Interpretive Note on Sarah Orne Jewett's The Country of the Pointed Essay

Interpretive Note on Sarah Orne Jewett's The Country of the Pointed Firs - Essay Example The Country of the Pointed Firs is one such work, in which, Jewett quietly shows how ladies can carry on with an autonomous existence without following certain generalizations. Along these lines, this paper investigates how Jewett likewise centers around ladies overwhelmed space, especially their mystic. The Country of the Pointed Firs follows the path of the anonymous storyteller in the anecdotal town of Dunnet Landing, Maine. She is an author from Boston, who comes to Dunnet Landing to finish the work she has begun. Leasing a room in the home of Mrs. Todd, she gets acclimatized to the territory and gets enthralled by the good old network. The vast majority of the town’s populace are elderly folks individuals with ages running somewhere in the range of sixty and ninety. Every one of them are ‘rich’ with many intriguing encounters and along these lines they recount to little stories or tales about the town, the ocean, just as the town’s individuals, to the storyteller consequently improving the narrator’s experience. The storyteller was overpowered by the involvement in wistfulness coursing through her brain. In course of time, she hits a ‘close relationship’ with Mrs. Todd and that gives another point of view to the work. In a large por tion of her works, Jewett, pushed by her desire to break all polarities, makes female characters who are solid, certain and autonomous. In The Country of the Pointed Firs, aside from the storyteller character, the character who represented the above said positive ideals of lady is Mrs. Todd. This semiautobiographical novel follows a young lady essayist, who while spending a late spring Dunnett Landing and finishing her work, interacts with a gathering of ladies. These ladies while recounting to numerous tales about the town, become genuinely connected to the author. â€Å"There she is received into a free sew gathering of ladies who weave a trap of anecdotes about the town, the encompassing islands and the people who live, or lived, there.† (brothersjudd.com). They invest a great deal of energy near one another, sharing great affinity thus

There Were Many Philosophers Throughout The Enlightenment Period. Some

There were numerous logicians all through the Enlightenment time frame. A portion of these extraordinary scholars had comparable perspectives on related thoughts, others varied totally. I by and by concurred most with John Locke's methods of reasoning. Locke was conceived in 1632 and kicked the bucket in 1704. His works concerned human instinct, how the structure of a general public ought to be set up, and different issues with that impact. Locke's methods of reasoning and books are all material to our general public today and a portion of our nation's political establishments are based on his prominent ways of thinking. I concur with his thinking on why a flat out government is no type of a common government. I accept that the individuals who settle on the choices for their nation are their nation and that ?the individuals' ought to have equivalent power and all be on a similar level socially and strategically. Like Locke, I accept that a better than judge among right and wrong and to rebuff the individuals who foul up is completely important, yet the force ought to be in the hands of the individuals and not a ruler. Prior to the illumination, both mainstream furthermore, strict universes were in a force battle and turned out to be incredibly degenerate, demonstrating that ?outright force taints totally'. Locke expressed ...and have a typical built up law and judicature to engage, with power to choose contentions among them and rebuff wrongdoers (Civil Society). I have almost certainly that to have structure and a legal framework in a general public is fundamental and without it there would be finished and articulate bedlam. I likewise concur with Locke regarding the matter of why a common society is better and increasingly gainful at that point living in the state of nature. Locke's condition of nature was a condition of freedom, and all individuals were thought of equivalent, yet there was no power to implement the law which I accept to be enormously dangerous. Without laws or government, a state or nation will undoubtedly be inseparable what's more, totally disarranged which are bad conditions. With such repulsive conditions the individuals will undoubtedly battle with each other and act inhuman causing the generally states of the state to compound much more. Locke philosophized that a common state ought to be shaped for three noteworthy reasons; a set up law was required, position to pass judgment on directly from wrong as indicated by the set up law, and a force toback and bolster the sentence when right and give it due execution (Why Form a Civil Society). I see these three reasons as considerable in our general public today and without those components our general public would be in a scattered circumstance where nothing capacities accurately and all individuals are degenerate.

Fun Frankenstein Essay Topics

Fun Frankenstein Essay TopicsLearning how to write a Frankenstein essay topic is not as easy as some might think. These types of essays can be tricky. There are many components that make up a good Frankenstein essay.Here is a list of things you will need to research about your topic of a Frankenstein essay. Some of these materials may be familiar to you, while others may be new to you. They will all help you to come up with the best Frankenstein essay.If you are going to be writing for a grade level, you need to be familiar with English grammar and punctuation. Make sure you also have a working knowledge of the basics. This will go a long way towards helping you master the necessary skills.When you are looking for something to write about, consider a favorite author or topic. Then search for writings related to your topic. This will help you to find what you need.Next, you will want to know what type of literature you will need to write about, and what a resource box is. A resource b ox is basically a brief introduction to the material on your paper. It contains information about your work, including your name, contact information, and the general purpose of your essay.Once you have prepared the essays, you will want to format them correctly so they read well on paper. Use a word processor for this. After it is finished, you should read the paper through, reading it aloud. This will give you an idea of the style you should use.After you have read through the paper and it is ready, you will need to submit it to a teacher for approval. It is important to make sure the essay meets the deadline before submission. You should also not hesitate to ask a teacher for help in any way you need it.By using the resources listed above, you can learn how to write Frankenstein essay topics that are interesting, original, and relevant. Since you can't fully explain Frankenstein, you should try to relate to the character and make him your own. This will make it easier for you to complete the assignment.

how i learned to love football Essay - 1168 Words

Jesse Saunders Prof. Keith Bishop English 101 12/10/2013 â€Å"How I Learned To Love Football† â€Å"Move Over Boys, Make Room In The Crease† Sara Maratta and Felisa Rogers essay is the opposite of one another. Sara Maratta at the age of 14 developed a liking to sports, hockey was Marattas number one sport. Maratta knew hockey inside and out. Her favorite aspect of the sport was the fighting part. It drew her deeper into the sport. Maratta had a passion for the Blue Jackets team, and being her number one hobby whom she supported as a fan. Although women want to be heard in the sports world and want to participate in the games, it is still a man dominated sport. Men feel that the sports world is not for women. Since she was a little†¦show more content†¦Rogers finished all her accounts and then dryed up, while her husband got laid off due to the economy. Rich Rogers, Felisas’ husband decided to take to take charge to help support his family. Rich worked three jobs and with minimal pay supported his family he was so stressed out and was worried that they would lose everything. Then things turned for the w orse, the Roger’s family suffered a tragedy the death of Richs’ mother, and their car crapped the bed. Felisas’ husband was in despair, they had rough times ahead of them. Whenever Rich would talk about football and Brett Favre Richs’ favorite player his face would light up and become happy even for the briefest of moments. Felisa saw this and never gave thought of richs’ emotional status before the hard times hit. Felisa saw the spark of happiness in Rich’s face she started to listen and support her husbands love for football. Felisa found her voice as a wife through sports specially football, reconnecting her relationship with her husband. Felisa found out she liked it. Sara Maratta enters the world of hockey and by doing so discovers her strength as a woman and finds her voice. Maratta states this group did not and have not accepted me as a true enthusiast who has a real comprehension and love for what goes on in the crease. Why? Because I am a woman†.(538-539) Women are finally being recognized in the world of sports. It is still a male dominate sport and women are still looked as sex objects, thatShow MoreRelatedHow I Learned to Love Football Essay1071 Words   |  5 PagesIn Felisa Roger’s article How I Learned to Love Football, Roger discussed how her dislike for sports changed all together with when she had a reason to care about it more. She provided a great background when explaining why she changed her mind about disliking sports, and used a great variety of detail while explaining it. She talked about how as she was growing up she had a strong dislike of all sports. She talked about how she was never good at playing any sports in gym class and always hatedRead MoreSport and Football Essay1468 Words   |  6 PagesLeeander Ragland Prof. Milne Eng 101-25 29 February 2012 Respect Athletic Sports have come a long way since basketball was played with milk crates and flat balls in the alleys of the poor and rich alike. One may ask, why should I be concerned with the senseless sweating and hours of practice of those who enjoy sports? The answer is one that will open your eyes to the fulfillment sports can bring whether recreational or competitive. Sport activities offer a variety of lifelong qualitiesRead MoreFootball And Its Effect On Society1122 Words   |  5 Pages Football remains the most popular sport in America and the ninth most popular sport in the world for a reason. Since its creation in 1869, football has played a fundamental part of American society. Every Sunday, my family along with millions of other Americans turn the television to CBS, NBC or FOX to watch their favorite football team go to battle. My family and I bleed burgundy and gold and root for the home team the Washington Redskins. Americans including myself display great intensity andRead MoreSp orts As A Young Age843 Words   |  4 PagesAt a young age, my parents put me in sports: teaching me how to skate at age three, playing football my first year eligible and playing t-ball a year early. Sports can teach a child more than just how to throw a football or shoot a puck, sports have the power to teach a child how to become an adult. Children who are involved in sports at a young age are taught many necessary traits in life. Sports can impact their life and teach them competition, respect and responsibility. Three very valuable traitsRead MoreReflection Paper On Rugby1181 Words   |  5 Pagesthink that I am describing American football, but I am actually describing rugby. I recently interviewed Sam Freeman about how he has mastered rugby. He explained to me most of the rules of the game as well as his history with the sport and why he has fallen in love with rugby enough to want to master it. Sam Freeman has mastered rugby through his hard work and his belief that if you work hard it will pay off. Rugby is a lot like American football with a few differences. Just like in football there isRead More Vince Lombardi Essay831 Words   |  4 Pagesscorching hot passion for football made him an immediate success. Soon he was the head coach of St. Cecilia High School, leading it to success for the first time in its history. Of course, success is the knock on the door of opportunity, and soon colleges came calling. Lombardi made his return to his alma mater of Fordham just as the program was being restarted after World War II. As the offensive coordinator, he ignited a Fordham team that had been de-emphasizing football right before he gotRead MoreThe Gap Between God And Sports1606 Words   |  7 Pages What I Learned: While researching this topic I found many answers to my questions and more. One of the questions I really wanted answered was whether the gap between God and sports is widening or shrinking? To my surprise, honestly, studies show the gap is shrinking. I’m genuinely surprised by that answer because society today seems to be turning in the other direction, but in this case it feels good to be wrong. In an article by Jason W. Lee, who has a PHD from Troy State University, it wasRead MoreShould College Athletes Be Paid?1082 Words   |  5 Pagescollege, and a football player, spending all your time and energy playing football and you are being paid. You work your way up to the NFL tryouts and haven’t been picked . Wouldn’t you be devastated. Now you have nothing else to do. You should’ve focused on something to lean back on in case this would have happened. The article I read was, ‘Should College Athletes be Paid?’. The topic was that people are considering paying college football players. But I don’t beleive that should happen. I chose thisRead MoreAnalysis Of Don Sabos Pigskin, Patriarchy, And Pain975 Words   |  4 PagesWhen I hear the word â€Å"patriarchy†, the first thing I think about is male dominance. Our society has a dangerously narrow view of masculinity, which limits what a man is allowed to be. Phrases like â€Å"nice guys finish last†, â€Å"stop acting like a girl†, or â€Å"be a man† are told to boys at a young age. In Don Sabo’s article â€Å"Pigskin, Patriarchy, and Pain†, he shines the light on intermale aggression by sharing his experience as a young football player and the detrimental risk upon ones body in the footballRead MoreGraduation Speech : A College Student1360 Words   |  6 Pagesthe first semester I have done things both inside and outside of my comfort zone as I have adjusted to life as a college student. I used to cheerlead throughou t high school for both the basketball and football seasons, so attending my first football game in the Dome was something I easily crossed off my checklist within the first week of being a college student. From freshman year to senior year of high school, I had attended every single football and basketball game, whether I wanted to be there

