A Reflection On The Family - 1299 Words

member on a scale from 0 to 10 how he or she think their family is doing. Explain to the family that 10 is the best that they have ever been and 0 is the worst the family has ever been. Using circular questioning, a therapist will ask all members and hopefully throughout the sessions the number will increase, showing progression and improvement within the family (Gehart, 2010). Again, general strengths may include that a family has solid social support, stable employment, and an impactful spiritual life. Using those strengths in a SFT framework would include the family relying on social support to assist them when role confusion is present and the family needs help to get through their daily routines (i.e. picking kids up form school, preparing meals). The parents’ place of employment can also be helpful by giving the parent more paid time off so the non-caregiving parent can accomplish the necessities as since is role confusion may happen. Lastly, the family can use their spiritual involvement as a sense of hope and power to get through their hardship. Needs in the family includes needing to unbalance the uneven power distribution, clarifying the role confusion and boundaries, and eliminating negative coalitions between members against other members of the family. Families also need to work on better ways to handle conflicts within the family that were pointed out through enactments and spontaneous behavior sequences. The responsibility of enacting this policyShow MoreRelatedReflection on Family619 Words   |  3 PagesFamily Reflection †No one is ever born into Life alone. Everyone has shared the bond of family, at least at birth, and for many people it is a bond that will follow them throughout life. For many people it is the most important bond of all.† Family means many things to different people, yet the word itself can bring about a host of emotions from anyone who hears the word uttered. As a child growing up in the 60s and 70s the family dynamic was defined by the people we grew up with wereRead MoreFamily Reflection1049 Words   |  5 Pages In this course, I learned about strategies and models that help build a healthy family. My favorite thing about this class is learning how to care for others the right way and how to have successful relationships. Everyone’s family structure is different. Some people come from nuclear families and some might come from blended. It was interesting to learn that no matter what type of household a person came from, there was going to be similar challenges and issues. I did not know much about the problemsRead MoreFamily Reflection Paper On Family1647 Words   |  7 Pages Essay on Family Reflection Paper In life we have four attachment styles which are secure, ambivalent, avoidant and disorganize attachment. As a child we might start forming up a secure attachment with our caregivers, parents, grandparents or our faster parents. That’s when we feel safe and know that our parents are there to watch over us. A secure attachment could also be when we start going to school and we know our parents will pick us up after school. Ambivalent attachment is whenRead MoreFamily Reflection798 Words   |  4 PagesThis course has opened my eyes to some things I would not have considered when working with families in an early childhood setting. Living in a rural community, that is not very big, you don’t realize how much diversity you deal with on a regular basis, as well as, what it entails for a larger population. You