We can but should we The purpose of this assignment is to investigate Article

We can but should we The purpose of this assignment is to investigate safeguards and apply ethical principles to the use health care technology - Article Example With such deliberations, it would be necessary to assess and articulate issues arising as a result of EHR introduction. The Chip is argued to contain no medical records, but it is the code in it that is revealed – and only in doctor’s office or hospital. The code is argued to be unlocked by healthcare providers in order to access that person’s medical information (Mollar, 2009). However, there is much to think about other than the safety of EHR. For example, with the announcement of intentions to introduce EHR, different companies have shown interest in venturing into the business of making the gadget. This is evidenced by the way these companies are making partnerships with various healthcare institutions. For example, â€Å"Emdat announced a partnership with IBJI, MediRew announced a new client with Bon Secours Charity Health System, and Philips announced the implementation of it enterprise-wide clinical informatics technology at Baptist Health South Florida (BHSF) among many others† (Miliard, 2012, Para 2, 3 and4). In this regard, it can be argued that the issue of EHR is endorsed by certain forces which among them include entrepreneurial urge. Proponents of EHR argue that EHR could help reduce errors in medical records (Mollar, 2009). To some extent, this can be argued to be true because no doubt that hand written records are subject to errors and omissions. It is also argued that, with written records, the likelihood of losing records is high. Cases of lost or missing files or files being misplaced have been reported in the past. Additionally, catastrophes like fire and floods have in the past destroyed physical records. In light with this, digital record is argued to store records for a long time (Mollar, 2009). It can also help keep health information that patients tends to forget with time. EHRs are also argued to

Changing for Better Outcome Essay Example | Topics and Well Written Essays - 750 words - 1

Changing for Better Outcome - Essay Example As application of CASS procedure would significantly reduce VAP cases, and any nurse working in units with vent-dependent clients should support the application of this procedure. Nursing accountability to clients would mean that they are accountable for implementing this practice safely. The application of the CASS procedure requires proper staff training, and nurses who care for vent-dependent clients should attend these training courses and in-services. Moreover, when nurses are competent to perform this procedure, they should strictly follow its guidelines. The additional mechanical suctioning apparatus only takes effect when monitored on hourly basis by nurses. The tubes may be disconnected due to built up pressure or by being accidentally hit by other staff members, thus frequent monitoring is a must. The aspiration function also stops automatically when the collection bottle for secretions is full. The negative pressure of the suctioning apparatus is set at proper level accord ing to secretion status of a particular client. Following evidence-based practice would guarantee for uninterrupted application of CASS procedure. To exemplify, the following sections present a potential client for such practice, as well as an understanding of my accountability as his nurse. VAP was not new to a vent-dependent client in my unit because this 59 year old male client had VAP almost monthly, if not biweekly. This client was in a comatose state. He had a diagnosis of chronic obstructive pulmonary disease (COPD).

The Different Kinds Of Truth Philosophy Essay

The Different Kinds Of Truth Philosophy Essay There are two different kind of truth which is something that is true and something that is believed to be true. We must accept the idea that man can acquire all kind of truth but let us not mix them up. We would risk that the mixture will dissolve them up. Truth consists in the agreement of our thought with reality. The Aristotelian definition of truth states  [1]  : To say of something which is that it is not, or to say of something which is not that it is, is false. However, to say of something which is that it is, or of something which is not that it is not, is true. A belief is called true if it agrees with a fact or stated otherwise  [2]  . Beliefs determine how we see, interact and experience the world around us. Beliefs are ideas that are made after repetition and contemplation, that are accepted as truth and reality and therefore impact how we see life  [3]  . Believes and truth are often in conflict. For something to be true it must be public, eternal, and independent. By using different way of knowing such as reason, emotion, perception and language it can help us to distinguish the truth. Some knowledge can be taught and some we learn by our self through a process of reasoning. In our daily life, sometimes our logical thinking affects our believed about something. The fact is our logical thinking based on our experiences. Our reasoning is based on our pass experiences and from that we make a generalization. It is just the matter of how far our logical thinking based on our experiences can distort our attempt to distinguish between truth and believed truth. By putting down your hand into hot fire thus teaches us not to do it again. The implication of reasoning is of the greatest importance because it comes from our inner instincts. Logic attempts to help us determine whether our argument is true or false, or whether it is logical. Based on pass experience, it is logical if we tend not to do the same mistake by putting hand on fire because it is painful. Similarly with the truth, we tend to be selective in choosing knowledge based on our pass experienced and logical thinking. Sometimes mistake do happen during the process because we are easily influenced by our surrounding. The last question that will be dealt with is the question of what people know. According to the psychologist Jean Piaget  [4]  Ã‚  certainly regarded thinking as secondary to the actions of the intelligence. For him, logic was a science of pure forms, structures simply representing the processes of thought. As for me, logic was too narrow, arid and mechanical to properly represent human thought processes. Therefore, I can say that the truth which is true and believed to be true is not conforms and affirms through logic as ways of knowing alone because human have many limitations to count of. Logic work alone cannot really distinguish between something that is true and something that is believed to be true. Is emotion is the effective way? For some people, emotion plays an important role when it comes to decision making. Whether we like it or not, our emotion is depending on degree of logic that is include during the process of decision making. Imagine if you are a doctor and you have two make a decision whether to give a kidney to two of your patients who suffer kidney failure. One of the patients is your