A Competition I Have Participated In Essay

When I was a little boy/girl, I was interested in impromptu speech competition. I wondered their speaking skill and body movements. They were very smart in my eyes. When they were on the stage, they had no fear and they competed like an ideal student. So, I made my mind that, one day, I will be on that stage and show my welled-trained skill in front of many students. I will be an ideal student and I will persuade my juniors made their mind like I did. It is very difficult to participate in impromptu speech competition. Firstly, student who wants to participate must be welled-known his or her title. And then, he must find useful data and information for his title. And he must compose words how will he say in the competition. He, however, cannot compete only by speaking, he must make body movements to complete his competition. The most important point is that he must not be afraid of stage. People use to fear when they are in front of many people and they have to present something. So, I was preparing for all of that fact. One day, my class teacher made an announcement. It was that there would be an impromptu speech competition. Student who wanted to participate, warmed her. So, I gave her my name in a great pleasure. I had my titles of speech and I started to find useful information as much as I could. I was so nervous to compete. But I was so happy. I trained very hard with my topic. My friends helped me and I presented my topic in front of them and they made suggestions. When I thought I was perfect, I went to my class teacher and presented to her. And then, she made a grammatical wrong correction and made useful suggestion. The competition fell on and many students were crowed in the school compound. They were very interested in the competition and they predicted the winner. The competitors held a piece of paper and practiced with their topic. After a short time, the announcer announced that the competition started. After the headmistress said a few words, each of the competitors started to compete. The competition was very active. After one competitor had finished, the applause was very loud. All of the competitors were welled-trained and very smart. Their presentations were very interesting and everyone cannot help listening to it. At that time, my turn fell on and I went onto the stage. I drew lots and my title was â€Å" how will youth overcome the challenge of knowledge age†. It was my best preparation. When I was presenting my topic, everyone was quiet and listening. I was very graceful in my mind and my dream came true. Although I won the second prize, I was very pleased because it was my first competition and the first prize winner was smarter and more welled-trained than me. Through the passage of time, I participate in many kinds of competitions. But I shall never forget my first competition and I am proud of it.

Feasibility Study Apartment Essay

In our everyday life, we use Real Estate in some manner; we make use of Real Estate resources to provide shelter, comfort, convenience, and privacy, a place of work, recreational facilities and related services. In an estimate Real Estate represent more than 40% of the national wealth. The basic component of realty is not only the surface of the earth but also the property rights and interest that attach to ownership of realty. Thus the Real Estate means acquire of land and building which called inherent right. The men who are owner, user, maker, financer or marketer of the property have some rights to the property. Nowadays, the demand for apartment/boarding houses has increased because of population growth. To assemble the needs and wants of every individual and family, therefore, Blue Sky Townhouse the need to put up additional units that provides the desired amenities and facilities for prospective tenants. When the demand is met owner can gain profit. Project Long Range Objectives Blue Sky Townhouse is innovation to pursue customer’s reliance and relevant service in order to achieve customer satisfaction. The objectives of the business are the following: 1)To gain profit. 2)To secure and provide high quality service. 3)To sustain the needs of the clients by affordable living. 4)Offers maximize occupancy of available units. Organizational Chart Officers of the business and their qualification: The owners will finance the business and also they perform the strategic planning, marketing, selling, and decision making process for the business to achieve the objectives. The manager decides what can be possible to make the business profitable and responsible for controlling the business. He must be a graduate of any four (4) years business course. Secretary or Accounting Clerk is responsible in the financial activities of the business. He must be a graduate of any business course and has an experience in recording, bookkeeping and must be computer literate. Maintenance will be responsible in maintaining the environment of the business. He should have good records and must be friendly.