learn in other early childhood courses and even on the job that you need to have some form of communication, but it’s not always emphasized to inc lude their individuality. I was able to seeRead MoreReflection On The Family Crucible828 Words   |  4 PagesWritten Reflection on The Family Crucible In the book The Family Crucible it gave detailed insight into the effort and knowledge necessary to assess and assist a family unit to bring homeostasis back into their lives. From the beginning to the end this book thoroughly covers the story of a family who believes their problems stems from one individual and come to find out there are other underlying issues that play into the initial reason for setting their first family therapy appointment. WhileRead MoreReflection : Substance And Family1410 Words   |  6 PagesReflection: Substance and Family Tracy Collins Wilmington University In physical science, the term substance simply refers to a pure form of matter that contains molecules, where a combination of different molecules forms a mixture. In the context of this paper, the term substance relates to drugs and alcohol, which, when misused, bring about undesirable consequences. Drugs can be of varied categories. Addictive drugs such as marijuana, cocaine, and heroine are usually harmful to one’sRead MoreFamily Reflection Essay1480 Words   |  6 Pagesabout on holding a family together and what makes a family a whole. Hunting topic in my thoughts where is an informal topic because of what it entails. The topic was something that I like to do and take part in. In the paper I chose to write that I am against that it wasn’t cruel in anyway. That way back over hundreds of years that everyone had to hunt to survive and eat. At times many hunters got together to hunt and disperse the food evenly between each household or family. The opposing sideRead MoreFamily Reflection Paper915 Words   |  4 Pagesand your family arent exactly what you expected out of them or yourself. Being 12 years old and questioning your entire identity of values, choices, appearances, beliefs and friends and family is a stage in life I didnt quite take note of until the recent year to occur. My mother was getting married. In the picture above we look like a happy family bursting with happiness. Changing from neighborhood to neighborhood from city to city didnt quite help the odd circumstances but my family has alwaysRead MoreFamily Reflection Paper1035 Words   |  5 Pages I will be observing my Family members (Brother, Dad, Mom). A symbol we commonly use in our family is a Cross. There are many Crosses hung up around our household that represents our love for God and Church. It is a very important and symbolizing piece in our household that we hold very dear. My family believes in Christianity and the importance of God. M y Parents also believe republicans are reasonable people and that you should earn what you work for. My parents value discipline and good moralsRead MoreFamily Reflection Paper1198 Words   |  5 PagesFamily is the reason I am here today. Without my mother Nailah and father Stacey, there would not be a Sekayi Rudolph. My grandparents come before them, from both sides. My family I would consider, is middle class. Within the stratification system, like I stated before were ranked in the middle of the hierarchy. The stratification system is one which society ranks categories of people in a hierarchy. We are not the richest, but we are not suffering from poverty. Personally, I would say I am in a