family. Which one would you give the kidney? Would the priority go to your family? The doctor tends to be bias if the decision made is involving with emotion. If I was the doctor, I would personally give the kidney to my family. But, based on what reason? The only reason why is because of strong love emotion. We tend to be bias in the process of seeking the truth because of our emotion. Based on scientific explanation, emotional situation triggers the release of chemicals in the bloodstream that alter the functioning of the brains neurons and other bodily functions as well. In effect, the situation requires some special behavior different from what we would do in the normal course of events. We only accept truth that will give us pleasure and make us happy. Emotional states seem to occur when things of particular importance occur in our lives. The neurobiologist Antonio Damasio  [5]  (1994) provides a somatic marker hypothesis  [6]   which explains how emotions make decision making possible. The doctor try to believe by giving the kidney to his family will save her/his live by ignoring the other patience live. How the doctor would know which operation will succeed? In this situation, we can say that the doctor is in believed truth. Thus, we can conclude that emotions are ordinarily conceived as irrational occurrences that cloud judgment and distort reasoning. It would be better if we separate our emotion when make a judgment. However it is impossible to that. Some philosophers, particularly those identifying themselves as postmodernists  [7]  , assert that truth is not absolute, but depends upon the individual point of view. Perception is one the ways of knowing that can help us to distinguish the knowledge whether it is true or just believed to be true. Everyone has different perception regarding on certain thing depends on own personal background, knowledge, experiences and our perceptions grow as we mature. I still remember during my childhood, my mom always told me to finish my meals or else the unfinished foods will cry. To be frankly, I believe on what my mom had told me. As I grow, I know that the foods will never cry as it is non-living thing. It just my mums trick to make sure I finished my meal. The perception of children will not be the same as adult. The problem is our perception constantly changing as we increase the scope of our knowledge. Thats why in science subjects we always come across with the term evolution and revolution. As scientist doing more research, they found that the previous theories are no longer applicable to support their new discovery. During the 20th century, in the history of biology, biologists mostly accepted that living organisms is classified into five kingdoms  [8]  . However, in 1978 the American Biologist Carl Woese  [9]  proposed a three domain classification. From the example and explanation above, we can conclude that our perception is not fixed and differ from one another. But without perception, it is hard for us to differentiate the truth. Last but not least, we can use language as one of the way of knowing to help us distinguish whether the truth are the real truth or believed to be the truth. According to R.A Hall: language is the institution whereby humans communicate and interact with each other by means of habitually used oral-auditory arbitrary symbols  [10]  . Language plays an important role in our lives in seeking the truth. Language allows us to form statement, express concept and our idea. Let we take the example of a statement all bird can fly. From the statement, we can express our idea to other people that all type of birds has the ability to fly. Imagine how could we explain the word bird, all, fly without word? Without the  statements it would be hard to organize our ideas and to then determine if these ideas are true or only we believe them to be true. We could use other alternative such as gesture, sounds and drawing to represent our ideas. As it connected to the ideas that they portray they als o become part of the language. The statements created by language help us to determine if an idea in true or not. Since a sentence expresses the relationship between objects we can check the validity of the statement. If ostrich cannot fly, then we can prove the statement all bird can fly is not true. The presence of evidence can always prove the statement is false then we know the statement is not true. The problem with language is sometimes it is misinterpreted due to the word that has many different meaning. For example the word gampang. For Indonesian it means easy but for Malaysian it is insulting. Admittedly, all knowledge could be regarded as a combination of truth and believed truth, and since all information needs to pass our subjective minds to become knowledge. By using the four ways of knowing logic, emotion, perception and language can helps us to distinguish the truth. One ways of knowing stand alone to distinguish the truth and believed truth would not be very fruitful. 1450 words.

Low Birthweight :: Health, Newborn

Low Birth Weight At birth, the average newborn weighs approximately seven pounds; meanwhile, a low birth weight baby weighs less than five and a half pounds (March of Dimes Foundation, 2011). Today, low birth weight typically occurs in newborns born before thirty-seven weeks gestation or in full-term deliveries where the baby is under-weight, also known as intrauterine growth restriction (March of Dimes Foundation, 2011). Complications associated with a low birth weight may include vision, hearing, and learning disabilities. Poor health, drug and alcohol use, and tobacco exposure will increase the probability that a woman will give birth to an under-weight baby (Discovery Communications, 2011). A woman’s overall health and wellness, during pregnancy, is important to the development of her growing fetus. Chronic health conditions such as diabetes and high blood pressure, increased stress levels, and insufficient rest can significantly reduce the baby’s weight (Discovery Communications, 2011, p.3). In addition, a balanced diet rich in nutrients is essential to a healthy weight gain in the mother and baby. According to the March of Dimes (2011), pregnant women should receive prenatal care and work closely with a health care provider to manage chronic health conditions. The use of illicit and prescription drugs has been associated with growth restriction, premature delivery, and multiple congenital anomalies (as cited in Berger, 2010, p.74). A pregnant woman should seek medical consent, before taking any medication, to assess the potential risks and benefits (as cited in Berger, 2010, p.74). Furthermore, healthcare professionals warn that all women should avoid alcohol during pregnancy. Alcohol consumption during pregnancy limits fetal growth and may cause a cluster of birth defects known as Fetal Alcohol Syndrome (FAS) (Berger, 2010, p.73). Infants born with FAS may suffer from slow physical growth, delayed mental and behavioral development, and abnormal facial features (Berger, 2010, p.73). Women are encouraged to quit smoking cigarettes before and during pregnancy. The toxic substances