Thursday, September 3, 2020

Pharmacology Acute Lymphoblastic Leukemia

Question: Talk about the Pharmacologyfor Acute Lymphoblastic Leukemia. Answer: Presentation The intense lymphoblastic leukemia alludes to a harmful infection which for the most part influences the bone marrow, an area where the early lymphoid forerunners develop (Inaba et al., 2013). This sickness prompts the substitution of the typical hematopoietic cells in the bone marrow. The intense lymphoblastic leukemia is so far the most widely recognized type of leukemia malignant growth in the kids. All the more explicitly, intense lymphoblastic leukemia alludes to a condition where the tissues which make the white platelets produce such a large number of the white platelets which are immature in the lymphocytes (Harrison and Johansson, 2015). The juvenile white platelets at that point collect in the lymph tissues making these tissues to grow and make it hard for the bone marrow to deliver other platelets. For example, if the bone marrow can't make the red platelets, the patient creates weakness, which by and large causes one to seem pale, as introduced for Jenny's situation on he r skin (Ribera, 2016). The bone marrow likewise gets incapable to make enough platelets that are significant in the arrangement of clumps, which implies that on account of wounds or wounds, the body drains harshly. It is likewise a typical event in intense lymphoblastic leukemia, for the lymphocytes to attack other neighboring tissues and debilitate their capacities also. The leukemic cells in intense lymphoblastic leukemia initiate in either the T or B cell lymphocytes (McNeer et al., 2017). The intense lymphoblastic leukemia is related with the disease cases which are regular in elderly people men, showing that their treatment in youngsters requires high dosages of chemotherapy. There are various sorts of leukemia which are influencing the kids in the advanced world (Brentjens et al., 2013). Regarding Jenny's case, the intense lymphoblastic leukemia influences offspring of between three to seven years. This paper addresses the pathophysiology and pharmacology of intense lymphoblastic leukemia regarding Jennys case. Analysis Chromosomes have been connected with an early and exact finding of intense lymphoblastic leukemia. For example, TEL-AML 1 combined qualities are characteristic of the leukemia of B-cell cause and great sickness anticipation. In addition, in performing of the intense lymphoblastic leukemia determination, it is essential to take the patient history so as to comprehend the chance of the infection being innate or not. It is a typical practice, much the same as on account of Jenny for the blood test to be taken for blood tests, for example, platelets, hemoglobin, and white platelet checks. The lumbar cut should likewise be possible with the goal that cerebral spinal liquid is tried for the conceivable spread of the ailment to the spinal rope and the cerebrum. Different tests incorporate the fringe blood smear, total differential blood tally, chest x-beam, processed tomography, electrocardiography, liver capacity tests (uric corrosive), and immunohistochemistry and polymerase chain respons e among others. Signs and Symptoms Other normal signs incorporate weariness, fair skin, torment during the bones, shortcoming, cerebral pain because of cranial weight and whiteness. Some other basic signs and side effects remember torment for the bones, potential diseases like pneumonia, and rashes of the skin because of the penetration of the leukemia cells, low neutrophil checks, dying, fever and leukostasis. Pathophysiology In patients who have been determined to have intense lymphoblastic leukemia, the white platelets which are found in the lymphoid forerunner cells are those which that have been captured over the span of their development and advancement (Pui et al., 2014). This makes them incapable to battle any diseases in the body s a consequence of the viral, parasitic, contagious and bacterial pathogens which may enter the body by means of the circulatory system. It is accepted that the majority of these cases are brought about by hereditary components a circumstance where there is an unusual articulation of the hereditary structure of a physiological procedure which prompts the capturing of the development just as the advancement of the white platelets. During the time spent this capturing of the lymphoid antecedent cells, the components of the ordinary bone marrow are supplanted by juvenile forerunner cells (Papaemmanuil et al., 2014). The gathering of the juvenile forerunner cells causes the expanded productivity in the spread of the strange cells in the blood. These anomalous cells amass in the turn line and the mind of the patient and in other barely any cases, the spread to the conceptive organs (Inaba et al., 2013). The patients are additionally answered to have a low grouping of the platelets and red platelets, much the same as in individuals experiencing frailty. The low creation of red platelets is related with the seeping in these patients when contrasted with solid people (McNeer et al., 2017). In any case, if the intense lymphoblastic leukemia has spread to the spinal rope and the mind, it requires care and consideration by the specialists when offering treatment. It is suggested that when a patient is determined to have intense lymphoblastic leukemia, chemotherapy treatment should start right away. On the off chance that there are some irregular chromosomes noted during the analysis, the specialists need to settle on a cautious choice on when to start the treatment. In some different cases, the specialists may utilize the enlistment treatment, a circumstance where a patient gets more than one medication for each measurement. This assists with reinforcing the medications for a superior adequacy. For chemotherapy, it tends to be brought out either through the oral organization or by placing a catheter in the chest on the upper piece of the chest. During intense lymphoblastic leukemia diseases, a few patients may aggregate such an extensive amount the uric corrosive in the blood which prompts the advancement of excruciating kidney stones. Other conceivable reason for this illness condition could be presentation to radiations, synthetic compounds just as viral contaminations. The viral related instances of intense lymphoblastic leukemia are very normal in the Carribean area just as Japan. A model is the Epstein Barr infection which is related with mononucleosis and would possible be able to cause intense lymphoblastic leukemia. This sickness is regular in kids and a couple of cases in grown-ups and it is portrayed by a low fix rate. Examination of pre-birth cases demonstrates that this malady is acquired, whereby hereditary anomalies have been found in parental qualities. In certain occasions, there are hypotheses which contend that there may be a chance of grouping of instances of his contamination, a circumstance which is in some cases brought about by the expanded industrialization of the cutting edge society. Expanded instances of intense lymphoblastic leukemia can be because of introduction to pathogens because of stirring up of the populace. In different events, the late introduction to a pathogen may push a hematopoietic cell prenatally upon disease in this manner causing the inclining hereditary variables to frame changed leukemia cells. It has been seen that the lymphocytes which are expected for separation into either B or T cell lymphocyte in the beginning periods of life are changed because of c hromosome translocations and in the long run wind up causing intense lymphoblastic leukemia. It is additionally accepted that this condition is started by a solitary begetter cell which isolates at an extremely high rate and along these lines increases in the lymphoid tissues quickly. Most of these cells start in the B or T cells, despite the fact that they generally start in the B cells which have not yet gotten develop (Davila et al., 2014). Pharmacology Chemotherapy is one of the treatment choices for intense lymphoblastic leukemia disease. It includes the utilization of synthetics and medications either independently or in mix so as to decimate the harmful cells in the blood or tissues of the patients (Kantarjian et al., 2017). The medications for chemotherapy are managed either orally, through intravenous courses or infusion into the skin or muscles. Chemotherapy is typically controlled in cycles for a given timeframe, at that point followed by a recuperation period which is then trailed by another treatment period and advances in that design. The medications and synthetic substances utilized during chemotherapy enter the circulatory system where they execute the leukemia cells in the body (McNeer et al., 2017). A significant disadvantage with this type of treatment is that it can't venture into the spinal string and mind (Hunger and Mullighan, 2015). This is on the grounds that there is a presence of an enormous system of veins w hich keeps outside materials from going into the focal sensory system. For this situation, the parental figures infuse these medications legitimately into the cerebrospinal liquid which at that point circulates into the cerebrum. For the radiotherapy type of intense lymphoblastic leukemia treatment, ionizing radiations are utilized to slaughter threatening cells and the DNA containing the freak qualities answerable for the contamination. When the best portion for radiation is resolved, a particular point and bar are utilized so as to have the high vitality radiation pillar focusing on the specific area for quite a while (Vora et al., 2016). Notwithstanding the way that the uninfected pieces of the body are secured, here and there even the typical cells may get harmed prompting the advancement of the burns from the sun on the skin and opposite reactions like sickness and loose bowels. The utilization of bone marrow transplantation is additionally a typical technique for treatment which is utilized in intense lymphoblastic leukemia cases. For this situation, since the bone marrow is not, at this point utilitarian, it is totally wrecked by the utilization of chemotherapy and ionizing radiation (Topp et al., 2015 ). The patient is then given new sound bone marrow from a giver so it is entirely good with their own bone marrow. End When the intense lymphoblastic leukemia shows up, these are the regular signs and manifestations, analysis strategies and treatment choices that are accessible for use. Be that as it may, the truth of the matter is tha

