Gender Communication Essay

Ladies are ceaselessly pounding against an unattainable rank and furthermore their progression is normally upset by an advancement bottleneck in the center administration and a clingy floor. As indicated by an ongoing exploration on an examination of professions from various workers, it was discovered that the paces of advancement for men from the beginning of their vocations to senior administration was higher when contrasted with ladies who began at a similar level. Dominant part of men were elevated when contrasted with ladies who had proportionate experience and training. This has antagonistically influenced sexual orientation correspondence by method of terrorizing whereby the ladies are left inclination second rate (Ivy, 28). I picked this subject with the goal that I can grasp profoundly on the impacts of unfair limitation and clingy floors way to deal with correspondence, and how it is identified with sexual orientation correspondence. Information about this theme would satisfactorily set me up for the world since I would be proficient on the best way to deal with different parts of my life which incorporate my working environment and my connections. I came to find that the unreasonable impediment and clingy floors issues had just been learned at an elevated level particularly at the highest point of the administration. Ladies are possibly elevated to top positions just in the event that they have effectively endured at the center administration level (Wood, 157). From my indisputable examination I found that there is generally a story that is men ruled by the men with respect to advancements. Shockingly for ladies, it is very hard to infiltrate through this floor because of the way that there is a ton inclinations towards ladies advancements. Men are effortlessly advanced though for ladies, they need to show abilities past sensible uncertainty that they merit an advancement. I discovered that there is additionally the test of a mid-level bottleneck towards ladies which obviously preferred men. This idea guaranteed that couple of ladies were advanced from the mid-level administration to senior administration. This implied a ton of ladies were stuck at the mid-level administration and they didn't advance further from this level. Be that as it may, this was not same case with men who had comparable certifications to the ladies paying little heed to both genders having comparative capabilities scholastically andâ experience (Krolokke and Ann, 58). I was profoundly astounded by the previously mentioned discoveries and I needed to ask myself different inquiries about the theme. I despite everything have not comprehended where there ought to be that partiality towards ladies yet there is a governmental policy regarding minorities in society with respect to ladies. I am yet to set up compelling answers for the connection between difficulties of sexual orientati on correspondence according to the unattainable rank and clingy floors way to deal with correspondence. Various territories should be explored altogether with the goal that the connection of the two angles are comprehended and practice precisely. Difficulties that face the two angles ought to be managed through agreement so that there can be a success win arrangement where the two players, that is the male and female live and work in concordance (Wood, 159). Taking everything into account, I wish to emphatically recommend that the sexual orientation fairness viewpoint ought to be polished and ladies ought to successfully be given equivalent open doors like their male partners. Sexual orientation correspondence should be a two way traffic and both the male and female ought to have equivalent chances to communicate. The obstructions that make the biased based impediment and clingy floors way to deal with correspondence ought to be annihilated. Everybody ought to be given equivalent open doors for concordance between both genders to win. Works Citied Ivy, Diana K. Genderspeak: Personal Effectiveness in Gender Communication. Boston: Pearson Education, 2012. Print. Krolã ¸kke, Charlotte, and Ann S. Sã ¸rensen. Sex Communication Theories and Analyses: From Silence to Performance. Thousand Oaks, Calif. [u.a.: SAGE, 2006. Print. Wood, Julia T. Gendered Lives: Communication, Gender, and Culture. Belmont, CA: Thompson/Wadsworth, 2008. Print. Wood, Julia T. Gendered Lives: Communication, Gender, and Culture. Boston, MA: Wadsworth/Cengage, 2013. Print.

Business Ethics And Principles Samples †MyAssignmenthelp.com

Question: Examine about theBusiness Ethics And Principles. Answer: Conversation Business morals alludes to the set of accepted rules that analyze the standards and good issues that emerge in the business condition. This for the most part incorporate the set arrangements to help control all strategic policies that happen in a given association. Grenfell tower fire 2017 case showed enormous disappointment of business morals that are set in the designing division in different ways. From the set morals in the designing area, obviously a penetrate of the equivalent upgraded the Grenfell disaster prompting loss of lives and decimation of property (Watt, 2017). Among the ways and how this outlined disappointment of business morals is as talked about underneath. Utilization of low quality and wrong structure materials which is against set morals in designing or building division. The contextual analysis represents that among the reasons why the structure immediately burst into flames from the fourth floor was on the grounds that the outside was made of combustible protection materials and furthermore came up short on a working sprinkle framework or even a practical fire douser. Its exploitative as it came about to poor improvement of the structure with no security quantifies if there should be an occurrence of a fire mishap to help spare the lives of the individuals who involved the structure structures. This obviously demonstrated the specialists required just as the proprietors didnt care much about the prosperity of the inhabitants as they selected to utilize off-base and low quality materials with dread of providing food for additional costs (Velasquez Velazquez, 2002). Insufficient training on wellbeing measures to the inhabitants. As indicated by designing business morals, if there should be an occurrence of any information that mischief may happen to an individual utilizing the created or assembled structure, the pertinent people in the division ought to completely instruct the clients or somewhat inhabitants on the equivalent. How best they can forestall the event or how they ought to respond on the off chance that the circumstance shows up and the outcomes of defying it. In spite of the fact that they gave a safety measure that incase of any fire breakdown the occupants ought not move out however stand by to be spared, they didnt completely make mindfulness on the outcomes of ignoring the equivalent and furthermore about the combustible materials they utilized in the outside. This was a penetrate and disappointment of business morals as they didnt make satisfactory mindfulness coming about to loss of lives. References Watt, R. G. (2017). Grenfell Tower firea shocking contextual investigation in wellbeing disparities. English dental diary. Velasquez, M. G., Velazquez, M. (2002). Business morals: Concepts and cases (Vol. 111). Upper Saddle River, NJ: Prentice Hall.

