Equal opportunity laws and reverse discrimination Essay

Equal opportunity laws and reverse discrimination - Essay Example Taking a controversial approach with respect to reverse his termination in the workplace, this essay will prove persuasively argue that because these programs promote discrimination themselves barely defeatist, and ironically promote the same type of behavior that they seek to eradicate. We now turn to an overview of the reasons for affirmative action and then follow with a rebuttal against reverse discrimination in the work force. As mentioned above, discrimination in the workforce affects different types of people from all walks of life. Women have faced historical discrimination for years and the Equal Pay Act (EPA) of 1963 was established to tackle the issues associated with wage-based discrimination. Due to the prevalence of sexism today, women still continue to earn less than their male counterparts. With respect to age, older workers face a variety of challenges in the labor force and the Age Discrimination in Employment Act (ADEA) of 1967 seeks to protect people who are 40 years of age and older from discrimination. Looking at people disabilities, the Americans with Disabilities Act (ADA) of 1990 sought to ensure the full employability of people disabilities in modern society. With respect to visible minorities in the United States, the US federal government began its attempts at combating discrimination in the early 1960s. During this period, President John F. Kennedy issued Executive Order 10925 to i mplement â€Å"affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, creed, color, or national origin." (The American Presidency Project, 2009). This was arguably the most important piece of legislation to pave the way for affirmative action in the United States. While the government has legislated many policies to tackle discrimination at work, these programs are inherently discriminatory themselves and promote exactly the type of

Is Media Globalization a Form of Cultural Imperialism Essay

Is Media Globalization a Form of Cultural Imperialism - Essay Example This wide spread of its globalization has come up because of innovation and development of advanced information communication technology. Furthermore, globalization of media has facilitated all other forms of globalization in the world owing to the fact that multi-national media is very fundamental in global industries. Many individuals especially in the western countries believe in enjoying the positive impacts of media globalization without fearing or avoiding the media negative results which may include violation of freedom to speech. International communication has been made cheap through Media globalization and availability of advanced communication. This enable people have video conversation with their own who might be miles away. It helps business people be informed on the current status on the stock market via cell phones. This helps in good use of funds, time and power. Internet as another development in media has positively encouraged development in the world health sector. In the event of critical illness, a doctor can transmit an X-ray or MRI through another one at a far country thus offering better solution. A client is thus able to get it effectively and efficiently saving many lives. More advances are being made in media technology such as compression technology to enable easier and good transfers of CAT scans via the Internet for patients to access efficient assistant from all skilled professionals globally. Additionally via the worldwide web, a lot of information has been made readily available to all hence need to be informed in the right way. Homogenization and hybridization are two major types concerning that unify global culture. Homogenization equates globalization with depletion of... This essay approves that media is currently available and to the reach by people which is contrary totally different from previous status. An example is given of increased competition in the open market which has lowered content diversity. This is observed to standardize a profit as the organizations compete for more audience. Similarly, news stations have taken followed the profit formula hence lower quality of journalistic content bringing a very confusing situation hence global poor understanding of news resulting from personalized media content. Owing to the fact that advertising is great source of finance in media it is right to argue that media never choose the important products to advertise as their motive is profit maximization. This global media ignorance of the public interest does not result from changes of one’s standards in professional journalism. Also it never results from more public need for less irrelevant and evil information. The media is thus to lower public demand and esteem as they broadcast according to their satisfaction. This report makes a conclusion that since media has great societal influence it is good to regulate it more for nothing can stop media globalization. It will keep non influencing impact people behavior. Therefore, it is advisable for governments to ensure media freedom but set rules that will favor protection of people culture and good character as well. Therefore, it is right to argue the fact that medial globalization is source of cultural imperialism.

