Simon says Essay Example for Free

Simon says Essay Need some ideas to entertain the kids? Whats in the bag? is a great game to play on a rainy day or even at the kids birthday parties! You can make it suitable for whatever age group you are entertaining, which is one of the reasons this game is a perfect game for any time of year! Number of players: 1 to lots What you need: non-transparent bag lots of household objects Activity: A great guessing game that you can make entirely age appropriate. Put a few things in the bag from around the house like paperclips, a coin, a lime, a toy car, a dog biscuit, a rock, etc. Let your child reach into the bag and choose an object. Encourage them to feel it, roll it in their hands and imagine what it might be. Ask them to guess before pulling it out. For older children, make the objects less defined by their shape. Hide and Seek No list of indoor games would be complete without Hide and Seek, now would it? In this classic game, one person (â€Å"It†) covers his or her eyes and counts aloud while the other players hide. When â€Å"It† is finished counting, he or she begins looking for the hiders. The last hider to be found is the next â€Å"It. † Warning: this game is often a source of giggle fits. Families with older children might want to take things up a notch and play Hide and Seek in the dark. Just to be safe, make sure there are no loose items on the floor. If you want, allow â€Å"It† to carry a flashlight or turn the lights on once â€Å"It† finishes counting. Treasure hunt Kids love finding hidden objects — especially when there’s a prize at the end. Simply write your clues on some slips of paper — get creative. Place the first clue somewhere easy to find, like inside your child’s snack or cereal bowl. Then leave as many clues as you like around the house, making a trail to the final clue. Instead of a prize, the treasure hunt can lead to various coins around the house. This way the kids get to collect all the coins and put them in their piggy banks in the end. Picnic memory game Former preschool director and grandmother of three, Marsha Colla, has some innovative games up her sleeve, including this fun and simple verbal memory game, which, Colla says, â€Å"challenges the children and makes them giggle. † To play, everyone sits in a circle. The first player says, â€Å"In my basket for the picnic, I packed†¦,† and then says what item he or she packed. The next player then says, â€Å"In my basket for the picnic, I packed†¦,† and then recites what the first player packed and adds his or her own item to the basket, and so forth. Simon Says This traditional favourite will never get old. To start, choose one player (probably a parent for the first round) to be Simon. The rest of the players will gather in a circle or line in front of Simon as he calls out actions starting with the phrase â€Å"Simon says†: â€Å"Simon says†¦touch your toes. † The players then have to copy Simon’s action, touching their toes. If Simon calls out an action without uttering the phrase â€Å"Simon says,† the kids must not do the action. If a child touches his toes when Simon didn’t say†¦, he or she is out of the game. There are lots of great ways Simon can trick players into doing actions when Simon didn’t say: Simon can perform an action without uttering a command, for example, or he can perform an action that doesn’t correspond with the command. Fun! The last player left in the game wins and becomes the next Simon. Touch-and-feel box Most preschoolers flock to the classroom sensory table as soon as the teachers pull it out. So there is little doubt they will love this entertaining challenge. Find a shoe box or any box that has a lid on it. Cut a hole in one of the sides of the box —large enough for your child to fit her hand in. If you want, get creative and decorate the box with glitter and question marks. When you’re ready to play, put an item inside the box and have your children guess what it is. They can ask questions about the item if they need to, or you can offer clues. Get as ooey-gooey as you wish (fresh pumpkin seeds or slimy spaghetti are great choices for Halloween), or use such simple objects as a brush, a toy, a piece of fruit. To make it competitive, you can give a point to the first child to name the object. What creature am I? game This is a fun kids party game that will have your little ones laughing as they are challenged to solve the riddle of what animal they have been given. Its a great learning game too as kids find out all about the different animals, large and small, that live in our wonderful world. Number of players: 2+ What you need: Old nature magazines or newspapers with animal pictures Scissors Glue Cardboard Safety pins Activity: Cut pictures of various animals out of the magazines or newspaper. Glue the pictures to a piece of cardboard to make them sturdier like playing cards. Punch a hole in the centre top of the card and use a safety pin to attach a card to the back of each childs shirt or dress. Give the kids some starter questions to ask each other to get clues as to the animal on their outfit. Enjoy as they learn about animals of all types. Animal cards Inspire their imaginations with a fun game of animal cards. This easy kids activity is a great year-round art and craft project and will let your kids imaginations take flight as they create and invent new and amazing creatures! Number of players: 2+ What you need: index cards crayons or markers Activity: Start by placing the index cards horizontally on a table with the blank side up do two rows with one row stacked directly on top of the other. Encourage your child to draw a head on the top card and a matching body and legs and feet on the bottom card. Let them create as many as they can think of. A number of games can be played with the completed batch of cards. Let your child mix the heads and bodies of the different animals to create hilarious creatures. Or, turn them over and play a game of match each player gets to choose two cards and if they match, they are a pair and count as one match. This is repeated while the players get more familiar with