Leadership in the NHS Essay Example | Topics and Well Written Essays - 2000 words

Leadership in the NHS - Essay Example It is in this regard that application of the effective leadership quality is necessary to upgrade the operational skills of the employees and to achieve the desired objectives. Emphasizing similar value attributes concerning its leadership roles, the Local’s Children’s Centre hosts an interactive session with respect to the progress of wean process as a measure to reduce obesity rates among children. This initiative has been undertaken by the NHS to create awareness amidst the society with respect to child obesity and its dreadful implications. The study intends to discuss about the various measures undertaken by National Health Services (NHS) to ensure about the nutritional benefits to the society, especially the children (Bevan, 2012). In addition, the NHS healthcare service organization attempts to practice various leadership qualities in order to manage the change with respect to the wean process that results in childhood obesity. Accordingly, the study discusses about the various initiatives been undertaken by NHS to create awareness within the society with respect to the nutritional benefits. NHS needs to mitigate various changes, likely to occur while transforming the traditional processes pertaining to weaning into progressive for deriving better nutritional benefits for reducing the risks of childhood obesity. In general, the ‘weaning’ process conveys about the process of involving the nutritional, biochemical and immunological adjustments by providing complementary food items in the child’s diet. Contextually, it has been noted that the breast-milk has been traditionally perceived as the most essential as nutritional food diet for infants. Traditionally, the children in their early years were provided only with breast milk. Feeding breast milk to the children has always been considered as the best source of providing nutrition. However, changes observed in the lifestyle choices in recent scenario have apparently influenced the

Themes Remade Essay Example | Topics and Well Written Essays - 1000 words - 1

Themes Remade - Essay Example Just like any other normal human being, Raymond has his fears and phobias. For instance, in an airport when Charlie and Raymond were boarding a plane, Raymond made clear his flying phobia by letting out a huge cry that Charlie took as a childish and annoying behavior. Even with ordinary human beings, some have much deeper phobias and they would not dare entertain the thought of flying, which Raymond courageously faced. After all, people do not welcome changes in their lives and would go an extra mile to resist, why not Raymond? Largely, Raymond was being fed up with Charlie; he viewed him as a dependent person who could not make his decisions. The fact that Charlie constantly gets annoyed with Raymond for acting weirdly would attest to the fact that Raymond was being defensive and fed up with the over-controlling behavior of Charlie, his brother. Moreover, Raymonds mental perfection that even an average person could not realize was in memorizing phonebook contacts at a glance with excellent achievement. Besides, Raymond was quick and perfect in memorizing and undertaking mental calculations with much ease, a test that his brother Charlie could hardly achieve. Certainly, most people have certain traumas that they developed in childhood, and which do affect how they operate and view occasions as adults. With these respect, the traumatized persons would react with fear to anything that triggers the memories of such traumatizing situations. Similarly, as children, Charlie had tried to give a birth to Raymond using hot water that scolded Raymond significantly. As a result, Considering Raymonds condition, any sight of hot water could be expected to trigger the childhood memories upon which Raymond would be expected to react to such memories. As such, when Charlie turns to hot water, Raymond could not help it but get frightened due to these childhood memories. This reaction could be expected from any normal human

Fast-talking Dames In The Films Essay Example | Topics and Well Written Essays - 500 words

Fast-talking Dames In The Films - Essay Example The film â€Å"Adams Ribs† constructs Amanda as a Fast-Talking Dame. Amanda is ahead of time in her career and speech. The film introduces a woman who after learning that her husband is having an affair with another woman, fires a gun at them but one bullet hits her husband on the shoulder. The case is allover in the newspapers. Banners family consists of both the husband and the wife being in the law profession. The case is received differently by the couple. This brings an argument in the family apartment because Adam is assigned the case on the prosecutor side while Amanda seeks the accused who agrees she represent her as a personal lawyer. Amanda sympathizes with the woman because she believes that it illegal for a man to cheat on his wife. This feeling pushes her to request the woman if she may represent her as the lawyer in the case because she believes in equality. Amanda tries to outweigh her husband in the career. Also, Adam cannot keep the pace of Amanda speech since she talks very fast when arguing in the house about the case she is representing the accused. This constructs Amanda as a fast talking dame. In the courtroom ,Amanda bases her argument on the issue that both sexes are equal. However, Adam reminds Amanda that there is a difference between a woman and a man but, Amanda argues that the difference is quite small, Adam still insists the difference is significant. This is traditional notion that mocks the female who try to compete with the men since they should be seen and not heard Finally, at the end of the case, Amanda is able to convince the judge who makes the ruling in her favor. Thus, Amanda’s client is not found guilty. Amanda seems to be very dominant in the film. Almost all arguments that arise she emerges as the winner due to her good command of speech that Adam find so hard to keep up with.