Advantages and Disadvantages of Neoliberalism and Globalization

Question: Talk about the Advantages and Disadvantages of Neoliberalism and Globalization. Answer: Presentation Globalization is characterized as combination of universes economy with ones. The development of market has made free development of merchandise and enterprises. The burden of free market arrangements in the year 1980s was the most discussed issue. The marvel of globalization is past joining of economy however maybe observed as social financial exchange. Neo liberal is the late name of the renowned development of globalization (Beck, 2015; Pieterse, 2015). The term neo progression incorporates the accompanying realities: Freedom of free endeavor or private undertaking from any outside power. Neoliberalism center around making a free market for the individuals so as to direct exchange advantageously. Facilitated commerce practice makes a superior situation that helps in leading exchange. Chopping down of the open use with the end goal of social administrations. This has additionally decreased the rate related with the open use. Deregulation Privatization is the general reason for Neoliberalism. It purposes to make a free market for the economies to accomplish an ideal development. The motivation behind neoliberalism is because of the new financial arrangements system in 1980s Taking out the idea of open or network merchandise so as to pick up advertise development Points of interest of neoliberalism Neoliberalism is alluded as a thought related with Laiseez-faire monetary progressivism. It incorporates broad monetary progression strategies. These financial practices incorporate broad monetary progression strategy, for example, privatization, monetary severity, deregulation, facilitated commerce, and decreases in government spending. These financial practices in this way help in expanding the job of the private division in the economy. The market-based practices have animated that involve a move in design (Ong, 2006). Since 1990, the economies were giving weight on expanding the pace of monetary development. Monetary advancement is a more extensive idea that incorporates the financial development as well as a great deal of institutional changes. Development is just conceivable with the assistance of advancement. Financial development is just conceivable through progress in the GDP. Thus it has gotten imperative to focus on different exercises pertinent to the monetary development and improvement (Saad-Filho and Johnston, 2005). Since World War II there has been clear decrease in the exchange boundaries and the duty standards. The unwinding in the Trade obstructions has decidedly influenced the GDP. It is just because of the improvement in the exchange understanding like GATT, WTO who has a reason to decrease the general exchange hindrances. These settlements have influenced the method of working together. The exchange has in this way expanded because of these arrangements. The GATT WTO as appear are a result of the neoliberal development. These bargains have anyway repudiated the exchange hindrances that existed already worldwide exchange has expanded directly because of these exchange game plans. The monetary neoliberalism has bolstered FDI which is to a great extent considered as an explanation behind global exchange. The nearness of FDI has expanded definitely causing a positive change in the economy (Giroux, 2004). One of the general quality of neoliberalism is the desire to reinforce and build up the market. This is accomplished through expanding the number, rate, repeatability, and formalization of dealings. Generally speaking motivation behind neoliberalism is to accomplish conceivable activity of each person in a market to be completed in competition with other. It is basic from the perspective of the exchanges that are conveyed in a boundlessly brief timeframe and rehashed. A development in the market space is guided in a way it helps in dealing with a huge market economy. They are searching for new territory in the market to investigate. The concentration over the property during the work of art and market progressivism time is supplanted by an accentuation on the agreement (Jessop, 2002). The procedure of Contract maximalisation is an average neoliberal idea. The time of agreement was diminished in the work advertise due an expansion in recurrence of agreement. Facilitated commerce under standing is a type of record that helps in abrogation of levies or worldwide confinement. One of the benefits of neo-radicalism is to nullify the limitation in the exchange practice. Neoliberalism empowers facilitated commerce between the economies that permits joining of market. Globalization is known by the name of neo-progression. It is because of Neoliberalism the nations overall can share the way of life and economy (Giroux, 2015). Another idea in the neoliberal market is identified with computerized exchanging and making of virtual market. In the neoliberal sense the mechanized exchanging has prompted escalation of exchange. This development in the action implies that the neoliberal social orders are increasingly open. The cutting edge neo dissidents are increasingly centered around making join. This demeanor utilized by neoliberal is called as connectionists. It is because of the development in the extent of agreement the exchange cost assumes a significant job. The expense of rivalry strengthens the exchange. The general procedure of neo-progressivism has reached to a level that undermines the current economy (Hall, Massey and Rustin, 2015). Notice that the development n the field of money related part is because of neoliberal character separated from any innate move. The whole part depends on the exchange cost. It is nearly non-existent in a midway arranged economy. This has just made an interest in the market in money related division. An expansion in the area and office work is in direct logical inconsistency which pretty much makes a free market. The speed of exchanging has expanded because of neoliberalism. The general market is moving at a quick speed. The computerized capacities have made a proficient market by expanding the exchange volume (Davies, 2014). Analysis of neoliberalism The little, medium a greater endeavor are presently pushed out of the market as they were performing worse than average. The open segment was thinned from its beneficial part while dealing with over to the private area. The little size business was influenced by the adjustments in the market. Few contended that there has been a bogus relationship between's financial development