Evaluate communication skills in role play Essay

Evaluate communication skills in role play - Essay Example Summary of Scenario The scenario given is based on the relationship between Kelly, an elderly individual living in a nursing home and Mary, the care giver. Kelly is the age of 80 and requires basic assistance for daily living activities; however, she is still fairly independent with her actions. Mary goes to give Kelly her morning breakfast and is accused of stealing Kelly’s money as she is the only one in the room. Mary states that Kelly should look in her purse again to see if the money is there; however, Kelly refuses and continues to become aggressive toward Mary. After this point, there are two methods of communication that are used. The first is with Mary who tells Linda, the manager, about the given scenario and what the results are. The second is when the message is communicated to Doreen, the daughter of Kelly. Doreen tells her mother to look in her purse where the money is found. Kelly and Mary also go into the room to resolve the conflict; however, the money has bee n found and an apology is made toward Mary. Theories of Communication The first application that can be seen with the scenario between Kelly and Mary is based on behavioural theory. This theory states that the communication and motivation which is used may alter the behaviours which one takes as well as the intentions which are a part of the theory. When using persuasive communication in the right manner, the behaviours alter and a different mood is created toward the situation (Fishbein, Cappella, S1: 2006). When looking at the scenario between Kelly and Mary, it can be seen that the motivation factors alters the behaviour. Mary first tries to alter the situation by calming Kelly down and motivating her to look in her bag. However, the behavioural response leads to aggressive behaviour toward Mary. The motivation at this point is used in a negative manner because of the situation. The same concept of behavioural theory is applied when Doreen steps in. The communication is used in a non – threatening manner and Kelly is able to express her concerns thoroughly. This allows Doreen to motivate Kelly to look in her bag. The response isn’t negative because of the way the information is communicated to her mother. The communication that was used negatively is one which may directly be associated with Mary as well as with Linda later during the scenario. According to Eric Berne, the negative communication is one which is not only based on this scenario. Reactions and experiences also may create a psychological response to the situation. If the communication approach is one which constitutes a psychological reaction or triggers a memory, then a negative response may occur. The scripts which may lead to a negative reaction include protocol, script proper and adaptation. The protocol of Kelly is relayed through her instant reaction of believing that Mary took her money. The script proper is also a retelling of past experiences and psychological responses t o the situation. The adaptation is retrieved when a change in attitude and understanding of the situation is correctly applied (Stewart, 7: 2007). When looking at this situation, it can be seen that the negative response was based only on psychological responses. The relation that Kelly has with both Mary and Linda triggers a negative reaction or protocol which Kelly believes is true. This can be seen in the overall

Curriculum review circle Research Paper Example | Topics and Well Written Essays - 1250 words

Curriculum review circle - Research Paper Example The reviews may think they have all the time and end up taking a lot of time in the review process. Another major problem that is still notable with the LaCrescent-Hokah School District Curriculum Improvement Plan is the fact that the various stages at some point seem to overlap one another. The National Council for Curriculum and Assessment (1999) explained on the need to be able to distinguish the various stages in the review process. However for LaCrescent-Hokah School District, stages five and six seems to be similar. Almost same activities are carried out with the only distinction being the two parts. This makes it not so easy to distinguish which stage the review has reached. This may become difficult to determine the progress of the review. A look at the three programs however shows that there is some similarity in the way they are structured. The initial stages involve the determination of what is there at present. This is the data collection. The information obtained is then analyzed and reviewed to determine what needs to be added onto the curriculum. It’s tested for what is working and what is not with proper revision made on them. Then the proposals are implemented as planned. While this is taking place, issues that may arise are dealt with. What does not work is avoided while any revision necessary are made. Then full implementation is ensured. For the success of any change to be implemented in any organization or sector proper involvement of the stakeholders is absolutely import. The same case applies to the implementation of the Curriculum Review Cycle. The various stakeholders as identified by Office for standards in education (OFSTED), (1995) must all be brought on board the development and implementation process. The teachers whole are the leading implementers in the review process must be all provide with the knowledge,

