Eulogy for Son :: Eulogies Eulogy

Eulogy for Son I'd like to thank you all for the outpouring of support and condolences on the loss of my beautiful son Adam. My entire family appreciates it. This is my eulogy to Adam: Depression is a terrible disease. Adam suffered so much with a disease that often goes unrecognized as very serious, or even as a disease, but is often fatal. Many people who meet someone like Adam think all he needs is tough love - how wrong they are. To those who have never had this disease, you cannot imagine how frightening the demons are, how they take over your life, your every thought, your every action. There is no respite within the mind; it is constantly on overdrive. Doctors have few clues as to how to treat this. Lord knows how many doctors, tests, psychiatrists, psychologists, social workers we've seen. Adam was hospitalized at least three times and lived in a residential therapeutic facility for seven months. He tried every anti-depressant drug available. He spent another year in the military. The National Guard and Air Force were brief respites from his torments. He excelled at both and became a poster soldier for the National Guard. He received an honorable discharge from the Air Force. But, in the long run, the military was ill-equipped to deal with the disease. Despite his disease Adam had passions, passions for hockey, for music, for his family. He worked out three days a week and studied to better himself. His sense of humor was infectious; he saw the world differently and would always see the irony in life. On Monday driving to the airport after the Super Bowl he saw a gun shop and a hospital next-door. Once at a New Jersey Devils hockey game he seemed the only one shocked by the scoreboard message: "Devils welcome the Churches of NJ." He'd always noticed the contradictions in life. But, he was always his own worst critic - never able to bask in his successes with the military, getting his GED, scoring a 3-point basket, getting a goal in hockey or fixing complex computer problems. He emulated his brother, David, but disease got in the way. He loved his sister, Deena, more than anything, but was rarely able to show it. They, in turn, loved him dearly - a better brother and sister there's never been. For that matter, a better mother there's never been.

Youth Sports - Little Girls Need Sports! Essay example -- Argumentativ

Little Girls Need Sports! You may have seen the ad on television. It is one of the few advertisements using the voices of little girls that isn't promoting unrealistically figured Barbie dolls or the likes. The ad starts with a 10-year-old girl in a swing set and presents a series of images of different young girls saying: If you let me play sports I will like myself more; I will have more self-confidence, If you let me play sports. If you let me play, I will be 60 percent less likely to get breast cancer; I will suffer less depression. If you let me play sports, I will be more likely to leave a man who beats me. If you let me play, I will be less likely to get pregnant before I want to. I will learn what it means to be strong. If you let me play sports. If you let me play sports. Although the product being sold is never mentioned, the ad, which was produced by Nike, in just 45 seconds delivers one of the most powerful and thought-provoking messages on T.V. about the benefits gained by girls who play sports. Women in sports is an issue that has dated back for many years. The breakthrough for women was in 1972 when Title IX, an amendment to the 1965 Civil Rights Act, was passed. It was designed to address sex discrimination in all areas of education, including athletics. Although Title IX was implemented many years ago, women and girls are still fighting for the right to play despite much evidence that sports make our girls stronger women and teach them to avoid a whole host of risk-taking and self-destructive behaviors. Research from the Women's Sports Foundation show female athletes have lower rates of teenage pregnancy, are more likely to delay their first sexual experience, and have, on ave... ...tiveness, and teamwork, skills that everyone will need in life. Girls learn that you're going to fail sometimes, but they also learn perseverance and that failure is not permanent. The Nike ad drew much attention to the female need. It helps to draw a picture in the minds of educators and parents that preventing girls from participating in sports hinders their emotional and physical growth. Sports can make girls strong and not afraid to be vocal; they can teach girls how to succeed and how to cope with failure. They can help girls to know their own physical and mental strength and build confidence and self esteem. So when a girl asks if she can play, instead of telling her no, let her play. Work Cited Goff, Karen Goldberg. "Playing For Keeps; Youth sports credited with imparting lifelong benefits." The Washington Times. 10 November 2002. 19 April 2003.

