Tuesday, April 9, 2019
Economic and Financial Committee Essay Example for Free
Economic and fiscal Committee EssayThis letter is to address the widening gap between the rich and poor in developing nations, and how globalization policies do a situation that lessens that gap. In many developing countries there is alone a poor class and a rich class. Developed nations are characterized by the presence of a pith class. The middle class ties the gap between rich and poor, and when developing nations can wee a fully functioning middle class within their societies, the contrasts between rich and poor be to deplete. In a viewpoint essay edited by Debra Miller (2008) entitled Globalization Promotes state Both Directly and In shoot forly this concept is demonstrated. The premise of the article is that globalization efforts create an economic and entrepreneurial middle class who then demand and facilitate democratization in developing countries. As a matter of policy, economic reform, through globalization, should precede democratization. For example glasnost in Russia, or democracy and freedom forwards economic reform, proved to be unsuccessful. While in China economic reform before governmental change has proven to be an effective policy.The conclusions of Jagdish Bhagwati, Columbia University economics professor and U. N. advisor, demonstrate the process of bridging the economic and class gap. A small farmer in India used the internet to take his crops to both topical anaesthetic and international markets. This tool of globalization gave him the freedom to control prices, as well as supply and demand. This increase economic independence and experience of personal control often translates into political aspirations that eventually lead to policies that bridge the economic gap in such countries.The internet is just one tool of globalization. As your delegation examines the conditions and policies of other developing nations, it is imperative that you consider the process of globalization that leads to economic reform that leads to de mocracy. Policies and initiatives must accent on supplying developing nations with the tools of globalization, particularly access to international trade opportunities, that have a direct impact on the individuals economic and financial situations.As these individuals transform into an economic middle class, they will take action in the social and political affairs in their nations that will, in turn, create a more democratic society that will provide better economic opportunities for all citizens. write Globalization Promotes Democracy Both Directly and Indirectly. (2007). In Debra Miller Current Controversies Globalization(). Detroit Greenhaven Press. 5 May 2008, fence Viewpoints Resource Center via Gale http//find. galegroup. com/ips/start. do? prodId=IPS Respectfully Submitted,
Sunday, April 7, 2019
Putting An End To Worship Wars Essay Example for Free
Putting An closure To righteousness Wars EssayThere are many several(predicate) kinds of idolization styles because there are different kinds of people with different kinds of personalities. America is made up of different races and religion therefore we faith deity differently. God created mankind in His image and His likeness to worship Him in spirit and truth. We must Worship God according to the principles of Scriptures so that He is magnified, glorified and exalted. It does not consequence that we express our worship differently. What does matter is that we worship God with all our hearts and inner being. We as the church, the body of Christ must study to except the difference in worship, if the worship is legitimate and stop trying to force our way of worship on other members of the body of Christ.America is the only nation that has different worship styles in the churches. The transport in worship is because of culture changes such as the Internet, computerized te levision screens, and the Interstate freeway. American no endless chooses a church by denomination or church doctrine but by worship help and gift gravitation.Research revealed that churches were growing because of renewal, revival, and excitement not from outreach programs. The excitement of worship produced growth.Worship portion are different because of cultural difference, different ghostlike gifts and because the commands and principles of Scripture are applied differently.Worship wars discombobulate split churches, caused Pastors to be replaced, caused members to leave, and caused drops in church growth.The Evangelistic church populates to accomplish evangelism, which is communicating the gospel in the power of the holy Spirit.The Bible Expositional Church exists to equip believers for the work of the ministry through the systematic expositional preaching and pedagogics of Scriptures.The Renewal Church exists to worship God the Pastor is often the worship leader. Worsh ip is the focus of the service and exhortation is the spiritual gift.The Body Life Church purpose and mission is the context of fellowship. The focus is on the cell group and corporate gatherings of believers therefore their fortissimo is small group ministries.The Liturgical Church exist to serve God with praise and worship and to service other in the name of God. Its strength is their affaire in society causing leaders to emerge.The Congregational Church is a church of balance. They have no single spiritual gift and are described as a single cell churches. Their strength is balance in ministry.These six paradigms mean that Christians worship differently because we are different. We have different spiritual gifts, different callings, different personalities, different background and different doctrine.In the future of worship there forget be more of a thirst for God, thirst for worship, and worship provide be more spontaneous. The Holy Spirit will inspire, and release whole hea rted worship in people of all expressions. Worship will become more of a celebration causing the atmospheric presence of God to be snarl in worship.The Impact and Implementation of this Book in My Own LifeThe knowledge that I legitimate from this book has help me to understand the different worship styles. I have a greater repute for them because I understand that they are worshipping God in their own way. It also help me to understand wherefore I worship the way I do. I am what we call a radical worshipper. I love Worshipping God and I love when others people worship God. I can fit at least as long as I can worship God.
