Thursday, March 19, 2020
Autistic Savantism essays Autism spectrum disorder is a disorder marked by developmental delays, or abnormal functioning, resulting in impaired reciprocal social interaction, impaired communication and language, and a restricted, repetitive pattern of behaviors, interests, and activities. However, 10% of the autistic population can be diagnosed with autistic savantism meaning they have a remarkable ability in some area of life. Many autistic savants hold a spectacular memory of which non-autistic individuals could only dream. Two such individuals are Temple Grandin, an animal scientist, and Steven Wiltshire, a visual artist. Though there is no definitive research proving how an individuals memory works, four areas are being researched regarding the memory of autistic individuals, and subsequently many theories exist. The areas being researched are the thought process style used by autistic individuals, the role emotion plays in these individuals, as well as the role of meaning, and their comprehension of exp ressive language. This research may help determine how and why their memory ability differs from the norm, giving insight into the memory capacity of normal individuals. A small girl sits quietly in front of a piano, fingers poised over the bright white keys. Her teacher, seated beside her on the bench, played a complicated series of chords, filling the air with melody. After a single hearing, the little girl begins to play, perfectly reproducing the song she has just heard for the first time. As the last note fades away, the girl sits still for a moment, and then gently begins to rock back and forth, stopping only when the music begins again.... One might label this child a genius or prodigy after witnessing this, were it not for the little nuances of the situation: the rocking, the unemotional expression on the childs face, and the lack of response to voices around her. Instead, this girl has been diagnosed with Autistic Spectrum Disor...
Tuesday, March 3, 2020
Understanding Maslows Theory of Self-Actualization Psychologist Abraham Maslows theory of self-actualization contends that individuals are motivated to fulfill their potential in life. Self-actualization is typically discussed in conjunction with MaslowÃ¢â¬â¢s hierarchy of needs, which posits that self-actualization sits at the top of a hierarchy above four lower needs. Origins of the Theory During the mid-20th century, the theories of psychoanalysis and behaviorism were prominent in the field of psychology. Though largely very different, these two perspectives shared a general assumption that people are driven by forces beyond their control. In response to this assumption, a new perspective, called humanistic psychology, arose.Ã The humanists wanted to offer a more optimistic, agentive perspective on human striving. The theory of self-actualization emerged out of this humanistic perspective. Humanistic psychologists claimed that people are driven by higher needs, particularly the need to actualize the self. In contrast to the psychoanalysts and behaviorists who focused on psychological problems, Maslow developed his theory by studying psychologically healthy individuals. The Hierarchy of Needs Maslow contextualized his theory of self-actualization within a hierarchy of needs. The hierarchy represents five needs arranged from lowest to highest, as follows: Physiological needs: These include needs that keep us alive, such as food, water, shelter, warmth, and sleep.Safety needs: The need to feel secure, stable, and unafraid.Love and belongingness needs: The need to belong socially by developing relationships with friends and family.Esteem needs: The need to feel both (a) self-esteem based on oneÃ¢â¬â¢s achievements and abilities and (b) recognition and respect from others.Self-actualization needs: The need to pursue and fulfill oneÃ¢â¬â¢s unique potentials. When Maslow originally explained the hierarchy in 1943, he stated that higher needs generally wonÃ¢â¬â¢t be pursued until lower needs are met. However, he added, a need does not have to be completely satisfied for someone to move onto the next need in the hierarchy. Instead, the needs must be partially satisfied, meaning that an individualÃ can pursue all five needs, at least to some extent, at the same time.Ã Maslow includedÃ caveats in order to explain why certain individuals might pursue higher needs before lower ones. For example, some people who are especially driven by the desire to express themselves creatively may pursue self-actualization even if their lower needs are unmet. Similarly, individuals who are particularly dedicated to pursuing higher ideals may achieve self-actualization despite adversity that prevents them from meeting their lower needs. Defining Self-Actualization To Maslow, self-actualization is the ability to become the best version of oneself. Maslow stated, Ã¢â¬Å"This tendency might be phrased as the desire to become more and more what one is, to become everything that one is capable of becoming.Ã¢â¬ Ã Of course, we all hold different values, desires, and capacities. As a result, self-actualization will manifest itself differently in different people. One person may self-actualize through artistic expression, while another will do so by becoming a parent, and yet another by inventing new technologies. Maslow believed that, because of the difficulty of fulfilling the four lower needs, very few people would successfully become self-actualized, or would only do so in a limited capacity. He proposed that the people who can successfully self actualize share certain characteristics. He called these people self-actualizers. According to Maslow, self-actualizersÃ share the ability to achieve peak experiences, or moments of joy and transcendence. While anyone can have a peak experience, self-actualizers have them more frequently. In addition, Maslow suggested that self-actualizers tend to be highly creative, autonomous, objective, concerned about humanity, and accepting of themselves and others. Maslow contendedÃ that some people are simply not