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arousal homework Strategies for Sensory Success. by Sasha Fureman, OTR/L and Tiffany Sahd, M.S., OTR/L. Does your child have difficulty falling asleep at night, waking up in the morning and on african, getting ready for school? Is homework a battle, with your child unable to cant attitudes, sit still and essays on african slavery, work? If these are common occurrences in of memorial hospital essay your house, read on to discover how to essays on african american, implement sensory strategies that may help your child be more successful in his daily routine, as well as make your life easier. Sensory processing is the function of the brain that processes information from our senses. The information received from the senses organizes behavior and help do my essay, interaction with the environment. Our senses play a crucial role in how we interact with the world around us, and we rely on them to essays american, give us information about our body and buy research cheap control, our surrounding environment. All of the sensory input that we receive is registered, processed, integrated and organized for use in producing an appropriate response to a situation.

When sensations are integrated, the brain can use that foundation to function successfully in on african daily life. Our brains receive the necessary input to help us function through seven different sensory systems. The first is tactile or touch input, which gives us information about pain, temperature and pressure. The second is the vestibular system, which gives us information about movement and online visited, gravity. Essays American Slavery? The next system is proprioception , which tells us where our body is in space or in relation to online visited, people and objects in the environment. The olfactory system is american slavery, our sense of smell; the gustatory system is our sense of online place visited, taste.

The last two sensory systems, visual and auditory (or sight and on african slavery, hearing), influence how we take in and perceive our environment and enable us to interpret and interact with our surroundings. All seven basic senses take in calming or alerting input to help modulate the sensory system. Different types of sensory input are required for different situations. People whose sensory systems are integrated and functioning properly will automatically be able to process and organize sensory input and use this information to respond appropriately to a particular situation. They instinctively use different calming or alerting techniques depending on essay to college the requirements of a given situation. On African American? For example, if they are trying to relax before going to bed, they probably will not listen to loud or fast music, choosing instead calming or soothing tunes. Our senses are constantly receiving input from the environment, and our brains use this ongoing input to cheap checklist, organize an appropriate response to environmental stimuli.

Therefore, if our brain receives alerting auditory input, such as fast music right before we attempt to sleep, this input tells our brain that it is time to wake up our body. On African? Children and adults with typically developed sensory systems are more aware of which types of sensory input they need to sample essay to college, function in a given environment. This ability to alert or calm one's arousal level is an innate or automatic function that does not involve much thought. The strategies that these individuals use are common and socially accepted. For example, the next time you are sitting in a long meeting or attending a lecture, you will notice that many people are fidgeting with something. They may be tapping their pencil on the table, twisting their hair with their finger or swinging their foot back and forth, all in slavery an attempt to stay alert and attend to the speaker. This type of sensory input is minimal, but it is self-organizing for buy essay online, individuals with integrated sensory systems. Children whose sensory systems are not integrated require much more intense sensory input, because their sensory systems fail to receive the necessary input they need to function properly. When sensory integration is compromised, the brain and body are not communicating effectively. Children with this type of sensory integration might have to excuse themselves from class every 30 minutes for a sensory or movement break. Instead of just swinging their feet to attend to what the teacher is slavery, saying, they may need to implement more intense strategies to address their needs.

Also, these children are usually not as aware of what sensory input their body needs at help do my attitudes, a given time. Essays American Slavery? If they have a deficit with their proprioceptive sensory system, they may not even know where their body is in space, let alone what to do about buy essay cheap photovoltaics receiving the necessary input needed to regulate their arousal level. Arousal refers to a continuum of alertness that extends from high arousal to low arousal, with the optimum arousal level being in the middle of the spectrum. It is essays on african american slavery, important that teachers, clinicians and parents provide these children with self-regulation strategies in order to online, improve their daily functioning. Some children prefer input to american slavery, all seven sensory systems, while others may crave input from just one or two.

Some children are easily aroused and may be labeled as hyper. In general, these are the children who benefit from buy essay calming strategies to help them slow their bodies down. Other children are more difficult to on african american slavery, arouse and require alerting strategies to for evaluating, wake their body up throughout the essays american slavery, day. The following are characteristics of children with a high arousal level: always in motion; overly active or antsy; have difficulty sitting still and increased amount of energy; and are distractible, impulsive and loud. Characteristics of wyndor, children with a low arousal level are: lethargic; have difficulty focusing on class work; restless or fidgety if seated too long; and slavery, have decreased motivation. It is important to identify which of the above characteristics your child exhibits, prior to choosing appropriate sensory strategies.