The New Age Movement Essay -- essays research papers

The New Age Movement Although the New Age movement is not technically a religion , eight to nine percent of people that do not believe in organized religion find the New Age as their replacement. The New Age movement is very difficult to describe although not impossible. It is a complex sociological phenomenon that can be perceived in many ways. Basically, what another person sees, the other may not. The New Age movement is best understood as a network of networks. A network is an informal, loosely knit organization which is very different in both structure and operation than other types of organizations. Networks are spontaneously created by people to address problems and offer possibilities primarily outside of established institutions. Networks tend to be decentralized, often having no single leader of headquarters and with power and responsibility widely distributed. Networks also see through many perspectives. The New Age movement is an extremely large and structured network of organization and individuals that are bound together by common values. These values are based on mysticism and monism which is the world view that "all is one". The New Age movement is not a cult by any accepted sociological definition. Although there are several cults which could be classified within, such as the Transcendental Meditation and the followers of deported Indian guru Bhagwan Shree Rajneesh. Cult membership is by far the exception and not the rule for New Agers. New Agers tend to be eclectic which means that they draw what they think is the best from various sources. Exclusive devotion to a single teacher, teaching or techniques is not long term. They move from one approach to "wholeness" to another in their spiritual quest.(Miller. 1989. P.18) New Agers consider spirituality much more a matter of experience than belief. Some New Agers do not believe that their beliefs are universal. Beliefs are often portrayed as direct impediments to enlightenment. As I stated before, all New Agers believe that "all is one". A second assumption is that this Ultimate reality is neither dead matter nor unconscious energy. In other words, it is Being and Awareness. New Agers believe that man is separated by God only in his own conscious and awareness. Therefore he is the victim of a false sens... ... In comparison to the Christian religion their difference lies in the belief that all is one (god), therefore there could be no sin and no death. The death of Christ for our sins becomes meaningless. Although the New Agers will agree that Jesus Christ is God, his world view will always compel him to say that Jesus is no more God than anyone else. In the Christian religion, Jesus is separated from the rest of humanity in fact that he is demonstrated as divine. In my opinion, I do not think that I could consider myself as equal with God or Jesus, therefore I personally did not believe in some aspects of this religion. (Lewis. 1992, p.48) In choosing this religion as my area of research, I never realized the complexity of the topic. Through extensive research I have developed a keen understanding of this topic. There are some things that I strongly agree with while others need to be put to the test. WORK CITED Chandler, R. 1988. Understanding The New Age. Word Publishing. Dallas Miller, E. 1989. A Crash Course On The New Age Movement. Baker Book House. Michigan. Lewis, J. 1992. Perspectives On The New Age. State University of New York Press. Albany.

Prophylactic Internal Iliac Artery Ligation Health Essay

Aim: to measure the function of internal iliac arteria ligation as an effectual method of commanding station partum bleeding due to sidelong uterine rupture. Subjects and methods: A randomized controlled survey was conducted on 50 pregnant adult females who were admitted to Shatby University Maternity Hospital between June 2006 and August 2008, all of them were diagnosed as station partum bleeding due to sidelong uterine rupture. The patients were indiscriminately allocated to 2 groups, the ligation group where ligation of internal iliac arteria followed by fix of ruptured uterine wall was done ( group A ) , and the fix group, where ruptured womb was repaired by conventional methods ( group B ) . Informed consent was taken from all patients. Consequences: The ligation group showed a important statistical difference when compared with the fix group sing intra-operative clip ; sum of blood transfused intra-operatively ; continuance of intensive attention unit stay, need for extra surgical intervention such as hysterectomy or extra vaginal hemostasis, and the incidence of complications as disseminated intravascular coagulopathy, and ureteric hurt. Decision ; internal iliac arteria ligation is considered an alternate effectual method to hysterectomy in instances of sidelong uterine rupture, taking to diminish maternal morbidity. Cardinal words: postpartum bleeding ( PPH ) , uterine rupture, internal iliac arteria ligation ( IIAL ) , hysterectomy.IntroductionPost partum bleeding ( PPH ) is a major cause of world-wide mortality runing from 13 % in developed states to 34 % in developing states. ( 1 ) it is responsible for over 125,000 maternal deceases each twelvemonth and is associated with morbidity in 20 million adult females per twelvemonth. ( 2 ) Traditionally, PPH is defined as hemorrhage from the venereal piece of land of 500 milliliter or more in the first 24 hr following bringing of the babe, a significant autumn in the hematocrit or the demand of blood transfusion have besides been proposed. ( 2-5 ) Uterine atonicity is the common cause of PPH that accounts for 80 % of instances ; other causes include maintained placental fragments, lower venereal piece of land lacerations and uterine rupture. ( 6 ) Uterine rupture is a ruinous obstetric complication. Although an uncommon event, it continues to be associated with a high rate of perinatal and maternal morbidity and mortality. ( 7 ) The chief hazard factor for uterine rupture is a scarred womb, normally secondary to a anterior cesarean bringing. Consequently, most of the recent reappraisals on uterine rupture have focused on adult females trying vaginal birth after old cesarean bringing ( VBAC ) . ( 8 ) Rupture of the unscarred womb is a rare obstetric complication, with an estimated incidence of 1 in 8000-15,000 bringings. ( 9 ) There are two types of uterine rupture, complete and uncomplete, distinguished by whether or non the serous coat of the womb is involved. ( 10 ) In the former the uterine contents including foetus and on