Community and Public Health Nursing Reflection Essay Example

Community and Public Health Nursing Reflection Essay Example Community and Public Health Nursing Reflection Paper Community and Public Health Nursing Reflection Paper Maricopa community schools are the localschools for the Gila River Indian Community. Native Americanchildren attending these schools are generally obese and do not participate in extra-curricular activities. The Leading Health Indicator (LHI) that applies is Children and adolescentswho are considered obese. Recognizing this LHI, nursing diagnoses canbe generated followed by nursing interventions and finallya communityhealthpartnership that will positively influence obesity. Also, while exploring these various steps, examples of hownursing can advocate community change will be shown. However, the role of community and the epidemiologicalinfluences withinthe community must be discussed first. Individuals can only be as healthy as their community allows. Native Americans live on a reservation in a rural removed from the Maricopa community and its convenience. Native Americans, especially the children, are part of the Maricopa community due to their presence in schools, the casino, and employment withvarious Maricopa businesses even though their residence is outside of the Maricopa geographicalregion. Maricopa has various parks,  sidewalks, recreational programs, as well as grocery stores that promote healthy living. Unfortunately, Native Americans can’tpartake in these facilities due to geographical limitations. Native Americansdo have a central health clinicon the reservation but it is the only one. Public nursing and community health partnerships can help identify where changes can be made along with services provided to promote better health. Native Americans aredifferent than the other cultures living in Maricopa. Maricopa is alreadyculturally diverse but the Native Americanpopulace is unique in some of their health  challenges, especiallywith obesity. For example, â€Å"Native Americans facesome of thehighest rates of obesity and diabetes in the world. Native American children tend to watch more television and spend lesstime playing sports than white children, this is likelynot theprinciple 3 contributor to obesity† (Wharton, 2004, pg. 154). Native Americans are also theorized to be genetically predisposed born withmore adipose fat which is never lostand increases throughout adolescence, leading to obesity in adulthood (Richards Peterson, 2006, pg. 88). Furthermore, their dietstend tobe high in saturatedfat and sugar(88). These epidemiological influences are worsened because of the lack of facilities available on the reservation. Utilizing this information, the following nursing diagnoses canbe made regarding Native American obesity; deficient community health, imbalanced nutrition, and sedentary lifestyle. First, a healthy community â€Å"is described by the U. S. Department of Health and Human Services Healthy People 2010 report is one that continuously creates and improves both itsphysical and social environments, helping people to support one another in aspectsof daily  life and to develop to their fullest potential† (Healthy Places). In order toaddressthe deficient community health, a communityhealthevent could be planned thatchecksweight, height, cholesterol and blood glucose levels. Also, at this event, education about health promotion and diseaseprevention would be beneficial in addressing the diabetes and obesity so prevalent within the Native American populace. Imbalanced nutrition can be because the body is not getting enough nutritional vitamins and minerals or because thebody is getting too much fat and sugar intake. Due to the high volume of Native American children in the Maricopa school system and the poor economic status of many Native American families, schools need to provide healthy meals for students. Furthermore, the school could also monitor lunches brought in by students and provide healthy alternatives. Also, if an after school program is developed; a dietician could provide healthy food options such as snacks, food education materials like calorie sheets, meal planning, and food alternatives for families. Sedentary lifestyle can be changed by implementing an after school program. Different activities, games, and sports 4 would be provided which would encourage exercise, socialization, and safety. This time could also be utilized toteach different games and sports that can be done at home. Involving the Native American community to change their habits would be best done by collaborating with Native American leadersand health professionals. Native American leaders would be excellent role models for children and the community as a whole. Collaborating with the Maricopa community would also generate interesting cross-cultural health events and activities. Also, during these events, culture could be promoted in a healthy way such as traditional Native foods prepared in a healthy way and cultural dancing encouraged. Another resource would be to contact Community Partnership of Southern Arizona. They provide healthcare clinics, have people available to answer community specific questions, provide referrals to services, and have a directory of community resources that are available. Obesity is the LHI of Native American children living just outside Maricopa but attending school within the Maricopa School District. The Reservation’s distance from  Maricopa community facilities along with dietand epidemiological factors like diabetesall contribute to Native Americanobesity. By combating deficient community healthwith a community health event, educating and correcting imbalanced nutrition at the school, and eliminating a sedentary lifestyle by implementing an after school program, changes can be made. The Native Americancommunity will respond to Native leaders encouraging change. Culture eventssuch asfestivalswould be an excellent opportunity toimplement and highlight some of these healthychanges. References Centers for Disease Control and Prevention. (2000). Healthy places. Retrieved from cdc. gov/healthyplaces/about. htm#Healthy%20Env Richards, T. J. , Patterson, P. M. (2006, August). Native American obesity: An economic model of the Thrifty Gene theory. American Journal of Agricultural Economins, 88(3), 542-560. Retrieved from jstor. org/stable/3697748 Wharton, C. M. (2004). Beverage consumption and risk of obesity among native americans in arizona. Nutrition Reviews, 62(4), 153-9. Retrieved from http://search. proquest. com/docview/212348616? accountid=458

