Monday, December 30, 2019

Divorce Affects On Children s Education - 2609 Words

Divorce Affects On Children Education has a major role in our society, everything revolves around knowledge and without proper knowledge a person cannot always exceed. Parents don’t realize all of the strain they put on their child’s education when they file for a divorce. According to Jessica Clair, a marriage, family, and child counselor, â€Å"Statistics have shown that children who are exposed to a divorce are more likely to repeat a grade and are five times more likely to be expelled or suspended from school. Fifteen percent of children living with their mother, without contact from their father, will be booted out of school. Thirteen percent drop out of school and sixty percent will not match the educational achievements of their†¦show more content†¦These statistics shows that not having two prominent parents in the child’s household can affect them thought-out high school. Students with divorced parents often have to miss school to visit the parent farther away. This puts a major obstacle in the student’s schoolwork and having to learn material not always taught to them. Due to having two houses, this may cause the student to leave books and homework behind. This puts major stress on the child to become incredibly organized and constantly struggling to remember where they placed their belongings. By having two households, it begins to create a problem of losing homework and books within the homes. However, parents need to be involved with their children’s education to understand what support is needed. When a child is struggling, parents need to make sure they receive extra help and that both parent are involved with the teacher. While a rough divorce is going on in a child’s life, their education can be controlled if both parents work together and handle the situation. Having a relationship can be very hard for a child who has witnessed the hatred between their parents. They learn to not trust anyone, simply because they don’t believe that they will stay with them forever. Children with divorced parents have witnessed their parent leave their lives because they are no longer happy with

