Health promotion strategy for asthmatic children Essay

Health promotion strategy for asthmatic children - Essay Example 3). The scope of this paper is to discuss the pathophysiology of asthma in children regardless of their location, the psychosocial and cultural impact upon both the children themselves as well as caregivers, analyze the nurse's role in promoting self management, discuss the health promotion strategies of both Taiwan and the UK while applying them to patient needs and, finally, to provide an overview of the pharmacological agents available for treatment. Although they have different approaches, both Taiwan and the UK have workable health promotion strategies to assist asthmatic children. Breathing is a process that most people take for granted; airway passages automatically carry air into our lungs where blood is oxygenated and, in a normal person, this process is only challenged under acute circumstances like smoke inhalation (Clark, 2003, p. 44). Asthma, however, "is a condition involving the branches (bronchioles) of the bronchial tree...in asthma, these bronchioles become narrowed for many reasons" (Lieberman, 1999, p. 10), making breathing something that cannot be taken for granted. Asthmatics have airways that are hyperreactive, and become inflamed in response to: ..seemingly modest irritants. ... The linings of the airways swell, excessive amounts of mucus are produced, and the smooth muscle tissue of the airways tightens or constricts (Clark, 2003, p. 44). Whether they reside in Asia or Europe, these characteristics in asthmatic children are the same. Accordingly, when assessing, planning and evaluating the care of the asthmatic child, the nurse must be especially aware of these conditions because the constriction of the circular muscles surrounding the bronchial tube can happen very quickly and, in severe cases, cause asphyxiation. Assessment should be based upon symptomatic presentation and observable behaviors of the child, paying particular attention to excess mucus production which con-tributes to wheezing and difficulty in breathing. Planning and evaluation of the care for the child should include not only an awareness of the generalities, but also any specific allergens or other causative agents that aggravate an asthmatic response. Since asthma is chronic condition, the bronchial tube wall can thicken over time, and aggravated edema of the lining can ultimately lead to fibrosis and tissue destruction (Lieberman, 1999, p. 12). A ccordingly, the nurse must be "alert to the early signs of asthma and have a definite medical regimen to follow when an attack begins" (Zamula, 1990, p. 15). The key to addressing the physical condition of the child is having a plan in place; thus the need for a health promotion strategy. Psychosocial and Cultural Impact There is a significant impact on asthmatic children, as well as those who care for them, from psychological, social, and cultural points of view. Understanding

