Saturday, May 23, 2020

Personal Narrative My Best Friend - 906 Words

Jordan, I can t tell you how many times I ve picked up the phone wanting to call you. I miss talking to you. I miss my best friend. Yes, I can honestly say this now since I have had time to think, you really were my best friend. I told you things that I had never told anyone else. I had always felt that I could tell you what was on my mind; without judgement or feeling insecure. I miss talking openly to you more than anything. So, I thought I would write you this letter (a no filter letter) just to be sure that you actually get it. Please bare with me my writing is horrible and I haven t written a letter in years. Eight to be exact. Yes, I broke yet another phone and now everyone says they are not recieving my messages and I am not recieving theirs... Without further ado I just wanted to say that I AM SORRY. There are so many things I am sorry for, but the thing I regret the most is not listening to you and not being honest. Well that, and being hypocritical. So, basically my behavior this past month or so. That night when you told me your fears about not having children and my disease hurt. I basically shut my brain down and didn t listen to what you had to say. I felt like my worst fear had come true. That there really was no such thing as love for me. I didn t stop to listen to your fear about children it seemed pale in comparison to my deepest fear. You see you had realized what I had already known before I met you. There is nothing I can do to change this but IShow MoreRelatedPersonal Narrative : My Best Friend1210 Words   |  5 PagesSunday, my friends and I were eating a meal of thick stew and crusty bread and drinking a pitcher of hot, spiced, and very watered-down wine. We’d chosen my room because it was the biggest and therefore had the most space for practicing weaponry, our afternoon plan. My friends ate and made small talk. We saw each other most days so sometimes it seemed like we ran out of real things to talk about. I was somewhat lost in my thoughts, about us and about our futures. Koilin was my best friend. He wasRead MorePersonal Narrative : My Best Friend1052 Words   |  5 PagesI Threw my books on the bed and approached the jacket slowly, as if it were Andrew Garfield who would become my best friend. I couldn t look away, I wanted to scream. The jacket would be my new best friend. The leather black and silver studs, the belts, and best of all being popular. This jacket is no ordinary jacket, this is my jacket. I heard steps coming up stairs, my mom stopped by and asked if I like it. I yelled yes with excitement and joy. She left, I stared at the jacket like whenRead MorePersonal Narrative : My Best Friend1080 Words   |  5 Pageswent downstairs to get my older brother so we could finish the vlog, but Caleb laid on the couch unresponsive. As I called his name while walking down the stairs, I realized something was wrong. â€Å"Caleb† I yelled tears pouring out of my eyes as I found him, not breathing. He was dead. My best friend, my brother, the only person who made me really happy, was gone forever. I couldn t imagine what I was going to do without him. I loved him more than anyone in my life he was my hero. It s octoberRead MorePersonal Narrative : My Best Friend757 Words   |  4 PagesI’m Wendy. And no, I look nothing like the perfect happy smiling girl that you all associate with the restaurant. I am 5’6’’ and 13 years old. I have wavy, short, caramel hair and brown eyes, with a light spattering of freckles. My favorite colors are blue and gray, but yellow is such a pretty sunny color... it just doesn t look good on me. I go to North-West Independence Middle School. In case you were wondering, that is in middle of nowhere Nebraska. It is like a scene from an old movie, no colorRead MorePersonal Narrative : My Best Friend940 Words   |  4 Pages Looking back, I remind myself that friends are temporary, but memories are forever. This was going to be our last night together, Cesli and I. Cesli Crum was my best friend that I met in third grade. That year came and went, and though in fourth grade Cesli was held back, we still vowed to always be best friends. Then, that winter of two thousand fourteen, her family decided to move away. I felt devastated, so my mom agreed to have Cesli over one evening right before she left. Thus that is whatRead MorePersonal Narrative : My Best Friend1369 Words   |  6 Pagesreason my palms were sweaty and I had butterflies doing loopty-loops in my stomach. I was on my way to visit Julia, one of my best friends at the time. The whole way there, in bumper to bumper traffic, I reflected on all of my memories with her, including playing on a fallen, rotten tree and pretending that it was milk chocolate shop. As little girls, we would dress up in glittery, razzled costumes and sing our hearts out, which continued well into our teen years when she drove me to school my freshmanRead MorePersonal Narrative : My Best Friend1034 Words   |  5 Pagesbeen my best friend since I was deported to this horrid tent city. My spouse and daughter died in the floods of Grimsdon. Every thought of them, cripples me with grief instantly, my heart and soul ached for my precious daughter and partner bring me to tears. Thankfully, I met . Ella, who, whilst she could never replace my biological Family, I feel she is now like a much-loved sister to me. She is the only light when there is so much darkness, surrounding us. Suddenly, out of the corner of my eyeRead MorePersonal Narrative : My Best Friend1033 Words   |  5 Pageshim cuddling into his side shaking from the cold. We d been outside for over an hour, in barely any clothes. My face edged with tear streaks and bags under my eyes. I had mascara smudged across my right cheek and my makeup was running. At one point, I turned over and glanced up at him. I studied his face and thought to myself. This was my best friend. We used to hang out after school at my house and watch movies until late. How had things changed so suddenly? I thought of all the good mom ents we dRead MorePersonal Narrative : My Best Friend1327 Words   |  6 Pagesabout it.   She was my absolute best friend and I could not imagine living 1,300 miles away.    Growing up, we were resentful of each other.   We used words and actions to get our point across.   Not only did we slap each other, but also kicked and punched.   I cried even if it didn’t hurt, that was me being a baby.   My dad would scoop me in his arms and at the same time, discipline my sister.   It was satisfying if you had asked my 8 year old self.    Later on, Madison turned into my soul mate, as I beganRead MorePersonal Narrative : My Best Friend1192 Words   |  5 PagesWe have been best friends since elementary school and gone through a lot together, but we backed each other when it meant the most. While I waited for my flight at Regan International, I called Elizabeth and invited her to my place for a late dinner. I missed her and looked forward to spend time with her. *** As 8 o’clock grew near, my excitement to spend a girl s-night-in with Liz increased. So much has developed since we last chat. Therefore, when I heard the knock on my front door, I