Take time to observe the types of activities in online cheap visited which your child chooses to participate. Being aware of these sensory preferences is the key to understanding the types of essays american slavery, sensory input that will benefit your child. For example, if your child prefers to stand up while he does his homework, realize that he is buy research online cheap checklist, doing this for a reason#150;to fulfill his sensory needs and improve his attention. Children frequently develop their own adaptations to receive the sensory input that their body is essays american, craving. If your child enjoys rough play, such as wrestling, he is most likely craving proprioceptive (deep pressure) input. Even though his actions may be perceived as misbehaving, this input actually helps to calm and organize his sensory system. The following are examples and suggestions to use during your child's most difficult transitions of the day. Morning Routine (Alerting strategies for the child who has difficulty waking up)

Tactile: Wake up the child with the beating water droplets from a shower. Online? You can also briskly rub your child's arms and legs before he gets out of bed. Vestibular: Swing or spin. Proprioceptive: Stretch for a few minutes, or try doing 10-20 jumping jacks. Olfactory: Provide strong scents, such as the smell of brewing coffee, strongly scented toothpaste, a rejuvenating candle scent.

Gustatory/Oral: Use an essays american, electric toothbrush, drink a glass of cold water or juice or eat a breakfast of chewy or crunchy foods. Visual: Open the shades to let in the sunlight, or turn on bright lights. Buy Essay Cheap Place? Auditory: Turn on slavery the radio or television while your child is getting ready for school. After School/Homework Time. Calming Strategies (for a high-energy child) Tactile: Firmly rub lotion on arms/legs using slow strokes. Vestibular: Swing back and forth or do slow, rhythmic rocking. Buy Research Papers Cheap? Proprioceptive: Do wall pushups, climb on playground equipment/trees. Olfactory: Use vanilla scent. Essays On African Slavery? Gustatory: Eat chewy snacks like licorice or chewing gum or suck on a lollipop or hard candy. Visual: Do homework in a space with good lighting, but decrease visual distractions by covering toy/book shelves with a sheet or minimizing posters/wall hangings. Auditory: Listen to buy essay cheap place, music with a slow, repetitive beat.

Alerting Strategies (for the american, less active child) Tactile: Give back scratches, rubbing arms/legs vigorously. Help Cant Do My? Vestibular: Do spinning and fast, unpredictable swinging. Proprioceptive: Encourage any type of sport or exercise that involves running/jumping. Olfactory: Provide citrus or peppermint scents. Gustatory: Offer crunchy snacks like pretzels, carrots, celery or apples; cold popsicles; a sour lollipop. Visual: Do homework in a well-lit area; place a brightly colored tablecloth on essays on african american slavery table/desk during homework time. Auditory: Listen to music with a fast beat or strong bass.

Encourage your child to online cheap checklist for evaluating control, hold any small object (i.e. stress ball) to essays on african american, increase his alertness and ability to concentrate. Household object: flour-filled balloon. Practice writing or drawing in sand or rice. Use a seat cushion during seated activities, allowing slight movement to help increase attention. Household object: half-inflated beach ball or camping cushion. Provide a small enclosed space (i.e. fort) for your child to complete his work. Use colorful paper and for application to college, writing utensils to increase alertness in on african slavery your child.

Make sure your child's environment is not too visually distracting (i.e. flickering overhead light). Provide headphones to either block out design and functionality of memorial noise/distractions or to listen to alerting/calming music. Bedtime Routine (Calming strategies for the child who has difficulty falling asleep) Tactile: Take a warm bath before bed. Vestibular: Rock slowly in a rocking chair. Proprioceptive: Have your child wear snug or stretchy fitting pajamas, use a heavy blanket/sleeping bag/comforter, and essays american, give firm hugs to provide deep pressure.

Olfactory: Provide a lavender scented candle or pillow spray. Paper? Gustatory: Give a warm drink like hot apple cider, hot chocolate or tea. Visual: Darken the room, dim the lights, or use a slowly rotating night-light (i.e. lava lamp). Auditory: Play soft, slow music. Learning how to on african american, incorporate sensory strategies into your child's daily routine is online checklist for evaluating internal control, essential to supporting his needs and on african american slavery, enabling him to for application, feel well regulated. If you suspect that your child is essays, having great difficulty with self-regulation, and you have tried various strategies without success, consult an occupational therapist for further evaluation of your child's sensory needs. Remember that each child has unique sensory needs, so trial-and-error may be the key to finding what works for your child. Buy Research Papers Internal Control? Once you have identified sensory strategies that work well for him, it is important to incorporate them into essays american slavery, each day. Cant Employee Attitudes? A predictable and consistent routine including sensory strategies can help your child feel organized and regulated.

This will enable him to be alert each morning, available during homework time and allow him to on african, get a good night's rest.

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Essay: Population control in China. The growth of population during the twentieth century was very quick. In 2013 the total world population was estimated at essays on african slavery, about seven billion people. It increased dramatically during the past century. The most significant world trend is the death rates are currently falling in poor and rich countries.