Globalization And Global Warming

Globalization And Global Warming The Earth Hour launched by World Wildlife Fund since 2007 has entered its fourth year. This activity led the charge at first in Sydney, later the lineup expanded to countries around the world. However, after turning off the lights for one hour, what kind of awakening did people get? The symbolism of participating in this event is that despite the power of a few countries alone, people throughout the world must work together to solve the global warming problem. We live in a globalized world in which we obtain the prosperity and development. In this stunning development, however, the global warming or climate change problem hidden behind has seriously threatened the existence of the human environment. We must rely on the forces of globalization and the global joint efforts of people to tackle such a crisis and to safeguard the benefits of our next generations. Along with economic globalization, industrial production and free trade among countries in the world have developed to a very advanced stage; however, the damage to the environment, as well as the tremendous impact of climate change, makes us have to retake the great crisis of human existence lurking behind of the globalization into account. Nowadays, the atmosphere is gradually warming with the accumulation of the greenhouse gases (GHG), all kinds of climate change phenomenon such as droughts, floods, increasing temperatures and rising sea-levels bring impacts to the entire globe (Hallman, 2002). Chanda (2007) claimed that the connection between carbon-emitting economic growth and increasing trade and industrialization brought by globalization is unmistakable. In his article, he also pointed out that though globalization does not account for deforestation alone, it does become the conduit and accelerator for the forces which reduce the forest area. The news titled Globalization Is F ueling Global warming reported by Les Leopold (2007) also claimed that our world would continue to be chemically poisoned and globally warmed if the accelerating global trade was not limited sensibly. It also censured that the pro-globalization forces disregarded climate change and kept inculcating the advantages of free trade: falling prices, increased efficiency, shaking the country off poverty and achieving global wealth (Leopold, 2007). It is undeniable that commercial trade develops to enhance the peoples living standard, it is easier and more convenient to access to needed goods. However, if we do not take measures to protect the Earth, then, one day, we have no chance to enjoy the wealth because this land which we step on will perish. Climate change is not only closely linked with peoples daily routines, but also affect the production of peoples food, particularly the most common crops, rice and wheat food. If the bad weather causes crop failures, the worlds growing population will very likely suffers from famine. A news (December, 2009) from UN News centre reported that as Asias agriculture has been damaged by the climate change, 10 countries, held an UN-sponsored meeting in December 2009 in Hanoi, Vietnam to discuss how to maintain sustainable farming practices to meet the demand of the current population. According to the news, the World Meteorological Organization (MWO) recommended these countries to enhance indoor and urban agriculture to deal with the need of growing populations in Asian cities. While facing the increasingly severe climate change, this would certainly be a way to meet the needs of the population, but such a proposal is obviously a solution which demands substantial human and material resourc es. Moreover, among these countries, such as Vietnam, Afghanistan, Thailand are developing countries. Depending on their economic abilities may not be able to afford to set indoor and urban agriculture. In this case, if the rich countries can play the spirit of international mutual-assistance, funds will be injected into these developing countries to help them raise the level of agriculture and to save the threat of climate change to agriculture. Furthermore, a fact stated by Chanda (2007) is that the ozone hole has been partially mended by the effort of the Montreal Protocol in combating ozone depletion. This shows that if the states are willing to cooperate and contribute a force, it is possible to save the earth crisis. Nevertheless, the most critical work should be to reverse the phenomenon of climate change. The most important job to avoid the tragedy of the destruction of Earth is reducing GHG emissions to slow global warming rate. David G. Hallman (2007) argued that the global problem should not be equal responsibility of all people and a distinction between the luxury emissions of the rich and the survival emissions of the poor should be made. This is because the industrialized nations covering less than one-fifth of the worlds population were actually the main culprits for most of the GHG emission over the twentieth century. As he mentioned, the UN Framework Convention on Climate Change had been adopted in the Rio Earth Summit 1992 and the negotiations had furthered another agreement requiring the industrialized countries to afford more precise aim of emission reduction. Although some campaigns which intended to convince the public and government of the downsides of gases reduction were mounte d in the western countries, dependable studies proved that enhancing energy efficiency brings advantages to ecological and economical aspects (Hallman, 2002). Besides, according to the negotiations, the industrialized nations could assist the developing countries in raising their manufacturing conditions, by increasing the energy-efficiency, to reduce emissions (Hallman, 2002). Therefore, those industrialized countries should make the best of their science and technology achievement to facilitate the emission reductions of other developing countries. Apart from this, when the communication and transportation are developed to promote links between people and increase access to information or goods, a potential consumption of resource and energy is caused. The suffering one is eventually the Earths ecological environment. An example taken from New York Times is China, which obtains an enormous economic growth, consequently consumes a large amount of fuel and power (Leopold, 2007). An ironic fact pointed out by Leopold (2007) is that while we import the high-efficiency light bulbs to save energy, the transportation results in the gain of carbon. Leopold hence proposed the next wave of green products to be made near to the product-using place; this not only creates homemade and green jobs, but also reduces global warming. It is worth noting while we think of using high-tech products to protect the environment, the transport strategy, manufacturing sites and other objective factors, to a certain extent, influence the green-environment al programs. Hence, we can deduce that not merely the national attitudes to environmental issues and their policy implementation are critical in dealing the global warming issue, but the consciousness of the entrepreneurs, business groups and individuals is also significant. Besides governments have leading powers on this issue of globalization while playing a role in international decision-making, the business groups and individuals also have to respond positively to the governmental policies on this global subject which has close relationship with the general public. Although many non-governmental organizations serve and contribute in this area, no power is more significant than those of the governments to fight against the problems (Chanda, 2007). Dahl (1998) also claimed that there is problem of values implanted in the institutional structures and the problem is aggravated by phenomena of rapid economic globalization, while the counterbalancing political structures have not kept pace and are losing their power over a globalizing world. Like he mentioned, the idea is that the social and environmental problems are the responsibilities of the government while businesses only account for businesses. This is incorrect because the Earth belongs to everyone . To protect it is not just of the countries and the government but the common task of all people. Actually, there is also an issue of global justice. Joseph E. Stiglitz (2006) indicated that the United States as the worlds biggest polluter had refused to sign the Kyoto agreement while the other developing countries had no commitments of reducing environmental pollution. He refuted some U.S. politicians opinion about reduction of emissions compromises the quality of American life, but also pointed out the inadequate point in the Kyoto Protocol, which is in line with national emission reductions relative to each nations level in 1990 (Stiglitz, 2006). There was conflict between the U.S and the developing countries. The U.S. refused to sign the protocol if the developing countries did not reduce emissions, while the developing countries consider unreasonable to allow them to pollute as much per capita as the U.S. (Stiglitz, 2006). Stiglitz (2006) hence put forward a proposal suggesting a global environmental tax on emissions, which requires the reduction level to equal the Kyoto tar get. This is an approach of everyone pays the social cost of their emissions. Actually, it is fair for those people who caused more damage to the Earth should contribute more forces in this case. They gain more benefits than others from business and industry, thus they should take greater responsibility to the environment. On the other hand, educating the public about the awareness to protect the earth and slow down the speed of climate change also becomes an important issue. We often say that a trend of the globalization is in the message transmission has reached the same speed of light for all around the world to receive messages. Therefore, we should use this advantage of globalization. In this era of information explosion, it is an easy task for a concept to spread around the world, so, the power of media to be should be made full use to spread the knowledge of protecting the earth and awake all people to show concern to the threat of global warming. In conclusion, under globalization, developed transport and communications are great achievements that they promote the trade prosperity and the exchange of the world, so there is large population mobility resulting in shrinking space and time. However, the climate change and global environmental issues have been serious threats to human survival. Climate change not only has implication on peoples daily life, but also affects one of the most basic needs of human life, the food production. Therefore, countries should help each other ride out the storm together. Many developing countries need the help of developed countries to achieve rapid economic development, so that they have enough technology to reduce emissions and help slow global warming problem. Developed countries with enormous wealth have become the biggest emissions culprits, so they should pay more efforts than the other developing countries to reduce emissions. In addition, global warming is not just the responsibility of the government, but all walks of life, all individuals should be concerned about it. Transport and communications should be developed as the benefits of globalization and provide a good channel to awaken people to care for the Earth. .

