Data Tracking Sheet

Rest Study: Using a Data Tracking Sheet Tyeshia L. Watkins Argosy University/Atlanta LASA 1 Data Tracking Sheet Data A Fill out this structure each morning for 3 days. Day1 Oct. 26, 20122 Oct. 27, 20123 Oct. 28, 2012Average scores/Amounts What did you do during the 30 minutes before bed? (Standard, brushed teeth, etc†¦) 1. Understand 2. Brushed Teeth 3. Pressed Clothes 4. Implored 5. Rinsed Face1. Considered 2. Brushed Teeth 3. Pressed Malachi’s school outfits 4. Asked 1. Interpersonal organization riding 2.Watched kid's shows with Malachi. 3. Supplicated 4. Rinsed Face 5. Brushed Teeth What time did you hit the hay the previous evening? 10:35 p. m. 10:46 p. m. 8:30 p. m. To what extent did it take to nod off? 15 mins. 15 mins. 10 mins. 40 mins. Did you wake up during your rest? How often? To what extent? Indeed, once. 3 hrs. NoNo Did you get up? YesNoNo What time did you get up? 10:40 a. m. 6:15 a. m. 6:15 a. m. What amount of absolute rest did you get? 12 hrs. 7 hrs. 10 hrs. 29 hrs. Rate your serenity on a size of 1-10 (1 = no soothing quality) (10 = completely refreshed) 107926Anything common that could have affected rest (feeling wiped out, huge other wheezing, etc†¦)It was cold not very warm. Calm OutsideBusy Day (12 hr. work move, Malachi’s football training, Gym, and visited mother for a couple of hrs. ) Other remarks you need to track or make note of Data B Fill out this structure each morning for 3 days in the wake of perusing, inquiring about, and working on breathing method. This needs to incorporate utilizing the breathing procedure subsequent to entering bed, hushing up, in obscurity, with the breathing strategy done in any event multiple times. Day1 Oct. 29, 20122 Oct. 30, 20123Oct 31, 2012Average scores/Amounts What did you do during the 30 minutes before bed? (Standard, brushed teeth, etc†¦) 1. Brushed Teeth 2. Supplicated 3. Taken Cold and Cough Medication 4. Drank A Cup Of Tea 1. Washed down Face 2. Brushed Teeth 3 . Supplicated 4. Contemplated 5. Taken Cold and Cough Medication 6. Drank A Cup Of Tea1. Washed down Face 2. Brushed Teeth 3. Supplicated 4. Considered 5. Taken Cold and Cough Medication 6. Drank A Cup Of Tea What time did you hit the hay the previous evening? 7:35 p. m. 7:15 p. m. 8:45 p. m. To what extent did it take to nod off? 6 mins. 7 mins. 8 mins. 21 mins. Did you wake up during your sleep?How ordinarily? To what extent? NoNoNo Did you get up? NoNoNo What time did you get up? 3:15 a. m. 3:15 a. m. 3:15 a. m. What amount of complete rest did you get? 8 hrs. 7 hrs. 6 hrs. 21 hrs. Rate your tranquility on a size of 1-10 (1 = no serenity) (10 = completely refreshed) 44412 Anything regular that could have affected rest (feeling wiped out, noteworthy other wheezing, etc†¦) Other remarks you need to track or make note of The main day that I had a chilly, it made my night somewhat fretful. I could scarcely inhale on the grounds that, my noiseMy body was hot, and afterward it wou ld be cold. Prologue to BreathingBreath is the way to wellbeing and health, a capacity we can figure out how to control and create so as to improve our physical, mental and profound prosperity. Breathing has direct associations with enthusiastic states and temperaments †watch somebody who is irate, apprehensive or in any case upset, and you will see an individual breathing quickly, shallowly, boisterously and sporadically. Our breathing examples impersonate our life examples and we can create unfortunate breathing propensities without monitoring it. The adjustment in breathing examples changes your perspective and lessens the psychological aggravations. Considerations become more clear and your comprehension of yourself is enhanced.As your brain turns out to be all the more completely consumed in the perception of the breathing procedure, the character of the breath will in general change automatically. Rest issues additionally exist when you have built up stressors that make y ou rest horrendous and hesitant to appreciate. There are occurrences when your body is anxious at the same time, your psyche is worn out which prompts lack of sleep. In this paper the specialist will depict the experience of a rest concentrate on a patient who experienced a typical virus. The affirmation of the differential state between ordinary breathing versus elective nostril breathing.Whether or not the elective nostril breathing strategy was advantageous to the patient being referred to. A believable research of normal versus clinical solutions for rest. Why a few people may be wary of this strategy. Synopsis of Results Was the theory that elective nostril breathing fills in as a characteristic tranquilizer was upheld through the examination? During the rest investigation of the patient, the analyst saw that in the information assembled from the Data An area, the scientist saw that the patient had 30 hours of rest, in the middle of the night be that as it may, the patient was stir one night for in any event 15 mins.In Data B the patient nodded off in 40 mins (normal mean). During Data A the patient scored their relaxation as 7 or more which demonstrates that the patient got sufficient enough rest that was appropriate for the patient. In the Data B segment, which included the elective nostril breathing strategy the customer introduced a few changes that showed that there were stressors that affected this region of perception. Stressors are characterized as, an upgrade occasion that puts an interest on a creature for a versatile reaction (Gerrig, 2009, p. 89). During the elective nostril breathing procedure the patient whined of trouble breathing because of a typical cold that kept the patient from having tranquil evenings. The specialist saw that the patient had 21 hours of rest, in the middle of the night be that as it may, the patient was not conscious on any of the 3 evenings In Data B the patient nodded off in 21 mins (normal mean). During Data B the patient scored their anxiety as 7 and beneath which demonstrates that the patient didn't get satisfactory enough rest that was appropriate for the atient. The patient showed that the elective nostril breathing strategy was not useful and in actuality was not fruitful to energize soothing evenings. The theory of the elective nostril breathing fills in as a characteristic tranquilizer if there are no organic stressors included. Organic Perspective *include things like how elective nostril breathing fills in as a characteristic tranquilizer, what natural frameworks may be included, and how it may help from an organic point of view. Do these cases bode well biologically?Is there logical or organic proof that could bolster this procedure? For what reason would this strategy work organically? The elective nostril breathing method fills in as a characteristic tranquilizer Cultural and Ethical Implications *include things like research of common versus clinical solutions for rest. Make a po int to address how such cures apply to different customers and the qualities and shortcomings of the two kinds of cures. For what reason may a few people have a social battle with utilizing a method like this? What are a few contrasts between Western medication and Eastern medicine?Scientific Perspective What logical strategies utilized are utilized in different investigations, etc†¦? What are the phases of applying the logical technique? The point of view in numerous non-Western societies demonstrate bio psychosocial model of wellbeing. The Navajo idea of hozho (articulated whoazo) implies concordance, genuine feelings of serenity, goodness, perfect family connections, magnificence in expressions and artworks, and wellbeing of body and soul. Sickness is viewed as the result of any disharmony, brought about by underhanded presented through infringement of restrictions, black magic, overindulgence, or terrible dreams.Traditional mending functions look to oust ailment and reestab lish wellbeing, through the medication of the shaman as well as through the joined endeavors of all relatives, who cooperate with the evil individual to reachieve a condition of hozho (Gerrig, 2009, p. 403). Present day Western logical reasoning has depended solely on a biomedical model that has a dualistic origination of body and brain. As per this model, medication regards the physical body as isolated from the mind; the psyche is mportant just for feelings and convictions and has little to do with the truth of the body. Synopsis In this paper the scientist will depict the experience of a rest concentrate on a patient who experienced a typical virus. The affirmation of the differential state between ordinary breathing versus elective nostril relaxing. Regardless of whether the elective nostril breathing method was useful to the patient being referred to. A believable research of normal versus clinical solutions for rest. Why a few people may be wary of this technique.The point of view in numerous non-Western societies show bio psychosocial model of wellbeing. Present day Western logical reasoning has depended only on a biomedical model that has a dualistic origination of body and psyche. The theory of the elective nostril breathing fills in as a characteristic tranquilizer if there are no organic stressors included. Reference Gerrig (2009). Brain research and Life [18] (Vital Source Bookshelf), Retrieved from http://digitalbookshelf. argosy. edu/books/0558302572/id/ch12lev1sec02