motivated to self-actualize. He made this point by differentiating between deficiency needs, or D-needs, which encompass the four lower needs in his hierarchy, and being needs, or B-needs. Maslow said that D-needs come from external sources, while B-needs come from within the individual. According to Maslow, self-actualizers are more motivated to pursue B-needs than non-self-actualizers. Criticism and Further Study The theory of self-actualization has been criticized for its lack of empirical support and for its suggestion that lower needs must be met before self-actualization is possible. In 1976, Wahba and Bridwell investigated these issues by reviewing a number of studies exploring different parts of the theory. They found only inconsistent support for the theory, and limited support for the proposed progression through MaslowÃ¢â¬â¢s hierarchy. However, the idea that some people are more motivated by B-needs than D-needs was supported by their research, lending increased evidence to the idea that some people may be more naturally motivated towards self-actualization than others. A 2011 study by Tay and Diener explored the satisfaction of needs that roughly matched those in MaslowÃ¢â¬â¢s hierarchy in 123 countries. They found that the needs were largely universal, but that the fulfillment of one need was not dependent on the fulfillment of another. For example, an individual can benefit from self-actualization even if they have not met their need to belong. However, the study also showed that when most citizens in a society have their basic needs met, more people in that society focus on pursuing a fulfilling and meaningful life. Taken together, the results of this study suggest that self-actualization can be attained before all of theÃ four other needs are met, but that having ones mostÃ basicÃ needs met makes self-actualization much more likely.Ã The evidence for MaslowÃ¢â¬â¢s theory is not conclusive. Future research involving self-actualizers is needed in order to learn more. Yet given its importance to the history of psychology, the theory of self-actualization will maintain its place in the pantheon of classic psychological theories.Ã Sources Compton, William C. Ã¢â¬Å"Self-Actualization Myths: What Did Maslow Really Say?Ã¢â¬ Journal of Humanistic Psychology, 2018, pp.1-18, http://journals.sagepub.com/doi/10.1177/0022167818761929Maslow, Abraham H. Ã¢â¬Å"A Theory of Human Motivation.Ã¢â¬ Psychological Review, vol. 50, no. 4, 1943, pp. 370-396, http://psychclassics.yorku.ca/Maslow/motivation.htmMcAdams, Dan. The Person: An Introduction to the Science of Personality Psychology. 5th ed., Wiley, 2008.McLeod, Saul. Ã¢â¬Å"MaslowÃ¢â¬â¢s Hierarchy of Needs.Ã¢â¬ Simply Psychology, 21 May 2018. https://www.simplypsychology.org/maslow.htmlTay, Louis, and Ed Diener. Ã¢â¬Å"Needs and Subjective Well-Being Around the World.Ã¢â¬ Journal of Personality and Social Psychology, vol. 101, no. 2, 2011, 354-365, http://academic.udayton.edu/jackbauer/Readings%20595/Tay%20Diener%2011%20needs%20WB%20world%20copy.pdfWahba, Mahmoud A., and Lawrence G. Bridwell. Ã¢â¬Å"Maslow Reconsidered: A Review of Research on the Need Hierarchy Th eory.Ã¢â¬ Organizational Behavior and Human Performance, vol. 15, 1976, 212-240, http://larrybridwell.com/Maslo.pdf
Sunday, February 16, 2020
Discuss Prousts theory of memory and time using specific examples of Time regained - Essay Example The precise aspect can be seen immediately in the lead-in of "Time regained": "I spent the whole day in my room, the windows of which opened upon the beautiful verdure of the park, upon the lilacs of the entrance, upon the green leaves of the great trees beside the water and in the forest of Msglise. It was a pleasure to contemplate all this, I was saying to myself: "How charming to have all this greenery in my window" until suddenly in the midst of the great green picture I recognised the clock tower of the Church of Combray toned in contrast to a sombre blue as though it were far distant, not a reproduction of the clock tower but its very self which, defying time and space, thrust itself into the midst of the luminous greenery as if it were engraved upon my window-pane."1. Marcel Proust ends his search of Lost Time with a seventh volume: "Time regained". This last volume shall be seen, not as a conclusion of the entire work but, as the reason the author decides to start to write. We have to consider "Time regained" as an introduction to Proust's previous volumes of "in search of Lost Time" because he finally links art - in his case literature - to memory and time. Art should be the way to represent and ultimately to regain the time which was lost. " This labour of the artist to discover a means of
Sunday, February 2, 2020
Baby Bottle Tooth Decay - Research Paper Example The first advantage associated with acquisition is the undeniably, outright growth of an existing business. For instance if company A buys company B, the size of company A now becomes A+B, which means that there become an outright growth. This outright growth caters for the possibilities associated with starting a business and failing. It also caters for other basic company routines such as recruitment, placement and orientation; some of which do not always end well. Leading on from the first advantage, acquisition ensures that the buyer enjoys a ready-made organizational structure, system and culture. In business, there is no denying the fact that establishing an organization may not be as difficult as establishing or setting up a organizational structure, system or culture. Gourley notes that Ã¢â¬Å"organizational culture is defined as the shared values, norms and expectations that govern the way people approach their work and interact with each other.Ã¢â¬ This explains the extent to which organizational culture could be difficult for most businesses that are started from the scratch. Buying a company therefore saves an entrepreneur from the hassle of getting a new organizational culture in place. The very last advantage has to do with the inheritance of corporate publicity. Corporate publicity simply refers to the kind of popularity a company has in the eyes of consumers and buyers. These days, most investors target well established and publicized companies when they are buying. This makes it possible for them to inherit the popularity of the existing company. It also makes money voted into publicity very minimal. The best part of inheriting corporate popularity is the inheritance of customers. Customers are the lifeline of every company. It is their inputs that make up the revenues for companies. Building a strong customer base is however very difficult to do. When a person buys an existing company however, he automatically have the customers of the
