Compare/Contrast Organic Food vs Processed Food Essay

How important is the food that the averages person puts into their bodies every day? Eating is a way of making peace, passing the time, sharing friendships, and having a communion. The narrator of Food Inc points out that, â€Å"The way we eat has changed more in the last 50 years than in the previous 10,000† (2008). How has it changed? Americans have gone from eating hunter-gatherer style organic greens and fruits, to severely processed sugars, carbohydrates, and high protein meats. Most Americans eat something similar to a â€Å"chicken and pasta† diet nowadays. This may not be bad, but is this â€Å"new† food really better for us than what people ate 50 and 100 years ago? Organic foods are substances that are produced using ways that do not involve modern unneeded synthetic pesticides and chemical fertilizers. Organic foods are also not processed using irradiation, industrial solvents, or chemical food additives (dictionary). Convenience food, or tertiary processed food, is commercially prepared food designed for ease of buying and consuming. Products designated as â€Å"convenience or processed foods† are often prepared so they can be sold as hot, ready-to-serve plates; as room-temperature, long lasting shelf life products; or as refrigerated or frozen products that require minimal preparation (usually just microwaving). There are studies that show that the food people consume on a daily basis Taylor 2 can influence them for years to come, and can impact the longevity of lives through weight fluctuation, energy, and healing powers. The most common ads on TV nowadays are weight loss commercials. The average American is overweight, sluggish, and unhealthy. More than one-third of U. S. adults (35. 7%) are obese (Ogden). How does food control our weight? Does processed food cause weight gain more than organic would? Processed and packaged food is filled with unnatural dyes, toxins, and genetically modified ingredients that our bodies don’t know how to react to. These artificial chemicals give the food flavor, color, and a long shelf life, but they also build up in the body and cause the nutritional system to be confused, blocked, and set into fat-storing mode (Davis, William). Consuming fresh vegetables, fruits, and other items grown naturally without any preservatives is what the body naturally expects. It’s easy for that sustenance to be converted to energy because that’s what one’s body expects. An organic diet usually results in a trimmer and more energetic body and mind set. Eating organic is not always helpful to one’s budget; the supply of organic food is more limited than the demand. Handling the food results in higher costs because of the mandatory separation of organic and conventional products, and selling and dispersing the organic food throughout the country can also result in higher costs because it’s rather inefficient and the volumes are smaller (FAO: Food and Agriculture Organization). Fast food may appear to be cheap food and, in the literal sense it often is, but that is because huge social and environmental costs are being excluded from the calculations. Taylor 3 Any analysis of the real cost would have to look at such things as the rise in food-borne illnesses, the advent of new pathogens, such as E.coli 0157, antibiotic resistance from the overuse of drugs in animal feed, extensive water pollution from intensive agricultural systems and many other factors. These costs are not reflected in the price of fast food (Prince Charles). Beyond prices is food security. Can farmers produce enough organic food to sustain the global population? Conventionally made food is easier to find, a lower price, and quicker to prepare. But organic food does yield more than one would think (Michigan State University). The wrong foods have been known to cause diseases, but the right ones have also been known to prevent them, or rid the body of harmful toxins causing the illness. â€Å"Although human bodies are incredibly adaptable and may maintain themselves for a long time when nutrition is improper or lacking, ideal health is dependent on optimum nutrition. † (Allman, 9). â€Å"In 1972, the FDA conducted approximately 50,000 food safety inspections. In 2006, the FDA conducted 9,164† (Food, Inc). Not all food is safe for the body to digest. This quote is not saying that all processed food is bad for the body, and that all organic food is perfect, it’s saying that most food people eat isn’t as clean as it used to be which is much like â€Å"going backwards† from all the progress America has made with food codes and regulations. The question throughout all of this still stands, â€Å"Can the food one eats truly help them live longer? † One of the oldest people alive, Walter Breuning, had an interview about his diet recently. All his life he’s said that most people eat â€Å"just too darn much† (Sanders). Breuning hasn’t eaten supper for the past 35 years. He eats lots of fruit, lots of vegetables, and drinks a Taylor 4 large amount of water. He says that’s the way he likes it, and there’s no denying that it’s helped him go far beyond the average lifespan of an adult male. Whether one considers their weight, lifespan, budget, or general health next time they go out to the grocery store, or consume something to eat, it’s always good to consider something. Mindless eating doesn’t benefit anyone. Do people â€Å"eat to live,† or do they â€Å"live to eat? † Food can affect our weight, lifespan, energy, and health. Eating will never go out of style, and it will always be something that’s talked about in everyday lives.

Corrections Essay

What works for one individual may not work for another. If the offender is serving time for pedophilia, rape, murder, or drugs it could be that it Is who they view themselves as and will not change for the better. The recidivism rate for all prisoners, no matter what their crime may be, is high in prisons all around the world. The more time that a prisoner spends time in prison, the more likely they are to either return to prison or to violate their parole. The fact of the matter Is one has to see the change they want in themselves before omen can force them to change.Prisoners who are enrolled in prison rehabilitation programs are still as likely, If not more, to return to prison. It Is only those who successfully complete the education programs provided for them who have lower recidivism rates. This is because they have sought to change for the better, and were not forced to change. However, most prisoners who attend these programs are usually the ones who have been in prison the l ongest. Those prisoners who successfully completed the programs where more often then not, the ones who had better chances at becoming successful parolees.The criminal Justice system should focus more on punishment-oriented programs to discourage prisoners from returning. If prisons began enforcing very strict and difficult prison policies, it can make a prisoner see the change that society wants to see for themselves. Most repeat offenders feel more comfortable on the inside then they do on the outside. This Is a very sad and true fact. They become so adapt to living In prisons that they almost consider It a home. When they are subsequently released, they feel Like they do not belong In normal society, thus returning to crime.Another sad reality Is that many businesses and corporations will not higher these inmates due to their records. If the united States penal system enforced strict and almost hellish conditions in these prisons, such as solitary confinement for the majority of their sentence this may change. The prison systems could focus on such harsh punishments, such as no contact with others. The only time contact with others should be allowed is when they choose to attend rehabilitation programs. As time goes on, and the more successful the inmate becomes in the program, prison officials can lessen the rashness of their punishments.This, in the beginning, forces the prisoners to attend the program. However, the prisoner must find It within themselves to successfully complete their education. This makes the prisoners work for their freedom and the change that they want to see. If a prisoner does not complete the requirements of the rehabilitation then can go back to the strict punishments. It Is their choice, and they cannot be forced change. They have to want it. On the outside innocent. They should do this by upholding the law to such a standard that encourages individuals that they do not want to commit a crime.Law enforcement agents should have th e power to do whatever is necessary to take down those who break the law. Currently law enforcement officials have more restrictions placed on themselves by the law, then the criminals breaking it, which makes it that much more difficult to enforce the law. There seem to be far to many loopholes in the Justice system that protects the offenders. It is my personal belief that once you break the law, you have limited rights. We should not be sending our own people who protect there to Jail for police brutality and so on.If someone rapes a woman and then tries to attack the arresting officer, the police are well within their respective rights to do whatever it is necessary to bring said individual to Justice. Such acts will discourage many from committing crimes. If you decided to break the law, well then that is a conscious decision that you made. It is you who should pay for the crimes, not the police. People should feel safe around the police if one has not committed a crime, but if you do break the law one should be terrified. The fear should come from what he police are capable of doing to you to enforce the law.However, law enforcement officials should be trained to asses the amount of force needed to instill enough fear within the individual by a case by case basis. If you get pulled over for running a red light, a cop cannot pull you out of the car and start beating you. Although, if you murder or rape someone, cops should be allowed to punish you. This will in turn instill fear within the offender not to commit the crime again, due to the treatment you receive from the police, and then the harsh prison system mentioned previously.

Alienation Essay

What does alienation mean to you? Being alienated means to be isolated and choosing not to be with anyone. It can also be someone who is not like the rest and is different. Alienation can be when you walk into a place, and people stare at you because you don’t belong there, resulting in fright of socializing with others. In the novel, Blue Winds Dancing, the narrator starts noticing a difference between the two landscapes. Thomas Whitecloud becomes alienated because he cannot see how he can live in both worlds without relinquishing his own pride. These civilized white men want us to be like them-always dissatisfied- getting a hill but wanting a mountain. † In this quote, Thomas Whitecloud explains what he comes to realize during his journey, he is defensive to White culture, due to willful pride. These differences can be felt internally and externally as the narrator searches how to deal with society in a respectful manner. Thomas Whitecould chooses to combine the two different cultures, â€Å"my people are not inferior nor are they uncivilized† and agree with the rest of society that you must be one or the other. I can identify with Thomas Whitecloud because I have been through a very similar experience. At a young age, I moved thousands of miles away from home, to America, without knowing any English or anyone except my mother and older sister. My first day of school was the day after getting here. After going to what would be my new school in the morning, and signing papers with my mother, I walked into my new class. Alone, isolated, and alienated was what I felt as I walked through those doors for the first time. People could tell by just looking at me that I wasn’t from anywhere around there. The worst part is that I could not communicate with anyone because they all spoke English, and I only knew Portuguese. I can be on familiar terms with Thomas White cloud because those experiences were very similar. Thomas Whitecloud and I were trying to find a place where we would fit in, a place where we belonged. Thomas Whitecloud and I both felt like we didn’t belong at that place, like we were not being accepted, we felt embarrassed, and different. I felt like this was the way it was going to be forever. But I was at school for a reason, to learn. Unlike Thomas Whitecloud, I quickly learned this whole other language and culture. That then allowed me to communicate with my peers. I mastered this new language, English, in a short amount of time. And little by little my classmates started communicating with me, even if it was saying â€Å"Hello†, or asking a question about homework. Unlike Thomas WhiteCloud, I was able to meet my classmates, and get to know them. Now that I have been able to analyze this subject, I have gotten a lot of things out of this story. It really is sad that citizens cannot learn to live between one another and feel happy and not feel so lost and isolated in society. The novel, â€Å"Blue Winds Dancing† is an example of this because Thomas WhiteCloud has a difficult time trying to find a way to live in both worlds without giving up his pride for his own culture. There is nothing wrong with wanting the best of both worlds. I really look up to Thomas Whitecloud because throughout the story, he did not give up on himself and his culture. Many people would take the easy way out, since it’s the most convenient, and try to fit it even if it means to forget about who they really are. People can become depressed, or they can start to hate themselves, or become detached from the world because of alienation. Feeling alienated can also lead to a person to go with in themselves, which is not a good place to be and very painful to recover from. Being alienated can also lead to loneliness which is a dangerous place. It is important to socialize with people, friends, and family, because it can also make a person more confident. It is important to feel connected with different types of culture and people. There is no good effects of alienation, it makes people feel unwelcomed, like an outcast, like a loner, and shunned. This is how society is, but it is not how society should be. Before acting, think about what affects it will the people around you, and yourself.

