Tuesday, January 28, 2020

Transitions Essay Example for Free

Transitions Essay Transitions are changes that take place in our life; changes that move us from one stage to another, for example from being single to being married, or from being unemployed to being in work. Children go through lots of transitions from 0-19years birth itselffrom milk to solidsfrom crawling to walkingfrom being fed to feeding ourselvesfrom nappies to being trainedbecoming self awareable to be cared for by othersgoing to nurserygoing to school developing new skills. nd college or work home to early childcare when the child is getting ready for going to a childminder or nursery then the John Bowlby Attachment theory helps as it can be difficult for children to separate from there parents so it its important to let them know that everything is fine and that they are loved moving on to primary school this is a big transition because they are moving into full time school so its a good to introduce them to the teacher a few times before starting as this get the use to a new face and classr oom some schools let the children have a morning with the teacher before they that start the class. Moving on to secondary school each school is different some schools let the the children have a have a full day at the new school other schools let them have a week of moving around the school its important that the children are told what is happening at that a familiar face is there to help with the transition. Moving on to college,employment or training there are many different agencies there is connections for teenagers where they can get support and advice for careers that they want or at college there is a student service that will help. any children can deal with a particular change unaffected but for some children find the divorce or a death a life changing experience. children need to have a positive relationship during periods of transition as they need to feel secure in other areas of their lives. Each child is different some children may want to talk about the transition so its important to make the time for them. If there is enough time to prepare the child or children for the transition then it will help them when the time comes. Some children’s behaviour may change for example the child may become quiet and withdrawn may show signs of uncharacteristic behaviour or become attention seeking The child’s development may also become affected lack of motivation avoiding social contact or regressing All of these transitions present the child with challenges. Of course, the child doesn’t usually have to go through the transitions on his own, he will be supported by those around him at home or in day care, or in education. However, the experience of going through the transition will depend on the kind of response and support he gets from those around him. We must also keep in mind the fact that a child’s early experiences of transitions will have a big effect on how he handles transitions at later stages of his life.

Monday, January 20, 2020

A Bend in the Road :: essays research papers

A Bend in the Road   Ã‚  Ã‚  Ã‚  Ã‚  In Nicholas Sparks’s novel A Bend in the Road, the main character, Miles Ryan, allows himself to be tormented by the killing of his wife, Missy. By assuming that it was cold blooded murder, Miles spent two years on the case, trying to find the possible â€Å"killer† of the hit and run, only to find that it was indeed an accident and nobody was at fault. After finding that the death of his wife was indeed an accident, Miles realized that by living in the past for the last two years of his life he was not able to be the person that he really was.   Ã‚  Ã‚  Ã‚  Ã‚  At the beginning of the novel, the author states, ‘He (Miles) was tired of being alone, of waking up in an empty bed, though the feeling surprised him. He hadn’t felt that way until recently. In the first year after Missy’s death, He couldn’t even begin to imagine loving another woman†¦ Even after he weathered shock and grief strong enough to make him cry every night, his life felt wrong somehow.’   Ã‚  Ã‚  Ã‚  Ã‚  The first impression that I got after reading this quote was that he was beginning to feel the need to move on. But as I read on I realized that he is so worked up about the case even two years later that he was not able to move on. As if there was something inside stopping himself. I can feel the great amount of hurt and sorrow that he is producing, a couple of weeks after her death Miles took up smoking, though he denies it. He says he is ready to move on, but his heart is not.   Ã‚  Ã‚  Ã‚  Ã‚  At one point in the story, Miles was at a bar and overheard a drunk talking about a guy named Otis and how he ran over Miles wife, and because Miles and Otis are not on each others good side, Miles rushes in and arrests Otis on the spot, pointing his gun at his head, ready to shoot when Otis gave any sign of struggle. Taking Otis in, Miles thought, ‘I don’t care. Otis is going to jail, no matter what happens to me. Otis will rot away in prison like he made me rot for two years.’ Miles has so much anger and depression from the death of his wife that if he hears anything about the person who killed Missy, even if it is from a drunk guy, that he will just rush in and take the guy down.