Birthrates remain high in most poor countries and design and functionality of memorial essay low birthrates in most rich countries. The world’s population is on african american growing at essay for application, a rate of 1.33% a year and is predicted to essays slavery reach 9.3 billion people by the year 2050. (Connar, 2011) The global population could reach 15 billion by the year 2100. The most populated countries are China, India, the United States, Indonesia and Brazil. The world’s most populated country is China. China holds about 1.3 billion of the world’s total population. It’s predicted to grow to 1.6 billion people by the year 2030. (Henry) This rapid growth has occurred because the death rate has dropped sharply. Cheap Checklist Control! The birthrate has also fallen but the total population is huge. There are so many young people. ‘In 2020 China’s working population, age 15 to 64, will total around 1 billion.’ (Henry) That means China will have to create more jobs for the next generation. China holds twenty percent of the world’s population so the Chinese government has implemented many harsh policies on population control. It’s a debate if the government is taking the right actions to essays on african american solve the issue. The 2013 population was estimated at nearly 1.3 billion.

China’s annual increase has been estimated at .5% annually. India’s population of wyndor glass co. research more than 1.2 billion people is increasing at a rate of 1.3%. (Census Bureau) India will more than likely surpass China’s population. If the american slavery present developments continue it will soon catch up or exceed China. The world’s oceans can only supply a limited amount of fish. Farm production is restricted by the amount of available land that the farmers could use to buy essay online produce food. If the essays on african american demand for food, and materials surpasses maintainable levels; this will further increase the wyndor glass co. research paper population and it will mean each person will get less. ‘By 2015, nearly 50 percent of the american people in the country will live in major cities such as Beijing and other urban areas, the Ministry of Housing and Urban-Rural Development (MOHURD) said Monday.’ (Deng, 2010) The city streets are frequently congested with people, bicycles, cars, buses and other forms of transportation. Most Chinese people live in buy research papers online cheap checklist internal control the rural side. These people plant rice, crops, fish, and essays on african american slavery manual labor. Although there are many people who live in the countryside but work in cities. Help Essay Employee Attitudes! The Chinese are very hard and good working people.

Its fast growing population can stop China from achieving a high standard of living. Slavery! To control rapid population growth the government launched a massive campaign in the mid-seventies to encourage young people to marry late and to have few children. In the 1980’s the government called for papers for evaluating control a family size of three. Essays American! China introduced many laws to buy essay cheap limit the number of children to one and in on african american slavery special situations two. (Henneberger) These measures slowed the population growth. China continues to have about cheap, sixteen million new births each year and nine million deaths each year. The population continues to grow. Over population does not mean its right to take away human life. I believe the Chinese population control policy violates human rights. This is a very controversial issue. There are many different views on this subject.

People may see it as a successful tool for american slavery making certain that China will be able to continue to support its large population. Others believe the policy is inhumane and causes abuse for female abortions. I believe China is not going about this problem the right way. One of the slogans of the population control program is ‘If your first baby is a boy, stop there; if your first baby is to college a girl, try again four years later. Complying with family planning policy is a glorious obligation of every citizen.’ The one child policy is way of life. On African! China can’t punish couples for having more than one child. So they have certain strategies that manipulate the Chinese people promoting the one child policy. Help Do My Essay Employee Attitudes! When a pregnant woman agrees to give up her child; the government may pay for her abortion.

A woman who had an abortion was rewarded with a paid vacation. China’s policy implements postponing marriages and child birth. China encourages couples to only have one child. Statistics show that the one-child policy has reduced the essays country’s population. ‘Given that the policy has been in place for 30 years, I respond, and buy essay online place given that each year the government aborts between 10 to 15 million women, the total number of unborn children whose lives have been sacrificed is somewhere between 300 and 450 million.’ (Mosher, 2011) The mixture of essays on african american slavery methods has been used to achieve this goal. It ranged from implementing an intensive publicity campaign to essay pressuring people with one or two offspring to have no more. If you only essays on african american slavery, have one child you can provide more to that child. The child can have a better life. It will have more opportunities and their career is the most important thing. Mothers used to stay home and take care of the children but with one child it’s not much work. Buy Research Checklist For Evaluating Internal Control! With fewer children it will free up the mothers time so instead of caring for more than one child the mother has more time to go into the work force.

The huge population growth over the past few decades has been a cause for on african concern globally. Before 1979 the Chinese government issued a policy for family planning called birth-control program and promoted the help do my essay attitudes use of contraceptives. Yet the lack of understanding for the serious problem of overpopulation pushed the government to use a more direct and demanding solution. In 1979 the Chinese government has implemented a method known as the essays on african one child policy or family planning to control the fluctuation of the population. However some people might argue that the one child policy is a violation of human rights. Most Chinese families prefer male children to female children. The reason for this is the men are stronger and help cant essay will be able to take care of american slavery them in their old age. On the other hand if they have a female she will have to get married and the parents will have to provide a gift. As a result to this increase boy demand and you can only have one child.

If the glass paper female has a girl they might kill the infant. Hundreds are being drowned, smothered, and abandoned. The couple may try again for a male. One example of this is the story of Mei-Ming which means “no-name”. At the age of two she was tied to a chair, soaked in essays american slavery her urine with dried mucus all over her nose. She was dying slowly and painfully with no food or water.

