Monday, January 27, 2020
Young Children Exercise And Obesity Health And Social Care Essay
Young Children Exercise And Obesity Health And Social Care Essay Above given is a case study of on lifestyle health intervention. It is main case study for the following essay. The essay can be a It shall be a critical analysis of intervention`s design, delivery and those evaluation methodologies, which were being utilized for data gathering or desired outcome measuring the specified study. for this study. A critical discussion (in the light of relevant theories) of activities during developmental phase to evaluation phase of a health intervention shall be the topic of this essay move this line above the previous line.. For discussion, the essay is being divided into three parts. Part one highlights introduction and rationale for the choice of study. The second part explores and critically analyse the key features of the intervention`s methodology, design, and delivery by comparing it with other comparators and relevant literature. Final part covers evaluation methodologies employed to measure the desired outcomes of intervention, includes data collection for measuring outcome, process and fidelity of implementation. Sedentary behaviour is an unhealthy lifestyle. Spending more time in front of computer, TV viewing, video games playing, also not participating in outdoor activities (playing games), inactive parents who also do not support or help their children to be active, bad weather, and lack of insufficient health education in schools and communities are not only helping factors for enhancing this sedentary behaviour but the blame also goes to those cultural environments which promote physical inactivity and excessive eating. Because of this unhealthy lifestyle obesity is growing rapidly in UK. Childhood obesity is dangerous because it tracks into adulthood. In boys and girls aged 2-10 years, obesity increased from 10% in 1995 to 17% in 2005; further 16% boys and 12% girls are overweight (HSE, 2005). Data from National Child Measurement Programme showing that in England 13% children of aged 4-5 and 14.3% children of aged 10-11 are overweight; further 9.6% children of aged 4-5 years and 18.3% c hildren of aged 10-11 are obese. It is very clear that unhealthy lifestyle plays an important role in the development and maintenance for obesity (NCMP/2008). Improving lifestyles is thought to be one of the most effective means of reducing mortality and morbidity in the developed world. However, despite decades of health promotion, there has been no significant difference to lifestyles and instead there are rising levels of inactivity and obesity (Kathryn Thirlaway, 2008). In UK even majority of adults 37% of men and 25% of women are meeting the government target of at least thirty/30 minutes of intense physical activity for five/5 days per week but still there is a considerable public health burden due to physically inactive people. Every year more than 356,000 people are dying due to different cancers and cardiovascular diseases. Physical inactivity is not only responsible for this death toll but is one of major cause (Steven Allender et al, 2006). According to chief medical statement physically active people can reduce up to 50% risk of having any major disease like cancer and cardiovascular diseases but they can also prolong their liv es up to 20% to 30% (D.O.H, 2004). Unhealthy lifestyle has become a public health problem because of its association with major diseases. This is the reason for promoting healthy lifestyle different governments in United Kingdom have been introducing different interventions. In policy forms and in different schools and community based settings. Healthy weight, healthy life, child measurement programme, change 4 life, and in past LEAP project (Local Exercise Action Pilots), changes in schools curriculum for making physical activities and health education compulsory, providing healthy meals in schools and the most recent policy over salt usage are some of the great examples. To tackle above mentioned catastrophe there is an acute need of intervention. According to government policy for health promotion, an evidence based strategy for promoting healthy lifestyles is underpinning with national and local health improvement policies. Any intervention that can help in preventing obesity should be given high value. Because it is well known, in the absence of any intervention 50% of obese children will become obese adults (National audit office London, 2001). By following the health promotion principle of enabling people to increase control over their health and its determinants, and thereby improve their health (W.H.O 2005), many theories explain health behaviour and a change in health behaviour. Health Belief Model (HBM), Theory of Reasoned action, social learning and Transtheoretical (stages of change) Model, theory of health education are the examples. All of them are underpinning the practise of health promotion. Understanding of these theories is very essential while developing or designing health behaviour change intervention as the theory is logical place to begin (John kemm et al.) and theories provide bases for study design. National Institute of Health also argues that a theory is a systematic way of understanding events or situation and needs to be applicable to broad verity of situation, (NIH, 2005). This mean theories provide bases and a structure of knowledge can be built upon. For example theory of health belief model by focusing on individual`s perceptions of benefits and threats to his/her health further explains that a person`s attitude is determined by his/her knowledge and on that bases he/she acts. This means that, when person gain knowledge about something that influence the attitude and on that basis a change (step wise) in his/her actions occur. Therefore, theoretical understanding of change while developing intervention is also very important. For example, for this study (MAGIC) the concept of enhancing physical activity was being derived by the theory of health belief model (HBM) and by adopting health education model approach, an attempt of behaviour change among school children was being made. The MAGIC example is reflecting that for the study the theory of health belief provided a base and on that a health education model was being built. Basically, by following health promotion principal the MAGIC programme was being designed to promote healthy lifestyle with the help of health educa tion. Using scientific research as a base for developing sound practices in public health is called evidence based approach, which integrates research and practice (Liz Trinder et al. 2000). Was there any need for developing an intervention to improve physical activity among young children? Is MAGIC program evidence based? These questions can be answered by evaluating an intervention at developmental stage. For example, a literature search (systematic review and meta-analysis) for gathering the relevant evidences had been conducted for MAGIC programme. For the purpose researchers had set an inclusion and exclusion criterion for similar case studies to conduct a systematic review and that is systematic way of evidence finding. It was very important to search for those evidences which would help them in not repeating those mistakes while developing a design which had been causing failure previously. Therefore, it was very important to know what had been done so for. What kind of methods and designs had been used or what was already known about similar interventions and what needed to be done more or different. So the evidence based strategy can be adopted from different perspectives, of a researcher`s like creating hypothesis and design building which further maximise the strength of design and can even helpful in programme delivery. A logical model can be built on the bases of evidences which further can forecast the outcome of an intervention.
