Saturday, August 31, 2019

My First day at sixth-form

I was sixteen and I had to make that same difficult question that everyone had to ask themselves at my age, ‘what am I going to do after I got my results from my GCSEs?' The day before I got my results I decided to go to Westwood ST Thomas sixth-form in stead of college. I have been at Westwood School for three years so I thought it would be easier to go somewhere that I knew and where they knew me. GCSE results day arrived; I took that short five minute walk for the last time of being a school girl. I got the magic envelope and opened it. I needed five C's or above to do the a-levels courses as planned. I took one look at the paper and my excitement turned into disappointment. I only got four C's. After talking to a careers adviser I decided what I should do. I had chosen to under-go a one year business course that would give me enough GCSEs that I needed. I went away that day feeling very low and disheartened that all my efforts didn't payoff. I felt like a year of my life was being taken away from me. 7AM, Monday morning, my alarm was beeping in my ear, Beep, Beep, beep. I rolled over and turned it off. I unwillingly thought ‘the first day of Sixth-form of what will be of a long year'. I was dragging my feet up the steep hill. A walk which was five minutes seemed like an hour. As I approached the school hill my heart was thumping in my chest. I told myself not to be so stupid. I had been at the school for three years but this time I was a student. As I walked through the gates nothing had changed! The old falling apart bike sheds which faced the gates were still there. I could see the three main blocks, where the specialist classes were held. Yep! The same old gloomy school. I got to where my tutor room was and sat down at an empty seat. I slowly one by one studied the people who are already settled in their seats. I didn't recognise anybody. They must be from different schools. I then studied the room, a big white board in the centre of the longest wall and around the other walls are notice boards with nothing on then. Surrounding the tables in the middle of the room are very old computers lined up against the wall. The decoration was an old off-white colour with paint starting to chip off the walls. The appearance and feeling was an old and depressing. I heard a familiar voice outside the room. It was my friend Amy. She walked in to the room and took her seat next to mine. I felt much relived that someone was in the group that I already knew. My new tutor and key teacher for the year, Mr Kendal, walked in to the room and sat down behind his big desk. He introduced himself then made each of us in turn introduce ourselves to the group. I am not the person for speaking in front of a group and felt my self go very red with embarrassment when it got to my turn. He gave us our student planner and the timetable; he went over some things that we were to do that year in the course. The time drove by so quickly. I looked at the clock and it was break time already. I had the chance to meet up with old friends and talk about what we did over the summer. When break time ended we all went back to our tutor rooms. This time I didn't know whether the sun was shinning through a different window, but I was starting to feel a bit more comfortable about the situation the room felt brighter, and a little more inviting. We had the tour of the school which lasted thirty minutes, and then we were allowed to go home. The walk home seemed like the old five minutes walk down the hill. I was feeling emotionally happy and pleased with the first day. (And it wasn't the fact it only lasted half a day). When I got home I told mum all about the day. I couldn't wait till bed time as I was exited about going back again the next day. (Even though it was an whole school assembly to meet the new Head Teacher). As I went to sleep that night I was still very happy, I thought, this year was not going to be as bad after all.

Friday, August 30, 2019

Joseph Andrews and Abraham Adams Essay

Such devotion is clearly evident in Adams, not only because of his position as a clergyman but also in his actions. During an episode in which Joseph and Adams are in great danger, Adams’ devotion to God is proven. â€Å"Adams now fell on his Knees, and committed himself to the Care of Providence . Joseph is likewise devoted to God. he still settles himself to the wishes of God, making his devotion clear Mr. Abraham Adams was an excellent Scholar. He was a perfect Master of the Greek and Latin Languages In comparison to the normal human of the time, Adams seems to be more intelligent. The first meeting between Adams and Joseph depends upon Joseph’s similar aptitude for learning compared to similar people his age. After questioning Joseph about several subjects, Adams declares that, â€Å"he answer’d much better than Sir Thomas, or two otherDespite their many similarities, Adams and Joseph differ on several points. One of them is their view on schools. The essential debate comes down to the quality of British public schools. Joseph Andrews throws his support towards public schools. Adams holds a different opinion on this matter, however, which coincides with his position as a clergyman and his devotion to God. â€Å"Public Schools are the Nurseries of all Vice and Immorality. All the wicked Fellows whom I remember at the University were bread at them,† Joseph’s willingness to contest Adams’ opinions shows that they must differ in some ways. The simplicity of Adams’ character is evident in his gullibility compared to Joseph. During one episode, they are promised several extravagant offers by a gentlemen who pretends to be sympathetic to their Case. After giving several excuses that prevent him from following through on his promise, Adams still doesn’t understand the situation. â€Å"This must be a sudden Accident, as the Sickness or Death of a Relation. Adams honestly believes that the man had intentions of honoring his promises. Joseph is less gullible, and know that the man has been playing with them.. Joseph sees through the lies he is being told and falls back upon his greater experience of the world than Adams. Throughout Joseph Andrews, the relationship between Adams and Joseph forms an important element of the story. Their great friendship brings them through difficult times and benefits them both. This friendship is composed of both their similarities, which help them get along, and their differences, which allow each of them to expand the other’s world view. The relationship would not be as dynamic without the interaction derived from these similarities and differences. In comparison, they devote themselves to God, rise above their peers in moral character, and posses greater learning than their peers. In contrast, they differ in their views of schools and their gullibility

Commercial Law Flow Charts and Notes Essay

You must take reasonable care to avoid acts or omissions which you can reasonably foresee would be likely to injure your neighbour- Who, then, in law, is my neighbour? The answer seems to be – persons who are so closely and directly affected by my act that I ought reasonably to have them in contemplation as being so affected when I am directing my mind to the acts or omissions that are called in question Donoghue v Stevenson Neighbour Principle: You must take reasonable care to avoid acts or omissions which you can reasonably foresee would be likely to injure your neighbour- Who, then, in law, is my neighbour? The answer seems to be – persons who are so closely and directly affected by my act that I ought reasonably to have them in contemplation as being so affected when I am directing my mind to the acts or omissions that are called in question Donoghue v Stevenson Reasonable Person Test – individual action or failure to act as a reasonably prudent person would under similar circumstances, resulting in harm to another Blyth v Birmingham Waterworks Co (1856) Papatonakis v Australian Telecommunications Commission (1985) That it is appropriate for the negligent person’s liability to extend to the harm so caused This was stated in Section 5D of the Civil Liability Act 2002 (NSW) and is consistent with the case of Adeels Palace Pty Ltd v Moubarak Other Tests: for a causal link to exist these elements must be satisfied: iii. Negligence was a necessary condition for the occurrence of the harm iv. That it is appropriate for the negligent person’s liability to extend to the harm so caused This was stated in Section 5D of the Civil Liability Act 2002 (NSW) and is consistent with the case of Adeels Palace.

Thursday, August 29, 2019

New media communication Essay Example | Topics and Well Written Essays - 5000 words

New media communication - Essay Example The use of social media as a tool for marketing by tech savvy marketers has enabled them to connect with both their loyal customers and their prospective customers in a cheap, efficient way. This paper shall look at the impact that the use of the social media platform has had on traditional marketing, and how it has changed communication among stakeholders within an organization. The advent of social media has brought about a revolution in corporate communication. This has transformed the way organizations conduct their public relations methods in addition to bringing considerable change in these organizations’ interactions with their stakeholders. This avenue of communication continues to become popular among enthusiasts in all sectors, due to unlimited potential that it offers by its use. The use of social media has not reached its peak, especially in the business world. This is because business executives and employees in public relations departments in numerous organizations have been very slow in adapting this method of communication. The increased scepticism surrounding the use of social media in communication has been a major contributor to its slow growth in the business world. However, that phase of slow growth has since been passed, as more businesses take up social media as an essential part of their public relations and marketing tools (Ho & Kwamena, 2009, pg 23). It has become easier for companies to reach all its stakeholders with the advent of the internet and the social media platform. For the first time, it is imprudent to fly around the world to attend meetings with stakeholders. There are social media sites that allow for live video communication between people. Social media sites such as Skype allow company executives to communicate via video link without having to be in the same location at once. In addition to that, companies have

Wednesday, August 28, 2019

Reconstructing gender Essay Example | Topics and Well Written Essays - 250 words

Reconstructing gender - Essay Example The gulf found between men and women emanates from nature rather than nurture. As such, the two sexes covey their messages differently because of how their brains are made up, and women are often better communicators. The male brain excels in doing mathematical and visual spatial tasks whereas the female brain is better suited at doing verbal tasks. These glaring differences lead to miscommunication at times between the two sexes. However, the diversity existing between males and females enables them to co-exist together amiably. In her article, Ayana discusses the representation or depiction of females in hip hop videos. Her article made me comprehend more about the issues being articulated by feminists in regard to hip hop music videos. After reading the article, I agree with her main points. In her article, Ayana asserts the feminist tone by critiquing hip hop videos. Her main area of focus is hip hop’s gender and sexual depiction of women. Her primary critique comes from the fact that women are depicted as sex objects in most hip hop videos. For example, Ayana points out that in parties, women are mostly scantily dressed while men are fully dressed. This depiction belittles women hence portrays them as just sexual

Tuesday, August 27, 2019

Marriage in A Doll's House by Ibsen Essay Example | Topics and Well Written Essays - 1250 words