Cultural Competency Assessment Essay Example for Free

Cultural Competency Assessment Essay The Long Island Adolescent and Family Services or LIAFS is a social service organization that assists the young population in their needs and concerns. LIAFS first started as a support group for young people who were victims of crime and a haven for children who do not have anywhere to go. LIAFS does not operate for the purpose of generating profit. The organization is headstrong in providing support and assistance to adolescents or families who are experiencing difficulties and challenges in whatever aspect of their lives. (LIAFS, 2008) LIAFS obtains its resources to accomplish its goals and objectives from donations and contributions. People who want to help LIAFS further their aims are able to send their monetary assistance to the LIAFS’ office. As of now, the organization is publishing a wish list that contains what they need, such as computers, sports equipments, vehicles, and gifts that the organization will be able to give out to children during their birthdays. (LIAFS, 2008b) The organization is also in need of employees that are willing to work for the said cause, such as cooks, therapists, drivers, counselors, and psychologists. (LIAFS, 2008c) The involvement of the community or the neighborhood is much needed in running programs of the LIAFS. This is highly recommended, especially for non-profit organizations, if LIAFS wishes to sustain resources and take one step higher than what the organization has been attaining or has attained. This concept builds on cultural competency. Cultural competency means that a non-profit organization is able to become culturally aware and through it gain help from diverse groups in society in order to assist the organization is realizing its goals and objectives. (Alliance for Non-Profit Management, 2004) In general, cultural competency assists the organization in providing much-needed quality services to the youth and their families. The need for cultural competency requires LIAFS to employ the help of the community or the neighborhood in understanding a multitude of cultures in order to provide suitable and comprehensive services to cover for the needs and concerns of youth and families. Employing the help of community members requires the need to train them in cultural issues so they too can help in providing needs and concerns that the LIAFS originally provides the youth and their families. Involvement of the community or neighborhood should be on a regular basis because its members need to understand that the welfare of the youth and their families influence the conditions of the community and the neighborhood. Aside from cultural awareness to deal with people belonging to diverse cultural backgrounds and other groups or organizations that operate on a different cultural environment or situation, people from the community or the neighborhood should be able to be informed about the situations that the youth and their families are experiencing. It is important for them to discern that the adolescent population and their families who are experiencing difficulties and challenges need the help of other people for them to be able to improve their situation and way of life. Part of the contribution of communities and neighborhoods include being observant or vigilant about their surroundings. It is important to supervise events or situations in the neighborhood in order to perceive potential risks or harmful environments that might endanger children and their families. Keeping a watchful eye prevents difficult situations such as child abuse, for instance. It is also the role of the community and the neighborhood to protect the rights of the citizens. Once an incident happens, it is their responsibility to act against crime and other events that lead to difficulties and challenges. Another role that the community or neighborhood should play is to be involved in the fund-raising process most especially because LIAFS is a non-profit organization. Members of the community or neighborhood should be able to contribute to LIAFS’ programs and activities with whatever assistance they can extend to the organization, the children, and their families. Community volunteerism is something that should be practiced by members of the community or neighborhood. References Alliance for Non-Profit Management. (2004). â€Å"Cultural Competency Initiative. † Retrieved August 30, 2008, from Alliance for Non-Profit Management. Website: http://www. allianceonline. org/cci. ipage LIAFS. (2008). â€Å"About LIAFS. † Retrieved August 30, 2008, from LIAFS. Website: http://www. liafs. org/about. html LIAFS. (2008b). â€Å"Support and Donations. † Retrieved August 30, 2008, from LIAFS. Website: http://www. liafs. org/donation. html LIAFS. (2008c). â€Å"Employment Opportunities. † Retrieved August 30, 2008, from LIAFS. Website: http://www. liafs. org/employment. html

Literature Review: Treatment and Management of Pain