Create your Indiana Geology Discussion Assignment

Create your Indiana Geology Discussion - Assignment Example To be sure, there is the occasional oil spout that just happens, but usually the discovery of oil is the result of painstaking labor on the part of geologists to determine not only where oil lies, but rather or not it exists in a given place in large enough quantities to warrant massive digging and the land destructions that occurs as a result. Most of the oil in Indiana is located in the Southwestern part of the state, and into parts of Illinois and Kentucky. These oil reserves are embedded in sandstone reservoirs that average between 1,000 to 3,000 feet deep. That is some serious digging to be sure. Before digging of that scale can commence, geologists needed to be sure that it would be worth the expense and effort. This is why there was really about 50 years between the discovery of crude oil and the time that Indiana companies began to dig in 1938-1940 (Indiana Government, par. 4). The discovery in Indiana amounted to a total of 900 individual reservoirs located in approximately 500 different fields throughout southwestern Indiana. As mentioned, oil drilling began on a grand scale in 1938 and then began to expand rapidly after that into the Griffin Pool along the Wabash River. These geological features are found in Gibson County. Indiana is ranked 23rd in the United States in terms of crude oil production. While not earth shattering, this amounts to a respectable 1.73 million barrels a year. To protect the geological landscape of the state, and to ensure that environmental safety standards are met and exceeded, Indiana created the Division of Oil and Gas in 1947. They are responsible for making sure laws are followed and they regulate any future oil exploration. The division does employ three petroleum geologists, so the public can rest assured that these people have the states best interests at heart. The chart below, represented by the Indiana Government, is a representation of the oil

African Americans as the Vulnerable Population Term Paper

African Americans as the Vulnerable Population - Term Paper Example Within the United States, racial segregation often implied the physical separation together with provision of separate services or facilities (mostly during the era of Jim Crow), although it could also refer to other distinct racial discrimination manifestations. For at least two hundred years before the beginning of the civil war, slavery is said to have existed within America. However, after this war, things moved from bad to worse for the black community. The southern part of America, especially, felt that they actually needed to move with speed and come up with legislation that would restrict the movement and association of blacks with other majority races. The former confederates, southern legislatures opted to pass laws popularly regarded as black codes, which immensely limited the blacks’ rights and subsequently segregated them from the white community. There had been no need for separating blacks and whites since approximately 95% of the blacks had been salves. However, they were still separated at taverns, theatres, schools and other social places. The blacks, therefore, witnessed a series of segregation tendencies from their white counterparts and with time, they got to adopt the situation. It is with this regard that congress swiftly moved to respond to this legislation in 1866 and managed to seize the responsibility of remaking the south. The Republican group demanded that the remaking of the south be marked by the viability of freed blacks in the society (John, 1997). By 1868, most of the laws, which happened to discriminate against the blacks, were effectively repealed.

Effective Leadership and Management in Nursing Essay - 1

Effective Leadership and Management in Nursing - Essay Example The proverb says: â€Å"A leader knows the way and a leader shows the way.† This describes what a leader should be. The methods of leadership differ as we come across different disciplines, but the ideals of leadership are similar everywhere. My personal view on leadership is that the leader should know the visions and goals of the group he or she is leading and know how to accomplish this goal utilizing the resources available. In my opinion, a leader is also a manager, as he has to manage his resources properly. A group without a charismatic leader is like a building without a strong foundation. It can collapse anytime. As mentioned above, there are several aspects of management in leadership. But management is only a part of leadership, and leadership has many other constituents in it. In a document by Thomas International Ltd (2008), it is written that leaders manage long-term goals and they are entitled to inspire their group. The leaders decide the targets and time-frames for the group. They must impart clearly what output is expected from their group and the methods and ideals that must be followed by the group members. Managers are to handle matters rather diplomatically, and they are assigned to manage the processes in producing the output that the leader has indicated. Their job is rather appointive or directive. Skills in concept making, public relations, and technology are expected from them. For example, in a company, its CEO is the leader and its HR manager is a person who manages processes in building the output set by the CEO. As for nursing, we have nursing stations in every hospital , and a nursing administrator will be present as a leader of other nursing personnel in order to provide sophisticated nursing services to the patients. A note from the Ethiopia Public Health Training Initiative by the Addis Ababa University defines leadership in nursing as follows:

The BRICS are more effective in todays economic environment than the World Bank and the International Monetary Fund ran by the United States Essay Example for Free

