Chapter 8 Solve This Problem Essay

Browse the rundown of issue situations underneath. Utilizing the means associated with critical thinking that were examined in this part, portray how you would approach taking care of this issue. 1. Mrs. Smith’s childcare supplier is shutting in about a month. Both Mr. what's more, Mrs. Smith work all day during the day and need childcare for their kid. They have just a brief timeframe, nonetheless, to locate another, sheltered, dependable childcare supplier. : I would begin looking or asking individuals where they take their kids and possibly investigate thier childcare and perceive how it works out for me. Likewise on the off chance that I didn’t discover a childcare inside the brief timeframe of period I would leave my place of employment for that brief timeframe that childcare is close and care for my kids/kid until the childcare re-opens up once more. 2. Tim is arranging a mid year excursion for his group of five to Disney World in Florida. He lives in Pennsylvania and is attempting to make sense of whether it could be more practical to head to Florida or to fly there.: I figure flying and heading to florida would be less financially savvy and yet I’m figuring flying would be the less financially savvy since you can purchase 5 full circle trips: one that takes you and carries you back with one plane ticket. In such a case that you drive you’d need to stop for gas and nourishment for the excursion and it would cost more. 3. Sarah has a 20-page paper due in about a month and a half and has not yet begun to deal with it. She is feeling overpowered, in light of the fact that she works an all day work during the day and has three youngsters at home at night. She realizes she should began working soon on the paper yet isn't sure where to start.: Between the youngsters and the activity and I’d begin taking a shot at it gradually on my free occasions I have and in the event that I finish before the a month and a half I would upda te it and improved it. 4. Mr. Jones’s guardians are becoming more established and are finding that they can not, at this point live in their large three-room house. They need to offer their home and move to either a littler house, a retirement network, or a helped living office. Mr. what's more, Mrs. Jones said they would enable his folks to locate a proper spot to live however don't know where to start. I would take a gander at my spending plan and begin narrowing down the houses that are out of my range. Likewise I would take a gander at rooms the house has and take a gander at the neighbor until I discover the house that has 1-2 rooms and is between my spending plan and alsoâ the neighbhood. 5. Sally discovered through a companion that her present beau has been going behind her back with another lady. She is distressed and isn't sure some solution for the circumstance. :I would converse with him and in the event that he lied I would of separation and proceed onward with m y life, yet additionally I would need to have verification in the event that he was cheating or recruit an analyst to tail him to all the spots he went to. Since now and again companions lie to see you down, and tragic and perhaps their the other lady that your beau is seeing. Movement Handout 7.2 How Do You Think This Invention Came About? Think about a creation, for example, TV, the electric razor, the toaster oven, or the blender and depict how you ponder. Talk about the different advances engaged with imaginative reasoning that were laid out in this part. Innovation seeing extraordinary or various answers for an issue (After taking note of that power going through a conductor creates a sparkling red or white warmth, Edison envisioned utilizing this light for pratical employments. ) Fluency-Generating an enormous numbers pf potential arrangements (Edison attempted truly many various materials to discover one that would warmth to the point of sparkling white warmth without copying up.) Flexibility-Shifting easily from one kind of critical thinking procedure to another (When he couldn’t locate an enduring material Edison took a stab at warming it in a vaccum-along these lines making the primary light.) Action Handout 7.3 Which Type of Intelligence Is It? Peruse the situations underneath and distinguish what kind of intelligenceâ€analytical, imaginative, functional, verbal, numerical, spatial, real sensation, melodic, relational, intrapersonal, or naturalistâ€you think the individual has. 1. John went through years attempting to think of an answer for how to water a Christmas tree without doing it without anyone else's help each day. Sort of Intelligence: Naturalistic 2. Susan has consistently been keen on building things. At a youthful age, she fabricated model planes with incredible energy. She attended a university and graduate school and earned a degree in design. She is currently the CEO of her own compositional firm. Kind of Intelligence: Spatial 3. Jim began taking couples dancing classes as a kid. He turned into the Younger U.S. Champion at age 12, has kept moving, and is presently vieing for the World Champion title. BopType of Intelligence: Bodily/Kinesthetic 4. Lee Ann Rimes earned her first Academy of Country Music Award at the youthful age of 12. She has offered a large number of collections and keeps on hitting the diagrams with top-selling records. Sort of Intelligence: Musical 5. Cecil composed his first novel at 16 years old and, just as of late, his third novel made the New York Times blockbuster list. Sort of Intelligence: Linguistic 6. Jane has consistently adored working through math issues and exceeded expectations in her math classes. She can work through sudoku puzzles in brief period and discovers math extremely testing. She is the senior bookkeeper at her bookkeeping firm. Kind of Intelligence: Logic/Mathematical 7. Jeremy has consistently had a green thumb. He experienced childhood with a tree ranch and learned at a youthful age about plants and blossoms. He proceeded to gain an advanced education in the rural sciences and as of late figured out how to cross-fertilize watermelons with melons to make a scrumptious new organic product. Kind of Intelligence: Naturalist Action Handout 7.4 The Structure of Language Rundown five instances of structures of language. Utilize the different language structures talked about in this section. Prelinguistic Stage †Birth to a year Crying ( reflexive in infants) turns out to be progressively intentional Models: Hunger Cry, outrage cry, torment cry Cooing (vowel-like sounds) (2-3 months) â€Å"ooooh,† â€Å"aaaah† Prattling (consonants included) (4-6 months) â€Å"bahbahbah,† â€Å"dahdahdah† Phonetic Stage †a year to 5 years Prattling takes after language of the earth, and kid comprehends sounds identify with importance Speech comprises of single word articulations †â€Å"Mama,† â€Å"juice,† â€Å"Daddy,† â€Å"up† Expressive capacity dramatically increases once youngster joins words into short places †â€Å"Daddy milk,† â€Å"no night-night!† Overtension(using words to incorporate articles that don't fit the word’s meaning) †all men = â€Å"Daddy† every fuzzy creature = doggy Transmitted speech(like messages, excludes insignificant associating words) †â€Å"Me need cookie† â€Å"Grandma go bye-bye?† Vocabulary increments at a remarkable rate. Child procures wide assortment of language structure rules †including - ed for past tense adding s to frame plurals Overgeneralization(applying essential standards of punctuation even to cases that are special cases to the standard) †â€Å"I goed to the zoo† † Two mans†