Themes Remade Essay Example | Topics and Well Written Essays - 1000 words - 1

Themes Remade - Essay Example Just like any other normal human being, Raymond has his fears and phobias. For instance, in an airport when Charlie and Raymond were boarding a plane, Raymond made clear his flying phobia by letting out a huge cry that Charlie took as a childish and annoying behavior. Even with ordinary human beings, some have much deeper phobias and they would not dare entertain the thought of flying, which Raymond courageously faced. After all, people do not welcome changes in their lives and would go an extra mile to resist, why not Raymond? Largely, Raymond was being fed up with Charlie; he viewed him as a dependent person who could not make his decisions. The fact that Charlie constantly gets annoyed with Raymond for acting weirdly would attest to the fact that Raymond was being defensive and fed up with the over-controlling behavior of Charlie, his brother. Moreover, Raymonds mental perfection that even an average person could not realize was in memorizing phonebook contacts at a glance with excellent achievement. Besides, Raymond was quick and perfect in memorizing and undertaking mental calculations with much ease, a test that his brother Charlie could hardly achieve. Certainly, most people have certain traumas that they developed in childhood, and which do affect how they operate and view occasions as adults. With these respect, the traumatized persons would react with fear to anything that triggers the memories of such traumatizing situations. Similarly, as children, Charlie had tried to give a birth to Raymond using hot water that scolded Raymond significantly. As a result, Considering Raymonds condition, any sight of hot water could be expected to trigger the childhood memories upon which Raymond would be expected to react to such memories. As such, when Charlie turns to hot water, Raymond could not help it but get frightened due to these childhood memories. This reaction could be expected from any normal human

Annotated Bibliography Essay Example | Topics and Well Written Essays - 1000 words - 9

Annotated Bibliography - Essay Example The action and reaction observed in gender issues have made it necessary for both men and women to collaborate in designing and implementing policies that will suit the interests of either sex. In order to critically capture affirmative action and the rise of women in a men-dominated world, it is essential to understand the root cause of gender issues and how different people are dealing with it. This makes the source a rich resource in terms of the information it contains and its subsequent use in my research. The interconnectedness of different education disciplines has diversified the affirmative action debate and the role of women in the society. The field of science has not been left behind in the debate. For many years, science had been predominantly a field for men. Societies held that the field was relatively difficult for women to handle. However, women empowerment from time to time has left women equal or even better than men in science courses and professions. Policies that are empowering women in science are vital in the continuing affirmative action debate. Many studies continue to highlight women’s potentials, abilities, and capabilities in science, and Balafoutas and Matthias have made their contribution in such studies. The information and policies presented in this source shows that affirmative action is not limited to any specific disciplines, making the source crucial in my study. The fact that the journal is published makes it a credible source. Beaman emphasizes on the need for exposure to both men and women. The source primarily concentrates on empowering women and reducing gender bias through exposure. The source highlights all the variables that define exposure, and also presents the exact aspects that constitute gender bias. Measures that can be used to reduce or alleviate gender bias are outlined, thereby showing how men and women should relate in the light of affirmative action. The