Nurse Culture Assessment

Running head: CULTURAL ASSESSMENT Cultural Assessment June 14, 2008 Abstract In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses â€Å"should perform a cultural assessment on every client with whom they interact with† (Stanhope & Lancaster, 2006, p. 90) to help understand client’s perspectives of health and illness and discuss culturally appropriate interventions. In this paper, the author will demonstrate how nurses can utilize a cultural heritage assessment tool to help develop a cultural competent nursing care plan, which can be referred to in Appendix A and B. By culturally assessing client, nurses will be able to identify the needs of culturally diverse individuals and find out if what's important to the culture is really important to the person in terms of specific health needs. Introduction In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Nurses must find out about people’s traditions, ways of life, and beliefs about health care so that the appropriate interventions can be planned and implemented to produce culturally positive health outcomes (Stanhope & Lancaster, 2006). By being aware of the client’s cultural beliefs and knowing about other cultures, â€Å"nurses may be less judgmental, more accepting of cultural differences, and less likely to engage in the behaviors that inhibit cultural competence† (Stanhope & Lancaster, 2006, p. 84). Most importantly, nurses must listen to the client’s perceptions of problems and work together to develop suggestions and recommendations for managing those problems. Therefore, cultural assessments tools have been developed and are available to help assist nurses integrate â€Å"professional knowledge with the client’s knowledge and practices to negotiate and promote culturally relevant care for a specific client† (Stanhope & Lancaster, 2006, p. 82). Part I: Cultural Assessment of Client A cultural nursing assessment is recognized as a â€Å"systematic way to identify the beliefs, values, meanings, and behaviors of people while considering health history, life experiences, and the social and physical environments in which people live† (Stanhope & Lancaster, 2006, p. 5). For this reason, cultural assessments are an essential component in providing quality care to diverse individuals of different cultures. For this reason, the author used the cultural heritage assessment tool to help assess the ethnic culture of Mrs. P. Referring to Appendix A, the outline shows the interview questions and answers collected by the author per Mr s. P. Reassuring the confidentiality of the client’s interview, utilization of the cultural heritage assessment tool enabled the author to gather, classify, and analyze the culture of an American Hindu Indian. Brief History of Ethnic and/or Racial Origins The client evaluated by the author was a 35 year old female named Mrs. P who lives in Poway, California. The immediate family composition consists of a wife and a husband who just recently got married. In regards to the client’s cultural background, the ethnic culture that Mrs. P identified with was an American Hindu Indian. Born and raised in Poway, California, Mrs. P’s father and the grandparents from the father and mother’s side were born in Punjab, India, while the mother was born in Utter Pradesh, India. Coming from India, the client’s parents has lived in the United States for 14 years. Living in Poway since then, Mrs. P grew up in a rural setting and lived with the parents and younger brother until recently moving out when the client got married. With Hindi as the client’s native language, Mrs. P and the brother can only speak Hindi, compared to the mother and father who can both read and speak the native language. Socioeconomic Considerations With occupation and education, the client’s dad has a master’s in business and works for Gateway computers. The client’s mom has a degree in psychology and is a housewife, and the younger brother has degree from UCSD for management science and economics and works at Boeing. As for Mrs. P, the client works as a teacher, having earned a bachelor’s degree in business administration from the University of California, Riverside, and Mr. P works as a neuro-surgeon, with a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering. Receiving no financial assistance, the client seemed satisfied in the current socioeconomic class of upper middle class because there are no plans of changing job. Currently owning a home with 4 bedrooms, 3 bathrooms, a living room, dining room, loft, and patio, the living arrangements for Mrs. P appear sufficient for a future family to live in. Value Orientation According to Mrs. P, respect for elders, a good education, good family background and connections, religion, and good ethics for society, are values that are held highly within the family’s culture. Education and a highly held position in a career are very important because these values determine an individual’s status in society. Examples include doctors and engineers. Obviously, success is pertinent within the Indian culture. Indians are known for their hard work, vitality and dynamism. However, although looked as highly important, the family’s overall impression of these values do not define who a person is; these values are appreciated. Growing up, Mrs. P learned that every action requires thinking because any decision might have a negative effect on the family, and how society will react. Family reputation is very important and in the Indian culture, individuals must be careful not to do anything to put down the family name. The Indian culture is very family-oriented, which is why family comes first. In health and in sickness, the family takes care of each other. Cultural Sanctions and Restrictions According to the client, there are no cultural sanction and restrictions that the client is aware of. For the most part, Mrs. P believes that since the parents were open-minded to the fact of living in the United States, a strict Indian culture was not experienced during childhood. The parents understood what kind of environment the children were in and did not expect Mrs. P and the brother to be restricted to an Indian lifestyle. Communication As far as communication is concerned, Mrs. P informed the author that communication involves all members of the family, friends, and community. However, the Indian culture affects the way individuals communicate with family and friend by restricting certain topics when inappropriate. For example, foul language or sexual topics may be considered unacceptable to discuss in front of parents. For the most part, Mrs. P’s family does get along well, which is evident by the client’s close relationship with immediate and extended family members. With such open communication to some extent and having great family relationships, Mrs. P maintains contact with all members of the family and takes the time to visit family every few weeks. Health-related Beliefs & Practices & Nutrition Health-related beliefs and practices generally emphasize taking care of the health of all members in the family. According to Mrs. P, health-related beliefs and practices are related to nutrition. The only information that the client provided to the author was that Hindus perceive some foods as â€Å"hot† and some are â€Å"cold†, and therefore, should only be eaten during certain seasons and not in combination. There are different perceptions of â€Å"hot† and â€Å"cold† foods depending on the region of where individuals are from. From these perceptions, foods are thought to affect body functions. In the client’s case, Hindus love to cook and eat traditional dishes that are perceived as healthy. From raima, cholay, and saag, these Indian dishes are usually made by the client’s mother because Mrs. P does not usually make the traditional cultural dishes. As far as any specific dietary restrictions, eating meat is not considered good, but some individuals within the culture still eat meat. With Mrs. P, the client strives on well-balanced meals and does not follow the ideas of hot and