HINDUISM Essay Example | Topics and Well Written Essays - 2250 words

HINDUISM - Essay Example Within Hinduism are a variety of schools and branches. The two schools that survived through the ages are Yoga and Vedanta. The surviving divisions are Vaishnavism, Shaivism, Smartism and Shaktism (Wilhelm, 1991). These numerous schools and branches have been formed to accommodate a variety of beliefs and views of the Hindu system. Each of the aforementioned schools and branches deal with different methods in which to enlighten the mind and lead a life of fulfillment. As aforementioned, Hinduism is the world’s third largest religion, as well as its oldest. In fact, many Hindu documents and artifacts have been dated to the pre-Christ era. While there is no single founder of Hinduism, the roots of other religions and important eras in time can be seen within it, such as Vedic and the beliefs during Iron Age India. Buddhist philosophico-religious thought also influenced many of the Hindu traditions and beliefs (Eliot, 2007), especially in regard to using yoga and meditation as ways in which to reach internal peace and happiness, as well as external enlightenment. Hinduism, though listed as being a religion, is anything but a religion. Hinduism consists of â€Å"thousands of different religious groups that have evolved in India since 1500 BCE (Levinson, 1998).† Hinduism is a way of life, consisting of numerous ways in which a person can better themselves. Therefore, it is unlike any other type of organized religion. Perhaps the only thing in common in shares with other religions is that it does not have any one founder, or any one founder that can be traced. However, the differences between Hinduism and other religions are many. There is no specific theological system or concept of a single deity. Hinduism does not have a central religious authority or a prophet of any sort. There is no one religious text or book that Hindus must abide to; the texts that Hinduism does contain are not meant to be followed as rules,

Development of International Organizations Essay

Development of International Organizations - Essay Example An international organization†¦represents a form of institution that refers to a formal system of rules and objectives, a rationalized administrative instrument and which has ‘a formal technical and material organization: constitutions, local chapters, physical equipments, machines, emblems, letterhead stationery, a staff, an administrative hierarchy and so forth.’† (Archer, 2001, p. 2) There has been a common tendency to confuse between ‘international organizations’ and ‘international institutions.’ In this context, writers and scholars need to remember that an internal institution actually refers to ‘the detailed structure of an international organization†¦for international organizations is more restricted than the sociological meaning of the word.’(Archer, 2000, p.2) According to the historical references, formation of the international organizations commenced during First Word War at the Versailles Peace Conference (1919). Formation of international organizations in nineteenth century was propelled due to certain social reasons. Political scientists widely agree to the point that in order to formation of such organizations development of sovereign states as well as ‘a relatively stable system’ was necessary in Europe. Moreover, the Great War and its horrific consequences did cast such a tremendous effect over the nations that they immediately understood if harmony between the nations could not be maintained it will not be possible to avoid tragedy of such great dimension. In addition to such factors, the social and economic issues also played a great role in the formation of international organizations. Almost at the end of the nineteenth century the European nations witnessed that they were fighting amongst each other trivial poli tical issues and it was affecting social as well as economic stability of the countries. Consequences of those issues were also reflected in the international relationship of the countries. Thus, the

Behavioral Aspects of Project Management Paper Essay

Behavioral Aspects of Project Management Paper - Essay Example Establishing mutual norms and assumptions of behavior in organization, culture therefore influences the selection, priorities and ultimate success of projects. Manifested in its key elements, such as ceremonies, rituals, stories and symbols, culture can encourage certain projects, running the project on time and within budget, close team cooperation and commitment to project goals. For example, the company can hold an annual ceremony to recognize and reward the most successful team of the year or the best team that completed the project strictly on schedule and within budget. Such ceremonies then become a part of the organization's culture, which in turn influences the future projects' selection and success. One of the major components of team commitment is organizational citizenship behaviors (OCBs). "OCBs are acts that promote the organization's interest, but are not formally a part of any person's documented job requirements. They include behaviors such as volunteering for assignments,staying late to finish a task, or voicing opinion on critical organizational issues" (Wagner and Hollenbeck, 2005, p. 144).

Victorian Era Assignment Example | Topics and Well Written Essays - 750 words

Victorian Era - Assignment Example The term ‘machine for living’ was coined by the French architect Le Corbusier. According to him he felt that a an owner of a house has needs and that is why a house should a machine for living. He was known for designs of Victorian homes which were designed with the idea and his vision for house being a machine for living. Gothic furniture is very influenced by gothic architecture. It contains the unique artwork which is related to church designs and trefoil shapes. Generally the upper back portion of the chairs is very similar the church designs and the carvings are similar to the gothic architecture. Still room was generally found in castles and large establishment in the medieval times. It was used as a distillery room and was connected to the kitchen. The room was mainly used to baking, preparing drinks and jams and the lady of the house of in charge of it. The two new rooms that were introduced during the Victorian era were the billiards room and the smoking room. Billiards room as the name suggests should not be confused with the game of billiards, rather the room was used as a place of entertainment. The smoking room was a place where men would often retire after their supper. In the earliest times, glass was considered a precious material and was so highly valued that it was only used by the wealthiest families as their windows. It started becoming more popular during the 14th century and was developed to make flat window glasses. The French glass blowers developed it for the first time and it was called the crown glass. This made it possible for house owners to start using glass for their windows. The Victorian Era was considered the time often fakes due to one particular reason. The faux fireplace was the reason behind it. When the parlor stoves became a common way to heating a room, they were most of time place in front of an existing fireplace. The Victorians would seal up their existing fireplace with

Will Smith Essay Example | Topics and Well Written Essays - 1250 words

Will Smith - Essay Example The essay elaborates on the life story of Will Smith depicting his different phase of life and elaborating on the struggles that he has faced. Correspondingly, the paper even details out the different absurd situations he has faced that has contributed to develop him as an eminent personality. Will Smith is a famous rapper cum actor born in the year 1968. His family christened him as William Cristopher Smith Jr. He was born in an African-American family in Philadelphia. Belonging from a middle class family, he faced severe amount of struggle in his initial years. Additionally, Smith even faced severe stress of family conflict amid his parents, which made his adolescence stage of life even more stressful. However, the actor had never let his family struggle come in the way of his ambitions. Despite of facing severe amount of negative situations and challenges Smith successfully started his career as a rapper in the year 1980’s. The rapper received his first Grammy award in the year 1988. This was also the first ever Grammy awards in the field of rapping. His contributions in the field of rapping are enormous and have even initiated new horizons in this field. Furthermore, Smith started his acting career through a small role in a drama following which he got a head start for his career in the movies. The actor cum rapper got the taste of his first stardom after featuring in the film ‘Bad Boys’. This stardom was followed by his famous role in the movie the Independence Day that marked him as an important player in the Hollywood. The actor by his distinguishable acting skills and comic essence marked his presence as one of the most charming heroes of the Hollywood. Being a part of the black community the actor faced struggle in the initial years of his career in the film industry. However, with his willpower and strong mental set up the actor successfully battled against his shortcomings and developed a

Analysis of Counseling Theories Assignment Example | Topics and Well Written Essays - 1500 words

Analysis of Counseling Theories - Assignment Example Even though some might seem similar, all theories of counseling have particular differences that make each appear unique and useful in different situations. Counselors have unlimited discretions to select and apply more than none counseling theory in a single treatment situation. Counselors can also shift and change counseling theories randomly or systematically provided that their strategies are capable of producing the best results out of a given therapy session. Commonly used counseling theories include cognitive-behavior, solution-focused, integrated social ecology, postmodernism or social constructionist, systems, ecological and structural/feminist. Even after extensive coverage of counseling theories, solution-focused therapy is the best and favorable therapeutic approach to most of the psychological discomforts affecting human beings. According Ungar (2011), solution-focused therapy focuses on finding solution to particular problems faced a client. In so doing, a counselor employing solution-focused therapy is likely to concentrate on positive and encouraging incidences and experiences that seemed to help a client evade problems. Solution-focused approach of counseling deters a counselor from seeking deep into the problems or bad experiences of a client that escalated the given problem. Instead, a counselor employing solution-focused therapy makes inquiry on the time that a client avoided involving in particular stressor condition. The role of a counselor should be investigation of things a client did or have ever done to avoid and overcome a particular problem or unwanted situation. A counselor should then acknowledge and ap preciate the experiences of a client and be careful to make a client view a given problem as too big and recurrent to solve. Ungar (2011) reports that theorists of the solution-focused approach urge counselors to look at the good thing and efforts of a client towards avoiding a given

Hypothetical Situation Assignment Example | Topics and Well Written Essays - 1250 words

