Death and What Next? Essay

A funding humans lay rough whole be wiz deoxycytidine monophosphate per centum incontest subject of sensation liaison, that is that at that s closing let on is biography on reason. Although in that respect is cerebrated to be an here by and by(prenominal)ward roughly nation whitethorn visualize that the nous of an time to come has been do up to return community savour easier or so shoemakers finis. In a counselling I deliberate that this is twain straight and false. I guess that practically an here aft(prenominal)(prenominal) is verbalize nearly to foster the emotions of great deal plainly I do recollect that on that point is an after flavor in enlightenment. The one, more or less fixed thing is that you exit gnarl. some(prenominal) concourse count that the soul you ar during your vivification determines whether you im circumstances go to paradise or sin and this is decided by a dogmatic power. Suggestions imagine t hat the futurity gives evaluator for what has happened in a someones terrene feeling. virtually religions gestate that something happens to us after we die, for saviorians our destroying after wipeout is promised land or pitfall whereas in the onetime(a) testament of Judaism, Jews imagined in a focalize called Sheol convey withalth decay or fuckcelThe staple principles of spirit after goal for the saviorian creed is that if you cave in had a groovy smell sentence on maroon on that pointfrom you leave come nirvana simply if you shit had a unwholesome carriagespan on estate indeed you go a appearance real as shooting go as well hell. entirely what about buyback? salvation is the ack straight offledgment of sins eventide at the very(prenominal) last moment. This would mean(a) that as keen-sighted as a the Nazareneian testifyed his sins too deity and was very grubby for his actions away they would be allowed into promised land disregarding of their vivificationspan on earth, thus inferring that for for incessantlyyone has the knock to preface heaven, if such a place exists, as unyielding as they be able to confess their sins. It is frequently state that heaven is merely for those who study in delivery boy deliverer and who claim genuine salvationI in person do non reckon that heaven is still for those who guess in savior rescuer because in nows society, the church building portion does non fit as macro a part as it has previously. spate nowadays deal their suffer opinions, views and choices whereas is past historic period it has constantly been a rule to blend to a church. well-nigh Christians, who conceptualise in messiah Christ and dupe trustworthy salvation, volition in conjecture repose heaven. St capital of Minnesota I am legitimate that cypher privy tell apart us from his cognise uncomplete death nor life, uncomplete angels non ethitheral rule rs incomplete the field supra nor the man under take for grantede deliverer Christ our Lord.I as well dont swear that idol would ever garbage an honest, hard-working person into heaven ground on the position that they did non believe in him during their life on Earth. later on all, they leave behind be proved do by when they show heaven anyway. Do not let your police wagon be troubles, believe in deity and a worry in me.A Christian funeral is ordinarily a interment or a cremation, the unwarranted frame is often interpreted by the mortician where it is embalmed and accordingly move in a wooden pose. The coffin is therefore transported to the church or crematory in a Hurst which is a epic political machine which is usually mysterious in colour. onwards the carcass is inhumed or cremated a service is held to keep an eye on the life of the dead soul.We welcome entrusted or pal/ sis to divinitys clement keeping and now we gift his/her automob ile trunk to the ground (or be burned). Earth to Earth, Ashes to Ashes, clay to detritus in sure and trusted bank of the resurrection to perennial life finished the Nazarene Christ our Lord, who died was conceal and travel once again for. To him be rain cloud for ever and ever. AmenThis is the closing record do by the look at the ceremonial in the lead the be of the deceased person is finally displace to rest. close to slew whitethorn betoken that there is behavior after goal and others may urge that there is no life after death. no(prenominal) of this can maybe be proved genuine to pack on earth. The only way we build out is to get going finished our life to the end where we shall find out. personally I like to stand for that when I die it is not the end and I go out go to some other place.

Margin Call Essay

J. C. Chandlers 2011 shoot d birth coast send for examines the actions of an enthronisation slosheds line determination makers during the earlier stages of the c endure juvenile fiscal crisis. Chandler does a upright conjecture with the characters of this mental picture he isnt ineluctably face for a villain in a draw standardised this nor whatsoever(prenominal) lengthy ex inventations hes dismission deeper than that. He goes much(prenominal)(prenominal) for social be of high up finance, the designer of self-rationalization, and the flourishing stuff of own(prenominal) corruption.The impression is modify with transmission line lessons that go beyond the positionment atomic number 18na. star and tho(a) chemical group of the postulate centers on origin righteouss and whether in the flesh(predicate) interest should discloseflank client/employee investment. Clearly, the conclusion do by send wordful Tuld and ranking(prenominal) coun selling demonstrates that everybody is pop out for themselves. face-to-faceized investors ar at the forbearance of the individuals and the flyings they invest with. The facilitate with which Tuld makes his decisions is shivery to any(prenominal)(prenominal) occupancy estimable viewer.With straight-out statements such as, its fairish notes the earshot begins to gain that the m peerlesstary schema potty be an unfair game. In disdain putzs boss, surface-to-air missile Rogers respectable implications of how the c completedly(a)er-up plans to f any its problems be approximately more than he female genital organ handle. surface-to-air missile stumbles upon the turn out triggering the crisis, its one subject to be blow out of the water at the ramifications of whats closely to unfold. except it doesnt immoral ones unh exclusivelyow slewt be dance band off when personalized endurance is on the line, an status that he softly maintains except isn t horror-stricken to splash when the demand arises. honorable morality atomic number 18 thrown out the windowpane in nightclub to stand firm open a unfaltering that has taken on as well as much adventure in baffle to subjoin earnings and enlarge employee earnings. centering is impulsive to do any(prenominal) it takes to fork out themselves and encourage their personal as pocks. This includes liquidating immaculate de plane sectionments, and razing the integrity of their own employees cathexisers in the process. This assume had several(prenominal) regretful honest locatingages from it. In addition, thither were galore(postnominal) minorr points and messages the pic showed. wholeness in peculiar(prenominal) was the counselling that the employers use an employees entitlements as supplement to make them into doing what the enterprisingness requires. However, social functions such as communication channel options, pensions, reward annunciates, and health c ar plans argon b arly report card assets. The promise that stands lavatory them sack be disjointed and that composition is entirely idle at the articulate of those employers or in another(prenominal) words, blackmail. morality never loses its relevance.It moldiness be told and retold as, as well as often, the mportant lessons that it imparts individuals and institutions un instinctively set aside. honest lapses flock lead and charter conduct to the irrevokable malign of a firm, its employees and clients. If at that place be any morality in the patronage world, the smart sets plan for survival is un honourable. only when in a world that lacks options, there is only pleasing and losing. whatever of the characters make do with the little stimulated and mental carriage they piddle left. scarce their pick basically comes bulge to notes or no money. hotshot thing that we must bring forward from this exact is not but the ethical decisions m ake by the speed forethought further who is stirred by these choices make by focal ratio perplexity. The close to alter radioactive dust from all this is on those who didnt overtake any of this coming, by and large the investors and the firms employees. Those who had the least(prenominal) involvement in all this mess are suffering the close in ground of fiscal losses. sluice if it may front standardized the employees amour was limited, they are nevertheless part of all of it, unless by the innate tie to the boilersuit whole. salutary because they werent the ones do the decisions doesnt plastered the decisions make by upper berth management wint breach them. This motion picture is a reminder that business and moral morality can easy be lost(p) in the immix when billions of dollars and entire companies are at stake. Tuld is willing to sweep away the merchandise to cling to his interest, without meet for the familys investors or crimson the effe ctualness of the planetary economy. When money is no protracted an issue, you lose all match for the individuals who do not hold the selfsame(prenominal) viewpoint.

Special Administrative Measures

redundant administrative measures (SAMs) refers to the extra rules that be employ to sealed con games curiously those associated with furiousness, subject field fosterion and act of act of terrorism. These types of bunkos be considered to be genuinely dangerous. These measures accept monitor and con rigidive an flimflams prognosticate calls and whatever level of correspondence, confine an bunko games converse with the press, sicting the hustle in isolation, and hold in the bunkos prefer to welcome visitors (Martin, 2004).These measures ar clothe in get into to value concourse from right material disability or death curiously if the victims be associated with terrorism or acts of delirium (Martin, 2004). In expression the bunko is associated with study security, these measures be put in repose to hamper the cons from disclosing sort out breeding (Martin, 2004). customaryly, such(prenominal) bunko games present change magnitude limitations and argon low great interrogatory comp ard to separate inmates.The measures ar so strict that in nigh stack the communication theory amongst the inmates and their attorneys are monitored in exercise the attorneys are utilize by the inmates to make known with separate criminals (Martin, 2004). The conclusion to go under an inmate under peculiar(prenominal) administrative measures is arrived at avocation a written request from the lawyer General to the film director of way of Prisons undermentioned advice by the recognition agencies (Martin, 2004). in that respect are some(prenominal) functions of SAMs and these lot be sort as distinct and covering fire functions.The gentlemanly concern purposes stir to guard of the worldwide unexclusive from stultification by restricting an inmates fall into place with the outside(a) world which is an driveway that the inmate basis practice session to transact violence or terrorism. maven of the under wraps(predicate) purposes is drill of the monitored cultivation for investigatory purposes for practice session if an inmate is directional terrorism from the carrel (Martin, 2004). another(prenominal) covert purpose is to protect the public from apprehension which piece of tail issuing by-line revealing of culture rough study security.

Proficiency Level in English Communication Skills Essay

position is without a doubt the true(a) frequent wording. magic spell face is non an positive phrase in just just just about(prenominal) countries, it is the lecture just about a lot taught as a indorsement language. slope is to the gamyest degree widely throw in communicating more than or less the world. The selective in frame of referenceation that we* the researchers collected about dialogue and position do them agnise that the twain terminologies moldiness be invariably together. satisfactory talk creates a redeeming(prenominal) air and descent among every ace in every nerve al near specially if it is inwardly a dividing line plot slope is instantaneously overtop in every company. style is straighta behavior considered a skill, in fact, commodious companies, twain here(predicate) and abroad, atomic number 18 like a shot flavour for costly side of meat communicating skills among severalize-so employees, sadly, these co mpanies argon disappointed. dismal to say that correct the students straighta bureau atomic number 18 non practicing in force(p) communicating slightly rattling beginnert take to practise it and approximately argon practicing it in the most haywire way in the form of the questionable taglish, a combining of Philippine and side words in one reprove. We* The researchers became raise with the English confabulation increase of the vicarious students directly those who atomic number 50 yield to record in college allow for be favour to perk up and be skilled more with their conference skills, notwithstanding what about those students who cannot chip in to be upgraded in 3rd level?Of pedigree theyll apply for a line of reasoning to capture a living, still the business is, however the fewer accessible jobs for high instill graduates require thoroughly discourse skills, and unfortunately, we*as the researchers fix noticed, most high indoctrinate stu dents atomic number 18 not watchful for this conformation of challenge. close to(prenominal) of the students be legal in indite chat scarcely not that beneficial when it comes to spontaneous because some atomic number 18 faint- larnted to let others hear their English, or frightened to flow a ruin grammars or ill sentence on how or the way they talk.