Birth of the Olympian Gods and Goddesses

Birth of the Olympian Gods and Goddesses How did the world start according to your worldview? Was there a sudden cosmic spark emerging from nowhere? Did life then emerge from some sort of almost living form? Did a supreme being create the world in seven days and form the first woman from the rib of the first (male) human? Was there a great swirling chaos from which emerged a frost giant and a salt-licking cow? A cosmic egg? Greek mythology contains creation stories that are very different from either the familiar story of Adam and Eve or the Big Bang. In Greek myths about the early world, themes of parental treachery alternate with tales of filial betrayal. Youll also find love and loyalty. There are all the essentials of good plot lines. Birth and cosmic creation are linked. Mountains and other physical parts of the world are born through procreation. Granted, it is procreation between things that we dont think of as procreating, but this is an ancient version and part of the ancient mythological worldview.   Ã‚  Ã‚  Ã‚  Ã‚  1. Parental Treachery: In Generation 1, the sky (Uranus), who is seemingly without any love at all for his offspring (or maybe he just wants his wife all to himself), hides his children inside his wife, Mother Earth (Gaia).   Ã‚  Ã‚  Ã‚  Ã‚  2. Filial Betrayal: In Generation 2, the Titan father (Cronus) swallows his children, the newborn Olympians. In Generation 3, the Olympic gods and goddesses have learned from the examples of their ancestors, so there is more parental treachery:   Ã‚  Ã‚  Ã‚  Ã‚  Zeus swallows one mate and sews the soon-to-be born offspring of another inside himself after he kills the mother.   Ã‚  Ã‚  Ã‚  Ã‚  Hera, the wife of Zeus, creates a god without a mate, but even he isnt safe from his parents, for Hera (or Zeus) hurls her son from Mt. Olympus. 1st Generation Generation implies a coming into being, so that which was there from the beginning is not and cannot be generated. What has always been there, whether it be a god or a primeval force (here, Chaos), is not the first generation. If for convenience, it requires a number, it can be referred to as Generation Zero. Even the first generation here gets a bit tricky if examined too closely since it could be said to cover 3 generations, but thats not terribly relevant for this look at parents (particularly, fathers) and their treacherous relations with their children. According to some versions of Greek mythology, at the beginning of the universe, there was Chaos. Chaos was all alone [Hesiod Theog. l.116], but soon Gaia (Earth) appeared. Without the benefit of a sexual partner, Gaia gave birth to Uranus (Sky) to provide covering and father half-siblings. With Uranus serving as the father, mother Gaia gave birth to the 50-headed Hecatonchiresthe Cyclopes (Cyclops)the 12 Titans 2nd Generation Eventually, the 12 Titans paired off, male and female: Cronus and RheaIapetus and ThemisOceanus and TethysHyperion and TheiaCrius and MnemosyneCoeus and Phoebe They produced rivers and springs, second generation Titans, Atlas and Prometheus, moon (Selene), sun (Helios), and many others. Much earlier, before the Titans had paired off, their father, Uranus, who was hateful and rightly fearful that one of his sons might overthrow him, shut all his children inside his wife, their Mother Earth (Gaia). And he used to hide them all away in a secret place of Earth so soon as each was born, and would not suffer them to come up into the light: and Heaven rejoiced in his evil doing. But vast Earth groaned within, being straitened, and she made the element of grey flint and shaped a great sickle, and told her plan to her dear sons. - Hesiod Theogony, which is all about the generation of gods. Another version comes from 1.1.4 Apollodorus*, who says Gaia was angry because Uranus had thrown his first children, the Cyclopes, into Tartarus. [See, I told you there was love; here, maternal.] At any rate, Gaia was angry with her husband for imprisoning their children either within her or in Tartarus, and she wanted her children released. Cronus, the dutiful son, agreed to do the dirty work: he used that flint sickle to castrate his father, rendering him impotent (without power). 