Historical and Scientific Perspectives on Homosexuality Essay Example for Free

Historical and Scientific Perspectives on Homosexuality Essay Homosexuality, at least from the point of view of history, has seen many ups and downs. In fact, homosexuality itself could not be easily classified to be similar from other various racial or segregation issues such as skin color, language, culture, or religion because those factors have constantly experience negative treatments in the password in homosexuality, has been pointed out by the literature, has enjoyed relatively different approaches to pending on the culture, the timeline, and even the historical context where it is being applied. For example, from the point of view of historians and document literature on the subject of anthropology, researchers have uncovered that homosexuality is not a fairly recent occurrence but rather can be traced back as far back as documented history can show itself. For example, in ancient Greek, Celtic, and even prehistoric cultures such as the Indus Valley civilizations and prehistoric Egyptian cultures, homosexuality was already an occurrence that has been around and was actually freely accepted by the society where it was operating in. In fact, in anthropological texts and research, the subject of homosexual behavior may be from the point of view of romantic relationships, sexual interaction, and even family institution was freely accepted in those societies where in a significant measurement of civilization can be made (Isay, 2009). However, one commentary and theory on why homosexuality has arrived to the point of judgment and negative perception it has today has been pointed out by research as a result of strict monotheistic religious beliefs and Scripture. The three dominating monotheistic religions today on Christianity, Judaism, and Islam. And, both from popular convention and in the understanding of religious texts as well as the popular opinions of the leaders of the faiths, homosexuality ranges from a taboo concept in the reality of society towards even complete banning and be integrated into the religious thought to be illegal and Heretic. In fact, Islam, being one of the most powerful religions today because of its influence not only in Middle Eastern countries but also in other geographies such as Asia and other Western countries as well, having strict laws against homosexuality and homosexual behavior, continues to influence perception such that many new generations which follow that religion and that faith, although already relatively involved in global issues and global perception because of the Internet and other information communication technology, still look at homosexuality to be illegal and heretic act and concept because their religion states it to be so. In fact, in all three faiths, a popular Scripture is the city of Sodom and Gomorrah where in the monotheistic God of these religions punish this city because of its homosexual acts such as sodomy and the like. However, as researchers have also indicated, religions which are not classified under the leading monotheistic beliefs have basically taken homosexuality to be either a normal occurrence in human beings or have at least ignored the subject completely where its practitioners are able to say from a very point of view and spectrum that their faiths and spiritualities accept homosexual behavior. In fact, off all the eastern end not monotheistic religions that are popular in todays society, it is only Buddhism which freely accepts the reality of homosexuality and has been addressed by many of its search for leaders and discussed in many affair spiritual centers. However, because of the relatively low reach and population count of those belonging to this faith, at least from the point of view of religious commentary on homosexuality, it has not yet been able to pull homosexual perception towards the positive end of the spectrum which is cultural and contextual acceptance. On the other end of the contextual spectrum of religion, is a scientific approach of homosexual behavior. In such a perspective, origins of homosexuality have been discussed by researchers to be coming from biological factors rather than social factors. This approach has seen popularity only in fairly recent times because of such scientific projects and efforts such as the human genome project and the ability of advanced biology to indicate various genes, indicators, and factors that as researchers have pointed out, have a direct correlation and effect to the fact that individual turns out in the future to be Gay or not. In fact, this is not only a scientific attempt to explain such factors but has actually been published by many research and academic journals all over the world indicating that scientists have segregated various genetic functions which could associate or at least highly correlate an individuals homosexual behavior with the existence and activation of such genetic functions (Haslam Levy, 2006). This is the root of the modern argument of where homosexuality originates if it is brought about by the environment or by genetics. Such arguments, however, although fairly popular in the homosexual population, or at least in Western cultures where homosexuality is now freely accepted in society with relatively low levels of taboo perception, is not yet completely proven and documented in scientific picture enough to have any significant conclusions on the subject. Another perspective, perhaps the most popular, is an environmental perspective on homosexuality. According to this point of view, which is popular among behavioral scientists, psychologists, and social theorists, homosexuality comes about directly as a result of the environment and other external factors. Such arguments have developed relative popularity in the 20th century and even in the modern 21st century as behavioral scientists and psychologists have been able to more and more formulate theories that are backed up by statistical and essential data that was created using the scientific method of pointing out homosexual tendencies and the correlation and connection of society, other individuals, peers, and even family members and asked experiences in shaping its occurrence (Lewes Gilbert, 2009). As an individual, important processes and most cited upon the occurrence of being homosexual individuals the coming-out process. In fact, the coming-out process itself poses as one of the most significant in major hurdles of homosexuality in todays society because of the judgment that intrinsically comes about in the process itself. However, because of the popularity of such perspectives of scientific and behavioral basis of sexuality were in more and more members of society and even countries and classifications have culture as a whole are beginning to accept the validity of such research, evidence, and findings, the coming-out process, although has not been decreased at least from the point of view of difficulty, is today at least not judge as it was judge during the 1960s, 70s, and 80s. Today, as from personal experience, the coming-out process and admitting not only to friends and family members but even to society as a whole the choice and eventual manifestation of sexual orientation has become easier if not more accepted. However, perhaps an interesting analysis is although such historical and scientific perspectives and frameworks have indeed help in the process of society accepted the existence of homosexuality in todays world, a very difficult approach would be to understand if such perspectives and scientific discoveries have shaped actually being homosexual. This is difficult to answer because causality is often impossible to connect especially if these perspectives and factors did not indeed have any contributions to being a homosexual individual. However, perhaps one factor that has shaped the choice of sexuality and orientation in todays world is the ability to recognize that there is such a concept as homosexuality and it is a fairly popular convention and many individuals in the world today are members of that orientation group. By recognizing such factor in fact, I as an individual have been able to classify myself an essential need according to behavioral psychologists and sociologists to a certain part and classification of todays environment and society and am able to learn much about myself as well as the culture I am living in today.