Hypothetical Situation - Assignment Example Indeed, when it comes to making a moral decision, feelings often distract people for the correct option. As a result, her decreased ability to feel should be seen as an advantage of her as an advisor, not a disadvantage. 2. Given the option of choosing either Dekisha or Christina, I believe I would choose the former. First of all, it has already been stated that she is superbly qualified medical professional; so, I trust that she would do anything possible to help me. Secondly, speaking of the peculiarity of her character, namely being dedicated, I am strongly convinced that this is far better than being joyous. I have nothing against the latter; however, I think that medical assistance as an important activity which requires attention and any mistake might cost a life. Contrary to that, a joyous person is more likely to make a mistake if compared to a dedicated one. Finally, it must be noted that the choice that I make will not be affected by the question what person is morally better since this aspect is not involved in any way. 3. It would not be a mistake to suggest that the comparison of an ethical behavior and swinging a golf club is a rather effective one since the author was able to grasp some of the most essential elements of the two activities. Indeed, some people often think that acting morally is difficult; however, many find that it may actually be rather easy as the innate moral compass that everyone has will definitely point out the a person is moving in the right direction. That is why while making a difficult decision, a person should always listen to one’s heart and do as it truly says. The next element which is mentioned in the quotation suggests that acting moral is natural. Indeed, I do believe that all people are originally good and that they will always choose the right option when they have such ability. That is why when one considers different

Epidemiology Lab Report Example | Topics and Well Written Essays - 250 words

Epidemiology - Lab Report Example In 1977, there was 1 fatal case in Tandala, in Equator province. In 1995, in Bandundu province, there was additional cases in Vanga, Fashi, Mosango,Yassa Bonga, Bulungu, Gungu, Imbongo, Idiofa nad Mukala (CFR of 81%, 315 cases). In 2007, Notified by WHO, there was 264 cases (CFR of 71%) and in 2008 there was 32 cases (CFR of 44%), both were reported in Kasai Oriental province. In 2012, an outbreak which was caused by Bundibugyo ebolavirus occurred in eastern Congo, Orientale province (CFR of 51%, 57 cases). The overall Case Fatality Rate has been 79%, with a total of 736 fatal cases. When compared to the current outbreak in West African countries, the risk of exposure to Ebola virus in healthcare settings in Congo, is low since the outbreak in Equator province is still limited in geographical spread and size. Nonetheless, the risk involved in the actual transmission is dependent on the use of proper infection control measures in every health facility. DRC residents have a life expectancy of 0.94 .The EU citizens who provide health care in the affected region are at a higher risk of exposure to this virus. Individually, there is a higher risk of transmission via unprotected sex activity with a partner who is still recovering from Ebola. If the proposed standard infection control measures are strictly followed, transmission can be effectively be controlled and prevented in return. Lately, the outbreak of Ebola have been evolving in the Equateur province of the DRC since the start of August 2014. As at 9th October, 71 confirmed and reported cases have been identified in Congo; with 15 suspected, 26 probable, 30 confirmed of Ebola virus disease, inclusive of eight health care workers (CFR of 43.8%). This shows how the epidemiological features of Ebola outbreak are consistent with past outbreaks. Ebola outbreak has not yet been brought under control and is expected that more cases will be identified through active