Saturday, December 21, 2019

Health Care Delivery And Health Services Delivery

†The United States has a unique system of health care delivery. For the purposes of this discussion, â€Å"health care delivery† and â€Å"health services delivery† can have slightly different meaning, but in a broad sense, both terms refer to the major components of the system and the processes that enable people to receive health care. In a more restricted sense, the terms refer to the act of providing health care services to patients†¦,† (Major Characteristics, n.d.). Concepts, Principles and Application of the U.S. healthcare system The U.S healthcare system is comprised of both public and private sectors. It utilizes a quad function model (Shi Singh, 2015). The four functions are financing, insurance, delivery and payment. Since†¦show more content†¦Community health centers and self-care also fall into the category for delivery of these particular two types of care. Specialized care is delivered at specialized clinics while chronic care falls under a wide range of delivery options such as primary care settings, specialist provider clinics, long-term care facilities, and alternative medicine places†¦Ã¢â‚¬  (Wade, 2016). How does the U.S. healthcare system compare? In order to put the U.S.’s healthcare system in perspective regarding the actual quality of care currently used let’s take a look at two other developed countries, Japan and Canada and compare. Firstly, it is important to understand what type of healthcare system Japan and Canada operate under. In Japan, they operate under a comprehensive social insurance program (Comparing, 2009). Every citizen is in fact required to have health insurance either through an employer or through government public assistance. An interesting note regarding the Japanese healthcare system is that since the insurance companies are non-profit and do not compete, every service and/or drug prices are exactly the same no matter what the insurance company is. Looking at the Canadian health care system; theyShow MoreRelatedCommunication Services For Health Care Delivery1130 Words   |  5 Pagescommunication knowledge to provemedical care service. Nevertheless, although there is important conversation of, venture in, data technologies, communication arrangements obtain much fewer cares and the scientific assumption of even simpler services like voice-email or automated mail is still not conventional in countless medical care service, there persists a huge crack in our comprehensive consideration of the role of communication services in health care delivery. Laboratory medication is possiblyRead MoreHealth Care Delivery Systems : An Organized Health Service1099 Words   |  5 PagesPaper Health Science Introduction Professor Sloan Midlands Technical College Abstract Health care delivery systems are an organized health service. This service is to provide health care available to those in certain populated areas financed by the government, private enterprises, or both (medical-dictionary.thefreedictionary.com/healthcaresystem). As well as to better serve a population for more efficient cultural competence, quality, and financing, health care system deliveries plansRead MoreDisease Trends and the Delivery of Health Care Services1866 Words   |  8 Pagesand the Delivery of Health Care Services The health care delivery services have changed dramatically over the years, this service has made some major improvements since it began. Within today’s health care system advancements have been made to prolong life expectancies and a person’s quality of life. As everyone knows the cost of providing health care is expensive and not always easy to accomplish. The cost, accessibility, along with the quality of care is a challenge that the health care systemRead MoreDisease Trends And The Delivery Of Health Care Services1703 Words   |  7 Pages Disease Trends and the Delivery of Health Care Services Brittany Bigger HCA/240 11/30/2014 Disease Trends and the Delivery of Health Care Services In the health care field, there are many different findings and discoveries happening each day. While population in the world increases, there are more developments of bacterial disease being discovered. Looking back at our country’s past, many of the diseases we have now wasn’t thought of back then nor was a threat to people’s lives as big as itRead MoreTelemedicine Is The Remote Delivery Of Health Care Services1735 Words   |  7 PagesGovernment wants to expand Healthcare to more and more U.S. citizens at the same time it also wants to reduce the amount of money provided to the Medical professionals for services rendered. The Government has created a telephone book size manual that deals with everything from patient care to doctor reimbursement for the care. It makes doctors into robots and patients into pawns. Telemedicine seeks to improve the lives of patients and of medical professionals alike. By removing most of the barriersRead MoreDisease Trends and t he Delivery of Health Care Services Essay1457 Words   |  6 PagesDisease Trends and the Delivery of Health Care Services Final Project Axia college 1/15/2012 Many health care professional have great concerns about the growth of the aging population, chronic disease and the epidemic of obesity, and how will the United States healthcare system prepared for this continuing epidemic. The fact that the aging population along with obesity epidemic is a global healthcare concern, many health cares’ professional is baffled about how to address the growing epidemicRead MoreDisease Trends and the Delivery of Health Care Services Essay1821 Words   |  8 PagesFinal Project Disease Trends and the Delivery of Health Care Services Ana Vega HCA 240 January 29, 2012 Itta Aswad Disease Trends and the Delivery of Health Care Services It is amazing how much the health care delivery services have changed and improved over the years. Today, the health care systems have advanced by prolonging life expectancy and quality of life. Though, providing health care is not cheap and easy to do. Cost, accessibility, and quality is a challenge that they face inRead MoreDisease Trends and the Delivery of Health Care Services Essay1814 Words   |  8 PagesFinal Project Disease Trends and the Delivery of Health Care Services Melinda Schimmel HCA/240 4/14/2013 Pukar Ratti Aging The aging population is also known as demographic aging and is described as the shift in age distribution. The current population trend in the United Sates is the working age group comprised of people ranging from ages 20-65 years old. Over the next forty years, the population is expected to be made up mostly of the retired age or people over the age of 65 and theRead MoreDisease Trends and the Delivery of Health Care Services Essay1715 Words   |  7 PagesDisease trends and the Delivery of Health Care Services Dana Riddle HCA/240 April 20, 2013 Brian Eigelbach University of Phoenix Disease trends and the Delivery of Health Care Services The current age composition of the United States population according to the 2010 Census was 308.7 million people on April 1, 2010. There is an increase of 9.7 % since 2000. The data shows that the male population grew 9.9%, which is more rapidly than the female population, which was 9.5%. Out of 308.7 million peopleRead MoreDemographics And Diseases Trends May Influence The Delivery Of Health Care Services1701 Words   |  7 Pagesinfluence the Delivery of Health Care Services.† Starting with the age group population in the United States at ten to twenty years, then obesity, and then the future to adapt to the health care services. However, the factors that can identify are the environment support and change of trends. In the passage, the writer will talk about aging obesity, and the future of the health care provided. The common diseases examples that will be listed and the aging, obesity, and the delivery of healthcare