and made sure about work. It is accepted that there will be gravely paid occupations in the market. All the new type of private property is making a ruthless type of assignment. The ceaseless pulverization of government assistance state has influenced the person so as to give need and time. The economy is profoundly dependable on less solid administrations than the secretly own state (Peck, 2013). The market fundamentalism is one of the drawbacks of neoliberalism. The free market disregards the significance of wellbeing and training. By embracing the free market in these two regions would make imbalances. This will additionally cause under arrangement of a foundation that is significant for the drawn out venture (Streeck, 2014). It will additionally express that the neoliberal strategies have additionally enlarged the disparities. It is because of a few variables like gifted specialists. Those organizations who have more force had the option to expand maker overflow. The organizations with the monpsony power had the option to constrain the pay development. The capital deregulation has not really helped in the monetary improvement this has went with in expanding the money related precariousness. This has caused a more extensive monetary financial stun. A report on the Neoliberalism has expanded the danger of antagonistic cycles. Monetary development is just conceivable through progress in the GDP. Subsequently it has gotten imperative to focus on different exercises pertinent to the monetary development and improvement (Hirst, Thompson and Bromley, 2015). Proposals and Conclusion There are three principle issues that are related with neoliberalism. There is an enlarging hole among poor and rich, increment in the joblessness rate and sick impacts of globalization. The legislature of economies should take legitimate measures to settle the issue by dealing with the market they have to make better business open doors for the neighborhood individuals. This will by one way or another assistance in dealing with the circumstance. To finish up there has been a plentiful of help with respect to the idea that impacts the liberal economy hypothesis. The monetary strategies that were received from 1970 are the piece of an endeavor to increase financial addition. Globalization is considered as an alternate idea from neoliberalism. The idea of neoliberalism is seen from the perspective of financial turn of events. The exposition anyway cautions perusers against the move of economy towards a deregulated one. This will anyway diminish the idea of government assistance state. The entire article make a qualification as it was guaranteed that the reason for neoliberalism is to give advantage to every person except there were abberations. The inconsistencies in the execution can be seen later on by the little, creating nations. These nations were for the most part possessed by the little and medium measured business. The neoliberalism worldwidy affects the arrangement making. References Beck, U., 2015.What is globalization?. John Wiley Sons. Davies, W., 2014.The constraints of neoliberalism: Authority, power and the rationale of rivalry. Sage. Giroux, H.A., 2004.The Terror of Neoliberalism: Authoritarianism and the Eclipse of Democracy. Worldview Publishers Giroux, H.A., 2015.Against the fear of neoliberalism: Politics past the period of covetousness. Routledge. Lobby, S., Massey, D. furthermore, Rustin, M., 2015.After Neoliberalism?. Lawrence Wishart. Hirst, P., Thompson, G. also, Bromley, S., 2015.Globalization being referred to. John Wiley Sons. Jessop, B., 2002. Radicalism, neoliberalism, and urban administration: A statetheoretical perspective.Antipode,34(3), pp.452-472. Ong, A., 2006.Neoliberalism as special case: Mutations in citizenship and power. Duke University Press. Peck, J., 2013. Clarifying (with) neoliberalism.Te

The Global Impact of Asthma - Free Essay Example

Asthma is a respitory disease that is characterized by the inflammation of the airways (bronchi) which causes recurring episodes of the sensatation of the lack of air (dyspnea), whistles in the chest during respiration (wheezing), a cough and tightness in the chest. The respitory function tests (spiromatry) in the moment of a crisis demonstrates the airflow obstruction that significantly improves, if not completely with a bronchodilator. (University Clinic of Navarra) In celebration of World Asthma Day, the world initiative for Asthma (GINA) has revealed the results of the Report about the Global Impact of Asthma. The investigation highlights the work of this disease that is directly related to what we understand today as the development of countries. The growth rate has accelerated in Recent times which reflects the 25% increase of asthma cases in the United States each decade since the 70s, and a prevalence rate of 10.9% withtin the population, making this country the third largest in number of cases after the United Kingdom (15.3%) and Canada (14.1%). The country which has produced the greatest increase in cases is Australia, where 25% of children now suffer from the sickness. Spain, where 5.7% of residents are affected, is situated below Germany and France, but above Italy. The relationship between the increased prevelance of the disease and urbanization reveals a predicatbale increase of the impact of asthma if taken into consdieration the expected increase in the worlds urban population being 45% now and 59% in 2025. GINA has expressed, before this data, the necessity of communicating all around the world a call of attention to both patients and professionals to reduce the impact of asthma, and explained that this disease is a sufficiently important enough problem to be considered as a priority in sanitary politics in all governments around the world. Alongside the lack of information and economic problems, the lack of specialists and strategies based off symptoms, the organization has indicated that in order to reduce the impact of astham there are environmental barriers such as contamination of air, tobacco smoke, and occupational exposure. The slogan of World Day of Asthma this year will be The impact of Asthma and, alongside the reuqired actions needed to mitigate the forseeable increase, GINA considers how to facilitate access to medicatins, recognizing the sickness as an important cause of death, promoting programs to reduce tobacco consumption, integrating international respitory directives and investigating the causes of this pathology. (Adapted from www.diariomedico.com) Temas de salud Editorial Edinumen, 2009 pp. 84-86 (Health Themes Edinumen Editorial, 2009 pp 84-86)?

