Internet Gambling, Online Gambling :: Journalistic Essays

Online Gambling There is a major issue to be dealt with, which is spreading with little regulatory oversight and no effective screens against participation by the young and the vulnerable. Internet gambling represents one of the fastest growing segments of online activity with more than seven hundred web sites now providing users the opportunity to wager everything from cassino games to sporting events. According to internet research firms, the industry will pull in $1.5 billion in world-wide revenues this year. That figure is expected to hit at least(prenominal) $6 billion by 2006. Also, a survey conducted by the Pew Internet and American Life Project concluded that $4.5 million Americans have gambled online and that 1 million gamble online everyday. There are m some(prenominal) different issues dealing with the legalization of online gambling. The current law dealing with online gambling is the Wire Transfer lick of 1961. Under this statute, the law is violated when telephone lines are used in interstate or foreign commerce to place wagers. The statute also prohibit the transmission of information that assists awaitters to gamble on sports events and contests. Recently, Congress have been active in seeking to pass further legislation to restrict betting on the web. Last November, the Senate proposed the Internet Gambling Prohibition Act. This statute would make it a crime to knowingly use the internet or other interactive ready reckoner services to place, receive, or otherwise make a bet or wager or send, receive, or invite information assisting in the placing of a bet or wager. Penalties would be as high as $20,000 and 4 years in prison. However, in a vote in July, the bill narrowly preoccupied obtaining the two thirds majority required to pass the bill. In May, the Unlawful Internet Gambling Funding Prohibition Act was introduced. This statute would criminalize and prohibit any person engaged in a gambling business from knowingly accepting from ano ther person who is involved in internet gambling a credit card or extension of credits, an electronic transfer of funds, or any instrument payable through a financial institution. This would shield trusted financial institutions from liability as long as they do not know that their facilities are being used for online gambling. This bill has also not so far been passed. Either of these Acts would greatly help the problems of online gambling. There are a number of reasons why this booming industry should provoke more concern among policy makers.

We Must Fight for Internet Freedom Essay -- Argumentative Persuasive T

We Must Fight for Internet Freedom   Have you ever wished you could be a part of a figurehead that would change the homo? To be part of a movement that made a positive difference on the world as a whole. I wanted to be that guy pounding a sledgehammer on the Berlin Wall, or the man blocking the path of the tank coming down the street in Tiananmen Squ atomic number 18. These were symbols of prevail people trying to make changes to the world in which they live. Here we had ordinary people caught up in a movement for serviceman Rights and were immortalized becausal agency of independences and rights we cherish. Through the freedom of the press and use of the Internet we can talk to people who were there. We can learn who, what, and why things are happening. Now that voice is being stifled. The Internet and Human Rights, two distinctive and separate things tied together by common thread of freedom is being smothered or controlled.   Freedom of speech, Freedom of style and Freedom of the press are under restraints. These are the same rights that our forefathers fought so hard to make part of our daily lives. We assume that other countries have same rights. The Internet is being controlled by repressive regimes under the guise they are preventing their people from being exposed to bad influences. Governments are controlling the type of teaching by allowing only registered sites. The Internet Police are monitoring E-mail, when the citizens use the Internet to show how their governments are abusing basic Human Rights they are arrested. Repressive regimes are afraid if the people they control should find out how the rest of the world enjoys freedom, they would not be in power for long.   For instance, citizens in Turkey, Malaysia, ... ...ill be made.   As the prenomen stated, You Were There, we all watched the news and waited to see what happened next in Berlin or China. People should not stand by and later wish they had taken part in this m ovement. People should unite and prevent governments from putting limits on our imaginations or our use of the Internet to express ourselves. We can be a part of a movement to keep the Internet unrestricted. Having a forum for all can really bring the world closer and unified in a common cause that all people have rights as humans.   By joining groups like the H.R.W and the G.I.L.C. you can be made aware of what can be done to protect your rights and others. If people were allowed to communicate freely and unafraid of retribution, they would create a change no less that those men who knocked down the Berlin Wall, or stood as a roadblock to a tank.

Aristotle :: biographies biography bio

Background Again, men in general desire the good, and not just now what their fathers had. - Aristotle, Politics * Aristotle was born in 384 BC at Stagira in northern Greece. * He was the son of Nicomachus, a physician with close connections to the Macedonian court. * Some retrieve it to be his fathers influence that gave Aristotle his interest in anatomy and the structure of living things in general. * He was a Greek philosopher and scientist. Life / Career Education is the trounce provision for the journey to old age. - Aristotle * Aristotle went to Athens to study at Platos Academy at the age of 17. He stayed for 20 years, first as a school-age child and then as a teacher. * Aristotle moved to Assos, a city in Asia Minor, after the death of Plato in 347 BC. Here he counseled his friend, Hermias of Atarneus, and married Hermias niece and adopted daughter, Pythias. * later Hermias execution at the hands of the Persians in 345 BC, Aristotle travelled to Pella, the Macedonian capital. * In 342 BC, he began tutoring King Philip IIs young son horse parsley, who later became known as Alexander the Great. * When Alexander became king in 335 BC, Aristotle returned to Athens where he founded his own school, the Lyceum. * The Lyceum was involved in a greater range of subjects than the Academy, even during Platos time. * The Lyceum was a good deal refered to as the Peripatetic (walking or strolling) school because many teacher-student discussions took place while walking on its grounds. * Aristotle spent the last year of his life at a family estate in Chalcis on the Aegean island of what is now Evvoia. He died in 322 BC. Many believe Aristotle to be the most influential philosopher in the taradiddle of Western thought. * The logic of this last century was based on much of his thoughts and logic.

Stones Cynicism Exposed in Natural Born Killers :: Movie Film Essays

Stones Cynicism Exposed in inherent Born Killers As a hardworking college student living (without a TV) in this impenetrable gothic galaxy, I am usually quite oblivious to popular culture. I was non even aware of the barrage of hype skirt the release of Natural Born Killers. My attention was directed belatedly to the movie by a letter from a friend in which she lamented the present read of humanity - or lack thereof. And yet, I still stayed away from the movie for over a month despite my knowledge that it would be at the rattling least thought-provoking. Ive larn that I have not been desensitized to images of violence, perhaps because of my earlier-mentioned insulation from pop culture. However, I was intent on listening to what Oliver Stone had to say. So support night I spent the entire 100+ minutes of the film curled in my seat, my head in my hands. Now that Ive seen the movie, Im left with questions_questions which kept my proboscis shifting in bed all last night and my mind shifting from work all day today. Questions about life, death, humanity, and efficacy. Big questions, giant_the kind that could musical accompaniment me in my aver world for weeks if they werent constantly forcing me to look at the world around me. This is an article of questions, of seeking answers, of wondering if, indeed, there are answers. Stones film is original in all(prenominal) way. Extreme in its violence. Extreme in its visual imagery, flashing hyper-speed bits of reality which dont quite register in ones mind. Extreme in its sit-com innovation of an abusive family as the ordinary stuff of entertainment. Extreme in its depiction of mass-murderers revered as icons of popular culture. Extreme in the banality with which the killers approach their crime. peradventure this extremity is what caused me to fight so strongly to the film at first. The impact has by now lost its initial force, and Im able to attempt to evaluate that impact. I feel ambivalent about the success of the movie, and by success, I mean neither monetary value nor entertainment value. I mean whether or not Stone was effective in conveying his message. In my estimation, he definitely had a message. It seems impossible to me that anyone could exit this movie not understanding that Stone is criticizing the nimbus of violence. If theStones Cynicism Exposed in Natural Born Killers Movie Film EssaysStones Cynicism Exposed in Natural Born Killers As a hardworking college student living (without a TV) in this impenetrable Gothic galaxy, I am usually quite oblivious to popular culture. I was not even aware of the barrage of hype surrounding the release of Natural Born Killers. My attention was directed belatedly to the movie by a letter from a friend in which she lamented the present state of humanity - or lack thereof. And yet, I still stayed away from the movie for over a month despite my knowledge that it would be at the very least thought-provoking. Ive learned that I hav e not been desensitized to images of violence, perhaps because of my earlier-mentioned insulation from pop culture. However, I was intent on listening to what Oliver Stone had to say. So last night I spent the entire 100+ minutes of the film curled in my seat, my head in my hands. Now that Ive seen the movie, Im left with questions_questions which kept my body shifting in bed all last night and my mind shifting from work all day today. Questions about life, death, humanity, and efficacy. Big questions, giant_the kind that could keep me in my own world for weeks if they werent constantly forcing me to look at the world around me. This is an article of questions, of seeking answers, of wondering if, indeed, there are answers. Stones film is extreme in every way. Extreme in its violence. Extreme in its visual imagery, flashing hyper-speed bits of reality which dont quite register in ones mind. Extreme in its sit-com presentation of an abusive family as the ordinary stuff of entertain ment. Extreme in its depiction of mass-murderers revered as icons of popular culture. Extreme in the banality with which the killers approach their crime. Perhaps this extremity is what caused me to react so strongly to the film at first. The impact has by now lost its initial force, and Im able to attempt to evaluate that impact. I feel ambivalent about the success of the movie, and by success, I mean neither monetary value nor entertainment value. I mean whether or not Stone was effective in conveying his message. In my estimation, he definitely had a message. It seems impossible to me that anyone could exit this movie not understanding that Stone is criticizing the glorification of violence. If the

Western Influence on Japan Essay -- Japan and the West, The Meiji Rest

The new Meiji Period was the starting point for Japans isolation from foreign countries. During the end of Edo period, Matthew C. Perry came to Japan and realized the Nichi-Bei Washin Joyaku, the Japan-US Treaty of Amity and Friendship, allowing Japan to be fully open to the United States of America. Soon after, foreign officials from other countries came to Japan to make similar friendship treaties, changing Japan to be one of the global nations. From the treaty, Foreigners started to build homes and live in one of the ports opened to them, creating cultural influence on the people who had never seen foreigners. through with(predicate) the opening of Japan during the Meiji Period, Westerners were able to enter and create a positive influence on Japan. With emerging Western culture, Japanese foods expanded to accommodate the aim of meat to fit the preference of Japanese. New industrial technology from America and Europe provided the base of Japans technology, leading to todays groundbreaking and developed country with the continuous improvement. With major changes in Japanese diet and technology from emerging Western culture, Japan gained social and economic benefits, allowing the country to be the great powerhouse it is today. During the Meiji restoration, selected members of Japanese were dispatched to the United States and Europe to learn about Western laws and cultures. Western cuisine was one of the practices they achieved throughout the tour. During the visit, what astonished the Japanese was a significant height difference compared to American and European. Japanese were typically small because the traditional Japanese food culture based on fish didnt provide enough nutrients like meat essential for healthier physical growth. Aft... ...GING PERCEPTIONS OF BEEF IN THE MAKING OF MODERN. Rep. no. Volume V 2009. The Australian matter University, 2009. Web. 23 Apr. 2012. .Onishi, Norimitsu. Spaghetti Stir-fry and Hambagoo Japan Looks West. Nytimes.c om. The New York Times, 26 Mar. 2008. Web. .Weinstein, Andrew. Japans Auto Industry . About JAMA. N.p., n.d. Web. 20 Apr. 2012. . Yamasa. Things Japanese - A History of Japanese Cuisine Yamasa.org. The Yamasa Institute. Web. 23 Apr. 2012. .Yasuo, Wakuda. good of Urban Railways. (1997) n. page. Web. 13 May. 2012. .

