Wednesday, July 31, 2019

Ap English 1996 Essay Prompt Essay

Writers use many tactics to get across to their readers. In order to get the moral of the story or the overall theme of the book, they might write about the main character reaching an epiphany of some sort that reveals the focus of the story. Writers tend to end their story with a happy ending in which the main character experiences a spiritual reassessment or a moral reconciliation. In Margaret Mitchell’s Gone with the Wind, the main character, Scarlett O’Hara, undergoes a spiritual reassessment and moral reconciliation. At the start of the novel, Scarlett is a high spirited girl concerned mostly about her looks and holding the attention of everyone. She does not really appreciate the little things in life because she has so much available to her. She feels the need to make herself seen by everyone and heard by everyone. There is one encounter where she is talking with two of the handsome boys in town; however, the boys begin to diverge from the topic of her to the topic of war. This angers Scarlett because the attention is no longer on her. She continues this child like behavior for most of the novel. However, her first encounter with Rhett Butler changes Scarlett’s life forever. When Rhett first meets Scarlett, he is intrigued by her beauty and the way she carries herself. Contrary, to how Rhett feels; Scarlett sees him a low life nothing that does not deserve her attention. Therefore, their time with each other is very short. However, as the novel progresses, their paths cross again. During this time, the Civil War is at its peak; and being that the characters are Confederates, everything is falling apart for them. Scarlett begins to grow out of her childish ways. Now that she sees the hardships of the Confederate soldiers at the hospital she works in, she begins to realize that life is more than dinner parties and corsets. When she meets Rhett again she is in a terrible condition and is in need of his help. He tells her that in order to receive his help, she needs to marry him. At first Scarlett refuses because she still feels that he is not good enough for her. Eventually, she agrees to marry him but mostly because of his money. Rhett however, is madly in love with Scarlett but is angry at  her lack of loving him. The only thing that keeps them together is their daughter Bonnie. She is their pride and joy is the only reason why they remain together. Tragedy strikes when Bonnie dies while trying to jump a fence while on the back of a horse. This tears Scarlett apart because she feels as if it is her fault that Bonnie dies. Rhett becomes distant from her because he is also devastated. Scarlett punishes herself for allowing her daughter to horseback ride. To make matters worse, her best friend Melanie dies after she has a miscarriage. At this point, the novel is ending and Scarlett is confused, lonely and afraid to feel. However, she starts to feel a strange longing for Rhett. After all this time she finally realizes that she loved Rhett because he is strong, and unscrupulous, passionate and earthy like her. With this sudden epiphany, Scarlett rushes her way home to Rhett. Ironically, Rhett is fed up with Scarlett and does not care about her new found love for him; so he leaves her. Although this does not seem like a happy ending, after Rhett left Scarlett, she does not get discouraged. She knows what she wants from her life now and it is Rhett. She morally reconciles with herself when she forgives herself for the death of her daughter. She spiritually reassesses herself when she realizes that all the time she was young, she did not really appreciate anything. Her father tells her once, that she will come to love all the things she does not think she will. That is exactly what happens to Scarlett. She decides to go to her home at Tara where she feels a special connection to and devises of ways to bring Rhett back into her life. Now that she has come to terms with who she really is, there is no turning back for her.

Tuesday, July 30, 2019

West Virginia State Board of Education

It understandable that there are â€Å"certain unalienable rights† that we, as human beings, possess. These rights can†t be, or should never be, taken away from us. Of course, there have been many great crusaders who have fought with everything they owned to make sure that we kept those rights. The case West Virginia State Board of Education v. Barnette, 319 U. S. 624, is a case that really expresses the beliefs and interests of the time. The case reached the US Supreme Court after there was huge controversy on both sides of the debate. It just so happened that three years before this case, in 1940, the US Supreme Court ruled in the case of the Minnersville School District v. Gobitis, 310 U. S. 586, that it was necessary for every school student to stand to salute and pledge allegiance to the flag. The act of saluting and pledging, along with the teaching of American history and ideals â€Å"for the purpose of teaching, fostering and perpetuating the ideals, principles and spirit of Americanism, and increasing the knowledge of the organization and machinery of the government. – 1 The justices voted 8 to 1 for the Minnersville School District to force teachers to salute and pledge to the flag, leaving only Justice Harlan Stone to dissent. Then on January 9, 1942, Minnersville Board of Education came up with a resolution. This resolution contained recitals that were mostly from the Courts† Gobitis decision. The resolution said that every school student and teacher alike must salute and pledge allegiance to the flag, and if anyone disobeyed this law, it â€Å"would be regarded as an act of insubordination, and shall be dealt with accordingly. 2 This meant that they would be immediately be expelled from the school, and only be allowed back into the school if they denounce they†re acts and agree to honor the flag as stated in the resolution. And â€Å"any such child shall be treated as being unlawfully absent from school during the time he refuses to comply with such requirements and regulations, and any person having legal or actual control of such child shall be liable to prosecution under the provisions of this article for the absence of such child from school. 3 This parent or guardian is then in jeopardy of bein! g given a fine not to exceed $50 and jail term not exceeding thirty days. This, however, fueled a few sparks, especially among some relatively religious sect of people. Namely, the sect was the Jehovah†s Witnesses, which is a division between them and Catholicism. The Witnesses believe in God, as do regular Catholic Christians do, but they strongly believe that the â€Å"obligation imposed be law of God is superior to that of laws enacted by temporal government. 4 Basically, they feel that laws made by mere mortals can†t be obeyed when a law of God contradicts it. Their definition of laws from God comes from a very literal and precise interpretation of Exodus, Chapter 20, verses 4 and 5 5, which says: Thou shalt not make unto thee any graven image, or any likeness of anything that is in heaven above, or that is in the earth beneath, or that is in the water under the earth; thou shalt now bow down thyself to They feel that the flag stands for, or is a symbol, which directly contradicts their view of this message from God. For this reason they refuse to salute the flag. The boy, Walter Barnette, was taken out of class when he refused to stand for the pledge of allegiance. He was accused of disrupting the class, of being obnoxious, and of being a threat to national security. No matter how much of an overreaction this was, we have to remember this happened in the year 1943, about the time the Second World War broke out and at a time nationalism in this country was running high. He belonged to a family of firm-believing Jehovah†s Witnesses. His family pleaded to a District Court of three judges, and argued that they had a right to not stand if they did not want to. They also argued that it was a blatant denial of they†re First Amendment rights, including the freedom of religion and the freedom of speech, and that the laws were unconstitutional, violating their due process and equal protection clauses of the Fourteenth Amendment. The court restrained their enforcement of the resolution; the West Virginia State Board of Education took the case to the US Supreme Court by direct appeal. Once in court by March 11th, 1943, the hearings began. The Board of Education argued that just three years ago the court had decided that the Board of Education could force the students to stand to salute and pledge to the flag. Since the court had already decided that they were allowed to do this, the people had to abide by the US Supreme Court†s decision. Also, the West Virginia State Board of Education argued that since the job of the schools was to teach them US History as well as Americanism, all they were doing was teaching the students to be good, honest Americans. They argued that there was no difference between them teaching the students about great Abraham Lincoln and brave Stonewall Jackson then teaching them to the salute the flag-which would foster a healthy pride for their nation. They also argued that it was a matter of national security to keep the masses united. They felt that they had a duty to preserve the national unity, and the only way to make sure! this happened would be to make sure there is strong nationalism, which can be heightened be pledging to the national flag, which goes like this: I pledge allegiance to the Flag of the United States of America, and to the Republic, for which it stands; one nation, under God, indivisible, with liberty and justice for all. † The Board of education also argued that the boy†s parents had the option of sending them to a private school, instead of the public schools. They said that they didn†t have to go to a public school. And since the funds for the public schools come from the state, they had the right to raise the students as they pleased, which included teaching the students to be model Americans. The Jehovah†s Witnesses argued back that the ruling in the Minnersville School District v. Gobitis was tremendously biased, and was blatantly unconstitutional, since it was an incredible violation of they†re First Amendment rights, which includes the freedom of worship. They felt that since it was in their religion to not salute the flag, they shouldn†t be forced to do so. They also argued that the ceremony was too much like the salute Hitler forced his people to do-the salute where the hand is outstretched a little above the heart. Also, it was too much like the fascist compulsory salute. They argued that the idea of the gestures like that was extremely unconstitutional and takes away a lot of our rights that are seemingly guaranteed by the Bill of Rights. In the Minnersville School District v. Gobitis (1940), all but one of the Supreme Court Justices voted that the boards of education do have the right to impose the salute and pledge on the students. The only judge to dissent was the brave Justice Harlon Stone. However, in 1942, a year before the West Virginia State Board of Education v. Barnette case, there was a very interesting turn of events. There was a US Supreme Court case, not involved with either of the two flag salute cases, where the court reversed its decision and held the compulsory flag salute as being unconstitutional. Three of the initial judges, Justices Black, Douglas, and Murphy, publicly recanted their decision, making the case alive again. The next year, however, they didn†t make the same mistake. The Court ruled in favor of Walter Barnette and his family, that forcing people to salute to the flag was unconstitutional. However, their decision was based less on the Freedom of Religion clause under the First Amendment, but under the Freedom of Speech clause. They decided that it was a form of uttering that they were supposed to perform towards the flag, a symbol of the United States. In this manner, they were outlawing the enforcement of the resolution altogether-you didn†t have to have a religious conflict with saluting and pledging to the flag, you could just not agree with the idea of saluting and not do it all. On June 14th, 1943, Mr. Justice Jackson, along with the other 5 Justices of the previous Gobitis case, voted that it was unconstitutional for any board of education, or anyone in the United States, to impose their ideas on anyone in that fashion. The Court voted 6-3 in favor of the Barnettes and the Jehovah†s Witnesses. Justices Frankfurter delivered the opinion of the dissenting party. He felt sympathy for the minority in this case, but couldn†t find any constitutional right in their favor. According to him, he warned that â€Å"minorities can disrupt civil society †¦ nd there is NOTHING in the Constitution which subordinates the general civil authority of the state to sectarian scruples. † Because of the ruling of the court, a lot of questions and speculations were finally put to rest. It would be decades later before this type of flag case would need to be contested again. However, even in that ruling, the justices sided for the freedom of speech. The precedent was set and it has never been overturned. The West Virginia State Board of Education v. Barnette, 319 U. S. 624, was an extremely important case. Because of this case, people began to realize how much of a violation the enforcement of the resolution to salute the flag was. People realized such a practice can†t be enforced, but should only be done in a state of absolute pride for the country. Also, in a political sense, the people realized that it was still wrong to force people to salute the flag. The government thought it was doing the country such a favor by making every child in the nation patriotic, but since the utterance was done only because they were told to, it had no real meaning, and didn†t necessarily institute patriotism. During the Second World War (1939 – 1945), the government was eager to make sure that the union was really united. The sign that someone was saluting the flag raised eyebrows for more than the said reasons. Not only did they disrespect the rules of this nation, but the Jehovah†s Witnesses were also thought to have double interests. They thought the Witnesses could easily have been a threat to national security because they could a stirred a revolt amongst those who didn†t support the war. There are a lot of different sides to this case, and all the sides have really good reasons to support their case. That†s what makes this case so difficult to judge. However, I agree with Mr. Justice Jackson and the other judges who voted that Walter Barnette has â€Å"certain unalienable rights† that just can†t be taken away from him. He has the right to stand, sit, or do anything he feels like during the pledge. In his right to sit during the pledge, he is not hurting anyone or violating anyone else†s rights by doing so, so in my opinion, there shouldn†t be any reason to judge the case any other way. The argument that the nation would not be united if they didn†t all salute the flag is outrageous. First of all, the students aren†t saluting the flag because of there incredible sense of pride, but merely because they have to. Second of all, if the government forced us to all stand straight at the same time and recite a national poem glorifying the nation at the national flag (sounds very Hitler-ish, doesn†t it), then the very reason that millions have so much love and pride for this country will vanish with that freedom. We have to understand that we can†t force people to like something, they have to want to like it. In the case West Virginia State Board of Education v. Barnette, 319 U. S. 624, the judges decided that the board of education could not force any student to salute the American flag and recite the pledge of allegiance. This was a case where the very existence of the United States was at the hands of these fine justices as we know it. If it wasn†t for the extremely knowledgeable justices that judged the case, we would have lost something profoundly special.

