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Wednesday, August 26, 2020
Popularity of Juvenile Boot Camps Free Essays
Adolescent Boot Camps are a somewhat better approach for reintegration of the reprobate youth to the network and make them a valuable and productive piece of it. This paper will talk about the viability and prevalence of adolescent training camps. Viability and Popularity of Juvenile Boot Camps: Juvenile Boot Camps have been presented and multiplied in the United States during the 90s. We will compose a custom paper test on Notoriety of Juvenile Boot Camps or on the other hand any comparable point just for you Request Now The essential target of making these offices is to build up a successful program, which would turn out to be proficiently useful in restoring the adolescent reprobate populace. Despite the fact that during these years the quantity of Juvenile Boot Camps has expanded quickly and about all the states have received an adolescent, however the yield isn't cheerful. The recidivism rate is shockingly high among the alumni of these projects. This baffling advancement and yield is because of a few elements. Absence of sound aftercare programs is the serious issue on the grounds that the reprobate adolescent in the wake of finishing his recovery program returns into a similar situation and appearances a similar issue once more. In the event that legitimate aftercare measures are not taken the adolescent will prone to recidivate. Another misfortune of the adolescent training camps is the constrained measure of reprobate young people it permits to join at once. That is the reason these training camps covers a next to no part of the adolescent populace of the United States. In spite of every one of these difficulties and baffling execution the adolescent training camps are extremely mainstream among general society and the political authority. This is on the grounds that adolescent wrongdoing is one of the significant worries of the nation and the concerning specialists need to show some unmistakable activities taken so as to check adolescent violations. General society sees these projects as a functioning and direct way to deal with reduce adolescent violations. This is the principle reason that in spite of the considerable number of disappointments the specialists are persistently expanding their spending on these training camps and they have the assent of people in general. References Tyler, Jerry, Darville, Ray Stalnaker, Kathi. (2001) Juvenile Boot Camps: A Descriptive Analysis of Program Diversity and Effectiveness, Stephen F. Austin State University, Nacogdoches, TX, USA. Step by step instructions to refer to Popularity of Juvenile Boot Camps, Papers
Saturday, August 22, 2020
Citi Group Restructuring Free Essays
Foundation everything started with the monetary emergency of 2007-2008, an emergency which was of a scale that had never been seen. Numerous market analysts called it much more dreadful than the Great Depression. Regardless of whether it was or not, thatââ¬â¢s something that could be contended. We will compose a custom exposition test on Citi Group Restructuring or then again any comparative subject just for you Request Now In any case, everybody was of the view that the emergency is actually quite genuine. Because of it enormous money related foundations fallen, banks were being rescued by the national governments and financial exchanges failed to their new lows. This caused the breakdown of lodging markets in numerous nations, customer spending endured colossally therefore, ventures failed, organizations shut down and joblessness topped. There were numerous reasons that were advanced by different market analysts. A report introduced in the US senate called it as the ââ¬Å"failure of controllers, credit organizations and marketsâ⬠. Citigroupââ¬â¢s Sufferings According to a US governmentââ¬â¢s report which came into the light in 2011, Citigroup which was the third biggest US bank regarding resources around then was nearly disappointment. Controllers were going to pull the fittings on it whenever as investors were pulling back their stores and bankââ¬â¢s counterparties likewise declined to offer credits to the bank. How Citigroup moved to new arrangement? Citigroup languished misfortunes over five sequential quarters. In the fifth quarter, in actuality its misfortunes were as much as $ 8. 29 billion. Numerous in the Citigroup consented to the way that except if something is done to hone its technique, Citigroup will never recover its brilliance and perform in like manner. Subsequently, Citigroup began dissecting its business and methodologies. It was discovered that Citigroup was engaged with such a large number of business sections which prevented it from concentrating on its center intrigue region. While breaking down, everything large or little was analyzed. Citigroup in its yearly report called the examination as ââ¬Å"wide extending and dispassionateâ⬠. The result of this examination was that the Citigroup at long last chose to realign the groupââ¬â¢s different business interests in two wide portions: Citicorp and Citi Holdings. The speculation behind this new arrangement was that this structure will enable the organization to concentrate on its center business territories which thusly would improve the general execution, while