Profiles on Pedophiles and Child Killers

Symptoms, Causes, And Treatments Of Schizophrenia

Symptoms, Causes, and Treatments of Schizophrenia Cassidy Echalico Florida State College at Jacksonville Symptoms, Causes, and Treatments of Schizophrenia Schizophrenia is a stigmatized disease that labels victims as crazy. One percent of people develop schizophrenia in their lifetime; more than two million Americans suffer from schizophrenia in a given year (Spearing, 1999). Although schizophrenia affects men and women equally, it often appears earlier in men than in women; Men are generally affected in the late teens to early twenties and women are generally affected in the twenties to early thirties (Spearing, 1999). Schizophrenia is highly uncommon in children, affecting only about 1 in 40,000 in comparison to 1 in 100 in adults. Many of the victims do not realize they have schizophrenia until they have a first episode psychosis (Aas, Andreassen, Aminoff, Faerden, Romm, Nesvayeng, Berg, Simonsen, Agartz, and Melle. 2016). While many people only know the stereotyped effects of schizophrenia, a better understanding of the symptoms, causes, and possible treatments can clear many stigma s up. According to the National Institute of Mental Health, schizophrenia is a â€Å"chronic and severe mental disorder that affects how a person thinks, feels, and behaves† (National Institute of Mental Health, 2016). Symptoms of schizophrenia include positive, negative, and cognitive affluences (National Institute of Mental Health, 2016). Positive symptoms include behaviors that are not seen inShow MoreRelatedSchizophrenia And Its Symptoms, Causes, Treatments954 Words   |  4 PagesIntroduction Schizophrenia is a turbulent mental illness that many people throughout America are suffering from. The word schizophrenia comes from th One percent of America’s population is diagnosed with Schizophrenia each year. This mental disorder is more common in late teenagers and young adults ranging from the ages of 20 to 30. It is proven that this illness occurs in more young men than women. People who suffer from schizophrenia usually cannot have normal lives due to the disabling symptoms. ThisRead MoreSchizophrenia: Causes, Symptoms, Diagnosis, Treatment Essay1851 Words   |  8 PagesINTRODUCTION Schizophrenia is a serious mental illness. Patients experience progressive personality changes and a breakdown in their relationships with the outside world. They have disorganized and abnormal thinking, behavior and language and become emotionally unresponsive or withdrawn. â€Å"The first signs, usually only noticed in looking back on events, are likely to include an unexpected withdrawal of the degree or type of contact that the person used to have with family or school. The personRead MoreIs Schizophrenia A Unique Mental Disorder?1335 Words   |  6 PagesHealth Reference Series, schizophrenia affects 1.1% of the US population and the majority of those who suffer with schizophrenia go untreated or are unaware that they even have the disorder. Approximately 2,200,000 people in the United States suffer from schizophrenia, and they have a lifespan 20% shorter than those who do not have schizophrenia (Fentress, Moller 1). Schizophrenia is a unique mental disorder that is made up of distinctive characteristics, causes, signs and symptoms, and requires specificRead MoreTreatment Options For Schizophreni Symptoms And Symptoms Of Schizophrenia1479 Words   |  6 PagesTreatment Through time, scientists and doctors have created various treatment options for schizophrenia based off scientific theories in their time. At one point physicians would perform brain surgery to remove a portion of brain from an individual suffering with schizophrenia that was responsible for the hallucinations and delusions the individual would experience. Although the surgery might have decreased the amount of hallucinations and delusions experienced by the individual, it led to cognitiveRead MoreThe Evolution Of Schizophrenia Treatment1381 Words   |  6 PagesThe Evolution of Schizophrenia Treatment Schizophrenia is severe mental disorder that causes a distortion of reality that is commonly known to have abnormalities of brain the brain structure coupled with unpredictable and strange emotions, behavior, and thinking. It accounts for the largest percentage of people hospitalized with a mental disorder. (#1) There are five main types of schizophrenia that have been observed. The first is the undifferentiated type which a patient lacks emotional depthRead MoreSymptoms And Treatment Of Schizophrenia1238 Words   |  5 Pagesdiagnosed with them. Although there are many neurological diseases, schizophrenia is one of them. Schizophrenia is one of the more known disorders in the psychological world. Throughout this paper the following questions are answered: what is schizophrenia, what are the causes of schizophrenia, what are some of the types of schizophrenia, and what are the treatment options for those who are diagnosed with schizophrenia? Schizophrenia is a disabling disorder and is chronic and severe to those thatRead MoreSchizophrenia And Its Effects On Mental Disorders992 Words   |  4 PagesSchizophrenia While some may understand the concept of not having control over a specific disorder, fewer are able to imagine living with a disorder in which an altered perception of reality is created. â€Å"Schizophrenia is, in fact, a class of disorders that causes a distortion of reality to occur to its patients and effects the lives of many individuals to this day (Feldman, 2013). While this may fall into the large mix of other mental disorders, it is truly unlike any other because of the creationRead MoreA Research Paper on Schizophrenia984 Words   |  4 PagesSchizophrenia Introduction Schizophrenia is a severe, disabling and chronic disorder that affects people. Schizophrenia is diagnosed as a psychotic disorder. This is because a person suffering from schizophrenia cannot tell their own thoughts, perceptions, ideas, and imaginations from the reality. There is continuing debate and research as to whether schizophrenia is one condition or a combination of more than one syndrome that have related features. People suffering from schizophrenia may seemRead MoreIs Schizophrenia A Mental Disease?1242 Words   |  5 Pages Schizophrenia A normal person is able to go about their day without any problems at all, however, for a person with schizophrenia, their day may be next to impossible. The voices playing throughout that person’s head all the time distracts them from their everyday activities. Their reality is much different than a person without this disorder. Schizophrenia is a mental disease that affects many and can become very serious if not handled correctly; if more research is done on this disease thenRead MoreA Brief Look at Schizophrenia1765 Words   |  7 PagesSchizophrenia Socially the term Schizophrenia has a certain caricature about it that society has turned into a very serious social stigma. Many associate the disorder with criminals, nut houses, and extreme uncontrollable violence. Schizophrenia is portrayed in literature, and in movies so horrendously negative that those who experience symptoms of this very serious mental disorder can be in a stage of denial that can ultimately cause them to go undiagnosed, that is until something goes wrong.

Triggers In Driving

Question: What are the different forces that act as triggers in driving current and potential changes? Explain. Answer: Introduction The paper focuses on the case of an ecological service organisation, Ecology Matters in that it focuses on the different problems that are being faced by the organisation and thereby identifies the different changes that can be introduced for contributing in the minimisation of the risks relating to the presence of internal problems and thereby in generation of needed productivity. Inferences The different forces that act as triggers in driving current and potential changes are grouped under two separate heads like external and internal. The external forces contributing to the change process are identified as the external marketplace, legislations and regulations passed by the regional and national government, technological changes and also changes in the labour and economic policies and structures pertaining to the region. Again, the internal factors like the administrative processes and also existing problems faced by the internal people in the organisation also require the incorporation of changes in the business institution(Pieterse, Canils, Homan, 2012). On the contrary, other types of factors like feelings of uncertainty, increased concern related to personal losses, resistance generated by a group of internal people and also awareness and understandings of the people regarding the failure and weakness of the change process contribute in generating adequate resista nces to the change process(YÄÂ ±lmaz KÄÂ ±lÄÂ ±oÄÅ ¸lu, 2013). An analysis of the case of Ecology Matters different factors is identified that require the introduction of new changes in the organisation. Firstly, the donors focusing on generating funds to Ecology Matters requires the organisation to be adequately registered with the Charities Commission. The registration would help the donor in earning considerable tax rebates. Ecology Matters to earn its registration from the Charities Commission is required to potentially incorporate change policies and procedures like applying for needed documentations, generation of new rules and also in drafting a new constitution. The second factor triggering the introduction of new changes in Ecology Matters is the need for generation of effective coordination between the project supervisors and different volunteers involved in the ecological activities. Thirdly, Ecology Matters faces potential complaints from external stakeholders like other ecological firms relating to its identical work approaches and also in wrongly approaching and absorbing volunteers of other firms. The same requires Ecology Matters to formulate new and innovative work and task guidelines to meet the diverse ecological objectives of the region. Further, the ecological organisation is also required to formulate new guidelines regarding recruitment of volunteers from the external marketplace. Fourthly, the administrative staffs of Ecology Matters is required to focus on the development of an effective, informative and innovative website and also the incorporation of different social media platforms like Facebook, Twitter, YouTube and LinkedIn for sustaining effective interaction with the prospective parties and stakeholders. The above factors are largely observed to trigger the need for generation of changes in the organisational paradigm of Ecology Matters. Inferences The Change Management model reflected by Kurt Lewin is reflected as follows. The three step change model of Kurt Lewin essentially reflects that the change management initiative of an organisation is carried out along three main stages like unfreezing, moving and thereby refreezing. The unfreezing stage focuses on unfreezing the existing condition into its natural or neutral state to enable needed changes. The second step identified as moving reflects on the different types of initiatives and change management actions that need to be undertaken for helping in meeting the transitional objectives. Finally, the third stage is reflected as the refreezing stage where the changes introduced in the organisation or system along the moving or transition state is effectively frozen. The unfreezing stage is potentially guided by different types of driving forces or triggers that contribute in the incorporation of new changes in the existing system(Sarayreh, Khudair, Barakat, 2013). The refreezing stage on the other hand is coupled by the existence of resisting forces t hat tend to potentially resist the sustenance of the changed system. The driving forces involved in the unfreezing stage of the Kurt Lewins change model are essentially identified as incorporation of new information that helps in the identification of inadequacies in the present situation and also through reducing the potential of the existing values and policies of the organisation and also the behaviours and attitudes of the internal people operating in the institution. Similarly, the advent of different types of critical situations or crisis also requires the unfreezing of the current situation to adapt new changes and thereby refreeze. The moving stage reflects the introduction of new value sets and policies such that the same contributes a change in the internal structure. Finally, the refreezing stage reflects on the stabilisation of the changes initiated during the change mode (Eid, 2011). Reflecting on the case of Ecology Matters, John in the first case is required to unfreeze the present situation to rightly fulfil the objectives of documentation, drafting of new constitution and also for framing of new guidelines and rules. The introduction of new policies, frameworks, guidelines and also the drafting of a new constitutional framework require the incorporation of new moves which in turn requires to be frozen again for helping Ecology Matters run with the new organisational and institutional machinery. The above process yields needed advantage in that the same would help in meeting the demands of the donors relating to the claiming of taxes. Further the above process of documentation would also help Ecology Matters to earn its registration with the Charities Commission. The same would help the institution in earning potential charities from the different donors. The above process of documentation and the registration processes would also tend to generate needed disad vantages like earning of potential resistances from internal people. This would require John to continually interact with the people pertaining to different levels thereby requiring greater time and cost (Kvint, 2015). Secondly, other cases of unfreezing would constitute the involvement of more creative and innovative processes and functions thereby helping in creating a niche image of the organisation in the ecology market. Again, the involvement of social networking platforms like Facebook, Twitter, YouTube and LinkedIn and also the development of website would help Ecology Matters in effectively communicating with the different stakeholder groups. The above processes though advantageous in nature yet suffer from potential limitations relating to the requirement of generation of needed training to the organisational members which would enhance the business cost. The internal people need to be effectively trained to work in a technological environment relating to the use of diverse social networking platforms, website development and management and also the development of new thought processes contributing to newer and innovative ideas and ecological solutions (Limes, 2016). Inferences to Question 3 The donors and volunteers of Ecology Matters is taken to support the changes that are being promoted in the organisation while the staffs and supervisors are understood for generating needed resistances to the changes. Resistances to changes can be effectively dealt in by John through the use of the following strategies. Resistances from organisational members can be potentially reduced by John through effectively communicating the mode of use of technological changes like incorporation of social networking and also website development functions for helping in attracting and appealing to a larger target audience. Effective training functions need to be organised for enhancing the potentiality of the internal people to operate in the information technology environment with needed confidence. Further, John also needs to communicate the need and significance for development of new policy frameworks and regulations and also the development of an effective constitution. John needs to effectively highlight the benefit of the above parameters in gaining needed donations to meet its ecological functions. Moreover, John also needs to potentially communicate to the organisational members the benefit of expan ding over to regional and international regions and thereby requiring the inclusion of newer and effective staffs to meet the organisational objectives (Almeida et al., 2013). John is also required to largely encourage the enhanced participation and involvement of organisational members along different levels to contribute in the meeting of the organisational objectives of Ecology Matters in an effective manner. The internal people need to be potentially encouraged to take group decisions regarding the development of creative and innovative ecological functions and also movement over to other newer regions through the opening of new branches. John needs to generate needed facility and support in the form of providing information technology devices like personal computers and laptops on an individualised level such that the same would help in meeting of the communication objectives in an effective fashion. The level of cooperation and collaboration between the supervisors and coordinators in Ecology Matters and the different volunteers recruited from different regions can be potentially enhanced through the incorporation of different types of incentives, financial and otherwise. Incorporation of incentives and increments would excite and encourage the staffs to generate needed productivity in an effective fashion. John can also focus on the use of coercion as an effective tool such that the same can threaten the internal people to work in the meeting of organisational objectives in an effective fashion or face needed penalties in case of discrepancies. Use of coercive elements can largely deter the habit of the coordinators and supervisors from not cooperating with the volunteers such that the same would contribute in generating effective cooperation and collaboration in the organisation (Klatt, 2013). Inferences The need for change in Ecology Matters can be potentially diagnosed in terms of creativity such that the same would help in reflecting on innovative and creative functions relating to the ecological domain. Further, changes brought about in Ecology Matters would also contribute in generation of effective collaboration between the supervisors and the volunteers to generate quality services to the external stakeholders. The introduction of interventions can be rightly planned based on the incorporation of infrastructural facilities relating to information technology, opening up of new premises and also through the inclusion of newer and greater number of staffs pertaining to different levels. Effective collaboration between the above parameters would help in meeting of the change objectives in an enhanced fashion(Kvint, 2015). The evaluation of results of the change management programs can be rightly carried out through the gaining of effective feedbacks from the internal and external stakeholders. The gaining of quality feedbacks from the people would help the managers for taking needed decisions and also in understanding the feasibility of the changes introduced in the organisation. The feedbacks can be gained based on the use of surveys where open and closed questionnaires can be used for understanding of needed perceptions of different stakeholders. Evaluation of results also needs to be made within a specific period in that the same would help in monitoring and controlling of the results gained(Lunenburg, 2010). Finally, the stabilisation of the changes introduced in Ecology Matters can be effectively made by imbuing the same with the internal culture of the institution. The internal culture of the organisation can be potentially influenced through involvement of training and employee development programs such that the new culture can rightly help in adapting the different types of changes introduced in the organisation like technological, infrastructural and manpower changes for meeting of organisational functions(Pieterse, Canils, Homan, 2012). Conclusions The analysis of the case of Ecology Matters reflect the potential problems faced by the ecological institution that required the formulation and introduction of newer changes in the institution both from the infrastructural point of view and also from the regulatory point of view in that the same would contribute in enhancing the level of competence of the organisation in the target market and also in growth of individualistic potential for meeting of stakeholder objectives and in gaining higher revenues. The analysis also reflected on the process through which changes can be rightly introduced in the organisation and the manner the resistances can be effectively reduced to generate needed productivity. References Almeida, F., Santos, J. D., Monteiro, J. A. (2013). E-COMMERCE BUSINESS MODELS IN THE CONTEXT OF WEB 3.0 PARADIGM. International Journal of Advanced Information Technology (IJAIT) , 3 (6), 1-12. Eid, M. I. (2011). DETERMINANTS OF E-COMMERCE CUSTOMER SATISFACTION, TRUST, AND LOYALTY SAUDI ARABIA. Journal of Electronic Commerce Research , 12 (1), 78-93. Klatt, T. (2013). E-Commerce Business Models and Search Engine. Scientific Research , 205-208. Kvint, V. (2015). Strategy for the Global Market: Theory and Practical Applications. New York : Routledge . Limes, F. (2016). Global eCommerce Trends for 2016. Retrieved March 9, 2016, from https://blog.globalizationpartners.com/global-ecommerce-2016-what-does-the-future-hold.aspx Lunenburg, F. C. (2010). Forces for and Resistance to Organizational Change. NATIONAL FORUM OF EDUCATIONAL ADMINISTRATION AND SUPERVISION JOURNAL , 27 (4), 1-10. Pieterse, J. H., Canils, M. C., Homan, T. (2012). Professional discourses and resistance to change. Journal of Organizational Change Management , 25 (6), 798-818. Sarayreh, B. H., Khudair, H., Barakat, E. a. (2013). Comparative Study: The Kurt Lewin of Change Management. International Journal of Computer and Information Technology , 2 (4), 626-629. YÄÂ ±lmaz, D., KÄÂ ±lÄÂ ±oÄÅ ¸lu, G. (2013). Resistance to change and ways of reducing resistance in educational organizations. International Association of Social Science Research - IASSR , 1 (1), 14-21.