Monday, May 18, 2020

Major Issues Of Special Education - 1683 Words

Major Issues in Special Education The Special Education system is widely known throughout the United States as a helpful resource for people with learning disabilities. It is made so that all children have equal access to educational services that help them to be successful in the classroom. We have come a long way from 1975, when Special Education became mandatory due to United States Congress passing the Education for All Handicapped Children Act (EAHCA) which was a result of the discriminatory treatment by public schools against students with disabilities. Although, the passing of the EAHCA did not end all of the discriminatory treatment, it was the beginning of a long battle for equality in the classroom. Today, students in Special Education face many different obstacles that prevent them from reaching their full potential in the classroom. Are educators doing enough to help these students overcome obstacles and is there enough resources available for students in special education to succeed? What have we accompl ished in 40 years, since special education first came about? Many factors come into play to determine whether or not a child in special education can succeed in the classroom. Some of these factors include: school climate, teacher quality, family and community engagement, effective leadership, and efficient use of learning time. But what issues seem to be affecting children the most today? One of the most widely known issues that seem to be affecting allShow MoreRelatedEducation Is Not Preparation For Life1354 Words   |  6 PagesEducation: The Key to Success â€Å"Education is not preparation for life; education is life itself.† If one accepts the quote by John Dewey to be true, then depriving someone of their education is depriving them of their life. Throughout the centuries, human beings have sought educational freedom. The United States of America has become a symbol for all who seek life, or education rather. Millions of people come to the United States, from less privileged countries, each year in hopes for a better educationRead MoreEducation Is Not Preparation For Life1350 Words   |  6 Pagesâ€Å"Education is not preparation for life; education is life itself.† If one accepts the quote by John Dewey to be true, then depriving someone of their education is depriving them of their life. Throughout the centuries, human beings have sought educational freedom. The United States of America has become a symbol for all who seek life, or education rather. Millions of people come to the United States, from less privileged countries, each year in hopes for a better education that is coupled with aRead MoreDiscipline in High School and Elementary Education Essay1209 Words   |  5 Pagesï » ¿ Discipline in High School and Elementary Education Grand Canyon University: SPE-350 January 10, 2014 When it comes to special education, discipline is a major concern in this area because many students are incessantly being expelled for their behavior issues that are caused by their disabilities. With the previous law students were excluded from school and received long suspension time because of their behavioral problems but when the new law was passed in 2004 students thatRead MoreHandbook Of Leadership And Administration For Special Education992 Words   |  4 PagesLeadership and Administration for Special Education. New York, NY: Routledge. Text Purpose The authors have organized this handbook into five sections that address critical issues in special education leadership. The first section focuses on general topics related to leadership for learning. These areas include the importance of raising the performance of all students in an era of accountability, historical and conceptual issues in leading and administrating special education, professional leadership standardsRead MoreEducation, Religion, Crime, Freedom Of Speech, Or Search And Seizure Essay1290 Words   |  6 PagesToday there are many court cases in the United States that occur all the time. There are a number of topics that go to court, whether its education, religion, crime, freedom of speech, or search and seizure. The court case I have chosen is a case based on education. In this essay, I will discuss the major parts of the court case, its impact on education and why future teachers need to be aware of the legal decision of this case. My court case I picked is the Pennsylvania AssociationRead MoreTaking a Look at Special Education879 Words   |  4 Pages Special education is an ethically and politically complex area of professional education (Paul, French, Cranston-Gingras, 2001). Critics have claimed that special education does not benefit student with disabilities and should be renounced for ethical reasons (Gartner Lipsky, 1989). Others assert that special education is unethical because it stigmatizes and segregates minority students and violates the rights of children (Grossman, 1998; Granger Granger, 1986). On the other hand, proponentsRead MoreSpecial Education: a Look at the History1279 Words   |  6 PagesSpecial Education: A Look at the History Tracy Len Baier November 23, 2011 Abstract The purpose of this paper is to address the historical landmarks and legislation that have formed and created our current special education system. We will take a journey from the start of public education and its exclusion of special needs students to the current push for inclusion of all students learning within a general education classroom. The author will also share some of the pros and cons ofRead MoreRti Is A Major Aspect Of Education796 Words   |  4 Pagesthe chance to intervene in children’s education before they fall farther behind in school. RTI is a major aspect of education today. It assists the teachers in identifying issues before they become major issues in education. RTI impacts many areas of the children’s educational experience. It not only can be used to fix academic issues, but also behavioral issues. There are three tiers (levels) to RTI. Tier one includes all students in the general education classroom. These children are followingRead MoreThe Importance Of A Child s Race Essay1370 Words   |  6 Pagescan influence whether or not that he or she will be misidentified as needing special education. Disproportionality refers to the overrepresentation and under- representation of particular demographic groups in special education programs in relation to the overall student population (Disproportionality, 2008). Disproportionality can impact and have negative effects on a child throughout their entire education. This issue applies to various subgroups, but this paper will focus specifically on the overrepresentationRead MoreIssues Of Multicultural Education / Special Education844 Words   |  4 Pages Issues in Multicultural Education/Special Education In our local school district, there is a main issue with having better support in Special education and Teachers leaving there position. To enforce more help and compassion from others will start with proper teaching and committing to it, along with having more support from the parents. Children in special education are the same as any other child, but involves more needs to be met in order to help these children along the learning process.