Family Recipe Essay

At the point when I was more youthful, I strolled into my grandmother’s house each Thursday late evening smelling the newly prepared custom made lasagna she constantly made. The formula she would follow has been passed down from numerous ages in our family. It is one of my preferred suppers to make, and it tends to be done in around an hour and thirty minutes. The way to making my family’s natively constructed lasagna can be summarized in three straightforward advances: choosing top-quality fixings, setting them up, and preparing the lasagna effectively. The initial phase in cooking my family’s hand crafted lasagna is to choose top-quality fixings. There are a wide range of necessities for this dish, and getting the modest brand of any of the fixings doesn't consider the maximum capacity of the feast. You have to have one 16 oz. bundle of Barilla lasagna noodles, two pounds of the store’s new ground hamburger, one 24 oz. jar of Prego Traditional tomato sauce, a large portion of a teaspoon of salt, two 16 oz. packs of Kraft mozzarella cheddar, and one 16 oz. cup of Sargento ricotta cheddar. In the wake of buying these fixings, the ground hamburger, mozzarella cheddar, and ricotta cheddar should be put in the cooler until utilization. The subsequent advance in cooking my family’s hand crafted lasagna is to set it up. Lasagna has a wide range of fixings that must be cooked and combined at discrete occasions. Initially, you have to preheat the stove to 375 degrees Fahrenheit or 190 degrees Celsius. Bubble two and one half quarts of water in a 5 quart pot of delicately salted water on medium high, include the noodles and cook them for around eight to ten minutes or until delicate. Channel the noodles and put them to the side. Next, put the two pounds of hamburger in a skillet and cook on medium high warmth until the entirety of the meat is uniformly earthy colored. When the hamburger is completely cooked, channel the oil and flush the meat with warm high temp water. After you have depleted and flushed the meat, set it back into skillet and include one 24 oz. jar of Prego Traditional tomato sauce. Mix until the meat and sauce are blended uniformly, keeping the temperature on low or stew. When you have cooked the lasagna noodles, hamburger, and blended the tomato sauce and meat, you should join the entirety of the fixings to heat it appropriately. For this procedure, you should utilize a three quart rectangular container. To begin with, place four lasagna noodles one next to the other down in the dish. Second, you have to include half of the meat and sauce to that layer and spread it equitably over the dish. Third, utilize a spoon and spread a far layer of ricotta cheddar over the meat and sauce. When that is done, the fourth thing you do is include a moiety of the destroyed mozzarella cheddar to completely cover the layer until you don't see anything underneath. After those means are done, you should rehash this progression utilizing the remainder of the fixings. The third step in cooking my family’s natively constructed lasagna is to heat it the right way. The stove needs to have been preheating on 375 degrees Fahrenheit while you are setting up the dish. When you have the container prepared to place in the broiler, take a major bit of aluminum foil and spread the top. Spot in stove for twenty five to thirty minutes relying upon the cheddar. At the point when the cheddar melts and turns marginally earthy colored, remove the container from the stove and evacuate the aluminum foil. Spot the dish again into broiler for five to eight minutes. After the average five to eight minutes is up, expel the skillet and let it represent ten minutes before cutting. At the point when the ten minutes is up, you can slice and serve up to ten individuals with this dish. At the point when you wrap up the bits that you it would be ideal if you make certain to cover the dish up with aluminum foil and spot it in the cooler. Setting up my family’s natively constructed lasagna formula is anything but a troublesome undertaking, yet it is very tedious. Numerous individuals attempt to surge and toss everything together to have a supper in an opportune way, however the way to progress is persistence. You should have the persistence to cook and set up the dish before heating it. The way to making my family formula is to choose top-quality fixings, set them up, and prepare them accurately. By following these bearings, your hand crafted lasagna dinner will be an incredible accomplishment for you and whomever. (760).

Cooking Example

Cooking Example Cooking â€" Essay Example > Explaining Cooking, a Learning Activity, Using Cognitive Learning TheoryIntroductionLearning is considered as a somewhat complex aspect that has lead to evolvement of a wide range of research in order to unfold the mystery behind this unique process. As a result, researchers as well as philosophers have come up with a number of theories describing learning. Each of these particular theories has laid down aspects that tend to justify its viability in terms of explaining learning process. While still explaining how viable a theory is, there also comes about aspect of criticizing the other theories for being inefficient in explaining learning process. The available learning theories include; cognitive, humanism, behavioural as well as aspect of social learning. The identified learning activity in this particular case is cooking and will be explained using cognitive theory. A plain description of cognition defines it as the actual knowing of something. Cognitive theory aims at putting forth an explanation of human behaviour with regard to its relation to mental analysis (Shaffer, 2008). This particular theory argues that mental process has a very significant role to play in learning. It goes ahead to argue that as much as behaviour is important in learning, knowledge of something or an idea needs to be integrated in human beings’ brain in order to bring forth a rather reasonable outcome. In this theory, human beings are believed to adopt capability for considerably sophisticated thoughts as they grow. It is this adopted information that is expected to be applied later in life as it is integrated with information provided in present life. It is believed that people tend to undertake an organisation of learned information which creates a reasonable platform to synthesise new information linking it with the presently provided ideas for a better understanding in the long run. A number of people may consider cooking art as something that is so obvious and can onl y be exercised by a selected group of people either in the community or in a family. However, modernisation has brought about a change of things as well as overall perception of cooking aspect (Khan, 2003). Cooking is now considered as an aspect that apart from being exercised at home as a routine or even more to entertain visitors, it can also help one earn a living out of it. It from this kind of realisation that proper learning of cooking art is derived and follows the need to identify a considerably viable criteria to effect this kind of learning. Learning cooking activity can be exercised in a wide range of avenues depending on where the acquired information needs to be applied later on including at a recognised cooking school, home or even an already running business entity like a restaurant (Shaffer, 2008). It is argued that the basic aspect required prior to undertaking the learning of cooking at whichever level is passion for it. At a closer observation, passion occurs in the mind which then proceeds to control the rest of the body in exercising it practically. This means that mental process needs to be accorded priority in providing actual learning required in order to provide expertise in this area. Cooking skills can be learned practically but also needs an open minded person who is rather creative. This is because, the application of whatever information provided can be done widely and it is at this point that a creative mind is pointed out from the crowd.

