Monday, June 10, 2019
Organizational Culture Assignment Example | Topics and Well Written Essays - 750 words
Organizational Culture - Assignment ExampleDuring the recruitment phase the prospective employees argon required to fill firms having features like cross-word puzzles, so as to extend to the future employees the mentation of what Zappos is all about. During the encounter phase Zappos resorts to an extensive orientation program to finish the new employees into the quintessential Zappos set. The company offers the new employees a $1000 reward in case they decide not to join Zappos. This gives the new employees an idea of the gentle of commitment to organizational values that Zappos expects of them. During the last phase of organizational socialization that is during the change and acquisition phase, Zappos allows the employees to evince commitment to its essential value of customer operate in an extempore and innately natural manner. The Zappos employees are not expected to resort to any script or format while dealing with the customers. Zappos as well as offers happy hours to it s employees when they engage in team activities and recreation. This allows the employees to develop commitment to the Zappos values in their own unique and natural manner. 2. There is no denying the fact that the succeeder of a company to a large extent depends on its employees capacity to gel their personal beliefs and values with the organizational values. Zappos has a concerted strategy aimed at assuring that its organizational values fit with the values of the people it hires. Zappos has an extensive recruitment program which seriously digs into the values of the prospective employees to access as to what extent the values of a future employee blend with the Zappos organizational values. Once the employees are recruited, Zappos conducts an orientation programs to make sure that the new employees do get an idea of the essential Zappos values woven around customer service and ingenuity. Zappos offers to every new employee an incentive of $1000, in case one decides to quiet right at the start. This strategy extends to Zappos an opportunity to access as to what extent the values of the recruited employees blend with the organizational values. This also helps Zappos configure that to what extent an employee is comfortable with and committed to the organizational values. vary B 1. A few years back I had a chance to work at the local Sugar Sweet Bakery. It was a risky Bakery that employed around 67 people. Extending a personalized service to to each one and every customer happened to be a core value at Sugar Sweet Bakery. To embed this value in the organizational culture, Mr. Butler, the owner of the Bakery made it a point to role model the core values that this business was committed to. Each and every employee at Sugar Sweet was personally greeted by Mr. Butler every morning as one entered the Bakery. all told employees were expected to have their breakfast every morning with Mr. Butler and other managers at the Bakery premises. During breakfast employees were encouraged the share their experiences and concerns with each other and the management. The bearing was to give way to a family like atmosphere at the organization. Consequently the employees carried this acquired value of personalized care to the customers and extended a personalized and customized service to each and every customer that visited the Sugar Sweet Bakery. 2. Though the family like organizational atmosphere at this
Sunday, June 9, 2019
English Class Writing Assignment Essay Example | Topics and Well Written Essays - 500 words
English Class Writing Assignment - Essay ExampleTheir portion came when Carl was recruited to work in the U.S. Navy with both the father and son expecting too much from this break, not knowing he will just be serving in the kitchen, giving him the mocking of his own color. While on break on the deck, Carl and his co-workers were watching the divers do their exercises and being lured by the waters the boylike man readied himself to dive, against the will of his companions and the white Americans. When an attempt was made to make him get out of the water, he swam towards the middle of the sea with skill that impressed the flight simulator. He was accordingly promoted as a diver, allowing him to see the dangers of his job. When an accident happened that called for an immediate rescue, Carl witnessed Billy Sunday, played by Robert DeNiro, do the rescue without any diving gear to protect him in the water, with all passion and fervor to his duties, dived against his commanders will. Th is event led to a sickness that prevented him from continuing with his responsibilities, thus, was appointed to training master divers. Carl boldly went to the trainer who promoted him and expressed his wishes to become what he wanted, a master diver. The trainer laughed at this idea because black men are not allowed to be in the U.S.