Sunday, January 19, 2020
Radiology :: essays research papers fc
1. Turn on PC and RMS appears Will use 1,4,5 6,8, 9 A on menu 2. Hit 4 for Transcription 3. 5 Edit Header/Report 4. Report Look Up 5. Use Sequence # from written report 6. Exam Date ââ¬â always use reort date and make sure it matches 7. Seq # 8. F1 Enter Status D = date dictated T = date typed N = New To use Dictophone: Log on by hitting System Access Twice (may want to use Cody and my code is 086999) Use # 1 to select by Report Presss 3 by Subject # - (number under ptââ¬â¢s name) may have to key it to dictaphone more than once ââ¬â may need to use a 8 before number on paper Put in number and hit the # sign Put in transcription time in military time ââ¬â jot down on report from taped message Put in auth # from phone screeen Enter dictated time MDââ¬â¢s Hospital Computer numbers: 00---- 2 lead zeros and then 4 digits and justified to the left On PC: F9 to enter W/P (word processing section) Report design: Use Z N)normal S)specific use N unless some thing additional written in by Radiologist F3 and F4 to view and move back and forth between headers Some Radiologists give the date and some donââ¬â¢t - -HAVE TO HAVE A DATE ââ¬â IF THEY DONââ¬â¢T GIVE ONE, USE DATE ON WRITTEN REPORT Can go back and review sheet when done and for Mammograms, put in data from written additonal sheet (Radiologist Findings) F1 first Enter T for transcription menu Choose breast Catagories (Radiologist Findings) If no answer to a section, hit Escape to go past it If answer, fill in, hit enter and then F1 to Save Press Escape to bring back to beginning screen If Reason for Exam noted, to back to Pt.System ââ¬â into Pt Information; Enter Ptââ¬â¢s number, F1 Begin Search, Find Visits ALT H, Find Visit and Enter; Alt M --Mammographic Software ââ¬â Reasons check whatever is checked, F1 to save, if problem indicated, Sign OFF Dictophone when finished/Sign off PC software at Transciption Menu (1 Sign Off) TO PRINT REPORTS In Transcription Menu Go to Sign Off By Radiologist Find reports by Radiologist F2 to pull up everything for Radiologist F1 to select Print When you do this, it prints all for all transciptionists SHORT CUT KEYS: IMPRESSION Hit Alt I F1 SAVE ACR Code: Hit Alt 9 Find Visit Alt H Mammagraphic system Alt M Alt C Clinical History Correct all misspellings found If note to fax, enter fax number on header screen, Only answer Fax as Y is you know fax number of MD office in system already; if you donââ¬â¢t know, answer N, enter Fax # as 9,776-6176 or if long distance enter as 9,9197766176 AND put it in comments to Fax
Saturday, January 11, 2020
Zeitoun
Steven Massie Mr. Bevier AP English Language AA/BB 1 September 2012 Corruption in New Orleans In Zeitoun written and published by Abdulrahman Zeitoun and Dave Eggers, the most powerful assertion made is that the government was corrupt during the aftermath of hurricane Katrina. This allegation is unfortunately accurate. Many citizens were left stranded in their homes, while the government gave orders to arrest innocent men and women who were still in the city of New Orleans, which also lead to the establishment of many corrupt government programs.To start, the author supports his statement by including information of citizens who were left hopeless at their homes. Some citizens waited on their rooftops, while others waited on their front porch. On Thursday September 1st, 2005 Abdulrahman Zeitoun paddled throughout the city determined to help save stranded citizens. He went house to house and reported to the National Guard where and who needed to be rescued. At his first encounter with a soldier, he was told he could not be helped. However, while talking to another soldier he was told everything would be taken care of and the citizens would be helped.Unfortunately, help did not come to everyone. ââ¬Å"Alvin and Beulah were still there, on the porch, bags still ready, a light rain still falling on them. They had been waiting for four hoursâ⬠(Dave Eggers 137). This passage further proves only one example of citizens who received no help from the government, no rescue, and no safety. The corrupt government left many unsure if they were going to survive at all. Continuing forward, the author further demonstrates his point by including information of innocent citizens being arrested during the aftermath of the storm.The first time readers become aware of this is on Tuesday September, 6 on page 212. Zeitoun along with his friends living in the house on Claiborne are all arrested and driven to a terminal a few blocks from the Superdome. From there, they are told they are under arrest because they are ââ¬ËAl Qaedaââ¬â¢. However much the evidence may have pointed towards this being a correct statement, the men had committed no crime, had not been processed correctly, and had not been allowed to make a call. All evidence of the government being corrupt during this time.Another example brought to readerââ¬â¢s attention is a man Abdulrahman Zeitoun meets at the Hunt Correctional Center. ââ¬Å"He met a man who said he had been moving furniture in his house just after the storm hit. The police spotted him and broke in. When the protested his innocence they beat him up and left. A few days later, he came to the Greyhound Station to complain. They arrested him and sent him to Huntâ⬠(Eggers 258). This ridiculous behavior during a time of crisis is unacceptable and shows how the government was corrupt.Lastly, the author strongly supports his assertion by explaining the conditions he lived under at these corrupt government programs. The first place Zeitoun was held captive was the terminal close to the Superdome. Here, innocent men were pepper sprayed, and tortured in other various ways. They were given 1 steel rack, a concrete floor, and a negative amount of sympathy at best. ââ¬Å"Zeitoun had been brought into the station on September 6, seven and a half days after the hurricane passed through the city.Even under the best of circumstances, building a prison like this would have taken four or five daysâ⬠(Eggers 226). This also tells the reader, that instead of spending their time saving citizens who needed them, they were building a jail to house innocent men. The reader continues forward, to find out poor food and medical help was provided, along with the absence of a phone call. Under United Stated laws, a person who is arrested is guaranteed one phone call, again proving the corruption of the government.When one faces the facts provided in Zeitoun they have no choice but to agree that the government was corrupt during the aftershock of the storm. When citizens are left without help, took away for no reason, and held captive under terrible conditions, the reader is left with no choice but to be disappointed in the government. One might imagine that Zeitoun have lived in a third world country when all this had occurred, yet it happened right here in the United States of America.