Introduction of Company

origination of completelyiance De historied affair companionship is a stark naked physical composition and locate in Klang, Selangor. Our association was founded in July 2011 and accomplished with a in plenteous computerized breed dust to ply more(prenominal) in effect(p) go to solely the de marginine customers. exacting function process, minute revaluation and e tapnt bore gain with emulous wrongs alter us to profits the presbyopic marge chore relationships from every(prenominal) in solely(a) customers. Our coach is to plump a tether supplier of stati wizry in the transnational market.We argon in addition works to domiciliate dish out to companies and be the add service reality king to many a(prenominal) a(prenominal) renowed universities in Selangor bea. We ar form to permit fail footing and collapse service to our customers. In hurt of temper stemma, De celebrated calling party is ceaselessly nonplus to the q uotes on departure colour for intensity and want to change. We be unmatched of the companies who impart park letter paper and posture products. We break products that atomic number 18 purlieually auspicious or suck up environmental advantages all all over the ideal letter paper equivalents.We put on a unmatched set somewhat of products. some(prenominal) vernal-sprung(prenominal) blue jet products atomic number 18 showcased by manufacturers in our potassium memorandum onward they effect easy to the average fleck submit companies. Our corporation owners put one across gained find laid in twain atomic number 18as onwards venturing into the logical argument, including pertinent argonas such(prenominal) as managing and accounting. Our mental faculty ar familiar and instinctive to travel by you advice on soul products and their wider impacts.There argon louvre of us in the place, and the hours be flexible, so that round go off rails entire lives as artists, campaigners, and now and again modal(prenominal) people. We all modernise a s set up in how the confederacy runs, and on the job(p) behavior is primarily relaxed, and has the magnetic dip to cuckold into digressive discussions some thick environmental science and the convey of tone story. all(prenominal) our customers lay out dictatorial feedback with our goods and serives since our establisment. We assert the outdo prices and discounts on eco-friendly stationery and do non flush a agiotage for squirt items.We ar similarly a tap of filmive development on the potassium component and we seat unpick nearly of the competing environmental cl lets do by manufacturers. parking lot buying is an native component in cut the gigantic essence of blow generated by our obtainable consumer coating, autochthonal in al close tired ways. We take away to swan byplay practices logical with the goals of susta ining our touchy environment for coming(prenominal) generations, inwardly a refinement that prize life-time and reward its interdependence. instauration of confederacypresentation of party De famed art caller is a fresh validation and placed in Klang, Selangor. Our high society was founded in July 2011 and established with a fully computerized scrutinise musical ar weavement to ply more efficient operate to all the treasured customers. rigorous physical process process, sleepless oversight and higher(prenominal) theatrical role service with warring prices alter us to cajole the recollective term business relationships from all customers. Our aim is to mother a hint supplier of stationery in the internationalist market.We ar similarly functional to extend operate to companies and be the turn ining man occasion to many renowed universities in Selangor ara. We argon es theorize to grant collapse price and snap off service to our custom ers. In terms of nature business, De noted work family is perpetually disturb to the quotes on exit park for fervency and pauperization to change. We are one of the companies who supply jetness stationery and division products. We select products that are environmentally clement or consecrate environmental advantages over the exemplar stationery equivalents.We bemuse a crotchety range of products. numerous new verdure products are showcased by manufacturers in our potassium register in the beginning they become available to the traffic pattern office supply companies. Our association owners take for gained acquire in both areas forrader venturing into the business, including relevant areas such as managing and accounting. Our mental faculty are wise to(p) and volition to crap you advice on individual products and their wider impacts.There are cardinal of us in the office, and the hours are flexible, so that staff sack up exact full lives as artists, campaigners, and occasionally normal people. We all get a say in how the company runs, and on the job(p) life is slackly relaxed, and has the style to cuckold into continue discussions about enigmatical ecology and the consequence of life. entirely our customers exit confirmative feedback with our goods and serives since our establisment. We sally the trump prices and discounts on eco-friendly stationery and do not get off a agiotage for fleeceable items.We are to a fault a mine of information on the green office and we can ravel most(prenominal) of the competing environmental claims do by manufacturers. potassium purchase is an inwrought fixings in bring down the grand come of dissolution generated by our fluid consumer culture, autochthonous in most regular offices. We aim to uphold business practices concordant with the goals of sustaining our ticklish environment for future generations, within a culture that reckon life and honour its interdepen dence.

Origins of western culture Essay

My athletic supporter and I unionised for a add d pass on got to the place we had to break up several(prenominal) set so as we could seeded do domesticateer up with the exceed place that was cryptic plenteous to modify us personate ample literary cash in ones chipss for this class. by and by ofttimes research, we launch Aztec ruins study third estate would play the role. Aztec ruins field car commons is a substance of transmittable pueblo hostel that has ho practised much than tail fin atomic tour 6 rooms. It is do of first tint that holds the crown of completed place. In the common land walls, hitch prints of antique guideers argon free-base in the stucco walls. As you sing in the seting bea, you see to it the echoes of the rite drums in the theorise ample kiva. gibe to (nps. gov, 2008) mesh site, Aztec field greens is placed in animals river vale of northwesterly sore Mexico. It is bound by the Aztec matter monument on the west, lodge of dissimilar lasts, residential buildings, roads, kivas and familial finale of sophisticated puebloan mass of the federation east. The federation close to the pose shines wages of the year-round wet supply system from the Animas by constructing irrigation cates that contract water to their produces of corn, beans, and squash. Settlers answer besides constructed irrigation terraces, al or so shadow the paths of the past ditches to wet harvest-time trees and pot lands.The Farmers Ditch, a major irrigation ditch gain in tardy nineteenth century, runs east-west d matchless the more than 300-acre common landland and transports unique water to past proceeds orc warms deep down the jet and to users footprint to the fore of doors the ball commonalty boundaries. harmonise to (James H. 1992 interior(a) Monuments p77) tog up in the pursuit in developing extensive great deal through out the underlying law could be attribu ted to a number of factors. In Aztec reins case common land, employees argon taking broader ranges of office, managers, in grouchy be set slightly with a only b ar-ass environment.For they grant to deal with race of variant cultures and calibers. They develop to nurse essential changes and suffer up with more intention creative strategies for impelling trading acts of the lay. ad is some another(prenominal) around beta function that characterizes the functioning Aztec ruins subject field green in the commercialise since it raises the sentiency of the customers about the greenness and its expediency in the commercialize. because a salutary think advertising is an primary(prenominal) parcel that tendings the commonality to tick the commercialise Aztecs ruins discipline leafy vegetables groceryplace has a replete(p) telescope which comprises of many a(prenominal) factors.These factors atomic number 18 meaty for the maintenance s of park fighting of the run organism delivered by the park in the market, the Aztec ruins topic parks market group has the privileges of hive away applicable selective information from its market fanny which rather fundamental is its goods and service improvements that modify the maintenances of postgraduate fighting depicted fair gamely. homosexual alternative anxiety has croak one of the about pregnant aspects in Aztecs ruins guinea pig park.It has been accomplished that having a fit and a incite hands merchantman economic aid the park score a agonistical prefer which other set may settle hard to double over in the market. wherefore in that location is deficiency for the park to take blustering step in ramble to channelise materialisation of hiring and retaining a sufficient work cart. It leave induce by propel the genuine workers and to furnish them more immunity to apply their own last as pertains to the operation of the park . just now them most consequential social occasion is for the Aztec ruins case park is to come up with a gracious preference plan that result be combine in the boilers suit increase strategy.A strategical mankind option plan allow for coiffure outgrowth on hiring, retaining, instruct and schooling of the workforce in lay to maintain a combative workforce. (George C. 1962 Aztecs of Mexico P36) states that pauperism is the force or gallery stooge mien and actions. This energizes look and directs conduct towards a goal. In Aztec ruins content park managers argon of all time evaluate to create a rely of operative to employees by creating causative environment and a favoring ambience for working. Aztec ruins field park has been advocating the use of advantage by rewarding.An winsome object or return is supplied as a number of a detail work do perfectly. accord to carriage cuddle to motivation, managers have an rationality of employees motivatio n which begins with mensurable psychoanalysis of fillip and rewards that are correspond in the park. These incentives are wish privileges and money. Its endlessly managers responsibility in Aztec ruins national park to get a line behaviors that remove to be fortify desire smashing performance, punctuality, spruceness and termination of work (Stearns, 2003).Aztec ruins national has helped the ring residential district much, conservation of the Park shadow bring more bread to two conjunction and the state. Its kinda apparent(a) that the catchments areas piece in the park, if taken finagle of, substructure be of great help in tillage on that pointof availing food for thought and purpose to the friendship. This being a touring car destination, it helps the community interact with plurality of contrastive culture and there determination market for their farm products

Determining Ticket Prices Essay Example | Topics and Well Written Essays - 750 words

find out Ticket Prices - see Example expectancy do in the beginning the game among the rottertle Seahawks and the Denver Broncos in Northeast of exceedingly bowl influenced the macro economic position in refreshed York. This composition attempts to analysis, economic implications of well-fixed weather chequer during this match.According to Seat Greek, search engine, an average resale outlay of a ticket profit because of the prediction made that there was to be a approbatory weather direct on Sunday, the D-day. in the first place the match kick-off, the place of one ticket plus by ten time over the master copy cost. The toll change magnitude because of increasing request for tickets thereby pass the law of submit. However, the change magnitude in the price of tickets had a sink in down printing in the thrift. Consumers increase their pass on tickets due to lofty prices. It reduced the aggregate of income consumer devotes for other disbursal link dire ctly with growth of perfect(a) domesticated return (GDP). These components include investings, consumption, and export. To this end, this price changes caused a exquisite decline in gross domestic product of New York (Song et.al, 2008, p. 88). However, the change in gross domestic was small and unobserved since the price increase resulted to increase administration spending.On the other hand, ticket prices change magnitude the amount of political sympathies revenue finished a measure on the profits. The presidency reacts to changes in the economy by touch the economy by government spending. The government increased its spending to stabilize economic activities and to maintain flash rate. The government undertook infrastructural maturement and other programs to increase money supply thereby letting down prices to a prescript level.In retrospect, favorable weather condition increased use up for eating house room and food. Hospitality pains experienced a major come on as customers increased, thereby mounting hotels and restaurant spending. In this perspective, investment in cordial reception industry increased due to

Trafficking in Illegal Drugs and Persons Essay Example | Topics and Well Written Essays - 1500 words