3rd Generation Then the Titan Cronus, with his sister Rhea as a wife, sired six children. These were the Olympic gods and goddesses: HestiaHeraDemeterPoseidonHadesZeus Cursed by his father (Uranus), the Titan Cronus was afraid of his own children. After all, he knew how violent he had been towards his father. He knew better than to repeat the mistakes his father had made in leaving himself vulnerable, so instead of imprisoning his children in his wifes body (or Tartarus), Cronus swallowed them. Like her mother Earth (Gaia) before her, Rhea wanted her children to be free. With the help of her parents (Uranus and Gaia), she figured out how to defeat her husband. When it was time to give birth to Zeus, Rhea did it in secret. Cronus knew she was due and asked for the new baby to swallow. Instead of feeding him Zeus, Rhea substituted a stone. (No one said the Titans were intellectual giants.) Zeus matured safely until he was old enough to force his father to regurgitate his five siblings (Hades, Poseidon, Demeter, Hera, and Hestia). As G.S. Kirk points out in The Nature of Greek Myths, with the oral rebirth of his brothers and sisters, Zeus, once the youngest, became the oldest. At any rate, even if the regurgitation-reversal doesnt persuade you that Zeus could claim to be the oldest, he became the leader of the gods on snow-capped Mt. Olympus. 4th Generation Zeus, a first generation Olympian (although in the third generation since the creation), was father to the following second generation Olympians, put together from various accounts: AthenaAphroditeAresApolloArtemisDionysusHermesHephaestusPersephone The list of Olympians contains 12 gods and goddesses, but their identities vary. Hestia and Demeter, entitled to spots on Olympus, sometimes surrender their seats. Parents of Aphrodite and Hephaestus Although they may have been Zeus children, the lineage of 2 second-generation Olympians is in question: Some claim Aphrodite (goddess of love and beauty) sprang from the foam and severed genitals of Uranus. Homer refers to Aphrodite as the daughter of Dione and Zeus.Some (including Hesiod in the introductory quote) claim Hera as the sole parent of Hephaestus, the lame blacksmith god. But Zeus himself gave birth from his own head to bright-eyed Tritogeneia (29), the awful, the strife-stirring, the host-leader, the unwearying, the queen, who delights in tumults and wars and battles. But Hera without union with Zeus for she was very angry and quarreled with her mate bare famous Hephaestus, who is skilled in crafts more than all the sons of Heaven.-Hesiod Theogony 924ff It is interesting, but to my knowledge insignificant, that these two Olympians who had uncertain parentage married. Zeus as Parent Many of Zeus liaisons were unusual; for instance, he disguised himself as a cuckoo bird to seduce Hera. Two of his children were born in a manner he might have learned from his father or grandfather; that is, like his father Cronus, Zeus swallowed not only the child but the mother Metis while she was pregnant. When the fetus had fully formed, Zeus gave birth to their daughter Athena. Lacking the proper feminine apparatus, he gave birth through his head. After Zeus had frightened or burned his mistress Semele to death, but before she was completely incinerated, Zeus removed the fetus of Dionysus from her womb and sewed it into his thigh where the wine god-to-be developed until ready for rebirth. *Apollodorus, a 2nd Century B.C. Greek scholar, wrote a Chronicles and On the Gods, but the reference here is to the Bibliotheca or Library, which is falsely attributed to him.

Charles Smith is firefighter Essay Example | Topics and Well Written Essays - 500 words

Charles Smith is firefighter - Essay Example Before the shift starts at 8 am, Charles has breakfast at the fire station together with his colleagues some of whom are volunteer workers. He terms the breakfast session as, â€Å"a great experience where he and his colleagues share plans for the day, give memorable stories, joke around and sing hearty songs.† After breakfast, Charles and his colleagues go to the Personal Protective Equipment (PPE) room and prepare their kits. Charles says, â€Å"We have to be ready always from the beginning of the shift to react to any event, since we could be called at any moment.† The Watch then assembles for inspection in the muster bay where the Chief Officer details and relays the day’s duties. According to Charles, â€Å"the details vary from one shift to another, and this unpredictability helps keep things interesting, while the formality instills a degree of professionalism.† When I asked Charles what he hates or dislike about firefighting, he replied, â€Å"som etimes it is difficult to save all people and some end up dying under your watch, it is the most disheartening thing to hear a person, particularly a child crying as the building he or she is in collapses from a fire.† From Charles’ facial expression, it is evident that such an incident takes quite a toll on firefighters. Since training is a hugely essential part of the job, firefighters’ daily routine encompasses drill time. I got a chance to watch the Watch during drill time and highly appreciated by their proficiency with the equipment.