Saturday, August 22, 2020

College Essay on Diversity - How to Write One

College Essay on Diversity - How to Write OneYour college essay on diversity must be a good 'fit' with the types of programs you will be taking. For example, you may not need to write about how you hope to reach your dream career, because it's already been decided. There are some online undergraduate programs that help students learn these skills before they apply to college. Some of the online programs include many diverse areas of interest and coursework.Your college essay on diversity should incorporate diversity to a level that is exciting and unusual. Your school should have an accredited college program that incorporates diversity into their program. This can provide extra credit when you apply to grad schools for degree programs such as Master's or Doctorate degrees. The concentration of your education should fit the requirement.Writing a college essay on diversity is not easy. If you struggle with writing or thought you didn't have to write, this will show. You are showing la ck of commitment and won't accomplish much. The goal is to achieve excellence with minimal effort, and complete the assignment in an even pace so that your peers can see your effort.Your essay on diversity should not just be about you. It should be about you and others. Do your research, and find out the expectations of the program. Avoid using first-person pronouns in the essay.Rather, incorporate each essayist's perspective and uniqueness into the piece by naming or using terms that you identify with the essay. Don't use personal pronouns such as 'I'mine.' In fact, do not use personal pronouns at all.The rest of the essay must be done with courage. Try not to deviate from your topic, but let your writing flow. Remember that your audience is yourself and your peers. Don't try to be anything other than you.Use multiple perspectives to inform your opinions. Combine your ideas and write them down, leaving a little time to brainstorm. Stay focused and be sure to include feedback in you r paper.Write about how you incorporate diversity into your writing, and other potential choices you could make. Find out what it takes to succeed at writing in a different perspective. You'll be glad you did!

Friday, August 21, 2020

Two Personalities in My Last Duchess :: My Last Duchess Essays

Two Personalities in My Last Duchess The sonnet My Last Duchess is about an incredible Duke, and his excellent, coquettish spouse who has two unique characters, one such was life and the other was the woman in the canvas. The sonnet starts what's more, closes with him grieving the loss of his expired Duchess, yet from the way that the powerful Duke talks, he find out about her demise than he leads us to accept. The Duke picks his statement cautiously, when he converses with his companion about the artistic creation of his better half. He just drops little clues, to his companion about the passing of his Duchess. Which persuades that the Duke murdered his better half, or had somebody to put her to her demise. As the Duke talks about his Duchess, to start with, he sounds amazingly merciful and minding towards her. The Duke had a flat out affection for his Duchess as most married couples do.â He sounded so pleased with her and the magnificence that she presented: practically like she was a trophy. Regardless of the entirety of the pride and fervor that he appeared towards her, there was a component of doubt that waited within his brain. The Duchess made the component of doubt that was gave into the marriage. The Duke clarified that his significant other was amazingly coquettish and effectively dazzled. The Duke stated, Excessively effectively intrigued: she loved whate'er she looked on, and her looks went all over. This line is telling about the Duchess, as she was the point at which she was alive. The Duke accepts that his Duchess is a cheat, and that she doesn't attempt to conceal it either. A spouse can tell when his better half is keen on another man, cause she once looked upon him in that manner she is viewing her new male intrigue. The Duchess likely didn't have the foggiest idea about that her better half was watching her, while she was taking enthusiasm to her sweethearts. She may have felt that she and her male enthusiasm at the time were separated from everyone else, cause no lady, in that period would have been seen with another man other than their spouses. Given the way that this sonnet goes back to the Duke and Duchess time, so they lived in a good old world. The Duke accepts his significant other isn't being dedicated to him.

Monday, June 8, 2020

Describe Importance of Effective Sex Education in Schools - 275 Words

Describe Importance of Effective Sex Education in Schools (Essay Sample) Content: Should sex education be increased in schools in an attempt to curb problems such as teenage pregnancy?Authors NameInstitutional AffiliationImportance of Effective Sex Education in SchoolsSex is one topic considered to be a taboo across many cultures. Lack of sufficient information on the subject is attributed to be the primary cause of the widespread cases of teen pregnancies and sexually transmitted infections (STIs). In the United States, about 850 000 teen pregnancies and 9.1million STIs are reported yearly (Elders, 2008). Sex education should not be left for parents only, but it should be promoted and be firmly integrated into the school curriculum.Sex education serves to impart kids with accurate information that helps them to make informed choices about sex. They get to understand various matters about human sexuality, learn the reasons for abstaining from sex and the benefits abstinence offers and acquire a ton of information about sexual health. Without sex ed ucation, these kids are fed with myths on sex and the changes they experience, and at the end of the day, they make uninformed choices and wrong decisions leading to cases such as teen pregnancy and STIs.Another goal of sex education is to help and support teenagers as they go through emotional, physical and moral development. Learning and understanding the changes they experience will help them learn to respect and appreciate themselves and others. Furthermore, sex education can help pupils to deal with difficult social and moral questions that many people in the society shy from answering. Therefore, learning about sex will enable teenagers to develop the audacity and self-confidence to face their transition as they mature into adulthood.Also, sex education can enable pupils to be responsible adults and lead a successful marriages li...