Western Influence on Japan Essay -- Japan and the West, The Meiji Rest

The new Meiji Period was the starting point for Japans isolation from extraneous countries. During the end of Edo period, Matthew C. Perry came to Japan and established the Nichi-Bei Washin Joyaku, the Japan-US Treaty of Amity and Friendship, allowing Japan to be fully open to the United States of America. Soon after, foreign officials from other countries came to Japan to make similar friendship treaties, changing Japan to be one of the global nations. From the treaty, Foreigners started to build homes and live in one of the ports clear to them, creating cultural influence on the people who had never seen foreigners. Through the opening of Japan during the Meiji Period, occidentalers were able to enter and create a positive influence on Japan. With appear Western culture, Japanese foods expanded to accommodate the use of meat to fit the preference of Japanese. New industrial technology from America and Europe provided the ungenerous of Japans technology, leading to todays mod ern and developed country with the continuous improvement. With major changes in Japanese diet and technology from emerging Western culture, Japan gained social and economic benefits, allowing the country to be the great powerhouse it is today. During the Meiji restoration, selected members of Japanese were dispatched to the United States and Europe to learn about Western laws and cultures. Western cuisine was one of the practices they achieved throughout the tour. During the visit, what astonished the Japanese was a significant height difference compared to American and European. Japanese were typically small because the traditional Japanese food culture based on fish didnt provide enough nutrients like meat essential for healthier physical growth. Aft... ...GING PERCEPTIONS OF BEEF IN THE MAKING OF MODERN. Rep. no. Volume V 2009. The Australian National University, 2009. Web. 23 Apr. 2012. .Onishi, Norimitsu. Spaghetti Stir-fry and Hambagoo Japan Looks West. Nytimes.com. The New York Times, 26 Mar. 2008. Web. .Weinstein, Andrew. Japans Auto Industry . About JAMA. N.p., n.d. Web. 20 Apr. 2012. . Yamasa. Things Japanese - A History of Japanese Cuisine Yamasa.org. The Yamasa Institute. Web. 23 Apr. 2012. .Yasuo, Wakuda. Improvement of Urban Railways. (1997) n. page. Web. 13 May. 2012. .

Waking Ned Devine

A utilitarian would say to do it because having that notes would bring them more leisure, but a ethnologist would say that they mustiness not commit fraud in order to lose the money because that would be lying and according to the matte imperative we should never lie. The second categorical imperative comes into play as well because it would be using a human as a means to an end rather than an end in itself (although with Ned being dead, one could have an argument that that doesnt come into play).Jackie makes the decision to lie because he has a dream and he believes that Ned has come to him and wants him to have the money. Cackle and Annie, as well as Jackie and Michaels friendship both fall under Aristotle category of friendship based on goodness. In both friendships, each person wants what Is vanquish for the other person, and all things are shared with each other. Both Jackie and Nannies marriage and Jackie and Michaels friendship include benefiting from the other and plea sure from the others company, but they have that important thing where each wants to help the other reach their tells.This is shown in the case of Jackie and Annie when Annie finds out Jackie and Michaels plan to get he money. She is upset because she doesnt want Jackie or Michael to go to jug for fraud. She doesnt think that will be what is best for either of them. The amount of winnings matters to Annie because when she finds out how much money it actually is she realizes how much It can help themselves, and the square township.I think that the moral significance of the act does change when Cackle Includes the whole town, because rather than being selfish and keeping It all, he Is helping the whole town and I do believe that is what Ned would have wanted. He Is attached to he town and would have been more than happy with what Jackie and Michael ended up doing with it. Although, if a ethnologist were to hold off at the situation, theres no way they would change their position, because lying is lying, and that is wrong.This fits perfectly into the situation where Kant says you should tell the truth even when you want to lie, and only then are you genuinely free. The mean old women is a character that always seems to be looking for ways to get what she wants at the expense of others. She tries to get two loaves of bread for Alfa price, she tries to get her toaster back without paying for it, and finally she threatens Jackie, Michael, and Annie by saying that she will call the office of the lottery If she doesnt get more money.I think that the priest Is in effect(p) to be worried of what will happen to the town with all that money because these people have lived simple lives for so long, that who knows what will happen when they come into money like this. It ends up looking like noticed that was an immediate change after they were sure of getting the money is when Fin promises Maggie to quit pig domain even though he claims to like it. If everyone stops t heir farming, what is going to happen to the village?Ultimately, yes, I think that Maggie does make the right decision when she chooses not to compose all the money for her son. When living in a tight knit community like that, everyone seems like family anyways. And like Jackie tells her, having a father is worth more than any amount of money, and if she were to claim the money for her son, Fin would have to continue pig farming and her son would still not have a father. As far a Aristotelian ethics goes, I think she climbed a bit on the hermeneutic circle and became a better person.

What Are the Risks of an Extended Supply Chain?

What are the risks of an extended supply chain? In order to remain competitive, a company must offer superior quality goods or services at the lowest prices possible. Supply chain enables a company to reduce the appeal while increasing the efficiency. However, at that place are risks that are associated with such benefits. These issues should be properly addressed when a company is trying to rely heavily on supply chain management in order to stay competitive within its industry. A company is exposed to risk by sharing privy information to its vendors.For example, Apple recently reported that arts and specs for both the iPhone 5 and the iPad mini leaked out well before their release dates. Apple incriminate its vendors for information leak. Apples security practices are targeted marking sure US employees dont leak stuff, but everything comes out from China now. A company is held accountable for its vendors being socially responsible. This includes making sure that vendors do not employ minors. For example, Nestles cocoa supplier, Ivory Coast, failed to pass the medium Labor Associations inspection because it employed children to process cocoa.Nestles held accountable for Ivory Coasts violation of FLA, it will seriously victimize the companys image as well as its profits. While a proper supply chain management produces cost effective products, there is a setback as it is difficult to quality control products that a vendor produces from oversea. For example, in 2007, Toys R Us vendor Mattel produced 83 products containing lead establish paint, which is hazardous to health. Consequently, Toys R Us had to recall 967,000 affected toys from reaching consumers. A natural disaster or political instability of a vendors country could affect a companys operation.For example, Dallas-based Texas Instruments said late Monday that it had suffered substantial detriment to its production plant in Miho, Japan and slight damage to its Aizu-wakamatsu plant. Both facilities are located north of Tokyo in the areas most affected by the disaster. The company makes silicon wafers at its Miho plant, which are the thin pieces of silicon glass used to manufacture microchips. In conclusion, for those companies that rely heavily on extended supply chain management to remain lucrative should consider the avocation strategies to avoid the risks mentioned above.First, a company should have more flexibility. Flexibility, in this context, means that a company should incorporate a vendor-auditing program to make sure that it is shock your standard. Second, a company should only share non-confidential information to its vendors to prevent them from compromising vital information. Lastly, a company should have multiple vendors to run a go out in case one vendor fails to complete the project on timely manner. These are the key preventive strategy to avoid or lower the risks of a supply chain management.

The Image of Nursing

The Image of Nursing Dawn Davis Texas A&M University-Texarkana The Image of Nursing Following is a discussion of the two-base hit of care for and professional identity. Factors contributing to treat image and the effects of care for image are included. The Image of Nursing What is the professional identity, or the image of nursing? How does the public view this hardworking profession? Do they understand what a nurse does? Do they understand the thought processes involved in caring for patients. Do they understand the knowledge involved in critical thinking?Do they have any idea that we formulate plans of care and that we put together nursing diagnosis with treatment plans, nursing interventions, expected outcomes? Do they understand that we are their advocates? Do they understand that either care is channeled through nursing and that we are their main(prenominal) defense for patient safety? Are we professionals in the eyes of the public, and in our own eyes? For my own researc h on this paper, I randomly quizzed tenner people that I met in public, not people that knew me personally. I asked them what they thought of nurses, and asked them to give me some adjectives to describe nurses in general.Some of the positive responses that I received were kind, caring, cool, they booster the doctors, they take care of patients, outstanding, knew what they were doing, they saved my life, and excellent. I also received some negatives. One person told me that they knew one nurse that was totally uncaring, unprofessional, and mean. Another individual told me that many a(prenominal) years ago her son, who passed away, was HIV positive and she felt that the nurses neglected him because of his diagnosis. I was appalled at the negative answers, and somewhat disappointed with the positives.While the positives that I received were all fantastic traits, not one person mentioned traits such as educated or professional. My very limited random research was completely in take out with the findings in our text book, Professional Issues in Nursing. So, it would seem that, in general, the public doesnt completely understand the wide scope of nursing. They understand some of the grassroots functions of nursing. The few random individuals that I spoke with based their perceptions mainly on personal past experiences with nurses. Nursing Image What is Nursing Image?This is a image that posits more clarification and study to increase nurses awareness of factors that affect public perception. Understanding the moral values in todays nursing drill will help nurses to work together with a common comprehension of their aims. This should also allow greater appreciation of the practice of nursing highlighting the equal importance of both fundamental basic nursing care and the advanced clinical roles (Horton, Tschudin, & Forget, 2007) Nursing image also affects the conclusion to enter nursing as a profession, to remain in nursing, and to encourage others to beco me a nurse.A broad definition is Nursing Image is a multidimensional, all-inclusive, paradoxical, dynamic, and manifold concept. (Rezaei-Adaryani, Salsali, & Mohammadi, 2012) To further define * All-inclusive and paradoxical references to both stereotypical and professional image. * Dynamic includes the changing view of nursing as a profession. * Complex, because many factors invite the formation of the image. Factors affecting Nursing Image Many factors combine to influence the image of nursing as a profession.Some of The factors include media, poor communication and visibility, change state style, the nurses behaviors, gender issues, and professional organizations. (Rezaei-Adaryani, Salsali, & Mohammadi, 2012) * Media- Historically media has not painted a very professional image of nursing, although, recently this has improved to portray a more capable, independent, strong, smart as a whip individual. * Poor communication and invisibility- Nursing is an invisible profession and this is a major threat to nursings social status and perceived value.It is believed that since nursing is for the most part female, that there is poor communication with media and reporters. Nurses also somewhat reluctant to share knowledge, experience, expertise, competence, and intelligence to change portrayal in the media. (Rezaei-Adaryani, Salsali, & Mohammadi, 2012) * Clo affaire style- Appearance is the first thing a person notices. A professional uniform that also defines them from other disciplines increases professionalism. * Nurses behaviors- Some believe that the nurse is not identified as professional individual, we refer to the physician as Dr. ___, and the nurse is known by the first name. Different levels of nursing education do the same job this may devalue nursing as an intellectual profession. Nurses with negative image of nursing may also project that to others. Self-image shapes behavior and performance in the workplace and affects how we think and act. (Fl etcher, 2007) * Gender issues- more often than not nursing is viewed as a female dominated profession. Men are normally viewed as having positions of power. Women are thought of as caring, more emotional and little aggressive than men.This gender stereotype tends to limit the number of males recruited and retained in nursing. (Rezaei-Adaryani, Salsali, & Mohammadi, 2012) * Professional organizations-Globally, there are 14 million nurses. Nurses are the largest group of health professionals in the world. Unfortunately, there is limited unity. Involvement in professional organizations, and standing together on issues is important in changing nursing image and increase professional identity. (Rezaei-Adaryani, Salsali, & Mohammadi, 2012) Effects of Nursing Image on NursingOne very important effect of public misunderstanding of the profession of nursing and the knowledge and skill need is a limited number of potential candidates for the future of nursing. Thirty years ago a significa nt number of young people would have chosen to be a nurse when they grow up, less than 5% of students responded so in a 2004 study. (Huston, Professional Issues in Nursing, 2010) Another important factor is that wide of the mark nursing stereotypes may have a negative effect on the self-esteem f nursing as a whole. Both of these factors combined involve to increase in nursing shortage, short-staffing, heavy workload, job dissatisfaction, and burn-out. This can lead to current nurses leaving the profession. In general, nurses image of nursing tends to be better than that of the public. This is associate to the fact that nurses are educated round the profession. I also asked several Registered Nurses to give adjectives to describe nursing.I received responses such as educated, professional, critical thinkers, overworked, advocates, compassionate, unappreciated, caring, researchers, knowledgeable, multitasker, empathetic, thorough, supportive, educators, and leaders. Many changes need to be made to change the image of nursing in public view. Nurses must be heard in the media. Nurses must speak positively about their profession. The public needs to be educated about the profession of nursing. Nurses should act, perform, and dress like professionals. Nurses should actively encourage bright individuals to join the profession.Current nurses should positively socialize nursing students, and new nurses, acting as optimistic and confident mentors, sharing their expertise. Nurses should join and be active in professional organizations, to increase unity, and be active in the political processes. Imagine the strength and respect nursing would command if half of the nurses joined. In summary, the image of nursing needs to be changed for the better. Change starts with the profession itself. either nurse should take accountability to make these positive changes through action, involvement, education, and behavior.Bibliography Fletcher, K. (2007). Image changing how wom en nurses think about themselves. The Author, 207-215. Horton, K. , Tschudin, V. , & Forget, A. (2007). The Value of Nursing A Literature Review. quick of scent Publication. Huston, C. J. (2010). Professional Issues in Nursing (second ed. ). (H. Surrena, Ed. ) Philadelphia, PA, USA Wolters Kluwer Health/Lippincott Williams & Wilkins. Rezaei-Adaryani, M. , Salsali, M. , & Mohammadi, E. (2012, December). Nursing Image An Evolutionary Concept Analysis. Contemporary Nurse, 81-89.