Literature Review: Treatment and Management of Pain INTRODUCTION The aim of the wise is not to secure pleasure  but to avoid pain -Aristotle The word pain is derived from the Greek word poine, which means penalty or punishment. Pain is a sensory experience associated with actual or potential damage of tissue,with physiological and psychological responses. Pain is a personal experience and varies from person to person. It is manifested in verbal and nonverbal behaviours, physiological responses like pulse rate, respiratory rate, blood pressure, emotional and spiritual reactions(Nursing clinics of America,2002). Inadequate treatment of both acute and chronic pain is widespread throughout medical surgical wards, intensive care units, emergency departments and in general practice. This neglect is extended to all age groups, from neonates to the elderly. In September 2008, the World Health Organization estimated that nearly eighty percentage of the population in the world has either insufficient or no access to treatment for severe and moderate pain. Every year millions of people around the world, suffer from pain without treatment. Reasons for proper pain management failure include cultural, religious, societal, and political attitudes, including acceptance of torture(Taylor et al.,2008). When surveyed 21% to 90% of adults expressed some about the pain associated with the needle based procedures. Up to 90% of young children shows serious distress during vaccination. This general level of anxiety can be severe, and is termed as injection phobia. This phobia can result in syncopal attacks with significant clinical impact (Yael et al.,2003). In hospital practice intravascular lines are used for various purposes like recording pressure and to administer drugs, fluids and to draw out blood. Pain inflicted by the insertion of cannula into the skin is a significant concern. Effort should be made to assess and manage acute pain. As, by doing so, nurses can reduce pain, increase patient comfort , satisfaction and improve patient outcomes (Jacobson, 1999). Research evidence shows that cutaneous stimulation is an independent nursing intervention to minimize patients pain. Gate control theory clearly explains the effect of cutaneous stimulation. Cutaneous stimulation modalities can be clubbed with acupressure to increase its effectiveness in pain management. Research studies have highlighted the fact that cryotherapy is equally effective and important in alleviating or minimizing pain as a cutaneous stimulation technique (Sabitha P.B, et al.,2008). The analgesic effects of cutaneous stimulation (pressure, massage, vibration, heat, cold) are thought to be caused by activation of large A-beta fibers and inhibition of smaller A-delta and C fibers, thus closing the gate to pain impulses. The exact mechanism by which this gating occurs has not been established, but it may be through endorphin release (Ruth,2009). NEED FOR THE STUDY Research Studies reveals that, among nursing diagnosis pain constantly ranks the highest position. Nurses often have the closest contact with patients on a daily basis. They are the health care providers most directly responsible for the overall management of pain. Nurses play a pivotal role in pain assessment, pain intervention, monitoring the effects of treatment and communication of information about pain management (Keela A.Herr, et al.,1992). The complementary therapies are used to relieve the symptoms of pain. These include relaxation technique, visual imagery, cryotherapy, massage, aromatherapy etc. Increasingly complementary therapies are attracting attention in contemporary nursing practice. These interventions are suitable for procedures like injections, venepuncture, that cause acute transitory pain (Barbara, 2000). Cold application relaxes muscle and muscle contractility, vasoconstriction decreases capillary permeability, decreases blood flow, slows cellular metabolism, decreases pain by slowing nerve conduction rate and blocking nerve impulses, decreases edema by reducing capillary permeability (Barbara kozier, 2006). The pain related to minor invasive nursing procedures can be dealt with non-pharmacological measures than pharmacological measure. The pharmacologic measures like local anesthetic spray, eutectic mixture of local anesthetic (EMLA) have long term effects, which is undesirable. Also its cost effect should be kept in mind, as these simple but essential procedures are repeated for the same person for many times. Hence non-pharmacological measures can be the choice for relieving or preventing such minor invasive pain, like venepuncture pain (Saju T.P,2009). A study conducted to find out the effects of two non-pharmacological pain management measures for IM injection pain recommended to use cold therapy and distraction to decrease pain intensity. The first group received local cold therapy, the second group received distraction and the control group received only routine care. The results shows that average pain intensity in local cold therapy, distraction and control groups was 26.3, 34.3 and 83.3 respectively. The findings indicate that pain intensity was significantly higher in the non-interventional group than the interventional groups. This study supports the efficacy of non-pharmacologic pain management methods (Hasanpour M et.al.,2005). The large intestine energy meridian is an acupressure point located on the backside of the hand between index finger and the thumb. Largeintestine energy meridian point can be used for relieving pain in the scapula, arm and shoulder, rigidity of the neck, eye diseases and also in the treatment of other disorders like constipation. The large intestine energy meridian