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

Emails - Essay Example Use professional signatures, not elaborate ones. Signatures should contain information about yourself in relation to your position and department, and how you can be contacted (your cellphone number, extension number or direct line). Reply promptly and accordingly to messages that need a reply. This is to inform the sender that you have read and understood the message he has sent. However, be cautious when replying. Do not use the reply-to-all button if the information you are sending is for the sender only. Business e-mail addresses include the name of our company. Your signatures contain the name of our company. Be careful in sending out e-mails to people outside of your department and our company since our e-mail address is connected to the reputation of our company. You carry the name of your department and our company when sending out e-mails. You carry our reputation through sent messages. And it is important that we protect our company’s name so that our business will go on according to our mission, vision and goal. E-mails are part of doing our business. It is important that each one of us uses it with care and responsibility since it shows a glimpse of the policies and the communication style we have in our company. This policy serves as a reminder for everyone using e-mails. I hope that this would be a start of creating a new and more professional way of writing, sending out and replying to our e-mails. If you have any questions or clarifications, please do not hesitate to send back a reply. Emphasizing the importance of professionalism in using e-mails is the focal point of the policy. Since the e-mail is used as a major form of communication in companies, it is important to emphasize that it should be used with care. It is important to consider the reader and how he will react to an e-mail message by determining the appropriate language (Jerz & Bauer, 2008). Quality is

As Separate Peace Essay Example for Free

As Separate Peace Essay It has connections between Genesis and the fall of man throughout the book underlining the main story. Genesis and the fall of man are used in the novel solely to understand human nature and the good and evil living inside everyone. Throughout the book the protagonist Gene, puts himself in a competition with his best friend and biggest enemy Finny. Finny is the perfect athlete and caries along innocence and pure thoughts of life itself and others around him. Gene and Finny both show representations of Cain and Abel as well as the creation of man with Adam and Eve. Much like Cain’s jealousy towards his brother Abel, Gene is very jealous and envious of Finny. Abel was the pure and honest brother who carried out all of Gods orders and pleased him very much, while Cain was the complete opposite. He was seen as rather corrupted and sinful. Gene, in this way, is portraying Cain because in the novel Gene realizes the strong hold that sin has on him and the strong hold on it has on his soul, and he says â€Å" It was just some ignorance inside me, some crazy thing inside me, something blind, that’s all it was† (183). Unfortunately, Gene becomes overpowered by his jealousy towards Finny just as Cain did towards Abel. Gene’s jealousy takes control of his mind and body when he finally realizes he will never be as perfect as Finny. He will never be as good athletically or he will never be as good morally and mentally either. Gene says â€Å"there never was and never could have been any rivalry between us. I was not of the same quality as he† (59). Which shows he knows that he will never win with Finny there. The pain of Gene knowing this makes him make a very unreasonable and ridiculous action that he regrets the rest of his life. Holding firmly to the trunk, I took a step forward and I jounced the limb. Finny, his balance gone, swung his head around to look at me for an instant with extreme interest, and then he tumbled sideways, broke through the little branches below and hit the bank with a sickening thud† (52). The story in Genesis of Cain and Abel is exceedingly similar to that. â€Å"Now Cain said to his brother Abel, ‘Let’s go out to the field. ’ And while they were in the field, Cain attacked his brother Abel and killed him† (Genesis 4:8). These two incidents directly parallel each other and unveil much about human nature. When Gene finally admits to the realization that he will never beat Finny or get close to his level he subconsciously lets his jealousy kill the better man inside of him so what is left is an empty soul. The fall of Adam and Eve is also coinciding with Gene’s tremendous fall in the novel. In Genesis, the story of Adam and Eve is set in the Garden of Eden. In the garden there was no sin, suffering or pain. Everyone was happy and had everything they wanted. The one thing God told Adam and Eve was to stay away from the tree of knowledge of good and evil and to not eat the fruit from that tree, yet that was too much to ask. â€Å"When the woman saw the fruit of the tree was good for food and pleasing to the eye, and also desirable for gaining wisdom, she took some and ate it. She also gave some to her husband who was with her, and he also ate it† (Genesis 3:6). This sin had grave consequences such as â€Å"the eyes of both of them were opened and they realized they were naked; so they sewed fig-leaves together and made coverings for themselves† (Genesis 3:7). Gene’s sin had similar results from when he shook the tree and Finny fell, his life changed largely. The impact of his actions struck him extremely hard and at once he became ashamed and embarrassed of what he did, just as Adam and Eve were of their nakedness so they hid. Gene’s shame relates to the story of Adam and Eve but not just that, it relates to a large population of people today and this is the point Knowles was making and why he related his book to Genesis. As humans, people are automatically going to hide their transgressions behind something else and that’s just human nature. To be able to fully understand this novel you need to know about creation and the fall of man. In every human there is good and there is evil, it will come out at different times and one might overpower the other, but there is till both. Cain and Abel’s story, along with Adam and Eve’s story equally show how the evil overpowered Gene.