Hunger And Hunger Related Illnesses - 1540 Words

Approximately 795 million people in the world are chronically malnourished. That means that one in nine people do not have enough food to live a healthy lifestyle. This is the biggest problem affecting a considerable amount of the human population. Hunger and hunger related illnesses kill just over 6 millions children a year. Hunger is not partial to race or gender, it’s a problem in all corners of the world, it affects people in even the most developed countries. The more humans progress the more this problem, logically, the more this problem should diminish but that is not the case. The problem does not lie in the lack of food production, or lack of food on earth, rather there is an excess of food that could feed everyone with ease. Global food insecurity is a solvable issue. The selfishness and yearn for excess is what is continuing starvation. Hunger could be solved at any point in time if everyone came together to support efforts. The government and the people need to wor k together to end this epidemic, this is a problem everyone needs to deal with. Hunger is defined in Merriam Webster s Dictionary as a craving or urgent need for food or a specific nutrient or an uneasy sensation occasioned by the lack of food. The effects of hunger on a human are dreadful. Hunger doesn t just affect the stomach, it affects the whole body. Vital organs are compromised and one becomes more likely to get diseases. When one is malnourished it becomes harder to concentrate as the brainShow MoreRelatedThe Hunger Of World Hunger1261 Words   |  6 Pagespeople. But it’s kind of ironic world hunger still exist and is the leading cause of deaths per year. According to the United Nations Food and Agriculture Organization estimates that about 805 million people of the 7.3 billion people in the world were suffering from chronic undernourishment. World hunger doesn’t just kill people, it’s linked to diseases, physiological issues and poverty as well. Tha t’s about 24,000 people dying a day. But what does hunger mean? Hunger is a term which has three differentRead MoreHunger Is Huge Crisis By Developing Countries1603 Words   |  7 Pagesdies due to hunger. Although it seems like this couldn’t be right, that something should be wrong with this bit of information, this statistic is all true. Something as simple as food can cause 8,640 kids to die a day and 300 million children go hungry every day, most of them living in developing countries, and stuck in a life of poverty. Hunger is huge crisis, in developing countries, that has a large amount of negative impacts on the people living there and generations to come. Hunger and CausesRead MoreFood Stamp Challenge For Hunger1719 Words   |  7 PagesFood Stamp Challenge Introduction to Hunger Imagine your stomach growling, a feeling of emptiness, fatigue, and an inability to concentrate. Most people would associate these feelings with hunger and eat. Unfortunately, many Americans do not have the luxury of eating because of living in poverty. According to the Census Bureau and the U.S. Department of Agriculture, the number of people living in poverty rose from 31.6 million in 2000 to 36.5 million in 2006. The number of people living in householdsRead MoreThe Issue of Hunger in the United States1348 Words   |  5 Pages After the Great recession, hunger has become a more prevalent problem but not much has been done about it. Solving the issue of hunger has lagged behind other issues like education. This has to do with our tradition of classical liberalism. Classical liberalism places emphasis on individualism and less government intervention. In addition, the divided political nature of the United States keeps its populations split as to whether or not government shoul d get involved and spend money to help theRead MoreHunger, Malnutrition, And Famine937 Words   |  4 Pages(Food Program, 2015, para. 1). Both hunger and malnutrition serve to be the number one risk to health and well-being, more so than Aids, Tuberculosis, and Malaria combined (Food Program, 2015, para. 1). Although the planet produces enough food to feed everyone (Wright Boorse, 2014), hunger, malnutrition, and famine continue to adversely affect people in both developed and developing nations. Children are particularly susceptible to the ill effects of hunger and malnutrition as stunting or growthRead MoreOne Less Child: The Positive Effects Of Universal Free1297 Words   |  6 Pagesshrug. I was hungry, but I am trying me best. The youth of today suffer a terrible injustice due to no fault of their own. It negatively influences all aspects of their lives and hinders the child’s ability to receive an education. That injustice is hunger. A student’s academic performance deteriorates, as well as their physical and emotional health. The Community Eligibility Provision, (CEP), is the saving grace for children dealing with economic uncertainty. CEP provides all students both breakfastRead MoreHealth And Globalization : Questions Essay1363 Words   |  6 Pagespandemic could cause aloss in millions of lives, damage the world economy and the civilization itself is a scenario of many movies and TV shows. But stepping back with the globalization will not solve these issues. Part of these issues is not solely related to the globalization. Urbanization, sanitation, drinking water access issues for any country (globalization101.org). Developing countries are affected more as they lack financial power to treat and prevent the diseases. To further develop these countriesRead MoreGenetically Modified