Friday, January 3, 2020
Language and Culture Its What Brings Us Together Essay
Language today is a very misleadingly complex subject. Many people do not tend to see how it can be complicated; rather they think it is just the way we communicate and not much more. However, as any anthropological reader knows, it goes far deeper than that. One of the many other aspects of language is that it causes people to be brought together. A lot of international freshman tended to congregate with people from their own country when they first arrived at the University of Michigan, partially because they felt more comfortable speaking their native tongue and felt a sense of similarity in their group. This can be seen in any place where diverse groups of people are thrown together. It provides a sense of home, a way to make themâ⬠¦show more contentâ⬠¦Also it seems he is capable in a decent amount of languages and could get a translator if he truly required it. The theme of language in these two novels can be seen through the ethnographers (in)ability to get an emic view from the locals, how it affected the peopleââ¬â¢s behaviour, and perhaps most importantly, how it affected the ethnographerââ¬â¢s and peopleââ¬â¢s emotions through the various situations that occurred. For ethnographers, being able to communicate with the particular population that they are studying is crucial. This is more so apparent with Fernea, as not only was she ignorant of the language and customs but while honeymooning in Iraq she was constantly separated from her husband. This becomes obvious very early on when she attempts to indicate that the beams in Selmaââ¬â¢s house were the same as hers by pointing at them, unable to even get across this simple conversational tidbit (Fernea 1965:30). Though her crowd reacts favorably by laughing, as the beams are the same in every house around the village, it is a subtle moment of foreshadowing to just how little she knows about the culture in the village. This forewarning is noticeable mainly after she makes a particular blunder much later on in the book. Fernea was invited to go on a small ride by Aziza while her friend Laila happened to be visiting. Aziza insisted that Laila come along, as not doing so would be impolite, and Laila claimed that the ride would be of no issueShow MoreRelatedCulture : The American Culture1014 Words à |à 5 PagesCulture cannot be defined because it is completely unique to the individual. Culture is something that we choose to create which helps identify ourselves as a person. Throughout the world there are many different cultures. Culture can can be based on things such as language, religion, and tradition or customs that we were raised in. Culture allows for groups of people to come together with similar interests and backgrounds to come share one common ground. Culture is everywhere we look and is in ourRead MoreAssignment 2 : A Multicultural Society807 Words à |à 4 PagesPaper A multicultural society is where a diverse group of races, cultures, and different ethical background coexist together in a country, state, city, community or neighborhoods. Basically, a ground of people from different backgrounds living together in the same community. Multiculturalism is when these diverse groups have the same rights and treatment in society or by society. Multiculturalism is when different racial groups and cultures have the same opportunities, and equal rights without prejudiceRead MoreRelationship Between Language And Culture1678 Words à |à 7 PagesLanguage in Culture The relationship between language and culture is as old as mankind itself. Throughout the centuries, people and their living practices have evolved, resulting in wide-reaching changes in socialite culture. According to many individuals around the world, language is one of the epitomes of life, a source of connection to or divorce from the face of public. Anyone who has had to navigate through the plethora tongues around the world knows that the revelations of the Tower of BabelRead More Language Essays960 Words à |à 4 PagesLanguage Language is essential; language is what we use to communicate among others. It is something that joins us just as strongly as it separates us. There are many different ââ¬Å"languagesâ⬠in the world but really they are all bound by certain rules, they all have a format that they follow, all of them have, nouns, verbs, tenses, and adjectives. Language is almost like a math, the point of it is that when you speak, you try to reach a conclusion with a different person, and in math you use equationsRead MoreSociological Imagination On A Micro Or Macro Scale883 Words à |à 4 Pagesimagination is the study of society on a micro or macro scale. The term was first used by an American sociologist C. wright mills (1916-1962). This unique quality of thinking allows a person or a group to think or feel about society in general around us or in relation to a larger group to emphasize the connection between personal and structural (group) issues or trends. In other words, a sociologist trie s to understand why things are the way they are. Sociological imagination is the ability of thinkingRead MoreGreek American Ethnicity Among Age Cohorts Under Changing Condition1389 Words à |à 6 Pagesstill have to experience and others where we find ourselves so closely related to a mere stranger. In this essay, I will compare and contrast two very different communities and how their affluence and perseverance in this wonderful melting pot of cultures that we call America has come to be. I will be discussing Stavros Constantinou and Milton Harveyââ¬â¢s ââ¬Å"The persistence of Greek American Ethnicity among Age Cohorts under changing conditionâ⬠in comparison to Elizabeth Chacko and Ivan Cheung ââ¬Å"The formationRead MoreMusic And Music : The Impacts Of Music In Globalization1162 Words à |à 5 Pagesthatââ¬â¢s what put the music on the top of the global languages for connecting people to each other however from any countries belong. Globalization of Music is very important because music is global language, makes people closer and music as treatment for many people. I. Music is global languages between all the people around the world. A. Music is the universal language of all mankind. 