Character Analysis Of Toni Morrisons Beloved - 926 Words

Are capable of saying that you know what it feels like to be dehumanized? To be made a fool? To be scared of each passing day? Beloved is a story written by Toni Morrison about the hardships that lead the protagonist, Sethe, to kill her own daughter, who would later come back from the grave. Sethe is a middle-aged, former slave who has experienced the cruelest, most unjust torment in her life – slavery. She escaped this barbaric life, but when the chance of being taken away comes back, she has to murder her own daughter to save her. Through close examination of the book, movie, and many other character analysis, it is very clear that Sethe suffers from Post-Traumatic Stress Disorder, and bases her actions on her experiences. In†¦show more content†¦He compares it to a chokeberry tree. Secondly, the way that Sethe’s milk was taken by her handlers in Sweet Home is another way to prove that her experiences were a large factor to her stress disorder. Whenever they did that, they made her vulnerable. She had no choice but to let them do that, because had she fought back in any way she would have died. If they were willing to do that to a sad, defenseless slave, then where did it stop? Finally, my thesis is unquestionably conveyed through this evidence. Agreed, she had to deal with the many years of slavery, but these moments were what made Sethe go over he mental breaking stage. The moments that made her feel frail and defenseless; they shaped her into the woman she became, and lead her to kill Beloved so she would never have to suffer like Sethe did. Lastly, in the book, her family is both her greatest strength, and her most obvious weakness. From Paul D. to her sons, Denver, and Beloved, they all shared a part in her culpability, neglectful nature, and inevitable downfall. To start, the next piece of evidence is that of Sethe’s sons. At the beginning of the story, they ran away from home to escape the ghost that haunts their house. That ghost is the sons’ own sister, Beloved. The next and final piece of evidence presented is the nature and history of her daughter, Beloved. When she arrived, it was an omen of ill times. Sethe invested her time, fortune,Show MoreRelatedBeloved: Critique with New Historicism1749 Words   |  7 Pages Beloved is a Pulitzer Prize winning novel written by Toni Morrison and published in 1987. The story follows Sethe as she attempts to make peace with her present (for her, post Civil War America) and her past as a former slave and the atrocities she suffered at the hands of the benevol ent Gardner family. Information given to the readers from different perspectives, multiple characters, and various time periods allows her audience to piece together the history of the family, their lives, asRead MoreBeloved : A Reconstruction Of Our Past1705 Words   |  7 PagesNovember 20, 2015 Beloved: A reconstruction of our past Beloved by Toni Morrison is a reconstruction of history told by the African American perspective, a perspective that is often shadowed or absent in literature. Her novel presents a cruel demonstration of the horrors endured by slaves and the emotional and psychological effects it created for the African American community. It unmasks the realities of slavery, in which we are presented with the history of each of the characters lives and the memoriesRead MoreToni Morrison s Beloved And The Ghosts Of Slavery : Historical Recovery1691 Words   |  7 Pagesnovel Beloved, Toni Morrison develops character Beloved as an allegorical figure to embody slavery’s horrific past and the lasting impact that unresolved past trauma has upon the present. Morrison develops the character Beloved to represent all the unremembered and untold stories of slavery and to further the message that we must maintain a collective memory of slavery in order to pursue a hopeful future. Morrison develops Belo ved as a character through her interactions with other characters in theRead MoreAnalysis Of The Bluest Eye1555 Words   |  7 Pagesbe a victim of sexual assault but also, the punishment of the offender. Toni Morrison, The author of The Bluest Eye, a victim of segregation, deals with sexual assault and segregation in her book. Chole Anthony Wofford, who goes by the name of Toni Morrison when writing her books, was born in Lorain, Ohio on February 18, 1931. Her father had several jobs to support their family, while her mother worked as a domestic worker. Toni lived in an integrated neighborhood. However, she did not become awareRead MoreTwo Contrasting Views of Slavery in Literature: Beloved and American Negro Slavery2068 Words   |  9 PagesIn this essay, I will be examining the works of two authors on the topic of slavery in America: Ulrich B. Phillips American Negro Slavery (1918) and Toni Morrison Beloved (1987). One writes as a Southerner and a historian who is defending s outhern slaveholders and draws upon contemporary racial theory to justify the system as beneficial to African Americans. The other writes as an African-American woman who is looking to write women into history and in doing so, add a female voice to the pastRead MoreAnalysis Of Toni Morrison s Beloved1434 Words   |  6 PagesI. SUBJECT Beloved by Toni Morrison opens in Cincinnati, Ohio in 1873 set in the Reconstruction era of American history. Sethe eighteen years ago escaped slavery with her children to live with her mother-in-law, Baby Suggs, in a house on 124 Bluestone Road often referred to simply as 124. The novel unfolds on two different time periods, that of Sethe’s time at Sweet Home plantation as a slave and that of the present. Her qualities of motherhood have overtaken Sethe’s life and have driven away herRead MoreAnalysis Of Beloved By Toni Morrison2078 Words   |  9 PagesAn Analysis of Beloved as a Portrayal of American History Toni Morrison’s 1988 Pulitzer Prize-winning novel, Beloved is clearly a work of well deserved literary acclaim. It has been hailed as one of the most revolutionary, poetic, and poignant pieces of modern American literature. The work is characterized by it’s portrayal of the â€Å"Slave Narrative† and follows the strife of former slave and mother: Sethe as she is tormented by the memories of her past, the haunting of her home, and the appearanceRead MoreEssay on Themes in Song Of Solomon2113 Words   |  9 PagesToni Morrison is one of the most talented and successful African-American authors of our time. Famous for works such as The Bluest Eye, Sula, and Beloved, Morrison has cultivated large audiences of all ethnicities and social classes with her creative style of writing. It is not Morrison’s talent of creating new stories that attracts her fans. In contrast, it is her talent of revising and modernizing traditional Biblical and mythological stories th at have been present in literature for centuries.Read More Exploring Personal Choices in Toni Morrisons Beloved Essay1466 Words   |  6 PagesExploring Personal Choices in Toni Morrisons Beloved At the climax of her book Beloved, Toni Morrison uses strong imagery to examine the mind of a woman who is thinking of killing her own children. She writes, Because the truth was simple, not a long-drawn-out record of flowered shifts, tree cages, selfishness, ankle ropes and wells. Simple: she was squatting in the garden and when she saw them coming and recognized schoolteachers hat, she heard wings. Little hummingbirds stuck their needleRead MoreToni Morrison and Beloved Essay2616 Words   |  11 Pages Toni Morrison was awarded the Pulitzer Prize for her novel Beloved, a novel whose popularity and worth earned her the Nobel Prize in literature the first ever awarded to a black female author.   Born in the small town of Larain, Ohio, in 1931, to George and Ramah Willis Wofford, Morrisons birth name is Chloe Anthony Wofford (Gates and Appiah   ix).   Morrison describes the actions of her central character in Beloved, as:   the ultimate love of a mother; the outrageous claim of a slave.   In