Sunday, January 12, 2020

Clients With Osteoporosis Questionnaire Health And Social Care Essay

Analysis of informations is a procedure of inspecting, cleansing, transforming, and patterning informations with the end of foregrounding utile information, proposing decisions, and back uping determination devising. This chapter deals with the analysis and reading of informations collected from 30 samples on clients with Osteoporosis at Melmaruvathur Adhiparasakthi Institute of Medical Science and Research. This survey was done with questionnaire, structured evaluation graduated table and experimental checklist. Data analysis was done by utilizing descriptive and illative statistical process. The points were scored after appraisal and rating and the consequences were tabulated. The statistical methods used for analysis were average, standard divergence, gestural trial and correlativity.Description OF THE TOOLSDetailss of the tools in this survey are as follows ;PART- IDemographic variablesDemographic variables include age, gender, educational position, business, household monthly income, matrimonial position, faith, household history of co- morbid disease, diet and bad wonts.PART- IIStructured Rating ScaleStructured evaluation graduated table of Index of Severity of Osteoporosis by Lequesne appraisal tool was used to place the betterment in the wellness position of clients with Osteoporosis.PART- IIIIt includes Experimental Checklist of nursing intercessions for client with Osteoporosis.REPORT OF THE PILOT STUDYThe pilot survey was conducted on July of 2010 to happen out the effectivity of n ursing attention on clients with Osteoporosis in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Melmaruvathur, Kanchipuram District for a period of two hebdomads. A Index of Severity of Osteoporosis by Lequesne and was used by the research worker and used to happen out the dependability, cogency which was evaluated by the experts of the research commission. A convenient sampling technique was used to choose three samples by agencies of structured evaluation graduated table to measure the wellness position of clients with Osteoporosis. The nursing attention was provided as per the tool and wellness position was evaluated, eventually the research was analysed based on the mark. Therefore the nursing attention was extremely effectual on clients with Osteoporosis.CogencyThe tool was prepared by the research worker under the counsel of experts and on the footing of aims, which were assessed and evaluated, accepted by the experts of research commission. Content c ogency of this instrument was obtained from nursing experts.DependabilityThe dependability was checked by an interater method. The dependability was 0.80 by utilizing Cronbach & A ; acirc ; ˆâ„ ¢s expression. After the nursing attention was provided, gestural trial was used and found that nursing intercessions was effectual.INFORMED CONSENTThe research worker obtained written consent from the Managing Director, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research and from the Principal of Adhiparasakthi College of Nursing, Melmaruvathur. Oral consent was taken from the survey participant to carry on the survey. The information aggregation was done for six hebdomads by utilizing interview and experimental method.DATA COLLECTION PROCEDUREThe informations were collected from the Osteoporosis clients who were admitted in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research in Orthopaedic ward for the six hebdomads of survey period. A good res onance was maintained with the clients in order to derive the co- operation of the clients throughout the survey. After roll uping demographic informations, appraisal was done with the aid of standardised evaluation graduated table. The nursing attention was given utilizing a experimental checklist. On the twenty-four hours of discharge the client & A ; acirc ; ˆâ„ ¢s wellness position was evaluated with the aid of same structured evaluation graduated table.SCORE INTERPRETATIONThe mark was interpretated as follows ; Mark reading = Obtained score ten 100 Entire markSCORE DESCRIPTIONDescriptionPercentageHealthy Mild wellness impairment Moderate wellness impairment Severe wellness impairment Less than 25 % 25- 50 % 50- 75 % More than 75 %STATISTICAL METHODS.No.DATA ANALYSISMethodRemark1 Descriptive statistics Frequency per centum, Mean, Standard divergence To depict the demographic variables. 