Instructor Baby Massage Lesson Essay Example for Free

Instructor Baby Massage Lesson Essay Welcome to your first baby massage session, my name is ., and I will be with you during the next five weeks teaching you this amazing technique which help both of you, baby and mum or dad to improve in the ways that I will to explain to you in a few minutes. But first of all I would like to tell you that don’t worry if the baby cries, don’t feel uncomfortable, get up if you need, hug and cuddle her, feel free to be dedicated to the baby as if you were in your home. For all of us today and the next few weeks that we will share time together, the most important will be the baby and her comfort. Now it is your turn and I would like you introduce yourself and your babies please. Thank you so much†¦.. Benefits of baby massage: Interaction: bonding and secure attachment, demonstrating love†¦ Stimulation: the internal circulatory, digestive, hormonal, immune, lymphatic, nervous, respiratory and vestibular systems are both stimulated and aided. Relief: Gas and colic, constipation and elimination, gastrointestinal cramps, growing pains, muscular tension, Teething discomfort, Excess mucus and nasal congestion, sensitivity to touch, Physical and psychological tension. Relaxation: Improve sleep patterns, Regulation of behavioural states, being calm, Reduce stress, Increased levels of relaxing, less hypersensitivity, Less hyperactivity. But we as parents will also get benefits such as improving our ability to read our baby’s cues, bonding, confidence and on the physical side it helps to reduce blood pressure, stress, improves overall health†¦. The ideal place it is a warm room 24 is the ideal temperature, in a dim light or if we have natural light it would be perfect. You can use non-scented oils such as mineral oils or vegetables oils, but if your baby has sensitive skin then it is better to use Vegetable oils that usually contain high proportions of oleic acid such as the olive oil or the high oleic sunflower seed oil. And always Mineral oils may have a use-by date, whereas vegetable oils may have a best-before date. So please check this. The best time is the quiet alert state and we can identify it in Newborns when they make small, infrequent movements, if any at all. The eyes remain open wide in watchful awareness. Quiet alert babies are relaxed, calm, and happy. Babies in this state are ready to learn and socialize with everyone around them. Stare contently at your face, follow your voice, and work hard to interact and play with you. Infant cues: So that the baby recognise that it is time for massage we should begin all our massage sessions with a visual cues: Add a bit of oil massage in our hands and rub them in front of her eyes and if the baby’s response is positive then we will undress the baby and begin if he is not happy with being naked he can be massaged partially or fully clothed. Positioning of the baby. Tips for parents: * Use a comfortable surface, towel and massage oil. * Remove any rings or bracelets you wear * Ensure that nails are sooth and hands clean * Tie your long hair * Be careful with very loose clothes you wear * Relax before starting with some breathings * Respect the V zone. Don’t massage this area * Interact with your baby while the massage ALWAYS START AND FINISH YOUR MASSAGE SESSION WITH THE COVER OF LOVE. Stroke from the top of the head down baby’s sides to the feet. Today’s session is about Face and Head, the massage in this part of the body stimulates and can help cold symptoms and it is very relaxing. But this section usually likes least to babies and please here we will use minimal oil as the face is quite oily already. Strokes names: 1. Hilltop Thumb at the top of the nose and stroke upwards and out to the sides in an arch, start tracing the eyebrow line and go higher the other two strokes. Repeat 3 times 2. Sleep sweep place your forefinger in the centre of the forehead at the hairline and gently sweep over the forehead to the end of the nose. Repeat 3 times. 3. Say cheese Place pads of your thumbs just above the top lip in the centre, sweep our thumbs outward and upwards in the shape of a smile, repeat this just under the mouth. Repeat 3 times. Rhyme: Smiling is infectious/ you can catch it like the flu/ when someone smiled at me today/ I started smiling too. 4. Cheek Sweep: Place the thumb pads together at the top of the nose in between the eyebrows. Sweep thumbs down the sides of the nose and out over the cheeks to the ears following the line of cheekbones. Repeat 3 times. 5. Love Heart: Place your pads of your fingers at the front of the ear, in one sweep stroke both hands over and behind ears then down the jaw to meet at the chin, creating the shape of a heart. Repeat 3 times. Rhyme: Oh my darling, oh my darling/ oh my darling valentine/ you are perfect and I love you/ and I ‘m glad that you are mine. 6. Spider Slider: Place hands cupping baby’s shoulders, walk fingers up shoulders towards the head and continue underneath up to the top of the back of the neck. Stroke both hands down from behind neck to shoulders in one fluid motion. Repeat the stroke in the opposite direction sweeping from shoulders to behind neck and finish walking fingers from underneath neck down towards shoulders.