Analysis Of Hank Morgan s A Connecticut Yankee

A Connecticut Yankee in King Arthur’s Court tells the story of a Connecticut Yankee, Hank Morgan, being sent back in time to King Arthur’s Court, in 528. During the story, Hank learns much about himself and others. From his experiences, the novel as a whole tries to convey the idea that Hank has much to learn from the medieval time period and its people, even though it might not be transparent to him. During the story, Hank believes he is superior to those in King Arthur’s Court. He feels that his Yankee â€Å"can-do† attitude, capitalist beliefs, technological advances and democratic ideals put him a step above everyone in the medieval time. From his stubbornness to improve a society that does not really need improvement, Hank blinds himself from learning human values that would only be beneficial for himself and the Americans of his time. These positive aspects of life include hospitality, trust, unity, and loyalty. As a result of Hank’s efforts t o change these people, he eventually destroys their society, further proving the point that his way of life is not the only way to live; as well as showing it is far from the best way to live. To begin with, Hank’s human nature and values are essentially based off of his circumstances. His time period is full of new opportunities and possibilities. These opportunities include new jobs, better technology, and new ways of thinking. These give the people a sense of optimism and a desire to want more. From this desire, people want to goShow MoreRelatedControversy Over Religion s Impact On Society1266 Words   |  6 PagesSidle English III AP/DC per. 3 3 November 2015 Word Count: 1328 The Controversy of Religion in A Connecticut Yankee at King Arthur’s Court Religion provides answers, evokes a sense of comfort in the unknown, and designs a moral code; however controversy now surrounds this subject regarding whether religion’s impact is more detrimental or beneficial to a society as a whole. Mark Twain’s narrator, Hank Morgan, travels back in time and attempts to accelerate the advancement of these people through the

Air Pollution Of Beijing And China - 1315 Words

Abstract: In the past few years, the air pollution in Beijing becomes more and more serious. Frequent smog weather cause social disordered and serious harm to the health of residents. The number of respiratory diseases increased. Citizens live in a bad living condition. Because of the smog, we have to stop all outdoor works and activities. It also caused great economic losses. So we must do some thing to control the air pollution. Keywords: air pollution, control measures, Beijing Introduction: As is well known and commonly accepted, Beijing, as the capital of China, is famous for its magnificent cultural heritage around the world. However, the problem of air pollution in Beijing is also the focus of attention. The air pollution in Beijing has a long history. Trace back to 1966, Zhou Enlai, the most respectable premier in China, thought Beijing was falling into the trouble of pollution, when he looked at the smog in the Sky. Unfortunately, in the past few decades, the misgiving of Zhou has been real that the condition of the air pollution has been getting worse, which has caused negative effect on the cultural city. For example, the meteorological observation in 1998 showed that the weeks of air pollution index (API) in the Beijing area which was up to Level 4 increased by 40%, from 14 weeks to 20 weeks in the whole year of 1998 (Huang Guanzheng 36). Back in the start of 2013, PM 2.5 exceeded the detectable limit for several days (Huang Guanzheng 36). Similarly,Show MoreRelatedChina s Massive Pollution Problem918 Words   |  4 Pagesâ€Å"Air pollution is defined as any substances absorb into atmosphere, and these substances harm the living things and environment† (Dictionary). As dictionary mentioned, during development of the Beijing for 10 years, air has been contaminated by emission of gases and smog from industrial factories whose number has been increasing. 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Good morning/afternoon everyone. I m here today to raise awareness about air pollution in Beijing, the capital city of china. What is Pollution? Pollution is defined as the process of harmful substances being released into the air. Some of these substances include Carbon Monoxide, Sulphur dioxide, Lead and PM2.5. PM2.5 is smallRead MoreThe Air Quality Of China Urban Cities1746 Words   |  7 Pagesthe Air Quality in China Urban Cities? China is developing at an unprecedented fast pace in recent years, it is now the second largest economy in the worldwide with at least 7 percent annual growth in gross domestic product (GDP) (See Appendix A). Unfortunately, this rapid economic growth comes with a price, excessive use of fossil fuel leads to a very serious environmental issues to people’s habitats, and the air they breathe every day. The environmental pollution, especially air pollution hasRead MorePollution Is A Serious Problem?1320 Words   |  6 PagesEnglish 1106 6 March 2016 pollution in china In the paper, I argue that what types of pollution in china by introducing the situation and problems in china. Following the development of economic and scientific, China is playing a very important role in the international arena. Increasing the number of people become rich. they can buy the new car, big house, and expensive clothes. In many people s opinions that China is becoming strong and rich. But they do not know China is also facing a seriousRead MoreAffected And Benefited Population . It Is Very Hard To1379 Words   |  6 PagesAffected and benefited population It is very hard to believe someone actually benefits from China’s air pollution, but it is true. For those companies that manufacture filter masks and air purifications products, they make dibs on the air pollution. Air purifiers market will grow at a compound annual growth rate of 18% during 2016 to 2021, according to TechSci Research Report. Those who can afford the price would like to install purifiers at homes, schools, offices, subway stations, airports andRead MoreAir Pollution in My Hometown1387 Words   |  6 Pages In the past few months, my hometown has suffered severe air pollution problems. The smog caused by pollution has existed for years in major cities in China, including Beijing, Shanghai and my hometown. Most of urban areas in middle and northern China are struggling with air pollution, even some tropical regions could be affected. Surrounded by the fantastic fresh air in Seattle, I felt frustrated about the bad pollution problems in China. Every time I enjo y the beautiful skyline and sunshine inRead MoreAir Pollution As A Growing Problem1530 Words   |  7 Pagescentury, air pollution has become one of the most popular topics related to people’s healthy life. 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The Online Therapy Sites Health And Social Care Essay Free Essays