Bush Doctrine, Explanation of the Administration and War on Terror

The American Counseling Association has recognized a few good standards to help with managing their individuals and others keen on the helping callings. Of these the accompanying five will be investigated with different scriptural morals distinguished by Clinton and Oblschalager (2002) as being seven temperances (pp. 248-249): self-rule, nonmaleficence, helpfulness, equity, and devotion. The seven temperances are made out of the accompanying: responsibility and truth-telling, duty to cherish each other, constancy to uprightness, dependability in keeping classification, capable usefulness, modesty in equity, and tolerability (in the same place). Self-rule is characterized as â€Å"the opportunity of customers to pick their own direction† (Corey, G. , Corey, M. S. , and Callanan. 2007, p. 17). Nonmaleficence is the evasion of activities which may hurt customers (on the same page). Helpfulness is advancement of the government assistance of others (p. 18). Equity alludes to being reasonable in equivalent dissemination of assets and care without inclinations of any kind (on the same page). Devotion alludes to one keeping their assertion as an expert (on the same page) The prudence of responsibility and truth-telling offers the likeness with the ethical rule of constancy in that both order being honest in our words and guarantees. Over that this goodness likewise necessitates that one be considered responsible to another instructor or one’s minister (Clinton and Oblschalager, p. 248). The prudence of the duty to adore each other offers with the guideline of nonmaleficence the attribute of doing others no damage, yet goes past that to incorporate the Spirit given endowment of showing love for each other (in the same place). The temperance of modesty in equity fundamentally reflects the standard of equity. Both these attributes should mean the advocate will never pass judgment on the individual looking for help and to never separate in the portion of assets. The excellence of quietude in equity likewise involves making sure to be unassuming in copying of the Messiah who just looked for others to be reestablished to a correct connection with God (p. 249). Skilled helpfulness is an uprightness tantamount to the standard of advantage. The two of them are centered around the prosperity f others and on the attention to the advocate to be socially able (on the same page). The temperances of reliability in keeping classification, devotion to trustworthiness and tolerability can be set one next to the other with the standard of nonmaleficence since they all involve the order of not permitting the customer to endure any damage due to the counselor’s words or activities. Devotion to respectability additiona lly involves the counselor’s individual uprightness as expecting to go with his expert trustworthiness (Clinton and Oblschalager, p. 248). At last, the customers we experience as Christian guides do have self-sufficiency to pick this rule and go toward whatever path they decide to go. In any case, this is anything but a common trademark with any of the seven ideals. In our training we are to perceive that God has moral absolutes and an ideal manner by which God has decided for us to walk (Clinton and Oblschalager, p. 246). To use the seven temperances we should recollect that doing great, telling truth, cherishing each other, and the remainder of the excellencies all point straightforwardly towards our maker. Along these lines, in spite of the fact that our customers may decide to disregard our authentic guidance, we are paying off debtors to them and our pledges of administration to God to advise them and urge them to quit wicked practices and to turn those practices around to reflect practices exhibited . References Clinton, T. , and Ohlschlager, G. (Eds. ). (2002). Able Christian Counseling: Foundations and Practice of Compassionate Soul Care. Colorado Springs, CO: WaterBrook Press. Corey, G. , Corey, M. S. , and Callanan, P. (2007). Issues and Ethics in the Helping Professions (seventh ed. ). Belmont, CA: Brooks/Cole

How Long Is College Essays?

How Long Is College Essays?The term essay comes from Latin and is from the noun essayus, which meant 'a record of conversation'an account of events.' For many years, the most common length of a college essay was a minimum of three pages in length. However, this standard has evolved into longer lengths in recent years.Essays can be very long or they can be very short depending on the topic, whether the essay is a personal essay or an assignment based essay, the level of difficulty to which the essay is assigned, and the essay's overall purpose. Many essay topics are generally easy to write at first but after certain parts of the writing process are completed, the student needs to work harder to complete the essay.In recent years, there has been a trend towards the longer essay or more detailed written assignments for college essays. Students who participate in their first year of college typically have a lot of writing to do and so they are more likely to choose a longer term goal and focus on that topic until the end of the term.With the increasing amount of data that is available on the Internet, students want to find as much information as possible in order to earn college credit and graduate on time. This leads to the need for more concise written assignments.The average length of a college essay now will likely vary depending on the topic of the assignment and the type of essay it is. For example, an information based essay is going to be slightly shorter than an essay in a class. On the other hand, an assignment based essay is going to be slightly longer than a personal essay.However, there is also the possibility of a longer written assignment, especially if it has a more difficult topic. Therefore, the length of a written assignment may be up to the student, though it should still be up to the professor. As a student, you should understand that there is no standard that states that an essay must be three pages long.Of course, as the student you should kn ow that not every student can write like a professional. The average English student is going to have difficulty with a more lengthy essay and some people struggle with even the most simple topics that involve only one or two ideas. It is also possible for a student to write a short essay and still provide an assignment that the professor deems successful.As a student, it is best to understand that there is no standard length of college essays and that you will be able to write a longer essay than another student. There is no right or wrong answer when it comes to your chosen length for your essay. Your teacher may use a length that suits you well, or you may use that same length as you graduate from college.

Maps Coursework - 275 Words

Maps Coursework (Coursework Sample) Content: MapsStudentà ¢Ã¢â€š ¬s NameCourseMapsIntroductionHarley (523) alleges that maps were used in ancient America for a long time in exploration as a panoramic that demonstrated the world as one that was drawn from above, some kind of art and a perspective that was impossible in a preflight era. However, some researchers argue that maps are just but mere glorified pictures. Their assertion is that maps not only control a land but depict it as well with the aim of imposing humanity over it, especially politically. Much of the information that a map conveys is a result of human history and can therefore be changed over time. The sudden changes symbolize a critical characteristic that is usually ignored (Nobles 3). They signify visual representations and social construct of a temporary order that is imposed over a particular place on the earth. This study attempts to analyze the features, information and contents found in the map of ancient California and how they relate wit h the Europeanà ¢Ã¢â€š ¬s perspectives of the new world.Description of SourcesThe map that was used had no author. This is possible because not all maps have an author indicated on them. The type of map used was a topographical map. A topographical map is a symbol and line representation of selected natural and man-made features of an earthà ¢Ã¢â€š ¬s region which is plotted to a scale that is definite (Harley 526). Again, such maps demonstrate the network of oceans, seas, terrains, mountains, man-made monuments like buildings and human settlements. The map was plotted in 1700 in ancient California when there was little activity in respect to industrialization and urbanization although efforts for development had started being eminent. The method or mode of distribution was a pamphlet and the intended audience was mainly settlers who wanted to inhabit the ancient California and tap into the potential fertile lands. Similarly, scholars had an interest in the region to analyze the a ctivities that led to the growth of the place.Analysis of SourceAccording to Nobles (19) the source attempts to give an aerial view of ancient California after it was invaded by settlers from England. The settlers introduced crops such as fruits, wheat, corn, and animal rearing. Their activities sparked up growth of the place by buying and renting land for farming and sale. The buildings and settlements in the map are a clear indication that the place was inhabited by the Europeans. The extensive chunks of land owned by settlers required labor and this led to slave trade to provide the required labor. The settlers got their subjects from America but because the slaves there were too weak to perform the hard tasks, they died and suffered from diseases (Harley 532). This prompted the settlers to source for slaves from other areas like Spain but the most effective were Africans because they were strong and resistant to diseases as well as being in a distant place that made it hard for them to run away. The Pacific Ocean in the map was the means of transport for the Europeans when they traveled to get slaves on cruise ships. Similarly, the water body connected California with the outside world.Nobles (27) allege that ancient California was marked by numerous political milestones. Europeans had developed an interest in California as early as 1500. By the beginning of 1700, California was one coastal region that was not part of European colony. The super powers by then who were Russia, Spain and Britain had started eyeing the coastal st... Maps Coursework - 275 Words Maps Coursework (Coursework Sample) Content: MapsStudentà ¢Ã¢â€š ¬s NameCourseMapsIntroductionHarley (523) alleges that maps were used in ancient America for a long time in exploration as a panoramic that demonstrated the world as one that was drawn from above, some kind of art and a perspective that was impossible in a preflight era. However, some researchers argue that maps are just but mere glorified pictures. Their assertion is that maps not only control a land but depict it as well with the aim of imposing humanity over it, especially politically. Much of the information that a map conveys is a result of human history and can therefore be changed over time. The sudden changes symbolize a critical characteristic that is usually ignored (Nobles 3). They signify visual representations and social construct of a temporary order that is imposed over a particular place on the earth. This study attempts to analyze the features, information and contents found in the map of ancient California and how they relate wit h the Europeanà ¢Ã¢â€š ¬s perspectives of the new world.Description of SourcesThe map that was used had no author. This is possible because not all maps have an author indicated on them. The type of map used was a topographical map. A topographical map is a symbol and line representation of selected natural and man-made features of an earthà ¢Ã¢â€š ¬s region which is plotted to a scale that is definite (Harley 526). Again, such maps demonstrate the network of oceans, seas, terrains, mountains, man-made monuments like buildings and human settlements. The map was plotted in 1700 in ancient California when there was little activity in respect to industrialization and urbanization although efforts for development had started being eminent. The method or mode of distribution was a pamphlet and the intended audience was mainly settlers who wanted to inhabit the ancient California and tap into the potential fertile lands. Similarly, scholars had an interest in the region to analyze the a ctivities that led to the growth of the place.Analysis of SourceAccording to Nobles (19) the source attempts to give an aerial view of ancient California after it was invaded by settlers from England. The settlers introduced crops such as fruits, wheat, corn, and animal rearing. Their activities sparked up growth of the place by buying and renting land for farming and sale. The buildings and settlements in the map are a clear indication that the place was inhabited by the Europeans. The extensive chunks of land owned by settlers required labor and this led to slave trade to provide the required labor. The settlers got their subjects from America but because the slaves there were too weak to perform the hard tasks, they died and suffered from diseases (Harley 532). This prompted the settlers to source for slaves from other areas like Spain but the most effective were Africans because they were strong and resistant to diseases as well as being in a distant place that made it hard for them to run away. The Pacific Ocean in the map was the means of transport for the Europeans when they traveled to get slaves on cruise ships. Similarly, the water body connected California with the outside world.Nobles (27) allege that ancient California was marked by numerous political milestones. Europeans had developed an interest in California as early as 1500. By the beginning of 1700, California was one coastal region that was not part of European colony. The super powers by then who were Russia, Spain and Britain had started eyeing the coastal st...