Organisms : The Most Valuable Source Human Beings Need?1169 Words   |  5 Pages What’s the most valuable source human beings need? It’s food! But when does crossing the line of messing with food take a toll on human consumption? Should an effort to curb world hunger increase food production through the use of GMOs? There’s many speculations on GMOs on how some say it s bad for human consumption and how others say it s perfectly fine. This argument will be about how GMOs are bad for human consumption who many people tend to go on that side. To begin, what isRead MoreHealth, Food, And Nutrition1291 Words   |  6 Pagesthink that informing people about good vs bad food will help not only combat obesity, but also other health-related issues. However, these nutritionists can’t pinpoint where the problem is coming from or why people aren’t following their recommendations. As a result, they start with being generic as finding food that will solve global concerns (Yates-Doerr, The Capacity of Reduction). Global hunger is a serious issue, especially in third world countries where they lack proteins and nutrients to help stimulateRead MoreFamine Essay1435 Words   |  6 Pagesmust be solved because famine leads to many hunger-related deaths worldwide. â€Å"In 1996 about 849 million people lived in famine, about 35,000 people die each day. A majority were children†. (Clark 148) Facts about famine. â€Å"In the Asian, African and Latin American countries, well over 500 million people are living in what the World Bank has called absolute poverty. Every year 15 million children die of hunger. For the price of one missile, a school full

The Medical Model Of Disability - 1551 Words

The medical model of disability has done a great disservice to people with disabilities in American society. It has helped shape and continues to perpetuate a belief system that people with disabilities are weak, dependent, and incapable of performing like â€Å"normal† people. This paper examines how the medical model influences society’s perceptions of disability through the use of language and the media which cause people with disabilities to be marginalized and experience inequalities. Under the medical model, disability is defined as any restriction or lack of ability, resulting from an impairment, to perform an activity in the manner or within the range considered normal for a human being (World Health Organization, 1980). The medical model views disability as the problem of the person that is caused by disease, trauma, or other health conditions which requires treatment by professionals who manage the disability by trying to find a cure or to make the disabled pe rson more â€Å"normal†. This typically doesn’t work because many disabled people are not necessarily sick or they cannot be improved by remedial medical treatment. The only solution left under this model is to work towards an effective cure by accepting the disability and providing the necessary care needed for the disabled individual to make adjustments to be as â€Å"normal† as they can be. Under the medical model, society is not seen as having any responsibility to accommodate people with disabilities. It is theShow MoreRelatedThe Medical Model Of Disability952 Words   |  4 PagesDisability means something entirely different depending on the people you ask. Ask a person who does not have a disability and they may give you a view that is based on the medical model of disability. Ask a person that is disabled and they may give you a view that is based on the social model of disability. While both views of what disability means have their merits, not one int erpretation is universally accepted. I believe the truth lies somewhere in the middle. At the intersection of the medicalRead MoreThe Medical Model Of Disability1533 Words   |  7 PagesThe medical model focuses more on the problem and not the person, so the problem would be things such as the disabilities and impairments rather than the needs of the person. The medical model thinks the way to solve the disability would be through things such as surgery, physio etc. If people who follow the medical model think that that a medical cure is not possible then they could exclude someone with a disability from a normal day to day activities or they could be shut way from society in aRead MoreSocial Medical Model Disability1203 Words   |  5 PagesThe social and medical model of disability There are a number of ‘models’ of disability which have been defined over the last few years. The two most frequently mentioned are the ‘social’ and the ‘medical’ models of disability. The medical model of disability views disability as a ‘problem’ that belongs to the disabled individual. It is not seen as an issue to concern anyone other than the individual affected. For example, if a wheelchair using student is unable to get into a building becauseRead MoreThe Medical And Social Models Of Disability2264 Words   |  10 Pages What do you understand by the medical and social models of disability? Illustrate your answer with examples from your media portfolio. The social and medical model are separate elements which have a big impact on people’s life. Disability as a whole influences society because we start from a young age learning, which will effect the kind of person we are and the kind of person we become. The word ‘model’ helps define the disability and understand the concepts in which it is perceived by individualsRead More Social and Medical Disability Models Essay2243 Words   |  9 PagesI aim to provide the reader with an overview of two prominent models of