Monday, July 29, 2019

Annotated bibilography on evidence based research-pressure ulcers Essay

Annotated bibilography on evidence based research-pressure ulcers - Essay Example The available literature identifies its risk factors as: physiological alterations, diabetes, low tissue oxygen tension, nutritional deficiency, contractures, and paralysis. This annotated bibliography examines the effectiveness of different treatment and prevention strategies used in hospital settings. The available statistics suggest that the condition mainly affects male adults, and 3-10% of the hospitalized population. The risk of pressure ulcer is also high among neurologically impaired patients, and persons disabled by the spinal cord injuries. According to Mendez (2004) prevention is a key component of managing pressure ulcers, and the presentation of this condition occurs in 4 stages starting with erythema and ending with the infection of the underlying bone or muscle. Stage 1 is characterized by the reddening of the skin while in stage 2, the skin blisters form open sores. In the third stage, a crater is formed while in the final stage, the damages extend to the tendons, joi nts, muscles and bones. Some of the treatment method used include: de-pressurizing of the affected areas, surgical reconstruction, administration of and antibiotics. While treatment of the affected patients should be administered as soon as possible, prevention should be the first priority for the population as risk of this condition. In this regard, patients on bed rest should be checked frequently for pressure sores. Symptoms to watch out for include: red skin, open sores, blisters, foul smells from the ulcers, and swollen skin. For early detection, the caregiver should consider giving the patient a head to toe examination, and should pay close attention to the following areas: buttocks, elbows, hips, heels, ankles, shoulders, and back. For prevention of this condition, persons at risk should change positions once in every 2hours and use appropriate tool to cushion the affected areas. Most importantly, they should eat well balanced meals, drink lots of water, exercise regularly, u se creams to protect the skin and keep the skin dry and clean at all times. Reddy, M., Sedeep, S., & Rochon, P. (2006). Preventing pressure ulcers: A systematic review. Journal of the American Medical Association, 296(8), 974-984 This article which is written by competent authors seeks to examine the adverse health outcomes and treatment costs associated with pressusre ulcers. The objective of the article is to review the evidence examining interventions to prevent pressure ulcers. The systematic review utilizes sources from the MEDLINE, EMBASE and CINAHL. All the databases are well known for publishing credible article dealing with different medical condition. The search strategy identified 763 citations, of which 59 randomized control trial were selected. As suggested by Moore and Cowman (2007), systematic review should have elaborate schemes to prevent bias, and maximize precision of the data obtained. At the same time, it should have a detailed exclusion and inclusion criteria, use clear research questions and adequately address the challenge of assessing the methodology quality of the selected studies. If possible, the systematic review should depend on current and credible secondary sources. In this case, of the citations identified, 650 were excluded since they were not randomized clinical trials, while 53 did not have adequate information about the outcome measures. The

Sunday, July 28, 2019

Habits of Highly Effective People Essay Example | Topics and Well Written Essays - 500 words

Habits of Highly Effective People - Essay Example Covey’s ideas can be applied to this field because they are very simple and practical guidelines which can easily be applied when tuned to specific organisational work culture. Organisations have their staff which they manage to ensure their output is maximized; this is done by inculcating Covey’s concepts among the employees. This helps in their personal and professional development (Kerzner, 2001). The following are the three of his seven habits that can be applied to project management: Begin with the end in mind: this is the most important habit since it sets the overall goals that one wants to attain in any venture. When one sets out to start a project, the long term goal is set at the conceptualization stage. Setting a vision for any proposed project or business venture shows clarity of purpose and is always enshrined in company constitution. When a company sets out to introduce a product in the market, a thorough market analysis is conducted to check if it is indeed feasible. Customer feelings and needs form part of company vision as they are the ones that ensure its success by purchasing its products (Ross, 1995). Project management provides the timelines for executing tasks and ensure schedules are followed to the latter. A company notes the requirements it needs to start a project, it then notes the available resources at this concept and development stage. After this is done, then it will be easy to follow through the plan rather than skipping some vital yet ignored stages for instance, setting organizational goals. Put first things first: this entails breaking down the tasks and assigning each component execution time in the order of priority. The management has to sit down and decide which responsibilities require a quick implementation time frame; they then schedule their tasks based on this. This

How would you benefit from and contribute to such an environment Essay

How would you benefit from and contribute to such an environment Consider variables such as your talents, travels, leadership a - Essay Example For me helping out others is a blessing because giving to the community helps enrich the culture in which we live in. As a member of the student alumni of Rutgers University I can get involved in experiences that help enrich the culture of the university. I am a very talented dancer. My abilities could be used by the theater club to integrate dancing into some of their work. I can also help students learn to dance better. During my lifetime I have demonstrated leadership abilities. I was president of the Luna Club. My leadership abilities can be put to good use at Rutgers University. Normally part of the educational experience includes working with teams. I have served the role of team leader a lot of times in the past. I could help lead my fellow classmates during class projects. I believe a lot in the value of volunteer and community work. I have served as a volunteer since middle school through the Lunar Club. Volunteer work helps you gain experience, develop new skills, and it ex pands your network of contacts (Brummel). I can take advantage of my time at Rutgers University to give back to the community. The community engagement program directory is to a great way to search for volunteer and service learning opportunities (Rutgers). Work Cited Page Brummel, A. 2011. â€Å"The Value of Volunteering.† 15 March 2011. Infoplease.com. 2011.

Saturday, July 27, 2019

Civic engagement experiences Essay Example | Topics and Well Written Essays - 500 words

Civic engagement experiences - Essay Example Some challenges of public concern can only be addressed when people volunteer to serve the community (Sherrod, Purta and Flanagan 368). After finishing my secondary education, I joined a community group of twenty youths and was appointed the chairman. The agenda for the group was to make an effort of solving some of the challenges faced by members of the community. The community was ignorant about HIV/AIDS and the overall hygiene level was below average. As a group we volunteered to organize seminars to educate fellow youths and parents on the causes, effects had how to prevent HIV/ AIDS. We rallied the members of the community to donate funds for supporting the infected persons and the orphaned children.   The donated funds helped the orphans to continue with studies and the infected to afford better. Through this campaign, many people learnt the dangers of the diseases. The community acknowledged that AIDS has no cure and it prevention is abstaining from immorality and being fait hful in marriage. As a result, the spread for the disease declined.As a team, we volunteered to sensitize the community on the importance of maintaining proper hygiene. We donated laundry products and clothes to the poor members of the community. We conducted general cleaning in the neighboring towns regularly. Our campaign on proper hygiene, helped to reduce the number of ailments caused by dirty environment such as malaria and typhoid.   Ã‚  According to Sherrod, Purta and Flanagan (221), Civic engagement has a lot of benefits to the public.