Global Developmental Delay Essay

Global suppurational Delay (GDD) is the general term used to describe a condition that occurs during the developmental period of a chela amongst birthing and 18 years. It is unremarkably de bewitchingd by the child being diagnosed with having a lower intellectual functioning than what is perceived as normal. It is usually accompanied by having significant limitations in communication. It is said to affect about 1-3% of the population.CausesThe most parking area causes of GDD are chromosomal and/or genetic abnormalities such as Downs Syndrome and Fragile X Syndrome or abnormalities with the structure or development of the brain or spinal cord such as rational Palsy or Spina Bifida. Other causes can include prematurity being born too early or infections, such as Congenital epidemic roseola or Meningitis. There are a number of diagnostic tests that can be done to identify the underlying cause of GDD. Sometimes these causes can be treated to cure the developmental delay, or at l east to prevent it worsening. However, often the cause is never able to be fully determined.SIGNS OF GLOBAL developmental DELAY CAN INCLUDE The child is unable to sit on the floor without support by 8 months The child is unable to crawl by 12 months The child has poor social skills/ judgment The child is unable to roll over by 6 months The child has communication problems The child has fine/ gross labour difficulties The child shows aggressive behavior as a coping skill In some children GDD is suspected soon after birth because of feeding difficulties or muscle-tone. In others it is suspected later when training or behavior difficulties occur at school.Diagnostic ExaminationsOnce suspected, tests can confirm the presence of developmentaldelay. Since the causes can be numerous, the diagnostic tests aim to cover broad areas and may include Metabolic tests and screening Genetic (Chromosome) testing Hearing and deal test Lead screening Thyroid screening Electroencephalography (EEG) , Computed tomography (CT) scans, Magnetic Resonance Imaging (MRI) Psychological sound judgementPsychological assessmentPsychological assessment often involves an in depth interview with the parent(s) and possibly a psychological assessment of the parent(s) as well. Parents are also asked to complete structured questionnaires about their childrens functioning, including observations of reviveground behaviour, interaction with other children and various skills children are expected to perform at certain ages (e.g., tying shoe laces, dressing independently). Children are tested for motor skills, academic skills and diction skills.TreatmentsThere is no single treatment for GDD but there are ways to help some of the conditions that may be cause the delay. Once a paediatrician or neurologist has completed testing of the child, he/ she may advise on treatments for whatever underlying medical conditions that may exist. For example, hearing or visual impairment or therapeutic input by a Speech and Language Therapist Occupational Therapist and Physiotherapist. It is practicable that no cause will be found or that the cause that is identified may be difficult, if not impossible, to treat. On the other evanesce, being informed of the conditions that are causing the delay can help parents, teachers and medical professionals to better counsel and guide children who are experiencing developmental problems.TheraphySpeech and Language TherapySpeech and language therapy is concerned with the management of disorders of speech, language, communication and swallowing in children and adults Augmentative Communication is an umbrella term that encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language Sign Language involve simultaneously combining hand shapes, orientation and movement of the hands, arms or body, and facial expressions to fluidly express a s peakers thoughts Sensory Integration Therapy sennsory-based therapies involve activities that are believed to organize the sensory system by providing vestibular, proprioceptive, auditory, and tactile inputs. Brushes, swings, balls, and other specially designed therapeutic or recreational equipment are used to provide these inputs ApproachesApplied Behavioral outline (ABA)A type of behavior analysis based on the traditional theory of behaviorism to modify human behaviors as part of a learning or treatment process. Behavior analysts focus on the observable kin of behavior to the environment to the exclusion of what they call hypothetical constructs. By functionally assessing the relationship between a targeted behavior and the environment, the methods of ABA can be used to change that behavior. DIR Method ( narrativetime)Dr. Stanley Greenspan, a child psychiatrist, developed a form of play therapy that uses interactions and relationships to extend children with developmental dela ys and autism. This method is called the Developmental, Individual-Difference,Relationship-Based model, or DIR/Floortime for short. Floortime is based on the theory that autism is caused by problems with brain processing that affect a childs relationships and senses, among other things. With Floor Time, the childs actions are assumed to be purposeful. It is the parents or caregivers role to follow the childs deport and help him develop social interaction and communication skills.Miller MethodThe Miller Method has four basic remainders It assesses the adaptive significance of the childrens distressed behavior, It attempts to transform the disordered behavior into functional activity, It attempts to expand and guide the children from closed ways (of living alone or in immediate circle the like with parents) into social and communicative exchanges, and It guides and teaches professionals and parents as regards the ways and systems to be followed to facilitate children the children affected with autism and related disorders toward reading, writing, number concepts, symbolic plays, and development of typical classroom activities.Relationship Development Intervention.The programs core philosophy is that individuals with autism can participate in authentic emotional relationships if they are exposed to them in a gradual, systematic way. The goal of treatment is to systematically build up the motivation and tools for successfully interacting in social relationships, to correct deficits in this area that are thought to be common to all people with autism.Son-RiseIs a home-based program for children with autism spectrum disorders and other developmental disabilities, which was developed by Barry Neil Kaufman and Samahria Lyte Kaufman Parents are trained at an institute on how to be aware of their attitudesa core principle of the therapyfor bonding and relationship building, as well as creating a low-stimulus, distraction-free playroom environment so the child can p ure tone secure and in control of the over-stimulation.Parents and facilitators mimic a childs exclusive and restricted stimming behavior, until the child shows social cues for willing engagement. Then encouragement for much complex social activities is done in a noncoercive way, while simultaneously using the 3 Es Energy, excitement, enthusiasm. If the child moves away from social interaction, the facilitator gives the child their space by using parallel play in order to gain the childs self-trust. To acquire skill acquisition, the program uses the childs particular motivation for learningTEACCH Programprovides clinical services such as diagnostic evaluations, parent training and parent support groups, social play and recreation groups, individual counseling for higher-functioning clients, and supported employment. In addition, TEACCH conducts training nationally and internationally and provides consultation for teachers, residential care providers, and other professionals from a variety of disciplines. explore activities include psychological, educational, and biomedical studies.Coping misuse 1Research all of the options to help your child mitigate the developmental delays. Visit your childs pediatrician if you suspect developmental delays and ask for an evaluation. Contact the National Dissemination Center for Children with Disabilities, also known as NICHCY. They offer information to all sectors of society regarding disabilities in children and youths from birth to age 22. With guidance from your childs doctor or a developmental specialist, consider counseling, training and therapy. Sponsored LinksStep 2 progress to a family programme that integrates all the studyed therapies into regular family activities. It is easy, especially during the early months of learning your child has a developmental delay, to feel overwhelmed and unable to focus. A family plan or schedule establishes routines that guide everyone each day. Use the plan as a family blueprint , but create enough flexibility to integrate new activities and changes in daily routines.Step 3Establish opportunities for respite. The energy and commitment required to assist a developmentally delayed child drains energy from parents and siblings. Contact your topical anaesthetic social services agency regarding respite services. Find a trained respite provider who will care for your developmentally delayed child for a a few(prenominal) days or a weekend. Families need occasional breaks from the stress in order to operate at their best when their child is home.Step 4Investigate programs for siblings that allow them to share their worries and frustrations in a safe, supportive setting. Ask extended family, friends, neighbors and your faith community for help with such things as transportation and meals.Step 5Work with your childs school system to create academic supports through the creation of an individualized education plan (IEP). Children with developmental delays prevail a cademic assistance, as outlined by the Individuals with Disabilities Education Act (IDEA), a federal law. Some children may require specialized services for a few years, while others may need support throughout their school years.Step 6Acknowledge issues of grief, loss and disappointment. Parents may require assistance reevaluating their plans and dreams for the child. Siblings may need help understanding the limitations and abilities of their developmentally delayed brother or sister. The developmentally delayed child may require support and strategies to understand their disability.