found in tobacco may affect normal placental function in addition to exposing the fetus to harmful chemicals (Discovery Communications, 2011, p.4). By smoking, a woman increases her baby’s chance of developing a congenital heart defect as well as a low birth weight (Neighborhood Link, 2011). Smoking cessation, at any point, during pregnancy increases the probability of a normal birth weight (Discovery Communications, 2011, p. Low Birthweight :: Health, Newborn Low Birth Weight At birth, the average newborn weighs approximately seven pounds; meanwhile, a low birth weight baby weighs less than five and a half pounds (March of Dimes Foundation, 2011). Today, low birth weight typically occurs in newborns born before thirty-seven weeks gestation or in full-term deliveries where the baby is under-weight, also known as intrauterine growth restriction (March of Dimes Foundation, 2011). Complications associated with a low birth weight may include vision, hearing, and learning disabilities. Poor health, drug and alcohol use, and tobacco exposure will increase the probability that a woman will give birth to an under-weight baby (Discovery Communications, 2011). A woman’s overall health and wellness, during pregnancy, is important to the development of her growing fetus. Chronic health conditions such as diabetes and high blood pressure, increased stress levels, and insufficient rest can significantly reduce the baby’s weight (Discovery Communications, 2011, p.3). In addition, a balanced diet rich in nutrients is essential to a healthy weight gain in the mother and baby. According to the March of Dimes (2011), pregnant women should receive prenatal care and work closely with a health care provider to manage chronic health conditions. The use of illicit and prescription drugs has been associated with growth restriction, premature delivery, and multiple congenital anomalies (as cited in Berger, 2010, p.74). A pregnant woman should seek medical consent, before taking any medication, to assess the potential risks and benefits (as cited in Berger, 2010, p.74). Furthermore, healthcare professionals warn that all women should avoid alcohol during pregnancy. Alcohol consumption during pregnancy limits fetal growth and may cause a cluster of birth defects known as Fetal Alcohol Syndrome (FAS) (Berger, 2010, p.73). Infants born with FAS may suffer from slow physical growth, delayed mental and behavioral development, and abnormal facial features (Berger, 2010, p.73). Women are encouraged to quit smoking cigarettes before and during pregnancy. The toxic substances found in tobacco may affect normal placental function in addition to exposing the fetus to harmful chemicals (Discovery Communications, 2011, p.4). By smoking, a woman increases her baby’s chance of developing a congenital heart defect as well as a low birth weight (Neighborhood Link, 2011). Smoking cessation, at any point, during pregnancy increases the probability of a normal birth weight (Discovery Communications, 2011, p.

Children Benefit From Having Choice Education Essay

The term independent suggests being able to make things for oneself. Williams suggests that an addition in independent attitudes and accomplishments is a mark of turning up and that farther development of independency relies on the attitudes and influences predominating from the place environment. Teachers should fit kids with the desire and the capacity to take charge of their acquisition through developing the accomplishments of self appraisal ‘ ( Assessment Reform Group, 2002 ) . Puting this cognition into a school context, Furedi ( 2010 ) expressed concerns that some kids, particularly in Key phases 1 and 2, are being progressively over protected and therefore the development of their independency is being stunted. In Furedi ‘s ( 2010 ) study it was noted that ‘a batch of kids no longer hold chances for experimentation, hazard pickings or escapade in primary school ‘ . Furedi ( 2010 ) set out to promote Key phase 1 and 2 instructors to appreciate the scope of positions and past experiences that kids bring with them to school and to ‘provide a schoolroom environment in which kids can make their single potency and where an addition in independency, every bit good as corporate duty, is valued ‘ ( Williams, 2003 ) . The National Curriculum states that schools should ‘influence and reflect the values of society ‘ and ‘ †¦ develop students ‘ unity and liberty†¦ ‘ ( DfEE/QCA 1999: 11 ) . Autonomy can be defined as ‘the ability to do determinations about what to make instead than being influenced by others. In add-on to this, the ‘National Curriculum for primary instructors ‘ ( DfEE/QCA 1999:11 ) it is stated that the course of study should ‘build on student ‘s strengths, involvements and experiences and develop their assurance in their capacity to larn and work independently and collaboratively ‘ . Following on from this the course of study counsel for the foundation phase ( DfEE/QCA 2000: 12 ) suggests that ‘the larning environment should supply a construction for learning within which kids explore, experiment, program and do determinations for themselves ‘ . This besides indicates a strong desire to advance pi ck and independency from the start of a kid ‘s instruction. Attitudes on advancing pick and independency in larning are examined in a broad scope of authorities studies and research. Well- managed Classes ( Ofsted 1991 ) provided grounds from six instance surveies of six instructors. From this research, it was concluded that good organised schoolrooms were seen as those where students had duty for stuffs and doing picks. If kids have duties, they have a grade of independency. In this survey kids were organised into groups to give chances for leading and duty and to let kids to work unsupervised when instructors were with another group ( Ofsted, 2002 ) therefore advancing independency. In add-on to this, when discoursing unsuccessful lessons, Primary Matters ( Ofsted, 1994 ) cited lessons with an complete trust of work sheets. This study went on to propose that effectual instructors were seen as those who question efficaciously and measure a kid ‘s cognition of a topic through reexamining their independent survey as opposed to supervisin g work sheets. During my initial experimental arrangement, I worked in a school where there was a ‘no work sheet ‘ policy and as stated in my experimental arrangement reappraisal, I feel this helped hike kids ‘s ego esteem as they had an active function and shared duty for their ain acquisition and therefore greater independency. This theory is supported by Sammons et Al. ( 1995 ) who cited that â€Å" kids who have shared duty for their ain acquisition will increase larning effectiveness. † The National Curriculum ( DfEE/ QCA 1999: 11 ) provinces that primary schools are required to ‘ †¦ develop ( student ‘s ) assurance in the capacity to larn and work independently and collaboratively ‘ . Supporting this impression, the ‘National Advisory Committee on Creative and Cultural Education ‘ suggests one attack to learning involves ‘providing chances for immature people to research and recognize what their ain premises and