No one visits her in her room. The only time someone sees her each morning just to see if she has died yet. Her parents abandoned her and the orphanage is sample essay to college doing the same thing abandoning her in the “death-room”. The reason they are doing all this is because she is a girl. Many people disapprove of the fact that abortions are often forced on women who are visibly pregnant with their second child even if they are far into the pregnancy. I believe that a female can decide the number of children she wants. Instead of the government funding for family planning they could spend the money improving hospitals and essays on african slavery educating to have more teachers. Buy Research Papers Online! If the hospitals are improved then families may not have as many children. Essays On African Slavery! They’ll know if they only have two children those two infants will live to old age and be healthy. If the couple doesn’t get permission to have a second child and that child is born.

That child cannot be registered and therefore does not legally exist. Design And Functionality Of Memorial Hospital Essay! The child will not be able to on african slavery attend school. Then will have trouble receiving permission to marry, to relocate and all other life choices involving the permission of the government. This family planning is taken very serious by the government and had many policies that had to be followed or drastic measures would be taken. First off, adults had to buy research papers online cheap internal be married and could only have one child. Then all pregnancies had to be authorized by the government and if they were not the pregnancies would be terminated by abortion. One doctor used forceps to on african american slavery crush the baby’s skull or injecting pure formaldehyde into the soft cap of baby’s head during or upon birth are means for aborting fully developed babies. Drowning or Smothering occurs in rural areas. Also couples who have had two or more children already had to be sterilized. By the year 1990 thousands of ultrasound machines were imported and cheap photovoltaics domestic factories in on african China began manufacturing their own machines as well.

This was because the government wanted more males born than females. In accordance with Chinese tradition, daughters join the families of design and functionality of memorial hospital essay their husbands upon on african american slavery, marriage and are seldom able to offer support or care for their parents in old age. Even though the use of online cheap place visited ultrasounds was banned for the use of sex selection later on the ban was not ever abided. “Between 500,000 and 750,000 unborn girls are aborted in China every year as a result of couples having access to the ultrasound scanner that reveals the sex of on african american slavery a fetus.” (Ultrasound, 1999) The use of ultrasound has had a major impact on the population gender to come. Reports of sex ratios at birth for some areas have been three-hundred males to one-hundred females. Cheap! A 1991 article in a Shanghai journal warned that if the sex ratios continued to rise by the end of the century China would have an army of bachelors numbering some 70 million strong. This population pyramid from the 1990 census gives us a good overview of slavery China’s population over sample essay for application the years. This focuses on age and gender. In this pyramid you can see the baby boom which peaked in the late 1960’s and early 70’s. Essays On African American Slavery! Another clear representation of the pyramid is when the design and functionality of memorial essay Chinese family planning program obviously took effect. The amount of births rapidly declined. Children that were between four and eleven in 1990 belonged to the smallest birth followers after the baby boom.

They were born between 1978 and essays american slavery 1985. Online! At the bottom of the Chinese population pyramid one can again see large amount of births that were born between 1985 and 1990. They are almost as large as the baby boom years. However this large number of births is just the echo effect of the baby boom between the mid-1960s and mid-1970s. The most major problem China faces due to overpopulation is the lack of land. An example of this situation is the Yangtze River Valley; a devastating flood left 3656 people dead and 64 million acres of land drenched. The expanding population forced housing projects desperate for essays on african american land to help cant do my employee deforest the areas like the Sichuan province in the Yangtze River Valley because the people have nowhere else to go but the mountains and deserts for living space. This encourages the erosion which magnified the effects of the flood. Another major problem the Chinese people face is the essays on african lack of water.

China not only needs this water to drink but they also need it for their crops. This pretty much carries the country’s needs for water. In fact, it was estimated that the wyndor glass co. research paper lack of water cost the essays nation $35 billion in lost crops and cut backs in cheap photovoltaics industrial production whereas floods only american slavery, caused $20 billion in and functionality hospital property damages. Pollution is also another problem China must deal with. The amount of pollutants in the air is reported to be 4 to on african american 9 times higher than the levels recommended by the World Health Organization guidelines. This problem will only increase as more people are buying automobiles and therefore air pollution will only rise. This is why China has gone to paper such drastic measures of essays on african population control. With so many strict policies the for application government had some extreme consequences for those who wish not to abide by the family planning act.

Women who had an unauthorized pregnancy and american refused to have an abortion were harassed, and visited by wyndor paper, government officials repeatedly. In extreme cases family planning workers would hold them until they would have the abortion. Essays On African! If still no abortion the unauthorized birth (also known as illegal children) wouldn’t be entered in the population register and therefore the child would receive no medical benefits, no education, and no grain supplies. One of the newer weapons the Chinese government has brought into effect has be the essay introduction of the abortion vans. 600 white vans equipped with beds, body clamps and suction pumps will now scour the essays slavery countryside to sample essay for application find offenders of the one-child policy. This just shows that the government will go at unlimited ends to keep their population under control. Although I do not agree with the Chinese government as there are many horror stories about the one-child policy The government is essays on african american doing all it can for its country to survive.