1. People cant travel around the world and be able to communicate with everyone through their native language, butRead MoreThe Effects of Globalization on Cambodia Essay888 Words à |à 4 PagesGlobalization is defined as the act of creating connections between countries across the globe in terms of culture and economy. Almost on every part of the world, citizens have become a part of the global village. Even though various researches stated that there are negative effects of globalization for particular reasons, the positive impacts were clearly shown to be stronger especially in developing countries such as Cambodia. To begin with, tourist travel is one of the main negative impacts ofRead MoreIs The Bible True?1528 Words à |à 7 Pagesif we believe the bible to be true, then we must put in the work to understand the language. This will enable us to understand the Bible itself. Placher is basically trying to prove to us the Bible is true without turning to modern day themes and arguments to prove this. Hence, why he uses old texts from history and sections of the Bible in his article. He tells us in his article about how some of the topics he brings up from the Bible might not directly correlate with their modern day counterpartRead MoreThe Study of Linguistics Essay1450 Words à |à 6 Pagesof Linguistics Language changes with history and time. Our perception of words changes. Everything changes, from cooking with a fire to cooking with a microwave. Some examples of the ways language changes are through accents, books, slang, influential people, and historical events. Accents show development of culture over time, maybe through a historical event, such as a new country being found. The people living there might adopt the culture of the founders. Language also changes, from
Thursday, December 26, 2019
No Child Left Behind Standardization - 1608 Words
The large change for standardization began with the implementation of the No Child Left Behind Act (NCLB) in 2001. According to professors of education Delilah David, Ingrid Haynes, Bernnell M. Peltier-Glaze, Summer Pannell, and head of Texas Marshall County school district, Carrie Skelton, the NCLB was responsible for a number of undesirable consequences in school administration. Districts became responsible for test scores from individual schools, creating pressures among administrative officials to perform well. The act also made it easier for the federal government to become more involved in education, primarily in its finances. Dr. Martin Wasserburg conducted an assessment of lower-income schools in an urban area and found that tâ⬠¦show more contentâ⬠¦However, the NCLB has fallen far too short of its goal. Standardized testing has not only failed to help disadvantaged students, but has hurt them and their districts as well (Wasserberg). Write more The increase of standardization in education in the years following the NCLBââ¬â¢s implementation brought more undesirable consequences, one of them being the pressure placed on teachers to perform well. More now than ever, teachers are accountable for the test scores and performances given by individual students (Wiliam, Dylan). In fact, the main purpose of standardized testing is not to assess the contextual knowledge of students, but rather to act as an assessment of teacher performance and quality. Teachers are held more accountable for the scores of their students than the students themselves are, despite the proven lack of control that teachers have over test scores. This particular facet of the American education system sets us apart other developing countries, where students are held as equally accountable to their scores as teachers are. According to Dylan Wiliam, two-thirds of the reasoning behind test scores can be traced back to socioeconomic factors, further show ing that teachers have a small influence in a studentââ¬â¢s test score, and that they should not be assessed based on them alone. WhenShow MoreRelatedCommon Core s Supporters And Non Supporters974 Words à |à 4 Pagesschool system is desperately needed. The United States has fallen behind its peers in the international communities, who participate in the Programme for International Student Assessment, in almost every measurable scholarly subject. Therefore, the United States needs to help its students to become better scholars so they can internationally compete in the business market place. Common Core is also trying to bring a standardization of learning and cohesiveness to all schools across the United StatesRead MoreAmerica s Education Over The Course Of Time1007 Words à |à 5 Pagesexample with his school in Chicago. ââ¬Å"During the last thirty-five years with the establishment of the Dewey school in Chicago the elementary area of education in America has become increasingly dominated by the whole-child conceptâ⬠(Ohio State Universiy Press, 1938). The slogan ââ¬Å"the whole child goes to schoo lâ⬠describe a concept that Dewey would work to put into use with his schools in Chicago. However, John Dewey: Educational Philosopher explains how Dewey and his ideas were not always accepted. ââ¬Å"BecauseRead MoreEssay on Standardized Testing1458 Words à |à 6 PagesNo Child Left Behind Act and Standardized Testing: State, National, and International American Education has been a work in progress for the past century and a half. To measure its progress, successes, and failings, there are standardized tests. These tests have been used to compare schools, states, and nations. The key subjects being tested as a universal measure are mathematics, reading, and science. To help improve the scores on these tests, the United States put into law the No Child LeftRead MoreNo Child Left Behind and the Common Core State Standards700 Words à |à 3 PagesThe main goal of both No Child Left Behind and the Common Core State Standards are to have students perform better primary in Language Arts and Mathematics, though the Common Core State Standards does branch out into other subjects, like Science. With No Child Left Behind, there is a focus on testing on Language Arts and Mathematics and schools that do not improve would face sanctions. With the Common Core State Standards, there is still a focus on testing primary in Language Arts and Mat hematicsRead MoreThe Mcdonaldization Of Society By George Ritzer999 Words à |à 4 Pagesmechanistic worldview that applies to the state of education in American society. The calculability idea behind standardization is that each studentââ¬â¢s level of progress is measured against set averages. This in theory is supposed to efficiently enable administrators and district officials to hold teachers accountable for the success of their students. The unfortunate result is that standardization limits a teachersââ¬â¢ ability to teach a variety of purposeful topics, prohibits them from diving