Marriage in A Doll's House by Ibsen - Essay Example Through this dilemma, and Nora’s husband’s actions, Ibsen shows a very different view about the roles of individuals in a marriage. He does this by exploring the concepts of love, trust, respect, and equal rights in Nora’s marriage. In marriages nowadays, almost all western countries accept that the husband and wife should equally respect. However, after reading A Doll’s House, I came to know that perhaps this must not have been the case in earlier times. From Act one itself, it is obvious that Nora’s husband, Torvald Helmer, does not treat his wife as an intellectual being. He speaks to her in the second-person and through name-calling, rarely referring to her directly. For instance, when Nora comes home, Helmer calls out â€Å"Is that my little lark twittering out there?† When Nora replies, Helmer once again refers to her in the same circuitous way, by asking if his â€Å"little squirrel (was) bustling about†. It is impossible not to notice this aspect in almost all of Nora’s and Helmer’s conversations. He speaks to her as if she is a pet, an animal with which one speaks one-sidedly without any expectations of intelligent conversation. According to me, this shows that Helmer does not see Nora fit enough to refer to her directly, and thus shows that he does not respect her that much. Another aspect in Helmer’s and Nora’s conversations that show his lack of respect for her is the way he treats her as a child. Although many would state that Helmer speaks to his wife kindly, I believe that he does so in a very patronizing manner. This can be seen by the way he is always lecturing her on her habit of spending too much money. Helmer even goes as far as trying to control Nora’s diet, when he asks her, â€Å"Hasn’t Miss Sweet Tooth been breaking rules in town today?†. Some might find that these two are a very sweet couple who talk so lovingly, but it is hard to ignore tr aces of contempt which appear in Helmer’s tone and actions. For instance, when Nora asks him to come and check out all the goodies she has bought, he at once calls out from his study â€Å"Don’t disturb me†. Such a change in his tone also shows the fatherly way he acts with Nora. A marriage is mainly based on love and trust, as well as respecting the other half. However, Ibsen has showed that there is no trust factor in the marriage of this play’s protagonist. This can be seen by the way Nora is so adamant is hiding the macaroons that she has bought for herself. I personally found it very strange that a wife should want her husband not to find out that she has bought a small packet of sweets (especially when he appears to be in a good mood and is insisting), even though she informs him of all her other purchases. This speaks volumes about Nora’s marriage, and it is here that Ibsen first introduces the ‘no-trust’ factor. In addition to this, Nora also hides another fact-which is far more significant than a packet of macaroons-from her husband. This fact is her borrowing of money to help her husband when he was sick, without letting him know about it. Money is another factor that plays a major role in the aspect of marriage shown in A Doll’s House. Ibsen confirms how it comes between the two individuals in a marriage by showing how it was one of the main causes behind the dissolution of Nora’

Monday, August 26, 2019

A Life-Changing Moment Essay Example | Topics and Well Written Essays - 750 words

A Life-Changing Moment - Essay Example It can be so huge to the extent of altering many lives and at the same time it can be so minute and unnoticeable; it can be effected over a period of time or in one single moment. In my case, change occurred in my life in one moment. The kind of life that I was used to was every child’s dream. I was used to the high life as my parents were well-off. My dad attended school in his youth and attained a degree in business management. Moreover, he even went farther and attained a master’s in the same field. This was late in the 1980s. With this kind of credentials, my father was a force to reckon with in the business world. His businesses were successful; he had a big house and a good family; he basically had everything going for him. My mother, on the other hand, was a medic. She was a fully trained and qualified doctor and her expertise in the field enabled her to begin her own practice. Michael’s was a household name in the state because of how they were flourishin g. We were 4 siblings and I was the last born in the family. Like any other last born, I was the spoiled one. Everything that I wanted, I was always given. I was the envy of my siblings as I was the perfect child. I never got in to trouble with my parents and we never engaged in any kind of feud. One day, I went about my normal routine preparing myself for school. In totality, it was a normal school day. After leaving the house, the driver routinely dropped my elder siblings to school and then went ahead to drive me to school. As I watched the outside through the window, everything was normal in the city. People were going about their businesses as usual. We all did not know the danger that awaited to befall the city in the next few moments. It could have never crossed my mind that such a catastrophe was going to happen, especially to the city. In just a fraction of time, the peace that traversed through the city was suddenly replaced by chaos and discomfort. Everyone was running fo r their lives; the traffic was chaotic. The big explosion that was succeeded by a short tremor sent rubble flying. Cars collided while others run in to the footpaths, trying to evade the rubble flying from the sky. All this was happening too fast. I was in so much shock that I couldn’t feel any kind of sensation. I was numb. The driver was trying to steer the car to safety, but suddenly everything went blur. For a few seconds all that ran through my mind was death; I could hear nothing but a shear piercing sound in my ears. When I came forth, I could smell fuel and smoke. I tried to tell the driver to get out of the car so we could run for safety, but it was too late: he was gone. I shook him hoping against the odds that I’d bring back the life to him, but it was too late. I had to save my own life. I had hit my forehead and blood was trickling down my left eye. I was staggering my way to safety. I did not have the energy in me but knew I had to do it to save my life. I became too drowsy and fell down. In my head, I knew that that was the moment. I was exhaling my last breath and bidding good-bye to the life I so cherished. In my moment of despair, I saw medics running towards me. At that moment, my heart was at rest; I knew I was safe. The last thing I remember was staring at the ambulance and passing out. I was not sure of the time when I fainted. When I came forth, I was on bed. It was not a hospital bed. I heaved a sigh of relief because I knew that I was home. I

Sunday, August 25, 2019

(Emergency Management) 2001 D.C.Sniper Case Study

(Emergency Management) 2001 D.C.Sniper - Case Study Example John Allen Muhammad was the man behind the sniper attacks, carrying out the shootings from his modified vehicle. Muhammad had an accomplice by the name Lee Boyd Malvo (Mehrotra, 2006). A number of preliminary shootings had taken place before the killer moved to Washington area. Several people were killed and several injured, surviving bullet wounds after being shot from a distance. A number of sniper attacks took place in Washington area, with some victims surviving while others died. These attacks followed the September 11 terrorist attacks in New York. On the second day of October, 2002, a gunshot was fired into a craft store that was owned by a man called Michael at around 5:20 pm. In this incident, fortunately, no one was injured in the incident. There had been previous attacks in Alabama, Los Angeles, Maryland, Virginia and Washington D.C, but this incident was not quickly connected to them (Turvey, 2011). The Aspen Hill incident marked the beginning of a trail of incidents in the Washington D.C area. On the same day that the Aspen Hill incident occurred, James Martin was shot dead at around 6:30 pm. Martin was shot at a grocery store’s parking lot in Wheaton. James Buchanan became a victim of the shooter on the 3rd of October, 2002. The incident took place at Rockville Pike, when the victim was mowing grass. On the same day, Premkumar Walekar succumbed to gunshot wounds in Aspen Hill when he was refueling his car. The incident took place at around 8:12 am. The 3rd of October, 2002 also saw the death and injury of several people at different times of the day. Sarah Ramos died at 8: 37 am after she was shot in Rossmoor Boulevard, seated on a sidewalk bench reading a book. At 9:58 am, Lori Ann was killed at a gas station in Kensington, Maryland. This marked the end of the morning trail of killings, but the day was yet to realize more killings later. Pascal Charlot was shot later that day in Georgia Avenue at around 9:15 pm. He barely

Saturday, August 24, 2019

The New Intelligence Community Essay Example | Topics and Well Written Essays - 250 words

The New Intelligence Community - Essay Example Critics of the new intelligence community set up maintained that the system is so complex that it became hard to manage; hence doubts on its effectiveness continue to spread. According to an article by Priest and Arkin (2010) in the Washington Post, the intelligence community is enormous, with redundant agencies and tons of reports generated every day that many end up being ignored, resulting to waste of resources and effort. Consequently, the complexity of the intelligence community only causes the ODNI to lack focus on it various agencies. In addition, the President’s Intelligence Advisory Boards stressed that the ODNI must be â€Å"downsized but strengthen by transferring certain functions to other agencies† (Best, 2010, p. 6) because it cannot supervise and assume responsibility to the massive department on its own. The support of the Congress to the development of ODNI is also essential in strengthening the role of the latter, its functions and extent of authority in order to effectively lead the different intelligence agencies under its wing. Nevertheless, the new role of the ODNI is still being developed. With just a few years of operation, the new intelligence system continues to face challenges in cooperating among agencies while sorting out critical reports on terrorism. It is too early to claim that the ODNI is a failure. Given the support of the Congress in defining its role, power and responsibilities, the ODNI can eventually learn how to manage its agencies more successfully. It should also consider reviewing the agencies doing the same work and identify critical reports to efficiently use its resources and

Friday, August 23, 2019

Marketing Planning and Strategy (Poject)1 Assignment

Marketing Planning and Strategy (Poject)1 - Assignment Example technologies apply in the teaching methodology and curriculum development that include all-time internet connectivity, online courseware (Blackboard), and online registration (PMU, 2014). PMU molds its students to become academic, social, and economic achievers. In admitting students, PMU follows the Saudi Arabian governing rules and regulation of higher education without consideration to nationality geographical origin, or religion (PMU, 2014). Under the leadership of university Deanships, PMU offers various courses and adopts the North America model that relies on the credit hour system to value such academic programs (PMU, 2014). Moreover, the university Deanships plans and executes the organization’s strategic plans through the help of the staff, sponsors, management, faculty, government, students, and nongovernmental organizations (PMU, 2014). Indeed, the organization offers scholarship to bright students in partnership with various donors. By 2012, the organization planned to admit about 5,500 students where the financial aid and the tuition fees paid by students derive financial stability and management in the university. PMU faces immense competition from public universities like King Saud University and King Abdulaziz University (4 International Colleges & Universities, 2014). In seeking to achieve its mission and vision, the university follows a defined marketing plan and strategy. Prince Mohammad bin Fahd University has a long-term vision of ensuring that the university achieves a unique and distinguished recognition of becoming a higher education institution with resultant benefits to the students, community, and administration. PMU seeks to achieve this by preparing students to become future professionals in various fields of human knowledge and its application. Moreover, the university aims at adopting new technological methodologies and innovations to pursue its objectives. Prince Mohammad bin Fahd University seeks to enhance and develop