Friday, December 13, 2019

Bottlenecks in a Process Paper Free Essays

Bottlenecks in a Process Paper Tino Hearn OPS/571 James Powell April 13, 2010 RUNNING HEAD: Bottlenecks in a Process Paper The daily exercise process design is not an extensive process. The cycle time may vary daily. There are potential bottlenecks but not many relating to the daily exercise process design. We will write a custom essay sample on Bottlenecks in a Process Paper or any similar topic only for you Order Now â€Å"Good intentions often lead to bad habits. This is evident when bottlenecks occur from relying too heavily on highly productive individuals or systems. It is common practice to place more responsibility on an individual if that person consistently demonstrates the capacity for it† (Executive Blueprints, 2010). The writer notices a couple of bottlenecks that occurs due to natural elements of the process. For example, the flowchart displays the writer decides the length of time and the distance he will run. This is a potential bottleneck because if the weather is inclement, there will be a delay in the writer’s ability to begin running at the designated time. This will produce a buffer prior to the next stage of the process because the anticipated time of the next stage which is the abdominal workout will be prolonged. Another bottleneck would be if the writer starts his run and he gets muscle cramps or fatigue. This will potentially cause the writer to discontinue his run. However, these bottlenecks are not necessarily part of the normal process. Other potential bottlenecks could include the writer’s heart rate and vital signs being abnormal. The writer would have to his exercise regiment for that particular day. The bottlenecks in the exercise process will hinder the writer from reaching his overall health goals of losing weight; lower his cholesterol and acquiring better general health. Some potential buffers could involve the writer being too fatigued or exhausted to complete the cool down period. This would also prevent the writer from getting into the abdominal and weight lifting phase of the process. In essence, there are limited amount of bottlenecks in the exercise program flowchart. The bottlenecks are not detrimental to the overall objective of getting a good workout and exercise program prior to starting the workday. The bottlenecks can potentially help the writer fine tune some steps in the process to get better results. References Executive Blueprints (2010). Eliminating bottlenecks for process improvements. Retrieved April 13, 2010 from http://www. executiveblueprints. com/tips/090511bottlenecks. htm Tino, process analysis is a basic skill needed to understand how a business operates. I notice you used a source of reference to define bottlenecks and it is different than our course of study. However, I am not sure if you understand the concept of bottleneck correctly as evidence discussed in your paper. Except for you mentioning heart rate and vital signs being abnormal and these factors can limit the capacity of your workout and there is limited discussion about this bottleneck. (-3) Consider using a value-added analysis (focused on eliminating the non–value-adding activities), you might be able to reduce the workout time and maintain an acceptable heart rate for your activities. I would like to have seen you support your perspectives of the process and support it with theoretical concepts from the assigned reading where necessary. (-. 25) As presented your paper earned . 4. 75 out of 8. 0 points. How to cite Bottlenecks in a Process Paper, Essays

Thursday, December 5, 2019

The Origins of Pop Music free essay sample

These artists push the boundaries of what is considered avian grade, cool, and hip and constantly re-invent the medium. For this reason, pop music has helped make the music industry a multi-billion dollar a year business, one whose influence is reflected highly in all forms of todays media including film, video games, TV, and the internet Pop music is also a cultural force that resonates throughout the world, touching people and societies in ways those governments or politics cannot.Pop music began with the publication of sheet music. In the mid- to late 19th century, many homes in America had as their entertainment center a piano. This instrument served as a social gathering spot for many families and often as the first instrument many children learned to play. Sheet music, which transcribed note-for-note many orchestral or symphonic scores for easy reading, sold briskly all over the country. For those families who desired to have piano music in their homes but had no one to play it, player pianos were invented. Pop music began with the publication of sheet music. In the mid- to late 19th century, many homes in America had as their entertainment center a piano.This instrument revered as a social gathering spot for many barnacles and often was the first instrument many children learned to play. Sheet music, which transcribed note-for-note many orchestral or symphonic scores for easy reading, sold briskly all over the country. For those families who desired to have piano music In their homes but had no one to play it, player pianos were Invented. This device allowed the user to Insert a cylindrical roll punched with the notes of a tune into a cavity of a specially equipped piano that would then strike levers within the instrument and play back he keys without anyone touching them.Publishers of sheet music set up companies to meet the demand of those desiring their products, and would often scout out new composers and have their music made available in printed form for sale. This was the beginning of the music publishing Industry as we know it today. When pianos gave way to the phonograph around the beginning of the 20th century, popular renditions of music followed with them. Now instead of relying on mere piano music to provide entertainment, families could now hear what was then considered an accurate reproduction of an entire performance.Phonograph records allowed anyoneclot dweller or farmer; rich man or poor to enjoy music cheaply and conveniently. This opened new markets for music that would appeal to popular tastes, and the music industry began to expand In leaps and bounds. By the mid sass, a new form of music began to infiltrate the American social fabric. Whereas before most pop music centered on classical music, church hymns, and Civil war era ballads, this new music called Jazz began to bring a peculiar rhythmic beat to the scene that was Chocking; and Daring to behold.Jazz music was a uniquely African beat developed and nurtured by Black musicians In the south, east, and mid-west. Jazz musicand later another African-derived art form called bluessoon helped transform the music that was heardand those who were hearing it. Pop music now had begun to reflect more of the true multi-cultural fabric and segregate the music by labeling Jazz and blues with the derogatory title of race music, or music that was created by or appealed primarily to Blacks, and everything else as pop, for music that appealed primarily to whites. Yea rs later, the term rhythm and blues or RB was chosen as a less-offensive way to describe music for and from the Black community. ) Yet despite the artificial barriers imposed upon it, music continued to grow, further blurring any lines of demarcation. Musicians whom many considered as pop musicians began to borrow heavily from the Jazz and blues rhythms around them. By the early asss, this cultural and musical intermingling resulted in a new music called Dock and roller Rock and roll helped make American musicand the American music industryinto todays global phenomenon. Early rock pioneers like Eke Turner and the Kings ofRhythm, Bob Diddled, Muddy Waters, Louis Jordan, and Little Richard set a pace that artists like Jerry Lee Lewis, Carl Perkins, Bill Haley, Elvis Presley and others imitated and emulated to an even greater degree of success, spurring on years later the ascension of such global acts as The Beetles, The Rolling Stones, The Yardarms, Cream, The Who, Manfred Mann, Led Zeppelin, and others. Pop music in the asss asss and asss morphed even further as Disco, Acid rock, Dance, and Techno all contribu ted their influence. But perhaps no greater influence on pop music has occurred than that of Rap.Rap music, a key component of the inner-city cultural movement called Hip-Hop, emerged out of the asss like no other musical trend in history. In the beginning, this art form was largely ignored by mainstream music companies, allowing it to develop like no other musical trend before or since. By the time mainstream America had placed it on its radar, Rap had become a sonic Juggernaut crushing all other forms in its path. Over the last 25 years, Rap has consistently outsold Rock, Country, Gospel, and even Jazz and R. In fact, Rap music is second only to pop in terms of marketability, profits, and appeal.It therefore seemed inevitable that Rap would further influence the pop field, giving rise to such artists as Pink, Beck, Mine, No Doubt, Kid Rock, Rage Against the Machine, and other top-grossing acts. Pop music has now entered into the 21st century with no end in sight to its commercial appeal, cultural impact, longevity, or profitability. With each generation, Pop music will always be that arbiter of taste and refinement in that it accuratelyfor good or badreflects all that that society has to offer. To paraphrase another musical saying, POP music is here to stay.