Tuesday, May 12, 2020

Critical thinking traits are parts of a person’s...

Critical thinking traits are parts of a person’s character. Many critical thinking traits are difficult to acquire to a full degree, or to act in a consistent way. As thinkers, we can improve in each of these traits and can develop these traits over time. Being able to fully consider yourself as a critical thinker, developing all of these traits must occur. These character traits can somewhat be difficult to overcome or to improve on certain traits. The two traits, confidence in reason and intellectual perseverance stand out to me the most based on current experiences. Confidence in reason is the habitual tendency to trust reflective thinking to solve problems and making decisions by thinking their way through questions and issues to†¦show more content†¦Personally, I think I do very well in making sure that I am having confidence in reason and not basing my decisions or thoughts based on other people’s influences and without me knowing definitely that she had taken the money. On the other hand, the one trait that I need to improve most on is intellectual perseverance. Intellectual perseverance is sticking with important intellectual tasks until a reasonable conclusion as been reached. To start off with, I am a very impatient person. So when I have to wait long periods of time to get to a conclusion or a plan of action, I start getting this feeling of just not caring and just giving up. For example, in our management class, we worked in small groups to write a ten-page research paper on effective communication. Each member was responsible for looking up two sources and create an outline based on their research that they had received. The night before it is due on Monday, we met as a group to pull all of the information and findings together to create this paper. Well, come to find out, two out of the four group members did not do any research. Going into this meeting, I thought this would be something easy to complete and get through fair ly quickly. So, instead of working towards putting our paper together, I had to help my group members find research. This is when my lack of patience kicks in and just want to complete the member’s part myself so we getShow MoreRelatedEthics in Education1245 Words   |  5 Pagesâ€Å"Ethics in Education† Learning Team B Gen300 Dr. Athalene Mc Nay 4-20-2008 I. What is ethics? A. A definition of ethics. B. How are ethics used in education? II. Integrity is part of ethics in education. A. A definition of integrity. B. Trust relationship is essential in ethics in education. C. Academic integrity is a mutual responsibility. D. There is cheating and academic responsibility within the education system. E. Phony schools, diploma mills and false credentials are aRead MoreTheories Of Organizational Succession Planning Essay1327 Words   |  6 Pagestheories include Trait Theory, Path-Goal Theory, Game Theory and Leadership Model Theory. (A) Trait Leadership Theory Trait leadership theory suggests that all leaders are born with or display certain key personality characteristics. Certain characteristics are particularly suited to leadership. People who make good leaders have a sufficient combination of these character traits. Most of the time the traits are considered to be naturally part of a person’s personality. Hence, leadership trait theory tendsRead MoreThe Naivety of Holden Caulfield and America Exposed in The Catcher in the Rye1406 Words   |  6 Pagesthe critical lack of the incandescent wisdom and maturity it needed in order for peace to prevail. In J.D. Salinger’s The Catcher in the Rye, the young character named Holden Caulfield displayed an image of naivety that shadowed the immature lifestyles of 1950’s America and served as a critique towards this nation for the lack of wisdom reflected in the course of our actions. As America slowly began molding into the creases of different values and cultures, so did its literature. One trait thatRead MoreThe Between Good Science And Pseudoscience1491 Words   |  6 PagesFor example, many established psychics made lucrative predictions at the start of the 21st century, like the advancement of technology to the point of a literal â€Å"TV dinner,† where a person would be able to get a meal by the next commercial in their own homes. In addition, psychics and astrologers haven’t used their â€Å"abilities† to solve crimes with the police. Not to mention that the nonscientific community as a whole neglected to predict tragedies like September 11th. 3. Are â€Å"critical thinkers† alwaysRead MoreThe Common Core State Standard For Language Arts3444 Words   |  14 Pagesin order to be prepared for their academic and professional futures according to the North Carolina Department of Public Instruction. They add that some of these skills include, but are not limited to critical thinking skills, literacy skills and analytical skills. Current process, for the most part, do help establish a framework for keeping materials relevant to the maturity level of students. However, if students or parents feel as if their values or beliefs don’t line up with current standardsRead MoreAnalysis Of The Book Black Hearts 1557 Words   |  7 Pagescompany, which only put them under the microscope and in the iron sights of LTC Kunk even more. The loss of men, feelings of neglect, stress of combat, and ultimate fear led the majority of the men in 1st platoon to excessive drinking, irrational thinking, and poor decision making. The climactic decision that led to the murder of the Iraqi Janabi family and rape of Abeer Qassim al-Janabi by PFC Steven Green, PFC Jesse Spielman, SPC Paul Cortez, and SPC James Barker was a decision that was made underRead MoreLeadership Traits3611 Words   |  15 PagesCharacter and Traits in Leadership Managers are people who do things right, while leaders are people who do the right thing. — Warren Bennis, Ph.D.  On Becoming a Leader Building Excellence Leaders do not command excellence, they build excellence. Excellence is â€Å"being all you can be† within the bounds of doing what is right for your organization. To reach excellence you must first be a leader of good character. You must do everything you are supposed to do. Organizations will not achieve excellenceRead More Rape Fantasies by Margaret Atwood Essay1653 Words   |  7 Pagesthe conversation, we find she is a game player both outwardly in playing bridge and in her relationship with herself. I like to guess a persons age and then look it up to see if Im right. I let myself have an extra pack of cigarettes if I am. (31). This example of Estelles competitiveness is expressed in three other ways in the story. First, in her critical interpretation of Gretas and Chrisseys fantasies. Estelle says to her friend/reader that she is aware that Gretas fantasy rapist cameRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1455 Words   |  6 PagesHistory has pro ven itself again and again with the simple fact that social classes dictate how human lives are treated. The major aspects in life are directly impacted by what social class someone is in. This dictates many things including who this person affiliates himself with and what kind of quality life that person will live. This is very evident in Antebellum South. Slavery is at its peak in this time, and half the population are slaves. In the book, The Adventures of Huckleberry FinnRead MorePersonality Analysis : Personality Isp2813 Words   |  12 Pagesofficial definition of personality, throughout my research process I have found that the broad spectrum of this subject cannot possibly be contained in such a short phrase. A person’s character is who they are, and ultimately, the foundation upon which their life is made. Unsurprisingly, this topic has piqued the interest of many people. The science behind how personalities are created, developed, and changed is an intriguing matter that I could not help but desire to know more about. The most prevalent