Pain Management Interventions and Chronic Pain Disorders

Pain Management Interventions and Chronic Pain Disorders Introduction This essay will identify the issue of how poorly addressed acute pain in hospitalized patients may lead to chronic pain disorders, critically compare and discuss a range of pain assessment tools referring to contemporary research literature and practice guidelines for patients who are able to self describe their pain and who are unable to self describe their pain due to verbal communication barriers, critical illness or delirium/dementia. Main Body According to the International Association for the Study of Pain, pain is an unpleasant sensory and emotional experience arising from actual or potential tissue damage. The emphasis of this definition is both the sensory and emotional experience of an individual in pain. According to Tsui, Chen Ng (2010, p.20.), Pain can be emotional, behavioral, sociocultural and spiritual. The exhibition of pain is multidimensional. Therefore, in the assessment of pain, not only a general guideline for a quick review is needed, but also a specific tool to help the professionals to have a more accurate assessment of the experience of pain from a multidimensional perspective. Clinically, â€Å"Pain is whatever the experiencing person says it is, existing whenever he/she says it does† (McCaffery, 1968). The temporal profile classification is most commonly used to classify pain.This broad classification of pain duration is often used to better understand the biopsychosocial aspects that may be important when conducting assessment and treatment. For example, many times chronic pain is a result of unresolved acute pain episodes, resulting in accumulative biopsychosocial effects such as prolonged physical reconditioning, anxiety, and stress. It is obvious that this type of time categorisation information can be extremely helpful in directing specific treatment approaches to the type of pain that is being evaluated (Gatchel Oordt, 2003). Acute pain is usually indicative of tissue damage and is characterized by momentary intense noxious sensations (i.e., nociception). It serves as an important biological signal of potential tissue/ physical harm. Some anxiety may initially be precipitated, but prolonged physical and emotional distress usually is not. Indeed, anxiety, if mild, can be quite adaptive in that it stimulates behaviors needed for recovery, such as the seeking of medical attention, rest, and removal from the potentially harmful situation. As the nociception decreases, acute pain usually subsides. Unlike acute pain, chronic pain persists. Chronic pain is traditionally defined as pain that lasts 6 months or longer, well past the normal healing period one would expect for its protective biological function. Arthritis, back injuries, and cancer can produce chronic-pain syndromes and, as the pain persists, it is often accompanied by emotional distress, such as depression, anger, and frustration. Such pain can also often significantly interfere with activities of daily living. There is much more health care utilization in an attempt to find some relief from the pain symptoms, and the pain has a tendency to become a preoccupation of an individuals everyday living. Assessment of a patient’s experience of pain is a crucial component in providing effective pain management. A systematic process of pain assessment, measurement and re-assessment (re-evaluation), enhances the health care teams’ ability to achieve: increased satisfaction with pain management. According to Buckley (2000) nurses are the primary group of health care professionals responsible for the ongoing assessment and monitoring of patients to ensure that pain is effectively and appropriately managed and that patients and families are informed of the consequences of acute pain. Assessment of pain can be a simple and straightforward task when dealing with acute pain and pain as a symptom of trauma or disease. Assessment of location and intensity of pain often sufà ¯Ã‚ ¬Ã‚ ces in clinical practice. However, other important aspects of acute pain, in addition to pain intensity at rest, need to be deà ¯Ã‚ ¬Ã‚ ned and measured when