Discuss whether benchmarking to achieve greater efficiency should lead Essay

Discuss whether benchmarking to achieve greater efficiency should lead to greater profitability - Essay Example Through this method, Young (2003) explains that business personalities are able to know how well their competitors perform within the industry, and the reason as to why these companies are able to perform in a manner identified. Wöber (2002) further explains that benchmarking is always used to measure the performance of a business organization/industry by using specific indicators, e.g. cost per unit of the substance, productivity per unit, etc. Benchmarking is a process that is used in strategic management, whereby business organizations are able to evaluate different aspects of their business organization, in relation to the best practices of the industry. Orr and Orr (2014) maintains that this helps managers of business organizations to come up with the best policy that can help them improve the performance of the business organization. Furthermore, benchmarking as a process normally helps managers of a business organization to adapt some of the best practices of an industry into their operations. This can be social responsibilities, or marketing procedures. Benchmarking is always a continuous process, and this is mainly because organizations seek methods of improving their performances, and best practices. However, there is a considerable debate on whether benchmarking helps in improving the profitability of a business organization. Orr and Orr (2014) explains that because benchmarking is a method of understanding the b est practices of an industry, and implementing those practices, it will most definitely lead to an increase in the profitability of a business organization. This is an assertion that Kerimodou (2013) is against. In their research concerning benchmarking, the authors denoted that organizations which have high technical efficiency are not always the best performers regarding profitability. In their research,

Per Clausewitz’s On War Essay Example for Free

Per Clausewitz’s On War Essay Per Clausewitz’s On War focal points on how victory can be achieved, reader see a keen interest in how to disarm the enemy using reciprocal and proportionate â€Å"efforts to his powers or resistance. † This implies that to win a war you might use all means, strength, and resources within your power to deliver the best strategy possible. Using â€Å"calculation of probabilities† victory can achieved by fully knowing what is at stake and how to attack at the right time. Being aware of the political agenda and reasoning behind a war allows for more awareness of political and military alliances in order to achieve victory in war. In addition, by understanding that there are tactics and strategy which must be used in war a victory can be acquired (website, Handel). To Clausewitz this means that â€Å"preparations for War† and the â€Å"War itself† must be seen as distinct entities. By preparing for the War you are acquiring all needed provisions and equipment, and comprehending the enemy and terrain in which the battles might be fought (Clausewitz Book 6). Sun too indicates that preparation for War is strongly required, and that without it practicality of strategy is lost. This would include any tactics to be used, calculations which can done, deriving rules or â€Å"even systems for the conduct of war†, and understanding that knowledge can be â€Å"converted into real power†. Clausewitz considers that â€Å"war is science when mere knowing; art, when doing. † This law of action must include strategy. This in turn â€Å"links together the series of acts which are to lead to the final decision† or finality of victory. Because these strategic elements are key to achieving victory, this author insists that the â€Å"use of engagements†¦. be classified into: moral, physical, mathematical, geographical, and statistical† aspects. This elements manifest within the process and act of War, and encompass the idea that strategic assembly of forces enables victory. Clausewitz indicates that the use of battle leads to the destruction of the enemy’s military, and that a great results is achieved by battle (KLINGER 79-89).