what is on the underside of each card and more and more pairs are matched. The one with the most matches wins! Doggy, doggy wheres your bone? Doggy, doggy, wheres your bone is a fun kids party game that will engage and entertain kids of all ages. You can play indoors or outdoors, as a family or with friends. This kids activity is a winner every time. Number of players: 4+ What you need: simple object, for example a paperclip or coin chair blindfold (optional) Activity: One child is chosen to be IT and plays the role of the dog. He or she sits in a chair with their back to the group. A paperclip or coin is placed under the chair. This is the bone. While the dog is turned backward with his or her eyes closed (blindfold is optional) someone quietly steals the bone and hides it usually they just sit on it or hide it in their cupped hands. Then everyone sings: Doggy, doggy, wheres your bone? Somebody stole it from your home. Then the dog has three chances to guess who took it. If the dog guesses right, then he gets to do it again. If he guesses wrong, than the person who had the bone gets a turn as the dog. Usually, all of the children will try to look guilty by sheltering their laps or holding their hands together as if they have the bone. Hot potato Hot potato is a party game guaranteed to get the kids and grown-ups laughing. Play with the whole family or leave it to the kids as they discover the fun and excitement of racing the music to pass the potato! Number of players: 5+ What you need: music small beanbag or stuffed sock Activity: Arrange the children sitting in a circle. Pass a beanbag around the circle to music, pretending that the beanbag is a very, very, very hot potato. When the music stops, the person holding the beanbag is out. The music starts again and the remaining children continue passing the hot potato until the music stops. The last person in the circle is the winner. Scavenger hunt This is a great party game that all children will love as they can play it outdoors or indoors. There is lots of searching and finding involved! What you need: items to hide make sure there is as many as one item as there are kids. So, ten kids, ten buttons. paper bag pen Activity: Give each player a list of objects to find and collect within a determined length of time. Write the list on a paper bag, which can then be used for collecting the items. The list can be made up of items like a piece of string, a flower, a leaf, a stone etc. The first to collect all items on the list is the winner. Sleeping lions Sleeping lions is a great birthday party game and kids activity to help them wind down after an exciting day. Your children will learn to be still and calm down in the process. Definitely a favourite end-of-day party activity essential! Number of players: 5+ Activity: Have all of the children (except one or two hunters) lie down on the floor in sleeping positions. Once they are settled, they are not allowed to move you might use the language freeze so they fully understand the object of the game. The hunters walk through the room and try to make the sleeping lions move by making them laugh, telling them jokes, and so on. However, the hunters are not allowed to touch the lions. Once any lion moves they are tapped and get up and join the hunters. The last child still on the floor wins! Statues Kids love to dance like crazy but when the music stops they have to freeze into statues! See who laughs or giggles first as there will be plenty of smiling children playing this classic kids birthday party game. Number of players: 3+ What you need: music Activity: Have the children spread out in a room or on the patio. Start the music and the children can go nuts dancing and being silly. Stop the music and all of the children must freeze in whatever position they are in. Watch the children for any movement the first person to move goes out. Then restart the music and repeat until only one person is left the winner! Bean bag throw This is a fun activity is suitable for kids of all ages that is perfect for birthday parties as well as a backyard game. What you need: Small bean bags (or make your own using socks, dried beans and rubber bands) Activity: Purchase bean bags suitable for tossing, or create your own with dried beans, socks and rubber bands. Draw a pony or a heart on the side of a cardboard box (or print and cut out one of the pictures from our online Colouring Book. Cut a hole in the box, large enough for the bean bags to be thrown through easily. Place the box about ten feet away and give each child several chances to toss the bean bags through the hole. Alternately, you can place images of ponies directly on the floor and try to land the bean bags on the ponies. Fingers out Never worry about the kids getting bored in the car again. Simply have them play Fingers out and they will be kept busy with this fun guessing game. Number of players: 2+ Activity: Have the kids face each other and put out one hand each. One the count of three, the children should extend between one and three fingers. The kids will shout out a the number of fingers they think they and the other player will show. It will be a number between one and six. Once the fingers have been revealed, add them up and whichever child has guessed the number correctly scores two points. The closest guess scores one point. Follow the leader Discover the natural born leaders at the party with this simple game that everyone can play. With actions to suit every age group, this classic party game is sure to please. Number of players: 4+ What you need: a group of children Optional: an obstacle course Activity: Line children up and designate one leader who they are to follow around. To begin with, you may want an adult to lead so kids get the idea. Its up to the leader to decide the actions or paths the children take. Begin with simple actions like: hand on heads star jumps sit down stand up If an obstacle course is available, take the kids on a journey. The children can climb over, under or around things makes for even greater excitement. Change leaders and give every child a go at leading the others.