Wednesday, May 6, 2020

Main Causes of Why People Become Homelessness Essay

Homelessness Definition Homelessness is the condition and social category of people who having no home or permanent place, because they cannot afford or unable to maintain a regular and safe shelter. Causes There are three main causes why people are homelessness. The first reason is housing. There is increasing evidence that a growing number of homebody in the private rental market are in housing stress. For example, many people pay more than 35 percent of their income on renting house. In addition, some people get a low salary from their job. As the result, they cannot pay to own house. The second reason of homelessness is abused children. Many of the street children escape from home because they were beaten by their parents. Moreover,†¦show more content†¦In addition, children suffer from abusing. They might suffer from detaining illegally, beaten and sometimes is killed by police in some countries. Moreover, street children have job which is going to pick rubbish. They sift through the garbage in order to collect recyclable materials and firewood. It may hurt their body. The last destructive effect of homelessness is on people’s health. People who are homelessness not only underweight, but growth has been impeded. For example, it is very common to mistake a 12 years old child for 8 years old. Street people do not have enough clothes to wear or food to eat, and have skin disease, malnutrition, and mental illness when they are older. They also cannot receive medical treatment. In addition, it is bad for homeless people’s body. Sometimes they might attack others, maybe someone learns to drug and stole. Similarly, it is harmful for people’s psychology. They will become violent, selfish and criminal justice. In conclusion, education, children’s life and health are three vital effects of homeless people. Solutions There are three solutions of homelessness for three areas. First of all, the most important of solution is housing. Government should offer affordable housing assistance. For example, the long-time affordable housing should be provided for homeless families. â€Å"Housing first† is not only a watchword, but also is a good way to reduce street homelessness. Moreover, affordable housingShow MoreRelatedHelping The Homeless Is A Worthy Cause1502 Words   |  7 Pagesnothing? Some people, the majority of the time, tend to just walk by without helping, and this is what makes the homeless population relatively large. Many people are affected globally by homelessness, and the population gets larger yearly. Not only does homelessness affect adults, but it also affects teenagers, and sometimes even children. Eventually after people live a homeless life for a while, they begin to develop mental illnesses and life threatening diseases. This is why it is importantRead MoreWhat Causes Homelessness? The United States Of America884 Words   |  4 PagesWhat causes homelessness? Homelessness is a major problem in the United States of America. Homelessness is a state in which people do not have a place to stay in for a period of time and are always spending their time on the streets. From a teenage eluding a bad environment, to an elderly citizen on a fine tuned income that is not enough to cover a rent or the tax increase, to a child whose parents lost their job out of nowhere and became unemployed are what leads to homelessness (â€Å"Homelessness ResourceRead MoreWhy Do People Become Homelss1750 Words   |  7 PagesM1 ASSIGNMENT WHY PEOPLE BECOME HOMELESS AND WHY IT DOESN’T STOP LAVERNA MOORER ARGOSY UNIVERSITY Abstract This paper is going to present to you why people become homeless and why it does not stop Homelessness is a problem that have getting out of hands because of not addressing the situation on time. The focus is not so much the why but, if it will ever stop. Homelessness is a phenomenon that has so much to address research has been done; it was discover that for our government to concentrateRead MoreHomelessness : A Serious Social Problem1464 Words   |  6 PagesHomelessness is a serious social problem in most American cities. Homeless people are those who sleep in the open air or in provisional accommodation such as shelters or hotels, have no settlement after expulsion or release from jail or hospital, or dwell provisionally with relatives or friends on account of shortage of housing (Crane et al. 154-155). American economy has developed very fast since 1980s, but homeless population has been increasing. They seem to be seen here and there in public placeRead MoreSocial Problem Hom elessness1065 Words   |  5 PagesApplication Social Problem Research: Homelessness Homelessness is becoming a major social issue in the United States, with many poor families and young people ending up in the street because of several reasons. This condition is leaving many people helpless in the streets and the number keep on rising on a daily basis. Cities like Detroit and New York are among the most populous with poor families and homeless people, making it important for government and other social agencies to find urgent solutionRead MoreCauses Of Homelessness1405 Words   |  6 Pagesand behavioral needs. The information they all share in common are the factors why a specific type of population became homeless. The interrelation of homelessness and mental illness are informed by many factors such as; the lack of support, extreme poverty, substance abuse, lack of affordable health insurance, and lack of affordable housing. The homeless population shares different struggles when dealing with homelessness and mental illnesses because there are not enough resour ces for them to be ableRead MoreHealth Issues Among The Homeless Population1450 Words   |  6 Pagesreasons behind homelessness and the society’s perception. According to the National Coalition for the Homeless an individual experiencing homelessness fall into one of the three categories such as, chronic, transitional or episodic homelessness. Medicine or treatment for homeless individuals seeking medical attention, are not as accessible compared to non-homeless individuals due to the culture and rough life style. Neglecting proper housing and health care to underprivileged people is inhumane andRead MoreHomelessness In Canada Essay1202 Words   |  5 Pageswhat homelessness means, it is someone who is not able to live in a stable residence because of financial or psychological problems, so they are forced to live on the streets or put themselves on the streets, because they feel it would be a better fit. Homelessness in Canada is a very large and concerning issue because of the growing population. We need to ask our selves what causes homelessness, why are so many youth involved with homelessness and what can we change so that the homelessness problemRead MoreThe Problem Of Homelessness Among Veterans1566 Words   |  7 PagesHomelessness among veterans is a highly disregarded issue that doesn’t seem to be improving on its own. In many cases, homelessness is out of the veteran’s control, so the question that is being asked is; why so many veterans are homeless and what can everyone, including the veterans, can do about this significant and overlooked problem. This question is essential to finding the solution since it looks at this situation from both sides of the problem: It not only finds ways that the noncombatantsRead MoreHomelessness : Difficulty Escaping Poverty1321 Words   |  6 PagesArjan Singh Mrs. Woolcock English IV-CP May 19 2016 Homelessness: Difficulty Escaping Poverty A homeless person is someone who lacks housing, including an individual who lives in a supervised public or private facility (What Is the Official Definition of Homelessness?). Being homeless means not having a place to call home, not having a stable income. It is not just individuals that can be homeless. There are millions of families living in poverty and on the streets all around the world, contrary