Assignment Questions Chapters 5-7 Psychology Essay

1. Most current studies aimed at understanding human fund atomic number 18 conducted within a framework know as field of honor-processing surmisal. This approach makes use of modern computer science and related fields to provide models that help psychologists understand the processes involved in memory. The general principles of the randomness processing approach to memory include the notion that memory involves three distinct processes. The first process, encoding, is the process of transforming information into a form that advise be stored in memory. The second process, repositing, is the process of keeping or maintaining information in memory. The final process, retrieval, is the process of bringing to mind information that has been stored in the memory (p.168). cardinal influential theorists concerning the information-processing opening argon Richard Atkinson and Richard Shiffrin. They characterized memory as three diametrical, interacting memory system of ruless sens ory memory, short-term memory, and long memory. Sensory memory is the memory system that holds information from the senses for a period of cartridge holder ranging from only a fraction of a second to more(prenominal) or less 2 seconds. Sensory memory canister take in an enormous amount of information, but it can only hold on to it for a very brief period of time (p.169).Short-term memory is the serving of the memory system that holds about seven (from five to nine) items for less than 30 seconds without rehearsal also c ei at that placed the working memory. When short-term memory is filled to capacity, displacement can come up. In displacement, each new incoming item pushes out an existing item, which is then forgotten (p.170). Long-term memory (LTM) is the memory system with a intimately unlimited capacity that contains vast stores of a persons permanent or relatively permanent memories. There ar no kn let limits to the storage capacity of this memory system, and long-term memories can persist for years, both(prenominal) of them for a lifetime. Information in long-term memory is crudely stored in semantic form, although ocular images, sounds, and odors can be stored on that point as well (p.174).2. The analogy heuristic involves comparing a problem to early(a)s you have undergo in the historic. The idea is that if a particular strategy worked with similar problems in the past, it will be effective for solving a new one. Another heuristic that is effective for solving some problems is working backward, some quantify called the backward search. This approach starts with the solution, a known condition, and works back through the problem. Once the backward search has revealed the steps to be taken and their order, the problem can be solved (p.207). Another popular heuristic strategy is means-end analysis, in which the current position is compared with a desired goal, and a serial of steps are formulated and then taken to close the gap between the deuce. When you adopt a heuristic strategy, it may or may not lead to a correct solution. By contrast, the algorithm is a problem-solving strategy that al slipway lead to a correct solution if it is applied appropriately (p.208).3.Research suggests that there are both advantages and disadvantages to learning two languages early in life. 1 of the pluses is that, among preschool and school-age children, bilingualism, fluency in at least two languages, is associated with better executive tame skills on language tasks. Executive control skills enable bilingual children to suppress impulsive responses to verbal tasks and, as a leave behind, think more carefully about them. Thus, executive control skills are important in learning to read and write. On the downside, even in adulthood, bilingualism is sometimes associated with decreased efficiency in memory tasks involving intelligence activitys. However, bilinguals appear to develop compensatory strategies that allow them to make u p these inefficiencies. Consequently, they often perform such tasks as accurately as monolinguals, though they may respond more slowly. Researchers have found that there is no age at which it is impossible to learn a new language.While it is true that those who begin earlier nark higher levels of proficiency, age is not the only determining factor (p.214). There is one clear advantage to learning two languages earlier in life, however. mass who are younger when they learn a new language are far more likely to be able to speak with an appropriate accent. One reason for this difference between early and late language learners may have to do with slight variations in neural processing in Brocas area, the area of the brain that controls speech production. Research suggests that bilinguals who learned a second language early rely on the aforementioned(prenominal) patch of tissue in Brocas area for both of the languages they speak. In those who learned a second language at an older age , two diverse sections of Brocas are are active while they are performing language tasks (p.215).4. Charles Spearman observed that people who are silvery in one area are usually bright in other areas as well. In other treatments, they tend to be generally intelligent. Spearman came to mean that intelligence is composed of a general ability that underlies all intellectual kick the buckets. Spearman concluded that intelligence shows tap this g factor, or general intelligence, and a number of s factors, or specific intellectual abilities. Spearmans deviate can be seen in those intelligence footraces, such as the Stanford-Binet, that yield one IQ score to indicate the level of general intelligence. Howard Gardner also denies the cosmos of a g factor. Instead, he proposes a theory of multiple intelligences that includes eight important forms of intelligence, or frames of mind.The eight frames of mind are linguistic, logical-mathematical, spatial, bodily-kinesthetic, musical, int er individual(prenominal), intrapersonal, and naturalistic. In recent years, he has proposed a ninth type of intelligence, one that he calls existential intelligence, deals with the spiritual realm and enables us to contemplate the meaning of life. He first developed his theory by studying patients with different types of brain damage that affect some forms of intelligence but leaves other intact. The most contr everyplacesial aspect of Gardners theory is his view that all forms of intelligence are of passable importance. In fact, different cultures assign varying degrees of importance to the types of intelligence (p.216-217).5. I would perform a fixed-ratio (FR) schedule, in which a reinforcer is given after a fixed number of correct, non reinforced responses. So, if my dog knew that after rolling over correctly ten times without getting reinforced meant that she would get a reinforced after those ten times, she would then learn that after rolling over ten times correctly, she wou ld be reinforced (p.147). In fixed-rate schedules response rates are very high, and the higher the ratio, the more resistant to extinction (p.148).6. Psycholinguistics is the study of how language is acquired, produced, and used and how the sounds and symbols of language are translated into meaning. Psycholinguists use specific terms for each of the five basic components of language. The smaller units of sound in a spoken language-such as b or s in English-are known as phonemes. Three phonemes together form the sound of the word cat c (which sounds like k), a, and t. Combinations of letters that form particular sounds are also phonemes, such as the th in the and the ch in child. The same phoneme may be represented by different letters in different words this occurs with the a in stay and the ei in sleigh. And the same letter can serve as different phonemes. This letter a, for example, is sounded as four different phonemes in day, cap, watch, and law. Morphemes are the smallest units of meaning in a language. A few wiz phonemes serve as morphemes, such as the article a and the personal pronoun I.The ending -s gives a plural meaning to a word and is thus a morpheme in English. Many words in English are oneness morphemes-book, word, learn, reason, and so on. In addition to root words, morphemes may be prefixes (such as re- in relearn) or suffixes (such as -ed to show past tense, as in learned). The maven morpheme reason becomes a dual morpheme in reasonable. The morpheme book (singular) become two morphemes in books (plural). Syntax is the aspect of grammar that specifies the rules for arranging and combining words to form phrases and sentences. The rules of word order, syntax, differ from one language to some other. For example, an important rule of syntax in English is that adjectives usually come forward nouns. So English speakers refer to the lobby of the U.S. president as the White House.In Spanish, in contrast, the noun usually comes before the advect ive, and Spanish speakers say la Casa Blanca, or the House White. Semantics refers to the meaning derived from morphemes, words, and sentences. The same word can have different meanings depending on how it is used in sentences I dont mind. Mind your manners. He has lost his mind. Or consider another(prenominal) example Loving to read, the young girl read three books last week. Here, the word read is pronounced two different ways, and in one case, is the past tense. Pragmatics, is the term psycholinguists use to refer to aspects of language such as intonation, the rising and falling patterns that are used to express meaning. For example, think about how you would say the single word cookie to express each of the following meanings Do you want a cookie? or What a delicious looking cookie or Thats a cookie. The subtle differences reflect your knowledge of the pragmatic rules of English (P.210-211).7. An intelligence test is a measure of general intellectual ability. An individuals scor e is determined by how his responses compare to others of his or her age. Thus, intelligence tests are norm-referenced. All psychological tests, including all the various types of tests that measure cognitive ability, are judged accord to the same criteria.They must provide consistent results. An intelligence test must have reliability the test must consistently yield nearly the same score when the same person is tested and then retested on the same test or an alternative form of the test. The higher the correlation between the two scores, the more reliable the test. Tests can be highly reliable but worthless if they are not valid. Validity is the ability or power of a test to measure what it is intended to measure. Once a test is proven to be valid or reliable, the next requirement is norm-referenced standardization. There must be standard procedures for administering and scoring the test.Exactly the same directions must be given, whether written or oral, and the same amount of ti me must be allowed for every test taker. But even more important, standardization means establishing norms, age-based numbers, by which all scores are interpreted. A test is standardized by administering it to a big(a) sample of people who are representative of those who will be taking the test in the future. The groups score are analyzed, and then the average score, standard deviation, percentile rankings, and other measures are computed. These comparative scores become the norms used as the standard against which all other scores on that test are measured. Reliability, validity, and standardization are peculiarly important with regard to intelligence tests because the kinds of decisions that are sometimes based on intelligence test scores can have grave consequences.For example, a few years ago the U.S. Supreme Court ruled that is unconstitutional to execute individuals who have mental retardation. Thus, a psychologist who is aerated with the responsibility of administering an intelligence test to a person who will or will not be subject to the death penalty at least partly on the basis of his or her intelligence test score must ensure that the test given is reliable and valid and has been properly standardized. Likewise, childrens scores on these tests are often used to place them in special school programs that, in a very real sense, change the lam of their lives for years to come. In fact, such a goal was the impetus for the development of the first standardized intelligence test (p.219).8. In memory expiration there are two broad categories that involves this kind of memory loss, amnesia and dementia. Amnesia is a partial or complete loss of memory due to loss of consciousness, brain damage, or some psychological cause. Unlike the memory disorders that are experienced by some older adults, amnesia can be experienced at any age. In some cases, amnesia takes the form of an inability to store new information. This kind of amnesia is known as anterograd e amnesia. anterograde amnesia is the inability to form long-term memories of events occurring after a brain injury or brain surgery, although memories formed before the trauma are usually intact and short-term memory is unaffected. Some individuals with amnesia can form new memories, but they cannot remember the past, a disorder known as relapse amnesia.Retrograde amnesia is a loss of memory for experiences that occurred shortly before a loss of consciousness. These people often lack knowledge of themselves and/or the events contact the development of their memory loss. It is not unusual for a person to have both retrograde and anterograde amnesia with regard to the events that immediately preceded and followed a proficient car crash or other traumatic event (p. 189). Another form of memory loss is dementia. Dementia is a state of mental declination characterized by impaired memory and intellect and by altered personality and behavior.Dementia can result from such conditions as cerebral arteriosclerosis (hardening of the arteries in the brain), chronic alcoholism, and irreversible damage by a small series of strokes. Dementia is most common among older adults. However, diseases such as HIV/ help can cause dementia to develop in a younger person as well. About 50 to 60% of all cases of dementia result from Alzheimers disease. This is a progressive deterioration of intellect and personality that results from widespread degeneration of brain cells (p.190).9. People reconstruct memories, piecing them together using schemas to organize fragments of information, a process that has both advantages and disadvantages. Information that fits with preexisting schemas can be efficiently remembered, but schemas can also introduce distortions into memory. Sir Frederick Bartletts research demo how reconstructive processing changes memory over time (p.178). Most memories do not include source information, so memories for sources must be reconstructed. Source supervise r esults in encoding of source memories. Flashbulb memories are different from others in that they always include source information, although the source information is subject to reconstruction changes over time (p.179). Autobiographical memories are reconstructed memories that include factual, emotional, and interpretive elements. They are subject to positive bias (p.180).10. Bandura suspected that aggression and violence on television programs, including cartoons, tend to increase aggressive behavior in children. In several classic experiments, Bandura demonstrated how children are influenced by exposure to aggressive models. One study involved three groups of preschoolers. Children in one group individually observed an adult model punching, kicking, and hitting a 5-foot, inflated plastic Bobo Doll with a mallet, while uttering aggressive phrases. Children in the second group observed a nonaggressive model who ignored the Bobo Doll and sat quietly assembling putter around Toys.Th e children in the control group were placed in the same setting with no adult present. Later, each child was observed through a one-way mirror. Those children exposed to the aggressive model imitated much of the aggression and also engaged in significantly more nonimitative aggression than did children in either of the other groups. The group that observed the nonaggressive model showed less aggressive behavior than the control group. The researchers concluded that of the three experimental conditions, exposure to humans on postulate portraying aggression was the most influential in eliciting and shaping aggressive behavior (p. 158-159).11. Experiencing hunger pangs when you life your favorite food is an example of classic conditioning.Your substantiate rumbles when you smell your favorite food because smell and taste are so closely linked that food odors, functioning as conditioned stimuli, can very make you think you are hungry even if you have just finished a large meal. The conditioned stimulus (CS) would be the presence of the smell of your favorite food which brings about the unconditioned stimulus (US) hunger pangs. Because humans do not need to be taught to be hungry for food, the act of feeling hungry would be the unconditioned response (UR). The conditioned response (CR) would be knowing that you will get hungry when you smell your favorite food (p.143).12. Critics represent that therapists using hypnosis and guided imagery to help their patients recover repressed memories of childhood sexual abuse are actually implanting false memories in those patients. They are especially critical of claims of recovered memories in the first three years of life, because the hippocampus and areas of the cortex are not well developed enough to store long-term memories. Therapists who use these techniques believe that a number of psychological problems can be treated successfully by helping patients recover repressed memories of sexual abuse. These therapists b elieve that a process called repression, a form of motivated forgetting, can cause traumatic memories to be so deeply buried in an individuals unconscious mind that he or she has lost all awareness of them (p.192-193).13. Writing notes, making lists, writing on a calendar, or keeping an interlocking book is often more reliable and accurate than trusting to memory. But if you need information at some unpredictable moment when you dont have aids handy, several mnemonics, or memory devices, and study strategies have developed over the years to aid memory. Mnemonics, or rhymes are a common aid to remembering material that otherwise might be difficult to recall. As a child, learning to recite i over e that after c when you were trying to spell a word containing that vowel combination is an example of a mnemonic.The method of loci is a mnemonic device that be used to when you want to remember a list of items such as a grocery list. Select a familiar place your home, for example and s imply associate the items to be remembered with locations there. For example, visualize the first item you want to remember in its place on the driveway, the second in the garage, and the third at the breast door, and so on until you have associated the item you want to remember with a specific location. Overlearning is another method of improving memory. Overlearning is practicing or studying material beyond the point where it can be repeated once without error. It makes material more resistant to forgetting (p.173).14. Bandura proposed that four processed determine whether observational learning will occur Attention The observer must attend to the model. Retention The observer must store information about the models behavior in memory. sound reflection The observer must be physically and cognitively capable of performing the behavior to learn it. In other words, no matter how much time you devote to watching Serena Williams play tennis or listening to Beyonce sing, you wont be a ble to acquire skills like these unless you possess talents that are equal to theirs. Reinforcement Ultimately, to exhibit a behavior learned through observation, an observer must be motivated to practice and perform the behavior on his own (p.156).15. In some cases, we are hampered in our efforts to solve problems in daily life because of functional secureness, the failure to use familiar objects in novel ways to solve problems. Objects you use everyday such as, tools, utensils, and other equipment are what help you perform certain functions. Although, you probably do not think to use the approach pattern functions of such objects in new and creative ways. Suppose you wanted a cup of coffee, but the glass pot for you coffeemaker was broken. If you suffered from functional fixedness, you might come to the demonstration that there was nothing you could do to solve the problem at that moment. But, rather than thinking about the object you dont have, think about the function that it needs to perform. Another impediment to problem solving is mental set, the tendency to slip by to use the same old method even though another approach might be better.Perhaps you hit on a way to solve a problem once in the past and continue to use the same technique in similar situations, even though it it not highly effective of efficient. The cognitive process that underlies both functional fixedness and mental set is confirmation bias, the tendency to selectively pay attention to information that concerns preexisting beliefs and ignore data that contradict them. For example, when faced with an operating system crash, most computer users know that the first line of defense is to reboot. Every time rebooting solve the problem, confirmation bias in favor of rebooting as a solution for computer problems becomes stronger. As a result, when a problem arises that proves resistant to rebooting, most of us try rebooting a few more times before we confront the reality that rebooting isnt going to solve the problem (p.209).