Saturday, June 8, 2019
Who Inspires Me Essay Example for Free
Who Inspires Me EssaySome people think that for someone to inspire you the person still has to be alive. Well in my strip I just recently lost the person that inspired me the most. My father, he was the person whom I asked about money, about how to get better at vie golf and about anything else I needed help with.Wesley Doolen Morgan was a sensitive and caring man, who didnt like to show emotion much. He never utter I love you to us, merely we all knew he did. When we needed help with buying school supplies or just advice on how to save money he was the one to ask. He may not have been good with money himself but he could teach us what not to do by what he did as an example. Wes had an example for everything we asked like, how do I start a bank account? His answer was well not like this then go into a story of how he had messed up.Dad was the ultimate golfer. He had been teaching me to golf since I could walk, and I still love it. Golfing was dads sport, he tried to continu ously do better and encourage me and my brother to try our hardest. Sometimes he lost his temper and started to yell but he always made up for it by ice cream or extra gas money. My brother and I were so proud of how much dad stuck to playing golf and my fathers committedness to teaching beau and I was what made us so proud. That is pure dedication.As you noticed my dad had a long life and Im proud of what he has done. He was also a sergeant in the Marine Corps. That told me he didnt mind a challenge. Daddy loved having check off and thats why he worked hard to get up to a sergeant. Im so inspired by how much my dad has helped not only his family but his friends he inquired over the years. He was greatly loved and is missed tremendously by his friends and family.
Friday, June 7, 2019
Thursday, June 6, 2019
The Supernatural in Macbeth Essay Example for Free
The Supernatural in Macbeth EssayThe eldritch is always a fomite for evil using language and literary techniques, discuss to what extent you agree with this statement in Macbeth with reference to The Weir.Shakespeares philander Macbeth, written in the Jacobean era, and Conor McPhersons play The Weir, set in rural Ireland, both include wizard(prenominal) elements which help the plays progression. However, both plays are near entirely different things Macbeth is a play in which the main feature plots to kill the King, whereas The Weir focuses a lot more on companionship and the importance of a community as intimately as the effects of loneliness. In set 1 Scene 1 of Macbeth, the setting, A desolate step up helps to create an ambiguous and misty atmosphere right from the beginning whilst the weather choice of scag and lightning forewarns the audition of negative events and adds to the sense of equivocation, which is achieved through paradox like when the battles lost, and won. James I himself confided in witches and so did most of society in general so by including the otherworldly, Shakespeare was clearly making the play relevant to his hearing, as they would make believe believed in such matters. The opening interrogative, When shall we three meet again? suggests that the witches are up to something which could be interpreted as the supernatural existence meddlesome, if not evil.The minor declarative Upon the heath come outs the witches making a prediction, alluding to the fact that a Jacobean audience would sire believed in them having certain office staffs. Iambic tetrameter such as And thrice again, to make up nine makes their speech sound chant-like, indicating something unusual about them as their speech contrasts with the blank verse of the another(prenominal) characters.The supernatural first occurs in The Weir when Jack begins his story about Maura Nealons house macrocosm built on what youd treat that road where the fairies wou ld come. The suspension marks highlights Jacks uneasiness when talking about the supernatural, and though he goes on to say that it isnt a true story, it is clear that he is moved by it. Shakespeares use of blank verse in Macbeth links to the dramatic tradition of the time and contrasts with the highly naturalistic style of speech apply by McPherson, such as the interrogative Why not, says you, ha? (Finbar) which helps to portray the Irish vernacular of the characters in the bar, whilst the tag question ha? helps the characters to interact.Banquos interrogative wherefore do you start and seem to fear? in Act 1 Scene 3 suggests that the witches predictions may be ones that Macbeth has already thought about, or desired, before. Here, the supernatural could be considered a vehicle for evil as the scene begins with the witches talking about how they will torture the farmer for his wifes actions. However, their prophecies are somewhat neutral and so it seems that Macbeth acts of his ow n will, rather than committing the murder because of the supernatural.The debate of Fate vs. Free Will was common in the Jacobean era and people believed in witches and such folklore and so their presence could be merely to fulfil audience expectations rather than as a vehicle for evil. The witches simply spot the weakness in Macbeth and let him believe it is his fate, suggesting that they may be evil themselves but dont create evil in others. Banquos question to Macbeth shows how the witches are tempting Macbeth to proceed with an evil course of action that he has already thought