Friday, July 26, 2019

Strategic Perspectives Essay Example | Topics and Well Written Essays - 5750 words

Strategic Perspectives - Essay Example This particular paper fundamentally aims towards delivering a detailed analysis of the competitive forces and the various strategic issues in relation to the tablet and smart phone industry. With this concern, various aspects that include internal strategic audit of Apple and identification of the major issues regarding the external stakeholders that are currently faced by the organisation will be considered. Additionally, certain recommendations for Apple will also be depicted in the discussion. A Detailed Analysis of the Smart phone & Ta ­blet Industry The various strategic models that are fundamentally used to analyse the macro-framework of a particular industry can be identified in terms of Porter’s 5 Forces Model and Industry Life Cycle (ILC) theory. These models can be regarded as quite beneficial in obtaining an in-sight regarding the competitive forces along with the strategic issues shaping the smart phone as well as the tablet industry. The Macro-Framework Theory W ith due regards to the macro-framework theory implications, the aspect of macro environment tends to determine the various external influences that may impose a crucial effect upon the tablet and smart phone industry. The various macro environment factors in relation to the smart phone and tablet industry include the political, economic, social and technological forces which are prevalently acknowledged as PEST (Young & Pagoso, 2008). From the viewpoint of the technological forces, it has been recognised that the Integrated Circuits (IC’s) along with other electronic elements have emerged as superior, faster and cheaper as well delivering extensive opportunities towards improving the technology of the tablets along with the smart phones... This paper approves that the most significant strategic option for Apple can be identified with regards to its well structured analysis of value chain linkage that it performs while operating the business functions in a systematic and effective way. As it was mentioned earlier, Apple generally follows a well structured analysis of its value chains majorly focusing on the idea of creating new products, designing and re-designing the already developed products through the execution of its own resources and funding. It is in this context that the IT industry is very much competitive, diverse and capital intensive. In this regard, the packaging style of certain products belonging to Apple can also be regarded as one of the chief strategic options for the business organisations that might help Apple to decrease emissions during transportation and can pose valuable environmental impacts. This report makes a conclusion that Apple faces certain limitations majorly in terms of customer satisfaction and ethical measures adopted by the organisation. In order to mitigate these challenges, Apple should focus on creating differentiation business strategy along with lifestyle branding, advancing the close relationship with the suppliers, introducing innovative designs to persuade the customers and continuously investing upon the research and development in terms of technological advancements. Moreover, complying with the various requirements of the Fair Labour Organisation, greater concern towards the environmental as well as CSR conceptions and enhancing the existing valuable products of the organisation can also render significant benefits to Apple.

Thursday, July 25, 2019

Energy Essay Example | Topics and Well Written Essays - 500 words - 1

Energy - Essay Example The major difference between renewable energy and nonrenewable energy is the ability of renewable energy to renew. For example, wind energy is a renewable energy source which will be available in this world as long as this world remains in its present state. On the other hand same thing cannot be said about nonrenewable energy. For example, oil or natural gas energy sources are exhausting day by day and it is not replaced by any of the natural means. Because of the nonrenewable nature of nonrenewable energy, this energy source is going to lose its significance in near future or 50 years from now. Renewable energy sources will gain prominence in near future itself. Moreover, nonrenewable energy sources are causing severe environmental problems like air pollution, water pollution, global warming, climate changes etc and therefore it is difficult to rely on nonrenewable energy sources further. For example, â€Å"Air pollution, thermal pollution, land devastation, groundwater pollution, acidification of streams and rivers, erosion, subsidence of land caused by underground mines, hazards to miners, and, of course, global warming are all recognized as part and parcel of coal’s utilization† (Smith, 2009, p.162). On the other hand renewable energies such as wind energy, tidal energy, solar energy etc are causing little or no damage to the environment. In my opinion, solar energy seems to be the future energy source. The major advantage of solar energy is the less environmental problems it can generate and its abundant nature. Solar energy reaches every part of the earth 12 hours per day. If we can develop technologies feasible for the exploitation of solar energy, we need not be worried too much about the energy crisis in future. The major problem associated with the exploitation of solar energy is the lack of feasible technologies to convert solar energy into other forms of energy. Since solar energy is available only in day time, it is necessary to

Wednesday, July 24, 2019

The US Economy vs.International Economy Research Paper

The US Economy vs.International Economy - Research Paper Example The American central bank wants to keep its interest rates low (to almost zero) to spur the economy but Mr. Hoenig thinks otherwise. In contrast, the Australian economy has not suffered as greatly as the US during recent financial crisis because its economy is a bit insulated from the global economy. In fact, its big four banks are trying to hide their profits because the economy did relatively well last year. In addition, the big four banks are suspected of using accounting tricks to manage their earnings and show smaller profits than what they actually were (Potts, 2009, p. 1) because of possible political and social backlash. Moreover, the Australian authorities at its Reserve Bank are not planning to reduce its interest rates because the economy is doing better than expected. To put it another way, the need to reduce rates is not urgent because the recession was not as deep as it had originally feared. The Australian economy has recovered well enough their banks raise interest rates they pay on client deposits (Potts, 2010, p. 1). Its economy is forecast to grow by 3.5% next year and its currency has apprecia ted 20% against the US dollar since middle of the year (Rogow & Glynn, 2010, p. 1). Both economies are fully plugged to a global economy but Australia did not suffer from a housing crisis and demand for its resource exports is strong. Rogow, G. & Glynn, J. (2010, December 15). Australia Welcomes Oprah as Tourism Slumps. The Wall Street Journal. Retrieved from

Tuesday, July 23, 2019

Ethical Dilemma between U.S. and Iraq Research Paper

Ethical Dilemma between U.S. and Iraq - Research Paper Example Religion and ethics are two closely related subjects. This is more significant in Iraq, which is an Islamic nation as compared to US, which is multicultural and recognizes different religions. The US is a multicultural country and, therefore, the country and the religion are two separate entities. In Iraq, the religion plays a vast role in defining what is right or wrong among the members of the society. According to the Islamic religion, it is ethical to kill other people who are against the teachings of Islam or Kafir (Velasquez, Claire, and Thomas web). In addition, it is ethical and valuable to die while fighting for the religion. This is absurd in the United States, which considers the rules of democracy as the basis of ethics. In this case, a person has the right to choose their religion. However, U.S is against religious extremism. This is because practices such as jihad are against the rules of democracy. In addition, the US values the life of all individuals regardless of th eir religious or political affiliation. According the law, everyone has equal rights to live and, therefore nobody has the rights of terminating the life of another individual. In Iraq, it is ethical for women to be subject to men while in the United States men and women are equal despite their physiological differences. The Iraq society considers men superior to women. This indicates that men have certain rights that are not accorded to women. In Iraq, every woman is expected to have a male guardian for guidance. In this case, a guardian is a husband, brother or father. The guardian is expected to lead or direct the woman on important issues such as religion, marriage and ownership of property. In the United States, the issue of a male guardian for women has no basis. This is because all individuals are equal according to the law regardless of their gender, education or religious affiliations. This indicates that, women have equal chances of owning property, starting and managing b usiness and making marriage decisions as men do. This issue is a major source of ethical conflict between the two societies as each country considers the other as moving in the wrong direction. Since the US led invasion of Iraq and the overthrow of Sadam Hussein, the US and its western allies have been trying to establish the concept of democracy in the country. However, Iraq seems to be many miles away from achieving a democratic state. The numerous incidences of suicide bombers in the country are a clear indication that the US democratic intentions are not applicable in Iraq. Leadership is a major source of conflicts between the two countries and, it remains a controversial issue. It is an ethical requirement that all political leaders in United States should be elected through a free and fair electoral process that is supervised by states’ electoral commissions or authority (Badd 109). On the other hand, the Iraqis consider a leader to be someone of unique characteristics. In Iraq a good or competent leaders does not require being elected through a democratic election process but should have certain values and affiliations. It is therefore, right for the country to have a dictator such as Sadam Hussein provided he has desirable values and Islamic affiliations. In the US, upholding dictators is unacceptable. Issues of sexuality have also been a major source of

