The American Obsession with Bodily Perfection free essay sample

The American Obsession with Bodily Perfection America is a growing and changing nation, but one characteristic has outlasted the years. The obsession for a socially-accepted body, whether it be wearing a corset, being big and voluptuous or, for men, being muscular and lean, has always existed. The culprit, a negative body image, now haunts approximately eight million people across the United States and is beginning to seep into more American minds as the â€Å"Perfect† disease spreads (Davis 8). In the past decade, the pressure to have â€Å"the perfect body† has dramatically increased in America; every individual in this nation has a different view of what â€Å"the perfect body† actually is, and many people who are seeking it are willing to take radical measures, like suffering from an eating disorder or turning towards cosmetic surgery to erase the imperfections of their body they believe exist. Quests for â€Å"the perfect body† in the past few years have increased in both males and females. We will write a custom essay sample on The American Obsession with Bodily Perfection or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Women are pounded with media every day telling them, â€Å"thin is in† or â€Å"thinner is better,† but in reality, achieving this â€Å"ideal† body is sometimes impossible and unhealthy to obtain (Davis 12). Ten billion dollars a year is spent by the American population to look â€Å"ideal† and lose weight (Kuberskey 19- 20). In fact, â€Å"ideal weight† has varied in America from one generation to the next. Marilyn Monroe was curvy and voluptuous in one decade and, in another, Kate Moss began the thin epidemic, but both for their time period were ideal. The information stating that thin is beautiful sparks from the media, for female celebrities are usually portrayed on the television or in magazines without flaws. What many young women do not understand about television and magazines is the art of digital body contouring. All models or celebrities have imperfections, yet in pictures or digital images the editor airbrushes over them, creating a look of perfection. Sadly, these false statements and images affect teenage girls, the main readers of these magazines and viewers of these television shows (Davis 21). Teenage years are when girls find out who they are, and up and coming teenage girls have now been taught that being slender is the only accepted bodily form (Kuberskey 15-16). According to Brangien Davis, â€Å"Advertisers in the beauty and fashion industries make it seem that if we don’t strive for the beauty ideal, we won’t be successful or happy in life† (13). In the advertiser’s minds, the only thing that matters is that beauty sells (Davis 21). Because of these pressures to look beautiful and sophisticated, a negative body image tends to affect females rather than males. Girls define themselves by their appearance, yet boys define themselves by their abilities, therefore, men wish to be lean and muscular. For this reason, men are not immune to the quest for bodily perfection; no one is (Davis 15). These quests for perfection are usually undetectable in men, for men do not speak about their obsession because they fear being embarrassed or looking feminine. Males are subconsciously influenced by muscular heroes like GI Joe, muscle and fitness magazines, or even male models (Kassar). These men with body issues believe they are not muscular or lean enough and fear gaining weight. These secretly infatuated men are beginning to show their obsessions in our everyday lives just as commonly as women show their obsessions. Men’s fascinations with the perfect body are sometimes more dangerous than women’s fascinations, for men use drugs like anabolic steroids to gain muscle and become â€Å"ideal. † They work out excessively and use Creatine to increase muscle tone and, deceivingly, look toned and healthy, although their body is suffering (Kassar). Dr. Brian Kassar believes that â€Å"In men’s perspective if you are thin, muscular and ‘virile,’ you will be personally and sexually fulfilled. † To have â€Å"the perfect body,† weight is obviously a major concern to the minds of these fanatical people. They develop, sometimes after Obsessive Compulsive Disorder, eating disorders such as Anorexia Nervosa, Bulimia Nervosa and Disordered Eating. Other causes of eating disorders include media, celebrities, models, advertisements, child abuse or wanting complete control over oneself (Kuberskey 28-30). Young people from their early teenage years to mid- twenties are especially susceptible to these eating disorders, for advertisements, television shows, and magazine articles are targeted towards people in this age group (6). Eating Disorders are most commonly heard about on the television, for, in Hollywood, celebrities are accused, every day, of having an eating disorder. Because of a common misconception that celebrities are the only individuals that suffer from these mental illnesses, many people do not realize that it exists all around them. It is estimated that sixty-two percent of teenage girls and twenty eight percent of teenage boys have been on diets, and many of these teens have used dangerous methods to lose weight (6). The most common eating disorder is Bulimia Nervosa. This disease is a modern disease, for it was recently, in the past two or three decades, discovered (Kuberskey 41-46). Bulimia is extremely hard to detect but dangerous, for people with this mental illness are not extremely thin, as