The policy is a desperate attempt to lower the design hospital essay immense population. Food production cannot keep up with the growth in population. China must feed 1.3 billion people on just 7% of it arable land. Compare with America which feeds a population just one-fifth the size of on african american slavery China’s but has almost double the wyndor paper area of arable land. The circumstances of the two countries are different so therefore their population policies are different. The economic situation is also in jeopardy with the increasing population. If the on african american slavery Chinese people want any increase in standard of living they must have their population controlled. On the other hand, why I do not agree with the cheap visited one child policy is due to they’re being no freedom involved and the brutal measures they take on their own people when really their policy is not drastically changing anything. The only thing that’s going to change the Chinese population anytime soon is going to have to deal with some sort of demographic change.

Between 1970 and 1979 live births dropped from 34 per 1000 to 18 per 1000, 47 per cent fall. Yet the on african slavery one-child policy was not implemented until 1979! Moreover, the fertility rate has remained unchanged, suggesting that the policy has been largely ineffectual. All of this strongly suggests that China has entered the buy essay place visited stage, or is rapidly approach it, of the demographic transition. Since the one child policy wasn’t adopted until 1979. You have to essays on african look at of memorial hospital, years previous to the policy and years after the essays on african american slavery policy went through. China’s huge fertility drop occurred between 1970 and 1979 when live births fell from 34 per cheap photovoltaics 1,000 people to 18 per 1,000 people. Since the introduction of the one-child policy in 1979, there has been no large drop in fertility and in fact China experienced a slight increase fluctuating around 21 births per 1,000 people in essays american slavery the 1980s. Of Memorial! It shows how the essays slavery demographic effect plays a major role in buy essay online cheap visited the future population. The number of young adults of slavery reproductive age (20 – 50) will reach its maximum of more than 660 million around 2010.

This explains why the period between 1995 and 2025 is the most critical for the country’s future population growth. There is a reason for the failure. There are a few explanations for the failure starting with the limits a government can change a country demographically. “Policies emphasizing later marriage and fewer children in the 1970s clearly played a part in lowering total fertility rates. Contraceptive usage in China by the early 1980s, for example, was extraordinarily high for Asia at 71 percent of women of reproductive age. Even with these changes the help cant essay employee demographic status hasn’t changed that much. When there are many people in the country not following the policies even though the government has strict punishments. There will always be people to don’t go with the flow of things no matter who is leading the essays on african slavery policies.

Lastly, the buy essay cheap visited one-child policy disregards all the essays on african slavery females born so therefore they aren’t even being counted in the total population. The one-child policy and the successful resistance to it should give pause to claims made in Western nations that there are up to 500,000 “missing” girls in China. Therefore, now you see all the controversy brought upon this subject. It lowered the population increase that occurred after the Communist Party came to power but it is not being done the right way. It’s not ethical to force females to abort their second child. Some may say yes for the good of the country. Some believe one child is enough but not everyone thinks like that.

They shouldn’t have to glass paper suffer. China is violating the peoples’ rights. In some ways yes but the government thought this policy was necessary in an attempt to control population. It is obvious that the human population needs to be controlled. I believe that we must not implement a one child policy or any other kind of on african government-sponsored population control.

The reason for this is simple. Help Do My Employee! It’s not the business of any government to tell you how many children you must have or even if you have children at all. The right to reproductive control is something that should be controlled by essays slavery, the individual and not by the government. Instead, individuals must start taking responsibility for their own reproductive functions. Our planet is dying and unless we all do something fast we will end up killing the planet and hospital essay ourselves. The only alteration is the essays american slavery planet will regenerate itself and continue living. Therefore, it is the responsibility of every human being to limit their family size so that they have an opportunity to enjoy life on our beautiful planet. Search our thousands of essays:

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No problem! The decisions you make in college and in your early twenties aren#8217;t always the best. Luckily, I picked a major that applies to nearly everything I do on a daily basis- communication. My friends who majored in construction engineering and want out ASAP might not feel the same way! Good article. Another tactic is to boost the value of your career by essays slavery focusing on these 5 key career skills there#8217;s an infographic too here: I really appreciate it Elli including your achievements from your recent experience, earlier jobs, etc. .could help to qualify for design your next dream job but you also need to focus on things you did related to your target job. Skip everything else.

Just make sure your resume makes it clear that you have the skills ethic to do that next job. These tips are really helpful. I like the idea of essays on african american demonstrating the ability to wear a lot of hats in an organization. It shows that you#8217;re versatile and place not a 1 trick pony. In most cases, any kind of client or customer-facing skills are a plus. Even if that doesn#8217;t end up being part of your job, your ability to essays on african slavery communicate with and understand their unique business needs is a major plus, no matter what you#8217;re doing in your role.

Similarly, an ability to work with and communicate among different levels within the organization if you#8217;re someone who#8217;s worked across the board with interns, clients, managers and executive level decision makers, that#8217;s worth noting, as it shows a versatility and strength in your communication and interpersonal skills. Sure, but how do you write those down as skills on wyndor a resume? Looking at these 6 skills, they are definitely something that an employee. would be looking for. Transferable skills are something that people don’t. American! realise they have. Many people stick to co. research one job, although their set of skills.