Affirmative Action to Reverse Discrimination Essay

Affirmative Action to Reverse Discrimination Question at Issue Affirmative action was implemented with the idea and hope that America would finally become truly equal. The tension of the 1960s civil rights movement had made it very clear, that the nations minority and female population were not receiving equal social and economic opportunity. The implementation of affirmative action was Americas first honest attempt at solving a problem, it had previously chose to ignore. However, there are many people that dont see affirmative action as a positive solution to this major societal problem of racial inequality. These people feel that Affirmative action uses reverse discrimination to solve the problem of discrimination in the†¦show more content†¦They feel tricked by the government or the minority therefore firing up racism among the bypassed group, while Affirmative action was introduced to decrease racism. Employers also feel as if they have ended up with a lesser skilled employee therefore increasing the amount of less er quality work. Employees provided with equal opportunity jobs bear the mark of not being the best pick, but only the best pick from a limited group. Organization Question at Issue: Does Affirmative action use reverse discrimination to solve discrimination? Definition of A: Affirmative action is an active effort to improve the employment or educational opportunities for members minority groups and women. A -* C Relationship: Affirmative action causes federal contractors/employers to choose from the best available employee from the minorities instead of choosing the best available employee from the whole Definition of B: Reverse discrimination to solve the problem of discrimination is using discerning treatment against a white male or female instead of a black male or female to solve a problem of racial inequality. A -* B Relationship: Affirmative action uses reverse discrimination to solve the problem of discrimination. Definition of C: Employers ability to choose the best availabl e employee from the whole instead of a select minority is the outcome of affirmative action. It insures that minorities are recruited to have real opportunities to be hired in the workplace. C -* BShow MoreRelatedEssay on Affirmative Action is Reverse Discrimination1010 Words   |  5 PagesAffirmative Action is Reverse Discrimination    When the Civil Rights Bill was being debated on the floor of the Senate, Barry Goldwater predicted that this particular bill might be abused. Herbert Humphrey, however, stated that he would eat every page of the bill if ever it were used to justify discrimination against anybody on account of race or sex. The bill eventually passed and became the Civil Rights Act. From college admissions to government contracts, the Civil Rights Act has been grosslyRead MoreEssay on Reverse Discrimination and Affirmative Action4000 Words   |  16 PagesReverse Discrimination and Affirmative Action Discrimination in employment has been an issue that has plagued our society throughout history. At the turn of this century it was acceptable to advertise job openings and specifically state that people of a certain race, color, religion, gender, or national origin need not apply. A lot has changed over the last 100 years. The proverbial pendulum has swung in the direction of federal protection of certain people, but the problem now is thatRead MoreAffirmative Action is NOT Reverse Discrimination Essay2079 Words   |  9 Pages Affirmative action is not the source of discrimination, but the vehicle for removing the effects of discrimination. The Labor Department report found less than 100 reverse discrimination cases among more than 3,000 discrimination opinions by the U.S. District Court and the Court of Appeal between 1990 and 1994. Discrimination was established in only six cases. The report found that, â€Å"Many of the cases were the result of a disappointed applicant†¦. erroneously assuming that when a woman or minorityRead MoreAffirmative Action is Reverse Discrimination Essay example1814 Words   |  8 PagesAffirmative Action is Reverse Discrimination Even though slavery has not been a part of America for over a century now, racial discrimination still exists in various parts of our culture. A controversial policy known as affirmative action was introduced in the 1960s to try and promote racial equality in society. Affirmative action is supposed to give minorities an equal chance in life by requiring minority employment, promotions, college acceptance, etc. At first this sounds like a perfectRead MoreEssay about Affirmative Action is Not Reverse Discrimination1293 Words   |  6 PagesAffirmative Action is Not Reverse Discrimination Affirmative Action is not meant to help blacks because of the color of their skin, but because they deserve compensation for past and continuing injustices. Opponents may criticize the wisdom of how this compensation is meted out, but they cannot question the principle of compensatory damages, which enjoys a long tradition in our society. To many opponents of affirmative action, a color-blind society should not discriminate at hiring timeRead MoreAffirmative Action vs Reverse Discrimination Essay1614 Words   |  7 PagesAffirmative Action or Reverse Discrimination Colleen Koehn Business Law 1038 Instructor Jackie Sexson March 1, 2010 South University Online There has been a large debate in recent years if affirmative action has gone against the American way, has affirmative action caused reverse discrimination? The establishment of affirmative action was put into place to create equal rights for racial minorities, ethnic minorities, women, the physically disabled and those who served in the militaryRead MoreExercise 3.4 : Reverse Discrimination Or Legal Affirmative Action?1945 Words   |  8 PagesExercise 3.4 - Reverse Discrimination or Legal Affirmative Action? FORM 3.4.1 1. What conditions are necessary in order for an organization to show preference for one group over another? As long as it is not sexual, racial or discrimination because of any disabilities which has no connection with the performance of the job, the organization can differentiate between different groups through job qualifications, skill sets education levels, interviews, , and many other conditions required by certainRead MoreBUSI 642 DB 1 Essay990 Words   |  4 Pages BUSI 642: Week 2 Discussion Board 1 Liberty University Discussion Board 1 In a world that is quick to state discrimination has taken place, there is a new discrimination emerging (i.e. reverse discrimination). Is this form of discrimination really discrimination? What diversity practices would you put in place to prevent any kind of discrimination? Generally speaking, discrimination is rooted in within the â€Å"cultural fabric of the United States† along the lines of â€Å"housing, employment, health,Read More Affirmative Action Essay1503 Words   |  7 Pages Affirmative Action is defined by Websters New World College Dictionary as a policy or program for correcting the effects of discrimination in the employment or education of members of certain groups. The phrase affirmative action was coined by President John F. Kennedy in 1961 when he issued Executive Order 10925, initiating the Presidents Committee on Equal Employment Opportunity. In 1965, President Lyndon B. Johnson issued Executive Order 11246. This order required federal contractors toRead MoreEssay on Affirmative Action Policies912 Words   |  4 PagesThe past few days the human resources department has been discussing the importance of implementing an affirmative action policy to assist in assuring that the company complies with equal employment opportu nity laws. The department has decided that the best action is to contact the members of the board of directors. The Federal Government has passed several laws to prevent employment discrimination, and not complying with these laws can cause serious consequences. The purpose of equal employment opportunity

Childhood Is Disappearing free essay sample

Childhood is disappearing Some sociologists would argue that childhood is disappearing such as Neil Postman, whereas other sociologists would argue against this. I will evaluate the arguments for and against. The first argument for this statement is that girls are wearing too much make-up and are reading articles from magazines which are telling them to act and dress as adults do-which means there is a loss of innocence. However an argument against this statement is all children now have the right to an education, and this is being extended to 18, which means they are trying to preserve childhood even longer. On the other hand a sociologist would argue for this statement is that there had been a huge rise in the number of children who are smoking and drinking-which are both seen to be adult activities. Another argument against this statement is children are now more protected more than ever through laws e. We will write a custom essay sample on Childhood Is Disappearing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page g. it is against the law for 16s to have sex and smoke. A final argument for this statement is that Neil Postman believes children have become confused little adults because of the images they see on the media. These children are known as ‘Tweenagers’. Finally an argument against this statement is that compared to the 1800’s children have a much better and longer childhood, and are not expected to work long hours in factories, mines and up chimneys. In conclusion the strongest argument is the argument for that childhood is disappearing because of the increase in pressure of underage sex, drugs, magazines and instructing girls to be more ‘grown-up’ with make-up and certain clothing. The media is also putting kids under pressure to look and act like adults, they have posing models wearing make-up and being airbrushed influencing children to be as ‘perfect’ as the models.

Fishery Industry UAE

John Stuart Mills essays

John Stuart Mills essays John Stuart Mill was one of the most well regarded and widely renowned philosophers and economists in history. He was considered a philosophical genius by the age of 20, and was mainly taught only by his father. His father believed that he should be educated and be taught many different languages and philosophies to become a well-rounded individual. When he had to end his studies early in life because of a mental breakdown at the age of 20, he soon recovered and was something different than when he first studied. Not long after he recovered he showed how different he was than his father and began writing in the Westminster review. He has widely been known for his views on liberalism that he showed in On Liberty. Mill believed that the individual was essentially sovereign over his own mind and body, a belief known as individual autonomy. The only thing individuals could do justifiably to violate other individuals' autonomies was in pursuit of self-protection, where the other individuals had broken into theirs first. Millsian philosophy was completely against negative liberty, or the absence of restraint, chaos. However, on the other end of the spectrum, Mill also opposed the tyranny the majority could impose on any minority, particularly the individual, by way of legislative control. Mill strongly believed in the practice and respect of law, and that minorities of any sort should be protected and only suppressed if the greatest good for the greatest number was being harmed in a judicially illegal way as to harm the general populace, although he never set an objective standard as to what was or was not harmf ul to the majority. It is of no surprise that he also supported individual freedom of thought and expression on the grounds of individual autonomy and minority protection. He stated that such freedom would encourage and not interfere with individual development, both social a ...

Emergence of Red Power movement in 1960s Research Paper

Emergence of Red Power movement in 1960s - Research Paper Example The period in between 1960s and 1970s, was a period that the federal government faced immense pressure from the Native Americans in regards to addressing the issues that faced the Indians at the same time the need to reassert the rights of the Indians. Emergence of Red Power movement in 1960s Outline Introduction History of Red power movement Causes for the Emergence of Red Power Movement Conclusion Bibliography Emergence of Red Power movement in 1960s Introduction Red power was a force to reckon with in the 1960s. It had a huge influence in decisions made by the government including policies. The period in between 1960s and 1970s, was a period that the federal government faced immense pressure from the Native Americans in regards to addressing the issues that faced the Indians at the same time the need to reassert the rights of the Indians. By imitating other ethnic groups at that time, the Indians in America gained courage and stood up to reaffirm their cultural and ethnic identity . It is from these ideas and operations that constituted a movement that would come to be identified as the Red Power Movement. The main and particular aim of the Red Power Movement was to do away with the federal policy of termination, lead the Indians to their ancestral and cultural ways an at the same time revitalize as well as review the existing Indian communities of that time. As the movement established itself, it emulated its counterpart movements that represented the Africa Americans and Latinos in a number of different ways. The Red Power movement used various means of operations to pass their message across the public regarding the general grievances and plight of the Native Americans they represented. Among the various means used in sending their message across are demonstrations, protests, marches and sit-ins. One of the most attention-grabbing and publicized events that was undertaken by the Red Power movement was the famous nineteen-month occupation of an abandoned fe deral prison in Alcatraz Island in early 1969. Majority of the Indian activists perceived this as the crucial spark that was part and parcel of igniting the flame of the Red Power Movement. After the occupation in Alcatraz Island, more occupations were undertaken in various locations throughout the country. The siege in 1973 that lead to the occupation of Wounded Knee, which was in South of Dakota is recoded as one of the famous sieges that overshadowed the others1. From 1971, there have been numerous protests going on throughout the country, in reserves as well as in the cities. These protests incorporated Native Americans, organizations and native newspapers, all motivated to fight for the rights and interests of the American Indians. The 1970s period is regarded as years in which there was the most intense pressure brought about by Native American protests in the whole of twentieth century. The protests that took place in early 1970s were inspired by the Alcatraz occupation model as Indians repossessed the federal land and later on reclaimed it for cultural and educational purposes2. History of Red power movement The American Indian activism roots are dated back in 1492, despite much of their activities getting recognition in 1960s and 1970s. In 1492, there was an encounter between the indigenous people of Mesoamerica and European explorers. More encounters were to occur in 1607 and in 1622. At this period, the reasons for the activism were complicated and at the same time simple. The reasons were protection of their homeland and recognition by the incoming invaders3. According to Teruton, the leaders of Red Power brought about new social knowledge that was manifested in their political operations. This knowledge was often verified with the growth of the movement. Despite the discrimination they faced from the whites and the economic and social bondage they were in, majority of the Indians soldiered on with their cultural activities. The Red Power played a great role in inspiring the American Indians in declaring their rights and culturally expressing themselves. Majority of the Indians at this moment began transforming as they compared their cultures