furtherRead MoreEducational System Reform1071 Words à |à 4 Pagesenvy of the world, yet today it has slipped to mediocre at best. Although most people agree that the system needs reform, there are a wide variety of different ideas about how to do so. Some call for privatization of the system, other believe standardization is the proper route, and still others call for more liberalization and resources be devoted to the system similar to some other countries such as Finland. Although many other systems around the world have shown remarkable results, simply mimic kingRead MoreNation At Risk Gave Rise To Two Major Education Reform974 Words à |à 4 PagesNation at Risk gave rise to two major education reform movements; accountability and school choice. Federal government started thinking about testing, and standardization, which resulted in No Child Left Behind (NCLB), and Race to the Top. McGuinnââ¬â¢s No Child Left Behind (NCLB), describes the politics of accountability as setting a standard for teachers, testing students to see if the schools meet the set standards, and then holding the schools and teachers accountable for not achieving those standardsRead MoreHigh-Stakes Testing, the Standardized Classroom, and the Marginalization of Multicultural Education1817 Words à |à 8 Pagestogether to solve the worldââ¬â¢s problems.â⬠These statements by James A. Banks have made a profound impact on my view towards multicultural education and the nationââ¬â¢s current trend of standardization and high-stakes testing. Scholarly res earch shows that the emphasis placed on testing and standards, mandated by the No Child Left Behind (NCLB) Act, is causing teachers to focus entirely on basic skills in reading, writing, and math (Banks Banks, 2010). This focus on basic skills is taking much needed timeRead MoreThe Negative Effects Of Standardized Testing871 Words à |à 4 PagesThe Negative Effects of Standardized Testing The purpose of the No Child Left Behind Act is designed to close the achievement gap between high/low performing children and improve/strengthen accountability amongst schools (Department of Education). As a result, the Department of Education has implemented a sanctions and rewards system, stipulated in the No Child Left behind Act. If schools do not perform according to the act, funding will be withdrawn, teachers and administrators could get laid offRead MoreTesting And De Grading Schools : Authentic Alternatives For Accountability And Standardization1080 Words à |à 5 PagesGuerrero July 4, 2015 EDDL 941 Book Review Bower, J., Thomas, P. L. (Eds.). (2013). De-testing and de-grading schools: Authentic alternatives to accountability and standardization. New York: Peter Lang Publishing Inc. Synopsis: I found De-testing and de-grading schools: Authentic alternatives to accountability and standardization by Bower and Thomas, an interesting read and consistent with the critiques of high stakes testing and assessment weââ¬â¢ve read about and watched in this class. It is a
Wednesday, December 18, 2019
The Rover, By Aphra Behn Essay - 1205 Words
Literature, in its many forms, captures the essence of human experience. Emotions, memories, hopes, and dreams are all frozen in time so that they never be forgotten. Yet, time destroys all things, and as time marches on the purpose behind such raw displays of human essence are sometimes forgotten. Within a modern society, the idea that women have, and should, express their desires, passions, and opinions comes by naturally. However, this universal truth was not always deemed acceptable. There was a time where female sexuality, personal identity, and desires were simply dismissed. It is with this knowledge in mind that the meaning behind Aphra Behnââ¬â¢s comedy The Rover is felt in full force. With the historical context of the Restoration period taken into account, Behnââ¬â¢s work becomes something far more than just a play inspired to bring an audience a good laugh. It is a testament to the skill of a woman, who took the title of professional writer for herself, despite a ti me period where such an action was met with contemp. It is a critique on a society that held no respect for women as individuals. Finally, it is a subtle, but vital push to change that misogynistic view. Through a complex and developed female cast, as well as bold depictions of sexuality, Behnââ¬â¢s play critiques and challenges Restoration views of women. Before analyzing the play, itself, it is of significant importance to better understand the level of opposition faced by Behn during her time. Perhaps one ofShow MoreRelated`` The Rover `` By Aphra Behn1445 Words à |à 6 Pages Between the classifications of virgin and prostitute lay a void, not a range; one could give the entire freight or nothing. Performed in 1677, Aphra Behn s play, The Rover addresses this twofold standard, which restricted her female companions sexual cravings to the domain of religious community, massage parlor, or home. Set free in the upside down universe of Festival, her characters show the dynamic, entangled amusement required of ladies looking to secure individual satisfaction. TheRead MoreThe Rover by Aphra Behn Essay1202 Words à |à 5 Pages In The Rover by Aphra Behn the reader is shown how all a woman could do during the 1600ââ¬â¢s in Europe was sell herself through marriage or prostitution through the characters Hellena and Angellica. Both women have different views on love, sex, and marriage. Hellena is a woman who does not want to be controlled by men. It has been determined by her father and brother that she will join a nunnery, which she rejects. Hellena doesnâ⠬â¢t want her desires to be controlled and feels she has the right to loveRead MoreAphra Behn - Gender Economics in the Rover3540 Words à |à 15 PagesTERM PAPER Gender Economics of Restoration and Aphra Behn INTRODUCTION The Restoration era allowed women to step into what was historically an essentially masculine space, that of literary and theatrical production. As women stepped on stage, they entered a market- they were commodities displayed to attract a larger crowd towards the theatre. Thus even though through writing or acting a woman could gain financial independence, unlike men they werenââ¬â¢t selling their work, they were ostensiblyRead MoreGender Stereotypes By Aphra Behn à ¬Ã ¥ s The Rover Essay927 Words à |à 4 PagesGender Stereotypes in Aphra Behnà ´s The Rover The social and sexual freedom that came with the Puritan Protectorate in 1660 did not apply for women. Instead, there was a double standard