While these are important qualities, the descriptions are subjective. I can#8217;t write on my resume that I #8220;can be counted on#8221; or that I #8220;go the extra mile.#8221; Do people actually write these things on their resumes? Do they work? Are recruiters really that dumb? Well, what I have seen in many companies as well as most of resume2hire reviews that the important thing is the required skill and expertise and on african american slavery all the things come later but still I would say that these tips are really helpful for the people facing such problems,

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The Operating Room Charge Nurse: Coordinator and Communicator. To achieve the slavery, potential inherent in the use of computer applications in distributed environments, we need to understand the information needs of users. The purpose of this descriptive study was to photovoltaics, document the communication of an operating room charge nurse to inform the design of technological communication applications for operating room coordination. A data collection tool was developed to record: 1) the purpose of the communication, 2) mode of communication, 3) the target individual, and 4) the length of time taken for each occurrence. The chosen data collection categories provided a functional structure for data collection and analysis involving communication. Study findings are discussed within the context of application design. The primary goal of operating room coordination is to insure the prompt, safe, and effective care of american slavery, surgical patients. Central to wyndor glass co. research paper, this goal is the essays on african slavery, operating room (OR) charge nurse. Co. Research? The charge nurse is integrally involved in insuring that staff, patients, and equipment come together seamlessly to essays on african american slavery, move patients through the surgical process.

While in recent years, operating room patient and staff scheduling systems have been implemented, little attention has been directed at paper the totality of coordination needs. American? 1 Therefore, essential to understanding operating room coordination is an examination of the communication of the OR charge nurse. The Association of Operating Room Nurses (AORN) lists coordination of care for surgical patients as the first item in their outline of the responsibilities of perioperative nursing practice. AORN specifically mentions communication skills as a key component of coordination. 2 Sonneberg advises OR charge nurses to #x0201c;communicate, communicate, communicate#x0201d; 3 for successful coordination. Communication is the method by which information is transferred and is essential for all organizational interaction. 4. In a review of buy essay online, 16,000 hospital deaths due to american slavery, error, Wilson et al., found that communication errors were the leading cause and resulted in twice as many deaths as clinical inadequacy.

5 Donchin et al. found that 37% of online checklist for evaluating internal, errors in on african american, a critical care unit were the result of cant employee, verbal exchanges between nurses and physicians. 6 On the other hand, facial and vocal cues provide a significant proportion of a message#x02019;s meaning and the removal of essays american, these cues, as with electronic messaging devices, decreases a message#x02019;s clarity. 7 In addition, messaging devices such as paging systems, 8#x02013; 10 and telephones 11 can disrupt current activities. Buy Research Cheap Control? Such disruptions can cause an individual to forget to carry out an essays on african, intended act, even when only ten seconds separates the intention from the intrusion. 12. Communication provides a basis for judgements that are supported by a social network of nurses, surgeons, anesthesiologists, technicians, and auxiliary staff. 13 The OR charge nurse then becomes a conduit for information flow, receiving, processing, and communicating this information to others for the coordination of patient care.

Investigations of catastrophic accidents, such as the glass co. research, Challenger disaster, indicate that these incidents are often the result of faulty system design. Computer applications have the capability to change system processes to on african, decrease communication that can lead to error. To achieve the potential inherent in the use of computer applications in distributed environments, we need to understand the information needs of users. Sample Essay To College? 14 The purpose of this descriptive study was to document the essays, communication of an operating room charge nurse to buy essay cheap, inform the design of a technological communication application. This study was conducted in the OR of a hospital specializing in trauma care in the Mid-Atlantic States. Essays On African American Slavery? Only patients experiencing traumatic injury are admitted to this hospital, and gain access through emergency medical service helicopters or ambulances. Papers Cheap Checklist Control? The hospital includes six operating suites, one of which is reserved for patients#x02019; requiring immediate surgery. The patients that are admitted to american, the OR may be from the trauma admitting area, hospital floor, or as previous patients admitted through the outpatient department for follow-up care.

The operating room unit is located within the vicinity of the trauma resuscitation unit, post anesthesia care unit and the radiology department. Operating room staff includes 54 nurses, 4 nurse assistants, and 1 clerk supervised by the operating room charge nurse. In addition, the charge nurse communicates with surgeons, surgical fellows, anesthesia, nursing and order to facilitate patient movement in a very robust environment. The charge nurse in buy essay online photovoltaics, the OR was chosen for essays american this study due to her role as coordinator. The charge nurse is responsible for buy essay online the day-to-day smooth running of OR activities. She must coordinate activities in conjunction with the trauma resuscitation unit, general hospital units, and the post anesthesia care unit.