The Complex Relationship Between Faith Essay Example for Free
The Complex human relationship Between Faith EssayThe Complex Relation between Faith and Fate In the reinvigorated A Prayer for Owen Meany by seat Irving, numerous themes present themselves to the reader. Irving uses the idea of the relationship of assurance and fate to question whether or not faith directly shapes our fate, creating the idea that believing in god in a world with no faith completely absurd. As the novel unfolds, you begin to realise special purpose each character serves can only be told in the look graven image decides. When Owen Meany is on stage portraying the ghost of Christmas yet to come he approaches the gravestone prop, stops, and of a sudden faints. He later awakens, as the curtains fall only to realize that the name he read on the gravestone is his own. Scared, he knew he had been given a glimpse into his future. It made (Owen) furious when I suggested that any subject was an contingency especially anything that happened to him on the subject of predestination, Owen Meany would accuse Calvin of bad faith. there were no accidents. (Irving 66) Owen has a genuinely strong sense of faith and believed that this directly affected his fate and the fates of others and because Owen believes he is an instrument of God and that in that location are no accidents. Everything dealing with Owen is fated to occur. As did others in the novel, Sagamore, Johns mother (Tabitha), Johns grandmother, and others all become symbols of things foreshadowed to die because they mazed their faith at some point stopping point-to-end the novel. Another example of faith shaping fate is when Mr. Fish taught Owen and John to play football because he had no children of his own.Irving uses this biblical allusion to show how faith is directly tied to fate. Mr. Fish had given up trust in Owens ability to kick a football and this led to the fate of Sagamore because, those who lost their faith became ill willed or suffered a fate only destiny could have imagined, much similar Sagamore and the diaper truck. As Owen Meany became Gods instrument in the death of Sagamore, he also served the same role in taking the life Johns mother, Tabitha, who suffered the fate of a baseball to the head. But was this an accident of fate or was it a lack there of?At the end of the novel Rev. Merrill revealed to John that he was his father, and it was John, who in the end restored his faith. It however, was the death of Tabitha that caused his lack of faith. The Rev. Merrill believes that he caused her death because, he had wished for it. Or maybe, it is his fate, that Tabitha was destined to die. Owen Meany believed that there were no such things as coincidences and that fate is the ultimate reason. Irving wrote it this way to show how faith and fate are interconnected. Most people have faith that God decides what happens to you this is fate.There were many people in this novel that lost their faith. Johns grandmother had lost her faith after Johns mother had died which, foreshadowed her death. And maybe Owen himself, who had confidence in John to believe in faith, fated that Owen too would become another victim of fate. Which makes us think, what is it that actually contains a story of pietism and fate, are they linked, or are they two things we can never know together? However, one thing is certain, the belief that if faith is lost fate will not be so kind. Works Cited Irving, John. A Prayer for Owen Meany. New York Ballantine Books, 1990. Print
Saturday, April 6, 2019
14 Best Reading Practices Essay Example for Free
14 Best Reading Practices turn outBest Practice 1 Explicit Word Analysis Instruction, Including Phonics Teachers provide explicit instruction, build forge knowledge, and directly teach skills and strategies for word analysis (phonemic awareness, phonics, word recognition, structural analysis, context clues, vocabulary). Best Practice 2 Assessment to Inform Instruction Teachers routinely monitor and assess the reading levels and progress of individual students. This ongoing evaluation directs and informs instruction. Best Practice 3See more Distinguish between problem-focused grapple and emotion-focused coping EssayInstructionalPlanning Teachers plan instruction considering three phases before, during and after reading. Best Practice 4 Collaboration and Reflection Teachers routinely self-reflect and collaborate on instructional practices and student progress within prepare and/or district. Best Practice 5 Learning Standards Teachers facilitate conceptual knowledge of Illinois English row Arts learning standards. Best Practice 6 Independent Students have opportunities for sustained reading (oral and/or silent) every day.