Internal factor Evaluation on Michael Kors Company Essay

Internal factor Evaluation on Michael Kors Company - Essay Example Michael Kors Holdings Ltd has currently made the headlines in the best performing stocks in America, catching the attention of the financial analysts and the investors. In addition to its growing market share, the company has recorded high profits and a high stock price. This means that there are various things that the management of the company is doing right, which its competitors are missing. This paper will evaluate the strengths and weaknesses of Michael Kors’ company as part of its internal factor evaluation in relation to the above ratings. Strengths Michael Kors’ company, a highly profitable company, has high revenue turnover as a result of increased sales volume. According to (Caplinger web), the fashion designer company has increasingly invested in its trendy fashions targeting the high end markets, which have in the recent 10 years translated into high profits for the company. The profitability of the company has been translated into high stock prices that ha ve jumped up to 60% in the current financial year. In comparison to the competitors, the company’s profitability performance is exemplary. While other companies in the design industry such as the biggest rival coach are making profits, the company’s management has maintained a high profitability trend in the market. Michael Kors has taken the advantage of the fashionable conditions in most parts of the design market to maximize on its profitability levels. The high demand for fashion wear in the North market has made the company pitch tent in the area, strategically placing most of its retail chain shops. Strategically placing its operations in the high end markets with a high demand for the products, the company has tapped into the potential markets and drawn more customers into its shops. Sales from the region have been high as revealed in the company’s financial reports that indicate a higher performance in comparison to that of the industry. To maximize in i ts profits, market diversification and production of clothes, Michael Kors has invested $88.2 million to fund its operations. This has translated into high profits for the company, as the current results reveal. Increased investor confidence in the company has subsequently drawn more capital investment into the company. Profitability ratios of the company can attest to this trend, with the Pre-Tax Margin of 27.98, which is higher than that of the industry which is at 16.35 (Marder web). Financial ratios of the company indicate growth, high profits and increased market share by the company. The company has maintained a constant growth trend in the past 10 years. Recently after going public, the company’s has been tremendous. Against the average sales of the industry, the company has registered incredible growth rates in its recent financial statements. While the industry’s total sales were at 15.5%, the company registered sales of up to 70.4% in growth (Caplinger web). Michael Kors Company has a wide market share in terms of its customer base. The increasing growth of the company’

Music Concert Report Essay Example for Free

Music Concert Report Essay The highly respected jazz trio made up of pianist Bill Charlap, bassist Kenny Washington and drummer Peter Washington played for about an hour an a half. Their smooth melodies and precise playing worked perfectly together to give a great performance against the New York City skyline at Dizzys Club Coca-Cola. The trio opened up the show with a song called â€Å"Ill Remember April†. The song was originally written in 1941 by Gene de Paul (Wilson, McElrath, Tyle). â€Å"Ill Remember April† first performance was in a very atypical setting. The song was not performed in a Broadway play or Jazz Club but rather the 1942 comedy Called Ride Em Cowboy. Actor Dick Foran sang the song in what a critic at the time called, â€Å"I’ll Remember April’ was an oasis of sanity in the madness† (Wilson, McElrath, Tyle). Although an odd start the movie Ride Em Cowboy proved to be significant in the Jazz community for another reason as well. In the movie the famous jazz vocalist Ella Fitzgerald appeared in her first film role playing an employee at the dude ranch named Ruby (Ill Remember April (1941)). â€Å" She projected a light, frothy, easy-going humor† in her performance of â€Å"A-Tisket, A-Tasket† (Ill Remember April (1941)). This movie brought out just how significant jazz music was at the time because it made a mediocre film come to life. This was not Gene De Pauls first time creating a brilliant jazz song. The pianist, composer and arranger had written many songs before for Hollywood films and Broadway shows such as â€Å"You Dont Know What Love is† and â€Å"Star Eyes† (Ill Remember April (1941)). He had worked with many lyricists before but on this particular song Gene de Paul worked with his friend Don Raye and Patricia Johnston (Ill Remember April (1941)). The lyrics portrays two distant lovers remembering the past and have a close connection with Dorothy Fields â€Å"The Way You Look Tonight† (Ill Remember April (1941)). The song entered the pop charts in the spring of 1942 after being recorded by Woody Herman and his Orchestra. The song did not catch on quickly because it differed in many ways from the typical pop song of the time. The melody and form separated â€Å"Ill Remember April† the most from other music of the time. Songs of the time usually followed an A-A-B-A form, repeating a lot giving it a catchy tune. â€Å"Ill Remember April† however, used a 48-bar A-B-C-D-A-B form making it seem long and dragged out compared to other popular jazz songs. Wilson, McElrath, Tyle) â€Å" Beboppers Charlie Parker and Bud Powell were among the first to explore the song’s unconventional structure, followed by an influential 1950 recording by Red Norvos trio with Tal Farlow and Charles Mingus† (Ill Remember April (1941)). The actually musicality of the song is quite complex with many chord changes and key changes. The song starts off in G but has a â€Å"false key change to Bb major during the first eight measures of the bridge† (Wilson, McElrath, Tyle). The tone of the song is major it moves rather step wise throughout. The chord progression of the song is a twist and turn roller coaster taking you from a G to a E major back to the G then to a D7. This is important because it allows for many different substitutions of chords and improvisations. (Wilson, McElrath, Tyle) One of the most important and defining elements in Jazz is improvisation. It is expected that during any jazz performance one or more musicians will improvise. Improvisation is so common that most of the time a musician will not perform the same piece the same way twice. However the freedom given to jazz musicians does come with some boundaries. â€Å"Ill Remember April† gives much leeway to improvisation as long as they are â€Å"chosen carefully so as to at least imply a logical harmonic progression† (Wilson, McElrath, Tyle). Typical jazz instruments are the saxophone, clarinet, flute, vibraphone, trumpet, piano, guitar, banjo, tuba, double bass, bass guitar, vocals, trombone and drum kit. The size of the band can vary greatly in jazz however from an ensembles which can have as little as two people to big bands that can have as many as 30 people. The Jazz show that I saw was a trio including a pianist, bassist and drummer. The setting in which I saw â€Å"ll Remember April† performed is much different then the setting I would have seen it in 1942. I saw the song be performed in a rather fancy evening setting at a Jazz Club where there was dinners and drinks being served. The club was modern and well designed. The backdrop behind the performers was a large window outlooking part of the New York City skyline. Around 75 people went to the club to watch a well respected trio play their rendition of â€Å"Ill Remember April†, as well as several other songs. In 1942 I would not have been able to go to a club one night and be served dinner as I listened to a band play the song. At first the only way to hear the song was in the movies it was featured in. The song was featured in the 1942 film Ride em Cowboy as I had mentioned earlier, it was also in the 1942 movie Strictly in the Groove and was again featured in the 1945 movie Eve Knew Her Apples. It is not until later that I would have been able to sit down at a jazz club or concert hall to see the piece be performed. Anita Boyer recording of â€Å"Ill Remember April† appeared on the album The nat King Cole Trio: The MacGregor Years 1941-1945 disc 4 (Wilson, McElrath, Tyle). Since then â€Å"Ill Remember April† has been recorded hundreds of times by various artists throughout the years. â€Å"The song’s unconventional characteristics became assets, and it found favor as a bop vehicle† (Wilson, McElrath, Tyle). Each performance of â€Å"Ill Remember April† takes on its own identity according to the performer. Artists have put their own twists on the song sometimes even implying a â€Å"Latin-feel† or they have stuck close to the original. The aspect of flexibility while maintaining the same brilliant theme makes â€Å"Ill Remember April† so exciting making artists recreate the classic for years. Before going to the concert I listened to â€Å"Ill Remember April† performed by Charlie Parker. Charlie Parker was an extremely influential jazz saxophonist. He recorded â€Å"Ill Remember April† on July 5, 1950. While having the same melody Charlie Parkers version of â€Å"Ill Remember April† and the Bill Charlap Trios version differed greatly. The biggest difference was the use of instruments. The Bill Charlap Trio did not include a saxophone. I had expected to hear a saxophone so at first it took a second for my ears to adjust when the Bill Charlap Trio began to play the song. I personally preferred the saxophone. I thought it gave the song a very demanding tone catching the audiences attention while at the same time it gave the song a very magically, flowing feeling. The saxophone was also backed up by other instruments like the piano which gave it a full rich sound. The piano, bass, and drums of the Bill Charlap Trio also gave a good performance however I felt it lacked a clear â€Å"lead† instrument how the saxophone did for Parkers rendition. One aspect I did like more in the Bill Charlap Trios version was the elongated piano solo. Solos are very important in jazz music and they occur often. Solos give artists the opportunity to improvisation keeping the piece fresh and giving it an element of surprise. Throughout the Bill Charlap Trios performance there were many solos. In â€Å"Ill Remember April† it was the pianos time to shine. I enjoyed the solo because it showed off Bill Charlaps talent and kept the piece exciting. An interesting aspect of his solo was he included a verse from Dorothy Fieldss â€Å"The Way You Look Tonight† which as I mentioned earlier gave inspiration to the writing of â€Å"Ill Remember April†. Overall I enjoyed listening the piece live better than the recording because it allowed the music to â€Å"come alive† rather than just listening to a recording. Going to the concert opened my eyes to what seems to be a whole new world. I was very anxious and nerve about what to expect when I went to the Jazz Club but when I got there I was pleasantly surprised. The music was entertaining and I loved the experience. Looking up the history of the songs continued to spark my interest. It is very interesting to see how music written seventy years ago is still influential and played in modern settings such as a Jazz Club.