for men and women. Men had all liberties they wanted to have, but for women there were still only three roles: Nun, prostitute or wife (Goodson, para. 1). Aphra Behn picks up on this issue in her play The Rover, which premiered on March 24, 1677. Certainly, the play contains powerful female characters like HellenaRead MoreThe Feminist: Aphra Behn Essay786 Words à |à 4 Pagescentury a writer named Aphra Behn emerged as leader in English literature. With a shaky beginning, Behn persevered to become the first female professional writer. With her feminist opinions, she revolutionized writing and her impacts in the 17th century would change modern day writing. Behn was a clever writer who wrote lively, vibrant plays and poetry. Behn impacted the world, not only with her writing, but also with her determination and voice about her feminist opinion s. Behn showed strength andRead More A Patriarchic Society in Aphra Behns The Rover Essay1105 Words à |à 5 PagesSociety in Aphra Behns The Rover In her play The Rover, Aphra Behn uses the treatment of women to suggest the presence of a strong patriarchic society and what harm can become of it. The main female character Florinda is manipulated, used, and treated horribly by men in instances of near-rape, battering and beating, and foul language among other things. Behn also uses Willmore, one of the main male characters, and his attitude towards women to prove her point. By doing this, Behn is suggestingRead MoreThe Rover Analysis2460 Words à |à 10 PagesIn Aphra Behns ââ¬Å"The Rover,â⬠characters define relationships as a type of economy where value and use are key. This time period commodified love and sexuality, valuing financial success over meaningful relationships. The dowry system made rich women with a high status most desirable for marriage and their value was increased by their honor. Typical of seventeenth century literature, Behn plays with this ideology as ââ¬Å"the language of love in Restoration co medies frequently draws on the language ofRead MoreResearch Paper : Aphra Behn1320 Words à |à 6 PagesMaia Davis Orlando/4A English 2302 Research Paper: Aphra Behn In a time when very few authors - let alone female authors - could support themselves through their craft, Aphra Behn was a well known and highly regarded writer in London. She wrote many plays for the London stage, penned poetry, and wrote what some consider the first English novel (though others consider it a novella or a somewhat long short story). Much of her work decries the unequal treatment of women in her era, and she sufferedRead More Aphra Behns Oroonoko as the First Modern Novel Essay1294 Words à |à 6 Pagesmatter the quality, publications written by women were typically ridiculed by their male contenders.à However, a handful of women defied the common standards and were prosperous; one of these was Aprha Behn.à Virgina Wolf says of Behn, All women together ought to let flowers fall upon the tomb of Aphra Behn, for it was she who earned them the right to speak their minds.à Although she was a woman of outstanding accomplishments, one of her publications truly g listens.à Oroonoko (1688), the epic tale ofRead MoreAnalysis Of The Poem Elin Diamond 757 Words à |à 4 Pageslarger dowry s to attract more beneficial suitors. The unexpected side effect of these actions led to a change in how men would look at women. Women no longer were looked at as potential lovers or ladies but rather price tags and financial benefit. Aphra recognized this idea and Elin explains in her play how this new identity was reflected in The Feigned Courtesans. The women seek to be rid of their attachments to the patriarchal policies of selling their daughters into slavery to other men for pure
Tuesday, December 10, 2019
Consumer Scenario Mental Status Examination
Question: Discuss about theConsumer Scenariofor Mental Status Examination. Answer: Holistic Assessment and Planning: The Mental Status Examination General Appearance and Behaviour Adam, a15-year-old Caucasian man, tall but slim for his age. At the time of examination, he was not dressed well; hairs not combed properly and had dark circles. He was quiet and sullen throughout the interview. During the interview, he responded to most of the questions with yes or no. He was not making eye contact and had poor concentration level. It was observed that the patient was clasping his hands during the interview, looking down at the floor and was almost murmuring (monash.edu.au, 2016). Speech Slow speech: It was observed that he was with slow speech, almost whispering. He answered to all the questions, but at slower pace. Affect and Mood It was found that affect was depressed and the patients mood was low. When Adam was asked to rate his feeling, he rated 3 out of 10 and said he did not feel better that that ever (psychclerk.bsd.uchicago.edu, 2016). Thought 1.Stream It was found that the patients thought stream was decreased. Form Adam was observed with no formal thought disorders as he did not have disordered speech or unorganized thinking. He answered to all the questions precisely. Content Adam felt guilty and considered him a failure. It was clear from the mental status examination that Adam had other negative symptoms like self-harm. Perception It was observed that Adam had normal perception. Symbols of misinterpretation, depersonalization or illusion were not observed. Cognition Adam was aware and had no disorientation issues. He was conscious about time, place and persons. Besides, he had no difficulties in recollecting previous incidents. Moreover, he was capable of answering all the questions as evident from the medical status examination. Suicidality Adam was not observed with any suicidal ideation or tendency. However, the patient admitted that he had intention of self-harm. When the patient was inquired about suicidal thoughts, he denied and said he needed sound sleep and was tired of taking medicines. Insight and Judgment The patient was aware of his mental ailment and was opened to proper diagnosis and treatment. He cooperated with the mental state examiner. Adam showed compliance with the entire medical procedure and willing to get a speedy recovery (Greenham Persi, 2014). A Clinical Formulation Table Predisposing (Early life incidents) Precipitating (Incidents that resulted in the ongoing crisis) Perpetuating (Factors constantly contributing to the crisis) Presenting (The crisis or problem which has occurred) Protective factors (Coping skills and strength) Biological determinants The patient was on antidepressant