Thursday, August 22, 2019

Relationship Issue on Facebook Research Paper Example | Topics and Well Written Essays - 1000 words

Relationship Issue on Facebook - Research Paper Example Communication in relationships used to be based on letters and phone calls, and face-to-face interaction was more common, one could only meet new people face to face or by introduction, say by a mutual friend. Over the last few years, the dynamics of relationships and interactions has paradigmatically changed since thanks to modern technology, one does not even have to leave their house or home to communicate or interact with someone. This social interaction has been enhanced and dominated by social networking sites, the leading ones being Facebook and twitter (Ayodele 2). People, especially the youth, have taken to social networks not only to communicate with their friends, but as make new ones. Many love relationships have also been formed and flourished online on these social networks; indeed, there are those who join Facebook with the sole intention of dating and finding love. While many of these relationships become successful, there are many more which end up in heartbreak and sometimes even tragically because even criminals and stalkers use the internet to lure their victims. Therefore, it is imperative that we consider several questions, such as if Facebook poses a threat to the security of already existing relationships. What motivates people to look for love in Facebook? Can Facebook be considered a realistic and practical way of starting and building relationships? This essay will focus on the last question; it shall discuss, argue and contest the appropriateness of Facebook as a facilitator for relationships by examining the issues that surround Facebook relationships. There are several issues that make Facebook a shaky setting for developing and growing relationships, one of this is the effect Facebook has on pre-existing relationships. Consider that two people are in a relationship and both happen to be friends on Facebook. One of them may join a group or make friends with a member of the opposite sex who might send suggestive messages or gifts to them. Bearing in mind that the line between innocent flirting and cheating might mean different things to different partners, a post on someone’s timeline may cause friction and result in the termination of a relationship (Ilana 878). In another situation, when couples that are friends on Facebook have a falling out or disagreement, one of them may update something about it on their page, and this can cause their partner to feel humiliated. Moreover, youths often use media and technology to promote sexual behavior through highly sexually suggestive messages and sometimes picture in what has been dubbed sexting (Pascoe 6). Facebook easily offers an avenue for this: when people are online, they are able to hide their shyness and will be bolder. This will encourage behavior such as flirting, which easily becomes serious and in some cases turns into full-blown sexting where people send each other suggestive or even nude pictures as well as explicit Messages. If people meet onlin e, they are likely to engage in such activity because lack of direct contact emboldens them; unfortunately, this makes deceit a common future in Facebook relationships (Ayodele 8). In case such an association was to develop in to relationship, two people may move from being friends to being on sexting terms before they have even met in person. Therefore, should they meet, they are likely to engage in sexual activity without knowing much about each other ergo risking contacting sexually transmitted diseases such as HIV, AIDS, herpes and others. Facebook has been accused of spoiling relationships, especially long distance ones. This is because while Facebook offers an avenue

Analysis of a Job Advert and My Employability Skills Essay Example for Free

Analysis of a Job Advert and My Employability Skills Essay Describe the qualifications required: GCSE A*-C standard English and Maths, this is essential because you need to be able to simple adding and English is a necessity because you need to be able to read and speak fluent English. To have a National Vocational Qualification (NVQ) Level 1 or 2 in customer service you can also have a food safety certificate. Describe the level of experience in a similar role required: To have a previous experience at least 1 year or 2 year in a quality restaurant or bar. Describe the level of experience in the industry required: N/A Describe the knowledge of goods and services required: To have good knowledge about the Restaurant and other department’s hotels. Describe the level of effectiveness in meeting personal and team targets required: Ensure that you have a high level of effectiveness in meeting personal and targets so that you are happy for the job and show appreciation to the job. Describe the level of ability to observe and raise professional standards required: The level of ability should be high because you will need to be able to show individual courtesy to customers for example if there is a bad product on the shelf you tell them immediately and they will get you a better product. Personal Skills Organisation Name: Frontline Role: Food and Beverage Assistant Describe the amount if patience required: Good interpersonal and customer facing skills, maintain professionalism, display patience and politeness within a busy environment are some of the skills required. Describe the level of hard work required: Candidates must be reliable, flexible and have a ‘can do’ attitude. You must have good attention to detail, ability to work within a close team and also work with minimal supervision. Describe the level of ability to work as part of a team: Candidates must show the ability to have an excellent work ethic and be part of a team as required. Describe the level of good interpersonal skills required: Interpersonal skills are essential when socialising with colleagues and friends. Interpersonal skills include everything from communication and listening skills to attitude and deportment. Describe the level of cooperation with line managers and colleagues required: Line managers play a vital role in businesses as their duties are to ensure that activities are planned and organised in their area that involve a significant risk to the health and safety of staff. Candidates must cooperate effectively to line managers at all times. Describe the level of negotiation in seeking agreement with customers required: Negotiation is essential with customers as potential candidates must be able to negotiate with customers effectively and try to provide the best prices as possible to the customer. Describe the attributes you already possess or expect to posess by the end of course: 1. I will develop the habit of meeting deadlines. 2. I will develop my planning skills in order to prioritise myself for my coursework deadlines. 3. I will try to participate in all team/group activities. 4. I will ensure to communicate effectively with my team mates 5. I will try to practice my presentational skills effectively. 6. I will try to develop my patience. 7. I will try to organise myself by bringing the right equipment to lessons. 8. I will time manage my work and try to ensure to hand all coursework in on time. 9. I will ensure to use my essay skills effectively 10. I will ensure problem solving skills are used to the best ability.