disability: the medical model and the social model. More specifically, I intend to outline the differences between these models, especially their theory and practice. Firstly, I will note the definition of what a model of disability is and point to its relevance in disability studies. I will also briefly examine the origins of both the medical and social models, but mainly outlining the contributions of their respective theoreticalRead MoreMedical and Social Models of Disability Essay1857 Words   |  8 PagesIt could be said that in modern industrial society, Disability is still widely regarded as tragic individual failing, in which its â€Å"victims† require care, sympathy and medical diagnosis. Whilst medical science has served to improve and enhance the quality of life for many it could be argued that it has also led to further segregation and separation of many individuals. This could be caused by its insistence on labelling one as â€Å"sick†, â€Å"abnormal† or â€Å"mental†. Consequently, what this act of labellingRead MoreThe Medical Model : Where Disability Is Viewed As An Impairment952 Words   |  4 Pages the medical model, where disability is viewed as an impairment to be cured or prevented. This view may significantly inform the kind of service and treatment doctors provide or recommend for these individuals. In fact, researchers and doctors themselves have voiced concerns that medical practitioners do not undergo sufficient training to address disability and sexuality (Barbuto Napolitano, 2014; Gilmore Malcolm, 2014). Doctors need to be well informed about the issues in this area and supportiveRead More3.3 Explain the Social and Medical Models of Disability and the Impact of Each on Practice.998 Words   |  4 PagesSocial models and medical models of disability By labelling a child because of there disability can prevent us as seeing the child as a whole person like their gender, culture and social background the medical models is a traditional view of disability and that through medical intervention the person can be cured where in fact in most cases there is no cure. They expect disabled people to change to fit into society. The social model of disability looks at ways to address issues to enable peopleRead MoreModels of Disability941 Words   |  4 PagesModels of Disability Disability is a human reality that has been perceived differently by diverse cultures and historical periods.   For most of the 20th century, disability was defined according to a medical model. In the medical model, disability is assumed to be a way to characterize a particular set of largely static, functional limitations. This led to stereotyping and defining people by condition or limitations.   World Health Organization (WHO) – New definition of Disability In 2001, theRead MoreEvaluate Two Models of Disability in Terms of Explaining the Concept of Disability.1613 Words   |  7 PagesEvaluate two models of disability in terms of explaining the concept of disability. Medical model;-- Weaknesses;-- There are many weaknesses of the medical model. One of the weaknesses that I am going to talk about is that in some cases people see the medical model as an insult due to the fact that the model tries to ‘fix’ people with a disability instead of making adjustments and adaptions to environments, activities etc†¦ for them. Due to the fact that the medical model is trying to ‘fix’ tem, may

Clinical Reasoning Cycle Leonard

Question: Discuss about the Clinical Reasoning Cycle Leonard's Falls And Other Health Risk Factors. Answer: Introduction Effective clinical reasoning skills are vital for a nurse to improve patients health condition and ensure positive outcomes. The process of clinical reasoning developed by Levett Jone is the cycle of linked and ongoing clinical situations (Dalton et al. 2015). The paper deals with the case study of Leonard who is presented to the acute medical ward after fall. The report discusses Leonards falls and other health risk factors using the reasoning cycle framework. The report further critically evaluates the best-practice assessment tools appropriate for the case. Lastly, the report presents the support given to Leonard applying the person-centred approach while meeting the obligations as health professional. Leonards falls and other health risk factors Collection of information As per the case history of Leonard, his age is 65 years. He is admitted to acute medical ward by the Emergency Department after falling at local shop. He did not sustain a fracture, although he had severe bruising of his face and hip. He is diagnosed with decompensate liver disease due to heavy alcohol intake (40 g/day for last month). His clinical handover shows present symptoms of anorexia, dyspnoea, jaundice, and lethargy. He was not coping with his illness prior to his admission. His admission history shows mental and behavioural disorder due to alcohol dependence, a decubitus ulcer on the shin of his left leg, anaemia, industrial deafness, some evidence of urinary incontinence, mild hypotension, lower limb oedema, and regular falls. After his wife death, Leonard has lost support system. He lives in a single storey house, with four steps to the front and two steps at the back with no rails. He lives with his housemate, who is mentally ill and rarely home. He receives mild support from his two elder sisters. Over the last six months, he is unable to carry his activities of daily living independently. In addition, he has some evidence of urinary incontinence and lower limb oedema. He had a Mini Mental State Examination (MMSE) score