occasion placenta, may be discharged into the peritoneal pit, whereas in the latter the serous coat is integral and foetus and placenta are inside the uterine pit. ( 11 ) The complete assortment appears to be more unsafe of the two assortments. ( 12 ) Rupture of womb during labour is more unsafe than that happening in gestation because daze is greater and infection is about inevitable. ( 13,14 ) When PPH continues despite aggressive medical intervention, early consideration should be given to surgical intercession. The pick of process will depend on the para of the adult females and her desire for childbirth, the extent of bleeding and, most significantly, the experience and opinion of the sawbones. In most ruinous state of affairss, hysterectomy is preferred in order to collar farther blood loss and via media with certainty. ( 15 ) Although a life-saving process, it may non be appropriate for adult females who need to continue their generative potency. Haemostatic processs that preserve the uterus include uterine pit tamponage, selective uterine arteria embolisation, uterine arteria ligation and uterine brace suturas. ( 16 ) ISSN 1110-0834Internal iliac arteria ligation ( IIAL ) for the control of profuse pelvic hemorrhage has long been recognized as a life-saving process. ( 17 ) The American College of Obstetricians and Gynaecologists continues to recommend the usage of hypogastric arteria ligation in the direction of intraoperative intractable bleeding during pelvic surgery or in instances of obstetric bleeding. ( 18 ) The construct that surcease of blood supply may do harm to pelvic variety meats has been proved to be incorrect. On the contrary, in the instance of pelvic bleeding unmanageable by conservative methods, prompt intercession may non merely salvage the life of the patient but besides her womb. There are several studies of gestations carried to full term after bilateral ligation of the hypogastric arterias. ( 19-23 ) The purpose of this survey was to measure the function of bilateral IIAL in instances of terrible station partum bleeding due to sidelong rupture womb in comparing to the conventional uterine fix merely in such instances.MethodThis survey was conducted on 50 pregnant adult females who were admitted to Shatby University Maternity Hospital between June 2006 and August 2008, all of them were diagnosed as terrible station partum bleeding due to sidelong uterin e rupture which might be extended to the vagina ( Diagnosis was confirmed during Laparotomy ) . The sample group were indiscriminately allocated into two groups: Group A=35 patients ( ligation group ) : adult females were subjected to bilateral IIAL followed by fix of uterine wall. Group B =15 patients ( fix merely group ) : adult females were subjected to conventional methods of uterine fix. All patients were counselled for the process and informed consent was obtained.Technique of internal iliac ligation was done as follow:The womb is lifted out of the pelvic girdle in order to observe the extent of the hurt. The uterine tear is inspected and examined carefully from the vertex downwards. The hemorrhage borders of the womb are held with Green Armytage clinch ( or pealing forceps ) . The vesica is dissected from the lower uterine section by crisp and blunt dissection so mobilized downwards. The external iliac pulsings are felt and followed up to the bifurcation of the common iliac arteria, and the ureter is identified. The peritoneum on the sidelong side of the bifurcation of the common iliac arteria is opened by a longitudinal scratch in such a manner that the ureter remains attached to the median peritoneal contemplation exposing the retroperitoneal anatomy. The internal iliac arteria is traced and carefully dissected off from the underlying vena. Figure ( 1 & A ; 2 ) A dual yarn of absorbable sutura ( Vicryl ) stuff is passed underneath the arteria and tied. Figure ( 3 ) Femoral arteria pulsings are identified after binding the ligatures.Statistical methods:Statistical analysis was done utilizing Statistical Package for Social Sciences ( SPSS/version 15 ) package. The statistical trials used are as follow: Arthematic mean, standard divergence, Chui-square trial and Fisher exact trial was used for categorised parametric quantities, while for numerical informations, t-test was used. The degree of significance was 0.05.ConsequenceIn the ligation group ( group A ) , the age ranged from 24 – 39 old ages with a mean of 32.85A ±6.57 and para ranged from 1-4 with a mean of 2.45A ±1.01, while in the fix group ( group B ) their age ranged from 27-42 old ages with a mean of 33.9A ±7.06 and the para ranged from 1-4 with a mean of 2.622A ±1.05, severally. There was no statistically important difference between the two groups sing age and para. Both groups were compared as respects intra-operative and, postoperative eventsIntraoperative events:The average intra-operative clip in group ( A ) was 45.5A ±4.68 proceedingss, while it was 98.5A ±8.98 proceedingss in group ( B ) . The intra-operative clip is statistically important longer in group B as P= 0.0001. The clip needed for one- sided IIAL ranged between three to seven proceedingss. The average blood volume transfused intra-operatively in group ( A ) was 1750A ±71.6 milliliter, compared to 2980A ±120.8 milliliters in group ( B ) , this difference is statistically important as P= 0.0001. In group ( A ) , Four patients ( 11.4 % ) had hysterectomy, and 6 patients ( 17.1 % ) had extra haemostatic vaginal suturas for extended vaginal cryings after IIAL. In group ( B ) seven patients ( 46.7 % ) had hysterectomy and 10 patients ( 66.7 % ) had haemostatic vaginal suturas. These difference, are statistically important as P= 0.0058 and 0.0005 severally. These findings revealed a higher incidence of extra secondary processs in group ( B ) . There was no ureteric ligation or hurt recorded in group ( A ) , on the other manus in group ( B ) the ureter was ligated on the same side during fix of the tear without exposing the ureter in 2 instances. Fortunately, both discovered intra-operatively and managed. No other complications were recorded in either group. ( Table I )Postoperative eventsAll patients were transferred postoperatively to intensive attention unit ( ICU ) the average continuance of ICU stay was 38A ±5.99 hours in group ( A ) , compared to 70A ±6.85 hours in group B, which is statistically important as P= 0.0001. On the other manus, 5 patients ( 14.3 % ) in group ( A ) which is statistically important less compared to 9 patients ( 60.0 % ) in group ( B ) were complicated with disseminated