What Is Meant by the Term Organisational Culture Essay Example for Free

What Is Meant by the Term Organisational Culture Essay The late twentieth century saw an emergence in industry competition and in order to continually achieve success, organisational behavior had to evolve into something new. Organisational culture is one form of organisational behavior that is focused on the shared values and beliefs which members and employees of a specific organisation believe to be the right way to act in a particular situation (Vecchio, 2000). Just like other theories of organisational behavior, the purpose of culture theory is to gain knowledge of employee attitudes so that organisations can reduce cost and improve production (Stanford, 2010). The aim of this essay is to show the rise of culture belief in organisations, and why it can play an important role in organisational performance. First it will provide a history of the literature, then present different concepts that can be seen, such as has and is theory strong and weak cultures. Finally it will identify positive effects it can have on organisations and employees. The rise of Humanistic theories From the 1920s to the early 1970s Scientific Management was widely adopted by Western companies because it was an easy structure to implement by managers in an organisation to achieve success and control over employees (Burnes, 1996). However with the oil crises in 1973 interest in the Japanese model of production spread to the World (Brown and Williams, 2012). This happened because the Japanese were achieving what no other organisation had ever achieved; in addition they were contradicting every previous concept of production (Vecchio, 2000). When organisations around the World were practicing mass production, the Japanese were developing the just-in-time approach. This is when the raw material would only be ordered just-in-time to be produced, and production would only start just-in-time to be delivered to the costumer, avoiding waste and contributing towards a more effective cash flow; additionally they were practicing team work (Brown and Williams, 2012). Employees were involved in decision making and projects would be integrated at different levels from the marketing and finance department to the shop floor (Vecchio, 2000). This reduced alienation and empowered employees, the results were considerable and were seen as a miracle by Western organisations. Therefore, as a response to the Japaneses new challenging approach, western organisations began to explore different models of behavior (Burnes, 1996). That is when the theories that were more humanistic (Human Resource Management, Culture theory and Contingency approach) were rediscovered and adopted. In 1982 Peters and Waterman (1982) suggested that the key to the recovery of Western companies was the implementation of organisational culture. In their study they analysed several different organisations from the USA and identified a list of eight common beliefs that according to them were the reasons for their success (Mullins, 2011). Thus, if a company wishes to achieve ‘excellence’ they should embrace those beliefs. Customer orientation, respectful treatment beyond different level of employees and a set of values through a clear organisation philosophy were a few of those common attributes (Burnes, 1996). They argue that when employees have organisational values integrated within their actions, there is no need for close supervision, reducing organisation cost and empowering employees (ibid). Therefore, managers should adopt a system where employees have more freedom, nevertheless managers would still have some kind of control (Brewis and Willmott, 2012). It was this study in the 80’s that made famous among managers culture theory as a recipe for success (ibid). Peter and Waterman sent their message to the world as the one best way to be successful. Concepts of Culture Most writers (including Peter and Waterman cited above) that are concerned with culture theory believe that managers can implement and manipulate culture in order to improve organisational success (Brewis and Willmott, 2012). This assumption that culture is a variable and can be changed is explained by Smircich (1983) as culture being something that an organisation ‘has’. For instance, managers could build a value into an organisation and its employee, such as, customer satisfaction and team work to increase productivity. According to Brewis and Willmott (2012) in the has theory, culture can be seen as functional and technical. It is functional because it establishes an order in an organisation, it will lead all employees in the same direction. Additionally work is meaningful to them, which may be seen as empowerment. It is technical because managers can continually administrate core values of a company to achieve better outcome (Brewis and Willmott, 2012). Indeed that m ay be the reason why the subject is so popular today; it is connected with better performance. Has theory can also be associated with strong culture. Deal and Kennedy (1982) believe that in order to achieve success an organisation should implement a clear and consistent set of values, which enable employees to assume how to behave as the way to do things here. If employees feel for the company, if it touches them in some way, they will follow its leaders anywhere because they value, even idolize, everything it stands for (Linstead, 2012, p.197). This approach is supposed to increase employee loyalty and to trigger strong emotions, such as, aspiration, devotion and love (Linstead, 2012). However it is also argued that strong culture may lead to a predictable staff outcome, discouraging new ideas (Brewis and Willmott, 2012). Nevertheless, a considerable number of managers confirm that the structure that culture provides to an organisation has a direct link with its prosperity (Mullins, 2011). On the other hand, some writers view culture as something an organisation is (Smircich, 1983). It is suggested that just like in life where humans develop a behavior that it is a result of their local surrounding, in organisations employees too develop a behavior on a daily bases (Brewis and Willmott 2012). It is created organically and difficult to understand where the roots of it came from, hence hard to manage and change (Stanford, 2010). Is theory sympathises with what literature calls a weak culture. Here the subject is treated more flexible, giving more room for scope, and creativity (Linstead, 2012). It is a debate whether an organisation should adopt strong or weak cultural values; strong cultures may be inflexible and as consequence can react slower to external and internal changes (Stanford, 2010). The link between culture and empowerment According to Stanford (2010) an effective culture would be when employees believe that there are more reasons to work than to just make money, when work is meaningful to them. In addition she believes that the employee should feel engaged within the job, without breaching ethical issues (Stanford, 2010). It should be noted that organisational culture enable human resource management to affiliate organisational values with new employee values, and when both share common beliefs the results can be beneficial for either side. Employees feel fulfillment and managers benefit from this in terms of a more efficient production (Vecchio, 2000). This suggests that managers are paying attention to organisational culture because it empowers employees and as a result boosts productivity. Therefore it can be argued that ‘culture theory seems to achieve what a range of studies have tried to understand for decades, that is how to reward and empower individuals at work in order to improve organisational performance. Hawthornes study in the 1920s draws attention to the fact that humans are not only driven by monetary incentives as stated by Taylor, instead it shows that there is a desire for recognition (Linstead, 2012). Employees need to feel that they are being valued. However at the time it did not demonstrate clear enough how to measure these concepts in organisational practice (Burnes, 1996). Culture theory developed those assumptions in more detail, making it easier for managers to manipulate and implement. Certainly the approaches created by culture theory reaffirm what numerous studies such as Job design, Theory Y and Maslow already said, however it appears that it glued several ideas from those studies into a clear module for organisation practices. In spite of that, culture theory has been criticised to manipulate and control employees in a way that could be seen as unethical (Linstead, 2012). It should be noted that there is an element of control; just like in life, organisations need a mechanism for social order. For Marxists, organisation culture tries to control employees’ emotions and that is a form of exploitation and inevitably will lead to alienation (ibid). Nevertheless, it can be argued that most employees dont feel controlled, and they actually approve of the methodology (ibid). Conclusion Organisation behavior has developed from Scientific Management into a wide school of thoughts, and it will continue to evolve in response to challenging business environments. This essay has given reasons for the widespread use of organisation culture since 1982. It has demonstrated through different concepts why managers are attracted to the topic and it can be concluded that what provokes manager’s interest is the idea that culture is something an organisation has. In this approach, culture can be manipulated to integrate all employees toward the same direction and achieve organisational goals. In addition it can be assumed that when employee values are aligned with company values it results in better organisation performance. For that reason, it is suggested that there is a link between organisation performance and employee empowerment. Culture is seen as the commodity that holds an organisation together. It seems then, that culture, despite its criticism, will probably continue to develop as the demand for it endures on. References Brewis, J. and Willmott, H. Culture. In Knights, D. and Willmott, H. eds. (2012) Introducing Organizational Behaviour and Management. 2th ed. Andover: Cengage Learning. Brown, G. and Hookham Williams, C. (2013) ULMS151 Organisations and Management Custom Text. Houndsmills: Palgrave Macmillan. Burnes, B. (1996) Managing Change: A Strategic Approach to Organisational Dynamics. 2th ed. London: Pitman Publishing. Deal, T.E. and Kennedy, A.A. (1982) Corporate Cultures: The Rites and Rituals of Corporate Life. Reading, MA: Addison-Wesley Publishing Co. Linstead, S. Managing Culture. In Worthington, F. ed. (2013) ULMS157 Introdution to HRM Custom Text. Houndsmills: Palgrave Macmillan. Mullins, L.J. (2011) Essentials of Organisational Behaviour. 3th ed. Harlow: FT/ Prentice Hall. Peters, T.J. and Waterman, R.H. (1982) In Search of Excellence: Lessons from America’s Best – run Companies. New York: Harper. Smircich, L. (1983) Concepts of Culture and Organizational Analysis. Administrative Science Quarterly, 28(3), 339-358. Stanford, N. (2010) Organisation Culture: Getting it right. London: Profile Books. Vecchio, R.P. (2000) Organizational Behavior: core concepts. 4th ed. Fort Worth: Dryden Press.