cold foods. The only cultural diet that is followed is not eating meat. Cultural Aspects of Disease Incidence In regards to aspects of disease, the client’s culture customs and eliefs often contribute to the decision for medical care and choice of healthcare services. Supernatural forces and excess in human needs are recognized to contribute to illness and disease, regardless of station in life. For example, the client gives that example of eating too many sweets will cause round worms and that too much sexual activity can be associated with tuberculosis. Even more so, if a disease is sexually related, the occurrence of such diseases is looked upon as disrespectful if unmarried. In addition, diarrhea can be caused by a variety of improper eating habits. As a result, cultural treatments that may be used include homeopathic medicine, herbal remedies, mixing religion and medicine, and observing the individual within a natural environment. In the client’s case, a health problem that is currently affecting the family is high blood pressure. Religious Affiliation According to Mrs. P, the client’s religious preference is Hinduism, which is the same religion for Mr. P and all members of the immediate family. Religious beliefs and practices include believing in reincarnation and in many gods, and occasionally attending a temple. However, the client does not belong to a religious institution nor is an active member of any religious or ethnic organization. Yet, the client does practice the Hinduism when with the family. In the author’s opinion, the client expressed ideas for becoming more involved with participating in religious or spiritual activities. As for the neighborhood, there are diverse backgrounds of different ethnic cultures and religions within the community. Developmental Considerations The only achievements and tasks fulfilled by the client’s family include having both children graduate from college and finding successful careers. With having such high values in education and career, the author is not surprised that the parents consider graduation and a new job as very important achievements that a family member can accomplish. Even more, in the client’s sake, getting married, starting a new job, and moving into a new home were life changing fulfillments that the client has longed to achieve. As far as failures and achievements, being Indian has affected the fulfillment of achievements and perspectives of failures by placing the pressure to always be â€Å"on top of [the] game. Competition is what brings out the best in people and achieves the best results. Growing up, the client was always encouraged to excel. The expectations of families towards children were very high. With Mrs. P, the client strived to be the best because expectations were high and from the author’s point of view, the client has done very well to be at the point where the client is. Since the client’s family first sta rt, the only health and health-related events and experiences that Mrs. P has gone through is dealing with the removal of cataracts in client’s father’s eyes. Fortunately for Mrs. P, there have been no immediate deaths or births have taken place since the client has been born. Since the client’s the new marriage life, no health related events has occurred. Part II: Self Assessment Health-related Attitudes regarding this Cultural Group From the author’s self assessment about health-related attitudes regarding Indians, the author presumed that the most Indians are prone to respiratory infections such as tuberculosis and pneumonia, hypertension, nutritional deficits, and high risk behavior such as alcoholism and cigarette smoking. To be perfectly honest, the main assumption that the author had in regards to this cultural groups is that individuals of the Indian culture prone to strive dietary restrictions, which lead to a number of health problems. In addition, having had an Indian roommate, the author believed that individuals of this culture hold strong cultural beliefs and values because of the parents. Parents have a strong hold in the way Indian children think and behave. From family, friends, school, and community relationships to sexual activities, education, and work, Indians are expected to be smart, careful, and successful in all aspects of life. In the author’s opinion, such values and beliefs definitely influence and contribute to the health-related attitudes held by author because American Indians’ physical, psychological, social, and spiritual dimensions of life can eventually affect the health of these individuals. Evaluation of Author’s Values, Beliefs, & Practices In regards to the author’s values, beliefs, and practices, much of what has been embedded into the value and belief system of the author, including lifestyle practices, has been due to family, friends, and personal experience. From respect, obedience, and honesty, to work, education, religion, rationality and practicality, and the quality of life and health, the author strives to maintain a positive outlook in life, believes that hard work and determination will lead to a successful career, marriage, and family upbringing, and appreciates life and all the fortunate blessings that are often taken for granted like ambulation, breathing, and a healthy, loving family. Family, school, health, and religion are the most important values that the author holds. As a Catholic, the author believes that God has a plan for everything and whether life experiences are good or bad, God has a reason. Although the author does not religiously attend Church, prayer is often performed at home and at school. With school, education is an important aspect to a successful career. In the author’s opinion, knowledge is pertinent to success. Even more so, being aware of beneficial and risky lifestyle practices are necessary to maintain a healthy life. Such practices include exercise, a well-balanced diet, no smoking or drugs, and safe sexual practices. Obviously, values, beliefs, and practices may affect the physical, psychological, social, and spiritual dimensions in life. However, being only 25 years old, the author is aware that there is still so much more to learn about life. Therefore, the author remains open to new ideas and opportunities so that additional knowledge, mistakes, achievements, and failures will continue to add to the author’s life experiences. How might Author’s values, beliefs, & practices affect Delivery of Nursing Care to this Culture Group? The author’s values, beliefs, and practices may affect the delivery of nursing care to this culture group with the inability to empathize and understand complaints and concerns about health which leads to inaccurate assumptions about patient needs and creates assumptions that may impose ideas and interventions that may be unacceptable to the plan of care. Being unable to step outside the author’s box of values, beliefs, and practices may prevent the author from learning about another culture. As a result, the overall affect of delivering nursing care for this culture group is making incorrect assumptions about the needs of the clients and developing a care plan that may serve no benefit in improving the quality of life. Part III- Developing a Plan of Care After culturally assessing Mrs. P, the author identified the client’s readiness for enhanced religiosity. With a new marriage, a new house, and a new job, the client expresses concern that being away from the parents may lead to decreasing active lifestyle of practicing the beliefs and practices of the Indian culture. Even more so, the client acknowledges and expresses a desire to maintain the beliefs, values, practices that the parents have taught. Being married to a husband who does not actively practice the Indian culture, along with dealing with the expected stressors of being a new wife, taking care of a new house, and starting a new job, Mrs. P. strongly believes that maintain the values and practices of the Indian culture may be an effective coping strategy that Mrs. P is willing and ready to