Causes of Bankruptcy at Toys R Us

Causes of Bankruptcy at Toys R Us Abstract With declining sales and the rise of online retail, Toys R Us is one of many companies that have filed for bankruptcy. Toys R Us has also pulled its IPO offering. In the world of Amazon and Walmart, Toys R Us was unable to keep up. This paper will provide a comprehensive look at the underlying issues due to which Toys R Us was unable to thrive. With so many options in the market, Toys R Us needs to create a draw for its customers to remain competitive. The company’s strengths, weaknesses, opportunities, and threats will be analyzed to determine the best course of action supported by research. With research, financial analysis, and dynamic operations, it was concluded that Toys R Us needs to become relevant again and create a business out of what they offer similar to what American Girl has done. Executive Summary Toys R Us was founded by Charles P. Lazarus in 1948 and initially began as a furniture store, which then shifted its focus entirely to toys. The company has 866 stores in the United States and more than 750 international locations. The company’s strength lies in its volume of stores that it operates, many of them in emerging economies that could prove to be an investment. It recently filed for bankruptcy in the United States and Canada. At first glance, the company is suffering from low sales, not enough foot traffic, and toys that do not appeal to children of the digital age. However, at looking closer, the underlying issue seems to be Toys R Us’s reluctance to re-engineer its business. Toys R Us was losing sales due to big retailers like Amazon, Target, and Walmart. Amazon offers the convenience of online shopping with very fast shipping that eliminates the wait time associated with shopping online. Target and Walmart offer one stop shopping that allows an individual to get all of their shopping done without having to make multiple stops. Toys R Us only offers one genre of products, which are toys. When compared to a similar rival within the same industry such as American Girl Doll, it is clear that it is possible to be successful while offering an exclusive product. The appeal of American Girl Doll is that it creates a unique, interactive experience for its customers. One of Toys R Us’ weaknesses is that is does not have a competitive edge. Toys R Us could do the same by providing unique, interactive, experience geared displays for children in their stores similar to that of Build-A-Bear, which is a competitor in the same market. They can also manage a turn around by focusing on lower prices, better customer experience, revamping stores to include the interactive portion, hire engaging employees who cater to children, offer other services such as toy repairs or setup assistance. Toys R Us is a retail company that is exclusively a toy retailer that has 866 stores in the United States and more than 750 international locations. It had consistent success since it was founded in 1948 because it provided the most popular, up to date, and largest variety of toys with the most locations as well (Thomison, 2016). Toys R Us was known as a category killer, which meant that the company sold a product from only one category. With this strategy, the company was able to build a large volume that other retail chains could not match due to Toys R Us’ inventory and price. Then, Walmart launched a price war that was matched by Target and sold more toys than Toys R Us by 2005 (Hartung, 2017). KKR, Bain, and Vornado acquired Toys R Us in 2005 for $6.6 billion. The retailer has $4.9 billion in debt of which $400 million is due in 2018 and $1.7 billion due in 2019. Toys R Us has filed for bankruptcy in the United States and Canada, which will help relieve it from this debt (Hirsch, 2017). This can be attributed to the rise of e-commerce, where people buy online on sites such as Amazon and eBay. Toys R Us did launch its own website in 1998 and it became one of the fastest growing sites in the toy category. As Toys R Us tried to improve its business strategy, so did its competitors. Walmart and Target also sell toys but also offer the convenience of one stop shopping for its customers whereas Toys R Us is unable to do so. In the age of technology, many children prefer I-Pads and I-Phones to traditional toys further dwindling sales of Toys R Us. In 2011, Toys R Us’ domestic U.S. sales were worse than that of 2008, which was one of the worst holiday seasons for retailers. The president of the company resigned after only 10 months despite signing a one-year contract. In 2012, the department heads for administration and merchandising also resigned from their positions. The executives at Toys R Us have been experiencing high turnover within the past seven years (Clifford & Lattman, 2012). The company is grappling with how to grow the business with all of the competition. Sales are dwindling and competition is thriving but what caused these issues to arise for a company that seemed to doing very well? According to Hartung (2017), KKR and Bain Capital acquired Toys R Us in 2005 for $6.6 billion plus $1 billion of debt at a total valuation of $7.6 billion. KKR and Bain Capital put in $1.3 billion and used the company’s assets to raise the remaining amount bringing the debt from $1 billion to $6.2 billion, which was 82.7% of total capital. The interest rate on this debt was around 7.25% that created payments of $450 million per year on interest alone. The plan was to cut company costs, improve cash flow, and pay off the debt. The rise of e-commerce, at the time, was not anticipated. Amazon was only an $8.5 