Prevention of Nozzle Clogging in Continuous Casting of Steel

Prevention of Nozzle Clogging in Continuous Casting of Steel Prevention Of Nozzle Clogging In The Continuous Casting Of Steel There have been four documented causes for nozzle clogging in continuous casting steels; build up de-oxidations such as Al2O3 (1), solid steel build up, buildup of complex oxides such as spinels, and the buildup of reaction products such as CaS (4). While some causes are more detrimental than others, all are a problem. Different steels will yield a different potential nozzle clogging cause (3), for example, a re-sulfurized free machining steel is going to have much more of an issue with the formation of calcium sulfides than spinels. No matter what cause is all nozzle clogging can be detrimental to a continuous casting process. Looking at Figure 1, it is easy to see how the deposit of clogging material on the side walls of the nozzle can cause irregular flow from the tundish into the mold. Irregular flow through a tundish nozzle enhances the probability of generating a number of quality defects such as re-oxidation of the steel and slag entrapment (4). Nozzle clogging also affects pr oductivity in that less steel is able to be cast because of the blockage in the nozzle. In simple business terms, less steel equals less profit. Another thing to consider is the life of the tundish is often limited to the life of the nozzle due to clogging. If nozzle clogging can be controlled enough to extend the nozzle life even one or two heats longer, that results in substantial process cost savings. The most effective way to prevent, or at least lessen, nozzle clogging in the continuous casting of steels is to modify the inclusions in the steel to a liquid rather than a solid at steel casting temperatures (2). This is typically done by the addition of calcium to the steel at the end of the steel refining process. Looking at Figure 2, a pure Al2O3 inclusions liquidus temperature is considerably higher than that of steel casting temperatures, and that by adding the right amount of calcium to the inclusions in the steel the inclusions liquidus temperature can potentially be lowered to below steel casting temperatures (12CaO.7Al2O3). Calcium is typically added to the melt one of three ways; by CaSi powder, CaSi wire, or calcium injection with argon. CaSi powder has the poorest recovery because calciums vapor temperature is lower than steel making temperatures (5). Therefore by simply throwing calcium powder on top of the melt, the majority of the calcium will vaporize into a gas and leave the system without being absorbed into the steel. Figure 3 shows the vapor temperature for calcium related to depth into the steel melt and we can see that the deeper into the melt the calcium is able to get (i.e. the greater the pressure) the higher the vapor temperature is for calcium (5). This is the basis by which CaSi wire is used. CaSi wire is a steel wire shell packed with calcium as the core. As the wire is injected into the melt the calcium is protected by the steel shell from melting and not exposed to the high melt temperatures until deep enough into the melt to provide enough pressure to avoid the calcium from vapori zing. Calcium injection uses this same principle by sticking a lance into the melt deep enough to avoid vaporization and blows calcium into the melt by the use of inert argon. Its one thing to make inclusions liquid and its a completely different challenge to keep it liquid throughout the entire casting process. This is often the difficult aspect of nozzle clogging prevention given that all of your incluions modification control is performed at the LMF or degasser and not at the caster. One thing many steel producers will try to do is reduce the number of incluions present in the steel during the casting process (2). The easiest thing to do in lowering the number onf inclusions in the steel is to increase ths size of the inlucions. By Stokes law, larger inclusions will have a greater upward velocity out of the steel and into the slag thus not being cast through the nozzle. Another practice steel producers use to reduce inclusionon counts in their steel is to have proper geometry in the tundish as the caster. By adding tundish components such as dams and weirs (shown in Figure 4) inclusion flow can be directed to give optimum exposure to the slag(4). Weirs a used to direct steel flow down where as dams are to direct flow upwards. By having two sets of weir-dam combinations between the ladle shroud and nozzle, the inclusions in the steel are exposed to the tundish slag all while maintaining minimum turbulance (5). Unfortunatily not all inclusions in the steel can be removed and therefore the remaining inclusions must remain liquid through the nozzle to prevent clogging. To achieve this it is curtial that the steel is protected from re-oxidation from atmospheric oxygen (2). To ensure this many tools are used. Starting from the ladle, a ladle shroud is used from the ladle to tundish in order to funnel the liquid steel from the ladle to under the slag layer in the tudish (Figure 4). An impact pad is often used as shown in Figure 4, to reduce the turbulance in the tundish (5). Increased turbulance can disrupt the slag surface in the tundish as expose the liquid steel to the amtosphere causing re-oxidation and possibily slag entrapment. To help prevent steel -slag interaction,baffles are often used (Figure 5) which slows down steel flow but also allows steel to flow through the holes. In order to prevent the steel exposed to the surface from re-oxidizing tundish fluxes are used to act as a protecti nve barrier between the steel and atmopshere as shown in Figure 6 (2). Tundish refactories must also be considered to ensure no or very little reaction occures between the steel and refactory occurs (2). If it were to occur and solid inclusions percipitate in the steel, all the effort put forth into the steel up until the point could be usless. Once the steel is secure in the tundish one more step is required and that is to get the steel through the nozzle and into the mold. Just as in the tundish, re-oxidation of the steel and any negative reaction between the nozzle refractory and steel must be avoided. To ensure this, typically submerged entry nozzles or submerged entry shrouds are used as the nozzle which will provide a barrier between the steel and atmosphere all the way into the mold. Typically made of alumina graphite, the added graphite prevents wetting of the inclusions onto the nozzle walls (4). Argon purging in various parts of the side walls of the nozzle are also often used to separate any would be oxygen from the steel. In conclusion, preventing nozzle clogging is not successfully completed by one simple action but rather many actions working together: inclusion count reduction, inclusion modification by the use of calcium, protecting from re-oxidation of the steel, proper tundish geometry, and proper tundish and nozzle refractories (2). While the concept of making only liquid inclusions appears simple in application, it can be rather difficult to maintain these liquid inclusions throughout the entire casting process. Sources Cited 1. Zhang, Lifeng; Thomas, Brian; Inclusions in Continuous Casting of Steel. Nationals Steelmaking Symposium. Mich, Mexico. November 2003. page 138-183. 2. Alekseenko, A.A. Problems of Nozzle Clogging during Continous casting of an Aluminum-Killed Low-Carbon Low-Silicon Steel. Russian Metallurgy, Vol. 2007. page 634-637. 3. Girase, N.U. Development of indices of quantification of nozzle clogging dujring continuous slab casting. Iron and Steelmaking. Vol. 34; No. 6. 2007. page 506-512. 4. Zhang, Lifeng, Wand, Yufeng, and Zuo, Xianjmun. Flow Transport and Inclusion Motion in Steel Continuous-Casting Mold under Submerged Entry Nozzle Clogging Condition. Metallurgical and Materials Transaction. Vol. 39B. August 2008. page 534-550 5. The Making, Shaping and Treating of Steel, 11th Edition Casting Volume; AISE Steel Foundation. Pittsburg, PA. Copy Right 2003