do. Obviously, Mrs. P. recognizes the importance of the Indian culture and is ready to enhance what had been taught to cope with the new life changes. Referring to Appendix B, the author’s goal for the client includes verbalizing the willingness to seek help to regain desired religious beliefs and practices and acknowledging the need to strengthen religious affiliations and become involved in spiritually based programs. These two goals seem appropriate for the client because if Mrs. P is willing to seek help with maintain the Indian culture and acknowledges the need for additional resources to participate in religious activities; the client can enhance religiosity within the newly accepted life transitions. Therefore, the interventions that the author has planned include determining the spiritual state/motivation for growth by ascertaining religious beliefs of family of origin and climate in which client grew up, discussing client’s spiritual commitment, beliefs and values, assisting the client to integrate values and beliefs to achieve a sense of wholeness and optimum balance in daily living by exploring connection of desire to strengthen belief patterns and customs of daily life, and encouraging participation in religious activities, worship/religious services, reading religious materials, etc and provide referral to community sources. In the author’s opinion, the overall plan of care has been adapted to the specific ethnic or cultural beliefs of Mrs. P because the plan addresses the cultural needs of the client. The interventions are client-centered and do not force any assumptions or beliefs of the author or of any other culture. The client has control of the care given. Even more so, communication, education, and religion being incorporated into the plan of care which were what the client expressed as the values and beliefs that are recognized as important. Hence, keeping what is important to the client. Conclusion To review, nurses must be able to provide culturally competent care to diverse individuals of different cultures. Culturally competent care can be accomplished by utilizing cultural assessment tools to better understand clients and other cultures in the community. Assessing the culture of an individual is an essential component in providing quality nursing care. In order to provide culturally diverse care, nurses need to take the time to learn about each client: who the client is, what the client feels and, most importantly, what the client needs. By doing so, nurses will be able to tailor a plan of care that implements interventions that are best appropriate to a client’s specific need, delivering quality nursing care, especially when of a different culture. References Doenges, M. , Moorhouse, M. , & Murr, A. (2006). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales (10th ed. ). Philadelphia, PA: F. A. Davis. Stanhope, M. & Lancaster, J. (2006). Foundations of nursing in the community (2nd ed). St Louis, MO: Mosby, Inc. Appendices Appendix A Cultural Assessment of Client I. Brief History of Ethnic and/or racial origins of the cultural group with which the client identifies Q1. What ethnic culture do you identify with? A1. American Indian. Q2. Can you describe a brief history of your ethnic culture? A2. Okay. Q3. Where were your parents born? Where did they grow up? A3. India – Punjab (dad) mom – U. P (Utter Pradesh) Q4. Where were your grandparents born? A4. India Q5. Mother’s parents? A5. Punjab – India Q6. Father’s parents? A6. Punjab – India Q7. How many siblings do you have? A7. 1 younger brother. He is 28 years old. I am 35 years old. Q8. What setting did you grow up in? urban or rural? A8. I’ve lived in Poway, California, all my life. I love it here. My area looks more rural than urban. There is a lot of open land and green grass. We’re near the mountains so we are pretty far from the city life. Q9. What is your native language? A9. Hindi Q10. Do you speak this language? A10. Yes, everyone in my family can. Q11. Do you read your native language? A11. No, just my parents. Q12. Was your original family name changed? A12. No. Well, I just recently got married, so I carry my husband’s name now. Q13. How old were you when you came to the US? (if applicable? ) A13. I was born in U. S. A. My parents, on the other hand, came about 14 years ago. Q14. Who lived with you growing up? A14. Parents and brother II. Values Orientation Q1. What does your culture value? A1. Respect for elders, good education, good family background and connections, and good ethics for the society. Religion is also important. Our culture strives on hard work, vitality, and dynamism. Q2. Compared to western culture, how do you value achievement, materialism, ducation, work, equality, understanding of the environment, rationality and practicality, orderliness, and the quality of life and health? (in terms from your culture, if different? ) A2. I value all these things, especially education and high status in career is important. The type of careers you do are also very important and sets your status in society (doctors and engineers looked upon highly). Growing up, I learned the reputation was highly looked upon so whatever I did, I had to think before I act. Q3. How does your family value these things? A3. My family believes these are also all important, but they do not see these things as items that define a person, but they do appreciate these things. For the most part, upholding the family name and image in society is an important aspect in our culture because family comes first. My family is very family-oriented and respect is expected within our immediate and extended relationships. III. Cultural Sanctions and Restrictions Q1. Any cultural sanctions and restrictions? A1. None that I am aware of. If there were, I certainly was not informed. I guess because my parents do not carry the Indian culture as strict as other families. They try to be very open-minded to living in the United States and understanding the kind of environment that me and my brother live in. IV. Communication Q1. How does your family communicate with each other? A1. We talk to everyone, openly and respectfully. We talk to family, friends, and the people of the community. Q2. How does culture affect the way you communicate to family and with friends? A2. Certain things might not be accepted to be talked about in front of parents such as foul language or sexual topics. Q3. Does your family get along? A3. Definitely! Family is very important, unless something is inappropriate or unacceptable, then that causes problems. But for the most part, being close to family is an essential aspect of our culture. Q4. Have you or do you maintain contact with: Q4a. Aunts, uncles, cousins? Brothers and sisters? Parents? A4a. Yes, especially since I moved out of the house. I try to remain in close contact with everyone. Q5. Did most of your aunts, uncles and cousins live near your home? A5. Yes Q6. How often did you visit family members who lived outside of your home? A6. Every few weeks V. Health-related beliefs and practices Q1. Does your culture believe in traditional health beliefs or practices? A1. Much of what we believe in is related to nutrition. What we eat affects the way we function. For example, some foods are â€Å"hot† and some are â€Å"cold†, and therefore, should only be eaten during certain seasons and not in combination. Depending on what region individuals are from, different families have a different perspective of â€Å"hot† and â€Å"cold† foods. Hindus love to cook and everyone has their own perception of healthy foods, so individuals usually cook dishes that they believe are nutritional to how one may function. Q2. Do you follow any traditional health beliefs or practices? A2. No, not really. I eat whatever my mom used to cook for me. But now that I moved out, I cook whatever I have in the fridge. I don’t really believe in the hot and cold stuff. Q3. Do you do anything to keep healthy or prevent illness? A3. Just eat right and workout. I try to eat well-balanced meals and exercise. VI. Nutrition