treatment. He received extensive counseling for CSA. He was admitted to hospital for depressive episodes with suicidal ideation. Adams parents suffered from marital problems. The patient was reluctant to have food. He had low appetite. He was under medications and counseling. Hence, he was tired and restless. Adam had dark circles Adam was compliant to medication and the treatment procedures. Psychological contributors The patient, Adam became a victim of sexual abuse at an age of 6 years. Adams uncle who was the perpetrator would be released from jail shortly. Hence, he was traumatized Adam had low mood and loss of drive. He was depressed and unhappy Since, his doctors anticipated depressive episodes; hence, he might suffer from Major Depressive Disorder (MDD). He had ideation of self harm, considered himself responsible for his parents marital problems Adam agreed for further treatment. He would be admitted in adolescent ward as a voluntary patient. Social factors He had a damaged family. He believed that only his sister considered him to be normal. Adam had stopped biking. He was not interested in preparing for the upcoming competition. The patient ceased himself from biking and reluctant to go to school, confined himself to his home and stopped socializing. Adams family was supportive, confident and optimistic about his recovery. (Serobatse, Du Plessis, Koen, 2014). Plan for Nursing Care Using Maslows Hierarchy of Needs, there are mainly two needs that required to be prioritized in context of patients suffering from psychological disorder (Lee Hanna, 2015). Physiological needs Safety needs Physiological needs are the first level of Maslows hierarchy. It is mainly concerned with the maintenance of human body. It comprises of the fundamental needs, which are crucial for existence. They are water, food, air, shelter and sleep. The Physiological needs are prioritized, as it is a basic need in humans that need to be fulfilled for maintaining life processes (Lester, 2013). Safety needs are the second level of Maslows hierarchy. It is mainly concerned with protection from harm. It comprises of safe shelter, security of job, health and safe surrounding (Datta, 2014). The safety and security needs are prioritized as safety and security are primarily the two most important factors for a human being. If a person is not secured he would not be able to meet up other needs. Hence, the two above mentioned basic needs of Maslows hierarchy had been chosen. Issue Evaluation Goal Interpretation Self- harming tendency Good communication and trust between the patient and nursing staff To ensure patient safety and security as well Assess mental status of the patient constipation related to medication side effects consumer has 1 hour accompanied walk/day Regular elimination established Assess bowel elimination 1/24 hours Lack of sleep Regular exercises To ensure that the patient has a sound sleep Monitoring of the exercise schedule on daily basis Lack of appetite Physical activities like games, aerobics To ensure that the patient is on proper diet Maintaining diet chart for the patient and ensuring that the patient is on balance diet Weight loss Provision of nutritious food to the patient To ensure improvement in patients weight and overall health Regular monitoring of the patients improvement in weight Therapeutic engagement and clinical interpretation Clinical Handover Adam is a 15-year-old Caucasian man male, tall but slim for his age. At the time of examination, he was not dressed well; hairs were not combed properly and had dark circles. He was quiet and sullen throughout the interview. During the interview, he responded to most of the questions with yes or no. He was not making eye contact and had poor concentration level. He was clasping his hands during the interview, looking down at the floor and was almost murmuring (Eggins Slade, 2015). The patients parents and family were concerned about his mental state. He was traumatized and confined himself to his home. He stopped biking and preparing for the upcoming event. Moreover, he abandoned going to school. He had low mood and a loss of appetite. The medical state examiner and the clinical formulation table led to the derivation that the patient, Adam was suffering from Major Depressive Disorder. It was evident from the outcomes of MSE and clinical formulation table that he was traumatized and felt insecured outside home. He was terrorized as his uncle was released. He was terrorized with the thought that the perpetrator might harm him again and make him suffer from depression and pain. The Therapeutic Relationship Therapeutic relationship is a relationship between a patient and a medical/ healthcare professional. It helps in recovery of the patient. Therapeutic relationship is a prerequisite for establishing an effective therapy in patients suffering from mental ailment. The therapeutic relationship is a vital part of nursing care and practices. The therapeutic relationship is central to all nursing practice. The fundamental elements of the therapeutic relationship include respect, empathy and validation. (Keltner, 2013). Cognitive behavioral therapy is such an approach of treating patients with psychosis. It mainly emphasizes on establishing therapeutic relationship with patients. It is comprised of empathy, care, warmth, genuineness, positive attitude and active participation of the consumer (Nolen-Hoeksema Hilt, 2013). The patient can be treated with cognitive behavioral approach, about eight to sixteen sessions over a period of four months. It is seen that in this type of therapeutic pattern, consumers get involved in activities, gain skills to improve social values. Moreover, in this kind of approach the consumer can recognize and reconstruct their behavioral patterns and eliminate their undetermined and self-defeating patterns that lead to mood depressions. The cognitive behavioral therapy furnishes certain therapeutic goals. They typically include stress reduction, increase in acceptance and consideration, quality of life enhancement. It will help the consumer to focus on valuable objectives and directions. The meeting of consumers goal involves acceptance of the previous experiences and symptoms by the patient. Consumers acceptance and trust towards the clinician involved in treating the ailment is another major determinant in the effective treatment of depression (Mohr et al., 2013). Cultural Safety Cultural safetyis an effective nursing practice of a patient by a person belonging to a different cultural