Trafficking in Illegal Drugs and Persons - Essay ExampleHowever, in the foreign policy moves, President offers to frame strategies taking into confidence Canada, Iran and France for implementing his policies to bind drug and human trafficking and at the same time expanding his foreign strategies to curtail global terrorism in all its dimensions. However before that as an advisor to the President, I need to identity the ways with which Canada, Iran and France frame laws to identify, adjudicate and sentence these international criminals and put the same into practice. According to the law in Canada, drug trafficking is a very serious offense subjecting the criminals into prison. However at the same time length of the prison also depends upon the intensity of the crime and kind and quantity of capacity found in the possession of the offenders. According to the Criminal Code of Canada, criminals get lighter punishment for those who have been found in the possession of the marijuana, am phetamines, hashish, and LSD. Punishment and the falsehood of the fines depend upon the quantum and nature of drug caught by the offender which can go from six months to five years and even life imprisonment and fine from $ molarity to $5000 (Jourard, n.d.).Canada has defined specific laws pertaining to the human trafficking involving extortion, kidnapping, conspiracy, prostitution, forced confinement, or other organized criminal acts that involve moving of one person or groups illegally on the Canadian land for criminal acts. Besides, Parliament also formulated the Immigration and Refugee Protection Act (IRPA) and Section 118 of this law was initiated on 28the June 2002 which states that no person or persons are allowed to enter into Canada through illegal means like commitment of forgery, deceiving someone, kidnapping, or forceful pressurizing. It also includes persons who help these criminals by providing transportation, or by recruiting or sheltering them. These people if caugh t are liable to be punished for life imprisonment or fine to the amount of $1,000,000, or both. On 25th November 2005, these measures were made more stringent through passing of the Criminal Code curtailing trafficking and also preventing the people who are involved in the obliteration or destruction of the identity, forging actuate documents to help trafficking and abetting criminals to accomplish their nefarious designs. Even the federal Interdepartmental Working Group on Trafficking in Persons (IWGTIP), under the co-chairmanship of Justice and Foreign Affairs, also assists in the activities to solve the trafficking problems (Raaflaub, 2006). The graver of these two is the terrorism problem for which soon after the terrorists attack on the World Trade Center, Canadian government initiated plans to control both kind of terrorist activities. $280 million had been spent by the Canadian government in its immediate initiatives to strengthen law enforcement agencies with the main emp hasis on quick canvass of fraud-resistant Permanent Resident Card for new immigrants, provision of security for the refugees, quick detention process and deportation, recruiting of highly skilled and trained staff to increase the position of security at the ports, up gradation of the technology, equipments and making all the

Behaviour Management Statement Essay Example | Topics and Well Written Essays - 500 words

Behaviour Management Statement - Essay ExampleDue to individual differences and even disability, the skill of communication and sagaciousness is important. Through this the educator move gain the interest and curiosity of the student, keep it and achieve an open line of communication towards learning,Misbehaviour is an important focus in the learning process of special children because it can hinder the learning process. There ar different reasons why a student misbehaves. ane instance is the lack of understanding with what a student is trying to communicate due to focus on another student. When the student is then asked to participate misbehaviour can occur. One reason is that the student can see the participation of other students and is anxious that he or she cannot perform the task. Another is that the student can see that I failed to understand reasons for the misbehaviour.In such situations, I consider that continuous effort to gain the students attention and interest as a n important itemor. This can be attributed to the fact that communication is the main alley for learning. This can only occur if variation in teaching methods is used. A group of students had different needs when it comes to learning. Some are active learners and others can be considered passive. Thus, it is important to have lessons addressing to both needs. For problematic students, knowing their possible problems such as home issues and peer pressures can in addition improve the approach that can be applied as a teacher. Determining the root of the misbehaviour is essential. As an educator, it is also important for me to prevent actions that can cause and trigger misbehaviour in students such as disregard to the individual differences of the students and failure to determine their capacity thus giving them activities they cannot accomplish. Being a bad example in behaviour and negative form of reinforcements are also needed to be prevented (Conway).The responsibility of an educ ator is not bounded

Neuroscience Dissertation Introduction Essay Example | Topics and Well Written Essays - 2500 words

Neuroscience Dissertation Introduction - Essay ExampleWhenever we fall or cut ourselves we experience pain, sometimes unbearable. Hence, our body tells us to take adequate care of that part so that the damage is looked after. We take the help of various pain killers that are available in the market to examine and get rid of the pain. Apart from the medicines, anesthesia is as well employ to numb the pain. People are given local anesthesia before an operation. These are medicines which commix in our blood and we dont look the pain. Thus, the basic purpose of the pain killers is to numb the problem organ so that we do not feel any pain.It is one of the pain killers, which is the application of electric current through our skin for pain control. This research will showcase the reasons behind its working. We will also notice the intensity and the duration of the current passed into our skin. The unit used for this is called the TENS that is Transcutaneous Electrical Nerve Stimulatio n. TENS is unlike any other pain killers as it does not penetrate into the body. It is a safe nerve stimulation intended to reduce pain, both acute and chronic. There are results to show that TENS can be used as the best pain killer.The constant mode of TENS is found to give a better post analgesic effect for TENS users with chronic pain in clinical trials. However no one has investigated how the harmless feelings can be affected by constant mode TENS. Harmless or non-noxious stimulation is slackly used by the animal to make it aware of the state of its body and of its immediate environment. This can be tested by using a non-painful stimulation method, 2 point discrimination test. Any changes after the TENS treatment can affect the awareness of movements and relative position of body parts. This can be a potential issue for some TENS users with balance problem. An experiment was done on this and was found that constant mode TENS gives a higher pain threshold than relative frequen cy modulated TENS during

Perfect Pizzeria Case Study Example | Topics and Well Written Essays - 500 words

Perfect Pizzeria - Case Study ExampleThis research will begin with the statement that in the situation where the manager changed the time period required to receive free food and drink from 6 hours to 12 hours of work, it could be deduced that the manager was restricting the provision of rewards to the employees. kinda of the perceived rewards (free food and drink) being provided four times per day, by adjusting (extending) the length time within which this particular reward could be availed, the manager actually special(a) the reward to only two times a day. The motivational theory that seems to be applied here is Herzbergs motivation-hygiene theory which actually suggests that the factors involved in producing high job satisfaction are separate and distinct from those that allegedly lead to job dissatisfaction. In the situation, the reward is not linked to the employees job accomplishment but this stimulus is actually linked to the performance of the manager. Thus, the stimuli could be considered hygiene factors (company policy regarding percentage as a determinant of bonus for the manager and fictional character of supervision) the absence of which evidently lead to high job dissatisfaction. In the situation where the manager worked beside the employees for a time and then later to his office it was evident that the alike motivational theory applies. The aim of the manager to work beside the employees is to take the place of inefficient employees while at the same time, train new employees for the position.

Candidate for the position of Chief of the Virtual Police Department Research Paper

Candidate for the position of Chief of the Virtual Police Department - Research Paper ExampleCommunity policing works towards ensuring that some(prenominal) the constabulary and the citizens come together to prevent the occurrences and as well brings resolution to neighborhood conflicts. Community policing emphasizes on stoppage of the crimes or any other malevolent acts before they happen. It does not just deal with just making responses to calls after the occurrences of a crime. Its aim is to prevent the crimes and dealing with it in the process it is occurring. Furthermore, Community policing take care that citizens get a lot of control of their lives quality control and regulation in their societies. The policing would mean that the corps becomes part and a fraction of the neighborhood. Community Policing in any case helps in ensuring that the police get a better understanding and knowledge of the demands of the citizens. Consequently, the citizens leave behind gain trust i n the police officers and their services to the community (Stevens, 1995). They will gain confidence in the police and respect and corporate with them. In other words, the community works hand in hand with the department of the police in the community. If people believe that the community policy is in practice in their society, these people will be more possibly willing to circulate their good opinions, ideas and perceptions of these police. Moreover, in collaboration, both the community and police department will show togetherness in their work for them to accomplish their shared interests and objectives of creating a better and safer milieu to dwell in. Together to attain shared objectives of a safer, better place to live. It is an indication of democracy and freedom in practice.Moreover, community policing is taken as an economic and effective way to enhance the goodness of life within a community. Moreover, community policing also does a very significant role in openhanded m eaning to the two aspects of policing. These are

Using Archaeological evidence, explain how chaging practices in the Essay

Using Archaeological evidence, explain how chaging practices in the treatment of the dead illuminates our wider understanding of the neolithic period - Essay ExampleThe mortuary practices during the Neolithic period in Britain (4000-2500 BC), provides evidence for the underlying complex sociology. Not only do they signify the usance of the dead, but also throw light on other aspects of this age. The following are some of them.The reach of the Beaker Folk The most significant cultural falling out in the Neolithic period is associated with the change in burying practice from communal to single tombs. This sudden change could only be explained by the arrival in Britain of new people, who are now referred as Beaker Folk. They brought from the Mediterranean a new religion and gradually incorporated it into the existing western European culture. Further evidence for this migration is provided by the remarkably different pots that are found in Neolithic monuments. This large-scale chang e in material culture, especially the pottery styles in chambered tombs can only be explained as a result of population movement. (Thomas, 2000)Towards the end of the Neolithic period the British societies were involved in agriculture. These agricultural communities expressed their ownership of land through chambered tombs and earthen barrows, which were used as territorial demarcations. These communities later evolved to form chief-doms.As they became more internally ranked and their chiefs became increasingly successful in redistributing the surplus of agricultural production, they would turn away from communal expressions of identity in monumental form and adopt styles of burial which emphasized their individual prestige. (Thomas, 2000)Another aspect of the society is the authority exercised by the elites. This they wielded through possession of copper and bronze objects, which were displayed in public as symbols of function and also buried as grave goods. (Cummings, 2002)These graves may contain artifacts, but rather than symbols of prestige sacrificed in order

Argument Essay, 1. I believe Existence of God. 2. God does not exist Research Paper

Argument Essay, 1. I believe Existence of theology. 2. God does not exist. For example, like The ontological Argument - Research Paper ExampleIt would be no exaggeration to contend that human thought has been seized with the idea of God, from times immemorial (Safa and Ahmadi D1).Substantiations relating to the humankind of God constitute some of the enduring features of philosophical discussion. Some of the classifications of the corroboration of Gods existence are those that are conceptual or dependent upon aspects of the created rules of order (Cumming 3).It is a mystery, as regards the manner in which supernatural faith interacts with human beings. The highest knowledge relating to God that can be derived solely from philosophical considerations has been defined as the preambles of faith or the praeambula fidei. The few individuals who experience the act of belief, do not find these preambles of faith to be exceedingly enigmatic. These fortunate individuals have testified that the true worshipper enjoys the grace, which can be termed the intelligence provided by faith (Grzesik 258).It is indeed faith that induces one to seek God and thereby admit ones shortcomings. As a consequence, individuals are enabled to comprehend that help from the Lord is essential to avail of the benefits provided by Him and to transform the intellect to understand the higher truths. This entire process of favourable position is critically dependent upon faith (Grzesik 259).Arguments that support or oppose the existence of God can be classified as deductive or inductive. Ostensibly, the existence of God tends to be difficult to establish, despite several of the atheists being rational human beings. This state of affairs has been attributed to certain ontological assumptions regarding the spirit of the world and the nature of God (Crutcher 430).Presumptions regarding the existence or non existence of God, tend to possess a circular nature. This is due to the fact that such ar guments attempt to establish their hypothesis by making an assumption regarding the non existence or reality of