Thursday, November 28, 2019

Abortion Essays (1350 words) - Abortion, Abortion Debate

Abortion In our society, there are many ethical dilemmas that we are faced with that are virtually impossible to solve. One of the most difficult and controversial issues that we are faced with is abortion. There are many strong arguments both for and against the right to have an abortion which are so complicated that it becomes impossible to resolve. The complexity of this issue lies in the different aspects of the argument. The essence of a person, rights, and who is entitled to these rights, are a few of the many aspects which are very difficult to define. There are also issues of what circumstances would justify abortion. Because the issue of abortion is virtually impossible to solve, all one can hope to do is understand the different aspects of the argument so that if he or she is faced with that issue in their own lives, they would be able to make educated and thoughtful decisions in dealing with it. The definition of a person is an aspect of the abortion issue which raises some very difficult questions. Is an unborn baby a person? When does the unborn baby become a person? This is a difficult question because in order for one to answer it, he must define the essence of a person. When describing the essence of something, one needs to describe the necessary and sufficient conditions of that thing. So how does one define the essence of a person? Kant describes a person as a rational being. Some people define the essence of a person from more of a biological standpoint. Nevertheless, defining the essence of a person is a very difficult thing for a group of people to agree on. One's own definition of a person would most likely greatly impact his opinion on whether abortion is morally justified or not. This becomes even more complicated when one takes into account potentiality. This raises the question of whether the fetus is an actual person or a potential person. Many would argue that a fetus is a potential person because it is has the potential to become what it is not yet. However, does a potential person have potential rights? An example was used: does a potential doctor have the rights of a licensed doctor? When one is describing potentiality, All he is really describing is what that thing is not. By declaring that a fetus is a potential person, one is also stating that a fetus is not a person. As one can see, this issue of the essence of a person and whether a fetus is a person is a very complicated one. This becomes seven more complicated if one takes into account the issue of rights. Now, the concept of human rights, that is to say, what American society dictates as human rights, conflicts heavily with itself. On one hand, we form a deep and heavy opinion on one's right to life. On the other, we hold an equally strong opinion on one's freedom to live that life as they please. American society by and large has a firm belief in an individuals right to live. Therefore, if one comes to the conclusion that a fetus actually is a person, then that fetus should receive the protection to it's right to live, as much as you or I. This society also holds the firm belief in one's right to the sovereignty of his or her own body, equal to that of one's right to live. In this case, it is imperative that we understand what liberties we can and cannot take upon ourselves concerning our lives. Case in point, suicide. Society dictates what we are allowed to do, and how we are allowed to live, by law. Most of American laws are written to preserve one's rights to individuality, and one's right to take the liberty to live their lives as they see fit. However, laws are also written to undermine those who's actions compromise the liberties and freedoms of other individuals, thus protecting the concepts and ideals of agency and liberty. Based on our society's laws, essentially, we believe that what you do to yourself is your choice, and is accepted by law, so long as it doesn't stop or impede the lives and freedoms of others. The difficulty in this dilemma lies within the question of whether an abortion falls into a category of protection of a woman's right's over the sovereignty of her own body, or whether it