A Martian Sends a Postcard Home, by Craig Raine Essay

FormalThe first order of criticism to use to better understand the 1979 song A Martian Sends a Postcard theater by Craig Raine is Formalism. When you want to analyze a poem wishing the formalist method you should look at three things. The form, the physical social structure of the poem, such as the length of the lines or stanzas, their rhythms, and their rhymes and repetition. Next is diction, what the speech communication of the poem literally mean and why they chose that exact word instead of another one. extend is the unity of the poem, this is when significant parts of the poem come to motherher to make the entire then whole. A formalist will look at all of these things when they unfavorable judgment a poem to try to understand the deeper meaning.Lets first look at the structure of the poem. A Martian Sends a Postcard Home is comprised of 34 lines in couplets that do not rhyme. Sometimes words seem to be places where they shouldnt be almost overflowing onto the attached l ine. This use of couplets is for the readers benefit, it makes the poem much easier to read on the page. He also could have formatted his poem like this because the poem contains many metaphors and it is easier to focus on the metaphor if there is a break in between. Cleanth Brooks would call this an Aesthetic Structure because the structure of the poem is meant for the readers to understand it easier. Raine tries to write the poem to appeal to whoever is reading it and that is why he chose this form of writing in his poem.Second, we need to look at the diction inside the poem and there is a lot of interesting word choices by Raine. The best demeanor to do this is to look at what words be in each line and what each line is saying. The first six lines are where the author uses his first comparison. A Caxton is a reference to the Englishman Will Caxton who first printed books. He then compares these books to a creature of earth, birds. He compares the birds fly to the pages of the b ooks and two birds and books each have their way of showing their importance or meaning. Birds show how their importance and meaning with their color and books show how their importance and meaning with the words they contain. cause the look to melt/ or the body to shriek without pain refer to human emotions cry and laugh that the speaker of the poem (The Martian) doesnt understand. wherefore he goes on to say how a book cannot fly but he has seen one perch on the hand, making note of how humans reserve books as they read them.The next four lines also make a comparison between nature and mankind. Mist is when the sky is tired of flight could be saying that the sky is a way to travel for the Martian through a UFO or spaceship. engravings under tissue paper takes us stake to a book but this time it seems unimportant, like the Martian might not understand the importance of a book. Lines 11 and 12 the rain is compared to a T.V. They both make things appear darker than they really. Also, rain could be like the static in a T.V when the signal is fuzzy often when it is raining. The next two lines speak about a Model T which is a kind of car that was very popular in the early 1900s. The room is the inside of the car where everyone sits and the betroth is ignition where the key goes. Key is turned to free the world is the car moving and the film is the mirror that lets you see the world as it goes by in case you missed something. Lines 17 and 18 talks about something a lot of bulk have an obsession with keeping track of, time. Tied to a wrist is a watch and kept in a box is a clock. The Martian is saying that humans try to make time an endeavor and there is no reason for this because your time will always run out.Lines 19- 24 make another comparison to mankind and nature, an ongoing theme in the poem. This time its comparing a telephone to a baby. If the phone rings it is similar to a baby when it cries, a parent necessitate to decompose the baby up when it cries as you need to pick up the phone when it is ringing. When the baby is tickled it is like when you dial a number into the phone you are both using your fingers do the action. The next six lines talk about a child and an adult using the restrooms differently. The children are drop by the waysideed to suffer/openly while the Adults go to a punishment room / with water but nothing to eat. Going back to a similar theme with time being imprisoned the people impress themselves in these bathrooms. Everyone is punished when they use the restroom and no one is safe from this punishment. The people force themselves to use the restroom and the children as well, in the eyes of the Martian. The last lines have the last comparison which brings us full circle in the poem. He makes the comparison of reading to dreaming. The night everything becomes dark and the people as a couple appear to dream. The author might have used couples like how the whole poem is in couplets showing that humans be long in pairs. With their eyelids leave off is them sleeping in bed read about themselves is their dreams. All in all, there are many metaphors to unpack in this poem and you start to get an understanding of the overall meaning of the poem and its unity.So what message is Raine trying to get across to us with all of his man vs nature metaphors? A formalist would argue that Raine is just trying to paint a picture of what an outsider would actually see if they were not in our society. They dont see things the way humans do and they cant even think of the right words to say for the things the Martian is seeing. The metaphors thought out the poem reinforce the register that the Martian isnt sure what he is seeing and can plainly describe them in things that he has seen before. The Martian is able to take his experiences and connect them in a way with the humans. He thinks some of the things they do are strange and funny at the time, but he can still make references to his knowledge life and his views on life.However, this might not at all be what the author is saying. It is possible that we have no idea what Raine meant when writing this poem and Allen Tate argues the only real way to understand what modern poetry contains is to Start young, read the classical languages and later read the philosophers. We can only make a gamble at what Raine was saying in this poem and that is what makes poetry beautiful. Everyone can take it their own way, an infinite possibility of what the poem means to them or to anyone. Or could it be that formalism is not the best method of understanding this poem and we need to look more outside the text to understand what Raine meant?Psychological CriticismThis next method of Criticism isnt as much as taking the text at face value like the formalist method. It is about trying to get inside the mind of the author and figure out what was going on in his head when he was writing his poetry. There are 4 important critics that use Psychol ogical criticism when unpacking literary work and they each have similar but unique styles when doing so. The first is Sigmund Freud, to have a Freudian admission to this text you would not oversimplify what the author meant and exaggerate your interoperations of symbolism as well as using all of Freuds psychological jargon. This will allow you to dive deeper into the text and not just float on the top of the water. The second is Carl Jung and Mythological Criticism. Jung focuses on two things, the Conscious/unconscious and archetypes. The Conscious/Unconscious refer to the human psyche and how our ancient ancestors thought and felt. Archetypes are very typical examples of a certain person or thing. Jung talks about archetypes for characters, images, and situations. The tercet Northrop Frye used Jungs ideas of archetypes to help promote his theory of myths. Frye argued that every text follows one of four mythoi and the whole text was called the monomyth. Last Jacques Lacan came up with an updated Freudian method for understanding literature. He had a different method for analysis characters in stories such as other and Other. The small o being the inside and the spoilt O is the outside of the body. Lacan also came up with Antirealism which is his assertion that langue is detached from reality. All of these four authors methods are important when looking at what Rain meant when writing A Martain Sends a Postcard Home and to get a better understand lets us apply of these to the Poem.The last Stanza of this poem read about themselves/ in color, with their eyelids shut could be argued that this is a dream that the humans are having. Freudian theory becomes stronger when people are dreaming, Freud believed that dreams are a symbol of antiquity and that their dreams contain the needs of the induvial that they might fight troublesome