Impact of Illegal Drug Use Among Teens Free Essays

string(171) " use for eighth graders and a 3% increase for tenth graders and is an indication that marijuana use will likely continue to climb as these kids move closer to graduation\." For over one hundred years, the United States has been dealing with the use and abuse of illegal drugs. The federal government has spent billions of dollars since 1906 trying to stop the production, distribution, possession and use of drugs. The war on drugs has been long and costly with minimal progress made. We will write a custom essay sample on Impact of Illegal Drug Use Among Teens or any similar topic only for you Order Now Although the use of illegal drugs among teenagers has reduced, their abuse of prescription drugs has risen substantially. Drug use is a very serious problem among school age and college-age individuals and is present on every campus across this country. Even though the war on drugs is ongoing, the government’s efforts to reduce drug trafficking has had little effect on the use or abuse of illegal drugs among teenagers. Drug abuse continues to plaque our nation, causing destruction along its path, there seems to be no escape from this alarming trend. The most important challenge for drug policy is to reverse these dangerous trends. Illegal drugs are easily accessible; they are in our homes, schools, businesses and even in the jails and prisons. They affect most people in this nation in some form or another, whether abusing them themselves or knowing someone who does or has abused them. The use of drugs early among teens is especially dangerous, and often lead to unproductive, unhealthy behavior. Involvement in criminal justice system, juvenile delinquency, premature sexual activity (which exposes them to sexually transmitted diseases and increase the risk of unwanted pregnancies), are all associated with the use of illegal drugs. The staggering cost for unnecessary health care, auto accidents, crimes resulting from drug use and extra law enforcement has caused even more damage to an already failing economy. If the government is to move forward in its attempt to fight the war on drugs, it has to create effective drug policies and develop better programs to stop the onset of initial drug use. Informing today’s youth about the dangers of illegal drugs will prove far more beneficial than simply using scare tactics with harsher penalties. A key component in the fight to save the children from drugs is effective drug education. The Narconon drug curriculum will teach them why they should say â€Å"NO†, by helping them understand the lasting damage of drugs. In tackling the teenage drug problem, first, we have to determine what some of the risk factors are that may have led them down that path from the beginning. How a child interacts in various settings like at school, with teachers, their peers, siblings, parents and in their neighborhood can play a crucial role in their emotional, social and cognitive development. If they begin to act out in the class, fail classes, have poor social coping skills, begin to associate with the wrong crowd and change in overall perception about things they know are wrong like lying, drugs, crimes, etc. These are all red flags and should be investigated and addressed immediately. You have to try talking with them or taking them to see a professional to find out what is wrong, if possible, change their environment, place them around positive peers, get them involved in sports, church, social clubs. Do whatever it takes to prevent things from spiraling out of control, utilize all your resources. Try to let the child know you are there and that you care about what they are going through, this could make all the difference, in whether or not you reach them. If parents read, educate themselves of the dangers in using drugs, then and only then will they be able to teach their children how to getting involved in drug use. To compile enough research for a well-rounded paper sites like; the Office on National Drug Control Policy, National Institute on Drug Abuse, the Internet, ProQuest, and the Ashford Online Library were used. These sites along with others sources contained an abundance of information, enough data to create an informative paper. This research pointed out the social and health cost of illicit drug use, and further identified that drug-related illness, death and crime, cost the nation over one hundred billion dollars a year. The Drug Abuse Warning Network (DAWN) reports, of the 263,871 emergency department visits by adolescents age 12-17, nearly one tenth (8. 8 percent) involved suicide attempts, almost three of every four (72. 3 percent) were females. Of the 95. 4 percent drug-related suicides pharmaceuticals were involved and more than three-fourths (77. 0 percent) ended with follow-up care (SAMHSA, 2008). The greatest cost of all drug abuse is paid in the lost of human lives, either directly through overdose, or drug abuse-related diseases such as tuberculosis, acquired immunodeficiency syndrome (AIDS) and hepatitis. (NIDA NIAA, 1992). It was important to conduct this research to make readers aware of just how bad society is failing the youth of this nation. The United States government cannot do it by itself. This is a national problem and it is going to take a nation to solve it, everyone has to help or this fight will be forever lost. After an almost ten- year decline, marijuana is on the rise again among teens. High school seniors reported that they smoked pot more than cigarettes according to the National Institute on Drug Abuse recent â€Å"Monitoring the Future† survey. While 21. 4% admitted to using marijuana in the last 30 days, only 19. 2% smoked cigarettes during the same time frame. This was the first time since 1981 that pot was used more than cigarettes in that age group. Although the public health campaigns to reduce cigarette smoking among teens consider this a victory, its decline can mainly be contributed to the rise of marijuana use. Many kids seem to feel that smoking pot is simply â€Å"not that big of a deal†, after all, it is only pot; even eighth graders do not believe the risk is that great. This type of attitude explains why there is a 1% increase of daily use for eighth graders and a 3% increase for tenth graders and is an indication that marijuana use will likely continue to climb as these kids move closer to graduation. You read "Impact of Illegal Drug Use Among Teens" in category "Papers" About one out of four seniors and one in four tenth-graders said they smoked marijuana in the last year. Obama administration’s drug czar, Gil Kerlikowske, blames state medical marijuana measures like California’s Proposition 19 for making pot seem less dangerous to young Americans. â€Å"Calling marijuana ‘smoked medicine’ is absolutely incorrect, young people have taken the wrong message† (Healy, 2010, p. A-10). According to the director of the National Institute on Drug Abuse, Dr. Nora Volkow, because teenager’s brains are still developing the increased daily use of marijuana is particularly disturbing, since it has been known to cause learning and memory damage. The fact that they use marijuana more frequently puts them at a greater risk of becoming dependent on it and other drugs. The use of the club drug Ecstasy has increased among eighth- and tenth graders but not all drugs showed an increase. The abuse of the prescription pain medication Vicodin was down to 8% compared to 9. 