Sunday, November 24, 2019

Week 9 - Assignment - MKT 574 Example

Week 9 Week 9 XXXX XXXX Challenging s 22/10/11 Challenging s s may be seen as presenting challenges for the firm in a range of different ways, this essay will consider an number of articles from the business, trade and academic press which show the challenging nature of customers in various guises.The first two items to be considered are the ethical consumer report published by the Co-op Bank and a related ethical consumer publication â€Å"deeper luxury† published in connection with the WWF (Co-op Bank 1-20, Bendall and Kleanthous 1-44). Both of these articles highlight the fact that challenges presented by customers today go beyond those of customer service, here the articles indicate the need for firm to act in an ethical way with responsible souring of input goods and ensuing ethical practises with regards to labour rights. The articles both elude to the possible consequences of a company failing its customers in this regard, largely through the possibility of lost sales and boycotts on the behalf of the consumer.The second set of articles to be considered demonstrate the challenging nature of business to business customers (Talking Retail, Creevey). Here examples are cited in the UK food retail sector of where large customers have name the environment for small food producers particularly challenging by taking advantage of the significant power they hold through the process of bulk buying. Such practises are used in reality to drive down prices and negotiate what may be thought of as punitive commercial terms.As such, one can see that customers can present a variety of challenges to the firm ranging from price based pressures to the need to make changes to ways in which products are manufactures and produced in the first place.BibliographyBendell, J, Kleanthous, A. 2007. Deeper Luxury. World Wide Fund. Available online at: wwf.org.uk/deeperluxury/report_download.html [Accessed on 14/07/09]Co-op Bank. The ethical consumerism report 2007. The Co-operative bank. 200 7 Available online at: co-operativebank.co.uk/images/pdf/ethical_consumer_report_2007.pdf [Accessed on 12/07/09].Creevy, J. Morrisons seeks supplier support. Retail Week. 2009 Nov 2nd Available online at: retail-week.com/retail-sectors/food/morrisons-seeks-supplier-support/5007650.articleTalking retail. Smaller suppliers feel supermarket squeeze. 2008 May 22nd Available online at: talkingretail.com/blogs/9741-smaller-suppliers-feel-supermarket-squeeze.html [Accessed on 06/11/09].

Thursday, November 21, 2019

Desiree's baby by kate chopin Essay Example | Topics and Well Written Essays - 750 words

Desiree's baby by kate chopin - Essay Example Regarding her as Providence’s most beneficial bestowment, Madam Valmonde, the childless rich woman raises her. The nameless little girl becomes Desiree and grows up to be â€Å"beautiful and gentle, affectionate and sincere†. At the age eighteen, Armand Aubigny spots her near the stone pillar at the gateway of Valmonde and falls in love with her and eventually marries her and takes her off to L’Abri, his place. The story begins when Madam Valmonde sets out to see Desiree’s baby. It is four weeks after the birth of the baby that she finally drives to L’Abri to Desiree and the child. The reasons behind this, whatever it may be, are not discussed in the story. Obviously it is not on account of any animosity between the two households. It is made clear in the story by the way Madame Valmonde’s thoughts go about the past fondly recollecting how Desiree landed into her lap and grew up to be her idol. On reading L’Abri, the surrogate mother sees the new mother and child. At the very sight of the four weeks’ old child, Madame Valmonde gets startled but Desiree is unaware of the reasons and she quite naively attributes it to the rapid growth of her dear child. She talks nonstop about how the child has exerted a softening impact on the temperament of its father who is basically imperious and exacting in his ways. Desiree senses trouble only much later, after two months, when she feels her husband’s awkward avoidance of her. It coincides with her noticing of the fact that her child was not white. The moment of this realization is marked in the story thus, â€Å"The blood turned like ice in her veins, and the clammy moisture gathered upon her face†. Having understood the cause of the great change in her husband, Desiree confronts him directly seeking reassurance and solace. But he brutally lets her down by declaring that the child is not white because of her black lineage. She resorts to the next thing she had to do. She writes to Madame Valmonde as soon as