simultaneously understanding the incentive from its non-center resources. The new structure would resemble this: In Citicorp, organizations which were center to the groupââ¬â¢s methodology and which offered greatest profit potential to its investors with suitable hazard parameters were set. These organizations are: â⬠¢ Global Transaction Services â⬠Treasury and Trade Solutions Securities and Fund Services â⬠¢ Securities and Banking â⬠Global Banking â⬠Global Markets â⬠Citi Private Bank â⬠Citi Capital Advisors â⬠¢ Regional Consumer Banking â⬠Four Regional Consumer Banks in North America, EMEA (Europe, Middle East, and Africa), Latin America and Asia that each incorporate retail banking, nearby business banking and Citi-marked cards (Source: http:// www. citigroup. com/citi/speculator/quarterly/2010) Citicorp, as indicated by the new structure will be a relationship driven worldwide bank, to serve the two customers and organizations. The advantages of Citicorp incorporate its center resources situated over the globe with solid nearness in developing markets like India, China and so forth. Citicorp will have the ability to take stores from clients all through the world in a way with the goal that most extreme return could be profited. Citicorp will have the ability to serve nearby clients universally and worldwide clients in a profoundly restricted manner. While in Citi Holdings, resources and organizations which were not vital to Citiââ¬â¢s procedure were set. Be that as it may, that doesn't imply that those advantages were bad. Some have had high an incentive in their own right. Some were huge notorious brands like Morgan Stanley Smith Barney joint endeavor. Citi Holdings incorporates: â⬠¢ Brokerage and Asset Management, which incorporates the Morgan Stanley Smith Barney joint endeavor â⬠¢ Local Consumer Lending â⬠North America, which incorporates private and business land credits; auto, understudy and individual advances; and retail accomplice cards International, which incorporates Western Europe buyer banking and other purchaser money establishments around the globe â⬠¢ Special Asset Pool, which incorporates non-center resources, a significant number of which are illiquid in current markets Citi Holdings will comprise of non-center organizations which draw in long haul ventures. In any case, since those organizations are not the center one, in this manner they don't upgrade the presentation of the gathering in general a nd in actuality they go after the restricted assets that the organization could utilize in a profoundly dangerous and unpredictable circumstance. It was normal that the supervisory group of Citi Holdings will rebuild, strip and deal with its business in a manner that expands the worth and will take the gathering forward in an extreme financial circumstance Vikram Pandit, at that point CEO of Citigroup in one of his meeting discussed ââ¬Å"accelerating the usage of its recently advanced technique to concentrate on its center businessâ⬠. Given the economic situations and business conclusions, Vikram Pandit needed to smooth out the matter of Citigroup as quickly as time permits to additionally fortify its position and better serve its customers. Step by step instructions to refer to Citi Group Restructuring, Papers
Friday, August 21, 2020
Psetting en route to North Carolina
Psetting en route to North Carolina Its been a stressful last few weeks. The weekend before Thanksgiving, though, was another one of those IHTFP, !!! IHTFP !!!, weeks. The same day I left for the 2017 Eastern Sectional Figure Skating Championships in Indian Trail, North Carolina, the qualifier for the US Championships in Kansas City, I had a 6.006 (Intro to Algorithms) midterm later that day. Cant really take it while Im skating in North Carolina? Heres a throwback to last years Eastern Sectionals, as I was vying for a spot on the Junior level, though I had the comfort of the good ol P/NR. Getting myself mentally and physically fit to compete was one giant monster in and of itself, but preparing for that one examand finshing up my other assignments for my other 4 classeswas another beast entirely. I thought it might be more fun to show you my week in pictures (mostly taken from my Snapchat story), so here we go. The day before I left, I had to squeeze in as much training as I could. Fun fact, MIT Figure Skating Club has ice time at the Johnson Arena from 8-9:30a every morning, so thats been super convenient for me to maximize my training time, especially on days where I dont have enough time between classes to train with my coaches and trek over to the Skating Club of Boston, a 20-minute Uber-ride away. Heres me at one of the clubs rinks, with the ice all to myselfone of the perks of skating in the middle of the day. The night before I left, I spent the entire night finishing a 6.006 pset. I used 1 slack day (were given 5 for the term), and finished and turned the pset in 1 minute before the (extended) deadline. Cutting it close! The next day, I went to one of my morning classes, went back to my room to pack, took a quick nap, and set off for the airport. On the flight, I was lucky enough to sit in a row with an empty middle seat. Score! Alas, there was not much time to rest on the flight. I got right to work studying for the 6.006 exam. I arranged to take it on Monday, but I knew I wouldnt have much