background determined by the patient or the family. It can be referred to as a safe environment in terms of social, emotional and physical security (Ramsden, 2015). The culturally safe practices involve recognizing and respecting the cultural integrity of the consumer, fulfill their necessities, and safeguard their rights (Stuart, 2014). The patient, Adam is in his adolescence and had a abusive past. He was depressed and withdrawing from the society and friends. Hence, he must be provided proper care and safety. He confined himself to his family and reluctant to go outside. It is evident that he was insecured and had trust issues. Hence, the primary focus should be towards developing trust with the consumer. The third principle of culturally safe nursing care can be implemented in the interventions. It would help in building rapport with the patient, which would help the nursing care provider to collect more information about the patient and accordingly assess his mental state. It would supplement in providing better care to the patient. A critical assessment of the family and society influence on the victim should be made. The patient had suicide attempts in the past and had self-harm ideation later. Hence, assessment of the patients activity, behaviour, mood changes and mental status is indispensable in this partic ular case. A respectful communication and considerate attitude towards the patient would be appropriate for provision of culturally safe care. Nursing Care and Recovery Model The word Recovery refers to regaining and retention of hope. In context of mental illness recovery can be considered as regaining of an individuals hope, zeal of life and become active. It also involves ways of gaining capabilities, engagement in day to day life, promoting consciousness, regaining identity and optimism. Recovery focused approach means an approach that focuses more on supporting an individuals own potentiality to recovery (Caplan. 2013).The recovery model has six principles (Norman Ryrie, 2013). Uniqueness of the Individual The results from a particular recovery approach is unique to an individual, it varies with people..It focuses more on quality life and social behaviour Own choice Focus on supporting individuals to make their own choice. It helps in balancing duty and care Authority and power Focus on individuals, identifies the requirements and act accordingly. Safeguards human rights and takes care of legal and ethical aspects Respectability and Freedom Focus on being respectful to individuals, their beliefs and ideas. It emphasizes on freedom of individuals and helps in removing discriminations. Inter-Communication and Cooperation Recognizes that individual is themselves having the best understanding of their life and well-being. It gives values on individuals opinion and decisions. Recovery Evaluations Individuals assess their own improvement. It reports on recovery outcomes on the basis of their mental, spiritual, financial and social issues (Mendoza et al., 2014). The patient was detected with lack of sleep and appetite. Moreover, he suffered from mood swings, had poor concentration, low on speech and had self -harming tendency. The medications prescribed to him often had side effects of constipation. The interventions for the issues of the patient were ensuring daily elimination of bowel, some physical activities, games are recommended, delicious yet nutritious food was given to the patient. Hence, the consumer made his own choice, his freedom and respectability was maintained. The interventions recommended comply with the recovery models, as the patient was involved actively in the entire treatment procedure. The food, diet and exercises were scheduled as per the patients choice. The patient was dealt with empathy. A rapport was built so that the patient could communicate with more ease. Hence, inter-communication and cooperation is maintained in providing nursing care to Adam. Patient specific nursing care is crucial for patients suffering from depression, trauma or other mental disorders. The interventions considered for providing patient specific nursing care are for the betterment of the patient. Reference: Caplan, G. (2013).An approach to community mental health(Vol. 3). Routledge. Datta, Y. (2014). Maslows hierarchy of basic needs: An ecological view.Oxford Journal: An International Journal of Business Economics,8(1). Eggins, S., Slade, D. (2015). Communication in clinical handover: improving the safety and quality of the patient experience.Journal of public health research,4(3). Greenham, S. L., Persi, J. (2014). The state of inpatient psychiatry for youth in Ontario: results of the ONCAIPS Benchmarking Survey.Journal of the Canadian Academy of Child and Adolescent Psychiatry,23(1). Keltner, N. L. (2013).Psychiatric nursing. Elsevier Health Sciences. Lee, J. M., Hanna, S. D. (2015). Savings Goals and Saving Behavior From a Perspective of Maslow's Hierarchy of Needs.Journal of Financial Counseling and Planning,26(2). Lester, D. (2013). Measuring Maslow's hierarchy of needs.Psychological reports,113(1). Mendoza, J., Wands, M., Hackett, M., Najlepszy, L. P. (2014). Recovery oriented consumer focused practice: Emerging critical success factors in establishing a culture of collaboration to support our most vulnerable community members.International Journal of Integrated Care,14(9). Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., Klinkman, M. (2013). Behavioral intervention technologies: evidence review and recommendations for future research in mental health.General hospital psychiatry,35(4). Nolen-Hoeksema, S., Hilt, L. M. (Eds.). (2013).Handbook of depression in adolescents. Routledge. Norman, I., Ryrie, I. (2013).The Art And Science Of Mental Health Nursing: Principles And Practice: A Textbook of Principles and Practice. McGraw-Hill Education (UK). Ramsden, I. (2015). 1 Towards cultural safety.Cultural Safety in Aotearoa New Zealand, 1. Serobatse, M. B., Du Plessis, E., Koen, M. P. (2014). Interventions to promote psychiatric patients' compliance to mental health treatment: A systematic review.Health SA Gesondheid (Online),19(1). Stuart, G. W. (2014).Principles and practice of psychiatric nursing. Elsevier Health Sciences. www.monash.edu.au,. (2016). Retrieved 20 September 2016, from https://www.monash.edu.au/lls/llonline/writing/medicine/psychology/3.1.xml www.psychclerk.bsd.uchicago.edu,. (2016). Retrieved 20 September 2016, from https://psychclerk.bsd.uchicago.edu/mse.pdf
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