they are with Anorexia, and may look healthy on the outside while suffering internally. Because the two most common characteristics of Bulimia are binging, eating a large amount of food in a short amount of time, and purging, regurgitating the food after swallowed, it is extremely harmful to the digestive system. It erodes the esophagus, gums and teeth and, also, disturbs the heart rhythm (Kuberskey 41-46). Purging comes in many forms including using laxatives, water pills or diet pills, exercising excessively, and fasting prior to binging. Bulimia is often carried by a sufferer along with a secretiveness and shamefulness about binging and purging (Segal). The second most common eating disorder and, also, the deadliest is Anorexia Nervosa. The mortality rate for Anorexia Nervosa is the highest of any mental disorder (Jerome). Anorexia, for short, is the refusal to keep a healthy weight for one’s height, body type, age and activity level (Segal). This illness is developed when people take the new â€Å"Diet Fad† too far and began to starve themselves to get their desired results. They spend every moment worrying about food, and the worst and most feared feeling an anorectic can experience is the sensation of being full. They exhibit an overwhelming fear of getting fat and have an extreme concern about body weight and image. Warning signs of Anorexia are extreme weight loss, dry, pale skin, brittle hair and, for females, a loss of menstrual periods (Kuberskey 36-40). A third type of eating disorder is Disordered Eating, EDNOS, which is extreme food restriction and weight management. Forty to fifty percent of women are considered disordered eaters (Natenshon). Some characteristics of being a disordered eater are chewing food and then spitting it out without swallowing it and binging and purging irregularly (Segal). Natenshon states the following information that could prevent one from becoming a disordered eater: 1. Dieting is the worst way to lose weight. 2. Breakfast is the most important meal of the day, so eat it! . Fat free eating is not healthy. 4. Excessive behavior about food is unhealthy (Natenshon) Disordered eating is not as controlling as a real eating disorder like Anorexia or Bulimia, yet it may lead to one. A looming question floats around in many minds after they have been educated or taught about these mental diseases: Do sufferers from eating disorders ever completely recover? Fellow student Sarah Darby, whom was affected, or par tially still is affected, by Anorexia believes one never really recovers from eating disorders. She states the following: NO, I do not believe Anorexia or other eating disorders are something that you ever recover from. I was diagnosed with Anorexia, and I will never be able to look at a slice of pizza without searching for the grease or devour a cookie without calculating the calories. With every glance in the mirror, I perform an evaluation of my size and body, but life goes on. Without this illness I would not be me (Sarah Darby Interview). As one can see, these weakening diseases always lurk inside their carriers, and are always, in the back of their minds, saying â€Å"NO,† to food. Many people support this opinion, yet others like the Renfrew Center, whom help the eating disorder sufferers, believe it can be cured and work every day to prove it can happen. The Renfrew Center, and its many branches of business, is a forty bed facility for women where each one undergoes therapy for their self-specific eating disorder; these clinics can run up to $1,500 a day. At this rehabilitation center the patients take part in individual, art, dance and therapy sessions as well as weigh-ins, room checks and closely monitored meals. Staffers watch the sufferers like a hawk, making sure they follow all of the strict rules (â€Å"Dying to be Thin†). With the increase in eating disorders, many mental and medical treatments have been developed to try and help these mental patients recover. Some mental treatments include Individual therapy, Cognitive Behavioral Therapy, Psychoanalytic Psychotherapy, Family and Group Therapy, and even Online Support Groups. Medical treatments also exist; they include antidepressants, dietician and nutritionist help, naturopathy, acupuncture, aromatherapy and mediation and homeopathy (Segal). Change me†¦Fix me†¦Make me perfect,† is a quotation that specifically describes the mentality of many American citizens in the modern day world, and it is set permanently in these perfectionist’s minds. Plastic and cosmetic surgeons are making millions of dollars because of this American thought. In the year 2002 liposuction was preformed most frequently with 372,831 patients, and it was followed closely by the number of breast augmentations and reductions with approximately 350,000 patients. Cosmetic surgery is ultimately a 7 billion dollar industry containing procedures such as liposuction, breast augmentations, face lifts, and anti- aging treatments (Gail). With obesity rates skyrocketing in America, particularly in the South, a procedure called liposuction has increased considerably. Women are extremely susceptible to this â€Å"fat erasing† epidemic because, as Kendall Hamilton and Julie Weingarden say, â€Å"We, women, want fullness where we are flat and flatness where we are full. † This extremely invasive and, also, particularly expensive procedure definitely has more cons than it has pros (Rollins). Liposuction has the ability to make a patient extremely attractive, boost a patient’s self-esteem and lower a patient’s body