time to study once I arrived in North Carolina. Charlotte, here we are! Landed right as the sun was setting. From the airport, I wasnt able to call an Uber as I usually do, so I got on a taxi instead. With rush-hour traffic and the Saints v. Panthers game going on that night as well, it took over an hour (and $100) to get to the ice arena in Indian Trail. Lucikly, I was able to get there just in time for my official practice. After that, I checked into my hotel room, and it was glorious. The first night I had a king bed all to myself. The next night I switched into a room with a hot tub. My mom did great with the bookings. I then grabbed dinner at Applebees, just right behind the hotel. Steak it was, with green beans and bacon cheddar potatoes. After that feast, it was back to studying. The next morning, I trekked outside to grab some lunch. It was a whopping 77 degrees. In comparison, it was in the 40s back in Boston. Luckily, I did bring shorts. There was also a grocery store in the same plaza. Dangerous, because, well, more food. I had a short warmup practice at the rink, and went back to my room, took a nap, got some more food, and prepared for the first segment of the competition the short program, the last event of the evening. My short ended up going well. Aside from a minor deduction on one of my jumping elements, I performed everything else as I had practiced. I ended up getting a personal-best score and tied with the skater in first place. But a higher technical score broke the tie, which put me in second. Top four advance to Nationals, so I was in a good spot going into the second segment of the competition the free skate. But first, it was time to fuel up for tomorrow. Back at Applebees, since it was the only place nearby open at 12a. Same meal too, because that steak was good last night. Afterwards, I needed to go pick up a new toothbrush, so I walked to the nearest gas station to pick one up. The cashier was so sweet and I had a lovely conversation with her. I told her I was here for the competition and have been having a great time here so far. She told me to come stop by tomorrow if I have a chance to let her know how the competition went. The next day, I went through the same routine. For the free skate, I was really nervous going in. I had a rough 6-minute warmup, and was last to skate. Waiting for all the other skaters and hearing their marks, I tried to keep calm and carry on as best I could. I told myself to trust the training Id put into this event, and treat it as any program Ive done in practice. It worked. I went out there and performed a clean program. By the end, I was in awe that I had skated the program that I did. I ended up with a personal-best free skating mark, and a first-place finish. My professor for Sport as Performance emailed out to our entire class about the competition. Huge shoutout to my professoryoure the best! Not too much time to celebrate though. I had a flight back to Boston that night as well. 6.006 exams dont disappear from thin air either. Still had to stress study algorithms on the plane once again. But a gingerbread latte from a Starbucks at the airport definitely made it more manageable. Once I got back to my fraternity, I found that my big had left me a care package of fruit snacks and chocolate-covered goodies. What a nice surprise, thanks! Then it was time for bed. Boy did I miss my mattress topper and pillow. The next morning, I went for some food in Boston with a friend and then it was back at the MIT libraries, specifically Barker Engineering Library, one of my favorites. Time to cram some more 6.006. I also had a 6.042 pset due the next day, and headed over to office hours for some help. Once I headed out, it started snowing. 77 degrees to freezing. In between studying for 6.006, working on the 6.042 pset, and finishing a draft for my final paper in my Sport as Performance classall due Mondayworking on a 15-minute talk for 6.UAT due Tuesday, and coding some parts for my project-based seminar, 2.98, due Wednesday, I had one packed day of work. On top of that, there was also a 2-hour exec and a 1-hour chapter meeting for my fraternity to plan out nominations for the upcoming elections. But, as always, food makes things a little better. More specifically, chicken noodle soup, juice, and chocolate, all is good no matter if the printer doesnt print and if it does you dont even understand practice exam solutions in the first place. The next day, it was time for the biggest beast of all, the 6.006 midterm. Post the 2-hour exam, my brain was fried. That was one heck of an exam. As always, food makes things better. The grades for 6.006 came out the next day. I dared not look at it the minute I saw the email pop up and went for a nap instead. Sleep away your problems, an excelent remedy. But alas, after I woke up, my suitemates confronted me and looked at my grades for me. I ended up getting slightly above a 50%. So a bit better than expected? The average was a 56%, so it wasnt as horrendous as it initally seemed. Either way, it was time to move on to my other assignments for my other 4 classes. On we go. Painful and sleep-deprived as it was, I was able to get through the rest of the 3 days before Thanksgiving break, finishing up the rest of my assignments. In the end, though, it was well worth it. :) Kansas City, here I come!