The BRICS are more effective in todays economic environment than the World Bank and the International Monetary Fund ran by the United States Essay Over the last few decades, the resilience and ability of the BRIC countries to withstand economic, social and political forces that have brought down big economies is exciting and worth noting.BRIC is a label that defines Brazil, Russia, India and China which according to demographics and recent economic performance have been identified as the countries to watch when it comes to economic development in the 21st century. The BRIC countries are set apart by their strong economic policies and largely by their demographics that is a large indicator of a countrys economic potential. Together, the four countries with the late addition of South Africa have a population of 2.8 billion people who are estimated to be at least 40% of the world population. The four are also believed to occupy a quarter of the land surface across three continents CITATION Glo15 l 2057 (Global Sherpa, 2015). Through the monetary fund, some regulations and guidelines have been established to guide the BRICS in their development agenda. The regulations are known as the Washington consensus and contain ten major areas the Bretton Woods institutions thought would spur economic growth in developing countries and encourage free trade. Over the years, the IMF and the World Bank have been key players in the development sector. The two institutions have often been used as a political tool to coerce the beneficiaries to play according to their rules. With the recent formation of the BRICS Bank in July of 2014, the two institutions’ influence on developing countries is set reduce. Developing countries, who have a similar agenda of future economic growth inclusivity and relevance, are know preferring the BRICS Bank. The bank offers loans without strings attached except loyalty, guarantee of participation and payment in the long-term development agenda. China, which is the largest contributor to the bank, has not imposed itself on members as commonly seen in IMF and Word Banks help. The aims of the Bretton Woods institutions, though hidden in the disguise of empowerment, are mainly operated as a business for profit. Between 2002 and 2008, BRICS managed to increase their GDP from 16% to 22%. Opening up their borders to foreign trade and have seen the countries expand outwards to have a presence in overseas markets. China of the four has seen great expansion in Africa where statistics in the last decade shows that China has been outdoing the Bretton Woods institutions in grants and loans advanced to other developing countries. The BRICS has seen growth in imports and growth in GDP despite economic ups and downs. Through their collaboration, BRICS have seen tremendous infrastructural development in technology and engineering.BRICS have developed tailor-made solutions for their problems unlike depending on solutions imposed by a third party. Developing countries feel more appreciated and included in their developmental agenda. The countries have together increased their spending on research and development leading to a 7% growth in research expenditure CITATION Glo15 l 2057 (Global Sherpa, 2015)Given that they possess a large labour population, high concentration of natural resources and a large population offering a big market, the BRICS are set for a more dominant role in economic growth. Being owners of capital and input, the Brics integration and corporation is setting the world towards a paradigm shift where developing countries are no longer onlookers but participants in the development agenda. These few achievements, over only five years, are more than what the Bretton Woods institutions achieved over the same time when they were formed. Hence, the conclusion that the BRICS are doing better than the International Monetary Fund and the World Bank References   Global Sherpa. (2015, January 07). bric-countries-brics. Retrieved from Global Sherpa: Retrieved from http://www.globalsherpa.org/bric-countries-brics Source document