values are and how they have been formed ‘ ( NACCCE 1999: 97 ) However, there are critics of the impression that a schoolroom in a primary school scene can efficaciously advance an independent attack or if this is merely rhetoric. A job for instructors is said to be keeping the publicity of kids ‘s independent responses, while at the same clip resulting the course of study marks are met. Moyles ( 1992 ) suggested that there is an of import relationship between instructors preferred learning manners and their ability to ‘learn from kids ‘s part to the instruction and larning procedure ‘ connoting that independency is null. Moyles ( 1992 ) stated that â€Å" a instruction manner that encourages a assortment of parts from kids will be one that recognises the importance of an independent attack to learning and larning. † When I asked the instructor with whom I was placed, what they considered an independent kid to be, they expressed the kid must be able to make the followers. An independent kid must hold the ability to larn and believe for themselves ; the ability to work by themselves and to besides to be confident in seeking aid ; the ability to work without seeking blessing and the ability to utilize inaugural and equilibrate the outlooks or them in school. I besides enquired about the troubles in being able to accomplish these in a primary school and was told that utilizing an independent attack has a large affect on instruction and the curriculum/classroom environment sometimes inhibits independency and the duties that can be achieved. Research suggests that ‘children should be encouraged to compose independently and allowed to experiment freely in order to understand to power of written messages ‘ ( Whitehead, 1996 ) . Whitehead ( 1997 ) said that the literacy environment in primary schools should promote kids to experiment and understand the messages that can be conveyed through authorship. Whitehead ( 2000 ) besides implied the importance of kids ‘s thought and how it is conveyed as they talk and goes on to state that a instructor who can understand the nexus between idea and linguistic communication can scaffold kids as they think out loud. Therefore, it is of import to make an environment in the schoolroom where there are chances for kids to believe independently and to portion their ideas with others. I found this an highly utile tool when on my arrangement. I found that leting the kids to discourse their thoughts in little independent groups foremost, before sharing them collaboratively as a category, improved the manner they put across their thoughts and helped enormously when composing their thoughts down. My findings hence support Whitehead ‘s ( 1997 ) theory that independent thought is good to kids ‘s authorship. Whilst on my arrangement I besides noticed the importance of silence and important intermissions throughout the course of study, and how these gave kids clip for contemplation and to explicate thoughts. This was something I learnt from the experient TA in my placement category who justly said that all excessively frequently grownups are really speedy to leap in and assist kids, when in world ; the kid is acquiring at that place independently. I decided to prove this out with a little group of kids in a literacy lesson that I was learning. The lesson was on direction authorship and I had purposefully given them bad instructions. Despite my inherent aptitude to assist them understand why they were bad instructions, I took the advice of my TA and remained silence. Although it took a batch longer than I had anticipated for the kids to come to the terminal consequence, I was over the Moon when they reached it and made really clear how pleased I was for them. The kids seemed delighted that they had done this independent of the grownups in the category and took a batch more pleasance from the larning nonsubjective than other kids in the category who had received more input. The theory of leting silence to advance an independent acquisition environment is supported by Calkins ( 1986 ) who says that ‘the context for speaking and composing should include clip for kids to believe, reconsider and rework. ‘ Piaget ( 1959 ) believed that a kid ‘s knowledges ‘consisted of internalised and coordinated action scheme ‘ . From this we can picture that, it is of import to let chances for discoursing and composing about subjects that are relevant to the kids and that reflect their lives outside of school. During my 3rd arrangement hebdomad, whilst learning ‘instruction composing ‘ in literacy, I decided that it was really of import to utilize illustrations of instructions that were relevant to them. In my concluding lesson, I allowed the category to work independently on composing their ain instructions. I gave them some limitations such as following a typical instructional format, but on the whole they had a free pick to compose instructions for anything they wanted. The consequences were outstanding. The kids had unbelievable thoughts changing from ‘How to turn your instructor into a toad ‘ to ‘How to play ‘Missing † ( their front-ru nner category game ) . One kid even wrote a set of instructions for the kids in Key phase 1 on ‘How to do it to Year 6 ‘ . Not merely were the consequences of this lesson highly rewarding, the kids did n't desire to halt authorship. I believe that if I had gone in and been regimented and dictated to them that they were to compose a set of instructions on a subject in which they had no involvement, I would hold lost their involvement. The fact that they had the pick and independency to make up one's mind what to compose about, allowed them to experience passionate about their work and bring forth believable consequences. From reading literature with respect to this country of teaching method, and in relation to the grounds I gathered during my ain instruction and experimental experiences, I have come to the decision that advancing independency in the literacy environment is highly of import. Calks ( 1986 ) states that ‘an independent environment that is aesthetically pleasing and where kids will desire to speak and to compose for assorted audiences ‘ . During one of my yearss moving as a TA in another category, I witnessed the kids come in from interruption clip where the day of the month and instructions for ‘independent literacy work ‘ was on the board. The instructor read out a verse form about the conditions. She asked the kids to compose a verse form about the conditions, including samples of personification. The instructor and I moved around the schoolroom. I found that the degree of concentration was varied and it was clear from the plenary that some misunderstood the u ndertaking. However, despite the deficiency of understanding the hebdomadal timetable showed such a tightly organised course of study programme, that the instructor decided to disregard the misconceptions and travel on to numeracy. Alexander ( 2000 ) discusses that ‘the organizational schemes that instructors bring to the course of study and the interpersonal relationship between grownups and kids will hold a permanent consequence on kids ‘s acquisition. Overarching