about.Similarly, The Weir uses interrogatives but in the form of tag questions such as here, wouldnt it be?. Finbar seems to be seeking reassurance from the other characters which is similar to Macbeth in that Macbeth oft seeks reassurance from Lady Macbeth, highlighting her as the dominant figure in their relationship. Similar to Macbeth, where the setting is upon a heath, the bar in The Weir is situate d in an isolated place, which could be viewed as something typical of a ghost story, allowing a sense of mystery to build up.Declaratives such as which fate and metaphysical aid doth seem/ To have thee crowned withal in Act 1 Scene 5 highlight how Lady Macbeth believes that both fate and the witches want Macbeth to be King and the coercive look like thinnocent flower/ But be the serpent undert gleams how Lady Macbeth herself is portrayed she appears to be innocent and friendly but, as indicated by the contrastive connecter but, she is instead planning treacherous acts, reflecting the plays theme of appearance versus reality. Saying that she will pour her spirits in thine ear suggests that the witches, who are arguably the main supernatural element of the play, lonesome(prenominal) have a limited amount of index finger which they use to their advantage, and that evil actually resides in pityings themselves.Shakespeare seems to be suggesting that everyone is responsible for the actions they take, which could reflect the growing belief in Humanism during the Renaissance. Such references reflect the time in which Shakespeare was writing, as do archaisms such as the second person archaic pronoun thy, which could be expressing Lady Macbeths belief that Macbeth is inferior to her. Shakespeare is withal touching on the theme of appearance versus reality which is clear throughout the play. The serpent could be a reference to Satan in the Garden of Eden, highlighting how sinister and dark Lady Macbeths character really is.Contrastingly, the characters in The Weir do not make both implications of one being more inferior to the other. McPherson use of humour shows irreverence for characters, usually Finbar, such as the interrogative you were making it all up, werent you?. This helps to create a chain of adjacency pairs, allowing the characters to interact, which is central to the plays theme of companionship and to an extent gifts the supernatural as something that shouldnt be taken too seriously. Humour is also used in Macbeth, by the Porter (2.3), which presents itself in a satirical way. Such humour would not be as familiar to a modern day audience as it was to the Jacobean audience, whence many modern directors choose not to include it.Macbeths fatal vision in Act 2 Scene 1 symbolises the bloody course upon which he is about to embark and is part of his fatal flaw which leads to his downfall, as well as presenting the theme of appearance versus reality again. His interrogative, oppugn whether it is a dagger of the mind caused by his heat-oppressed brain highlights his stress and tension, and the use of the premodifying adjective heat-oppressed signifies just how extreme this stress that he is feeling is, as committing regicide is a sin that cant be forgiven.An audience in the Jacobean era would know that Macbeth is about to break the Great Chain of Being and at the resembling time Shakespeare was maintaining the idea of the Divine Right of Kings a doctrine hugely believed in by the Christians of the time. By maintaining this, Shakespeare could be wake King James place in society and suggesting that no one should challenge Kingship. The tragedy therefore has a didactic purpose as it shows the audience what the consequences of such actions would be. The parallel parity of Tarquin violating an innocent emphasizes the extremity of what Macbeth is about to do and the use of opposites, mentioning to heaven or to hell, builds up an antithesis between good and evil and shows his acknowledgement that both exist.The audience is left over(p) to wonder whether the dagger is simply a figment of Macbeths guilty mind, or whether it is being caused by a supernatural force. This could be considered similar to Jims story of Declan Donnelly where he says And wed been having the few little drinks showing how he searches for a loophole in the possibility that the supernatural exists. The fronted coordinating conjunction And c onveys how he is building up reasons to show that the ghost might not have been real and the stage direction of A little laugh highlights his uneasiness. McPherson seems to be suggesting that the supernatural does exist and that humans collect to have beliefs and that it is this need to believe which makes us humans. The slight doubt here would be crucial to a ghost story and to a play being watched by an audience as it would add an air of mystery.In Act 3 Scene 4 dramatic irony such as play the humble host makes Macbeths anterior actions seem even worse as it reminds the audience that Macbeths behaviour is a pretence. Lady Macbeths asides to Macbeth (Are you a man?) along with his responses (Ay, and a bold one) draw attention to her being more partner in their relationship as she questions his masculinity, and portrays her in a negative light by showing she is more concerned with getting caught than feeling guilty. Aristotles idea of Peripeteia could be surfacing in this part of the play as Macbeths fortune is slowly being reversed.Here, the supernatural is perhaps presented in a good