intra vascular coagulopathy ( DIC ) . The entire volume of blood collected from intra-abdominal drain over 48 hours postoperatively was 211A ±23.85 milliliter in group ( A ) , while it was 751A ±68.98 milliliter in group ( B ) . These revealed a higher incidence of station operative complications in group B. Merely one patient ( 2.9 % ) died from pneumonic intercalation in group ( A ) , and another one ( 6.7 % ) died in group ( B ) due to monolithic hypovolemia and daze. ( Table II ) Fig. 1: Lateral uterine rupture with terrible station partum bleeding Fig. 2: Retroperitoneal anatomy demoing the great vass. Fig. 3: A dual yarn of absorbable sutura stuff is passed underneath the arteria utilizing right angled artery forceps and tied. Table I: Comparison between the two studied groups sing intra-operative events.Group Aâ€Å" n=35 †Group Bâ€Å" n=15 †Trial of significanceIntra-operative clip ( min. ) 45.5A ±4.68 98.5A ±8.98 T = 4.30 P = 0.0001* Sum of blood transfused intra-operatively ( milliliter ) 1750A ±71.6 2980A ±120.8 T = 5.21 P = 0.0001* Need for hysterectomy 4 ( 11.4 % ) 7 ( 46.7 % ) X2 = 7.60 P = 0.0058* Need for extra vaginal haemostatic suturas 6 ( 17.1 % ) 10 ( 66.7 % ) X2 = 11.83 P = 0.0005* Ureteric ligation 0 ( 0.0 % ) 2 ( 13.3 % ) Field-effect transistor P = 0.085 Datas are presented as Mean + SD * P is important if & lt ; 0.05 Field-effect transistor: Fisher Exact ‘s Trial Table II: Comparison between the two studied groups sing post-operative events.Group Aâ€Å" n=35 †Group Bâ€Å" n=15 †Trial of significanceDuration of ICU stay in hours 38A ±5.99 70A ±6.85 T = 4.25 P = 0.001* Incidence of DIC 5 ( 14.3 % ) 9 ( 60.0 % ) X2 = 10.88 P = 0.0009* Entire sum of blood collected in drain over 48 hours ( milliliter ) 211A ±23.85 751A ±68.98 T = 6.21 P = 0.0001* Maternal mortality 1 ( 2.9 % ) 1 ( 6.7 % ) Field-effect transistor P = 0.524 Datas are presented as Mean + SD * P is important if & lt ; 0.05 Field-effect transistor: Fisher Exact ‘s Test DIC: disseminated intra vascular coagulopathy Intensive care unit: intensive attention unitDiscussionUterine rupture is a serious obstetric complication, with high morbidity and mortality, peculiarly in less and least developed states. The most of import defect of the information available is the deficiency of distinction between uterine rupture with and without old cesarean subdivision. Overall, most rates ranged between 0.1 % and 1 % . Maternal mortality ranged between 1 % and 13 % , and perinatal mortality between 74 % and 92 % . ( 24 ) Uterine artery ligation is a promising technique in the direction of PPH as occlusion of the uterine arteria reduces 90 % of the blood flow. It is utile in uterine atonicity, but in uterine injury, when the avulsed uterine arteria retracts into the wide ligament organizing a hematoma, it is hard to make a uterine arteria ligation and salve the womb. IIAL in such state of affairss is helpful as the force per unit area and flow of circulation lessening distal to the ligation and enabling one to readily turn up the hemophiliac and ligate it firmly. Similarly, in instances of deep forniceal cryings and hematoma, uterine arteria ligation or even hysterectomy does non halt the bleeding. In such instances, blood loss could be arrested after IIAL as vaginal arteria is a direct subdivision of anterior division of internal iliac arteria. Since it is a safe, rapid and really effectual method of commanding shed blooding from venereal piece of land, it is besides helpful in commanding postoperative bleeding after abdominal or vaginal hysterectomy where no unequivocal hemorrhage point is noticeable. IIAL was performed for the first clip by Kelly ( 25 ) with a success rate 95 % and without any major complication. Mukherjee et Al ( 26 ) performed 36 instances of IIAL with a success rate of 83.3 % in 6 old ages. The principle for IIAL as an effectual agencies of commanding intractable PPH and forestalling maternal decease is based on the haemodynamic surveies of Burchell, ( 27 ) which showed that IIAL reduced pelvic blood flow by 49 % and pulse force per unit area by 85 % , ensuing in venous force per unit areas in the arterial circuit therefore advancing hemostasis by a simple coagulum formation. However, the reported success rate of IIAL varies from 40 to 100 % , ( 28 ) and the process averts hysterectomy in merely 50 % of instances. ( 29 ) Papp et Al, ( 30 ) published aA reappraisal of indicants and results for 117 instances of bilateral hypogastric arteria ligation over 15 old ages ( 1990-2004 ) . They documented that, apart from a little lesion to the hypogastric vena, no complications were observed. Bleeding was efficaciously controlled in all 37 obstetric instances. In 13 of these instances, the womb was preserved even when there was cervical gestation, placenta previa, placental breaking off, uterine atonicity, and uterine rupture, and 4 adult females were delivered of mature babies. Bleeding was efficaciously controlled in 41 of 80 gynaecological instances. Contraceptive decrease of pelvic blood flow was the indicant for the process in 39 cases.The womb was preserved in merely a few of the 41 controlled instances, but one adult female ( so far ) was delivered of a mature baby. In our survey we evaluated the efficaciousness of ligation of internal iliac arteria in instances of rupture womb. Results showed less operative clip and sum of blood transfused for replacing in comparing to the fix group. In add-on, the womb was preserved in most of the instances, merely 4 patients ( 11.4 % ) had hysterectomy, and 6 patients ( 17.1 % ) had extra vaginal suturas for hemostasis. There were no ureteric or great vessel hurts. The post-operative events, showed short ICU stay and less incidence of complications as DIC was merely seen in 5 patients ( 14.3 % ) , besides it is fertility salvaging process. The fright of vascular hurt and return of bleeding normally deter an obstetrician from fall backing to IIAL. We observed that one time the uterine hemorrhage was controlled during surgery, it did non repeat in the postoperative period in any adult female in whom the womb was conserved. As there is free inosculation providing pelvic variety meats, vascular lack following ligature have non proved to be a job, even after bilateral IIAL. Khelifi et Al. ( 31 ) have evaluated internal iliac arterias in 13 adult females after ligation by color Doppler echography in the 4th twenty-four hours after intercession and so monthly until repermeabilization of the internal iliac arterias. In all instances, the first test showed down-side the ligature, a flow