Anne Bradstreet :: Free Essays

Anne Bradstreet   Ã‚  Ã‚  Ã‚  Ã‚  The poem â€Å" Upon the Burning Of Our House, July 10th, 1666† by Anne Bradstreet is a poem about her house burning down. I can sympathize with many of her feelings in this poem because I shared many of them when my house was robbed. During the beginning of the poem she talks about her belongings that she lost and the things she would never do again, then towards the end she talks about how the incident brought her closer to God. Anne Bradstreet shows how living through a struggle, such as having your house burn down can bring you closer to God.   Ã‚  Ã‚  Ã‚  Ã‚   â€Å"My pleasant things in ashes lie, And them behold no more shall I,† (108), shows the pain I felt in dealing with the loss that I suffered. I lost all of my money, my TV, and my stereo. I knew I would never get the opportunity to recover my lost items. â€Å"And to my God my heart did cry† (107), compares with the emptiness I felt when my family arrived home and saw the back door kicked in. At that point I didn’t want to continue into the house to find what had been taken from me.   Ã‚  Ã‚  Ã‚  Ã‚  The third stanza starts by saying, â€Å"And when I could no longer look, I blest His name that gave and took,† (107). After everything was over she realized that God had given her everything she had lost in the fire, and that she could once again receive those things from God. This relates to me being robbed in the fact that everything I lost was something that was not needed. This helped me to realize that material things aren’t going to make you happy, but the Love of God is. The last line of the play says, â€Å"My hope and treasure lies above.† (108). I believe that Anne Bradstreet became very spiritual after the fire and looked to God for the answer to everything.

Poverty Destroys Education in America Essay

Poor people do not have weaker work ethics or lower levels of motivation than wealthier people (Iversen & Farber, 1996; Wilson, 1997). Although poor people are often stereotyped as lazy, 83 percent of children from low-income families have at least one employed parent; close to 60 percent have at least one parent who works full-time and year-round (National Center for Children in Poverty, 2004). In fact, the severe shortage of living-wage jobs means that many poor adults must work two, three, or four jobs. According to the Economic Policy Institute (2002), poor working adults spend more hours working each week than their wealthier counterparts Low-income parents hold the same attitudes about education that wealthy parents do (Compton-Lilly, 2003; Lareau & Horvat, 1999; Leichter, 1978). Low-income parents are less likely to attend school functions or volunteer in their children’s classrooms (National Center for Education Statistics, 2005)—not because they care less about education, but because they have less access to school involvement than their wealthier peers. They are more likely to work multiple jobs, to work evenings, to have jobs without paid leave, and to be unable to afford child care and public transportation. It might be said more accurately that schools that fail to take these considerations into account do not value the involvement of poor families as much as they value the involvement of other families. one particular content area that’s of their interest, and everything that’s in it has to meet certain standards *These conditions are the result of a tremendous growth of social inequality, combined with a governmental assault on social programs in recent decades by politicians of both big-business parties. For society’s youngest members, this finds expression in the growth of poverty and hunger, attacks on education and welfare programs, and an increase in violence and abuse What the government failed to do was enact a basic income guarantee for all citizens. Free-market economist Milton Friedman had recommended a negative income tax in his 1962 book â€Å"Capitalism and Freedom,† and in 1967 a National Commission on Guaranteed Incomes confirmed the idea. In 1969, President Richard Nixon announced a Family Assistance Plan that would pay $1,800 a year to any family of four with no outside earnings. The program passed the House of Representatives with two-thirds of the vote but was rejected by the conservatives who controlled the Senate Today, poverty is becoming a national catastrophe even while the highest income brackets prosper. From 2002 through 2006 the economy was floated by the housing bubble, with many lower income people getting into homes of their own through the proliferation of subprime mortgages.