Besides managing the personnel under her supervision, some of her other activities included staff education, competency testing, scheduling, and other administrative duties such as budgeting. The charge nurse starts her shift at 6:00am and ends her shift at 7:30pm. Her day begins with receiving report from the night nurse. On African? The report focuses on the number of cases, the paper, scheduling of patients into the specific operating rooms, patient#x02019;s readiness, staff availability, and any other pertinent information relating to the scheduling of the patients for essays slavery surgery. After receiving the report, she re-evaluates the cases and begins refining the schedule by either re-sequencing or re-scheduling them. On some occasions, she plans the listing with the attending anesthesiologist immediately upon buy essay online cheap photovoltaics receiving her report to determine availability of staffing and rooms. By about essays american, 7:00am, an #x02018;informal#x02019; gathering takes place at the #x02018;desk#x02019; and staff receive or sometimes discuss room assignments democratically. At this point the OR is ready for patients.

The charge nurse coordinates patient flow from other hospital units into the operating room. This includes ensuring that the patient is ready for surgery, surgeon is available to perform the surgery and the operating room is cleaned, and prepared with the appropriate equipment for the planned surgery, and a competent operating room staff is assigned. At each step in this process information is recorded on a large display board (12 ft by 4 ft). The board is a visual representation of online cheap photovoltaics, patient, staff, and equipment movement throughout the operating room suites and has evolved into a sophisticated coordination tool for essays on african clinicians and supporting personnel. Very rarely does anyone, beside the essay to college, charge nurse, update the display board. The charge nurse#x02019;s role is to gather information from all sources and represent this information on the public display board. Communication behaviors in clinical settings have been studied through observation, 9 self-report logs, 8, 10 and ethnographic 13 methods. The development of the data collection tool for american slavery this study was an attempt to consistently capture objective data specific to glass, the organizational context.

Through experience and observation in the operating room, the on african american slavery, initial categories for the data collection tool were developed. Categories were amended using an iterative process of observation and modification over three observation periods. Online Cheap Checklist For Evaluating Internal Control? Major tool categories could be considered generic to any communication episode, however, determining the extent of coding under each category must be context specific. Final categories recorded for each communication episode were the: purpose, and american mode of communication; the target individual; and sample for application the length of time taken for slavery each occurrence. Two registered nurses experienced in operating room procedure in another setting, observed the operating room charge nurse and collected data on 381 communication episodes. Observations occurred during the operating room#x02019;s busiest time, in the morning, over 7 non-consecutive days. Three different charge nurses were observed and their communications recorded.

The charge nurse usually remained at the #x02018;desk#x02019;, which can be likened to a command center. This is where the majority of coordination activities occur. This area consists of buy essay visited, a long table situated in front of a 12ft by 4 ft wall-mounted public display board. Essays? The board is used to show the sample essay for application, patient and staff operating room assignments. American Slavery? In addition, the area has a telephone with intercom and online checklist for evaluating paging capability. The Charge Nurse occasionally moved away from her #x02018;desk#x02019; to essays on african, assess the progress of a surgery or to discuss room assignment face-to-face with the staff. When a communication occurred, a coded response was entered on the data collection tool and the duration of the communication was recorded. When the observer was unclear about the purpose of the communication or the target person, the information was clarified with the charge nurse.

Occasionally, the to college, charge nurse voluntarily disclosed the information on the communication. This voluntary disclosure of information to on african, the observer oftentimes occurred when the mode of communication was the telephone as it was difficult for the observer to discern the target person and buy research papers online checklist internal the nature of the communication. 381 communication episodes were observed, coded, and recorded on the data collection tool. On African? Scheduling surgery was the most frequent purpose of communication (21%), with coordinating patient preparedness, a close second (20%). Figure 1 #x025b6; shows the percentages associated with each purpose of paper, communication.

The target persons of communication were most frequently OR nurses (37%), surgeons (17%), and floor nurses (13%). The vast majority (67%) of communications were face-to-face, then by phone (27%), pager (3%), and intercom (2%). The duration of the communication episodes ranged from 10 seconds to 10 minutes, with a mean of 1.13 minutes and a mode of 1 minute. Essays American? 76% of the communication episodes were between 30 and 60 seconds in duration. There was a relationship between the target person of the communication and the purpose of the communication (Chi Square, p#x0003c;.001). For example, 78% of communication with surgeons was to schedule or re-schedule surgery, while 50% of cant do my essay employee attitudes, communications with floor nurses was to coordinate patient preparedness. Table 1 #x025b6; . Essays American Slavery? lists the target person of communication by the most frequent purpose of the communication. There was a significant relationship between the purpose of the communication and the mode chosen for that communication (Chi Square, p = .002).

While the vast majority of essay for application to college, communication was face-to-face (67%), 39% of phone communications were to schedule or re-schedule surgery and 26% to coordinate patient preparedness. Also significant, was the slavery, relationship between mode of buy essay online cheap place visited, communication chosen and the target person of that communication (Chi Square, p #x0003c; .001). Essays? 88% of communication with floor nurses, 26% with surgeons, and 18% with OR nurses, was by phone. Face-to-face communication was most frequently with OR nurses (44%), anesthesia staff (15.6%), and surgeons (15%). The purpose of OR charge nurse communication is to coordinate the activities of the operating room. Design And Functionality? Information is collected, processed, and finally represented on essays on african slavery the OR board, a public display. The OR board then becomes a communication device that allows all staff connected with surgical patients to cant do my essay, coordinate their activities. However, the fixed location of the board limits the staffs#x02019; ability to access and interact with the device. Slavery? Therefore, the charge nurse becomes the collector and author of coordination information on the display board. At times, this interferes with the charge nurses#x02019; ability to coordinate other activities and online place they become #x02018;tied#x02019; to essays american, the public display. The implementation of an electronic display of the OR board, via an internet or intranet, would increase the ability of the staff to access and update the board and free the OR charge nurse for other coordination activities.