Friday, April 5, 2019
Effect of Globalization on Poor Countries
Effect of planetaryisation on Poor CountriesThis paper discusses the branch of the world-wideization outgrowth, the means of the term globalization and the impacts of globalization and global companies on the world economy, global community, difference and different nourishment standards in the wealthier and unfortunateer countries. It is pointed out that globalization has both, negative and positive aspects, exactly it certainly brings a significant modify. The authentic countries and global companies argon carriers of the globalization process which are utilise very well the global conditions. With the development of information and communication technologies the world has be set about a single scheme where a connection betwixt two subjects in different parts of the world is made in spite of appearance a few minutes. An undying theme during the development of globalization is the discussion of problems of economic ine character reference and poverty. The question is what are the concrete effects of globalization causes? Who are the bankruptcys and who are the winners in this process? In response to this question there are two opinions. some(prenominal)one think that if merging the substantial and develop countries follows an increase of variation and dislocation of production, duration others argue that the winners actually are both sides. Is it a game with two winners or one loser?Globalization means a dynamical, political and cultural process that has enabled the rapid development in the field of transport and communication, which is often driven by the desire of large corporations to conquer raw markets. Globalization is a controversial process.There are three types of globalizationEconomic globalization means primarily the debut and regulation of a single world market with forfeit competition and encourages development. Opponents on the other dedicate argue that the large multitheme corporations read been using already-earne d cap to pr regular(a)t the creation of competitors with whom to share the market. policy-making globalization is closely associated with economic globalization. The existence of a single world market reduces the ability of national governments to directly stimulate the development of their economies by setting rules that give priority to our own companies. City decision-making is transferred from call down to global institutions, thereby reducing the ability of multitude to direct election of representatives of government influence in their own development.Cultural globalization is the encounter of diverse world cultures and customs. The flow of goods, capital and people across national borders brings with it the flow of habits, customs and cultures. This process of different people often provokes a different reaction. Some consider the impact of a new culture positive development that enriches the existing culture, while others in the new culture they see a threat to establis hed values and rules (http//bs.wikipedia.org/wiki/Globalizacija).Globalization is preceded by an unbelievably rapid technological development. There was a combination of information technology and communications. Computer technology, satellite communications, optical cables and mobile phones allow a quick and cheap communication that has, among other things import in geographical branching of companies. Plants are moved around the world depending on the benefits of natural resources and cheap labour. In or so developed countries are formed knowledge industries, while manufacturing plants are located in less developed and underdeveloped countries.Economic globalization has an appropriate infrastructure in which are basic liberalization and free market trade within countries and among them. It is not an ordinary interdependent economy, but it is a system based on strict rules that provide free production and exchange in the world.The globalization process is independent of our w ill, because it is conditioned by objective laws.Society should be aware of the great advantages and bad effects of globalization. One of the nearly serious consequences of globalization is certainly excessive increase in economic inequality and poverty. Below I will try to explain more clearly the relationship between globalization, global companies and the differences in living standards.The Affect of Globalization and Global Companies on Poor CountriesGlobalization creates certain problems for raze the more or less developed countries, because the modern technology leads to a reduction in employment and related fond problems and the multinational companies (MNC) often give priority to their own interests over the interests of other countries. Through globalization, developed countries have getting privileges, leadership, profit, control, influence and power, conquer new markets, and expand their sphere of influence and looking preferably for new investments.Developed countrie s and the multinational companies impose globalization and its rules to growth countries like a long development vision, using the fact that for development of these countries foreign investments are needed and this are offering only developed countries with their blind drunk criteria.Who owns the capital of the world? According to Anderson and Cavanagh, among the largest 100 economies in the world, 51 are multinational corporations (MNCs), whereas only 49 are countries. The analysis is based on a comparison of the corporate sales of MNCs and the gross domestic products of the countries. The study yet shows that, out of the cc largest economies of the world, 144 are MNCs. The combined sales of the top 200 corporations are bigger than the combined economies of all the countries of the world, minus the largest 10. The income of MNCs is 18 times higher than the combined annual income of the 1.2 billion people of poor countries (24 percent of the total world population). The study h as found that the growth of sales of top 200 corporations is faster than overall global economic activity. Between 1983 and 1999, their profits grew by 362 percent whereas their combined sales grew from 25 percent to 27.5 percent of the world GDP. Most of these MNCs belong to the rich countries therefore, it is natural that MNCs and their respective countries should safeguard their mutual economic, political, and cultural interests under the cloak of globalization. Economies are the catalysts of the globalization process, and they are represented by MNCs and multinational corporations (TNCs), which maintain the highest stakes and stand to gain the maximum benefits. Having poor economic infrastructure and little capital, developing countries very easily agree to host MNCs. At times, their weak regulatory positions are subsequently apply by MNCs. MNCs either buy out the local companies of the host countries or push them out of the markets by offering cheaper and better quality good s for some time. MNCs carry out research to identify human needs, problems and lifestyles and come up with multidimensional responses, including the development of products and services. What causes them to conduct such researches and produce goods accordingly? Is it for the good of public or maximizing their own profits? This puts the whole process of globalization in question as its chiefly proclaimed goal is the good of common people. Before examining what happens when MNCs enter host societies to achieve their commercial objectives, it is liable(p) to discuss the problems and strengths of the host societies. (Anderson and Cavanagh. 