This paper discusses about on-line therapy sites and the types of three on-line therapy sites. It besides inside informations the content of each online sites and the engagement of professionals. This paper examines the interaction of existent online sites and besides addresses how the professional associations and province regulative boards positions online therapy. We will write a custom essay sample on The Online Therapy Sites Health And Social Care Essay or any similar topic only for you Order Now It explains the relevant security issues and ethical issues such as consent and confidentiality that are included in on-line therapy sites. This paper besides evaluates the advantages and the disadvantages of on-line therapy sites. It besides concludes with this paper by supplying indispensable construct that is supported to the on-line therapy sites. Online Therapy Sites The on-line therapy was besides known as E-therapy, E-counseling and cyber-therapy and this on-line therapy provided the psychological advice and support over the cyberspace. The psychological advice and other elements could be occurred through E-mail, online confab, cyberspace phone every bit good as picture conferencing. The on-line therapy occurred in existent clip including time-delayed format and E-mail messages etc. The on-line therapy can non be assumed psychotherapeutics and it will be ne’er replaced traditional therapy. The on-line therapy had the restrictions and but it was going a important resource to turn figure of consumers. The on-line therapy included the E-mail, existent clip confab, picture conferencing, instant messaging every bit good as cyberspace phone. Three online sites The online sites utilized the convenience of cyberspace that provided communicating among an person and a professional. The on-line therapy helped the person with the job declaration, to better the temper and increased the self-pride and the dawn guidance site provided the on-line guidance for persons that were fighting with relationships, anxiousness, depression every bit good as loss of way. The dawn guidance site was contributed more to the professional and personal life of human being. The dawn therapy was non appropriate for everyone and but it had shown effectiveness in several state of affairss. The professional associations and regulative boards viewed this on-line therapy efficaciously for the life of human being. In professional life, people could acquire more benefits from this dawn online site. This on-line therapy site contributed into the educational services besides ( Kate Anthony, 2010 ) . The 2nd online therapy was the unrecorded counsellor site that offered the chart room apparatus for users. This on-line therapy was the celebrated the therapy site that was holding 200 healers, counsellors every bit good as societal workers presented for the better part for personal every bit good as professional life of human being. This counsellor allowed the clients to seek for a healer by any influence in order to making the inventions. This on-line site offered aid with crisis or physical conditions, parenting, personal development, relationships every bit good as emotional upsets. The unrecorded counsellor therapy site did n’t necessitate any assignment and besides the clients may subscribe in anytime by the aid of their on-line service suppliers. This on-line site was besides allowed the people in order to posting their profile into therapy sites. Hence the professional associations and province regulative services viewed this online therapy better. The 3rd on-line site was serenity on-line therapy that offered therapy via e-mail apparatus to users. This was besides the popular site in supplying the better inventions to human being and the part of this site to people was effectual. This on-line therapy web site contributed to the mental wellness attention services. This site besides faced many issues including dependence, heartache and loss, childhood injury every bit good as affaire d’honneur diagnosing. In this instance, the province counsellor board application procedure and process had been established by Torahs. This on-line therapy site proposed the engineering and scientific discipline security in order to better the ethical issues. This therapy site besides empowered and enabled the clients to do an informed determination for engaging the peculiar professional. These three therapy sites were besides used to happen the troubles in society factors and used to decide the job of society ( Foojan Zeine, 2005 ) . Security and ethical issues . The on-line therapy was non involved real-world interactions with clients and some ethical concerns were more complicated. The on-line therapy obtained the informed consent from all E-clients and the informed consent was the legal process in order to guarantee the hazards and costs in a intervention. The informed consent besides included the nature of intervention, alternate interventions, and benefits of interventions every bit good as possible hazards. The informed consent was considered for doing the better result to the clients and the informed consent must be given voluntarily to the clients. The confidentiality was the ethical every bit good as the security issue and the concern of confidentiality in on-line therapy was the protection of client information. The use of electronic communicating was used in order to protect the information of clients. The medical records of patients were stored in on-line therapy sites that were protected by therapy sites. The premise of privateness of personal information based upon the on-line therapy in protecting the information of patients. The possible online therapy utilized to procure the privateness of medical records. The effectual protection could be made by doing the better E-books for patients. The legal responsibility to warm was besides the legal issues for protecting the information. The legal responsibility to warm was besides established in order to extenuate the jobs of clients. The responsibility to warm was the better protection tool but it was hard to implementing and this responsibility to warm included the reappraisal of old records that might see a history of violent behaviour. This legal issue was given the rights to the counsellor and healer in order to transgress confidentiality when clients pose a hazard to other individual. Advantages of on-line therapy sites The on-line therapy was holding many advantages and disadvantages to the patients including the protection of personal every bit good as patients ‘ information. The on-line therapy offered the better accessing methods top mental wellness information to the people in rural every bit good as distant entree. The online therapy besides provided the handiness to the persons who were housebound. The on-line therapy was more contributed to the patients in the instance of their personal every bit good as professional life and this therapy sites were usually low-cost every bit good as convenient. The online sites made mental wellness information more accessible to clients and the people could experience more comfy in discoursing about mental wellness concerns. The on-line therapy site was an of import tool for assisting people to larn approximately psychological wellness ( Kimberly S.Young, 2010 ) . Disadvantages of online therapy The on-line therapy was used in many ways to people and but at the average clip it was holding some disadvantages. The on-line therapy could n’t be covered the insurance policies that ‘s why this was the drawback to patients. The on-line therapy sites concerned about undependable engineering and the healer could n’t react to crisis state of affairss. These sites were non appropriate with the serious psychiatric unwellness. The E-therapy was non appropriate for people with elaborate jobs and the range of on-line therapy ‘s aid was limited. In many instances, the on-line healer could non see facial looks every bit good as organic structure linguistic communications. The ethical and legal guidelines could be hard in order to implementing into the on-line therapy due to the planetary and anon. nature of the cyberspace and the ethical codifications were besides hard for implementing. Decision The on-line therapy sites and the constructs of on-line therapy sites were discussed. The content of each site and the engagement of professionals of each online therapy sites were besides included. The interaction of three online sites was explained. The engagement of professional associations every bit good as regulative boards on the E-therapy sites was detailed. The ethical and legal issues of on-line therapy sites were examined and the advantages every bit good as disadvantages of on-line therapy sites were concluded. How to cite The Online Therapy Sites Health And Social Care Essay, Essay examples

Should Students Have to Wear Uniforms free essay sample

Should students have to wear uniforms? Mostly every single public school has a school uniform policy. I think that school uniforms take away freedom of choice, school uniforms put a stop from students show their personality. It would be way better if public schools could be able to take away school uniforms and let students dress the way they want to, of course dressing appropriately. First of all, it takes away freedom of choice. The school already has enough rules, why take away even more. Schools always have specific requirements on how to wear your uniform and that is not fair. Students get it trouble for wearing mix-matched socks or different colors shoe-laces. It’s ridiculous for someone to stop someone from doing that. Second, school uniforms stop people from showing who they really are. They do not teach the students people who are different from themselves. Many people think that cliques will form. We will write a custom essay sample on Should Students Have to Wear Uniforms or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Trust me they will, but why not tackle this problem. You’re giving up and saying since you can’t accept each other when you are different, we’re going to make you all the same. Third, many people in public schools have different cultures. They are required to wear traditional clothing but school uniforms stop them from that. They either wear the uniform or get in deep trouble. That is not fair for them at all. That is something you’re taking away from them, you can’t just steal someone’s tradition. Fourth, it will be easier for our parents. Every year parents have so much stress because they have to buy uniforms and because the students don’t have freedom of choice on wearing what they want, they decide they want the best uniforms out there. Uniforms can come out to be very expensive. School uniforms take away many things from you. I think it is wrong and that it should be taken away. Many students will agree with me on this. Every person should have a choice and making them wear uniforms is like forcing them to wear it. We would be better off without uniforms. Thank you.