Saturday, January 25, 2020
Malnutrition Effects on Quality Of Life The focus of this assessment is quality of life and specifically this paper considers how malnutrition affects quality of life of community settings patients. According to the Scottish Governments publication Older people living in community Nutrition needs, barrier and interventions: a literature review, malnutrition is an umbrella term for undernutrition, overnutrition and imbalance diet intake (The Scottish Government, 2009). Malnutrition has previously been described in the various ways (The Scottish Government, 2009). However, for purpose of this assessment the following term will be used as defined by World Health Organisation (WHO) the cellular imbalance between the supply of nutrients and energy and the bodys demand for them to ensure growth, maintenance, and specific functions (see European Nutrition for Health Alliance, 2005). According to Saunders, Smith and Stroud (2010) 2 per cent of the UK population is underweight: Body Mass Index (BMI) is lower than 18.5 kg/m. However, they agreed that patients could be still at risk of malnutrition whatever their BMI is (Saunders, Smith and Stroud, 2010). Malnutrition, as well as other factors, has negative effect on the persons quality of life (The Scottish Government, 2009). In the UK, hospitals admission rate and mortality were greatest in patients with BMI below 20 (kg/m2) (Teo and Wynne, 2001). During nutrition screening survey in the UK various settings it was found that malnutrition doubles risk of mortality in the hospital patients and triples morality in elderly patients in hospitals following discharged (RCN and NPSA, 2009). Care Homes nutrition survey shown that 30 per cent of service users recently admitted to care homes were at risk of malnutrition (RCN and NPSA, 2009). According to Hickson (2006), malnutrition may be secondary to certain health conditions which is increasing risks for patients to become malnourished and those risk factors will be discuss later in this assessment (Hickson, 2006 and Teo and Wynne, 2001). However, European Nutrition for Health Alliance (2005) argued that malnutrition should be classified as independent disease (European Nutrition for Health Alliance, 2005), its due to undernutrition has a negative effect on all organs systems such as muscle-skeleton, cardiovascular, respiratory, gastrointestinal, endocrine systems and in addition, malnutrition has a psychosocial effect (Saunders, Smith and Stroud, 2010). It was found that undernutrition could cause following health conditions: in the healthy individuals and has advance exacerbation effects upon existent illnesses or injuries, reduced psychological wellbeing (increase anxiety, depression apathy, and loss of concentration and self-neglect) (Webb and Copeman, 1996 and Saunders, Smith and Stroud, 2010). According to Morley and Kraenzle (1995), balanced diet in general, is improving cognitive and memory performance in elderly (see Vetta et al, 1999). Chandra (1993) found that undernutrition is depressing organism immune function (see Webb and Copeman, 1996). It could be due to impaired cell-mediated immunity and cytokine, complement and phagocyte function this most commonly could lead to developing bacterial and parasitic infections and poor wounds healing (Saunders, Smith and Stroud, 2010). Malnourished patients have reduced muscle function, loss of cardiac muscle and reduce cardiac output, which results in impact on the renal function (Saunders, Smith and Stroud, 2010). The same individuals have reduced respiratory response to oxygen deficit by poor diaphragmatic and respiratory muscle function (Saunders, Smith and Stroud, 2010), increased risk of hypothermia, increase risk of falls and injuries (Webb and Copeman, 1996). In addition, redaction of fat and muscles mass are more obvious signs of malnutrition (Saunders, Smith and Stroud, 2010). According to Clayton (1991), malnourished elderly clients have a poor prognosis for recovery from following fractured femur, hypothermia, pressure ulceration and other conditions (Clayton, 1991). Fracture risk is high then calcium, magnesium and vitamin D intake is insufficient, during the weight loss bone mass is reducing as well (Saunders, Smith and Stroud, 2010). Early stage of malnutrition leads to loss of digestive enzymes that result in intolerance of lactose. The colon loses its ability to absorb liquid, electrolytes, and secretions of small and large bowels, which results in diarrhoea (Saunders, Smith and Stroud, 2010). According to Saunders, Smith and Stroud (2010), endocrine system is affected in malnourished patience. For example, chronic malnutrition will change the pancreatic exocrine function by reducing the insulin secretion (Saunders, Smith and Stroud, 2010). An author is currently working a nursing and residential care home for elderly patients as well as nursing and social recruitment agency, which is covering biggest part of the North West of England. Being allocated in hospitals and nursing homes the author noticed that patiences nutrition needs are being met well but where are still some areas for improvement. During the study carried out in the large the UK hospitals, it was found that 40 per cent patients admitted to hospitals were malnourished and two-thirds subsequently lost weight during their hospital stay (Teo and Wynne, 2001). During the service users meeting in the care home author