Monday, July 22, 2019

Is the Criminal Justice System Bias Essay Example for Free

Is the Criminal Justice System Bias Essay Abstract This paper will ask several questions and hopefully answer most of those questions. Questions like is the criminal justice system bias against the poor and is the criminal justice system bias against minorities. We then explore some of the possible solutions to the problems that could cause biases. We then look at a study done on several communities where relations between police and the public had repaired their relationship. Body It’s easy to understand why people see the criminal justice system as biased. Our of all of our states prisoners forty percent can not even read; and sixty-seven percent did not have full-time employment when they were arrested. So there are more uneducated people in prison then there are educated people. This seems like then that our system of criminal justice is operated on an unequal system against poor or uneducated people. However, one of the problems we run into when we try to compare the wealthy lawbreakers to poor lawbreakers is the wide difference between the amount of wealthy people and poor people we have in our population. â€Å"In 1989, the wealthiest one percent of United States households owned nearly forty percent of the nation’s wealth. The wealthiest twenty percent owned more than eighty percent of the nation’s wealth. That leaves precious little for the rest† (Cole, 2000). This isn’t just true with adults, but with children and teenagers too. The number of poor/under-funded schools in America far outweighs the number of wealthy schools in America. That’s probably the main reason our system appears to be unfair against the poor. The reason that any pole or nation wide research will be bias against the poor or lower class is because there is a much larger poor/lower class population than a wealthy/high class population. Most American’s will probably not want to believe that our criminal justice system is not operated on equality. After  all our nations Supreme Court even has the saying â€Å"Equal Justice Under Law† written above the entranceway. There are several very famous Supreme Court’s decisions that uphold equality for the poor. In Gideon v. Wainwright they made it a law that the state must provide a lawyer to all defendants who have been charged with a serious crime and cannot afford a lawyer. In Miranda v. Arizona the Supreme Court decided that police must provide all suspects with an attorney. These court decisions might be a little misleading since both were decided during the time of Chief Justice Earl Warren, who was strongly liberal and very supportive of economic equality. Since then the principles of equality from both decisions for Gideon v. Wainwright and Miranda v. Arizona have been cheated and twisted so that neither decisions are upheld to the full extent that they were intended (Cole, 2000). That’s enough bashing our court system. There are actually many things that police officers do witch can be biased. For example the Fourth Amendment says that we have a right against unlawful searches and seizures. However, police officers all the time and request their consent to search them or their belongings (without ever having any basis for suspicion) without ever informing them of their right to refuse the search. This isn’t necessarily a bias against the poor but it makes sense to me that an officer would judge somebody on appearance. There is also the means of transportation we have to consider if law enforcement is bias to the poor. Say hypothetically some wealthy person is traveling across the country to a birthday party. How are they going to travel? Most wealthy people would probably travel across country like that by means of flying. While flying, people do not come in contact with that many police officers nor are they in many positions where they would normally break the law. However, say there is a poor person who is traveling the same distance to the same party but does not have the money to fly. The cheapest mode of transportation is definitely by way of buss. While traveling by buss there is definitely a larger chance of contact with the police than when traveling by air. There are also many more opportunities for crime to be committed while traveling on a buss. Again we have the situation where it’s not necessarily that the poor are treated differently but are maybe just in environments where c rime is committed more often, which would explain why it seems that the system is biased against them (Rothwax, 1996) So I feel like we could come to an  agreement now that the criminal justice system is not necessarily biased against the poor at the law enforcement side of the criminal justice system. However, the courtroom side of the criminal justice system seems indirectly biased against the poor, simply because each trial can be different depending on how much money they defense and the prosecution have available to them. Now lets talk about other ways that the criminal justice system could be bias. What about race? Are people treated differently depending on their ethnicity? Most people probably agree that there are some ethnic groups who are treated differently than other ethnic groups in the criminal justice system. Statistically minorities are disproportionately victimized by crime. â€Å"African Americans are victimized at a rate of 150 percent higher than whites† (Cole, 2000). Blacks are typically more involved in almost every kind of crime more so than whites. These crimes can include rape, aggravated assault, and armed robbery. Homicide is actually the number one leading cause of death among young black men. Most crime is interracial and so it could be argued, just as it can with the topic of biases against the poor that the reason for higher crime rates for black is because most poverty stricken areas, or the inner city, have majority black populations. Therefore the criminals would be black, the victims would be black, and all the statistics that came from that area would rate blacks more prone to commit crime than whites. Now lets look at some cases. For instance the videotaped beating of Rodney King by Los Angeles Police Department officers was a huge eye-opener for most of America. It was said of that beating that for many blacks saw that as trea tment they expected from the police. They were not surprised by that beating what so ever. Curtis Tucker, a California Assemblyman, was quoted saying at a subsequent hearing on Los Angeles Police Department practices, â€Å"When black people in Los Angeles see a police car approaching, they don’t know whether justice will be meted out or whether judge, jury, and executioner is pulling up behind them.† There was even this one officer who earned the nickname â€Å"the Mechanic† because he would â€Å"tune people up† which apparently is police slang for beating up people. This â€Å"Mechanic† once testified that the beatings were widespread. When asked the question of weather he beat up people whom he arrested he replied, â€Å"No. We just beat people up in general. If they’re on the street, hanging around drug locations. Just—It was a show of force† (Rothwax,  1996). The officer even admitted that the majority of the beating victims were either black or Hispanic; although he claimed that the attacks were not motivated by racial tension. There have been very disturbing patterns of corruption and brutality in the police force of almost every high-crime area studied. These corrupt acts include stealing from drug dealers, engaging in unlawful searches, seizures, and car stops, even dealing and using drugs. If instances like this is what our police force has come down to then our country is far worse off then I ever realized. I do however believe that this is probably a much smaller percentage than what some statistics would lead us to believe but it is not a problem that I believe can be overlooked. So what can be done? Can something be done? Are we as a country so far gone that we can come back? I believe we can. I believe that we have become to far separate from the community. We have to bridge the gap that has grown between law enforcement/the criminal justice system and the public lower class people. How do we do that? â€Å"The thing we need most is perspective† (Walker, 1980). One thing that could be the answer to our problem is community based policing. In Canada they passed the Police Services Act of 1990 that might be a good refere nce for our current agencies to look back on. What the Police Services Act did was make the Chief of Police responsible for community-oriented policing (Kuck, 2004). â€Å"Community based policing is both a philosophy and an organizational strategy that allows the police and community to work together in new ways to solve problems of crime, disorder and safety. It really only has two elements: changing the methods and practice of the police and taking steps to establish a relationship between the police and the public† (Groenewald, 2004). The Philosophy of community based policing is based off of the idea that the public has a right to give their input on policing. It also relies on the idea that to find a solution for community problems both the police and the public must look past individual crimes and incidents, and instead try to find ways of confronting the more important community problems. What does community based policing look like though? Community based police officers need to be much more than mere crime fighters and must be public servants in many ways. Reforming the police alone, however, is not enough. Community support and assistance are also necessary. Community based policing therefore encompasses strategies to reorient the public who, for  good reasons, have been leery and distrustful of the police. Building partnerships between the police and communities is a major challenge that not many people or organizations have every really attempted. The philosophy of community based policing asks both the police and the public to take a leap of faith and a commitment to change. It would be a long process that would require drastic action to be taken at multiple levels meaning that there would be detailed planning necessary to turn philosophy into reality within the police and among the public. There was a study where Kuotsia Tom Liou from the University of Central Florida and Eugene G. Savage from Florida State University looked at the impact of community policing by looking at three neighborhoods in West Palm Beach, Florida before and after the implementation of a community oriented policing program. Lets take a look at what they found. They had 3 communities with the first consisting of mainly white residents, mainly single-family homes, apartments, and small businesses. The second community was primarily black consisting of a concentrated public housing project, single family homes, apartments, small businesses, several churches, and a public middle school. The last community consisted of whites, Hispanics, blacks, and Haitians. The community was made up of single family homes, apartments, small businesses, and several churches. It was their goal to find out how community policing affects difference types of communities. The results of their study showed that after the community based policing had been going on sixty-eight percent of surveyed citizens felt that crime had decreased. All age groups, race groups, and all three neighborhoods shared the belief that crime had decreased. Even if the crime rates had not gone down in reality it would still really help relations with police officers just that the citizens believe it had. In addition to the feeling like crime had gone down they also asked in their survey how they felt about the relationship after six months of the community policing. Among the respondents to the survey eighty-eight percent felt that the relationship between the police and their communities as getting better. We started this paper with the question of is the criminal justice system bias. We talked about the relationship between law enforcement and the public. We talked about one of the possibilities of how we could rebuild that relationship. We then looked at some research where a relationship was made better by use of community policing.  Hopefully we can use research like this to help make this world a more perfect world. Reference Page: Cole, D. (2000). No equal justice, race and class in the american criminal justice system. New York: New Press, The. Rothwax, H. (1996). Guilty: The collapse of criminal justice. New York: Random House. Walker, S. (1980). Popular justice. New York: Oxford University Press. Kuck, H. (2004). Racial pride and consciousness trilogy: Addressing hate crime and racial discord through community policing. Canadian Journal of Police and Security Services. Dec. 2004: 243. Criminal Justice Collection. Web. 29 Oct. 2012. Groenewald, H. and Peake, G. (2004). Police Reform through Community-Based Policing. New York. Liou, Kuotsai. and Savage, Eugene. (1996). Citizen perception of community policing impact.