An electronic representation of the OR board displayed on papers online checklist for evaluating internal control the hospital floors would decrease the need for phone communication with floor nurses. Coordinating patient preparedness currently represents 88% of the phone communication between charge nurses and floor nurses and 12% of the total communication with surgeons. Essays On African Slavery? Generally, this is to establish if the patient is ready for the OR or if the OR is ready for the patient. Patient readiness could easily be displayed on an electronic board, at disseminated locations, eliminating much of this communication. Scheduling and re-scheduling surgery are other categories of communication that could be decreased with the implementation of an electronic board. These categories represent 78% of the communication charge nurses have with surgeons. Allowing surgeons to update an electronic display board directly through a surgical scheduling system would greatly decrease the need for charge nurse intervention. In addition, surgeons could also indicate equipment needs while scheduling surgery. Coordination of buy essay online, staffing is usually face-to-face (76%) and with OR nurses (76%). However, we observed that this communication generally involved the OR nurses#x02019; discussing the slavery, status of surgical cases and their next room assignment.

Again, disseminated electronic displays of the design and functionality, OR board might be utilized to decrease this communication. As previously stated, the majority of communication was face-to-face (67%), however observation showed that usually this communication was initiated when staff came to essays american, view the OR board. The fixed nature of the board requires that staff either phone or visit the board to request any changes in scheduling, staffing, or equipment request. The advantage to visiting the board is that staff are able to view an entire representation of OR status. A disseminated electronic representation of the OR board would allow staff to view the OR status without disrupting the coordination activities of the charge nurse. Another strategy for decreasing disruption in charge nurse coordination activities would be the implementation of an asynchronous messaging system. The vast majority of communication episodes (76%) were from 30 to 60 seconds. These communication episodes generally involved short-bursts of information exchanged, lending them to a messaging system. Nevertheless, due to the unpredictable nature of surgical workload in a trauma center, the charge nurse would still need to be constantly aware of the OR board status. Electronic alerts to changes in buy research papers online cheap for evaluating internal, scheduling or equipment needs could be communicated to the charge nurses#x02019; and require their confirmation prior to OR board update.

This would decrease the essays slavery, need for the charge nurse to be in the proximity of the board to be aware of and coordinate changes in workload. While this discussion has proposed technological solutions for sample essay decreasing communication, more information is needed on the character of the communication episodes, before these proposals can be implemented. For example, coordinating activities in the OR requires negotiation. OR and hospital staff negotiate surgical and staffing schedules with the charge nurse. In the absence of an existing close relationship, face-to-face communication provides the greatest rapport and cooperation between participants. Essays On African Slavery? 7 Removing this avenue of communication could decrease rather than increase the efficiency of OR coordination. Furthermore, in this interrupt-driven environment, immediate acknowledgement of a message reduces mental burden by allowing for the quick completion of the task . This is especially true in this environment where the consequences of wyndor glass, communication errors can be so significant; workers need explicit acknowledgement that a communication has been received . Currently, this is accomplished through the use of synchronous communication. Finally, further investigation is essays on african american slavery required into the amount and type of peripheral information gained during communication episodes initiated for another purpose. Glass Co. Research? We have observed that this information is frequently in the form of a #x02018;heads up#x02019;, or information concerning upcoming events.

Knowledge of impending events facilitates planning and essays on african improves overall coordination. Communication and coordination in of memorial hospital, the OR is the american slavery, primary role of the OR charge nurse. This role must be understood prior to suggesting any technological solution designed to enhance OR coordination. The examination of OR charge nurse communication described in this paper is a portion of a larger study designed to for application to college, explicate the communication and coordination practices of a large trauma center. Under study are those activities practiced by individuals and teams in trauma care.

While a limited number of communication episodes were recorded in this portion of the study, we have demonstrated the usefulness of this methodology in practice. The chosen categories provided a functional structure for data collection and analysis. Through an essays on african, understanding of these practices technological applications will be designed to facilitate coordination of patient care and decrease the potential for human error. We would like to acknowledge the patience and cooperation of the OR charge nurses observed for this study. Without the contribution of Laurie Demers, Jane Rettialita, and Charlene Zecha this investigation would not have been possible. This research is supported by a grant for the National Science Foundation (IIS-9900406). Sample Essay For Application To College? The views expressed here are those of the authors and do not reflect the official policy or position of the funding agencies.

Reprinted from the Proceedings of the 2001 AMIA Annual Symposium, with permission.