Q1. Do you prepare foods special to your ethnic background? If yes, describe. A1. I don’t make them since I don’t know how, but my mom makes many different dishes and I enjoy eating them. rajma, cholay, saag) Q2. Are there specific dietary restrictions in your culture? A2. Eating meat is not considered good in our culture, but people still eat it. I, on the other hand, have kept that dietary restriction so I don’t eat meat. VII. Socioeconomic considerations Q1. What is your family’s occupation and education? A1. Well, my dad has masters in business and he works wit h Gateway computers. Mom is a housewife; brother works at Boeing and got a degree from UCSD for management science and economics. Q2. Do you receive financial assistance? A2. No Q3. Are there any plans of changing jobs to earn a little more income? A3. Well, I just recently got hired as a teacher and I have no plans for changing my career any time soon. Honestly, my husband makes money that is definitely sufficient for our income, and I am very fortunate to find a successful man. Q4. Do you own or rent a house? A4. Eventually, we plan to own the new house we just moved into. Q5. How are living arrangements? A5. We currently own a home with 4 bedrooms, 3 bathrooms, a living room, dining room, loft, and patio. I love it here. We’re the only ones living in the house right since we just moved in. So there is a lot of privacy and a lot of space. We are ready to start a family. XIII. Organizations providing cultural support Q1. Are there any organizations that provide cultural support for you or your family? A1. No, but I’m very interested in finding out every since I got married. XIV. Educational background Q1. Describe your educational background? And your husband? A1. I have a BS in Business Administration and my husband has a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering. Q2. Describe your parent’s educational background? A2. Dad – masters in business, mom has degree in psychology XV. Religious affiliation Q1. What is your religious preference? A1. Hinduism Q2. Describe your religious background, beliefs, and practices. Does your family attend Church? A2. Believe in reincarnation and many gods, occasionally attend a temple. For the most part, since I’ve moved out and my husband is not that religious, I tend to practice Hinduism at home and when I’m with my family. My parents strive on religion and since I’ve moved out, I feel like I am not as active as I used to be. Q3. Is your boyfriend/girlfriend the same religion as you, if any? A3. Yes, husband is same religion, but he doesn’t really practice any religious or spiritual activities. Q4. Is your girlfriend/boyfriend the same ethnic background as you? A4. Yes, he is also an American Indian Q5. Do you live in a neighborhood where the neighbors are the same religion and ethnic background as yourself? A5. No, diverse backgrounds in our apartment complex Q6. Do you belong to a religious institution? A6. No, but I think it would be great if I was. Q7. Would you describe yourself as an active member? A7. No. But again, I think being newly married; I think that being religious and spiritual may be a good thing. It’s hard to find the time to participate in religious or spiritual activities, but being a new wife with a new home and job, I think it would be good for me. Q8. How often do you attend your religious institution? A8. Very rarely anymore. I used to with my parents. Q9. Do you practice your religion in your home? A9. Yes Q10. Are your friends from the same religious background as you? A10. No Q11. Are your friends from the same ethnic background as you? A11. No XVI. Cultural aspects of disease incidence Q1. What does your culture believe in when it comes to aspects of disease? A1. Disease and illness is often thought be caused by our culture’s customs and beliefs. From supernatural forces to having excess human needs, individuals can be affected regardless of education and status in life. Some examples I can give you is eating too many candies can lead to ringworm, excessive sexual activity can cause tuberculosis, and diarrhea can be caused by not eating a well-balanced diet. Q2. Any cultural treatments? A2. Some like homeopathic medicines, herbal remedies, others like to mix religion with medicine and observe the patient with the natural environment. Q3. How does your culture view the occurrence of diseases? A3. If it’s a sexual disease it can be looked upon as disrespectful if you are unmarried. Q4. Are there any health problems that could affect your family now? A4. High blood pressure XVII. Biocultural variations Q1. Are you any other culture besides Indian? A1. No. Full American Indian. XVIII. Developmental considerations Q1. Describe family achievements and tasks fulfillment since your family’s start? A1. My parents’ best achievement, as they always tell me, was having me and my brother. Other than that, my family has not had significant achievements. With a stable career and a good neighborhood, my parents have had a good life without changing their line of profession or participating in life-changing events. However, me and my brother graduated from college and have found successful careers. Even more so, I just recently got married and my parents are very proud of me to have found such a good man at the right time. Q2. How has your culture or ethnic identify affected fulfillment of achievements or failures? A2. Growing up, my parents always encouraged me to excel. The expectations of each member were high. From work to school to even household chores, my parents expected the best out of me. In our culture it is expected to always be at the top of your game. This makes you want to always strive for the best and reach for the stars. Q4. From your family’s first start, what health and health-related events and experiences have happened? A4. Well, since I got married, there haven’t been any significant health-related experiences to note. Yet, during my family’ first start, my dad recently had his cataracts taken out. Other than that, I have been blessed with a healthy family for the most part. Appendix B Plan of Care |Interventions |Rationales | |A. Nurse will determine spiritual state/motivation for growth by |A. Early religious training deeply affects children and is carried on | |ascertaining religious beliefs of family of origin and climate in which|into adulthood. Any conflict may family’s beliefs and client’s current | |client grew up. |learning may need to be addressed. | | | |B. Discuss client’s spiritual commitment, beliefs and values. |B. Enables examination of these issues and helps client learn more about| | |self and what he or she desires. | | | | |C. Nurse will assist client to integrate values and beliefs to achieve |C. Becoming aware of how these issues affect the individual’s daily life| |a sense of wholeness and optimum balance in daily living by exploring |can enhance ability to incorporate them into everything he or she does. | |connection of desire to strengthen belief patterns and customs of daily| | |life. | | | | | |D. Nurse will enhance optimum wellness by encouraging participating in |D. Encouragement allows individual to pursue what he or she wants and | |religious activities, worship/religious services, reading religious |referrals allow clients to become aware of what options are available. | |materials, etc and provide referral to community sources. | | ———————– Nursing Diagnosis: Readiness of Enhanced Religiosity related to life changes secondary to getting married, a new house, and a new job AEB by client’s desire to strengthen religious belief patterns and customs that had provided comfort in the past, request for assistance to increase participation in religious beliefs through prayer, and requests for referrals to religious affiliation. Goal 2: Patient will acknowledge need to strengthen religious affiliations and become involved in spiritually based programs of own choice Goal 1: Patient will verbalize willingness to seek help to regain desired religious beliefs and practices Interventions

