Tuesday, December 24, 2019
Problems Facing Physical Education Essays - 468 Words
Problems Facing Physical Education I am not one hundred percent positive, but I am pretty sure I want to major in Physical Education. There are many problems and dilemmas facing professionals in Physical Education. Problems range from poor facilities to kids not receiving proper treatment in the class. I think the biggest problem is the poor facilities. Most states do not even meet the minimum recommendations for physical activity of 50 to 200 minutes a week, according to a 1997 National Association for Sport and Physical Education survey. Even if the kids have a regular physical education class they may not be getting any real exercise. One study in California found that during the course of one week, school kids were gettingâ⬠¦show more contentâ⬠¦(According to the Centers for Disease Control and Prevention, 14 percent of children ages six to 11 are overweight, as are 12 percent of adolescents.) Its not just from poor eating habits. The average child in America spends more than four hour a day watchin g TV or playing computer or video games. If the children are not getting the proper amount of exercise then that can make the difference between being normal weight and overweight. Too many PE programs are characterized by over sized classes, poor facilities, and little administrative support. Another dilemma facing PE has nothing to do with the budget or facilities. Some teachers teaching the classes are not properly qualified or trained. A lot of programs have instruction-equating punishment with exercise. From what I understood this had to do with things like, allowing students to pick teams, evaluating performance on things such as showing up properly attired rather than learning, and letting the best athletes in the class dominate. I interviewed Larry Becker, one of my high school football coaches and also PE teacher, to see what he thought were the major concerns and dilemmas facing Physical Education. I talked to him about going into Physical Education as my major be cause I want to be a coach. He said probably the biggest misconception is that people go into Physical Education to be a coach or just a PE teacher and they do not really realize that not tooShow MoreRelatedWhat Are The Largest Problems That Plague America? Essay1383 Words à |à 6 PagesWhat are the largest problems that plague America? Most would argue that issues such as mass hunger, climate change and poverty are the most prominent difficulties that the United States faces. While these things are important, and do have a great impact on the country, there is another large and often forgotten issue that faces America: childhood obesity. This nationwide problem is also directly harmful to the strength and conditioning industry. Physical education classes are failing to involveRead MoreThe Plight of Canadaââ¬â¢s Fitness990 Words à |à 4 Pagesprovince in Canada in which physical education credits between grades 9 to grade 12 are required for graduation, the program is facing several issues from the large class size, limited space, and specialist versus generalist teachers issue. Thus, physical education programs needs to be enforced and should be mandatory nationwide. Incontrovertible, physical education programs are getting more attention in the last few years. It is the key to increase teenagerââ¬â¢s physical activity levels. MoreoverRead MoreNegative Effects Of Child Labor In Ghana1583 Words à |à 7 Pageschild labor is employed. This is one of the famous slogans that shows the severity and the cruelty of child labor. Child labor refers to work that threatens childrenââ¬â¢s health and safety or deprives their right to education (Herring). 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Lack of cooperation among liaisons, school-based professionals, service agencies, and family members can have a detrimentalRead MoreMedical Advancement Of A Double Edged Sword950 Words à |à 4 Pagesme understand some of the core problems facing the American health system. Of these problems, the one I am most invested in is the lack of health education for school-aged children across the country. With regards to nutrition, sexual health and the concept of general welln ess most Americans have a deficit in knowledge that starts at a young age and negatively affects their physical and mental health throughout life. For millions of Americans this lapse in education coupled with the difficulty toRead MoreObesity As A Risk Factor For Cardiac Health844 Words à |à 4 Pages After putting together all my researches, I found that they all had the same results to their surveys and data collections and the same conclusion; obesity is a major