Crime and Voilence in Jamamica Essay Example for Free

Crime and Voilence in Jamamica Essay The Primary Factors Contributing to Crime and Violence in Jamaica. Jamaica is a society which has been affected by crime and violence over the past years, and is continuously been affect by this phenomenal. Crime and violence involves the intent or use of psychological and physical force or power against oneself or another to do harm (Hoffman, 2009). Jamaica is a country plagued by crime and violence, especially in urban areas. Jamaica since 1977 has become the Caribbean nation with the highest homicide rate in its citizenry and continues to hold this position (Harriott, 2007. ) The primary contributing factors for crime and violence in Jamaica is a challenge to identify as crime and violence can thrive in so many environments. However the proximate or primary factors can be classified as; corruption, demographics, unemployment, destabilized family, weak justice system, an interconnecting network of criminal gangs, drugs running, politics and the police. According to Harriott, Demographics are a background factor which is contributing to crime and violent in Jamaica. In Jamaica the age group 15-29 is held responsible for most of the violent crimes committed within the country. In particular males in this age group are the prime offenders, they are also prime victims. Over the past years the age group 15-29 has being expanding rapidly. As a result the factor behind our high crime rate is the huge population of ages 15 -29. Due to this high percentage in the age group 15-25 there is an increase in juvenile and violent crime especially where there is the availability of guns. Harriott further stated that we currently experiencing the worst demographic factor for m 1985, and this will continue until 2020 where we are expected to see an 87 per cent decline of its 1995 size. Urbanization is the second factor, which in order to understand the demographics factors one must associate the two factors. Coming from being 30 per cent urban in 1960, Jamaica was about 60 per cent urban in the year 2000. There is also a process of secondary urbanization in St James (3.7 per cent), Mandeville (3.1 per cent), St Ann (2.4 per cent), and Kingston and St Andrew (2.3 per cent) which had the largest percentage increase in population between 1996 and 1998. From these figures above one can say that there is a decline in the rural population and an increase growth for secondary urbanization, in the tourist and bauxite towns of Montego Bay, Mandeville, and Ocho Rios. All parish capitals are experiencing urbanizations; as a result the high risk group (ages 15-29) is being increasingly compacted in dense, poor, urban neighborhoods, (Slums). This problem points to potential for high crimes rates in Kingston and St Andrew and St Catherine, which is also exported to other developing urban centers. High rate of youth employment is also one of the leading factors of crime and violent in Jamaica. The rate of unemployment in Jamaica is 17.5 per cent. . Unemployment in Jamaica especially among Jamaican teen leads to poverty, idleness, low self-esteem, frustration, and eventually crime and violence according to Don Anderson survey. Employment is seen as the way to survive so without work youths tends to be weaken and consequently this leads to idleness, which leads to badness, gang wars, and crime and violence. Youths also admits that they would have less time and energy to steal and commit other crimes if they were working. Harriott stated that in 1998 the unemployment rate for 14-29 age groups was 26.5 per cent. This rate consists of 18.9 per cent young males, and 35 per cent young females. (Anderson 1998). The unemployment rate for young males (14-29) in Kingston Metropolitan Area was 17.8 per cent in 1998, compared to 26.5 per cent in other towns and 17 per cent in rural areas. In St A Andrew and Kingston there is a pressure on young males for economic support form baby mothers, mothers, siblings and other family members. This is one of the reasons for robbery, car theft, pick pocketing in the Corporate Area. (Gayle 1999). The high unemployment rate in other rapidly urbanizing inner-city areas such as Ocho Rios, May Pen, Mandeville, Montego Bay and Savanna-la-mar, also will lead to crime disaster as in Kingston and St Andrew. Employment is seen as very beneficiary and not been employed in Jamaica especially its youths can lead to crime and violence among males, and teenage pregnancy and dependency on men, abuse and domestic violence for female. Destabilized family structure including poor parenting can also be look at as a factor that contributes to crime and violence in Jamaica. Jamaican society has been often referred to as a matrifocal society. Many families are female headed households without the presence of a male figure. Children from these household manifest a number of internalizing and externalizing behavior problems, including sadness, depression, delinquency, aggression, sex role difficulties, early initiation of sexual activity and teen pregnancy, as well as poor social and adoptive functioning and low self-esteem. The absence of guidance in parental or societal role models leaves a gap which is filled by peer groups, particular among men. According to the Grace Kennedy Foundation lecture (1991), ‘peer group’ actually replaces mother and fathers as the controlling agents. Traditional role models become replaced by gun and this result in the emergence of Dons and Robin hoods. Low self-esteem is also a consequence of poor parenting. Youths with low self-esteem carve respect from peers and others, and if been disrespected this can fuel problems among individuals. Harriott however stated that countering this however is the gun, which notes â€Å"the ultimate guarantor of respect†. With this in view the inner-city don become role model for youths, ‘not only because of their ability to command and dispense largess, but Corruption is also a crucial primary factor. According to Harriott, police that reduce unjust inequalities are likely to reduce some categories of violent crime, but research findings cast some doubts that in Jamaica they would have contribute to the murder rate due to corruption. Transparency international, measured the degree to which corruption exist among public officials and politicians, and produce an annual corruption index. For 2005 Jamaica attained a score of 3.6 out of 10 and rank 64 out of 159 countries surveyed. Organizational crime in Jamaica has been facilitated by corruption, relationship between ordinary criminal gangs and the major political institutions. Harriott further stated that gangs are key pla yers in the processes of political mobilization on the streets, securing electoral victories, and in consolidating power -often because of their hold on communities of the urban poor. This relationship leads to a flourishing of corruption, and plunder of the resources of the state. Corruption facilitates serious crimes, and endemic corruption, ensures the freedom of action to build successful criminal enterprises. This is most problematic and yet most evident in police service where corruption is endemic and institutionalized. From interviews which were conducted by Special Task on Crime selected JFC personnel from different ranks expressed the view that the majority of their senior officers were corrupt within the Force. Some of these corrupt practices among members of the force include: Contract killing or â€Å"murder for hire, tampering with biological exhibits, e.g. urine samples, dropping charges, including serious offences, planting evidence, providing escort for illegal drugs etc. A weak Criminal Justice System also facilitates criminal activities within the country. Where there are high levels of corruption and influence easily immunizes high-end criminals against police action. This is certainly the case in Jamaica. Moreover, the criminal justice system is, in one respect, antiquated and overload and thus unable to effectively respond to the more sophisticated criminal groups. Harriott stated that associated institutions, including the existing body of laws, are also, in some respects, antiquate for dealing with crime. The case-load of the investigative units of the police is a good indicator of the degree of immunity from law enforcement (not crime-fighting) that is enjoyed by criminals. For effectiveness, the number of investigators should be greater than the number of cases to be investigated. Instead, a single divisional homicide investigator is, for example, burdened with a case-load of twelve to fifteen homicides, and this was in 2000(PERF 2001,49). Not surprisingly, in 2004, the clear-up rate for murder 9 the number of arrests as a percentage of all reported murders) was 44.8 per cent, and the clear-up rate of violent crimes, that is, the most serious offence against person (murder, shootings, rape and robbery aggregated) was 39.8 per cent (PIOJ2005, 24.30). For serious crimes, the clear-up rates are poor, and given the case-loads ratios, the conviction rates are unsurprisingly low. In the case of murder, the conviction rate is estimates at less than 20 per cent. As a result the justice system in Jamaica is very weak in frightening against crime. Jamaica can be described as an interconnecting network of criminal gangs, drugs running, politics and the police. Therefore Gangs, Drugs and Politics can also be discussed as primary contributing factors to crime and violence in Jamaica. There are about forty- nine active gangs in Jamaica, but only a small number (14 per cent) are highly organized. According to Harriott the highly organized gangs are deeply involved in the following activities: trafficking cocaine, marijuana and crack, both locally and overseas. It is also said that there is a significant Colombian drugs activity in Jamaica. Another major criminal activity for criminal gangs is protection and extortion rackets in business district in Inner-city areas. Business places pay funds to gangs in order for security, that their business and their customers are not robbed. This money is an important source of income for violent criminal gangs. According to Harriott this is extortion, which is a contributor to violent crimes in Kingston and St Andrew. It is also claimed that highly organized gangs operate a quasi-judicial system, complete with â€Å"hearing† witness and a rough schedule of punishment, including incarceration and the death penalty. Theses criminal gangs are also allegedly engaged in the large scale illegal importation of goods such as red peas, onio ns and cooking oil. Harriott stated that is may not directly constitute violent crime, nonetheless strengthens these groups economically, weakens legitimate firms, etc. major gangs are said to be connected to the major political parties. This relationship between gang and political parties stands to be beneficial to both sides. In election gangs secure votes for political parties, and keep the peace during civil disturbances, which the most important benefit for gang’s from political parties is protection from police. According to Harriott the main criminal gangs and the political parties have major stake in maintaining the existing corrupt relationship. Jamaica has been significantly affected by violence and crime. Violent crimes are one of Jamaica’s major issues, for the past twenty year. According to Harriott the country has experience an overwhelming increase in murders and related assaults. The World Bank noted that crime is undermining growth, threatening human welfare, and impeding social development. Therefore the government and citizens of Jamaica has to take serious measures to reduce or eliminate the primary factors contributing to crime and violence. According to Harriott the only long term sustainable solution to the violent crimes problem in Jamaica is the recovery of the formal economy. Therefore the government must continue its programme of macroeconomic management. This may have short term negative social consequences, but in the end will lead to more job creation and a reduction in crime. Harriott further stated that the government must embark on a programme, however limited of formal economic activities in the inner city. The government could also develop a programme of physical upgrading in the inner city. This could involve fixing drains, improving sanitation, roads surfaces and housing, and beautification. This could add real value to properties in the inner city, as well as generating employment and improving the already and demoralizing physical environment. The failure of the educational system, for both the employed and unemployed have to be rectified also. One the government needs to find the causes of the high male drop- out rate. The NPC could also develop a special task force on education and training, and a mandate to begin the necessary and urgent programme of restructuring and reprogramming. The most immediate measure which can be taken by the government is to control gun and ammunition. Reference Government of Jamaica. (2007). National Security Policy – Towards a Secure and Prosperous Nation. Kingston: Government of Jamaica. Gutierrez, I. M. (2009). Development and implementation of crime and violence observatories: A tool for public policy. III Inter-American Forum on Violence Prevention and Citizen Security: Addressing Crime and Violence in the Latin American and Caribbean Region. Kingston. Jamaica: Jamaica Conference Centre. Harriott, A. D. (2008). Bending the trend line: The challenge of controlling violence in Jamaica and the high violence societies of the Caribbean. Harriott, A.D.(2008). Organized Crime and Politics in Jamaica: Breaking the Nexus. Kingston: University of the West Indies Press. Harriott, A.D. Understanding Crime in Jamaica; New challenges for public policy. Kingston: University of the West Indies Press. Hoffman, J. S. (2009). Engaging citizens in crime and violence prevention: Emerging approaches. III Inter- in American Forum on Violence Prevention and Citizen Security: Addressing Crime and Violence the Latin American and Caribbean Region. Kingston, Jamaica: Jamaica Conference Centre. McLean, J., Harriott, A., Ward, E., Buchannan, J., and Karia, R. 2008. Jamaica Community-Based Policing Assessment. Kingston: Jamaica Constabulary Force and USAID.