pathway is bilateral. Considering the anxiety due to painful procedures such as venepuncture, as well as the unpleasant feelings, the investigator felt that application of cryotherapy to the skin would decrease the pain-related responses associated with venepuncture. This study was therefore undertaken to asses the effect of cryotherapy on the large intestine energy meridian point (li4), during intracath insertion to reduce the perception of pain and variation in physiological responses like pulse rate, respiratory rate and blood pressure. CHAPTER II REVIEW OF LITERATURE Review of literature is a key step in research process. It refers to an extensive, exhaustive and systematic examination of publications relevant to the research project. Nursing research may be considered as a continuing process in which knowledge gained from earlier studies is an integral part of research in general. Literature review refers to the activities involved in searching for information on a topic and developing a comprehensive picture of the state as knowledge on that topic (Polit and Hungler,1993 ). Therefore the investigator studied and reviewed the related literature to broaden the understandings about the topic to gain insight into the selected problem under study. The literature has been reviewed under the following headings: SECTION A: Literature regarding pain and changes in physiological parameters during venepuncture. SECTION B: Literature regarding large intestine energy meridian point and pain. SECTION C: Literature regarding effectiveness of cryotherapy on pain and physiological parameters. A quasi experimental pre test post test control group study was conducted to assess the effectiveness of vibratory audio visual stimulation to reduce acute evoked procedural pain experienced by the individuals, during invasive procedures in a selected health centre. Convenient sampling technique was used to select 80 persons who were receiving IM injection. Among the participants 95% expressed a reduction in pain due to vibratory audio visual stimulation,15% said that they had not experienced any reduction in pain. Results of the study suggested that vibratory audio visual stimulation was effective in reducing acute evoked procedural pain (Saju T.P,2009). A randomized, controlled study, in a convenience sample of 92 patients in the emergency department who required peripheral cannulation as part of their evaluation were enrolled in the study. All the subjects answered questionnaires pre and post IV placement and rated pain intensity during procedure on a 100 millimeter visual analogue scale. Participants in the study included 47(51.1%)of patients received the anesthetic spray and 45(48.9%) were randomly assigned to control group and had their IV line placed in a standard method. The mean pain score in the study group was 27 millimeter and 28 millimeter in the control group (p=0.934). Results revealed that anesthetic spray was an effective intervention in reducing pain during intravenous insertion (Hartstein B.H,et al.,2007). A crossover single blind experimental study conducted on  effectiveness of acupressure to reduce pain in IM injection. Each  subject received an injection with acupressure applied to one buttock and an injection without acupressure to the other buttock or vice versa. The perception of pain was measured on a visual analog scale. Among 64 patients, 32(50%) were female. The mean score for perceived pain intensity for acupressure injection was 3+-2 and the mean score for the injection without acupressure was 5+-2. Results revealed that acupressure was effective in reducing IM injection pain (Alavi N.M,2006). A prospective randomized clinical trial to evaluate the effect of a Valsalva manoeuver, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. Among 110 patients scheduled for elective surgery, half of them underwent venepuncture during a Valsalva manoeuvre and the other half underwent venepuncture without performing a Valsalva manoeuvre. The numerical rating scale score was 1.5+/-1.2 for Group A and 3.1+/-1.9 for Group B, the difference being statistically significant (P Pain management is in the purview of all health professionals, specially nurses and is an important component of comprehensive nursing care, since it is the patient and nurse who faces the pain alone. Although most of the nurses have a commitment in pain reduction, far fewer work for alleviation. Ignoring patients pain may be causing harm. Unrelieved Pain can cause cell, tissue damage and even death. Health education on pain management for health professionals at all department levels have been noticed as an important measure towards changing ineffective pain management practices (Holleran R.S,2006). Needle phobia is a term used to describe an anticipatory fear of needle insertion. If pain and anxiety are poorly managed, there can be significant negative consequences. The memory of traumatic venepuncture experiences can lead to extreme anxiety and physiological responses such as venous constriction . Some children and young people may have been conditioned by the fears of relatives or friends concerning needle procedures(Thurgate C. Heppell S, 2005). A quasi experimental design was adopted to obtain data from 86 younger (between the age group of 25-55) and 89 older (between the age group of 65-94) volunteer