Diagnosis and Treatment of Asthma in Saudi Arabia

Diagnosis and Treatment of Asthma in Saudi Arabia More than 300 million people currently suffer from asthma worldwide. It is the most common chronic disease among children (WHO, 2008). In Saudi Arabia, there is a lack of statistics about the asthma, however, an estimated number can be assumed through Abou Zaid et al study. According to Abou Zaid et al (2009), there are around 7 percent of the children and adolescents in the south region only suffering from bronchial asthma. That percentage was based in one city (AlTaif) from the Saudi Arabia regions (south region). Moreover, that study was based on a city that does not have polluted environment such as the capital city and the surrounding areas. That city AlTaif, this city is known with the high altitude city and clean environment due to the staggering distance from the polluted industries. From that point, it can be seen that the percentage of the children who have asthma will be higher in the capital cities or in the industrial environments due to the excessive present of the poll ution and the asthma triggers (Abou Zaid et all, 2009). Background: Asthma is a chronic inflammatory disease of the airways that a recurrent symptoms. Its resulting from the interaction between the inflammatory cells and the tissue cell that cover the airways. The inflammatory process during asthma is leading to the asthma pattern such as the difficulty of breathing, wheezing, coughing and chest tightness (Henson Johnston. 2002). The enhancements of pediatric asthma have clearly linked to the sensitivity of airways. This sensitivity can lead to the asthma onset. The allergic inflammation of the airways can be stimulated by the allergens (Henson Johnston. 2002).asthma in children can be caused by many factors. Several factors that might increase the risk of development of asthma such as: genetic, gender, environment and prematurity when delivery (Henson Johnston. 2002). Smoking for women during pregnancy has been linked strongly to asthma in children (Henson Johnston. 2002). This will be an issue with the women who smoke in Saudi Arabia. Primary Health Care Centers in Saudi Arabia have been lacking in asthma care knowledge structures (equipment and medication) (Alhaddad et al. 1997). In addition, there were a large number of asthma prescriptions from the primary health care centers that had no documentation of the dosage for the asthma inhalers and this showed how poor the documentation has been from the asthma medicines prescribers. Moreover patients who were ordered asthma steroids have shown a poor compliance with the prescriptions. All of that has led to more primary health care centers visits and more hospitalizations. The studies also showed there were only 35% of the prescriptions were in the preventive therapy. That means the other prescription were either higher than the preventive therapy or lower than the recommended preventive therapy (Aldashash, Almukhtar. 2003). The significance of the proposal: The clients who have poor compliance and with no educational tools, the hospital visits and hospitalization by them will increase and remain in the high level. However, if the clients have been given booklets which teach them how to handle the asthma attacks and how to prevent them, the hospital visits may be decreased with the proper motivation and education. Aims and objectives for the project: This proposal is targeting the children with asthma to decrease the hospital visits by them. It will also improve the awareness for the childrens guardians and what is an asthma booklet for children may promote the quality of the childrens lives and it also may decrease the hospitalization. That booklet are also aiming to maintain the self management for children with asthma it will increase the public awareness in what to do if someone had an asthma attack by providing the children and their guardians the sufficient education. The strategies of the project: Making the booklet. This strategy is the main concept to start the implementation process. In addition, this booklet should start with giving the clients useful information related to their needs. The ways to make the client satisfy with this booklet, all the information are in need to be simple to understand. Up to date information needed to fill out this booklet to make the client able to relate it to the recent self management approaches. The booklet will be very handy to the client who cannot or do not have the ability to check the information via online. All the updated and needed data will be available at the booklet for the reader to read it and to ask about anything that they want or they need to know about the booklet. Process of implementation. Asthma self management booklet needs to be implemented in strong used methods to be able to gain the fruits of successes. Knox (2000) has suggested that the implementation process need to be based on many theories to give it the ability to adapt on the various changes in the clients needs or barriers such as eye sight problems and literacy. The elected theory will be adapting Lewins theory. Lewins theory has been elected because of it is the easiest theory to be controlled and monitored. In addition, Lewins theory is capable to be adjusted to suit the wanted changes more than the other theories (Knox, 2000). Literature review: This literature review has only focused on the recent articles that only done in 2009 and 2010. These articles are not about the Kingdom of Saudi Arabia due to the lack of the recent resources that have mentioned the asthma education in Saudi Arabia. These articles were taken from the search engine CINHAL based on key words asthma and education. The search was limited on the articles that have been published in years 2009 and 2010. Only 32 hits were found: 13 of them were in English but those articles were based on the church communities. Thus, those articles have been excluded due to the inconvenient to the topic to apply it in Saudi Arabia. In addition, 6 of the articles were written by a foreign language Portuguese language so these articles have been excluded too. That will leave only 13 recent articles to use in this literature review. The literatures will be mentioned under the following sub headings Asthma in connection with communities: Asthma self care management is more beneficial for the client when it is connected with the community (Otsuki et al 2009; Millard et al 2009; Krieger et al 2009). The purpose of connecting the asthma self management plan is to get the maximum support to the clients and to the plan itself. This will give the wanted plan with the maximum validity. When talking about using the communities to give a great aid to the asthma self management plan from allowing a large informatics resource to be focused on that plan (Clark et al 2010). The management needs to be supported by giving guardians need to be included in that education to allow them to be a good participant in the asthma self management plan for the children (Tolomeo 2009; Zhao et al 2009). When the asthma self management plan has been separated from the community. The wanted education plans will be disrupted by the invalid information and will be lacking of resources such as clients and trainers. This will lead to failing in that education plans (Farber, 2009). Asthma in connection with medical facilities: Asthma is a medical problem. This medical problem will require a medical attention. When a clients education have been provided without any connection to any medical facilities, then the asthma education will contains a lot of fraud information. From that point, asthma self care management plan should have some connection with the medical facilities to be able to be suitable to be carried out with attention from the medical staffs. In addition, the medical facilities will lubricate the educational process to the client by allowing them to feel the difference before and after using the suggested self management education plan (Praeger 2009; Farber, 2009). Asthma education for undergraduate nurses: The way to make the educator nurse able to deliver a good education to the clients is to allow the nurses to get more methods to educate the clients when they are taking their degrees. In another words, allow the asthma self management methods to be taught in the tertiary schools to the nurses to increase the flexibilities to the nurses to adapt the methods to teach the clients more