Relationship between Team Members Free Essay Example, 1500 words

Team members should have competition but it should be healthy competition with the help of which the standard of work increases and the overall performance of the member improves. Team members usually belong to diverse cultures and have different traditions and ways of living. Instead of creating huddles team members should be co-operative which increases solidarity amongst team members. for example, if one team member is a Muslim and an important Muslim festival like Eid is on the day of deadline other team members should distribute his work because of which he will be able to attend his festival. Then team members should feel that the good of the team should hold maximum priority. People in a team should not accuse each other or be unsupportive due to personal reasons. People in a team should keep their team ahead of all other feelings. They should support their team members, help them and cooperate with them. An example can be that if a subdivided task given to an employee one is not finished on time because of which the other member employee two cannot continue his task. We will write a custom essay sample on Relationship between Team Members or any topic specifically for you Only $17.96 $11.86/page

Assessment of core competencies for Verizon Corp.

Executive Summary In order to identify Verizons core competencies, a SWOT and Five Forces analysis was performed. The SWOT analysis showed internal strengths in technology diversification, a large and talented employee resource pool, and an expansive network footprint. Internal weaknesses were revealed that centered on post merger issues such as corporate culture issues, impending workforce retirements, and a lack of systems or process consolidation. External opportunities include the potential to further capitalize on incumbent status, diverse markets, long distance, and brand identity. Finally, external threats include government regulation, substitution, and a weak economy. The Five Forces analysis revealed that entry barriers have†¦show more content†¦- Support systems - Many support systems in the former Bell Atlantic, Nynex, and GTE territories have yet to be consolidated. This leads to inefficient resource allocation that does not provided the synergistic benefits that are supposed to be realized with a merger. - Processes - In many ways, Verizon is still three companies (Bell Atlantic, Nynex, and GTE). Although Verizon has consolidated and standardized some of their processes, there is still a lot of room for improvement. Opportunities An external opportunity is a, ... major favorable situation in a firms environment (Pearce Robinson, 2002). Verizons opportunities include:  § Incumbent status - In most areas, Verizon has been the incumbent local exchange carrier (ILEC) for half a century. For decades, Verizon did not have to contend with competition of any kind. This has given Verizon a solid foothold on the industry that new competitive local exchange carriers (CLEC) must contend with.  § Diverse markets - Telecommunications markets can local, regional, or global. Furthermore, customer can include residential, business, and government markets.  § Long distance - Due to regulatory restrictions, Verizon was once not allowed to offer long distance services in the former Bell Atlantic territories. These restrictions have been eased and Verizon has been approved to provide long distance in 11 of the 14 former Bell Atlantic states. TheShow MoreRelatedCase 1 Fordlandia2871 Words   |  12 PagesMotor 97,384 96,293 96,115 94,105 91,493 90,382 86,429 84,649 83,994 83,268 81,078 80,515 80,487 Hewlett-Packard Nissan Motor Fortis Egypt, Arab Rep. 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Alternatives to Prison Summary free essay sample

need of correction than the prisoner. The caring communities have yet to be built. from Instead of Prisons: A Handbook for Abolitionists Why Decriminalize? Abolitionists advocate drastically limiting the role of criminal law. We do this not because we wish to encourage certain behaviour, but because we realize that criminal sanctions are not an effective way of dealing with social problems. There are far too many laws on the books. It would be prohibitively expensive to enforce them all. This results in unjust and arbitrary law enforcement. Powerless persons are imprisoned while more powerful persons go free. People of colour, first nations and poor people bear the brunt of unequal law enforcement. The crimes most frequently considered for decriminalization are those which are victimless. offenses that do not result in anyones feeling that she has been injured so as to impel himher to bring the offense to the attention of the authorities . We will write a custom essay sample on Alternatives to Prison Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page behaviour not injurious to others but made criminal by statutes based on moral standards which disapprove of certain forms of behaviour while ignoring others that are comparable. A system bursting at its seams is perhaps the most visible effect of overcriminalization. Overcriminalization encourages the wide use of discretionary power in law enforcement. Because there is no complainant, police resort to questionable means of enforcement. Investigative techniques used to gather evidence are often immoral and sometimes illegal. These include entrapment, use of informers, wiretapping and use of constitutional rights such as illegal search and seizure, invasion of the right to privacy and self-incrimination. from Instead of Prisons Alternatives to Incarceration Imprisonment should be a last resort. The presumption should be against its use. Before any offender is incarcerated, the prosecution should bear the burden of proving in an evidentiary hearing that no other alternative exists. An equal burden should be required for the denial or revocation of good time, probation and parole, which really are only other ways of imposing imprisonment We should further reduce our excessive reliance on prisons by making extensive use of alternatives to imprisonment, such as fines, restitution, and other probationary methods, which could at least as effectively meet societys need for legal sanctions. However, such alternatives must be made available to all people who have committed similar offenses, so as not to become a means for the more affluent to buy their way out of prison. And where some kind of confinement seems necessary, halfway houses, community centres, group homes intermittent sentences, and other means of keeping offenders within the community should be preferred to prison. from A Program for Prison Reform