Sunday, May 24, 2020
Social Factors Of Public Policies Essay - 3259 Words
Social Factors Studentââ¬â¢s Name Institution Affiliation Introduction Social problems are highly caused by the improper administration of laws, distribution of wealth, opportunities, and privileges in a society. Justice is at the heart of many legal, political, religious and philosophical arguments. Social factors affect all persons, irrespective of ethnic origin, gender, possessions, race and religion to be treated equally and without prejudice. Public policies are expected to solve problems efficiently and effectively, serve justice, support governmental institutions and policies and encourage active citizenship. However, public policies at both the local state and national level may contribute to social problems. Some of these rules impose restrictions on the freedom needed by individuals hence limiting the aspect of fairness and equality in the society. Moving towards the right direction and building a stable complete functional community in the world will be noted only if the negative aspects in the society are done away with as soon as possible . This paper is a discussion on several aspects in the society; inequality, gender, race and ethnicity, work and economy, marriage and family. Part I: Inequality. The social disparity has negative effects especially to those affected by this unfortunate element in the society. Equality in the society is an important factor, as it brings feelings of appreciation and a sense of belonging, which is required by allShow MoreRelatedPublic Policy Of Globalization On Canada Essay1692 Words à |à 7 PagesPublic Policy of Globalization in Canada The government is what makes executive decision for the public policy. Society is influenced by our living and working conditions which shape health. The social determinants of heath shape material, psychosocial, and behavioral routes. However, stages of life like, genetics, early life, and cultural factors are some components that influence health. The Canadian welfare state shape public policies enhance the social determinants in Canada and the low qualityRead MorePublic Policy And Public Health1031 Words à |à 5 Pagessection describes the term public policy, taking into account a number of policy definitions from both public administration and public health, and as well as several policy influencing factors. The second section addresses physical activity policy in particular, providing a definition of physical activity policy as well as suggested criteria that characterize successful physical activity policy. The third section gives an insight into policy evaluationâ⬠¦ What is public policy? The National CollaboratingRead MoreBenefits Of Continuous Improvement Of Health Care System1399 Words à |à 6 Pagessociety. Recently, this phenomenon can be easily observed across many Asian countries including Korea, Japan, and China, which challenges policy makers in these countries how to take care for the increasing elderly population. Numerous scholars have empirically examined that individual subjective well-being may be considerably affected by oneââ¬â¢s own physical, social and economic conditions (e.g., income, education, employment status, and health). However, empirical research on the effects of geographicRead MoreThe Conflict Between Personal Experience And The Wider Society910 Words à |à 4 Pagesnatural feature of a city throughout the world. While the public perceptions of these ââ¬Å"undesirablesâ⬠are lazy, dangerous, and ignorant, it is not solely their fault and choice to be on the streets. Sociological imagination, as coined and defined by C. Wrigh t Mills, is ââ¬Å"the vivid awareness of the relationship between personal experience and the wider societyâ⬠. Simply put, it is the ability to interpret situations and circumstances in terms of social context and understand how they interact and influenceRead MoreJudith Walzer Leavitts Typhoid Mary Essay1345 Words à |à 6 Pagesapplied to public policy. This paper will focus on the subjectivity of science and its interaction with social factors which allowed health officials to ââ¬Å"lock[ing] up one person in the face of thousandsâ⬠, and why that one person was ââ¬Å"Typhoid Maryâ⬠Mary Mallon (Leavitt p. #). Typhoid Mary was first published in 1996 by Judith Walzer Leavitt. The book centers on the life of Mary Mallon, who was one of the first known typhoid carriers. The story recounts Marys life in the early 1900s and social and publicRead MoreEvidence Based Policy Making And The Influence Of Intangibles1635 Words à |à 7 PagesEvidence-based Policy-making and the Influence of Intangibles ââ¬ËThe $200 Million Decisionââ¬â¢ case study provides insight into agenda setting and policy formulation. It highlights the place of the social construction of issues and policy windows in agenda setting. Also, the case study allows us to reflect upon the role of consultation, collaboration and advocacy in framing persuasive policy recommendations. The power of evidence-based policy formulation as well as the