Wednesday, August 21, 2019

Review The Formation Of Malaysia History Essay

Review The Formation Of Malaysia History Essay The formation of Malaysia is on 16 September 1963. Tunku Abdul Rahman proposed Malaysia and Singapore made, Sabah, Sarawak and Brunei in the British colony formation. All four colonies initially agreed to join the Federation. à ¦Ã…“-à ¨Ã‚ ¯Ã‚ » However, this suggestion was objected to, because they claim the Philippines claim Sabah. The proposal also received from Indonesia opposed to it as a conspiracy of neo-colonialism by the Sukarno and the powerful Indonesian Communist Party of view. In 1955, and later in 1959, Singapore had suggested that it be merged with Malaya. But this proposal was rejected Malaya. At that time, Singapores population including China and Malaysia worried that this may affect the racial composition, which is mostly Malay. There are also concerns, the Communist Party, their activities are still rampant in Singapore, Malaya and obstacles that may affect the struggle to eliminate the threat of communism. However, four years later, the Malaysia independence, Tunku Abdul Rahman, the Malayan Prime Minister, state that he said in his speech proposed merger of Malaya, Singapore and the Borneo territories of Sabah, Sarawak, and Brunei took the region by surprise on 27th May 1961. Because the state of politics and economy in Singapore and the other territories so his suddenly change his mind. The proposal also to accelerate in Sarawak, Sabah and Brunei, the immediate effect of political development. Election for the first time to be held in Brunei and Sabah in 1962. However, continued Philippine and Indonesian opposition led to the sending of a United Nations mission to Borneo in 1963, which also reported that the public opinion was in favoured of joining Malaysia. Brunei then pulled out due to an armed revolt staged to oppose its entry to Malaysia. Singapore was part of the newly formed Malaysia in 1963 but withdrew in 1965. ANSWER What are the factors that affect the formation of Malaysia? Factors that led to the proposed merger because of Tunku Abdul Rahman is combined with the desire for economic purposes, Singapore is one of them. Singapores large industrial enterprises and large population, added as an important trading port in the region for more than one position. Tunku Abdul Rahman is also trying to get rid of the colonial these colonies. Malaya independence has reached four years ago. Although Singapore has implemented a large extent, an autonomous policy, Sabah and Sarawak, Britain is still very much under control. In Brunei, Sudan to maintain his autocratic power, but the residents were forced to receive advice from the UK. Tunku Abdul Rahman believes that a merger with Malaya will speed up these colonies independence from Britain. Another factor is the bastion of communism more than Singapore. Over time, their activities did not stop. And then by Singapores Minister Mentor Lee Kuan Yew, who, with disputes about the strike in the mid 50s frustration, led to the decision of his Government to draw some of the Communists, hoping to find favor with them, and eventually soften their blow. However, continue to adhere to the activities of the Communist Party and eventually formed his own political party, known as the Socialist Front, they were forced to resign from the government. Fear of Malaya will be in grave danger should support the CPC decided to cross-strait their allies in Malaya, Tunku Abdul Rahman believes that the merger with Singapore will make it easier to deal with the Communists. In addition to Singapore, Sarawak, communism is also booming, where the Communist Party formed an underground association, to play its associations of workers and peasants of the students. In addition, there are between these areas of cultural similarity. United Overseas composition of the population, and there is a Malayan Malays, Chinese and Indians mixed array. By some members of UMNO Malays outnumbered by the initial fear of being dispersed, they were convinced that the ethnic balance will be a Borneo territories, including most of the Malays and indigenous groups, and the Malay Asia combined recovery. The factors that affect the formation of Malaysia are also avoids the threats and communist influence by other territories. More and more, the independence of Sabah, Sarawak, Brunei and Singapore also need to cover up. The defense of indigenous communities and the safeguard the interest of indigenous rights in Sabah and Sarawak are very important for Tunku Abdul Rahman to take care and concern about it. Who is giving the issues the formation of Malaysia? That is Sabah, Sarawak, Brunei and Singapore. Their response are very important when formation of Malaysia. And also the process of formation of Malaysia is important too. The process is Malaysia solidarity committee, Cobbold Commission, inter-governmental committee, and Singapore referendum. Sabah is giving the issue about the party pro-anti Malaysia, Sarawak is giving the issue about there are no economic different, Brunei is giving the issue about believe that they can independence by their own, no need depend with others, while Singapore is giving the issue about the party people of Singapore. The chairman of Malaysia solidarity consultative committee is Tun Haji Mohammad Fuad Stephens, previously known as, Donald Stephens. He played a key role in negotiating the independence of Sabah. He collects the data from the citizen to form the formation of Malaysia. Malaysia Solidarity Consultative Committee (MSCC) to inform the people of the benefits of the merger. The chairman of Cobbold Commission is Lord Cobbold. He is going to Sabah and Sarawak to collect the data from the citizen when formation of Malaysia. He will discuss the merger of Sabah and Sarawaks response. Two months later, received thousands of letters to and Sabah and Sarawak and the numerous public meetings of the thousands of interviews, come to a consensus. Only one-third of third of the population rejected the merger, want to join Malaya before achieved their independence. Wholeheartedly support the merger or other two-thirds or support, on the grounds that its rights be retained. Won the majority in favor of the merger, which is approved by the British. The chairman of Inter-governmental committee is Lord Landsdowne and Tun Abdul Rayak. The function of inter-governmental committee is forming a Federation of Malaya. It is concentrated on Islam, Malay, education and integration. In Malaya, Singapore remains, so the initial interest, eager to merge with Malaya, Tunku Abdul Rahmans proposal in 1961. His efforts paid off, September 1, 1962 referendum showed that 71.1% of the population, Singapore supported the merger. Singapore is committed to autonomy, education, income and labor, while the central government will operate in Kuala Lumpur. Its free entrepot status will also be maintained. Such as Singapore, Brunei, also keen to merge because of its ruler, Sultan Ali Saifuddin was hoping to get greater protection from the likes of Malaya. AM Azahari, the opposition party, the party National Front leader, but strongly against the merger, and which resulted in one of the Brunei government, he was defeated in the resistance. Azahari an ulterior motive merge all the territories and the North Borneo Brunei placed in their reins. When the establishment of Malaysia, Indonesia and the new establishment rejected due to their own ulterior motives, Philippines. Sabah claimed by the Philippines, pointed out that the Sultanate of Sulu under the Sabah belongs to the Philippines came. Therefore, the Philippines is not recognized as an independent state official statements or the occurrence of on16th September 1963 Malaysia.à ¦Ã…“-à ¨Ã‚ ¯Ã‚ » CONCLUSION However, North Borneo and Singapore declared August 31, 1963 sovereignty. Indonesias opposition, and later upgraded to a military conflict with Malaysia. Indonesia, Sarawak and Sabah as the colonial province of new forms of Borneo Island in Malaysia (bordering Kalimantan, Indonesia), they laid claim. In order to ensure that Indonesia, Malaysia is not neo-colonialism, a referendum by the United Nations and Lord Cobbold Commission Cobbold leadership, organization, form, developed to determine whether the people of Sabah and Sarawak wished to join Malaysia. The end result, which indicates strong support for Malaysias Sabah and Sarawak between people, Malaysia has paved the way, and declared the road. OF: Federation of Malaysia subsequently announced the formation of 16 September 1963, Malaysia. Independence Day celebration is still held on August 31, the original Malaya Independence Day. Malaysia has enjoyed 53 years of independence, is known as a sovereign state of the world. We can achieve the economic, political and social stability, to the developed countries rapidly. Although Malaysia is a pluralistic society, different ethnic composition, they can live, mutual cooperation, both in harmony to build a strong and developed country presence. Understanding between races, but also created national unity, played in shaping the political stability of Malaysia as a very important role in the country. QUESTION 2 2.1 INTRODUCTION New Economic Policy (NEP) is a socio-economic program in the Malaysia which was introduced in 1971 by Prime Minister Tun Abdul Razak, Dato Hussein. Implementation of divide and rule policy will turn the British in the Malay community cohesion. The British were encouraging the arrival of labor from China and India in the interest of the colonial economy of tin mining, trading and farming. Separation of Singapore from Malaysia in 1965 due to the concept of Malaysia to the Philippines which was not directly dispute the status and privileges of the Malays has diapi-naming of Lee Kuan Yew fueled anti-Chinese and anti-Malay. Bloody events that occurred on May 13, 1969 have revealed the true manifestation of the feelings of the three largest ethnic groups in Malaysia. Bloody events also forcing the government to declare a state of emergency. This declaration has led to a parliamentary system of government is suspended. Since the Japanese occupation during the Second World War, Japan adopted a policy of anti-Chinese and pro-Malay bias has angered the Chinese and the Malays. National Consultative Council was established to ensure the effectiveness of the NOC, the National Consultative Council which is responsible for discussing and reviewing issues of national unity and resolve to find a way multi-ethnic society. Unity to be achieved not only involve the consolidation race but was found to be economic and social unification should be done. In connection with the National Consultative Council have agreed to form a national ideology that became known as the Pillars of the five key principles: Kepercayaan kepada Tuhan Kesetiaan kepada Raja dan Negara Keluhuran Perlembagaan Kedaulatan Undang-Undang Kesopanan dan Kesusilaan New Economic Policy was established through the Majlis Perundingan Negara as a catalyst to eradicate poverty and restructure society. Majlis Perundingan Negara also recommended the government to create the Jabatan Perpaduan Negara to implement the activities of the Muhibah in the form of Muhibah and Pejabat Muhibah at the federal, state, region and area has been established under the provisions of the Essential Regulations (Pejabat Muhibah) 1969 which was gazetted on July 18, 1969. 2.1.1 ANSWER The objective of NEP was national unity but it also aims to restructure the socio-economic imbalance that exists in this country. As we know that a balanced distribution of economic importance in creating a united nation, as well as taking into account the poverty and the inability of some people to compete with other people then the NEP was designed to improve the situation. The primary objective of this introduction is to create national unity by reducing the economic, social, cultural, placement and so forth. n other words, DEBs designed to eliminate race in the country with all the general poverty among the Malays and other Bumiputras, this is precisely the most particular and the earliest settlers of the country. DEB will ensure that all ethnic Malays and Indians in particular, will be the same for Chinas prosperity. In these times, until today, our leaders believe that when all the games are the same country will enjoy stability and prosperity, peace and harmony. With the equitable sharing of the prosperity of all, the three main competition will be happy and satisfied in Malaysia, which will greatly help in the maintenance of peace and harmonious country. With the new economic policy, the Government must ensure that the May 13, 1969 racial riots will not happen again in the future.With equal share of prosperity all, the three major races in Malaysia will be happy and contented; this will contribute greatly in maintaining peace, and harmony in the country. With the New Economic Policy, the government wants to ensure that the incidents of racial riots of 13 May 1969 will never happen again in the future. 2.2 INTRODUCTION The tension between those who are wealthy and not wealthy is a result of poverty. It was found that the Malays are facing more poverty than other races. Found also the Malays are still lagging behind and less able to compete with other races even though Malaysia had good economic growth. The NEP was designed as a long-term program that will run for 20 years, starting from 1970 to 1990. Development plans under the New Economic Policy is carried out through a two-pronged strategy: restructuring of society to reduce and eventually eliminate the identification of race with economic function. eradication of poverty irrespective of race 2.2.1 ANSWER Goals of poverty eradication is achieved, the strategy focused on eliminating poverty in rural and urban areas. Based on 1970 population census shows that about 49.3% of all poor families in the Philippines income below the poverty line (income poverty line 1970 population is RM200.00) and about 86% of that number are in rural areas. To achieve this objective, the government has implemented a variety of services and facilities through the provision of education, health, water and electricity. In addition, preference is given to the poor to get help, such as fertilizer subsidy assistance program, educational scholarships and textbooks, supplementary food to children and low-cost housing program. Create employment opportunities for all groups of people who are unemployed. To provide opportunities for transfer of persons working in low productivity sectors to more lucrative sectors. Increase the productivity and income. Reducing the income gap between races between urban and rural areas and between regions and also modernize rural life. Need to establish indigenous groups and commercial companies. Organize a working environment that reflects the racial composition in Malaysia.à ¦Ã…“-à ¨Ã‚ ¯Ã‚ » Toward the end date of the NEP, the objectives to eradicate poverty have been achieved. To ensure that both goals were achieved in the NEP, the government has tried to improve the economic situation and at the same time, eliminating the identification of race with economic function. Based on the imbalance between the races, the government has launched several programs such as industry and trade, agriculture, mining, construction, transport and agriculture. To achieve the second goal of the NEP, various strategies have been designed, including: Reducing the imbalance in the structure of employment to the participation of various races in the primary sector will reflect the position of the labor force by 1990 the racial composition. Adding to the fast part of the people of Pakistan in possession of the productive sector. Special attention will be focused on indigenous people are a bit behind compared to other races. Raising productivity and living standards of poor people in rural areas. To ensure the establishment of a commercial and industrial community among the Malays and natives as they manage and own at least 30% of all levels of economic activity such as MARA, Bank Pembangunan, Bank Bumiputera, Amanah Saham Nasional. Advancing the state and region that are considered backward by the new regional development such as DARA, KESEDAR, KEJORA and so on. 2.2.2 CONCLUSION As a conclusion, New Economic Policy, aimed at national unity through poverty eradication and restructuring of society in the context of a strong national security. All national development programs and policies introduced by the government during planned and implemented to achieve the above objectives. This will require not only the determined efforts of the government and its employees, but it requires a change of attitude, energy and mindset of people from the private sector. Although the NEP was hailed in some quarters as having reduced the socioeconomic disparity between the Chinese minority and Malay majority, others accused it of having reduced non-Malays to the status of second-class citizens by cementing ketuanan Melayu (Malay supremacy). The NEP is often invoked as part of the Malay Agenda, which is in turn part of the Malaysian social contract granting Malays special rights in return for citizenship for non-Malays.