inversion with an of import pelvic indirect circulation. The following Doppler test showed repermeabilization of the hypogastric arterias after an mean interval of 5 months. Pappz et Al. ( 21 ) have reported a successful gestation after internal iliac arteria ligation with normal flow speed in uterine arterias. Wagaarachchi and Fernando ( 22 ) observed successful gestation in 50 % of the instances following bilateral ligation. Therefore, Internal iliac arteria ligation decreases the hemorrhage, clears the operative field and therefore enables the sawbones to avoid blindly clamping and ligating tissues submerged in a pool of blood. This is peculiarly helpful in cut downing the hazard of ureteric hurt. Internal iliac arteria ligation besides facilitates fix of vaginal lacerations that bleed abundantly with each sutura through the vaginal wall. It represents an option to the hysterectomy and preserves the child-bearing maps of some females because of the subsequent vascular recanalization. All accoucheurs caring for parturient adult females should familiarise themselves with this process as it should be an built-in portion of obstetric and gynaecological preparation.

Communication needs Essay

1.1 Explain the importance of meeting an individual’s communication needs. Answer People communicate because they need to let others know what they want and feel, as well as to find things out and get answers to their question and to pass on information and give direction. Communication is a basic human right. Without communication the individual is unable to realise or exercise their rights. Under the human rights act 1998 all individuals have the right to freedom of expression. Without identifying and supporting the individuals communication needs many may be denied their rights. The right of and individual is also up held in (GSCC) General Social Care Council. In order to effectively support an individual with his or her communication we must have a thorough understanding of their needs. All individuals have a right to communication and we are governed by standards, codes of practice, guidelines, morals and law to ensure those communication needs are met. Read more: Essay About Support Individuals with Specific Communication Needs 1.2 Explain how own role and practice can impact on communication with an individual who has specific communication needs. Answer It is true that a person’s own beliefs and experiences could affect working practice or affect my role as a healthcare worker. However, as a  professional health care worker, it is part of my responsibilities to treat all service users equally and never allow my personal beliefs affect my role. Imposing my own beliefs and experiences is not acceptable in the healthcare practice and would be against the standard codes of practice, and organisational policies. Example giving preferential treatment to service user because I like them more than others, treating a client differently because we have the same or different religion, different values as regards personal hygiene, different sexual orientation. Furthermore, treating a service user badly because in the past I have had a bad experience with perhaps people of such colour, race or people of his/her personalities is against the practice. The Human Rights Act 1998, The Race Relations, Act 1976 amended 2000, The Sex Discrimination Act 1975. Equal Opportunities Act 2004 and the Equality Act of 2010 are all legislations that relate to equality and diversity in my own practice. These acts are about meeting and respecting the individual needs. As a healthcare worker it is my responsibly to strictly adhere and follow these guidelines. This ensure that all clients are treated equally irrespective of their colour, age, disability, gender, religion and belief and sexual orientation . It is my duties to offer a non judgemental, non bias service because of individual client beliefs. 1.3 Analyse features of the environment that may help or hinder communication. Answer Noise levels of the environment. Are they conducive to communication if an individual is hard of hearing therefore it is best to reduce the noise level or move to a quieter area to improved communication. Large groups could have a negative effective on communication if everyone is engage in a lively discussion, it best to move to a smaller group. Good/poor lighting someone with poor vision may find it difficult to see especially if they have hearing problem and relied on reading your lips as opposed to good lighting which would alleviate any anxieties and stress and reduced miscommunication as a result of having good lighting. Privacy or lack of it, offering a individual a private environment to have a conversation with someone on a one to one basic would allowed the individual to set across from you face to face, where the level of communication can be calm, timely and clear have opportunities to clarify things they are not sure about and enable clarity. focusing on the individual,space and positioning when communicating, body language and eye contact when communicating, giving individuals sufficient time to communicate, using the individual’s preferred means of communication and language, checking that you and the individuals understand the communication when communicating. No disruption/disruption, distraction example, TV off or on and even temperature is it just right or too hot/cold etc. as all these elements can have a negative or positive impact on communication. Physical- refers to the environment surrounding the participants in the communication process; for example: (good) good ventilation, chairs and other materials are properly arrange, temperature is set just right, the place or venue is presentable..etc. (bad) a very noisy place, air pollution, the place is very dirty and the materials for the event is not properly arrange, poor ventilation. 1.4 Analyze reasons why an individual may use a form of communication that is not based on a formal language system. Answer There are lots of different ways to communicate. We use all of our five senses to communicate and receive information: Visual-seeing, Auditory -hearing, Olfactory – smelling, Kin- aesthetic -feeling, Gustatory -tasting. Could be due to hearing difficulties, in which case they will use sign language, another could be because of learning problems, and these people use a form of body language , some might use their eyes, whilst others communicate by making facial expressions or sounds or even pointing. A further reason could be due to a severe medical condition, and in some of these cases the individual can learn to use electronic equipment to communicate It is important to learn about communication forms. Once we recognize the communication we can respond to it and begin shaping it into a more formal or easier to understand form of communication. 