importance of other intangible factors in influencingRead MoreEssay about Nutrition in Public Health 1165 Words à |à 5 PagesNutrition in public health: Objectives: Ensure that students acquire specific knowledge for the analysis of food and nutrition problems in population groups. Identify the causal factors of the state of nutrition in communities. Be able to take part in the planning and programming for prevention and control activities within the field of nutrition in public health. Program: I. Concept of public health: Historical evolution. Population and food. Quality of life and socioeconomic developmentRead MoreThe Canada s Aging Population1527 Words à |à 7 PagesThe Canadaââ¬â¢s aging population, those 55 years and older, stands at 30.8% of the Canadaââ¬â¢s total. This segment of Canadaââ¬â¢s population is growing due to demographic factors such as births and deaths rates, health and immigration, and will continue to grow for the next 50 years. Because of advances in medicine, health and nutrition, Canadians are living longer and are more active. Many of them too, have more disposable income than earlier generations of aged population. They see themselves as ââ¬Å"aliveRead MoreSocial Determinants Of Health And Health1170 Words à |à 5 PagesSocial determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health thanRead MoreCorruption And Corruption Of The Public Sector1530 Words à |à 7 Pagesand corruption in the public sector, is endemic and unavoidable in all societies 1 The supportive reasons of unavoidable bribery and corruption Bribery and corruption in the public sector have been investigated by government for many years, while such hidden bribery and corruption are the behaviour that members working in the public sector indiscriminately take actions. Bribery and corruption are due to membersââ¬â¢ heart swell and unsound personality so as to break the public welfare nature (Tackett
Wednesday, May 13, 2020
Minimum Wage Should Be Legal - 1307 Words
The concept of minimum wage has been a huge issue among Americans and has really become a large discussion point among a lot of the political debates as well as the Internet recently. According to the United States Department of Labor, ââ¬Å"The federal minimum wage is $7.25 per hour effective July 24, 2009. Many states also have minimum wage laws. Some state laws provide greater employee protections; employers must comply with bothâ⬠. Regardless of the constant debates that occur on whether or not minimum wage should be a livable wage or merely a segway job for teenagers, a majority of these workers are older than 25 years old. As reported by the U.S. Bureau of Labor Statistics in 2014, of the 77,207, 61,883 of them are 25 years of age areâ⬠¦show more contentâ⬠¦In 1938, President Franklin D. Roosevelt signed into effect the Fair Labor Standards Act (FLSA). Among other things it banned child labor, limited the workweek to 44 hours, and set the national minimum wage at 25 cents an hour (United States Department of Labor). This is one of 121 bills put forth by Roosevelt after Congress had adjourned. The purpose of the bill is associated with the Great Depression. For the purpose of assisting the nation back onto its feet after the Great Depression, this solution has succeeded, but unfortunately the issue had evolved and this one act could not sustain the growth of a nation. So technically this is no longer a solution for this very important issue. There has been a somewhat steady increase in wages through adjustments of the act, up to the current solution, but according to the Pew Research Center and the Economist, the set wages are actually less than what they use to be due to inflation: ââ¬Å"Adjusted for inflation, the federal minimum wage peaked in 1968 at $8.54 (in 2014 dollars). Since it was last raised in 2009, to the current $7.25 per hour, the federal minimum has lost about 8.1% of its purchasing power to inflationâ⬠. This c lear disconnect proves that the previous solution(s) is no longer working and therefore needs to be adjusted to meet Americaââ¬â¢s ever growing economy. As previously stated, in 2009 a adjustment to the Fair Labor Standards Act (FLSA) was added. This
Wednesday, May 6, 2020
Computer-Mediated Communication Free Essays
Many problems arise when people communicate over the internet. In fact, over the past few weeks, with our class communicating via email and GoogleSites, I encountered a few obstacles. It was difficult to process all the information being sent out. We will write a custom essay sample on Computer-Mediated Communication or any similar topic only for you Order Now I was wary of reading every single post because it was just so much information. I certainly thought it was a great way to really see how computer mediated communication affected relationships. The interesting thing is that my generation is so keen on using facebook, twitter, myspace, etc. But when it comes to something like email, it feels disorganized or confusing to us. When it came to the GoogleSites, I found it difficult to navigate