Sunday, July 21, 2019

Dementia Symptoms, Causes and Strategies

Dementia Symptoms, Causes and Strategies Symptoms of Dementia Repetitive behavior- people with dementia may say or ask anything same over and over again. Repetitive behavior also occurs when they are unsettled and unsettled. Here are some of the examples of repetetive behavior it includes tapping, rubbing hands asking questions, making same noise, it can be very irritating for some carers and family with people living with dementia. It is usually caused by anxiety separation from loved one cauising consistent asking for their loved one or side effects of medications such us particularly repetitive movement, inability to express needs, trying to express emotion too many unfamiliar objects or sounds and sights that causing anxiety. The best thing to cope with this behavior was asked them to have a walk like in the garden, don’t tell them that they have already asked the same question, use calm voice when approaching them, and when they can still read, use signs like we â€Å"we will have and eat the afternoon tea at around 15:30 pm. Wandering- wandering is the major priority , it is the most common form of disruption with people with dementia. It is also due to forgetfulness and frequent need for stimulation. It is common cause of tension and anxiety for the carer and the people with dementia is the wandering. It can also triggers with medication which causes restlessness and unfamiliar environment assistant to find their way around plenty of reassurance may lessen the problem or if the person bored sad or lonely. It includes to keep the need and make the person safe allowing them some independence and choice can also be challenging for them, this can be resolve depending on several factors involving and including neighborhood environment, personality of the carer plus the coping mechanism. The coping strategy was encourage exercise such as walking, gardening or stacking wood and also provide good exercise and some interest give meaning ful activities such as folding clothes. Consider electronic buzzer, chimes, bell above door or a pressure sensitive mat if the person way out.Ensure gates are lock and also ensure she/he carries that can identify him/her. If unable to find within an hour let the police know and when the demented being found notify the police. Sundowning- it increased confusion and restkessness in person with dementia. It is means progression of dementia and it occurs more frequently during middle stage of alzheimers. People with dementia will become more confused restless or insecure in the late afternoon or early in the evening. They get worse after a change in routine, they become more demanding, become upset and disorientated, attention span during this time is limited they became impulsive they may feel see things that are unreal. The causes is there is a psychological or physiological function during tge day or each day that can increased confusion that leads to agitated behaviors. They become anxious going home and even finding mothers which indicate they need safety and security protection. If surrounding becomes worst early afternoon rest is recommended, offer a drink and do not restrain make them feel safe. Aggressive behavior- it can be due to verbal abuse like physical violence bitting or even scratching. It may trigger may be because of changes in the brain misunderstanding of messages being sent by the carers. It is also causes and lead to emotional harms to others or threatens. It can be reactive it can be overt and secretive. Environmental factors such as noise feeling of failure frustration and poor ineffective communication by staff, talking loudly being bossy, threatening tone and body language can trigger behavior. The coping mechanism involves use gentle approach, remove the person from trigger, smile, use distraction such listening to music, avoid confrontation which may worsen aggressive behavior. Rummaging- rummaging means to search thoroughly by handling turning over or disarranging contents, it also means searching thoroughly. People with dementia intrude into other private spaces and rummage when they are lost searching for purposeful activity, it triggers when the person is feeling of being unfamiliar in surroundings. It may be searching for a purposeful activity. The coping strategy is provide picture of something familiar on the door provide distraction, provide things or objects which can connect a person with their past, provide rummaging box or draw full of familiar items. Have an area or room provide client to rummage. Hoarding- people with dementia may search and find for something they may believe that is missing and they do hoarding and hoard things to collect them for safe keeping.It is a persistent difficulty discarding or parting or possessing because need to save them. A person with this experience distress thought of getting rid of items. It influence and triggers the behavior everytime they may feel insolated and they may feel neglected so hoarding is a common response to this. It can also triggers memories on the past like her sister is tooking her things. The person with this type of behavior has a fear of fear or loss. Catastrophic behavior- it is behavioral and emotional response in a situation which create a stress to people with dementia. It is a caused for a person with dementia and situation its beyond the person’s ability to comprehend. Trigger can lead to too much inform,ation, feeling of insecurity, changes of routine and environment, too much stimuli and unfamiliar noises can be a factor. The coping mechanism is use gentle, calm, slow speech, smiling and touch theraphy may be used , removed the person from the stimuli, and document if dituation may be avoided in the future. Changes in the Brain Changes that taken place in the brain and affect person memory mood and behavior it also depends on what part of the brain has being affected. Plaques and tangles stop communicating between nerve cell and caused them to die. It can trigger challenging behavior such as sundowning hoarding, aggressive catastrophic rummaging wandering etc. anger and agression are often directed to a family member because they are closest. The behavior is out of person’s control and they may be frightened by it they need assurance eventho it doesn’t show that way. Communication style of others- as dementia progress ability to communicate decreased and decline in language is lost that leads to frustration and anxiety. If they cant understand what people or carers saying this may cause them to act as a challemnging including aggression. Aggressive behavior may be a person’s way meeting the need attempt to communicate and can result of unmet outcome need. Approach by other people- Never ever approach from behind it can trigger challenging behavior, do not be loud and bossy cause it might upset the client and can make them feel angry and frustrated, different carers with different approach or changes in routine can trigger challenging behavior. Loss of choice- Other people may think people with dementia can not longer do thimgs for themselves and leave them out of decision that affect them. This cause frustrated to people with dementia it can cause angry because they are not being listened and they are being ignored, the person may loose confidence if there is a loss of choice including their ADL;s, activities and meals. They can become stress and have anxiety if they don’t have choice. Environment- The environment may not meet their needs or may be overstimulating too hot or too cold, noisy or bright can trigger their behavior, too much agitation but less stimulation can lead to boredom frustration and apathy. Sensory issues- Impaired vision and hearing can misinterpret sight and sounds in this it can trigger behavior issues. Poor eyesight and loss hearing may lead to anxiety, frustration and communication difficulty. Anxiety- Anxiety causes inability to carry out activity o daily living. Inability to understand words around them , inability to perform previous ability and anxiety can be due to multiple factor causing frustration which caused sense of loss. Cultural factors- In other instances client feels that they are not being understood. Dementia person may revert on their own language, become angry, anxious, and frustrated when other doesn’t understand what they are saying. Service limitation- Services may not be person centered in health changes they are not noted and reported properly. Carers and meals may not be on time which can greatly affecting the client behavior not enough staff on duty which client routines may change due to lack of staff that leads to challenging behavior. Physical health changes- An inability to communicate any pain or health problems may lead to anxiety and feeling of helpless. Infection, pain and constipation may lead to delirium. There may be pain illness infection or physical discomfort including being constipated or thirsty or from sitting for too long. Medication- Some medication can increase agitation and confusion new meds can lead to changes in behavior, side effects for taking too many medication may mean that person becomes more confused and drowsy. Challenges toself esteem and dignity- Need to accept personal cares may lead to loss of dignity and loss of independence, loss of privacy may lead to embarrassment sometimes person with dementia may feel useless and as unable to so such activity may feel burden to family. Loss of independence- person may becaome frustrated for not being able to complete the task.(e.g dressing up and feeding herself). Aggression may occur due to frustration with own inability to carry out previous task. Strategies for Dementia Care Behavioral strategies (diversion)- it can be a very effective way to challenging behavior it means distracting from present situation. Take them for a walk smell flowers, look at the garden, use of CD, playing music of their music song, encourage to do household task with a client who is capable of folding clothes. Etc. Individualised service plan- Services should be safe, and services providers shall ensure that a patient receives best possible care available and that patient is safe from harm for both themselves and others. Safe social and physical environment- when a person starts to wander and become dangerous to themselves it may be necessary to assessed as required stage 3 residential care. this is where all external gates to the facility are blocked and residents are unable to leave their own desire. As dementia progress person with dementia is vulnerable safety issue and requirements and protection is important not only from physical injury but also from exploitation and abuse. Individualised activity plan- Activities should be safe voluntary, familiar and provide chance of satisfaction and success. Each client have and requires activity plan. Avoidance of triggers- It is the key to management and problem solving consultation with family/whanau. Use of behavior charts and good documentation with times, location, dates and the staff involved. Ensuring that the care being delivered is client not task oriented, assist with ensuring values and self esteem. Timeout- timeout for person with dementia means gently taking their hand and encouraging them to walk away from a situation which causing them distress. Going for a walk, going back to their room or in a quiet area should be assisting in reducing tensions.it should not be necessary toi restrain or shut someone into isolation. Communication techniques- It is provided and acknowledge required that carers should talk in a respectful and calm way to residents and even to staff’s as a sign of respect. Staff education and training- It is ongoing training and monitoring of systems and strategies. Manangement often offer trainings to staff to familiarize and know whats to do when the situation arises example falls, what to do etc. Debriefing- Support workers having regular meeting and discussion to relieve the stress and discuss concerns or just have a meeting and talk to relieve the stress. Having trained support workers such as team leaders to open discussion and assistance to other support worker. Stress management- Stress management is a spectrum of techniques and psychotherapies aimed at controlling a person’s level of stress especially chronic stress. One way to solve and lessen the stress was to d solving the problem which causing to stress thinking intervention how to deal with it remove yourself from the stimuli, listening to music watching movies and talking to friends to lessen and cope with the stress. Care Worker Strategies Personal restraint- it means that the service provider uses their own body to intentionally limit the movement of client upper body and arm that can be held to allow for a bloodtest, and a body and legs might be restrained for insertion of a catheter. Physical restrain- which limit a person normal freedom of movement mostly applied directly to a person’s body. Strap and lapbelt are used in a bed chair. Vest restrain-vest crosses body at the front and strap to secure at a chair or bed to decreased forward or sideway movement. Mitten restrain- restrain person hand to restrict the ability to use finger thumb. Wrist ankle-limit movement of legs/arm . Elbow restrain- preventing elbow from bending. Environment restrain- Reduction of social contact or intentionally removing environment stimulation, it is a change to a person surrounding that restricts or control movement example bed rails can be raised on side of the bed some are padded which make them suffer. Locked doors- locking doors to a room and certain area. It can stop people who are wandering to go into a place they are not supposed to. Seclusion- can be reduced if they are at risk of injury for themselves or other. It means locking a person in a particular room, it should be used in mental health and intellectual disability to prevent violent behavior compromising safety. Fences it can be used as a restrict on outdoors area, Indoors can be used in a corridor or at a top of staircase. Furniture portable tables or reclining chairs can be used as form of environment restrain. Important Factors for Dementia Care 2.2 Dignity- Restrain reduces dignity when our choices are diminished and we rely on others to meet our needs such as fluids,toileting bathing, etc. Person or support worker should make sure that they are continually aware of dignity am person. Privacy- Person al information should be stored securely and should not be visible to people who are not authorized to see it. Support- positive communication is essential to reduce agitation and anxiety. Should be within the person’s understanding and it may be repeated. Touch are useful ways to communicate with the person. Be sure touch is culturally acceptable for demented client. Communication- use simple short clear sentences as the person my be having difficulty understanding because of dementia, speak politely this will decreased client stress. Safety- document the use of restrain example progress notes, Make sure that it is culturally accepted, during restrain monitoring forms and if a new restrain it can be check every 15 mins, then it can become less if a person get used with the restrain. Process of Dementia Care Approval process- This is the first step before it needs to approved, before restrain full restrain can be used, any risk desired ourtcome, person age, gender, current treatment, recovery plan, possible alternative, hoe the person will be affected, and the possible effect of this like confusion response on future treatment. Documentation- document sufficient detail and the intervention and outcome that is being done. Documentation is a legal proof of what is being done. It consist if details of advocacy, intervention and observation, and monitoring, type of restrain being used the time, the risk and the cultural considerations. Document it on restrain form which can be checked and fillup every 2 hours for the notes. Assessment is needed before the treatment is being started, it includes here the clients health gender, culture, if experience trauma, being abuse in the past , how long should be in place and what factor should be considered and what is the expected outcome on this. Informed consent- Informed consent is a process of involving indivisual and or their representative if the individual does not have the capacity to consent all involves needs to be appropriately involved and are willing to agree on what is being suggested.consent must be obtained before doing retrain. The ffg should be explained like what is the restrain being used, the risk and benefits, alternatives on the use of restain and the outcome of its use. Planning- The decision to approve for restrain on a client should be made only as a last resort, to maintain safety for the clients workers and others. It is also based on the information that is being gathered during the assessment process and the organisation policies and procedure. Care and Monitoring- The need for continuous use of restraint is continually monitores and regulatly reviewed to ensure it is applied for the minimum amount of time necessary. To minimize the risk of harm to the patient during anby period of the restrain the patient safety, comfort, provision of all are support and treatment must met at all times. Must check the color- the skin may also feel cool if blood flow is restricted the circulation restricted blood floew affects circulation which they may feel tingling sensation especially in fingers, hands and feet and toes. Sakin breakdown may occur especially in the area where the restrain is it can become red and will develop sores. Breathinh- The person should breath normally when the restrain is in the place if the person having difficulty of breathing the restrain may be too tight.Posture- if the person is uncomfortable the restrain may be too tight or incorrectly placed. Degree of restriction- there should be enough two finger space b etween restrain and person body. Comfort- make it comfortable to keepthe injury on its minimum.Personal needs- Ensuring that needs are met and opportunities to eat and drink go to toilet is being prioritized and being given to decrease the impact of restrain. Reporting and recording- A restrain is being registered or equivalent process is established to record sufficient information to provide audible record of restrain use. Organisation policies will describe what observation monitoring and unexpected changes you need to record and how often this needs to be done.