7% in 2009 and the illicit use of opioid painkiller OxyContin rose among tenth-graders but remained steady with twelfth- graders. The use of drugs prescribed for attention deficit disorder, (ADHD) for non- medical reasons in the last year among high school seniors is 6. % and is about the same for amphetamines use (Healy, 2010). One of the latest growing teenage trends, which centers on the sampling of a variety of prescription drugs and then drinking alcohol is causing much concern. Kids feel that prescription drugs are safer than street drugs, because they are prescribed by a doctor and are usually purchased in a drug store. This is simply not true; they actually are more powerful which makes them even more dangerous especially when adding alcohol to the mix. Nora Volkow, says, â€Å"Kids are not pharmacologists, they may say, Fentanyl OxyContin- what’s the difference? So they take a bunch of things and may combine them with alcohol, that is a deadly miscalculation† (Jetters, A, 2010-2011, p. 146). To achieve feelings of euphoria, the amount of opioid painkillers needed is so close to the amounts that can kill you. If you add alcohol or tranquilizers like Klonopin, Valium, Xanax, which also depresses the brains respiratory center. Just one gin and tonic combined with a 40 mg methadone pill can be fatal. They are playing a very dangerous game of Russian roulette, one that they clearly do not understand. When you think of drugs and how they got into the United States, most of us think about them coming from another country, like maybe Mexico or somewhere in South America. However, more now than ever we need look no further than our own medicine cabinets. The days of taking an aspirin or Tylenol for a headache, backache or toothache are long gone. We can now look in our medicine cabinets and choose from a variety of powerful leftover painkillers previously prescribed to us for various aches and pains. For over the past twenty years, four times the number of opioid prescriptions was written. Doctors prescribed them at a rate of more than 180 million per year. By providing patients with enough medication to ease their pain, doctors believe it aids in the healing process and allows the patient to focus on getting well and not on the pain. This type of rationale may have caused doctors to over medicate, thereby prescribing painkillers for even the slightest pain. Painkillers like Vicodin, OxyContin, and Percocet are even prescribed to children that have barely reached adolescence. This may explain why they are the most abused pills among 12 and 13- year- olds (Jetters, A, 2010-2011, p. 148). Dentist and oral surgeons are prescribing opioid for simple procedures like molar extractions. In addition, the kids are being sent home with way more pills than they need. Yes, kids feel pain just like adults however; doctors cannot simply prescribe these potent drugs and then forget how long and how many pills the kids are taking, that is a recipe for disaster. If your children are prescribed these or any medication for that matter, be sure to monitor their usage. You should count them and if there is cause for concern, take them and store them in a secure place under lock and key and dispense the correct amount to them yourself. You must be sure to properly dispose of all expired or unused medication, take every precaution when doing so. Many experts are now advising people not to flush them in the toilet because it may pollute the water. If you throw them in the trash, place them in a bag mixed with cat litter, coffee grounds or anything that will discourage your kids from looking for them. Talk to other parents and family members, especially if your child visits their homes often; advise them to safeguard their prescription drugs as well. Check around your community to see if there is a prescription pill- drop off point. More towns are sponsoring these sites to assist in disposal of medicines in hopes of possibly cutting back on teenage drug use. As parents, you must realize that you play a big role in how your children view prescription drugs and whether or not they will end up abusing them. Many teenagers believe that parents will be less concerned or upset if they are caught misusing prescription drugs because, after all they are legal. A clear message needs to be sent to them, letting them know that you do care if they illegally use prescription drugs just as you would if they abused any other illicit drug. It is important that they know if they are in trouble they can come to you for help regardless of what the problem is, even drugs. Pill popping is so popular among kids because the high is not instantly detected like marijuana and alcohol. It is definitely easier to buy pills than beer, you do not have to wait for the store to open or need a person twenty- one over to purchase them. Pills and money are easily be exchanged by a handshake, at school or other public places without ever being noticed. You do not need a bottle, can, glass, rolling paper, a match or a pipe; all you do is place that one small white pill in your mouth that is it. On the other hand, marijuana and alcohol both have very distinctive smells and are detected almost immediately. However, if he or she has taken prescription drugs you do not usually notice it right away unless their behavior has changed erratically. Although alcohol use maybe down, it remains popular among teens and cannot be taken lightly. Over the years, it has had a devastating impact on teenagers; more than eight young people a day die from fatal car crashes or re fatally injured due to alcohol- related accidents. Because so many households have alcohol, it is easy for children to begin drinking at an early age. The younger the child is when he begins consuming alcohol the more likely he is to increase his alcohol intake. The more he drinks the greater his chances are of using other drugs in the future, which is why alcohol along with mar ijuana has always been believed to be a gateway drugs. Parents should beware, more kids are trying whatever they can get their hands on to get high. Isobutyl nitrite is a volatile liquid solid without a prescription for use as a room deodorizer but commonly used as an inhalant to produce a euphoric feeling (Peary Schwartz, 1986). It causes dizziness, lightheadedness, blurred vision and pounding heart, these symptoms can make them really sick. Nevertheless, kids appear to believe this method of getting high along with experimentation with other drugs is the norm. As this research, progressed, other dangerous drugs were introduced, and now that we have learned more about them and the various ways they are being used; we are better equipped to help fight the war on drugs. Informing the minds of our youth so they can reason more clearly on the subject of alcohol and other drugs is a vitally important way to curtail addiction down the road. Children who never start abusing drugs will never become addicts in need of drug recover. As the government continues its war on drugs, society must begin theirs. This great nation is equipped with a vast amount of resources to assist in this endeavor; therefore, every effort should be made to do whatever is necessary to ensure the youth of today will be around for tomorrow. How to cite Impact of Illegal Drug Use Among Teens, Papers