clinical trials of acute pain treatment are planned. If not, meaningless data and false conclusions may result. The 5 key components: Words, Intensity, Location, Duration, Aggravating factors pain assessment are incorporated into the process. Objective data are collected by using one of the pain assessment tools which are specià ¯Ã‚ ¬Ã‚ c to special types of pain. The main issues in choosing the tool are its reliability and its validity. Moreover, the tool must be clear and, therefore, easily understood by the client, and require little effort from the client and the nurse. According to Husband (2001) to measure the pain severity or intensity, several scales can be used such as a numeric rating scale (NRS), the visual analog scale (VAS), observation scales with indicators of pain, and even creative depictions of pain intensity with scale using a pain thermometer. The numeric rating scale allows patients to rate their pain on and 11-point scale of 0 (no pain) to 10 (worst pain imaginable). The majority of patients, even older adults can use this scale. The thermometer scale may be useful in the elderly, according to Rakel and Herr (2004). It shows a picture of a thermometer arranged on a background with a vertical word scale. Finally categoric scales use verbal descriptors to quantify the level of pain and those scales have been validated and are considered to be reliable. Pain assessment in older adults can be challenging and very difficult in some situations (Rakel Herr, 2004). When the patient cannot report his/her subjective pain experience, proxy measurements of pain must be used, such as pain behaviours and reactions that may indicate that the person is suffering painful experiences. Besides communication difà ¯Ã‚ ¬Ã‚ culties caused by language problems, patients in the extremes of age, and critically ill patients in the intensive care setting, are common assessment problems. Older patients may prefer to use alternate means to express their pain through the use of word descriptors that best characterize the pain, such as aching, hurting, and soreness (Herr Garand, 2001). The most important components of pain assessment in older adults are regular assessable, standardized tools, and consistent documentation (Horgas, 2003). Pain assessment may also be complicated by decreases in hearing and visual acuity, so tools that require extensive explanation or visualization to perform will be more difficult and possibly less reliable. The verbal descriptor scale may be the easiest tool for the elderly to use. This measure allows patients to describe what they are feeling with common words rather than having to convert how they feel to a number, facial representation, or a point somewhere on a straight line. An observational assessment of pain behavior may be more appropriate for people with severe cognitive impairment, for example, the Abbey pain scale. Identifying pain in the cognitively impaired older adult depends heavily on knowing the patient and paying attention to slight changes in behavior (Soscia, 2003). An interesting veiw was expressed that nurses ma y lack knowledge and have attitudes and practices toward pain management that may compromise pain management for older patients ( Yates et al., 2002, p.403). Conclusion In conclusion, References American Geriatric Society Panel on Chronic Pain in Older Persons (2002). The management of persistent pain in older persons: AGS panel on persistent pain in older persons.Journal of the American Geriatrics Society, 6(50), supplement 205-224. Horgas, A.L. (2003). Pain management in elderly adults.Journal of Infusion Nursing, 26,161-165. Soscia, J. (2003). Assessing pain in cognitively impaired older adults with cancer.Clinical Journal of Oncology Nursing, 7, 174-177 Drayer, R. A., Henderson, J., Reidenberg, M. (1999). Barriers to Better Pain Control in Hospitalised Patients. Journal of Pain and Symptom Management, 17(6), 434-440. Yates, P. M., Edwards, H. E., Nash, R. E., Walsh, A. M., Fentiman, B. J., Skerman, H. M., Najman, J. M. (2002). Barriers to Effective Cancer Pain Management: A Survey of Hospitalised Cancer Patients in Australia. Journal of Pain and Symptom Management, 23(5), 393-405. 1