Since The Days Of The Pioneers Of The United States, Firearms Essays

Since the days of the pioneers of the United States, firearms have been part of the American tradition as protection and a means of hunting or sport. As we near the end of the 20th century the use of guns has changed significantly. Because of fast and steady increase in crime and the fight for the right to own a hand gun, the introduction of legislation for gun control, to try to reduce the crime in the United States, has been a hotly debated issue in recent years. Although many people feel that gun control violates the right of the people, given in the second amendment "the right to bear arms", controlling distribution and sales and the registration of guns and gun owners is necessary because of the homicide rate involving guns and the violence by criminals using guns. Many people feel that gun control violates the right of the people given in the second amendment the right "to bear arms". Opponents of gun control, including the National Rifle Association, better known as the NRA, argue that the "right To bear arms" is guaranteed in the second amendment of the Constitution of the United States of America and licensing restrictions penalize law-abiding citizens while in no way preventing criminal use of handguns. It is also argued that by making it difficult for guns to be bought and registered for the American public there is a threat to the personal safety of American families everywhere. However controlling the sale and distribution of firearms is necessary because of the homicide rate involving guns. In 1988 there were 9000 handgun related murders in America. Metropolitan centers and some suburban communities of America are setting new records for homicides by handguns. Larger Metropolitan centers have ten times the murder rate of all Western Europe. For example in Washington,D.C. there was an estimated 400 homicides including guns. In addition gun control has been seen as necessary because of the violence by criminals using guns. Gun control is wrapped in a series of social issues such as crime and drugs. Guns have become closely linked to drugs and murder in the public mind. Drug dealing and high tech weaponry have escalated the warfare in cities between long established loosely knit gangs. Predominantly guns of crime are used by gang members. Many police officers are killed every year due to drug and gang related incidents involving guns. For example in 1988 on February 26 rookie New York City police officer Edward Byre was sitting alone in his police car guarding the house of a drug trial witness in South Jamaica, Queens where he was shot four times in the head and killed. In conclusion, there are valid reasons for why certain people feel that gun control is unfair. People against gun control feel that it is a violation of the Constitution to control the sale and distribution and the registration of guns and gun owners. But it is necessary for there to be certain limits on the way that firearms are handled in this country because of the homicide rate involving guns and because of the violence created by criminals using guns. If gun control legislation were to go through there would be a significant decline in gun related crimes and fatalities.

The Chemical Composition of Human Sweat or Perspiration

The Chemical Composition of Human Sweat or Perspiration As you might imagine, human perspiration is mainly water. Have you ever wondered what else is in sweat? Heres a look at the chemical composition of perspiration and the factors that affect it. Why Do People Sweat? The main reason people perspire is so evaporation of water can cool the body. Therefore, it makes sense that the main component of perspiration is water. However, perspiration also plays a role in excretion of toxins and waste products. Sweat is chemically similar to plasma, but certain components are selectively retained or excreted. Variations in Perspiration Chemical Composition The chemical composition of perspiration varies between individuals and also depends on what they have been eating and drinking, why they are sweating, how long they have been perspiring, and several other factors. General Composition Perspiration consists of water, minerals, lactate, and urea. On average, the mineral composition is: Sodium (0.9 gram/liter)Potassium (0.2 g/l)Calcium (0.015 g/l)Magnesium (0.0013 g/l) Trace metals that the body excretes in sweat include: Zinc (0.4 milligrams/liter)Copper (0.3–0.8 mg/l)Iron (1 mg/l)Chromium (0.1 mg/l)Nickel (0.05 mg/l)Lead (0.05 mg/l) Sources Montain, S J, et al. â€Å"Sweat mineral-element responses during 7 h of exercise-heat stress.†Ã‚  International, U.S. National Library of Medicine, Dec. 2007.sportof journal  Ã‚  nutrition and exercise metabolism

Community Service Argument Essays

Community Service Argument Essays Community Service Argument Essay Community Service Argument Essay Community Service Argument Green Bay High Schools are being faced with a really controversial issue. which revolves around whether or non community service hours are needed to graduate. High schools are reasoning that 24 hours of community service are needed to graduate from their installation of larning. but many defeated pupils are voicing protests to this demand. This state of affairs has caused much contention among the school system and many statements have risen in support and against this community service issue. Supporters of the community service undertaking argue that if pupils fulfill their 24 hours of community service in high school they will develop into solid pillars of the community. They believe that pupils will go better cognizant of what the existent universe is like by making community service and giving back to their community. Students will larn valuable life lessons by take parting in community service and will experience good about themselves for assisting others in demand. Protestors have struck back with a really solid statement. They feel that if high school pupils are forced to make community service they will get down to see it as a penalty and as something that they have to make because it is required alternatively of something that they want to make because it is the right thing to make. Students will in the hereafter look back at the community service undertakings that they were forced to make throughout high school and will go on to transport a negative mentality on community service for the entireness of their life-time. Another thought that the protestors give about this community service issue is clip restraints will do it near to impossible for high school pupils to make full the necessary 24 hours needed to graduate. High school pupils have an tremendous sum of things traveling on in their lives. They attend school daily for 7 hours. take part in extra-curricular activities. and have parttime occupations. High school pupils have such a limited sum of clip for themselves. as it is that by tacking on another time-consuming undertaking like community service is pathetic. Supporters argue back that high school pupils merely need to carry through 24 hours of community service throughout 4 old ages. that truly isn’t inquiring a whole batch of clip committedness. If pupils budget their clip and get down the community service when they are a first-year all they need to make is an hr every other hebdomad and they will still be done with a twelvemonth or so to save. A concluding controversial issue that pops up is transit. The protestors argue that fresher and sophomores in high school do non hold their driver’s licence. so how are they expected to acquire to their community service site when their parents or friends are at work or merely to occupy to give them a drive. Unless the school offers a agency of transit for the pupils there truly is no solution to this job. The protagonists argue that pupils can happen community service undertakings near to place or if they live in the state happen another pupil to auto pool with. Coercing pupils to finish 24 hours of community service in high school in order to graduate is a really controversial issue. Both sides have solid statements about why community service should or should non be forced upon pupils. Community service is a fantastic thing that everyone should be required to make at some point in their life. but are high school pupils mature and responsible plenty to take on community service undertakings at this phase in their life?

Code-switching Essay Example | Topics and Well Written Essays - 250 words

Code-switching - Essay Example ssrooms, previous studies in code-switching have failed to try and focus on the various factors that are seen to affect the bilingual international students that are striving to try and learn English in universities. The data collected in the study was able to show that the primary factor that influences code switching among students in foreign language classrooms is a general incompetence in the second language. The study was able to find that students would often code-switch when they did not know the appropriate English word that would adequately convey their meaning. Bista (2010) was also able to identify a number of other secondary reasons as to why students often used code-switching in the classroom, these include; an attempt by the students to maintain privacy while conversing with other students from their home countries, to help in avoiding any misunderstanding as well as in the event that the students happen to be unfamiliar with the correct English word that can accurately convey the information they wish to pass across. At the end the journal article, Bista (2010) argues that code-switching can prove to be an extremely useful strategy in improving classroom interaction and can even increase the degree of English competency if it is not used excessively. Bista, K. (2010). Factors of Code Switching among Bilingual English Students in the University Classroom: A Survey.  Online Submission,  9(29), 1-19. Retrieved from

Midterm Paper Essay Example | Topics and Well Written Essays - 1000 words

Midterm Paper - Essay Example Sheiks, on the other hand, were young men with ukeleles, racoon coats, and bell-bottom trousers. Therefore it is correct to deduce that music plays a major role in the development of fashion trends. In the early 1910s, there arose a craze for orientalism after the performance of Rimsky Korsakovs Scheherazade in Paris by the Ballets Russes. Paul Poiret, a couturier, was the first to bring orientalism to the fashion industry. It marked the end of the tight corsets and the birth of clothing that was less restrictive. It is during this era that the harem pants were created. Harem pants are long and baggy trousers that are caught in at the ankle. Harem pants were also called harem skirts and were inspired by styles from the Middle East. Poiret is credited as the person who single-handedly invented trousers for women. At inception, harem pants were quite popular with the public because they offered more comfort and eased mobility1. However, Poirets sense of fashion was not a unanimous hit. Critics looked down upon the pants often referring to them as indecent and immoral. The critics’ views were based on the conventional beliefs that it was unnatural for Western women at that time to put on trousers. In contrast, the designer insisted that he only designed them to flatter the full image of the chic woman. The pants also liberated the fashion limitations of the Western women. Poiret’s new fashion trend consequently influenced Paquin, another couturier, and one of Poirets worst critics. Other designers who also invented trousers for women include: Jeanne Margarine Lacroix, and Bourniche2. Sheherazade was composed by Nikolai Rimsky-Korsakov in 1888. It is based on pictures from One Thousand and One Nights, sometimes known as the â€Å"Arabian Nights† as well as other unconnected episodes. Considered the composers most popular work, it combines a bright and dazzling orchestration, and a unique interest in