Sunday, May 17, 2020

Childcare and child development - Free Essay Example

Sample details Pages: 28 Words: 8387 Downloads: 1 Date added: 2017/06/26 Category Statistics Essay Did you like this example? IDENTIFY ONE PIECE OF LEGISLATION, WHICH PROMOTES THE CHILDRENS RIGHTS IN YOUR SETTING One piece of legislation that promotes the childrens rights in my setting is the Data Protection Act 1998. This legislation gives everyone the right to know what information is held about them and it provides a framework to ensure that personal information is handled properly. One of its purposes is to safeguard the fundamental rights of individuals. The Act works in two ways, firstly it states that anyone who processes personal information must follow the eight principles below to make sure that the personal information is: Don’t waste time! Our writers will create an original "Childcare and child development" essay for you Create order Fairly and lawfully processed Processed for limited purposes Adequate, relevant and not excessive Accurate and up to date Not kept for longer than is necessary Processed in line with your rights Secure Not transferred to other countries without adequate protection Secondly, the Act provides everyone with important rights; these include the right to find out what personal information is held about them on computers and most paper records. It also gives the individual the right to complain if they are denied access to their personal information or feel that their information has not be handled according to the eight principles I have stated above. The Data Protection Act 1998 affects the way I run my setting. I have to ensure that: Any personal information I have is kept confidential and stored in a locked filing cabinet and I only can access it. I am careful when discussing with parents anything confidential that no-one is around to overhear our conversation, including in person or on the telephone All personal information I hold is relevant to my setting and is kept up to date I do not keep any information longer than necessary No data that I hold can be used or passed onto other parties without written consent from the parent Parents have the right to request access to my records at any time, but they can only see the information held about themselves and their children My confidentiality policy covers the above please see Appendix 1 Every organisation that processes personal information must notify the Information Commissioners Office (ICO) unless they are exempt; failure to notify is a criminal offence. I am exempt because no personal information I keep is stored on a computer. The only information I store on the computer is my accounts. If you had to notify they have now made changes to the notification fee structure that came into effect on 1st October 2009, it is now a tiered fee structure to reflect the costs of the ICO regulating data controllers of different sizes. DESCRIBE THE ROLE OF PRACTITIONER IN MEETING THE INDIVIDUAL NEEDS OF ALL CHILDREN It is important that the practitioner meets the individual needs of all the children. To do this the practitioner first needs to know what the childrens individual needs are and this can be found out by talking to the parents and getting them to fill in My Special Book, any observations that you carry out, any other professionals involved with the child and liaising with any other settings that the child attends. If the child is old enough they may also be able to tell you. It is important to speak to the parents regularly and keep updated in any changes to the childrens interests and needs or home life. The ways that I use are: Email an effective way to send a quick message, but some parents may not have access to a computer. Newsletters can be a great way to keep parents informed of some of the activities the children have been doing; events and festivals planned; holiday dates and any other information the practitioner wants to tell the parents. Letters to the Parents if there are things you need to inform them of privately a letter would be best. In addition, the parents may have a hearing impairment and may not be able to use another form of communication. Telephone conversation this is best done at the end of the day when the practitioner and the parents have uninterrupted time to discuss things. You will need to make sure who can overhear the conversation so that you can maintain confidentiality. Face-to-Face you can arrange a meeting on neutral territory to discuss any concerns but again you need to maintain confidentiality and make sure you are not overheard. Daily diary keeping the parents informed of the activities the child has done during the day, along with sleep times, healthy food, snacks and drinks, nappy changes and any other information the parents need to know. The parents can also add anything to the diary that has happened at home that you need to know e.g. any accidents, broken nights sleep, teething, whether they have had breakfast etc. Text the quickest way to communicate, it can also be invaluable to someone with a hearing impairment. Most people nowadays have a mobile phone. It is also important to find out and respect the views of all the children to make them feel valued and not ignored this in turn promotes their self-esteem. I talk to the children about what interests them and what they think of things. We often play games that allow the children to air their views and opinions and I use this knowledge to enhance their learning and development. To be able to meet all the childrens needs you first need to understand what their rights are. There is a lot of legislation that promotes children rights but quite simply every child has a right to have their basic needs met for food, warmth and hygiene, but you also need to provide a nurturing environment where the children can rest, play and develop to their full potential. Maslows Hierarchy of needs is one of the best-known descriptions of needs. It identifies five basic needs and shows how higher needs are not considered until the lower level needs have been met. Self-actualisation (Achieving individual potential) Esteem (Self-esteem and esteem from others) Belonging (Love, affection, being a part of groups) Safety (Shelter, removal from danger) Physiological (Health, food, sleep) Diagram copied from Maslows Hierarchy at Changingminds.org It is important to know the difference between a want and a need. A Need is something that we cannot do without, like sleep, food and love. A Want is something that is desired at the time but is not essential and we can in fact do without. To make sure I meet all the childrens individual needs I take into consideration the ages of the children, their stage of development and abilities and whether they need to sleep or have quiet time when planning my daily routine, I make sure that I incorporate all their needs into my daily routine. The children need a daily routine to help them feel secure and they get to know what is happening next and this promotes their development. I adapt my routines depending on which children I have in the setting at the time. It is important that all the children are given a choice as much as possible, because this will help them as they grow and they need to be independent and make decisions for themselves. I give children a choice of snacks, they can choose from milk or water to drink and they can also decide for themselves what they would like to play with and with whom. It is my professional responsibility to: Safeguard and promote the welfare of all the children Make sure that people they come into contact with are suitable Ensure I have safe and suitable premises, environment and equipment Organise my setting so that every child receives an enjoyable and challenging learning and development experience that is tailored to their individual needs Maintain records, policies and procedures to ensure safe and efficient management of my setting and to meet the needs of the children Practice Guidance for the Early Years Foundation Stage (2007, pg 6) states, Practitioners should deliver personalised learning, development and care to help children to get the best possible start in life. DISCUSS HOW YOUR DAILY ROUTINES SUPPORT CHILDRENS WELL BEING I have a basic daily routine that includes school runs, child-initiated play, adult-led activities, sleep/quiet time, snack and meal times and home time. The children begin to learn the structure of the day and what comes next. The times of the routine is never set in stone and it allows us to experience spontaneous events like playing in the snow, or taking your lunch to the park on a nice sunny day. For example for snack time the children know that after the mornings child-initiated play we have snacks and they help to clear the table and lay out the plates and cups, which are kept in a low cupboard which the children can easily access independently and this promotes their self-esteem and confidence to help and do things for themselves and others. They know that they are to wash their hands before eating and I have a stool so they can reach the sink which enables their independence and they all sit at the table waiting for the snacks. They have a choice of drink milk or water and they can choose what they want to eat from the choice of snacks on the table. There is always a selection of seasonal fruit, a carbohydrate toast, crumpet or muffin and dairy hard or soft cheese. Allowing the children choice enables them to start the process of thinking for themselves and this gives them a skill that they will need in life. I also need to consider individual children cultures and religions when providing food as some food is not allowed. We also try and incorporate food from around the world and learn about the food from different countries. Snack time is also a social time where we all sit together including myself. We talk about anything and everything, they tell me about things at home or school, where they are going on holiday, what there siblings have been doing, their favourite toys etc. It is a great time to learn more about them and I can use this information to inform my planning according to their current interests. Afterwards the children help to tidy up and clear the table. School drop off and collection times are also very social times. We talk as we walk to school; we often play games like eye spy, count how many red cars we see and look out for various different items along the way to use in our craft work. It is a time when the children learn about their environment and the world we live in. We also talk about stranger danger; how to cross the road safely and why we must all walk together and not run off. Because we carry out the same basic routine everyday the children feel safe and secure in my setting and know what happens next. A good routine develops their self-esteem and promotes independence, allows them to learn about their health by knowing when they have to wash their hands and allows the children to socialise and make healthy choices. The Importance of Routines Helping Children grow, feel secure and flourish states, Children need and crave routine. Routine helps establish security and peace in a childs life. DISCUSS HOW YOUR DAILY ROUTINES COULD MEET THE DEVELOPMENTAL NEEDS OF PRE-SCHOOL AND SCHOOL-AGED CHILDREN IN YOUR HOME BASED SETTING My daily routines meet the developmental needs of all the children in my care because I adapt depending on the age and stage of development of the children in attendance each day. The school-aged children are not here for morning snacks but we have snacks when we return from the afternoon school run. The older children know