Montessori method of education Essay

Dr. Maria Montessori is the founder of the Montessori method of education. She started her first classroom â€Å"Casa dei Bambini† or Children’s House in 1907. Montessori method of education stresses the importance of respecting children – â€Å"Help me to help myself†. Montessori education celebrates its 100th year in 2007. The goals of a Montessori education were to develop sensory training, language acquisition, arithmetic, physical education, practical life skills and abstract thought through the teaching of the whole child and the integration of the family into the early education system. Montessori began her educational experiences by working with special needs children. At the time of Montessori, special needs children were thought of as a â€Å"lost cause†. They could not learn how to become members of society because intelligence was fixed. She strongly opposed to the perceptions on cognitive abilities of these children at the time, and believed that they could learn how to become members of society through special teaching techniques that utilized sensory education and hands-on experience. Her aim was to teach children academics through practical life experiences and to â€Å"†¦to develop the whole personality of the child through motor, sensory, and intellectual activity† (Hainstock, 1997, 35). Montessori – The Montessori classroom is a meticulously prepared environment designed specifically to meet the needs of the child both physically and emotionally. One aspect of the prepared environment includes the Practical Life activities. Many Practical Life activities are tasks the child sees routinely performed in the home. They each serve a meaningful purpose as the child masters each piece of work such as tying shoes, pouring water, sweeping, or sewing and cooking. Through Practical Life activities, a child will also develop and refine social skills. These skills developed through Practical Life build self-esteem, determination and independence. The student learns to take care of him and the surrounding environment. Maria Montessori explains in, The Discovery of the Child, â€Å"Through practical life exercises of this sort the children develop a true  Ã¢â‚¬Ëœsocial feeling,’ for they are working in the environment of the community in which they live† (5, pg. 97). Additionally, fine motor skills are improved through use of the Practical Life materials. Through repeated tasks which enable a child to refine concentration, coordination, independence, and order, a child’s sense of self-worth grows. The Practical Life skills are an essential component in the Montessori classroom. Not only do they provide a link between home and school for the new Montessori student, but they provide a foundation for life-long love of While appearing quite simple and repetitive, Practical Life activities are highly purposeful. A child engaged in such activities demonstrates high levels of concentration, sense of order, and refinement of fine motor skills. Also, they show a sense of independence through caring for oneself and the environment. Furthermore, they show respect for classmates and teachers and develop a sense of pride. Not only are these skills and qualities necessary to progress in the Montessori classroom, but they are also needed as an individual develops into adulthood. Practical Life activities can be divided into six main categories. First, are Preliminary Exercises which assist in creating routine and order in the environment and are prerequisites for other activities. How to a roll a mat, carry a chair, or how to open and close a door are examples of Preliminary Exercises. Practical life exercises also include Fundamental Skills such as pouring, spooning, or tonging. As with all lessons in the Montessori classroom, these activities follow a sequential order and ideally, each lesson builds upon the last. Another category is Care of Self. Activities such as washing hands, buttoning, or tying shoelaces assist the child to become physically independent. Care of Environment is another category involving activities such as sweeping, watering, cleaning, etc. Control of Movement is an area of Practical Life which encompasses lessons such as walking the Line and the Silence Game. Additionally, social Grace and Courtesy lessons are introduced to the child. These may include lessons on how to say please and thank you, interrupting someone, or introducing friends and acquaintances. Montessori stressed the relationship of these exercises to the general happiness and well being of the child. â€Å"A child who becomes a master of his acts through long and repeated exercises [of  practical life], and who has been encouraged by the pleasant and interesting activities in which he has been engaged, is a child filled with health and joy and remarkable for his calmness and discipline† (The Discovery the Child, 5, pg. 93). Varying types of presentations can be used by the teacher to introduce Practical Life activities. First is a collective introduction given the children at once. This could include proper table manners, how to interrupt someone, how to speak with an inside voice, or how to turn the page of a book. Another method is a group presentation given to a small gathering of children. The last method of introduction is Individual, given only to one child at a time. Montessori believed the prepared environment is directly correlated to the child’s development. The classroom is a specifically designed area arranged solely for the children. There should be a variety of movement and activity and all work operates together through the disciplines. Montessori also believed in the importance of aesthetically pleasing classrooms. Children respond well to beauty, order, and quality in their environment. Through the Practical Life activities in the Montessori classroom, a child not only learns concentration, coordination, independence and order, but also how to interact with others and gain an understanding and appreciation of the environment. The child begins to build himself from within while learning to treat him and others with respect and dignity. These understandings ultimately prepare the child for entry into society and a lifetime of self-respect and self-worthiness. Practical Life activities in the Montessori classroom ultimately provide the foundation for success in all areas of life. Movement – Montessori said- â€Å"one of the greatest mistakes of our day is to think of movement by itself, as something apart from the higher functions†(The absorbent mind, pg 151) – it is not equally clear as to how scientists and teachers have failed to note the supreme importance of activity in the  building up of the man to man be! It was during the time of Dr Maria Montessori who felt it was time to emphasize more on â€Å"movement† in educational theory – Mental development must be connected with movement. Like man’s nervous system is divided into three parts- Brain Sense organs- collect impression and pass them to the brain Muscles – the nerves transmits nervous energy to the muscles and this energy controls the movements of the muscles. Movement is the final result to which the working of all these delicate mechanisms leads up and it is because of movement that personality can express itself(The absorbent mind, pg 148)! The great philosophers must use speech or writing to convey his ideas and this involves muscular movement. What would be the value of his thoughts if he gave them no expression? This he can only do by making use of his muscles. Psychologists regard