of 28/30, but appears to have little insight into his problems and also exhibits motor planning difficulties. In addition, Leonard also has industrial deafness as he worked as boilermaker in a very noisy factory. The patient denies support services at home; however, he is keen to return home. The cause of physical deterioration was due to range of manual and labouring jobs. He is mostly restricted to home with no entertainment. Process of information Leonard has severe risk of fall in future as he his physically fragile. His physical frailty is also evident from his need of walking frame for mobility. Recently, his functioning has detoriated due to which he is not able to perform his activities of daily living independently. Due to dyspnoea, anorexia, arthritis in his lower back, mild hypotension, he is at risk of poor physiologic condition and poor mobility (Shen et al. 2015). According to Soenen and Chapman (2013. P. 643) lack of grab rails on the toilet is adding to the risk of fall. Adding to the risk is his muscle weakness, poor balance and risk of gait. MMSE score of 28/30 is indicative of normal cognition. However, Motor planning difficulties and confusion can lead to frequent accidents and decrease confidence (Schoene et al. 2014). He needs dietitian to maintain healthy nutritional status, as he is anorexic and anaemic. His alcoholic liver disease also increases the risk of gastrointestinal tract upset. His symptoms of dyspnea increase the risk of respiratory diseases (Yeluru et al. 2016). Leonard has poor coordination and is not mentally alert. It is evident from his poor planning of tasks and inability to get dressed (Mihaljcic et al. 2015). He lacks support and care needed as he lives alone with his housemate too has mental illness. He receives inadequate support and assistance from his two elder sisters. He was in bereavement after his wifes death due to cancer. It may have caused him to developed fear of hospitals. This fear is depriving him of receiving adequate physical and mental health care (Keyes et al. 2014). His alcohol dependence is also the outcome of his bereavement and has caused decompensate liver disease. He lacks love, belongingness and affection, which is decreasing his coping with illness ( Feng et al. 2014). Lack of family members support and hearing impairment decreases social life and depression. It decreases functional and emotional status. Leonard has low energy to take part in recreational activities such as gardening and fishing. Financial constraints in addition to illness may be adding to the depression (Roets-Merken et al. 2015). In conclusion, Leonard has high risk of fall. In addition to that, other health risk factors of Leonard include Increased risk of mortality due to alcoholic liver disease, Decreased independency to perform activities of daily living, Development of depression and anxiety, Neglecting personal hygiene, Risk of gastrointestinal tract upset Risk of respiratory disease Risk of poor social connectedness due to hearing impairment, poor mobility and motor planning difficulties Three best-practice assessment tools appropriate for this case The three best practice assessment tools appropriate for this case are Falls Risk Assessment Tool or FRAT, Mini-mental state examination or MMSE, and Alcohol use screening assessment tool. The best practice assessment tools for Leonard for his fall are Peninsula Health FRAT. It is commonly used in Australia for elderly people living in community (Hill et al. 2016). The study evaluating the reliability and validity of FRAT has been published in Cattelani et al. (2015). FRAT has three sections. The first section assesses falls risk status followed by the second section consisting of risk factor checklist and the last section dealing with action plan. The tool requires approximately 15-20 minutes. The tool has criterion that is Medium risk: score of 1215 and a High risk: score of 1620. This assessment tool gives detailed information on the underlying factors contributing to the patients fall. It serves as screening test only The best practice assessment tools for cognition are MMSE. This tool is effective for grading the cognitive state of the client. The tool gives information on the degree of cognitive impairment (out of 30 if the score is 21-24 then it is mild impairment, 10-20 as moderate and The third assessment tool appropriate for Leonard is the Short Michigan Alcoholism Screening Instrument Geriatric Version (SMAST-G). The instrument has scoring system where a score of 2 or more responses for Yes indicates the alcohol dependency problem. This tool is the first step to develop interventions and referral to treatment (Taylor et al. 2014). Nurses can use the scores to determine the degree to cut alcohol intake when scored high above the recommended state. In older adults the score helps to determine the risk of depression, anxiety, gastrointestinal problems. The instrument can only be used for screening and has been commonly used for older adults who are drinking at higher levels. The tool has been found to have high sensitivity and specificity. The feasibility and the acceptability of the tool has been tested and its reliability and validity has been published in Randall-James et al. (2015) Person-centred approach to support Leonards rights In nursing practice, person-centred care is essential to improve patients health outcomes. As a nurse, focus will be put on Leonards individual needs and goals. The family member of the client will be involved as appropriate. His right of autonomy will be ensured by involving