samples. Subjects responses to experimentally induced thermal stimuli were measured with following pain scales: vertical visual analog scale,21-point numerical rating scale, verbal descriptor scale,11- point verbal rating scale and faces pain scale. For discriminating different levels of pain sensation all the five scales were effective. The most preferred scale to represent pain intensity in both cohorts was the numerical rating scale, followed by verbal descriptor scale (Frana Benini,M.D,2004). Pain is a phenomenon that we experience to a greater or lesser extent, and the associations between blood pressure and pain are potentially of great interest . It is well recognized that pain can raise blood pressure acutely. Acute pain leads to generalized arousal and increased sympathetic nerve activity. Blood pressure increase during the application of physical pressure to the nail beds or the skin of the cheek, or during electrical stimulation of a digital nerve. Various studies found that inflated cuff leads to forearm ischemia and increases the degree of pain, which correlates with the increase in blood pressure (Pickering G.Thomas,2003). SECTION B:Literatures regarding large intestine energy meridian point and pain. The large intestine energy meridian point is referred to as LI4 or Hoku. The energy meridian pathway is bilateral and begins in the surface of the skin at the root of the index fingernail. It courses through the arm and hand , and the outward end of the shoulder blade is crossed. Then the meridian leaves the skin surface to connect with the lower part of the lung and transverse colon. It then returns to the skin surface at a point under the chin. From that point, the meridian is again buried deep within the area referred to as the double chin. It follows the lower row of dental roots, passing then to the upper line of teeth roots, crossing the front of the mouth to emerge on the skin surface and the facial point next to the nostrils (Chandramita Bora,2009). A randomized controlled trial was conducted on 60 primiparous women who were randomly assigned in two groups (n = 30): ice massage (treatment) and sand bag group (control). The severity of the basal pain was measured at the beginning of active phase (4 cm cervical dilation) based on Visual Analogue Scale (VAS). Then, after two groups received intervention, the severity of the labor pain in 4, 6, 8 and 10 cm cervical dilation was measured. In the case group, the crushed ice twisted in a terry bag was rocked on the web of skin between thumb and forefinger. The massage was carried out in large intestine energy meridian point throughout three contractions. The sand bag tactile massage in large intestine energy meridian point was served in the control group. The data were analyzed using SPSS software and descriptive analysis using Mann- Whitney, à Ã¢â‚¬ ¡ 2, paired and independent t tests and P A one-group, pre test, post test study conducted to evaluate the the use of ice massage on acupressure energy meridian point large intestine 4 (LI4) to reduce the labor pain. The pain was measured using McGill Pain Questionnaire (MPQ) and 100-mm Visual Analog Scales (VAS). Participants noted a pain reduction mean on the VAS of 28.22 mm on the left hand and 11.93 mm on the right hand. The post delivery ranked McGill Pain Questionnaire dropped from distressing to discomforting. The study results suggest that ice massage is a safe, noninvasive, nonpharmacological method of reducing labor pain (Waters L.Bette, et al.,2003). A study using ice massage for reducing labor pain was carried out by a researcher among twenty women on their admission to the labor and delivery unit at Florida. Ice massage of the energy meridian LI4 was performed during each contraction and was carried out over a 30-minute period. Data from the Visual Analog Scale (VAS) showed a mean reduction in pain of 25.15. The reduction of pain was statistically significant despite the small number of participants. The study results suggest that ice massage is a safe method of reducing labor pain (Naomi lester, et al., 2003). A one group repeated measurement post test study was aimed at identifying the effect of cutaneous stimulation in large intestine energy meridian point on reduction of arteriovenous fistula puncture pain among forty five hemodialysis patient. First the arteriovenous fistula puncture pain of control group was measured, and then the arteriovenous fistula puncture pain of experimental group (with cutaneous stimulation) was measured using visual analogue scale and objective pain behaviour checklist. Analysis of data was done by use of paired t-test, t-test, ANOVA and Pearson correlation coefficient. The results concluded that the subjective pain score of arterial line (paired t = -0.28, p = 0.77) and the subjective pain score of venous line (paired t = 2.61, p = 0.01). The cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period was (pulse paired t = -0.8, p = 0.42; systolic BP paired t = 0.98, p = 0.33; diastolic BP paired t = 0.43, p = 0.66).Results revealed t hat cutaneous stimulation in large intestine energy meridian point was effective in reducing arteriovenous fistula puncture pain(Kanho Taehan,2001). A study in which patients having acute dental pain were treated with ice application on largeintestine energy meridian point of the hand