policies from cardinal and local authorities and the sensed restraints that result must be tackled with assurance and soundness, when set uping what is appropriate. ‘ Therefore, a acquisition environment that promotes independency farther kids ‘s self-pride and duty and may hold provided an chance for this instructor to turn to the misconceptions in jussive mood. Promoting pick and independency can besides be used when planning and learning numeracy. The first whole lesson I planned and taught during my arrangement was on steps. Before I started to be after any of my lessons I thought I would research what makes an outstanding lesson. Harmonizing to Ofsted, basicss of an outstanding lesson rely on a assortment of things, including students enjoyment and motive, pupil battle and independent acquisition and thought accomplishments. With this cognition, and inquiring how I could make an environment for this to be possible in, I asked a figure of instructors in the staffroom how they developed positive attitudes towards larning numeracy, and how they developed confident kids who can work independently. One instructor told me that in numeracy it is critical to utilize a assortment of undertakings and utilize plentifulness of resources and to allow the kids decide which mensurating device to utilize. She stressed the importance of guaranting that t here were plentifulness of chances for the kids to see success. Another instructor told me that in order to advance pupil enjoyment in numeracy there must be plenty of ‘hands-on ‘ activities and to utilize existent life illustrations to assist the kids become more independent. All of the staff members, with whom I questioned that twenty-four hours suggested that in order to develop confident scholars who would hold otherwise happen numeracy dashing and who are able to work independently, as a instructor I must admit every kid ‘s parts in a positive mode, promote the kids to larn from their errors, and explain that ‘wrong ‘ replies ‘ aid us detect new apprehension. With this advice, I planned and taught my first numeracy lesson, seeking my best to set into pattern my freshly acquired cognition of advancing independency in numeracy. Throughout my first hebdomad of learning numeracy I besides found that encouraging independent and little group resear ch allowed the kids to value different attacks to work outing numeracy jobs and ignited their desire to happen out more. Polya ( 1971 ) said that â€Å" A instructor of Mathematics has a great opportunity.A If he fills his allotted clip with boring his pupils with everyday operations he kills their involvement, shackles their rational development, and misses his opportunity.A But if he challenges the wonder of his pupils by puting them jobs proportionate to their cognition, and helps them to work out their jobs with stimulating inquiries, he may give them a gustatory sensation for, and some agencies of, independent thought. â€Å" A Unfortunately, as I witnessed in my twelvemonth 5 arrangement category, as kids get older the force per unit area of the course of study additions and the demand for answerability becomes greater. Curriculum bringing focal point ‘ less on independent acquisition and may go didactic, which as Polya ( 1971 ) suggests, has the possible to kill mathematical involvement. Tensions necessarily exist and Cullingford ( 1990 ) describes a ‘major job for instructors bein g†¦ the struggle between what they would wish to make in numeracy lessons and the worlds of the schoolroom ‘ . Sammons et Al ( 1995 ) when speaking about raising kids ‘s ego regard in numeracy from a immature age saw the attitude of instructors towards their kids as being of paramount importance. Sammons et at ( 1995 ) implied in this research that esteeming and understanding kids, reacting to personal demands, pass oning enthusiasm, and leting independency in their acquisition, were seen as holding a ‘beneficial influence on results in their numeracy work. ‘ From the numeracy lessons that I taught and observed on my arrangement I came to the decision that when instructors promote independent acquisition in numeracy, they are promoting their pupils to go self-sufficing in their ain acquisition and to hold more liberty over their acquisition. Through observations in numeracy I saw that most larning took topographic point when the kids were happening and roll uping information, doing determinations and transporting out probes. Even in these independent necessities of these lessons, the kids had a big grade of true independence.A In this case, the instructor might put prep to mean independent larning but literature forces us to believe of the differences in kids ‘s independency and finishing a worksheet. This is assessed after each lesson, which compared to a longer term undertaking is non entirely motivated by the schoolroom acquisition. This highlights that despite the grounds that advancing independency is good, the course of study can sometimes be keeping. In add-on to English and Maths, it is besides of import to discourse the publicity of pick and independency in scientific discipline. As a big portion of the primary course of study, I feel that scientific discipline offers the greatest chances for kids to go independent scholars. During my arrangement I was highly utile to be placed with the schools scientific discipline co-ordinator and therefore, I non merely got to detect exceeding scientific discipline, but I besides managed to profit from her broad cognition about advancing independency in scientific discipline. My category instructor explained that her chief precedence when learning scientific discipline was to ever acquire the kids up on their pess making things for themselves, even if the experiment went incorrect. She explained to me that scientific discipline is all about independent geographic expedition and in order to research the kids need to be engaged with synergistic lessons. She went on to explicate that every less on should incorporate practical work. I questioned this and she went onto to explicate that a scientific discipline instructor may depict ‘practical work ‘ as open-ended probes, presentations of rules, and chances for larning practical techniques, amongst others. There could even be a instance for stating that ‘children sitting at a desk reading, composing and speaking with their neighbors is practical in the sense that the kids are fully-involved and on-task ‘ ( Alexander 1995 ) . My arrangement highlighted to me that the most of import standard for practical scientific discipline should be seen to be freedom of motion, around the schoolroom or scientific discipline research lab, and even the school evidences. Following that, I noted that we need to see that the kids are deriving some apprehension of how scientific discipline works, and holding the chance to portion their experiences with their equals, and others in Science Club, for case which promotes an i ndependent attack. Practical work in all capable countries can integrate freedom of motion and sharing of thoughts through presentations, therefore it seems that practical work in scientific discipline must underscore