How to Start a Story Kick Off the Writing Process to Invest Readers

How to Start a Story Kick Off the Writing Process to Invest Readers How to Start a Story Kick Off the Writing Process to Invest Readers You want to learn how to start a story because youre smart. You know the introduction of the book is the most important part.After all, most readers skim those first few pages before deciding to read or not.So what if you had a process that intrigued readers from the first page?What if anyone who read your first few pages immediately wanted to buy your book?Its possible, and we have a proven system to make it happen.Here are the steps for how to start a story:Connect the readers and characterProduce intrigueElicit an emotion in your storyStart your story with a strong visual snapshotWrite a compelling first paragraphLeave a hintEnd the first chapter on a cliffhangerEnd the first chapter with a bookendNOTE: We cover everything in this blog post and much more about the writing, marketing, and publishing process in our VIP Fiction Self-Publishing Program. Learn more about it hereHow to Start a Story with IntentionBy default, nobody wants to read your book. Not even your mother. Not real ly. She’ll humor you, she’ll hope for you, but she doesn’t want to.Since nobody is instilled with an innate commitment to read your book, you must craft that desire personally. Your opening paragraph, hell, your opening sentence is as much largess most people will be offer.As any good salesperson knows, a crack is an opportunity and anything that opens a little can be forced to open a lot. All you need is confidence, technique, and the guts to push forward.To this end, when starting a story, you must:Hook the readerOffer promises to sustain interestCultivate a connectionSell the book!Yes, that is a lot to ask from the first page, which is why so many writers stop before they get started.Remember, the first page isn’t the first page you write, it is the first page someone reads. Of all the darlings you must get used to killing, your original first page should always be ripe for the axe. #1 Connect the reader to your characterYour opening sentence shouldn’t be a warning shot. No haphazard hail Mary you hope lands. It needs to be well aimed and land solid. It sets a tone, introducing the reader to you and your world.Like any first impression, it has as many don’ts attached as it has do’s. Let’s hit the do’s first.You want to achieve a minimum of one and a maximum of three of these in your first sentence. Three is pushing it, you might want to try for that all-in approach, but you will just end up coming across disorganized. A page long sentence can be an interesting, impressive feat, but as a first sentence it reeks of smarter-than-the-room and will alienate most readers.Connect the Reader to a CharacterProduce IntrigueElicit an EmotionSnapshot a Vivid ImageDiving off a cliff puts the reader immediately into the action. In film school you will see this as in media res. It works by forcing the reader to accept everything that is currently happening while also inviting them to see what happens next or hear what brought the character to this moment.To execute this action-packed introduction, you need to have a firm idea of what is happening and deliver the setting with confidence, don’t over explain and don’t linger.How to Start a Story Example:â€Å"The man in black fled across the desert, and the gunslinger followed.† – The Gunslinger by Stephen KingConnecting a reader to a character is done in several ways. You can show off a strength, reveal a weakness, or share an in:Locke Lamoras rule of thumb was this: a good confidence game took three months to plan, three weeks to rehearse, and three seconds to win or lose the victims trust forever. The Lies of Locke Lamora by Scott Lynch#2 Produce intrigueProducing intrigue works a lot the same as the Dive. The difference is you want to leave more questions than generate answers.Again, the more you know about the story when you drop this first hint, the more clearly it will communicate.Avoid vague prophecy, hit them with something that will echo when the reader arrives at the resolution.How to Start a Story Example:â€Å"Chris Mankowski’s last day on the job, two in the afternoon, two hours to go, he got a call to dispose of a bomb.† – Freaky Deaky by Elmore Leonard#3 Elicit an emotionEliciting an emotion is about getting the reader to feel something, not just displaying emotive language. You don’t want the reader to feel for the character or the world, as those fall into other categories.With this opening, you need to place the reader in a specific emotional headspace to engage with the rest of the page. You accomplish this by using trigger phrases and touchstones.How to Start a Story Example:â€Å"The sky above the port was the color of television, tuned to a dead channel.† – Neuromancer by William Gibson#4 Create a strong visual snapshotFinally, a snapshot is exactly that, a picture painted in words. You don’t want to make a whole landscape. Take a look at a random post card for five seconds.What stood out to you? How would you describe that scene to someone else? Thatâ⠂¬â„¢s the essence of a snapshot, the highlights, and standouts, not the overview.How to Start a Story Example:â€Å"The thing was big and white and hairy, and it was eating all the ice cream in the walk-in freezer.† Monster by A. Lee MartinezWhile you toil to create these openings, you want to avoid a few key elements. Each of these can destroy your efforts and drive the reader into dismissal mode.Avoid these elements when starting a story:MundaneClichà ©sâ€Å"He woke up†World building is about establishing what your world is, not what it isn’t. Describing how the regular world works and then adding ‘but mine doesn’t do that’ wastes a lot of time.Expect your reader to know mundane information and don’t bother repeating it. It bores you to write and the reader to read.Clichà ©Ã¢â‚¬â„¢s have their place in an established book genre. Don’t confuse a genre trope with a clichà ©. What you want to avoid is saying the same thing in the same way.Your fantasy world may well have a dungeon and a dragon, but you don’t want to put those facts too close to each other.Clichà © will kill emotion in its cradle. Readers want to feel something genuine and clichà © is the opposite of that.Far too many science fiction stories start with someone coming out of some kind of sleep. There is a temptation to start the story from the very first conscious moment of the character but remember that you don’t even really remember the first few minutes of your day.Start the story where you remember starting your day, usually after breakfast and post stimulant.Not convinced? Alien 3 started with Ripley waking up in a tube. Nobody likes Alien 3, ergo, no starting by waking up.#5 Construct a compelling first paragraphIf everything has gone to plan you have gotten a foot in the door, wedged the sucker open, stepped into the vestibule, and presented your wary, but accepting, mark†¦ er reader, with your wares.You ha ven’t made the sale yet, but you have an opportunity to deliver a spiel before they work a clever excuse to get you out.Seize that advantage by showing that your opening sentence leads into an opening paragraph that isn’t just more of the same but a makes some promises that most of the rest of the pages are also going to offer something worth sticking around for.Having gained some headway, you have more to lose than gain. That is, there are more wrong things to do with the first paragraph than there are right things.The right course of action has three options for your starting paragraphs:Stay the CourseRamp Up GraduallyDouble DownStaying the courseStaying the course means keeping the same tone and attention you presented in the first sentence. This works best for mystery stories or when you have started with a Dive.In both of these cases, the idea is often to put the reader immediately into the world and you need to be careful not to shake the hook loose with too much pull.Example: Back to Stephen King and The Gunslinger, the paragraph after the opening line is a delicious snapshot of the desert mentioned. It holds the reader, drawing them further into the enormity of the task presented by the preceding sentence. He already has us ready to find out more, so he sets the hook gently, rather than pulling us right into the boat.Note also how he goes from one strong type of opening, the Dive (mixed with a character connection), into a snapsh ot. Right there he’s established three strong openings without breaking a sweat.Ramping up graduallyRamping up gradually is seen more often in character connections and snapshots. With each detail you add through the paragraph, you build interest. The character gets slowly separated from other characters of their type.If you start with a high school student, you see how they break the mold. If you start with a city, you reveal what makes that city unique.Example: Consider the wide panoramic opening of EM Forester’s Passage to India, how he shows the country in an almost dreamlike shot you can immediately visualize. The book was written before film was invented and yet it used a standard technique employed in nearly all aerial establishing shots.Double downThe hardest technique to use is the double down. Here you pull hard and fast, hoping to take the opportunity gained by your first sentence to really wow the reader.While this can be done with several techniques, you s ee it least commonly with the Dive. If your action is strong enough, more action blows the reader away. However, a complication to the action works.By slipping in some Emotion or Intrigue you deepen the scene without pushing the reader out.Example: In The Night Circus by Erin Morgenstern, a mysterious circus appears in the first sentence. Complicating this matter is the first paragraph which suggests the sudden appearance wasn’t the kind where it was simply not advertised in advance but hints it may well have materialized out of nowhere.Regardless of the approach, remember that the first paragraph serves to grow your lead and hold the reader through the chapter.While pulling is the goal, the main aim, as mentioned several times, is to avoid pushing the reader out.We call these the Goldilocks Paradox:Too ObviousToo ObscureIn the Too Obvious scenario the reader develops a certain â€Å"Simpson’s Did It!† mentality. If they feel like they know exactly where the story is going, that this is just one more reprise of the hero’s journey, the fetch quest, the star-crossed lovers, they will put it down.Conversely, if you go Too Obscure, they won’t have any investment. Sure, nobody has ever really read a book quite like those composed by Thomas Pynchon, but then again, ask anyone what Gravity’s Rainbow is about and be prepared to get a ‘the what and who?’ in response.You want to land in familiar territory with some new spins. You don’t want to reinvent story structure or character, not in the first chapter. You need to gain trust before you start pulling the rug out from a reader.#6 Leave a hint in the last paragraphWhile the first sentence gets the reader hooked and the first paragraph makes promises, the last paragraph needs to introduce more concepts while limiting resolution.That sounds like a heavy order because it is. It isn’t all that bad once you break down the components.Aim for one of the following: Hint at the EndRoadmap to a PlanCliffhangerBookendEach of these chapter endings provides the reader a reason to keep going. Many television pilots fail at this, they either wrap up the first story and have nowhere to go, or they toss in a last-minute villain preview to suggest a larger threat somewhere.Sure, it worked out for Avengers to tease Thanos but they also had the advantage of a sixty year comics history to assure viewers they know how to build a multi-part story.When you give a Hint you want it to be broad enough to be interesting but narrow enough that your resolution (within the next chapter or two) satisfies it completely. If you toss an owl through a window to get Harry Hunter or Harry Potter to explore a magical world, you better make good on the magical world sooner than later.If you are building up a large world and need to set several things in motion before you get to the major plot, which is a risky move in itself, you need to show the reader a roadmap. The hobbits need to get out of the Shire before they can get to Rivendell on their way to the ultimate goal.#7 Opt to end the chapter on a cliffhangerEnding on a cliffhanger is usually a good call. The pulp stories of the 30s were sometimes christened Cliffhangers because they used this technique extensively. When releasing serial stories, it is the default way to go, how will our heroes get out of this sudd en predicament!?It makes the ending exciting and demands the reader pick up the next installment, or, in your case, turn the page and keep going just a bit further.Cliffhanger Generation Tricks and Tips:Someone Appears!A Lingering QuestionA Sudden InsightThe Depths AppearDropping a new character into the scene, especially one that shows up with the same aplomb as a first sentence Character Connection, gets the reader going. They want to know who this is, and why they will have importance to the next section.The end of the first chapter of Stardust by Neil Gaiman does this perfectly, introducing us to a baby delivered via faery door. You have to turn the page to find out more.In a Lingering Question scenario, you invite the reader to ponder something about the event that just transpired. Why was it so hard, so easy, what was the significance of the turns? Any question that goes unanswered makes the reader wonder. In a serial, they would have to wonder for weeks, or months. In a book, they can always find out by turning a few pages.Sudden insight works somewhat the opposite of the Lingering Question.Here, a character understands something that just happened, something the reader may have been in the dark about, this often goes hand in hand with the next tip. Knowing what is at stake drives tension and the character and reader both being ‘in on it’ delivers.The Depths Appear works well in science fiction, horror, and fantasy stories.Any place where the world isn’t just what is known, where other dimensional forces can act, where a universe of possibilities can exis t, it is possible for something else to be out there.Alluding to the larger forces at the end of a first chapter puts the story into a context against these larger, more meaningful threats. This is especially a good idea when your first chapter reads like a self-contained story.#8 Try a bookend for the first chapterI lied about the mother thing, turns out she really does want to read your book. She always did, she can’t not, mostly because she loves you.This type of ending paragraph reflects the Bookend. Here, you offer a mirror version of the first sentence to show that what has been set up and was so gripping originally has turned around. This works especially well for stories that start in a known world.Dorothy isn’t in Kansas anymore, Alice ends up down the rabbit hole, and the once bright sky is now overcast with the coming troubles.Start a Story off RIGHTAre you ready to start your story the right way- not just with the writing but with the entire process?Weve got the training to help make that happen.