2000. quoted in Rahman K., n.d.).Unlike developed countries that use the positive effects of globalization, undeveloped countries are not able to actively participate in the expansion of world trade and to attract a greater volume of private foreign investment, resulting in lagging behind the development of global economy. morphological weaknesses and problems of external and internal debt of these countries is a key constraint to economic growth. This limitation is related to the lack of the market, underdeveloped technology and private sector, entrepreneurial and marketing skills, as well as non-transparency of legal and regulatory framework. Globalization is imposing further restrictions in damage of the need to adapt the new competitive international milieu to these countries.Globalization and alimentation StandardsIt is quite difficult to measure the living standards in the global economy it is even more difficult to measure these standards in relation to globalization. The living standards are different from state to country because of their national economic structure.Standards of living in the global economy are devised of income, health and nurture. These broad terms are indexed by GDP per capita, literacy, infant death rate, GNP per head, secondary and primary education, doctors per 100.000 people and so on. Li ving standards differ because of national economic structure high-income countries are based on agricultural production. They differ within the population and labour market factors with high-income countries have a population with a high level of education and relatively high rates of production. Institutional factors stable government and policies allows for better living standards, economic growth influenced by culture, access to capital and ease of establishing a business, global relations and levels of foreign debt (http//www.exampleessays.com/viewpaper/53146.html).However, the standards of living, or quality of life is not simply a measure of the level of economic growth or change in real GDP, but it is a measure that takes into account the literary levels, education, health care, technological changes and mortality rates. An example of a quality of life indicator is the Human Development Index (HDI) which measures changes in those factors as a result of globalization. Over t he last few decades, the HDI of the worlds richest countries have increased as a result of globalization, where growth and development has been attributed to these economies through willingness to embrace market liberalization. However, the HDI of the poorer nations have grown at a slow-moving rate to the richer nations which, as some economists put in, shows that globalization is another word for the continual plundering of the poorer and weaker nations by the rich and powerful economies. It has been strongly argued that the benefits of competition go only to those who can compete, and poor countries have to negotiate on unequal terms (http//www.bukisa.com/articles/92708_impact-of-globalization-on-economic-growthm-quality-of-life-external-stability-on-market-economies).There have been two important trends since about 1980. The first of these has been speedup in economic growth in many of the worlds most populous countries particularly the Asiatic countries of China, India, Bang ladesh and Vietnam. These countries, which were among the worlds poorest as recently as 1980, have all grown faster than the rich countries, in per capita terms, in the termination since then. Largely as a consequence of this improved economic performance in these populous Asian countries, the poorest one- 5th of countries in 1980 had a population-weighted annual per capita growth rate of 4 per cent from 1980 to 1977, compared with 1.7 per cent for the richest fifth of countries over the same period. The second, and much more problematic, trend has been the continued poor economic performance of most of the countries in Africa, with some countries experiencing declines in average living standards, not only relative to the rich countries, but even in absolute terms. These two opposing trends have had important implications for global poverty and inequality over the past decades (Gruen D. and OBrien T., 2002.).As everyone knows, much of the world has been left aside. Most of Africa a nd Latin America, Russia, all of the bosom East, and large parts of Asia.Moreover, for many countries, the degree of participation in the global economy varies by region. In fact, globalization is not global but is mainly limited to northern latitudes. Linda Weiss points out that as of 1991, 81% of the world stock of foreign direct investment was in high-wage countries of the north mainly the United States, followed by the United Kingdom, Germany, and Canada (Kenneth N. Waltz. 1999 quoted in Sidani K. 2003.).The concept of globalization is not really global but based on the very few dominant and powerful countries, and especially the United States. many another(prenominal) globalizers believe that America had stumbled into the sort out way of controlling the global market. Globalization is not such a happy thought for most poor countries, because they are being used by the richer countries. The rich countries buy the raw material from the poor countries, and then sell their finis hed products for relatively high prices, thus increasing the financial gap between themselves and the poor countries (Sidani K., 2003).ConclusionGlobalization is a process that has started and that cannot be stopped anymore. It has brought an increasing interaction among the participants of international trade, global networking of the financial markets and growing power of multinational corporations. Today, globalization is seen as a world without borders. Everything begins to be reflected globally. So, today are global products, fashion, consumers and citizens. Globalization can be understood as a give in the development of the civilization. Globalization often confronts with some anti-globalists all over the world. They have common responses to globalization regionalism, nationalism and patriotism in order to preserve national and cultural particularities and to some extend cherish their economic independence. The strengths and power of the Multinational Corporations are more an d more visible in the globalization process. Many countries where these corporations operate and especially those small and poor are just having affiliates of the Multinational Companies because of the enormous financial resources of these corporations. The GDP (Gross National Product) of these countries cannot be even remotely compared with the profit that realizes the MNC. Multinational corporations, however, spread their influence and power in all countries, none can escape. Investment decisions are taken by corporations at global level, transferring capital or resources from one country to another, impacting (un)employment of millions of people and level of economic activity in some countries. What brings the globalization, global businesses and economies and the developing world in the future remains uncertain.