2 Inferential statistics 1.Sign trial 2.Correlation Analyzing the effectivity between pre appraisal and station rating of wellness position of the clients with Osteoporosis. Correlation between selected demographic variables and rating of wellness position of clients with Osteoporosis. Data analysis and reading were done under following headers. Section- A: Distribution of selected demographic variables of clients with Osteoporosis. Section- B: Frequency and per centum distribution of wellness position of clients with Osteoporosis. Section- C: Comparison of mean and standard divergence of appraisal and rating mark of effectivity of nursing attention on clients with Osteoporosis. Section- D: Mean and standard divergence of betterment mark for clients with Osteoporosis SECTION- Tocopherol: Correlation between selected demographic variables and effectivity of nursing attention on clients with Osteoporosis.SECTION- A Table 4.1: Distribution of selected demographic variables of clients with OsteoporosisN= 30S.No.DEMOGRAPHIC VARIABLESFrequencyPercentage1 Age ( In old ages ) 18- 32 33- 45 46- 58 & A ; gt ; 58 0 7 16 7 0 23.3 53.3 23.3 2 Gender Male Female 5 25 16.7 83.3 3 Education Status Illiterate Primary school Higher Secondary Graduate/ College 12 10 4 4 40 33.3 13.3 13.3 4 Occupation Employed Unemployed Retired Others 17 6 7 0 56.7 20.0 23.3 0 5 Family & A ; acirc ; ˆâ„ ¢s monthly Income ( in Rs. ) Up to 2000 2001- 4000 4001- 6000 Above 6001 7 11 6 6 23.3 36.7 20 20 6 Marital Status Married Unmarried Widow/ Widower Divorced 21 0 9 0 70 0 30 0 7 Religion Hindoo Christian Moslem Others 10 5 15 0 33.3 16.7 50.0 0 8 History of any co- morbid disease Osteoporosis Other Orthopaedic Problems None Both 15 5 9 1 50.0 16.7 30.0 3.3 9 Diet Vegetarian Non- Vegetarian 15 15 50 50 10 Bad Habits Alcohol Smoking Both None 3 2 4 21 10 6.7 13.3 70 Table 4.1 implies the distribution of respondents harmonizing to certain demographic factors such as age, gender, educational position, business, household monthly income, matrimonial position, faith, household history of carbon monoxide ; morbid disease, diet and bad wonts. Out of 30 clients 7 ( 23.3 per centum ) clients were in the age group 33- 45 old ages, 16 ( 53.3 per centum ) clients were in the age group of 46- 58 old ages, 7 ( 23.3 per centum ) clients were in the age group of above 58 old ages. Most of the clients, 16 ( 53.3 per centum ) were in the age group of 46- 58 old ages. Sing gender 5 ( 16.7 per centum ) of clients are male and 25 ( 83.3 per centum ) of clients are female. Majority of clients, 25 ( 83.3 per centum ) were females. Out of 30 clients 12 ( 40 per centum ) clients are illiterate, 10 ( 33.3 per centum ) clients completed primary school, 4 ( 13.3 per centum ) clients completed high school, and 4 ( 13.3 per centum ) clients are graduate / college. Most of the clients, 12 ( 40 per centum ) are illiterate. Sing business 17 ( 56.7 per centum ) of clients are employed and 6 ( 20 per centum ) of clients are unemployed and 7 ( 23.3 per centum ) are retired. Majority of clients, 17 ( 56.7 per centum ) are illiterate. In instance of household monthly income up to Rs. 2000/- was drawn by 7 ( 23.3 per centum ) clients, 11 ( 36.7 per centum ) had monthly income of Rs. 2001/- to Rs. 4000/- , 6 ( 20 per centum ) were in the income group of Rs. 4001/- to Rs. 6000/- and 6 ( 20 per centum ) clients had a monthly income of above Rs. 6000/- . Most of the clients, 11 ( 36.7 per centum ) had monthly income of Rs. 2001/- to Rs. 4000/- While analyzing the matrimonial position of clients 21 ( 70 per centum ) are married and 9 ( 30 per centum ) were widower/ widow. Most of the clients 21 ( 70 per centum ) are married. 10 ( 33.3 per centum ) of clients are Hindu were as 5 ( 16.7 per centum ) of clients are Christian and 15 ( 50 per centum ) are Muslim. Majority 15 ( 50 per centum ) of clients are Muslim. Out of 30 clients 15 ( 50 per centum ) clients are with co- household history of Osteoporosis, 5 ( 16.7 per centum ) clients are with household history of other orthopedic jobs, 9 ( 30 per centum ) clients are with no co- morbid disease and 1 ( 3.3 per centum ) is with both household history of Osteoporosis every bit good as other orthopedic jobs, Most of the clients, 15 ( 50 per centum ) clients are with household history of Osteoporosis. Sing diet 15 ( 50 per centum ) of clients are vegetarian and 15 ( 50 per centum ) of clients are non- vegetarian. While analyzing the bad wonts 3 ( 10 per centum ) of clients are holding the wont of devouring intoxicant and 2 ( 6.7 per centum ) are of clients with the wont of smoke, 4 ( 13.3 per centum ) are with both the wonts. 