effectively and to create the realism in the education plan (Richard, 2009). Reducing clients with asthma hospitalization: When the clients are getting an insufficient education, the emergency visits by the clients will be increased (Flores et al 2009). Vice versa, if the health education have become more effective to the clients, that will lead to promote their health. When their health status has been promoted, the visit to the emergency room will be reduced (Zhao et al 2009) Clients with asthma in schools: When the clients who diagnosed with asthma are having an episode of asthma, then the absence of school will occur and the emergency visits will increase (Murdock et al 2010). Increasing the community awareness and the asthma self management education will promote the clients health status and that will decrease the absence from schools (Otsuki et al 2009). Moreover, when using an education techniques to the children clients, an appropriate technique should be used to avoid the incompliance from the children such as ignorant or depression (Murdock et al 2010). One study done by Tolomeo has reported that only 15 % of children who diagnosed with asthma that have received a complete asthma education (2009). That is less percentage than what has been reported by Apter et al (2001). However, another study done by Millard et al has argued that the affect of asthma absence in schools were highly over estimated (2009). However, there still gaps between the recommended asthma care plan and the current plan that has been used in the schools (Frankowski, 2009). In addition, Frankowski recommended Physician Asthma Care Education (PACE) to increase the effort in communication while providing the client the asthma self management plans (2009). The content of the booklet with the rationale: The content of the booklet will use the simple English to make it easy to be understood by the client and the client guardian if any. In addition, it will be written as a dot point to make it easy to be absorbed by the clients mind. The booklet will contain some of the pictures to make it easy to explain the contents to the clients. The booklet will contain six sections; those sections will be clearly identified below. First section: This section is talking about the asthma disease and includes sufficient information about the asthma. It is also include the sign and symptoms of asthma. The aim of this section is to give the client enough information about the asthma to determine the reality of the disease and how to identify the sign and symptoms. This will be useful to the client and their guardian to be able to identify the initial information about what is asthma and what is it doing to the client health status. In addition, this section is including some information about how to control the asthma. In specific this booklet is aiming to motivate the self management for the clients to promote their health by promoting their self control for the asthma. Moreover, if the booklet has engaged the client and their guardians by acknowledging them to the sign and symptoms of asthma on sets, then the booklet has allowed the client to be more confident in managing his health condition and that will reduce the depression to the client (Murdock et al 2010). The aim is achieved by including an explanation on what are the asthma and the pathology for the asthma. This definition is to make it clear to the client in what is exactly going on in the clients lungs. The booklet did also include some of the sign and symptoms for asthma and some definitions for the difficult words such as wheezing. Wheezing is the whistling or squeaky sound thats appears when the asthmatic person are breaths (LBI 2007). Moreover, the booklet has identified when the clients need to contact their doctors and when they need their medications. In addition, the booklet has shown some information about how to control the child asthma. All the information that has been written in the booklet was from up to date references. The second section: The aim of this section is acknowledging the client about the different kind of asthma medication and the purpose for them. This page will allow the client to gain the adequate knowledge about what is the medication and why those medications have been prescribed for the client. This also will allow the medical team to educate the client about the medication. By engaging the clients and their guarding in the asthma self management plan and provide them with sufficient education then the booklet is actually insuring that the clients are getting the adequate asthma education (Tolomeo, 2009). In addition, if the clients are aware of the asthma onset sign and symptoms then the client also aware about how to use the supplied medication to solve the onset, then the pressure to the client from the sickness itself will be reduced and the client will not be more depressed about their medical conditions (Murdock et al 2010). This aim is achieved by explaining that there are two kind of asthma medication: the reliever one puffer and the preventive medication (LBI 2007). The medication will be varying from each client. That is why there were no specific brand name to the inhalers has been mentioned in details. All the details that have been written in the booklet were general due to the avoidance of getting biased or malfunctioned. Section three: This section contains some useful pictures that explain to the client how to use the different kind of inhalers. This will promote the client knowledge about the proper way to use the inhalers to insure the maximum benefits from the medication. Section four: This section was established in this booklet to educate the client about what are the asthma triggers and how to solve or eliminate them to be more in control for their asthma situations. Section five: This section is mainly about the asthma management plan during emergency action plan. This section can be filled by the physician to make the client able to handle emergency situations and when to know when their health status are dropping down or getting better. This section is essential to the booklet due to the highly urgent need to the client to know their emergency action plan. In addition, this section is giving the clients and the reader more information on how to scale the clients with asthma health status regarding the asthma point of view. When the client is able to measure the peak flow and know what the vital variance to determine their asthma status, then they will know when to seek help or when they are in the risk free zone. That will allow them to take in charge for their health and will give them an advance notice when to be worried and need to seek attention or help for the medical staff. This also will allow the client to know when they need to book themselves an a ppointment in the medical facilities in advance. This issue may lead to less waiting hours in the primary health care clinics from the asthma perspective. That will lead to less hospitalization and might reduce the mortality rate for the clients. Section six: This section is about the useful community services in Saudi Arabia. This will help he client to seek the adequate sufficient information about asthma when needed. It is also including some of the valid web site links for those community services to be able to locate them in their areas or have the contact numbers for them. According to Knox (2000), explained that the clients are reading about their condition more than what they used to, especially when they are looking for a solution to a problem that they have. When the clients are suffering from a specific problem, they would require looking for the solution and wanting a valid resource for them to be able to find the solution. The implementation process: Every implementation process would require a leadership or changing agent. While there is no leadership or no change agent the implementation will eventually fails due to there will be no control for the outcomes. In addition, the leadership or the change agent needs to be armed with skills to be able to control the implementation process and need to have adequate expertise about what is the change and what the favor from the implementation. The leadership shall identify the changes and how it will affect the organization. In addition, the leadership will have the leading skills to lead the other staffs to be able to reduce or eliminate the fears from the changes and the uncertainty while