Tuesday, August 20, 2019

Client Based Care Case Study: Elderly with Diabetes

Client Based Care Case Study: Elderly with Diabetes 215479 Client Based Care Study Introduction In this essay, the author will explore the care of a single patient, encountered in clinical practice, examining the impact on quality of care, and on the health and wellbeing of the individual, of key aspects of care. Case studies allow nurses to reflect on practice, examine critical elements of case and of clinical decisions made and actions taken, and to examine areas of care in more detail. This essay will explore the care of one patient, who shall be called Molly, an older, community dwelling adult with Type 2 diabetes, who was admitted to a medical admissions ward having been found unconscious at her home by neighbours. The essay will examine the aspects of her care that relate to the management of her condition, the assessment and management of her social, care and personal needs, and the planning of her future care and support needs. Reference will be made to governmental guidelines and policies, and to interprofessional working as a fundamental component of meeting patient needs in this case. Discussion Diabetes is a chronic disease which is known to impact significantly on the health, wellbeing and prosperity of individuals, of families, and of society as a whole[1]. More than 1.4 million in the UK are affected by diabetes[2]. Because of the great impact that this disease has on public health and on the use of NHS and social care resources and services, the Department of Health has published a National Service Framework for diabetes, which not only sets standards for management and diagnosis of the disease, but outlines best practice in the light of the latest available evidence on the condition[3]. There are two types of diabetes, Type 1 and Type 2, both of which are signified by a persistent high level of circulating blood glucose, due to a lack of insulin or a significantly impaired response to insulin, or to a combination of both factors[4]. Type 1 diabetes is due to the insulin-producing cells in the pancreas, called the Beta Cells, located in the Islets of Langerhans, failing to produce insulin, because the body’s own immune system has destroyed them[5]. Type 2 diabetes is usually caused by a reduced amount of insulin production by these cells, and by a degree of insulin resistance within the body, wherein the body’s metabolic responses to insulin are not as sensitive[6]. Type 2 Diabetes is the condition which Molly, the patient in this case study, has been affected by. Molly is a 66 year old woman who has had Type 2 diabetes for 17 years. She is treated by twice daily insulin, and, living independently still in her own home, she is visited once weekly by a district nurse to monitor her glycaemic control and check her insulin stocks and her general wellbeing. Molly has a BMI of 35, and also has a history of hypertension which is controlled by medication. She has her blood pressure checked weekly as well. Molly lives alone, never having married, and has no children. She has an active social life, attending a local book group, taking part in a local history and re-enactment society, and volunteering at a community library. She is known by the district nurses to be competent in administering her own insulin and measuring her own blood sugar, but she does not always adhere to her regimen and her recommended diet, because it can interfere with her social life. Molly was found unconscious by one of her neighbours at 9 pm, and the ambulance was called. Paramedics attending were told of her history by her neighbour, who waited with her, and suspected either Diabetic Ketoacidosis or hypoglycaemia. Diabetic ketoacidosis is a condition which can be life-threatening, and is usually due to a lack of insulin, which means that the cells of the body are unable to use glucose for energy, and so instead convert fat reserves to energy, which can produce ketone bodies which can adversely affect brain function[7],[8]. Hypoglycaemia can be caused by an overdose of insulin, or inadequate carbohydrate intake in a person who is taking insulin, or by the patient taking too much exercise, thus using up glucose, or by a combination of these Paramedics found her blood sugar to be 1.1 mmols, and administered glucagon to reverse the hypoglycaemia. She recovered consciousness quickly once her blood sugar improved, but was also given facial oxygen, and had full observations taken. Molly remained confused after insulin administration. She was taken to the medical admissions unit for a full assessment and, if necessary, in-patient admission and review of her diabetes. According to emergency care principles for the diabetic patient, the priorities are to save the patient’s life, alleviate their symptoms, prevent long-term complications of the disease and their current risk factors, and then to implement care that will help to reduce risk factors for their health, such as hypertension obesity, smoking, and hyperlipidemia, along with providing ongoing education and support for self-management of their condition[9]. In Molly’s case, the team evaluated her condition, because although the initial diagnosis was hypoglycaemia, suggested by her self-reported history of missing meals that day and being very busy, the differential diagnosis was diabetic ketoacidosis, which can be precipitated by physical or biological stress, including changes in endocrine function or other diseases, such as myocardial infarction[10]. Molly is pale as well, a finding suggestive of hypoglycaemia, along with her elevated blood pressure and dilated pupils[11]. As Molly was conscious, her Glasgow Coma Score was 13, and she had responded well to glucagon, according to established diabetic protocols, she needed to be stabilised and undergo a range of investigations to determine any other disease or factors precipitating her condition[12]. Blood pressure, temperature, pulse and respiration rate were monitored recorded via continuous telemetry, and an ECG was carried out, which ruled out myocardial infarction. Molly had blood sent for Full Blood Count, Liver Function Tests, Urea and Electrolytes and Glucose, as well as insulin levels, prothrombin time, clotting factors[13]. Prothrombin Time and Clotting Factors may also be tested, due to the risk of disseminated intravascular coagulation. Bloods were also sent to test HbA1c; Fructosamine; Urinary albumin excretion; Creatinine / urea; Proteinurea; and Plasma lipid profile[14]. Urine was dipped with reagent strips to test for glucose, protein (suggestive of kidney problems) and ketones. Because of her presentation, Molly was put on a continuous IV infusion of insulin, titrated hourly using a syringe driver against blood glucose, with an infusion of 5% glucose running in a different IV port. IV fluid therapy, and fluid balance, were also monitored closely[15]. Diabetes can cause kidney damage and impaired urinary function, so monitoring kidney function was an important part of care[16]. Once Molly was stabilised, ongoing care related to supporting her health and wellbeing, and minimising complications of her diabetes, became an important part of care. Diabetes is a significant public health issue, because it is not only associated with the ‘social’ disease of obesity, but also because as a disorder it is associated with a number of serious health implications[17]. These complications include macrovascular complications, including atherosclerosis and cardiovascular disease[18], [19], [20]; diabetic retinopathy and sight loss due to vascular damage which weakens the walls of the blood vessels in the eyes, causing microaneurysms and leakage of protein into the retina, vascular damage and scar tissue [21], peripheral neuropathy, peripheral vascular disease and gastrointestinal dysfunction, gomerular damage, and kidney failure[22]. The impact of this disease on public health relates to the fact that many people of working age are diabetic, and because the co ndition is chronic as well as serious, with acute exacerbations and so many complications, it presents a serious drain on health and social care resources. Therefore, it is imperative that individuals with diabetes are identified as early as possible, and are educated and supported in good self-management, and provided with ongoing care to maintain good glycaemic control[23]. Molly’s status as an older adult is also a public health issue, because older adults constitute the largest patient group in the UK, and the ones which consume the biggest proportion of healthcare services[24]. However, it was also important to avoid stereotyping Molly as an older person, and making assumptions about her needs and her health. Although she was obese and hypertensive, and had Type 2 diabetes, she was very active and had a very important social life, and was usually independent and self-caring. It was important to consider the social support that she had, and to ensure that she was aware of any services or support she might be able to access if she felt it necessary. However, some members of the multidisciplinary team, in particular, some of the medical staff, did appear to act in a way that suggested they were stereotyping Molly based on these factors (age, weight, health) and were discussing her case without really making clear reference to her as a whole perso n. This leads on to the need to evaluate the multidisciplinary input in Molly’s case, and the quality of the interprofessional working that took place, which is discussed below. As can be seen from the list above, diabetes can affect the individual and the body in complex ways, and so requires an holistic approach to care[25]. Care should also be based on evidence based, collaboratively agreed care pathways[26], as suggested by the NSF for diabetes[27]. Molly may need a comprehensive review of her management and her lifestyle, the patterns of care and the ongoing monitoring of her condition[28]. The National Institute for Clinical Excellence recommends a patient-centred approach to ongoing patient education and management, and also suggests a number of options for patients who might require different forms of insulin administration, such as continuous sub-cutaneous insulin[29], [30]. This, however, was not suitable for Molly, because it is usually for people with Type 1 diabetes. Health promotion and education is an important part of Molly’s care at this point, which is related to the fact that her current hospital admission is due to mismanagement of her condition herself. It was important to determine what factors about her lifestyle and behaviours had led to the lapse and the serious hypoglycaemia. Ongoing care, health promotion and education involved multi-professional collaboration and integration of care into a complex, detailed care plan. The aim was to provide Molly with the information, support and guidance that would allow her to view her diabetes management as a means of achieving a better quality of life, rather than viewing her diabetes as something which interfered with her quality of life. It was also important to view Molly in terms of supporting her to continue with her normal social activities. Research shows that making changes in lifestyle, and providing good, effective health education, helps to contribute to reducing rates of diab etic complications[31]. However, the kind of health education and support used is