working in, carried out in January this year, all 14 service users have stated that they are satisfied with food they are getting. However, two patients are still at risk of malnutrition. They have been referred to the GP for dietician support. The author strongly believes that nursing home is providing adequate food to the service users. Catering manager in the UK hospitals compare to chefs in nursing home have a small budge of Ã £11 to Ã £15 per patients a week (Teo and Wynne, 2001). The authors care home spends around Ã £30 per service user a week. However, in March 2007, Royal College of Nursing (RCN) carried out survey questioning nearly 2200 of their member relating nutrition issues. Survey has revealed that 42 per cent said the food provided for patients were below overage expectancy (RCN, 2011). In various reasons government and health profession organisations are now advising for routing screening of all patients admitted to any healthcare facilities (RCN and NPSA, 2009). In authors opinion, the main priority for addressing this issue is promoting patiences health and wellbeing and cutting financial cost. For example, annual financial cost of treatment malnutrition patience and any associated illnesses in the UK was estimated around 7.3 billion pounds. This figure includes treatment malnourished patience in the hospital setting, round 3.8 billion pounds and long-term care facility such as care home, round 2.6 billion (Elia M., et al., 2005). Causes of Malnutrition The author is currently looking after two service users who are scoring on the MUST. All two patients are elderly from 65 to 80 years old, with different background and health conditions. Patient No 1 is 87 years old female, was diagnosed with Alzheimers Disease, history of Transient Ischemic Attack (TIA), high blood pressure, right wrist fracture and Dysphasia. Current BMI is 19, which was stable after referral to dietician and commencing on oral supplements, than BMI was 17 back in the October 2010. Patient No 2 is 72 years old man, diagnosed with alcohol excess, CA oesophagus, Gout, Heart Failure. Current BMI is 23, which was stably increasing over past months following admission to nursing home, than his BMI was 17. Both patients have a poor appetite at present. Nursing homes staff cannot establish reasons for anorexia and BMI reduction in one patient. There are number of risk factors, which could cause malnutrition among elderly population. However, the most important factor leading to undernutrition is reducing of oral intake (Saunders, Smith and Stroud, 2010). Inadequate dietary intake is depending on various factors (Saunders, Smith and Stroud, 2010), which could be divided into three main categories: medical, social and psychological (Hickson, 2006). Firstly, age related changes such as changing in appetite or sensory (Teo and Wynne, 2001). Working in the care homes author noticed, an appetite is reducing with advanced age. Some people refused or preferred to omit meals, for example, one patient does not take breakfast, then the author asked her why she is not taken breakfast that patient replied that she is not a breakfast person. In addition, during the study carried out in USA it was discovered that elderly population are consumed less energy intake and follow more traditional eating pattern then younger population (Teo and Wynne, 2001). Poor appetite or anorexia is a most common factor leading to malnutrition in both young and old generation (Hickson, 2006). However, during the study commenced by Roberts et al (1994), it was found that ageing seemed to affect the ability to control food intake and weight lost will take longer to re-gains in elderly men compare to young (see Hickson, 2006). In addition, according to work of De Castro (1993), older people are less responsive to stomach contents than younger people, in term of hunger (see Hickson, 2006). Anorexia may occur as process of aging as well as during underlying illnesses (Teo and Wynne, 2001 and Hickson, 2006). Hetherington (1998) argued that changing in taste and smell could lead to loss of appetite through a perceived decline in the pleasantness of food. Loss of taste and smell could be associated with advance age and medications therapy mechanism of these changes are remains unknown (see Hickson, 2006). In authors care environment patients prefer to eat strong flavour and taste meals such as a roast meat with gravy, bacon, fish which are being served with traditional sauces or salt and vinegar to encourage patients to their food. According to Hickson (2006), a few works have been done to find out that improving the flavour of the food can improve diet intake and follow weight increase in hospitals and community healthcare patients (Hickson, 2006). A few patients do not like vegetables, intake of which have being recommended by NHS 5 a day complain based on the WHO (NHS, 2009). Patient No 1 and Patient No 2 do not have own teeth which is reducing ability to chew tender food. For both patients oral problems have not been reported. However, according to Finch et al (1998), National Diet and Nutrition survey, energy consumption was lower in edentate individuals compare to individuals with own teeth (see Hickson, 2006). Dysphasia or swallowing problem is leading concern in reducing dietary intake (Hickson 2006). The author has experienced that often care and catering staff do not understand the different between soft and liquidised diet and which diet should be given to each patients with dysphasia. Moreover, care staff that is responsible for feeding patients, needed assistant, every often do not understand the sings for swallowing problem. This concern has been addressed in the care home that the author is working in by appointed care staff for appropriate training section provided by Liverpool Primary Care Trust (PCT). According to research carried out by Mowe et al (1994), swallowing problem is showing up in 64 per cent of in-patience elderly (see Hickson, 2006). In addition, Gariballa et al (1998) argued that post Cerebrovascular Accident (CVA) patients with