Prevention Strategy Before the Commencement of John's Chemotherapy Essay

Prevention Strategy Before the Commencement of John's Chemotherapy - Essay Example Prevention Strategy before the Commencement of John’s Chemotherapy The diagnosis and treatment of colorectal surgery requires adequate prior preparation. A well coordinated approach and agreement between the patient, nurses, surgeon, and radiation oncologist is exceptionally critical and necessary for a successful treatment. Prior to the surgery, the leading clinician ought to hold a thorough discussion with the colorectal cancer patient, the family and other health professionals to come to a consensus on the best treatment mechanism to employ in the treatment of the patient (Rankin 89). This open and interactive discussion with the key stakeholders will as well provide an avenue to examine the possible outcome of the treatment, the aim and the rationale of the surgery, likely positive and negative effect, the available treatment options, as well as possible psychological support to the family and the patient. In contemporary healthcare sector, practitioners have developed var ious strategies necessary in the commencement of any chemotherapy to prevent the occurrence of any side effect. In John’s case, the most effective strategy to prevent the prevailing side effects was the comprehensive use of primary prevention strategy (Epstein 1037). By using the primary prevention strategy, it was possible to reduce the risk of emergence sore and ulcers infections which was associated with cancer treatment. According to Epstein (1037), primary prevention strategy is relevant and effective during the pre-exposure period as well as in the initial and promotion stage of cancer treatment. This strategy was appropriate in preventing John from... The researcher of this essay states that once an individual has been diagnosed with colorectal cancer, it is of great significance that the extent of the disease be established. Once distant or regional metastases are identified, a combination of various therapies such as surgical are applied. The initial treatment intervention for the colorectal cancer is the removal of primary tumor through surgery. Approximately 20-30% of patients with colorectal cancer get diagnosed when the disease has already advanced. In such a situation, curative intervention is nearly impossible. As in the case study, John has undergone surgery. After surgery, he agrees to receive adjuvant chemotherapy which comprises of fluorouracil. After a few days, John returns for Chemotherapy third cycle. Patients undergoing such a treatment report various side effects such as temporary hair thinning or loss, dizziness and the resurfacing of painful sores inside the mouth lining and in some cases on the lips. With appr opriate interventions in place, the severity of the symptoms experienced by individuals suffering from colorectal cancer can be adequately managed as the disease advances. When the patient’s pain, distress or anxiety is well managed, there is improvement in their quality of life. Pain management plan is often developed once health care professionals assess pain. The main objective of pain management is to allow the patient to achieve maximum function and comfort. This should be accompanied with minimal analgesic therapy side effects.