making the changes. Moreover, this leadership will visualize the recent valid change process to be able to implement them to the changes that the leadership will require (Swanburgs, 2005). The leaders ship should be honest responsible and have the flexibility to admit their own mistakes. Moreover, t he leaderships need to be qualifies persons whom can built a business on a trust and can reach to important goals (Swanburgs, 2005). The process of making the implementation more flexible and effective is to make it based on more than one change theory (Knox. 2000). The implementation of the booklet will basically base on Lewins force field model of change. Lewins model is consisting of three stages: unfreeze stage, moving stage and freeze stage (Swanburgs, 2005). However, other change process theories might be included in this project. Ethical issue: The implementation process will consider that there will be no harm that will occur to the clients and there will be no harm for the distributers or the medical staffs (Swanburgs, 2005). If any harm was noted to any of the parts the implementation process will immediately terminated and that incidence will get investigated to see where the implementation process were deviated from the track and to discuss whether or not that harm will affect the future of the implementation process. The harm might happen when the clients or their guardian are not understanding the booklet and might misuse it. Unfreezing stage: This stage will include the gathering of all the recent asthma brochures and investigate what are the brochures that are out dated. All the out dated brochures need to be collected and announced to the client to not use them. After that, an introduction for this booklet needs to be done in small community such as rural area. The supposed area in Kingdom of Saudi Arabia is AlMajmaah due to it contains only three Primary Health Clinics and two hospitals. The introduction for the booklet will be started on the asthma inpatients in one of the hospital and for this trail the elected hospital will be King Khalid Hospital because of there is special department for asthma patients in there and there is Special Ward for clients with asthma there. That ward consists of 12 beds especially for children whom diagnosed with asthma so the trial can be easily controlled. Prior to distributing the booklet, the project leadership will collect the sufficient data about the status of those children and what they have received from the education point of view. The culture habits such as raising sheeps or camels should be considered and investigated whether or not it triggers the asthma attacks. That will need to be investigated by the physicians. The other educational elements should be considered such as literacy, education level, any cultural impairment such as lack of transportation or lack of guardians, any physical impairment such as eye sight or deafness. After collecting and analyzing the data, the leadership will establish basic team to assist the leadership in applying the changes. This team will be armed with experience and it will contain trustable persons that are accountable for the successful of the supposed change aims. After the investigation has been collected and analyzed, some of the inpatient clients will be elected for the first trial. The election will be based on the children whom with low complications to decrease the chance for the failure of this trail. Th ose selected subjects and the selected team will receive an intensive course for the use of the booklet and the benefits for the booklet. That course will not be established unless a formal consent has been gained from the hospital administration and from the guardians of the children. The intensive course will be held for one week and it will contain the needed educational material such as the booklet, some posters and brochures to maximize the knowledge that will be gained by the mentioned subjects. This trial was inspired by Roger s theory (Swanburgs, 2005). After the intensive course the booklet will be handed on to the clients and observation for the real benefits that gained after handing the booklet will be monitored. Moving stage: In this stage the leadership and the nominated team will start distributing the booklet among the whole AlMajmaah inpatient children whom are suffering from asthma especially the recent diagnosed children. When introducing and distributing for the booklet a classes will be held in all the inpatients wards that contains children whom diagnosed with asthma to brief them of the benefits of using the booklet and how to use them. The mentioned classes will run for a period of a month. After the mentioned month, an evaluation process will run for the whole two hospital and investigation about the actual benefits that been gained from that booklet. The booklet may need modification or alteration to make the booklet more suitable for the use by the clients. When there is any alteration for the booklet the previous implementation steps will be carried out again to insure the smoothness of the changing process. After finishing the alteration for the booklet and the successful of the trails, th e booklet will be recommended to the Ministry of Health to implement it for the whole Saudi Arabia medical facilities and that the aim of this project. Freeze stage: When completing the booklet trials and insuring the maximum validity of the booklet contents, then the booklet should get the official shape and recommended to the Ministry of Health to be able to make it the primary distributed booklet for children with asthma in Saudi Arabia. Discussion and limitation: The most significant barrier for this booklet would be adapting the medical team and the public about the best safe way to use the booklet, this can be covered by established a educational facilities or teams to keep educating the public how to use the booklet and an intensive program to teach the medical teams as well. In addition, some of the information might be not valid or useless after a while, that can be cover by creating an evaluation teams to keep this booklet up to date. Moreover, the booklet maybe in need for more information or more sections and that can be dealt with by the evaluation teams. The booklet may suffer from the lack of compliance from the patients, that can be dealt with educate the patient of the importance of following the instruction that been given by the medical team. Moreover, some patient may manipulate the informations in the booklet or adding more information that might bias the booklet that might be solved by educating the patient in how dangerous it would be if they done so and how inappropriate treatments might result from that. However, some of the departments in Saudi Arabia have adopted some of the asthma education techniques such as King Fahd National Guard Hospital. KFNGH has created a link via web site to allow the clients to calculate the severity of their asthma if they have it. Future recommendation: This booklet may be used as a data base style so the clients will require a USB device to carry their entire case file and their required information. The booklet can be as well a digital booklet so the client can check it out via online or using the new devices such as i pad or iPod. The booklet will include in the future more sections to get the booklet further in the way to reach to the holistic approach. Conclusion: In conclusion, asthma is a chronic health issue that affects many people from all around the world. Many asthma self management education method has been used around the globe. Moreover, the asthma education is one of the essentials to reduce the clients emergency room visits and hospitalization. Education will require connecting it with the community and medical facilities to get the maximum benefits to the plan. In addition, one of the education methods that can be used to educate the clients is the asthma self management booklet. This booklet need to have up to date information to be able to assist the clients to promote their health.th booklet will contain six section that have been detailed above. The implementation of the booklet will go via three stages unfreeze, move then freeze. All the implementation stages should be monitored thoroughly to maintain the success. This booklet may reach to preferred destination and may not. If it reached to the final hoped destination then th e booklet will require evaluate and frequent update.