through everything. I rarely check my email and really just use it to send junk mail to. Relationships develop differently over the internet than in person or over the phone. For one thing, the internet creates a certain veil for people hide behind. Here you can take as much time as you like to think about what you will say. You have much more power to direct which way the conversation will go. You have the ability to say whatever you please without much of a consequence. There is also a huge disconnect between the two people communicating. Itââ¬â¢s not uncommon for strangers to get in heated political debates, saying hurtful things in order to get a message across. Itââ¬â¢s much less common to lose control of yourself when speaking face-to-face because there are possible consequences if you offend the other person. You may feel more sympathy and guilt. Whereas on the internet, the disconnect is greater. The internet can be very beneficial for relationships, however. For instance, many people who have difficulty communicating their thoughts to people in person, now have the ability to speak freely and comfortably. They often find it easier to talk to another person this way. Another benefit is the easy access to communicating on the internet when no other communication is available. Soldiers across seas may be able to speak daily to their loved ones over the internet. During the wars before the internet, soldiers relied on written letters. This may be a more romantic and story tale way of communicating, but the reality is, the internet brings much comfort to the soldier and his family. There are obvious downsides of communicating over the internet. Relationships may often develop too rapidly or dishonestly because of it. Feedback from one person to the other may become unclear create confusion. In person, because of body language, eye contact, and vocal tone, it is much easier to communicate clearly and express your thoughts. While we can still express our thoughts on the internet, we must take into account that our voice, body language, and tone, are all missing. It is especially important to express your thoughts clearly on the internet so that all audiences and people you are speaking with understand you clearly. The internet is a window to almost all information you could possibly be in search for. It is the world in the palm of your hand. Yet most people do not use it for this purpose. It can be a huge distraction and time waster when it comes to getting things completed. Students often use it as a way to keep their minds off of homework that needs doing. I strongly believe that it contributes to a personââ¬â¢s attention span, making it easy to multitask and do a million things at once. Life used to move more slowly, assignments were done thoroughly and thoughtfully with complete attention on the task at hand. Now, students may find it difficult just to sit down for an hour and focus on one thing. When things need doing, they are usually done quickly and thoughtlessly without much effort being put into it. The one thing that makes computer-mediated communication different from any other form of communication is the speed at which you can communicate. There is almost no waiting for the message to be sent, just instant communication. The beauty of communication before the internet was how important it was to people. They held it very close to themselves and it was a very personal thing to everyone. Now, communication has lost its quality. Sure, itââ¬â¢s communication, but itââ¬â¢s not nearly as personal. People speak without thinking, or even feeling. Relationships are diluted because of the internet. They are not as genuine, as rare, as special, anymore. Relationships formed before speaking on the internet may still be genuine and valuable. But relationships formed on the internet often develop too quickly and possibly dishonestly. There is no sure way to tell when a person is telling the truth and it is much harder to get to know a person this way. To overcome the problems associated with computer-mediated communication we must be able to trust what we are reading from the person sending the message. The biggest and most crucial rule I would create would be honesty. It is so easy to form a different identity on the internet. A very extreme example of this would be child molesters pretending they are teens in chat rooms or on facebook to befriend younger children. Though this is a really extreme case, it just goes to show that when people are given unlimited opportunities to do what they please without any consequences, what they may never think to do in reality is now a possibility. By staying honest to the person, as well as that person remaining honest, communication can become much clearer. When we can trust what we read, we can continue on with the relationship. Another rule to ensure clear communication would be the use of proper spelling and grammar. Many messages can be misleading because of misspelled words and can even give the impression to the reader that the person is uneducated. Incorrect spelling can create an image of the speaker that is not a true representation of themselves. I believe these two rules are the most crucial in ensuring that a message via the internet is interpreted correctly. How to cite Computer-Mediated Communication, Papers