Nursing Process Essay Example

Nursing Process Paper The nursing process is a comprehensive, holistic five-step process that helps registered nurses to become united by a common thread in their patient care practices (ANA, 2014). The tool was developed to maintain consistency and efficacy in the nursing sector of healthcare. The process is the nurse’s core tool for providing patient-focused attention. The first of the tool’s five-pronged nature is assessment. Nurses are required to carry out an in-depth analysis of the patient’s symptoms, not only those manifested biologically, but those tied to sociocultural, economic, and spiritual factors as well. For example, a nurse investigating a patient suffering from acute migraine need not only focus on the headache itself, but also on the patient’s response to the condition. Diagnosis is the second step that involves the nurse giving their professional opinion on the nature and cause of the patient’s condition. The diagnosis is a clinical judgment that identifies the patient’s condition, the nature of their suffering, causative agents, and any potential special needs. A patient suffering from migraines can be diagnosed with high stress levels. Outcomes/planning provide the nurse with a provision for laying out the expected outcomes from treating the patient and how to achieve those outcomes. Planning is the result of the findings from the assessment and diagnosis stage. Based on these findings, the nurse sets measurable goals, short and long-term, medicinal and therapeutic aimed at alleviating the patient’s condition. Such actions might include drinking plenty of water and minimizing exposure to stress raisers for the migraine patient. The implementation phase is the fourth one, where nurses carry out the remedial actions proposed or outlined in the planning phase. Medication is given to the patient for the stipulated timeline, in the prescribed dosages. We will write a custom essay sample on Nursing Process specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Nursing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Nursing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer For the migraine patient, treatment might include THE NURSING PROCESS 3 administering painkillers and engaging them in relaxing exercises to relieve stress. Finally, the last step is the evaluation phase. This phase closely interleaves with the implementation phase. The nurse takes data on the patient recovery status and compares it to the benchmarked outcomes. The rate of recovery is determined and corrective action on the treatment plan done to bring patient recovery on track (ANA, 2014). Increasing the dosage or varying the strength of the pain relieving agent might be alternatives implemented on the treatment plan to expedite the patient’s recovery. Direct and Indirect care as described by the Nursing Intervention Classification (NIC) project Direct care is care administered through interaction with the patient, such as giving them medication, talking to them or changing their bedspread. Indirect care involves things done to aid the patient’s recovery but are not directly performed on the patient. These include checking the patient’s emergency chart or talking to their family to solicit increased support for the patient. In both these instances of indirect care, the nurse is proactively trying to improve the patient’s health status without directly interacting with him/her. The three (3) types of Nursing Interventions Interventions carried out by nurses on patients are categorized into three; those that are entirely proposed by the nurse (nurse-initiated), those proposed by a clinical officer or doctor (dependent) and finally those arrived at as a result of discussion between the nurses and the doctors (interdependent). Nurse initiated interventions, for the case of a patient suffering from migraines and refusing to take medication, might involve taking measures to educate the patient on the dangers of refusing medication. A dependent intervention will require an order or directive from another health worker, such as a physician (Doenges Moorhouse, 2013). THE NURSING PROCESS 4 For example, the physician might advise the nurse to try a different way of administering medication to the patient. Interdependent interventions require joint input between the nurses and associated medical personnel to deine the best course of action. For the migraine patient, interdependent intervention may be a physiotherapist educating the patient on the need of leading a cheerful life, while the nurse advises them on punctilious drug taking. Role of Nursing Process as a tool for aiding Nurses provide safe and reliable patient care As an organizational framework, the nursing process is a lighthouse that guides registered nurses to make the best possible healthcare plans for their patients (Basford Slevin, 2012). Based on a five-step process, the framework interrogates the comprehensive nature of the patient’s condition, then formulates a clinical judgment, followed by outcomes or objectives and plans to achieve patient wellbeing. Implementation is carried out where the carefully thought out action plan is followed to the letter. The overall effects of the treatment regimen or therapeutic intervention are assessed in the evaluation step to determine the level of efficacy of the treatment program. If the treatment is effective in curing the patient, no changes are necessary, and the plan is carried on. Lack of discernible progress towards wellbeing on the patient indicates a deficiency in the assessment, diagnosis or planning step. Therefore, the nurse has to revisit their diagnosis and critical evaluation of the patient’s condition to see if they missed important information. The plan is consequently adjusted according to new information and the effect of the modified treatment regimen evaluated. The nursing process builds on the client or patient participation in the process of building an all-encompassing health profile of the client. As a result, involving the patient in formulating the healthcare plan makes the process an efficient tool that covers all relevant nursing bases. Being outcome based and client-centric, evaluation of patient response to THE NURSING PROCESS 5 formulated healthcare plans provides an effective way of troubleshooting malfunctioning treatment or therapies. How Registered Nurses evaluate overall use of the Nursing Process and variables that affect Outcomes Registered nurses evaluate the overall use of the nursing process through identifying the treatment cases that have been successful after implementation of the process. Achievement of patient outcomes is the ultimate goal of the process. The result is a comprehensive and holistic patient care plan that meets or exceeds the expected outcomes, thus paving the way for the evaluation of the overall program as successful. One of the variables that can influence the ability to achieve desired outcomes is inadequate or insufficient assessment of the patient. For instances where the patient is debilitated to a degree where they cannot effectively communicate, the nurse might end up with an incomplete or inaccurate conditional profile. Underlying and subjective symptoms are difficult to gather in such a scenario. Such insufficient information makes it difficult to give a fitting clinical judgment on the patient’s condition. Diagnosis is another variable that banks on the nurse’s proper knowledge of medical conditions and their symptomatic nature to give accurate diagnostics. Wrong diagnostics lead to improper healthcare outcomes and planning schedules that inadvertently offer the wrong medication. Planning is the third variable in the nursing process that involves a thorough analysis of the available treatment alternatives present for the patient. The most effective treatment plan is chosen that provides the best emotional, spiritual, and psychological comfort for the patient. Plan Modifications when Outcomes are not met The plan is modified by revisiting and adjusting one of the first four steps of the nursing procedure based on the evaluation of the outcome. The patient can be reassessed to see if THE NURSING PROCESS 6 condition details were missed or omitted, the diagnosis can be reviewed and changed if erroneous information was presented, or the proposed planning/outcomes were not properly formulated. The implementation of the corrective action can also be adjusted to give more appropriate medication if the prescribed medication was not the best choice. Registered Nurse’s use of the Nursing Process to prioritize care Care prioritization is a possible outcome of the nursing process through the capability it gives the registered nurse to select the most pertinent care plan to alleviate the client’s condition. In the case of the patient suffering from migraines, the nursing process can help the nurse prioritize stress relief practices over medical prescriptions if the patient is exposed to extremely stressful circumstances. Prioritizing care ensures that patients receive the best treatment first in line with their conditional dictations. THE NURSING PROCESS 7 References Doenges, M. E. , Moorhouse, M. F. (2012). Application of nursing process and nursing diagnosis: An interactive text for diagnostic reasoning. Philadelphia, PA: F. A. Davis. ANA. (2014). The Nursing Process. Retrieved from http://www. nursingworld. org/EspeciallyForYou/What-is-Nursing/Tools-You- Need/Thenursingprocess. html Basford, L. , Slevin, O. (2012). Theory and practice of nursing: An integrated approach to patient care. Edinburgh: Campion Press. Nursing Process Essay Example Nursing Process Essay The nursing process is described as being an individualised problem solving approach in which patients receive nursing care. The nursing process consists of four distinct phases, each having a discreet role in the process, theses phases of the process are: assessment, planning, intervention and evaluation. (Oxford Dictionary of Nursing 2003) It is important that the four stages of the process from assessment to evaluation are carried out sequentially because each phase follows logically from one to the other. As a result the maximum well-being of the patient is always the key issue and the nurse is aware and confident of action to be taken during intervention. This essay will describe the nursing process and the importance each of the phases in turn. It will highlight the significance of each element not only in ensuring the physical and general well-being of the patient but also treating the patient as an individual. Finally the importance of evaluating the complete process will be discussed in order that nursing staff may reflect on the success of their actions. Assessment is the initial and a very important stage of the nursing process. It involves the gathering of information on the patient’s overall state of health from which a care plan may be created (Oxford Dictionary of Nursing 2003). It is suggested that the ability to assess a patient is to find out their health needs, and to highlight fears and expectations that the patient may have. Questions will focus on the medical, social, psychological, spiritual and cultural needs of the patient, rather than just focusing upon medical and physical needs as each patient is different (Nursing Midwifery Council (NMC 2010)). We will write a custom essay sample on Nursing Process specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Nursing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Nursing Process specifically for you FOR ONLY $16.38 $13.9/page Hire Writer That may be resolved through additional questioning of family or friends if required, examining medical records and taking into account the doctor’s diagnosis. This is vital to the nursing process to allow a high standard of care to be reached for each patient. Assessment is important as it helps the nurse gain knowledge and understanding and the ability to identify the patient’s needs (Linda Nazarko 2008). However it has been proposed that in certain care setting in depth assessments are not carried out resulting in the patient not receiving holistic care. Sometimes elderly patients in a care home may need continual assessment which may not always be possible due to lack of staff. (Dingwall L 2008). The NMC (2010) recommend that nurses refer and adhere to the code of conduct at all times when carrying out assessments in order to offer support to the patient and to recognise that treating each patient as an individual is essential and respecting their dignity is vital in maintaining a high standard of care. A high standard of assessment will ensure the efficiency of the next element, planning. Planning consists of the nurse working with the patient and other members of the multi-disciplinary team, in developing a care plan to assist the patient and staff in reaching short-term and long-term goals that were identified in the earlier assessment process. Its focus is holistic and is based on the clinical judgement of the nurse and other medical staff, using assessment information such as the patients individual needs and wishes in relation to their health (Royal College of Nursing (RCN)). According to the International Journal of Palliative Nursing (March 2007) as nurses are in a unique position to assist in the planning process, they require knowledge, skills and resources to provide the highest level of care. This could become a major issue if the nurse does not have the appropriate information about the patient. According to John McKinnon (2004) the involvement of patients in decision-making to improve patient compliance with medical advice between a practitioner and patient, can be regarded as having a positive sequential link with patient-centred care planning. It is suggested to be a process of co-operative care that underpins the principles of patient centeredness and partnership working. This shows the importance of working along with a patient when creating a care plan in the planning stage of the nursing process. However this may lead to conflict as the nurse and the patient may have different priorities from each other, for example, if the patient requires a blood transfusion but they are a Jehovah witness. It has been accepted that planning is a process which offers patients active involvement in deciding, agreeing and knowing how their health will be managed, thus allowing the patients ethical belief to stay intact. (Department of Health 2006 (DH)). Once the planning stage of the nursing process is completed the next stage is intervention. The intervention phase of the nursing process is the beginning of the practical nursing care to the patient. Details of treatment are clearly given to and are acknowledged by the patient. Thus goals laid out in planning will be achieved by the patient and nursing staff. Throughout this phase the nurse will continually review the patient to ensure that the interventions are successful (Jyoti Beck 2011). It has been suggested that the early phase of intervention is time consuming. However as soon as the procedures are integrated into daily standard care they become more manageable even when they are in addition to the current workloads as long as the goals are in suitable practice (Maria Dunckley et al 2005). This suggests that the nurse must ensure that they never undermine the care of a patients everyday needs as these are as important as the action plan is in part of the nursing process. Furthermore, another important part of the intervention phase is documentation. As the intervention stage is an accurate, up-to-date account of the patients progress, it must be signed by each nurse engaged in delivering the care as detailed in the care plan. (NMC Code 2010). Nursing interventions are designed to promote and maintain holistic wellbeing of the patient. In order to prevent further ill health, the nurse carries out these interventions by using a range of knowledge and skills acquired using evidence based practice (British Journal of Nursing 2010). Evaluation is the final stage of the nursing process, it is the final phase in the previous stages of care. It reviews how assessment, planning and intervention have identified the specific needs of the patient, how successful the delivery of nursing care has been. (www. rcn. org. uk). It will also examine patient satisfaction. Evaluation is on-going and is an active process which may involve the change in the patient’s health, resulting in further planning of care or indeed discontinuation of the treatment at the intervention stage. When nurses carry out evaluation they should analyse the previous phases of the nursing process in order to determine whether expected outcomes for the patient have been met. This will define the level of recovery the patient has reached and their ability to cope with their own health care needs independently. Evaluation is a feed -back mechanism for judging the quality of care given on the patient’s progress. It specifies if the patients problems have been resolved and if there is a need to re-assess, re- implement and re-evaluate the care plan. In conclusion this essay has demonstrated the four different stages of the nursing process and its value to practice. It is of utmost importance that a professional working relationship exists between the patient and other members of the multi-disciplinary team in order for the patient to receive the best outcomes for their health and well-being. The nursing process enables nurses to continually question the care they give to patient and acquire better knowledge and understanding of working for benefit and safety of the patient. It can be seen that each phase of the process of nursing is essential, as each part contributes to the patient having maximum holistic health outcomes and patient satisfaction from the treatment that they receive from nurses. The nursing process encourages nursing practice to improve the effectiveness and quality of healthcare to be beneficial to the patient. This assignment also discussed the issues where the nursing and patient may have their differences of opinion when receive treatment in clinical practice, and the nurse must adhere to respecting the patient’s dignity in every case. Without the nursing process the efficiency and quality of care that the patient would receive may not be patient centered as nursing care would rarely involve the patient but focus on the illness. The process of nursing helps to keep nursing practice current as nurses apply Evidence Based Practice in the care they provide. It is the nurses duty to stay currently informed and educated on any treatments as nurses must provide a high standard of practice and care at all times by using the best available evidence. Each section of the process helps the nurse to contributes to improved patient outcomes because nurses must make decisions on a regular basis on what is the appropriate care to provide for the patient. The four elements comprising assessment, planning, intervention and evaluation will help reduce the negative outcomes since the care is based on a plan incorporating the use of evidence-based practice and ensures patient satisfaction.