way and, from a Freudian point of view, Macbeths repressed feelings seem to be manifesting before his eyes, which is possibly the power of good over evil. Macbeths imperative, telling the ghost to Avaunt and quit his sight highlights the extremity of his current guilt. This is furthered through it also being an exclamatory, and the use of the pronoun my could reflect how solely he feels the guilt, rather than Lady Macbeth also feeling it. The supernatural in this scene could suggest that justice is being served, and Macbeths reaction to the ghost could be his punishment for his previous action.Likewise, in The Weir, the supernatural is portrayed in a positive way as it is used as a source to unite the characters in the pub. This is shown in Finbars comment Valerie, love, nobodys going to. McPhersons use of the contraction nobodys along with the term of endearment love helps to mimic natural speech and also shows how close the characters have become later on having spoken for the night, touching the plays theme of companionship.Hecates use of adjectives such as spiteful and wrathful in Act 3 Scene 5 highlight how she believes Macbeth wasnt worth the trouble, whilst the coordinating conjunction and furthers this notion. The use of rhyming couplets such as illusion/ wonder enforces Hecates power when she shows her displeasure and the pairing of the two abstract nouns suggests that the witches themselves cause confusion which is achieved through an illusion. Shakespeare may have been suggesting that witchcraft isnt capable of evil but can trigger things that have already been thought about (1.3). It is arguable that the witches have overreached, which forms a parallel with Macbeths situation and conforms to Aristotles ideas.This scene is often omitted from productions as it may draw too much focus on the witches, making them seem a central part to Macbeths action, and in turn making free will seem less important. The imperative Get you gone highlights authority over the other two witches and diminishes their power as they are being told off. This implies that the supernatural is not a vehicle for evil, as the witches do not have much power to start with. hostile Macbeth, McPherson shows normal human-beings meddling with the supernatural rather than vice versa. Finbars self mockery, like the low laugh helps the audience watching to see the description as genuine by showing his stifled fear. To balance the sinister atmosphere created by his story about a woman at the piece of tail of the stairs, humour is used such as Luigi board followed by taboo lexis, Ah fuck off, to highlight familiarity between the characters and articulate a lack of refinement as well as a distinct honesty in them.Equivocation in Act 4 Scene 1 such as for none of woman born leads Macbeth to believe he cant be killed, and presents the witches as yet again interf ering. The stage directions, which would be important considering it is a play, show the witches dance, and cut down highlighting some level of power, but doesnt portray them as evil. The apparition of an armed head could symbolize how Macbeth himself will be killed at the end of the play, however, the witches present fate to him in an equivocal and esoteric way.Many references to time are made, such as Time, thou anticipatst my where Macbeth uses the vocative Time to personify it and emphasise how he is in battle with it. The many references to time, also including from this moment and even now indicate how time is of the essence for Macbeth and that he will be killed soon. As well as this, it helps to create irony as Macbeth is actually making decisions, even though they are the wrong ones, which shows that the evil is emanating from a human being.Shakespeare, within the realms of the Jacobean era, was again highlighting the dominance of free will over fate and could have been sh owing that overreaching can lead to social deformation. In this scene, the supernatural is shown to have some level of power, but at the same time the audience is aware that Macbeth is making his own decisions when deciding to have Macduff killed (thou shalt not live).Unlike Macbeth, The Weir does not pay much attention to the matter of man being a responsible agent for his own evil actions. Instead, it presents more positive feelings about humans, such as the barmans gesture of a sandwich is just such a small thing, highlighting how the smallest of actions can have a big impact, and also helps to restore Jacks faith in others.In spite of the many differences between Macbeth and The Weir, it is clear that the supernatural has a pivotal role in both. Overall, I believe that the supernatural is not a vehicle for evil in Macbeth, and that the inclusion of supernatural elements is merely to emphasise how evil resides within each human being themselves, which is emphasised through Shakes peares use of equivocation and also the theme of free will vs. fate. The final effect of the supernatural in Macbeth is that it causes destruction, whereas McPherson uses it to bring the characters together, therefore portraying it as a bonding agent as it gives them a shared experience. The supernatural, such as the witches, in Macbeth, in my opinion are only there to cause mischief and aid the plays progression.In both, the supernatural is far from a vehicle for evil, but could maybe be considered as a vehicle for catharsis as it helps to express the characters inner thoughts and feelings.