Communication system Essay Example for Free

Communication system Essay Use and develop systems that promote communication 1. Be able to address the range of communication requirement in own role 1. 1 Review the range of groups and individuals whose communication needs must be addressed in own job role. Working within Surestart I work with many groups and individuals whose communication needs must be addressed which include 16 staff members, services users to date we have 1700 families registered with Surestart. We would have a lot of communication with Health visitors regarding referrals that they have sent in and also follow up telephone calls if there is any concerns with the family. I would also have contact with social services and be asked to attend case review meetings. I would also be expected to communicate with other agencies to refer our service users on the appropriate agencies for example other children centres, counsellors, women’s Aid and Hidden Harm Social worker, 1. 2 Explain how to support effective communication within own job role Effective communication and interaction play a very important role in the work of everybody that works within Surestart. I feel that how I support effective communication is by setting a good example to staff. With communication been so important for the day to day running of the centre, each staff member would be asked to write in the diary in the main office so people can know where they are (this is for the save guarding of staff if they are out of the office, lone worker policy) There is also a white board in the main office so when staff are in programmes other staff are aware of this and that the parents/baby room are booked. I would also support communication by attending staff meeting ever second week and staff are told that they must attend once a month. There is also an open door policy as sometimes there is information that staff do not want to share in a team meeting as there maybe difficulties within the team and they would like to share information on a one to one basic. 1. 3 Analyse the barriers and challenges to communication within own job role The barriers and challenges that I would face is staff working part time, staff out doing programme and also may be difficult feeling between staff members. The other barriers and challenges that I would face is staff do not take on board what you are saying to them as they feel they are right so they do not even listen to what you are trying to explain. Some people may pick you up wrong on the information you are trying to get across. 1. 4 Implement a strategy to overcome communication barriers Make sure I speak very clear, focus on what information I would like them to take on board. Supervision on a monthly basis, open door policy if anyone has a problem they can talk about it. Staff can ring and send emails at any time. The childcare supervisor meets with the childcare team every morning to make sure that all creches have enough staff and if they have any concerns regarding the children. There is also a referral meeting once a week where we discuss the referral that health visitor/social workers have send in and also to discuss and concerns we would have regarding the parents. I also send rely slips to social worker / health visitor to let them know if a home visit has been completed or if we have been unable to contact the family. Use different means of communication to meet different needs I am aware that each staff member has different learning styles, some staff like sharing information in a group and other staff like to share information in a one to one. It is also very important for me to take this on board as I do not want any member of the team feeling frustrated and ineffective. I want staff to be able to trust me and let them see that I value the work that they do. The different means of communication I use to meet different needs are. Emails are a very effective means of communication as each staff members gets the information at the same time and not second hand. Emails can be sent at any time and also printed out to file or record information that has been sent or received. Team meeting again are a very good as all staff are getting the same information and this is a nice way for other staff to meet and let everyone else know how things are going and if anyone is finding a family or child difficult then there is the support of the whole team for ideas of how to handle a situation. If anyone cannot make it then the team minutes are there to read. Telephone if I am not in the office I can still be reached on my mobile if anyone needs anything. Health visitor/Social worker would also contact me by telephone if they needed an update on a family. Staff diary in the main office this lets staff members know who is in which room and if anyone is on leave or sick or if someone has an appointment. Sign in and out sheet beside the exit door this is for safety reasons as if there was a fire in the building then I would know who is in and out Reply slips are back to the health visitors/social worker as an update for the referral they have send in. Letters to parents this is to invite them along to programmes/events. Thought-out the year I would facilitate information mornings for breastfeeding support, weaning work shop and feeding for under 5’s this would be to share information to welcome new service users to the Surestart. Face to face, my office is open to all staff at any time if they need to talk about anything. CU2941 Use and develop systems that promote communication 2. Be able to improve communication systems and practise support positive outcomes for individuals 2. Monitor the effectiveness of communication systems and practices. The diary in the front office if very effective for staff on home visit as we know where there are for their safety (lone worker policy). white board in the main office is very effective as this is where all staff write down their programmes so if there is any phone calls for staff the secretary knows if they are in the office or in programmes. Emails can be sent at any time and it means that the same information is been told to the staff at the same time and it is also the staffs responsible to pick up their emails. The childcare supervisor meets with the childcare staff each morning I feel that this is very effective as this is in place to make sure that all rooms are covered with their ratio, and most importantly that the needs of the children are met and if there is any problem in any of the setting it can be addressed as needed and that staff do not have to wait 2 weeks for a team meeting to discuss. One to one communication i. e. Supervision and APR, I feel that this is very important within a setting. N-Drive this is where documents can be saved and all staff can access it. In our office we have a policy of hot desking so documents can accessed at any computer. This is also for Surestart forms and newsletters so all staff can print them out as needed. Reply slips to health visitors/social worker/other agencies this is where I reply to any referral letter that the project receives, I would reply to the other agencies if this family had received a home visit and services offered, if I was unable to contact the family for different reasons or if the family did not want to avail of Surestart services. Phone if I cannot be reached at any time then a message can be left for me to return there call. 2. 2 Evaluate the effectiveness of existing communication systems and practice Evaluating the effectiveness of existing communication systems and practice I am going to start with the ones I feels are the most effective. One to One Communication I feel that this works very well within a team as some staff members do not like to speak in front of other and feel that their ideas might not be good enough. I also feel that face to face communication is very effective as some people can pick up a message wrong and take the wrong tone with an email. Supervision this is there for staff to talk confidently with their manger I feel that this is very effective means of communication for the manger to tell how well things are going for that member of staff and for the staff member to say how they really feel about how things are going. ( I also feel that you have to have a good relationship with your staff for this to work, you have to be relaxed and friendly and staff members also have to trust you). Supervision is also very effective as this give staff clear boundaries of what is expected of them for the month a head and also make sure they are on target to achieve the targets in their APR. Team meetings I also think this is effective as this can let everybody know how programmes are going if there is any follows to do with families in any of the programmes. If anyone is having any difficulties if any of the programmes is nice to get other ideas how to deal with it. It is also there for sharing information for the Surestart board and action for children. To let staff know what training is coming up. ARP- I have been working in a Surestart setting for the last 11 years, I feel that this is the first year I have felt that an APR has been effective like the rest of communication systems if it is not done right then it will not be effective. APR is there to set goal and targets for the year ahead, I feel this is very important for staff as they know what is expected of them for the year ahead and then this is monitored at each supervision to make sure that staff in on track with their targets. Childcare meeting every morning I feel that this is very effective as each member of the childcare team no where they are each day and who is covering in each setting and also if any member of the childcare team is concerned about a child this is discussed each morning. Emails- I feel has pro and con. It is very effective in a way that emails can be sent at any time and is very good for all staff to receive the information at the same time. I also feels that staff can pick the tone of emails up wrong and some information is best said face to face. Reply letter to health visitors/social workers/other agencies I feel that this is a very effective The diary in the front office This is effective if everyone plays there part in filling it in. If someone is on training or off on A/L and forgets to fill it in then it is very hard for other staff to know where they are. N-Drive This is effective as all the Surestart form and standard letters are on it as well as newsletters. It is also that as this is used while hot desking it means that the documents that are placed on this drive can be accessed by the whole team so if I was saving any confidential information I would also password protect it. Phone I do feel that this is effective as if I am not available by phone or mobile then a message can also be left. 2. 3 Propose improvements to communication systems and practices to address any short comings I feel that communication can always be improved as we are only human and staff do forget to pass on messages, response to emails, and even fill in the diary in the main office. I have proposed that each desk has message pad so that all messages have to written down. I have proposed that the main diary is to be brought to the team meeting so that if anyone has any leave booked, any visits arranged or training then this can go into the diary. I would also remind everybody at team meeting about remembering to fill in the diary I have also propose that the reply slips to the health visitors/social workers be changed as I feel it could be improved. 2. 4 Lead the implementation of revised communication system and practices CU 2941 Use and develop systems that promote communication 3. Be able to improve communication systems to promote partnership working 3. 1 Use communication systems to promote partnership working The systems that we use to promote partnership working is: One to one communications I meet with the health visitor for breastfeeding once a week. Also any of the health visitors are welcome to call in at any time. Some health visitors like to bring parents that are hard to engage into the centre to meet me to show them around the building and meet the staff. I would also have contact face to face with our families on a daily basis through programmes and also registrations. Phone call health visitors/social services and other agencies would phone for update and regarding case review meetings. Families would also phone on a daily basis if they needed help with anything or information. Post we post letters to the agencies if we are unable to reach the families or if they no longer wish to be involved with the service. I would also post letters and newsletter to families. Emails some agencies like to send email as it is a faster way for them and this is ok with me as long as it is recorded. Referral reply this is a letter drawing and signed by Surestart parents that we have permission to send it back to the health visitors to say we have been in contact and the Surestart services have been offered. Information events this is different events for Surestart to promote their services 3. 2 Compare the effectiveness of different communications systems for partnership working I feel within waterside Surestart the systems we use are very effective. One to one communication I feel is very effective as this can reassure service users and colleagues and also outside agencies, you can focus on the goal. I can be supportive and positive to all that need it. I can also assess the services users’ needs and provide them with the support needed and I also feel that this builds trust and relationships. Phone call I feel that this is a very effective way of communicating as some health visitor/social worker/other agencies need an update ASAP as they may be on their way to a review meeting. All if a member of staff is not on the office this is a good way of communicating. As my role as family support worker I be in contact with families every day on the phone, may it be they have a question or I am inviting the families to programmes or arranging home visits. Emails This is a very effective way that I communicate in Surestart, supervision notes to be sent 3 says before supervision, team meeting are to be sent and read before the meeting. Agencies are able to send emails / newsletters Referral Response I feel that this is a very effective way that Surestart communicate. This is send to health visitors/social workers who send in a referral this is to show the agencies that we have made contact with that family or that we have tried to contact the family and after 4 weeks we are unable to reach them. Information events I feel that this is not really effective as we work on catchment areas and this is very hard to have an event in a general area, it has to be within the area, as we do not like to turn people away that may be interested in the service, as when agencies send in referrals they have a list of streets that is inside the catchment area and only if there is a need then they can be outside the area. Propose to improvements to communications systems for partnership working I do believe that communication within waterside Surestart has got a lot better in the last year, I feel that this has a great deal to do with our new manager, she has gained the trust and respect of the staff and in return it is a pleasure to work with. I feel that I have a great leader to follow and learn a great deal from. The only improvement that could be made is that a leaflet could be drawn up for families that are outside the catchment area so that they leave with something rather than going away with no information (this is in the process on being done). I am also assisting the upgrade of the referral response form so that families sign this form so that we have permission to hold their information and that we are allow to send the form back to the referrer. CU2941 Use and develop systems that promote communications 4. Be able to use systems for effective information management 4. 1 Explain legal and ethical tensions between maintaining confidentiality and sharing information Working with in a Surestart setting for the last 11 years, I know that confidentiality is very important. It’s important for agencies and services users to build a trusting relationship with me. I am very honest with the people I work with, when I am completing a registration form with parents I do tell them that their details will stay in a locked filing cabinet for 7 years, that there information is stored on a database password protected until there child/ren turn 4. I also let the parents know that under the data protection act they are able to see their file at any time. Parents also sign a form that we are able to share information with the health visitor and other agencies involved if we have any concerns regarding the child or parents. When I have taking programmes with parents I also start with group rules. Confidentiality always comes up, I always tell parents that whatever is discussed at the group I do not take it outside of the group, I can only speak for myself but that I would hope that everyone would stand by this too. I also always make it very clear to parents that if anything is discussed or disclosed any information regarding harm or danger or abuse to a child/ren then I will past this information on to my manger and the appropriate authorises. I feel that if I am honest with all the people that I work with then I do believe that you build up a trust and that by law I have to report and record all that is disclosed to me, although I did have a parent in the past that did not understand this, they felt that I was just reporting them to social services and she believed that social services where there to take her child away. This lady did not return to Surestart as what she disclosed I had to discuss with my manger. Analyse the essential features of information sharing agreements within and between organisations Under the data protection act 1998, the purpose of the act is to protect the rights and privacy of individuals and to ensure that data about them are not processed without their knowledge and are processed with their consent whenever possible, this act covers personal data held in electronic formats, manual data and relevant filing systems. Surestart has devised a form that has recently been updated by my colleagues and myself, this form is where we get service users to sign that they agree Surestart is able to keep their details in a secure place for up to seven years, and that if we had any concerns regarding the child that we would contact the appropriate service also that if there is a social worker involved that we are able to update them on any programmes they attend for case review meetings. Health visitors would send in referral form with parent’s consent, what happens is we then phone that family and do a home visit and in that visit we fill out the Surestart forms with the families details on it, the consent for is then signed and sent back to the health visitor to say we have completed a visit this is what programmes they would like to attend, I would also send back a form to the heath visitor if that family did not wish to avail of Surestart services or that I could not reach them. These forms are kept with the registration and filed in a locked cabinet. When I am facilitating a programme within Surestart I always do group rules, parents can put what they like on it, confidentially always comes up, I just remind parents that what happens in the group will stay in the group with me, but I can only speak for myself and not the rest of the group and I do tell them that It would not be nice to hear anyone talking bad about another parent. I do inform the parents that if there anything disclosed within the group that has caused abuse of harm to a child them I am bound by action for children policies and procedures and under the children order act 1995 to past this information on to my manger and the appropriate services, I do tell the parents that I would discuss this with them before I reported what I have heard. Demonstrate use of information management systems that meet legal and ethical requirement Under the data protection act 1998 Surestart need permission to hold data on the families that I work with, how this is done  is that all parents have to sign the registration form and also the consent for their details to be stored according to action for children policies and procedures, which is that their details are stored for up to seven years, in a locked filing cabinet and up to four years on the Surestart database. Under the children’s order 1995 I am bound to report anything that I have heard or seen that my or has caused harm to a child. This would also be discussed with the parent/s what information I would be passing on to my manger. This also gives the parent an opportunity to explain. The information my lead to a referral been made to social services.