how scientific discipline works ( Harlen et al. , 2004 ) and hence prosecuting the kids in independent acquisition. The scientific discipline co-ordinator besides explained that the kids need to hold free entree to all resources in their schoolroom and the independency to experiment with it. Having held this place in her anterior school, and after presenting her old category to this freedom of motion ( at least during their scientific discipline activities ) , she advised and supported all the other instructors in this new school, of whom, non surprisingly, the infant instructors were the most able, to implement this. Apparently, some instructors chose to make scientific discipline with their whole category at the same clip, others used an incorporate twenty-four hours arrangement so that a group of kids would be making scientific discipline whilst the others were making something else. The of import factor of class is that all of these thoughts promote pick and independency in scientific discipline, and the consequences are plentiful. This impression of independent freedom of motion is implied in Coulby ‘s ( 2000 ) survey. Additionally, with the concern of scientific discipline fieldwork, it was explained to me that one time kids are researching their ain school evidences independently in the same manner that they are encouraged to research their schoolroom resources and scientific discipline research labs, so they are deriving experiences which they can transport farther afield on organized field trips. Here we are speaking about the geographic expedition of natural milieus, streets, Parkss, creaky edifices, disused railroad lines, , etc. Organised visits to nature militias, farms, mills, museums, historic edifices, etc. , utile as they may good be, would non come under this schools definition of practical work in scientific discipline. Because they are regimented lists and do non advance independency. Even if the activities themselves are non planned in item, with the thought of promoting open-ended questions is indispensable and kids are merely independent larning if they have the opportunity to see k out cognition ( Assessment Reform Group, 2002 ) . In this illustration, the kids will be exhaustively briefed beforehand, maps provided if the country is extended ( by so the kids will be familiar with programs of schoolrooms, research labs and school evidences ) , and systems for covering with exigencies and unexpected events included in their preparation. This school feel they successfully promote independency in scientific discipline. These are to call but a few of the antic thoughts this instructor had to advance pick and independency in larning in scientific discipline and she stands house that the more independency a kid has to look into, the more they are likely to larn as a direct consequence, back uping Williams ‘ ( 2003 ) survey. My experimental experiences on placement lead to me the decision that independency liberates the kid from being constrained by the course of study and will let the kid more pick in precisely what they will larn approximately. This led me to oppugn the function of the instructor. A thrust to advance independency within the course of study surely means the instructor ‘s function will change.A With kids taking more duty for their acquisition in English, maths and scientific discipline, the instructors ‘ function alterations from one of manager instead than manager of acquisition. However, teacher ‘s functions are far from superfluous.A In fact, their function becomes more of import. In my sentiment, the old ‘dictator ‘ manner of learning can moderately be completed by anyone brave plenty to stand at the forepart of a category and convey the appropriate sum of information.A Essentially, if kids are larning this manner, the instructor has become wholly pre-pa red and afraid to divert if necessary and the instructor ‘s occupation is truly merely one of leaving information. On the contrary, in an environment that promotes independent acquisition, the instructor ‘s function becomes more compound.A It seems that there is more of a demand to hold greater accomplishments and cognition to react to a potentially wider course of study covered by kids who have had the independency to larn curiously. As a consequence, it was clear to me that the instructors who promote idependence besides need to be prepared to be flexible.A On arrangement I witnessed that instructors are able to help kids ‘s acquisition in legion ways and the instructor has to be prepared that these will change with every lesson and every pupil. I was fortunate to see instructors moving as facilitators ; supplying kids with resource stuffs, giving the kids chance to prove out their acquisition, and assisting kids to do sense of what they have learnt through experimentation. In decision, it is clear to see from the literature discussed in this essay and through my experimental and learning practise that there are legion theories as to why pick and independency should be promoted throughout the course of study in primary schools. Teaching in order to click boxes on the course of study helps students pass the test and teaches them precisely what is required of them and how to carry through those requirements.A However, as clear from the used literature for this essay, this manner of learning does non fix kids for life beyond the schoolroom, and in most instances it stunts their passion, the flicker they might hold had for a peculiar topic, and most significantly their enjoyment. To this terminal, it has been established that advancing independency in primary schools allows kids to hold abilities that will stand them in good position both during and beyond their instruction. Such abilities include the aptitude to obtain and deploy information, communicate expeditiously, work out jobs independently and associate to others. It is critical to repeat that one of the most important functions of a primary school instructor is to advance independency in their kids ‘s learning.A This essay has highlighted that there are a figure of exercisings you can take to accomplish in order to advance independent learning.A These include ; giving kids appropriate choices so they can take to larn about things that involvement them and maintain the flicker ignited, promoting group work in the schoolroom so that kids can larn from each other, work together with students to put shared larning aims, prosecute kids in lesson planning, promote kids to reflect and finish ego and p eer appraisal before their work is handed in. It is besides critical to repeat that the instructor does non go otiose one time independent acquisition is taking place.A In fact, quite the reverse is true.A The instructor ‘s function becomes more important than ever.A It does, nevertheless, change beyond all acknowledgment. Promoting pick and independency in acquisition is n't something that needs to go on throughout English, Maths and Science, but to the whole course of study. I believe that more research needs to be done to back up the bing research and to foreground this further in order for the necessary alterations to be made.