Dysphasia had a worse nutrition status then those patients without swallowing problems (see Hickson, 2006). The author strongly believes that malnutrition caused by various factors combined together such as old age and health or mental health problem (Saunders, Smith and Stroud, 2010). In the UK, it was estimated that around 8 per cent of patients with chronic diseases living in the community are malnourished (Teo and Wynne, 2001). According to Hickson (2006), diseases-related malnutrition is usually associated with cancer, physical disabilities, endocrinology disorder and respiratory disease, gastrointestinal disorders, neurological disorders, sources of infection and other psychological factors such as depression and Dementia (Hickson, 2006 and Teo and Wynne, 2001). Medical factors increase the risk of patient to become malnourish through, for example, nausea or vomiting, diarrhoea or constipation, anorexia and malabsorption (Hickson, 2006). Cultural factors or social (Vetta et. al. 1999) and food habits are also playing an important role in developing malnutrition as independent illness (Hickson, 2006). As example, an individual who had a long-term hospital stay or had no nutrition support while in the community would not used to have full nutritional meals. Moreover, individual who has been admitted to the authors care home used to take fast food or sandwiches at all the time while at home, instead of cooked meals. According to Hickson (2006), there are lifestyles and social risk factors for malnutrition in elderly people are lack of knowledge about food, nutrition and cooking, isolation and loneliness, poverty, inability to shop or prepare food (Hickson, 2006). Dementia has a great effect on individuals relationship with food (Alzheimers Society, 2011). Dementia patients or patients with low mental status appeared to lost weight due to reducing self-feeding ability, acute sense of smell and taste that is depending on severalty and progression of disease (Teo and Wynne, 2001). Berkhout et al (1998) has confirmed that weight lost in demented patients is caused by patients ability to feed them rather than by dementia as illness (Hickson, 2006). According to Incalzi et al (1998), study carried out for in-hospitals patients found out that cognition is causing impairment to ability or desire to eat (see Hickson, 2006). Progressive dementia is usually associated with uncontrolled weight lost and changing eating habits (Claggett, 1989 see Hickson, 2006). Nutrition screening and risk assessment In 2007, RCN commenced Nutrition Now campaign, which has a wide response from members of public as well as members of multidisciplinary teams. The RCN Principles for Nutrition and Hydration were published in 2007. That principals aim to help of all health professionals grades to improve nutrition and hydration of patience. This paper is highlighting three principles of nursing care: accountability, responsibility and management to improve the patience nutrition and hydration (RCN 2011). Nutrition screening pathway, nutrition risk assessment are widely used which assist nursing staff to indentify the risk of malnutrition or/dehydration and appropriate actions to be taken. Risk of malnutrition screening should be a routine process in all healthcare settings (RCN and NPSA, 2009). In the authors care home as required all service users are being screened for malnutrition on the admission and once a month or more often if required, using Malnutrition Universal Screening Tool (MUST) as recommended by government bodies and Care Quality Commission (CQC) as registration body. Part of the admission documentation is to collect and record patiences food likes and dislikes. According to Saunders, Smith and Stroud (2010), MUST is reliable and valid screening tool in diagnostic or prediction of malnutrition (Saunders, Smith and Stroud, 2010). However, nutrition assessment was only done for patients who have been referral to their GPs following scoring, weight loss of 1 to 2 per cen t per week, 5 per cent per month or 10 per cent over period of six months (Mitchell, 2003). According to RCN and NPSA (2009), purpose of nutritional assessment is details identification of nutritional status and for special dietary plan to be formulated and implicated (RCN and NPSA, 2009). In the authors care home, dietician or dieticians assistant based on the information provided by staff nurse on duty normally carries out the nutritional assessment. As far as author concerns, nutrition assessment should be done by care home nurses as they are working in close contact with patients and their families on the daily basis, know better persons food likes and dislikes. However, special nutrition trainings are not always available to the nursing home staff. This could lead to complicated nutrition issues not to be addressed as quickly as they should be due to community dieticians waiting time is usually 6 weeks. In the authors nursing home all necessary equipments are available such as weight scales and height measures. However, weight scales calibration has not been done which could lead to poor nutrition screening assessment (NPSA). After completing the MUST, the author and colleagues will formulate the personalised care plan for each patient in order to meet nutritional requirements. Nutrition care plan could be based on the information or guidance provided by dietician or other health professions. Treatment According to Hark and Morrison (2003), the nutrition needs of healthy older adults are mainly the same as for middle age adults (Hark and Morrison, 2003). The intake of food containing Calcium, Vitamin D, Folate, Vitamin B12 and B6 should be increased for the elderly population (Hark and Morrison, 2003). Protein intake recommendation is variable from 0.8 g/kg per day in the USA (Mitchell, 2003) to 0.75 g/kg in the UK (McKevith, 2009). However, according to Mitchell (2003), one established nutrition needs recommendation cannot be used for all ages population (Mitchell, 2003). In addition, patients lifestyle, height and weight should be taken in account (Mitchell, 