameters of 0.03mm. The mesh is extended over a net of cable that is made of composite filaments that are stiff and unidirectional, glued to a structure. The reflective exterior comprises of elements that due to their flexibility can be folded with ease. The accuracy mostly lies on the cable net’s shape. There are two major conceptual designs that can be spotted. The first design is based on partition of parabolic exterior in gores that get support from radial cables or radial ribs glued to an external ring. The second design is takes into consideration a separation of surfaces in facets that are flat formed by cable net tensioned using forces that are applied at each junction node. The concept has been borrowed from Miura who developed the concept of tension truss. Many large antennas that use this concept of tension truss have been launched and tested for instance Astromesh reflector and space radio telescope. The same concept has also been studied by a man called Tibert. He used the concept in designing an antenna that was based on tensegrity structure (Tibert 2002). Tension that is fairly uniform and isotropic in a reflective mesh makes sure that there is a good conductivity of electricity and RF reflectivity. The tension of the mesh should be adequate to withhold lateral accelerations that are greater than the ones having experience in orbit with no harsh distortion of the surface of the reflector. Tensions of mesh from 5N/m have been frequently used. Higher tension often