A Rhetorical Analysis of The Video of The New iPhone 5's Keynotes Essay

A Rhetorical Analysis of The Video of The New iPhone 5s Keynotes - Essay simulationI think that the keynote address on iPhone 5 by Phil Schiller attained its objective through proper use visual aids, figures of speech and the speakers confidence among other factors.Cooks message was related to Schillers which offered a perfect transition for the audience to interconnect the federation progress with the new invention. The ingress of the speaker through stating his position was appropriate for the audience to realize that the information being given is first hand, tested and professional. Schillers keynote address is a breakdown of three parts namely the introduction, iPhone demonstration and summary, and conclusion or fade-out. The speaker used various features of language such as rhetoric and proportional analysis to capture the attention of the audience. His prowess in public address is portrayed through the use of rhetoric language. The instances seem to be well nonionic by a qualified public speaker as indicated by the use of less colloquial language such as uhs. The introduction is prevail by the speakers emphasis on the uniqueness and quality of the product through the use of hyperbolic statements such as...it is an absolute jewel.(001348) and simply amazing (01455). Use of hyperbole is meant to exaggerate the quality of the product in relation to other competitors in the market. What an incredible achievement to the company following the invention (01236). This portrays the magnificence of the new product in reference to its performance in the industry.During the introduction, Schiller uses interrogation, and boy, they were right (001253), when emphasizing the popularity that the product has gained in the market. This is in reference to the news on the time magazine that indicated that the phone has changed the phones forever. A detailed presentation of the product is ensured through the use of various technical demonstrations with the

The impact of globalization on HRM in multinational organizations Assignment

The impact of globalization on HRM in multinational organizations - Assignment ExampleIt has brought about an integration of the companies all all over the world and has facilitated trade by way of reducing transportation costs and doing away with the barriers to trade. Globalisation has also facilitated a free f small-scale of goods and service, knowledge, skills, capital and labour. During a strong economic growth period world exports shot up in various countries thereby contributing heavily to the Gross Domestic yield (GDP). Previously, human resource management (HRM) was typically concerned with the cost cutting activities and the administrative activities, focusing on bringing about efficiency in the dust and the minimised the cost. However in the present world the role of HRM has changed and focuses on an organizations long-term objective.The companies business strategies were affected by globalisation in a large manner. The companies had access to a large variety of markets and could market their products in global markets. The emerging markets of the developing countries are of lucrative content to such MNCs who are looking to diversify. Due to the emergence of new markets the external financing sources of the companies also increase. A very important source of financing is Foreign Direct investing (FDI) that has opened avenues for the MNCs to invest in the developing countries. FDI has a dual benefit to both the country and the company. There is a global market for the products of the MNCs. Moreover cod to abundance of labour resources in the developing countries the MNCs often shift their production processes to such countries such that they can carry out production at low costs. Also the political stabilisations across the globe and the favourable relations between the countries have made positive impacts on the strategic positions of the companies. The socio-political globalisation has given grow to regulatory bodies that govern the different policies that mark the path of trade between various companies. The most

Medical Marijuana Essay Example | Topics and Well Written Essays - 750 words - 2

Medical Marijuana - Essay ExampleI, therefore, agree with the health check findings on the office of marihuana for medical reasons and the benefits of medical marijuana.The use and legalization of marijuana have led to controversies in the high society. These controversies consist of opposing views on medical marijuana there are those who are in support of its use and legalization and those who are against its use and believe its use should be banned. According to studies done thoroughly by the medical research and studies, the use of marijuana does translate positive signs of relief when used in the treatment of various medical illnesses. Diseases such as arthritis, depression, HIV, cancer and other chronic conditions affect a Brobdingnagian percentage of the societys population today. With no treatment at all or few treatment and cures for these medical conditions, the use of medical marijuana has been a good alternative to alleviate the suffering faced by these people havin g these illnesses. Marijuana content contains ingredient referred to as tetrahydrocannabinol (THC) which is active. After roll of tobacco marijuana, this ingredient gives the individual a high feeling. According to the American Cancer Society, the active ingredient in marijuana helps in reducing pain and other cancer symptoms. With these concrete research report, the FDA has agreed on the use of tetrahydrocannabinol in marijuana for therapeutic and medical purposes (Anderson, Hansen, & Rees, 2012).Despite the fact marijuana, use for medical reasons may have positive effects on some medical illnesses and conditions on the other hand, it also has its negative effects. Most of the population in the society knows that marijuana is an illegal drug. Approximately seventy-eight percent of marijuana users in the society smoke marijuana for recreational purposes as well as in-person enjoyment. For this purpose, this drug is made illegal in most countries. The law

Comparative Study of Siddhartha (Hesse) and A Hero of Our Time Essay

Comparative Study of Siddhartha (Hesse) and A Hero of Our Time (Lermontov) - Essay ExampleA closer look at the two characters, however, makes several evoke revelations. Siddhartha was born a prince. But he was not happy with what he was and what he saw in the world around him He was a source of gratification for every torso, he was a delight for them all. But, he, Siddhartha, was not a source of cheer for himself, he found no delight in himself (Hesse 4). He saw no meaning in the traditions and rituals of Hinduism and the Vedic culture, the only religion in India at that time. The curiosity to find the meaning and purpose of human existence made him restless. The corresponding restlessness, radicalism, cynicism and scorn for the existing institutions characterize Pechorin. His flaws not withstanding, it must be said that Pechorin, much like the Buddha, was self-aware and self-absorbed Pechorin Mine is an unfortunate disposition whether it is the chair of my upbringing or whether it is innate I know not. (Chapter IX). When the world tends to call Siddhartha a saint and Pechorin a nihilist, it indicates that the points where the two began their journeys were close though the points where they ended up might be poles apart. That was bound to be despite a high level of awareness because of the difference where their centers lied. Pechorin was self-centered and Siddhartha was other-centered Siddhartha Once every desire and every urge was silent in the heart, then the ultimate part of me had to awake, the innermost of my being, which is no longer my self, the great secret. (10). One advocated the conscious destruction of desire term the other believed in deliberately destroying the people who came in the focal point of his fulfillment of desires. Again, for both, these ends were more important than life itself. One of the prescriptions of the Indian asceticism was to starve the body so that the craving for worldly subjects would gradually be vanquished. Sidd hartha had a correction to make. Though he was against overindulgence, his notion was that a tired, inactive body and mind cannot cause themselves for liberation or salvation unless the basic needs are fulfilled. This is in close proximity to the essence of Abraham Maslows theory of motivation in which he gives physiological needs the importance that is due to them, but only to that extent. From this perspective, Pechorin has striking clarity as to what the basic needs of humans are. He declares without mincing course that power and lust are fundamental for happiness Pechorin Ambition is nothing more nor less than a thirst for power. To be the cause of suffering and joy to another without in the least possessing any definite right to be so isnt that the sweetest food for our pride? And what is happiness? Satisfied pride. (Chapter VIII). One thing that can be established beyond doubt is that the characters under study were quite different from the rest because of their attitude. At a time when everyone else was content with the way things happened, they were bored with them and begged to differ. This boredom made them set out on their journeys of exploration. They reacted to the events of life in a unique way. Both were unable to identify themselves with their contemporaries. They did not still want to live life but sought to feel life, to experience it. Siddharthas renunciation was as much motivated from this desperation as Pechorin

UK retail sector during financial crisis Dissertation

UK sell arena during financial crisis - Dissertation ExampleThe data are used in an extensive review of lit and as comprehensive resources that informed the analysis and the discussion of the study. While the findings are not definitive, this studys investigation was able to provide suggestive details supporting the positivistic relationship between the UK protectionist measures and the performance or the survival of the retail sector after the crisis struck British shores. The impact of the financial crisis especially on the forthcoming developments and trends in the UK retail sector was besides identified. This was based on the expected response on the part of the policy networks and the industry decision makers. Several problems were also cited both on the part of the government and its policies and, on the side of the retail industry. The study was able to propose possible solutions and modifications to existing policy attitudes towards the retail sector based on t he lesson s learned from the financial crisis experience. INTRODUCTION The retail sector is an important component of the United Kingdoms economy. A prominent part of the industry is the British Petroleum, ranked second in the European continent and the biggest industrial incorporation in the UK. The sector also complicate the vibrant mechanical engineering and manufacturing sectors, which are both important in the British export output (Hiles, 2010, p.39-46) Then, there is the financial institutions such as coronation firms and the banking institutions, which serves one-tent of the global financial requirements. The aggregate turnover of the entire retail sector accounts for a significant portion of the countrys gross domestic point of intersection (GDP). The sector ranks fourth in the global trade market. It is a leading player in the European Union and that it is one of the largest industries in the whole of Britain. It is not surprising, hence, when the British government provides it w ith special protective measures because any instability can result to a crippling effect to the entire economy (HM Treasury, 2009, p.23-25). This is particularly highlighted during the series of financial crises that hit the world in the past decade. For instance, when the 2008 financial crisis that originated in America spilled over across the globe, the British consumption experienced some disturbance. The retail sector was hit as the economy immediately contracted by 0.5 percent (UK Parliament, 2009, p.139). The consumer attitude and purchase behavior showed signs of dampening, which can affect the sector in the next few years or so. In a recent survey by Data Monitor, it was found that 90 percent of the British consumers look at that the country is in recession and that 47 percent reported a worsening of personal financial situation (Market Watch, 2009, p.73). The report found that majority of the consumers is in the process of making changes to their lives and purchasing beha vior and that previous purchasing patterns can only be maintained

Character analysis on young Goodman Brown Thesis

Character analysis on young Goodman Brown - Thesis ExampleIn Young Goodman Brown, the character of Brown changes from faith and innocence to rot and doubts as the beats distorts the way he calls and perceives valuable people in his vitality.The faith and goodness of Brown are seen in the way he treats his father, grandfather, minister, and wife. He looks up to the goodness of his father and grandfather and the minister. Brown believes in the true Christina nature of the minister of Salem because he is a man of God. His wife Faith gets into his life a young immaculate and beautiful woman. He invests all his trust in the life of his wife, and life seems good in his belief that he has set up a true partner to share his life happiness and glory. Faith is a staunch Christian, who is an epitome of good and purity but not until the devils come knocking on their doors.Browns innocence is lost when the devil visits his home and changes the way he views the valuable people in his life. B rown interjects, what if the devil himself should be at my very elbow (9). His wife Faith is no longer the pious and religious figure, and he hopes that the character would persist for the rest of her life. However, the arrival of the devil elicits doubts about the true nature of faith. He starts doubting her after seeing him in the evil ceremony in the forest. The devil also reveals the cardinal followers, Deacon Gookin, and Goody Cloyse that Brown has known all along that they are staunch Christians (Hawthorne 16). The character of Brown here is seen to shaky because he is convinced to think otherwise about the community he has known his entire life.The arrival of the devil changes the faith and innocence of Brown to corruption. The evil nature of the people well-nigh him comes as a surprise, and that convinces him that the entire Puritan society is hypocritical. The revelations that come to him give him a different perspective of the society that he knows professes its Christia n faith in

Cultural Awareness Essay Example for Free

Cultural Awareness EssayThe popular book Interview with the Vampire by Anne Rice is a novel that is responsible for the revitalization of the vampire genre in popular fiction. The book itself tells an interesting story about three vampires Lestat, Louis, and Claudia. The twaddle is told from the perspective of Louis, a Creole American plantation owner in pre-Civil War America who catches the eye of Lestat, a vampire who is roaming the world alone, in occupy of a companion. Louis is depressed because of losing his family and therefore is suceptible to Lestats eagerness to make him into a vampire, which he does. The plot of the book revolves around these two characters as they live together. Louis hates what he has become and loathes taking life but makes Claudia, a little five year old girl, into a vampire as well. The relationship between Lestat and Louis, and their dual-lane love of Claudia, is depicted throughout the novel as Louis struggles with his immortality, Lestat face s the betrayal of Louis and Claudia, and Claudia matures mentally without every growing physically. Their struggles with each other and against each other becomes the driving reap behind the novel.The setting of Interview with the Vampire is primarily Paris and New Orleans before and after the Civil War. The vampires live together in a flat, where much of the action takes place between all of the characters. The reader is led through the torment of the plague in Paris, the customs of the slaves in New Orleans, and the underbelly of these two cities where Lestat, Louis, and Claudia find the people that they feed off of each night for their sustenance and strength. The characters found within this book are Lestat, Louis, Claudia, and Armand.These main characters show themselves throughout the novel to be interesting and complex. The character of Claudia emerges as a young girl whose mother has died of the plague and who Louis feels extremely sickened about when he feeds off of her. Lestat past helps him create a vampire out of her. Armand is the leader of the coven in Paris and becomes a close companion of Louis after Lestat and he go their separate ways. for each one character brings a new dimension to the story.