Mansfield Park :: essays research papers

Mansfield Park This novel, originally published in 1814, is the first of Jane Austen's novels not to be a revised version of one of her pre-1800 writings. Mansfield Park has sometimes been considered atypical of Jane Austen, as being solemn and moralistic, especially when contrasted with the immediately preceding Pride and Prejudice and the immediately following Emma. Poor Fanny Price is brought up at Mansfield Park with her rich uncle and aunt, where only her cousin Edmund helps her with the difficulties she suffers from the rest of the family, and from her own fearfulness and timidity. When the sophisticated Crawfords (Henry and Mary), visit the Mansfield neighbourhood, the moral sense of each marriageable member of the Mansfield family is tested in various ways, but Fanny emerges more or less unscathed. The well-ordered (if somewhat vacuous) house at Mansfield Park, and its country setting, play an important role in the novel, and are contrasted with the squalour of Fanny's own birth family's home at Portsmouth, and with the decadence of London. Readers have a wide variety of reactions to Mansfield Park-most of which already appear in the Opinions of Mansfield Park collected by Jane Austen herself soon after the novel's publication. Some dislike the character of Fanny as "priggish" (however, it is Edmund who sets the moral tone here), or have no sympathy for her forced inaction (doubtless, those are people who have never lacked confidence, or been without a date on Friday night!). Mansfield Park has also been used to draw connections between the "genteel" rural English society that Jane Austen describes and the outside world, since Fanny's uncle is a slave-owner (with an estate in Antigua in the Caribbean; slavery was not abolished in the British empire until 1833).

Analysis of Writing Womens Worlds by Lia Adu-Lughod Essay examples --

Analysis of Writing Women's Worlds by Lia Adu-Lughod Writing Women's Worlds is some stories on the Bedouin Egyptian people. In this book, thwe writer Lia Adu-Lughod's stories differ from the conventional ones. While reading, we discover the customs and values of the Bedouin people. We see Migdim, a dominator of the people. Even though her real age is never given, one can assume that she is at the end of her life, maybe in her mid to late eighties. Migdim's life seems to include all the changes inside the Boudin community. Throughout the narrative of her life, we are able to realize the life way and changes within this exclusive society. One of the more in depth stories that Migdim told was how she refused the marriage to the man her father chose for her. It is customary for a woman to get married to her paternal first cousin. Her female relatives made her the tent she was going to live in and brought her some bridal gifts. Migdim refused to eat as well as covering herself in color in order to holdup the wedding. After much objection, Migdim did not marry the man that her father chose. Actuality, her father failed twice trying to arrange a marriage for her. All the way through Migdim's incident with arranged marriages, we can understand the old customs that has to do with marriage. It is obvious that, although women were believed to be obedient, they were capable to effectively convince men. Yet, today there seems to be a sign toward polygamous marriages that are eventu...

America Needs More Immigrants :: Argumentative Persuasive Argument Essays

After political security, there is nothing that the Republic needs so much as bone and sinew, for the development of its vast resources . . . we want flesh and blood, men, women, and children, to assist in fulfilling that intention. —Editorial from the Commercial and Financial Chronicle, published in August 12, 1865—as the re-United States reels back from the divisiveness of the Civil War (Abbott 156) When my ancestors came to the U.S. in the 1800s to help build the transcontinental railroad (enabling intracontinental commerce on an unprecedented scale), it was very true that immigrants contributed to America’s economic prosperity. Does this remain true today? Today is a very different time than the aftermath of the Civil War. Or is it? Now, the U.S. is also reeling back from wars, albeit of very different sorts: the Cold War and the latest series of riots in the cities. The U.S. is turning inwards, wanting to rebuild its infrastructure and inner cities. Pre-eminence in various scientific areas and the education of its citizens, who are, by world standards, lagging educationally, are again prime national goals—much as they were following the Civil War. Skills and labor are needed. Although not as powerfully delineated as in a North-South segregation, the American population is still bitterly divided over many issues—one of which is immigration. Would immigration aggravate our problems, especially unemployment and social tension, or benefit us, as it did previous to and following the Civil War? Throughout the 1800s, conservative politicians were adamant that immigration would compromise political security; and native Californian miners, laborers, and farmers feared that the Chinese would drain America’s resources and take away jobs. The tragic results of such fears were the trial of Sacco and Vanzetti, ending in the execution of two innocent Italian immigrants accused of espionage, and the massacres of Chinese miners in the western states. These early detractors of immigration were proven wrong as America grew from a second-rate nation to the most powerful economy in the world. Today, as reflected in the headlines, calls for immigration restriction have renewed the national debate: Should current levels of immigration continue in the U.S.? â€Å"How many can America absorb?† is a constant refrain, reflected in poll after poll.