the muscles as a part of the central nervous system (works as a whole to put man in relation with his surroundings) and this whole apparatus of Brain ,Senses and Muscles is called – the system of relationship- it puts man in touch with his world (living or non living and with other people) and without its help a man could have no contact with his surroundings or his fellows. The vegetative systems only help their owner to grow and exist. It is the system of relationship which puts him into contact with the world! There is nothing in the world which plays no part in the universal economy, and if we are endowed with spiritual riches, with aesthetic feelings and a refined conscience, it is not for ourselves, but so that these gifts shall be used for the benefit of all, and take their place in the universal economy of spiritual life. Nature has given us many abilities and these must be developed and used. We know that for the enjoyment of good health, heart, lungs and stomache must all work together. We must apply the same rule to the system of relationship, the central nervous system†¦..if we have a brain, sense organs and muscles, all these must cooperate. The system must exert itself in all its parts, none of them being neglected for example we want to excel in brain power but to succeed in this we must include the other sides too. To perfect any giv en activity â€Å"movement† will be needed as the last stage of the cycle. In other words a higher spirituality can be reached only through action and this is the point  of view from which movement has to be judged. one of the greatest mistakes of our day is to think of movement by itself, as something apart from the higher functions, we think of our muscles as organs to be used only for health purposes. We â€Å"take exercise† or do â€Å"gymnastics† to keep ourselves fit, to make us breathe or to eat or sleep better. It is an error which has been taken over by the schools .It is just as though a great prince were being made the servant of the shepherd. The prince – the muscular system –is only being used to help the vegetative life. Such assumptions will lead to enquiry†¦there comes about a separation between the life of movement and the life of thought. Since the child has a body and mind both, games must be included in the curriculum so as to avoid neglecting any part of nature’s provision. To keep thinking abou t the mind on one hand and the body on other hand is to break the continuity that should reign between them. This keeps action away from thought. The true purpose of movement is to serve the ends of existence – that is the development of the mind(The absorbent mind, pg 151). All movement has most intricate and delicate machinery, but in man none of it is established at birth. It has to be formed and perfected by the child’s activity in the world. Movement and activity are natural functions of childhood and learning comes through them .Activity becomes increasingly important to development. It is the movement that starts the intellect working†¦ Till now all educators have thought of movement and the muscular system as aids to respiration, or to circulation, or as a means of building up physical strengthen our new conception the view is taken that movement has great importance in mental development itself, provided that the action which occurs is connected with the mental activity going on. Both mental and spiritual growth are fostered by this, without which neither maximum progress nor maximum health (speaking of the mind) can exist. A child is a discoverer. He is an amorphous splendid being in search of his own form. For example in the development of speech, we see a growing power of understanding go side by side with an extended use of those muscles by which he forms sounds and words. Observations made on children – the world overconfirms that the child uses his movements to extend his understanding. Movement helps in development of mind and this finds renewed expression in further movement and activity(The absorbent mind, pg 154). The child gains experience through exercises and movement. He coordinates his own movement  and records the emotions he experiences in coming into contact with the external world. The importance of physical activity or movement in a psychic development should be emphasized. The child has an internal power to bring about cordinations, which he creates himself, and once these have begun to exist he goes on perfecting them by practice. He himself is clearly one of the principal creative factors in thei r production. The movements the child acquires are not chosen haphazardly but are fixed. In the sense that each proceeds out of a particular period of development. When the child begins to move, his mind being able to absorb, has already taken in his surroundings. He Is directed by a mysterious power, great and wonderful that he incarnates little by little. In this way, he becomes a man. He does it with his hands, by experience, first in play then through work. The hands are the instruments of man’s intelligence. He constructs his mind step by step till it becomes possessed of memory, the power to understand and the ability to think. â€Å"The child’s mind can acquire culture at a much earlier age than is generally supposed, but his way of taking in knowledge is by certain kinds of activity which involves movement†¦.†(Montessori notes) It is very interesting to study the mechanical development of movement, not only because of its intricacy but because each of the phases it passes through is clearly visible. Man’s foot can be studied from three points of view: the psysiological, the biological and the anatomical and all of them are most interesting. The hand is in direct connection with the man’s soul, but also with different ways of life that men have adopted on the earth in different places and at different times. The skills of man’s hand are bound up with the development of his mind, and in the light of history we see it connected with the development of civilization. The hands of man express his thought and from the time of his first appearance upon the earth traces of his handiwork also appear in the records of history. Hence, the development of manual skill keeps pace with mental development. We are told that St. Francis of Assisi – perhaps the simplest and purest of human souls used to say – â€Å"Look at these great hills! They are the walls of our temple and the aspiration of our hearts!†(The absorbent mind, pg 163) The truth is that when a free spirit exists, it has to materialize itself in some form of work and for this hands are needed. (The absorbent mind, pg 163) The hand are connected with mental life, allows the mind to reveal itself and enables the  whole being to enter into special relationship with its environment. His hands under the guidance of his intellect transform this environment and thus enable him to fulfill his mission in the world. The education of the movements is very complex, as it must correspond to all coordinated movements which the child has to establish in his physiological organism. The child if left without guidance is disorderly in his movements and these disorderly movements are the special characteristics of the little child. The child is seeking the exercises in these movements which will organize and coordinate the movements that are useful to a man. The child follows direction/instructions and if his movements are made a little definite then the child grows quiet and contended and becomes an active worker, a being calm and full of joy. This education of movements is one of the principal factors in producing t hat outward appearance of â€Å"discipline† to be found in the â€Å"children’s house†.