Lifespan of Adults of Dementia in Developed Countries Compared to Developing Countries

Lifespan of Adults of Dementia in Developed Countries Compared to Developing Countries Introduction Background Information Aging of the world’s population, along with the fast-growing life expectancy, results in increased expenditures spent on health care services.Advertising We will write a custom research paper sample on Lifespan of Adults of Dementia in Developed Countries Compared to Developing Countries specifically for you for only $16.05 $11/page Learn More Older age is closely associated with high rates of chronic diseases. In this respect, dementia is considered to have had a serious impact on the quality of life, as well as on the economic burden that family should take. At the current moment, dementia treatment refers to advanced medicine and novel approaches to cope with the increasing number of cases. However, the ineffectiveness of treating dementia has a negative impact on life expectancy in aging societies. The global trends in aging undergo significant changes due to the influence of external factors, including economic , political and social challenges. This is of particular concern to the evident difference in the distribution of adults with dementia in developing and developed economies. The recent explorations of the problem have indicated the tangible impact of environmental factors on dementia development (Prince, 2000). In particular, because the mental disorder is considered a significant problem in the developed world with increased rates of aging population, it has considerably higher rates in the developing economies. The evident distinctions, as well as demographic transitions, have negative consequence for the dementia spread among the developing world’s population. The research studies by Wang et al. (2008) have recently discovered that dementia is the core reason for economic burden among the aging population in developing countries. Such a situation is explained by insufficient education, as well as poor health care services tailored to the patients’ demands. Attention should also be given to the cross-cultural survey of people with dementia in the third world. Research studies in such developing regions as Latin American, Africa, China, and Southeast Asia are indispensible to define how lack of education, poor health care network, and community perception affect dementia diagnosing (Prince et al., 2003). Considering culturally and economically sensitive environments of the developing countries is vital for evaluating the differences in incidence and prevalence of the disease among the identified populations. Purpose of the Research Although the developed world recognizes dementia as a serious threat to the aging population and overall demographics, little comparative analysis has been done on the assessment of the situation in both developing and developed worlds to define what external and internal processes influenced the lifespan of adults with dementia.Advertising Looking for research paper on psychology? Let's see if we can help you ! Get your first paper with 15% OFF Learn More This is of particular concern to such issues as cultural diversity, economic impact, political situation and education serving as the comparative tools of the analysis. Therefore, the purpose of the research lies in defining what underpinnings influence greater lifespan of people with dementia in developed region, as compared to the developing world. Main Discussion Influence of Dementia on Life Expectancy Numerous researches have been dedicated to the analysis of the connection between dementia and life expectancy. In this respect, Xie (2008) states, People with dementia have markedly decreased survival rates compared with those without dementia and are two to four times more likely to die at a given age than those of the same age without dementia (p. 259). Even minor cognitive disorders can have a negative impact on the survival mechanisms of individuals and, therefore, it has direct relation to the risk of mortality. The degrees of mortality of people suffering from dementia are largely predetermined by such characteristics as sex, age, demographic characteristics, type of dementia, and genetic information. Higher risks of mortality are observed among older people (Xie, 2008). Gender characteristics are considered less important in defining the impact of dementia on life expectancy. The studies produced by Routree et al. (2012) have also provided evidence concerning the strong dependence between greater probability of dementia disorder among males of older age and slower pre-progression rate. The evident connection between the age of the patients and survival rates explains the survival mechanisms and the necessary health care assistance. Within this context, the lifespan rates among the patients will largely depend on economic and political realms within which these patients are placed (Waring et al., 2005). In this respect, the overall impact of dementia is closely associated with the quality of health insurance, economic and social conditions under which the individuals are treated. Analysis of Economic Aspects Influencing the Lifespan of People with Dementia in Developing and Developed Countries On the one hand, the previously discussed studies point to the direct influence of age on life of people with the disease. On the other hand, the survival probability can significantly be increased with the introduction of advanced technologies, medication, and quality of health care delivery. In this respect, Kalaria et al. (2008) have defined that, although mortality rates predetermined by poverty, communicable diseases, and human conflicts, number of individuals with dementia have augmented in the developing world.Advertising We will write a custom research paper sample on Lifespan of Adults of Dementia in Developed Countries Compared to Developing Countries specifically for you for only $16.05 $11/page Learn More The current evidence suggests that age-predetermined dementia observed in individuals under the age of 65 is higher in such developing regions as Latin America and Asia than in India and sub-Saharan Africa (Kalaria et al, 2008). Moreover, education is considered the decisive factor in development of the disease because illiteracy increases the potential risk for dementia emergence. Rapid expansion of patients with dementia in the developing countries is strongly associated with the financial resources invested in treatment and prevention schemes. In particular, the costs spent on treating dementia in the developing countries reach about $ 73 billion annually (Kalaria et al, 2008). However, the actual care demands for social protection are much higher than the actual budgeting. Therefore, lack of sufficient financing in developing economies constitutes the core reason for the increased rates of dementia among patients, as well as their shorter level of life expectancy (Rooij et al., 2011). As a result, greater demand for residential care should be introduced in the future to prevent the expansion. In contrast to the economic environment in developing countries influencing dementia treatment, the developed world manages to spend significant part of financial resources to cope with the problem (Rooij et al., 2011; Xie, 2008). However, provided aging has become the major challenge for dementia development, the prosperous economies can face serious problems in dealing with the patients suffering from the disorder. Greater ratios of older people in the developed world, therefore, can prevail in number over the ratio of older people in the developing countries. To enlarge on the issue, Wehling and Groth (2011) have introduced the statistics counting, â€Å"†¦number of people aged 65 years and above will grow from 600 million to 2 billion (increase of 330 %) and the 80+ generation will increase by more than 400 % from 105 million to 400 million† (pp. 275-276). Therefore, the increase in lif e expectancy levels presupposed by the socioeconomic progress explains the ratio of older people in the developed world. However, these improvements contrast with the rapid decrease in birth rates. In case the established pace of life expectancy continues growing in the course of the 21st century, most children born in 2000 are likely to reach the age of 100 (Wehling Groth, 2011). Such statistics is worsened by the decline of the youth ratio. For instance, Japan has one of the highest rates of life longevity in the world.Advertising Looking for research paper on psychology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Education as the Threshold Identifying Lifespan of Individuals with Dementia in Developing and Developed Countries According to Prince et al. (2003), â€Å"low levels of education, literacy, and numeracy can result in cognitively unimpaired people screening positive for dementia† (p. 909). In educational terms, sensitive screening techniques do not allow to define arithmetical ability, as well as the level of writing and reading skills. However, the screening instruments can be applied to various cultural circumstances. For example, it is possible to introduce interview formats that do not relate to educational realm. It should also be stressed that lack of education in developing region does not indicate the higher risk of dementia. Rather, the low indices of educational activities do not contribute to appropriate diagnosing of the disease. Therefore, the developing region should be more concerned with the development of new technological devices that can improve the situati on. With regard to the above-presented research studies, developing economies should give specific attention to education as a decisive factor in determining