that when we get home to wash their hands and they help to set the table, the younger children see what the older children do and try to copy them. As I said before all the children plates, cups and cutlery are kept in a low cupboard which the children can easily access independently. The older children enjoy showing the younger ones what needs to be done to prepare for snacks and the older children gain self-esteem and self-confidence is being able to do things independtly for themselves and others. The younger children like to learn from the older children and this boots their self-confidence is learning to helkp others. Snack time is a time where we all talk about our day and share what we have been doing and what we enjoyed or disliked. School drop off and collection time can be a time of learning, as I said above we play different kinds of games. We also collect leaves and other items to use in our creative work later eg leaves, sticks, do some bark rubbings. We often include a trip to the playground on the way home from school, the younger children benefit from getting fresh air and observing from the comfort of the pushchair and watching the older children. The older children benefit from having the opportunity to run around in a great big space and practice their gross motor skills on the large play equipment. DISCUSS HOW YOU PROMOTE CHILDRENS SAFETY Promoting childrens safety is paramount. I ensure the childrens safety by providing a secure and welcoming environment and I take proper precautions to prevent accidents by carrying out daily risk assessments of my home and garden and any outings that we may go on. I also comply with my Local Safeguarding Children Boards procedures to ensure the safety and welfare of the children in my care. I have a thorough knowledge and understanding of the signs of possible abuse and neglect. Please see my Safeguarding Children Policy (Appendix ) and my Health and Safety Policy (Appendix ). I hold a current Early Years First Aid for Children and Adults certificate and Emergency Life Support for Adults certificate and have completed Safeguarding Children and Health, Hygiene and Safety Awareness training courses. I ensure that I am up to date with my knowledge by attending regular training throughout the year. I also have house rules, which the children know and follow these include taking off their shoes when indoors, sitting at the table or in a highchair to eat and drink, respecting the furniture, toys and each other. The rules are basic but are there to protect the children. The house rules are displayed at all times in pictures and words for the children to refer to. I make sure that all equipment and resources I provide are age and stage appropriate and that they are safe and clean. They are checked daily before and after use. Children are also taught how to safely use the equipment eg how to hold and use scissors. I use activities to help the children to learn about safety and we talk about how accidents can happen and how to prevent them. If an accident does happen I keep full records including details of the child/children involved, the treatment I provide and parents are given a carbon copy of this information, they also sign to confirm they have been told what happened. My premises are secure at all times: the front door is kept locked and the key is kept on a high shelf so only the adults can reach it. My back garden has a 6ft fence on three sides with no gate. The children are only collected by authorised adults or if it is necessary for someone else to collect them we use a password provided by the parents and they notify me in advance if this is going to happen. All the children are taught about road safety according to their age and developmental stage. With the older children, we talk about stranger danger and how they can keep themselves safe from people they do not know. The children know what to do if there is a fire by regularly practising fire drills and they know why it is important to follow what they have learnt. Please see my Emergency Evacuation Procedure (Appendix ) The children know to tidy up their toys to keep the playroom safe and free from hazards and we do this in a fun way so to maintain the childrens interest and their continued participation in learning to how to keep safe. I check the identify of visitors and keep accurate records of when and why visitors are here and I also record when my two assistants are on the premises. Myself and my assistants (Husband and Mother) have all had enhanced CRB checks, ensuring our suitability to look after the Children. The Children feel safe whilst they are in my care because they know that I will listen to any concerns they may have and respond to them appropriately. The parents know that I operate clear child safety procedures and they have copies of all my policies and permission forms. I make sure that I am a good role model for the Children at all times and I provide a good balance in promoting childrens freedom to explore and play whilst learning and developing and ensuring that they are safe. Children need to have the opportunity to take risks and to make mistakes but within safe limits, that way they learn to be alert to potential danger and how to keep themselves safe. Ofsted Early Years Safe and Sound (2006, pg 9) states, Children should have the freedom to make discoveries and enjoy experiences within safe limits, while learning how to protect themselves from harm. IDENTIFY STRATEGIES FOR COMMUNICATING WITH CHILDREN There are many ways that you can communicate with children but it is important to remember that children are still learning and developing so you need to communicate with them on their own level according to their age and interests. It is imperative to use vocabulary that the children understand eg they may not understand uncomfortable but may know what you mean when you say feeling funny. You also need to use a calm tone and body language that will not send mixed messages. You also need to be aware of children whose mother tongue is not English and that they will find it harder to communicate in English to begin with. Some children may have speech impairment or learning difficulties and this will make it harder for them to communicate effectively. It is also important to be patient and give the children time to respond to your questions. Communicating Effectively with Children states, By paying attention to and communicating regularly with children, you can help children create a vi ew of themselves and the world that is positive and healthy. Use the Childs name first this will get their attention and they are more likely to listen to you. Eye contact shows respect and allows you to gauge how much of the conservation is being understood. Calm tone children are sensitive to anger and do not like raised voices because they can focus solely on the fact that your voice is raised and they may be in trouble, rather than what you are saying. Thumbs up is a simple and easy way of showing approval. Body language avoid all confusion and communicate your message consistently through both words and actions, be aware that different cultures use and interpret body language in different ways. Listening and showing an interest a very important part of communication because if you do not listen and appear interested then it is just a one-way conversation and the child will not feel valued. Non-verbal communication Be aware that some children do not communicate verbally, and that it is important to adapt styles of communication to their needs and abilities eg sign language, lip reading etc. Questioning use open-ended questions to check understanding and acknowledge that they have heard what is being said. Speak slowly and clearly the child may have a hearing impairment and will need you to speak slowly and clearly, so they can understand you, also be aware of the level of background noise. Painting This may seem a strange way but children can communicate their feelings through creativity and may talk to you whilst they are painting without thinking about it. Picture books I am in the process of taking pictures of all my resources and making books that the children can look through and decide what activities they want to do. This is a great way to communicate their needs without being able to speak. Picture cards Can be used for asking children basic things like milk or water to drink. If you have children who use English as a second language then you can make/use picture cards to ask them things in their own language but also have the English word along with the picture and their mother language so they learn new words as they progress. DISCUSS ONE FACTOR THAT AFFECTS CHILDRENS BEHAVIOUR There are many factors that can affect childrens behaviour but I am going to focus on divorce. Any change in a Childs home life will have an effect on their behaviour but when one parent moves out it can be distressing for the child, as they may not know what has happened or when they will see that parent again. It is important for us as practitioners to listen to any concerns that the child has and respond to them according to their age and stage of development. You need to find a way to help them understand appropriate to their level of understanding. A pre-school child may show regressive behaviour. This means that the child may return to an earlier stage of development and, for example, start to wet themselves again. A pre-school child may become confused, irritable or worried. Children between six and nine are very vulnerable. At this age, a child is still not mature enough to understand what is going on, but is old enough to understand that something very unpleasant is taking place. They still depend very much on their parents and will have a hard time talking about their emotions. They may react with anger, or by not concentrating or making progress at school or by having learning difficulties. Children between 9 and 13 may have started having important relationships with other people besides their parents and family. When their parents divorce, it will often be good for a child to talk to someone outside the family about their problems and feelings. All Children can become very insecure. Insecurity can cause children to behave as if they are much younger and therefore bedwetting, clinginess, nightmares, worries or disobedience can all occur. This behaviour often happens before or after visits to the parent who is living apart from the family. Teenagers may show their distress by misbehaving or withdrawing into themselves. They may find it difficult to concentrate at school. It is normal for a child to feel lost, upset, angry and grieve for the family they once were. A child who does not show any feelings or reactions needs help to express what is going on inside. Otherwise, they are very likely to suffer depression and other problems later. Helping Children adjust to Divorce states, Children whose parents divorce are at greater risk for problems such as aggression, depression, lower self-esteem and poorer school performance. Children can express themselves in other ways than with words. Play is very important. You can play with the child and let them act out their feelings using role-play and puppets. Children may need to work off tension through energetic games; you can spend some time at the park or go to an indoor play centre. Drawing may help some children as they often draw things that are important to them. You can ask about the drawings and this can be a good way to start the child talking about what is going on inside, especially if they are not the type of child to talk openly. The child still needs to