him in making heath related decisions. His rights to access health care information, treatment options and express personal concerns will be maintained. The patients right to dignity will be maintained by knowing the patient as an individual, being responsive, and respecting his values, needs and preferences. While caring and promoting physical and emotional comfort emphasis will be given on his freedom of choice. Patients Privacy will be respected while caring and confidentiality of the information will be protected. The standards set by the Nursing and Midwifery Board of Australia in respect to the code of ethics will be complied. The standards set by the board will be strictly followed for providing the right care to the patient considering the spiritual, cultural and ethnic factors (Gray et al. 2016). Conclusion The paper has highlighted the health risk factors of Leonard supporting with literature. It has discussed the effective assessment tools for Leonard. In conclusion, nurses need effective clinical reasoning skills to identify the health risk factors and priority needs of patient. Nurse must be aware of the necessary tools for health assessment of patients to develop effective care plan. Nurses must protect patients rights, as it is important for their satisfaction of health care services. Nurses need to be competent in implementing the person centred approach and must be efficient in placing the patients needs above those identified as priorities by the heath cafe professional. References Cattelani, L., Palumbo, P., Palmerini, L., Bandinelli, S., Becker, C., Chesani, F. Chiari, L., 2015. FRAT-up, a web-based fall-risk assessment tool for elderly people living in the community.Journal of medical Internet research,vol. 17, no. 2. Dalton, L., Gee, T. Levett-Jones, T., 2015. Using clinical reasoning and simulation-based education to'flip'the Enrolled Nurse curriculum.Australian Journal of Advanced Nursing, vol. 33, no.2, p. 29. Feng, L., Nyunt, M.S.Z., Feng, L., Yap, K.B. Ng, T.P., 2014. Frailty predicts new and persistent depressive symptoms among community-dwelling older adults: findings from Singapore longitudinal aging study.Journal of the American Medical Directors Association,vol. 15, no. 1, pp.76-e7. Gray, M., Rowe, J. Barnes, M., 2016. Midwifery professionalisation and practice: Influences of the changed registration standards in Australia.Women and Birth,vol. 2, no. 1, pp.54-61. Hill, K.D., Flicker, L., Logiudice, D., Smith, K., Atkinson, D., Hyde, Z., Fenner, S., Skeaf, L., Malay, R. Boyle, E., 2016. Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians.Australian and New Zealand journal of public health,vol. 40, no.6, pp.553-558. Keyes, K.M., Pratt, C., Galea, S., McLaughlin, K.A., Koenen, K.C. Shear, M.K., 2014. The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study.American Journal of Psychiatry,vol.171, no. 8, pp.864-871. Mihaljcic, T., Haines, T.P., Ponsford, J.L. Stolwyk, R.J., 2015. Self-awareness of falls risk among elderly patients: characterizing awareness deficits and exploring associated factors.Archives of physical medicine and rehabilitation,vol. 96, no. 12, pp.2145-2152. Mitchell, A.J., 2017. The Mini-Mental State Examination (MMSE): update on its diagnostic accuracy and clinical utility for cognitive disorders. InCognitive Screening Instruments.Springer International Publishing, pp. 37-48. Randall-James, J., Wadd, S., Edwards, K. Thake, A., 2015. Alcohol screening in people with cognitive impairment: an exploratory study.Journal of dual diagnosis,vol. 11, no.1, pp.65-74. Roets-Merken, L.M., Draskovic, I., Zuidema, S.U., van Erp, W.S., Graff, M.J., Kempen, G.I. Vernooij-Dassen, M.J., 2015. Effectiveness of rehabilitation interventions in improving emotional and functional status in hearing or visually impaired older adults: a systematic review with meta-analyses.Clinical rehabilitation,vol. 29, no. 2, pp.107-119. Salminen, H., Zary, N., Bjrklund, K., Toth-Pal, E. Leanderson, C., 2014. Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning.Journal of medical Internet research,vol. 16, no. 1, p. e3. Schoene, D., Valenzuela, T., Lord, S.R. de Bruin, E.D., 2014. The effect of interactive cognitive-motor training in reducing fall risk in older people: a systematic review.BMC geriatrics,vol. 14, no. 1, p.107. Shen, H.W., Feld, S., Dunkle, R.E., Schroepfer, T. Lehning, A., 2015. The prevalence of older couples with ADL limitations and factors associated with ADL help receipt.Journal of gerontological social work,vol. 58, no. 2, pp.171-189. Soenen, S. Chapman, I.M., 2013. Body weight, anorexia, and undernutrition in older people.Journal of the American Medical Directors Association,vol. 14, no. 9, pp.642-648. Stein, J., Luppa, M., Kaduszkiewicz, H., Eisele, M., Weyerer, S., Werle, J., Bickel, H., Msch, E., Wiese, B., Prokein, J. Pentzek, M., 2015. Is the Short Form of the Mini-Mental State Examination (MMSE) a better screening instrument for dementia in older primary care patients than the original MMSE? Results of the German study on ageing, cognition, and dementia in primary care patients (AgeCoDe).Psychological assessment,vol. 27, no. 3, p.895. Taylor, C., Jones, K.A. Dening, T., 2014. Detecting alcohol problems in older adults: can we do better?.International psychogeriatrics,vol. 26, no. 11, pp.1755-1766. Yeluru, A., Cuthbert, J.A., Casey, L. Mitchell, M.C., 2016. Alcoholic Hepatitis: Risk Factors, Pathogenesis, and Approach to Treatment.Alcoholism: Clinical and Experimental Research,vol. 40, no. 2, pp.246-255.

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