2003). There are number of fundamental support of nutrition available at present such as enteral and parenteral nutrition support (Hark and Morrison, 2003). At this assessment only oral nutrition support (ONS) will be discussed. The aim of the nutrition support is to ensure an individual gets enough energy, proteins, macronutrients and micronutrients to meet patients nutrition requirements (Saunders, Smith and Stroud, 2010). Saunders, Smith and Stroud (2010) argued that provision of regular meals with better nutrition content, wide menu choice and assistant with feeding should be enough to meet nutrition requirement and reduce nutrition risk (Saunders, Smith and Stroud, 2010). Numerous studies show that nutrition support could reverse weight loss, only if underlying health conditions under control (Saunders, Smith and Stroud, 2010). However, not all patients react at the same way (Hickson, 2006). At what reasons care and treatment should take an account of individual needs and preferences (RCN and NPSA, 2009). In practice, knowledge of food preferences and past medical history, following personalised nutrition care plan, serving patients with small meals (Teo and Wynne, 2001) or using a small plate could encourage service user to finish all meal. Currently some of the UKs hospitals commenced to use red tray scheme for serving the meals to patients. A purpose of using red trays is to alert hospital staff that patience with red tray is at nutrition risk and need assistance or supervision with diet intake (Bradley and Rees, 2003 see Davis, 2007). Protection of mealtime scheme is also widely spread across the UK. The purpose of this scheme is to create an environment for hospital patients free from hospital activities and unnecessary disturbance during a mealtime. In addition, this scheme is to assist nursing staff with concentration on the meeting nutrition need of hospital patients (NS, 2007). People with Dementia could loss an ability to use cutlery that could lead to weight loss and malnutrition. Providing those patients with available finger food could improve nutrition status (Alzheimers society, 2011). Teo and Wynne (2001) argued that the possible benefits from using energy supplements in elderly patients have received little or no evaluation in clinical practice (Teo and Wynne, 2001). However, during the study carried out by Volkert et al (1996), it was found that patients consuming food supplement while in-patience and 6 months in community have develop positive nutritional status compare to group of patients without food supplements (see Teo and Wynne, 2001). The author has come across the situation then GP has refused to prescribe food supplement to one of the patience and recommended full fat milk instead. In addition, during controlled trial for six months in patients who have been discharged from hospital and prescribed ONS has no economic benefit. To compare, using ONS in community is costing more than using ONS in hospitals (Elia et al., 2005). However, malnourished patients using could be at risk of re-feeding syndrome, which could results in death (Saunders, Smith and Stroud, 2010). Re-feeding syndrome is associated with water retention leading to fluid overload due to decay of potassium, magnesium, phosphorus and sodium in blood plasma (Mallet, 2002). Saunders, Smith and Stroud (2010) recommended that during re-feeding saviour malnourished patients potassium, phosphate and magnesium should be prescribed and thiamine (for patients with history of alcohol excess) (Saunders, Smith and Stroud, 2010). Conclusion The UK elderly population is rising, currently about 16 per cent of the population is above 65 (Hickson, 2006) and by 2050 over 30 per cent European population will be over 60 which will result in prevalence of malnutrition to rise (European Nutrition for Health Alliance, 2005). Many changing associated with aging have been documented, however, how senescence leads to the health conditions, related to aging, is still unknown (Mitchell, 2003). It was found that ageing is leading to slow reduction of weight and modification in body composition. It is due to declines in bone, muscle mass and body cell mass. Bone mass reduced due to inadequate intake of Calcium and inadequate exposure skin to the sunlight to encourage production of Vitamin D (Sahyoun, 2002). In general, people are gaining weight until they 60th birthday and after gradually reducing weight, usually 10 per cent between 70 and 80 (Mitchell, 2003). Weight loss related to aging and malnutrition should be indentified during initial nutrition assessment. In addition, community healthcare is facing many concerns. Firstly, malnutrition remains under-recognized problem facing patients, their families and health professions (Saunders, Smith and Stroud, 2010). Secondly, according to, Hark and Morrison (2003) argued that there are no single physical or biochemical screening tools could accurate predict the nutrition status in elderly (Hark and Morrison, 2003). Food prices are constantly rising and ONS are costing too much to the local PCT. In the authors opinion, providing service users with good quality food, offer choice of menu and snacks between meals are solution to fight malnutrition. The significant role in education medical students and junior doctors in nutrition has widely recommended (Saunders, Smith and Stroud, 2010). However, inadequate knowledge in nutrition of nursing and care staff could increase risk of malnutrition (Saunders, Smith and Stroud, 2010). In the authors care home nutrition in elderly is not mandatory training for the care staff. Following this assessment, the author will provide relevant care staff with information on the nutrition in elderly service users. This could be achieved through supervision sections and face-to-face talks. Moreover, there it is possible, elderly population and their families should be informed about the latest nutrition recommendations related to their age, lifestyle and health conditions and should encouraged to apply those recommendations to individuals lives (Sahyoun, 2002).