Wednesday, June 5, 2019
Music in Marjane Satrapis Persepolis
Music in Marjane Satrapis PersepolisHow music as a motif illustrates the developments of the central feature in the graphic novel Persepolis 1 and 2.Persepolis a well acknowledged work by Marjane Satrapi represents the protagonists keep.Persepolis represents music as a way to limn ones feeling and character. It depictsthe alteration of taste of music of the central character throughout Persepolis. It shows how music helps in blending the personality of the author. This essay forget discover how music as a motif developed the central character throughout the work.To begin with, music is much much than a inauguration of entertainment for Marji. In the oppres ripple atmosphere of with all the restrictions in place it was a source of relief. It helped the source to connect with the western orb and express herself. It helped the generator in expressing her thoughts in every situation which came up to her. The authors joy, sorrow, enjoyment were all expressed through music. The j ourney of music began right from her childhood. The first moving picture to music was in the form of Pink Floyd. This is proven by the writer when she quotes I knew Pink Floyd my parents listened to them whenever we went on a trip (186 Satrapi). Pink Floyd has an American breed and they sing rock music. Rock music a symbol of aggression and Pink Floyd connotes that. The impact of Rock music on the writer was seen as the aim of aggression in her started to rise. It made her react to situations aggressively. It also shows her penchant for the music and the impact of the music on her emotional state and behaviour. This also leads to the development of the writers character over time.The music in her life kept on budding. Musicians like BEE GEES did not had a great impact in her life as she was more influenced by other musicians which were present during that time. The presence of BEE GEES is proved through event where her maids boyfriend is seen to be wearing BEE GEES shirt (37 Sa trapi). BEE GEES were an American pop music group. It symbolized the pop culture. Pop culture stands for all the unconventional practises and it motive is to go a inducest the rules. This shows that at that time other teens were attracted to pop music whereas the writer had a liking for rock music. This makes us realize the state of mind of the writer at a young age. The musicians in writers life kept on approaching writers life as she grew up. KIM WILDE and MICHAEL JACKSON (131 Satrapi) were the ones who next came into the authors music life. Kim Wilde was a pop singer. She gave the world a series of pop music. Marji considered her as an inspiring figure. It is shown through when the writer looks at KIM WILDES poster and trying to replicate her (131 Satrapi). The writer wanted to sing like her, dance like her, look like her in short she was an idol to her. Kim Wilde influenced the writer to the most extent more than any other singers. Michael capital of Mississippi also known as th e king of pop also has given a great number of pop hits. Michael Jackson himself promotes the idea of breaking the rules which the writer followed to a great extent.Writers liking towards Michael Jackson is shown through the instance where she wears the Michael Jackson badge (131 Satrapi).Life with restrictions was not writers cup of teatime and she always wanted to live her life to the fullest. There was one more musician who influenced Marjane was IRON MAIDEN. Iron Maiden the group has an American origin too. It brought unsounded coat songs to the people which were well recognized throughout the world. Heavy metal songs were a symbol of high level of aggression. It led to an increase of aggression in her. The one and only thing which is similar in all the singers that they all belonged to the western world. There is no mention of Iranian music throughout the retain which signifies the attraction of the writer towards the western world. The writer always dreamt of living in a we stern country and through the western music she tried to gain a temporary sense of satisfaction. It made her express her emotions. These instances led to a change in the character of the writer.The singers and the musicians nature influence the writer in each and every decision of her life. In order to begin with, each singers style of singing and there personality had a different impact on writer. Iron Maidens heavy metal songs increased the level of aggression in the writer. It made Marjane deal with situations more aggressively. Whereas Michael Jacksons motive of breaking the rules and achieving freedom is seen through her behaviour and the actions which writer takes. This is proved through the instance where writer wears a denim jacket and a Michael Jackson badge in spite of it being prohibited (131 Satrapi).Kim Wilde influenced Marji the most as compared to other singers. In the difficult atmosphere of Iran the music of Kim Wilde was a source of relief, through which Marjane c ould express