(Montessori notes) Importance of movement:- Movement leads to: Muscle development, both fine and gross – need freedom for movement to take place Stimulates the mind Stimulates the senses Develops concentration Develops independence Develops confidence (through agility/balance and co-ordination) Develops discipline and will Develops language Leads to normalization Results in a healthy body and mind Emotional and intellectual development through movement:- Emotions are the affecting mental stages, organized by external ideas of situations and always act while accompanied by bodily and mental excitement. However, when we talk about emotional development in children, we find that children show a wide range of emotional reactions. Sometimes they are excited and exuberant and at other times they are depressed and sullen and some other time they are just angry, throwing tantrums. We find various shades of emotions in them even at an early age. The word emotion originates  from the Latin word â€Å" Emovere† which means to be excited. So, an emotion implies that state of mind which excites a person when man is influenced by emotion he gets excited and his natural state of equilibrium is lost. Pattern of emotional development – if we have to understand the emotions of a child of school age, it is essential to take into consideration his emotional development during the early years. Sometimes, newly born infants behave as though they are violently aroused. If such vigorous behavior means the intensity of his feelings, then we must conclude that emotional experiences can be as intense during this early period as at any later stage of growth. Again we see that a new born child is relatively unresponsive to many stimuli which are likely to arouse him in later stages. Children are capable of rich and varied emotional experiences in the course of their development till they are adults. Children from birth to 2 years go through a variety of emotions and goes through many emotional experiences that may influence his attitude towards life. Studies show that at birth there are general excitements mostly concerning his hunger and comforts, after 2-3 months the child shows definite signs of distress along with delight. By 6 months with his exposure of different kinds of stimuli the child starts showing other shades of emotions like distress or discomforts develops into fear, disgust and anger. With the satisfaction of his needs he feels delighted and by the time child completes one year this delight differentiates itself from affection. the child recognizes emotions in others and responds to it clearly. But his emotions are not so strong as regard to joy and happiness when he turns one as they are at the age of 2.Therefore we conclude that by the end of 2nd year the child has already developed various emotions and feelings. Factors affecting emotional development – There are many factors that affect the emotional development among children, the major ones are – Fatigue – tired and exhausted child Ill health Order of birth Intelligence Environment Parental attitudes The child’s emotions are still pure of contrasts. He loves because he takes in, because nature orders him to do so. And what he takes and absorbs to make it a part of his own life, so as to create his own being(The secret of childhood, pg 80). The child follows the grownups and the words of a grownup are supernatural stimuli. The child is enchanted and fascinated by his actions and words. What the grown up tells him remains engraved in his mind like words incised by a chisel on a stone. The adult should count and measure all his words before the child, for the child is hungry to take from him, he is an accumulator of love. The developing child not only acquires the faculties of man: strength, intelligence, language, but at the same time, he adapts the being he is constructing to the conditions of the world about him. The child has a different relation to his environment from ours. The things he sees are not just remembered; they form part of his soul. He incarnates in himself all in the world about him that his eyes see and his ears hear. In us the same things produce no change but a child is transformed by them. This vital kind of memory which absorbs is called â€Å" Mneme†. In this process of absorption, learning,acquiring,adapting the child is constructing not only physically but emotionally or psychic as well. The moment the child understands his environment he learns to work and adapt to it and then further wants to master in it which leads to modifications accordingly. In this complete process the following emotions are built; Self esteem Confidence Feeling of capability Sense of achievement Thus, children enjoy process not purpose! The distinct difference between man and animal – Montessori tends to adopt a different standpoint from many modern psychologists. Most of the psychologists place great emphasis upon the â€Å"inherited tendencies to behavior† which man has in common with animals. They maintain that everything we do is based on the instinctive urges of human act.Thus; the love of knowledge is but the sublimated instinct of curiosity. For Montessori, she believes that man differs from animal creation not only in degree but also in kind. She states that the most significant thing about  the child development is not instinctive tendencies that are in common with animals, but the capacity to reason which distinguishes us from them. Here, she is not trying to deny or belittle the significances of their findings, but she is saying that these elementary psychic forces are only a part of the question and a lesser part, her conviction is – â€Å"Animals have merely to awaken their instincts towards their specified behavior and their psychic life is limited to this. But in man there is other fact –the creation of human intelligence (Montessori, notes). Unlike man, one can predict the behavior of animals, whereas for man, what he will do in the future, no one can tell. â€Å"For man there is no limit†(Montessori notes). Man is a rational animal to be most â€Å"like to God† whose image we are made. Man alone possesses â€Å"that capable and god-like reason which enables us to do what no animals has ever achieved –i.e. to rise to a consciousness of our being i.e. self consciousness, to the knowledge that â€Å"I am I†. It is with this gift of reason or intellect as foundation that we are able to build our individual characters. How soon does a child begin to reason? According to Montessori, it begins as early as a baby where the child starts from nothing. Its reason revolves round his internal working like a little bud, developing and assuming concrete form from the images it absorbs from the environment. According to Montessori at her lecture in 1944, it was stated that the first year of a child’s life is the period where greatest psychic activity can develop by the human being. This is evident because we know that the brain is one thing that is active during the first y ear. That the reason why the head of a one year old has doubled in size since its born. At the third year, its brain is already half that of the adult- at four years eight –tenths of its ultimate size. Montessori further elaborated that it is during the first period that the human being grows principally in intelligence: the rest of its growth during this period, being subordinate to this developing psychic life. The