Non-determinates Prices Of Sup :: essays research papers

Most people that are common shoppers have encountered a situation where the product that they were seeking to buy was not available. It is very easy to see that certain products do have an ample supply due to many reasons. Other than the price of that product, there are six major non-determinate factors of supply. These factors are: Number of Sellers, Technology, Resource Prices, Taxes and Subsides, Expectations of Producers, and Price of other goods the Firm could Produce. With these factors and the demand of the product, the supply of a product can be determined, and a price can be set.   Ã‚  Ã‚  Ã‚  Ã‚  The number of sellers can be one of the most determining factors of the supply of a product. The concept is very easy to understand. If there are more sellers, that is more stores and manufactures, there will be a larger amount of supply of a certain product. On the other hand, if there are a small number of sellers then there will be little supply of the product. When considering the price of a product, if there are more sellers then there will be more competition; therefore, the price will be at a low cost for the buyers. The sellers will not make a large profit. Moreover, when there is a small amount of sellers then the price can be higher for the buyers. This means the sellers will make a larger amount of profit. For example; there are more sellers for a Toyota Carmry, then there are for Dodge Vipers.   Ã‚  Ã‚  Ã‚  Ã‚  This world has experienced a huge technological advancement. Our knowledge in inventing new technologies has allowed us to become more efficient in the production of products. Also, we have been able to develop many new and better products for the buyers. Technology can do two things to the supply of a product. First, it can drive the price down due to more production of a certain product. With technology, production of a certain product has become cheaper and more efficient. The second thing that technology has done is decline the supply of certain product. With the production of new and better products, older products have become less used and not produced as much. A good example of how technology has effected this world is the invention and production of CD’s. In today’s world most Americans own a CD player and have gotten ride of the record player. Non-determinates Prices Of Sup :: essays research papers Most people that are common shoppers have encountered a situation where the product that they were seeking to buy was not available. It is very easy to see that certain products do have an ample supply due to many reasons. Other than the price of that product, there are six major non-determinate factors of supply. These factors are: Number of Sellers, Technology, Resource Prices, Taxes and Subsides, Expectations of Producers, and Price of other goods the Firm could Produce. With these factors and the demand of the product, the supply of a product can be determined, and a price can be set.   Ã‚  Ã‚  Ã‚  Ã‚  The number of sellers can be one of the most determining factors of the supply of a product. The concept is very easy to understand. If there are more sellers, that is more stores and manufactures, there will be a larger amount of supply of a certain product. On the other hand, if there are a small number of sellers then there will be little supply of the product. When considering the price of a product, if there are more sellers then there will be more competition; therefore, the price will be at a low cost for the buyers. The sellers will not make a large profit. Moreover, when there is a small amount of sellers then the price can be higher for the buyers. This means the sellers will make a larger amount of profit. For example; there are more sellers for a Toyota Carmry, then there are for Dodge Vipers.   Ã‚  Ã‚  Ã‚  Ã‚  This world has experienced a huge technological advancement. Our knowledge in inventing new technologies has allowed us to become more efficient in the production of products. Also, we have been able to develop many new and better products for the buyers. Technology can do two things to the supply of a product. First, it can drive the price down due to more production of a certain product. With technology, production of a certain product has become cheaper and more efficient. The second thing that technology has done is decline the supply of certain product. With the production of new and better products, older products have become less used and not produced as much. A good example of how technology has effected this world is the invention and production of CD’s. In today’s world most Americans own a CD player and have gotten ride of the record player.