Shah Jahan - Mughal Emperor of India

Shah Jahan - Mughal Emperor of India From the often chaotic and fratricidal court of Indias Mughal Empire sprang perhaps the worlds most beautiful and serene monument to love - the Taj Mahal.  Its designer was the Mughal emperor Shah Jahan himself, a complex man whose life ended in tragic circumstances. Early Life The child who would become Shah Jahan was born on March 4, 1592, in Lahore, now in Pakistan. His parents were Prince Jahangir and his wife Manmati, a Rajput princess who was called Bilquis Makani in the Mughal court. The baby was Jahangirs third son. He was named Ala Azad Abul Muzaffar Shahab ud-Din Muhammad Khurram, or Khurram for short. As a child, Khurram was a particular favorite of his grandfather, Emperor Akbar the Great, who personally oversaw the little princes education. Khurram studied warfare, the Koran, poetry, music, and other subjects suitable for a Mughal prince. In 1605, the 13-year-old prince refused to leave his grandfathers side as Akbar lay dying, despite the potential threat from his fathers rivals for the throne. Jahangir succeeded to the throne, after crushing an uprising led by one of his other sons, Khurrams half-brother. The incident brought Jahangir and Khurram closer; in 1607, the emperor awarded his third son the fiefdom of Hissar-Feroza, which court observers took to mean that 15-year-old Khurram was now the heir apparent. Also in 1607, Prince Khurram was engaged to marry Arjumand Banu Begum, the 14-year-old daughter of a Persian nobleman. Their wedding did not take place until five years later, and Khurram would marry two other women in the meantime, but Arjumand was his true love. She later became known as Mumtaz Mahal - The Chosen One of the Palace. Khurram dutifully sired a son by each of his other wives, and then neglected them almost entirely. He and Mumtaz Mahal had 14 children, seven of whom survived to adulthood. When descendants of the Lodi Empire rose up on the Deccan Plateau in 1617, Emperor Jahangir sent Prince Khurram to deal with the problem. The prince soon put down the rebellion, so his father granted him the name Shah Jahan, meaning Glory of the World. Their close relationship broke down, however, over court intrigues by Jahangirs Afghan wife, Nur Jahan, who wanted Shah Jahans youngest brother to be Jahangirs heir.   In 1622, with relations at their zenith, Shah Jahan went to war against his father. Jahangirs army defeated Shah Jahans after a four-year fight; the prince surrendered unconditionally. When Jahangir died just one year later, in 1627, Shah Jahan became the Emperor of Mughal India. Emperor Shah Jahan As soon as he took the throne, Shah Jahan ordered his stepmother Nur Jahan imprisoned and his half-brothers executed, in order to secure his seat. Shah Jahan faced challenges and uprisings all around the edges of his empire, as well. He proved equal to the challenges from Sikhs and Rajputs in the north and west, and from the Portuguese in Bengal. However, the death of his beloved Mumtaz Mahal in 1631 nearly shattered the emperor. Mumtaz died at the age of thirty-eight after giving birth to her 14th child, a girl named Gauhara Begum. At the time of her death, Mumtaz was in the Deccan with Shah Jahan on a military campaign, despite her condition. The distraught emperor reportedly went into seclusion for an entire year  and was only coaxed out of mourning by his and Mumtazs eldest daughter, Jahanara Begum. Legend says that when he emerged, the forty-year-old emperors hair had turned white. He was determined to build his empress the most magnificent tomb the world had ever known. It took the next twenty years of his reign, but Shah Jahan planned, designed, and oversaw the construction of the Taj Mahal, the worlds most famous and beautiful mausoleum. Made of white marble inlaid with Jasper and agates, the Taj is decorated with Koranic verses in lovely calligraphy. The building occupied 20,000 workers over the course of two decades, including craftsmen from far-off Baghdad and Bukhara, and cost 32 million rupees. In the meantime, Shah Jahan began to rely increasingly on his son Aurangzeb, who proved an effective military leader and an Islamic fundamentalist from a young age. In 1636, Shah Jahan appointed him viceroy of the troublesome Deccan; Aurangzeb was just 18. Two years later, Shah Jahan and his sons took the city of Kandahar, now in Afghanistan, from the Safavid Empire. This sparked on-going strife with the Persians, who recaptured the city in 1649. Shah Jahan fell ill in 1658  and appointed his and Mumtaz Mahals eldest son Dara Shikoh as his regent. Daras three younger brothers immediately rose up against him and marched on the capital at Agra.  Aurangzeb defeated Dara and his other brothers  and took the throne. Shah Jahan then recovered from his illness, but Aurangzeb declared him unfit to rule and had him locked up in the Agra Fort for the rest of his life. Shah Jahan spent his last eight years gazing out the window at the Taj Mahal, attended by his daughter Jahanara Begum. On January 22, 1666, Shah Jahan died at the age of 74. He was interred in the Taj Mahal, beside his beloved Mumtaz Mahal.