on the same side of the painful region. Ice massage was administered by inserting ice cubes into wet gauze pad and gently massaging the skin around the large intestine energy meridian point. When the patient stated that the area is felt numb or after a period of 7 minutes whichever, occurred first, the massage was stopped. Control group received tactile massage alone. McGill pain questionnaire was used to measure the pain intensity of the patients.. Ice massage reduced the intensity of dental pain by fifty percentage or more in most of the patients, and reduction in pain were significantly greater than those produced by tactile massage alone (Melzack Ronald, et al.,2000). SECTION C : Literatures regarding effectiveness of cryotherapy on pain and physiological parameters. A study was conducted to determine the effectiveness of cryotherapy on arteriovenous fistula puncture pain in hemodialysis patients. A convenient sample of 60 patients (30 in experimental and 30 in control group) who had undergone hemodialysis through AVF, was assessed using randomized control trial. Both the objective and subjective pain scoring was performed on two consecutive days of hemodialysis. The tools used were a questionnaire assessing demographic data, an observation checklist for monitoring objective pain behaviour, and a numerical pain intensity scale for subjective pain assessment. The objective and subjective pain scores were significantly (p=0.001) reduced within the treatment group than the control group. Results revealed that cryotherapy was effective in reducing arterivenous fistula puncture pain in hemodialysis patients (Mahajan S, et al.,2008). A quasi experimental study to assess the effectiveness of hot fomentation versus cold compress for decreasing intravenous infiltration in patients admitted in a selected hospital in Pune . The sample size was 60 and data collected with an observational checklist and behavioral pain scale. The pre treatment mean score of degree of infiltration was decreased from 7.1667 to 0.7071 in hot fomentation and from 6.9333 to 0.7571 in cold fomentation. The findings indicate that the hot fomentation and cold compress both are effective in treatment of intravenous therapy related infiltration (Anjum shabana,2007). A quasi-experimental study to determine the effect of local refrigeration applied to skin prior to venepuncture on pain-related responses in 80 school-age children who got admitted in the emergency ward in the pediatrics center in Iran. Subjects were selected by purposive sampling and were divided into two equal groups: test and control. In the test group the physiological responses were measured prior to venepuncture. Then the skin on the area of venepuncture was refrigerated by an ice bag for 3 minutes and the procedure is performed immediately. After five minutes of the procedure the physiological responses, behavioural responses and subjective responses were measured. In terms of the physiological responses before and after the procedure in the experimental and control group, there was no significant difference (p=0.07) between the two groups. There was a significant difference (p=0.0011) between the test and control groups with regard to the behavioural responses to the painful procedure.There was also a significant difference (p=0.0097) in the subjective data in the two groups after venepuncture.Results revealed that the local refrigeration was effective in reducing venepuncture pain (Movahedi Fakhar Ali,et al.,2006). An experimental study to assess the effectiveness of ice application on the treatment zone prior to type -A botulinum toxin treatment on the pain during injections . Totally, twenty four patients who underwent botulinum type-A toxin in upper face for esthetic purposes were undertaken in the study. Ice application was done five minutes prior the injections on the right lateral orbital zones of the patients, and on their left sides, toxin were injected without applying ice. The average visual analog scale values indicating the pain that the subjects felt in their right and left sides were found as 1.1 and 5.9, respectively. Results revealed that ice application is effective in reducing pain during injections (Sarifakioglu N,2004). A study was conducted to evaluate the effect of the application of cold or hot on the pricking pain sensation based on autonomic responses. Electrical stimulations were applied to subjects arms as an artificial pricking pain, the skin blood flow and skin conductance level at the tip of the finger were measured. Pain was assessed using visual analog scale. Pain stimulation produced a significant rise in skin conductance level and a significant decrease in blood flow. Cold application to the stimulation site using an ice-water pack decreased blood flow and skin conductance responses and sensation of pain. Application of heat, by hot water bottle resulted in a significant rise in pain sensation . The results suggested that cold application promotes relief of pricking pain sensation and suppress the autonomic responses, and the application of heat has no such effect (Saeki Y,2002). A one group pre test post test experimental study to evaluate the effect of cutaneous stimulation (cryotherapy) on pain reduction in Emergency Department patients . Second objective was to identify the effect of cutaneous stimulation