Overview of Sarcopenia

Overview of Sarcopenia Background Sarcopenia is age related disease with symptoms of loss of muscle mass, strength and function. Elderly over the age of 65 years are vulnerable to sarcopenia [6]. It is estimated that approximated 5-13% of older people aged 60–70 years are suffered from sarcopenia [8]. The proportion is about twice higher among elderly at the age of 80 or above [8]. Studies also found that sarcopenia is more likely seen in older men than older women [16,26]. Sarcopenia gains intensive attention from public and increasing researches indicated that it is a major clinical problem for older people. Risk factors of sarcopenia Current research found that lifestyle factors, including physical inactivity, smoking and alcohol consuming [3]; and biological factors, including older age, gender, decreased hormone level, motor unit remodeling and reduced protein synthesis [3,25], contribute to development of sarcopenia. Motor unit remodeling comes up of age and leads to replacement of fast twitch motor neuron[22,25] which results in less precise control of movements, less force production and slowing of muscle mechanics[22,23,25] as remodeled motor unit are smaller in size and slower to contract. Therefore, loss of fast twitch fibers increases risk of having sarcopenia. In addition, protein synthesis, growth hormone (GH), testosterone (T) and insulin-like growth factor (IGF-1) are considered to be associated with sarcopenia as well [25]. It is well known that protein is important in muscle repairmen. And GH, T and IGF-1 are involved in protein metabolism and maintenance [23]. Different studies agreed that protein synthesis rate decreases throughout the natural aging process [24] and leads to loss of muscle mass. Thus, low protein synthesis rate, along with decrease in these hormones level provide possible occurrence of sarcopenia [25]. Consequences of sarcopenia Sarcopenia causes serious consequences not only at individual level but also at societal level. On the one hand, loss of muscle mass, strength and function lead to adverse health outcome in terms of frailty, disability, morbidity and mortality [8]. Essentially, sarcopenia is about twice as common as frailty [9]. Also, sarcopenia occurs with other morbidity in some times. Some of the co-morbidity are obesity [4,13], hypertension, osteoporosis [12] and type II diabetes [5,14,15]. Moreover, research suggests that loss of skeletal muscle strength may predict future mortality in middle-aged and elderly [2]. On the other hand, sarcopenia is linked with increased healthcare expenditure. In United States, the estimated direct healthcare attributable to sarcopenia represented about 1.5% of total healthcare expenditure in 2000 [21]. Diagnosis of sarcopenia according to different consensus panels Although research working in the area of sarcopenia is expanding exponentially, a universal definition is still under development. On average, current definitions are including muscle mass, muscle strength or even physical function. In 2010, the European Working Group on Sarcopenia in Older People (EWGSOP) published guidelines to help identify sarcopenia [1,9]. According to the EWGSOP, a person will be classified as having sarcopenia when two of three follow criteria were statisfied: (A) low muscle mass and (B) low muscle strength and/or (C) low physical performance [1]. Low muscle mass is defined as muscle mass ≠¥2 standard deviations below the mean of reference population [8], calculating by equipment such as DEXA-scanners. Low physical performance is defined as gait speed ≠¤ 0.8 m/s in the 4 meters walk test for both males and females [8]. International Working Group on Sarcopenia (IWGS) suggested diagnosing sarcopenia when the following criteria are fulfilled: (a) gait speed was < 1 m/s and (b) low muscle mass (cutoff value is similar to EWGSOP) [8]. The European Society of Parenteral and Enteral Nutrition Special Interest Groups carried out that the cut off values for low muscle mass is defined as percentage of muscle mass > 2 SDs below the mean of reference individuals; for walking speed is < 0.8 m/s in the 4 meters walk test [1]. Measurement of muscle mass and muscle strength Muscle strength is mainly assessed by handgrip. While physical performance can be measured using simple tests such as the short physical performance battery test, usual gait speed or the timed get-up-and-go test; it is difficult to assess muscle mass in practice. Dual-energy X-ray absorptiometry (DEXA) is recently proposed as the gold standard for muscle mass measurement. Other methods include bioelectrical impedance, computed tomography, magnetic resonance imaging, urinary excretion of creatinine, anthropometric assessments, and neutron activation assessments can be used for measurement of muscle mass as well [8]. The process is complicated and need participation of professionals. Prevalence of sarcopenia varies as use of cut-off points relies on different instruments used for assessing muscle mass and strength and function. SARC-F, a newly developed simple questionnaire, has been regarded as rapid diagnosis test for sarcopenia. It contains five components: strength, assistance in walking, rise from a chair, climb stairs and falls. A question will be asked to assess each component variable. Scores range from 0-10, with 0-2 for each component [7]. Details of SARC-F are shown in table 1. Cut-off score A research conducted in Hong Kong tests the validation of SARC-F as a screening tool for sarcopenia in community. It found that SARC-F is able to predict future adverse outcomes with comparable power to other criteria. It also found that SARC-F has excellent specificity (94.4%) and negative predictive value but poor sensitivity. With high specificity, SARC-F is useful for screening out older adults with sarcopenia. Poor sensitivity may due to the number of participants classified as having sarcopenia represent only a small proportion of the total population studied [10]. Another research applied SARC-F in mainland China to screen sarcopenia and physical disability. It published that poor physical performance and grip strength were associated with SARC-F defined sarcopenia. But there was a very weak correlation to muscle mass in physically active outpatients. It pointed out potential explanation that the weak correlation may partly due to only small sample measured by DXA or BIA [11]. Relevance to Public Health Sarcopenia is coming of age. Elderly population is expected to remain on a rising trend in most of developed countries. In Hong Kong the proportion of the population aged 65 and over is projected to rise markedly from 13% in 2012 to 30% in 2041 []. It means that increasing population will suffer from sarcopenia. It is not surprise that sarcopenia increase the risk of physical disability. The risk of disability is 1.5 to 4.6 times higher in older persons with sarcopenia than in older persons with normal muscle. Men are at greater risk of sarcopenia related disability than women [16]. Recent estimates indicate that approximately 45% of the older U.S. population is sarcopenic and that approximately 20% of the older U.S. population is functionally disabled [21]. It is important to note that physical disability is associated with an increased risk of nursing home placement, home healthcare and hospital use [21]. And these healthcare services need extra healthcare expenditure to support. To sum up with information above, sarcopenia is becoming big challenge in public along with the rise of older population. It is cause serious health consequences in persons and make economic burden in countries.