Wednesday, November 20, 2019

Article review Essay Example | Topics and Well Written Essays - 500 words - 2

Article review - Essay Example For example: In motivation and self-directed learning; the author stated that allowing the students to read instructions or to decide their preferred learning strategy could trains them to be self-directed learners as it increases student’s motivation, sense of competence, reading comprehension, and strategy use. Article III – The literature part is comprehensive since it provides general information such as the races that migrates to Portugal in the past up to now; the national institutional regulations on the academic achievements of migrant children; etc. Article III – Quantitative survey questionnaires were used to gather data required to test the correlation among the variables related to socio-economic status, nationality, and the history of their family migration with school performance. The authors adopted Portes and Rumbaut’s (2001) questionnaire design. Article III – A total of 1,843 respondents participated in the survey. Respondents are composed of 53% Portuguese children, 44.3% immigrant children, and 1.9% emigrants. Target respondents are students between the age bracket of 14 to 24 including few students who are about to turn 14 years old. The authors did not mention whether they have randomly selected the respondents from the state secondary schools in Oeiras – a municipal located in the Greater Lisbon Metropolitan Area in Portugal. Article III – Aside from testing the variables related to socio-economic status, nationality, and the history of their family migration with school performance, the researchers used two-fold category for children born in Portugal of first generation immigrant parents; and those born abroad with the exception that those who were born abroad and came to Portugal before the age of six were included in the first category. The purpose of categorizing the respondents is to test whether migration is a factor for

Monday, November 18, 2019

Evaluation Summary Essay Example | Topics and Well Written Essays - 1000 words

Evaluation Summary - Essay Example Needs of the PPD women are not usually met at the earliest point because of its delayed diagnosis. While delayed diagnosis leads to criticality of depression. This delay occurs due to the barriers such as social stigma towards mental illness as well as knowledge deficiency regarding the situation. Other objectives included assessing and identifying high risk group of PPD and developing a health education program for improving early detection and treatment of PPD. Women with complex needs such as alcoholic or drug abusers, domestically or sexually abused women are considered at highest risk, and require multidisciplinary care throughout pregnancy and after birth (Logsdon et al., 2010). To enhance safe and effective patient care, is only possible through application of evidence based nursing practices. Therefore, the literature search on the needs of postpartum depression patient and its early detection led to the conclusion that for ensuring safe clinical care it is responsibility of the prenatal nurses and childbirth educators to assess, educate, and support (if needed) every women regarding the symptoms and sources of help for PPD (Logsdon et al., 2010). ... The tools that are normally used for PPD detection are Edinburgh postnatal depression scale (EPDS), which is a 10 item self assessment questionnaire and focuses on the feelings of past seven days. However, the tool is highly validated. Other tools are also used, but are not as sensitive and validated as EPDS. However, the best assessment tool should include questions regarding risk factors such as social factors and quality of relationship with family members, abuse or history of depression prior to birth. By the end of the practicum it was clear that the application of prenatal psychosocial screening tool had better results in early detection of the PPD (McDonald et al., 2012). An informed decision making is possible after incorporating sound knowledge into it. Therefore, a review of current patient centered policy was undertaken as policy can be an important factor in the provision of quality patient care. It was found that the current regulations required healthcare providers to s ubmit annual data regarding screening of PPD and for this current screening method and data reporting requires to be expanded. The policy aims to utilize the information to provide optimal intervention for the patients (Mass.gov, 2013). Another objective of the learning program during the session was the evaluation of teaching methods to the new mothers regarding the symptoms of the PPD. It was found during the literature search that an individualized teaching plan is required that is based on women’s existing knowledge of the PPD. Treatment seeking behavior of women is facilitated when communication between nurses and new mothers take place. This requires empathetic tone of the nurse, explicit observations of teaching styles, social persuasion as well as