on blood pressure and heart rate. Potential factors that could influence the dependent variables such as age, gender, educational level, location of pain, and site of cutaneous stimulation were tested. All 50 samples were treated with cutaneous stimulation to relieve pain. After cutaneous stimulation, subjects reported significant reduction in pain, and demonstrated decrease in heart rate, and blood pressure readings. The most effective site of cutaneous stimulation was contralateral to the pain. Age, gender and educational level had no significant effect. The results of this study provide empirical evidence that cutaneous stimulation effectively reduces pain, heart rate, and blood pressure (Sylvia M. Kubsch,2002). A study was conducted to evaluate the effectiveness of local dry cold application on the bruising, haematoma and pain at the subcutaneous low molecular weight heparin injections site. The researcher selected sixty three patients who had received 2 x 20 milligram enoxaparine and divided the samples into four groups. In the first group, cold therapy was not given. Cold was applied to the injection site for five minutes before the injection in the second group, and in the third group five minutes after the injection. In the fourth group, it was applied to the injection site for five minutes pre and post injection.After each injection, the patients pain intensity and duration were measured, and the occurance of bruise and haematoma were monitered at 48 and 72 hours after the injection. Results showed that haematoma was absent at the injection site of all subjects. The subjects pain perception was significantly reduced with the application of ice (Kuzu N, et al.,2001). In a paired clinical trial, the effectiveness of ice in reducing the pain of intravenous catheter placement was assessed in 28 adult volunteers. An ice pack was placed over one arm for 10 minutes, followed by insertion of an 18-gauge angio catheter in both arms. Patients recorded their pain assessment after each venepuncture on a previously validated 100-mm visual analog scale and identified their preferred method for the procedure (pretreatment with ice or no pretreatment). The mean pain score for catheter placement on arms pretreated with ice was 27.5  ± 15.9 mm; the mean pain score for the control arms was 34.2  ± 21.6 mm (P = 0.17).Results revealed that application of icepack was an effective method in reducing pain of intravenous catheter placement. Future studies should examine whether ice is effective at reducing pain from other more painful procedures and whether the response to ice is gender-related (Richman P B, et al.,2000).

Responsibility for Childhood Obesity Essay -- Obesity in Children

Childhood Obesity- Whose Responsibility Is It? Daniel Weintraub wrote an article in The Sacramento Bee exclaiming his concern for childhood obesity, criticizing the â€Å"blame game†, and whom he believes is not taking enough responsibility for this horrendous epidemic that is sweeping our nation. Weintraub states that, â€Å"Parents -- not the fast food companies, not the government-- are in the best position to fight the epidemic of overweight children.† I agree that parents play a vital role in establishing healthy eating choices and exercise habits. However, I also strongly believe that fast food companies and the government should share the responsibility of keeping our nations children healthy. I suggest that a system should be created which implements and reinforces responsibility amongst all three parties. All three parties have played a role in getting our children in this unfortunate situation, and all three should help our children to become healthy, active, productive members of society. With billions of dollars spent annually on advertising to children, I believe that the government should limit the amount of airtime available to purchase for companies that sell â€Å"unhealthy food/beverage products†. The growing epidemic of childhood obesity has brought attention to the role that food/beverage advertising and marketing play in negatively influencing the eating habits of children. Children are being exposed to increasing amounts of advertising and marketing. Parents should take an initiative and limit the amount of time their children spend watching television being exposed to such advertising and marketing. Parents also should reduce the amount of trips they take to fast food restaurants and reserve such trips as a treat ... ...lic schools and advocates healthy alternatives, regardless of the extra income it provides to the schools and the popularity of the students. There are many external factors which affect and influence children into making everyday choices. Parents are ultimately responsible for their children and the consequences of the choices that they make. Nevertheless, the â€Å"blame game† needs to end and responsibility needs to be distributed across the board. Our nation, as a whole, should be proactive in ridding ourselves of the name â€Å"Junk Food Nation† and help prevent the many ailments and risk factors of childhood obesity, such as diabetes and stroke. To put it simply, our children are our future. Providing and encouraging our children with a healthy, active, productive lifestyle ensures that we have healthy, active, productive members of society and leaders of tomorrow.