Book Publishing Industry Assignment Example | Topics and Well Written Essays - 750 words

Book Publishing Industry - Assignment Example Their role is especially threatened with the availability of self-publishing options for the authors, an aspect that puts them out of the picture, with an added value of cheaper services for the authors (Bradley & Bartlett, 2012). Nevertheless, those publishers who will be willing to embrace the online trend and establish online services for the publishing of works, they are likely to survive. Such a trend is already evident with various publishers embracing online platforms through which they provide online versions of their publications to meet the online demand. The agents’ position and role are also threatened with the changes towards increased online services as the author have a choice of being in direct contact with the online platforms (Bradley & Bartlett, 2012). For them, they are likely to be intermediate, this time advocating the traditional publishing as it is only through this type of publishing that they role holds significance. An increase in the online demand f or reading material has a definitive impact on the print media. This means that with the increase in information technology, the printers are bound to be disintermediated from the book publishing industry as their role will be consumed by online publishing and accessibility of the books. On the other hand, the distributors are likely to be cyber-mediated through the development of online distribution platforms in the form of e-Libraries that would enhance the accessibility of eBooks (Bradley & Bartlett, 2012).

Contemporary Architectural Design and Property Development Essay

Contemporary Architectural Design and Property Development - Essay Example In general, a religion means a strict, unwritten code of essential rules (including morals and traditions) established by humans in order to control social life of their society. Vastu and Feng-Shui is a part of old traditions and culture of Chinese and Indian societies. In a time, they became popular in all Asian countries. Both of the concepts refer to the science of planning buildings, travelways, and graves such that they will get maximum benefits and minimum damage from the 'the cosmos'. More specifically, Feng-Shui addresses wind, water, and other natural forces. "Natural forces" in this case include good and bad luck, which are explicitly compared to wind. The idea of both approaches is that inhabitants of a well-sited home, or descendants of someone buried in a good gravesite, can expect wealth, sons, status, and security to flow to them. Rajgopal (2002) explains: The rebirth of Vastu Shastra parallels contemporary spiritual movements arising all over the world that seek to connect with a higher energy, draw closer to the mysteries of the universe, and contribute to a major paradigm shift (p. 33). However, focally, Vastu and Feng-Shui in... s a true folk science, as recognized by the first Western observer to comment extensively on it and by many Chinese and Westerners since Vastu and Feng-Shui also involve an emotional response to landscapes (Freeman, 2005). In India, excellent work is being done which shows not only that modem architecture can be given a worthy landscape setting, but also that it may soon be possible to find landscape architects who can deal imaginatively with the vast new opportunities created for them by modern town and country planning. But no large body of recognizably modern landscape architecture exists, and in only a few countries is there a strong school of designers (Pegrum, 2000). In modern Asian (and Indian) architecture the two great motive forces of the modern movement are on the one hand the new opportunities being created by technical and social progress and on the other the new structural techniques. In landscape architecture new opportunities are certainly being created, but the technique of garden construction is still fundamentally the same as it was in the eighteenth century. "The three main principles of Veda are right orientation, right placement, and right proportion" (Rajgopal, 2002, p. 34). Even the invention of modern earth-moving machinery, which may seem revolutionary, has in fact merely accelerated and cheapened processes which were used by old builders. Rajgopal (2002) explains that: The reason for da Gama's consternation was that all buildings constructed in Kerala, regardless of the faith of their inhabitants, were built according to the principles of Vastu Shastra by takshagans-- skilled craftsmen-carpenters well versed in the ancient science (p. 34). Today, in Vastu and Feng-Shui, in spite of the advance of science and the discovery of new plants,

Historical Narrative: Beacon In A Sea Of Darkness :: essays research papers fc

The day started as usual. I got out of bed. My eyes sore from lack of sleep. My feet hit the cold floor, sending a shudder through my spine. It's a shame. In the winter, the weatherman will tell you that tomorrow will be a warm one, but warm for winter in New York is still blisteringly cold (Weather 53). I looked at the clock. 7:50 AM. No time for breakfast. I had to get to work. In this business, either you were there on time to take someone's case or he went to another detective. I grabbed my coat and started running down the apartment stairs, trying to wave down a taxi. My landlord tried to nab me and complain about my late rent, but I had not time to trifle with him. I jumped into the first taxi I saw and told the driver to take me to the corner of 7th and Elm. Whin I got to the office, Rose, my secretary, was on the phone talking to her fiance ("Miss" 30). Her husband to be was a real sweet talker, but he was a Communist, which made my blood hot. Such a shame, a fine broad going to waste like that. She whispered goodbye to him and hung up the phone. "Any calls for me while I was out, Rose?" "No, Sam, the morning's been pretty quiet so far," she replied. "Here's the morning paper as you requested. The coffee should be hot and ready in just a few minutes." "You're a doll, you know that, Rose? I swear my morning would be a nightmare if it weren't for you. I've got a couple of tickets to the next Yankees game if you'd like to go out. I hear Mantle and Rizzuto are hitting pretty well" (Effrat 34). "Mr. Brock! Thank you very much, but I'm engaged. I can't go off on a weekend dating spree right before I get married. What would others think? They'd call me a floozy for sure!" "Well, I thought it was worth a try. Give me a holler if you change your mind. I'll be in my office if anything comes up." I walked into my office, about to shut the door, when I stopped myself. "Rose, what do you see in that guy anyway? Did he trick you into marriage or was he just the only guy left in the store?" "Despite what you may think of him, I find him very attractive.