Organizational Analysis Essay -- Medical Business, Clinical Practice S

Introduction An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed. Mission, Vision and Philosophy One of the first steps in developing an organization is to develop the vision, mission and philosophy of the organization. Vision statements are used to define the goals of an organization. The mission statement of an organization is a brief statement that explains the purpose that an organization exists. The organizational philosophy outlines the set of values and beliefs that controls the operations of an organization (Marquis, 2011). UMC’s vision is â€Å"to be nationally recognized for excellence in patient care, medical education, and biomedical research.† Their mission statement is â€Å"to serve through healing, education, and discovery.† The philosophy of UMC is â€Å"to value integrity, excellence, compassion, innovation, collaboration and dedication.† (www.mc.uky.edu) Organizational Structure Organizational structure provides the framework to enable members of the organization to delegate responsibility, maintain accountability and structure authority. UMC utilizes organizational structure and has organizational diagrams readily available for review when necessary. The chain of command in the Neurotrauma Intensive Care Unit (NTICU) included the assistive personnel reporting to nursing, nursing reporting to team leader for the shift, sh... ... http://www.mc.uky.edu Krive, J. (January 01, 2013). Building Effective Workforce Management Practices Through Shared Governance and Technology Systems Integration. Nursing Economic$, 31, 5, 231-236. Marquis, B. & Huston, C. (2011). Leadership Roles and Management Functions in Nursing : Theory and Application. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Pichert, J. W., Moore, I. N., Catron, T. F., Ross, J. C., Westlake, M. W., Karrass, J., Jay, J. S., ... Hickson, G. B. (October 01, 2013). An intervention model that promotes accountability: Peer messengers and patient/family complaints. Joint Commission Journal on Quality and Patient Safety, 39, 10, 435-446. Taplin, S. H., Foster, M. K., & Shortell, S. M. (January 01, 2013). Organizational leadership for building effective health care teams. Annals of Family Medicine, 11, 3.)