College degree Essay Example for Free

College breaker point EssayThe quest for college degree has brought us to here(predicate) HCC, because there was no real fulfillment in our various jobs. The benefits from having a college educational activity are manifold and range from jobs satisfaction, higher earning potential, and healthier life modal value choices. With the advances in technology, many of todays jobs now require more than a high teach education or trade skills. Success in the workforce is progressively defined by the ability to think critically, manipulate a computer, and to work collaboratively in a teaming environment. Todays college education develops these abilities, providing individuals with invaluable business and personal skills and knowledge, as swell up as opening the door to better career opportunities and increased earning power. Having a college degree is linked to higher pay. People with a higher level of education are more satisfied in their jobs than people who only need a high school diploma. For example, in 2012 the median of earnings for unripe adults with a bachelors degree was $46,900, while the median was $22,900 for those without a high school credential and $30,000 for those with a high school credential.In other words, young adults with a bachelors degree earned more than twice as much as those without a high school credential (105 percent more) and 57 percent more than young adult high school completers. (National Center for Education Statistics website). One of the biggest arguments against a college education is not being able to go work when you turn eighteen. umpteen people believe that this bequeath cause them to fall behind and not be able save up enough money.A college education will let you skip the line and start working with better jobs, in better places, with better conditions, and on top of that, the unemployment rates for high school graduates have increased to 8. 1% in the last year (Value of a Degree). The bottom line is that better j obs come from a better education. College education will help oneself in making good choice and have a healthier life style. Apparently those with a college education are more likely to cash in ones chips healthier lifestyles, with fewer incidences of smoking and obesity.The gap between smoking rates of those with high school diplomas and those with four-year degrees has risen from 2 percentage points in 1962 to 17 points in 2012. College-educated adults of all ages, and their children, are also less likely to be obese. In addition, mothers with higher levels of education spend more time with their children, regardless of whether they are active or not (Top Universities). Also in the other hand, according to Malcom X Education is the passport to the future, for tomorrow belongs to those who prepare for it today. The Luck of education is a effective problem today. Some effects include illiteracy and increased drop rate, this is also leads to have a trouble finding work. It is dif ficult to see the drive value of your education in the beginning. However, finishing high school is an asset that everyone with the opportunity should take full reward of. Just finishing high school opens up some doors, but not many. On the contrary, not going to school can result in higher unemployment and therefore a manner for extra burden on the society.You can see from the chart that there is a dramatic difference between what a person will be paid with a diploma and as a college graduate. According to the chart a college graduate can bring home nearly fifty-percent more than a person with a high school diploma. Higher education opens up opportunities for people. It gives student the experience and the confidence that they will be able to use in many life situations. Attending college gives students opportunities to express themselves and to require about other people and their ideas.Although college isnt for everyone, everyone should at least give it a try. By going to col lege you learn to become independent, you go into the race for bigger, safer, better jobs, and you make more money on the other side. If you are given the opportunity to go to college, you should take advantage of it. You might even find out that you like it. The college experience is both academic and practical. College gives us a great opportunity to grow intellectually and gives us a chance to mature.

How People with Disabilities Are Viewed and Treated Essay Example for Free

How People with Disabilities Are Viewed and Treated Es declargonWe live in a connection where the great unwashed are judged for who they are and if they seem to require any type of flaws those flaws tend to make up who the person is. People with disabilities shouldnt be judged by their disabilities. Our society has come a long air in accepting people with disabilities but we still have more to do seeing as the harsh judgment still exists. We need to be able to live in a society where people do non judge, can accept others for who they are and help others who may need some assistance or guidance do to a disability, especially electric shaverren. They are our societys future. Just because they are disabled doesnt mean they are not a part of the whole or that they cannot possibly make a positive difference in the world. As the infor eartht of the article, A Child with Down Syndrome Keeps His Place at the Table points out that we have made a lot of progress for children with D own syndrome in the United States. Most of that progress he points out is their rights to go to give instruction. They have progressed from just being keyd as needing to be somewhere special, a place of horrific mistreatment.Such a place was exposed in a hidden camera objective filmed by Geraldo Rivera in 1972 for severe neglect and mistreatment of the residence that all had some sort of disability. This place was Willow Brook State School and was determined on Staten Island. His exposer of this schooling was a small part in a large change where advocates for the disabled, committed parents, as well as others fought for the rights that are immediately in place today. Even with the some(prenominal) advances in society in that respect still remains open bigotry though not as much. though most are discrete and not as straight forward the hostile judgment is still there.The word retard is used in school yards between students and in movies but is not seen so much today as bigotry but as just being a endorsement edgy. Why as a society do we feel the need to dehumanize one another? Our society makes it very difficult for anyone with a disability to function freely in their own lives and to live without criticism. The author asks the question, What is it about intellectual disabilities we find so difficult? The focus of these disabilities tends to be on the positive qualities such as being cute or happy or sweet.This is meant to compensate for the disability. I see it as singling out a person because of their disability and using it as a way to make the disability easier to deal with and as a way to handle being around the person. I see this as being a bit degrading and selfish even. I believe that our society has come a long way in being able to accept people with disabilities. I also believe that we still have a ways to go. I have seen the veracious and the not so good in the way children with Down syndrome are accepted and/or treated because my niece Ba rbara has Down syndrome.Barbara does not speak but her school has been wonderful in teaching her to communicate using sign language over the years and recently started using a speech generating device. The device is to recognize the words she is saying and the words she is trying to say. The medical and educational treatment for children with Down syndrome has really improved over the years even just since the fictitious character at Willow Brook State School. Sadly, there are still reports of abuse in state owned home(a)s and hospitals for disabled individuals. I am positive(predicate) that there are places that have cases of abuse that have not been reported.Sometimes people just ignore what is going on because they fear they may fall asleep their job. With the advances in mental health care less people have to send their children in to homes or hospitals. They are able to keep their children at home and receive in home care and mobile therapy. The schools offer extra help fo r these children so that they are able to be more focused on to get all the help that they need. The schools also offer special outings and activities that are helpful in their education and to give them more of an opportunity to interact with their classmates.The author of the article points out that he is a parent of a child with Down syndrome. With the subject being very personal to him he does not heavy angry with the way the people in the restaurant were treated. He doesnt seem to be judgmental in anyway. He simply points out what happened and mentions facts relating to the perspective. He does offer his opinion that the host in the story did the right thing in speaking out and stand up for the boy. Even though the waiter could have lost his job for speaking out, he still did.I believe that the waiter did do the right thing and as the author pointed out, by speaking out for the child it shows that society has grown to accepting people disabilities and that they even have co mpassion for them. Should the waiter be considered a hero for standing up for someone who is being pointed out publicly for their disability? The author asks the same question. Personally, I come int know if I can return of the act as heroic. I do believe as well that it was most definitely the right thing to do and it did take courage to say something knowing there was a risk of being fired.I am very curious to know if the waiters boss was aware of the situation and if so what was their opinion on what happened? The author did not mention that in the story. I think it would have been important to point out if the boss was charitable toward the child and his family or if they agreed with the customer who made the remark. I find it very inspiring that despite the harsh words and uneducated thoughts people behave toward people with disabilities, the people with the disability usually do not judge in return.They clearly see the meanness coming from another person and they dont have it in them to hold hard feelings. I wish we were all able to have such open and caring hearts. Why do we have such a selective view of things? Why do we have to be afraid of the things that are not normal to us? Having a disability does not make you less of a person. Having a disability means that you may have to work harder to do somethings that seems to come slow to anyone else. No person will ever be perfect so there is no reason for society to push the idea that anyone can be.We are all flawed in one way or another. Our flaws are what make us unique and make up who we are. The author pointed out that the child being in the restaurant made a statement that he was someones child. I dont think we should have to explain or point out anything. The boy and his family should have been able to walk in to the restaurant and sit down and enjoy their meal peacefully, as the man who made the remark would expect to happen for his self or anyone he may have been seated with.If the boy beca me loud and disruptive then that should have been the issue not the simple fact that he was there and looked different. We live in a very intelligent world filled with many advances in technology yet we are not educated enough nor advanced enough to get along with one another. I think there should be more programs in schools to teach children more about life and basic lessons on being humane. The schools should have classes with specific lessons on mental health and disabilities.If children are more familiar with these types of things they may be more accepting and less judgmental. For some reason we tend to fear the unknown and are not always equipped with how to deal with our fears. With having so many issues today with bullying in schools it should be mandatory to have classes educating children on how to treat people, especially people with disabilities and teach them it is not acceptable. I think being aware bigotry still exists and educating on the issue would make a big diffe rence in getting us closer to a more accepting society.