her sentiments and her emotions which were subdued by the Islamic rule. The liking for Kim Wilde is proved when she sings were the kids in America (132 Satrapi) when she is walking on the streets. This shows her fondness towards the Kim Wilde. The character of these singers evinces the inner personality of the writer and shows the complete development of the writer, as she moves from heavy metal to pop music which implies a change from violence to unconventional practices.The writers choice of music has always changed as she moved from her adolescence to adulthood. In her young age she likes to listen to Iron Maiden, Kim Wilde and Michael Jackson. These various artists bring a split set of emotions to authors life. On one hand where Iron Maiden brings aggression, on the other hand Michael Jackson and Kim Wilde motivate her to live life without restrictions. They are a source of expressing her emotions for the writer. Kim Wilde especially inspire her and becomes an idol to the author. But these emotions were limited to her young age. When writer returns from Austria she has liking only for pop music leftover in her. This is proved through the instance when the author desires to hear the songs of Kim Wilde (250 Satrapi).Her stay in abroad had made her forget all the rock and heavy metal songs. This shows that the tough moments which came up to her in Austria made her realize what music really meant to her. The writer tends to forget the singers which influenced the writer most in her adolescence. This is proved through the instance where she states that In any case I no longer liked the idols of my adolescence(251 Satrapi).The author wishes to listen pop music which clearly states that she still wants the freedom exactly the aggression in her has disappeared over time. The change in her taste of music also has led to her growth. The young age aggression had been downcast and there was a development of maturity in her. This shows how music led to the development of the writer. It stimulated the change from adolescence to adulthood which signifies the importance of music in her life.Author-Marjane SatrapiTitle-PersepolisTranslated by- published by- VintagePublished year-2008
Tuesday, June 4, 2019
Healthy Nutrition for a Child
Healthy Nutrition for a ChildHealth Intervention PlanA) Brief sum-up of concerns astir(predicate) the infants wellness and well- universe.An overview of Joshua would conclude that he is essentially a healthy six year white-haired son. Apart from being unsure on an initial encounter, all his interactions and physical indices appear to be within normal limits. There were no obvious concerns about his developmental stage. He appeared to pile appropriately. He lives with both parents and two siblings and communicates appropriately for his age.NutritionNutrition (24 hr recall) Breakfast different cereals corn flakes, coco pops, with fruit apples, bananas. Lunch, also fruit and noodles whatsoever times sandwich of hamburger or cheese. Dinner, vegetable soup, bread roll. expenditure of sugar and fat could be high.Nutrition is a major issue for umteen school churlren. It is not possible to say, as the result of a brief interview with Joshua, whether or not his common diet is a c ause for concern. He clearly is not obese and appears to produce an appropriate weight for his height. One can use his reported 24 hr inhalant as a discussion point. It can be seen that his diet is certainly varied, with fruit, some roughage and some protein (albeit probably processed). There is a suspicion that he has an excessive intake of carbohydrate and fat. If these suspicions build been raised, so it would be sensible to investigate them fully with interviews with the parents to establish whether further empowerment and education of parents and child might be appropriate. (Crisp, J et al. 2005)Sporting strategiesThe report refers to Joshuas sporting ambitions. While there is every merit in encouraging Joshua to indulge in sport for both general fitness and development, one has to consider the possibility of injury and overuse damage that can occur in the pre-pubertal child who over-exercises in the hope of achieving his goal of being a original footballer. One can identi fy the fact that talking about an area of cheer such as sport can give ear to engage the child and break down emf communication barriers, the nurse can also use the opportunity to present and discuss factors which are relevant to the childs health and can be worked into the context of the childs favourite sporting activity.B) Strategies to address no more than two of these health concerns.Nutrition.The key to a changing a childs nutrition is to target the parents. (Hockenberry, M 2005). On one level this may seem all in all obvious, solely there are deeper repercussions to this statement. The implications of this comment will be discussed in the next segment. An appropriate strategy to tackle the puzzle is jumply to define Joshuas diet with a greater degree of certainty to ascertain if a