21 ( 70 per centum ) of clients do non hold any bad wonts. Majority of clients, 12 ( 70 per centum ) do non hold any bad wonts.SECTION- B Table 4.2: Frequency and per centum distribution of wellness position of clients with OsteoporosisN= 30.S.NoHealth STATUSAppraisalEvaluationNumberPercentageNumberPercentage1 Healthy 0 0 5 16.7 2 Mild wellness impairment 6 20 24 70 3 Moderate wellness impairment 22 73.3 1 3.3 4 Severe wellness impairment 2 6.7 0 0 Table 4.2 shows that at the clip of immediate station operative period wellness position of clients were assessed, out of 30 clients 2 ( 6.7 per centum ) were in terrible wellness impairment, 22 ( 73.3 per centum ) were in moderate wellness impairment and 6 ( 20 per centum ) are in mild wellness impairment. At the clip of discharge the wellness position of clients were evaluated, out of 30 clients 5 ( 16.7 ) were healthy, 24 ( 70 per centum ) are in mild wellness impairment, merely 1 ( 3.3 per centum ) are in moderate wellness impairment and 5 ( 16.7 per centum ) were healthy.Section- C Table 4.3: Comparison of mean and standard divergence of appraisal and rating mark of clients with OsteoporosisN= 30.S.No.Health STATUSMeanStandardDeviationCONFIDENCE INTERVAL1 Appraisal 30.8 3.06 31.28- 28.2 2 Evaluation 16.96 3.94 17.96- 14.44 Table 4.3 indicates assessment average value 30.8 with standard divergence of 3.06 and rating mean value 16.96 with standard divergence of 3.94.SECTION- D Table 4.4 Mean and standard divergence of betterment mark for clients with OsteoporosisN= 30.S.No.Health STATUSMeanStandard DEVIATIONSecondValueKValue1 Improvement mark 13.83 3.64 2 5.38 **p & A ; lt ; 0.05 degree of significance Table 4.4 shows that betterment score average with 13.83 and standard divergence of 3.64. The K value is 2 and S value is 5.38. Since the deliberate value is greater than table value, it implies that there was statistically extremely important betterment in wellness position of clients with Osteoporosis after the post- operative nursing attention at 0.05 degree of significance. Thus the nursing attention on clients with Osteoporosis was effectual.Section- E Table 4.5: Correlation between the selected demographic variables with the effectivity of nursing attention of clients with Osteoporosis.S.No.DEMOGRAPHIC VARIABLESAppraisalEvaluationRSevere wellness impairmentModerate wellness impairmentModerate wellness impairmentMild wellness impairmentNo.%No%No%No%1 Age ( In old ages ) 18- 32 33- 45 46- 58 & A ; gt ; 58 0 1 0 1 0 3.3 0 3.3 0 6 10 6 0 20 3.3 20 0 1 0 0 0 3.3 0 0 0 6 16 7 0 20 53.3 23.3 -0.3 2 Gender Male Female 0 2 0 6.7 3 19 10 63.3 0 1 0 3.3 5 24 16.7 80 -0.8 3 Education Status Illiterate Primary school Higher Secondary Graduate/ College 1 0 0 1 3.3 0 0 3.3 9 6 4 3 30 20 13.3 10 0 0 0 1 0 0 0 3.3 12 10 4 3 40 33.3 13.3 10 0.4* 4 Occupation Employed Un- employed Retired Others 4 2 0 0 13.3 6.7 0 0 12 4 6 0 40 13.3 20 0 1 0 0 0 3.3 0 0 0 16 6 7 0 53.3 20 23.3 0 -0.1 5 Family & A ; acirc ; ˆâ„ ¢s monthly Income ( in Rs. ) Up to 2000 2001- 4000 4001- 6000 6001- 8000 0 1 0 1 0 3.3 0 3.3 5 8 4 5 16.7 26.7 13.3 16.7 0 0 0 1 0 0 0 3.3 7 11 6 5 23.3 36.7 20 16.7 0.3 6 Marital Status Married Unmarried Widow/ Widower Divorced 1 0 1 0 3.3 0 3.3 0 16 0 6 0 53.3 0 20 0 1 0 0 0 3.3 0 0 0 20 0 9 0 66.7 0 30 0 -0.1 7 Religion Hindoo Christian Moslem Others 1 1 0 0 3.3 3.3 0 0 6 3 13 0 20 10 43.3 0 1 0 0 0 3.3 0 0 0 9 5 15 0 30 16.7 50 0 -0.2 8 Family history of any co- morbid disease Osteoporosis Other orthopedic jobs None Both 2 0 0 0 6.7 0 0 0 10 5 7 0 33.3 16.7 23.3 0 0 1 0 0 0 3.3 0 0 14 5 9 1 46.7 16.7 30 3.3 -0.2 9 Diet Vegetarian Non- vegetarian 1 1 3.3 3.3 11 11 36.7 36.7 14 15 46.7 50 1 0 3.3 0 -0.2 10 Bad wonts Alcohol Smoking Both None 0 1 0 1 0 3.3 0 3.3 1 1 1 19 3.3 3.3 3.3 63.3 0 0 0 1 0 0 0 1 3 2 4 20 30 6.7 13.3 16.7 0.1 **p & A ; lt ; 0.05 degree of significance Table 4.5 indicates that there was statistically no important correlativity between selected demographic variables like age, gender, business, household monthly income, matrimonial position and faith, household history of co- morbid disease, diet and bad wonts. There is important correlativity in educational position.