How the divorce impact the children Essay

Divorce has become an everyday part of American society today. This has caused parents and professionals alike to have concern about the effects of divorce on children of all ages. Research in this area is new but is nevertheless helping us to gradually gain a better understanding and appreciation that divorce is difficult for a child of any age. This paper considers the effects of divorce on children ranging in age by summarizing and analyzing existing research. The focus of my paper will be measuring the different aspects of life affected by a child’s experience with divorce. Some of the factors that will be of concern include the subject’s age at the time of the divorce, gender and time passed since the divorce occurred. Mainly, this paper will be trying to prove that divorce can and does affect many aspects of a child’s future. There have been numerous studies and piles of research done on this topic since the beginning of divorce and more so now due to its rising numbers in our society. from the research that I have completed, it appears that a lot of this research is consistent as far as their results go. Divorce has become a major concern for children’s health and development in American society. Parents and professionals are becoming much more interested in the effects of divorce on children. It is definitely known that divorce is a very stressful time for children. Children, adolescents, and teenagers will are likely to experience feelings of anxiety, sadness and anger during and after their experiencing their parents’ divorce. Many of the resources that I have read have stated that parental divorce produced a moderate, long-term negative impact on their mental health as adults. The negative effects of divorce on mental health operated indirectly through higher emotional problems and lowe r levels of school achievement and family economic status. I have found that there have been several theoretical perspectives created, that I have read about, that try to explain some of the effects of divorce and other types of explanations for some of the behaviors. Some of these include the socialization perspective of divorce, interparental conflict, the divorce-stress-adjustment perspective, etc. These theories choose  different ways of looking at how divorce may affect the child experiencing it. One of these that I discussed, as an example was the divorce-stress-adjustment perspective, this views divorce as a very long-term event, beginning with the arguments and other behaviors that occur while the couple lives together and ending long after the legal procedures have been completed. This perspective also goes into the different emotional, behavioral and health issues connected with divorce. Many researchers are looking at divorce as an easy way out or selfishness on the part of the parents. Parents are not thinking about the lifelong and traumatic effects that they might be creating for their children by making the permanent decision to divorce. In most cases, unhappily married parents staying together for the sake of their kids, will be found as beneficial for them. Research has found that children of divorce are more likely to develop mental and emotional disorders later in life. These children are also likelier to start sexual activity earlier, abuse drugs, turn to crime and even as fateful as committing suicide. They additionally will find themselves facing problems in their future intimate relationships as they may not have had the proper model for one through their parents due to their split. These emotional problems may not appear right away that is why they have been given the title of a â€Å"sleeper effect†. Their parents divorce hangs like a cloud over their lives haunting them later on as adults. In researching my objective I do hope to find more precise descriptions on divorce than I presently have knowledge of. I want to develop a much better understanding of what aftermath, if it exists, of divorce may be for a child’s future. I think that I will have excellent results due to the fact that I will be studying numerous studies that have already been completed rather than just one or creating my own new study. My plan was to use more of a qualitative analysis through my research as opposed to a quantitative analysis. This is because I want to have a better sense of social observations that have previously been made. I will base my report on the information that I find by comparing and contrasting these numerous researchers’ collections of work. This is in hopes of finding any of the kinks that I may come across by reading so many different research projects  and then summarizing and putting all of the information together to make my final conclusions. According to Webster’s Dictionary, the definition of divorce is the legal dissolution of a marriage or to end marriage with one’s spouse. In looking up grounds for divorce one will find many different variations including but most certainly not limited to, adultery, desertion, physical or mental cruelty, habitual drunkenness, incurable mental illness, conviction of a crime, nonsupport, etc. The statistics for divorce in the 1990’s suggest that around fifty percent of marriages inevitably end in divorce. Given this startling figure, the assumption can be made that many children will experience some effects caused by this life-changing event called divorce. This unsettling realization that is being made through the collections of research being done is that young children of divorced parents are facing various types of psychological challenges due to the environmental conditions and changes associated and brought about by the event of divorce. â€Å"Recently, fami ly researchers have started to perceive marital disruption as a continuous, multistage process that may begin long before families dissolve and extend many years after divorce or separation† (Sun, 697). Children that experience their parents’ divorce will have trouble in the future with numerous social developments in their life such as, school, socialization with peers, intimate relationships, etc. My objective in doing this research is to study children that have experienced their parents’ divorce and find out how this may affect them in the future. I have a particular interest in this topic because my parents were divorced when I was thirteen. This experience was very hard on me and I feel that it still affects me today in certain aspects of my life. I also believe that it may have had a lot to do with molding me into the person that I am today. I would like to research this topic to see what has been found thus far through research so that I can develop a better understanding of my own personal situation and the millions of others in this similar situation. When compared to children of never-divorced families, researchers have agreed that children and adolescents from divorced families show poorer adjustment in numerous aspects of life. After following more than 100 kids whose parents had recently divorced, Judith Wallerstein concluded that the effects of a break in the family unit can be life-long and traumatic for a considerably large enough group of children and adolescents for us to have concern. â€Å"While their parents might feel liberated by getting out of an unhappy marriage, the kids were bereft. In interviews, many expressed a profound pessimism about their future† (Kantrowitz, 48). Adolescents and children also battle with anxiety, and self blame and anger, which then transform into the undercurrent for making bad decisions in their future relationships, and giving up hastily when any new kind of problems present themselves. Part of this struggle is said to be due to â€Å"the loss of the powerful mental image of the intact family inflicts the crucial harm† (Leo, 140). Later as adults, these young people become frightened of failure, commitment, and terrified that they might end up following in their parents footsteps. Such emotional hardships only set the stage for misbehavior and delinquent activity. As marriage has become a more optional and less permanent institution in contemporary America, adolescents are encountering stresses and adaptive challenges that reflect off of their parents’ marital transitions. Such dysfunctional self-concepts, anxiety and trouble adapting socially as discussed earlier have been proven to affect the child’s actions, as well as their mindset. Recent studies have shown that children of divorce are more depressed, aggressive toward parents and teachers, more likely to develop mental and emotional disorders later in life, start sexual activity earlier, have more children out of wedlock, have problems with drug abuse, crime and even have been lead to suicide (Leo, 140). The anxiety battles they face are brought with them most everywhere, including the classroom where numerous problems are being displayed. Additionally, these problems in the classroom may sooner than later appear on the streets and neighborhoods in some form of delinquency or violence. One of the concepts developed to describe an aspect of these problems caused  in children of divorce is the â€Å"sleeper effect†. This term is found in many researchers’ writings to describe the â€Å"deep and long-term emotional problems that arise only when the children enter early adulthood and begin to confront issues of romance and marriage† (Leo, 140). It is because of the â€Å"sleeper effect† that so many children of divorce are later in life finding themselves having different problems with numerous aspects including intimate relationships that they become involved in. Divorce