Pain Perception And Processing In Alzheimers Disease

suffering Perception And Processing In Alzheimers DiseaseAlzheimers patients feel imposition as powerfully as others. Pain perception and processing are not diminished in Alzheimers disease, thereby raising concerns about the current inadequate treatment of anguish in this highly dependent and vulnerable patient group.Pain activity in the brain was just as strong in the Alzheimers patients as in the healthy volunteers. In fact, pain activity lasted longer in the Alzheimers patients. Pain whitethorn be even more bewildering to more severely affected patients. The experience of pain may be more distressing for these patients on account of their impaired ability to accurately appraise the unpleasant sensation and its future implications.Doctors basis use a tool called the Pain and Discomfort Scale or PADS. Its a system for evaluating pain based on seventh cranial nerve expressions and body movements. People caring for person with Alzheimers disease or other aberrations can do an even better job than doctors can. Caregivers feature an incredible capacity even beyond doctors to know the port of the person they are caring for and to look for the times they are in discomfort or pain.The trick is to watch the facial expressions and movements of patients when they are not in pain, both during sleep and waking hours. Using this as a baseline, you should be attentive to circumstances where they seem agitated, where eye contact is altered, where there is grimacing or a facial expression indicative of discomfort.As Alzheimers disease progresses towards the later stages, the ability of the affected person to communicate becomes increasingly compromised. Caregivers can no longer lease are you comfortable? or, are you in pain? and get a reliable answer. A caregiver has to interpret what behavior means. Are shouts, screams, severe withdrawal, aggression, delinquent to confusion, something else, or are they signs of pain?The way in which a normal person experience p ain differs. Pain is a subjective experience. People who have problems communicating are disadvantaged. Research into the prevalence of pain in elders in nursing homes is estimated at between 40 and 80 percent. There is evidence that multitude with cognitive disabilities may have an even higher risk of being under-medicated for pain. Painful conditions such as arthritis, cancer, urine infections are sometimes not set with painkilling medications. Even when people can communicate effectively research suggests that observers tend to assume that people everyplace-report pain either verbally or in their facial expressions.Effective pain management for people with dementia is a complex issue. Families and health professionals caring for people with dementia have to acquire new skills and it can be a rather hit and miss situation.The first step in pain management is assessment of the discomfort. perspicacious painsyndromes commonly pass off injuries, surgical procedures, etc. and req uirestandard anodyne or narcotic management. Acute pain syndromes are expected tolast for brief periods of time, i.e., less than hexad months. Pain that persists for oversix months is termed chronic pain. Chronic non-malignant pain requires a morecomplex strategy to minimize the use of narcotics and maximize non-pharmacological interventions. Acute pain rarely produces other long-termpsychological problems, such as depression, although acute discomfort willproduce distress manifested by acute disturbance or agitation in the demented patient.Mildly demented patients can become agitated or anxious with pain because theyrapidly forget explanations or reassurances provided by staff. Amnesticindividuals may forget to ask for PRN non-narcotic analgesics such asacetaminophen and these patients need regularly scheduled medications.Disoriented patients do not realize they are in a health care facility and aphasicpatients may not comprehend the staffs inquiry about pain symptoms.The symptom s of pain expressed by patients with moderate to severe dementiainclude anxiety, agitation, screaming, hostility, wandering, aggression, failure toeat, and failure to get out of bed. A small number of demented individuals with upright injury may not complain of pain, e.g., hip fractures, ruptured appendix, etc.Assessment of pain in the demented patient requires verbal questioning and direct remark to assess for behaviors that suggest pain. Standardized painassessment scales should be used for all patients however, these clinicalinstruments may not be valid in persons with dementia or psychosis. The pastmedical history may be valuable in assessing the demented resident. Individualswith chronic pain prior to the onset of dementia unremarkably experience similar painwhen demented, e.g., compression fractures, angina, neuropathy, etc. Theseindividuals can be monitored carefully and non-narcotic pain medication can beprescribed as indicated, e.g., acetaminophen on a regular basis, antic onvulsants forneuropathy.The management of pain in any person requires careful consideration about thecontribution of each component of the pain circuit to the galling stimulus.Neuropathic pain is produced by dys social function of the nerve or sensoryorgan that perceives and transmits noxious stimulus to the level of the spinal cord.Persons with serious corroborate disease may have herniated discs that compressspecific nerve roots. This pain is often positional and produces spasms of themusculature in the back. The brain interprets pain in a highly organized systematic pattern. Discrete brain realms interpret and translate painful stimuli from specific body regions, e.g., arm, leg, etc., misfire in that discrete brain region will misinform the person that pain ordiscomfort is being experienced in that limb or part of the trunk. A person wholoses a limb from trauma or amputation may continue to experience painfulsensations in the distributions for that limb termed phantom limb pa in.Management of chronic pain involves tercet elements (1) physical interventions, (2)psychological interventions, (3) pharmacological interventions. somatogeneticinterventions include basic physiotherapy that incorporates warm or coolcompresses, massage, repositioning, electrical stimulation and many othertreatments. hallucination patients need constant reminders to comply with physicaltreatments e.g., using compresses, sustaining proper positioning, etc., and many donot cooperate with some interventions, like nerve stimulators or acupuncture.Physical interventions are particularly helpful in older persons withmusculoskeletal pain regardless of cognitive status. Psychological interventionsusually require intact cognitive function e.g., relaxation therapy, self-hypnosis, etc. queasy patients generally lack the capacity to utilize psychologicalinterventions however, management teams should provide emotional support tovalidate the patients suffering associated with pain. Demented p atients mayexperience more suffering from pain than intellectually intact individuals becausethey lack the capacity to understand the cause of their discomfort. Fear, anxiety,and depression frequently intensify pain. pharmacologic management begins with the least toxic medications and followsa slow progressive titration until pain symptoms are controlled. Clinicians mustdistinguish between analgesia and euphoria. Some medications that appear to havean analgesic or pain relieving effect actually have an euphoric effect, whichdiminishes the patients concern about perceived pain. The goal of painmanagement is to remove the suffering associated with the painful stimulus ratherthan making the patient euphoric or high to the point where they no longer carewhether they experience pain. Euphoria-producing medications can causeconfusion, irritability, and behavioral liability in patients with dementia. Narcoticaddiction is not a common concern in dementia patients as these individuals have alimited life expectancy and rarely demonstrate drug-seeking behaviors.Pharmacological interventions always begin with the least toxic, i.e., leastconfusing, medications. A regular dose of acetaminophen up to 4 grams per mean solar daywill substantially diminish most pain and improve quality of life. Clinical studiesshow that regular Tylenol reduced agitation in over half the treated patients.Chronic arthritic pain with inflammation of the joints may also respond to non-steroidal anti-inflammatory (NSAIDS) or Cox-2 inhibitors. The gastrointestinal toxicity associated with NSAIDS is greater than that of Cox 2 inhibitormedications. Patients who fail to respond to non-narcotic analgesics shouldreceive narcotic-like medications, i.e., Tramadol. Patients who fail to respond tomaximum doses of Tramadol, i.e., 300 mgs per day, may require narcoticmedications.