Health in Comminities

# 2008 University of South Africa All rights reserved Printed and published by the University of South Africa Muckleneuk, Pretoria CMH2602/1/2009 ±2011 98316532 (iii) __________________________________ __________________________________ Contents WELCOME AND INTRODUCTION (vii) PART 1: THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 1 LEARNING UNIT 1: 2 1. 1 1. 2 1. 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 CONCEPTS AND THEORIES/MODELS IN COMMUNITY HEALTH Introduction Theoretical thinking as a language Choosing a theory/model to apply to community health The dimensions model of community health nursing Orem's self-care deficit theory of nursingNeuman's systems model/theory Pender's health promotion model Gordon's functional health pattern framework Conclusion 2 2 3 4 5 8 9 10 11 PART 2: THE INDIVIDUAL AND FAMILY AS CLIENT 13 LEARNING UNIT 2: 14 2. 1 2. 2 2. 3 2. 4 2. 5 2. 6 2. 7 2. 8 2. 9 2. 10 Introduction Defining the concept of family Structure of the family Types of families Stages of family d evelopment The family as social system Cultural values in the family Family functions Roles of the family Conclusion LEARNING UNIT 3: 3. 1 3. 2 3. 3 3. 4 3. 5 3. 6 3. 7 3. 8 3. 9 3. 10 3. 11 THE FAMILY AS CLIENT ASSESSING FAMILY HEALTH IntroductionAssessment of the family The biophysical dimension The psychological considerations The physical environmental considerations The socio-cultural dimension The behavioural considerations The health system considerations Diagnostic reasoning and the family as a client Planning, implementation and evaluation Conclusion 14 14 15 16 17 19 20 21 21 21 23 23 23 25 25 27 28 30 31 31 31 32 (iv) LEARNING UNIT 4: INFANTS FROM BIRTH TO 18 MONTHS 4. 1 Introduction 4. 2 Definition of child health 4. 3 Growth and development during infancy 4. 4 Developmental tasks 4. 5 Infant nutrition 4. 6 Cognitive-perceptual patterns . 7 Child abuse 4. 8 Stress in infancy 4. 9 Pathological processes 4. 10 Immunisation 4. 11 Conclusion 34 34 34 34 35 36 37 37 38 38 38 41 LEARNING UNIT 5: THE TODDLER (18 ±36 MONTHS) 5. 1 Introduction 5. 2 Age and physical changes 5. 3 Nutrition in toddlers 5. 4 Elimination and exercise patterns 5. 5 Sleep and rest pattern 5. 6 Cognitive-perceptual pattern 5. 7 Self-perception-self-concept pattern, roles-relationships pattern, child abuse, sexuality-reproductive pattern, coping with stress, and values and beliefs 5. 8 Pathological processes 5. 9 Social processes 5. 10 Conclusion 43 43 43 44 44 44 45LEARNING UNIT 6: THE PRE-SCHOOL CHILD 6. 1 Introduction 6. 2 Age and physical changes 6. 3 Cognitive-perceptual patterns 6. 4 Self-perception-self-concept pattern, roles-relationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 6. 5 Pathological processes 6. 6 Social processes 6. 7 Conclusion 48 48 48 49 LEARNING UNIT 7: THE SCHOOL-AGE CHILD 7. 1 Introduction 7. 2 Age and physical changes 7. 3 Cognitive-perceptual pattern 7. 4 Self-perception-self-concept pattern, roles-rel ationships pattern, sexuality-reproductive pattern, coping-stress pattern and values-beliefs pattern 7. Pathological processes and social processes 7. 6 Conclusion 52 52 52 53 LEARNING UNIT 8: THE ADOLESCENT 8. 1 Introduction 8. 2 Age and physical changes: Gordon's functional health patterns 8. 3 Gordon's functional health patterns in adolescents 8. 4 Pathological processes in the adolescent 8. 5 Social processes 8. 6 Conclusion 56 56 56 57 58 59 59 45 46 46 46 49 50 50 51 54 55 55 (v) LEARNING UNIT 9: GENDER HEALTH 9. 1 9. 2 9. 3 9. 4 9. 5 9. 6 9. 7 Introduction The status of women Women's health status The lesbian/gay, bisexual and transgender (LGBT) client Men's health statusThe epidemiology of health for gay, bisexual and transgender men Conclusion LEARNING UNIT 10: CARE OF THE CLIENT IN THE WORK SETTING 10. 1 10. 2 10. 3 10. 4 10. 5 Introduction The objectives of occupational health The occupational health nurse's scope of practice Nursing care of working populations Conclusion LEARNING UNIT 11: THE OLDER ADULT 11. 1 11. 2 11. 3 11. 4 11. 5 11. 6 11. 7 11. 8 11. 9 11. 10 11. 11 11. 12 11. 13 11. 14 11. 15 11. 16 Introduction Age and physical changes Goals of health promotion Pattern of health perception-health management Nutritional metabolic patternElimination pattern Activity-exercise pattern Sleep-rest pattern Cognitive-perceptual pattern Self-perception-self-concept pattern Roles-relationships pattern Sexuality-reproductive pattern Coping-stress tolerance pattern and values-beliefs pattern Pathological processes Social processes Conclusion 60 60 61 62 63 63 64 64 65 65 66 66 66 67 68 68 69 70 70 70 70 70 70 71 71 71 71 71 71 72 72 PART 3: THE COMMUNITY AS CLIENT 75 LEARNING UNIT 12: HEALTH PROMOTION IN THE COMMUNITY 76 12. 1 12. 2 12. 3 12. 4 12. 5 12. 6 12. 7 12. 8 12. 9 12. 10 12. 11 12. 12 Introduction Definition of a communityDefining the term community health The community as a client Goals of community-oriented practice Strategies for improving community health Community partnerships Community-focused nursing process Planning Implementation Evaluation Conclusion 76 76 77 77 77 79 79 79 80 81 83 83 (vi) LEARNING UNIT 13: INTERVENTIONS FOR HEALTH PROMOTION IN THE FAMILY 13. 1 13. 2 13. 3 13. 4 13. 5 13. 6 13. 7 13. 8 13. 9 Introduction Definitions of health promotion Interventions for health promotion The purpose of health education The health educator Principles for health education Implementation of the educational planEvaluation of the educational process Conclusion LEARNING UNIT 14: ISSUES IN COMMUNITY HEALTH 14. 1 14. 2 14. 3 14. 4 14. 5 14. 6 14. 7 14. 8 Introduction Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (Aids) Tuberculosis (TB) Poverty Homelessness Violence Community resources Conclusion 84 84 84 85 85 86 88 89 89 90 92 92 92 93 94 94 95 95 97 BIBLIOGRAPHY 98 ANNEXURE A: FEEDBACK FOR SCENARIO IN LEARNING UNIT 3 ? LEARNING UNITS 4 ±12 99 ANNEXURE B: FACTS ABOUT IMMUNISATION 106 ANNEXUR E C: THE REVISED EXPANDED PROGRAMME ON IMMUNISATION IN SOUTH AFRICA (EPI-SA) SCHEDULE 08 ANNEXURE D: PLANS TO ADD TWO NEW VACCINES TO PREVENT PNEUMONIA AND DIARRHOEA IN BABIES 110 ANNEXURE E: PRIVATE VACCINES SCHEDULE 111 (vii) Welcome and ____________________________ introduction ____________________________ Welcome to this second-level module on health in communities. You will learn about the concepts and theories/models involved in community health to equip you with a theoretical foundation for this module. The aim of this module is to equip you with knowledge about the life span of the individual in order to give you skills to work with families in the community.You will also gain a holistic approach towards critical issues in the community. You should grow and develop into a competent and skilful practitioner who can identify needs and problems relating to family health and respond to them in an innovative way. Working through this module will enrich your life not only professi onally, but also personally. The nature of this study guide This study guide has been designed in an interactive way with the aim of guiding you through two prescribed books. As you work through this study guide you should integrate the information in the study guide with the information in your prescribed books.The Internet has a wealth of information and you are advised to use the Internet as often as possible to broaden your knowledge on certain topics. Prescribed books You are expected to purchase the following prescribed books for this module: Clark, MJ. 2008. Community health nursing: advocacy for population health. 5th edition. Englewood Cliffs, NJ: Prentice-Hall. Edelman, CL & Mandle, CL. 2006. Health promotion through the lifespan. 5th edition. St Louis: Mosby. Edelman and Mandle (2006) has very valuable information on health promotion and covers the entire life span, from birth to death.In addition to your study guide, this book is very important: you will find a wealth of information. Clark (2008) is a book on community health nursing that emphasises the dimensions model of community health nursing right through. This is a very valuable model which will help you to gain a holistic and systematic approach towards the individual, family and community. (viii) The information in these two books is complementary. Together with the study guide it will help you to gain the knowledge and skills you will need to supply health care to individuals, families and communities.Activities The activities are planned to either reinforce content, to guide you to tackle upcoming content, or to motivate you to think about issues. You will note that in part 2 of the study guide there is only one activity at the end of each learning unit: here we want you to apply the dimensions model of community health to a member of the family. Feedback on all these activities will be given in annexure A. This CMH2602 module runs parallel with the practice module for Community Health, CMH2126. The theory cannot be separated from the practice. IconsYou will find a series of icons in the text to guide you as you progress with your studies. Activity When you see this icon, you will know that you must complete an activity. We may ask you to read a specific section in the prescribed literature, apply given information, think about topics that have not been introduced, find your own information or ask other people for information. Please read the instructions carefully. Assessment criteria This icon indicates the questions that you can use to assess your own understanding of the work. These questions are adapted from the outcomes.You are told what you should do to prove that you have met the learning outcomes. Prescribed reading When you see this icon, study or read the prescribed book as indicated, before continuing with the next section. Learning outcome This icon tells you how you will benefit in the field of practice if you know the content of the specific learning unit. The outcomes tell you what you will be able to do after you have studied the work. h Feedback This icon tells you what was expected from you when you did the activity. It will not necessarily give you all the facts but will give you guidelines on how to answer the question.Not all of the activities will have feedback because many of the answers are given in your prescribed books. (ix) Conclusion This module is designed to enable you to work with families in the community. It is based on the needs and problems of the family. It covers individuals who are part of the family and the family as part of the community. After completion of this module, together with the practice module, you will be able to take responsibility for practising as an independent community nurse in any community setting. PART 1 THEORETICAL FOUNDATIONS IN COMMUNITY HEALTH 2 Learning unit 1Concepts and theories/ models in community health Outcomes Since theories/models provide you with the knowledge you nee d to practise community health in a scientific way, it is essential for you to be familiar with the various theories/models in the field to be able to apply them to community health. When you have worked through this learning unit you will be able to: * * * * 1. 1 describe various concepts in theoretical thinking explain selected theories/models in detail describe the key concepts and themes of the selected theories/models apply the theories/models to community healthIntroduction While we will discuss theories/models in general in this learning unit, we will also deal with several selected theories in more depth in order to indicate how they can be applied to community health. It is currently accepted that theories form the basis of community health. Since theories provide us with the knowledge we need to practise community health in a scientific way, it is essential for the community nurse to be familiar with the various theories/models in the field and to be able to apply them to community health. 1. 2 Theoretical thinking as a languageThe terms theory, model, conceptual framework, conceptual model are often used synonymously in literature. The literature reflects various conflicting opinions about the terms, their usage and meaning. According to Polit and Beck (2008:141) a conceptual model or a conceptual framework represents a more informal mechanism for organising and discussing phenomena or concepts, while theories are more formal in nature. Conceptual theories, frameworks and models are composed of concepts or constructs. These concepts or constructs are interdependent because they systematically demonstrate the relationship between variables.A model is a symbolic representation of concepts or variables with an interrelationship. A phenomenon is the abstract concept under study, often 3 used by qualitative researchers, while a concept is a description of the objects or events that form the basis of a theory. Both models and theories can describe and pre dict the relationship between phenomena. Models and theories are terms that are often used interchangeably in literature. The term theory is often used to refer to the subject content that student nurses must be taught in the lecture room to acquire the information they need to perform the nursing tasks in practice.Researchers such as Polit and Beck (2008:768) define theory as â€Å"an abstract generalisation that presents a systematic explanation about the relationships among phenomena†. Theories include principles for explaining, predicting and controlling phenomena. In all disciplines theories serve the same purpose. This purpose is to make scientific findings meaningful, and to make it possible to generalise. A theory is composed of concepts and constructs that are systematically related and that are also goal-oriented (Stanhope & Lancaster 2006:196). Types of traditional theories include grand theories and middle-range theories.Grand theories describe and explain large s egments of the human experience which are very broad. Middle-range theories explain more specific phenomena such as stress, self-care, health promotion and infant attachment. Metatheory is a term used to label theory about the theoretical process and theory development (Polit & Beck 2008:141). Metaparadigm refers to the main concepts that identify the phenomena or ideas of interest to a discipline, in this case the discipline of nursing. They provide the boundaries for the subject matter of the discipline.The metaparadigm concepts for nursing include person, environment, health and nursing (Clark 2008:67). However, current literature suggests that a four-concept metaparadigm for the discipline of nursing is too limited and suggests additional concepts such as transitions, interaction, nursing process, nursing therapeutics, self-care, adaptation, interpersonal relationships, goal attainment, caring, energy fields, human becoming and other concepts. The best-known and most used concep ts are however the first four: person, environment, health and nursing. 1. 3 Choosing a theory/model to apply to community ealth Choosing a suitable theory or model is not always an easy task ? especially when most theories are geared towards the care of individuals and were never designed to apply to groups or communities. The theory or model that is chosen must be flexible enough to be adapted to the community health situation and its aim must be to provide guidance for those who practise community health. The importance of the family or community network and the social network must both be clearly reflected, and the theory or model must be realistic and simple enough to understand and apply.In addition, the theory/model should harmonise with the community nurse's views about the individual, the environment, personal health and community health. You may find that the theory that is chosen may not always fulfil all your expectations and that it may also not be applicable to all cir cumstances. You may often be required to make adjustments or to develop your own personal model on the basis of existing theories. 4 Activity Explain why community health nursing should be based on a model or theory. h Feedback You should have considered the following points: * * * * * 1. 