Friday, November 15, 2019

Health In New Zealand Health And Social Care Essay

Health In New Zealand Health And Social Care Essay Health is multi factorial and is the product of reciprocal interaction between individuals and their environment. Social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system (World Health Organisation, 2008). As in most countries, health in New Zealand is also distributed unequally throughout the society. This reflects that there is an uneven allocation of social determinants of health such as income, education, occupation and access to health for certain groups compared with others. This essay will examine income as one of the social determinates of health and the effect of low economic status in Maori health. Further it will discuss how the nurses can care for Maori people with inequalities in health and the importance of the government strategy developed to address Maori health concerns. Finally this essay will analyse the psychological factors associated with smoking behaviours and its consequences. Income, employment, education, housing, culture and social cohesion are the distinct social determinants which directly or indirectly influence health outcome of an individual. The people who are more vulnerable to ill heath mostly come under low income category. Income inequalities increased evidently in New Zealand between 1987 and 1991 due to unemployment. The growth in income inequalities is especially seen in Maori population (Davis Dew, 2005). Income is one of the major determinants of health, which contribute to the poor health status of Maori. Indigenous Maori have the poorest health status among any other ethnic groups in New Zealand. The median annual income of Maori in 2006 was $20900 compared to $24400 of the total population in New Zealand (McMurray Clendon, 2010). According to the New Zealand statistics 2005, the average weekly income of Maori was $471 compared to $637 of non-Maori (Robson Harris, 2007). Income and wealth are the major modifiable determinants of heal th which affect the access to healthy environment, living condition, housing, education and timely effective health care. Level of home ownership, property ownership and income producing assets are lower among Maori than non-Maori population. In addition to these, lower equivalent income levels limit the availability of the Maori families to accumulate wealth out of current income (Dew Mathewson, 2008). Compared to non-Maori, inequalities in health status and mortality are higher and increasing among Maori, with increased incidence of conditions such as coronary heart disease and higher fatality rates (McMurray Clendon, 2010). The current economic situation of the Maori and non-Maori is profoundly linked to the history of colonization of New Zealand. Besides this, economic reforms also cause loss of income from changing nature of work arrangements for Maori (Broom, 2007). The income inequalities can be also explained in terms of lower educational qualification and under representa tion of Maori workers in high profile jobs. In New Zealand society Maori are the lowest salary earners and this leads to a low socio economic status (Robson Harris, 2007). Besides this, income level can affect mental health, caring for children and family. People belonging to low economic status always struggle to care their life and childrenà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s health (Marmot Wilkinson, 2001). Being health professional, nurses have obligation to identify unfairness or inequalities in health. Nurses should work to address the underlying determinants of health and working towards to ensure equitable health and wellbeing of everyone in the society (McMurray Clendon, 2010). In order to deliver proper health care nurses have to be aware about the needs and rights of Maori (Broom, 2007). Principles of Treaty act as a model for nurses to work with Maori. Nurses should respect the cultural beliefs and deliver health services in a culturally acceptable manner (Francis et al., 2008). Nurses should work in a manner to improve the access to health, especially to those who lacks financial resources. Approaches like selecting a central location and convenient time for health services can improve access of health facilities by the low income groups. Nurses should identify vulnerable groups with low income such as unemployed, single mothers and parents with more dependent children. In or der to ensure unbiased health to low income group nurses have to educate them regarding the health facilities and their right to health irrespective of economic status. Increasing conventional services like employing of indigenous health workers and establishing indigenous programs is another nursing intervention for reorienting health service for Maori. (Mason Durie, 2003) For instance Maori can be cared better by employing more Maori nurses as they will have enhanced understanding. Improvements in Maori health status are critical, because Maori has the poorest health status among other New Zealanders. The New Zealand government identified the importance of prioritising the Maori health problems and the need to eradicate health inequalities which has a negative impact on Maori health. He Korowai Oranga is a health strategy set for Maori health development in the health and disability sector. This strategy acts as a basis for the health sector to deal with the health problems of Whanau. The focus of He Korowai Oranga is on Whanau or family wellbeing. The outcomes are mainly aimed at empowering Whanau with physical, social, mental and emotional health; enabling them to take control over their health, creating better quality of life and ensuring their active participation in New Zealand society (Francis et al., 2008). He Korowai Oranga stands on the principles such as partnership, participation and protection which are the core principles of Treaty of Waitangi. He Korowai Oranga tries to identify health inequalities among Maori people in terms of education, income, occupation and access to health health. This strategy aims at considering Maori approaches and models to health for improving Maori outcomes. Inequalities among health statuses of Maori are clearly documented in this. Nationwide population health priorities for Maoris are also enlisted in appendix 3 of this strategy. Besides this it also provide guidelines to district health board for effective assessment and monitoring of Maori health status. This strategy also has made provisions to improve Maori access to mainstream health services like public hospitals or primary health centres (Ministry of Health, 2002). Risk taking behaviours are those which affect the physical and mental health of individuals. Risk taking behaviours may include smoking, alcoholism, unsafe sexual habits, gambling and participating in dangerous activities. Tobacco is the major cause of preventable death in New Zealand. Smoking kills around 4300 to 4700 people per year, among this almost 600 are Maori (Maori Affairs Committee, 2010). Some people consider smoking as a method of channelizing their stress or escape mechanism from their stressful situation or frustrated family life. Some consider smoking as a way to get peer pleasure and to kick out their boredom (Marks, Murray, Evans Willig, 2001). Increased risk of smoking is usually seen in those who are divorced, separated or lone parents. 80-90% of smoking prevalence is seen among people who are under severe deprivation areas such as prisoners, homeless and poor (Marmot Wilkinson, 2001). Young people consider smoking as a way of developing their identity, method of relaxing tension and making peers. Parents and role models can greatly influence smoking behaviour of adolescents (McMurray Clendon, 2010). Media plays a great role in influencing people to smoke even though they advertise about the repercussions of smoking (Marks et al., 2001). The use of tobacco gives rise to many health hazards. Smoking contributes to the higher incidence of coronary artery disease, chronic obstructive pulmonary disease, pneumonia, reduced lung function, impaired lung growth in children and various cancers especially lung cancer. Smoking aggravates the symptoms of many other illnesses, for instance smoking can reduce fertility, increased cataract incidence, poor wound healing, and worsen peptic ulcer. Smoking during pregnancy can lead to birth complications, premature death, small gestational age and low birth weight. Passive smoking is another health risk associated with smoking. Non-smokers living with smokers have 30% increased chance of lung cancer (Maori A ffairs Committee, 2010). In brief social conditions are particularly important in determining health status of an individual. When a social environment is supportive, the person is more likely to be empowered in their health. There is a well-established evidence of relationship between income and Maori health status. Nurses can play an important role in reducing the inequalities in health. In addition to this smoking remains a major contributor to disparities in health status because this behaviour is strongly shaped by income deprivation, occupation and education.