Hepatitis C Virus Free Essays

With the WHO goal of HCV elimination seeming more achievable with the new DAA therapy, nurses are uniquely positioned to be the final and vital spoke to get the machine running efficiently. History has shown that nurse led programs in HIV treatment were successful and many developed and developing countries have adopted nurse led models in the fight against HIV. Nurses have the education to be a useful ammunition in the fight against HCV infection. We will write a custom essay sample on Hepatitis C Virus or any similar topic only for you Order Now Nurse led programs can be a cost effective alternative and also help to decentralize HCV care and improve access. Certainly, progress in HCV care has been appreciable. Nurses have been integrated into the system in novel ways and numerous studies have shown that the effect is an improved rate of recognition of the infection, treatment uptake and adherence and achievement of sustained virologic response (SVR). Nurse are currently supporting physicians in treating HCV patients. Yet, this is not enough in bringing about any observable change in the epidemic of HCV. With the shortage of physicians and specialists, it is imperative to bring about policy changes that will allow nurses to treat HCV. What is lacking is the involvement of nurse practitioners (NPs). This is the age of DAA and no time has been better than today in involving NPs in the fight against HCV by giving them prescribing authority for DAA. Study conducted in United States (US) showed similar treatment outcomes for HCV infected patients with care by NPs, PCPs and specialists (Sarah et al, 2017) concluding that HCV treatment provided by NPs was as safe as that provided by specialists. An Australian study (Lloyd et al, 2013) conducted between 2009 to 2010 utilizing a nurse led program in prisons with specialist supervision via telemedicine also showed safe and effective HCV treatment outcomes. The newer regimens of DAA which have lesser adverse effects can be easily prescribed by nurse practitioners who have the relevant education and experience. NPs in Australia have already been given the authority to prescribe DAA (Gastroenterology Society, 2017), and US and Canada can take important lessons from the success of this policy change. Nurse practitioners working in nurse led models in prisons, rural areas, and with hard to reach groups like PWID can bridge the gap due to non-availability of specialists.Expanding the scope of practice of NPs is especially relevant today in order to improve uptake of high risk groups into treatment. PWID have a high prevalence of HCV (systematic review 60 – 80% of IDUs in 25 countries had anti HCV while 80% IDUs had anti HCV in 12 countries https://www.sciencedirect.com/science/article/pii/S0140673611610970 ) and are the core group of transmitters. Treatment uptake is low in this group and yet the success of HCV programs is not going to be substantial if issues of HCV detection and treatment in PWID are not addressed effectively. PWID have many barriers to accessing health care, including but not limited to criminalization, poverty, mental health issues, addiction related issues, stigma and marginalization. But they are more likely to be engaged with community level health care providers like primary care physicians and nurses (Milne et al, 2015) in low threshold settings where they do not have fear of stigma or criminalization. Expanding the role of NPs to improve capacity to provide HCV care in these settings will lead to shorter wait times, improve information sharing with patients, advance engagement with the health care team and deliver better treatment outcomes. Prison environments have a huge concentration of HCV infected inmates. 24% of federal prisoners and 23% of provincial prisoners were positive for HCV antibody (Trubnikov 2011). Prisoners are at high risk of passing on the infection due to sharing of drug paraphernalia and are able to spread the infection once out in the community. Rural and remote areas also have disproportionate allocation of health services putting those living in these areas in the demographic of marginalized. Patients are less likely to travel large distances to start and complete treatment. Nurse led models in these two settings are urgently needed to improve HCV care. Nurse led model: a protocol based treatment program can be developed and tailored to cater to the needs of specific populations in community care clinics, OST centers, prisons, rural/ remote areas. The protocol can include relevant history taking, clinical assessment, investigations including the nurse performing transient elastography and triaging patients to determine the risk of each patient. Based on this the nurse would either start treatment, do a one on one consultation with the physician or refer the patient to consult with the physician using telemedicine. Follow up assessments should be conducted and referred for any adverse effects. In prison environments, patients who are released before the end of treatment should be referred to the community center and appropriate continuation of care must be in place. With shorter DAA regimens and better tolerated drugs, more number of prisoners may be offered HCV treatment and more number of inmates may be motivated to complete treatment upon release. Future research should focus on impact of nurses in protocol driven treatment of HCV, nurses dong fibro scan as compared to physicians, efficacy of DOTs therapy in HCV for those populations with adherence issues. Increased funding for specialty education for nurses in viral hepatitis to improve HCV care would definitely improve capacity in the fight against HCV. Lack of treatment for the marginalized is unfair and inexcusable. Nurse led programs in HIV care provided improved outcomes in all indicators and is evidence that they will be crucial in the war against HCV. Nurse practitioners need to rise to the challenge and advocate for better patient care among those affected with HCV by demanding prescribing authority for DAAs. Nurse led model in HCV care is an effective strategy to attain the WHO goal of elimination of HCV by 2030. How to cite Hepatitis C Virus, Papers