problem in American society and it leads to multiple health issues. Data shows that obesity is the cause of chronic disease risk, morbidity, high health care costs and social costs (Nestle Jacobson 2000). After the American society has identify obesity as a risk factor for cardiac health, many federal agencies has come upRead MoreChildhood Obesity And Its Effects1384 Words à |à 6 PagesChildhood obesity is on the rise and has seen a dramatic increase over recent years. The percent of children facing obesi ty today is 18% and has doubled over the course of 30 years.1 With 2/3 of the adult population being overweight and obese it is no surprise that children are following the trend. Obesity simply defined is excess body fat from an energy imbalance. Obesity occurs when energy intake is more than energy expended and results in excess body fat. Childhood obesity can be measured withRead MoreChildhood Obesity : The Height Of Its Peak936 Words à |à 4 Pagesto prevent them from developing health problems in the future. If a solution is not set into place, then this problem will only get worse and worse each and every year. The first solution I will suggest is that we bring back physical education within schools. The second solution I propose is that we regulate fast-food commercials on any form of media that children are able to see. The first solution that I introduced, which is bringing back physical education within the school system is better the
Monday, December 16, 2019
The Hunters Phantom Chapter 2 Free Essays
Dear Diary, I AM HOME! I can hardly dare to believe it, but here I am. I woke with the strangest feeling. I didnââ¬â¢t know where I was and just lay here smelling the clean cotton-and-fabric-softener scent of the sheets, trying to figure out why everything looked so familiar. We will write a custom essay sample on The Hunters: Phantom Chapter 2 or any similar topic only for you Order Now I wasnââ¬â¢t in Lady Ulmaââ¬â¢s mansion. There, I had slept nestled in the smoothest satin and softest velvet, and the air had smelled of incense. And I wasnââ¬â¢t at the boardinghouse: Mrs. Flowers washes the bedding there in some weird-smelling herbal mixture that Bonnie says is for protection and good dreams. And suddenly, I knew. I was home. The Guardians did it! They brought me home. Everything and nothing has changed. Itââ¬â¢s the same room I slept in from when I was a tiny baby: my polished cherry-wood dresser and rocking chair; the little stuffed black-and-white dog Matt won at the winter carnival our junior year perched on a shelf; my rolltop desk with its cubbyholes; the ornate antique mirror above my dresser; and the Monet and Klimt posters from the museum exhibits Aunt Judith took me to in Washington, DC. Even my comb and brush are lined up neatly side by side on my dresser. Itââ¬â¢s all as it should be. I got out of bed and used a silver letter opener from the desk to pry up the secret board in my closet floor, my old hiding place, and I found this diary, just where I hid it so many months ago. The last entry is the one I wrote before Founderââ¬â¢s Day back in November, before Iâ⬠¦ died. Before I left home and never came back. Until now. In that entry I detailed our plan to steal back my other diary, the one Caroline took from me, the one that she was planning to read aloud at the Founderââ¬â¢s Day pageant, knowing it would ruin my life. The very next day, I drowned in Wickery Creek and rose again as a vampire. And then I died again and returned as a human, and traveled to the Dark Dimension, and had a thousand adventures. And my old diary has been sitting right here where I left it under the closet floor, just waiting for me. The other Elena, the one that the Guardians planted in everyoneââ¬â¢s memories, was here all these months, going to school and living a normal life. That Elena didnââ¬â¢t write here. Iââ¬â¢m relieved, really. How creepy would it be to see diary entries in my handwriting and not remember any of the things they recounted? Although that might have been helpful. I have no idea what everyone else in Fellââ¬â¢s Church thinks has been happening in the months since Founderââ¬â¢s Day. The whole town of Fellââ¬â¢s Church has been given a fresh start. The kitsune destroyed this town out of sheer malicious mischief. Pitting children against their parents, making people destroy themselves and everyone they loved. But now none of it ever happened. If the Guardians made good on their word, everyone else who died is now alive again: poor Vickie Bennett and Sue Carson, murdered by Katherine and Klaus and Tyler Smallwood back in the winter; disagreeable Mr. Tanner; those innocents that the kitsune killed or caused to be killed. Me. All back again, all