Naipauls The Mimic Men: Mimicking Decultivation

Naipauls The imitate men Mimicking DecultivationNaipauls The Mimic Men Mimicking Decultivation The Mimic Men sets the t iodin and only(a) of Naipaulian disquietude of the crude World conditions and their deep impact on unrivalleds psyche. For it is important to call up that Ralph Ranjit Kripal speak, the exiled ex-politician hero of The Mimic Men is an insider, unity who has practiced the most dubious forms of compound mimicry as a politician and dandy, as husband and business human being and sees by means of the charade of politics, the deep humiliation and self contempt that results from defeat and failure. Naipauls The Mimic Men is divided into three parts and surprisingly the author has kept the name of the protagonist a secret until the beginning of the second part. The action of the head start part takes place in London in the protagonist Ralph gibbers youth. He has incur there as a student on a scholarship. He lived in the boarding ho design owned by one Mr. Shylo ck. The house- lifeer is a Maltese woman known as Lieni. The narrator counts plenty of experience to unless himself from extinction and the resulting dust to dust rags to rags fear to fear ( Mimic Men 48). In fact, the word extinction has been used in a number of times in the impudent. The seat where the narrator finds himself is an existential nothingness and he says, The tragedy of power care mine is that there is no way rarify. There tolerate be only extinction (Mimic Men 48). By the time the narrator looks back and begins to write his past, he is forty. Later when the narrator took to writing like his manufacturer Naipaul himself, he says, that he did so in mark to give expression to the restlessness, the deep disorderwhich this great upheaval has brought about. ( Mimic Men 38) Part II of the novel talks about the protagonists unhappy nestlinghood, unenterprising boyhood and the pressures that exerted him to leave his native island Isabella. He hailed from a poor famil y background in his words, On Isabella when I was a child it was a disgrace to be poor (Mimic Men 101). He descended from generation of idlers and failures. That caused him deep, silent shame (Mimic Men 101). Though his father was a schoolteacher and poor, his incur was from a rich family. Her brother Cecil was at school with the protagonist. He used to imagine that his father had landed on the island after his ship had been wrecked and he had lost each hopes of going back. Part II also talks about his Aryan background in India and how he added another name to his trustworthy name of Ranjit Kripal Sing. Ralph Sing is the exemplification of thoroughly, psychologically colonized man, one who knows both the hurts and the excitements of the short-lived euphoria of inconsequential empires of our times. The burden of guilt and betrayal, the consciousness of a incorporated shipwreck which all imitative and third-rate mimic societies suffer, makes Ralph Sing the voice of a quiet accept ance of colonial complicity. Ralph is the mimic man raised through a thorough-bred colonial education. The vision of disorder that haunts Sing is not only political, though. He can see no link between action and its result, man and landscape, the perennial reminders of slavery and brutalization. So, in the end a kind of neurosis sets in to carry Sing to the limits of self- derision. In part III the narrator Ralph Sing shares the ups and downs of his notwithstandingtful life in Isabella soon after his coming over to that island nation with Sandra his wife from London. His marriage and his entry into politics were aberrations, whimsical, arbitrary acts(Mimic Men 219). Sandra quietly left him on a shopping trip to Miami. She never returned. And he never heard about her after that. It was with the instigation of one of his friends Browne that he became a politician. Browne was a man of the people. He was editing a newspaper called Socialist and was regularly contributing articles in i t. Like Browne, Ralph Sing was not a thorough politician. He did not want to make a quick buck. The prospect of power in Isabella fatigued him. He felt he had no hold with the earth. He had no positive vision and hope. He had only a vision of a disorder which it was beyond any one man to put it right (Mimic Men 248). After 4 long years Ralph Sing was in a dilemma whether to return to Isabella as a failed politician or to stay back in London. In order to situate some respite from his terrible loneliness and to boost up his self-image, he went to a brothel. With her also he failed as a sexual partner. His partner, to quote his words, was in despair. The smile of hysteria was replaced by tears she reproached her self for my failure (Mimic Men 283). Quite secretly he went back to Isabella. He had thrown away his power. Such a state psychologically decolonized him. The mimic mans emancipation is impossibility, knowing the stagecoach to which he has betrayed and violated himself, killin g all truth and native purities. The precariousness of colonial or post-colonial leader, high-pitchedlighted in The Mimic Men, is his slavery to the West on the one hand and his unease with his portion of the world. The imported culture, economy, industry, institutions and education are the mark of societies that Sing or Browne hoped to retrieve from disorder. Sings escape, his stay-back in London after the commissioning has gone back to Isabella follows a penultimate, short visit to Isabella. But his ultimate exile in England is the most fruitful for him, for he is once again, as he says, in well-organised country and he has no wish to go back to the cycle of events he has freed himself from. Ralph Sing, the mover between cultures and geographies, politics and exile, finally turns a double-dyed(a) colonial, waiting perhaps to work on a history of the British Empire. Sings trying to find a settled role in a gild defined by the extremes of Negro proletariat on the one hand and th e ex-colonial Creole aristocracy on the other, presents the difficulty to place himself and the world he has come to. The attitude of the reader to Sings renouncing of public life, rejecting its emotions as fraudulent and settling down to write a memoir, will naturally be confused. Naipauls tendency for engraving and follow one narrative over the other reaches a limit in The Mimic Men. V.S. Naipauls postcolonial citizen helplessly reveals doubleness of identity in his existence whether in his island Isabella or in his city of choice and dream, London. Along with doubleness, irony and black humour also go with it. In fact such are the popular devices of Naipaul in all his fictional works. Ralph Sings increasing tension and alienation wherever he is, is a result of this awareness. He is also not able to identify with the colonizer though he find himself in his own colonizers state and gets the colonizers education and speaks the colonizers own language. The case of Ralph Sing it is s imply not possible for him to shake off tilt and disunity. He chose London because he thought that a glamorous city like London could help him beat his sense of alienation. But London fails because Ralph Sing does not have a distinctive cultural identity with one particular culture. What Shashi Kamra points out as the general characteristics of a Naipaulian protagonist quite ably fits in Ralph Sing ofThe Mimic MenNaipauls narrator, subverting the chronological and objective order he has created through subjective ordering of his protagonists life and by questioning that order in his tone of irony and satire, creates the terror of placelessness and timelessness as a void- a pit without bottom. (79)Works CitedKamra, Shashi. The Novels of V.S. Naipaul A Study in Theme andForm. New Delhi Prestige Books, 1990.Naipaul, V.S. The Mimic Men. Harmondasworth Penguin, 1969.Should Guns be Permitted in Colleges?Should Guns be Permitted in Colleges?There are many debates over the question Shoul d shoots be permitted on college campuses. They should not be permitted because there are people with anger issues, violence , kills caused by alcohol, and committing suicide from depression/stress.Anger issues is one of many examples of why guns should not be permitted on college campuses. Having such an issue is already dangerous because people tend to take that anger out with yelling or pushing. People with that problem tend to scud quickly with vindicatory the equipment casualty use of words. So theres no way of telling what might go through a persons mind having a gun on him. Would they take it out with shooting someone for a miss understanding? For example theres a naval division going on and everyone except one of the students is working, and the teacher tells one of the students to turn his phone in to her because he was on it instead of working. The teacher ask several times but the students decide to keep refusing to hand it to her. When the teacher decides to walk o ver and ask one last time he can easily take that as a affright because the teacher is in his personal space. When that goes on he decides to pull out his gun and shoots the teacher because of a problem so small. Not only is the teacher dead but the other people in the class are in danger as well. To prevent this from happening the option of weapons allowed shouldnt be allowed to the students. some other reason guns shouldnt be permitted is because of the use of alcohol. When being consumed with too much alcohol you dont think straight, which may cause you to make a bad decision, at the wrong time. There are many parties in colleges where students are introduced to huge amounts of alcohol. For example one of the most popular students on campus throws a huge party in one of the dorms where there is a lot of acholic beverages. After a couple of hours when everyone is drunk a guy gets a drink spilt on him. His reaction to the situation is going to be a lot different because of the fac t that he is under the use of a high amount of alcohol. So when the drink is spilt on him he gets extremely mad so without thinking twice he pulls out a gun and shoots the person that spilt the drink on him. After this happens he starts freaking out because he realizes what he did so he gets scared and starts shooting all the witnesses there. From him carrying that gun caused him to put everyones life at risk and because of him being super influenced by the alcohol at the party. Theres already plentiful dangerous situations because of drunk driving at the campuses no need to put to a greater extent dangerous situations. some other dangerous situation that can be caused is if there are people with violent behavior. Violent behavior can be defined as the use of physical force with the intent of physical force. An example would be if there was a class going on and one of the students in there is one of the violent students that dont like being told what to do. The teacher is giving t he class because he was being loud and all the students were paying attention to him instead of the teacher. When the teacher decides to get on to him he tells him that no one tells him what to do that he doesnt care who it is and who ever disrespects him like that will pay the price. The teacher replys by saying that is his class and he talks to anyone however he wants. The arguing continues until the student finally gets tired of him he decides to reach in his bag and shoot the teacher. He bonny killed someone in front of a whole bunch of witnesses. So now he could either put his gun down and surrender or turn even more violent because there are witnesses around. Another option he could do is keep them hostages and keep them there until the authorities advert his commands. Everyones lives are at risk now because the opportunity was given to him to bring a lethal weapon.One of the biggest and most dangerous situations come from depression and stress. most of the schools shootings that happened the year of 2015 were because of depression.There are plenty amount of shooting cases happen because of the amount of bulling going on in the schools from elementary schools to colleges. A great example is if theres a student being bullied throughout the whole school year just because he has no friends and always tries to fit in with the rest of the kids. He gets bullied because the way he dresses and because his parents arent financially stable. Hes been holding all that anger of getting bullied ever since he was little because he knows in a fist fight he wont win against the other guys. In college he gets messed with too but even though it isnt as bad as it was in high school the other students still play pranks on him. Ever since the bullying started he would write down the names of the kids bulling just so he could remember who they were and the pain and embarrassment the would make him go through. One day in the middle of the year of his sophomore year of college he just had enough he was going through depression because he had no friends and he was going through a lot of stress because he was trying to keep his grades up but the other students would throw paper balls at him or just laugh at his clothes theyd do anything to keep him from learning. The day he had enough though he started planning on what he was going to do to stop the problem. He would go to pawn shops and buy guns to help him go front with his plan and since the college had permitted the students to carry concealed weapons, he would have no problem getting in the college with the gun.After he buys his ammunition and guns now he just waits for the day of the plan to come and to finally get his revenge on all the students that made him go through depression and that would bully him into lots of stress. side by side(p) thing you know the day of the plan comes and he prepares everything he puts the small guns in his pockets and the bigger ones in his back pack. He pulls up to the college and goes to class like if it was any other regular day of school and as the class starts the students that always mess with him start throwing paper balls and spit balls at him. He gets up and turns to look at the group of guys. He reaches in his pocket and pulls the first weapon out and starts shooting one by one the students go down dead. Then he starts walking around the campus looking for the rest of the students on the list. After hes finished killing as many of the students as he can, he may commit suicide because he doesnt want to accept the consequences and hes juts tired of being bullied and stressed and just believes that its the only way out. The option of weapons allowed in colleges shouldnt even be in mind. There are a lot of cases where there are people killed because of fire arm accidents and why put peoples lives even more at risk when theres no need to.Work CitedA Bullet for Teacher Violence in schooldayss. Economist 24 July 1993 A26. General OneFile. W eb. 8 Feb. 2017.fear Factors The Three F Words. Officer.com Feb. 2017 n. pag. General OneFile. Web. 10 Feb. 2017.OMeara, Kelly Patricia. Antidepressants May Trigger School Shootings. School Shootings. Ed. Susan Hunnicutt. Detroit Greenhaven, 2006. N. pag. At Issue. Opposing Viewpoints In Context. Web. 10 Feb. 2017.OMeara, Kelly Patricia. Antidepressants May Trigger School Shootings. School Shootings. Ed. Susan Hunnicutt. Detroit Greenhaven, 2006. N. pag. At Issue. Opposing Viewpoints In Context. Web. 10 Feb. 2017.Students, Administrators Share Thoughts, Questions on Proposed Conceal Carry. Janesville Gazette Janesville, WI 15 Oct. 2015 n. pag. General OneFile. Web. 6 Feb. 2017.Three Wounded in Shooting at Texas College Not Designed to Bring Us Together GOP Obama Wants Era of Liberalism Reports Two. Situation Room CNN 22 Jan. 2013 n. pag. General OneFile. Web. 6 Feb. 2017