three characteristics we can observe about a child during this period are – The child creates his own mind –Since intelligence is what distinguishes man from all other animals, the first characteristic is the creation of intelligence. As said before he first constructs himself by absorbing everything from the environment by his unconscious mind. With these multitudinous impressions, the child continues  to build his conscious intelligence. Montessori said ; to build up this conscious intelligence, the work of the hand plays an important and essential pa rt. The intelligence builds its own instrument –Second fact is while constructing his own intelligence he also begins to construct his own bodily instruments of expression. The child’s power of movement will develop in subordination to this superior aim i.e. of psychic development. Its activity will not be confined within the narrow limits of instinctive behavior, but will function as an instrument of a free moral agent. His eternal destiny is placed within his own hands. Marvelous adaptive powers of the child –The third characteristic of this period, are the marvelous adaptive power possessed by the child. Montessori illustrated this point by comparing man to animals. Example – if a cat is born in France, England or India, it would meow just the same way wherever it grows up. However for a child he will speak French in France, English in England and Hindi or any other dialect in India. This is because of its â€Å"inner construction†. Movement and mental assimilation leads to integration of personality – The child constructs himself through movement .The value of movement goes deeper that just helping in acquisition of knowledge. It involves the development of child’s personality -in 1st year baby establishes his physical his physical development through movement. He learns to use his limbs and whole body to carry out movements such as crawling, standing and walking and sometimes running. In the next few years he refines his gross motor skills through movement. He continues to develop his fine motor skills through activities that involve movements. As the child interacts with his environment, he absorbs the environment into his psychic life. Through repeated use of materials in the environment he learns to compare, discriminate, differentiate and judge the qualities of the materials. As the child gains experience through exercises and movements, he co-ordinates his own movement and records the emotions he experienced in coming into contact with the external world. He learns self help skills, taking and sharing. This is the social and emotional development of the child. It is also not sufficient to allow children to learn without giving him the opportunity to work or explore with the materials. When children work with the materials, it involves creative movement. When teaching children, it is not sufficient for them to hear the things which we wish him to learn. â€Å"We must give no more to eye & ear than we give to the hand†(Montessori notes) For example, in teaching children ,the idea of dimension, it is no good to show them a diagram of objects of various sizes, instead we need to provide children with concrete materials such as the knobbed cylinder, pink tower, brown stairs, long rods and knobbles cylinders. They must be given the opportunity to explore and experiment with the materials. This is so with all Montessori materials whether it is the four operations in arithmetic, parts of speech or learning of lands and water. It always involves movement. The child as an individual presents two aspects –the center and the periphery. The center is seen as the innermost citadel of the personality from which action proceeds .At this center the child increases his mental powers by seeking out sensation and movement which takes place at the second part of his personality i.e at the periphery. The periphery is that part of the child’s personality which comes in contact with the external world .It involves the senses, movements and the outward manifestations of his choice. Through continuous interaction of the center and the periphery, the mind of the child develops and expands. The directress should be concerned with the periphery as it is that part of the child that is accessible to her. The other methods of teaching aims at getting to the center directly. The teacher’s business is to feed the periphery. The teacher prepares the environment that meets the child’s inner needs and in his exploration of the materials, he abstracts ideas from them. As both center and periphery interacts, the child builds his mind. The objects in the environment cannot be chosen at random. Each material possesses an idea or concept to be realized, not to be announced by the teacher. At the child explore with the materials, this concept/idea become presented. In practice, we often find that even if the directress has prepared the  environment and presented the materials to the children, there do not seem to be a click of the center and the periphery. The child does not seem to be interested and his act seems to be in a disorderly manner. According to Montessori, the answer to this missing link is the â€Å"Point of Contact†. To explain this, Montessori used the example of teaching the appreciation of music. If the teacher tries to play music morning till night and children are allowed to move about to move about anyhow and anywhere in a disorderly manner, there is a lack of contact. To resolve this problem, the muscles, which move, should move in response to the musical rhythm thus establishing a psychic bridge between the soul of the child and the external reality of music. The moment the child understands that there exists the connection (i.e between the music and his movement), then the point of contact is established. So if the music changes its rhythm, then the child becomes aware of it and changes his movement accordingly, and he is on the road to perfect himself. This reality may be either material or spiritual; but movement must always accompany the child at any rate. Let’s look at an example to understand how the point of contact helps development. In their presenting of the sensorial materials, children were given new sounds, new shapes etc.The main purpose of it is not just bring new sounds, new shapes but to bring order into this new impression. The difficulty or the error that the child is to discover and understand must be isolated in a single piece of material. For example the long rods will present to the child only a variation in length and not in colour and design. Such isolation will help child focus on the problem more readily. It is through this method, that it leads the child to be interested in dimension, and develop him to observe them in the world around. Montessori calls her material â€Å"keys to the Universe† –it is important to constantly remember that it is through this point of contact limited and exactly but real work, helps the child to summon the mind to wonder at large in fantasy to something real which opens up a new pathway. With younger children, however, it was observed that the exercises in practical life will play an important part, but always the point of contact will be established through movement. An example was to get up from a chair and carry it from one place to another without any sound. The children would  be presented this concept of self perfection and would seek to do the same as it corresponds to his soul. Again, we see the truth of Montessori’s maxim that â€Å"education begins through movement†.