Role of Public Health Practitioners Essay Example | Topics and Well Written Essays - 1750 words

Role of Public Health Practitioners - Essay Example The main priorities of public Health policy in 2011 and 2012 includes controlling of death and dying, countering depression to promote emotional well being, achieving sexual and reproduction health and ensuring health at work. Through public health, the government in conjunction with the public health practitioners share the goals of giving every child the best start in life and enabling the children, the youth and the old people to utilise their potential and have control over their lives. It also plans to boost ill-health prevention and develop healthy and sustainable communities. The fair society healthy lives also seek to create fairness in accessing jobs and ensure healthy living standards for every citizen. Public health practitioners are the key implementers of any given health policy that is laid down. During their call to duty, they under go various challenges, rewards and experiences depending on a number of circumstances. This paper discusses the role of three public healt h practitioners Lucy Smith a public health manager in charge of mental well wellbeing, Sue Levi a consultant in public health medicine and Thara Raj a public health manager in sexuality and immunisation. ... s out time to time evaluation on the level of implementation of the public health policy on mental wellness and measure it outcomes after the implementation period. She organises, supervise and conduct trainings and meetings for local agencies, employers and school management teams to educate them on ways of improving and promoting the mental well being within their institutions. She continuously conducts research to find new ways of engaging the local authorities and agencies on ways that reduce health risks and promote the mental well being of the Lambeth residents. Some of the challenges that Lucy Smith faces as the one in charge of mental well being include failure to comply with the set down policies that promote a culture of participation, equality and fairness by employers and some learning institutions. This is because most employers are profit oriented and some of the policies designed do not work in support of making fast money. There is also limited number of psychological institutions that can offer counselling and mentorship advice to institutions and individuals in to promote mental wellbeing (Rowitz, 2009). Some of the approaches that are applied by Lucy Smith are through collaboration and the use of social media in promoting well being. One of such groups is â€Å"Mind Apples†. She clearly shows her support by saying that "We are thrilled to be working with Mindapples in our GP practices to get people talking about mental health in a positive way.† (Lucy Smith) Through this media, people are able to share positive thoughts on how they can stay positive in life and healthy too. Smith also promotes teamwork and collaboration among all the stakeholders in promoting mental well beings .For example, allocating specific topics of discussion to specific

Ancient chinese civilization Essay Example | Topics and Well Written Essays - 1500 words - 1

Ancient chinese civilization - Essay Example From the novel The Three Kingdoms, we see that the Chinese society around that period greatly valued loyalty as a strong virtue that bounded together two or more people who had the same ambitions and mission. Loyalty was so important during this age such that there were vows which were cited either in secrecy or at a very serene place. The first instance when loyalty was displayed was when the three brothers came together in fraternity to bind themselves in a code of honor that greatly guided their future actions and also kept them strong even when they were on the brink of dying. The oath was a very important symbol of unity and loyalty to one another as their words suggested i.e. â€Å"we three Lui Pei, Kuan Yu and Chang Fei, though of separate birth, now bind ourselves in brotherhood, combining our strength and purpose to relive the present crisis (Lo Kuan-Chung & Moss Roberts, page 9)†. Loyalty was basically what the leadership in China was based on. Every leader throughout the novel, the three kingdoms, demanded that of all their subjects as there was always an imminent attack on them by those who were dissatisfied by the leadership. We see those loyal to the throne being treated well and showered with gifts so that they continue being loyal and expose those they suspected of disloyalty. Disloyalty was a serious offence not tolerable in the Chinese society during this period and any slight sign of disloyalty normally led to nothing less than execution. This punishment as if not severe enough, would be followed by the execution of the ‘traitor’s’ whole house hold. There are many cases where this was evident, for instance in the case where Ts’ao Ts’ao realized of the plot to kill him, he first apprehended Ping and tortured him for days. Thereafter he went on to arrest the other six conspirators, including Tung Cheng. They were all executed together with their household (women and children alike) bringing the

Enlightenment Essay Example | Topics and Well Written Essays - 500 words

Enlightenment - Essay Example Three modernists, Nietzsche, Freud, and Kafla, will show how personal feeling or interpretation dictated the modernist period in contrast to an enlightenment point of reality. Friedrich Nietzsche was a German philosopher. Nietzsche promoted nihilism by proclaiming â€Å"God is dead† (Morgan, 36). Instead of interpreting God as an all powerful creator, Nietzsche believed God was used to create a society of morality without a purpose. While an individual from the enlightenment might reason that God and morality must exist for society to function smoothly, Nietzsche believed morality needed to be examined without the excuse of God. Nietzsche’s reality was looking into philosophical arguments that are still up for debate to this day. Unlike the reasoning of the enlightenment age, Nietzsche’s views are debatable. They cannot be proven beyond a shadow of a doubt. Franz Kafka was a modernist writer. He was born in Germany. Instead of using reasoning in reality, Kafka wrote stories that today would be considered science fiction. An example is The Metamorphosis. In this story, Kafka had a traveling salesman turn into a huge insect (Kafka). An Enlightenment influenced thinker would never think of this plot, because humans cannot turn into huge insects. Kafka would have probably responded to this line of thinking by replying â€Å"not yet†. Modernists believe that not everything can be explained by human reasoning yet. The modernist keeps theorizing until the day their thoughts are proven. However the modernist does not stop thinking just because they cannot prove their theories. Sigmund Freud was a German doctor that pioneered psychoanalysis and psychotherapy. He theorized that every human has an id, ego, and superego. Freud also laid out different theories about human development like the anal complex, Oedipus complex, penal envy, and so forth. All of these theories, at the time, could not be proven. Today they cannot be proven, but the