starting over. And, except for me and my closest friends ââ¬â Meredith, Bonnie, Matt, my darling Stefan, and Mrs. Flowers ââ¬â no one else knows that life hasnââ¬â¢t gone on as usual ever since Founderââ¬â¢s Day. Weââ¬â¢ve all been given another chance. We did it. We saved everyone. Everyone except Damon. He saved us, in the end, but we couldnââ¬â¢t save him. No matter how hard we tried or how desperately we pleaded, there was no way for the Guardians to bring him back. And vampires donââ¬â¢t reincarnate. They donââ¬â¢t go to Heaven, or Hell, or any kind of afterlife. They justâ⬠¦ disappear. Elena stopped writing for a moment and took a deep breath. Her eyes fil ed with tears, but she bent over the diary again. She had to tel the whole truth if there was going to be any point to keeping a diary at al . Damon died in my arms. It was agonizing to watch him slip away from me. But Iââ¬â¢ll never let Stefan know how I truly felt about his brother. It would be cruel ââ¬â and what good would it do now? I still canââ¬â¢t believe heââ¬â¢s gone. There was no one as alive as Damon ââ¬â no one who loved life more than he did. Now heââ¬â¢ll never know ââ¬â At that moment the door of Elenaââ¬â¢s bedroom suddenly flew open, and Elena, her heart in her throat, slammed the diary shut. But the intruder was only her younger sister, Margaret, dressed in pink flower-printed pajamas, her cornsilk hair standing straight up in the middle like a thrushââ¬â¢s feathers. The five-year-old didnââ¬â¢t decelerate until she was almost on top of Elena ââ¬â and then she launched herself at her through the air. She landed squarely on her older sister, knocking the breath out of her. Margaretââ¬â¢s cheeks were wet, her eyes shining, and her little hands clutched at Elena. Elena found herself holding on just as tightly, feeling the weight of her sister, inhaling the sweet scent of baby shampoo and Play-Doh. ââ¬Å"I missed you!â⬠Margaret said, her voice on the verge of sobbing. ââ¬Å"Elena! I missed you so much!â⬠ââ¬Å"What?â⬠Despite her effort to make her voice light, Elena could hear it shaking. She realized with a jolt that she hadnââ¬â¢t seen Margaret ââ¬â really seen her ââ¬â for more than eight months. But Margaret couldnââ¬â¢t know that. ââ¬Å"You missed me so much since bedtime that you had to come running to find me?â⬠Margaret drew slightly away from Elena and stared at her. Margaretââ¬â¢s five-year-old clear blue eyes had a look in them, an intensely knowing look, that sent a shiver down Elenaââ¬â¢s spine. But Margaret didnââ¬â¢t say a word. She simply tightened her grip on Elena, curling up and letting her head rest on Elenaââ¬â¢s shoulder. ââ¬Å"I had a bad dream. I dreamed you left me. You went away.â⬠The last word was a quiet wail. ââ¬Å"Oh, Margaret,â⬠Elena said, hugging her sisterââ¬â¢s warm solidity, ââ¬Å"it was only a dream. Iââ¬â¢m not going anywhere.â⬠She closed her eyes and held on to Margaret, praying her sister had truly only had a nightmare, and that she hadnââ¬â¢t slipped through the cracks of the Guardiansââ¬â¢ spel . ââ¬Å"Al right, cookie, time to get a move on,â⬠said Elena after a few moments, gently tickling Margaretââ¬â¢s side. ââ¬Å"Are we going to have a fabulous breakfast together? Shal I make you pancakes?â⬠Margaret sat up then and gazed at Elena with wide blue eyes. ââ¬Å"Uncle Robertââ¬â¢s making waffles,â⬠she said. ââ¬Å"He always makes waffles on Sunday mornings. Remember?â⬠Uncle Robert. Right. He and Aunt Judith had gotten married after Elena had died. ââ¬Å"Sure, he does, bunny,â⬠she said lightly. ââ¬Å"I just forgot it was Sunday for a minute.â⬠Now that Margaret had mentioned it, she could hear someone down in the kitchen. And smel something delicious cooking. She sniffed. ââ¬Å"Is that bacon?â⬠Margaret nodded. ââ¬Å"Race you to the kitchen!â⬠Elena laughed and stretched. ââ¬Å"Give me a minute to wake al the way up. Iââ¬â¢l meet you down there.â⬠Iââ¬â¢ll get to talk to Aunt Judith again, she realized with a sudden burst of joy. Margaret bounced out of bed. At the door, she paused and looked back at her sister. ââ¬Å"You real y are coming down, right?