have established routines in their lives and whilst things are changing at home you can continue with your normal routine and this will give the child some stability and comfort during all the other changes, they feel more safe and secure when they know what to expect next. DESCRIBE STRATEGIES FOR CHALLENGING PREJUDICE AND DISCRIMINATION WHEN WORKING WITH CHILDREN AND FAMILIES I operate an inclusive Childminding setting, where all children are welcome regardless of their race, religion, culture, sex, ability or disability, social background etc. I encourage the children to value everyone as a unique individual, to respect each others differences, and to learn from each other. Centre for Studies on Inclusive Education states, inclusion is founded upon a moral position which values and respects every individual and which welcomes diversity as a rich learning resource. I always challenge any instances of prejudice, unfair discrimination and harassment whether it is a comment a child has made or a parent. I will explain to the child or parent why what they have said is wrong and how their words have hurt another person. I make sure that I am a good role model for the children. Please see my Equal Opportunities Policy (Appendix ). I have toys and resources that show different cultures from around the world and people with different types of disabilities/impairments. We also recognize different festivals and religious occasions from a variety of religions worldwide to give the children a greater understanding of the World around them. I invite the parents to come and take part in story/singing time to enable the children to hear different languages, and stories from around the World. For example, if a Child called another person four-eyes because they wear glasses, I would explain to the Child how they have hurt that persons feelings and that they have to wear glasses because they help then to see as their eyes dont work as well as their eyes. I would also ask the Child how they would feel if someone had called them names. I would encourage the Child to say sorry (depending on their age and level of understanding). Another example is a child is a wheelchair and another child telling them that they cant join in and play with them at the sand and water table because they are in a wheelchair. I would explain to the child that yes they can join in we just need to adapt the position of the tray so that the wheelchair can fit around it and everyone can enjoy the same activity. If I have any children with additional needs in my setting I always talk to all the children about their impairments or disabilities (using the correct medical name) as it provides me with an opportunity to teach basic information about our bodies, health and possible illnesses. It also helps to get rid of any fears about disabilities and helps to influence childrens attitudes in a positive way. I make sure that I am a positive role model for the children and I update my knowledge regularly. I have just completed deaf awareness training and I am booked on other awareness courses. EXPLAIN HOW TO IMPLEMENT CHILDRENS RIGHTS IN THE HOME BASED SETTING I have explained in E2 my role in meeting the individual needs of the children and now I will explain how I implement the childrens rights in my setting. I make sure that I keep my knowledge of childrens rights updated through regular training courses and research through the library or internet. Childrens rights are about the obligations of all adults to protect the best interests of children, and to create the conditions under which they can develop and thrive. Childrens rights are embedded in my policies and I offer resources and activities to ensure that the children can learn about their rights for example we have an activity on diversity where the children look at pictures of children from around the world and we discuss our similarities and our differences and what they would like. Please see my Diversity Activity Planning sheet (Appendix ) I have used some of the Articles of the United Nations Convention on Rights of the Child to show how I implement childrens rights into my setting: Article 1 Everyone under 18 has these rights I ensure that all children in my setting know what their rights are. I use age appropriate resources such as games that we play, books that we read and just talking to each other. Article 2 You have the right to protection against discrimination All children are treated with equal concern and learn to treat each other with respect through the activities I provide eg. Learning about each others differences in a positive way, respecting each others cultures. Article 3 Adults should do whats best for you Everything that I do in my setting is always in the best interests of the child. I always take into consideration their views, feelings and rights when carrying out day to day activities. Article 7 You have the right to have a name and a nationality On the wall in the playroom we have pictures of everyone that attends the setting with their name underneath, so that we can easily learn each others names. We learn about each others nationality through stories and visits to the library and in the food we eat. Article 11 You should not be kidnapped I make sure that all the children are safe and secure in my care whether we are at home or out and about. The children know to stay close to me and not run off or talk to strangers. I never release a child into the care of someone that I dont know unless a parent has authorized it in times of emergency and we always use a password system. Article 12 You have the right to an opinion and for it to be listened to and taken seriously The children know that I will always listen to their opionions and take them seriously. We always discuss as a group and listen to each other. Article 19 You have the right to be protected from being hurt or badly treated I know the signs and symptoms of abuse and what to do if I am concerened about one of the children. The children know that they can talk to me about anything at anytime. Article 23 If you are disabled, either mentally or physically, you have the right to special care and education I run an inclusive setting and the children in my care am treated with equal concern with individual needs regardless of any disablilites. It is important to treat each child as an individual and not label them by their impairment or condition. Article 24 You have the right to the best health possible and to medical care and information I provide home cooked healthy meals and snacks to all children, including healthy drinks (milk and water). If I feel a child needs medical care then I have their parents permission to take them to the doctors or hospital in an emergency or with their written permission I am able to take the children to routine appointments. Article 29 You have the right to education which develops your personality, respect for others rights and the environment All children in my setting are taught appropriate to their age and stage of development. I use all the information I have gathered to provide a challenging and enjoyable experience across all the areas of learning and development, which allows each individual child to develop to their full potential. Article 30 If you come from a minority group you have the right to enjoy your own culture, practice your own religion and use your own language We all learn about each others cultures, religion and languages by the games that we play, books that we read, resources that we play with. We find out about different festivals and celebrations during the year eg Halloween, Christmas, Easter, Hanukkah, World Religion Day, Chinese New Year and many others. By getting to know all the children and their families I can meet the cultural needs for everyone and make sure that all the children feel valued. Article 31 You have the right to play and relax by doings things like sport, music and drama The children are encouraged to choose their activities whether it is playing in the garden, reading a book, drawing, painting or building it is their choice. Article 34 You have the right to be protected from sexual abuse I am aware of protecting the children from sexual abuse by only allowing contact with suitable persons (enhanced crb checks). The children know that that they can talk to me about any concerns or problems they may have. Article 37 You have the right not to be punished in a cruel or hurtful way Capital punishment is not allowed in my home. I promote positive behavior and help the children to understand my house rules which are available in picture and words. I also promote the children rights by setting a good example in respecting children and talking to their parents about any problems they may have. Please see my Managing Behaviour Policy (Appendix ) Article 42 All Adults and Children should know about this convention I make sure that all Adults working within my setting are aware of the UN Convention on Rights of the Child and I talk about it with the parents and Children. The definitions of the Rights have been taken from SCCYP Children and Young Peoples Rights, UN Convention on Rights of the Child. The children are given lots of choices within my setting: What they want to play with? Who they want to play with? Whether they want to be inside or outside? Do they want to visit the playground on the way home from the school-run? What they would like for their snack (within reason)? What would they like for lunch or tea (within reason)? Would they like milk or water? What book would they like to read? Letting the children make everyday choices helps them to develop their independence and give them important life-skills. It also promotes their self-esteem and self-confidence to have the ability to do things for themselves and others. We have to be aware of our role in teaching children about their rights. We need to support childrens physical, intellectual, social and emotional development no matter what age they are. Children need to be equipped for coping in the rapidly changing world and being able to deal with the challenges life throws at them, whilst retaining their sense of values and cultural identity. We need to provide opportunities for learning, develop their compassion, give them a sense of self-worth and enhance their communication and problem-solving skills. Participation and learning in home-based settings: A process model of participation states, Articles 12 and 13 of the United Nations Convention on the Rights of the Child (1989) are related to childrens participation. Adults working with children play a key role in whether or not children are afforded these rights. As participation is a requisite to learning, it is crucial that educators firstly, understand what participation rights are; why it is important to afford these rights to children; and be aware of the role they play in affording these rights. EXPLAIN WHY IT IS IMPORTANT TO PROMOTE CHILDRENS RIGHTS IN THE HOME BASED SETTING It is important to promote children rights in the home-based setting because the children are not yet aware of their rights and need us as practitioners to teach them their rights and responsibilities. Firstly, you need to understand what is meant as rights. These are not the same as wants. Rights are the basic human needs and values that apply or should apply to everyone. With rights comes responsibilities eg to respect the rights of others. The aim of teaching children their rights and responsibilities will hopefully help them to achieve their full potential and become responsible citizens and teach them respect for themselves and others, critical thinking skills and