Margaret Atwood- Moral Disorder

In the course of the many interrelated short stories written in Moral Disorder we tend to find out many thing about the main characters. In some ways the reader develops a sort of one on one relationship with each character, and learns more and more about them in each story. Specifically, one of the main characters who tends to stand out in the storyline as a person with a sort of mysterious personality is Tig. Tigs mysterious personality is brought to life mainly in the story â€Å"Monopoly†. When we first see Tig in the beginning of â€Å"monopoly†, he and Nell just purchased an old farm house where they plan on living. As time progresses throughout the storyline, we learn about Tigs children and how they plan on visiting the new farm house. With this point it brings up thoughts about Tigs old marriage to Oona. We now find out that the reason why Tig and Oona divorced was not because of Oona, but the two of them as a hole. It gives insite to their failed marriage with the fact that OOna would give her total life’s attention at her writing, and leave Tig to take care of the children and the house completely alone. Even though to the public eye Tig and Oona’s relationship could only be described as perfect, it is obvious that deep down being married to Oona was bringing him down. They were often seen together in magazines and in photo’s smiling as if they had not a care in the world, but according to Tig this was the furthest thing from the truth. The two of them together tried to show the sense of love and stability to the public that they both yearned for. They often appeared in magazines cooking and laughing together, but once the camera’s stopped rolling things turned back how they usually where. Oona would be off trying to finish her book, and Tig would be left with taking care of the children and the household chores all while working at a radio station. As time progressed after the divorce Tig and Nell decided to rent an old farm house. We now find out about another mysterious part of Tig’s life, his kids. Once Tig and Nell moved into their farm house, Tig’s children came to visit every weekend. So, every weekend Nell would have to pack up all her belongings and leave their house before Tig’s children arrived. Tig tried very hard in order to make his children know that the reason why he and their mother divorced was not because of Nell, and that he and Oona still were on speaking terms. This shed insight into Tig role as a father. Even though Tig usually doesn’t like to speak about his past marriage with Oona, he makes sure that his children are not affected by the divorce. Every weekend that they would visit, he would try and create a fun loving environment at the farm house in order for his children to be happy. Before this we never saw Tig as much of a family man. Instances such as Tig’s children visiting shed light on a new personality that we never knew about Tig. After Tigs children leave, and Nell returns home things start to go back to normal. Nell and Tig seem to be extremely happy living together, which serves as a complete opposite to his relationship with Oona. Nell speaks about the Sunday nights they spend together once Tig’s children leave, and the time they spend trying to get up the big hill in front of the property during the winter months. Although the some of the things they did together were simple, it was obvious that it meant something to Nell. Tig and Oona would sit together during the ride home in silence most of the time, but the silence they shared definitely meant something. During these times it became clear that the reason that Nell and Tig were together was because of Oona. Shortly after Oona finished her book, she and Tig invited Nell over for a dinner party at her house. The dinner party turned out a success, and Nell ended up staying later than all the other guests to play a game of monopoly with Tig’s children. The night was full of laughs and the conversation at the dinner table seemed as if it were to never end. Nell later saw that that dinner party was not a typical dinner party, but more of an interview session that would later wide up with her being in a relationship with Tig. After awhile life for Nell and Tig started to grow into a sort of routine were Nell would stay at the farm house during the week, then suddenly disappear and hide all traces of her existence. But one weekend this was all about to change. Tig’s mysterious personality came into play again when he told Nell that he wanted her to stay at the farm house the upcoming weekend when his children came to visit. This came as a complete shock to Nell because she never expected Tig to bring the situation up with her because he was always so quiet and to himself about the situation. Nevertheless Nell at first was extremely against this idea thinking that she would â€Å"be crossing the line†. But Tig assured her that it would be best for the children to see her in her natural environment and her home. Tig covertly spoke to his children and to Oona about the situation and they all agreed that it would be a good idea for Nell to stay a weekend with the children when they came to visit.

Developmental Milestones: Birth to Age Three Essay

After birth, babies will start to grow at an incredibly fast rate during their first year of life. As they grow, babies will experience developmental milestones. Developmental milestones are skills that babies will acquire such as recognizing the voices of their parents, smiling, making sounds, rolling over, sitting up. Throughout the rest of their young lives, children will experience developmental milestones. Milestones are categorized into three areas of development: motor development, language development, and social/emotional development. Some children will develop and achieve certain milestones in accordance with a milestone chart, or by the prediction of a physician. While each child will experience developmental milestones, they will do so at varying rates. Every child will develop at their own rate, and within their own time. Although, there are special instances where development has been arrested due to an illness or premature birth. In instances such as these, it is necessary for the parents to consult their physician to determine a developmental time line for their child’s particular need. In general, it should be understood that babies will crawl, and take that first step, when the time is right for them.