Chronic Inflammatory Demyelinating Polyneuropathy Health And Social Care Essay

Chronic Inflammatory Demyelinating Polyneuropathy ( CIDP ) is an acquired upset impacting peripheral nervousnesss caused by a demyelinating procedure that leads to drive failing, positive sensory symptoms and centripetal loss ( Mahdi-Rogers and Rajabally 2010 ) . Recent research suggests an norm of 0.50 and 1.60 per 100,000, instances being most prevalent in the 5th and 6th decennaries ( Laughlin et al. 2009, Rajabally and Chavada 2009 ) . CIDP, in its typical signifier, is symmetric and affects both proximal and distal parts. Autonomic abnormalcies are uncommon. In 2010, the European Federation of Neurological Societies/Peripheral Nerve Society ( EFNS/PNS ) joint task force set diagnostic standards to increase the sensitiveness of CIDP diagnosing, saying that each of the followers should be included in the determining procedure. Electrophysiological Testing Cerebrospinal fluid scrutiny Gadolinium-enhanced MRI of spinal roots, brachial or lumbar rete Nerve biopsy of electrophysiologically affected nervusAetiology and PathophysiologyThe histologic resemblance of CIDP to experimental autoimmune neuritis and its response to immunosuppressive therapy suggests an autoimmune pathogenesis ( Mahdi-Rogers and Rajabally 2010 ) . The proposed immunopathic mechanism of CIDP is believed to be a combination of familial factors and an environmental trigger, for illustration antecedent infection or diabetes ( Whitesell 2010 ) . Myelin proteins found on peripheral nervousnesss, particularly P0, have been investigated and found to bring on experimental allergic neuritis in mice ( Gabriel, Gregson and Hughes 2000 ) and have been identified in patients with CIDP besides ( Allen, Giannopaulos and Grey 2005 ) . However, antibodies themselves can non traverse the blood-nerve barrier ; hence other mechanisms are thought to be involved in the demyelinating procedure. In a survey by Yan and co-workers ( 2001 ) , the antibodies to the P0 glycoprotein were chiefly IgG 1, a subclass of Ig that implies T-cell activation ( Yan et al. 2001 ) . The pathophysiology is likely to be caused by both T and B-cell activation. However, more research is required to set up the exact mark of the T-cell response and if other immune-mediated cell populations i.e. NK cells, are involved in the pathogenesis of CIDP.Clinical FeaturesThe pathophysiology of CIDP gives rise to debatable sensorimotor alterations. These alterations are apparent in the nonsubjective appraisal of the patient in inquiry, uncovering musculus cachexia, reduced tendon dorks, altered esthesis and mild ataxy in upper and lower limbs and reduced musculus strength in the upper appendages. These pathological alterations can be mapped straight to the infective alterations happening in the peripheral nervous system due to demyelination. The peripheral nervous system ( PNS ) is subdivided into the bodily division and the autonomic division ( Martin 2003 ) . The bodily division of the PNS contains the centripetal neurones that innervate the articulations, musculuss and tegument. This division besides contains the axons of motor nerve cells that innervate skeletal musculus. These axons besides transmit control signals to muscle with the intent of modulating musculus contraction forces. Schwann cells form the medulla sheath around peripheral nervousnesss, which causes an addition in the speed of action possible conductivity. There are periodic spreads in the medulla called Nodes of Ranvier. Urges are conducted by leaping from node to node – this procedure is known as ‘saltatory conductivity ‘ ( Martin 2003 ) . In CIDP, demyelination causes harm to the Schwann cell, and hence the medulla, doing abnormalcies in the saltatory extension of the action potency, which can ensue in slowed conductivity speed. If several sections of the nervus are damaged the consequence can be magnified which may ensue in a complete conductivity block in that peculiar axon. This can take to clinical manifestations of failing and weariness, as seen in the patient in the instance survey. Na+ electromotive force gated ion channels are extremely concentrated at Nodes of Ranvier and therefore ease rapid action possible conductivity. Susuki and co-workers ( 2007 ) examined the molecular administration of nodes in a disease theoretical account caused by immunization with gangliosides. In autoimmune neuropathies, like CIDP, autoantibodies to gangliosides i.e. GM1, have been proposed to interrupt nodal Na+ gated channels ( Susuki et al. 2007 ) . Results found that with come oning limb failing, Na+ gated bunchs were disrupted, and in some instances significantly decreased, at abnormally lengthened nodes concomitant with deposition of IGg and complement merchandises. IGg antibodies are shown in this survey to adhere to nodes where GM1 is expressed. This autoantibody adhering consequences in complement activation and later, formation of a membrane onslaught composite. Researchers noted a disappearing of Na+ channels, withdrawal of terminal medulla cringles and prolongation of the Nodes of Ranvier. As the patient in the instance survey nowadayss with come oning limb failing and reduced musculus strength, this survey gives us an penetration into a molecular pathophysiological theoretical account that may do these clinical characteristics of CIDP. The pathological procedure discussed above besides causes an break to the axon, ensuing in axonopathy. Degeneration of an axon develops foremost in the distal subdivisions of the axon, and if the anomalousness persists, the axon ‘dies back ‘ . The pathological mechanism causes a characteristic distal ‘stocking-glove ‘ centripetal loss and failing. The lasting axons will carry on at a normal rate but as a consequence of the reduced figure they will be less effectual in bring forthing typical musculus contractions. The longest, large-diameter fibres are the most vunerable to axonopathy, doing reduced or entire loss of tendon dorks. If one was to conceive of the consequence of motorial nervousnesss and their excitation of skeletal musculus it can be understood that the procedure of demyelination discussed supra would hold damaging effects on musculus power, co-ordination, and if the musculus can non contract efficaciously, musculus unity.Impact of CIDPCIDP patients will see a huge lifestyle alteration as they go from being wholly independent to sing some degree of dependance on others in a short period of clip. The biopsychosocial theoretical account calls upon health care professionals to see biological, psychological and societal factors which will enable healers to present appropriate direction of patients and set up a good patient partnership ( Morrow 2004 ) . Patients should do their ain determinations about their health care, whilst healers should ease duologue and shared determination doing to guarantee effectual and relevant intercessions are received by the patient. This construct reflects the premiss t hat patient conformity will be enhanced through common apprehension. Patients will show with assorted reserves or concerns and the healer should be cognizant of these and how they can be dealt with in a patient-centred mode. Fear, anxiousness and isolation are some of the emotional and physical provinces that the patient in inquiry may be sing. In order to maximize the impact of a ‘Plan of Care ‘ on a patient ‘s forecast, it is of import that the healer understands that a patient ‘s emotions will often overrule ground. The following are concerns that should be recognised as you work with the patient. The patient in inquiry has late been acquiring increased failing in her custodies and lower limbs, increased centripetal loss and declining weariness. Even though the patient has been diagnosed for six old ages, she may be experiencing dying about the hereafter of the disease and how it will come on. As she is besides due to be a grandma shortly her reduced musculus strength and demand of aid of two when walking will worry her that she will non be able to care for her new grandchild. An exercising plan could be suggested to the patient, doing certain that she understood the functional benefits i.e. being able to safely keep her grandchild, which may increase her conformity to intervention. The patient in the instance survey may besides be dying about her house and the fact that her sleeping room and bathroom are upstairs. A walking assistance could be prescribed and this may increase her independency and functional ability, which may do her less dying about her status. With a patient-centred intervention attack and a common regard between patient and healer there should be an increased opportunity of attachment to the ‘Plan of Care ‘ . It will be of paramount importance to coordinate with the multi-disciplinary squad ( MDT ) and besides research authorities policies that are relevant to the patient. As the patient weariness degrees lessening and independency increases the healer may be able to organize with a societal worker and purpose to acquire the patient back working for a set period every hebdomad, whilst still being able to avail of grants from the authorities. In the ‘Long Term Conditions Action Plan ‘ 2009, the authorities â€Å" sets out their vision for bettering the wellness and well-being of those in Scotland populating with any sort of long term status † ( Woods and Burns 2009 ) . The Department of Health is besides taking a cross-government long term conditions scheme which they aim to print by the term inal of 2012. The MDT may besides be able to acquire the patient involved in the independent national charity LTCAS ( Long Term Conditions Alliance Scotland ) . LTCAS â€Å" brings together 100s of voluntary and community administrations across Scotland to give a national voice to guarantee the involvements and demands of people populating with long term conditions are addressed † ( Woods and Burns 2009 ) . Administrations like this may be able to help in our patient ‘s recovery by supplying a forum for her to show her feelings and acquire advice from people in the same state of affairss as herself.DecisionCIDP has a complex pathophysiology taking to important impairment of nervus cell unity which manifests in altered motor operation. Research shows that physical therapy intercession, in combination with other members of the MDT, can assist to reconstruct CIDP patients to a high a degree of working by authorising them with instruction and information and back uping them emotionally as they come to footings and go on to populate with this status.

The near-perfect Progressive Era essays

The near-perfect Progressive Era essays From the rise of the twentieth century until 1920, the Progressive Era took shape. The economy became dominated by corporate giants just as workers began to unionize. This reform movement known as progressivism arose in response to problems caused by industrialization. The Progressive Era shone at a time when America was battling social upheavals caused by industrialization, while having only a few coercive dimensions. Most of the progressives accepted the capital system, but only wanted to modify it. There was no unified movement, though, as everyone wanted to reform different things. Jane Addams was a pioneer of social work. She founded the settlement of Hull House in Chicago, Illinois. Margaret Sanger wanted to educate the urban poor about the benefits of family planning through birth control. She founded an organization that came to be known as Planned Parenthood. Booker T. Washington, a former slave, focused on teaching African-Americans trade skills to earn a living. He founded the Tuskegee Institute. Finally, W.E.B. Dubois founded NAACP. Dubois was a Harvard-educated professor who focused on a liberal arts education for African-Americans. Social reformers were widespread in their different reformation goals. Another major force in the Reformation was the muckrakers. Muckrakers was a term coined by Theodore Roosevelt to describe individuals who investigated corruption and other problems concerning the American people. Many of their novels were so moving that they brought about results. Jacob Riis was the author of How the Other Half Lives(1890). This novel described the living conditions of urban poor, and resulted in new building codes in NYC to promote health and safety. Frank Norriss The Octopus (1901) exposed monop olistic railroad practices in California. It led to the breakup of the holding company controlling the railroad in Northern Securities V. U.S. (1904). Finally, Upton Si...