problem actually exists. This could be done in a number of ways. intelligibly one could ask him on a daily basis about his eating habits for that day. This might be reasonably accurate but wou ld be dispiritedly inefficient. A better strategy might be to ask to see the parents and discuss the matter at some length with them. If there was every doubt, then one could ask for a food diary to be kept over a period of two weeks. One would invite to be aware(predicate) that this mechanism is capable of manipulation by the parents, but may leave behind a basis for discussion.The nurse should be able to make a staple fibre assessment of the situation and if there is any doubt then an appointment with the community dietician might help to resolve the problem. In any event, if concerns have been raised, then it is the nurses responsibility to monitor the childs weight and plot it on a centile chart to document any monumental change. Any significant deviations from the normal should suppositionlly be referred to the primary healthcare team.SportsThis is not an easy area in the pre-pubertal child. The evidence presented for Joshua does not invoke any problem. As a discussion p oint however, one can consider the fact that healthcare professionals have to tread a narrow way between encouraging a healthy interest in sport, which can help both body and mind develop properly, and allowing a particular interest in a particular aspect of sport to cause maldevelopment. This latter consideration can either come from a child (who may have some form of associated obsessive illness) or, more frequently from the parents who may have views about pushing the child to achieve. This can have repercussions not only in overuse syndromes, but in psychological issues relating to over-control and overt bullying.An appropriate strategy would be to firstly define the problem with interviews with both the child and their parents. If a problem is believed to exist, then it may simply require advice and guidance for the parents from various healthcare professionals in the primary healthcare team. Specific overuse injuries may require specialized interventions. It has to be noted that this is not a common problem, but if it is defined, then it should be taken seriously as the repercussions may have a significant impact on the childs development.C The use of a wide selection of literature no more than 5 years old, to provide a rationale (justification) for each strategy. You are expected to reference this section.Nutrition.In general terms, the parents (and sometimes the school) are responsible for the provision of an adequate diet for the child, but the literature is full of examples of how maladaptive practices in parents can have quite marked clinical implications for the childs health.A very recent theme by Moestue has studied the link between a childs nutritional status and the parental educational level (Moestue H et al. 2008). The nutritional set that the mother has been brought with up largely determines how she will feed her family. To a large extent this is independent of the familys financial means although the latter may have an adverse impact i f it is very low. (Cochrane S H et al. 2000).Obesity is perhaps the most common form of malnutrition and its incidence in developed countries is increasing at an alarming rate. (Maher E J et al. 2008). It is observed that obese parents tend to have obese children. This linkage may not simply be a genetical predisposition (although there is a strong genetic element) but the feeding habits of the mother (in particular) tend to be perpetuated in the child. (Lobstein T et al. 2004). To successfully tackle potential obesity in childhood has a number of positive effects in adulthood. The child who is obese will tend to be an obese stripling and an obese adult. This will increase the chances of Type 2 diabetes, coronary artery disease and some types of cancer. Reducing the childs BMI to non-obese levels will reduce their dexterity to these eventualities. (Zhu H et al. 2008)In terms of tackling this problem, many authorities point to the fact that empowerment and education of the parents is the key to providing children with good eating habits. (Howe J et al. 2004). If these are launch in childhood then they are more likely to persist throughout life. Such a remit may be beyond a simple intervention from the school nurse, but involvement of the multidisciplinary primary healthcare team may help in this respect.SportThis essay has highlighted the balance ask between a healthy attitude to sport and overindulgence. Although the latter is unusual in this age group, when it happens it can have severe consequences. (Brenner J S, 2007). The reason wherefore this is a particular problem in this age group is the fact that the pre-pubertal child has bones and ligaments which are still growing, as such they cannot handle as much stress as adult bones. Children can get injuries which do not occur in adult life. The growing ends of bone (the ephyisis) can wrick