Friday, January 17, 2020
A topic of great concern among American society, and parents in particular, is that of youth violence. The media often makes the situation appear as though youth violence is on the increase in the United States. However, scientific research shows that youth violence is not truly increasing, but that certain environmental factors make the statistics read as though the violence is increasing. Statistics can be influenced by a number of factors besides actual increases in violence, such as the introduction of Ã¢â¬Ëzero toleranceÃ¢â¬â¢ policies in schools or the reduction of police discretion on police forces.These environmental factors lead to more incidents of youth violence being detected by those who measure youth violence, but dose not actually represent an actual concrete increase in the violence. However, there is one area of youth violence that has increased somewhat over the past three decades. Although the increase is not drastic, bullying is a form of youth violence that i s highly prevalent in all schools in North America, and abroad. Bullying is a lesser form of violence in which one or more students pick on, verbally or physically abuse another student who is viewed as a weaker child.This often takes the form of physical and/or psychological harm (Bastche & Knoff et al. , 1994). Although bullying is a major problem within the school system, the topic is not fully understood and there are many circulated myths related to the subject. This paper attempts to highlight some of these myths and clarify the actual facts that do exist within the documented literature. Myths about the topic of bullying are widespread and are commonly believed by the majority of individuals.One of the most common myths can even be seen in the above definition of bullying, in that the victims of bullying are not always weaker children than are the bullies. One of the myths about bullying relates to the fact that some schools say their do not have bullying. Sometimes schools w ith Ã¢â¬Ëzero toleranceÃ¢â¬â¢ policies in place believe that they have successfully managed to end bullying as a problem for their students, but it is highly unlikely that this is true (Byrne, 1994).There are many different ways bullying can occur beyond the sight of teachers and authority figures, as bullying is often a very subtle form of violence or harassment, and can be as simple as a glance from one student to another. The only difference between schools with the subject of bullying is whether or not they choose to deal with it in an effective manner. Schools that take a proactive approach to the problem of bullying, by educating their students and dealing with it promptly and firmly, are the most likely to have success in combating the issue, but no school will ever fully remove the problem of bullying (Byrne, 1994).Another common myth about bullying relates to how children are encouraged to deal with the issue. Nearly everyone can relate to a parent or teacher telling th e victim of bullying to simply Ã¢â¬Ëignore it. Ã¢â¬â¢ Nearly all victims of bullying are told that they should ignore their bully, not give in to them or respond, as all the bully wants is to get a reaction. But bullying should not be ignored. Every student and child has the right to attend school without being harassed or bullied by other students (Hoover et al, 1992).To tell the student to simply ignore the problem is telling them that the problem does not matter, and the other student is within his or her own right to bully. This is not true. Victims of bullies should maintain records of the events and insist that the school deal with the problem effectively by punishing the bully (Hoover et al, 1992). Many adults believe that bullying really has no damaging effects on children. It is often believed that bullying is a part of life, or a part of growing up and that all children are teased over one topic or another. Thus, the lesson to be learned is how to brush it off and cont inue on with life.Some adults will say that Ã¢â¬Å"it builds character,Ã¢â¬ but this is not true. Bullying does have immediate and long term detrimental effects on victims. It certainly will build character, but not the positive time. Victims of bullies often carry the damage with them for the remainder of their life, and may become weary of social situations or develop a habit of being submissive to any other person who appears to be somewhat dominant (Craig, 1998). Victims of bullying have even been found to suffer from forms of post traumatic stress disorder, in that they often spend the majority of their school years in fear.The fear of bullying victims can also have negative impacts on their school performance. Thus, the effects of bullying are far from being fleeting or unimportant. Victims of bullying have their psychological injuries reinforced by such myths and untrue so called facts, as they never witness anyone telling them that it is not their fault, that they should not have to put up with bullying, or that the bully is the individual in the wrong. Another related myth is that bullying serves to toughen kids up and make them resistant to future problems as adults, but this is not true at all (Craig, 1998).Myths abound concerning who the targets and victims of bullying are. Many believe that the bully-victim dichotomy is one that is analogous to the strong-weak dichotomy. This, however is not true. Victims of bullies are often sensitive, caring individuals. While their kindness, intelligence, honesty or creativity may be taken as a form of weakness, in reality they are strong individuals who endure years of abuse at the hands of bullies (Olweus, 1997). The typical victim of a bully is not inclined towards violence in the least, making them an easy target, but hardly a wimp or weakling.Often this low inclination towards violence is a result of high levels of personal integrity and values, not a result of being a wimp. If society were made up sole