â⬠she asked hesitantly. ââ¬Å"I real y am,â⬠Elena said, and Margaret smiled and headed down the hal . Watching her, Elena was struck once more by what an amazing second chance ââ¬â third chance, real y ââ¬â sheââ¬â¢d been given. For a moment Elena just soaked in the essence of her dear, darling home, a place sheââ¬â¢d never thought sheââ¬â¢d live in again. She could hear Margaretââ¬â¢s light voice chattering away happily downstairs, the deeper rumble of Robert answering her. She was so lucky, despite everything, to be back home at last. What could be more wonderful? Her eyes fil ed with tears and she closed them tightly. What a stupid thing to think. What could be more wonderful? If the crow on her windowsil had been Damon, if sheââ¬â¢d known that he was out there somewhere, ready to flash his lazy smile or even purposely aggravate her, now that would have been more wonderful. Elena opened her eyes and blinked hard several times, wil ing the tears away. She couldnââ¬â¢t fal apart. Not now. Not when she was about to see her family again. Now she would smile and laugh and hug her family. Later she would col apse, indulging the sharp ache inside her, and let herself sob. After al , she had al the time in the world to mourn Damon, because losing him would never, ever stop hurting. How to cite The Hunters: Phantom Chapter 2, Essay examples
Sunday, December 8, 2019
Exploring Nursing Expertise in Residential Care
Question: Discuss about the Exploring Nursing Expertise in Residential Care . Answer: Introduction: Person centered assessment is considered as a crucial aspect in rendering customized and individual suited health and social care services to cater to the specific needs, preferences and demands of the person through exhibition of enough respect and accurate responses to their requirements. Planning, improvisation and monitoring of care is carried out by means of this approach to better recognize the health outcomes that is adequate to address the definite issues relevant to the person (Starfield 2017). This person centered care has received much attention and prominence in the recent years to address specific needs pertinent to geriatric individuals who require specialized care services congruent to their health condition (Martnez et al. 2016). In the following essay, this approach will be demonstrated with respect to an old person named John who has been admitted in the residential aged care setting to receive proper care and treatment for his prevalent condition of dementia that h as markedly affected his quality of living. In an effort to enhance the quality of life in the given setting, promotion of everyday activities will be beneficial (Edvardsson et al. 2014). Analysis and discussions will be carried out with respect to the given scenario and in compliance with the measures readily available to handle such circumstances. In course of my interaction with John I came to know that he is in greater need for emotional support rather than clinical intervention to account for better holistic outcomes. The care provided must be congruent to respecting the clients preferences. Coordination and integration of care will facilitate the alleviation of feelings of vulnerability of the client. Further provision of adequate information and education will allay all sort of apprehension and fear of the client specific to the condition. Physical comfort will be given through proper pain mitigation strategy and assistance offered in course of activities of daily living. Better outcomes may be expected on involvement of family and friends while continuity and transition to care will be further enhanced through assembling of adequate information regarding the medications, dietary requirements and physical limitations. The key issues identified from Johns perspective included inability to perform activities of daily living due to restricted mobility, lack of family support couple with disorientation of thoughts and forgetfulness because of the debilitating condition of dementia. However the positive aspect includes the clients strive to lead a better life without depending much on others that must be treated with dignity, respect and sensitivity through proper decision making efforts. Person centered care is generally carried out in the outpatient care facilities as well as community based setting in case of older adults suffering from chronic conditions and functional impairments. Traditional biomedical model has been replaced in this context for personal choice and autonomy with respect to the service recipients. The multifaceted approach normally resort to six noteworthy domains encompassing holistic care, choice, value and respect, dignity, self determination in conjunction with purposeful living. The measurement of the person centered care in case of these clients has been found to be heavily dependent upon factors including self, family apart from service provider and organizational facilities. Matters relevant to health and social aspect of the client need to be addressed properly to account for better outcomes. The need for standardization of the accepted parameters with regards to the person centered care has been emphasized in literature (Kogan, Wilber a nd Mosqueda 2016). Further study has highlighted upon the application and effective utilization of a composite person centered care