help them make informed decisions. Children who know their rights have a more positive attitude and better relationships with others, they also have higher self-esteem. Practitioners have a professional responsibility to promote childrens rights. A child that knows its rights has a sense of control about their life and they know what they can do and what other people cannot do to them. For example, a child that knows it is wrong for someone to hit them knows that they can stop this happening and ask for help (depending on their age and stage of development). This promotes their self-esteem and self-confidence that they are able to help themselves and possibly others. Children learn through play and daily routines. It is the things that we do and take for granted on a daily basis that the children learn through the most. For example: Snack time offering healthy snacks and drinks show the children how to be healthy. Rest/sleep time show the children they have a right to sleep when they need to. Choices helps to teach the children to choice things for themselves and not to always rely on others. Toys they can choose which toys to play with and what activities they do. School-run children learn about the environment they live in In my setting we have the UNICEF little book of rights for children and the older children are able to look through it and ask any questions they may have. The younger children just like to look through the book, but it makes them familiar with it and in time with help, they will begin to understand what it contains and how it affects their lives. ANALYSE THE ROLE OF THE PRACTITIONER IN PROMOTING CHILDRENS RIGHTS The practitioners role in promoting childrens rights is very important, as we have to be seen as a good role model for the children, parents and carers. Many people will not know about childrens rights and it is our job to educate them as well as the children. All children have a right to be safe, healthy, warmth, fed, educated etc and the children do not know what their rights are, so it is our job to teach them about how to keep safe, how to be healthy, their right to warmth and shelter and that they all deserve a decent education. We also need to give children the chance to make choices, even if they make bad ones at the beginning. How will they ever learn which is good or bad if we dont allow them to find out? Through choice comes responsibility and this is something that the children need to learn if they are to survive in the big wide world. Some parents still smack their children and do not know any other way of dealing with their behaviour, it is important for us to be a good role model and discuss with the parents our methods of dealing with bad behaviour and that we need to respect the childrens right not to be punished in a cruel or hurtful way. We need to take into account the childrens age and stage of development as that will impact on how we teach them about their rights. The practitioner needs to be able to easily adapt any activities so that all children can take part and be anti-discriminatory at all times. All learning needs to be delivered in an easy to understand way, but also it needs to be fun and keep the children interested or they will get bored and not want to continue. It is important to respect the childrens and their family values and to be constantly aware of the children rights at all times as this can affect the way we plan and provide for the children. The practitioner also needs to keep their knowledge up-to-date and this can be done through continued professional development courses and online information from reliable sources. I have signed up to the Teacherzone e-newsletter from UNICEF that keeps me informed of any changes and new ideas. In conclusion, we have to be aware of the rights of the child at all times and in everything that we do and plan. The welfare of the child is paramount. We need to teach children about their rights to enable them to keep themselves safe and healthy etc. There is a responsibility for education about childrens rights to be implemented in countries that have ratified the United Nations Convention on the Rights of the Child. Article 42 obliges the state to make the principles and provisions of the Convention widely known, by appropriate and active means, to adults and children alike. Therefore, it is particularly important for early childhood teacher education and professional development programs to ensure that the principles of the Convention are understood and implemented in early childhood services. EVALUATE THE IMPACT OF RECENT AND RELEVANT RESEARCH ON CHILDRENS RIGHTS IN RELATION TO PRACTICE The Early Years Foundation Stage (EYFS) is about improving the life chances of all children, by giving them the opportunity to have the best possible start, regardless of their family circumstances or the setting they attend. The EYFS brought together three existing structures that affected early years providers who offered services to children from birth to five years old: Birth to Three Matters, a framework to support the learning and development of the youngest children. The Foundation Stage, which outlined the learning framework for three to five-year olds. The National Standards for Under-Eights Daycare and Childminding, which established 14 standards for care and learning for settings. The EYFS was launched on 13 March 2007 and came into effect September 2008, it has legal force through an Order and Regulations made under the Childcare Act 2006. The Welfare requirements apply to the whole of the UK, but the Learning and Development requirements apply only in England. The EYFS is a comprehensive statutory framework introduced by the Department for Children, Schools and Families (DCSF) for learning, development and care for children from birth until five. All practitioners are required by law to use the EYFS and to complete an EYFS profile for each child at the end of the academic year in which they are five. The primary purpose of the EYFS profile is to provide the practitioners and parents with reliable and accurate information about each childs level of development as they reach the end of the EYFS and start school, so that the teacher can plan an effective and appropriate curriculum that will meet all the childrens individual needs and further support their continued achievements. The EYFS has four themes and these are broken down into 16 commitments: A Unique Child Child Development Inclusive Practice Keeping Safe Health and Well-being Positive Relationships Respecting Each Other Parents as Partners Supporting Learning Key Person Enabling Environments Observation, Assessment and Planning Supporting Every Child The Learning Environment The Wider Context Learning and Development Play and Exploration Active Learning Creativity and Critical Thinking Areas of Learning and Development The EYFS also has six areas of learning and development: Personal, Social and Emotional Development (PSED) Communication, Language and Literacy (CLL) Problem Solving, Reasoning and Numeracy (PSRN) Knowledge and Understanding of the World (KUW) Physical Development (PD) Creative Development (CD) Assessment of the childrens stage of learning and development is based on observations on the six areas above; this enables practitioners to carryout effective planning for the childrens individual stages. The EYFS ensures that: Children learn through play It is important that the children learn through play as they learn quicker when they are enjoying the activity. However, there must be a balance between child-initiated and adult-led activities. Practitioners work closely with parents It is essential to have a good relationship with parents as they know their children the best and can inform us of their current stage of learning and development. The childrens learning at home is taken into account It is important that the children continue to learn at home and what they do can be communicated to the practitioner by the parent. Parents are kept up to date on their childs progress Parents need to know where their children are at with their learning and development and this can be done through daily diaries, talking to each other and regular meetings to discuss update of progress. The welfare, learning and development of children with different backgrounds and levels of ability, including those with additional educational needs and disabilities All children should be treated with equal concern and given the same opportunities to learn and develop regardless of their differences. Statutory Framework for the Early Years Foundation Stage (2007, p41) states, The EYFS framework is designed to be fully inclusive of all childrens needs, recognising the need to respond to differences of ethnicity, culture, religion or belief, home language, family background, SEN, disability, gender or ability. I feel that the EYFS is a positive framework because it sets out what I need to do in my setting including my legal obligations. The EYFS Practice Guidance helps me to meet the requirements of the EYFS through providing useful advice and detailed information on supporting childrens learning, development and welfare. It also helps me to know the normal stage of learning and development for their age, which are broken down into overlapping groups: Birth 11 months 8 20 months 16 26 months 22 36 months 30 50 months 40 60+ months This is a very positive aspect of the EYFS because every child develops at their own pace and this allows us to see where they should roughly be for their age and whether any additional help may be required. Another positive point is that regardless of what type of setting a parent decides to send their child they can be assured that essential standards of provisions are in place because the EYFS applies to everyone working with birth to five years old. For some people the EYFS can be negative because it goes against their philosophy. For example, the Steiner philosophy is concerned with the development of the whole child with an emphasis on creative, social and spiritual values. They believe that reading, writing and arithmetic should not be formally taught until children are between six and seven. They also discourage the use of electronic media such as computers and television for young children. The EYFS has proved problematic for Steiner schools and some have decided to apply for exemption from some of the EYFS early learning goals relating to reading and writing, eg write their own names, read a range of familiar words and use their phonic knowledge to write simple regular words. Some are also applying for exemptions on aspects that relate to writing numbers and using ICT and electronic toys to support learning. Children and Young People Now (27 August 2009) states, North London Rudolf Steiner School in Haringey received confirmation from the Department for Children, Schools and Families (DCSF) last week. The school has been granted exemptions from all communication, literacy and language targets, and any goals related to the use of ICT. Exemptions from goals relating to number recognition were rejected on the grounds that the EYFS, which has been in operation for a year, will be able to incorporate the Steiner approach. Overall, I feel that the EYFS can be positive if it does not conflict with existing philosophies but even if it does, you can opt-out of certain early learning goals, which shows just how flexible the EYFS can be. I feel that the EYFS places the child at the heart of education through the importance of child-initiated play and enables us to plan the curriculum to suit the child rather than trying to fit the child to the curriculum.