billion company in 2005 as opposed to the $100 billion dollar giant it is today. The executives set the company up for failure right from the acquisition. Due to its debt, Toys R Us was unable to venture into the online market as aggressively as they should have to counter Amazon. The company also could not keep up with Walmart’s low prices. Walmart would take a loss by pricing toys and other popular items at steeply low prices to get customers into their stores so they could spend on other big-ticket items. Customer service and shopping experience at Toys R Us were sub par at best and not inviting to customers. American Girl Doll, which is also an exclusive toy retailer, has seen tremendous, continuous success due to its interactive geared shopping experience for customers. American Girl Doll only sells doll, which one would assume could be its detriment as was with Toys R Us. The same factors that plague Toys R Us are the same factors that American Girl Doll must deal with. American Girl Doll is able to thrive and be profitable because of the unique experience they provide. Each toy comes with a historical background, a story, and accessories, which sell even at their high price point. Bhattarai (2017) states, that smaller neighborhood toy stores are thriving and increasing sales every year while Toys R Us, a retail giant is failing. What sets these smaller stores apart is the customer service of helpful employees, the carefully curated selection, gift-wrapping services, and lego building events. These stores are providing a unique shopping experience that Toys R Us is lacking. Kids these days are restless theyre looking for an interactive experience, said Susan Lee, a partner at marketing firm Simon Kucher & Partners. It isnt enough to just have stacks of toys on a shelf (Bhattarai, 2017). Customer service plays a large part in the success of these smaller stores as well. Bhattarai (2017) lists a variety of different experiences shoppers reiterated at a store called Child’s Play from employees going out of their way to open newly packaged games so children can decide if it is the right one, tracking down obscure toys that some children request, and even taking the time out to play with some of the kids in the store. Toys R Us’ strengths lie in its numbers as the retail giant has so many locations within the U.S. and worldwide. The company also has a large inventory with a diverse range of toys that is difficult to come by in another store. Toys R Us has been around for almost 70 years and for many people creates a sense of nostalgia that can be used to its advantage. It has developed its website and utilize it to further appeal to its customer base. The company currently employs over 70,000 employees and still managed to pull in annual revenue of $13.646 billion (Satell, 2017). The weaknesses of the organization include a lack of competitive advantage when compared to other retailers. The toys sold at Toys R Us stores are not unique and can be found and other retailers and sometimes for a better price. Toys R Us also depends on its holiday season sales to make the most profit and that is not enough anymore to help the company thrive. The organization also wants to pay its executives $16 million in bonuses that they argue are necessary for the executives to perform well. Normally, executive pay is fairly higher compared to the average worker due to the required experience, risk, educational background, work schedule, etc. (Martocchio, 2017). This is not necessary for a bankrupt organization to do especially since these are the same executives that have allowed the company to fail for so long instead of implementing new business strategies. This would be understandable if the organization were trying to bring aboard new executives that have a proven track record of bringing companies back to life after suffering such losses. Opportunities for Toys R Us came in the form of its alliance with Amazon provided both companies the opportunity to excel. It allowed Amazon to partner with other retailers instead of trying to sell everything itself. Toys R Us was able to pick the hot items and have them features and was also responsible for keeping them in physical stock. This deal however did sour due to both companies filing lawsuits against each other. Toys R Us claimed Amazon was allowing other retailers to sell on their website while Amazon claimed this was due to Toys R Us not being able to keep items in stock. The lawsuit has been settled with Amazon agreeing to pay Toys R Us a settlement of $51 million (Martinez, 2009). Toys R Us can learn from this alliance and partner with other companies to further its selling power. Toys R Us also has many international locations that if situated in the right emerging markets can create the opportunity to enhance international revenue. The threats that Toys R Us faces are retail giants like Amazon, Walmart, and Target. Even some of the smaller neighborhood toy stores are doing a better job in providing what customers are looking for. Walmart, Target, and Amazon may offer the same products as Toys R Us but many times offer it in a package exclusive to the retailer that entices customers. Layoffs from multiple store closings have made the company unreliable as well as the current filing of bankruptcy over the debt the company was left with. The company is now in a negative light creating a negative image of the brand as much of its financial woes have been highlighted by the media (Marketing Mixx, 2017). References Bhattarai, A. (2017). Why neighborhood toy stores are thriving while Toys R Us goes bankrupt. The Chicago Tribune. Retrieved from http://www.chicagotribune.com/business/ct-neighborhood-toy-stores-toys-r-us-bankrupt-20170925-story.html Clifford, S. and Lattman, P. (2012). Pressed from all sides, Toys R Us fights to reinvent itself. The New York Times. Retrieved from http://www.nytimes.com/2012/04/07/business/toys-r-us-last-of-the-big-toy-stores-tries-to-reinvent-itself.html Fitz-Enz, J. (2009). The ROI of human capital: Measuring the economic value of employee performance (2nd ed.). New York, NY: AMACOM.          