weight, but this person must be psychologically stable, physically healthy, emotionally realistic and within fifteen percent of their ideal body weight (Gail). There is also, like in many surgeries, the death factor to consider. Although death is uncommon, approximately one patient dies every 5,000 procedures, and it is still a major risk and should be taken very seriously (Jerome). After liposuction an excess of skin may be left behind or the patient may be lumpy where they where suctioned. This drawback of liposuction is common, and it may lead to other surgeries, such as tummy tucks or even more liposuctions, which are used to fix these additional mistakes (Gail). â€Å"The Boob Epidemic†, as it is referred to by Cosmopolitan journalist Melissa de la Cruz, is characterized as flocks of teenage girls â€Å"racing† to cosmetic surgeons on a quest for a larger, perkier chest. The number of women eighteen years old and younger that had breast augmentations from year 2002 to year 2003 rose from 3,872 patients to 11,326 patients. In total, 250,000 women received a breast augmentation. Many factors have contributed to the increase in breast augmentations. New and improved implants are being made out of saline instead of silicone, for if saline implants leak, the body can absorb the saltwater, whereas, if silicone implants leak, the body is overcome with silicone poisoning, which is extremely toxic. In the media, celebrities are often seen with large breasts which are often enhanced by breast augmentation surgery. When young female adults see these big busted actresses all over the television it peaks their interest and may make them want to receive this unneeded surgery (de la Cruz). Also, during the past few years a way to undergo a decreased recovery time and have a less visible scar has been discovered. Instead of making the incision around the nipple of the breast or underneath the breast, it is being made under the arms; this reduces the appearance of scars and lessens the recovery time from three weeks to less than one week. As with liposuction, breast augmentations have more disadvantages than advantages. These implants may leak, sometimes, causing the patient to get them removed or replaced. This procedure can also alter muscle development, cause rippling skin near the breast, become rock hard from calcification, cause silicone poisoning and , if received before proper mature age, cause psychological problems. â€Å"Almost twenty percent of breast implant patients decide to get them removed within five years† (de la Cruz). As America and its’ inhabitants age, the search for â€Å"the Fountain of Youth† is never ending, but in place of this fictional fountain of restoration is anti- aging treatments which have become all the rage for women over forty years old. When women hit their thirties and forties their skin begins to sag and wrinkles begin to emerge, which look nothing like the youthful images of older women that are portrayed on television (Gail). These women seek treatments such as Botox injections which have made a steady increase in the past ten years and continue to climb every day (â€Å"Face- lifting and Other Facial Plastic Techniques†). Also, there exist other noninvasive treatments, such as chemical peels, microdermabrasions, laser hair removals, and collagen injections. The procedures like Restylane, CosmoDerm, Cosmoplasts, and human collagen injections all spawn from the thought behind Botox injections; all of these operations are quick to perform, keeping the patients returning for more (Barrett 85). Botox injections are the most popular cosmetic procedure in America with almost 1. 6 million recipients in the year 2002. This shot was originally used by physicians to calm their patient’s twitchy eye muscles, but it is now used for many reasons including the reduction of wrinkles, the main reason, and the elimination of migraine symptoms. This physician injects Botox in the problem spots of the face, freezing nerve impulses and making the face void of expression. Patients, after this muscle paralyzing procedure, cannot frown, squint, raise their eyebrows, or show any sign of disappointment or excitement. Botox, also, is a diluted poison and, if not thoroughly diluted, it may cause botulism, a sometimes fatal form of food poisoning. Other complications this injection of vanity may promote are the loss of ability to raise one’s eyebrows all the way, the excess of drooling due to paralysis of the mouth and the permanent loss of facial expressions. Also, this procedure cannot cure all wrinkles, for some naturally emerge and some are actually caused by the position of certain muscles under the skin. So, as Michael D. Lemonick states, â€Å"Botox isn’t a cure-all, and it has some pretty odd side effects. But if you don’t mind getting shot up with poison and you don’t mind paralyzing parts of your face—well, you’ve got plenty of company. † How do we stop all of these radical quests for â€Å"the perfect body? † What is â€Å"the perfect body? Everyone’s idea is different, and, unfortunately, unless this idea of perfection and vanity is stopped in the minds of small children and teenagers, it will grow as they do until it reaches the point of explosion. Narcissism, I believe, is the root of all evil and until American citizens respect their own body and embrace themselves, this epidemic will live forever. Americans want the impossible, what they cannot have, and it is beginni ng to show that they will do anything in their power to reach what they believe is perfection.