4A systematic approach is needed. Theories/models assist community nurses to evaluate health status and to plan, implement and evaluate effective nursing care. The model/theory used directs attention to relevant aspects of the client situation and to appropriate interventions. Epidemiologic models help in examining factors that influence health and illness. Nursing models suggest interventions to protect, improve and restore health. The dimensions model of community health nursing Clark's (2008:69) dimensions model of community health nursing is one of the few models designed for community health.This model is described in detail in your prescribed book (Clark 2008) and will therefore only be summa rised here. This model is a revision of the previously titled Epidemiologic Prevention Process Model. The dimensions model incorporates the nursing process and the levels of prevention as well as an epidemiologic perspective on the factors influencing health and illness. The dimensions model consists of three elements: the dimensions of health, the dimensions of health care and the dimensions of nursing. The dimensions of health include: * * * * * * the the the the the he biophysical dimension psychological dimension physical environmental dimension socio-cultural dimension behavioural dimension health system dimension The dimensions of health care include: * * * primary prevention secondary prevention tertiary prevention The dimensions of nursing include: * * * * cognitive dimension interpersonal dimension ethical dimension skills dimension 5 * * process dimension reflective dimension You should study this model to enable you to assess the health status of individuals, families or communities and to guide your nursing interventions.Prescribed book Study chapter 4 in Clark (2008, or later editions), on the dimensions model of community health nursing. Activity (1) Name the three elements of the dimensions model of community health nursing. (2) List the dimensions included in each element. (3) Give an example related to the dimensions in each element that addresses the health of a population group. 1. 5 Orem's self-care deficit theory of nursing Orem proposes a general theory of nursing which she calls the theory of self-care deficit. Orem's theory focuses on people's ability to practise self-care.The dominant theme of her philosophy of health is that people should be empowered and encouraged to practise their own self-care by means of their own efforts or with the help of significant others. Orem's self-care deficit theory of nursing consists of three interrelated theories: the theory of selfcare, the theory of self-care deficit and the theory of nursing syste ms. This theory is consistent with community health, based on the following premises: * * * Individuals and groups must accept responsibility for their own health and consequently care for themselves.The community nurse should provide the necessary training and support that will enable individuals or communities to do this. The community nurse should intervene only when a deficit or need arises in the selfcare framework. The World Health Organization (WHO) also strongly emphasises that self-care and selfresponsibility play an important role in achieving the goal of optimal health. 1. 5. 1 Theory of self-care In order to understand the theory of self-care, one must first understand the concepts of self-care, self-care agency, basic conditioning factors and therapeutic self-care demand.Self-care include those activities and decisions which a person undertakes in order to maintain life, health and well-being. These activities are acquired by learning, and they contribute to the mainten ance of human development and functioning. 6 Self-care agency refers to the ability of a person to exercise self-care in daily life. The ability to care for oneself is affected by basic conditioning factors: age, gender, developmental state, health state, socio-cultural factors, health care system factors, family system factors, patterns of living, environmental factors and resource adequacy and availability.Therapeutic self-care demand is the sum total of the measures which are called for at a particular time for the promotion and maintenance of health, development and general well-being. In the case of self-care, purposeful actions and steps are taken. Although selfcare should benefit an individual's health, his or her perception of self-care may not always promote good health, as is the case with a person who smokes in the belief that it reduces his or her stress levels. Self-care requisites refer to the reasons for which self-care is undertaken.The three categories of self-care requisites include universal, developmental, and health deviation. Universal self-care requirements include those processes which are essential for the normal functioning and maintenance of health and life, such as the following processes: * * * * * * having and maintaining sufficient fresh air/oxygen, water and food intake finding the balance between exercise and rest, and having social interaction avoiding dangers and obstacles that can compromise human functioning and well-being promoting human functioning and development in a group roviding care associated with elimination processes and personal hygiene keeping a balance between being alone and social interaction Developmental self-care requisites are divided into two categories: * * The first concerns the maintenance of those conditions which are favourable to a person's normal growth and development. The second is concerned with the prevention of those negative conditions, forces, influences and factors which can hinder and ob struct normal development. Awareness of such requirements reflects a person's level of development and his or her general capacity for self-care.Health deviation self-care is necessary for preventing illness, injury and retardation. It involves taking whatever steps are necessary for preventing or treating illness or disability effectively. The requisites for health deviation self-care include: * * * * * * seeking and securing appropriate medical assistance being conscious of and attending to the effects and results of pathologic conditions conducting medically prescribed diagnostic, therapeutic and rehabilitative measures attending to or controlling the negative effects of prescribed medical treatment effectively ccepting oneself as being in a specific state of health and in need of particular forms of health care developing and sustaining health-optimising lifestyles 1. 5. 2 Theory of self-care deficit The theory of self-care deficit forms the core of Orem's general theory of nurs ing. According to this theory, an adult who is unable to practise self-care requires dependent care; this refers to an adult who does not have the ability to meet his or her own needs or 7 only has partial ability to take care of himself or herself. This may happen or example when a person falls ill and this illness generates new demands, requiring the implementation of complex measures and specialised knowledge. Orem cites the following examples of support or help which can be offered in such circumstances: * * * * * acting on behalf of a person or undertaking certain activities for this person until he or she can once again care for himself or herself more independently providing guidance and direction in the new situation providing physical and psychological support creating and maintaining a new environment which supports personal development providing appropriate relevant instructionsA self-care deficit occurs where there is a discrepancy between the need for self-care and the ability to manage this self-care. In such circumstances the individual needs to be assisted and educated to administer whatever self-care he or she may need. In short, a self-care deficit occurs when a person is unable to practise appropriate self-care on his or her own or without external assistance. 1. 5. 3 Theory of nursing systems The theory of nursing systems consists of two components: the nursing agency, and nursing systems.The nursing agency refers to the characteristics of people who are trained as nurses that enable them to act, to know and to help others meet their therapeutic self-care demands by developing their own self-care agency. Nursing systems are created when nurses use their knowledge and skills to plan and implement nursing care where there are deficiencies in self-care. The aim of intervention by the nurse is to compensate for the self-care activities which the individual, family or community cannot maintain at an optimal level. These compensatory activities a re classified into: * * *The wholly compensatory system where the community nurse becomes the self-care agent to compensate for the client's inability to maintain his or her own self-care. The community nurse cares for and supports the client wholly. For example, this would happen where a person is in a coma and cannot consciously look after himself or herself. The partly compensatory system where the client is capable of certain self-care measures but only to a limited degree. The aim of health care intervention is to lend support and carry out certain activities on behalf of the client until he or she is able to resume them again.The supportive/educational system where the client can manage self-care but needs the support and guidance of the community nurse. The community nurse regulates the selfcare agent's performance and development so that he or she can function more independently (George 2002:126). Activity (1) Describe the different components of the self-care deficit theory of nursing. 8 (2) Explain what is meant by a self-care deficit. (3) A mother and her two-month-old baby visit your clinic. The baby is not gaining sufficient weight and the mother appears tired and stressed. Identify the self-care deficit in this particular case. h FeedbackYou should have covered the following points in your answer: (1) The mother is not able to care for herself with the demands of a new baby. (2) She therefore needs health education and advice on how to handle the situation. 1. 6 Neuman's systems model/theory According to Neuman, her personal philosophy of helping each other live contributed to development of the holistic systems perspective of the her systems model. Neuman's theory is based on: * * the two main components of stress and the individual or his or her body's reaction to that stress the community's reaction to certain stress factors (stressors) in the environmentNeuman based her systems model on a general systems theory and regards the client as an op en system which reacts to stressors in the environment. Stressors may be intra-personal, inter-personal or extra-personal. Intra-personal stressors occur within the client system boundary and correlate with the internal environment (eg feelings such as anxiety or anger within a person). Inter-personal stressors occur outside the client system boundary and have an impact on the system (eg stimuli between people such as role expectations). Extrapersonal stressors also occur outside the ystem boundaries, but are further away from the system than the inter-personal stressors (eg work or finances). Environment includes all the external and internal influences that surround the client system. The external environment exists outside the client system and the internal environment exists within the client system: * * * * The client system contains a basic structure or core construct (individual, family community) which is protected by lines of resistance. The basic structure includes system variables such as physiological, psychological, socio-cultural, developmental and spiritual variables.Penetration of the basic structure results in death. The normal level of health is identified as the normal line of defence which refers to the client's usual state of wellness and represents stability over time. When the normal line of defence is invaded or penetrated, the client system reacts, for example with symptoms of illness. The flexible line of defence prevents stressors from invading the system and is a dynamic state of wellness that changes over time. It can for example be altered in a relatively short period of time by factors such as inadequate sleep or food.The lines of resistance protect the basic structure and become activated when the normal line of defence is penetrated by environmental stressors. If sufficient energy is 9 * available, the normal line of defence is restored; but if the lines of resistance are not effective, death may follow. Reconstitution involves stabilisation of the system and movement backwards to the normal line of defence. Health care intervention takes place in the prevention modalities, that is the primary, secondary and tertiary levels of prevention. (Clark (2008:67)) Prescribed reading Study Neuman's model in Clark (2008, or later editions).Activity (1) (2) (3) (4) Explain what Neuman means by client variables. Describe the concepts of line of resistance and normal line of defence. Describe Neuman's view on health. Define the term stressor. This theory/model can also be applied to community health because a preventive approach is followed and because of its flexibility. 1. 7 Pender's health promotion model Pender described a model which is applicable to community health in particular. This model is based on principles of health promotion and, to a certain extent, corresponds with the Health Belief Model.Pender's health promotion model comprises three basic concepts, namely individual perceptions, variables which can influence healthy behaviour and the probability that actions will be taken to promote health: * * * Individual perceptions include factors such as how important health is seen to be, perceptions on control and effectiveness, the definition of health, the state of health, the advantages inherent in preventive measures, and possible obstacles. Variables include factors such as demography, income, literacy, culture and family health patterns.The probability that action will take place includes matters such as ? ? ? ? how highly the person rates or values action any previous experience with health personnel the availability and affordability of preventive services the threat that the condition holds for the individual or family Prescribed reading Study Clark (2008, or later editions), the section on Pender's health promotion model. 10 Activity (1) Name the variables which can affect the preventive actions that a family and a community may take. (2) Write short notes on individual perce ptions and indicate how they can influence health-promoting actions.Pender's model is applicable to community health because the promotion of health is taken as the starting point and factors which influence the measures for promoting health are defined and emphasised. The model can guide and lead the community health nurse in promoting health. On the grounds of the variables and perceptions that are identified, she/he can make decisions on the degree of intervention that is necessary. For example a degree of knowledge and motivation may seem necessary to allow the community to take certain promotive actions, or to decide whether or not the available options are acceptable.The community health nurse's task could then be to give the community the necessary information or to influence them to modify perceptions that are detrimental to their health. Depending on the specific problems or behaviour that deviates from a healthy living pattern, the culture of the community, the level of li teracy and so on, the community health nurse can plan a programme or develop his or her own model based on Pender's promotive model. (Clark 2008:257) 1. 8 Gordon's functional health pattern frameworkHistorically, conceptual models in nursing have employed Gordon's health-related behaviours and developed them into an assessment model with 11 functional health patterns. Your prescribed book (Edelman & Mandle 2006) uses this framework throughout in the assessment of each developmental stage. The 11 functional health patterns include: * * * * * * * * * * * pattern of health perception-health management nutritional-metabolic pattern elimination pattern activity-exercise pattern sleep-rest pattern cognitive-perceptual pattern self-perception-self-concept pattern roles-relationships pattern sexuality-reproductive pattern oping-stress tolerance pattern values-beliefs pattern (Edelman & Mandle 2006:131) Read Edelman and Mandle (2006 or later edition), the section on functional health pattern s: assessment of the individual. 