Tuesday, May 5, 2020
Reflection With Tanners Models for Curative - myassignmenthelp
Question: Discuss about theReflection With Tanners Models for Curative and Formative. Answer: The nursing and midwifery board of Australia called NMBA has provided guideline of standard for effective nursing practices. This care ensures that the nurses provide interventions which are preventive, curative, formative, restorative, supporting as well as have different palliative element (Fisher 2017). Out of the different standards, the two which could be used in this assignment are standard 2 and standard 4 which states that Nurses should comprehensively conduct assessment. This assignment will be mainly based on a reflective Framework provided by Tanner which would help in systematic proceedings with the different steps of reflection. This would help me to reflect the experiences in details and thereby derive knowledge from them. The first step of Tanners reflective model of clinical judgment states description of the background of the experience of the nurse. During my internship phase, I experienced an incident where an old patient of an Asian background was admitted and was not a believer of Western mode of treatment. She mainly believed in spiritual healing and considered Ayurveda as the most beneficial treatment. She was suffering from diabetes type 2 and was obese. She was also a patient of Arthritis and had restricted mobility. She had faced racism during her younger years in the nation for which she had become why restrictive and adamant in her approaches towards Australian. She did not want to stay in the hospital but due to the request of her son and daughter in law, she decided to get admitted. I noticed that she was not cooperating with me as she was not being able to rely on me and on Western education. The racism that she faced in her younger days were restricting her (Birks e al. 2016). She was quite concerned that whether I would be able to follow her cultural traditions. She was not being cooperative and for this reason I was not being able to either start my treatment or diagnose her symptoms closely. She was quite concerned about her autonomy and dignity. The next stage is called the interpreter stage. From the entire incident, I noticed that the patient might have gone through several unexpected and tragic events with Australians in her yester years. For this, she has suffered both mentally and physically. I also realized that this negative feeling would affect the relationship that needs to be developed between me and the patient for effective treatment. Therefore, it was very important for me to develop a therapeutic relationship with her so that I can gain her trust (Scanlon et al. 2016). Developing trust is very important as this would make the patient feel mentally stable and she would co-ordinate and help me with the interventions. I also noticed that she is quite concerned about her cultural traditions and preferences and therefore she is quite concerned about her treatment methods. Therefore in my treatment methods I have to be very careful so that I do not hurt her emotions about her cultural traditions (Sivaraman and Green 2015). At first I tried to cool her down by telling her that the Australian in the early years were insensitive. However with the passing of years the Australians have taken all as their own brothers and sisters. Making her feel comfortable was my primary aim and counseling her about her perceptions about the Australian was extremely necessary to develop trust in me as well as the western Healthcare system. My procedure of listening her every experience with concern and concentration made her feel respected and important and she gradually started relying on me (Cashin et al. 2015). I was gradually being able to develop a relationship where she was able to confide in me and was following my advices properly. I also educated her about the recent advancements that the Western Healthcare system had made which made her quite amazed. At the same time I also told of the benefits of Ayurveda which made her feel that I also respected her cultural preferences. She was quite happy with the discussion and she became ready to help me and corporate with me in the treatment procedures. To this, all her family members were very happy and they completely were amazed about how I was being able to successfully develop relationship with their mother who was very adamant. The next stage is called the reflection in action stage. I started my treatment with the patient first asking for her consent which made her very happy. I first calculated her blood sugar level which was very high at that time. I injected her insulin and provided her with the necessary medication. She was also having wound on her foot