Gay, W. (2017). How Millennials can save Toys R Us from bankruptcy. Forbes. Retrieved from https://www.forbes.com/sites/wesgay/2017/10/30/toys-r-us-bankruptcy/2/#6cf61c604af0 Gross, D. (2017). Toys R Us is dying from a lack of imagination. Slate. Retrieved from https://slate.com/business/2017/09/why-best-buy-is-weathering-the-retail-apocalypse-and-toys-r-us-isnt.html Hartung, A. (2017). Toys R Us – how bad assumptions fed bad financial planning creating failure. Forbes. Retrieved from https://www.forbes.com/sites/adamhartung/2017/09/20/toys-r-us-is-a-lesson-in-how-bad-assumptions-feed-bad-financial-planning-creating-failure/#34186aef58ea Hirsch, L. (2017). Toys R Us files for chapter 11 bankruptcy protection. CNBC. Retrieved from https://www.cnbc.com/2017/09/18/toys-r-us-files-for-chapter-11-bankruptcy.html Isidore, C. (2017). Bankrupt Toys R Us wants to pay $16 million in executive bonuses. CNN Money. Retrieved from http://money.cnn.com/2017/11/16/news/companies/toys-r-us-executive-bonuses/index.htmlY Martinez, A. (2009). Amazon settles long standing legal dispute with Toys R Us. The Seattle Times. Retrieved from https://www.seattletimes.com/business/amazon-settles-long-standing-legal-dispute-with-toys-r-us/ Martocchio, J. (2017).  Strategic compensation: A human resource management approach  (9th  Ed.). Hoboken, NJ: Pearson Education, Inc.   Roth, C. (2013). Toys R Us needs a business model makeover: Roth. CNBC. Retrieved from https://www.cnbc.com/id/100609849 Satell, G. (2017). Toys R Us might be dying, but physical retail isn’t. Harvard Business Review. Retrieved from https://hbr.org/2017/09/toys-r-us-is-dead-but-physical-retail-isnt Silver, J. (2017). Eyeing Toys R Us’ future. NPR. Retrieved from https://www.npr.org/2017/09/19/552181913/eyeing-toys-r-us-future-analyst-suggests-hands-on-displays Thomison, E. (2016). A strategic marketing and financial analysis of Toys R Us. University of Kentucky. Retrieved from https://uknowledge.uky.edu/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsredir=1&article=1022&context=honprog Tuttle, D. (2017). Up next in the retail apocalypse: Toys R Us?. Time Money. Retrieved from http://time.com/money/4931640/toys-r-us-sales-bankruptcy-debt/ Vogelsang, J., Townsend, M, Minahan, M., Jamieson, D., Vogel, J., Viets, A, Royal, C., & Valek, L. (2013). Handbook for strategic HR: Best practices in organization development from the OD Network. New York, NY: AMACOM.

Health Promotion In Relation To Holistic Care

Health Promotion In Relation To Holistic Care This essay will attempt to discuss the significance of the link between health promotion and holistic care for the patient. Firstly, the patient will be introduced and a definition of holistic care and assessment will be given. Secondly, the health promotion model and nursing interventions will be described and discussed. Finally this essay will reflect on the effectiveness utilising of health promotion models care; rounded up by a conclusion of the findings. Names in this essay have been changed to protect the patients identity and maintain confidentiality in accordance with the nursing and midwifery councils guidelines (NMC, 2008). Verbal consent was obtained by the client and her family, to use their basic anonymised details. The patient, who for the purpose of this essay shall be known as Jane, is 21 years old and has an acquired brain injury (ABI) following a road traffic accident. An ABI is defined by Headway (2010), the brain injury association, as an injury caused to the brain since birth. Jane has problems remembering information and continually repeats what she says, and also repetition of speech, known as perseveration. Jane was originally admitted onto the neuro rehabilitation ward to address challenging behaviours at home and following successful interventions was due to be discharged when an appropriate care package could be put into place. Due to the complexity of Janes condition her care package was taking longer than planned. While waiting for discharge, Jane, who usually lives at home with her mother, has undertaken many home visits. It then became apparent that Jane was losing weight to the extent that she had become underweight and it became necessary for this to be addressed before Jane could be discharged. It was important that Janes weight was addressed as after a Malnutrition Universal Screening Tool (MUST) assessment was carried out it was concluded that Jane was at high risk from malnutrition. MUST is a screening tool that recognizes malnutrition and those at risk of malnutrition. It encourages multidisciplinary working which improve clinical outcome (BAPEN 2003). At 5 foot 7 inches and weighing 53 kilograms Janes body mass index (BMI) was 19. She also had lost approximately 0.5 kilograms a week for the prior four weeks meaning she had lost nearly 5 percent of her body weight. Best (p.23, 2008) states that malnutrition is caused by an inadequate availability of nutrients, because of either poor intake or deficiency as a result of disease. It is widely accepted that adequate nutrition plays an important role in maintaining optimal health. Following a healthy diet