Cqi Research Paper free essay sample

CQI Research Paper Dawna J. Krause National American University Abstract The focus of this paper is on the study of continuous quality improvement (CQI) as it is applied to the Joint Commission national safety goals. Particularly the use of medications safely goal (NPSG. 03. 06. 01), this goal reads: record and pass along correct information about the client’s medicines. Find out what medications they are taking, compare them to new medications that they are prescribed and make sure the client knows what to take. By having a more up to date electronic medical record and charting system we can improve the client care within the home. Often the information that is needed is back in the office or another nurse is caring for the client than normal would. In this paper it is of importance that we resolve this problem with a more efficient electronic record to better care for our client’s each and every time we are in the home whether our own client or one of a fellow nurse we are helping out. We will write a custom essay sample on Cqi Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page CQI Research Paper Overview Improving quality healthcare services requires strengthening various elements of the services we provide for our clients. One of these is how we store and receive information about our clients (AlNotee, 2003). By using health informatics, we can do just that. Health informatics gives us the knowledge and the skills that we need to collect, manage and share information in the healthcare system as well as promote our clients health (AlNotee, 2003). We can use the continuous quality improvement (CQI) model to help us get what we need to improve client care. Introduction In the CQI process, we need to plan, do, study and act on whatever it is we are trying to improve (Statit, 2007). In this case, we are trying to improve our charting system to involve less use of paper and more online charting so that all the pertinent information is right at our fingertips each time we are in a client’s home doing their cares. The first step of the process is plan. In this step, we need to collect data and establish a baseline of our current process. We also need to identify problems and possible causes and prioritize corrective actions. One of the problems is that we spend a lot of extra time when we have to do an admit. We go into the client’s home and fill out what is referred to as an OASIS (Outcome and Assessment Information Set), then we need to go back to the office and plug all the information into the computer. Another problem is that all of our client assessments are charted on paper and when we go to the client’s house the next time, we have nothing to refer to. This can cause problems when we need to refer back to previous week’s information for the client. Lastly, during the admit, one of the quality indicators that we need to do for Medicare is to review the clients medications and determine any drug to drug interactions. These interactions occur when the effects of one drug are altered by administering another drug (Humphries, 2007). We can correct some of these problems by establishing an electronic medical record for each client and incorporating a drug program that will give all the drug to drug interactions when the client’s medication list is entered. One other corrective action that can be taken is that of each nurse would need to have a laptop computer to enter the information into while in the home as well as access all other client records to know their baseline. The next step of the process is â€Å"do†. In this step we need to make the changes to our current system to improve the client care. First of all, we would need to get a few new laptops because not everyone currently has one. The next would be to purchase a computer program and put it into place. This program would have some of our current programs such as haven. This is a program that all the Medicare quality indicators are placed into. Another program that we would need to continue with is Solomon. With this program, we have access to the client service agreements that are scanned in at the home office. These service agreements are from the county in which the client receives care and tells us exactly how much service the client can have in any given month and not have to pay out of pocket. The new program we would need is that for charting or an electronic medical record and also a drug to drug interaction program. One of the new programs components could be that of the e-485. This is an electronic plan of care for home care nurses that promote physician involvement (Callahan, 2007). Once these are all into place it is essential that all the staff is properly trained on how to use the programs.