Free Essays on School Uniforms

Public school systems across the country are now requiring students to wear uniforms. Can uniforms really make a difference in a child’s academic performance? Wouldn't uniforms infringe the child’s creativity and self expression? The clothes don't make the child right (Hempill A15)? Wrong. School uniforms can drastically reduce school violence and help a student to focus on school work. In 1996, President Clinton endorsed public school uniforms in his State of the Union Address(Atkins 42). This created a rage among some education critics across the country. Critics complain that uniforms will lessen children’s individualism and creativity, infringing students’ rights and hint of racism. While proponents believe, uniforms will put the students emphasis on schoolwork instead of dressing coolly, and they will help to lower school violence. The idea comes from a Californian elementary school in Long Beach. In 1994, Long Beach became the country's first public school district to institute a mandatory uniform policy"(Atkins 42). The results were so promising that they lead to the President’s endorsement. The school saw a fifty-one percent drop in physical fights, a thirty-four percent drop in assaults and batteries, a fifty percent drop in weapons offenses, and a thirty-two percent drop in school suspensions(Mancini 65). All this in a time span of only one year. Proving that a child’s clothes does make a difference in school violence. In a time when school children are getting killed for designer jackets and shoes, uniforms are exactly what our children need(Mancini 63). Critics say that school uniform inhibit self expression. If you take away a child's self expression through clothing, you force that child to express his or herself in other ways. This might even force a child to resort to even more violent forms of expression, like through writing and art. In today’s society, students are fightin... Free Essays on School Uniforms Free Essays on School Uniforms School Uniforms Years ago I would argue that wearing school uniforms infringes on freedom of self- expression and individuality however now that I’m older I support the wearing of school uniforms in public school at the elementary, middle and also high-school levels. School uniforms may not solve the problem of violence or disruptive behavior in the public schools, but it is a step in the right direction. The implementation of uniforms can promote good order and discipline, communicate respect, reduce the competition/envy of brand-name clothing, and provide a serious learning environment. Peer pressure in school can be overwhelming. At times peer pressure can entice students to do things they may not normally do. Keeping with "In-Style" clothing and accessories at school can be emotionally taxing to students and expensive to the parents. These types of problems sometimes overshadow the importance of academics in public schools. No one ever wants to be ridiculed for what type of clothing he or she may wear to school. Some children who go to public schools may come from low-income families, which make them stand out amongst their peers. School uniforms can help minimize some of these problems. They help decrease the destructive competition among students to wear the stylish outfits. The uniforms can help low-income children feel more apart of the school environment. Uniforms can also be financially beneficial to families, Instead of buying our children brand-name shoes and designer clothing, parents could be buying a few sets of uniforms and buy trendy clothing for aft er school wear. Most local retailers offer school uniforms at affordable prices. In some areas such as Baltimore Maryland parents can submit a request to the school for their children to receive financial aid with clothing in order to adhere to the school uniform policy. School uniforms inspire students to become apart of a team, rather than being a single player. Some ... Free Essays on School Uniforms Implementing School Uniforms â€Å"A child was brutally beaten today when he fought back against another student who tried to steal his brand new sneakers.† This is a headline that is becoming all too familiar to us. In the past few years, city schools have had a number of serious problems concerning students being ridiculed or being attacked simply because of their attire. School used to be a safe place for children to learn during the day. Students should not be afraid to attend school, but often that is the case. They have to live with the fear of being hurt or ridiculed by the other students that deem them to be different. Many times in our society the class structure is often exposed through material items. Children are often shielded from this, but it becomes evident in the clothes they wear to school. Whether it is a rich kid who finds himself in danger for having more, or a poor kid who is ridiculed for not having enough, this