has lots of benefits, not only physically but mentally too. According to the World Health Organization (1948) health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Following this a complete holistic assessment was carried out. The world health organisation (WHO, 2004), states that holism is a concept which takes into account a patients mind, body and spirit. It includes all aspects of the client and carers life, for example, account of problems from both person and carer, psychiatric and physical health history, medication and compliance, social history, past and current hobbies and interests, daily living skills, driving and faith/religion. Each of these elements is seen as inter-related and as equally important so when any of the elements are compromised there will be an inevitable effect on the others (Ellis 1999, Brooker Waugh 2007). The assessment used for the patient is a trust based holistic assessment founded on the Roper-Logan-Tierney Activities of Daily Living Model. Although published in 1980 this first model of nursing is just as relevant today. The model identifies the 12 activities of daily living as: communication; breathing; eating and drinking; eliminating; sleeping; dying; mobilisation; managing a safe environment; personal cleansing and dressing; work and play; expressing sexuality. These activities identify the basic health needs with the emphasis on assessing the effect of the mind, body and soul of each activity in relation to the persons health. They note how the activities are inter-related and not mutually exclusive (Roper et al 2000). They expanded on the inter-linked relationship between the patient, activities of daily living, factors which influence these activities (for example environmental factors), the lifespan and our level of dependence. It is because of these views that this model has been utilised as a true holistic assessment. Hinchcliff et al (2008), Brooker Waugh (2007) and Dougherty Lister (2008) substantiate that assessment is an ongoing, complex, systematic and interactive process. It involves gathering a range of information from and about the client and then using that information to decide the care, support and intervention that is required. The information is then clearly documented as in line with the Nursing and Midwifery Councils guidelines (NMC 2005). Subsequent to the assessment, Jane was discussed at the weekly multi-disciplinary team (MDT) meeting, as in accordance with the NMC code which states that nurses must work together with other professionals as a team whilst sharing and valuing each others skills and knowledge (NMC, 2008). The nurse is at the core of the clients care and can therefore communicate and negotiate the clients needs and preferences to other members of the interprofessional team (Day, 2006). Following the meeting various interventions were put in place: Blood tests were ordered to check for any underlying medical causes (test results were negative). Janes weight was to be monitored on a weekly basis, food and drink charts as well as nutritional supplement charts were to be completed by nursing staff and Janes relatives who often took her out for meals. The Royal College of Nursings campaign Nutrition Now (RCN 2007) suggests that patients are also monitored to make sure that they are eating the food they are offered. Protected mealtimes on the ward would be observed by all members of the multidisciplinary team as sometimes this was not adhered to. Nutrition Now (2007) also highlights the need for protected mealtimes so that there is a more relaxed atmosphere for patients to eat their meals and that they are assisted by nurses as well as healthcare staff to eat their meals. The dietician would review Janes nutritional intake: Speech and language would assess Jane for any s wallowing difficulties: Occupational therapy would observe Jane eating and drinking before making any recommendations: Janes weight would be monitored and reviewed at following MDT meetings. Auty Rennie (2007) suggest that professionals working in isolation with a client rather than in a team struggle to achieve the optimum outcome for the client as any treatment provided could be ineffective. Janes named nurse explained to Jane issues that had been discussed at the MDT meeting and that Janes weight would need to be stabilised before she could be discharged. Also a care plan would be put in place to address this issue. Nursing staff had already identified that Jane would be worried about becoming overweight as this was something she relayed often during conversations with them. Rosenstockss health belief model (1952) cited in Glanz (2005) works by exploring peoples perception and ways to inform, encourage and motivate change. There are six steps contained in this model: Perceived susceptibility; perceived severity; perceived benefits; perceived barriers; cues to action; self-efficacy. These steps were applied to the issue of Janes weight. Jane was worried about becoming overweight (perceived susceptibility) and she was informed of the risk to her health because of not eating enough. Janes understanding and judgement of the severity of the situation were difficult. Short-term memory problems and the inability to process information and make informed decisions are common problems associated with ABI (Headway 2009). Because of this the nurse clarified to Jane how her health would be affected and that she would not be well enough to be discharged (perceived severity). Jane appeared to understand that she needed to put on weight before she could return home, it was explained that her food intake would be monitored and that the