1.5 Identify a range of communication methods and aids to support individuals to communicate. Answer There are three main forms of communication, verbal, non-verbal and the written word. Verbal communication Verbal communication uses words to present ideas, thoughts and feelings. Good verbal communication is the ability to both explain and present your ideas clearly through the spoken word, and to listen carefully to other people. This will involve using a variety of approaches and styles appropriate to the Individual you are addressing. Non-verbal communication This refers to the messages we send out to express ideas and opinions without  talking. This might be through the use of body language, facial expressions, gestures, tone of voice, touch or contact, signs, symbols, pictures, objects and other visual aids. It is very important to be able to recognise what a person’s body language is saying, especially when as a health or social care worker you are dealing with someone who is in pain, worried or upset. You must also be able to understand the messages you send with your own body when working with other people. Body language – The way we sit or stand, which is called posture, can  send messages. Slouching on a chair can show a lack of interest in what is going on and folded arms can suggest that you are feeling negative or defensive about a person or situation. Even the way we move can give out messages, e.g. shaking your head while someone else is talking might indicate that you disagree with them or waving your arms around can indicate you are excited. Facial expression – We can often tell what someone is feeling by their  eyes. Our eyes become wider when we are excited or happy, attracted to, or interested in someone. A smile shows we are happy and a frown shows we are annoyed. Touch or contact – Touching another person can send messages  of care, affection, power or sexual interest. It is important to think about the setting you are in and what you are trying to convey before touching a person in a health and social care environment. An arm around a child who is upset about something in hospital or a nursery can go a long way to making them feel better but a teenager might feel intimidated by such contact from an older person. Signs, symbols and pictures – There are certain common signs or  gestures that most people automatically recognise. For example, a wave of the hand can mean hello or goodbye and a thumbs up can mean that all is well. Pictures of all forms and objects also communicate messages; an X-ray and a model of a knee joint can more easily communicate to someone needing a knee replacement exactly what is involved. Written communication This is central to the work of any person providing a service in a health and social care environment when keeping records and in writing reports. Different types of communication need different styles of writing but all require literacy skills. A more formal style of writing is needed when recording information about a client. Technological aids Technology is moving so quickly now that we have many electronic aids to help us communicate. For example, mobile phones can be used to make calls but we can also use them to send text messages and emails; and we have computers on which we can record, store and communicate information very quickly and efficiently over long distances. Some aids can turn small movements into written word and then into speech, such as the voice box most famously used by the scientist, Professor Stephen Hawking. mobile phones: these are generally affordable and available to the population at large, making them more accessible than computers and far more cost-effective. They have many uses in health and social care. For example, they enable emergency response teams to coordinate their efforts, allow a surgical team to contact someone awaiting an organ transplant, gather and send information etc. They are especially important in health and social care in developing countries, where people may live several days’ walk from the nearest doctor. telephone amplifier: these are devices that amplify, or make louder, the ring tone of a phone so that people who are hard of hearing and maybe use a hearing aid can hear the phone more clearly. They also amplify the volume of the person speaking on the other end by up to 100%. Other devices on telephones include flashing lights so someone who is hard of hearing can see  that the phone is ringing. hearing loops – a hearing loop system helps deaf people who use a hearing aid These means of communication are used for transferring information from one entity to the other, and always involve a sender and receiver. The cycle of communication is said to be complete only when the receiver has understood the sender’s message and intent. 1.6 Describe the potential effects on an individual of having unmet communication needs. Answer Having difficulties expressing on self can lead to both physical and emotional problems. Individuals who experience a gradual loss of effective communication may become increasingly withdrawn, depressed or isolated. These emotions reduce the individual’s self-esteem as they start to develop feeling of frustration and uselessness. The individual’s behaviour may change as they vent their frustrations with acts of anger or even violence. An individual, who is born deft or lose their hearing while they are young, may well have built their own society in the Deft Community based on communication through sign language. But someone who has lived in the hearing community for most of their life, then loses their hearing in later life, may feel they have no place where they can fit in. some individuals who have not received the required support to communicate effectively may become indifferent to others. They may begin to feel that there is no point in trying to express themselves, their needs or their views, when no one appears to be listening or attempting to understand them. Unsupported communication needs can result in the individual being denied their rights. As a society, if we deny an individual their rights in life we are in effect abusing that individual. 