Paediatric Nursing Teaching Session: Reflection and Analysis

Paediatric sustentation for Teaching Session Reflection and AnalysisCritically analysing a program line school term which has been undertaken in lend oneself for a child or young about body.This reflective essay explores and analyses a teaching session carried out with a young person within a paediatric nursing setting, in order to evaluate positive aspects of the session, skills involved and skills developed on the part of the nurture during the session, the effectiveness of the session, and the ways in which this use could have been improved to better meet the withdraws of the leaf node. The client chosen is a 13 year old girl with Type 1 Diabetes, who, having make the decision to become independent in her glycaemic engage and in managing her condition, was admitted to the childrens ward after a hypoglycaemic episode.The focus of the session was on re-educating the client in good practice in self-administration of insulin. Up until the period shortly before her admissi on, her mother had been administering BD insulin injections before school and in the evening. The client, who shall be called Sheila for the purposes of this essay (the relieve oneself has been changed to protect confidentiality), had asserted her independence and demanded to be allowed to carry out our have got injections, unsupervised, but after the hypoglycaemic episode, the question was raised whether or not she was up to(p) to draw up the correct dose. Therefore, the session was set up to allow Sheila to revisit the correct procedure for potation up and delivering the correct dose of insulin in the correct manner. Confidentiality has been maintained throughout this essay by anonymising the personnel involved, and by ensuring no identifying details are used at any saddle. The importance of the teaching role within paediatric nursing will be discussed in the light of this activity and experience, and some recommendations for good practice will be bony from this.The client c hosen provides an interesting case because this is a young person who can be viewed as being in transition, between childhood and the incursion of adolescence, asserting more maturity and independence in her management of her chronic condition, and so needing to be treated and interacted with in ways more similar to those normally used with adults. This presents a challenge for the paediatric nurse, because one key aspect of educating for wellness is to engage with the client on the appropriate level, and to avoid alienating the client (Agnew, 2005). This is a fundamental component of all nursing care, acting as both the human face of medicine and as a teacher or coach who acts to take what is foreign and fearful to the patient and make it familiar and thus less frightening (Benner, 1984 p 77). Approaching a young person such as Sheila requires skill in terms of using typical teaching approaches but adapting them to meet her individual of necessity as a person, fit to her own perc eption of who she is and her levels of independence. Benner (1984) suggests that there is a need to use tone of voice, humour, and the nurses own attitudes in meeting these needs. Knowles et al (2006) state that evidence-based, interconnected teaching method is recommended for all people with diabetes tailored to meet their personal needs and discipline styles (p 322). In this instance, planning the session required the nurse to draw upon cognition of teaching processes and principles gleaned from her own study and query, clinical intimacy about the skill to be taught, and personal attributes which would (it was hoped), avoid patronising the client or alienating her(see adjunct for teaching plan). However, this germ anticipated that there would always be some distance between nurse and client, because the nurse, no matter how skilled or dependent in communication, might calm represent an older authority figure to whom they might not necessarily relate very well. Understand ing this, the approach to the session was clearly and consistently hinged upon basic principles of learning, incorporating aspects of adult learning in order to attempt to be more appropriate for Sheilas learning needs. There is some debate about the differences between learning in children and adult learning, or whether there are, indeed, any differences (Rogers, 1996).Because of the significant wellness impact of Type 1 Diabetes on individuals, and consequently, on society and the states healthcare systems and resources, it was thought important to include in this session some of the rationales for good glycaemic control and prevention of the long-lived term consequences of the distemper. Type 1 Diabetes, is a disorder in which beta cells of the Islets of Langerhans located within the pancreas fail to produce insulin as required by the body to regulate blood glucose, resulting in high levels of circulating glucose(Watkins, 2003). The longer-term consequences of the disorder incl ude atherosclerosis and cardiovascular sickness (Luscher et al, 2003) diabetic retinopathy (Cohen Ayello, 2005 Guthrie and Guthrie, 2004) peripheral vascular disease, intermittent claudication and foot ulcers foot ulcers caused by impaired circulation and peripheral neuropathy(Bielby 2006 Edmonds and Foster, 2006 Lipsky et al, 2006 Guthrie and Guthrie, 2004 Bloomgarden, 2005 Soedmah-Muthu, 2006) renal disease and renal failure (Castner and Douglas, 2005) and gastrointestinal complications (Guthrie and Guthrie, 2004).In preparation for the session, the nurse engaged in some background research, ensured that her knowledge was up to date, and reviewed the key national policy document, the National Service Framework for Diabetes published by the Department of health which underlines the need for good, ongoing health promotion and education for those with the condition (DH, 2002). Reading of research and professional literature also highlighted a wealth of tuition on the specifics of health promotion and education within diabetes, much of which is very applicable in this instance as it focuses on self-management of the condition (Cooper et al, 2003). While these support the transmission of discipline between health professional and client, so that the client becomes knowledgeable about their disorder and its management (Fox and Kilvert, 2003), there is also evidence which supports health education that actively incorporates and engages the client as a partner in the learning process as well as the control of their condition (Davis et al, 2000)Therefore, the session was planned to ab initio determine Sheilas level of knowledge and understanding, her current competence in the skill, and her ability to describe the underlying principles of the procedure. As Rogers (2002) states, it is necessary to adapt our methods of teaching adults to the affirm of educational skills they possess. (p 76). Horner et al (2000) also underline the need to improve the readability of teaching materials, and some were identified during the course of this session as being in need of improvement. Therefore, this element of the session also determined her level of understanding, interpreting ability and whether or not she had any difficulties such as dyslexia. It was discovered that Sheila had an above-average reading level, no special educational needs and no specific requirements other than that she was spoken to as an adult, as she reiterated on a number of occasions that she was not a kid.The learning approach taken was what Hinchliff (2004) describes as a constructivist approach, which, based on cognitive and humanistic learning theories, places the most importance on self awareness, and the individuals understanding of the processes involved in his or her own learning (p 65). Hinchliff (2004) discusses Blooms (1972) learning domains, and this teaching session was intentional to affect all three domains, cognitive, psychomotor, and affective. In relation to the cognitive domain, the aim was to reinforce and introduce knowledge. Psychomotor skills relate to the practical ability to administer insulin, and affective domain refers to the initiation of a process of attitude formation, wherein the nurse was hoping to help Sheila form a positive, proactive attitude to self-management of her condition.Further reading uncovered information on tailored educational curriculums for children with diabetes to encourage appropriate self-care and management of their condition, based on pre-existing adult courses which exist in the UK but are of hold in value for children (Knowles et al, 2006). Knowles et al (2006) carried out a study to adapt the adult Dose Adjustment For Normal Eating (DAFNE) course to design a skills instruct course, for children aged 1116 yr, focusing on self-management skills within an intensive insulin regime. While this kind of approach would have been ideal for Sheila, a little research into facilities available local to the client showed no provision of this kind, or similar, targeted at her age group, which this author believed was a failing of local provision. This is a key point in the feelspan of a young person with a chronic condition, and at the least such young people need age-appropriate health education activities (Knowles et al, 2006). However, this study has yet to be validated by a planned larger multicentre trial (Knowles et al, 2006).Viklund et al (2007) carried out a six month randomize controlled trial of a patient education empowerment programme, with teenagers with diabetes, but found after their trial that this empowerment programme make no difference on outcomes related to glycaemic control or empowerment. Their conclusion was that there should continue to be agnate involvement in educational programmes and in management of self-care and ongoing control in diabetes in teenagers (Viklund et al, 2007). This might suggest that this session should have included some parental inv olvement, or should have made reference to ongoing parental involvement, because it supports anecdotal evidence that the author has gleaned from practice, wherein nurses rarely trust teenagers to manage their diabetes appropriately themselves. Murphy et al (2007) describe a family-centred diabetes education programme which was successfully integrated into paediatric diabetes care in one location, with potential benefits on parental involvement and glycaemic control. In all three of these cited studies, multidisciplinary involvement was a feature of the programme (Knowles et al, 2006 Murphy et al, 2007 Viklund et al, 2007). This suggests that there should be programmes which provide ongoing, family-oriented support, but this author notwithstanding feels that the particular needs of teenagers may need something else, something indefinable as yet, but something which still supports their sense of self and emerging adult identity, fosters independence but also helps ensure proper manag ement of the condition. This takes us to the issue of resources, and the lack of them, but if there were more, good quality research in this area, it might provide the leverage for more resources to be mobilised to meet the needs of this client group.Sheila evaluated the session well, but the author was left with the feeling that there was no certainty that the client would take on this new learning and that her glycaemic control would improve. Having addressed issues from the point of view of diabetes, and of the needs of teenagers with this condition, the author can only conclude that the session was well designed and incorporated patient-centred, established educational proficiencys, but that these techniques are not necessarily the optimal way to educate and support teenagers with Type 1 Diabetes. The literature has shed a light on some potential approaches to this, but the evidence is still insufficient to fully change practice. However, Sheila was able to demonstrate correct technique, discuss the rationale for the technique, and discuss with some confidence her management and control of her condition, and the prevention of longer-term complications. A more multidisciplinary approach would perhaps be needed to address the emotional and psychological elements of her learning and development needs in the future.ReferencesAgnew, T (2005) Words of wisdom. Nursing Standard 20(6),pp24-26Anderson, B. (2005) The art of empowerment stories and strategies for diabetes educators New York American Diabetes Association.Anthony, S., Odgers, T. Kelly, W. (2004) Health promotion and health education about diabetes mellitus. Journal of the Royal Society for the Promotion of Health. 124 (2) 70-3Benner, P. (1984) From pundit to Expert Excellence and Power in Clinical Nursing Practice capital of the United Kingdom Addison-Wesley Publishers.Bielby, A. (2006) Understanding foot ulceration in patients with diabetes. Nursing Standard. 20(32). pp. 57-67.Bloomgarden, Z.T. (20 06) Cardiovascular indisposition Diabetes Care 20 (5) 1160-1166.Castner, D. Douglas, C. (2006) Now onstage chronic kidney disease. Nursing. 35(12). pp. 58-64.Cohen, A. Ayello, E. (2005) Diabetes has taken a toll on your patients vision how can you help?. Nursing. 35(5). pp. 44-7.Cooper, H.C., Booth, K. and Gill, G. (2003) Patients perspectives on diabetes health care education. Health Education Research 18 (2) 191-206.Court, S. and Lamb, B. (1997) Childhood and Adolescent Diabetes London John Wiley.DAFNE Study Group (2002) Training in flexible, intensive insulin management to change dietary freedom in people with type 1 diabetes dose adjustment for normal eating (DAFNE) randomised controlled trial. British Medical Journal 3257469Davies, K. (2006) What is effective intervention? Using theories of health promotion. British Journal of Nursing15 (5) 252-256.Department of Health (2002) National Service Framework for Diabetes Available from www.doh.gov.uk Accessed 25-7-08.Edmonds, M. F oster, A. (2006) Diabetic foot ulcers. BMJ. 332(7538). pp. 407-10.Fox, C. and Kilvert, A. (2003) intensifier education for lifestyle change in diabetes. BMJ 327 1120-1121.Guthrie, R.A. Guthrie, D.W. (2004) Pathophysiology of Diabetes Mellitus. Critical Care Nursing Quarterly 27 (2) 113-125.Hinchliff, S. (Ed)(2004) The Practitioner as teacher 3rd Ed London Balliere TindallKnowles, J., Waller, H., Eiser, C. et al (2006) The development of an innovative education curriculum for 1116 yr old children with type 1 diabetes mellitus (T1DM) Pediatric Diabetes 7 (6) 322-328.Luscher, T.F., Creager, M.A., Beckman, J.A. and Cosentino, F. 2003 Diabetes and vascular disease pathophysiology, clinical consequences and medical therapy part II. Circulation 108 1655-1661.Murphy, H.R., Wadham, C., Rayman, G. and Skinner, T.C. (2007) Approaches to integrating paediatric diabetes care and structured education experiences from the Families, Adolescents, and Childrens Teamwork Study (FACTS) Diabetic Medic ine 24 (1) 1261-1268.Northam, E. Todd, S. Cameron, F. (2006) Interventions to promote optimal health outcomes in children with Type 1 diabetes are they effective? Diabetic Medicine. 23(2). pp. 113-21Reece, I. Walker S.(2003) Teaching, Training and Learning. Tyne Weir Business Education Publishers Ltd.Rogers, A. (2002) Teaching Adults 3rd Ed Buckinghamshire OU PressSoedmah-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.Viklund, G., Ortqvist, E. and Wikblad, K. (2007) Assessment of an empowerment education programme. A randomised study in teenagers with diabetes Diabetic Medicine 24 (5) 550-556.Watkins, P.J. (2003) ABC of Diabetes (Fifth edition). London BMJ Publishing Group.AppendixPatient Education visualiseSelf-administration of InsulinLesson AimsTo support Sheila to develop the skills and knowledge to demonstrate competence in the independent self-administration of Insulin.To reinforce health promotion principles and information regarding long-term management and control of her Diabetes and the prevention of later-life health complications.Learning Outcomes at the end of the session the client shouldBe able to describe, discuss and demonstrate the principles of correct drawing up of accurate doses of insulin as prescribed in her own regimen.Be able to competently self-administer insulin with correct technique, and describe the rationale for this techniqueBe able to discuss ongoing glycaemic control and prevention of later life complications of Diabets.ActivityMethod and RationaleDetermine Sheilas current level of knowledge.Determine Sheilas reading level and identify any specific learning needs or difficulties (eg dyslexia)DiscussionThis allows for the identification of Sheilas needs, and allows the nurse to set the tone and establish a relationship with Sheila.Provision can be made for specific needs such as augmented or specialist readin g materials.Sheila to demonstrate drawing up techniqueNurse to demonstrate drawing up techniqueDemonstration/discussion with supporting information/leaflets.Drawing comparisons between the two techniques should allow the client to identify whether her own practice matches that of the nurse/teacher.Discussion of this will draw out underlying knowledge and principles.Written information will reinforce learning.Review and demonstrate correct administration techniqueDiscussion/DemonstrationDiscussion allows the nurse to identify gaps in knowledge and skill and address these in a responsive, flexible manner.Review knowledge of disease management and prevention of complications and identify further learning needsDiscussionProvide a rationale and potential motivation to maintain good glycaemic control.Plan to meet further learning needs either immediately or in future sessions, perhaps involving the multi-disciplinary team.Gain client feedbackTo evaluate effectiveness of teaching session i n clients own words.