Développer - to Develop - French Verb Conjugations

Dà ©velopper - to Develop - French Verb Conjugations The  French verb  dà ©velopper  means to develop. Find conjugations for dà ©velopper  in the tables below. Conjugations of  Dà ©velopper Present Future Imperfect Present participle je dveloppe dvelopperai dveloppais dveloppant tu dveloppes dvelopperas dveloppais il dveloppe dveloppera dveloppait nous dveloppons dvelopperons dveloppions vous dveloppez dvelopperez dveloppiez ils dveloppent dvelopperont dveloppaient Pass compos Auxiliary verb avoir Past participle dvelopp Subjunctive Conditional Pass simple Imperfect subjunctive je dveloppe dvelopperais dveloppai dveloppasse tu dveloppes dvelopperais dveloppas dveloppasses il dveloppe dvelopperait dveloppa dveloppt nous dveloppions dvelopperions dveloppmes dveloppassions vous dveloppiez dvelopperiez dvelopptes dveloppassiez ils dveloppent dvelopperaient dvelopprent dveloppassent Imperative tu dveloppe nous dveloppons vous dveloppez Verb conjugation patternDà ©velopper  is a  regular -ER verb

Anti Affirmative Action essays

Anti Affirmative Action essays Recently, many people have had a problem with affirmative action. Its unfair rules and just the whole definition are outrageous. Affirmative action is the concept of creating equality for minorities by making all companies balance them out in the workplace. This leads to reverse discrimination, it doesnt always serve its purpose, and it is detrimental to the self-esteem of its recipients. This whole affirmative action concept should be taken out of this country immediately. Most importantly, affirmative action creates reverse discrimination. Non-minority individuals are often denied of a job to make room for minorities. This concept of hiring creates reverse discrimination when employers are forced to hire one individual over another because of racial make up instead of qualifications. Recently, a policeman in Massachusetts was turned down for a position even though he received the highest score on the exam. A few days later, he retook the test and marked the box for African-American, instead of Caucasian, and got the job. This incident further proved that affirmative action forces employers to look for the most qualified minority worker, rather than looking for the most qualified worker in general. Recently, the University of Michigan denied a group of students admission on the grounds of race rather than on their test scores (Cohen 52). In its attempt to create equality uniting the races, it really goes back to where inequality began. It has recreated the same problem that blacks did, only now it is white America that has to endure them. White men have now become the minority, while the past minorities are not minorities anymore. It is very difficult for whites to get jobs or any additional support. Minorities have easy access to jobs because companies are looking to find minorities to let into affirmative action. Minorities are also getting a lot of additional support. For instance...

A needs orientated approach to care

This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications A needs orientated approach to care This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications

Business Buying Essay Example | Topics and Well Written Essays - 1500 words

Business Buying - Essay Example These goods are not aimed directly at consumers and include selling finished goods: e.g. office furniture, computer systems; selling raw materials or components: e.g. steel, coal, wood; selling services to businesses: e.g. security, financial consulting, and legal services In both types of markets there is a distinction between consumers and buyers. Whereas buyers actually make the purchase, it is consumers who use the product. For e.g. if a father buys a Kia Carnival for his daughter, he is the buyer while the actual consumer is the daughter who will drive it. In B2C marketing, marketers have to consider the needs of the consumer and for what purpose will the product be used. If a man buys a Toyota Land Cruiser for his son then it will be classified as a b2c sale. However if a man buys a pickup truck for his factory use it will be a b2b sale. Industrial organisations' buying differs from that of consumers because they have additional needs, for example, the making of profits and legal obligations to their customers. Generally consumer buying is a brief process where they can be affected by situational factors like point of purchase advertising, consumer moods, promotional offers etc. Their sources of information are limited often including commercial factors (car ads on TV, television, internet etc) or reference groups. Buying behavior is largely determined by cultural, social, personal and psychological factors. Consumers can make routine purchases, complex purchases (high involvement products) or simply indulge in impulse buying. Purchasing a car would typically be a high involvement purchase which will be made after much deliberation. Characteristics of B2B markets Business markets contain relatively few buying units as compared to consumer markets. B2b market is even more limited because most companies sell to only a small segment of the total market. Despite this, buying power in many business markets is highly concentrated in a relatively few firms. Not every business will have the buying power to purchase eighteen wheeler trucks. Purchasing power is usually estimated using an activity indicator of buying. There is also a substantial regional concentration in many major industries and among business users as a whole. Businesses start with the evaluation of market size attractiveness which takes into consideration some macro- and micro-economic variables along with some firm related variables; and the second stage is based on the evaluation of a market's structural attractiveness which takes into consideration some cost, structural compatibility, government policy variables etc. Buying behavior can be influenced by the economic environment, e nvironmental factors, organisational factors, interpersonal factors and characteristics of the individual. Buying is less frequent in industrial markets and includes three types of buying situations: New task buying: first time purchase of a major product (buying a heavy duty Volvo truck for the first time) Straight rebuy: