Resonance :: essays research papers fc

Resonance RESONANCE: " The property whereby any vibratory system responds with maximum amplitude to an applied force having the a frequency equal to its own." In english, this means that any solid object that is struck with a sound wave of equal sound wave vibrations will amplitude the given tone. This would explain the reason why some singers are able to break wine glasses with their voice. The vibrations build up enough to shatter the glass. This is called RESONANCE. Resonance can be observed on a tube with one end open. Musical tones can be produces by vibrating columns of air. When air is blown across the top of the open end of a tube, a wave compression passes along the tube. When it reaches the closed end, it is reflected. The molecules of reflected air meet the molecules of oncoming air forming a node at the closed end. When the air reaches the open end, the reflected compression wave becomes a rarefaction. It bounces back through the tube to the closed end, where it is reflected. the wave has now completed a single cycle. It has passed through the tube four times making the closed tube, one fourth the length of a sound wave. By a continuous sound frequency, standing waves are produced in the tube. This creates a pure tone. We can use this knowledge of one fourth wavelength to create our own demonstration. It does not only have to be done using wind, but can also be demonstrated using tuning forks. If the frequency of the tuning forks is known, then v=f(wavelength) can find you the length of your air column. Using a tuning fork of frequency 512 c/s, and the speed of sound is 332+0.6T m/s, temperature being, 22 degrees, substitute into the formula. Calculate 1/4 wavelength V=f(wavelength) wavelength=V/f =345.2 (m/s) / 512 (c/s) =0.674 m/c 1/4 wave. =0.674 (m/c) / 4 = 0.168 m/c Therefore the pure tone of a tuning fork with frequency 512 c/s in a temperature of 22 degrees would be 16.8 cm. The pure tone is C. If this was done with other tuning forks with frequencies of 480, 426.7, 384, 341.3, 320, 288, and 256 c/s then a scale in the key of C would be produced. There are many applications of this in nature. One example of this would be the human voice. Our vocal chords create sound waves with a given frequency, just like the tuning fork. One of the first applications of the wind instrument was done in ancient Greece where the pipes of pan were created.

Sanitation Facilities

Sanitation generally refers to the provision of facilities and services for the safe disposal of human urine and faeces. An improved sanitation facility is one that hygienically separates human excreta from human contact. Improved sanitation generally involves physically closer facilities, less waiting time, and safer disposal of excreta. Poor sanitation is responsible for one of the heaviest existing disease burdens worldwide. The diseases associated with poor sanitation and unsafe water account for about 10% of the global burden of disease.The most common disease of poor health associated with poor sanitation is a diarrhoeal disease. Globally, about 1. 7 million people die every year from diarrhoeal diseases, and 90% are children under 5 years of age, mostly in developing countries. 88% percent of cases of diarrhoeal diseases worldwide are attributable to unsafe water, inadequate sanitation, and poor hygiene. In this essay I will analyse the economic benefits of sanitation, the eco nomic disadvantages, the link between a rise in GDP and the access to sanitation in regions all over the world including Asia, Africa, Europe and North America.I will do this by analysing data set curves which I have obtained from a various amount of sources such as national journals, reports and articles relating to this subject. I will be using data sets from the UNEP and carrying out multiple regressions. Finally I will be looking at the Environmental Kuznets model to see whether it applies to this relationship between economic growth and the access to sanitation.According to 2010 figures, approximately 2 billion people do not use improved sanitation facilities, two-thirds of which live in Asia and sub-Saharan Africa. By looking at Figure 1 we can see that it is in the developed regions such as North America and parts of Europe where people have a good access to sanitation, while on the other hand it is the mostly the developing regions such as Asia and sub-Saharan Africa with th e poor access to sanitation. This figure already makes the relationship between economic development and access to sanitation vaguely clear.The Asian and African regions would be a good place to have a look at this relationship even more closely; this is because over the past few decades, countries in the Asian regions such as China have undergone a huge advance in economic growth while on the other hand there has been little or non-existent economic growth in the African regions. Asia is the world's fastest growing economic region. China is the largest economy in Asia and the second largest economy in the world.Moreover, Asia is the site of some of the world's longest economic booms and by looking at Figure 2 it is evident to see that over the past few decades there has been a dramatic rise in the GDP of Asia but very little in the GDP of Africa. Now by looking at Figure 3 which is a graph showing the level of improved drinking/safe water coverage, improved as in drinking-water sou rces such as piped water to the house or yard, public taps and rainwater collection. Improved sanitation facilities including flush or pour-flush toilets connected to a piped sewer system.By looking at this we can see that in Asia there has also been a dramatic rise in the access to unpolluted water which is a positive relation to the GDP. I gathered the data which is on Figures 2 and 3 onto excel and carried out a regression analysis for the Asian region to help understand to what extent the strength in the relationship between the dependent variable (GDP) and the independent variable (Sanitation) which is shown on Figure 4. By looking at the R squared we can see that this model has a strong explanatory power as it is very close to 1.According to the coefficient we can also see that every time the GDP increases by $50billion, there is an increase of almost 3. 4 million people with improved access to sanitation. Poor sanitation results in an economic loss as it is linked with the co sts of treatment to sanitation related diseases and income which is lost through productivity. Furthermore poor sanitation can also lead to a loss of time and effort as a result of poor facilities, lower quality of products due to poor quality of water and of course a dramatically reduced income coming from tourism as there is a great risk of disease.According to various studies from the WHO (World Health Organisation), there has been evidence that there are huge economic costs which arise from the poor sanitation. At a global level there is a loss of around $40billion per year due to poor sanitation; looking at South Asia alone we can see that in places such as Indonesia, Vietnam and Cambodia there is a loss of around $10billion a year, the key impacts of this came about from poor health and tourism, poor sanitation can affect everyone but especially effects those who are poor(Hutton, 2007). Several studies have also been conducted to estimate the economic costs associated with poo r sanitation. In Ghana and Pakistan, for example, the indirect effect on child mortality of environmental risk has added more than 40% to the cost of directly caused child mortality. If one took into account the effect of such malnutrition, they will be able to see the huge impact on impairing school performance and delayed entry into the labour market, the cost would double to around 10% of the GDP.Improvement to sanitation can bring various types of benefits to an economy, one of which are the direct benefits of preventing or avoiding illnesses as there would be no money spent on healthcare treating patients with diseases due to sanitation. There will also be indirect benefits such as a decrease in the amount of work days absent being sick and longer life, and finally and very importantly there will be a lot of time saved. As we have seen already, sanitation is also important when it comes to economic development.In Africa many young women are dying every year as they are the ones which carry the polluted water, they are also then forced to drop out of education during puberty years in order to look after their sick children as a result of the polluted water, this means that women are not able to be educated and they can even find it difficult to join the labour supply. Every 10% raise in female literacy (due to increased attendance at school) a nation’s economy can grow by around 0.3% (Dollar et al, 1999). According to Hutton (2008) there could be an estimated that annual investments of around $27million in Tanzania and Vietnam would result in benefits of around $70million for the health sector alone. Hutton also estimated that there is a potential to save around $6billion in many parts of Asia if improved sanitation can be introduced. Overall Hutton stated that there are many costs and benefits available however the benefits still do overpower the costs.Moreover, the Disease Control Priorities Project recently found that hygiene promotion to prevent diarrhoea was the most cost-effective health intervention in the world at only $3. 35 per DALY loss averted, with sanitation promotion following closely behind at just $11. 15 per DALY loss averted. This is to say that economic growth and sanitation for sure have a strong relationship within one another; this can be shown on the environmental Kuznets curve.The Environmental Kuznets Curve (EKC) is a relationship between income and pollution which is hypothesized to have an inverted U-shape. The idea of an inverted U-shaped Kuznets curve stems from the Kuznets' work in income equality (Kuznets, 1955). The EKC hypothesis states that as income increases pollution goes up initially but after certain time pollution eventually declines. The point at which pollution level is the highest is called a turning point. This then evidently applies to developing countries as they are the ones which have the higher levels of income.Looking at Figure 5 we can see that in Europe up to the year 2000 w ater pollution was on a rise, however sometime in the year 2000 there was a turning point where the pollution of water started to decline. According to the Kuznets curve, in the year 2000 the economies within Europe produced a certain GDP and a certain GDP per capita which led to the decline of the water pollution. According to Figure 6 in the year 2000 the turning point on the Kuznets curve was at $18000 per capita, this is the level of GDP per capita needed in the European region in order to reverse the trend of water pollution.Looking back at Figure 5 we can also see that in the North American region up till 1998 there was an increase of water pollution however sometime in 1998, just like in Europe, people’s incomes were growing and GDP per capita was on a rise. Looking at Figure 6, according to the EKC, GDP per capita in North America will be at $36000 which is where there will be a turning point. Both the EKC’s for Europe and for North America are shown on Figure 7. This analysis clearly tells us that the relationship between the two is dependable on the economic stages of development.In the other regions around the world there will not be a turning point on the EKC as people do not earn enough to have this effect, good sanitation facilities are the main way in which water pollution can decrease, more developed economies around the world have the funds to invest in good sanitation, however as we have discussed, the less developed countries do not have access to these sanitation facilities therefore their economies are heavily impacted and the funds for the technology needed to provide improved sanitation are hard to come by, therefore these countries are on the upwards slope of the EKCmeaning they have not yet achieved the GDP per capita in order to have a turning point. I have aimed to show the various ways in which sanitation is fundamental to good health and also economic development. Given the data I have analysed, I can surely state tha t the investment in improved sanitation would be beneficial to an economy. Ultimately, I can say that there is a strong relationship in economic growth and access to sanitation and I can also say that the EKC does apply to the water pollution we have in the real world. Finally I can also say that the level of the turning point also depends on the stages of economic development.

Free Will in Experimental Philosophy Essay

Although the â€Å"free will† problem envelops a spectrum of ideas, I agree with the following belief: â€Å"The folk are compatibilists about free will. † While there are, of course, incompatibilists and indeterminists, for the most part, the general population consists of compatibilists. Now, I know experimental philosophy has a problem with the use of generalizations without actual statistics, but throughout this paper, I will explain exactly why the world revolves in a generally compatibilist manner. Firstly, to speak of compatibilism, you’d have to assume that the world is deterministic, meaning that everything that happens from here on out, including human action, is caused by the facts of everything that has happened before it. With that assumption in mind, compatibilist believe that we still have free will as long as we aren’t operating under external limitations. The problem with that is that although compatibilists believe we are free, there is still disagreement on just exactly how free we may be, which is the weak spot indeterminists and incompatibilists use to try to break the argument. One nature of compatibilism is referred to as classic compatibilism. This means that we’d be acting freely as long as we, without being impeded by any outside force, take a course of action that we personally choose for ourselves. These compatibilists believe that it is the presence of impediments such as â€Å"physical restraints, lack of opportunity, duress or coercion, physical or mental impairment, and the like† that would cause us to not act freely (Caruso, 2012). However, this line of reasoning is not accepted by those who support the Consequence Argument. In the simplest terms, this argument states that no one has power over the facts of the past and the laws of nature. Also, no one has power over the fact that the facts of the past and the laws of nature entail every fact of the future (i. e. , determinism is true). Because of that, no one has power over the facts of the future (McKenna, 2004). Compatibilists respond to this by saying that the focal point should be the differentiation between free and un-free, and not by the absence of causes. Other philosophers argue that we act freely when our first order and second order desires become aligned. Because our mental processes are more developed than those of younger children and simpler animals, we have the rationale to decide whether our instincts or raw desires should be acted upon. That rationale is referred to as the second order desires (Frankfurt, 1971). For example, Chris is at the bar with his girlfriend Ana. While Chris has stepped away to the restroom, Jose approaches Ana and flirts with her in a manner that she does not feel comfortable with. Once out of the bathroom, Chris sees this. Enraged, he initially wants to go and physically put Jose in his place. In spite of this, he remembers that he is up for a promotion at work, and getting into a bar fight probably won’t help his chances of receiving it. He tells Ana to collect her things. They leave. What we see here is the protagonist, Chris, experiencing first order desires that make him want to hurt Jose. His second order desires are what tell him that although he is feeling those first order desires, his second order desires are not in agreement and therefore, he shouldn’t act on them. Although some compatibilists seem to be satisfied with this reasoning because it justifies the causation of our actions, it doesn’t explain whether our thoughts and desires are consequences of the past as well. An example would be that Kate feels the desire to take a run in the park and does so. Yet, if determinism is true, which compatibilists believe it is, she is already determined to feel that way, and although she may want to feel that way, without any outside force acting on her she is not free (McKenna, 2004). Her first order and second order desires may even align, but without the ability to do otherwise, due to determinism, she would not be free. Even so, compatibilist Michael Levin says â€Å"minding or accepting one’s desires is as much an effect of past causes as the desires themselves,† but if our internal desires are causally determined, they cannot also be free. All it would be is a different form of causality (Caruso, 2012). Nevertheless, compatibilists argue that it isn’t necessary for an individual to have been able to do otherwise (Nahmias, Stephen, Nadelhoffer, & Turner, 2005). If there were the choices of A through Z and someone that could manipulate me into doing A that would do so if I didn’t do it on my own, I would still have free will if I picked A without the manipulation. In this case, compatibilist see me as having had free will because I chose A on my own. My 1st order desires were aligned with my 2nd and that is why A happened. If I had been manipulated to do so, then the problem of free will would once again come into question, but being that the manipulator is fairly irrelevant to the story since I acted on my own accord, and would have done the same thing without the potential manipulative factor. Also, there a couple of studies done to determine what relationship non-philosophers believed existed between free will, determinism, and moral responsibility. In Study 1, there were three scenarios. Scenario 1 was negative. Scenario 2 was positive, and Scenario 3 was neutral. In all three cases, between 68 – 79% of folk said there was free will. While there were some fluctuations in percentages when it came to the association between free will and the ability to choose otherwise, the amount of participants making judgments that disagreed with incompatibilism was two to three times greater than those that followed along with incompatibilist intuitions. This study was supported by their second study. In this study, they tell the subjects that everything in the universe is caused completely by their genes and environment. The scenario takes twins, Fred and Barney, and places Fred with the Jerksons and Barney with the Kindersons. One day they both find a wallet with $1000. Fred keeps it, while Barney returns it to its rightful owner. When polling the participants, 76% said they both acted on their own free will and could have done otherwise. This shows that the majority of folk believe that compatibilism is true, and while external factors and facts of the past might influence the choice making process, it does not define it; therefore we are free within the confines of a determined universe (Nahmias, Stephen, Nadelhoffer, & Turner, 2005). Now, why do I personally find â€Å"the folk are compatibilist about free will† to be true? Aside from the aforementioned statistics, the reason is that if we did not find a middle ground between free will and determinism, we wouldn’t do any of the things we do. Everything from the grading systems used in schools to receiving a promotion at work all the way to fighting wars is done in a compatibilist manner. The premise of all these concepts is the idea that if you choose do X, having the option of Y, Z will happen. If you work hard enough in school (X), you will receive good grades (Z), even though you can just be lazy (Y). If you are the most productive and pleasant at your job (X), you will receive a promotion (Z). If we go into a war (X), we have the chance of winning (Z). While all the factors in each of those scenarios might have also been determined, there is no reason for us to feel disappointment when we really studied but still managed to only get a B on a test or when we lose troops across seas. Though the previous paragraph does explain that folk believe in free will, it doesn’t explain why folk have the compatibilist view of free will. The reasoning for that is because while compatibilists believe that you can control some aspects of your life, you can’t control all of them. As Michael Levin said, â€Å"Compatibilist usually agree that free will does require behavior at least to be determined, since you cannot freely do what is beyond your control. † For example, we are born and we die. The sun rises. The sun sets. We inhale oxygen and exhale carbon dioxide. There are certain laws of physics that we must adhere to. Some will argue that we believe those to be stable laws of how the universe will operate, but only because that’s what it’s done until now. Tomorrow we might not have the sun rise, and tomorrow we might inhale carbon monoxide and exhale nitrogen. However, since certain things have been fixed for a trustworthy amount of time, we, the folk, have accepted it as determined facts of the universe. The determined factors of the universe are the skeleton upon which we place the flesh that is our free will. ? References Caruso, G. D. (2012). The Folk Psychology of Free Will: Arguement Against Compatibilism. Kriterion – Journal of Philosophy, 26, 56-89. Frankfurt, H. G. (1971, January 14). Freedom of the Will and the Concept of a Person. The Journal of Philosophy, 5-20. McKenna, M. (2004, April 26). Compatibilism. Retrieved from Stanford Encyclopedia of Philosophy: http://plato. stanford. edu/entries/compatibilism/ Nahmias, E. , Stephen, M. , Nadelhoffer, T. , & Turner, J. (2005, October). Surverying Freedom: Folk Intuitions about Free Will and Moral Responsibility. Philosophical Psychology, 18(5), 561 – 584.

Counseling essays

Counseling essays Jane appears to suffer from a number of personality disorders due to her family situation. Her parents and her siblings all appear, both to her and to the world in general, to find success without effort. Their physical attributes furthermore contribute, or seem to contribute, and to work in concomitant with their drive towards success. In other words; they are driven because they are beautiful and therefore attain success; and their beauty gives them drive. When any of Janes four family members therefore attempt something new, success is almost inevitable. Not being endowed with the same physical beauty of her parents or siblings, it is to be expected that Jane would feel somewhat left behind by the success that her family achieved. Expecting the same level of success from Jane as from their other children, Janes parents achieve the opposite by giving her negative feedback. Rather than being supportive, they are abrasive even when Jane tries her best to reach their seemingly i mpossible demands for success. As her therapist, I have therefore chosen the person-centered paradigm of therapy. I believe that this type of therapy will help Jane not only to begin taking responsibility for her own life, but also to feel less powerless and guilty in doing so. This therapy is best for Jane particularly, as I do believe that she has a vast well of untapped potential, which her parents are unable to unlock. Janes parents are used to success coming easily, and they may therefore be expected to regard Jane in the same light as the other siblings. Jane is however not the same type of person with the same talents as they are. She needs encouragement in order to pursue her own passions and talents, and to become a person in her own right. This is what I will attempt to help her with by using person-centered therapy. In terms of background, person-centered therapy was developed by Carl Rogers during the 1930s. The mo...

Balance

Balance Balance BalanceHow do we look at space?Objects- Have a certain size. Brightness value, location.Seeing involves all the above.We do not we see a total, visual field. Objects are alive, want to move and return to certain places or remain static. Objects in a space have different forces acting abound them, attraction or repulsion.This means that a visual experience is dynamic.The eye tends to complete objects and perceive them as it wants. Ex: an incomplete circle is seen as a whole circle with a missing part.We as humans are constantly seeking to find the proper distance between objects, a distance which to us feels beautiful and balanced.Forces in an area are not only affected by the boundaries but also by the diagonals.Perpetual forces:Are they real?They are assumed to be real both psychologically and physically.Psychologically- the pull on the disk is experienced by the person looking at it.These pulls have a point of attack, a direction and intensity.For this reason, psychologists speak o f psychological forces.Physically- molecular forces. Retina stimulationTwo disks in one squareForces are still acting from the disks and square.When the two disks lie close, they attract each other and look like an indivisible thing.At a certain distance, they repel each other.These distances change in relation to the square size and dot size.In physical, balance is achieved when the forces acting upon eachother are equal. Equal strength pulling in the opposite direction.When it comes to visiual balance, every object has a centre of gravity. The eye's intuition is the best way to determine balance.There is a difference between physical and visual balaqnce. Ex: a sculpture may be visiually balanced but not physically balanced and may...