Wednesday, May 6, 2020

The United States Health Care System - 1190 Words

Health care in the United States has evolved throughout the years. This evolution has lead to groundbreaking findings and understand, benefiting to not only America, but other countries. However, along with all of the great achievements, there comes some consequences, social issues. The United States health care system comes with social issues that includes inequality, cost, and health insurance. Major social inequalities that have a major effect on how a person is treated are their social class, race and ethnicity, and gender. The upper class in society has the most access to maximizing their health and is typically dominated by the majority, white Americans. They have the knowledge and understanding of diseases and are able to receive top medical care. The upper class also typically work and live in a healthy environment and has the opportunity to exercise, eat healthy, and are in general able to take care of themselves to a better extent than the population that is less fortunate, the lower class. The lower class is generally made up of less prosperous people and do not have live and work in healthy environments and this includes the minority, African Americans, Hispanics, etc. They do not have the same opportunities that the upper class has when it comes to gyms, eating healthy, and the ability to get top medical care. The medical facilities offered to them are generally crowded and understaffed. County hospitals usually are the ones that provide healthcare to the lessShow MoreRelatedThe United States Health Care System1369 Words   |  6 Pagesplans for the United States health care system. The United States health care system has been in need of adjustment for years, with prices being paid over double per capita compared to other countries. While they have some similar views on current issues, there are drastic differences in the candidates’ ideas for change. To begin, Bernie Sanders, a Democratic candidate, believes that health care in the United States is a human right regardless of a person’s income. Universal health care is a foundationRead MoreThe United States Health Care System1449 Words   |  6 PagesThe United States health care system is the most expensive in the world. It spends more than 16% of its gross domestic product (GDP) on health care, (the highest per person in the world), but ranks behind most countries on many measures of health outcomes, quality, and efficiency. In 2012, over 47 million people were un-insured and millions were under-insured⠁ ´. The cost of health care is rising at least twice as fast as the rate of economic growth. Major companies are passing more of the cost ofRead MoreThe United States Health Care System Essay1905 Words   |  8 PagesThe United States health care system is lacking the needs to create a reliable system to achieve quality, access, cost, and educate for the consumers. Despite the efforts of the government to find a common ground to meet the standard for the societies, the system has yet to have a major improvement. These issues must be reexamined to fix the broken system. The United States health care expenditure is another issue that needs to be addressed to achieve the future goals of the healthcare system in theRead MoreThe Quality Of Care Of The United States Health Care System2125 Words   |  9 PagesThe quality of care In the United States Health Care System, unlike a lot of people’s perceptions, is not the best in the world. In fact, Rose Ann DeMoro, the Executive Director of National Nurses United, Which happens to be the nation’s largest professional association and union for registered nurses, wrote in â€Å"How US Private Insurance Healthcare is Failing,† â€Å"A study published [in June 2011] from the university of Washington in collaboration with researchers at Imperial College London found lifeRead MoreThe H ealth Care System Of The United States As A Whole Essay1369 Words   |  6 Pagesthe health care system in the United States as a whole. Within this article, the subjects of health care that are reviewed are a) the US government’s position as the insurer for roughly 60 percent of the healthcare spending in the US via the public sector, b) the analysis of the funding for government health care programs such as Medicare, Medicall, and Medicaid and c) the programs in place for the health care of children and program administration for war veterans. The author discusses health careRead MoreUnited States Health Care System Essay3779 Words   |  16 Pages17 Nov 2006 US Health Care System: Does the Public Get the Best Return vs. Investment The United States spends more of the Gross Domestic Product (GDP) on healthcare then any other industrialized country in the world and because of this one would think that the U.S. provides one of the top universal healthcare plans for all citizens without health insurance. Furthermore, the U.S.’s overall health system performance is 37 out of 191 (qtd in U.S. Census Bureau), obviously 37 out of 191 is horribleRead MoreComparing The Canadian And The United States Health Care System1151 Words   |  5 Pagesthe United States health care system. the first part of the paper will focus on describing each country health care system. The second part will focus on analyzing, evaluating and comparing these two countries system efficiency and benefits. The last part, is an overview of the recent policies changes and its effect (positive and negative) on each country citizens and proposed future reforms for better coverage in these countries. Canada health system Canada provides a national universal care thatRead MoreSafety Net Hospitals And The United States Health Care System903 Words   |  4 Pageshospitals have played an important role in the United States health care system. They provide a significant amount of care to low-income, uninsured, and vulnerable populations. While treating these types of populations, they are still able to provide high cost services such as trauma and burn care. They often take on additional roles and responsibilities such as the training of medical and nursing students (Coughlin et al., 2014). These hospital systems are well known for their open door policy (WynnRead MoreComparing The United States Health Care System With The Federal Republic Of Germany2322 Words   |  10 PagesTHE UNITED STATES HEALTH CARE SYSTEM WITH THE FEDERAL REPUBLIC OF GERMANY During the past few decades in the United States, health care cost has been skyrocketing, and many people have lost their insurance as result of the high cost. Approximately 45 million American s are uninsured or they don’t have a real health care plan that can cover all their needs. Some Americans have the perception that even with coverage, cost and other problems in the system, the quality of the Healthcare System in theRead MoreThe Health Care System Of The United States857 Words   |  4 Pages 1.) Briefly describe the US Health Care system. Identify the people, professionals and organizations that have something to say about how health care is delivered -- and paid for -- in the US. The Health Care System in the United States is provided by many organizations. The Healthcare facilities are largely owned by private sector businesses. A large part of community hospitals are non-profit and government owned, and only a small percent is for profit. The non-profit hospitals include 60 to