dietician had revised her diet to include high calorie foods and supplements. Jane was happy to comply with the interventions as she knew she would be discharged but she was worried that she would not be able to eat and drink enough even if she wanted to (perceived benefits). Jane was reassured that she would be given support and guidance to ensure the best possible outcome (perceived barriers). Although cues to action are directed more towards people living in the community it was adapted to meet Janes needs, she was given information in a format she could understand and also took part in Health Eating Sessions with patients from other wards. Jane was supported and encouraged to eat snacks as well as her regular meal, food she enjoyed was made available to her at anytime. She also had regular motivational chats with her named nurse (self-efficacy). The Tannahill model (1985) cited by Downie et al (2002) was also utilised. This model defines health promotion as an approach to improving health and diminishing the risk of ill health through incorporating three processes; health education; prevention; protection. Health education: influencing peoples behaviour and attitudes; encouraging positive well being and diminishing ill health. Prevention and protection: to diminish the risk of disease developing by interventions, that is, primary: Giving people the knowledge to make better choices with regard to their health, for example, risks related to smoking; immunization. Secondary intervention: Health screening for early detection, for example, smear tests, smoking cessation. Tertiary: Managing established disease and preventing complications, for example, rehabilitation advice after stroke or serious injury. Protection: through government policies: public health and health promotion programmes can improve health, reduce disease risks , manage chronic illness, improve wellbeing, promoting self-sufficiency of individuals. In conclusion the holistic assessment and health promotion and belief models have worked well for the patient. It allowed the multidisciplinary team to put together an effective care plan. The nurses involved with Janes care gave lots of encouragement and advice to Jane and because nursing staff followed the care plan Jane began putting weight on. Although the reason why she needed to do so and the reassurance that she would not become overweight had to be explained to Jane continually because of her short term memory problems. The effectiveness of the care plan is apparent as despite NICE bringing in Providing nutritional support for adults guidelines and the introduction of specialist nutrition teams, being brought in over the last twenty years there are still patients who are somehow being missed and are under-nourished (Holder 2009). Additionally NICE guidelines (2006) state that knowledge of causes, effects and treatment of malnutrition among healthcare professional in the UK is poor. It goes on to say that all health professionals linked with patient care should be trained in knowing how to provide ample nutrition for peoples needs. This can be seen to still be a major factor in the improvement of nutrition for health. Holder (2009) asserts that nurses need to be aware of all initiatives nationally, regionally and within their own trust so they are able to provide better nutrition for their patients. 1943 words

The Importance of Point of View in The Black Cat :: The Black Cat Point of View Literature Essays

The Importance of Point of View in The Black Cat Point of view is a very important aspect of The Black Cat. The main character tells the story to the reader from his first person point of view. You have a good feel for the story because you have the first person narration. As you read into the story it comes apparent however that the narrator telling the story is not a reliable interpretation of the details around him. You have a good feel for his emotions and the events of the story, but the narrators opinions are so far out that you are forced to wonder just what of the story is the askew interpretation of a madman and what is the reality of the situation. The first person narration of the story plays an integral part in the reader's level of understanding of the main character's madness, as well as the unfolding of plot of the story.   Ã‚  Ã‚  Ã‚  Ã‚  The story revolves around a man and his cat that loves him very devoutly. At the start of the story he is very fond of his loving companion the cat, Pluto. The cat's love for his master eventually becomes Pluto's demise. The cat would follow its master's every move. If the narrator moved the cat was at his feet, if he sat Pluto would clamor to his lap. This after a while began to enrage the narrator. He soon found himself becoming very irritable towards Pluto and his other pets. One night he came home "much intoxicated" and he grabbed Pluto. Pluto bit his hand and this sent him into a rage. "The fury of a demon instantly possessed me. I knew myself no longer. My original soul seemed, at once, to take its flight from my body; and a more than fiendish malevolence, gin-nurtured, thrilled every fibre of my frame"(Poe 103). At this point he seems to have lost it. This description is not that of someone of sane mindset. His soul taking flight from his body appears to be symbolic for the loss of his rational thought. The fury of a demon gives you the imagery of something not human. Poe takes every opportunity to use the narrator, and the point of view, to give you insight into the mind of the madman. He uses eloquent imagery and symbolism to further your understanding of the main character's rational.