important, because different approaches have different levels of effectiveness. Some research examines the differences between health education that tries to persuade patients to be compliant with regimes and activities designed by health professionals, approaches which are usually generic, and health education that is client-centred[32]. Client centred approaches are usually more effective, as they are individualised. Research shows very clearly that patients with diabetes need to understand their disease fully, and be supported and empowered to make the lifestyle and behavioural changes that will enhance their wellbeing whilst enabling them to control their condition[33]. In this case, a diabetic nurse specialist was involved with Molly’s case, and a plan for health education and support drawn up, with clear guidelines and a tailored plan for managing her social life around her diabetes. Diabetes UK recommends a struc tured, tailored education programme for people with the condition[34]. Interprofessional and multidisciplinary working is a fundamental component of care for a patient with diabetes like Molly[35]. This means that diabetic patients should experience seamless care, addressing all needs, with access to all the professionals necessary to support her care[36]. Specialist involvement, including diabetic nurse specialists, was a feature of this care, and helped with a client centred focus[37]. The literature suggests that it is important for a lead professional to take charge[38], but in Molly’s case, her lead nurse was not present for the majority of her inpatient stay, and there was a lack of effective coordination of the complex number of professionals involved. In relation to multidisciplinary, interprofessional working Molly was referred to ophthalmic services for a check-up, to ensure that there was no diabetic retinopathy or glaucoma. She was referred to a dietician to support her in managing her dietary intake. She was also referred to a social worker. Diabetic specialist doctors were involved, and a report was sent to the diabetic nurse at her local surgery, as well as to her GP. Molly ended up staying in hospital, however, on a medical ward, for two weeks, even though her condition was stabilised rapidly, and she experienced no further complications. In this case, interprofessional working was not effective, because although the said referrals were made, or were recorded to have been made, Molly was not seen by the dietician or a social worker for over a week, and only when she began to threaten to take a discharge against medical advice did the dietician and social worker arrive and get involved. The doctors in charge of Mollyâ€℠¢s case however appeared to make judgements about plans for discharge and ongoing care without involving the nursing team and without considering some aspects of her social situation and Molly’s own preferences and wishes. It is apparent, from this case, that while Molly’s immediate medical needs were met, the interprofessional working element of her ongoing care failed in some way. There are a complex range of professionals and support workers who provide healthcare[39]. Because of this complexity, interprofessional education has become part of healthcare education programmes[40]. Interprofessional working is supposed to help with the provision of true patient-centred care, and the highest quality of care[41]. However, experience in this case, and some of the literature, cites ongoing problems with interprofessional working in a number of contexts. Some of this is to do with the professional boundaries and hegemonies which persist in healthcare professions, which continue to be defended rigorously by each profession[42]. Some literature shows that elitism, professional isolationism and professional defensiveness can have negative effects on health professionals themselves as well as on the qual ity of care delivery[43]. Yet there is ample government guidance, particularly from the Department of Health, which aims to improve service provision, and the NSF for Older People[44], identifies the most important elements of care and service provision which must be improved upon. Standard 2 of the NSF, ‘Person-Centred Care’, requires that health and care services are designed around the needs of the older patient (and their carers)[45]. However, this kind of needs-based care then demands . â€Å"an integrated approach to service provision†¦ regardless of professional or organisational boundaries, [which is] delivered by clinical governance, underpinned by professional self regulation and lifelong learning† .†[46] In Molly’s case, the fundamental role of the nurse in providing leadership and coordination for her care was not acknowledged or supported. Some researchers suggest that this can be due to medical hegemony[47]. Current approaches to offsetting such ingrained hierarchical thinking are very much focused on initial education of healthcare professionals, overcoming historical professional boundaries[48], [49], [50]. The research shows that there is a difference between multiprofessional working, which does not transcend the traditional hierarchies and boundaries , and inter-professional working, which is built on the desire to share care, support each other, and value each others’ expertise[51]. Government drivers continue to underpin strategies for better, ‘joined up working.’[52],[53]. The failures which occurred in Molly’s care were clearly linked to poor communication between the healthcare professionals, a lack of joined up working, and a lack of recognition, perhaps, of the importance of the social aspects of Molly’s case, and the health-education aspects, based on her individual needs. On reflection, the author believes that had there been better, collaborative working, then none of these needs would have been overlooked and they would have been dealt with more speedily. But another aspect of her care that could be improved upon was related to her own involvement in her case. Molly was not fully involved in her case discussions and in the medical decisions made about her care. While this can be a product of the medical hegemony mentioned before[54], it constitutes a serious oversight and is not in line with governmental guidance[55]. Research shows that the patient voice is the most important one in terms of collaborative care planning and manage ment[56]. Conclusion This case study has identified the case of Molly (a pseudonym), an older patient with Type 2 diabetes who received good quality clinical care in meeting her acute care needs and managing her medical condition and its potential consequences, but for whom interprofessional working failed in relation to ongoing care and multi-discinplinary involvement. Diabetes is a significant public health issue, and a range of governmental guidance and research evidence informs care for patients with the condition. The public health issues surround the serious morbidity and mortality associated with diabetes, and the fact that good management and glycaemic control can minimise these complications. In this case, the patient’s needs were prioritised medically, but interprofessional communication broke down. While the appropriate referrals were made, proper joined up working did not take place. Similarly, Molly was not fully involved in her case, and should have been. 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Nursing Standard 17 (6) 33-35. Kesby, S.G. (2002) Nursing care and collaborative practice Journal of Clinical Nursing 11 357-366. Krentz, A. (Ed). (2004) Emergencies in Diabetes : Diagnosis, Management and Prevention. USA: John Wiley Sons. Masterson, A. (2002) Cross-boundary working: a macro-political analysis of the impact on professional roles. Journal of Clinical Nursing 11 331-339. NICE (2003) Guidance on the use of patient-education models for diabetes www.nice.org.uk accessed 6-1-09. OBrien, S.V. Hardy, K.J. (2003) Developing and implementing diabetes care pathways. Journal of Diabetes Nursing. 7 (2) 53-6 OBrien, S., Michaels, S., Marsh, J. Hardy, K.(2004) The impact of an inpatient diabetes care pathway. Journal of Diabetes Nursing. 8(7) 253-6. O’Neill, A.E. Miranda, D. (2006) The right tools can help critical care nurses save more lives. Critical Care Nursing Quarterly 29 (4) 275-281. Pollard, K.C., Miers, M.E. Gilchrist, M. (2004) Collaborative learning for collaborative working? Initial findings from a longitudinal study of health and social care students. Health and Social Care in the Community 12 (4) 346-358. Pollom, R.K. Pollom, R.D. (2004) Utilization of a multidisciplinary team for inpatient diabetes care. Critical Care Nursing Quarterly 27 (2) 185-188. Price, B. (2006) Exploring person-centred care. Nursing Standard 20 (50) 49-56. Reinauer, H. (2002) Laboratory Diagnosis and Monitoring of Diabetes Mellitus. Geneva: World Health Organization. Robinson, F. (2006) Community programmes promote healthier living. Practice Nurse. 10 32 (8) 11, 13. Scott, A (2006) Leadership in diabetes nursing: Where is it? Journal of Diabetes Nursing 10(9) 324 Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003) Four theories and a philosophy: self-management education for individuals newly diagnosed with Type 2 diabetes. Diabetes Spectrum 16 (2) 75-80. Snow, T. (2006) A breath of fresh care in diabetes Nursing Standard 20 (37) 14-15. Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006) High risk of cardiovascular disease in patients with type 1 Diabetes in the UK. Diabetes Care 20 (4) 798-804. Stanley, D., Reed, J. Brown, S. (1999) Older people, care management and interprofessional practice. Journal of Interprofessional Care 13 (3) 229-237. Suman, S. Lockington, T. (2003) Generic care pathways for acute geriatric care and rehabilitation as a tool for care management, discharge planning and continuous clinical audit. Journal of Integrated Care Pathways 7 (2) 75-79. Turina, M., Christ-Crain, M. Polk, H.C. (2006) Diabetes and Hyperglycaemia: strict glycaemic control. Critical Care Medicine 34 (9) 291-300. Watkins, P.J. (2003) ABC of Diabetes (Fifth edition). London: BMJ Publishing Group. 1 Footnotes [1] Department of Health (2002) [2] Hilton, L. Digner, M. (2006) p 89. [3] Department of Health (2002). [4] Department of Health (2002). [5] Watkins, P.J. (2003). [6] Watkins (ibid) [7] DoH (ibid) [8] Hankin, L.(2005) p 67. [9] Watkins (ibid). [10] Turina, M., Christ-Crain, M. Polk, H.C. (2006) p 291. [11] Guthrie, R.A. Guthrie, D.W. (2004) p 113. [12] Edge, J.A., Swift, P.G.F., Anderson, W. Turner, B. (2005) p 10005. [13] Hankin (ibid) [14] Reinauer, H. (2002) [15] Guthrie (ibid) [16] Guthrie (ibid) [17] DoH (2002); Department of Health, (2001). [18] Guthrie (ibid) [19] Bloomgarden, Z.T. (2006) [20] Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006) [21] Guthrie (ibid) [22] DoH (2002). [23] DoH (2002) [24] Department of Health, (2001) [25] Collis, S. (2005) [26] Pollom, R.K. Pollom, R.D. (2004) [27] OBrien, S.V. Hardy, K.J. (2003) [28] Snow, T. (2006) [29] NICE (2003) [30] Diabetes UK (2006) [31] Anthony, S., Odgers, T. Kelly, W. (2004) [32] Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003) [33] Antony (ibid) [34] Diabetes UK (2006) [35] DoH (2002) [36] Keene, J., Swift, L., Bailey, S. Janacek, G. (2001) [37] Keen, H. (2005) [38] Scott, A (2006) [39] Masterson, A. (2002) [40] Pollard, K.C., Miers, M.E. Gilchrist, M. (2004) [41] Kenny, G. (2002) [42] Colyer, H.M. (2004) [43] Price (ibid)