the quality of diagnosing, which later complicates to define advanced from of the disorder. Such a situation can also be a reason for shorter lifespan of people with dementia. In particular, the research evidence shows that Shanghai citizens defined that the mortality levels for dementia, particularly for people over the age of 75, had similar mortality indices as people suffering from cancer (Kalaria et al., 2008). In India, the average rate for survival among the patients equals to 3.3 years in developing countries, which is much lower than in developed regions where the lifespan of adult individuals with dementia reaches 9 years (Kalaria et al., 2008). In addition, high mortality rates have been identified in African region; in particular, the relative risk ratio amounts to less than 3 years. The studies by Kalaria et al. (2 008) have been defined that Asian ad Latin American regions are the leading ones in terms of the dementia prevalence. However, aging groups of population reveal lower ratio of adults with dementia in Sub-Saharan Africa and India. In this respect, it can be concluded that this region demonstrates the lowest life expectancy, which is partially predetermined by depressive illnesses and illiteracy that contribute to the development of disease. In addition, Kalaria et al. (2008) have discovered, â€Å"†¦increasing frequency of vascular disease and global tends in modernization will add to the burden of AD within the developing countries† (p. 826). Indeed, the globalization process and mobilization provide a new outlook on the treatment techniques of patients. Therefore, much concern relates to the problem of the aging population among which the ratio of adults with dementia is lower in the developing countries than in the developed ones. Introducing Costs Spent on People with Dementia in Developing and Developed Countries Understanding the importance of expenditures spent on treating dementia is vital to promote future health case, as well as improve the overall socio-economic policy. The government needs to gain evidence for establishing firm policies for the fast-growing numbers of adults with dementia. Low social awareness, underestimated attitude to the problem, and maltreatment does not contribute to the efficiency of the introduced strategies. In this respect, social protection and security are among the major challenges in the developing countries because of such factors as urban migration, conflict situations, and deployment of HIV/AIDs (Kalaria et al., 2008). The circumstances also point to the older people as the most vulnerable segment of the population living in the third world. Apart from weak social environment, the developing countries face race discrimination, which is also another reason for the decline in lifespan of people with dement ia. Moreover, the aging process of people with dementia provides greater costs and, as a result, this category is considered the economic burden, particularly for the developing world. In this respect, Wang et al. (2008) have discovered that China is among the leading countries that enters the aging era due to the high level of health care delivery. At the same time, the patients with dementia need constant care with regard to the level of disease severity (Wang et al., 2008). Therefore, despite the fact that the longevity of the patients increased, the economic burden imposed on hospitals and caregivers has been increased as well. Dias et al. (2008) support the idea of enhancing the home care support that can ensure longer life expectancy in India. In fact, the Indian region lack sufficient budgeting of the health care services, particularly people suffering from dementia and, therefore, longevity of their lives is much shorter than in other regions. Rapid demographic aging can res ult in the rise of adults suffering in dementia in the developing countries and, therefore, specific attention should be given to health care arrangement in this particular region. According to the studies by Prince (2004), older individual living in developing countries are not isolated from their younger relatives. However, significant levels of family stress create certain disadvantages in terms of lifespan of people with dementia. Moreover, in contrast to the developed countries, adults with dementia in the developing world usually live in extended families composed of three-generation households. Older people suffering from the disease cannot be regarded as a separate category in the developing societies. As a result, this group experiences significant psychological strain and increase costs influencing all family members as well. Further complications can affect education, impoverishment levels, and gender discrimination. Therefore, Prince (2004) argues, â€Å"dementia is a d evelopment issues, and as such a proper concern for proper concern for policymakers in developing countries† (p. 176). Because people in the developing countries are under the stress of family bonds, their lifespan is unlikely to be higher as compared to the lifespan of adult living in the developed world. Despite the fact that developing world has higher ratio of people with dementia among elder population, the aging phenomenon is still more typical of the developed countries. In fact, greater life expectancy in the developed economies is explained by the greater attention given to the quality of health care services. At the same time, Asian, African, and Latin American regions also witness significant rise of the aging population rates, although their services are less advanced (Shaji, 2009). As a result, because their rates of dementia disease are higher, the aging process poses a significant challenge to this region. Despite the fact that the biological phenomenon of aging is a global problem, the life of senior members of society varies greatly due to the difference in cultural and economic contexts (Shaji, 2009). Health care and aging, therefore, are predetermined by social and cultural factors, including social status and attitude to elder people as accepted in various countries (Prince, 2004). Traditional support systems are unlikely to have a potent impact on economic changes and social restructuring. Conclusion In conclusion, the research studies have discovered that the life expectancy of people with dementia in developed countries is much higher as compared to that of people with dementia in the developing countries due to a number of economic, cultural, and political factors. To begin with, the globalization can be considered as the underpinning for the highlighting the aging process in the world due to the technological and scientific progress. Due to the fact that innovation is more associated with the developed world, this region has high er level of aging population. Although the developing region, including Asia, Africa, and Latin America, has lower quality of health care services, the social support of elder generation is ensured by cultural aspects and traditions. As a result, because both face the aging process, the developing economies are under the threat of having lower rates of longevity among people with dementia. Education and economic costs also relate to the risk factors influencing the rapid growth of the patients. References Dias, A., Dewey, M. E., DSouza, J., Dhume, R., Motghare, D. D., Shaji, K. S., Patel, V. (2008). The Effectiveness of a Home Care Program for Supporting Caregivers of Persons with Dementia in Developing Countries: A Randomised Controlled Trial from Goa, India. Plos Clinical Trials, 5(6), 1-7. Kalaria, R. N., Maestre, G. E., Arizaga, R., Friedland, R. P., Galasko, D., †¦ Antuono, P. (2008). Alzheimer’s Disease and Vascular Dementia in Developing Countries: Prevalence, M anagement, and Risk Factors. Lancet Neurology, 7(9), 812-826. Prince, M. (2000). Dementia in developing countries. A consensus statement from the 10/66 Dementia Research Group. International Journal Of Geriatric Psychiatry, 15(1), 14-20. Prince, M. (2004). Care arrangements for people with dementia in developing countries. International Journal Of Geriatric Psychiatry, 19(2), 170-177. Prince, M., Acosta, D., Chiu, H., Scazufca, M., Varghese, M. (2003). Dementia Diagnosis in Developing Countries: A Cross Cultural Validation Study. The Lancet, 361, 909-917. Rooij, A., Luijkx, K. G., Declercq, A. G., Schols, J. (2011). Quality of Life of Residents with Dementia in Long-Term Care Settings in the Netherlands and Belgium: Design of a Longitudinal Comparative Study in Transitional Nursing Homes and Small-Scale Living Facilities. BMC Geriatrics. 11(20), 20. Routree, S. D., Chan, W., Pavlik, V. N. Darby, E. J., Doody, R. S. (2012). Factors that Influence Survival in a Probable Alzheimer D isease Cohort. Alzheimer’s Research Therapy, 4(16), 1-6. Shaji, K. (2009). Dementia care in developing countries: the road ahead. Indian Journal of Psychiatry, 51, 5-7. Wang, G., Cheng, Q., Zhang, S., Bai, L., Zeng, J., Cui, P., Chen, S. (2008). Economic impact of dementia in developing countries: an evaluation of Alzheimer-type dementia in Shanghai, China. Journal of Alzheimers Disease: JAD, 15(1), 109-115. Waring, S. C., Doody, R. S., Pavlik, V. N., Massman, P. J., and Chan, W. (2005). Survival among Patients with Dementia from a Large Multi-ethnic Population. Alzheimer Disease and Associated Disorders, 19(4), 178-183. Wehling, M., Groth, H. (2011). Challenges of longevity in developed countries: vascular prevention of dementia as an immediate clue to tackle an upcoming medical, social and economic stretch. Neuro-Degenerative Diseases, 8(5), 275-282. Xie, J. (2008). Survival Times in People with Dementia: Analysis from Population Based Cohort Study with 14 Year Follow-U p. British Medical Journal. 336, 258-262.