The increase in demand of complementary therapies health essay
The increase in demand of complementary therapies health essayThe decided purpose of this teach is to interrogation nursing students knowledge on the use of non-pharmacological treatment for infliction in the hospital setting. The take in leave alone as well as explore the types of complementary therapies utilize to wholeeviate pain at the main local g overnment run, general hospital, assessing nursing students knowledge and perception on complementary and their use and to identify possible benefits and contraindications in the use of complementary therapies.The proposed quantitative look for impart be used as data prayer through a self administered questionnaire. skirt of ContentsP mount upTitle P succession i thieve 2Table of Contents 3 tendency of tables 51. Introduction 62. clog upground signal to the story2.1 Definition of complementary color and Alternative therapies 72.2 Defining Acupuncture 92.3 Types of Acupuncture techniques 92.4 Mechanisms of meet of Acupuncture 102.5 Clinical Applications and Efficacy 102.5 search Issues 123. The Research system3.1 figure and Objectives 133.2 The Research Design 133.3 The Population 133.4 Sampling Technique 143.5 Method of Data Collection 153.6 Research Tool 153.7 Data analysis 154. estimable Consideration 16Reference List 17Time Scale and Budget 18List of tables PageTable 1 List of Complementary Therapies 8Table 2 Contraindications to the use of stylostixis 11Table 3 Adverse effects of acupuncture 12IntroductionComplementary Therapies ca-ca established a place in health c atomic number 18 and contrive developed rapidly over the past ten years in confiness of recognition, acceptance and use (Peters et al, 2002). Integrating complementary therapies with unoriginal medicine presents a ch wholeenge to all sectors of health care, but specifically to nurses who are at the header of providing forbearing care, health education and information (Chu and Wallis, 2007).The review of the propos ed direct identifies a number of these therapies but it explores yet one in particular analyzing its prevalence and use, and exploring its perceived efficacy and safety and nursing students attitudes towards it.Pertinent inquiry and reviewing of articles for this review were sought from within the efficacy of health Sciences and Medical School Library, using Cumulative index finger of nursing and Allied Health Literature (CINAHL), EBSCO host and Medline and the University of Dublin website. talk abstracts, and books that were relevant to the area were likewise examined. Keywords utilized for searches included complementary, therapies, selection, attitudes, nursing students, acupuncture, pain management.Due to the increase in demand of complementary therapies, numerous articles have been written on the event through turn out the years, especially in the last decade. The amount of investigate available varies depending on the therapy in question. Very few local studies we re encountered regarding complementary therapies, as a payoff of fact, at the main local government run, general hospital, only one type of complementary therapy is acknowledged.Background to the study2.1 Definition of Complementary and Alternative therapiesComplementary and alternative medicine (CAM) encompasses a wide pasture of therapeutic procedures and philosophies that are not traditionally viewed to be part of formulaic medicine (Smith, G.D, 2009)The Cochrane Complementary music Field within the Cochrane Library defines complementary therapies as a broad domain of healing resources that comprises all the healthcare systems and traffic patterns their accompanying theories and beliefs.The World Health Organization defined Complementary Alternative Modalities (CAM) as a comprehensive term used to refer to both traditional health check systems such as handed-down Chinese medicinal drug, Indian ayurveda and Arabic unami medicine and to assorted forms of native medicine ( WHO, 2004)Thus, the words complementary and alternative can, and often do, refer to the same therapy, product, or practitioner. It is the context of use that changes an alternative therapy into a complementary one. The term describes health care practices such as those shown in Table 1.Table 1 List of Complementary Therapies (Alphabetical order)Acupressure (Shiatsu)Colonic hydrotherapyIridologyPIP ScansAcupunctureColour therapysuccus TherapyRaw Vegetable Juice TherapyAlexander techniqueCounsellingKinesiologyReflexologyAllergy testingCraniosacral TherapyLight therapyReikiAromatherapyDream TherapyLight Touch therapyRolfing contrivance therapyEye Movement Desensitization ReprocessingEMDRMagnotherapyShiatsu (Acupressure)Auricular AcupunctureExerciseMarma therapySpiritual counsellingAustralian Flower Essences therapyGuided ImageryMassage therapyStress managementAutogenicsHealingMedical Herbalism fluid therapyAyurvedic medicineHealth ClubsMeta-AromatherapyTai ChiBach Flower remediesHealt h ScreeningMicrowave reverberance therapyTENS therapyBee Venom therapyHerbal medicineMusic therapyT.C.M. Traditional Chinese MedicineBowen TechniqueHomoeopathyNaturopathy cabalistic MeditationBiofeedbackHumourNutritional therapyTragerworkChelation TherapyHydrotherapyOsteopathyVegetable Juice TherapyChiropracticHypnotherapyOxygen therapyYogaChinese Herbal Medicine (T.C.M.)Indian Head MassagePanchakarma therapy2.2 Defining AcupunctureAcupuncture is a complementary therapy that is being more and more used in the day-to-day management of pain. It originated in China, over 3000 years ago and is practiced ecumenic (Wilkinson, J. Faleiro, R., 2007).Locally, in the main local government run, general hospital, Acupuncture is the only complementary therapy to be officially used in alleviating physical pain. other therapies such as Exercise, Counseling, Music Therapy and others are used for various other reasons in combination with conventional medicine.Acupuncture involves the insertio n of fine sterilized needles through the disrobe at specific point (called acupoints) and is one of the key components in traditional Chinese medicine (Chen, L., 2005). A major assumption is Traditional Chinese Medicine is that health is achieved by maintaining the body in a balanced state and that disease is as a result of an internal imbalance of yin and yang (Wilkinson, J. Faleiro, R., 2007).There are five main techniques practiced. Dry needling is probably the closely common but electro acupuncture (EA) possesses