ly of these so called Ã¢â¬ËwimpsÃ¢â¬â¢ and Ã¢â¬ËweaklingsÃ¢â¬â¢ society would be a much better and safer place to live. Many have viewed bullying as something at attacks individuals who are in essence, the best individuals society has created (Craig, 1998). They are smart, respectful, honest, creative, have high values, morals and integrity, and often have a very strong internal sense of fairness or justice.Bullies target these individuals because often they will not fight back due to their own values, but this does not make bullying acceptable or explainable. Other myths concern the relationship between bullying and social skills. Many people believe that it is the popular kids with good social skills that become bullies and pick on the children who do not have good social skills or who are psychologically weak. On the contrary, it is bullies who lack the social skills and who are themselves psychologically weak. Many bullies are in fact afraid of social situations or of re jection (Olweus, 1997).They set themselves up into social situations where they cannot be rejected because other children are afraid of them. Bullies often also suffer from low self esteem which is one of the reasons they derive a better sense concerning their own abilities through the harassment of other students. Bullies will often also target individuals whom they envy, either due to their increased social skills or higher intelligence. Unable to articulate the fact that they are envious, or in some cases actually wish to be the victimÃ¢â¬â¢s friend, bullies react with negativity towards these individuals (Rigby & Slee, 1991).Thus it is clear that there are quite a few myths concerning the topic of bullying. Bullying is a very serious problem that causes long lasting, and sometimes life long damage to victims (Craig, 1998). Bullying cannot be completely removed from any school system, but effective policies can be put in place for dealing with bullying. Such policies should tak e the side of the victims and assert to students that bullying, in any form, is not acceptable. Both bullies and victims should be taught effective social skills and skills of communication that allow them to sort through difficulties using words that are not harmful and a lack of violence.Bullies should be dealt with harshly in a manner that informs them that their behaviour is unacceptable, yet at the same time it should not be ignored that bullies themselves are often victims of lowered self esteem or may be victims of violence in another part of their life. Above all, the feelings of victims and their experiences should not be discounted by adults as Ã¢â¬Ëparts of life,Ã¢â¬â¢ Ã¢â¬Ërites of passage,Ã¢â¬â¢ or Ã¢â¬Ëwimpy and sensitive. Ã¢â¬â¢ The feelings of victims of bullying are very legitimate and should be dealt with immediately to prevent long term psychological effects (Craig, 1998).References Batsche, G. M & Knoff, H. M. (1994). Bullies and their victims: Unders tanding a pervasive problem in the schools. School Psychology Review, 23,165-174. Byrne, B. J. (1994). Bullies and victims in a school setting with reference to some Dublin schools. The Irish Journal of Psychology, 15, 574-586. Craig, W. M. (1998). The relationship among bullying, victimization, depression, anxiety and aggression in elementary school children. Personality and Individual Differences, 24,123-130. Hoover, J. H. , Oliver, R. & Hazler, R. J. (1992). Bullying: Perceptions of adolescent victims in the Midwestern U. S. A. School Psychology International, 13, 5-16. Olweus, D. (1997). Bully/Victim problems at school: Knowledge base and an effective intervention program. The Irish Journal of Psychology, 18, 170-190. Rigby, K. & Slee, p>T. (1991). Dimensions of interpersonal relation among Australian children and implications for psychological well-being. The Journal of Social Psychology, 133, 33-42. Online Sources: Bullying by Mobile Phone and Abusive Text Messaging Ã¢â¬â Child Bullying, http://bullyonline. org/schoolbully/mobile. htm Terrorism Starts in the Playground Ã¢â¬â http://www. bullyonline. org/schoolbully/terror. htm
Thursday, January 9, 2020
Ã¢â¬Å"Success is not a key to happiness; happiness is a key to success. If you love what are you doing, you will be successful,Ã¢â¬ said by Albert Schweitzer (Brainy Quote, 2016) This quote shows that everyone can be successful in their own life, human will be happy when they love or enjoy what they are doing and it is the first step to become successful. Nowadays there are pretty of businessperson, therefore being businessperson are completely different from successful businessman and businesswoman because not everyone can be successful business man or women. Many entrepreneurs may had failed to build their own business but some of them are never giving up, that is why most of the successful entrepreneurs have failed their business before and they know how to settle or solve with lot of problems and it makes their business become successful. The researcher has chosen Anna Wintour, she is an editor in chief of Vogue magazine US. In this essay, the research would like to describe the Anna WintourÃ¢â¬â¢s business, investigate her background, identify why she is become a successful entrepreneur and what are all her skills to become successful editors of Vogue Magazine US. Vogue magazine is a worldwide well-known American fashion and lifestyle magazine that published in 23 different counties and regional editions by CondÃ © Nast. It was founded in 1892 by Arthur Baldwin Turnure as a weekly high-social journal for a big city in USA, New YorkÃ¢â¬â¢s city, the articles were reviewed about books, playShow MoreRelatedThe Success Of A Successful Entrepreneur3266 Words Ã |Ã 14 Pagesthat are viable and interest individuals, as it is always difficult to lure people to something that they have not yet seen results or make people believe in a product they have never heard off. 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