Citizenship in America :: Law Legal

Citizenship in the United States of America, the country whose streets are paved in gold, signifies every individual's dream. Food for empty stomachs, medicine for the sick, care for the elderly, shelter for the homeless, and warmth for the cold represent necessities guaranteed to every American. America is the envy of other nations because of the freedom it offers to its people. Furthermore, the American citizens aid other countries, like Afghanistan, so that their citizens too can experience the liberties Americans enjoy. Few Americans realize the extent of their privileges. It is unacceptable for any American citizen to complain and find faults in America instead of appreciating the rights they are afforded. The government has the capacity and the means to take care of every citizen ranging from prisoners to widows. Complaining about certain disparities is just not fair. Citizenship in America is important because no matter where you come from, you will be accepted. America is the only country where Europeans, Africans, Asians, Australians, and South/Central Americans can all share legal equality. America is a country filled with hundreds of heritages that form its unique and colorful background. Due to our founding fathers, America won?t ever experience communism or dictatorship. Our country?s government is cleverly set up so that the three branches control and limit each other?s power. Citizens of America will live a guaranteed life of liberty. America allows the citizens power to participate in its judicial administration, entitles one to vote, and to have a say in political affairs. Every individual plays a role in the nation?s future. America has so much to bestow upon its people, and a

Final Reflection Essay

During week one, my initial definition of learning was listening to an instruction, studying and then rehearsing that information in my mind, or categorizing it in a way so I could remember most of what was taught in the course. The class has opened a new dimension for me in the learning process; from understanding how I process information to deciphering which learning processes I use in intentional learning or metacognition. Understanding my learning patterns form dynamic learning relationship is a key element to my view of how and why I process the learning experience, even relating it to every day life. Since discovering my learning patterns by administering the Learning Connections Inventory or LCI assessment, I have discovered my aptitude for using Sequence (20), Precision (23), Technical Reasoning (35) and Confluence (29) learning patterns. My â€Å"use first† patterns of Technical Reasoning and Confluence are now self-evident and shed light on why my career took the path it did, leading me to this point in life. Confronting each task as a Dynamic Learner, I subconsciously used my Technical Reasoning and Confluence learning patterns first and as needed used my Precision and Sequential learning patterns. Throughout my career in the Navy, Technical Reasoning was pronounced which led me to choosing a mechanical trade; then in the construction industry, using my hands as a carpenter to renew or erect buildings. Sequential and Precision patterns were used on an as needed basis when specific tasks required a structured approach like developing designs or repairing equipment. Throughout this course, different quizzes took Sequential learning to complete. I found it difficult to only use this pattern and my strong Technical Reasoning pattern was evident by my moving from question to question if I did not immediately know the answer; then going back to answer the questions I skipped using Precision learning pattern. Reading assignments were a struggle as well; I was accustomed to using Technical Reasoning, briefly reading through the chapter to pick out phrases I knew were important. The critical reading process drew me back to basics by redirecting my use of Sequence and Precision learning patterns to become the predominant patterns used. Sequence learning pattern was needed in the  completion of discussions; I needed to focus, not only on discussions but completing all my work and submitting it on time. Having high technical reasoning and confluence learning patterns are what shaped decisions and tendencies in this class; procrastinating and being late with assignments started early in the course. Learning how to â€Å"FIT† my patterns together is a new concept which was difficult to introduce not only in my college course but in my daily life as well. Forging, Intensifying or Tethering my learning patterns are a continual activity and now that I have begun to understand how to decode a task, it will enable me to recognize the learning patterns to use, strengthen and reduce. This course was extremely interesting to me; discovering the four different learning patterns, how they influence college coursework and my career path. I appreciated looking at the inter-working of how I learn and what I can do to enhance my learning capabilities. As the weeks went by, the on-line experience with Ashford University became easier to schedule; I used sequential and precision learning patterns to regulate my time, turning in assignments when they were due. In the past, on-line learning was tedious and difficult to manage. Ashford’s approach with an introductory course in personal learning is eye opening; understanding how and why I learn will carry over into future courses. The overall online college experience will be what I make of it. Interacting with instructors and peers is an aspect in my control. Challenging classes will be met with a different attitude and perspective, knowing the how’s and why’s of my learning patterns is key to being successful.

Outline Basketball Shoes

Product Category – Basketball Shoes Definition (Dictionary. com) Basketball – a game played by two teams of usually five players each on a rectangular court having a raised basket  or goal at each end, points being scored by tossing the ball through the opponent's basket. Shoe – an external covering for the human foot, usually of leather and consisting of a more or less stiff or heavy sole and a lighter upper part ending a short distance above, at, or below the ankle. Basketball shoes are used when playing basketball. Line types Safety/Performance Shoes made for optimal performance while preventing injuries *EVA for cushioning (light) * Polyurethane for stability (heavy) * Stiff material on the medial side reduce inward rolling * Anti-microbial fabric reduces bacteria Fashion * Celebrity endorsement * Wide variety of color schemes * Word of Mouth Types High-top Pro: * Provides the most ankle support, safest Con: * Heavy, slower movement Mid-top Pro: * Increased mobility for jumping and fast direction changes Con: * Not the best for movement or protection Low-top Pro: Lightest, allows quicker movement changes, easier jumping, and speedier running Con: * Little protection. Smaller players will use these Product lifecycle Target Market Male High School Basketball Players Problem Recognition *Join Basketball Team * Want to fit in with peers Information Search * Internet * Price * Quality * Retail Store * Employee Expertise * Immediate Selection/Comparison * Peer Word of Mouth * Scoop on the latest dope kicks * Determine safe choices Alternative Evaluation and Selection * Mostly deliberation of collected information Limited Decision * Prices are not extreme * Can have multiple pairs of shoes * Outlet Selection and Purchase * Online * Retail Store * Provides immediate purchase * Postpurchase Processes * Wear dem shoes * Games * Stomping around town, lookin’ fly for the sweet honeys * Donate to secondhand stores * Throw away * Hand down t o family members * Sell lightly used shoes online Scientific proof that High-tops are structurally superior to Low-tops. http://www. tpec. edu. tw/%2Fself_store%2F79%2Fself_attach%2F95_5_paper1. pdf