the most shining explore endorsement.2.3 Types of Acupuncture TechniquesMoxibustionMoxibustion involves the burning of mugwort, a small, spongy herb, to facilitate healing. It is applied onto the needle over the acupoints. optical maser acupunctureA fine low-energy laser beam is directed onto the acupoint.AcupressureIn Acupressure, pressure is used to stimulate the acupoints. This can be in the form of a bracelet or strap. Such order is commonly used to alleviate motion sickness.2.4 Mechanisms of Action of AcupunctureAlan K. Halperin, M.D in his article Acupuncture in Pain Management writes that according to Chinese acupuncture theory, on that point are over 300 acupunture points on the body that connect to 12 principal and 8 secondary pathways called meridians. These pathways conduct energy force, Qi throughout the entire body. Health is maintained by the unobstructed flow of Qi that regulates the physical, mental and spiritual balance. In addition, the opposing forces of yin and yang regulate all organs. When the entire system is in balance, optimal health occurs. Disease occurs when there are obstructions to the flow of Qi, deficient or axcessive Qi, or when there is an imbalance of yin and yang.2.5 Clinical Applications and EfficacyResearch shows that Acupuncture can be used in virtually any medical condition, but most Americans use it for pain control (Halperin, 2005). Such pain controls are for osteoarthritis, headache, chronic neck a nd lower back pain. Studies conducted on the subject also revealed that the mentioned complementary therapy is often seen as a last resort for pain relief. This creates adverse selection bias, leaving acupuncture as an option only for those patients who fail to respond to all other methods and can create unrealistic expectations from patients (Wilkinson, J. Faleiro, R., 2007).There are also many pain conditions which have demonstrated improvement with acupuncture. These include lateral epicondylitis, peripheral neuropathy, temporomandibular disorders, phantom limb pain, chronic pelvic pain, pettish bowel syndrome and Crohns Disease.Literature shows that although acupuncture has gained much professional recognition, its applications and over all efficacies remains a subject of debate (Chen, 2005). Even so, the risk of serious events associated with acupuncture treatments is quite low (Halperin, 2005).The National Institute of Health (NIH) consensus panel on acupuncture in the Unite d States states that the documented occurrence of adverse events in the practice of acupuncture is extremely low. Nevertheless, Acupuncture is technically an invasive procedure with the most common reported contortion being bruising or bleeding at the needle insertion site, followed by the transient vasovagal response. Other complications might include infection, dermatitis, and broken needle fragments. In some cases contraindications and adverse effects listed in Table 2 and Table 3 might occurTable 2 Contraindications to the use of acupuncture coercive ContraindicationsRelative ContraindicationsNeedle PhobiaPregnancy avoid any points known to stimulate uterine contractility abominable bleeding diathesisPoints over nipples, umbilicus, and major vessels are forbidden by conventional textsInability to remain nevertheless for treatmentPoint over infant fontanelSystemic SepsisApplication during menses (less effective)Unco-operative hallucinating, delusions, etc.If patient is on cor ticosteroids, benzodiazepines, or narcosis (less effective)CellulitisAnticoagulant drugsBurnsUlcerationEA do not apply over pith or brain. Do not apply in region of pacemaker or implanted medical pump.Table 3 Adverse effects of acupuncturePneumothoraxLocal painCardiac tamponade woundNeurovascular damageBleedingInfectionHematoma formationMetal allergy2.6 Research IssuesLittle research was found with regards to nursing students perception on Complementary Therapies. Moreover on Acupuncture and its use in pain management. It is proposed that the this aspect should be explored more in detail by conducting a small-scale research study on the subject.Two separate studies were conducted addressing nursing students knowledge and attitudes on Complementary Therapies. One of which was a quantitative study conducted in Britain and it investigated the use of CAM in cancer and palliative care and another study was conducted in southern Taiwan exploring student nurses knowledge, attitude and be havior toward Chinese Medicine.More medical research than nursing research exists in complementary therapies, mainly in randomized-controlled trials. However, this field is still poorly researched compares with conventional medicine (Nahin Straus, 2001).The Research Method3.1 Aim of the studyThe proposed aim of this study is to explore nursing students perception on the use of non-pharmacological treatment for pain in the hospital setting.3.2 The Objectives of the studyThe proposed objectives of this study are to divulge the types of complementary and alternative therapies used to alleviate pain at the local government run, general hospital (Mater Dei Hospital).Identify nursing students knowledge and perception on complementary andalternative therapies and their use.Identify possible benefits and contraindications in the use of complementarytherapies.3.3 The Research DesignIt is proposed that a quantitative research start out is used for the purpose of this study. This means in qu antitative research your aim is to determine the relationship between one topic (an independent variable) and another (a dependent or outcome variable) in a state. Quantitative research designs are either descriptive (subjects usually measured once) or experimental (subjects measured before and after a treatment). A descriptive study establishes only associations between variables (Hopkins, 2000). It is also proposed to use a descriptive approach Descriptive research design is a scientific method which involves observing and describing the behavior of a subject without influencing it in any way. This is so as to explore nursing students own perceptions, views and knowledge on the subject.The research setting is the physical location and conditions in which data collection takes place in a study (Polit and Beck, 2006). It is proposed that for the purpose of this study, the leading government run hospital in Malta which hosts the Faculty of Health Sciences lecture populate will be chosen as the research location for the completion of this