Saturday, July 20, 2019

Vocabulary :: essays research papers fc

Introduction One of the most fascinating aspects of words is that they all have a past. Some words in English, for example, can be shown to have been in place for more than 5000 years (P. Baldi, 1999). Ordinarily we pay little attention to the words we articulate; we concentrate instead on the meaning we intend to express and we are seldom conscious of how we express that meaning. Only if we make a mistake and we have to correct it or we have difficulty remembering a word we become conscious of our word. This means that most of us do not know where the word we use come from and how they come to have the meaning they do. English words come from several different sources. They developed naturally over the course of centuries from ancestral languages, they are also borrowed from other languages and we create many of them by various means of word vocabulary available to us today. History and morphology of the word Mother The idea of the mother goddess was invented in early ice age, some 25,000-30,000 years ago. She and her life giving breasts were called omma from which we have the words akin to maternal, matter, and mother. By the late ice age the Semites had shortened omma to om. The Dravidians of India are Semites who migrated to India after the ice age. They still call mother goddess omm. Om is also the present day Arabic word for female and mother. Omma became ma among the Iranians, meaning the female breast. From ma we have the Iranian maman. Also, we have the Iranian ma-Dar (earlier ma-tar) meaning breast which became mater in Latin, modor in Old English (725), madre in modern Italian, and mother in modern English (1425), (R.K.Barnhant, 2000). Collocation There are several words that fit together with the word mother.  Mother Country  Mother Nature  Mother Figure  Mother Tongue  Mother Board Connotation The word mother has a positive connotation as it describes maternal tenderness and affection although in American English mother could also mean motherfucker which carry a negative and vulgar meaning (Chambers, 1994). Semantic field relation The following are some semantic field relations to the word mother.  Father  Son  Daughter Semantic usage   Ã‚  Ã‚  Ã‚  Ã‚  REGISTER Mother  Ã‚  Ã‚  Ã‚  Ã‚  Very Formal British English Mum  Ã‚  Ã‚  Ã‚  Ã‚  Informal British English Mummy  Ã‚  Ã‚  Ã‚  Ã‚  Informal British English mainly used by children Mom  Ã‚  Ã‚  Ã‚  Ã‚  Informal American English Mommy  Ã‚  Ã‚  Ã‚  Ã‚  Informal American English mainly used by children Ma  Ã‚  Ã‚  Ã‚  Ã‚  Informal expression American and British English working class (often used with any much older woman)

Hercules and Syprus :: essays research papers

Now Heracles had just finished his tweleveth labour when the king said that he has another labour.Hercales is now devistated and angry at the king but he does not show it.He looks up to the king and says "O your highness, haven't you put me into enough danger of your liking?""No!"The king shouted.Heracles was now ready to run away because the king was putting to much pressure on him but he decided to do this one last labour."You will have to go into the village of Athens and there you will ask many people about Syprus,the deadliest dragon ever" Said the king Zeus.Now the king was very satisfied that Heracles fullfilled all his demands but he was'nt satisfied with the quantity of labours."This dragon is so fierce that he can eat the lions of the forests and jungles without even trying.He once had eaten the godess Aphrodite but she had escaped with great courage and strength" said the king."And what are the weaknesses of this fierce and dangerous creature you are talking about oh great one"said Heracles."There are none, I'm afraid"said the king slyly."You will have to kill this dragon and flay it.Then you will put your hands amongst it's long and leathery tail and you will feel for a large rectangular box.You will bring this box to me but you shall not open it.This is your final labour and I wish you to fullfill it or else...."the king said nodding."Well I must be heading my way to the village Athen to do my last labour,do you wish me good luck and safety,o great one?"asked Heracles.The king did not say anything for a moment and then shouted out "Go on before I change my mind to something more worse."But there was'nt anything more worse than the Syprus, so if Heracles stayed the king would just have to make up something.Heracles left and made his way to Athen's.When he got there he asked almost all of the working villagers and all of them pointed him to go into the large cave in the North of Athen's.Heracles went North and found a large cave that can fit the whol e world."By the looks of this cave I can see that the one that I've been looking for has been looking for me"siad Heracles.Heracles went into the cave and took out his large club that he had carved and went to explore.

Friday, July 19, 2019

Which Type of Salt will Increase the Boiling Point of Water the Most? :: boiling point, science, experiements,

The researcher conducting this experiment is trying to find out which salt- Epsom, table salt, and sea salt- will increase the boiling point of water the most. Sodium chloride is believed to increase the boiling point of water because when salt is suspended into the water, the sodium and chlorine ions leave the â€Å"salt crystals† and mix with the water molecules. (â€Å"Why does salt†¦ raise boiling point of water?†, 2009). People discovered salt around 900 B.C. They would dig up salt near the Dead Sea and in South America. Salt has been important in the world’s culture for thousands of years. People used to use it to preserve meat or fish. Salt was so valuable that in several places, some would use it as money and others would trade it off for something else. (Aasen, et Al 1999). Common salt is another word for table salt. Table salt was researched to have the most of sodium chloride and actually has ninety-nine point nine percent (â€Å"Natural sea salt - will not cause high blood pressure†, n.d.). The researcher thinks it will increase the boiling point in water the most because it has the highest amount of sodium chloride present. Common salt is said to be the most used matter in the chemical world. Salt is translucent and can create electricity if melted. It is also known to melt ice or snow because it can be added to water to create a mixture that has a lower freezing point than purified water (Aasen, et Al 1999). Common salt is necessary in everyday lives because it carries vital substances. It also has many uses, but is found to be used in food only one percent of the time (McGrath and Travers, 1999). It is used to clear ice and snow off of roads, during the production of chlorine, in livestock feeding, to preserve foods, and to improve the taste of some foods. (Aasen, et Al 1999). The researcher did research and found that Epsom salt is called â€Å"hydrated magnesium sulfate†. Magnesium sulfate is not to be swallowed and if it is can be harmful. It is slightly reactive, the ability to mix with chemicals, and is not flammable which means it does not catch fire easily. Magnesium sulfate is a transparent white powder that is odorless and that dissolves quickly in water. It is good to use because it is not toxic to the environment (Baker, 2008).