Health Care Innovation Essay

Asthma is roughly common in children it begins at babyhood and continues to adulthood. Approximate 40,000 Americans miss cultivate or work. This is costing the united States economies about $56 billion a year. Research companies argon coming up with 74 parvenue medicines to treat or present bronchial asthma attack. By producing new medicines it will help reduce the cost of asthma. Asthmas are often described with symptoms of a cough which can be worse at night. Wheezing is a noise heard in the airways this is most common in children who live in urban areas. They may be exposed to the most dangerously browbeat roach antigens, dust mites or pet danger. The high risk for the children had more hospitalizations unscheduled medical visits. Patients can face multiple barriers to care such as lack of routine pediatrician visits and have no access to asthma specialty care.The benefits patients especially preschool children there are a leave Start program in Baltimore Maryland, where a ll the children in the program can receive serve through a pediatric asthma clinic while in addition learning and educating themselves from asthma educators. The mobile clinic offers asthma examination and prescriptions along with parent education about the disease. The asthma educator does a home visit where he or she explains how the program works and how the parents can learn to communicate with the pediatrician another option would be to offer the family to accompevery them to their physicians office. all(prenominal) year Breath mobile sends forms home with for parents interested in a visit. The parents fill out the form and have the child bring it back to school the next day. Next the assessment where each child gets a form and the screening comes back with presence symptomatic asthma. The staff reaches out to them to schedule a visit during school hours where both child and parent need to attend.A team of pediatric allergist or pulmonologist comes in with a NP, RN, where the examination takes place with each child. Their main focus is on medical history and testing the childs lung function. Medications should be taken to prevent any flare up. Families receive asthma education and also to follow up with your primary care physician.Some of the new medicines they are trying out is a momocinioal antibody that inhibits eosinophils( a type of smock blood cell) form accumulating in the lungs. Next, a new inhalation therapy that harnesses the bodys natural defense in the airway against asthma. Lastly, a medicine that blocks the proinflammatory effect of prostaglandin in allergic asthma. (innovations.org 2012)Another development is with 4 new medicines the first one is reducing eosiophil accumulation which means the white blood cells is weighty for killing parasites in the body, although it can occur in your lung tissues which will damage the lining of your air passage. Second, controlling pathogens is an inhalation therapy. Third alleviating allergy systems there is a protein called interieukin that plays a role in the symptoms of allergic asthma. The increased mucus may contribute to the airway obstruction. Another one is blocking inflammatory response where the prostaglandin and protein sense organ crth2 of allergens will cause imflammorty cells to flare up.I think this asthma innovation will decrease health care spending. By offering more serve such as these above more children will be able to breathe better. Their not many appointments scheduled or kept. Some of the children had no revision in symptoms. When bringing a mobile clinic it did not change the access of care. Families should be more educated about asthma, and be able to have a community advocate. Let parents choose convenient times acknowledge other options for expanding interventions.Every child that suffers with asthma will benefit from this and the parents will be better such services existed. This will help them live a happy life and to control there breathing wo uld be helpful also and be able to avoid asthma attacks. In addition the number of hospitals visits for pediatric asthma medical assistance has increased. This is measured by how many ambulatory visits, parking brake department use. Since 2000 ambulatory visits are increasing due to disease severity and health care utilization. The youngest boys (0-4 years of age) used ambulatory care and hospital services more frequently than did girls of the same age, but different according to sex decreased to insigifant levels in the 11-17 year old age group. (hing, 2004)Path physiology of Asthma airline business inflammation continues to expand and may be an alliance of many cells types. Asthma can be difficult to diagnosis in infants and toddlers. Wheezing has been suggested as the most important symptom in identifying asthma in disease population studies. (Gergen 1998) With the variety of etiologies, asthma is characterized by heterogeneity. The improved phenotype was to classify the missing compounds of heritability. The term phenotype, as introduced by Johannes and Shull was intended to characterize different types of organisms distinguishable by their observable characteristics (eg, shape, structure, size and color.)New InnovationsAlong with new research and development of diagnostician suspire indemnification. A deceiver called Pulmotrack and wheezeometer will help with young children who are unable to cooperate. This device was successful used in brochoprovocation testing in infants. The current asthma inhaler children are using cost effective and it is the safest scientific approach for asthma therapy. While you are at your physicians office the cost is determined by which drug of choice, availability and reimbursement options. The device the revive chooses should be tailored to their age. With health care spending on this innovation will stay the same?Unless they are able to determine a better treatment for kids. I think parents and doctors should be educated about the risks and medication using. If they do need to change medications for any reason then go back to your physician and have them look it over. Every patient should have a written asthma plan which should include the following regarding triggers, medications, and emergency contracts. This information should be reviewed at every visit. Intervention is the best out come for asthma patients, whether a school based clinic, doctors office, or a parent helps them out. Factors are still missing with regards to epidemiology, pathophysioogy environmental control these have yet to be resolved.Asthma is diagnosed in children from infancy to adulthood it can come from dust mites, air in the environment tobacco smoke. Researchers are studying new ways to treat asthma for patients. In developing new medicines to kill parasites by controlling pathogens while targeting interleukin and environmental allergens. With all this new technology and medicine coming into the future children will be ab le to have better control over there asthma systems and will not have to worry about it all their life.ReferencesEakin MN, Rand CS, Biderback A, et.al. Asthma in Head Start Children. Effects of the Breathmobile Program and family communications on Asthma outcomes. Journal of Allergy and Clinical Immunology. Published online November 21, 2011. Retrieved from http//www.jacionline.org/article/s0091-6749(1)01622-8/abstractGergen PJ, Mullay DI, Evans R III. subject Survey of prevalence of asthma among children in the United States, 1976-1980. Pediatrics 1988 81(1)1-7.Hing E, Cherry DK, Woodwell DA, National Ambulatory Medical care survey 2004. Advance data from rattling and health statistics no 374. National center for health statistics 2006.Innovation in Action The Improving Asthma care for children programs. Retrieved from http//www.pediatricasthma.org/Medicaid_managed_careInnovation.org Asthma March 5, 2012. Retrieved fromhttp//www.inovovatioin.org/index.cfm/futureofinnovation/newme dicineindevelopment/asthma.

How alignment between the values of an organization Essay

Create a presentation in a common format (PowerPoint or a similar program) with a minimum of twenty (20) slides and like speaker notes in which you1. Determine which statistical technique you will employ to measure the quality characteristics of your organization. pass on examples to support the rationale.2. Analyze the real facility location, and then use the three-step procedure to determine a innovative location.3. Analyze the key concepts related to capacity planning and facility location for the new location.4. Examine the current work system design, and determine your organizations selected feasibility in the job design (i.e., technical, economic, behavioral). prise key elements of the rationale in the work design competitive advantage.5. using the method analysis describe in the textbook, defend the new change implementation process and the rationale for the change of method.6. Develop a diagram showing network planning techniques, in which you use the program evaluation and review technique (PERT) and the critical path method (CPM).7. Use at least three (3) quality academic resources in this assignment.Note Wikipedia and other Websites do not quality as academic resources. Your assignment must engage these formatting requirements

Forensic Science Unit Two Text Questions Essay

1. What is a questioned document? pull at least one example of something that baron be a questioned document. A questioned document is when a handwritten or any other suit written document is questioned by its authenticity. A great example would be a passport.2. What is an exemplar? What argon the best types of exemplars?-Exemplars atomic number 18 samples that are authentic that are compared with the document thats questioned. 3. What are natural variations? Describe how these may happen.-They are small differences that appear repeated samples of someones handwriting. Overtime our handwriting falsifys because every time we compile something our hand changes the way we write.4. How are stamped signatures different from written signatures?-Stamped signatures are always the same and written signatures change every time that you write them.5. What are some of the typescript machines that document get wordrs may have to investigate? distinguish one of these machines and describe what document examiners may look for when comparing the machine to a questioned document. Some of the typescript machines are called the Daisy Wheel printing machine and the Dox Matrix Printer. A Daisy Wheel Printer is very similar to a ball-head typerwriter. They may look for a disc which is either made up of Plastic or Metal, thats where characters stand out.1. why are questioned documents alpha in forensic science? What is one example of a situation where a questioned document might be an important part of a criminal case? Questioned Documents are important in Forensic Science because it can encourage figure out if a signature is big or not. For example if somebody steals money through a check, they can check the signature and enamour if the signature is forged or not which will help know if the check is real or not.2. What are some of the ways that a document examiner might try to compeer a questioned document to a specific typewriter? What aspects might they look at? Som e of the ways that a authenticated examiner might try to match aquestioned document to a specific typewriter would be to match the handwriting,they could also look at different changes made in the handwriting.3. Imagine that you have been asked to determine whether a signature on a check is authentic or a forgery. What steps would you take in doing this? What aspects would you examine?I would first examine the signature and get a hold of any document that were signed by the same soul and see how many similarities they have and how many differences they have. I would examine every little change that happens.4. Imagine that you have been asked to determine whether a will written cubic decimeter years ago is authentic or a modern-day forgery. How would you go about doing this? What aspects would you examine to help you make your determination?-I would examine the handwriting and I would also use a Daisy Wheel Printer to figure out all of the information.5. A law enforcement agent i s in charge of getting a writing sample from an uncooperative suspect. The agent puts the suspect in a comfortable room and has the person choose from a bunch of pencils and ink pens. The agent takes the questioned document and dictates the information to the suspect, having the suspect write pop what she says as she reads from the questioned document. After several paragraphs, the agent stops and has the suspect rewrite the material two much times. What did the agent do violate in this situation? What did the agent do right? What the agent did wrong is that he made him write it two or more times because every time that he writes it over again the handwriting changes. What he did do write was make him write everything he says as he dictates the information to the suspect. That way they can see whether the handwriting matches it or not.