is a difficult thing for a child of any age to be forced to face as their reality. Understanding what may be the necessity of the divorce is never the problem, it is learning how to deal with the consequences of it that they will find themselves facing later on down the road. Parental conflict appears to have a pronounced effect on the coping efforts of children. The intense anxiety and anger between some parents in the early stages of divorce is all too real. It is common behavior for the parents to allow their children to get in the middle of fierce verbal confrontations that may be occurring between them. Criticizing and belittling the other parent in front of the child is another way of placing the child in an unfair position. This, in essence, is leading to putting the pressure on the child to feel as if they must choose between the parents. A less tangible example of parental-conflict is the way in which the two opposite genders relate to one another in the presence of children. Mothers may treat fathers as if they are less important and undeserving of respect, just as the opposite can apply. Any form of parental conflict, no matter to what degree, leads to more confusion and a difficult adjustment period for the children involved. The deterioration in parent-child relationships after divorce is another leading cause in psychological maladjustment for children. â€Å"Recent studies say that it’s not the parents’ marriage or divorce that affects children’s later relationships, but the parent-child bond that is key to children’s success in achieving their own satisfying adult relationships† (Campbell, 16). With any divorce comes a new parenting plan of some kind. A child may experience either shared custody between the two parents or custody by one parent with visitation by the other parent. Variations of these plans can  be included or added at different times in the child’s life depending on special circumstances. More often than not, the mother is awarded custody of the children. The absence of the father on a full time level is detrimental to the healthy development of the children. In the case that the father is awarded custody of the children, the opposite applies as well. â€Å"Some scholars see the two-parent family as the fundamental institution of society–the setting in which adults achieve a sense of meaning, stability, and security and the setting in which children develop into healthy, competent, and productive citizens† (Amato, 1269). Studies have shown that deterioration in custodial parent-child relationships may frequently occur in the first year or two following divorce. The correlation between divorce and a drop in standards of living for female-headed families has been documented in several studies. The association between divorce and financial difficulties in these households may negatively impact children’s adjustment periods. â€Å"Because females have lower-paying jobs and often aren’t able to collect child support, they can’t provide an adequate standard of living for their families† (Henderson, 2). It is a disappointing statement but sadly usually still true today that men commonly are more successful in their occupations than women. Men are usually the ones that bring home more money and women usually win custody battles so a balance has to be found; the resulting decision most commonly being some form of child support. The decrease in income level can contribute to anxiety, frustration, and even embarrassment for children. Listed by age group are some of the more common post-divorce symptoms experienced by children. Preschool children are more likely to blame themselves and to experience nightmares, enuresis, and eating disturbances. Early-school age children suffer with academic problems, withdrawal and depression. Older school age children are more likely to blame one parent for the divorce and feel intense anger at one or both of their parents. Adolescents experience the most intense anger and also exhibit problems with developmental issues of independence and interpersonal relationships. The adjustment period for children experiencing divorce is traumatic. Parental conflict is generally high and tense in the beginning stages, which gives  children a sense of insecurity. Change occurring in the parent-child relationship is almost always prevalent leading children to worry about who will take care of them. Disorganization and inconsistency in parenting styles leave the children in a state of confus ion. Children don’t know what behavior is acceptable at mom’s vs. dad’s place of residence. Due to all these changes, it is reasonable to hypothesize that environmental condition and change associated with the post divorce adjustment period are mediated both by the different experiences that occur and by different responses to these experiences. This investigation was done as a means of proving my hypothesis that I developed before setting out to find my resources. My goal was to explore the different perceptions and experiences had by children of divorce that were stated in numerous different collections of research. This is what makes my research a qualitative study since I have chosen to examine and interpret my observations through the research of many other examiners of this topic. I have done this for the purpose of discovering any underlying meanings and patterns that may exist concerning the effects of divorce on children. As had been stated earlier, around 50% of marriages end in divorce. Divorce rates seem to be constantly rising, numbers closer to 60% have also been reported. â€Å"More than 12 million children younger than 18 years of age have divorced parents, and more than 1 million children younger than 18 years of age will experience divorce this year† (Lebowitz, 695). Even though growing up in divorced families raises the risk certain kinds of psychological, emotional and physical problems, it by no means forces the child into a terrible life. It has been found and recorded that â€Å"75% to 80% of children of divorce are functioning well, with little long-term damage†¦.25% of children from divorced families have serious social, emotional or psychological problems† (Corliss and McLauglin, 40). This study obviously is mainly focused on children ranging in ages from younger school aged to older teenagers and college adults. The one thing that the subjects in this study will have in common is their having been  through their parents’ divorce at some point in their childhood, adolescence or teenage years. Divorce obviously affects both males and females. The two genders have shown that they are affected differently in some cases, though they are for the most part similar. As long as families follow the trend that divorce is setting, more and more children will become the victims of their own parents’ divorce and be left to fend for themselves whether it is physically with unstable custodial parents or mentally without the needed role models and structure in their lives to keep them headed in a more positive direction. Divorce has been shown to adversely affect academic performance, and personal characteristics as far as social skills and self-presentation, it erodes the parent-child relationship and takes away structure and replaces it with a consequence free environment. When you take a child, an adolescent none-the-less at the height of confusion and insecurity and remove boundaries such as parents, rules, and regulations, some sort of trouble is likely to result. It is true that children are our future, so maybe we should be taking this fact into more serious consideration when making the decision to divorce which will more than likely have some kind of negative effect on their future well-being. The easiest recommendation to give to any married couple with children is to remain married for the kids’ sake. â€Å"If a couple can repair their marriage and develop an effective parental alliance, their kids will certainly benefit† (Coontz, 21). Divorce is commonly the easy way out, rather than spending a little extra time working things out, couples selfishly opt to divorce. Usually, their reasons for divorce are nothing more than just not getting along with each other like they used to. Parents have, for some reason, become unwilling to put forth the extra necessary effort towards making their relationship successful. Bibliography: Amato, Paul R. 2000. â€Å"The Consequences of Divorce for Adults and Children†. Journal of Marriage and Family. Vol. 62 Issue 4, p1269. Henderson, Zorika Petic. 1993. â€Å"Divorce Impoverishes Women and Children†. Human Ecology. Vol. 21, Issue 1 p2. Kirn, Walter. 2000. â€Å"Should You Stay Together for the Kids?† Time. September 25. Lach, Jennifer. 1999. â€Å"The Consequences of Divorce†. American Demographics. Vol 21 Issue 10 p14. Lebowitz, Marcia Lipman. 2001. â€Å"Divorce and the American Teenager†. American Academy of Pediatrics. Richardson, Christina D. and Rosen, Lee A. 1999. â€Å"School-Based Interventions for Children of Divorce†. Professional School Counseling, Vol. 3 Issue 1, p21. Robertson, Ian. 1995. â€Å"Bloody Kids†. British Medical Journal. Vol. 310 Issue 6987 p1143. Royal, Sharon W. and Knoff, Howard M. 1990. â€Å"Children and Divorce†. School Psychology Review. Vol. 19 Issue 2 p253. Studer, Jeannine R. and Allton, Judith A. 1996. â€Å"When Parents Divorce: Assisting Teens Adjust Through a Group Approach†. Guidance and Counseling. Vol. 11 Issue 4, p33. Webster, Pamela; Orbuch, Terri L. and House, James S. 1995. â€Å"Effects of Childhood Family Background on Adult Marital Quality and Perceived Stability†. American Journal of Sociology. Vol. 101 Issue 2, p404.