Public School Systems Across The Country Are Now Requiring Students To

Public school systems across the country are now requiring students to wear uniforms. Can uniforms really make a difference in a child's academic performance? Wouldn't uniforms infringe the child's creativity and self expression? The clothes don't make the child right (Hempill A15)? Wrong. School uniforms can drastically reduce school violence and help a student to focus on school work. In 1996, President Clinton endorsed public school uniforms in his State of the Union Address(Atkins 42). This created a rage among some education critics across the country. Critics complain that uniforms will lessen children's individualism and creativity, infringing students' rights and hint of racism. While proponents believe, uniforms will put the students emphasis on schoolwork instead of dressing coolly, and they will help to lower school violence. The idea comes from a Californian elementary school in Long Beach. In 1994, Long Beach became the country's first public school district to institute a mandatory uniform policy"(Atkins 42). The results were so promising that they lead to the President's endorsement. The school saw a fifty-one percent drop in physical fights, a thirty-four percent drop in assaults and batteries, a fifty percent drop in weapons offenses, and a thirty-two percent drop in school suspensions(Mancini 65). All this in a time span of only one year. Proving that a child's clothes does make a difference in school violence. In a time when school children are getting killed for designer jackets and shoes, uniforms are exactly what our children need(Mancini 63). Critics say that school uniform inhibit self expression. If you take away a child's self expression through clothing, you force that child to express his or herself in other ways. This might even force a child to resort to even more violent forms of expression, like through writing and art. In today's society, students are fighting each other in schools, because of other students that wear rival gangs colors and clothing. I went to school in a town with a population of about only ten-thousand residents. In our relatively small school, classes were disrupted several times, because one student was wearing another student's rival gang's colors causing outbursts and fights. This problem is one that occurrences daily in big city schools, but a problem uniforms can help remedy. Uniforms eliminate gang clothing like baggy pants, belts with initials on the buckles, halter tops, or certain gang colored clothing items. The uniforms can also help to identify outsiders within a school. Drug dealers would have wear uniforms in order to be able to roam the school yard without being spotted. The uniforms can also help parents save money. A parent can pay anywhere from sixty to a hundred dollars for a pair of pants, forty to sixty dollars on a single shirt, and eighty to one hundred-fifty dollars for a pair of shoes. A student would need to have at least five to six different outfits to wear to school. Where as a child wearing a uniform only would need two sets of clothes for class. The uniforms may vary, but most uniforms consist of basic colored slacks and a basic colored collared shirt. They can be purchased for as little as forty dollars at discount stores and the most expensive being around a hundred dollar. Besides saving parents hundreds of dollars, school uniforms also help to erase lines between the social classes. Since all students will be dressed alike, it will be impossible to tell the difference from a students from low income family and one from a high income family. I went to a public school for nine years, before transferring to a private school. At the public school my enthusiasm was minimal at best. My parent are not rich, and I had to wear clothes that were not consider cool. This automatically put me out of the cool group. I felt unhappy and left out. I did not go to school functions, because I felt I was not cool enough and would not fit in. Going to a private school and having to wear uniforms remedied that. I longer was not cool, just because I did not wear the right clothes. Students did not judge me by my apparel, instead I was judged by my personality. My grades improved and I graduated as student body president. When I talk to old friends from the public school, they are amazed at how much I have changed . I don't credit all of this to uniforms, but they sure allowed a side of me to be seen that most

How To Computerize Your Accounts essays

How To Computerize Your Accounts essays THESIS: I will explain the steps that need to be taken to computerize business accounts. The steps are planning and informed selecting of hardware, software, and training. I. Making the decision to computerize III. Installation and training In the normal course of a day our lives are affected by the technology of computers in ways we can only begin to imagine. The word ubiquitous means ever-present or occurring everywhere. This term could be used to describe the use of the computer in the business(Perry 11). The business worlds benefit alone is enough to make your head spin. Every time you go to the grocery store, the bank, the local ATM, or even the neighborhood gym you cannot help but benefit by the use of computers in modern society. The common civilians encounter with computers is not the only area where technology has changed our lives. Many fields in business such as accounting depend on the convenience, speed, accuracy, and reliability that computers have become known for. But not all companies are large enough to benefit from the use of computers. First a company must research the impact a computer will have on keeping track of its accounts. Then they must choose the correct hardware and software to best suit their particular needs, while at the same time making themselves familiar with the new enhancements that increase productivity. Finally, the company must allow time for installation and training. When evaluating the need to convert from a manual accounting system to a computerized accounting system you also need to forecast the future demands of your company. After all to survive in the business world you must anticipate the future and not react to the past. How do you know when it is time to make the critical transition? It is when management finds itself unable to keep track of its business. Which products are profitable? Which are not? Which customers pay ...