Home as the centre of Judaism Essay Example | Topics and Well Written Essays - 1750 words

Home as the centre of Judaism - Essay Example The two movement that will be considered as a show of the various precincts through which the home is a centre of Judaism is the conservative and reformist movements of Judaism. Conservative Jews believe in the core values of its rituals and roles as the practice of what one believes in the daily practices. Reform Judaism believes that the written and oral laws are because of human intervention and the time of its giving as regards the Torah. In both the conservative and reformists, the core value is on the language, Hebrew as the reflection of the beliefs of Judaism and their cultures. It is what holds all Jews together is the language used as a family; hence, forming the first way where a home is a basis for Judaism (Neusner, 1994).  Ã‚  Ã‚     Largely, the home has become the centre of Judaism owing to the various roles, rituals, and practices that are practiced and observed at the home by family members. These rituals and practices are diverse as presented in the following pa rts of this essay. Judaism has been centered at home owing to the rules of dressing by Jews that occur within the family unit. The Halacha forms the basis for the generation of community customs and modesty that determine the dressing code for the Jewish women (Hoffman, 2008). The Halacha gives a number of guidelines for a Jewish woman’s dressing with the sleeves having to be at least below the elbow while the dresses and blouses must have necklines that do not show any cleavage. Skirts won by the women must be high enough. to ensure that when seated the knees are not exposed. Skirts are mainly worn by women in all occasions but there are exceptional instances where they are allowed to be in pants. These instances include agricultural activities where the wearing of the dress would lead to inefficiency in the performance of the various duties. At other times, they have to have to wear their skirts. However, the conservationists Jews are the ones who strictly follow the guidel ines in the Halacha while the Reform Judaism movement does give the adherent’s freedom to choose which rituals to follow. The conservationist movement is very clear in its statement of the superiority of men over women in the home set up. This is also shown by the segregation of women and men at the synagogue during worship and in leading rituals and other religious practices. This is however different in reformist movement where there is acceptance of the universal equality of men and women in all religious rituals, study and the observance of the rules.

Qulaity in Human Resource Managment Essay Example | Topics and Well Written Essays - 11000 words

Qulaity in Human Resource Managment - Essay Example Several researches and philosophies have been obtained by different researchers intending to improve the quality of human resource management in business organizations. For this particular review of literature, nine of such philosophies have been selected that are reviewed below. Evans and Lindsay (2008) in their studies discussed about Crosby’s philosophy of quality in human resources management. Philip B. Crosby was associated with International Telephone and Telegraph (ITT) where he remained the corporate vice president for quality serving for a period of 14 years. He determined some of the essential elements of quality improvement that were named as Crosby’s Absolutes of Quality Management. According to his philosophy, â€Å"quality means conformance to requirements, not elegance† thus focusing on the fact that requirements in terms of quality need to be clearly stated such that misunderstandings do not occur (Evans and Lindsay 2008). It is the responsibility of the management to set the requirements trying to avoid non-conformances. The philosophy explains that there are no direct problems related to quality; rather problems are caused by departments that are in responsibility of managing and sustaining quality of work and productiv ity, for example, problems of manufacturing, problems of design, and so on (Evans and Lindsay 2008). According to Crosby, economical problems do not arise with quality management if the right job is done at the right time. Performance can only be measures in terms of the cost of the quality that reflects the cost of non-conformance. The basic elements that Crosby determined for improvement of quality included determination, education, and implementation. The top management of an organization needs to consider the quality improvement process seriously and make effective use of the managerial and organizational resources towards achieving such quality (Evans and Lindsay 2008). Wolper (2004) discussed in his studies

HPV Pros and Cons Essay Example | Topics and Well Written Essays - 750 words

HPV Pros and Cons - Essay Example Persistent high-risk HPV can cause problems cervical cancer. While pap tests can be used to test women for this disease, men have no HPV tests available. While there is no treatment for HPV itself, the health problems caused by it: genital warts, cervical cell changes and cancer of the vulva, cervix or anus can be cured. The controversy with this virus occurred when a vaccine was available for it in 2006 (Immunization Action Coalition). One of the most vital aspects of this vaccine is its inability to serve the very people it has been created for. Cases of HPV occur in women belonging to a low social status (Elsevier 2009). These women are unable to access a quality or any kind of screening tests. If these women are unable to access proper tests, the probability of them getting these new vaccinations is even lower. The idea of this vaccine is to provide an equal and balanced health system for every individual but it will be unable to do so if the majority of them women who are infected with the disease unable to afford it. There is an alternative view that this medicine will help young girls from being affected by a virus that is responsible for causing 7000 cases of cervical cancer (Gardner 2007). Thus, while the procedure might cost $360 for the three required shots; the benefits it reaps will have far-reaching and helpful effects. Gardner also claims that if private insurers cover the cost of the drug it can be made more readily available to the drug. In other words, profit-making organizations are asked to forget their personal motives and contribute to the general good. To provide proof of these moves to lower the cost of the drug, groups involved in the immunization process are asking the states to adopt this vaccination and provide it to the same low social classes who are greatly afflicted by this disease and unable to seek any kind of relief. However, there is a lingering doubt in the minds of many that this drug will not prove to be as