Adolescent health screenGCU

Health History and Screening of an Adolescent or Young Adult Client Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include the relevant data for your client. Student Name: Date: January 28, 2014 Biographical Data Patient/Client Initials: Phone No: N/A Address: Birth Date: Age: 12Sex: f Birthplace: Upland, CA. Marital Status: Single Race/Ethnic Origin: Caucasian Occupation: StudentEmployer:N/A Financial Status: (Income adequate for lifestyle and/or health concerns. Is there a source of health insurance? Employment disability? ) Insurance provided by parent Source and Reliability of Informant: Informant: Client, Reliable Past Use of Health Care System and Health Seeking Behaviors: Routine exams and vaccinations Present Health or History of Present Illness: Present health is good Past Health History General Health: (Patient’s own words) â€Å"I only get sick when my little brother brings something home† Allergies: (include food and medication allergies) NKA Reaction: Current Medications: N/A Last Exam Date: 8/2013Immunizations: 8/2013 Childhood Illnesses: UTI Serious or Chronic Illnesses: N/A Past Health Screening (see â€Å"Well Young Adult Behavior Health Assessment History Screening† below) Past Accidents or Injuries: None Past Hospitalizations: none Past Operations: none Family History (Specify which family member is affected. ) Alcoholism (ETOH use/abuse): Maternal grandfather Allergies:Mother and brother-seasonal; maternal grandmother- penicillin Arthritis:N/A Asthma: Maternal Aunt Blood Disorders:N/A Breast Cancer:Maternal great grandmother Cancer (Other): Bladder- maternal grat uncle Cerebral Vascular Accident (Stroke):Paternal grandfather Diabetes:Maternal grandfather Heart Disease:N/A High Blood Pressure:Father Immunological Disorders:N/A Kidney Disease:N/A Mental Illness:N/A Neurological Disorder:N/A Obesity:N/A Seizure Disorder:N/A Tuberculosis:N/A Obstetric History (if applicable) Gravida:N/ATerm:Preterm:Ab/incomplete: Course of Pregnancy (length of pregnancy, delivery date, method of delivery, length of labor, complications, baby’s weight, baby’s condition): Well Young Adult Behavioral Health History Screening Socio-Demographic Content and Questions: What organizations or activities (community, school, church, lodge, social, professional, academic, sports) are you involved in? Softball, GATE, Science club, and Soccer How would you describe your community? â€Å"It’s nice. Sometimes it gets boring but I like it here. † Hobbies, skills, interests, recreational activities? â€Å"I like making crafts like bracelets and I also like to make things out of colorful duct tape. † Military service: Yes_______ No_x______ If yes, overseas assignment? Yes________ No_________ Close friends or family members who have died within past 2 years? N/A Number of relatives or close friends in this area? â€Å"Most of my family and all my friends live around me. I only have two uncle that live far away {San Diego}†. Marital status: Single_x_____ Married________Divorced_________Separated_________ In serious relationship________ Length of time_________ Environmental Content and Questions: Do you live alone? Yes________ No __x______ When did you last move? â€Å"My mom moved 3 years ago and my dad moved 2 years ago. † Describe your living situation? Number of years of education completed? 6 Occupation? Student If employed, how long? Are you satisfied with this work situation? Do you consider your work dangerous or risky? Is your work stressful? Over the past 2 years have you felt depressed or hopeless? No Biophysical Content and Questions Have you smoked cigarettes? Yes_______ No___x_____ How much? Less than ? pack per day_____ About 1 pack per day? ______ More than 1 and ? packs per day______ Are you smoking now? Yes_______ No________ Length of time smoking? ______________ Have you ever smoked illicit drugs? Yes__________ No___x______ If yes, for how long? ___________ Do you smoke these now? Yes__________ No __________ Do you ingest illicit drugs of any kind? Yes_________ No___x_______ If so, what drugs do you use and what is the route of ingestion? _________ How long have you used these drugs _________________ Review of Systems (Include both past and current health problems. Comment on all present issues. ) General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): Good Skin (history of skin disease, pigment or color change, change in mole, excessive dryness or moisture, pruritis, excessive bruising, rash or lesion): Seasonal dryness Health Promotion (Sun exposure? Skin care products? ): Does not wear sunscreen Hair (recent loss or change in texture): No change Health Promotion (method of self-care, products used for care): Washes hair 4 times a week but conditions daily Nails (change in color, shape, brittleness): No change Health Promotion (method of self-care, products used for care): Wears nail polish Head (unusual headaches, frequency of headaches, head injury, dizziness, syncope or vertigo): Dizziness when drinks coffee Eyes (difficulty or change in vision, decreased acuity, blurring, blind spots, eye pain, diplopia, redness or swelling, watering or discharge, glaucoma or cataracts): Recent change in glasses prescription Health Promotion (wears glasses or contacts and reason, last vision