is a problem that needs to be solved. School officials in many c ity schools have begun to regulate this problem by making it mandatory that the students wear uniforms. This is a valid solution to a problem that many times prevents children from receiving a proper education. Uniforms should be implemented to prevent these circumstances, which have an enormous affect on the educating process in our public schools throughout the nation. When you hear about the violence that plagues today’s schools, uniforms are usually the first applicable solution to the problem. Uniforms continue to be an upcoming issue in the minds of school officials, parents, and even the President. In the article titled, â€Å"Uniforms, Expulsions Not Just for Private Schools† it states that; President Bill Clinton promoted uniforms in public schools in his State of the Union Address in January or 1996, when he praised them as â€Å"a way to promote safety and discipline in schools†. Clinton also stated: I challenge al... Free Essays on School Uniforms School Uniforms Years ago I would argue that wearing school uniforms infringes on freedom of self- expression and individuality however now that I’m older I support the wearing of school uniforms in public school at the elementary, middle and also high-school levels. School uniforms may not solve the problem of violence or disruptive behavior in the public schools, but it is a step in the right direction. The implementation of uniforms can promote good order and discipline, communicate respect, reduce the competition/envy of brand-name clothing, and provide a serious learning environment. Peer pressure in school can be overwhelming. At times peer pressure can entice students to do things they may not normally do. Keeping with "In-Style" clothing and accessories at school can be emotionally taxing to students and expensive to the parents. These types of problems sometimes overshadow the importance of academics in public schools. No one ever wants to be ridiculed for what type of clothing he or she may wear to school. Some children who go to public schools may come from low-income families, which make them stand out amongst their peers. School uniforms can help minimize some of these problems. They help decrease the destructive competition among students to wear the stylish outfits. The uniforms can help low-income children feel more apart of the school environment. Uniforms can also be financially beneficial to families, Instead of buying our children brand-name shoes and designer clothing, parents could be buying a few sets of uniforms and buy trendy clothing for aft er school wear. Most local retailers offer school uniforms at affordable prices. In some areas such as Baltimore Maryland parents can submit a request to the school for their children to receive financial aid with clothing in order to adhere to the school uniform policy. School uniforms inspire students to become apart of a team, rather than being a single player. Some ... Free Essays on School Uniforms Public school systems across the country are now requiring students to wear uniforms. Can uniforms really make a difference in a child’s academic performance? Wouldn't uniforms infringe the child’s creativity and self expression? The clothes don't make the child right (Hempill A15)? Wrong. School uniforms can drastically reduce school violence and help a student to focus on school work. In 1996, President Clinton endorsed public school uniforms in his State of the Union Address(Atkins 42). This created a rage among some education critics across the country. Critics complain that uniforms will lessen children’s individualism and creativity, infringing students’ rights and hint of racism. While proponents believe, uniforms will put the students emphasis on schoolwork instead of dressing coolly, and they will help to lower school violence. The idea comes from a Californian elementary school in Long Beach. In 1994, Long Beach became the country's first public school district to institute a mandatory uniform policy"(Atkins 42). The results were so promising that they lead to the President’s endorsement. The school saw a fifty-one percent drop in physical fights, a thirty-four percent drop in assaults and batteries, a fifty percent drop in weapons offenses, and a thirty-two percent drop in school suspensions(Mancini 65). All this in a time span of only one year. Proving that a child’s clothes does make a difference in school violence. In a time when school children are getting killed for designer jackets and shoes, uniforms are exactly what our children need(Mancini 63). Critics say that school uniform inhibit self expression. If you take away a child's self expression through clothing, you force that child to express his or herself in other ways. This might even force a child to resort to even more violent forms of expression, like through writing and art. In today’s society, students are fightin...