Discussion Questions Essay Example | Topics and Well Written Essays - 500 words - 8

Discussion Questions - Essay Example Though some people are of the opinion that mufflers are not a safety hazard, the majority think that they are life threatening if removed. Therefore the law is right in slapping heavy fines on people who remove their mufflers while riding their bikes. Property is defined as "ones exclusive right to possess, use, and dispose of a thing" . . . "as well as the object, benefit, or prerogative which constitutes the subject matter of that right."( Barrons Law Dictionary (2nd ed. 1984) Based on this definition, the right to use the land rests with the owner, in this case the farmers who are free to utilize their property in any way they find useful or profitable. But the group demanding a halt to putting up of billboards may be seen to be indulging in â€Å"constitutive rhetoric about rural people, places†¦.† (Pruit.R.Lisa2006).; Their actions maybe motivated more by nostalgia for the idyllic, bucolic image of a farmer’s life and land, while failing to take into consideration his financial and economic constraints. If the billboard assures him guaranteed annual returns which may subsist his livelihood, the farmers are free to allow their land to be used in ways they deem fit. The decision may ultimately be influenced by the legal rhetoric about rural spaces, but in most cases law and its caretakers are far behind reality, holding onto outdated notions of a rural community. Restaurants which prohibit people from their premises, in the presence of clothing deemed unfit by the establishment are merely resorting to the use of Sumptuary Laws, which were traditionally used to reinforce social class system through certain restrictions on ways of dressing and eating. (Ribeiro, Aileen: Dress and Morality2003). Restaurants are engaged in the business of creating an illusion of a higher purpose of reality and it is their avowed aim to keep up the pretense at any cost. The owner of the restaurant has the right to take all

Contract and Event Management Essay Example | Topics and Well Written Essays - 2000 words

Contract and Event Management - Essay Example The contracts are typically arranged to ensure finest food quality services in the event. There are different types of contracts. The catering contracts for event management sectors will help in saving time and money. Thus, planning the arrangements effectively will help in thriving in the catering business. Remember, an event cannot take place without food (Bode, 2003). Food is important in any event. Hence, adequate planning of providing food in the events by tying up with event management firm is likely to boost the company’s revenue earning. To start with such business plan, you must have some basic knowledge about the food industry and you must posses and urge to give the best service to your client. Offering quality services is the key to succeed in the food industry. Efficiency and preparing tasty dishes will help in gaining quick popularity in the domain. Now, flexibility is essential, as depending on the nature of the product some will order for daily services. Thus, service enhancement is essential (Hayes and Ninemeier, 2012). To maintain consistency in the food preparation the caterer will require good products from the market. Besides, cooking finest dishes and delivering the products on daily basis, the caterer should develop a very good relationship with the supplier. Supplier and caterer must hold a good partnership, as you will require quality product to offer quality services in the catering domain. Creativity and innovation is the key to succeed in this industry (Hayes and Ninemeier, 2012). Thus, the contractor will contact only the dynamic item providers who can supply innovative products to deliver special services in the outlets. The firm should begin with a strategic planning procedure. Now to go about the process, analyze the business in relation to the below mentioned ideas; identification if the idea of the contract fits the