check, last glaucoma check, sun protection): Wears glasses at all times Ears (earaches, infections, discharge and its characteristics, tinnitus or vertigo): No history of aches or infections Health Promotion (hearing loss, hearing aid use, environmental noise exposure, methods for cleaning ears): Uses q-tips for daily cleaning Nose and Sinuses (discharge and its characteristics, frequent or severe colds, sinus pain, nasal obstruction, nosebleeds, seasonal allergies, change in sense of smell): Within normal limits Health Promotion (methods for cleaning nose): Blows nose when congested. Mouth and Throat (mouth pain, sore throat, bleeding gums, toothache, lesions in mouth, tongue, or throat, dysphagia, hoarseness, tonsillectomy, alteration in taste): Within normal limits Health Promotion (Daily dental care – brushing, flossing. Use of prosthetics – bridges, dentures. Last dental exam/check-up. ):Brushes once to twice a day, but does not floss. Sees dentist q 6mo. Neck (pain, limitation of motion, lumps or swelling, enlarged or tender lymph nodes, goiter): Within normal limits Neurologic System (history of seizure disorder, syncopal episodes, CVA, motor function or coordination disorders/abnormalities, paresthesia, mood change, depression, memory disorder, history of mental health disorders): Within normal limits Health Promotion (activities to stimulate thinking, exam related to mood changes/depression): In accelerated programs at school (GATE) Endocrine System (history of diabetes or insulin resistance, history of thyroid disease, intolerance to heat or cold): Within normal limits Health Promotion (last blood glucose test and result, diet): No history of glucose testing. Admits to eating candy 3-4 times a day. Breast and Axilla (pain, lump, tenderness, swelling, rash, nipple discharge, any breast surgery): Within normal limits Health Promotion (performs breast self-exam – both male and female, last mammogram and results, use of self-care products): Does not perform self breast exams Respiratory System (History of lung disease, smoking, chest pain with breathing, wheezing, shortness of breath, cough – productive or nonproductive. Sputum – color and amount. Hemoptysis, toxin or pollution exposure. ): Within normal limits Health Promotion (last chest x-ray, smoking cessation): No history of chest x-ray, has never smoked Cardiac System (history of cardiac disease, MI, atherosclerosis, arteriosclerosis, chest pain, angina): Within normal limits Health Promotion (last cardiac exam): No history of cardiac exam Peripheral Vascular System (coldness, numbness, tingling, swelling of legs/ankles, discoloration of hands/feet, varicose veins, intermittent claudication, thrombophlebitis or ulcers): Within normal limits Health Promotion (avoid crossing legs, avoid sitting/standing for long lengths of time, promote wearing of support hose):Stays physically active Hematologic System (bleeding tendency of skin or mucous membranes, excessive bruising, swelling of lymph nodes, blood transfusion and any reactions, exposure to toxic agents or radiation): Within normal limits Health Promotion (use of standard precautions when exposed to blood/body fluids): No exposure to blood/body fluids Gastrointestinal System (appetite, food intolerance, dysphagia, heartburn, indigestion, pain [with eating or other], pyrosis, nausea, vomiting, history of abdominal disease, gastric ulcers, flatulence, bowel movement frequency, change in stool [color, consistency], diarrhea, constipation, hemorrhoids, rectal bleeding): Occasional diarrhea. BM once to twice per day Health Promotion (nutrition – quality/quantity of diet; use of antacids/laxatives): Admits to poor diet consisting of processed and fast food. Home cooked meals consumed 3 times a week. Musculoskeletal System (history of arthritis, joint pain, stiffness, swelling, deformity, limitation of motion, pain, cramps or weakness): Within normal limits Health Promotion (mobility aids used, exercises, walking, effect of limited range of motion): Exercise achieved in PE at school and softball practice. Urinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence; history of urinary disease; pain in flank, groin, suprapubic region or low back): Within normal limits Health Promotion (methods used to prevent urinary tract infections, use of feminine hygiene products, Kegel exercises):Wipes front to back to prevent UTI Male Genital System (penis or testicular pain, sores or lesions, penile discharge, lumps, hernia): N/A Health Promotion (performs testicular self-exam): Female Genital System (menstrual history, age of first menses, last menstrual cycle, frequency of cycles, premenstrual pain, vaginal itching, discharge, premenopausal symptoms, age at menopause, postmenopausal bleeding): No menses. Within normal limits Health Promotion (last gynecological checkup, pap-smear and results, use of feminine hygiene products): No gynecologic check-up history or feminine products used. Sexual Health (presently involved in relationship involving intercourse or other sexual activity, aspects of sex satisfactory, use of contraceptive, is relationship monogamous, history of STD): Not sexually active Health Promotion (safe-sex practices): Will be starting sexual education course in school in two weeks. Nursing