Management and Organizational Behaviour

Questions: 1. Identifying the main issue that Jack needs to consider. 2. The technique of gaining benefits by applying the rationale decision-making process to address the issues. 3. Describing three different resources that are available to Jack. 4. Identifying, explaining and applying one of the organizational strategies. Answers: (1). The case study indicates that Glasshouse Avocados gained a significant advantage from the existing market. However, like every business, there have been certain issues that need to be considered. Jacks major vision was to develop and continue the business with avocados since they can be produced in a larger amount. The production margin of avocado was going down in compared to the production of previous years. Jack observed that the supermarket business in Queensland was progressively consolidated. In addition, the operation of Boutique had been set up on the Sunshine Coast, which mainly targets the local organic market with high quality of products. The Boutique operator had set premium pricing strategies for the high quality of products and services. On the contrary, the organizations from other country were importing the products at low price and creating a competitive environment, which was a pressure on Glasshouse Avocado. As mentioned in the case study, that competition from th e cheap imports was driving the price down, which was largely affecting the profits of Glasshouse Avocado. Apart from all these issues, another significant challenge, which Jack had to deal with, was increasing cost of maintaining irrigation equipment as well as managing root rot in the plants across the orchard. On the contrary, the changing climate was also affecting the production of avocados. Jack experienced that they did not focus on the key success factors of nutrition management of the trees and enhance irrigation techniques. However, it is important to focus on the factors that influence the production of avocados before analyzing the external factors. Jack could take suggestions from the experienced botanists who have knowledge regarding irrigation techniques and harvest. Appropriate implementation of these techniques could help to control the damages that occurred due to rotation as well as harvesting problems. In addition, Jack also needs to consider the external factors such as aggressive techniques of importers and implementation of premium pricing strategies. As mentioned b y Jiang et al. (2012), to control damage in business, it is necessary to focus on developing the quality of business. Thus, by developing the quality of products, one could maximize market share. Nevertheless, to increase the market share, it is necessary to sell the products at low price using penetrative pricing strategy. (2). As mentioned by McShane and Von Glinow (2012), rationale decision-making process is consisting of a number of steps from problem identification through solution, for making a rationale decision. While applying this particular technique, it is necessary for the marketers to focus on certain aspects such as formulation of a goal, identification of the criteria for making the decisions, recognizing the alternatives and some other steps. Hence, the major objective of Glasshouse Avocados is to increase the tones of production and gain profits in the niche market. The heads of the organization is also determined to expand the business into specialty niche market such as Kiwi Fruits to maximize the capacity of business. The techniques required to resolve the issues found in the case study can be implemented with the help some decision making theories. There have been multiple type theories on decision making such as organizational Process Model and rationality in decision-making. It is obse rved that centralized decision-making theory is usually applied when a centralized organizational decision is made from to down. However, for the current issues faced by Jack, it is necessary to implement the theory of rationality. The steps involved in rational decision-making helps to resolve the issues quite easily. For example, rational decision-making could help marketers to search other alternatives. Once the alternatives are found, further evaluation can be done. While deciding about the alternatives, the marketers could go through three fundamental approaches such as experience, experimentation and Research and Analysis. Hence, Jack needs to set the criteria for making the rational decision. They could focus on the quality of products to deal with the external challenge. As commented by Hu et al. (2012), when the profit margin is going down, it is important to focus on the internal aspects instead of rushing into external environment. However, Chiang and Hsieh (2012) added that a business always is dependent o n both external and internal environment; thus, the marketers make sure that no such as aspect is left behind, which is significant. Thus, it can be mentioned that in order to resolve the issues such as poor production, external threats from Queensland and premium pricing strategies of competitors, Glasshouse Avocado firstly needs to focus on developing the quality of products. Jack faced the issues of production due to poor implementation of techniques of planting, irrigation, yield management and pest control. Jack needs to focus on these factors to resolve the issues of production. The organ ization should find out the current market trends and the market forces that influence the market largely. For example, they could conduct a customer analysis to identify the needs and demands of people in the local organic market. It is also important to identify the strategies used by competitors in the industry. Thereafter, the organization could make the final decision. This means they could work on the identified aspects such as quality development, pricing strategies, distribution of products and other aspect. Further, it can be added that to expand the business or enter into a new market could be apprehensive for the organization at the initial stage. Thus, the company could implement the strategies of franchising, joint venturing. This could help to learn the needs and demands of new market and then implement the required strategies. (3). It is evident that a business usually includes different types of resources. The organizations have to deal with each resource to make an effective operation for the purpose of development of business. However, it is also observed that business may not get all resource equally at hand, which results in poor growth and loss of capital. The cases study indicates that Jack has a major resource of avocado based on which he could further expand the business. The production of avocado is huge; thus, it is easy to take decision to resolve the issue associated with the business. As mentioned Argote (2012), when the major materials are plentiful or available, the business will not take plenty of time to successfully dominate the market. Jacks father had the belief that Sunshine Coast should be self-sufficient particular in their food production. Thus, a general belief formed by Errol is by providing enough food for the developing population, the needs and demands of people can be satisfied ra ther replying on the importers. Thus, it can be mentioned that tones of avocado is the large resources for the organization Glasshouse Avocado to fight against the obstacle. On the contrary, custard apple as well as passion fruit is one of the effective resources available to Jack. However, the availability of this particular resource is not plentiful. Therefore, it will not be a good decision to reply on custard apple and fruit. In addition, the competitors are also dominating the market with their aggressive marketing strategies. Another major challenge faced by the organization was the trend of targeting the local organic market. The Sunshine Coast was fully dependent on the organic food market. Therefore, relying on custard apple would not be a good option for Glasshouse Avocado to lead the business in competitive market. Another significant resource, which was rare to Jack, is the technology. The organization Glasshouse Avocado required developing the technology for production of avocado. However, the heads of the organizations have only focused on the organic food but there should be a technical implementation to filter the food. When other organiz ations in the organic food market are in the rush of developing the quality of the products, Avocado is dealing with the issue of production. By applying the technology, Avocado could harvest the crops effectively. Lastly, it can be mentioned that absence of technology is the rare resource to Glasshouse Avocado. (4). Since the people understood about the trends of globalization, the organizations in every industry are in the rush developing and implementing the strategy to overcome the potential challenge in business. In the case study, it is observed that the organization Glasshouse Avocado is facing the issues of production as well as cheap imports. Thus, to resolve the issue, the organization could implement new market entry strategy such as Ansoff Matrix. Figure 1: Ansoff matrix There have been four different aspects associated with the strategy namely market development, diversification, market penetration and product development (Chrisman and Patel 2012). The organization could target different geographical market and then identify the opportunities as well as threats in different market. This is how the organization could develop the market. The next segment is product diversification, which is usually risky as there is little scope for implementing this strategy (Dezs and Ross, 2012). However, Jack has another option to continue the business with avocado, which is Custard Apple and Fruits. The organization could focus on this significant alternative for further developing the business. Thereafter, the organization could focus implement the pricing strategy as introducing a loyalty scheme and launch price and other offers with products and services. In order to penetrate the market, Avocado could buy a competitor company especially in the mature market. The last phase of the strategy is to pay attention on product development. Hence, Avocado could extend its products through the production of different variants or repackaging the existing products. As mentioned by Shin (2012), development of related product or services is also one of the significant strategies. In addition, the organization also needs to focus on customer service to retain the customers for long period. References Argote, L., 2012.Organizational learning: Creating, retaining and transferring knowledge. Springer Science Business Media. Chiang, C.F. and Hsieh, T.S., 2012. The impacts of perceived organizational support and psychological empowerment on job performance: The mediating effects of organizational citizenship behavior.International Journal of Hospitality Management,31(1), pp.180-190. Chrisman, J.J. and Patel, P.C., 2012. Variations in RD investments of family and nonfamily firms: Behavioral agency and myopic loss aversion perspectives.Academy of management Journal,55(4), pp.976-997. Dezs, C.L. and Ross, D.G., 2012. Does female representation in top management improve firm performance? A panel data investigation.Strategic Management Journal,33(9), pp.1072-1089. Hu, Q., Dinev, T., Hart, P. and Cooke, D., 2012. Managing employee compliance with information security policies: the critical role of top management and organizational culture*.Decision Sciences,43(4), pp.615-660. Jiang, K., Lepak, D.P., Hu, J. and Baer, J.C., 2012. How does human resource management influence organizational outcomes? A meta-analytic investigation of mediating mechanisms.Academy of management Journal,55(6), pp.1264-1294. McShane, S. and Von Glinow, M., 2012.Organizational behavior. McGraw-Hill Higher Education. Shin, Y., 2012. CEO ethical leadership, ethical climate, climate strength, and collective organizational citizenship behavior.Journal of Business Ethics,108(3), pp.299-312.