Book vs Movie Essay Example for Free

Book vs Movie Essay There are different ways to get a story from different sources in modern times. Books have been good sources for stories, but movies are getting more popular and have the same story with the books. Why people still reading books; and others are prefer watching the movies? Reading books and watching movies have a lot in common, but there are some differences that makes the readers remain faithful to reading books. Reading books and watching movies are similar because they are telling the same story. They give the reader or the audience the same feelings after reading or watching about the story. The reader can feel sad of the story in a book while the audience can also feel the same after watching about the story in the movie. The general ideas, which are themes and main characters of the story, are the same. For example, Romeo and Juliet is romantic no matter it is read from a book or watched from a movie. A book and a movie both have a beginning, rising actions, and a resolution. The story are formed in the same structure regardless to it is a book or a movie. Even though there are similarities; reading books and watching movies give details through different ways. By reading the books, the reader has to open his mind for imaginations. Books only show words, and the images of the story are imagined in the brain. On the other hand, movies give a particular picture of the story to the audiences, and the audiences get details through visual and hearing. The audiences can only get what is shown in the movies but can’t think outside the box for more creative thinking. The readers can have different feedbacks to the story, but the audiences can only agree with the movies; therefore, reading books and watching movies make the readers or audiences response differently. Watching movies can save a lot of time, but reading books could take a long time depending on the speed of reading. For those who can’t read fast, they would prefer watching movies. A movie will take about two hours, but reading a book could take more than two weeks for some readers. People think reading books and watching movies are the same, so they will choose to watch the movie for their time’s sake. Watching the movie can give them a better picture about the story because it is visual and is within a shorter period of time; therefore, the audience can remember the story easier. Besides, movies keep on renewing every week, but a new book needs to be written and published which will take a long time. That’s why people who like new and fresh things will prefer watching movies. Although watching  movies seems to be more convenient, but people are still reading books. The reason is that books give more details to the readers and usually reveal more characters that are not shown in the movies. Movie producers need to cut away some details because they need to squeeze everything into one to two hours. Books can attract the reader to continue reading and give some suspense so that the reader will be hooked or tempted to finish the book to find out the truth. Reading books can improve the reader’s writing and reading skills, but watching movies brings nothing else but entertainment. Before movies were invented, most of the people read books to entertain and improve themselves. Since movies came out, people are attracted by the beautiful and colorful graphics in the movies but have forgotten the books which are full of details and meanings. People are too obsessed to the shortcuts and mirth’s from the movies, but maybe they should just grab a book, sit down, and read a good book. In my opinion I rather have the time to sit and enjoy reading a great book full of entertainment. In most cases people would watch the movie which tells the story in a short amount of time which is more convenient for them. Either they’re lazy or careless about reading the whole book ful l of fun and detail. That how I enjoy the full version of the story in which I take my time to enjoy.

Huck Finn Grows Up :: essays research papers

Many changes violently shook America shortly after the Civil War. The nation was seeing things that it had never seen before, its entire economic philosophy was turned upside down. Huge multi-million dollar trusts were emerging, coming to dominate business. Companies like Rockefeller’s Standard Oil and Carnegie Steel were rapidly gobbling up small companies in any way possible. Government corruption was at what some consider an all time high. “The Rich Man’s Club'; dominated the Senate as the Gilded Age reached its peak. On the local front, mob bosses controlled the cities, like Tammany Hall in New York. Graft and corruption were at an all time high while black rights sunk to a new low. Even after experiencing freedom during the Civil War, their hopes of immediate equality died with the death of Lincoln. Groups like the KKK drove blacks down to a new economic low. What time would be better than this to write a book about the great American dream, a book about long h eld American ideals, now squashed by big business and white supremacy? Mark Twain did just that, when he wrote what is considered by many as the “Great American Epic';. The Adventures of Huckleberry Finn, “The great American epic,'; may be one of the most interesting and complex books ever written in the history of our nation. This book cleverly disguises many of the American ideals in a child floating down the Mississippi River on a raft with a black slave. On the outside of the story, one can see an exciting tale of heroism and adventure; however, that is not all. The book shows Mark Twain’s idea of the classic American idealism, consisting of freedom, morality, practicality, and an alliance with nature. Twain manages to show all this while poking fun at the emergence of the “robber barons,'; better know as the big business of the late nineteenth century. Twain portrays many different American values in this book by expressing them through one of the many different characters. The character that Twain chose to represent morality and maturation is none other than Huck Finn himself. Throughout the novel one sees many signs of chang e. The setting is constantly fluctuating, except for the constant Mississippi, and Huck and Jim, a runaway slave, under-go many changes themselves. At the end of the novel Huck Finn shows a large change in his level of maturity than he had exhibited in the beginning of the book.

Engineering Project Management Essay

Typical Practice Estimating time to undertake design and drafting tasks, such as the crafting of blueprints for the construction of wooden furniture (e.g. stool, desk, chest) by an expert and the creation of blueprints for buildings of commercial establishments by an architect, requires the method of estimating labor costs. After all, cost estimates require time estimates.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Computing the labor cost (technically called as the direct labor cost in management accounting) proceeds by adding the worker’s base rate and indirect payroll costs, such as government securities and insurance. The result is multiplied with the worker’s labor hours. The product of the operation is the labor cost. If labor cost is known and the estimated labor hour is unknown, the manager only has to work around the equation to obtain the estimated time of performing the task. This is the easiest method for the manager, and also the most unreliable because it relies on past data of labor costs. It relies on past data of labor costs because an empirical method is needed, which this method does not include. In such a case, this method is just mere ‘speculation’. It is not an ‘estimation’ in the proper sense of the term because there are no trials and errors done to gather data. From this, there is also a differentiation between ‘past data’ and ‘empirical data’. Past data are also empirical data, but they are gathered in the past, therefore acquiring a less accurate information. Empirical data, after all, require certain use of tools to be obtained. Also, it is unreliable because if the company is new, it cannot use this method—there is no recorded information regarding past operations. Only a long-existing company can benefit from this method of estimating labor hours.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One problem in estimating the time and cost in performing design and drafting jobs is that managers can only speculate about the amount of time required by a specific job. For instance, the manager of a firm that designs and produces musical instruments can not know exactly how long in a day can a staff of twenty finishes a certain number of musical instruments. Time is a variable that depends on the quality and quantity of tools, materials, equipment, and workers assigned in performing tasks. In the example of designing musical instruments, the manager should know how long each instrument is designed in its entirety by a specific worker. It would help to get an average rate for this. Afterwards, the average rate will be multiplied to the number of instruments to be designed. If one stops here, this is an incomplete method of computing labor time. The manager should get the time it took the labor to prepare for the task, and how long it took him to bring the musical instrument to the corresponding collectors of the aforementioned products in the management system. Then, the sum is multiplied with the distance of the labor from the shop or wherever he is taking the musical instruments. The resulting product is then added to the product of the average rate and the number of instruments to be designed. Another method in estimating the labor time is by taking the average hours of preceding homogenous tasks. In creating a musical instrument, the manager gets the time it took for a worker to complete one instrument. He then obtains data from the proceeding tasks. By getting the average of the values, we obtain the average hours. Variability and Contingencies The accuracy of the first method is low. First, there is a huge possibility of error in relying past data or performance. A company that designs cars ought to measure the time and cost of labor through direct empirical methods, such as obtaining the rates by which workers accomplish their jobs. However, this method depends on the accuracy of historical data. If historical data are inaccurate, there is a 100% tendency that the result of using this method will produce inaccuracies. This is not recommended for companies because it is not an engineering standard.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The second method is more empirical and far more accurate than the first method. Considering the computation of the average rate, one can not be sure of the precision of this statistical tool. Using the mean, median or mode as a way to produce data for the estimation of the time and cost of labor is inefficient. It is recommended that a variance analysis be conducted so that deviations will be taken into consideration. After all, workers are not robots. They have higher levels of inefficiency and inconsistency of output. A worker has fluctuating labor rates. The time he finishes a job fluctuates in hours or minutes, thereby changing the amount of labor cost. Using the variance analysis as a statistical method in obtaining work rates is more efficient. When this is done, it makes the second estimation method more accurate because deviant cases, or changes in time and labor costs, are taken into consideration. The variance analysis can also be applied on the third method, which also relies on using the mean, median or mode. Since averages are less reliable than doing a variance analysis, the third method can be inaccurate. More statistical methods are needed. Monitoring and Updating As the design and drafting tasks proceed, the practices used to update estimates are the following: regular, intermittent, and periodical recording of average rates in designing and drafting jobs. The practice of having a regular recording system, which requires inputs for every day of labor, is the most accurate but also the most costly. Therefore, it is far from inefficient. Only a huge company can take advantage of this, if there is a high risk involved in not monitoring the time and cost of labor.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   An intermittent recording practice entails intermediate accuracy and cost. This requires inputs every week, month or quarter of the year, depending on the needs of the company to monitor the progress of the fluctuations in time and cost of labor.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   A periodical recording practice is the least costly, but has the risk of being inaccurate because it does not measure everything. It only measures the fluctuations in time and cost of labor between points in time, and not within a span of time. References: Baskette, C. (2006). Avoided cost estimation and post-reform funding allocation for California’s energy efficiency programs. Electricity Market Reform and Deregulation, 31, 1084-1099. Farsi, Mehdi. (2006). Cost efficiency in the Swiss gas distribution sector. Energy Economics, 28, 1050-1062. ASSIGNMENT 2 (Y) Basis for Project Methodology The specific method chosen for a certain project is based on the inherent characteristics of that project. There are as many methods as there are kinds of projects. The basis for choosing a method depends on the variables that differentiate one project from another, like the level of complexity involved in the activity.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The following is the list of factors that may be the basis of project methodology: Project area Level of complexity Type of communication used   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the many considerations in project methodology decision-making is the project area. Is the project small, medium, or large? Even this question requires some thinking, since the size of a project is arbitrary. It depends on the sizes of other projects the manager or company considers as points of comparison. The area of the project may mean the geographical area concerned. For instance, an electric company that aims to build a network of electric facilities may be one kilometer by 500 meters. Judging whether this is small, medium, or large varies from one project to another. There may have been other similar projects built, requiring only two or three hectares of land. In such cases, this project may be considered large in area.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The area can also be seen in terms of influence. In the example of an electric company building a network of electric facilities, the area may mean the number of households it would serve. Again, judging whether a number of ten-thousand households is small, medium or large depends on other similar projects made.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Another basis is the level of complexity involved in the project. Complexity can be measured by how many interactions among units are required to accomplish a task, and judging the data whether the project system is simple or complex. In the above example, measuring the complexity of building a network of electric facilities may require determining the organization of managers and workers that are involved in the project. Some organizations interact according to hierarchy. These kinds of organizations tend to be simple because there are defined ways on how the units interact among one another. Some, which are more complex, require units to interact in different ways. To put it concretely, let us say that the electric company assigns the maintenance department to be always under the engineering department, which means that the staff would only take commands from the latter. This is a simple scenario. A complex scenario would be when the company assigns the maintenance department to communicate with the other divisions of the company in accomplishing its own task. The connection between complexity and method is that the complexity determines the method. After knowing a project’s level of complexity, the method may then be configured depending on this information.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The third basis is communication. What is the message of the project? What are the kinds of media used? For whom is the message? These are significant things to take in mind when characterizing what sort of communication exists in an activity. Is the electric company making use of an intranet, which simplifies complex interactions? What tools are used for one division to communicate with another? Are telephones preferred over online chatting between departments?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It is also significant to determine the contexts in which communication occurs. Is it one-to-one, one-to-many, or many-to-many? Determining this also affects the level of complexity of the project. A one-to-one communication is simple but slow and inefficient. A one-to-many communication is fast and efficient, but the message reception loses quality. Many-to-many communication is fast and complex, thereby increasing the level of complexity in the project. Decisions regarding matters on communication are only part of choosing what methodology to use. Criteria for Best Project Methodology In order to illustrate how one method is better than another given a specific project, let us take the following popular methods in project management: Waterfall Development, Rational Unified Process, and Extreme Programming (Asrilhant, 2005). These are the best methods in project management because they generally are flexible to different factors, like budget and project size. They compliment each other. One strategy’s weakness is another’s strength.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the project has high budget, one may say that the Waterfall Development is the best method for it. That is because this method requires little or zero corrections in inputs. This is possible because the planning function of the management is more crucial. A low budget means a high risk to undertake the project. Therefore, quality planning is indispensable.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   For instance, if the electric company funds a 5-hectare electric network facility 30% lower than similar projects, the management has to undertake Waterfall Development. This means the planning function is geared on decreasing costs. There will be much labor required on the part of engineers and analysts to increase the level of certainty in inputs. The company cannot afford to do experimentations and much testing. High technical proficiency is required.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the project entails intermediate risk, and there is an intermediate number of staff who would man it, then the Rational Unified Process may be used as the best methodology. This is because risk management is balanced with a medium amount of budget or allowance for failure in inputs.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the electric company funds a 10-hectare electric network facility 2% lower than similar projects, the management may afford to increase the costs of testing and experimenting with inputs to produce outputs in electric services.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Finally, if there is a need for regular testing and experimentation of inputs, and corrections in testing failures, then the Extreme Programming may be undertaken as the best methodology. Budget given here is high, and the risks are lower. The population of staff is also considerably higher than the two other methodologies. Here, the management can afford to run the risk of losing resources, albeit with prudence.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Determining which method is best for a project requires measuring the amount of risks associated with the project, the budget allocated for the activity, the number of participants in the staff, and the affordability of the project to receive failing outputs. References: Asrilhant, Boris. (2005). On the strategic project management process in the UK indutrial sector. Omega, 35, 89-103. ASSIGNMENT 3 Alternative Classification   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The rationale of having a new project classification is to respond against the inefficiencies of the older classifications. The project method concerns itself much on the processes and ways on how tasks are carried out in the activity. However, it is too formalistic and technical. It is formalistic because it is focused on empirical observations. It is too technical because it does not leave room for speculation and theorizing. There is a huge chance that it will lose sight of the project’s objectives.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The project end-product, being goal-oriented, is weak on the part of specific matters. It may lose sight on technical issues such as the method of computation to use in estimating labor costs. If a firm that manufactures cars undertake an activity in which the project is classified as belonging under the project end-product, the managers will fall short on practicality. Important details are missed, like the choosing of a certain metal as a material in making automobiles. There may be one end-product but there are many methods in which inputs can be processed into outputs. These methods determine the level of costs associated with the production. If a company is too concerned about output, it loses sight on the possibility of gaining productivity by merely choosing the method. This is to say that a new classification is needed—a new classification that would account for the weaknesses of project methodology and project end-product. Since the two classifications do not take into consideration certain factors of production and labor, which are important determinants of the success of a project, a new chosen classification is labeling projects according to the types of constraints. The traditional constrains in a project are the following: Time Cost Production Labor These variables define the shape or form of the project. Changing one variable changes the whole project in its entirety. To illustrate, assume that an automobile manufacturing company undertakes a project of creating fifty units of luxury cars. The time constraint associated with the project makes it different from all the other projects with similar methods and end-products. For instance, this project is similar to five other projects whose goals are also to create fifty units of luxury cars. The only hypothetical difference is the amount of days required to accomplish it. This is to say that a project is different from another when there is a significant time interval between the required time to accomplish one project and the required time to accomplish another.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   However, it is too trivial if the manager only relies on the time constraint. Costs are also important contributors of project type determination. The amount of money allotted for a budget determines the influence of the project on the area it is being undertaken, and on the unit is serving. This is an indispensable category because the cost also gives way to knowing the area and quality of the project.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the car company gives a budget to a car-manufacturing project which is 50% lower than that of another project with similar end-product, then the two projects are different because the former is constrained in using resources. It must tap the planning function of the management at its best, because it cannot afford high risks and high expenses.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Production is a consequence of the cost constraint. The number of cars to be produced by the company depends on the allotted budget in producing these cars. Consequently, this is also related to labor in the sense that, if the budget is low and the production is high, then the labor must be intensive. It is empirically impossible to increase labor if the budget remains the same.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In short, projects can be classified according to the variability of their traditional constraints. They be classified as the following: Long-term undertaking, high-budgeted, labor intensive. Mid-term undertaking, with intermediate budget, intermediate production, and medium labor intensiveness. Short-term undertaking, low-budgeted, small production, and low concentration in labor. This is not to say that there are only three ways to classify projects. There are different permutations of classifying them because a project can be both long-term and low-budgeted, short-term and high-budgeted, and the like. There are twenty-seven combinations possible for the project manager. It is helpful for the project manager because there are varied choices to be undertaken with this typology. Enhancement   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This classification gives an enhanced understanding of project management because the inefficiencies of project end-product and project method are revealed and solved. The old classification system is poor because there are only small categories where projects fall under. In logic, the lesser concepts there are to stand for heterogeneous things, the more abstract the ideas become. By taking into consideration the traditional constraints of a project, and basing from it to form a new project classification, one achieves a more concrete and detailed description of the different projects that are to be executed. Project classification, through this kind of classification, becomes more useful not only as a mere science of classification. It also helps management keep an improved system of managing the projects, thereby increasing productivity and output quality. This project classification also enhances the understanding on the content of projects. Project method concerns itself with the processed item but not the one being processed. Project end-product concerns itself with the output but not the materials or inputs that led to its creation. This classification gives a new lens through which projects are seen by the manager. References: Project management. Retrieved September 4, 2006, from http://en.wikipedia.org/wiki/Project_management#Project_systems