Schizophrenia: Treatment, Portrayal and Stigma

Schizophrenia: Treatment, Portrayal and Stigma ABSTRACT MENTAL ILLNESS AS PORTRAYED IN THE MOVIE A BEAUTIFUL MIND Associated Signs and Symptoms of Schizophrenia The movie A Beautiful Mind is an adaptation of the book by the same name and is a biopic based on the life of Nobel Prize winning economist, John Forbes Nash, Jr. The movie portrays the symptoms and treatment for paranoid schizophrenia from which John Nash suffers. He has episodes of auditory and visual hallucinations and has frequent interactions with imaginary people. This paper attempts to present a reflective case study of the patient as presented in the movie. The patient when treated for hallucinations has certain negative reactions to the medicine, to overcome which, he avoids them, relapsing into his earlier condition. The patient mentions taking newer medications later on which also help him decide between the reality and delusion. At the end of the movie, the patient is seen to have overcome this disorder by learning to ignore his hallucinations. This paper discusses alternate treatment as well as recommendations for future mental health nursing practices. In the movie, A Beautiful Mind, the protagonist, demonstrates the classical symptoms of paranoid schizophrenia. The protagonist, John Nash, suffered from schizophrenia which was only discovered at a later stage. During his college years at Princeton, Johns room-mate and best-friend was a man named Charles, who is later found out to be one of Johns hallucinations (A Beautiful Mind 2001). As time goes by, his hallucinations become more frequent and violent as he soon believes himself to be working for the US government on a top secret project to which no one, not even his wife had access to. When he started missing classes a psychiatrist was called in to look into his condition and he found the stay at the asylum unpleasant and believed it to be a Soviet plan to stop him from working on his secret governmental mission. His wife had trouble believing the psychiatrist at first as she believed her husbands story to be true and very real. But she realized the problem when she went to his c ollege to find out what he used to do during work and found magazine clippings pasted all over the room. She also discovered the unopened confidential envelopes that were supposed to be sent out to Mr. Parcher, the person who put John up to the secret mission. The story revolves around how John has to face reality when his make-belief world is so real to him. He can finally confront his reality when he realizes that Charles niece, Marcee, never grew any older than when he had first met her. With continual medication, he learns to ignore the fictional characters in his life and starts to teach again, at Princeton. He goes on to win the Nobel Prize in Economics and lives a happier life. Paranoid schizophrenia is only one of numerous categories of schizophrenia which is a chronic mental disease. People suffering from this kind of mental illness are not able to interpret reality in a normal way and are said to suffer from psychosis. Around 40 percent of schizophrenic cases are of paranoid schizophrenia. The symptoms usually start being displayed at later ages from around the ages of 25 or 30. The typical symptoms of paranoid schizophrenia include hallucinations and delusions that have no connection with reality. The ability to think and function normally is affected and though paranoid schizophrenia is a milder form of the disorder it can have lifelong ramifications and can even result in suicidal behavior and other complications. Usually the onset of the illness is marked by a sense of grandiosity and this preponderance is seen in case of delusion and/or a sense of persecution. The onset of the disease can be quite sudden and the deterioration in the condition of the patient can be quite rapid. The recognition and identification of these symptoms can be quite difficult for people with no prior experience or exposure to this situation. More perceptive relatives and friends may be able to recognize a heightened state of nervous tension, irritability, anger, jealousy and argumentative behavior (Kennard 2008). However, the good news is that with proper diagnosis and treatment patients overcome the symptoms and lead a happy life. Treatment Modalities Specific to Schizophrenia The symptoms displayed by John Nash in the film are very distinct and classic. The hallucinations of his room-mate, Charles and later that of Mr. Parcher, the US government official, and finally of Marcee show that his illness was detected at a very advanced stage where the diagnosis of paranoid schizophrenia needed to be treated symptomatically and with continued medication and therapy. The medications that Nash is put under are the antipsychotic drugs and insulin shock therapy. He was confined and had to be kept under constant supervision at the mental hospital. During particularly severe conditions he had to be bound and kept in solitary internment. The major part of Nashs treatment included Dr. Rosens recommendation of insulin shock therapy, which is a conventional method of treating mental illness and is now considered to be outdated and antipsychotic drugs. The insulin coma therapy and convulsive therapy have now been replaced by antipsychotic drugs that have greater efficacy and lesser adverse effects. Antipsychotic drugs are tranquilizing medicines that are used to treat schizophrenia and bipolar disorders. The first generation of anti-psychotic drugs included clozapine (Monson 2008) which acted on the receptor sites of neurotransmitter, dopamine. Clozapine is a prescription drug for advanced conditions of schizophrenia and is also sold in the market under the trademark of Clozaril and FazaClo. It is sold specifically under prescription as tablets. It reduces the heightened sensitivity by blocking dopamine and serotonin from being transmitted in the brain. Some adverse side effects of clozapine can be drowsiness, constipation, and weight gain. Sodium valproate is an anticonvulsant that is now commonly used in treating psychiatric disorders particularly in the treatment of psychosis and depression (Omranifard, Amel Amanat 2010). Some common side effects of prolonged use of these medicines are weight gain, diabetes, drowsiness, spasms and tremors (NIH 2010). Some other symptoms like tardive dyskinesia (NIH 2010) which causes twitching around the mouth region are also seen in some patients. If these symptoms are noticed in patients being treated with these medicines, the doctors intervention should be sought. Patients suffering from schizophrenia have to be on life-long treatment for this condition. In the movie, A Beautiful Mind, we also see the use of shock therapy in the form of insulin shock therapy. Nash had to undergo this kind of therapy five times a week for duration of ten weeks. In the conventional mode of treatment, it was thought that convulsions were a way to prevent occurrence of schizophrenia. Hence, this method of treatment was used on patients to induce convulsion and electroconvulsive was often used to protect the patient from personality disorders. In modern times, doctors use anesthesia and varieties of muscle-relaxants to this therapy more bearable. Intervention, Support Program and Therapy for Schizophrenia Apart from medical intervention, the patient needs to undergo behavioral therapies such as training in social skills in order to function normally in their daily lives. Support and awareness programs should be conducted for the patient as well as the family members. Support at a community level should also be given to the care-givers to cope with the situation and prevent relapses (Dawson 2010). Family members and support groups must encourage patients to follow through with their treatment and get check-ups done regularly. Basic skills that need to be reinforced with a person suffering from schizophrenia should include: Training for rehabilitation like being able to perform basic hygiene routine and being able to eat on ones own Being able to use public transport Train for a job: basic skills and communication Learn how to manage money When to take correct doses of medicines How to recognize signs of relapse and communicate with the therapist. Diagnostic Tests for Schizophrenia Current Prevalence The first step in the detection and prognosis of the clinical conditions experienced in schizophrenic and bipolar patients is through reliable diagnostic techniques such as CT scan of the brain, magnetic resonance and other imaging techniques which may help eliminate possible confusion in the diagnosis of this disease. As there are few or no medical tests available that will warn a person of an onset or prevention of this disorder, the psychiatrist must carry out a thorough evaluation of the patients family background and genetic history by interviewing the patient and the care givers. The doctor must also take into account the course the illness has taken and how long the symptoms have been prevalent, patients reaction to medication and therapy. The current prevalence of this condition at a global level stands between 0.5 and 1 percent (Bhugra 2010). However, prevalence of this disorder can be calculated only through registered cases of Schizophrenia and other psychiatric disorders. The risk of occurrence of this disease is higher than the actual prevalence recorder statistically. Prevalence in developed countries is higher than in developing countries, partially because more cases are registered and more commonly because of the nomadic and unstable lifestyles (Saha et al 2009). There is no appreciable difference in the male and female cases of occurrence, though the migrant populations have a higher propensity for this disorder. Impact of Psychosocial Issues like Discrimination John Nash had strange mannerisms and his odd behavior put some of his students and friends off (A Beautiful Mind 2001). His constant writing of formulae on window panes and wearing his knitted hat at all times seemed out of place and caused his friends to ridicule him. The incident of his being dared to speak to an unknown girl and her slapping him for his effort caused him to become the brunt of his friends jokes. There was an incident with his teacher who was worried about Nashs performance in Princeton but that was later transformed to appreciation because of the brilliance of his project. People suffering from schizophrenia are often labeled, stereotyped (Marder 2010) and discriminated against. The common perception is that the patient is responsible for having the behavioral changed that are a part of the symptoms of the disorder. Often negative stereotypes are created and the people suffering from schizophrenia are believed to have undesirable or uncontrollable characteristics. In the film, it has been demonstrated by the absent-minded behavior of John Nash when he allows his son to nearly drown in the bath-tub while he goes off to complete his secret work. His constant delusion of being engaged in highly classified and confidential state matters caused his wife and friends distress and at certain periods to mistrust his words, when in reality he was making up stories due to his hallucinations and delusions. These stereotypes often lead to discrimination against the sufferers of schizophrenia and they are considered as social outcasts. Discrimination often takes the form of patients being rejected in society and their job applications being rejected on the basis of their mental health reports. The same has been observed in the case of letting out apartments to people with a history of schizophrenia. They are not considered socially competent and find themselves subjected to derision and not being taken seriously. The quality of their work is often scrutinized more than the average worker and that causes them additional mental trauma. Certain ethical issues that may come up during the prognosis and treatment of this disorder may come in conflict with human rights issues. For example, patients who were treated with electroconvulsive therapy were never consulted and had to endure extreme pain and terror often without reaping the benefits of being completely cured. Another significant point to be remembered in this regard is that the person suffering from schizophrenia is often driven to desperate acts like self-mutilation because the people they trust do not believe them and sometimes reject them outright. This, to my mind, adds insult to injury because the need to be heard and understood is very high in people who are confused and trying to grapple with their own demons. Role of Nurse in Treatment of Schizophrenia The role of a nurse in the treatment of schizophrenia is important as they can be effective in intervening with people suffering from schizophrenia and their families. They are trained to use interventions that have been proven to be effective. They can be administer IV injections and monitor the condition of patients so that the chances of a relapse are minimized. They can help in educating the family members, improve the familys ability to cope with the stress of having to care for a mentally ill patient and improve their communication skills. The nurse is particularly trained to observe drug compliance and manage the situation professionally in times of crisis. Nurses can also monitor the physiological condition of the patient and make educated reports to the doctor in charge of the patients treatment. For the family, the diagnosis of schizophrenia in a loved one is experienced as a disruptive event that changes the family life and affects a family member permanently and scars him/her for life. This unhappy experience mars the patients relationships with his family members and friends who begin to perceive him as a stranger who is needy and requires constant attention. The presence of a trained nurse can mitigate this situation as it is easier to confide in, trust and unburden ones grief to a third party whose perception of the situation will be more objective. Also the nurses training in this specific field can be used as a better supervisor to monitor the day-to-day progress in a patients condition. Recommendations A family member or care-giver may be emotional about it and not be able to assess the situation objectively or even adhere to drug-compliance and post recovery counseling. Nurses can also help the client to recognize hallucinations and talk about the hallucinations dispassionately. Nurses are also in the unique position of being trusted by the patients whom they can reassure by telling them that there are other patients who have similar symptoms (Nursing Care Plan 2010). A patient is more likely to receive a nurses recommendations for treatment more seriously than family members and help the patients to recover more quickly. The movie is much acclaimed and very well made as it has not used a clichà ©d approach to schizophrenia as a mental disorder and ways in which people deal with this debilitating disease (Hausman 2010). In the movie, the ending is touching but it shows how people once afflicted with this disorder will have to live with it for their lives. However, I would think that with the newer techniques of treatment and advancement in pharmacology, these kinds of disorders will be able to reduce the trauma of the patient and their families. Realistic films such as A Beautiful Mind should advertise the newer modes of treatment that will reduce the suffering of the people and allow them to lead happy lives. I would recommend that this powerful medium be used to create awareness amongst common people so that the patients of schizophrenia are not discriminated against and their disorders can be stemmed at the initial stages.