2.2 Contribute to identifying the communication methods or aids that will best suit individual. Answer At my day centre I contribute to aiding the communication needs of my service users by: Cultural needs: dietary needs of a number of service users are varied so it is essential that those who have special dietary needs are meet to help maintained and help them stay healthy example. Diabetic not given too much sugar or sweet, or those with hypertension watch the amount of salt intake in their diet identified and cultural norms of using the left hand is frown up on. Religious needs: Ensures those who practice their faith are given the opportunity to engage in such practice on a weekly basic. By providing this service to them. One page profile: Indicate the individual like and preferences and what is important to the individual and how best to meet their needs. Body language: Through developing a working relationship with an individual I am able to understand a number of cues with indicate what or how they are feeling through, facial expression, gestures that indicate that the individual is upset annoyed or confused example when an individual look at family photos they want to talk or visit their love ones. Key working: thought working with the individual and family to establish person centre approaches. Which entails their hope dreams and aspiration. Language barrier: ensuring the individual have someone to help will their language needs if their first language is not English. Technical aids: Ensuring individual have the access to hearing aid, optician to provide them with aiding with visual needs to improved their communication needs. Talking books,and large printed and Bridle books and other technical aids to help with their communication needs through partnership work with deft blind society who provide magazine to informed and update service users and their family on the latest aids that would best suit their needs. Monthly magazine leaflet: Informing and updating service users on all the activities that has taken place and will be happening at the centre. By taking photos of all the various events we are enabling service user are seeing hearing and reading all that is taking place in the day centre. Example who celebrated their birth day, what events will be happing inside and outside of the centre and pictures of who attended. Notice board: Service user are able to see and read about events and obtained information that is of interest to them or others they can shared with. Informing service users: Provide service users with Information and Advice as to where and how to obtain information on other services and community resources they can get access to. Staff meeting: Report and shared concerned information that has been disclosed or observation about service user that will benefit or aid their communication needs 2.3 Explain how and when to access information and support about identifying and addressing specific communication needs. OR 1.1What is communication? Communication is the giving and receiving of information. It is the foundation of what we do in everyday life. What we say, how we say it and what we do communicates a multitude of messages that are given and received consciously and subconsciously by using different communication methods. People communicate with you because they have something they want you to know or something they want you to tell them. We communicate to share information and ideas. The key point to remember is that everyone is different. We all think differently and communicate in different ways. The people you are supporting will communicate because they are motivated by what they need 2.2 Understand a range of communication methods and styles that could help meet an individual’s communication needs, wishes and preferences There are lots of different Ways to communicate. We use all of our five senses to communicate and receive information: ï‚ · Visual – seeing Auditory – hearing Olfactory – smelling Kinaesthetic – feeling Gustatory – tasting Verbal communication Vocabulary, words and different languages Tone of voice Pitch (for example, high or low Non-verbal communication Eye contact Signs, symbols or pictures Writing Using objects Touch Physical gestures Body language and emotions Lip reading Recognise barriers to effective communication Here are some of the different barriers to consider: Sensory impairment (for example, deafness, blindness or both) Culture (for example, speaking different languages or poor English) Religion (for example, men not permitted to support females with personal care) Health issues (for example, mental ill health like Dementia) Background noise (for example, radio, television, other people, machines) Emotions (for example, difficulty in being able to listen to others) Stress (for example, failing to recognise what is happening) Strong accents (for example, from a different part of England that you find difficult to understand) Specialist communication techniques (for example, sign language is used) Prejudice (for example, allowing your beliefs to pre judge a situation) Be aware of ways to reduce barriers to effective communication Hearing Loss Hearing loss is an invisible disability, so it can become a big communication barrier. Hearing impaired people have to concentrate very hard to pick up information in stages and written information. Aids that can help these people are hearing aids, sign language, lip reading, loop systems, interpreters. It is important to limit background noise to avoid distraction. You should always make sure they can see you clearly and particularly your face as they may be able to lip read. They may also use sign language which you may need to consider learning if you will be working together regularly. Loss of Sight This can make a person extremely disorientated if they are in a strange place or they lose their glasses. When supporting a person who is blind or has limited visibility, verbal communication increases in importance. Always ensure the individual can hear you clearly. It may be appropriate to use touch to reassure them of your presence. You might need to explain things in more detail because they are unable to see your expressions and body LANGUAGE Language Barriers and Accents It can be difficult to communicate with a person who does not speak English, you may need to use picture boards, actions or an interpreter so you can communicate appropriately. Dementia and Confusion When supporting someone with Dementia be aware that even basic forms of communication may be difficult for them to understand and interpret. Use short sentences. Use names rather than he or she. Avoid open ended questions. Use closed questions, for example, rather than say â€Å"what would you like?