Sunday, May 3, 2020

Pain Management in the Elderly Population

Question: Discuss about the Pain Management in the Elderly Population? Answer: Several studies have been carried out to study differences in pain perception due to differences in ethnicity and gender. Ethnic groups share a common ancestry and cultural beliefs and have a group identity. In a review that has analysed studies on pain and its dependence on ethnic difference pain intensity experienced by people of Italian descent has been found to be greater than people from other ethnic groups. The measurement of pain was based on the McGill Pain Questionnaire's total pain rating index. (Edwards, 2012). Another study that evaluated back pain among older patients found that pain reported by Italian men was more severe than that reported by Australian men in Australia. The occupation and level of education received by the subjects also played a role in the perception of pain. (Stanaway FF1, 2011). These two instances support the higher rate of complaints related to pain by the Italian patient referred in the given case study. Another study has studied the extent of relief experienced by patients of different ethnicities on receiving treatment for pain. Due to higher levels of pain experienced by an ethnic group the effect of analgesics and the relief from pain were higher than the majority group in this study (Brian Merry, 2011). That gender plays an important role in experiencing pain has become evident in recent decades. Women are more likely to have a higher sensitivity for pain than men. The chances for clinical pain experienced by women is also higher than in men. The biological mechanisms of how pain is experienced seem to play a role and so do psychosocial factors. Sex hormones, genes and psychology considerably affect the mechanism of pain (Fillingim, 2013). Given this background it is highly likely for women such as Mrs. G. to feel pain more than her male counterparts facing a similar medical condition(Mogil, 2012). Her ethnicity and the fact that she belongs to a minority ethnic group may also contribute to a pain perception that is greater than that experienced by people native to the country. Age also plays a role in increased perception of pain. Being old and dependent can cause the patient to feel more pain due to a sense of helplessness. Nursing professionals are more likely to assess pain and take decisions about the need for medication based on the knowledge of ethnicity and gender of the patients. This may induce a bias in the decision regarding medication (Wandner LD1, 2014)(Phelan SM1, 2015). e. Since Mrs G is distressed and in pain. Her perception of pain could be greater because she feels helpless and owing to her advanced age may be lonely. The heightened sense of pain may be an outcome of depression (Alan D. Kaye, 2010). She has complained of pain due to the pneumonia that she is suffering from, her perception of her environment at the hospital depends on the empathy and participation in the care environment that she experiences. Clean surroundings, information posts and privacy and a participatory dialogue with the physician and nursing staff helps her establish a perception of confidence (LaVela SL1, 2015). A satisfied patient is more likely to think positively and this can change the way pain medication works. Psychosocial factors affect the coping mechanisms for pain in patients. This is particularly evident when placebos are administered in place of analgesics to relieve pain. A placebo is an inert substance that is therapeutic when administered in the context of the patient's medical condition. The patient's mind and body work in unison and there is an interplay of social contact with doctors and nurses besides the patient's beliefs, previous experience and manner of thinking. When a placebo is administered to alleviate pain it is an example of social interaction between the doctor and the patient. The trust that the patient has towards the doctor is the factor that helps in alleviating the pain. Relief in clinical symptoms observed following placebo interventions is observed due to physiological changes in the brain (Benedetti, 2013). The verbal communication between the doctor and patient can be directed towards altering patient's expectation of relief from the medication (Damien G Finniss, 2009). Mrs G also appears to be depressed and she may find it difficult to receive it is possible to put her at ease through communication with the nurse/carer. The communication can put the patient in a positive frame of mind and help the patient to derive more benefit from the prescribed treatment. Alleviation of pain can be achieved if the patient receives verbal inputs about how the prescribed treatment is working against the infection causing pathogen, which in Mrs G's case is pneumococcus. The simple act of listening by the nursing staff can reduce patient anxiety, fear and depression. An empathetic response to the patients questions can ease the patient's symptoms and feeling of sadness and helplessness and establish a relationship of trust that makes the patient hopeful of recovery from the medical condition. A positive mind-body change in Mrs G's case can help her recover from pneumonia and gain a positive state of mind. References: Alan D. Kaye, A. B. a. J. T. S., 2010. Pain Management in the Elderly Population: A Review. The Ochsner Journal, 10(3), p. 179187. Benedetti, F., 2013. Placebo and the New Physiology of the Doctor-Patient Relationship. Physiological Reviews, 93(3), p. 12071246.. Brian Merry, C. M. C. L. F. B. L. M. J. A. H. D. M. D. a. R. R. E., 2011. Ethnic Group Differences in the Outcomes of Multidisciplinary Pain Treatment. Journal of Musculoskeletal Pain, 19(1), p. 2430.. Damien G Finniss, M. K. N. a. F. B., 2009. Placebo Analgesia Understanding the Mechanisms and Implications for Clinical Practice. Reviews in Pain, 3(2), p. 519.. Edwards, C. M. C. a. R. R., 2012. Ethnic differences in pain and pain management. Pain Management, 2(3), p. 219230.. Fillingim, E. J. B. a. R. B., 2013. Sex differences in pain: a brief review of clinical and experimental findings. British Journal Of Anaesthesia, 111(1), p. 5258.. LaVela SL1, E. B. H. J. M. S., 2015. Patient Perceptions of the Environment of Care in Which Their Healthcare is Delivered.. Health Environments Research and Design Journal, p. 1937586715610577. Mogil, J. S., 2012. Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon. Nature Reviews: Neuroscience, Volume 13, pp. 859-866 . Phelan SM1, H. R., 2015. Health professionals' pain management decisions are influenced by their role (nurse or physician) and by patient gender, age and ethnicity.. Evidence Based Nursing, 18(2), p. 58. Stanaway FF1, B. F. C. R. N. V. H. D. W. L. S. P. C. H. S. M. L. C. D., 2011. Back pain in older male Italian-born immigrants in Australia: the importance of socioeconomic factors.. European Journal of Pain, 15(1), pp. 70-6. Wandner LD1, H. M. L. B. H. A. G. S. H. A. A. J. T. C. R. M., 2014. The impact of patients' gender, race, and age on health care professionals' pain management decisions: an online survey using virtual human technology.. International Journal of Nursing Studies, 51(5), pp. 726-3.