Madness in College Athletics Isnt Confined to March :: Sports Basketball Essays

The basketball arena is packed with a sellout crowd of over 13,000 cheering fans. The television cameras capture the game for the entire nation. A horn blares, and the game, which was supposed to be a blowout, is now in overtime. The pressure is huge, because if the underdog wins, it would make history. Both teams are anxious, but focused, knowing that one misstep, misjudgment, or misfire could make or break the season, and everything they have worked for all year. Such was the scene during the recent ‘March Madness† game, between #4 seeded Syracuse, and #13 seeded Vermont, a.k.a. the ‘Cinderella Story,’ of this year’s NCAA tourney. The Catamounts, who were not expected to make much noise during the tournament, opened it with a bang, after securing a win over powerhouse Syracuse in the final seconds of overtime. Now imagine, a player on Vermont’s super squad. He has spent the past few years working nonstop to get to this point in his basketball career, and it has finally arrived. However, after the cheering, congratulations, and celebrations, he must go back to school, and finish studying for midterms, which happens to coincide with the post-season schedule. When fans watch March Madness, or any other college sporting event, it is safe to say that most don’t look at their TVs, and think about how the athletes will spend the bus ride home trying to catch up on the schoolwork they missed so they could compete in the away game. However, this is the reality of a college student-athlete. There are constant obligations to fulfill, and expectations to be met, on every level, and most of the time, the reality is stressful. â€Å"Athletes have additional time constraints, and pressure to perform not only academically, but athletically†¦.and then there’s the stress that their body undergoes,† said Lauren Haas, director of student-athlete support services at Northeastern University. Haas also pointed out that student-athletes face a strain to try and lead the life of a normal college student, even though they have additional requirements. Student-athletes often have similar obligations to the average student, in the classroom, and in the workforce. Academically, athletes must complete the same amount of schoolwork as their peers, although they have less time to complete it, and they miss classes to participate in scheduled competitions. Most professors do not offer an extension on the workload. Financially, many athletes have jobs to offset tuition costs, which they must juggle into a busy schedule.

Customer Service Essay

Introduction: â€Å"The customer is always right† is a famous business slogan. The underlying truth behind this statement is recognizing that customers are the life blood for any business. Understanding the importance of good customer service is essential for a healthy business in creating new customers, keeping loyal customers, and developing referrals for future customers Important of Customer Service: Customer service is important because customer service does more than simply provide a means to drive sales. It is also said that when companies have a commitment to a customer service this raises the bar of competition. There are following tip for good customer services.  Excellent customer service begins at the initial greeting. In this situations, using good people skills will increase the chances for a positive first impression. For example, saying hello with a smile to a customer who just walked in the door will invite that person in and make them feel welcome. Acknowledge the customer within a minute of them entering the premises, no matter how busy you are. This immediately helps make the customer feel welcome and at ease. Make eye contact with the customer. This makes both you and the customer feel more comfortable with each other. Finally, In terms of the general ambience, make sure premises are kept at an adequate temperature. Make sure don’t skimp on heating in th e winter, and in the summer if it’s too hot install cooling systems. This doesn’t have to cost a fortune but can make a big difference to the environment your customers enter. Too hot or too cold, and your customers will turn straight round and leave. Key point to Friendly Service:- Smile Talk to customer whenever possible Show to regular customers that you recognise them Use the steps below as guide but, above all, be yourself 1.Promptly welcome the Guest 2.Take the order clearly 3.Collect the payment accurately 4.Assemble the order completely 5.Deliver the order politely. Conclusion: You need to give support and guidance to your team to encourage them to improve their customer service delivery. It is about having a passion for customer service and sharing this enthusiasm with your colleagues and staff team. It is about leading by example. Lead a team to improve customer service 1.Be able to plan and organise the work of a team 2.Be able to provide support for team members 3.Be able to review performance of team members 4.Understand how to lead a team to improve customer service Be able to plan and organise the work of a team 1.Treat team members with respect at all times 2.Agree with team members your role in delivering effective customer service 3.Involve team members in planning and organising your customer service work 4.Motivate team members to work together to raise their customer service performance Be able to provide support for team members. 1.Check that team members understand what they have to do to improve their work with customers and why that is important 2.Check with team members what support they feel they may need throughout this process 3.Provide team members with support and direction when they need help 4.Encourage team members to work together to improve customer service