Exploring the importance of communication in nursing

Exploring the importance of communication in nursing This essay will explore the importance of communication in nursing; define communication and look at the different modes of communication and barriers to communication. A reflective model will be used to describe how communication impacted on care delivery in practice. Although each person will bring their own experience of ways to communicate, it will discuss how student nurses can develop their skills that will assist them to ensure excellent communication and also how qualified nurses continue to learn communication throughout their profession. Baillie, (2009) indicate that It is predominantly imperative for a nurse to have and develop effective communication skills. A nurse will have contact with a wide range of individuals during nursing; this includes the patient and their relatives and also members of the healthcare team. (Thompson 2003, cited in Baillie 2009) suggests that communication is not only needed whilst transferring information from one person to another, it plays a significant role in relationships. Kenworthy et al. (2002) indicates that Communication comprises of three fundamental factors; the sender, the receiver and the message. Successful communication can be defined when the receiver is able to interpret the senders message whilst reflecting on their thoughts and feelings and the message received is almost accurate to that of the sender. There are various modes of communication that a nurse may use. For example, face to face contact, telephone calls, emails and letters. (Kenworthy et al. 2002) Daniels et al. (2010) explain that communication has two parts; a verbal and a non verbal message. Verbal communication is associated with speech and usually heard through the persons ears, however paraverbal cues for example, pitch, speech, inflection and volume can be associated with verbal messages changing the word meaning. Different cultures may find spoken language to be problematic to understand because paraverbal cues may differ from one culture to another. However, paraverbal cues such as a happy friendly smile or crying with grief are associated with different cultures and may help with a cultural barrier. (Daniels et al. 2010) The way in which a nurse speaks and the tone of voice can be very reassuring to a patient, however a patient can also misinterpret the tone as being demeaning or they may even become frightened. Another very important factor suggested by Corner and Bailey (2008) is the way in which a nurse may choose words ensuring that a patient will understand and not be confused with any medical jargon. A nurse requires excellent awareness of communication theories whilst giving verbal handovers in both hospital and community settings. A report will only become effective during handover if the nurse has a confident attitude, along with good verbal and non verbal skills creating an ideal environment for communication between the healthcare team to ensure continuity of care.(Thurgood [no date] ) Nurses are responsible for maintaining confidentiality. (NMC, 2008) Confidentiality is imperative in a therapeutic relationship with information only being shared between appropriate people. (Sundeen et al. 1998) Nonverbal communication is made up of all types of communication, with the exception of total verbal communication. Nonverbal communication is usually observed through the eyes however, other senses in the body can compliment this. (Kenworthy, 2002) Nonverbal aspects of a message can include kinesis, facial expression, gesture, touch, movement, body language and eye contact. (Baillie, 2009) Nonverbal communication can be divided in three ways; sign, action and object. Sign nonverbal communication can include hand gestures and sign language, action nonverbal communication can include how you move around, involving body movements that do not offer precise signals. Object nonverbal communication can include furnishings, hairstyles and clothing. (Sundeen et al. 1998) Written communication is certainly a significant method of communication and is crucial in a healthcare setting. The (NMC, 2008) states that it is imperative that all records are kept clear and accurate. This must include all information on assessments, discussions, treatment and the effect of them. Unfortunately, (Bailie, 2009) points out that written communication is an area that is often ignored, stating that good written communication is vital to protect the patients welfare, encouraging high standards of continuity and clinical care, ensuring healthcare team members receive accurate information. Bailie, (2009) suggests that there are different barriers that may prevent a nurse from communicating that may influence the development of a therapeutic relationship, arguing that Physical barriers may possibly include the surrounding environment, a patient who is in need of pain management or any speech, hearing or visual problems. Bailie, (2009) indicates that psychological barriers may include the emotional needs such as anxiety or personality issues such as a person being introvert or having different beliefs and social barriers can be caused if a person feels that their own social status is categorised by hierarchy, religious or culture beliefs. Students are encouraged to keep reflective journals of experiences whilst on clinical placements. Reflective journals enable students to learn from their experiences, enhancing their communication development. However, education should be a lifelong experience in that qualified nurses are also encouraged to keep journals. Journals are known as reflective practice and studies have shown that using these can lead to better practice. (Sully Dallas, 2005) I now plan to use Gibbs model of reflection (1988). This model of reflection is simple to follow for a first piece of reflective writing (please see appendix 1). The patient who has been used in this scenario will be referred to as Mr Jones. The reason for not using the patients real name is to respect the patients confidentiality. (NMC, 2008) On my second day of placement Mr Jones was transferred to the ward from the Accident and Emergency Department. During handover the nurse explained that Mr Jones had been referred from his general practitioner since he was complaining of pain in the throat area. As previously mentioned, Thurgood, [no date] states that a handover will only be successful if the nurse has good verbal and non verbal skills. Mr Jones general practitioner was also concerned as he had not eaten anything and drank very little over the previous two days. Past medical history revealed that Mr Jones had been diagnosed with mouth and throat cancer three months ago and was currently receiving chemotherapy treatment at another hospital. However, the nurse described that Mr Jones had become quite angry at times and that he removed his venflon out of his arm and refused fluids. My mentor asked if I would assist her whilst taking Mr Jones observations. The observations involved taking the patients temperature, pulse, respiration and blood pressure. Comparisons were then compared to the patient baseline and plotted on a chart. Baillie, (2009) suggests that all nurses who observe patients should have the necessary skills and knowledge to understand the measurements and take appropriate action. The medical team decided that the way forward with medical treatment was by firstly ensuring that sufficient fluids were given to Mr Jones. The doctor asked Mr Jones for consent to insert a venflon in his hand whilst explaining the importance of fluids in the body, yet he kept shaking his head. The (NMC, 2008) states that we must gain consent before any treatment and respect the patients choice. The doctors decided that they would prescribe Mr Jones a supplement drink. (Cancerhelp) suggests that Supplement drinks can be used if a patient has a poor appetite and not able to take in enough nourishment into the body. The medical team decided that the nurses on the ward should encourage Mr Jones with oral fluids over the following twenty four hours and assess from there. Mr Jones became quite angry with the doctors and started pushing his arms away, prompting them to leave. Once the medical team had left I volunteered to sit down with Mr Jones as he appeared to be quite upset. I introduced myself as a student nurse. Mr Jones seemed a very pleasant man however, I soon realised that Mr Jones found it very difficult responding to my questions due to his speech. Mr Jones became more upset and at this point he started to cry, I reached out for a tissue and passed it to Mr Jones, I also held his hand to comfort him. As mentioned previously, Bailie, (2009) suggests that non verbal communication such as touch can be reassuring to the patient. I felt quite nervous at this point, being a student and not experienced, I was not sure what to talk about next, so I stood up and told Mr Jones that I would be back in a minute. I walked to the toilet and became upset, I felt absolutely useless not knowing what to do and more so, to see a grown man similar to my own dads age crying. I put a small amount of cold water over my face and wiped my eyes before I went back on th e ward to prevent people from seeing that I had been upset. I spoke to my mentor and discussed with her that I thought Mr Jones was struggling to communicate with me as his speech was very poor and how upset he had become. (Maguire 1978, cited in Hanson 1994) states that a patient with cancer may find it difficult to communicate to show any worries that they might have. My mentor explained to me that speech more often does become deteriorated when people have mouth or throat types of cancer. I asked my mentor how she felt if I offered Mr Jones a pen and notepad to enable him to write things down or if that at any time he felt he could not communicate by speech comfortably. Baillie, (2009) indicates that speech problems can cause a physical barrier to a patient. My mentor said that she thought it was a good idea and that I could try if I wanted to. I returned to the bay and found that Mr Jones had pulled the curtains around his bed. I can understand that Mr Jones wanted privacy from the other patients and maybe staff as he was clearly upset. I popped my head around the curtain, smiled at Mr Jones and asked if he was happy for me to come and sit down with him. Mr Jones smiled and started tapping on the chair, gesturing for me to sit down. I sat down and asked Mr Jones if he found it difficult to communicate with his speech and he nodded. Speech disorder, (2009) suggests that Cancer of the throat can cause loss of the individuals voice and speaking ability. This can be problematic for a patient who would normally use verbal communication. I then continued to show Mr Jones that I had brought a note pad and pen, offering for him to use if he wanted. Mr Jones smiled at me and wrote down thank you. Mr Jones then started to open up, writing down that he felt secluded and on times felt patronised by the doctors because he used to live in Pakistan. I reassured Mr Jones and asked why he did he feel this way, he replied by saying that he was confused, there with things he did not understand, the doctors do not listen, he was very scared of dying and asked me if he going to die. Corner Bailey (2008) indicate that doctors prefer to use closed questions as opposed to open questions, concentrating on the biomedical model and not the emotional needs of the patient. I explained to Mr Jones that I would ask a member of the team to come along and have a chat with him and try to answer the questions that I felt I could not answer being a student nurse. At this point I asked Mr Jones if he would like to have a sip of water and he gave me the thumbs up. I felt really good with myself at this point, I was not experienced however, I had encouraged the patient to drink a small amount of water. I then discussed this with my mentor who agreed that this patient absolutely needed to be able to understand what the medical team were explaining to him and equally important that the medical team must listen to the needs of the patient. Corner and Bailey (2008) argue that it is important for a patient to have a balanced relationship, along with good doctor-patient communication to enable a patient to have faith in their professional opinion. My mentor asked me to be present with her, whilst she had a chat with Mr Jones and I agreed. My mentor came down to the patients level to ensure good eye contact and allowing the patient to answer many open questions, to enable us to get a good understanding of how he was feeling. Wiggens (2006) suggests that open questions will gain an enhanced assessment of the patient, allowing them to speak freely. Mr Jones felt much more at ease once my mentor had finished explaining the importance of fluid and nutritional intake that the body needs. Mr Jo nes was able to write down on the notepad any questions that he felt had been unanswered and anything that he wished to have a better understanding of. Gurrero, (1998) suggest that nurses must be willing to use other means of communication aids, for example white boards, writing pads and pens. The hospital had kept a food chart for Mr Jones since he had been admitted into hospital, clearly showing a very minimal amount of fluid intake and no nutritional intake. My mentor decided to show this to Mr Jones, fortunately he understood and consented to have a new venflon put back in his arm. Mr Jones continued to write down that he felt he was unable to swallow properly and that he would prefer to have fluids this way. My mentor phoned the doctor to come to the ward and Mr Jones happily consented. I felt totally powerless when seeing the frustration that Mr Jones showed towards the medical team during his first assessment on the ward. I could see that there was nothing that the medical team could do to encourage Mr Jones to have the venflon put back in. I believe that because of the breakdown in communication from the doctor, Mr Jones became very distressed. As previously mentioned Corner and Bailey (2008) argue that a doctor-patient relationship is needed for good communication. I felt very inexperienced and accepted the fact that the medical staff knew what they were doing however, I hoped that the doctors would have done something more, even though I understood that the patient had a right to say no to any form of medical treatment that was offered. I was concerned that Mr Jones would die if he did not eat or drink. The other nurses on the ward did not seem to be as anxious to the situation as me. This resulted in me becoming quite distressed over the whole situation, even questioning myself if nursing was for me. I discussed how I felt with my mentor and this left me feeling very positive. My mentor was a very experienced nurse who explained that nurses quite often find themselves in similar situations and most definitely feel the same way as I do. My mentor said that she felt I had done everything that I could have done with the patient and especially how I noticed that the patient was feeling angry and frustrated because he was having difficulties communicating. I found that my lack of confidence as a student nurse left me not knowing what to do if a patient is refusing treatment, eating and drinking. When Mrs Jones came to see her husband during visiting time, she told me that her husband had told her that he felt much happier that he now understood what was going on. Mrs Jones also said that the note pad was a fantastic idea for her husband to write things down and be able to communicate. If the situation arose again with a patient who has mouth or throat cancer, I would certainly ask during handover how well can the patient communicate, to ensure a good environment is created for the healthcare team and the patient. To conclude, I believe that there is nothing else that I could have done to help Mr Jones. However, I do believe that during the handover it would have been beneficial for everyone involved in the care of Mr Jones to be made aware of his difficulties with verbal communication. Nurses certainly need to communicate effectively with patients to provide safe and effective care, taking into consideration that there is difference and diversity and looking at every individual needs. Nurses who work with different cultures have a duty to learn the differences in cultural behaviour and patterns within these groups to prevent a cultural barrier. Listening, along with smiling at appropriate times, showing a positive and genuine interest towards the patient, and have good eye contact will help to prevent barriers in communication. Another important factor is the way in which a nurse positions themselves when talking to a patient. If a patient is sitting, it may be appropriate for a nurse to come down to their level as not to seem to be standing over them, as this could be very disturbing and disrespectful to some patients. Touch and gestures can also go a long way into reassuring a patient. Just by touching a patients arm if they are upset and frightened can mean a lot to a patient. Along with this goes body language and showing respect that will hopefully continue to trust. References Baillie, L., (2009). Developing Practical Adult Nursing Skills. 3rd ed. London: Edward Arnold (Publishers) Ltd. Cancerhelp,(2009).Coping with cancer [online]. Available at: http://www.cancerhelp.org.uk/coping-with-cancer/coping-physically/diet/managing/weight/high-calorie-drinks (accessed 13.01.2009) Corner, J., Bailey, C., (2008).Cancer Nursing. Oxford: Blackwell Publishing Limited. Daniels, R., Grendell, R., Wilkins, F., (2010). Nursing Fundamentals Caring and Clinical decision making, 2nd ed. USA: Delmar. Gibbs, G., (1988) Learning by Doing: A Guide to Teaching and Learning. London: FEU Guerro, D., (1998) Neuro-Oncology for Nurses. London: Whurr Publishers Hanson, E., (1994). The Cancer Nurses Perspective. Lancaster: Quay Publishing Limited Kenworthy, N., Snowley, G., and Gilling, C., (2002). Common Foundation Studies in Nursing, 3rd ed. Edinburgh: Churchill Livingstone. Nursing and Midwifery Council, (2008) The NMC code of professional conduct: standards for conduct, performance and ethics. London: Nursing and Midwifery Council. Speech disorder, (2009). Cancer cause speech disorder [online] Available at: http://www.speechdisorder.co.uk/cancer-cause-speech-disorder.html (accessed 13.01.2009) Sully, P., Dallas, J., (2005). Essential Communication skills for Nursing, London: Elsevier Mosby. Sundeen, S., Stuart, G., Rankin, E., and Cohen, S., 1998. Nurse-Client Interaction Implementing the Nursing Process, 6th ed. USA: Sally Schrefer. Thurgood, G.[no date]. Verbal handover reports: what skills are needed? [online]. Available at: http://www.internurse.com/cgi-bin/go.pl/library/article.cgi?uid (Accessed 02/11/2009) Wiggens, L., (2006). Communication in clinical settings. Cheltenham:Nelson Thornes Limited