Intertwined Bodies with Separate Hearts Essay

In a world of wild modernity and sophistication, it is almost impossible for man not to connect with a single soul. Be it a friend, a loved one or a lover, these technologies conspire to feed the hunger in all of us and that is the need to be with someone. Others refer to that need as loneliness but the story â€Å"Strangers When We Meet† says its emptiness†¦The relationship of Florence and Rob can be looked at as a typical affair between a married woman who’s bored with her current relationship and a man who seeks adventure. He dazzles her with his youth and passion for life and for a brief moment she’s caught up in a trance of sharing the life that she could have, but chose not to live. That choice rest solely on the truth that her husband was a foundation that offered security. As she said at the end of the story, she equated security and strength to love. She realized in the later part that she was wrong. The fact that Rob is younger than Florence depicts a conventional extramarital affair in our society. However the story goes beyond the cheap pleasures of lust and adventure as it delves deep into the intricacies of emotion and relationship. A relationship can be defined. One can dare as the question â€Å"what kind of relationship? † In the story, Florence and Archie is in a relationship that is recognized by society and back up by the law. A union, a vow, a social contract that’s written on paper and flaunted out to the world. That is marriage. They share a partnership that may seem flawless in society as he was a responsible husband with secure income bounded by law to take care of his wife. Florence herself is a thing of beauty and it is a stereotype in our society that she is to be taken care of by a man who has the means to do so. He is in fact capable of doing just that. He was well aware that he had the woman that most men would fell for, and that’s why though he knew that they had an affair he wanted to see it for himself before he makes judgments. He went with her in the Vacation though he knew that she was to meet her lover. And when he came face to face with the man who stole his wife, he remained composed and even started conversations with him. He exhibited what most men don’t, the decency to be civil to the man who covet their wife (Kureishi). What exist between Florence and Rob on the other hand is a relationship that’s not accepted by society and condemned by law. It ought to be discreetly dealt with to save both parties from public humiliation. The fact that she is a married woman who happens to have a lover may seem offensive to the male supremacy. However, what ought to be looked at is not the act itself but the question on what made her commit such act. Perhaps at the beginning of their affair she simply wants to escape the world that Archie lived in or the lack of attention from her husband who is very much consumed in his work. But at the later part of the story it shows that she is deeply in love with Rob since she is willing to leave everything, even her child if only he says the word. Why did he not say the word? Why did he not take the chance to be with the woman who takes up much space in his heart to the point that he needed a psychologist to deal with his depression? It was a shot at happiness, to have the very thing that he wanted so badly but when it was his for the taking he did not take it. Here lies the complexity of human emotions. Their affair goes beyond the Holiday Vacation. Though the timeline of the story skipped a couple of years before their paths crossed again, it cannot be denied that in each encounter, the dying flame of their affair is fanned once more. A line in the story clearly points out their connection â€Å"Helen (Robs wife) looks across conspicuously. Florence and I are standing close to one another; perhaps one of us touching the other. † Though they were both contented with their lives and stopped seeing each other, both their spouses knew that there is something special between Florence and Rob†¦. perhaps a love story that should have not ended. That Holiday Vacation was of great importance to Florence, Archie and Rob. It was perhaps the climax of their lives. The moment that set the path upon which they will take. They were separate entities brought about in that place to clearly define the relationship that existed in the three of them. It was a chance to change their lives and redefine their connection, but such requires great courage that only Rob had at that time. Florence was, at that moment, scared to let go of the security that she had with Archie. In their marriage she had stability and he had a wife. It was ideal and accepted by society. Before the affair she was contented, but contentment if a far cry from happiness. At the end of the vacation she asked him not to leave, but he chose to do so. This is because man cannot stand the torture of having the woman that you want wrapped in somebody else’s embrace. Rob said that he longed for that vacation since it was the first time that he can have her the entire evening without having her rush home to her husband at dawn. It was a chance to feel that he owned her but that moment never came. It was a chance that she was too scared to take, and now that she wanted him desperately, it was him who chose not to be with her. She wanted him to say that he wants her but he never did just that. Though deep within his soul he knew that she still holds a place in her heart, it was his choice not to give in to that feeling. This proves the fact that in human relationships certain factors are to be taken into considerations before a person makes his decision (Layton-Tholl). Life is made up of choices, and maybe for Rob he already made the choice the moment he left the Hotel. It was to live a life that’s uncomplicated. Though the intensity of their connection cannot be denied, it was by choice that they lived separately. They have fulfilled the human need to connect with someone, they have their spouse. But just like how their affair started, they were just intertwined bodies with separate heart.

Gender Play essays

Gender Play essays Whereas sex is a biological term that denotes male or female in terms of their reproductive organs, gender is learned through socialization. Genderization begins in infancy when adults say baby boys are handsome and tough while they call baby girls angelic and beautiful. Unlike our reproductive organs, gender is not something we have. We learn to construct it and enact or perform it by choosing to wear clothing associated with masculinity or femininity, for example, moving about in certain ways, and pursuing interests and goals that society has deemed appropriate to our specific gender. By the time girls and boys start school, the socialization process is well underway, and children are actively constructing gender (Khasan Barrie Thorne, author of Gender Play: Girls and Boys in School (1994), argues that children are not just passive recipients of genderized socialization from parents, teachers, and media influence, but also participate actively in the creation and performance of gender. The book is a result of two periods of intense observation at two elementary schools. Thornes findings fully support the view that gender is socially constructed and that children act, resist, rework, and create gender (p. 3). She argues that their activities should not be viewed as preparation for future adulthood, but as children living in the present, living life itself. Thorne uses the metaphor of play to describe childrens gender activities. In one sense play is being actively engaged or employed; in this sense, children actively perform gender identities, participate in gender-based groups, and produce gender meanings. Thus, gender is not something a child is or has, but something the child does. A second strand of meaning is play as dramatic performance of games and rituals such as girls-chase-the-boys, cooties, and bra snapping.&...