The Characters in All My Sons by Arthur Miller

The Characters in All My Sons by Arthur Miller Arthur Millers drama All My Sons asks a tough question: How far should a man go to secure his familys well-being? The play delves into deeply moral issues regarding our obligations to our fellow man. Divided into three acts, the story unfolds in the following manner: Act One: The friendly Keller household is introduced.Act Two: The truth about Joe Keller is revealed.Act Three: After facing the truth, the characters make final choices. Like other works by Arthur Miller, All My Sons is a critique of an overzealously capitalistic society. It shows what happens when humans are ruled by greed. It demonstrates how self-denial cannot last forever. And it is Arthur Millers characters who bring these themes to life. Joe Keller Joe seems like the traditional, amiable 1940s father figure. Throughout the play, Joe presents himself as a man who deeply loves his family but also has great pride in his business. Joe Keller has been running a successful factory for decades. During World War II, his business partner and neighbor, Steve Deever noticed some faulty airplane parts about to be shipped for use by the U.S. military. Steve says that he contacted Joe who ordered that shipment, but Joe denies this, saying that he was home sick that day. By the plays end, the audience discovers the dark secret Joe has been concealing: Joe decided to send the parts through because he was afraid that admitting the companys mistake would destroy his business and his familys financial stability. He allowed the sale of faulty airplane parts to be shipped to the frontline, resulting in the death of twenty-one pilots. After the cause of the deaths was discovered, both Steve and Joe were arrested. Claiming his innocence, Joe was exon erated and released and the entire blame shifted to Steve who remains in jail. Like many other characters within the play, Joe is capable of living in denial. It is not until the plays conclusion that he ultimately faces his own guilty conscience - and then he chooses to destroy himself rather than deal with the consequences of his actions. Larry Keller Larry was Joes oldest son. The audience does not learn too many details about Larry; the character dies during the war, and the audience never meets him - no flashbacks, no dream sequences. However, we do hear his final letter to his girlfriend. In the letter, he reveals his feeling of disgust and disappointment towards his father. The content and tone of the letter suggest that perhaps Larrys death was due to combat. Perhaps life was no longer worth living because of the shame and anger he felt. Kate Keller A devoted mother, Kate still holds on to the possibility that her son Larry is alive. She believes that one day they will receive word that Larry was only wounded, perhaps in a coma, unidentified. Basically, she is waiting for a miracle to arrive. But theres something else about her character. She holds onto the belief that her son lives because if he perished during the war, then (she believes) her husband is responsible for her sons death. Chris Keller In many ways, Chris is the most admirable character in the play. He is a former World War II soldier, so he knows firsthand what it was like to face death. Unlike his brother, and the many men who died (some of them because of Joe Kellers faulty airplane parts), he managed to survive. He plans to marry his late brothers former girlfriend, Ann Deever. Yet, he is very respectful about his brothers memory, as well as the conflicting feelings of his fiancà ©. He also has come to terms with the death of his brother and hopes that his mother will soon be able to peacefully accept the sad truth. Finally, Chris, like so many other young men, idealizes his father. His strong love for his father makes the revelation of Joes guilt all the more heart-wrenching. Ann Deever As mentioned above, Ann is in an emotionally fragile situation. Her boyfriend Larry was missing in action during the war. For months she hoped that he had survived. Gradually, she came to terms with Larrys death, eventually finding renewal and love in Larrys younger brother, Chris. However, since Kate (Larrys seriously-in-denial Mom) believes that her eldest son is still alive, she is mortified when she discovers that Ann and Chris plan to marry. On top of all this tragedy/romance material, Ann also laments the disgrace of her father (Steve Deever), whom she believes is the sole criminal, guilty of selling faulty parts to the military. (Thus, theres great dramatic tension, as the audience waits to see how Ann will react when she discovers the truth: Steve isnt the only guilty one. Joe Keller is guilty too!) George Deever Like many of the other characters, George (brother of Ann, son of Steve) believed that his father was guilty. However, after finally visiting in father in prison, he now believes that Keller was in fact primarily responsible for the death of the pilots and that his father Steve Deever should not be the only one in jail. George also served during World War II, thus giving him a greater stake in the drama, for he is not only seeking justice for his family, but for his fellow soldiers.