Monday, August 19, 2019

Love and Lust in Play-By-Play, Sex without Love, and Junior Year Abroad

Love and Lust in Play-By-Play, Sex without Love, and Junior Year Abroad      Ã‚  Ã‚  Lust is an incredibly strong feeling that can prove to be almost uncontrollable, leading it to commonly be mistaken for love. Due to the relative closeness of these emotions, both are often confused, and even when one is in love he or she does not recognize it. Many think that love just comes knocking on one's door and one will know when it does, but they don't realize that for love to occur a relationship has must be worked out. Love is described by some as fireworks, tingles, and butterflies in the stomach; but it is lust that can cause these things to happen, and it is these that mark only the beginning of a relationship. After a while, these feelings die out, and this is when the honeymoon period is over; it is from this point on that the relationship will either end or get stronger and eventually lead to true love.    Lust is the main idea behind the poem "Play-By-Play" by Joan Murray. The tale being told is of older women well past their sixties admiring much younger men playing softball from up on a terrace over-looking the field. The women are gawking at the flex of a batter's hips before his missed swing, the wide-spread stride of a man picked off his base, the intensity   on the new man's face as he waits on deck and fans the air. (Murray 837)    The poem goes on to tell of the women, who "...haven't put aside desire/ but sit at ease and in pleasure,/ watching the young men" (Murray 837). This work obviously shows how the women lust after the attractive young men, and clearly are not in love; any one of these men could have been replaced with another attractive man and would have m... ...ediately, and she would have realized the mistake she had made. In this poem the main character is lustful of both the new man she has met in Paris as well as the man she left behind her homeland, although she was under the false perception that it was love.    The often confused words 'love' and 'lust' are becoming used interchangeably more and more every day. Indeed, many definitions are being loosened up and many words are used improperly. When people use the words 'love' and 'lust', they should be more careful which word it is that they mean to say. WORKS CITED Meyer, Michael, ed. Thinking and Writing About Literature.   Second Edition. New York: Bedford/St. Martin's, 2001. o Joan Murray, "Play-By-Play". Meyer. 837-838. o Sharon Olds, "Sex Without Love". Meyer. 838. Barbara Rebecca, "Junior Year Abroad". Meyer. 839.

Sunday, August 18, 2019

Apollo 11 :: essays research papers fc

Apollo 11 From countdown to splashdown, Apollo 11's mission was filled with some surprising twists and turns. It took a combination of luck, determination and guts for the crew of Michael Collins, Buzz Aldrin, and Neil Armstrong to get the Eagle to the surface of the moon with only 30 seconds of fuel remaining! Experience the moments leading up to the lunar landing with me. On the morning of July 16, 1969 a 60-ton Saturn 5 rocket was given a thorough inspection on launch pad 39-A at the Kennedy Space Center. On board, Four and half tons of fuel, and a spider-shaped spaceship covered with gold and silver foil. The goal of Apollo 11 was stated very simply. Perform manned lunar landing and return mission safely. Simply stated, but almost impossible to achieve, it was the mission NASA had been preparing for almost a decade, and nobody was trying to pretend this was just another launch. It would take this rocket ship almost three days to reach the shores of their new world. For the crew on board, that’s when the real mission would begin. Until then, they could marvel at a view that only six people before them had been privileged enough to see. Exactly 75 hours and 50 minutes after blasting off from Earth, the crew of Apollo 11 entered lunar orbit, something only two crews before them had done. Every orbit brought the crew closer to their ultimate destination, the Sea of Tranquility, a flat surface near the Moon’s equator that would be lit by the Sun when the final approach began. On the 13th orbit of the Moon, Aldrin, Armstrong and Collins began their voyage into uncharted territory. On the morning of Sunday July 20th, the three crew members were woken up after a restless night’s sleep. Aldrin and Armstrong climbed through the tunnel connecting the Command Module to the lunar lander and entered the spaceship they had named, The Eagle. For Buzz Aldrin and Neil Armstrong, life would soon become much more curious than that. With the flick of a switch, Collins detached The Eagle from the mother ship Columbia and the journey to the surface of the Moon had begun. With very little fanfare the Eagle rounded the corner to the far side of the Moon. The crew has a series of maneuvers to perform during their final lunar orbit. But the crew on the ground is helpless.

Saturday, August 17, 2019

A Time Someone Acted with Courage or Cowardice

There have been numerous times when time has chosen to test society, and man has been put to the task of deciding to stand and fight, or to escape for the sake of his life. Across the pages of history, we can find examples of people who have opted to stand and fight, as well as of those who have decided to run for their lives. Those who choose to stand and fight become immortal in the memories of people.On the eleventh of September 2001, America was tested and the citizens were put in the most hardest of times. It was a time that called for the bravery that lies in hearts that are truly brave.Several people panicked and chose to jump to their deaths rather than burn in the buildings. Yet, there were people who chose to walk into death’s arms for the sake of their duty to their nation and to their fellow men. There were a few people who chose to run into the smoking and burning buildings as fires blazed simply so that they could free people as many people as they could from the clutches of death.One such brave man was Port Authority Police Officer John Mc Loughlin who chose to risk his life so that he could save the lives of as many people as he could. He was one of the few who chose to attempt to climb higher and higher up the building while the panic stricken people chose to take any escape route they could to save their lives. He risked his life so that he could save other people’s lives.Police Officer John Mc Loughlin was busy patrolling the Port Authority bus terminal when he saw the plane that hit the north tower pass over him. He was amongst the first few who reacted to the news and commandeered a team of Police Officers into the burning tower.Once inside, Police Officer John Mc Loughlin and his team were confronted with times they had never thought they would have to go through. He led a team of fellow officers Jimeno, Dominick Pezzulo, and Antonio Rodrigues. Out of whom only Jimeno and McLoughlin managed to survive. His was one of the firs t teams to have entered into the tower in an attempt to save the lives of as many people as they could by helping them evacuate.By walking into that burning and collapsing tower, Police Officer John Mc Loughlin walked into the face of death and came out alive to tell the tale. Police Officer John Mc Loughlin was regarded as one of the men who showed the most bravery at the time when the American people were in a state of shock and the world stood stunned.One cannot help but feel that the first few who chose to fight back at the moment when the attacks took place were those who ran into the towers after the attack had taken place. The towers were crumbling down and people were choosing to jump off the roof tops and out the windows, yet there were men who were brave enough to risk their lives and chose to walk towards an epicenter of distress and pain from where the rest of the world was wanting to run away from.These men and women were America’s first move against terrorismâ⠂¬â„¢s attack on humanity, and one of these brave men was Police Officer John Mc Loughlin. Numerous tributes have been given to Police Officer John Mc Loughlin, one of the most prominent off which is the elaboration of his role through his character in the 2006 movie World Trade Center, played by Nicholas Cage (Stone, 2006).Works Cited Stone, O. (Director). (2006). World Trade Center [Motion Picture].   

The Witness Paper Essay

There is no better manner to understand an event than to see it first-hand. History is an imperfect thing. and as narratives are passed down. people forget their true significance. In â€Å"The Witness† . Katherine Anne Porter’s â€Å"Uncle Jimbilly† has experienced the horrors of bondage personally. and is frustrated when kids of the following coevals do non to the full understand and esteem the subject. The manner Porter describes these characters subtly shows the reader their feelings toward each other. Direct word picture may non be the most elusive signifier. but it rapidly and expeditiously gets a point across. The kids are given descriptions like. â€Å"flighty† . â€Å"thoughtful† . and â€Å"sad looking† . This brief word picture causes one to see the kids merely as guiltless immature heads. Uncle Jimbilly is described as an old adult male who â€Å"hobbles on a stick† with light-green grey. flocculent hair. He is â€Å"bent about double† from old ages spent bowing over things. This reflects his former life as a slave. He has clearly lived a long. difficult life. and his battered organic structure shows us this. Indirect word picture helps to supply a deeper apprehension of a character. Through the inquiries the kids have for Uncle Jimbilly. particularly the younger two. Porter demonstrates their artlessness farther. â€Å"The kids thought Uncle Jimbilly had got over his bondage really good. † This outlook creates some inquiries the kids believe to be harmless ; they do non to the full understand the emotional strain Uncle Jimbilly faces. However. with his responses. the reader comprehends his true feelings on the affair. Maria asks him to carve â€Å"Safe in Heaven† on the gravestone for her coney. At her inquiry Uncle Jimbilly grows impatient and continues to reminisce about the male childs in the swamp and the unjust ways they were treated. This highlights the acrimonious feelings he has toward his yesteryear and the fact that the kids do non understand his agony. Katherine Anne Porter’s usage of word picture leaves the reader with a character many beds deep. She displays their colourss in a manner which highlights the implicit in subject in â€Å"The Witness† . The generational spread between Uncle Jimbilly and the kids is portrayed throughout the narrative and Uncle Jimbilly’s past of bondage is used as vehicle to stress this spread. Younger coevalss will ne'er to the full understand their ancestors’ lives. merely as coevalss to come will non understand theirs.