due to the effect of diabetes and therefore podologist was called for. I also made her understand about the importance of maintaining the correct diet to properly maintain her weight.I also appointed for a Physiotherapy session with her so that she can be relieved of the pain from her knees as she was also suffering from arthritis (Kyle et al. 2017). It was the patient who told me that my educating her about the entire procedure before applying the interventions made her feel respected and confident that he would get well very soon. The next stage is called the Reflection or action stage. With the help of standard 2, I was effectively able to handle the patient. It says engagement in therapeutic and professional relationships by the nurse. It states that there is an urgency to communicate effectively and be respectful of the dignity of a person as well as her culture, values and beliefs. While handling the patient I followed this criterion which helped me to communicate with her easily and thereby be respectful to her dignity and culture. This made her comfortable with me and she was able to open her up in front of me with all the experiences of a life. This Standard also states the importance of recognition of patients as the experts in their experience of their life. Therefore while communication I gave her enough scope so that she can open up the experiences of her life and thereby I can develop an understanding of the different hardship she had gone through her life. Tthis helped me in developing my treatmen t approach. This standard also stated providing support to the patient and directing them to resources so that they can optimize health related decisions ("Standard of practice, Nursing and midwifery board of Australia", 2017). Here I educated her about the importance of proper diet and how proper diet can help for maintain her blood sugar level as well as her pain in the arthritis. The next standard that was followed by me was standard 4 called comprehensively conducting assessment. It states the importance of conducting assessments with a Holistic as well as culturally appropriate ("Standard of practice, Nursing and midwifery board of Australia", 2017). Therefore I mainly focused on making the patient comfortable mentally as well as physically so that the treatment I provide give the best outcome. Forcing a patient with interventions which are without his or her wish does not yield successful result. Therefore I followed culturally appropriate as well as holistic treatment methods which kept her internally peaceful and happy. Moreover, it also stated the importance of the use of assessment techniques to collect relevant and accurate information to inform practice. Besides the various important diagnostics that have been performed to measure her blood sugar level, I also took verbal consent from both the family members as well as the patient in documented form about the different assessments which were conducted. Moreover I also engaged in to effective communication with the patient to gain relevant data about her health and also followed medical history which was provided to us by her family members. It also states the importance of working in partnership with different experts to determine the factors that affect the health of the patient. Therefore I also took suggestions of doctors, podologist and Physiotherapist so that the care which is provided to her becomes comprehensive in nature. Therefore in my future practices also I will strictly follow each and every standards of the code in order to ensure the safest care to patients. References: Birks, M., Davis, J., Smithson, J. and Cant, R., 2016. Registered nurse scope of practice in Australia: an integrative review of the literature.Contemporary nurse,52(5), pp.522-543. Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., Waters, D., Gosby, H., Kelly, J. and Dunn, S.V., 2015. Development of the nurse practitioner standards for practice Australia.Policy, Politics, Nursing Practice,16(1-2), pp.27-37. Fisher, M., 2017. Professional standards for nursing practice: How do they shape contemporary rehabilitation nursing practice?.Journal of the Australasian Rehabilitation Nurses Association,20(1), p.4. Kyle, R.G., Medford, W., Blundell, J., Webster, E., Munoz, S.A. and Macaden, L., 2017. Learning and unlearning dignity in care: Experiential and experimental educational approaches.Nurse Education in Practice,25, pp.50-56. Scanlon, A., Cashin, A., Bryce, J., Kelly, J.G. and Buckely, T., 2016. The complexities of defining nurse practitioner scope of practice in the Australian context.Collegian,23(1), pp.129-142. Sivaraman, G. and Green, N., 2015. Continuing professional development: Can-and should-what you do on social media cost you your career?.Queensland Nurse, The,34(4), p.32. Standard of practice, Nursing and midwifery board of Australia. (2017). Retrieved 19 October 2017, from https://file:///C:/Users/user00/Downloads/1798150_1830561517_Nursing-and-Midwifery-Board---.PDF
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