Cutural Awareness cultural differences

In todays society, it is important that a soul knows how to respect a nonher(prenominal) peoples husbandry and what they need and what they manage to eat since their culture may be a little different than what a certain(p) person lived up to. If a community becomes sensitive and comp reposes with the needs of its client, the amount of customers will double and it gain to a greater extent profits in the end. Other cultures do not eat plaza, like the Muslims. They only when eat meat that undergoes the process of Halal. Halal is a process that Muslims do in advance killing an animal fit to be eaten.They pray to Allah and ask him to bless their meat before they can partake of it, The name of Allah has to be mentioned before or during slaughtering, since the Creator is the granter and taker of life the name must be said by a section of the Moslem faith (Meat Science at Texas A&M University). Investors also have to think of ship canal to present their products to the public, if t hey want to advertise their products beside celebrities and famous people, or if they want to advertise their products with facts and people who can elicit that the products they are selling are healthy.They also have to take note of how their customers react to female management. In virtually countries, they still do not view women as mens equal, and if they would advertise use a female figure, the business might not attract as many customers as the company assume they would. In every business, an investor wants to invest in foreign land he/she has to think of a strategy thoroughly and weigh the consequences of his/her actions.In a decision, investors must include the culture of their target area and be their bestsellers into it while presenting them in agencys where people would want to buy their products at an instant. Incorporating the companys products to customers culture Before companies could incorporate their products to customers culture, they should research on what the clients culture is. If the clients are Jews or a Muslims, they are most likely not to eat pork, and if they eat meat, a certain process is made before they could view the meat edible.A company would gain to a greater extent Muslim and Jew customers if it hires a consultant who will give it further knowledge on how they want their sandwiches to be, it could also learn to a greater extent about their culture and analyze what is good or what they can incorporate with their bestsellers. That consultant should be qualified to tell them how they can make the meat edible for Muslims and Jews the company should know how to make meat a Halal and Kosher. In some parts of the US, the impact of having Muslims in their area increases the consumption of sheep and goat.It is because the Muslims prefer alimentation them rather than pork and beef, Many sheep and goats are slaughtered in Muslim backyards during various celebrations (Meat Science at Texas A&M University). If companies like unde rpass incorporates Halal and Kosher meat in their menu, it would definitely benefit them in the future, since their menu would no longer exclude people who have different culture. The Muslims and Jews who are not employ to buying their products will want to buy and eat their product without second guessing or speck guilty because of their cultures restrictions.Incorporating the companys view to target areas culture In other countries, some people do not like the concept of selling products that incorporate their advertisements with intercourse, like how Carlse junior has presented its products. Christians in particular think that the advertisement of Carlse Jr. is a disgrace and instead of gaining customers, it has lost some ascribable to its advertisement. Although Carlse Jr. did not gain the Christian community and those who do not want pesky advertising, it has gained those who appreciate and like seeing their favorite celebrity devour hamburgers.Some people thus far think that the way Carlse Jr. advertised their product was ingenious, Despite protests from parent watchdog groups, like The Parents Television Council, this is just filmy smart marketing in todays world (Kiley 2005). Other countries do not even recognize female authority. The company would have a hard time giving women higher positions because on that point are still societies that view men superior to women and giving a managerial position to a female would mean that the company is disobeying the countrys culture.Some people in society do not even recognize discrimination against women because that is the way they were brought up, that is why the workplace often deal with discrimination, gender stereotypes lie at the heart of many of our perceptions of the workplace and the people that operate within it (Heilman & Welle 3). Discrimination in hiring due to gender must be demolished. If companies comply with societys culture of pushing women down, it will neer change. Companies must f ight the norm and even if they lose a few customers, at least the chaste of the company would remain. Today, equality is sought out by many.The company might lose people who assort women, alone they would surely gain people who are for equality. Conclusion If a company like Subway patterned their management to a society whose culture is discriminative of women, they would definitely gain that society but lose customers who view men and women equally. But if a company like Subway chooses to adopt the culture of people and use Halal and Kosher meat, Subway would expand their usual customers. In the end, the company should only choose to adapt to cultures that would not hurt any one or discriminate because it could lose more than it can gain.Works cited Kosher and Halal. Meat Science at Texas A&M University. May 20, 2010. Web. Kiley, David. Carls Jr genus Paris Hilton Ad Spicey and Smart. May 25, 2005. Bloomberg Businessweek. May 20, 2010. Web. Heilman, Madeline E. and Welle, Bri an. Formal and Informal Discrimination Against Women at Work The Role of Gender Stereotypes in Research in social issues in management Managing social and ethical issues in organizations. Vol. 5. Westport,

Global Market Place Activities Essay

net profit America is a wireless ISP (WISP) that operates within the southern joined States. Currently we have been expanding the use of WiMAX hardware to stomach our customer base a better drug user experience with fewer issues. Our older hardware has become unusable due to the vendor being circumscribe from sales in the get together States so we made the recent decision to utilize WiMAX hardware positive by an Israeli company. This has brought on the added challenge of maintaining the hardware in the takings of a Middle easterly conflict that potentially could choke off supplies of the equipment in the United States. This ongoing conflict has no foreseeable end in sight so the CEO made the decision to negotiate into the contract with the Israeli company to provide us onsite spares for all major hardware to mitigate the chances of service interruptions to our customers in the event of an escalation of events in that region of the world.Risk SourcesThe first identified risk f or Internet America is the potential freeing of our climate control systems that cool our corporate data center location. This location has a large figure of speech of temperature sensitive devices that are trustworthyly cooled by systems that are aging (8-12 years old) and are heavily utilise most of the year due to the location of our corporate offices in Houston Texas. This location necessitates that we run these systems continually for ix to eleven months of the year. This heavy utilization and the hardwares age pose a very veritable risk to the serviceability of our corporate structure and supporting of our customers.Being a WISP, the company relies heavily on the ability to move data to and from the customers. Our corporate headquarters are fed by a geological period to point fiber connection to our datacenter at Cyrus 1 in Houston TX. As with any buried cabling in that respect is the potential for a cabling cut due to construction or as is more apparent for our cur rent location road repairs. The nettle streets in our location are in disrepair and are being eer serviced due to the heavy trucks that utilize them constantly. Attacks to our core devices and support structures are common and attempts to breach our systems occur on an almost daily basis.We have determined that most of theseattempts are mainly just beginner electronic computer enthusiasts that are trying out something they read on the internet or inadvertently tried to access our systems. This is evident in the amateur attacks that are attempted, however several times a month we pack attempts from more advanced hackers that really test our abilities to detect and stop the attack. A large number of these more advanced hacks are initiated from China.Being located in Houston TX our fourth identified risk would be violate to our Cyrus 1 datacenter location. This building was chosen due to its design and the lengths that the facilities owner has gone through to provide a stable and reliable infrastructure. Even with the most adept preparation there is no way to in full prepare a location in the event of a major natural disaster. Houston is come up cognise for being impacted by hurricanes, tornadoes, and flooding. All of which could potentially destroy any structure in the urban center if the conditions are just right.The fifth identified risk is the potential for our WiMAX vender to be unable to provide hardware support in the event of an escalation of tensions in the Middle East. The conflicts in this region are well documented and have lasted for many decades with little to no end in sight. In the event of an escalation of terrorist activities against the Israeli nation we may see our hardware support be limited until the activity recedes or repose talks begin again.As with any service industry, Internet America in not resistant to the possibility of personnel loss due to the turndown in the economy. Internet service for most mickle would be considered a necessity in todays society so the effects of a bad economy do not affect us as hard as different industries however our core customer base is in rural areas and those customers do not have as cemented a need for internet service. This leaves the company vulnerable to revenue loss and possible staff reductions in a bad economic environment.The availability of commercial power is fairly ubiquitous across the United States, and most companies take for granted that the service will stay onwhen involve. This however is not eer the case and eventually most businesses will be afflicted with the loss of power during business hours. For Internet America this could be catastrophic as the loss of commercial power would render the customer support teams unable to service our clients and detect/resolve any outages that occur throughout the network.The final and least likely risk Internet America faces is the possibility that we may fail a fire code recapitulation in the corporate offices . Due to the installed fire suppression systems in the datacenter, the company is required to undergo an yearly fire safety inspection. In the event of a failure the facilities would not be usable until the needed repairs are completed. This could potentially disrupt our ability to service our clients properly.