model characterized by usage of Montessori principles. Emphasis was laid upon developing the capacity and ability of the dementia residents by virtue of considerable changes made in the context of staff education, environmental modification along with organizational involvement and community participation. Curtailment of the rates of antipsychotic and sedative medications apart from significant behavioral alterations was noted after the introduction of the model. Experienced organizational culture along with enhanced knowledge and insight regarding dementia on the part of the staff working at the dementia care facilities harbored positive outcomes that satisfied the family members of the affected individual as well. Hence adoption of this specific model is found to be beneficial in the residential aged care facility (Roberts et al. 2015). Other studies have considered the psychological needs of the patient with dementia that must delve deeper into catering to the needs related to attachment, inclusion, identity, comfort and occupation through referring to the central theme of love. The impact of the caregivers on the individual has been of particular importance that aims to address the interaction between the individual and the environment. The efficacy of a person centered observational tool (FADe) to recognize fear and anxiety components among the dementia patient has been tested in a research. The subsequent treatment methodologies and intervention strategies to be adopted by the physicians in association with other healthcare practitioners has been recommended to create conducive environments devoid of fear and anxiety for ensuring better health related outcomes and quicker recovery (Traynor et al. 2016). The need for implementation of definite effective strategies for delivering utmost person centered care has been attended to in study where the role of the healthcare staff is given much importance. The competency, skills, domain related knowledge and prudence of the healthcare professionals are desirable in this respect to steer positive changes in dement ia care for the aged person. Improvements in attitudes and perceptions towards the dementia affected individuals by the staff were reported after formal training to account for increased satisfaction among the service receivers. Changes in attitudes of the staff were noted through provision of foundation level training (Surr et al. 2016). Other empirical findings have emphasized upon relationship building, effective communication, maintaining the respect and dignity of the patients to generate fruitful results on the part of the healthcare and nursing professional responsible for treating patients with dementia. Within the nursing home setting, overcoming the cultural and educational barriers by the service providers was identified to be particularly challenging. Quality of living underwent significant improvement for the dementia affected through staff training based on dementia care mapping in conjunction with person centered care. Tendency to succumb to the pressure of social exclusion has also been found to majorly impact the behavioral and cognitive outcomes in case of the dementia patient thereby necessitating the responsibility of the staff to nurture the emotional and spiritual needs of the dementia affected (Yasuda and Sakakibara 2016). Another recent study focused on the issue of efficient implementation of national guidelines for person centered care of persons with dementia within the framework of residential aged care facility. Effects of intervention on person centeredness of care were evaluated in course of the study design that depicted vital implications. At the follow up, significant alleviation of the staff stress of conscience as noted that indicated the enhanced capacity of the staff to render the best quality care to the concerned individuals. Systematic and interactive intervention modality comprising of knowledge transition, generation of novel and pragmatic ideas as well as dissemination of pertinent knowledge to the staff lead to the improved outcomes in the dementia affected population in line with the national guidelines. Thus establishment of proper national policy will act to address the situation relevant to the aged dementia affected individuals thereby aiding in the professional practice of t he staff operating in the residential and hospital based setting (Edvardsson, Sandman and Borell 2014) (vide Appendix 2). The suitability of the person centered care in providing holistic solutions to aged persons suffering from dementia has been reported across various academic literatures. The prevalence of a congenial working environment within the residential aged care facility