How to Make Colored Sparklers

How to Make Colored Sparklers Sparklers are small handheld fireworks that give off fiery sparks rather than explode. Sparklers consist of a thin metal or wooden stick coated with a simple pyrotechnic mixture. Colored sparklers really are as easy to make as regular sparklers. The difference lies in the oxidizer that is used. Youre basically replicating a flame test, except in reverse since you know the colors to expect from various metal ions. Potassium nitrate or saltpeter will impart a violet color. Barium nitrate burns green. Strontium nitrate burns red. Aside from ordering from a chemical supply store, you can find strontium nitrate in emergency flares and potassium nitrate at some garden supply stores (or you can make it yourself). You can mix in other metal salts from the flame test or colored fire list, but only go for one color. If you try to mix colors, youll likely wind up with a basic golden sparkler. There are several recipes for colored sparklers. Here are some examples. Ingredients are listed in terms of parts by weight, so you can use milligrams or grams or ounces... whatever works for you. Red Sparklers 5 parts strontium nitrate1 part shellac Dip iron wires or wooden sticks in the mixture and allow it to dry completely before use. Be sure to leave enough room on the stick so that you can hold the sparkler safely. Green Sparklers 300 parts potassium chlorate60 parts barium nitrate60 parts aluminum fines, flitter, or granules2 parts charcoal10% dextrin in water solution Dip the wires or sticks in a mixture made from the dry ingredients with just enough dextrin solution to make a thick slurry. Dry the sparklers before use. Another option for a green sparkler is to substitute boric acid or borax for the barium nitrate. Purple Sparklers 14 parts potassium nitrate3 parts powdered sulfur3 parts powdered charcoal2 parts aluminum flitter (for sparks)10% dextrin in water Dip the sticks in a mixture made from the dry ingredients with enough dextrin solution to make a slurry. Note the human eye is not very sensitive to the color violet. The purple color is easily overwhelmed by the color that may be produced by any chemical contaminant in the mixture. If the sparkler appears yellow instead of purple, it means sodium is present. Salt is the most likely culprit. Substitutions in Sparkler Recipes By examining these recipes, you can see aluminum flitter may be added to make sparks in any sparkler. Fine particles of other metals also produce sparks. Titanium makes white sparks while iron filings produce golden sparks. Dextrin is a common binder and fuel in sparkler recipes. If it is unavailable, sugar or starch may be used. Other colors of sparklers are also possible. For example, using a copper salt will produce a blue or a green flame, depending on the oxidation state of the copper. The default color of a sparkler is yellow or gold, but the color may be brightened and enhanced by adding a small amount of table salt or sodium chloride (NaCl) to the mixture. Adding the tiniest amount of salt to a red sparkler can produce an orange flame. Calcium salts can also produce the orange color. Disclaimer: Please be advised that the content provided by our website is for EDUCATIONAL PURPOSES ONLY. Fireworks and the chemicals contained within them are dangerous and should always be handled with care and used with common sense. By using this website you acknowledge that ThoughtCo., its parent About, Inc. (a/k/a Dotdash), and IAC/InterActive Corp. shall have no liability for any damages, injuries, or other legal matters caused by your use of fireworks or the knowledge or application of the information on this website. The providers of this content specifically do not condone using fireworks for disruptive, unsafe, illegal, or destructive purposes. You are responsible for following all applicable laws before using or applying the information provided on this website.

Going global, acting local - communicating global brands to global Essay

Going global, acting local - communicating global brands to global markets - Essay Example ion of countries, ideas, knowledge and cultures of people from all across the world to develop a unique and distinctive market of consumers with almost similar tastes, preferences, interests, lifestyles, attitudes and behaviors towards a particular product or service. In other words, globalisation refers to international division of consumers who are both willing and able to purchase homogeneous products or services offered by different companies. In addition, it could be said that marketers divide all potential buyers in an international context and then formulate and implement their marketing, promotion and advertising strategies to cater those consumers. This process may involve manufacturing or production in other nations to achieve cost effectiveness while selling or promoting the produce in other countries where demand exists. (Medina and Duffy, 1998, 223-243) and (Levitt, 1983, 93-95) and (Fischer, 2003) Localisation is a process of adaptation to a particular geographic region, area, language or culture in an attempt to tap domestic market of a country. It is about giving a ‘local touch or look’ to products or advertising campaigns (that are offered to international buyers) by relating those goods or services to individuals in a specific target market. This process involves developing new products or innovating existing ones, modifying international promotion campaigns and advertising tactics etc after an in-depth analysis of societal taboos, sensitivities, language, demographic factors, culture and desires. This process is sometimes known as Customisation. (Medina and Duffy, 1998, 223-243) and (Baker, 1985, pp. 146-152) Glocalisation is a process that involves the elements of both globalisation and localisation. It is about tinkering away with the international goods or services to suit the tastes and preferences of domestic consumers from different markets across the globe. (Medina and Duffy, 1998, 223-243) It is worthwhile to mention the fact

Political Campaigns and elections Essay Example | Topics and Well Written Essays - 500 words

Political Campaigns and elections - Essay Example When we think about the ways in which systems for campaigns and elections--including finance and media--seems to work best and ways in which they fall short of an expected level, we are actually thinking about the socio-political fiber of the country and analyze the system in the light of its political history and values. The system for campaigns and elections including finance and media will differ drastically in societies where democracy is newly introduced as a political system and the societies where it has deep rooted political values and mature democratic culture. However, societies that have mature political culture and have a profound democratic history feed for the system wide changes of political campaigns, elections, finance and media that can be adapted with appropriate changes to suit the socio-political environment of a society. Therefore, the best way to think about the political campaigns and election including finance and media is to study the system in grown-up demo cratic societies that have a known and appreciable democratic system in place for decades. With these thoughts in mind, the system for campaigns and elections—including finance and media I would like to prevail is simple in nature.

Electronic health record (EHR) Literature review

Electronic health record (EHR) - Literature review Example EHRs are very quick as there is no need for any paper-work for documenting and sharing of the information and images. Thus, an EHR plays a vital role in evidence based treatment and decision-making without having to go through the manual process (Williams, 2010; National Institutes of Health National Center for Research Resources, 2006). These enable access to the records even from distant areas by means of online networking. The drawback with EHRs is that these are quite expensive but once implemented, these tend to be very cost-effective. Carter (2008) studied that the concept of EHRs began in 1960s â€Å"with the COSTAR system, developed by Barnett at the Laboratory of Computer Science at Massachusetts General Hospital† (p.7). According to him, the earlier efforts provided models and pseudo types on which current â€Å"hospital-based and ambulatory† EHRs are based upon. Iakovidis (1998) suggested that EHRs can be used as tools for continuity of care and for collabora tive performance of healthcare providers. Many researchers have studied the functionality of EHRs in various contexts. All studies have led to the conclusion that EHRs are a significant contribution to the medical industry since these have modernized the way patients’ data is stored. Poissant et al. ... Research has it that despite significant advantages of EHRs, their adoption rates are progressing rather slowly. Gans et al (2005) conducted a research on the use of EHRs and IT based tools in the health industry and concluded that most health professionals were not incorporating EHRs especially in smaller practices. Their findings suggested that the adoption of EHRs was making progress at a snail's pace; however, the physicians planned to incorporate them in the coming years. They found that this happened because the practitioners found it difficult to choose and implement EHRs. This research is supported by the findings by Jha et al. (2006) who studied how common are the EHRs in USA’s health sector. They found that the year they conducted the research, the commonness of EHRs was low on scale. According to them, â€Å"data on their adoption rate are limited.† They found that only 23.9 percent of providers were using ambulatory EHRs and 5 percent were using computerized systems. They suggested that what kept physicians from implementing EHRs in their settings was the knowledge gap. These findings are further supported by recent researches as well. For example, Jha et al. (2009) conducted a research to find out if the adoption rate of EHRs in the healthcare sector has increased with passing years. Thus, they conducted a second research in 2009 and came to the same conclusion as in 2006. They found that â€Å"despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates of the prevalence of adoption of electronic health records in U.S. hospitals.† Jha et al. (2009) conducted a big survey of a number of acute care hospitals to find out the EHR

The Colour Purple Essay Example for Free

The Colour Purple Essay Drama Essay Comparison of own improvisation with The Colour Purple  In this essay I am going to compare and analyse the differences and similarities between my improvisation and a film called The Colour Purple. My groups play was based upon a certain part of a painting, painted by our drama teacher Mr. Burgon. The painting was used as a stimulus. Our part of the painting was showing a man in a mask painting a car. WE had to build up upon it and produce a lengthy piece. The themes of our improvisation and The Colour Purple are violence and domestic problems, abuse. Our play could be thought of as quite controversial, as it deals with domestic violence, child abuse, and rape to a certain extent. In order to make our improvisation as realistic as possible, and not too offensive I decided to research the topic in more depth. Therefore I searched the Internet for information about the victims. I found out that the majority of the people affected were molested in their childhood/early teens. Most of them were naà ¯Ã‚ ¿Ã‚ ½ve and not fully aware of what was going on around them. A large amount was in a single parent family. I also found out that the experience had an immense effect on their adult life. Most are not able to have a sex life, they rely on anti-depressants, self-harm etc. I think that it was harder to cope for abused women in the Colour Purple because they had no one and no-where to run away to, whereas today women can call help-lines etc. to help them through their problems.  In our piece I play the role of Jade, a long distance relative (cousin) who 14 years ago was raped by Eddie, who then married Jades cousin Alison. She couldnt have children so they decided to adopt a child. Jade fell pregnant at 14 with Eddie, so she gave away her baby to him and Alison and Eddie raised up their child without her knowing that she was her cousins baby. According to Eddie Ellie (the child) is the source of all problems (not only finantional, but moral as well). He blamed Ellie for him relationship with Alison not working out. Another play that portrays similar family issues is The Colour Purple. This was set about a century ago (1900s) and can be firstly considered as completely different from our play, but if we take a closer look, we realize that there are some unusual similarities. Cilia are a young black youth, who at 14 was raped twice by her father. He is a rapist and an abuser. As a result to the rapes Cilia gives birth to two children: Olivia and Adam, who are taken away from her. Surprisingly a very similar situation occurs in my play where Eddie rapes Jade and he takes her baby to bring up as his own with Alison. In The Colour Purple Celia is shown as a young vulnerable girl, who gets raped by her father, then chucked out the house. She was forced to marry a grown-up man and move in with him. But that is not the end to her troubles. In the film we can clearly see the family status. We see that the husband is very important, and makes all the decisions. Celia has to call him sir.  In my play the family status is also publicized, but its not as drastic. I.e. Alison doesnt have to call Eddie sir. WE can clearly see he has control over Alison at the Dinner table scene: Alison: Ill just get the phone.  Eddie: [slams down hands on table] NO!!!!! SIT DOWN!!!!  In my improvisation as well as The Colour Purple the husband is a control-freak and the wife is scared to stand up to him. They might be afraid of his reaction or might think that he will go completely berserk and try to do something terrible. I.e. murder, or beat thoroughly. In The Colour Purple this is very clear when Celia is shaving her husband and he says you cut me and Ill kill you. Celia is scared and tries hard not to cut him. In my play Alison doesnt stand up to Eddie when he yells at her to sit down, she just obeys him in silence.  The way both characters deal with the abuse is different , because in the end Alison tells Jade that Eddie is abusing her and Ellie. Whereas Cilia, doesnt tell anyone about her troubles, she keep it all inside her. They deal in different way, but yet the abuse is very similar. Both characters get raped ( Cilia and Jade), both character are abused by their fathers ( Cilia and Ellie). I have noticed that the different things that happened throughout my play to 3 different characters( Jade, Ellie Alison) happened to one character in The Colour Purple. Also in The Colour Purple the husband cant do anything for himself. When he brings home a woman from a bar, he tried to cook for her , but he is completely useless.  There is a very similar situation in my play when Alison and Ellie leave Eddie and the flat is very messy, there is rubbish lying around everywhere, empty beer cans, half-eaten ready meals etc.  Even though both plays were set about a century apart, they still have many similarities involving family issues such as family status, respect, domestic violence (abuse). They both show how victims cope with the abuse and what effect it has on their lives.

Analysis of Heart of Darkness by Joseph Conrad Essay -- Marlow Heart o

Analysis of Heart of Darkness by Joseph Conrad Heart of Darkness is a story about Marlow’s journey to discover his inner self. Along the way, Marlow faces his fears of failure, insanity, death, and cultural contamination on his trek to the inner station. Marlow, who goes on his journey to meet Kurtz, already has a fascination with Kurtz after listening to many people along the way. Conrad tries to show us that Marlow is what Kurtz had been, and Kurtz is what Marlow could become. Marlow says about himself, "I was getting savage," meaning that he was becoming more like Kurtz. Along the trip into the wilderness, they discover their true selves through contact with the native people. On one occasion, the steamer is attacked by a party of natives, killing the helmsmen and frightening the crew. This event triggers a change in Marlow, who takes off his shoes, which were covered in his friend’s blood. This taking off of clothes is a return to nature, bringing about a more primitive Marlow. Even as Marlow ventures further up the Congo, he feels like he is traveling ba...

Relflection Paper Essay

When enrolling into a new class, it is normal to have expectations. I am excited and nervous at the same time. I understand that the upcoming semester will provide many challenges I will have to face. I am excited to see how I will grow academically over the course of the semester. I find myself eager about learning new things and refreshing my knowledge on things I have forgotten. It has been a long time since I have studied the growth and development of humans. I have strengths to bring to this class as well as weaknesses that I plan to work on during this class. By the end of this course I expect to be able to apply what I learn in counseling and become a better writer. While this class will be more stimulating than what I have been used to I hope that with the help of my classmates and my professor I can make this class a positive learning experience. During my undergraduate career, I took many psychology classes involving the human development. In one of my undergraduate classes, Lifespan Development, we went through the lifespan of people from birth until death. I took this class online and the class involved a lot of self-teaching. Because the class was online, assignments consisted of mostly online tests. While I learned a lot, I do not feel as if I learned all that I could. I am looking forward to taking this class on a more challenging level and having a deeper understanding in human growth and development. One of my biggest weaknesses is engaging in class discussions and presentations. Although I have an extroverted personality, I am very shy when it comes presentations. It takes time for me to get comfortable speaking in front a group of people. While doing presentations and engaging in class discussions, I get very nervous. In this class, a big part of my grade comes from this. Therefore, in this class I expect to get over my fear of public speaking. I hope that with the help of my professor I gain confidence about speaking in front of groups of people. I want to be able to take what I have learned in this class, apply it to counseling and also have a better understanding of what I have learned. This class will be an introduction of what to look forward to for the next three years. I am not used to writing papers and having to do so much reflective thinking. I believe this experience will help me become a better writer. In order for me to achieve all of my expectations, it is important that my professor help me when I need it, challenge me and give me constructive critism. In addition, if I want to take all that I can from this class it is imperative for me to give this class all that I have and spend time reading and completing my projects. I know that during this semester, there will be challenges but with the instruction of my professor, I plan to grow in my profession.