Friday, August 16, 2019

Heritage and Production of Archaeological Data

our site – CUSTOM ESSAY WRITING – EXAMPLE ESSAY Introduction This critical analysis essay centers on heritage, discussing what it demonstrates about the production of archaeological data through case studies. It covers a discussion of whether the production of archaeological data is always objective. There is an assumed synergy between heritage and archaeological data, as demonstrated by the concept â€Å"Archaeological Heritage Management† (Waterton and Smith, 2009: 41). Taking the archaeological point of view, heritage is often referred to as the material culture of the past, or those manmade structures and artefacts that comprise the archaeological record and are intended to explain the past (Waterton and Smith, 2009). The production of archeological data is a result of a study and observation of archeological record, which helps establish the domain of heritage (Binfold, 2009). Is the production of archaeological data always objective? The production of archaeological data is always objective, and this is recognised explicitly by the literature (e.g. Waterton and Smith, 2009). The ways in which heritage demonstrates this objectivity is seen in the tacit assumption embodied in the knowledge being produced from interpreting the past, which informs identity and is thus called ‘heritage’ (Waterton and Smith, 2009: 42), as well as the needed consistency of the data (both in terms of individual inventory and organisational inventory) so that they may be capable of use in the future (Barrett, et al., 2007). Since data must be consistent to this level, subjectivity has therefore no room in their production. Worthy of note is the fact that there are various contexts from which the production of heritage can take place, ranging from historical documents, archaeological excavations, values and meanings placed on heritage such as buildings and natural environment. Similarly, archeological heritage is commonly produced through research as well as academic discourses, which in fact help promote what is considered ‘heritage’ (Hicks, McAtackney, and Fairclough, 2007: 102). In managing the artistic heritage, the acquisition of data is an important aspect (Ferrari, 2010). Since archaeological heritage is produced through research and is formed by inferences through discourses, it is but proper to say that such process of production is objectively carried out since research itself is a field of objective characterisation. The notion that heritage is characterised by ‘multi-vocality’ (Habu, Fawcett, and Matsunaga, 2008: 38; Waterton and Smith, 2009: 42) does not automatically suggest that it is non-definitive and subjective in its production of archeological data. Archaeological data are material, and this materiality enables the concept of heritage to become intrinsically knowable and controllable. These knowable and controllable characteristics is seen in the extent through which archaeological heritage can be defined, discovered, recorded, managed, and conserved. The naturalisation of archaeological assumptions also supports this knowable nature of heritage in legal and policy documents (Waterton and Smith, 2009). Such process cannot therefore be merely placed in some subjective assumptions of data production. This is further supported by an assertion (e.g. Hodder, 2004) that archaeology can take an interpretive form, and its role is to facilitate the involvement of the past in the pr esent period through objective archaeological data. Smith (2004) also calls objects from the past as part of an objective archaeological record, reinforcing the general claim of the literature on the subject. Additionally, much can be learned about past history by using more theorised approaches to understand the relationship between history and archaeology (Robertson, Seibert, Fernandez, 2006). Such theory application is an objective stance of the archeological field (e.g. Cobb, Harris, Jones et al., 2012; Gibbon, 2014; Jones, 2002). Case studies on heritage and production of archaeological data A case study that may be cited in this paper is the Lodenice project in central Bohemia in the early 1990s, which is also known for a Viereckschanze (rectangular enclosure) excavation. This project identified an Iron Age settlement and remnants of decorative arm rings dating from 2nd to first centuries BC. This project, which produced a Celtic carved rag stone head, used an analytical fieldwork survey and multivariate mathematical analysis, combined with geographical information system (GIS) (Hicks et al., 2007). This example demonstrates the extent to which the production of archaeological data aims to be as objective as possible, for the archaeologies may simply assume the nature of data collected, but lack of definite measurements and other objective applications would place the whole investigation into mere assumptions. Another case that may be cited is the Bylany Project in Norway (1990s). Grants were used to finance archaeological research, enabling the excavation of Neolithic circular enclosures of Bylany’s complex. The integration of National Heritage Institute with rescue excavation administration has been a pending situation, which can negatively impact long-term archeological research in the Kutna Hora region. This archeological research is currently on systematic monitoring (Biehl and Prescott, 2013). The production of archaeological data informs of their use for future research and knowledge production as well as their objective and systematic production, reinforcing the idea that these data are always objective. Moreover in England, a data standard for the Sites and Monuments Records (SMRs) was established in the 1990s, facilitated by what is now known as the English Heritage’s National Monument Record. This data standard acknowledged the importance of records, including the activities of people involved in studying the resource, the sources of such information, and information on the process of managing the resource. This is to enable the successful management of the archaeological and historic environment within which archaeological data are derived (Barrett, Dingwall, Gaffney, et al., 2007). This manner of record-keeping for the production of archaeological data reveals the importance of objectivity. Worthy of discussion is the Tsodillo rock art in Botswana, which was the focus of intensive survey programme and recording by the Botswana National Museum during the late 20th century. The rock art holds the archaeological evidence that human settlement once existed in the landscape (Hicks et al., 2007). The recording and survey carried out by the Museum indicate the pursuit for objectivity in the investigation of the Tsodillo landscape. These case studies discuss what heritage demonstrates about the production of archaeological data being systematically acquired and processed, and thus entail the collaboration of specific government organisations in charge of heritage and archaeological data management. Thus, despite the perceived artistry of heritage, it is largely governed by some objectivity and system-specific characteristics in the production of archaeological data. Conclusion This critical analysis essay has discussed what heritage demonstrates about the production of archaeological data. It has focused on whether the production of archaeological data is always objective, illustrating the answer through cases studies. This brief claims that such production is indeed always objective, as reinforced by the extant literature denoting such objectivity and systematic stances. These data must necessarily be consistent in order for them to be of viable use in the future; hence, subjectivity has no room in their production. Moreover, archaeological data are material, enabling them to become inherently knowable and controllable and are thus definable, discoverable, recordable, manageable, and conservable. Case studies are provided, aiming to serve as evidence for the objectivity of the production of archaeological data. References Barrett, G., Dingwall, L., Gaffney, V., Fitch, S., Huckerby, C., and Maguire, T. (2007) Heritage Management at Ford Hood, Texas: Experiments in Historic Landscape Characterisation. England: Archaeopress. Biehl, P. F. and Prescott, C. (2013) Heritage in the Context of Globalization: Europe and the Americas. NY: Springer. Binfold, L. R. (2009) Debating Archaeology: Updated Edition. CA: Left Coast Press, Inc. Cobb, H., Harris, O. J. T., Jones, C., and Richardson, P. (2012) Reconsidering Archaeological Fieldwork: Exploring On-Site Relationships Between Theory and Practice. NY: Springer. Ferrari, A. (2010) The 8th Framework Programme of the European Commission and the Safeguard of Cultural Heritage: The EACH Project. Italy: CNR, Institute of Chemical Methodologies. Gibbon, G. (2014) Critically Reading the Theory and Methods of Archaeology: An Introductory Guide. Maryland: AltaMira Press. Habu, J., Fawcett, C., and Matsunaga, J. M. (2008) Evaluating Multiple Narratives: Beyond Nationalist, Colonialist, Imperialist Archaeologies. NY: Springer. Hicks, D., McAtackney, L., and Fairclough, J. (2007) Envisioning Landscape: Situations and Standpoints in Archaeology and Heritage. CA: Left Coast Press, Inc. Hodder, I. (2004) Theory and Practice in Archaeology. NY: Routledge. Jones, A. (2002) Archaeological Theory and Scientific Practice. UK: Cambridge University Press. Robertson, E. C., Seibert, J. D., Fernandez, D. C., and Zender, M. U. (2006) Space and Spatial Analysis in Archaeology. Alberta: University of Calgary Press. Smith, L. (2004) Archaeological Theory and the Politics of Cultural Heritage. London: Routledge. Waterton, E. and Smith, L. (2009) Heritage, Communities and Archaeology. London: Bloomsbury Academic.

Thursday, August 15, 2019

Standard 1a Knowing and Understanding Young Children’s Characteristics and Needs

Course ECD 202 Children with Special Needs Standard 1a Knowing and understanding young children’s characteristics and needs Summary: Experts do know that ADHD has a strong genetic component. In addition, they think that genes that control the levels of certain chemicals in the brain called neurotransmitters seem to be different in those with ADHD. If your child has ADHD, you've likely run into people who doubt that ADHD is real, tell you that all your child really needs is a firmer hand, and, whether they mean to or not, question your skills as a parent.If it's coming from someone you're not that close to and it's really not their business, you have some options. You could thank them for their concern and change the topic, for instance. But if it's someone you're close to, you might choose to have a more in-depth conversation to debunk†¦ In some cases, though, there is no genetic link to ADHD, but other common behaviors, such as smoking or drinking during pregnancy, as we ll as other obstetrical complications have been linked to ADHD in children.Babies with low birth weight may have an increased risk of ADHD. The same is true for children who have had head injuries, particularly an injury to the frontal lobe. Young children who are exposed to lead or other environmental toxins such as PCBs or pesticides early in life may also have a higher risk of ADHD. ADHD always begins in childhood. For some people, though, ADHD is not diagnosed until adulthood. That means adults who are newly diagnosed have actually had ADHD for years, and have had to endure symptoms as they've matured.In addition, research shows that between 30% and 70% of children with ADHD continue to have symptoms of the disorder when they become adults. ADHD tends to run in families. Studies have shown certain genetic characteristics that occur with high frequency in families where one or more family member has ADHD. Also, if one or both parents have ADHD, their children are more likely to d evelop the condition. And at least one-third of all fathers or mothers who had ADHD in their youth have children with ADHD.Studies show that children with ADHD tend to have abnormal functioning, or dysregulation, of certain brain chemicals known as neurotransmitters. There also tends to be abnormal functioning in the nerve pathways that regulate behavior. In addition, children with ADHD may have certain parts of the brain that are smaller or less active than they are in children who don't have ADHD. Recent studies show that the brain chemical, dopamine, may play a role in ADHD. Dopamine is an important chemical that carries signals between nerves in the brain.It is linked to many functions, including movement, sleep, mood, attention, and learning. Rational: Promoting child development and learning the standard is 1a this paper is on knowing and understanding young characteristics and needs. While doing this research paper it ties into key element 1a because it explains how the child develops and society to understand children as their individual needs Reflection: What I learned from doing this research paper is that there are a lot of children with this disability.And we have to observe children from birth on to notice things that are not normal and try to catch it early to be able to get treatment for the child in need. I will incorporate this into my professional career by paying attention to every child and not ignoring anything out the norm. And being able to be educated enough to be able to help the child get the proper help needed.