Diagnoses: Based on this health history and health screening, identify three nursing diagnoses that would be applicable for this client as well as your rationale for your selection of each nursing diagnosis. Include: One â€Å"actual† nursing diagnosis with rationale for choice of this diagnosis. Imbalanced nutrition; less than body requirements R/T consumption of fast/processed foods daily AEB adolescent’s statements. Consumption of fast food in adolescents has increased rapidly since the 1970’s and it is estimated that 75% of American adolescent eat fast food 1 or more times per week (Ebbeling, et. al, 2004). Fast food has been linked to childhood obesity and T2DM. These processed meals contain little nutritional value, are not balanced, and provide empty calories. As with this adolescent, fast food is a inexpensive option for a quick meal. As a child of divorced parents, her mother works and is often in need of a quick and low cost meal for her and her children. One wellness nursing diagnosis with rationale for choice of this diagnosis. Readiness for enhanced nutrition R/T improving food choices AEB adolescent’s desire to change diet and recent diagnosis of grandfather’s T2DM. Family history of T2DM is a major contributing risk factor in the development of the disease (Valdez, 2009). Adolescents are at an age where they can make their own food choices but lack the ability to acquire funds to purchase food. While discussing her diet, the adolescent stated that there are healthier food options she could make, even if they come from a fast food establishment. One â€Å"risk for† nursing diagnosis based on the health screening with rationale for choice of this diagnosis. Risk for impaired skin integrity R/T lack of sun screen use and UV exposure AEB frequent sun burns. â€Å"Extended sun exposure in childhood and adolescents increases the probability of skin cancer in adulthood† (Saridi, et. al, 2013). While discussing sun exposure and the dangers of skin cancer, she stated â€Å"That’s an older person’s problem. † A lack of education of the dangers and the â€Å"It won’t happen to me† attitude are contributing factors in her noncompliance with sun protection.

COMMUNICATION IN SOCIAL CARE Essay Example | Topics and Well Written Essays - 3000 words

COMMUNICATION IN SOCIAL CARE - Essay Example The hospitals that Dr. Steven visits get a large number of people from the mainstream population which is predominantly white. However, he occasionally gets to see people from diverse cultural backgrounds, especially immigrants from the Middle Eastern countries like Iraq, Iran and Saudi Arabia. Ahmed Babak is an Iranian man who migrated in the late 1990s with his wife, Alicia Baig who is from the same country. After living in the UK for the last decade, Alicia is having problems with her husband who wants her to continue to wear hijab and prevents her from working at office. She wanted to take help from extended family members, some of who live in the same city, but Ameer Baig was not interested. Ahmed has been suffering from depression and memory loss and had been referred to Dr. Steven through the NHS. Dr. Steven has not been able to make a rapport with Ahmed, who feels intimidated by the six feet two doctor. He is reluctant to share the private and intimate details of his married life with someone who is a foreigner. Dr. Steven feels that Ahmed is from a relatively inhibited culture and that he needs to have more confidence in himself and be open about the realities. Ahmed also is not very fluent with English and he finds it difficult to understand Dr. Steven’s words. ... Ahmed does not want to sit alone with Dr. Steven and feels physically intimidated and overwhelmed in most of the sessions, while the Doctor has to rake his brains to put anything across his patient. PART B: 1. Skills for Effective Communication The above case study shows that the there are basic communication issues related to the differences in the social and cultural differences between the practitioner and the service user. Some of the skills that could be useful for better communication under the conditions are elaborated upon in the paragraphs below. 1.1 Skills: Understanding the Cultural and Social Context in order to Create Empathy and Security for the service user As per the communication theory of social constructionist, any communication is assumed to be based on the sharing of ideas and thoughts, the interpretation of which is rooted in the social dynamics of the people involved (Ritzer, 2008). The interaction between Dr. Steven and his client is a true reflection of the t heory, as though the duo are engaged in communication, their very different socio-cultural contexts make them have preconceived notions about each other and also prevent them from understanding each other’s messages correctly. For example, Dr. Steven is from a UK background, being born and educated in the UK and having faith in the Western methods and approaches to psychological therapy. He relies on the patients to provide him with information and details directly and explicitly, so that he may formulate a plan of action and therapy for them. However, in the case of Ahmed, he is from a Muslim Arab culture where direct conversations of personal issues and that too with strangers are