† say â€Å"would you like this or that?† Dysphasic These individuals have usually had a stroke and may get very frustrated when trying to communicate. A speech therapist may be involved with their support and may be able to suggest ways of making things easier. Physical Disabilities Individuals may have had accidents which have changed their abilities. Some people will have previously had no disabilities and others will have always had disabilities. Some people with physical disabilities may have difficulty speaking, for example, people who may have had strokes or conditions like cerebral palsy. Others with physical disabilities may be able to communicate perfectly well in speech. You should never make judgements about individual’s capabilities in any way and don’t forget everyone is different. Cultural Differences Commonly used gestures can sometimes have different meanings in other cultures. Familiarise yourself with the cultures of those you are caring for so you are able to treat them with respect. In some cultures, men and women are not allowed to speak to each other if they are not known to each other and this could present difficulties when trying to provide care and support. A female may not want a male carer and a male may not want a female carer The Environment Consider the type of environment in which you are working. Is there lots of noise around you. Can the noise be reduced or removed altogether. Are other people making too much noise and preventing you from communicating with an individual. In an individual’s home, you may find pets or other distractions like the television being on too loud. You should also make sure that people who have particular aids to help them communicate are using these, for example hearing aids and glasses. It can often be difficult to concentrate on a conversation if the individual needs to go to the toilet. Always check the individual is comfortable. Confidence / Self Esteem If an individual lacks confidence and / or self esteem, they may find it difficult to express themselves. Lots of patience and encouragement is needed as well as regular praise to increase their confidence and the way they feel about themselves 1.5 Be aware of sources of information and support or services to enable more  effective communication There will be lots of different types of support and services that can help you and the individuals you support to improve your communication skills. Some of these services are: ï‚ · Translators Interpreters, sign language and lip speakers Speech and language specialists Advocacy services

Principle Underpinning the Role of the Practitioner Working

The benefits of developing reflective practice within a childcare setting is the key to quality improvement as it helps practitioners to identify the strengths and weaknesses of different aspects of skills and progress within the settings provision. It involves thinking about how you currently work to reflect to see if it can be done in a different way in order to improve your practise. Practitioners will be taking various observations of children to see if they’re meeting their norms, then practitioners will look to see where their weaknesses are in their developments, and how they are learning.They will reflect how they are planning to see if they can change it to increase the children’s development to make the child meet their norms in their weaknesses. Some children might need to be involved with multi-agency teams, practitioners then need to associate and create a meeting about the child to asses there needs to make an arrangement to meet there need by co-operating with the multi-agency teams. Practitioner could use the children strengths for example, numeracy (counting) so therefore they could put number shapes on the dough table to attract the child to increase their fine-motor skills.Practitioners then can adjust the planning to meet the child’s needs, by implementing and linking it to the national curriculum which is Early Years Foundation Stage. Reflective practice benefits the adults by communicating, thinking of new ideas, building positive relationships, being able to see how children are progressing, improving knowledge and improving skills when working with children. Reflective practice benefits the setting by building relationships between staff, it will make the setting a happier place, creates a positive atmosphere, safe environment and it will make you enjoy your work and make you want to be there.

My Favorite Food Essay

For many people, the history of their most favorite food takes source from their childhood. I am not an exception, and when I think about the most delicious and memorable food, I always remember amazing chocolate cakes with juicy cherries that my grandmother used to cook for me when I was a child. She lived in a small town in Kansas, and together with my mom and sister, we used to visit her several times a year for holidays. And every time our grandma was treating us with those amazing cakes! There is no child who does not like chocolate cakes. I guess, my grandma knew this so well, that is why she was glad to spend a full day in the kitchen cooking those cakes in order to make us happy. It is hard to find the words to express the feelings I was experiencing when I used to receive a plate with those divine brown cakes topped with huge juicy cherries and wrapped in dark-brown chocolate cream. I used to think that I could eat not less than a dozen of them at once! They were so sweet, delicious and amazingly delicate! I am not sure about the way she used to cook them, but I can say that the secret of the cakes was a special chocolate pastry cream. It was enough dense not to flow down from the cakes and tightly wrap the cherries on the top of every cake. But at the same time, this delicious chocolate souse was as soft and creamy as pure hot chocolate, and it was an extreme pleasure to feel its taste in my mouth and on my lips. Many years have passed, but every time I eat chocolate cakes with berries, sweet and blissful memories and feelings from my childhood come back to me. I feel myself like a little child again, waiting for miraculous doors to open and breathtaking smell of my grandma’s cakes make my head go round. Since those times, the taste of chocolate cream remains the sweetest and the most pleasant for me, no matter what kind of desert it is used for. So, whenever I want to travel in the past, â€Å"chocolate gates† become the gateway to my most precious memories. References â€Å"Warm Chocolate Torte with Seasonal Fruit. † (n. d. ). Pastry Wiz. Retrieved November 4, 2008: .