Mrs Dalloway Essay Example | Topics and Well Written Essays - 1250 words

Mrs Dalloway - Essay Example Mrs. Dalloway asks readers to read between the lines and to analyze the meanings of words, images, and memories to the characters and their society. Mrs. Dalloway represents despair because of repression and isolation that social class, faith, and science cannot remove, although the novel suggests that through love and career, some people can have enough hope to find meaning in their lives. Mrs. Dalloway feels despair because of her repressed life that the traditional social order imposes on her. Conventional society has gender and social status norms and all of these repress Mrs. Dalloway. Even before she got married, Clarissa feels something missing in her life, which she remembers when she goes to shop for flowers for her party: â€Å"She had a perpetual sense, as she watched the taxi cabs, of being out, out, far out to sea and alone; she always had the feeling that it was very, very dangerous to live even one day† (Woolf Section 1). She feels it dangerous to live probably because she cannot live the life she wants because society will reject her. One of the hidden lives that Clarissa has is being a lesbian. She does not want to fully admit it to herself, but her relationship with Sally Seton has a romantic side. When Sally kissed her before, Clarissa felt something new, something better in her life: â€Å"†¦the radiance burnt through, the revelation, t he religious feeling!† (Woolf Section 2). The revelation is her attraction for the same sex, while the religious feeling is finding purity in truth. Clarissa knows, however, that her society despises gay people, so she decides to stick to gender norms and to marry Richard Dalloway instead. He presents socio-economic comforts, which Clarissa justifies she needs better than her suitor’s, Peter Walsh’s promise of an adventurous life in traveling. Furthermore, the title itself reveals how oppressed Clarissa is as a woman. Mrs. Dalloway means that she has no

The Dual Nature of Characters in Shakespeares Othello :: GCSE English Literature Coursework

Dual Nature of Characters in Othello  Ã‚   Many of the characters in Shakespeare's tragedy, Othello are duplicitous to the extent that how they are perceived in public is not how they behave in private. The perception of the public plays   a very important role in the play Othello. The character of Iago uses his public perception as an honest man to deceive Othello and other characters in the play. The perception of the public   of Othello and Cassio played an important role in the play. Iago’s public perception played a very key role in the play. Everyone thought of Iago as an honest man. â€Å" O, that’s an honest fellow â€Å" , â€Å"You advise me well ........ goodnight honest Iago â€Å" - â€Å"........that’s an honest fellow â€Å" â€Å" I know thou’rt full of love and honesty †. Iago has everyone fooled into believing that he is a noble honest man. Without this public perception of being honest he could never get Othello to believe that Desdemona was cheating on him. Othello would have probably killed him if he didn’t have the public perception of being an honest man. Iago knew that an important man like Othello couldn’t ignore the possibility that his wife was cheating on him. Nobody suspects that Iago is a deceitful man and would plot and plan to destroy Othello, Cassio and Desdemona in such a cunning way. Iago used his public perception, and the insecurities of Othello being a Moor, to allow him to manipulate Othello. Othello had a public perception of being a military man, and a courageous leader. â€Å"Valiant Othello, We must straight employ you...† â€Å"Here comes Brabantio and the valiant Moor.† Othello has been a soldier since he was seven years of age, and has experience on the battle field. Othello was chosen when they went to fight the Turkish fleet. Because of his public perception, it wasn’t hard for other people to accept the relationship between him and Desdemona. As Iago started putting ideas in Othello’s head about Cassio and Desdemona being together, another side of Othello’s personality started to surface. Because Iago had the public perception of being an honest man, Othello couldn’t ignore his insinuations about Desdemona. Othello wondered if Desdemona really loved him, or if she was just using him to rebel against her father. With Iago constantly putting these ideas in his head, Othello was convinced to kill his wife. Cassio was known to be a good soldier, and is proud of that public perception.

Competency Goals Statement Ii

Competency Goals Statement II Goal: To advance physical and intellectual competence. It is essential to the growth and development of every child to advance their physical and intellectual needs. There are numerous ways to encourage this type of development. I offer a variety of activities that promote the advancement of the physical and intellectual competence of the children in my care. Children are encouraged to participate in daily large motor activities to enhance physical development. I do this by being very enthusiastic and even joining in with the children at play.Outside we play tag, ball, hopscotch, and other made up games. Inside we play parachute, and beanbag toss. I also communicate with the children and their parents about the importance of being physically active. In class we have discussions, and I send newsletters home to parents with ideas for activities. Children in my classroom get plenty of time for large motor activities and know why they are important to their health. I help children develop cognitive skills by encouraging them to try things out. For example, when it snowed this winter the children placed snowballs in the freezer and discovered that they froze into solid ice.They thought that the snow would stay the same rather than freeze, and were surprised that the snow froze. We discussed what happened and why it may have happened. Cognitive skills are used daily in our classroom and the children have fun developing them. Creativity is in the materials and interest areas throughout our classroom. Children have access to art supplies to create their own artwork. Paints, markers, pencils, crayons, and paper are available for children all the time. Many types of music are sung and played during the day.Children can use instruments and scarves to move with the music. Many different kinds of clothing can be found in the dramatic play area. In my classroom I help children learn, understand, and use words to communicate. This is done by enco uraging conversations throughout the classroom. I ask children about what they are during all the time. I also reminded them to use their words to express themselves when they are having a hard time communicating. Items are labeled around the room so that they can connect the words with the objects.I have a word wall in the writing center that contains new vocabulary every two weeks so that children are exposed to new words. The children in my classroom always have opportunities to develop their communication skills. In conclusion, it is essential to the growth and development of every child to advance their physical and intellectual needs. I do so many things in my daily schedule that promote Physical, Cognitive, Communication and Creativity. By the time my children in my classroom are ready to move up to the next room I am very confident that they are ready. Word Count: 466

The Difference Between Bienvenu and Bienvenue

Mistakes will always be made in French, and now you can learn from them. When wanting to express Welcome! as a stand-alone phrase, beginners to French will often write  Bienvenu! ​instead of  the correct spelling of Bienvenue! Explanation of Bienvenue vs. Bienvenu Bienvenue used as a greeting is short for je vous souhaite la bienvenue, which literally means I wish you welcome. When saying Welcome! with no verb, you always have to use the feminine:  Bienvenue! Bienvenu with no e is an adjective often used as a noun conforming to a subject. To use this spelling of Bienvenu, the employed sentence needs to have a subject. Because of this, only when using a complete sentence can you say either Soyez le bienvenu or Soyez la bienvenue, according to the gender of the person you are talking to. You can say Soyez les bienvenus if its more than one person. The distinction is confusing and often leads to mistakes. A famous example is that of a sign in Utah that reads: Bienvenu internationale voyageurs. This sentence is wrong on many levels. Because it possesses no subject, the correct spelling would be Bienvenue ending with an e. In this instance, it would also need to be followed by the preposition à  . On a different but related note, the adjective international should be plural instead of feminine (to agree with voyageurs), and it should follow rather than precede the noun. The apostrophe has no business there either. Better French Greetings for the sign would be: Bienvenue aux voyageurs internationauxVoyageurs internationaux : soyez les bienvenus