Cellular Functions Essay -- Biology Biological Essays

Cellular Pathways Several principles govern metabolic pathways in the cell:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A. Complex chemical transformations in the cell do not occur in a single reaction, but in a number of small steps that are connected in a pathway.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  B. Each reaction is catalyzed by a specific enzyme.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  C. Metabolic pathways is catalyzed by a specific enzyme.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  D. Many metabolic pathways are compartmentalized, with certain steps occurring inside an organelle.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  E. Metabolic pathways in organisms are regulated by the activities of a few enzyme.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Obtaining Energy and Electrons from Glucose   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The most common fuel for living cells is the sugar Glucose.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Cells trap energy while metabolizing glucose   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  If glucose is burned in a flame, it readily forms carbon dioxide, water, and a lot of energy----but only if oxygen gas(O2) is present. The balance equation for this combustion reaction is:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  C6 H12 O6 + 6 O2 ---- 6 CO2 + 6 H2O + ENERGY (HEAT AND LIGHT)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  This same equation applies to the metabolism of glucose in cells, except that metabolism is a multi-step, controlled series of reactions, ending up with almost half of the energy captured in ATP.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Three metabolic processes play roles in the utilization of glucose for energy: GLYCOSIS, CELLULAR RESPIRATION, AND FERMENTATION.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  A. Glycosis is a series of reactions that begins the metabolism of glucose in all cells and produces the three-carbon product pyruvate. A small amount of the energy stored in the glucose is released in usable form.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  B. Cellular Respiration occurs when the environment is aerobic (contains oxygen gas , O2), and essentially converts pyruvate to carbon (CO2). In the process, a great deal of the energy stored in the covalent bonds of pyruvate is released and trapped in ATP.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  C. Fermentation occurs when the environment is anaerobic (lacking in O2). Instead of energy-poor CO2, relatively energy-rich molecules such as lactic acid or ethanol are produced, so the energy extracted from glucose is far than under aerobic conditions.   Ã‚  Ã‚  Ã‚  Ã‚  Redox reactions transfer electrons and energy   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  a.Reaction in which one substance transfers one or more electron... ... in glycolysis. This molecule then passes through the rest of glycolysis and the citric acid cycle,where its energy is extracted in NADH and ATP.   Ã‚  Ã‚  Ã‚  Ã‚  B. Lipids are converted to their substituents, glycerol and fatty acids. Glycerol is converted to dihydroxyacetone phosphate, an intermediatein glycolysis, and fatty acids to acetate and then acetyl CoA in the mitochondria. In both cases, further oxidation to CO2 and release of energy of energy then occur.   Ã‚  Ã‚  Ã‚  Ã‚  C. Proteins are hydrolyzed to their amino acid building blocks. The 20 amino acids feeds into glycosis or the citric acid cycle at different points.   Ã‚  Ã‚  Ã‚  Ã‚  Catabolism and Anabolism are Integrated   Ã‚  Ã‚  Ã‚  Ã‚  Glucose is an excellent source of energy. Polysaccharides and fats have no such catalytic roles. The level of acetylCoA rises as a fatty acids are broken down.   Ã‚  Ã‚  Ã‚  Ã‚  Allostery regulates metabolism   Ã‚  Ã‚  Ã‚  Ã‚  Glycolysis, the citric acid cycle, and the respiratory chain are regulated by allosteric control of the enzymes involved. The main control point in glycolysis is the enzyme PHOFRUCTOKINASE. The main control in the citric acid cycle is the enzyme ISOCITRATE DEHYROGENASE, which converts isocitrate to ketoglutarate..

A Glimpse of Culture From the Eyes of an Engineer :: Personal Narrative Cultural Essays

The 8:50 a.m. bell rings. Thirty faces look up at the board. "The Refrigeration cycle begins with refrigerant R-134a proceeding to ..." Most pencils are hard at work, taking diligent notes. Some students stare into the board, attempting to imprint the entire schematic of the Refrigeration cycle into their memories. Others take a shot of Mountain Dew to clear the mental passages, or wake up from the previous evening. Concentration levels run high, as we all endeavor to excel at what we have been doing for the last several years -- pursuing an engineering degree. Each student in that Thermodynamics classroom had by this point in his or her undergraduate engineering career settled comfortably into the American engineering lifestyle. We had all gone through Statics as freshman, struggled with Dynamics as sophomores, and went on to tackle the curriculum that lay ahead. Gradually many of us became involved in campus organizations or committees. We bought organizer calendars, and watched the days fill up with meetings and activities that quenched our thirst for involvement and drove us to achieve in and out of the classroom. We dove into the crazy, driven and exciting pace of life at a very reputable Big Ten University, ready to reap all of the benefits that an undergraduate degree has to offer. As one of the thirty students in that very classroom, I had come to know this lifestyle well. To me it was the best and most intense of all worlds that I had seen up to that point in life, and it was the most satisfying. Yet being comfortable in the realm of undergraduate engineering arose in me a curiosity about other worlds. The curiosity developed into an urge to deviate from the well-founded path, and risk stepping into a complete unknown. The wheels began to turn, the plans formed, and several semesters later I was sitting in a somewhat different classroom. The students numbered around 60. They sat at long desks, ten seats in a row, elbow to elbow. Their style of dress was similar to what I knew, though there was not a baseball cap to be found on top of anyone's brow. They sat attentively, pens in hand, paper ready for taking serious notes. The professor stood before the room, waiting as stragglers walked in. No bell rang to signify the start of class. When enough stragglers had made it in, the professor walked over to the door and shut it.