or community based setting has been proposed to bear fruitful outcomes. Encouragement of a positive and supportive psychosocial climate together with a working environment where there is a balance between the workload and output of the staff to ensure a person centered care practice. Heightened satisfaction of the staff, reduced levels of job strain along with lower levels of stress of conscience have been tested to account for better responses in the patient (Sjgren et al. 2015). Further nursing expertise in treating these patients have stressed upon the need to maintain the ethical and moral virtues while providing care services to the vulnerable population. Definite skills must be applied to bring about optimal outcomes in the patients. The ensuing challenges that might appear due to educational insufficiency, knowledge gap and cultural incongruity must be adequately addressed to mitigate the problem (Phelan and McCormack 2016). Hence similar interventions and strategies may be applied in the context of John who is likely to be benefited by such measures to improve his quality of life as a consequence to dementia. The success and applicability of the person centered care to treat the aged patients suffering from dementia has long been established. The primary responsibilities rest with the healthcare professional entrusted with the duty of caring these persons to harbor maximum outcomes and holistic development. Significant improvements in terms of enhanced quality of living may be expected under satisfactory execution of the duty with respect to dealing with the affected individual by those healthcare staff. Therefore acquisition of prudent knowledge and skills to execute the duty is desirable through proper formal training (Olsson et al. 2013). The barriers and challenges encountered in course of rendering adequate care to these patients thus need to be deftly handled by the healthcare professionals through proper resources and evidence based practices in conformity with the existing ethical and legal competencies for providing satisfactory solutions to the concerned individuals. References Edvardsson, D., Petersson, L., Sjogren, K., Lindkvist, M. and Sandman, P.O., 2014. Everyday activities for people with dementia in residential aged care: associations with person?centredness and quality of life.International journal of older people nursing,9(4), pp.269-276. Edvardsson, D., Sandman, P.O. and Borell, L., 2014. Implementing national guidelines for person-centered care of people with dementia in residential aged care: effects on perceived person-centeredness, staff strain, and stress of conscience.International Psychogeriatrics,26(07), pp.1171-1179. Kogan, A.C., Wilber, K. and Mosqueda, L., 2016. Person?Centered Care for Older Adults with Chronic Conditions and Functional Impairment: A Systematic Literature Review.Journal of the American Geriatrics Society,64(1), pp.e1-e7. Martnez, T., Surez-lvarez, J., Yanguas, J. and Muiz, J., 2016. The Person Centered approach in Gerontology: New validity evidence of the Staff Assessment Person-directed Care Questionnaire.International Journal of Clinical and Health Psychology,16(2), pp.175-185. Olsson, L.E., Jakobsson Ung, E., Swedberg, K. and Ekman, I., 2013. Efficacy of person?centred care as an intervention in controlled trialsa systematic review.Journal of clinical nursing,22(3-4), pp.456-465. Phelan, A. and McCormack, B., 2016. Exploring nursing expertise in residential care for older people: a mixed method study.Journal of advanced nursing,72(10), pp.2524-2535. Roberts, G., Morley, C., Walters, W., Malta, S. and Doyle, C., 2015. Caring for people with dementia in residential aged care: Successes with a composite person-centered care model featuring Montessori-based activities.Geriatric Nursing,36(2), pp.106-110. Sjgren, K., Lindkvist, M., Sandman, P.O., Zingmark, K. and Edvardsson, D., 2015. To what extent is the work environment of staff related to person?centred care? A cross?sectional study of residential aged care.Journal of clinical nursing,24(9-10), pp.1310-1319. Starfield, B., 2017. Is patient-centered care the same as person-focused care?.Issues,2016. Surr, C.A., Smith, S.J., Crossland, J. and Robins, J., 2016. Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study.International journal of nursing studies,53, pp.144-151. Traynor, V., Stephen, S., Barkus, E., Pavlik, H., Yu, P., Qian, S., Carrigan, N. and Li, M., 2016. Developing a Person Centered Fear and Dementia (FaDe) assessment tool for individuals living with a dementia. Yasuda, M. and Sakakibara, H., 2016. Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia.Aging mental health, pp.1-6.
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