Research paper on metebolic syndrome Article Example | Topics and Well Written Essays - 750 words

Research paper on metebolic syndrome - Article Example These include; hypertension, insulin resistance, central obesity, glucose intolerance, among other factors. This syndrome is significantly similar to a higher risk of diabetes mellitus type II and cardiovascular disease. According to Ricci-Cabello et al (2011), it has been found out metabolic syndrome prevalence is about 20% to 30% among adults worldwide. Patients with MetS have excess blood clotting and increased levels of blood substances; a sign of inflammation throughout the body. Several factors have led to increased incidences of metabolic syndrome, and they include: unhealthy diet, physical inactivity, obesity epidemic, and tobacco use. Several signs serve as indicators of metabolic syndrome and a victim may display several of them. Such as blood pressure exceeding 130/185 mmHg, fasting blood glucose equal or higher than 100mg/dl, large waist circumference (length around the waist) for men 40 inches or more, women 35 inches or more. Moreover, triglycerides levels may rise to 1 50mg/dl or more. The authors argue that the relationship between type 2 diabetes and dairy product intake is not clear. At the same time, the authors articulate that weny from milk appeared insulin tropic when taken in a single meal, but not when it is taken in a long term intervention. Several studies show that there are beneficial effects of milk intake in persons diagnosed with type 2 diabetes. However, a report by Lawlor DA showed that a person, who was not an ardent milk consume, exhibited lower prevalence of MS and insulin resistance. Also, one cross-sectional study reported that intake of milk was associated with high occurrence of the abdominal blood pressure, but not associated with blood glucose, lipid and body weight. The authors equally stated that foods containing protein provided a satiating effect that was dependent on the source, dose and the proteins definitive features. These include, gel strength and viscosity. Moreover, consumption

Answer two questions below for coursework Example | Topics and Well Written Essays - 750 words

Answer two questions below for - Coursework Example Thus creating the image that America was founded as a penal colony and the ancestors of the Americans were all criminals and staff of the penal colony assigned by the king to the colony. In reality, the history North America is not the way most people envision it to be. In truth, North America was founded using a combination of government cunning, capitalist interests, and hopeful individuals. According to historical accounts, King James thought of the new land as a method by which he could extend his empire and bestow more land gifts to chosen members of his court. The members of his court, in exchange for the hectares of land bestowed upon them by the king, would send back token taxes to the king in the form of goods such as bearskin and arrowheads. However, not all of the emigrants came to North America upon the goodwill of the king. Then and now, venture capitalists have always played an important role on the evolution of the Americas. Since England was beset with economic proble ms during the 1600s, there were some British citizens who decided to escape the poverty and economic hardship of England by going to the Americas. These people who came to be known as â€Å"indentured servants† since they had to work for capitalist companies helping to build the settlement in the colony for a period of 5-7 years before they could be free to own land and invest on their own, were some of the most important settlers in the colony. Coming to the country to work for companies such as the Virginia Company created enticing advertisements for both the emigrants and the ship captains, who were given commissions for the people that they brought to the Americas to work for the company. Not all of the early emigrants also cane solely from England. Even then, Italians, French, and Europeans had already heard about the New World and were making their way to the colony to join and become some of the early settlers in the

Personal Resourcing and Development Essay Example | Topics and Well Written Essays - 1500 words

Personal Resourcing and Development - Essay Example After the implementation of active workplace programme at Ginsters, a survey highlighted that the workers in the organisation engage with the company and assume pride in doing their work. This is an indication of increased motivation in comparison to the prior years. Despite the fact that the employees of Ginsters stood and worked for long hours, a fitness test conducted by the Caradon Council found them to be unfit (Hudson, 2010). This made the company employ a fitness coordinator on fulltime basis and purchased a gym in an existing building. This was an incentive or reward to the workers. The manager of Ginsters acknowledged that the workers had been convinced to participate in the different activities within the organization. At Ginsters, the motivational theory that can be applied to the situation of employees is the expectancy theory. According to this theory, the employees perform their work in a hard and smart way whenever they believe that their additional efforts would resul t into rewards that are valuable (Pinder, 2008). This is evidenced at Ginsters when a gym is introduced in the existing building of the organisation to offer exercises to the workers. The expectancy theory of motivation highlights that increased output would be given by the equation; Motivational or effort force = Expectancy (Instrumentality x Valence) (Pinder, 2008). In this case effort force implies the force expended by the employees in achieving the performance that is desired. Expectancy is the belief that any force or effort would lead to a required performance level (Mitchell, 2003). On the other hand, instrumentality implies the thought that the needed performance will lead to an outcome that is desired and... From this paper it is clear that  Ginsters company is a winner of the World Leisure 2008 innovation award and the company’s   active workplace employee programme wellness has experienced significant results.  This essay stresses that  the company failed to have a firm a stand on its employer. Despite the fact that this company provides a significant amount of career opportunity for individuals, the company experiences various challenges. About 18 % of the 450-workforce strongholds were obtained from   individuals with minority backgrounds. These people were constantly resisting the chances to be integrated   into the company team. The day and night shifts did not mix and the different production areas mistrusted each other. An annual survey study established that the morale of the workers was low. After the implementation of active workplace programme at Ginsters, a survey highlighted that the workers in the organisation engage with the company and assume pride in doing their work. This is an indication of increased motivation in comparison to the prior years. Despite the fact that the employees of Ginsters stood and worked for long hours, a fitness test conducted by the Caradon Council found them to be unfit.  Instrumentality implies the thought that the needed performance will lead to an outcome that is desired and valence is the employees outcome value. The active workplace programme implementation at Ginsters, was an aspect of expectancy theory.