Saturday, January 4, 2020

STEP Analysis - 2111 Words

What is STEP Analysis? A method used by management that provides the analysis which is based on the four external factors that may affect the organization’s performance. Social, Technological, Economic and Political are the four factors. This strategical tool helps the profitability of the company. Factors Social: The social factor helps a company to understand the ethical, cultural beliefs, demographics, lifestyles and education. These changes influence the growth of the company. Technological: The change in the technological factors can change the company’s competitive area. Environmental, ecological ways. New strategies and products and the cost of improvising and innovation. And in the development of the product. Economic: The†¦show more content†¦Cadburys worked out with amul to make mithai and add chocolate like Indo Western style but it did not attract customers so Cadbury did intensive research and started promoting through different media and hit the slogan â€Å"just for kids in 90s†. Later on they shifted to the campaign for teenagers who shared the real taste of life, memorable instances which stayed in everyone’s life† like a girl dancing in the cricket field† this campaign was awarded the â€Å"campaign of century in India.† From here they targeted the campaign of consumption of chocolates amongst adults which was portrayed by Mr. Amitabh Bachan were different relations, special moments, festive occasions, reunions were showed with happiest moments with a slogan â€Å"kuch meeta ho jaya† this is an excellent technique of reaching the Indian cultural barrier of mithai the promotion of Cadbury cleverly put up to equalize a chocolate and a mithai. Technological Cadburys entered the Indian market where people could recognize the brand only with a purple cover. Technically the taste of the Indians in theShow MoreRelatedAnalysis Of Alfred Hitchcock s The Thirty Nine Steps 1548 Words   |  7 PagesDirector: Alfred Hitchcock (1899 - 1980) A Gaumont-British Picture Corp Year of production: 1935 - - - Reading John Buchan s The Thirty Nine Steps - (1915), I found myself pondering: circumstances and the concept of what ifs? Probably a logical response to recent atrocities which intrudes on our lives and media networks. Escapism via watching the 1935 Hitchcock film version of the same name caused a soothing distraction. I smiled at the archaic smoky focus, disjointed edits and chanceRead MorePublic Policy Analysis And Management Should Be My Next Step1490 Words   |  6 Pagesdialogue, no societal issue would gain attention or action. 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