Health in Comminities

# 2008 University of South Africa All rights reserved Printed and published by the University of South Africa Muckleneuk, Pretoria CMH2602/1/2009 ±2011 98316532 (iii) __________________________________ __________________________________ Contents WELCOME AND INTRODUCTION (vii) PART 1: THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 1 LEARNING UNIT 1: 2 1. 1 1. 2 1. 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 CONCEPTS AND THEORIES/MODELS IN COMMUNITY HEALTH Introduction Theoretical thinking as a language Choosing a theory/model to apply to community health The dimensions model of community health nursing Orem's self-care deficit theory of nursingNeuman's systems model/theory Pender's health promotion model Gordon's functional health pattern framework Conclusion 2 2 3 4 5 8 9 10 11 PART 2: THE INDIVIDUAL AND FAMILY AS CLIENT 13 LEARNING UNIT 2: 14 2. 1 2. 2 2. 3 2. 4 2. 5 2. 6 2. 7 2. 8 2. 9 2. 10 Introduction Defining the concept of family Structure of the family Types of families Stages of family d evelopment The family as social system Cultural values in the family Family functions Roles of the family Conclusion LEARNING UNIT 3: 3. 1 3. 2 3. 3 3. 4 3. 5 3. 6 3. 7 3. 8 3. 9 3. 10 3. 11 THE FAMILY AS CLIENT ASSESSING FAMILY HEALTH IntroductionAssessment of the family The biophysical dimension The psychological considerations The physical environmental considerations The socio-cultural dimension The behavioural considerations The health system considerations Diagnostic reasoning and the family as a client Planning, implementation and evaluation Conclusion 14 14 15 16 17 19 20 21 21 21 23 23 23 25 25 27 28 30 31 31 31 32 (iv) LEARNING UNIT 4: INFANTS FROM BIRTH TO 18 MONTHS 4. 1 Introduction 4. 2 Definition of child health 4. 3 Growth and development during infancy 4. 4 Developmental tasks 4. 5 Infant nutrition 4. 6 Cognitive-perceptual patterns . 7 Child abuse 4. 8 Stress in infancy 4. 9 Pathological processes 4. 10 Immunisation 4. 11 Conclusion 34 34 34 34 35 36 37 37 38 38 38 41 LEARNING UNIT 5: THE TODDLER (18 ±36 MONTHS) 5. 1 Introduction 5. 2 Age and physical changes 5. 3 Nutrition in toddlers 5. 4 Elimination and exercise patterns 5. 5 Sleep and rest pattern 5. 6 Cognitive-perceptual pattern 5. 7 Self-perception-self-concept pattern, roles-relationships pattern, child abuse, sexuality-reproductive pattern, coping with stress, and values and beliefs 5. 8 Pathological processes 5. 9 Social processes 5. 10 Conclusion 43 43 43 44 44 44 45LEARNING UNIT 6: THE PRE-SCHOOL CHILD 6. 1 Introduction 6. 2 Age and physical changes 6. 3 Cognitive-perceptual patterns 6. 4 Self-perception-self-concept pattern, roles-relationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 6. 5 Pathological processes 6. 6 Social processes 6. 7 Conclusion 48 48 48 49 LEARNING UNIT 7: THE SCHOOL-AGE CHILD 7. 1 Introduction 7. 2 Age and physical changes 7. 3 Cognitive-perceptual pattern 7. 4 Self-perception-self-concept pattern, roles-rel ationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 7. Pathological processes and social processes 7. 6 Conclusion 52 52 52 53 LEARNING UNIT 8: THE ADOLESCENT 8. 1 Introduction 8. 2 Age and physical changes: Gordon's functional health patterns 8. 3 Gordon's functional health patterns in adolescents 8. 4 Pathological processes in the adolescent 8. 5 Social processes 8. 6 Conclusion 56 56 56 57 58 59 59 45 46 46 46 49 50 50 51 54 55 55 (v) LEARNING UNIT 9: GENDER HEALTH 9. 1 9. 2 9. 3 9. 4 9. 5 9. 6 9. 7 Introduction The status of women Women's health status The lesbian/gay, bisexual and transgender (LGBT) client Men's health statusThe epidemiology of health for gay, bisexual and transgender men Conclusion LEARNING UNIT 10: CARE OF THE CLIENT IN THE WORK SETTING 10. 1 10. 2 10. 3 10. 4 10. 5 Introduction The objectives of occupational health The occupational health nurse's scope of practice Nursing care of working populations Conclusion LEARNING UNIT 11: THE OLDER ADULT 11. 1 11. 2 11. 3 11. 4 11. 5 11. 6 11. 7 11. 8 11. 9 11. 10 11. 11 11. 12 11. 13 11. 14 11. 15 11. 16 Introduction Age and physical changes Goals of health promotion Pattern of health perception-health management Nutritional metabolic patternElimination pattern Activity-exercise pattern Sleep-rest pattern Cognitive-perceptual pattern Self-perception-self-concept pattern Roles-relationships pattern Sexuality-reproductive pattern Coping-stress tolerance pattern and values-beliefs pattern Pathological processes Social processes Conclusion 60 60 61 62 63 63 64 64 65 65 66 66 66 67 68 68 69 70 70 70 70 70 70 71 71 71 71 71 71 72 72 PART 3: THE COMMUNITY AS CLIENT 75 LEARNING UNIT 12: HEALTH PROMOTION IN THE COMMUNITY 76 12. 1 12. 2 12. 3 12. 4 12. 5 12. 6 12. 7 12. 8 12. 9 12. 10 12. 11 12. 12 Introduction Definition of a communityDefining the term community health The community as a client Goals of community-oriented practice Strategies for improving community health Community partnerships Community-focused nursing process Planning Implementation Evaluation Conclusion 76 76 77 77 77 79 79 79 80 81 83 83 (vi) LEARNING UNIT 13: INTERVENTIONS FOR HEALTH PROMOTION IN THE FAMILY 13. 1 13. 2 13. 3 13. 4 13. 5 13. 6 13. 7 13. 8 13. 9 Introduction Definitions of health promotion Interventions for health promotion The purpose of health education The health educator Principles for health education Implementation of the educational planEvaluation of the educational process Conclusion LEARNING UNIT 14: ISSUES IN COMMUNITY HEALTH 14. 1 14. 2 14. 3 14. 4 14. 5 14. 6 14. 7 14. 8 Introduction Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (Aids) Tuberculosis (TB) Poverty Homelessness Violence Community resources Conclusion 84 84 84 85 85 86 88 89 89 90 92 92 92 93 94 94 95 95 97 BIBLIOGRAPHY 98 ANNEXURE A: FEEDBACK FOR SCENARIO IN LEARNING UNIT 3 ? LEARNING UNITS 4 ±12 99 ANNEXURE B: FACTS ABOUT IMMUNISATION 106 ANNEXUR E C: THE REVISED EXPANDED PROGRAMME ON IMMUNISATION IN SOUTH AFRICA (EPI-SA) SCHEDULE 08 ANNEXURE D: PLANS TO ADD TWO NEW VACCINES TO PREVENT PNEUMONIA AND DIARRHOEA IN BABIES 110 ANNEXURE E: PRIVATE VACCINES SCHEDULE 111 (vii) Welcome and ____________________________ introduction ____________________________ Welcome to this second-level module on health in communities. You will learn about the concepts and theories/models involved in community health to equip you with a theoretical foundation for this module. The aim of this module is to equip you with knowledge about the life span of the individual in order to give you skills to work with families in the community.You will also gain a holistic approach towards critical issues in the community. You should grow and develop into a competent and skilful practitioner who can identify needs and problems relating to family health and respond to them in an innovative way. Working through this module will enrich your life not only professi onally, but also personally. The nature of this study guide This study guide has been designed in an interactive way with the aim of guiding you through two prescribed books. As you work through this study guide you should integrate the information in the study guide with the information in your prescribed books.The Internet has a wealth of information and you are advised to use the Internet as often as possible to broaden your knowledge on certain topics. Prescribed books You are expected to purchase the following prescribed books for this module: Clark, MJ. 2008. Community health nursing: advocacy for population health. 5th edition. Englewood Cliffs, NJ: Prentice-Hall. Edelman, CL & Mandle, CL. 2006. Health promotion through the lifespan. 5th edition. St Louis: Mosby. Edelman and Mandle (2006) has very valuable information on health promotion and covers the entire life span, from birth to death.In addition to your study guide, this book is very important: you will find a wealth of information. Clark (2008) is a book on community health nursing that emphasises the dimensions model of community health nursing right through. This is a very valuable model which will help you to gain a holistic and systematic approach towards the individual, family and community. (viii) The information in these two books is complementary. Together with the study guide it will help you to gain the knowledge and skills you will need to supply health care to individuals, families and communities.Activities The activities are planned to either reinforce content, to guide you to tackle upcoming content, or to motivate you to think about issues. You will note that in part 2 of the study guide there is only one activity at the end of each learning unit: here we want you to apply the dimensions model of community health to a member of the family. Feedback on all these activities will be given in annexure A. This CMH2602 module runs parallel with the practice module for Community Health, CMH2126. The theory cannot be separated from the practice. IconsYou will find a series of icons in the text to guide you as you progress with your studies. Activity When you see this icon, you will know that you must complete an activity. We may ask you to read a specific section in the prescribed literature, apply given information, think about topics that have not been introduced, find your own information or ask other people for information. Please read the instructions carefully. Assessment criteria This icon indicates the questions that you can use to assess your own understanding of the work. These questions are adapted from the outcomes.You are told what you should do to prove that you have met the learning outcomes. Prescribed reading When you see this icon, study or read the prescribed book as indicated, before continuing with the next section. Learning outcome This icon tells you how you will benefit in the field of practice if you know the content of the specific learning unit. The outcomes tell you what you will be able to do after you have studied the work. h Feedback This icon tells you what was expected from you when you did the activity. It will not necessarily give you all the facts but will give you guidelines on how to answer the question.Not all of the activities will have feedback because many of the answers are given in your prescribed books. (ix) Conclusion This module is designed to enable you to work with families in the community. It is based on the needs and problems of the family. It covers individuals who are part of the family and the family as part of the community. After completion of this module, together with the practice module, you will be able to take responsibility for practising as an independent community nurse in any community setting. PART 1 THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 2 Learning unit 1Concepts and theories/ models in community health Outcomes Since theories/models provide you with the knowledge you nee d to practise community health in a scientific way, it is essential for you to be familiar with the various theories/models in the field to be able to apply them to community health. When you have worked through this learning unit you will be able to: * * * * 1. 1 describe various concepts in theoretical thinking explain selected theories/models in detail describe the key concepts and themes of the selected theories/models apply the theories/models to community healthIntroduction While we will discuss theories/models in general in this learning unit, we will also deal with several selected theories in more depth in order to indicate how they can be applied to community health. It is currently accepted that theories form the basis of community health. Since theories provide us with the knowledge we need to practise community health in a scientific way, it is essential for the community nurse to be familiar with the various theories/models in the field and to be able to apply them to community health. 1. 2 Theoretical thinking as a languageThe terms theory, model, conceptual framework, conceptual model are often used synonymously in literature. The literature reflects various conflicting opinions about the terms, their usage and meaning. According to Polit and Beck (2008:141) a conceptual model or a conceptual framework represents a more informal mechanism for organising and discussing phenomena or concepts, while theories are more formal in nature. Conceptual theories, frameworks and models are composed of concepts or constructs. These concepts or constructs are interdependent because they systematically demonstrate the relationship between variables.A model is a symbolic representation of concepts or variables with an interrelationship. A phenomenon is the abstract concept under study, often 3 used by qualitative researchers, while a concept is a description of the objects or events that form the basis of a theory. Both models and theories can describe and pre dict the relationship between phenomena. Models and theories are terms that are often used interchangeably in literature. The term theory is often used to refer to the subject content that student nurses must be taught in the lecture room to acquire the information they need to perform the nursing tasks in practice.Researchers such as Polit and Beck (2008:768) define theory as â€Å"an abstract generalisation that presents a systematic explanation about the relationships among phenomena†. Theories include principles for explaining, predicting and controlling phenomena. In all disciplines theories serve the same purpose. This purpose is to make scientific findings meaningful, and to make it possible to generalise. A theory is composed of concepts and constructs that are systematically related and that are also goal-oriented (Stanhope & Lancaster 2006:196). Types of traditional theories include grand theories and middle-range theories.Grand theories describe and explain large s egments of the human experience which are very broad. Middle-range theories explain more specific phenomena such as stress, self-care, health promotion and infant attachment. Metatheory is a term used to label theory about the theoretical process and theory development (Polit & Beck 2008:141). Metaparadigm refers to the main concepts that identify the phenomena or ideas of interest to a discipline, in this case the discipline of nursing. They provide the boundaries for the subject matter of the discipline.The metaparadigm concepts for nursing include person, environment, health and nursing (Clark 2008:67). However, current literature suggests that a four-concept metaparadigm for the discipline of nursing is too limited and suggests additional concepts such as transitions, interaction, nursing process, nursing therapeutics, self-care, adaptation, interpersonal relationships, goal attainment, caring, energy fields, human becoming and other concepts. The best-known and most used concep ts are however the first four: person, environment, health and nursing. 1. 3 Choosing a theory/model to apply to community ealth Choosing a suitable theory or model is not always an easy task ? especially when most theories are geared towards the care of individuals and were never designed to apply to groups or communities. The theory or model that is chosen must be flexible enough to be adapted to the community health situation and its aim must be to provide guidance for those who practise community health. The importance of the family or community network and the social network must both be clearly reflected, and the theory or model must be realistic and simple enough to understand and apply.In addition, the theory/model should harmonise with the community nurse's views about the individual, the environment, personal health and community health. You may find that the theory that is chosen may not always fulfil all your expectations and that it may also not be applicable to all cir cumstances. You may often be required to make adjustments or to develop your own personal model on the basis of existing theories. 4 Activity Explain why community health nursing should be based on a model or theory. h Feedback You should have considered the following points: * * * * * 1. 