detached or distorted resulting in abnormal growth. (OKeefe L, 2007). The commonest source of such problems in thi s age group is parental pressure and expectation. Some parents have alone unrealistic expectations for their children. Others simply want to let the child have opportunities that perhaps they never had and, however misguidedly, push them too hard into sporting activities.The healthcare professional has to be careful not to allow concerns relating to overuse problems to completely dissuade children from sporting activities. Some degree of physical exercise is vital, not only for the childs physical development, but also to develop habits which are essential for health in future life. (Allender S et al. 2008). This is particularly important in the child who is overweight and who, if this overweight is maintained into adult life, would be at greater risk of developing Type 2 diabetes (Hillsdon M et al. 2005).Sports participation also back up development in a number of other, more subtle ways. It can encourage the ability to work in a team and also encourages self-reliance. competito ry instincts can also be developed with participation in many sporting activities. (Powell K E et al. 2006)Appendix 1Childs first name Joshua Age Six Years School Fisk Street Primary School Gender MalePHYSICAL ASSESSMENT Height 121 Weight 22 BMI 15.2 Temperature 36.8 Pulse 102 respiration 28 Oral health All teeth are in good condition. How could you tell? What was the state of the gums? DEVELOPMENT Speech He spoke very clearly/ but at the beginning he was shy and this is normal in his age. Was the voice hoarse, loud or soft? interaction with the assessor Good level of interaction with assessor. HEALTH HISTORY Sleep pattern There are no sleep problems indicated. He sleeps from 830 pm to 600am Sports / Physical Activities On the weekend and some time after school activities are Soccer and football. TV / Screen hours per day He watch TV for Minimum of 2.5 hours per day Other activities Play with his brother X Box and he go with his father for fishing Nutrition (24 hr recall) Breakfast different cereals corn flakes, coco pops, with fruit apples, bananas. Lunch, also fruit and noodles some times sandwich of hamburger or cheese. Dinner, vegetable soup, bread roll. Intake of sugar and fat could be high. It is hard to say with a one off assessment. Record any other comments made by the child about their general health status He is very good and strongSOCIAL HISTORY People who live at home with the child (do not include names of individuals) Father, Mother, Brothers Sisters. Family activities Sport activities on week end, they do party for his birthday Friends of the child (do not include names of individuals) He said that he have many friends in the schoolNOTE ANY OTHER ACTIVITIES YOU UNDERTAKE WITH THE CHILD Joshoa as I assess him he is healthy boy with good communication when I spoke with him also he have dream to be famous player when he will be old man as he said, and he always try to play and asking questions for many time when we will play with balloon this ga ve me good idea about his health status. Showed good way of engaging with the child.References Allender S, Hutchinson L, Foster C (2008) Life-change events and participation in physical activity a systematic review. Health Promot. Int., June 1, 2008 23 (2) 160 172.Brenner J S, (2007) Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes. Paediatrics Vol. 119 No. 6 June 2007, pp. 1242 1245Cochrane S H, OHara D, Leslie J. (2000) The effects of education on health Washington, DC World Bank 2000.Crisp, J., Taylor, C 2005, Potter Perrys fundamentals of nursing, edition, Elsevier, Marrickville, Australia. 2005Hillsdon M, Foster C, Thorogood M. (2005) Interventions for Physical Activity (Cochrane Review). The Cochrane Library. Oxford Human Kinetics 2005 pp. 137 59.Hockenberry, M (2005), Wongs essentials of Pediatric Nursing, 7th edn. Mosby, St Louis. 2005Howe and Anderson (2003) Involving patients in medical education. BMJ, Aug 2003 327 326 328.Lobstein T, Baur L, Uauy R, et al. (2004) Obesity in children and young people a crisis in public health. Obesity Rev 5 supplement, 4 85.Maher E J, Li G, Carter L, Johnson D B. (2008) Preschool Child Care Participation and Obesity at the Start of Kindergarten. Paediatrics Vol. 122 No. 2 August 2008, pp. 322 330Moestue H, Huttly S (2008) Adult education and child nutrition the role of family and community. Journal of Epidemiology and Community Health 2008 62 153 159OKeefe L (2007) Overdoing It in Youth Sports. Journal Watch pediatric medicine and Adolescent Medicine, July 25, 2007 2007 (725) 3 3.Powell K E and Pratt M. (2006) Physical activity and health. Br Med J 2006 313 126 7Zhu H, Yan W, Ge D, Treiber F A,. Harshfield G A, Kapuku G, Snieder H, Dong Y (2008) Relationships of cardiovascular Phenotypes With Healthy Weight, at Risk of Overweight, and Overweight in US Youths. Pediatrics, January 1, 2008 121 (1) 115 122.18.8.08 Word count 2,192 PDG
Subscribe to:
Posts (Atom)