Comprehensive Geriatric Assessment Essay

The geriatric assessment is a multidimensional, multidisciplinary diagnostic instrument designed to collect data on the medical, psychosocial and functional capabilities and limitations of elderly patients. Various geriatric practitioners use the information generated to develop treatment and long-term follow-up plans, arrange for primary care and rehabilitative services, organize and facilitate the intricate process of case management, determine long-term care requirements and optimal placement, and make the best use of health care resources. The geriatric assessment differs from a standard medical evaluation in three general ways: (1) it focuses on elderly individuals with complex problems, (2) it emphasizes functional status and quality of life, and (3) it frequently takes advantage of an interdisciplinary team of providers. Whereas the standard medical evaluation works reasonably well in most other populations, it tends to miss some of the most prevalent problems faced by the elder patient. These challenges, often referred to as the â€Å"Five I’s of Geriatrics†, include intellectual impairment, immobility, instability, incontinence and iatrogenic disorders. The geriatric assessment effectively addresses these and many other areas of geriatric care that are crucial to the successful treatment and prevention of disease and disability in older people. Performing a comprehensive assessment is an ambitious undertaking. Below is a list of the areas geriatric providers may choose to assess: †¢ Current symptoms and illnesses and their functional impact. †¢ Current medications, their indications and effects. †¢ Relevant past illnesses. †¢ Recent and impending life changes. †¢ Objective measure of overall personal and social functionality. †¢ Current and future living environment and its appropriateness to function and prognosis. †¢ Family situation and availability. †¢ Current caregiver network including its deficiencies and potential. †¢ Objective measure of cognitive status. †¢ Objective assessment of mobility and balance. †¢ Rehabilitative status and prognosis if ill or disabled. †¢ Current emotional health and substance abuse. †¢ Nutritional status and needs. †¢ Disease risk factors, screening status, and health promotion activities. †¢ Services required and received. The primary care physician or community health worker usually initiates an assessment when he or she detects a potential problem. Like any effective medical evaluation, the geriatric assessment needs to be sufficiently flexible in scope and adaptable in content to serve a wide range of patients. A complete geriatric assessment, performed by multiple personnel over many encounters, is best suited for elders with multiple medical problems and significant functional limitations. Ideally, under these circumstances, an interdisciplinary team — representing medicine, psychiatry, social work, nutrition, physical and occupational therapy and others — performs a detailed assessment, analyzes the information, devises an intervention strategy, initiates treatment, and follows-up on the patient’s progress. Due to the intricate nature of comprehensive assessments, many teams designate a case-manager or caseworker to coordinate the entire effort. Most assessments take place in medical offices and inpatient units over multiple visits. If at all possible, however, at least one member of the team (rarely the physician) will attempt to visit the patient at home. Despite the problem of low or no reimbursement, the typically high-yield of information from even a single home visit makes it an extremely efficient use of resources. Most geriatric assessments, performed under the constraints of time and money, tend to be less comprehensive and more directed. Although such modifications are best suited to relatively high-functioning elders living in the community, many practitioners find some version of a directed geriatric assessment to be a more realistic tool in a busy practice. Patient-driven assessment instruments are also popular among geriatricians. Asking patients to complete questionnaires and perform specific tasks not  only saves time, but also it provides useful insight into their motivation and cognitive ability. To the extent that patients are unable to complete the assessment themselves, practitioners resort to traditional patient interview techniques that frequently involve input from a family member or other caregiver. During your upcoming site visits, you will perform a directed geriatric assessment (DGA), ideally with the same patient, over two sessions. In the interest of education, most of your DGA instruments are student-driven, rather than patient-driven, and require relatively little information from caregivers who may or may not be available at the time of your visit. We have divided the DGA in two parts, each with three subsections. In Part I, you will perform an expanded medical interview covering the clinical history, nutritional assessment and a social evaluation. In Part II, you will perform neuropsychiatric, physical and functional examinations. What follows is a reproduction of the History and Physical (H&P) format that you will use in your Physical Diagnosis II course next semester. Although all geriatric practitioners do not use a standard assessment format (comprehensive or otherwise), most agree on basic content. The comprehensive geriatric assessment (history & examination) following the Physical Diagnosis outline covers the most significant content areas of a prototypical geriatric assessment. As you can see, it moves well beyond the standard H&P, which is precisely the point. We have designed it to correlate as closely as possible with the history and physical you will be learning later this year. It is to your considerable advantage to review this information before meeting your patients face-to-face on the site visits. The DGA instrument you will use during your encounter immediately follows this section.

Basketball Is A Popular And Beloved Sport Essay - 1405 Words

Basketball is a very popular and beloved sport that is still being played today. Michael Jordan, who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea into a professional career choice for those with the unique skill set. During the winter of 1892 in a town in Massachusetts a physical education teacher, Dr. James Naismith, at a YMCA school created a game where young men could play indoors apart from going outside in the freezing cold. To be prepared for the game, Dr. Naismith came up with some rules for the game, gathered two peach baskets for hoops, a soccer ball, becoming the first basketball game in history. The young men did not know how to play the game, but they still had fun doing it. The game only lasted thirty minutes with the final score being 1 point to 0 points. During this game, William R. Chase became the first person to ever score in a basketball game (Faurschou, 2016). Dr. Naismith came up with thirteen rules. While four out of the thirteen rules that he came up with, are no longer followed in today s version of basketball, the nine that are left were slightly modified and are still in use today. The original thirteen rules are as follows: The ball isShow MoreRelatedBasketball Is The Most Popular And Beloved Sports Essay1359 Words   |  6 PagesProfessional Basketball Basketball is one of the most popular and beloved sports that is played today. Michael Jordan who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is a sport that is enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea intoRead MoreBasketball Is The Most Popular And Beloved Sports Essay1105 Words   |  5 PagesBasketball is one of the most popular and beloved sports that is played today. Michael Jordan who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game.† (cite here) Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is a sport that is enjoyed all over the world. Beginning with an uni que history, basketball has evolved over time from a simple idea into a professional career choiceRead MoreBasketball Essay1317 Words   |  6 PagesSince its conception in 1891, the sport of basketball has always been a catalyst for excitement that never ceases to amuse its viewers. It not only excites those participating in the sport, but also manages to innervate those who watch from the comfort of their couch. This surge in energy continues to persuade even the most indolent individuals to join in a friendly game of basketball every once in awhile. Basketball has long been praised as an elegant sport because of its focus on accuracy, precisionRead MoreSports, Basketball, And Football975 Words   |  4 PagesSports. Some love them, some hate them, but even those who hate cannot deny their overwhelming popularity. America is home to many sports, basketball, and American football among the most popular. Spectators filling in thousands of seats at open stadiums, and hundreds of t housands more watching at home in front of their television. Both basketball and football have distinct, fundamental differences, however, they do not outweigh the similarities the two sports share. A franchise without their fansRead MoreEssay on Soccer is an Unappriciated Sport in North America1028 Words   |  5 PagesFootball is the most popular sport in the world. It is backed by a long history thats incomparable to other popular sports in the world like basketball, volleyball, and tennis. In fact, two of North America?s favourite sports in American football and rugby were created based on the game we call soccer. So why is it that the original game of football is not as nearly as famous as in North American than any other countries outside our continent? A real good reason for this is because soccer doesntRead MoreRussian And American Lives : Russia1044 Words   |  5 Pages† Russia is well-known for being an energetic country; it is recognized for its continuous power and triumph. The most popular sports in Russia are basketball, football (America’s soccer), volleyball, ice hockey, biathlon, skiing, gymnastics, and figure skating. Russia’s most belov ed game, Bandy (â€Å"Russian Hockey†), considered their national sport. Allegedly the rules of this sport were recorded in Britain. America is only the third biggest country in the world for its size. There are aroundRead MoreHow Basketball Has Changed The World Essay1324 Words   |  6 PagesBasketball is one of the most popular which is beloved sports that is played today. Michael Jordan, who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is very enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea into a professional career choiceRead MoreThe Global Financial System Has Influenced By Three Pillars That Have Shaped Modernity1218 Words   |  5 PagesManchester with prestige and globalized supporters. Sports have an amazing way of bringing people from different backgrounds together believing in one entity. In modernity, modern sport has taken the same form of trans-national corporations. In this paper, I will argue how modern sport has been influenced by three pillars that have also shaped modernity. The global financial system, militaries, and nationalism have each helped to develop and spread sport throughout the modern world. Through interactionRead MoreCollege Athletes Receiving Compensation For Their Efforts1644 Words   |  7 Pageshis pockets. He must run with hope in his heart and dreams in his head.† This is relevant to the controversy that surrounds college athletes receiving compensation for their efforts in sports. College athletics have gained much attention and popularity over the past few decades. Due to these actions by sports fans across the United States, the National Collegiate Athletic Association (NCAA) is bringing in huge amounts of money year after year. It has been reported that the NCAA’s annual revenueRead MoreShould College Athletes Be Banned?1831 Words   |  8 Pag esfor players that is essentially paying players for playing college sports. Most division one programs are jumping on the ability to start paying their players because they do not want to fall behind the ability to bring in top athletes. The NCAA is still in the process of appealing the ruling to pay student athletes. One of the problems that O’Bannon is reaching out for college athletes is that the NCAA will sell a jersey of a popular student athlete with his/her number on it but not their name, then