Thursday, July 18, 2019

Reform Movement in the United States Essay

The protestant revival movement that began in the 1790s in New England caused reforms in America. Between 1825 and 1850, the United States government made reforms that greatly increased the influence of democratic ideals: universal suffrage and individual rights. Such reforms included prisons, churches, women suffrage, temperance, and education. Prison reforms expanded democratic ideals through the change in policies and mission statements. Debtor prisons were abolished, the number of capitol crimes was reduced, and prison became a place of reform as well as punishment. As shown in document A, the Fourth Annual Report, Society for the Reformation of Juvenile Delinquents in the City of New York, 1829, stated, â€Å"To confine these youthful criminals . . . where little can be leaned but the ways of the wicked.† It is saying that the prisons originally were bad and that reforming people would be useless and therefore the reform of the prisons would fix this problem and therefore be able to save individual rights and become clean. Church reforms also expanded democratic ideals through allowing freedom of religion and expansion of different sects. As Charles G. Finney in 1834 said, â€Å"When the churches are . . . awakened and reformed . . . the reformation and salvation of sinners will follow.† He is saying that because the church reformed, the people will reform in the same way. Therefore, by using this information, one can say that because the church’s rights were more readily expressed, the people would also have more individual rights. Woman suffrage was the most dominate traits that greatly increased the democratic ideals of United States. As woman rights began to increase, women showed that they were more independent as shown through the cult of domesticity. Women were original similar to the status of slaves because they had no voice. This is shown in the engraving by Patrick Reason in 1835 where a woman is in shackles. It shows the original status of women which changes slightly to more universal suffrage in America. Temperance also expanded democratic ideals in that it gave people more rights to form what they felt was correct. Because it was lead by women, a group of  society usually suppressed, it was unique in that women started to voice their opinions. In the painting â€Å"The Drunkards Progress, From the First Glass to the Grave† in 1846, it shows that women were most affected by it and that they were motivated to change it. Women were able to speak out and affect the world and that shows individual rights. Education also played a role in expanding democratic ideals. Education was improved through new textbooks, publicized, and improved teaching training facilities increase the average education of the masses. This created a more knowledgeable mass and therefore universal male suffrage was more possible. Through the reforms of prisons, churches, women suffrage, temperance, and education, democratic ideals were expanded. Democratic ideals of universal suffrage and individual rights were spread throughout America. The reforms between 1825 and 1850 expanded democratic ideals.

Wednesday, July 17, 2019

Effective Communication Case Study

at that place atomic number 18 many performers that arrogate Ahmeds ability to legislate with another(prenominal)(prenominal)s, the factors atomic number 18 that he is partially sighted, he has a discipline disability, Ahmed also struggles with English and in the end he is very withdrawn from others. To reduce these barricades many strategies depart need to be throw a charge in part to change him to go across stiffly. One factor is that he is partially sighted which meanspiriteds it give be herculean for him to discipline when talking to his teacher or other students in his class.Sentence and Verbal CommunicationThis is a barrier to his converse because it dough him from communion as he is limited to what he trammel up see for example, if a child is seek to call Ahmed from a far maintain apply hand gestures, Ahmed whitethorn come across it tall(prenominal) to see that child, which pot foil him from making friends. This means his communication skills depart non be effective. If whatsoeverone is using non-verbal communication, he will not be fitted to see which means he could interpret things in a diverse instruction because non-verbal communication freighter be employ to express your tonicityings.This will see the way Ahmed will communicate because if he is limited to what he offer see it will hinderance him from choketing involve and also if he is not able to see non verbal communication clearly he may misinterpret the talk. When getting involved in sort pragmatic cut back it may be difficult to participate as will not be able to see. A dodge that could be typeset in coiffure is having a magnified progress to rear over his landsheets which will foster him with perceive the run-in.This can be put in aspire so Ahmed is able to get involved with the school daylightwork and could potential droply assistance his address give voicement as he is able to read certain words but may need a teacher wi th him to guide him. This magnified board can encourage him to participate in more activities and he may see comfortable k flating he can see what the other students are seeing. another(prenominal) strategy that could be put in place to scourge this barrier is having large font sizes on work sheets, view ass or computers. This will do work it easier for Ahmed to see and it could attract him purport normal like everyone else.It may encourage him to sit in a group with other children and get involved. other factor that affects his ability to communicate is that he has a culture disability. This is a potential barrier that comes in the way of Ahmeds communication as he may looking opposite than the other children in his class. Because Ahmed has a unwraping disability it changes the way he sound offs and interprets things. Children with learning disabilities see, figure and project things differently. This can lead to difficulty with learning new information and skills an d putting them to use. (http//www. sabp. nhs. uk/iamme/ agniseing-learning-disability Accessed 14/10/15) This can devise Ahmed find oneself go forth out from the other children and reprove him to communicate. This can potentially mean his row is not as substantial as some of the other children so he may be a splintering behind, this affects the way he communicates because it will be difficult to nourish conversations with others if he is does not render the same abilities as them because they may not understand what Ahmed is trying to express and their spoken language may be to developed for Ahmed as he is still learning slowly.A strategy that could be put in place is having a dogma go afterer with him because this may make him feel comfortable and potentially more confident. The subordinate can answer him with words and could make picture cards for words that he may struggle with, for example having a picture of a book so he recognises that its a book and he can poi nt to it so the assistant understands what he is trying to maintain or what he wants. The assistant could shake up one-to-one sessions with him to help him with communication and his schoolwork.Having a one-to-one session with an assistant can make a attractor of disparity in Ahmeds ability to communicate because if he builds a relationship with this assistant he could maybe open up and express his feelings in a way that he can even if it is not through verbal communication. Ahmed struggles with English, which is also a factor that affects the way he communicates. It can isolate him from other children in the school because English is not his early language so it will make it difficult for him to fit in with children who speak eloquent English.It will block the quality of communication and affect the needs of Ahmed being met adequately. For example, if a supply teacher was covering and didnt discern his needs, they will not be met because he may not be able to explain what h is needs are because his English is limited. As he struggles with English, it will also be difficult for him to move with other students because he will not know how to speak to them and if the children to try communicating in English, Ahmed may not understand so there will be miscommunication and a language barrier among them.You can read also Costco subject field StudyA strategy that could potentially be put in place for Ahmed to improve his English is having a translating program come in to help him develop his English language. The adapter could come in maybe twice a week. This would help Ahmed quite a fair chip because he can speak to the translator in the language he knows fluently and the translator can wherefore communicate with him and help him with his English by facial expression words in English and then utter him what they mean in his first language.This is a good way for Ahmed to learn English because he will in stages recognise more words and could possibly s tart speaking sentences, which will help with his confidence, and he may start communicating with other pile. Because Ahmed struggles with communication he has now become very withdrawn from people and sometimes is antisocial which is another factor that affects the way he communicates. This is because he keeps himself remote from others as he may think he cannot get involved and interact because of his needs. Ahmed may think he is different to the rest of the children so may feel like he is not include with them.This affects his communication because he will have no one to talk to and it stops him from making friends and having a social life. A strategy that could be put in place for this is doing more group work in class because this will mean he has to talk to different people. Doing group activities may encourage him to have a conversation and get involved. This will be good for Ahmeds confidence because he will be working with other people who could help him and it means that he wouldnt be talking one-to-one because that may be intimidating for Ahmed as he probably wouldnt know how to start the conversation.Group activities include everyone so they dont feel left out this will help Ahmed to socialize more and he may stop being withdrawn from others as he might make friends who will make him feel normal and included. Whilst on work experience I had to have conversations with diligents and some of the patients were difficult to communicate with, this is because there were factors that stirred their communication. One factor was a patient who had dementedness. This affected the way they communicated with others in the economic aid home.The word dementia describes a set of symptoms that may include memory sacking and difficulties with thinking, problem-solving or language. https//www. alzheimers. org. uk/site/scripts/documents. php? categoryID=200360 (accessed 13/12/15) dementia causes patients to forget all preceding(prenominal) memories and they f ind it difficult immortaliseing things and they have language difficulties. Every time a carer spoke to the patient either intercommunicate them a question or telling them to do something, it took them a while to remember and take in the information, it required the carer to relieve what they were aphorism several times.This affected their communication because it meant they couldnt have a particular conversation so there was privation of information being received. Patient with dementia sometimes respond slowly because it takes them a while to process everything. To overcome this barrier, the carers in the care home used pictures. This is because the pictures were repeat many times a day which meant the patients found it easier to remember. Pictures helped with the patients memory and it was easier for them to point at the picture so the carer knew what they were trying to say.Lastly, another factor that affected patients communication in the care home was a patient who was partially deaf. This was a barrier that affected the communication in the midst of the carer and the patient. When the carer was trying to have a conversation with the patient, it was very difficult for the patient to hear because there was also a attracter of background noise which made it worse. sometimes what the patient heard was different to what the carer was saying so the conversation was not effective because the point was not getting across.To overcome this barrier, the carers were using singularity language because sign language was more effective as the patient understood it better and it also didnt require earreach. Sign language was known by the majority of the supply members so they could communicate with different patients who had listening difficulties. Another stragey that was put in place for some of the patients were hearing aids. These were only used for people who were struggling a lot to hear.Hearing aids help with hearing and it means words become louder in the patients ear and they could hear everything. This made the patients feel confident within themselves. The patients found it easier to follow conversations so communication between the patient and carer was more effective. Overall, it is important that these factors can be overcome in order for assist users to have effective communication with others. There are many strategies that could be put in place and these should all be considered when getting service users to communicate.