Rites of Passage Essay -- essays papers

Rites of Passage Every day someone enters into a rite of passage whether it be by starting school, a new job, marriage, a confirmation or communion rites of passage are common place. Two totally different cultures have totally different rituals and rites of passage. The Apache would most definitely have incredibly unique rituals compared to rural Maine and the catholic cultures therein. The best way to see the differences is to compare the two different cultures. Each ritual occurs in a holy place, the Apache on ritual grounds and the Confirmation rights at a specific congregation. The person who is about to participate in confirmation has gone to months of classes to prepare for this day, CCD it is titled and it is typically on a Sunday night at this particular congregation. The Apache girl has been well prepared as well, running and doing specific training exercises so that she will be ready for the grueling Sunrise Dance. In both societies the participant undergoes this ritual specifically because their parents and elders tell them to. They are too young to defy their parents or elders and submit basically because of the special knowledge that will somehow change them and prepare them for adulthood. The Apache girl has a godmother and godfather, which has no relation to her per say (blood relation), they are chosen based on their status in their society and they become a sort of guiding light for this girl during her Dance and adulthood all the way to when she is old and gray. The confirmation child has to choose his â€Å"sponsor† who is typically a relative or someone very special to him. This person also has a big part in the confirmation, guiding the child and being a big support center for the child. The reason for the Apache girl to start her Sunrise Dance is because of her first womanly cycle. She has a grueling task ahead of her when the Dance begins. She has a week of ritual ahead and much strenuous tasks. Her family, before participating must have about 10,000 dollars so that they can afford the gifts, food, etc. During the ritual the girl has absolutely no baths and isn’t allowed to touch herself except with a stick. She isn’t allowed to drink except with a straw. She is also allowed very little sleep during the week of her specific dance. During a specific part of the ritual her grandmother massages her body, which signifies a strong... ...er sees the end of the ritual as a rebirth. Both societies, the Apache and the Catholic culture definitely view this as a rebirth. The Apache seems more special because of the individuality that ensues with the Sunrise Dance. Confirmation is a rebirth into adulthood, but not alone, you are supported by all your classmates and friends. The reason that any young child submits to authority, other than fear, is because they know and realize that they can achieve great knowledge by listening to them and abiding by their practices. Because, look where it got them, at least to the age they are! Ritual changes people for better or worse, either way a change has been made and you aren’t the same after the ritual ends. The Apache girl has something she can tell her grandkids about, she has a vivid incredible memory that will never leave her. The confirmed has a memory too, a family time that brings people together, and we all know we love family time regardless of what occurs within we are happy to see that aunt uncle, and cousin we haven’t seen in so long. Rituals are times that should bring people together and change them for the better, as well as prepare them for the long roads ahead.

Qualitative Research Methodologies Essay

Veal (2000) has described research a â€Å"systematic and careful inquiry ands search for the truth† or an investigation into a subject to discover facts. Research is collection of methods, tools and techniques for acquiring knowledge. The nature of research is to discover and explain and answer the unanswered questions. Qualitative methodology focuses on â€Å"quality† a term referring to the essence or ambience of something (Anastas, 1999). Qualitative methods are used to understand complex social phenomena. They are suitable to seek knowledge about the fundamental characteristics of a phenomenon under study. Types of Qualitative Methodologies Case-Study Research Methodology Case study as a â€Å"realistic† methodology, which deals with solid and specific questions. Case study translates research question into more researchable problems, and provides rich examples, which are easy to comprehend. The significance of case studies is its revealing meaning of a phenomenon. Observation Research Methodology Scott (2001) has described observation an effective way of finding out about people in their particular environment. Observational research method provides understanding of interaction between marketers and users, exploring members interaction in an organisation and understanding norms in a community. Ethnographic Research Methodology According to Garson (1998) ethnography is the study of cultural groupings. It concentrates on close field observation of socio-cultural phenomena. Ethnographic research is a holistic approach that tries to understand a culture through the members of given culture. Quantitative Research Methodologies Quantitative research is gathering data in quantity. The goal of the quantitative research approach is to find out the truth by using statistical procedure. Hara (1995) has pointed out that quantitative methodology allows readers to understand facts easily by looking at charts and graphs. The use of statistics reduces contradictions, which may exist in research. Morgan (2000) has mentioned that â€Å"quantification† allows accuracy of statements by providing facts and figures with precision. Absence of one will make the other incomprehensible. It is assumed that quantitative methodologies are more logical and more comprehensible than qualitative methodology for this reason. descriptive, experimental, quasi-experimental Methodologies. Data Collection However for this research the most appropriate method for this study is case study as this study is comparison of these two cities based on the data and facts obtained from different libraries, books, journals, newspapers and census department to answer the questions below. †¢ How history and geographical location influence their development? †¢ What are the current economic figures of the cities? †¢ How much progress these cities have made in trade, commerce health education and sanitation systems? †¢ What is the role of geography and location in the development of urban cities?