11 1. 9 Conclusion Various theories/models applicable to community health were discussed in this learning unit. It is very important that you as a community health nurse have an understanding of these theories/models and how they could be applied to community health. Assessment criteria (1) Define the following terms: ? ? ? ? ? theory model conceptual framework phenomenon concept (2) (3) (4) (5) 6) Define the different constructs of Orem's theory. Explain the defence mechanism in Neuman's theory. Describe the principles on which Pender's promotion of health model are based. Name the three elements of the dimensions model of community health nursing. Name the dimensions of the dimension of health in the dimensions model of community health nursing. (7) List the functional health patterns in Gordon's functional health pattern framework. Note: Application of selected models/theories will be assessed in part 2 of the study guide. 12 PART 2 THE INDIVIDUAL AND FAMILY AS CLIENT 14 Learning unit 2The family as client Outcomes When you have worked through this learning unit you will be able to: * * * * * * * 2. 1 describe the concept of family describe the structure of the family describe different family types and their characteristic features describe the stages of family development discuss family functions describe the family as a social system discuss cultural values in the family Introduction The family is the basic social unit in any community. Family members usually share living arrangements, responsibilities, goals, the continuity of generations, and a sense of belonging and affection.How well a family works together and meets any crisis depends on the composition of the family (the structure), the activities or roles performed by family members (the functioning) and how well the family is able to organise itself against potential threats. 2. 2 Describing the concept of family Clark (2008:318) states: â€Å"A family is a compo sed of two or more persons who are joined by bonds of sharing and emotional closeness and who identify themselves as being part of the family. Unlike those of other social systems, family relationships are characterized by intimacy, emotional intensity, and persistence over time. ‘ Santrock (2006:216) states: â€Å"[The family is] a social system, a constellation of subsystems defined in terms of generation, gender and role. Divisions of labour among family members define particular sub-units, and attachments define others. Each family member is a participant in several subsystems. Some are dyadic (involving two people) some polyadic (involving more than two people). † Stanhope and Lancaster (2006:322) refer to the following definition: â€Å"A family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support.The members of the family are self-defined. † 15 Activity Ask different members of the multi-disciplinary health team to define family. Analyse the responses for similarities and differences. 2. 3 Structure of the family Family structure is the organised pattern or hierarchy of members that determines how they interact. Components of a family structure include the role of each family member and how they complement each other, the family's value system, communication patterns and power hierarchy. The family structure influences the way that a family functions. Allender & Spradley 2005:526) The genogram shows family information graphically in order to view complex family patterns over a period of time, usually three generations or more. d. 1956 Heart Peg 71 Housewife Al 72 Grocer Sue Housewife John Steelworker d. 1982 Cancer Mark 37 Engineer Jan 36 Housewife Jim 9 Jack 46 Mechanic Mary 16 Pat 41 Waitress Married 1979 Steve 18 Clerk Earl 17 Student Detroit Fig 2. 1 Genogram Source: Allender & Spradley (2005:528) Nan 4 Married 1977 Divorced 1979 Joe 45 Teacher Sam 20 Student Lou 13 Los Ang eles Married 1983 Ann 39 Nurse Pam 11 16 ActivityDraw a genogram of your own family. 2. 4 Types of families There are many family types and a family type may change over time as it is affected by birth, work, death, divorce and the growth of family members. * * * * * * * The nuclear conjugal family. The traditional nuclear family structure consists of a husband, wife and children. Most young people move away from their parents when they marry and form nuclear families (no grandparents, aunts or uncles live in the home). The nuclear family is found in all ethnic and socio-economic groups, and is accepted by most religions.Today the number of nuclear families is declining as a result of the increase in divorce, single parenthood and remarriage, the acceptance of alternative lifestyles, and greater disparity. The extended (multi-generational) family. The extended family includes the nuclear family as well as other family members such as grandmothers, grandfathers, aunts, uncles, cousin s and grandchildren. The advantage of such a family is that it means more people may serve as resources during crises and also provides more role models for behaviour and learning values. The single parent family.Single parent families consist of an adult woman or man and a child or children. Single parent families result from divorce, out-of-wedlock pregnancies, absence or death of a spouse, or adoption by a single person. A health problem in a single parent family is almost always a serious matter, because there is no backup person for childcare when the parent is ill. The blended family. The term blended family refers to a remarriage or a reconstituted family, where a divorced or widowed person with children marries someone who also has children of his or her own.Children of blended families are exposed to different ways of living and also have increased security and resources. They may become more adaptable to new situations. However, rivalry may arise among the children for the attention of a parent or there may be competition with the step-parent for the love of the biological parent. The communal family. The communal family is made up of groups of people who have chosen to live together as an extended family group. Their relationships with each other are motivated by social values or interests rather than by kinship.Because of the number of people present, members may have few set traditional family roles. The values of commune members are often religiously or spiritually based and may be more oriented to freedom and free choice than those of a traditional family structure. The cohabitation family. The cohabiting family consists of two persons who are living together, but remain unmarried. They may be heterosexual or homosexual. Some such relationships are temporary but others are long-lasting. Reasons for cohabitation include the desire for a trial marriage, the increased safety that results from living together and financial factors.The single allianc e family. Many single young adults live together in shared apartments, dormitories or homes for companionship and financial security. Although these relationships are often temporary, they have the same characteristics as cohabitation families. 17 * * The homosexual family. The homosexual family is a form of cohabitation where a same sex couple live together and share a sexual relationship. Such a relationship offers support in times of crisis that is comparable with that offered by a traditional nuclear or cohabitation family. The foster family. Children whose parents are unable to care for them are laced in a foster home by a child protection agency. Foster parents usually receive remuneration for their care. Foster families may also include the parents' own biological or adopted children. Foster care is theoretically temporary until children can be returned to their own parents (Clark 2008:318). Prescribed reading Read Clark (2008, or later edition), types of families. 2. 5 Stage s of family development Stage 1: Beginning family During this first stage of family development, members work to accomplish three specific tasks: * * * to establish a mutually satisfying relationship to learn to relate well to their families of origin f applicable, to engage in reproductive life planning The first stage of family life is a tenuous one, as evidenced by the high rate of divorce or separation of partners at this stage. The time frame for this stage extends from marriage to the birth of the first child. Stage 2: The early child-bearing family The birth or adoption of a first child is usually an exciting yet stressful event in a family. It requires economic and social role changes. The duration of this stage is from the birth or adoption of the first child to 30 months after this date. The following developmental tasks are usually accomplished during this stage: * * * he establishment of a stable family unit the reconciliation of conflict regarding developmental tasks fa cilitating developmental tasks of family members Stage 3: The family with pre-school children A family with pre-school children is a busy family as children at this age demand a great deal of time related to growth and developmental needs and safety: accidents are a major health concern at this stage. The time frame for this stage is when the oldest child is two to five years of age. Developmental tasks during this stage include: * * * integration of second or third child socialisation of children beginning of separation from children 18Stage 4: The family with school-age children Parents of school-age children have the major responsibility of preparing their children to be able to function in a complex world. At the same time they have to maintain their own satisfying marriage relationship ? this can be a difficult time for a family. Many families need the support of tertiary services such as friends, church organisations or counselling. The time frame for the family with school-ag e children is when the oldest child is 6 to 13 years old. Developmental tasks during this stage include: * * * separation from children to a greater degree fostering education and socialisation aintenance of marriage Stage 5: The family with teenage/adolescent children The primary goal for parents with teenagers differs considerably from that of the previous developmental stages. Family ties must now be loosened to allow adolescents more freedom and prepare them for life on their own. Rapid technological advances have increased the gap between generations ? this can make stage 5 a trying time for both parents and children. Violence, accidents, homicide and suicide are the major causes of death in adolescents ? and death rates from HIV are growing. This places a still greater responsibility on the family.The time frame for this stage is when the eldest child is 13 to 20 years of age. Developmental tasks of this stage include the following: * * * maintenance of marriage development of new communication channels maintenance of standards Stage 6: The launching centre family For many parents this stage when children leave to establish their own households is the most difficult. It appears as though the family is breaking up and parental roles change from those of mother and father to guideposts. The parents may experience a loss of self-esteem as they feel themselves replaced by other people.For the first time they may start feeling old and less able to cope with responsibilities. The time frame for this stage is from the time the first child leaves home to the time the last child leaves home. The following developmental tasks should be accomplished during stage 6: * * * * * promotion of independence integration of in-law children restoring of marital relationship developing of outside interests assisting own aging parents Stage 7: The family of middle years At this stage a family returns to a two-partner nuclear family, as before childbearing.Some partners see thi s stage as the prime time of their lives with the opportunity to do things they never had time or finances for, such as travelling and hobbies. Others may experience this time as a period of gradual decline without the constant activity and stimulation of children in the home and may experience the â€Å"empty nest† syndrome. Support people may 19 also not be as plentiful as earlier in the parents' lives. The time frame for this stage is from the time the last child leaves to retirement. Developmental tasks for this stage include: * * * developing leisure activities provision of a healthy environment ustaining a satisfying relationship with children and grandchildren Stage 8: The family in retirement or older age The number of families of retirement age is increasing rapidly, with people living longer as a result of advanced technology, medical research and increasing health consciousness. Family members of this group are, however, more apt to suffer from chronic and disablin g conditions than people in the younger age groups. The time frame for this stage lasts from retirement to death. Developmental tasks include the following (Clark 2008:323): * * * maintaining satisfying living arrangements adjusting to reduced income djusting to loss of spouse Prescribed reading Study Duvall's and Carter and McGoldrick's stages of family development in Clark (2008, or later editions). 2. 6 The family as social system All families share certain characteristics. Every family is a social system with its own cultural values, specific roles, functions and structure and each family moves through recognisable developmental stages. A social system consists of a group of people who share common characteristics and who are mutually dependent. What affects one member affects the whole family, and vice versa. Families have certain features that differ from other social systems: * * * Families last longer than many other social systems. Families are inter-generational social sys tems consisting of three or sometimes four generations. Family systems include both biological and affinal relationships (relationships created by law or interest). Biological aspects of family relationships create links to a larger kin group that are not found in other social systems. A social network support map gives a detailed display of the quality and quantity of social connections. The community nurse can use this to help the family understand its support systems and to form a basis for nursing interventions. 20 Fig 2. Social network support map Source: Allender & Spradley (2005:528) 2. 7 Cultural values in the family The cultural values in a family can have a major influence on how a family views health and health care systems. Each new generation takes on the values of the previous generation, passing traditions and cultures from generation to generation. A family's cultural values and behaviours can either facilitate or impede the promotion of health and prevention of dise ase. Prescribed reading Read Clark (2008, or later editions), the chapter on the cultural context. Activity (1) Apply the four principles of cultural assessment to the family. 2) Discuss culturally competent care. h Feedback Note the following points: 21 (1) You needed to view the culture in the context in which it developed, examine the underlying premise of culturally determined behaviour and the meaning of behaviour in the cultural context. There is a need to recognise intercultural variation. (2) You needed to define cultural competence, consider the characteristics and challenges of cultural competence and the modes of culturally competent care. 2. 8 Family functions Family functions are the activities that a family performs to meet the needs of its members.These needs include basic needs such as food, clothes, housing, emotional support and guidance. All families ? regardless of the type of family ? have in common these basic needs that require a family to function in certain ways to ensure family survival. As the social system changes, the family system has to adapt if it is to meet individual needs and equip its members to participate in the social system. The family is a hierarchical system which is usually built on kinship, power, status and privileged relationships that may be related to age, gender, personality and health. All family functions can be reduced to two basic ones: * *