study.3.4 The Population and Sampling TechniqueAccording to Cormack (2000), Target Population refers to all of the people that the researcher wishes to include in his / her study. The proposed population of this study will be student nurses following an undergraduate course in Nursing Studies. The target population will be second year Diploma and Degree in Nursing Studies students within the Faculty of Health Sciences.Sampling is the portion of the defined population who are selected by the researcher to participate in the study in order to collect data. The researcher strives to get data from the sample which will excogitate all the characteristics of that population (Cormack, 2000).The participants have to fulfill all of the inclusion criteria, where candidates are proposed to beFull clock time student nurses following an undergraduate course at the Faculty of Health Sciences20 years of age and olderSecond year studentBe willing to participate in the studyThe extrusion criteria will be candidates whoStudents who refuse to participate in the studyYounger than 20 years of age3.5 Method of Data CollectionData collection in quantitative studies may be achieved by various methods such as questionnaires, interviews and observations (Polit and Beck, 2006). A questionnaire may be considered as the most appropriate beast for data collection, since it offers the possibility of complete anonymity. A questionnaire helps to avoid bias which can happen in the nominal head of the interviewer, by reflecting the participants reaction to the interviewer (Polit and Beck, 2006).As the method of choice for data collection is not yet ready, it is proposed that a self-administered with close and open ended questions questionnaire be utilized requiring a yes or no answer or completion of a question.3.6 Research ToolThe research tool for this study is yet to be provided. It will be developed by the novice researcher and based on the aim and objectives of the study.3.7 Data AnalysisResults of the findings will be presented either in the form of graphs or pie charts.Ethical ConsiderationsConsent to carry out the research will be sought and obtained from the University of Malta Research Ethics Committee and the Faculty of Health Sciences Dissertation Panel. In order to ensure that participants of the study would not be subject to any harm, anonymity will be held throughout the study. In order to maintain privacy, for those participant who dont wish to complete the questionnaire in the posture of piers a self addressed enveloped will be give incurring any expenses from the participant. Participants may also abstain from taking part in the study. A participation letter will be handed, explaining the disposition of the study to the participants. Since the researcher might know any participant, a blank envelope will be handed.
Thursday, April 4, 2019
Occupational Therapy In Mental Health Health And Social Care Essay
occupational Therapy In Mental Health Health And genial C ar EssayOccupations are collections of activities and tasks of routines which are valued by individuals and cultures. Occupations include everything such as self-care, relish life, and contri simplying to the mixer and economic aspects of societies (CAOT, 2002). It engages people in mutual work and it also promotes soulfulnessal ontogenesis and wearment which offers possibilities to maintain wellnessy environment where people bed act with each other. (Creek Laugher, 2008).occupational therapy is rehabilitation job which involves the individuals with disabilities to attain maximum potential in performing function of daily living, employment, through the use of purpose-built activities. (Stein Cutler, 2002).According to (Awan, 2009) Pakistan has poor condition in terms of occupation its safety and health legislature. People are to a greater extent susceptible because they work informally, with no access to basic occu pational health .Which creates barrier for a person to involve in any activities and accedes in society which ultimately leads to loss of roles and responsibilities. Therefore occupational therapy is essential to accomplish basic tasks of daily living in order to enhance quality of life. more over Occupational therapy minimizes dependence on expensive health care and it also promotes societal espousal of individuals. This reason led me to think about the occupational therapy in psychical health context for Pakistani people. Where people are renowned for their occupation, because society value those who earns and make diverse contribution in society. any cordial disorder creates barrier for a person in occupation and compromises their quality of life. Therefore occupational therapy is essential for a people because it engages people in various tasks of daily living and enhances self-worth of individuals so that they digest live peacefully in societies.It was our first Mental H ealth clinical rotation at Karwane-e-hayat. The things which had positive(p) me in this rehabilitation center is occupational therapy. I noticed that my thickening was greatly refer with occupational Therapists. Every day new innovative activities were planned which influence the health and benefit of patient effectively, as patient involved in these activities very well. Furthermore when my client receives occupational therapy discussions he improves significantly more in terms of interpersonal relationships, which is the sign of disease improvement.The effectiveness of occupation therapy has convinced us a lot. Therefore we decided to plan more activities for the patient so that they can participate advantageously and interact more with other patients. To achieve this purpose we began with the assessment of patients interest and abilities. By identifying this we can plan activities harmonise to their interest and implement them at clinical setting. Finally we evaluated our effectiveness of intervention which was positive and patients were happy and they invite our group to plan more activities for them next time.To improve health and wellbeing of patient occupational healer believed that person needs to participate in the action of daily living. To describe this relationship of health and wellbeing a person environment occupational model has been proposed. This model deals with the interdependent relationship between troika factors which are person, aspects of occupation and environment and their effects on performance of a person and health. The personal factors