Care Of The Patient In Recovery Inadvertent Hypothermia Case Nursing Essay

Care Of The Patient In Recovery Inadvertent Hypothermia Case Nursing Essay Before the author can discuss hypothermia in regards to the patient above they must first review how the body regulates heat control within the body. Many sources, give varying definitions of what normal body temperature or normothermia is. For example Marieb (2004) defines this as a core temperature range from 35.6 °c and 37.8 °C. Meanwhile Kiekkas and Karga (2005) defined the normal temperature range of adult patients as between 36.5 °C and 37.5 °C. National Institute for Health and Clinical Excellence (NICE) 2008 guideline for the management of inadvertent perioperative hypothermia agree with this definition. Core temperature, defined by Kiekkas and Karga (2005), is the blood temperature of the central circulatory system, which can be measured for example at the pulmonary artery, rectum or via the tympanic membrane, which occurs in recovery at Hospital x. The hypothalamus is the central organ that acts as the bodys heat promoting and heat loss centre, then brains thermoregulatory centre. Body temperature is kept stable and regulated with the help of blood. The neuronal centre in the posterior hypothalamus is triggered when there is a decrease in temperature in the blood or the external temperature is low. Mechanisms for heat conservation and heat production are triggered such as, shivering, which is the bodys natural response to cold, constriction of blood vessels in the skin and increased metabolic activity to produce energy (Hatfield and Tronson, 1996; Marieb, 2004). As with the varying definitions of normothermia, there are also differing definitions in hypothermia. NICE (2008) guideline defines hypothermia as a core temperature of less than 36 °C. Similarly several authors agree with this definition, Aikenhead et al (2007), American Society of Peri Anesthesia Nurses (ASPAN) (2009); Clarke and Clark , 1997). Meanwhile Kiekkas and Karga state, hypothermia as a core temperature of more than 1 (standard deviation) less than the mean value under resting conditions in a thermoneutral environment (Kiekkas 2005, p444) There are 4 ways in which the body loses heat; conduction, convection, evaporation and radiation. Talk about these briefly! There are patients who are more at risk of developing hypothermia these include; older and younger patients. The size of the patient: thin, due to the lack of tissue mass and obese, due to the large surface area. The type of procedure: open thoracic, abdominal, gynaecological or genitourinary. Patients having a combined general and spinal anaesthesia (Welch, 2002) Patient A falls into some of these categories, because of the type of surgery, age and anaesthesia she will be having. As part of the pre operative check in Patient A was asked the last time she had eaten, this was 12 hours before the procedure. Advice of fasting for 6 hours plus is given to patients to prevent nausea and vomiting during and after the induction of anaesthesia, as this along with the spinal causes the constriction of the abdomen and stomach. This in turn deprives the body of the metabolic system of energy it needs from food digestion (Cobbold Money 2010; McNeil, 1997). Following administration of Propofol and Remifentanil via a TIVA syringe pump, the patient was intubated with a size 7 endotracheal tube. Anaesthetic medications such as those given to Patient A; Propofol, depress the central nervous system which mean the hypodermic thermoregulatory centre function is decreased. This occurs as there is an increase in conduction and radiation to the peripheral points of the skin, where heat loss is at most, as the skin has a large surface area. This loss of heat is difficult to manage after anaesthesia has been administered as heat distribution, which is the increase in peripheral temperature and a decrease of core temperature has taken place (Kiekkas Karga, 2005; Sasad Smith, 2000). With her airway secured, Patient X was positioned for the administering of a spinal. Her back was exposed and sprayed with chlorhexidine gluconate solution, for pre operative skin disinfection (BNF, 2008), a cold solution thus further contributing to the decrease in Patient As body temperature, via evaporation (Bellamy, 2007). The effect of administering Diamorphine and Marcain Heavy ® is that it causes the sympathetic nervous system to be compromised as vasodilatation occurs (Fallacaro et al, 1986). Patient A was taken into theatre, where the ambient temperature as recorded by the author was 21 °C, reason for the temperature being so low is to minimise the growth of bacteria. However such a low temperature would affect Patient A as her body temperature will vary according to the environments conditions (Bellamy, 2007). McNeil (1998), advocates that the temperature in theatre should be raised from 21 °C to 24 °C to maintain Patient As core temperature, which unfortunately was not taken until the procedure in the operating had started. Whilst the author agrees with the later point so that the patients temperature is taken into consideration, they have to agree with Bellamys (2007) point on minimising bacteria production. Patient A was exposed for catheterisation and for the Bair Hugger ® to be positioned. This is a forced air system used in Hospital X, which several sources