On A Successful Entrepreneur Essay

Introduction This is a research based on one of the most outstanding, successful and goal orientated entrepreneurs in my Drewsland, Miss Coral Parish who own Wholesale & Retail business in my opinion is a very successful business, which has grown considerably over the years. The business is located in Drewsland in water house, approximately two one hour drive from Stony Hill to water house. Miss Parish has portrayed in my honest opinion immaculate entrepreneurial skills, which has been the corner of their success over these years, and which will enable them to meet future challenges and goals with the Grace of god From my research, it is clear to me that they have within their selves’ entrepreneurial skills that only can be acquired through years of experience. This as led Miss Parish to be a groomed, calculated risk taker and a intelligent man, respectable entrepreneurs Acknowledgement I would like to thank first my friend for helping me and taking the time out of him busy schedule to help me to put together an accurate evaluation about Miss Parish Wholesale business. I would also like to thank my mother for assisting me while I was completing this evaluation, Mrs. Halyes for being so patient with me also whate and my late project for also encourage me to go an investigate the case study without much pressure, and almighty God for giving me the strength and understanding for completing this project. Background of the Entrepreneurs Miss. Coral June Parish was born in Kingston Jamaica on July 3, 1978 and was raised by her mother and father in the District of Water House. She attend the Drewsland Avenue Primary School were she spent 6 years after the 6 years she sat in the common entrance examination, where she successfully passed and was placed in a Pembroke Hall High school, and in 1992 she did six SSC which she successfully passed, while in high school she was in the Home and Family Management where see learn to cooking and baking. Miss Parish unfortunately did not attend a university, because her parents could not afford to send her to further her study, in her live she would perform odd jobs such as working in a food store with her mother. In the year of 1996 she then tries to open her business, which she by staring selling Bag Juice and sweets from within that moment until presently. In 1998 later on find a partner who was trying to open a grocery store, which they both collaborate and open. The grocery store started I operation with only a few food items that cost no more than fifty thousand dollars. After a few years the business developed considerably. Now they find out that the business going smoothly and is now hoping to open another business in another community within the next few months, which she said will also be successful. P.E.C.S that they have displayed They both started business with only food items and saving from miss Parish account, while Mr. Atkins uses his money from which he got from his then Member of is family, Mr. Robinson not knowing whether they might stand to loose or get a gain and a profit. In which they gain and which grow into a larger business. They started selling a few food items, which was in great demand by the members of the community not knowing whether they were going to make a profit or loss. Miss Parish plans to open a new store after seeing the demands of the goods needed by the members of the community so Miss Parish and David Atkins then planned to open the wholesale, which is now in existence satisfying the needs and demands of the member of the community. Miss Parish goods are mostly purchased from different enterprises, from which she purchase her snacks, baked products and juices which is delivered to the enterprise in the district of Waterhouse most the goods especially the juices are order on credit, she always try to pay off her credit in the prescribe time set by the suppliers, which they mostly give one week to pay the credit. The meats, tin foods and bag foods product such as rice, flour, sugar, cornmeal etc. items are purchase in the City of Down town Kingston She pays her employees on time and her bills whenever he receives them. Miss. Parish was selling cooked food on weekends, while Mr. Atkins would operate small shop with is supplies when they both come together create a plan to open a grocery shop. Which was a great plan to open the grocery shop, with good encouragement form their community members, the store is now satisfying the needs and want of the community members and the business is now becoming more and more successful day after day. They both, was confident in coming together to open the grocery shop and knowing that they were going to be successful. Their confidence was baked by positive action that was necessary for ensuring the grocery shop success. Miss Parish and Mr. Atkins both see the opportunity to open the grocery shop to satisfy the need and wants of the community members and opening the grocery shop they would be different from the other entrepreneur in the community by becoming the first to open a grocery in the community, so the see the opportunity and seize it with great pleasure and they get a great success. Both of the entrepreneur worked together to achieve one common goal, which is to ensure success of their business, but they do not do it by themselves, they have to persuade others who have larger grocery shop and supermarkets, to give them encouragement and give them steps to achieve there goal. The two associate they use for persuasion and networking are: Superplus food store in Pembroke hall, Master Mac Enterprise in Down Town Kingston, which are two large companies in the island of Jamaica, in their field of business for networking. Both entrepreneur see the opportunity to satisfy the needs and want of the community members and provide a solution to satisfy the community members problem, that’s why they both come together to open up the grocery shop. So try their very best provide high quality goods and service for their customers, so they try their best in selecting the right quality and good quantity of goods and making timely purchase and ensuring that they get the right vendors. History of the Enterprise The entrepreneur both have strong determination to overcome all obstacle that they meet. They are willing to work until their job done well and on time. They also try to be up-to-date with the products they sells and try to get the new products that arrive on the market so they are always trying to be competitive with larger entrepreneurs. They try to overcome all the challenges that face them each day, to try and be successful. Good and Services the business offers They both have a vision of where they want to go and they are trying each day to develop practical plans to reach there. Both entrepreneurs are setting clear goals and trying everything to achieve the goals to become very competitive in the grocery industry and to satisfy the need and want of there customer. Contribution they makes to the economy The business only started with only the basic food items like: rice, sugar, flour, cornmeal, tin foods and small amount of meat. In the first three years they make a profit of nearly $350,000 which they try and develop the business later on, which is becoming their greatest success. With that profit they expand on the business by purchasing more food products, small appliances and purchase a second container, because the business is expected to grow considerably in the coming years. P&A Wholesale & Retail is a small business; in the district OF DREWSALND the business was establish in the latter part of the year 1996 They both use the money from their first business to purchase the container and lease the land to operate the business. Mr. Atkins also gets a donation from then the Member of is Family to purchase cement, steel paint and other items to work on the container. Conclusion and recommendation The business sells food items such as Biscuits, which include Butterkist (cookies), Shirley (coconut cookies), and National (vanilla, strawberry, duplex). Pastries, which include Cheese Bread, cinnamon rolls, sugar bun, cheese crunches, double cheese, cheese curls, cheese cake, cheese trix, plantain chips, Frito-lay, cheese puffs, banana chips, corn pop, spice bun, wine cake, rum cake, bulla cake, American apples, oranges, ripe bananas, melon, plain cake, bread pudding, icing cake. The business also sells beverages such as cocoa cola, D&G soft drinks, tropical rhythms, swizzle, and small juices for the kids to carry out on trips and to school. , Lasco food drink (Strawberry, vanilla, carrot, chocolate, creamy malt), tang (mango carrot, orange, pineapple melon, cherry melon). The business also sells alcoholic beverages such as: Red Stripe Beer, Guinness, Heineken, Red Stripe Light, over proof Rum, Appleton and an array of other alcoholic beverages. School books, pencils, pens. They recently start selling bulk syrup, which is now doing well on the market. The business also sells butchered meat such as: beef, mutton, pork, cow skin, cow foot, chicken, chicken foot, different variety of fish, turkey neck and other wide range of meat. Questionnaires Both entrepreneurs sponsor community based events, such as family fun day, which is held every Boxing Day and a stage show which is held every other Saturday in the community. They provide food items, refreshments, and entertainment, for the fun day, while for the stage show; they give a donation of six crates of liquor, which will go towards the community development program. The entrepreneurs also put on their fun day in the month of August, by providing entertainment, food and dessert for the children and a dance session for the adults in the night which is usually free. â€Å"It is great giving back to the community and help developing the community†. They also try to help the elderly in the community, for example one of the senior’s house was destroy in hurricane Ivan, they sponsor the elder by building a one bedroom, for the elder to be comfortable and enjoy life. I conclude that with a little patience, self-confidence and a little persistence you can open your own business. I recommend that they register their business immediately with the Kingston and St. Andrew Corporation or the Registrar Company, before furthering the business. Stony Hill Heart Academy Stony Hill P.O. KINGSTON 9 TEL #: 968-7488/9 Good morning/ afternoon I am Dirk Dillon a student at the Stony Hill HEART Academy, where I am pursuing a course in Data Operation as of September 4, 2007. I am gathering information in order to produce a profile of a successful entrepreneur. Would you be kind enough to allow me a few minutes while I administer a short amount of questionnaires? 1. What is your name? ________________________________________________________________ 2. What is the name of your business or your establishment? 3. Where is your business located? ________________________________________________________________ 4. What activities were you involved in while enrolled in school? 5. After school, what path did you take to better yourself?  ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­____________________________________________________________________________________________________________________ 6. Were you previously employed before becoming an entrepreneur? Yes () No ( ) If yes, please state ___________________________________________________ 7. What inspired you to become an entrepreneur?  ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­ ____________________________________________________________________________________________________________________________________ 8. Did you establish the business on your own or someone motivate you? ________________________________________________________________________________________________________________________________ 9. What plan do you put in place to satisfy customers for quality and efficiency? ____________________________________________________________________________________________________________________________________ 10. Your business today is the fulfillment of your goal? Yes No If Yes Please state ________________________________________________________________________________________________________________________________ 11. What type of leadership style do you exhibit in your organization? ________________________________________________________________________________________________________________________________ 12. What new creativity (if any) did you bring to the business? ________________________________________________________________________________________________________________________________ 13. What are the products and or services does the business offers to customers? ________________________________________________________________________________________________________________________________ 14. Have you registered your business with the registrar of companies? ___________________________________________________________________________________________________________________________