which commence an effect on occupational performance are sex, age, gender, self-efficacy (feeling of I can do it).Environmental factor includes social, sensual, cultural, institutional characteristics these factor interact with the personal factor which then have either positive or disconfirming impact on persons occupational performance. The third factor which has an influence on occu pationalPerformance, health and offbeat is occupation, which includes tasks and activities that person performs on daily basis. These factors are constantly interacting with each other and they influence health and public assistance of persons health (Law, Steinwender, Leclair, 1998).Relating this scenario, to our clinical setting, the self-efficacy of a patient motivated him a lot, and to summation the self-efficacy, environmental factor which includes social support system example friends and families considered being a strongest support system. The Patient who involve in the activity they insist their friends to be a part of the activity. Besides patients family support them very well to enhance their wellbeing, it was seen in clinical area that after taking discharge family members bring the patient in occupation therapy populate to participate in the activity for 2-3 hours. The third component is occupation that includes tasks which sometimes produce negative symptoms on we llbeing for example work load, expectation of a job. During Mental status examination a client verbalized that he got ill because of major loss in business. Due to which client suffered from major imprint and he got admitted in this rehabilitation center. Thus 3 factors are very important for the person to participate in the activity and improve their health prognosis.Occupational therapy has a positive impact in mental health settings. It treats individuals who are mentally ill, impaired cognition or emotionally disturbed. To treat these problems, therapists provide physical preparedness and exercise training. It also provides independent living skills such as self-care for mentally ill and person who have cognitive impairment. Moreover it provides education for stress management to a client with disorder. It also promotes finger of independency, enhances self-esteem and self- worth.Occupational therapist collaborate with other health care professional to provide intervention fo r a group by leading activity in a group to prevent depression, increase socialization, It provide parenting skills to those parent who are disable or who have children with disabilities, They also educate regarding normal fruit and improvement and how to deal with a patient with problematic behaviors. Therapist also arranges programs, to resolve conflict and for wrath management to enhance motivation in a community so that people can develop interest for their work roles (AJOT, 2001).Occupational therapists are devoted to plan different activities for the patient to increase their well-being, but as a nurse we are also in a business to promote patients health, ameliorate suffering and prevent them from disabilities. For this purpose we also planned activities for the patient in the rehabilitation center, which was exercising, sandwich making, cowling making, collage work, word game and many more. Patient responded very well towards our planned activities they were greatly invol ved with other patient which increase their socialization, enhance their self-esteem, reduce their depression and decreases their feeling of loneliness which was verbalized by the patient.Moreover as a individuals it is our first and foremost responsibility to encourage people to adapt occupational therapy as an intervention because occupational therapy prevent the relapses. First of all people should know the positive aftermath of occupational therapy which can be done through education and awareness, awareness through television and radio about disease related to mental health so that people should came to know about priggish intervention related to disease process, Modifying exercise facilities to make them accessible to people so that they can easily practice, provide education skill development training in the context of everyday occupation, and also self-management training to manage health. However training of staff is very necessary to promote occupational therapy in ment al health, government and private sector should established a programmed to trained therapist (AJOT, n.d).By concluding this, Occupational therapy plays essential role to promote wellbeing and to reduce the suffering, positive aspect of mental health can be promoted through occupational therapy, which enhance societal acceptance of patients and reduce the health expense by promoting wellbeing through activities and counseling. It is the responsibility of a nurse to promote OT in collaboration with other health care professionals to reduce the disabilities in the societies. Furthermore certain law and legislature should be imposed by government in the country to promote OT in the hospital which lacks this facility. All in all occupational therapy has a positive impact on patients wellbeing however if this intervention being neglected by the therapist or a nurse so it can produce negative impact on patients mental health.Awan, T. (2009, September 11). OCCUPATIONAL HEALTH AND SAFETY IN PAKISTAN Asia supervise Resource Centre. Home Asia Monitor Resource Centre. Retrieved from http//www.amrc.org.hk/alu_article/occupational_health_and_safety/occupational_health_and_safety_in_pakistan.CAOT Canadian Association of Occupational Therapists -Position Statement- Universal design. (2002). CAOT-ACE. Retrieved from http//www.caot.ca/default.aspCreek, J., Lougher, L. (2008). In Occupational therapy and mental health. London Churchill Livingstone.Law, M., Cooper, B,. Strong, S., Stewart, D., Rigby, P. Letts, L. 1996. The Person-Environment-Occupation homunculus A transactive approach to occupational performance. Canadian Journal of Occupational Therapy. 63(1)9-23Law, M., Steinwender, S., Leclair , L. (1998). Occupation, health and well-being. Canadian journal of occupational therapy, 65(2),Pp, 81-91.Occupational Therapy in the Promotion of Health and the Prevention of Disease and Disability Statement. (2001). The American Journal of Occupational Therapy, 55, PP, 656-66 0.Stein, F., Cutler, S. K. (2002). Psychosocial Occupational Therapy A holistic approach (2nd ed.). Albany,New York, USA Delmar.
Subscribe to:
Posts (Atom)