Wednesday, November 13, 2019

Oprah Winfrey :: essays research papers fc

OPRAH GAIL WINFREY   Ã‚  Ã‚  Ã‚  Ã‚  Oprah Gail Winfrey was born on January 29, 1954 on a farm in Kosciusko, Mississippi to Vernita Lee and Vernon Winfrey. Her parents originally planned to name her Orpah, but the midwife made a mistake on the birth certificate. Up until the age of 6 Oprah lived with her grandmother. After this Oprah went to live with her mother and two half brothers in Milwaukee. Instead of living on a farm she now lived in the ghetto. While Oprah was living with her mother who gave her no supervision, she became out of control. Her mother Vernita could no longer handle her, so she was sent to Nashville to live with her father Vernon and his wife, Zelma.   Ã‚  Ã‚  Ã‚  Ã‚  Her father who was a barber became a city council member and was a strict disciplinarian. He demanded that Oprah add five new words to her vocabulary before she had her dinner each evening. Under these conditions Oprah became an excellent student. At the age of 16 she won an oratorical that guaranteed her a full scholarship to the University of Tennessee. After graduating in 1976, Oprah was offered a job from the ABC affiliate in Baltimore. In 1984, Winfrey and her producer moved to Chicago to liven up an A.M. Chicago Show. In 1985, the show was renamed the Oprah Winfrey Show. In 1986, She formed a Production company called Harpo Inc. (The name Harpo is her first name spelled backwards.) Oprah was not only a talk show host, she was an actress who played in various movies, which were: The Color Purple, Native Son, The Women Brewster and beloved Oprah’s Angel Network 5 ways to be an Angel   Ã‚  Ã‚  Ã‚  Ã‚  This network started September 18, 1997. This program was designed to show you how you can improve your life and the world. Some important things that are involved in the Angel Network are: 1. Creating the World’s Largest Piggy Bank to raise money for needy students. a. All money will go into one big scholarship fund that will send needy students to college.