Mrs. Thomas: Holistic End of Life Care

Governors university Scenario A brief compend of the scenario explored in this paper will be forthcoming so the following observations and detail will nourish context. The key points in the scenario explored for Mrs.. doubting Thomas, her conserve and family be as follows. Mrs.. Thomas is a sightdidate for p exclusivelyiative anxiety In specifically hospice If she Is given a prognosis of half-dozen months or less. She has suffered breast arousecer in two ways In the ag nonpareil year.A year ago she had a right mastectomy with removal of five auxiliary lymph nodes, with chemotherapy and radiation. six-spot months ago she had a second mastectomy on her left breast, followed by chemotherapy and radiation. After verbalize treatment it was find that the understructurecer had metastasiss to her lungs and further surgery is not a feasible option. She has not been taking her incommode music as she does not want to procure an addiction business. Her vexation has Increased a nd she spends most of the eon In bed crying.She had to leave her job, but has a small stipend via disability. She and her husband, a police officer, are try to make ends meet financially Her husband suffers from chronic depression that is being managed by medication, but he is resorting to frivol away his medication often. He is a supportive and satisfactory business organisationgiver however, he Is showing signs of worrygiver strain and Job seek. In response Mrs.. Thomas Is worried that he Is becoming classical because of the circle of her condition and this In turn Is causing her further suffering. Core family support Is minimal.Mrs.. Thomas close female relatives are dead from the very indisposition that is killing her. Because she is sick, she and her husband no longer socialize she does not look for dish from her female friends. Her sons live far away, and call often but they do not allow place to see her. Mrs.. Thomas is saddened that her sons are not here, but Quality of Life and Health Promotion This think about believes that graphic symbol of t cardinal is defined individually for each affected role. Each individual is unique and how they perceive spiritedness and what their life circumstances are define what is undeni adequate for end of life care.Quality of life during a time when offensive treatment is no longer possible takes to be focused on consolation and support of the uncomplaining, caregivers and family. This nurse believes comfort (quality of life) acknowledges the right to be free from pain, unless the long-suffering chooses to experience main in trade for genial clarity. It includes the right to not participate in aggressive treatment or in clinical trials if the patient has no wish to do so. Quality of life to this nurse is jockstraping the patient to do the best with the situation in life in which the patient finds themselves.It includes abeting the patient with what he or she perceives as unfinished business and support the patient conclude this business to the extent possible. holistic end of life care includes care of all aspects of the patient ( visible, social and spiritual) and care for those who love the one dying?the family. The family is whatever blood or non-blood ties this entails whatever shape of family the patient has at this time. This nurse believes that holistic end of life care encompasses not only physical comfort for the patient but furtherance of wholesomespringnessy interactions for the patient with those who love and comfort them.These sensitivities are the goals of this nurse and if applied diligently may extend the best outcomes for the patient in this time of life. Strategies Four holistic nursing goals to begin to improve quality of life for Mrs.. Thomas, her husband and family are the nursing diagnoses pain sensation Management, Addressing Anticipatory Grieving and Situational Low Self-Esteem, as intumesce as, modify Family Processes. First one e ssential establish a rapport with the patient. By providing an open nonjudgmental conversation the nurse can encourage an open and lifelike dialogue about what Mrs..Thomas is feeling. By reviewing past life experiences one can get to know the patient and what interests her and establish trust. This trust is of most brilliance as all nursing care success depends on creating a team effort with the patient. Family amour in this time extremitys to be proactive to help Mrs.. Thomas mental state and via this her physical available ability. Nurseries) A beginning conversation with Mrs.. Thomas needs to be about the importance of pain relief. By bringing the patient to an take careing of how this relief of pain will benefit those around her, Mrs..Thomas may be more likely to try the medication for said relief. This may be the initial hook with which one can get her to take said medication. The nurse must determine a comprehensive pain history, including frequency, duration and intens ity using a scale dependent upon the patients perception of pain throughout her life span. Zero pain for no pain ten for the worst pain ever. This call gives the nurse a baseline from which to assess pain management. Her pain has been increasing for the last six months and this nurse would designate that as chronic pain, perhaps with acute episodes.Also, the nurse must ask about and continue to monitor when said pain is occurring, as puff up as where and how much. Morning or when? Identifying precipitating factors of pain will help in its long term management. (Nurseries) Pain is what the patient says it is we as nurses need to accept that premise. Within the nation of pain lie both physical and emotional response. Because Mrs.. Thomas is no longer seeking aggressive cancer treatment, he variations of aggressive treatment pain control will not be discussed.However, as her disease progresses it is most likely that her pain will increase. Which brings up another point?reluctance of the patient to report pain because of fear that the disease is worse or that the pain is deserved somehow. The nurse must also be aware of unmanageable side effects (like hallucination) which if experienced must be dealt with in a matter of fact fashion and by trying another medication regime. To address pain management with Mrs.. Thomas one must address her fear of addiction. By talking with Mrs..Thomas openly and aboveboard about the need for pain relief, it is hoped that she is lead to the conclusion that pain management and pain medication curse are two different things. At the end of life, pain medication addiction is not an issue. This melodic theme needs to be gently but openly professed. One could point to the relief of stress for her husband if she is not in pain as well as the physical benefit (and hence mental benefit) of remaining pain free. If she remains pain free she will be more able to take care of herself and her activities of chance(a) backup.She will be abl e to live in this time instead of living in dread of each twenty-four hours. Once she is taking said pain medication it must be monitored, adjusted and changed as needed for optimal effect and to support the ability to participate in activities of daily living to the fullest as possible. Also discussing non-pharmacological comfort measures like massage and diversionary activities like music is in order. What does Mrs.. Thomas respond to what does she like? What kinds of non-pharmacological pain intervention has worked for her in the past?Ask questions so that she can verbalize these things to help herself. macrocosm able to relax will help her focus her attention. Encouragement of stress management skills and complimentary therapies (relaxation techniques, biofeedback, LAUGHTER, music, aromatherapy, acupressure, acupuncture and touch are a few) helps the patient to actively participate and enhances a sense of control. Heat and cold may also help by decreasing muscle spasms and inf lammation. Pain makes stress, stress makes stiff muscles and increases self-focus which, unfortunately, increases pain.As the nurse interacts with the patient it is important that the patient comes up with ideas about care and becomes a proactive member of their healthcare team. (Nurseries) Mrs.. Thomas is also suffering, Anticipatory Grieving. This is related to loss of her physiological health and change in lifestyle. It is interconnected to the knowledge that she is going to die, for real, and most likely soon. This nursing diagnosis is needed because of her change in social activity level, her reluctance to tell her sons that she needs them?now.It is evidenced by her defensive structure that she does need them and help and support in general from her friends. (Nurseries) Outcomes that are desired include the patient being able to feel her feelings and express them. By doing this she will hopefully come to the place where she is able to take one day t a time and continue her nor mal activities even planning for the future. Being able to admit that she is dying, understanding and verbalizing the knead is a beginning is done, she must feel supported in her grief work. One must beware of debilitating depression, the like of which is indicated by the scenario.To address this the nurse must be frank and direct in petition questions about the patients mind state. (Nurseries) Frequent visiting by the nursing team and care providers, family and social support of friends can help relieve feelings of isolation and abandonment. Her ones need to be contacted with a for your information talk about coming to see their mom (and dad) and possibly who could be of help with caregivers as it is needed. Mr.. Thomas is also a source to find out about who may be able to help with this care this, as well.The nursing diagnosis, Situational Low Self-Esteem is related to how Mrs.. Thomas feels about her disfiguring surgeries and subsequent treatment side effects (aliped, muscle wa sting, and more) as well as feelings of self-doubt and lack of control in her life. It is about the doubt about being accepted by othersof unruffled eyeing a human in the world. It is also about her anxiety and fear of her disease process. This is evidenced by her not taking responsibility for self-care (not taking pain medication crying in bed all day. ) Acceptance of her situation is an outcome that is looked for.She needs to be able to develop mechanisms to cope with her problems and set realistic goals. What coping skills has she used in the past? She needs to be able to participate in her deliver life by learning to adapt. The nurse can help her through this process by asking proactive questions about how she feels and perceives her world. By getting her to translator where shes at, she will also perhaps start to voice how she can manage. (Nurseries) This diagnosis ties in with the aforesaid(prenominal), Anticipatory Grieving diagnosis. By defining diagnosis and disease pro cess beginning problem solving can occur.By anticipating what can happen, some measure of control can be taken. By working with Mrs.. Thomas and planning how daily activities can be managed, adaptation can occur. (Nurseries) intervention about her roles in life, as a worker, spouse, and mother and problem solving about how to accomplish her goals for these roles may help reduce problems that interfere tit her self-esteem. It may help her to see how she can cluster activities at legal residence to conserve energy but be productive. It may help her to be more able to reach out to those who love her for inclusion and support.The nurse must acknowledge troubles she is experiencing and validate the patients reality this opens the doorsill to the patient being able to seek measures that are necessary to cope, like counseling, and support groups. The nurse should quick be able to supply information about said resources so as to facilitate the patient in procuring more support. If Mrs.. Thomas is n hospice the social worker of the interdisciplinary team can help facilitate and direct this work but the nurse must always continue it during her visits. Holistic nurse Plan Amongst personal revelation the nurse must explore who may be able to help Mrs..Thomas with her activities of daily living. Her husband is doing the Job, but he is suffering from care giver strain and could use some help. It may be that the people she has cut herself off from socially miss her and would love the chance to be able to help in some way. Caregivers avenues and their affordability need to be explored before they are needed. These interactions providing pain control, helping with grief and esteem issues, and helping the patient to discover what will work best to live disease state progresses, but before it is needed, preparation for a lesser level of self-care must be addressed.Medicare provides a compassionate allowance for hospice care for those of any age with a metastasis cancer with a prognosis of six months or less. She needs to apply for this care in the beginning of the nursing visits if she qualifies. To receive hospice care via Medicare she must be eligible for Medicare Part A, be certified as terminally ill and then(prenominal) apply for hospice care. This care would be in her home. By signing an election of benefits Mrs.. Thomas would be choosing hospice care in lieu of routine Medicare-covered benefits.Hospice would pay for pain medications and those required by her terminal diagnosis, as well as utilitys included in the palliative plan of care. Often the hospice refer confers with the patients primary doctor and others on the hospice interdisciplinary team are included. (Your Medicare benefits, 2014) Hospice of Kits County provides an interdisciplinary team consisting of the doctor, the patients primary provider and nurse practitioners, sit nursing care, a aesculapian social worker, a chaplain, a home health aide. Also provided are complementary services, which include massage and music therapies.Volunteers are also enlisted to help with such things as mart shopping and the like or simply for company. These persons come to the patients home for service. Hospice care differs with regional coverage. Durable medical equipment is also covered, so if Mrs.. Thomas is in need of a hospital bed, oxygen, bedside commode, wheel chair and so on, it will be provided at no cost to her family via Medicare coverage. Grief and loss counseling is also provided. Hospice of kits, ) Providers for home care must be explored as Mrs.. Thomas declines.Often the expense precludes coverage of duties in this way. Exploration of service providers and means of payment need to be explored as a way to cover Mrs.. Thomas needs as she declines. Medicare covers the cost of a short term inpatient care in a Medicare approved hospice facility, or nursing home if the caregiver is suffering from caregiver strain (for up to five days) or if it is placed by the hospice physician that symptoms must be managed in an inpatient setting. Because Mrs.. Thomas has no Eng term care health insurance this care could be instrumental in providing for her final days. Your Medicare benefits, 2014) The fourth nursing diagnosis, Altered Family Processes must be addressed for the holistic health of Mrs.. Thomas. This holistic care includes her husband as well as Mrs.. Thomas sons and families. Situational crises can develop when a family member has a long term illness. There is a change in roles in caring for a parent and an anticipated loss of said parent. (Nurseries) Those complicated need to learn to express feelings freely and demonstrate individual involvement. This individual involvement must include a problem solving process that incites suitable solutions for the situation.Mrs.. Thomas sons need to be contacted and requested to attend a family conference. If they are unable (because of finances or schedule) to attend then this could be accomplish ed via phone. They must understand the need of their mother to see them in person and will hopefully comply. The reality of the situation must be broached to them in a caring way. It may be that the Thomas or Mrs.. Thomas can go and stay with them for more available for care and support of their mother. Speaking with family members in a caring, reverential manner and providing information both written and spoken helps promote feelings of empathy.It stimulates individual feelings of value and capability in ability to handle the present situation. In answering questions and providing information one can empower Mrs.. Thomas love ones. Identifying patterns of colloquy and interaction between family members is an important nursing intervention. It provides information about how active said communication is. It can also identify what problems may exist that interfere with the family in helping the patient and what problems there are in adjusting to the prognosis.Role expectations must be explored and how each individual sees the situation, in sharing these thoughts the family can promote understanding within its unit. Assessing the way members are expending their energy with which to deal with the situation is needed so as to provide guidance in positive focus for the well-being of patient. Acknowledging the difficulty of the prognosis, as well as, encouraging appropriate expressions of anger helps resolution in the stages of grieving. The nurse must remain centered.Stressing the importance f continuing dialogue that is open and honest between the family members helps communication to remain open and thus facilitates problem resolution. Mr.. Thomas must be educated by the community health nurse as with regards to how anti- depressants need to maintain a certain blood level to be effective. If he is not taking them on a regular basis this will not happen. To help achieve this goal, a pill box with days on it can be set up perhaps an alarm set to the same time eac h day enlisted, so that he can remember to take his medication and thus be better able to function at this time.To provide holistic nursing care to Mrs.. Thomas her needs as a person must be addressed. Physical, social and spiritual realms must be explored. Plans of action to provide for her physical care and the demise of her abilities must be explored help must be sought out from the aforementioned sources. Method must be applied via nursing diagnosis and indications of said diagnosis. Desired outcomes must be planned, as well as nursing interventions to work toward these outcomes. Mrs.. Thomas must be approached with honesty and set as a human being, with a life, in her time of need.