agree, is the best form of preventing inadvertent hypothermia (Hegarty et al, 2009; NICE Guidelines, 2008; Welch, 2002). This was however switched on at 36.5 °C after Patient A had been prepped and draped. Fluids were firstly administered to Patient A in the anaesthetic room at room temperature; they were then transferred into a warming coil at a temperature of 37 °C. Whilst the NICE (2008) guidelines recommend warm fluids are administered in the operating room at the temperature stated, the author feels that warm fluids should have been started in the anaesthetic room. The monitoring of Patient As temperature occurred after draping and prepping, it was measured using an oesophageal temperature probe as this measures the core temperature accurately and documented every 15 minutes (Al-Shaikh and Stacey, 2002; NICE, 2008). NICE (2008) recommends that temperature of a patient should be 36 °C before a procedure should proceed, the temperature of Patient A on arrival to the anaesthetic room was not taken and the first temperature in theatre was 35.6 °C increasing to 36.0 °c at the end of the procedure. After the procedure, which had no surgical complications and Patient A was extubated, she was transferred to recovery where the tympanic temperature; which is associated with the brain temperature therefore reflects the core temperature (Al-Shaikh and Stacey, 2002), was taken in recover 10 minutes after the patient arrived and was recorded to be 35.4 °C. Handover to the recovery personnel included patients name, date of birth, procedure, what drugs had been administered and the anaesthetist made an emphasis on the patients temperature which they wanted to make sure was up to at least 36.0 °c before the patient was transferred to the ward, part of the NICE (2008) guidelines. Standard recovery monitoring including Oxygen saturation, electrocardiogram and blood pressure results were constantly observed, with results being documented every 15 minutes. The effects of hypothermia are not known until the patient comes into recovery for some time as the effects are masked by the anaesthetic drugs given to Patient A. (Kiekkas et al, 2005). To prevent this a Bair Hugger was placed on Patient A to continue the warming cycle. There are many complications associated post operatively with hypothermia, the most common is post anaesthetic shivering, which is an involuntary muscular activity. This is bought on by the body returning to normal Delayed emergence, where the metabolism of drugs is decreased, as it makes it more difficult for the anaesthesia to be reversed due to the hepatic and renal functions being impaired. Add liver metabolism of drugs to this section Pressure sore development Blood clots clotting cascade, platelets do not work increased bleeding Discharge criteria Patient A woke up fully after 20 minutes in the PACU with no complaints of pain, sickness or nausea but thirst. Her temperature was taken again and this was found to be 35.8 °C, a marked improvement on her original recovery temperature. Before the patient is transferred to the ward what scale used observations etc? Urine output from catheter Sats BP

Free Othello Essays: The Characters of Othello :: GCSE English Literature Coursework

The Characters of Othello  Ã‚   Shakespeare's Othello is a novel that depicts on the intense relationship between Othello, Cassio, and Iago. One charter may see the other as a dear friend and a comrade, but the second one may see the first as an inferior person that he/she is envious of due to something they have. Othello is a tragedy of trust, if you learn to trust then you live in happiness, but the power of distrust is enough to make a man attempt evil and corrupt actions. During the course of the book some of the characters relations become strong, but then at the last possible moment most of those relations revert and a few increase. It is a difficult thing to explain, but I'll break it down for you. Each character had his own relation towards another, Othello had a strong friendship towards Iago, as if he were his brother. Othello sees Cassio as a fine young soldier, but as the story goes on he begins to despise Cassio because he was fed false information about Cassio that upset the war hero greatly. Iago hat es Othello, because he gave what he thought was an underqualified soldier a promotion, so he is out for revenge. Iago is also jealous of Cassio for the reason just given, he thinks he deserves the promotion and is very envious that Cassio beat him to it. Why did these people's relation change? What role does trust play in the entire play? When do we know when to trust and when not to trust? These are all questions that wonder in your heads because in some cases it is bad to trust, but in others trust is what keeps relationships and friendships alive, don't be confused its just a matter of knowing when to trust and when not to trust. Othello and Iago one of the most fake friendships ever to be put down on paper. Othello was most definitely a true to Iago, he trusted Iago on the battle field and in his social, now that is the trust of a real friend. Othello saw Iago as his most trusted soldier, consultant, and friend. Othello was the type of person that always thought people would think low of him cause of the color of his skin. He fell in love with a woman whose family dislikes him due to the color of thou skin.