4A systematic approach is needed. Theories/models assist community nurses to evaluate health status and to plan, implement and evaluate effective nursing care. The model/theory used directs attention to relevant aspects of the client situation and to appropriate interventions. Epidemiologic models help in examining factors that influence health and illness. Nursing models suggest interventions to protect, improve and restore health. The dimensions model of community health nursing Clark's (2008:69) dimensions model of community health nursing is one of the few models designed for community health.This model is described in detail in your prescribed book (Clark 2008) and will therefore only be summa rised here. This model is a revision of the previously titled Epidemiologic Prevention Process Model. The dimensions model incorporates the nursing process and the levels of prevention as well as an epidemiologic perspective on the factors influencing health and illness. The dimensions model consists of three elements: the dimensions of health, the dimensions of health care and the dimensions of nursing. The dimensions of health include: * * * * * * the the the the the he biophysical dimension psychological dimension physical environmental dimension socio-cultural dimension behavioural dimension health system dimension The dimensions of health care include: * * * primary prevention secondary prevention tertiary prevention The dimensions of nursing include: * * * * cognitive dimension interpersonal dimension ethical dimension skills dimension 5 * * process dimension reflective dimension You should study this model to enable you to assess the health status of individuals, families or communities and to guide your nursing interventions.Prescribed book Study chapter 4 in Clark (2008, or later editions), on the dimensions model of community health nursing. Activity (1) Name the three elements of the dimensions model of community health nursing. (2) List the dimensions included in each element. (3) Give an example related to the dimensions in each element that addresses the health of a population group. 1. 5 Orem's self-care deficit theory of nursing Orem proposes a general theory of nursing which she calls the theory of self-care deficit. Orem's theory focuses on people's ability to practise self-care.The dominant theme of her philosophy of health is that people should be empowered and encouraged to practise their own self-care by means of their own efforts or with the help of significant others. Orem's self-care deficit theory of nursing consists of three interrelated theories: the theory of selfcare, the theory of self-care deficit and the theory of nursing syste ms. This theory is consistent with community health, based on the following premises: * * * Individuals and groups must accept responsibility for their own health and consequently care for themselves.The community nurse should provide the necessary training and support that will enable individuals or communities to do this. The community nurse should intervene only when a deficit or need arises in the selfcare framework. The World Health Organization (WHO) also strongly emphasises that self-care and selfresponsibility play an important role in achieving the goal of optimal health. 1. 5. 1 Theory of self-care In order to understand the theory of self-care, one must first understand the concepts of self-care, self-care agency, basic conditioning factors and therapeutic self-care demand.Self-care include those activities and decisions which a person undertakes in order to maintain life, health and well-being. These activities are acquired by learning, and they contribute to the mainten ance of human development and functioning. 6 Self-care agency refers to the ability of a person to exercise self-care in daily life. The ability to care for oneself is affected by basic conditioning factors: age, gender, developmental state, health state, socio-cultural factors, health care system factors, family system factors, patterns of living, environmental factors and resource adequacy and availability.Therapeutic self-care demand is the sum total of the measures which are called for at a particular time for the promotion and maintenance of health, development and general well-being. In the case of self-care, purposeful actions and steps are taken. Although selfcare should benefit an individual's health, his or her perception of self-care may not always promote good health, as is the case with a person who smokes in the belief that it reduces his or her stress levels. Self-care requisites refer to the reasons for which self-care is undertaken.The three categories of self-care requisites include universal, developmental, and health deviation. Universal self-care requirements include those processes which are essential for the normal functioning and maintenance of health and life, such as the following processes: * * * * * * having and maintaining sufficient fresh air/oxygen, water and food intake finding the balance between exercise and rest, and having social interaction avoiding dangers and obstacles that can compromise human functioning and well-being promoting human functioning and development in a group roviding care associated with elimination processes and personal hygiene keeping a balance between being alone and social interaction Developmental self-care requisites are divided into two categories: * * The first concerns the maintenance of those conditions which are favourable to a person's normal growth and development. The second is concerned with the prevention of those negative conditions, forces, influences and factors which can hinder and ob struct normal development. Awareness of such requirements reflects a person's level of development and his or her general capacity for self-care.Health deviation self-care is necessary for preventing illness, injury and retardation. It involves taking whatever steps are necessary for preventing or treating illness or disability effectively. The requisites for health deviation self-care include: * * * * * * seeking and securing appropriate medical assistance being conscious of and attending to the effects and results of pathologic conditions conducting medically prescribed diagnostic, therapeutic and rehabilitative measures attending to or controlling the negative effects of prescribed medical treatment effectively ccepting oneself as being in a specific state of health and in need of particular forms of health care developing and sustaining health-optimising lifestyles 1. 5. 2 Theory of self-care deficit The theory of self-care deficit forms the core of Orem's general theory of nurs ing. According to this theory, an adult who is unable to practise self-care requires dependent care; this refers to an adult who does not have the ability to meet his or her own needs or 7 only has partial ability to take care of himself or herself. This may happen or example when a person falls ill and this illness generates new demands, requiring the implementation of complex measures and specialised knowledge. Orem cites the following examples of support or help which can be offered in such circumstances: * * * * * acting on behalf of a person or undertaking certain activities for this person until he or she can once again care for himself or herself more independently providing guidance and direction in the new situation providing physical and psychological support creating and maintaining a new environment which supports personal development providing appropriate relevant instructionsA self-care deficit occurs where there is a discrepancy between the need for self-care and the ability to manage this self-care. In such circumstances the individual needs to be assisted and educated to administer whatever self-care he or she may need. In short, a self-care deficit occurs when a person is unable to practise appropriate self-care on his or her own or without external assistance. 1. 5. 3 Theory of nursing systems The theory of nursing systems consists of two components: the nursing agency, and nursing systems.The nursing agency refers to the characteristics of people who are trained as nurses that enable them to act, to know and to help others meet their therapeutic self-care demands by developing their own self-care agency. Nursing systems are created when nurses use their knowledge and skills to plan and implement nursing care where there are deficiencies in self-care. The aim of intervention by the nurse is to compensate for the self-care activities which the individual, family or community cannot maintain at an optimal level. These compensatory activities a re classified into: * * *The wholly compensatory system where the community nurse becomes the self-care agent to compensate for the client's inability to maintain his or her own self-care. The community nurse cares for and supports the client wholly. For example, this would happen where a person is in a coma and cannot consciously look after himself or herself. The partly compensatory system where the client is capable of certain self-care measures but only to a limited degree. The aim of health care intervention is to lend support and carry out certain activities on behalf of the client until he or she is able to resume them again.The supportive/educational system where the client can manage self-care but needs the support and guidance of the community nurse. The community nurse regulates the selfcare agent's performance and development so that he or she can function more independently (George 2002:126). Activity (1) Describe the different components of the self-care deficit theory of nursing. 8 (2) Explain what is meant by a self-care deficit. (3) A mother and her two-month-old baby visit your clinic. The baby is not gaining sufficient weight and the mother appears tired and stressed. Identify the self-care deficit in this particular case. h FeedbackYou should have covered the following points in your answer: (1) The mother is not able to care for herself with the demands of a new baby. (2) She therefore needs health education and advice on how to handle the situation. 1. 6 Neuman's systems model/theory According to Neuman, her personal philosophy of helping each other live contributed to development of the holistic systems perspective of the her systems model. Neuman's theory is based on: * * the two main components of stress and the individual or his or her body's reaction to that stress the community's reaction to certain stress factors (stressors) in the environmentNeuman based her systems model on a general systems theory and regards the client as an op en system which reacts to stressors in the environment. Stressors may be intra-personal, inter-personal or extra-personal. Intra-personal stressors occur within the client system boundary and correlate with the internal environment (eg feelings such as anxiety or anger within a person). Inter-personal stressors occur outside the client system boundary and have an impact on the system (eg stimuli between people such as role expectations). Extrapersonal stressors also occur outside the ystem boundaries, but are further away from the system than the inter-personal stressors (eg work or finances). Environment includes all the external and internal influences that surround the client system. The external environment exists outside the client system and the internal environment exists within the client system: * * * * The client system contains a basic structure or core construct (individual, family community) which is protected by lines of resistance. The basic structure includes system variables such as physiological, psychological, socio-cultural, developmental and spiritual variables.Penetration of the basic structure results in death. The normal level of health is identified as the normal line of defence which refers to the client's usual state of wellness and represents stability over time. When the normal line of defence is invaded or penetrated, the client system reacts, for example with symptoms of illness. The flexible line of defence prevents stressors from invading the system and is a dynamic state of wellness that changes over time. It can for example be altered in a relatively short period of time by factors such as inadequate sleep or food.The lines of resistance protect the basic structure and become activated when the normal line of defence is penetrated by environmental stressors. If sufficient energy is 9 * available, the normal line of defence is restored; but if the lines of resistance are not effective, death may follow. Reconstitution involves stabilisation of the system and movement backwards to the normal line of defence. Health care intervention takes place in the prevention modalities, that is the primary, secondary and tertiary levels of prevention. (Clark (2008:67)) Prescribed reading Study Neuman's model in Clark (2008, or later editions).Activity (1) (2) (3) (4) Explain what Neuman means by client variables. Describe the concepts of line of resistance and normal line of defence. Describe Neuman's view on health. Define the term stressor. This theory/model can also be applied to community health because a preventive approach is followed and because of its flexibility. 1. 7 Pender's health promotion model Pender described a model which is applicable to community health in particular. This model is based on principles of health promotion and, to a certain extent, corresponds with the Health Belief Model.Pender's health promotion model comprises three basic concepts, namely individual perceptions, variables which can influence healthy behaviour and the probability that actions will be taken to promote health: * * * Individual perceptions include factors such as how important health is seen to be, perceptions on control and effectiveness, the definition of health, the state of health, the advantages inherent in preventive measures, and possible obstacles. Variables include factors such as demography, income, literacy, culture and family health patterns.The probability that action will take place includes matters such as ? ? ? ? how highly the person rates or values action any previous experience with health personnel the availability and affordability of preventive services the threat that the condition holds for the individual or family Prescribed reading Study Clark (2008, or later editions), the section on Pender's health promotion model. 10 Activity (1) Name the variables which can affect the preventive actions that a family and a community may take. (2) Write short notes on individual perce ptions and indicate how they can influence health-promoting actions.Pender's model is applicable to community health because the promotion of health is taken as the starting point and factors which influence the measures for promoting health are defined and emphasised. The model can guide and lead the community health nurse in promoting health. On the grounds of the variables and perceptions that are identified, she/he can make decisions on the degree of intervention that is necessary. For example a degree of knowledge and motivation may seem necessary to allow the community to take certain promotive actions, or to decide whether or not the available options are acceptable.The community health nurse's task could then be to give the community the necessary information or to influence them to modify perceptions that are detrimental to their health. Depending on the specific problems or behaviour that deviates from a healthy living pattern, the culture of the community, the level of li teracy and so on, the community health nurse can plan a programme or develop his or her own model based on Pender's promotive model. (Clark 2008:257) 1. 8 Gordon's functional health pattern frameworkHistorically, conceptual models in nursing have employed Gordon's health-related behaviours and developed them into an assessment model with 11 functional health patterns. Your prescribed book (Edelman & Mandle 2006) uses this framework throughout in the assessment of each developmental stage. The 11 functional health patterns include: * * * * * * * * * * * pattern of health perception-health management nutritional-metabolic pattern elimination pattern activity-exercise pattern sleep-rest pattern cognitive-perceptual pattern self-perception-self-concept pattern roles-relationships pattern sexuality-reproductive pattern oping-stress tolerance pattern values-beliefs pattern (Edelman & Mandle 2006:131) Read Edelman and Mandle (2006 or later edition), the section on functional health pattern s: assessment of the individual. 11 1. 9 Conclusion Various theories/models applicable to community health were discussed in this learning unit. It is very important that you as a community health nurse have an understanding of these theories/models and how they could be applied to community health. Assessment criteria (1) Define the following terms: ? ? ? ? ? theory model conceptual framework phenomenon concept (2) (3) (4) (5) 6) Define the different constructs of Orem's theory. Explain the defence mechanism in Neuman's theory. Describe the principles on which Pender's promotion of health model are based. Name the three elements of the dimensions model of community health nursing. Name the dimensions of the dimension of health in the dimensions model of community health nursing. (7) List the functional health patterns in Gordon's functional health pattern framework. Note: Application of selected models/theories will be assessed in part 2 of the study guide. 12 PART 2 THE INDIVIDUAL AND FAMILY AS CLIENT 14 Learning unit 2The family as client Outcomes When you have worked through this learning unit you will be able to: * * * * * * * 2. 1 describe the concept of family describe the structure of the family describe different family types and their characteristic features describe the stages of family development discuss family functions describe the family as a social system discuss cultural values in the family Introduction The family is the basic social unit in any community. Family members usually share living arrangements, responsibilities, goals, the continuity of generations, and a sense of belonging and affection.How well a family works together and meets any crisis depends on the composition of the family (the structure), the activities or roles performed by family members (the functioning) and how well the family is able to organise itself against potential threats. 2. 2 Describing the concept of family Clark (2008:318) states: â€Å"A family is a compo sed of two or more persons who are joined by bonds of sharing and emotional closeness and who identify themselves as being part of the family. Unlike those of other social systems, family relationships are characterized by intimacy, emotional intensity, and persistence over time. ‘ Santrock (2006:216) states: â€Å"[The family is] a social system, a constellation of subsystems defined in terms of generation, gender and role. Divisions of labour among family members define particular sub-units, and attachments define others. Each family member is a participant in several subsystems. Some are dyadic (involving two people) some polyadic (involving more than two people). † Stanhope and Lancaster (2006:322) refer to the following definition: â€Å"A family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support.The members of the family are self-defined. † 15 Activity Ask different members of the multi-disciplinary health team to define family. Analyse the responses for similarities and differences. 2. 3 Structure of the family Family structure is the organised pattern or hierarchy of members that determines how they interact. Components of a family structure include the role of each family member and how they complement each other, the family's value system, communication patterns and power hierarchy. The family structure influences the way that a family functions. Allender & Spradley 2005:526) The genogram shows family information graphically in order to view complex family patterns over a period of time, usually three generations or more. d. 1956 Heart Peg 71 Housewife Al 72 Grocer Sue Housewife John Steelworker d. 1982 Cancer Mark 37 Engineer Jan 36 Housewife Jim 9 Jack 46 Mechanic Mary 16 Pat 41 Waitress Married 1979 Steve 18 Clerk Earl 17 Student Detroit Fig 2. 1 Genogram Source: Allender & Spradley (2005:528) Nan 4 Married 1977 Divorced 1979 Joe 45 Teacher Sam 20 Student Lou 13 Los Ang eles Married 1983 Ann 39 Nurse Pam 11 16 ActivityDraw a genogram of your own family. 2. 4 Types of families There are many family types and a family type may change over time as it is affected by birth, work, death, divorce and the growth of family members. * * * * * * * The nuclear conjugal family. The traditional nuclear family structure consists of a husband, wife and children. Most young people move away from their parents when they marry and form nuclear families (no grandparents, aunts or uncles live in the home). The nuclear family is found in all ethnic and socio-economic groups, and is accepted by most religions.Today the number of nuclear families is declining as a result of the increase in divorce, single parenthood and remarriage, the acceptance of alternative lifestyles, and greater disparity. The extended (multi-generational) family. The extended family includes the nuclear family as well as other family members such as grandmothers, grandfathers, aunts, uncles, cousin s and grandchildren. The advantage of such a family is that it means more people may serve as resources during crises and also provides more role models for behaviour and learning values. The single parent family.Single parent families consist of an adult woman or man and a child or children. Single parent families result from divorce, out-of-wedlock pregnancies, absence or death of a spouse, or adoption by a single person. A health problem in a single parent family is almost always a serious matter, because there is no backup person for childcare when the parent is ill. The blended family. The term blended family refers to a remarriage or a reconstituted family, where a divorced or widowed person with children marries someone who also has children of his or her own.Children of blended families are exposed to different ways of living and also have increased security and resources. They may become more adaptable to new situations. However, rivalry may arise among the children for the attention of a parent or there may be competition with the step-parent for the love of the biological parent. The communal family. The communal family is made up of groups of people who have chosen to live together as an extended family group. Their relationships with each other are motivated by social values or interests rather than by kinship.Because of the number of people present, members may have few set traditional family roles. The values of commune members are often religiously or spiritually based and may be more oriented to freedom and free choice than those of a traditional family structure. The cohabitation family. The cohabiting family consists of two persons who are living together, but remain unmarried. They may be heterosexual or homosexual. Some such relationships are temporary but others are long-lasting. Reasons for cohabitation include the desire for a trial marriage, the increased safety that results from living together and financial factors.The single allianc e family. Many single young adults live together in shared apartments, dormitories or homes for companionship and financial security. Although these relationships are often temporary, they have the same characteristics as cohabitation families. 17 * * The homosexual family. The homosexual family is a form of cohabitation where a same sex couple live together and share a sexual relationship. Such a relationship offers support in times of crisis that is comparable with that offered by a traditional nuclear or cohabitation family. The foster family. Children whose parents are unable to care for them are laced in a foster home by a child protection agency. Foster parents usually receive remuneration for their care. Foster families may also include the parents' own biological or adopted children. Foster care is theoretically temporary until children can be returned to their own parents (Clark 2008:318). Prescribed reading Read Clark (2008, or later edition), types of families. 2. 5 Stage s of family development Stage 1: Beginning family During this first stage of family development, members work to accomplish three specific tasks: * * * to establish a mutually satisfying relationship to learn to relate well to their families of origin f applicable, to engage in reproductive life planning The first stage of family life is a tenuous one, as evidenced by the high rate of divorce or separation of partners at this stage. The time frame for this stage extends from marriage to the birth of the first child. Stage 2: The early child-bearing family The birth or adoption of a first child is usually an exciting yet stressful event in a family. It requires economic and social role changes. The duration of this stage is from the birth or adoption of the first child to 30 months after this date. The following developmental tasks are usually accomplished during this stage: * * * he establishment of a stable family unit the reconciliation of conflict regarding developmental tasks fa cilitating developmental tasks of family members Stage 3: The family with pre-school children A family with pre-school children is a busy family as children at this age demand a great deal of time related to growth and developmental needs and safety: accidents are a major health concern at this stage. The time frame for this stage is when the oldest child is two to five years of age. Developmental tasks during this stage include: * * * integration of second or third child socialisation of children beginning of separation from children 18Stage 4: The family with school-age children Parents of school-age children have the major responsibility of preparing their children to be able to function in a complex world. At the same time they have to maintain their own satisfying marriage relationship ? this can be a difficult time for a family. Many families need the support of tertiary services such as friends, church organisations or counselling. The time frame for the family with school-ag e children is when the oldest child is 6 to 13 years old. Developmental tasks during this stage include: * * * separation from children to a greater degree fostering education and socialisation aintenance of marriage Stage 5: The family with teenage/adolescent children The primary goal for parents with teenagers differs considerably from that of the previous developmental stages. Family ties must now be loosened to allow adolescents more freedom and prepare them for life on their own. Rapid technological advances have increased the gap between generations ? this can make stage 5 a trying time for both parents and children. Violence, accidents, homicide and suicide are the major causes of death in adolescents ? and death rates from HIV are growing. This places a still greater responsibility on the family.The time frame for this stage is when the eldest child is 13 to 20 years of age. Developmental tasks of this stage include the following: * * * maintenance of marriage development of new communication channels maintenance of standards Stage 6: The launching centre family For many parents this stage when children leave to establish their own households is the most difficult. It appears as though the family is breaking up and parental roles change from those of mother and father to guideposts. The parents may experience a loss of self-esteem as they feel themselves replaced by other people.For the first time they may start feeling old and less able to cope with responsibilities. The time frame for this stage is from the time the first child leaves home to the time the last child leaves home. The following developmental tasks should be accomplished during stage 6: * * * * * promotion of independence integration of in-law children restoring of marital relationship developing of outside interests assisting own aging parents Stage 7: The family of middle years At this stage a family returns to a two-partner nuclear family, as before childbearing.Some partners see thi s stage as the prime time of their lives with the opportunity to do things they never had time or finances for, such as travelling and hobbies. Others may experience this time as a period of gradual decline without the constant activity and stimulation of children in the home and may experience the â€Å"empty nest† syndrome. Support people may 19 also not be as plentiful as earlier in the parents' lives. The time frame for this stage is from the time the last child leaves to retirement. Developmental tasks for this stage include: * * * developing leisure activities provision of a healthy environment ustaining a satisfying relationship with children and grandchildren Stage 8: The family in retirement or older age The number of families of retirement age is increasing rapidly, with people living longer as a result of advanced technology, medical research and increasing health consciousness. Family members of this group are, however, more apt to suffer from chronic and disablin g conditions than people in the younger age groups. The time frame for this stage lasts from retirement to death. Developmental tasks include the following (Clark 2008:323): * * * maintaining satisfying living arrangements adjusting to reduced income djusting to loss of spouse Prescribed reading Study Duvall's and Carter and McGoldrick's stages of family development in Clark (2008, or later editions). 2. 6 The family as social system All families share certain characteristics. Every family is a social system with its own cultural values, specific roles, functions and structure and each family moves through recognisable developmental stages. A social system consists of a group of people who share common characteristics and who are mutually dependent. What affects one member affects the whole family, and vice versa. Families have certain features that differ from other social systems: * * * Families last longer than many other social systems. Families are inter-generational social sys tems consisting of three or sometimes four generations. Family systems include both biological and affinal relationships (relationships created by law or interest). Biological aspects of family relationships create links to a larger kin group that are not found in other social systems. A social network support map gives a detailed display of the quality and quantity of social connections. The community nurse can use this to help the family understand its support systems and to form a basis for nursing interventions. 20 Fig 2. Social network support map Source: Allender & Spradley (2005:528) 2. 7 Cultural values in the family The cultural values in a family can have a major influence on how a family views health and health care systems. Each new generation takes on the values of the previous generation, passing traditions and cultures from generation to generation. A family's cultural values and behaviours can either facilitate or impede the promotion of health and prevention of dise ase. Prescribed reading Read Clark (2008, or later editions), the chapter on the cultural context. Activity (1) Apply the four principles of cultural assessment to the family. 2) Discuss culturally competent care. h Feedback Note the following points: 21 (1) You needed to view the culture in the context in which it developed, examine the underlying premise of culturally determined behaviour and the meaning of behaviour in the cultural context. There is a need to recognise intercultural variation. (2) You needed to define cultural competence, consider the characteristics and challenges of cultural competence and the modes of culturally competent care. 2. 8 Family functions Family functions are the activities that a family performs to meet the needs of its members.These needs include basic needs such as food, clothes, housing, emotional support and guidance. All families ? regardless of the type of family ? have in common these basic needs that require a family to function in certain ways to ensure family survival. As the social system changes, the family system has to adapt if it is to meet individual needs and equip its members to participate in the social system. The family is a hierarchical system which is usually built on kinship, power, status and privileged relationships that may be related to age, gender, personality and health. All family functions can be reduced to two basic ones: * *