Integration of Motivational Interviewing and Cognitive Behavioural Essay

Integration of Motivational Interviewing and Cognitive Behavioural Therapy for the treatment of Depression - Essay Example During her late twenties, Kate was easily fatigued even when she was resting. She experienced fatigue even when she had slept for more hours than she was used to there before. At twenty-nine, she could barely do anything as she had decreased body energy. This made her skip even the basic chores at her home and threatening her career. Her parent having noticed the problem she was undergoing decided to take to the hospital where she was hospitalized for a severe case of depression. She was treated extensively with pharmacotherapy and psychotherapy for over few years (NYU Langone, n.d.). At the age of 35, Kate expressed persistent attitude signs and a serious cognitive dysfunction. For the next three years, Kate underwent several medication from MRI testing, EEG, sleep studies and several neuropsychological testing. All of the medication that Kate underwent were not successful until she was thirty-eight years old. She diagnosed with a neurological disease known as Lyme disease at 38 years. However, after diagnose she was treated by antibiotics and other over-the-counter drugs supplements. This did not help her even after being treated with transcranial magnetic stimulation and hyperbaric oxygen. Having undergone through medication for over ten years without signs and indication of improvement, she quit medication and all another psychotherapy. She resulted to neuropsychiatric remedies and sought help from Scott Hirsch, a professor of psychiatry and neurology at Langone Medical Center (NYU Langone, n.d.). The patient was so anxious and hopeless because her problem had persisted to her old age and affected all her dreams in life. Though she demonstrated a high level of intelligence, she had slowed response to actions. Doctors conducted segmental neurological diagnoses, but there were no signs of dyskinesia, myoclonus and tics (NYU Langone, n.d.). The patient though exhibiting cognitive symptoms no neuropsychological clinical analysis indicated that

Robert Browning and his poetry Research Paper Example | Topics and Well Written Essays - 1000 words

Robert Browning and his poetry - Research Paper Example It would appear that Browning was greatly influenced by this review because after Mill’s criticism, he rarely wrote about his own emotions or used a subjective tone in his poetry. As a teenager, Browning was greatly influenced by the poet Percy Shelley. His earliest poetry efforts reflected Shelley’s views and style. Shelley’s writings inspired Browning to be an atheist for a short amount of time. Later he would say that his short-lived atheism was just a phase that he passed through in his life. His first published poem, entitled â€Å"Pauline: A Fragment of Confession† was thought to be inspired by a religious music composer named Eliza Flower. (Liukkonen). In 1969, he wrote what is known as his greatest poem, â€Å"The Ring and the Book,† which was a tribute to his wife Elizabeth who had passed away eight years before. Browning’s first critical praise came after he published â€Å"Paracelsus† in 1835. William Wordsworth and other di stinguished writers praised the poem and thought him a very promising young poet. For the next 30 years, however, a majority of his works were harshly criticized until the late 1860s when he wrote the much praised â€Å"The Ring and the Book.† Later, in 1873, he wrote â€Å"Red Cotton Night – Cap Country.† The Examiner called the work â€Å"the most useful of all the good poems that he has written† (Johnson). Browning’s Work as a Whole Overall, Browning’s poetry could accurately be described as narrative and dramatic. More specifically, his major works are best described as dramatic monologues. A dramatic monologue features a single character narration. The monologue style allows for the audience to judge the narrator’s worth and the value of what he is saying. Also, the narrator is not generally speaking to the audience in this type of poem but merely musing to themselves. In general, Browning’s poetry is difficult to read and understand and, as Encyclopedia Brittanica states, â€Å"certain [Browning] poems require a considerable acquaintance with their subjects in order to be understood† (Brittanica). As mentioned earlier, Browning departed from the self-conscious tone of his first poem and adopted the narrative structure. He is often known for giving the poem’s audience an unanticipated point of view. He also frequently uses irony in his poems and is able to shift the focus of his poems as well. Many Christian themes and sentiments can also be observed in Browning’s work. His poetry also reflects his changing religious views throughout his life. He frequently deals with the topics of love, faith, and death. Also, his works occasionally reveal his uncertainty and skepticism about religion (Johnson). However, by today’s standards they are viewed as quite optimistic as well as spiritual. The rhythm of Browning’s poetry is mostly irregular. He employed a wide variety of m etrical forms in his writing. He was able to create very interesting rhythms and melodies by using these varied metrical forms and rhythms. A good illustration of this technique can be observed by reading the following extract from Browning’s poem Abt Vogler: And one would bury his brow with a blind plunge down to hell, Burrow awhile and build, broad on the roots of things, Then up again swim into sight, having based me my palace well, Founded it, fearless of flame, flat on the nether springs. Browning also wrote