Going to College Essay Example for Free

Heading off to college Essay Heading off to college truly opens another section in everybody life, the start of new fellowships, openings and development. As an understudy, another understudy will be acquainted with new zones of intrigue, widen his vision of conceivable outcomes, set up and achieve objectives, create deep rooted fellowships and characterize the person in question in manners that he can envision. Anybody on Earth previously asked, or will ask himself where he would be in 10, 20 or even 30 years not far off. It is hard enough envisioning what his life will resemble in a year or two. Questions like â€Å"Where would you like to be today, tomorrow and in the future?† may be hard ones for youthful young people, who simply moved on from secondary school. Going to school will assist anybody with responding to those inquiries, build up a sensible arrangement for achieving his objectives, and furnish him with the information and abilities he will requirements to oversee his objectives as far as possible. We for the most part expect that a higher education is essential when it isn't really. We can likewise saw that, since we place such a great amount of accentuation on degrees, individuals who have not gone to school consider themselves severely, and this absence of fearlessness can truly block their prosperity. There are a few people for whom the school is really not the most ideal approach to learn. Notwithstanding, an advanced degree is an open door for everybody to realize what he cherishes. Another understudy can really set aside the effort to appreciate realizing what he is genuinely enthusiastic about. On the off chance that he is keen on an assortment of things and he isn't sure where to center, he can take as much time as necessary to attempt them all. No one should take a gander at school as a drawn out agreement that he won't be ready to escape once he begins. Anybody should feel like he needs to choose a significant region of study before beginning school. School is a period for everybody to test himself, investigate his inclinations, see what the potential outcomes are, and to perceive what he can accomplish. Most different understudies going to school will be in precisely the same pontoon. There are additionally an assortment of assets, gave by most colleges, to help anybody through school, including scholastic counselors, educators available nearby, mentoring scholarly help, full-time directing staff and that's only the tip of the iceberg. While the possibility of going to school may appear to be somewhat overwhelming and in any event, choking, a graduated secondary school adolescent ought not overlook that he will in any case get the chance to carry on with his life. He will have the option to take an interest in an assortment of extracurricular exercises, social gatherings, keep up a vocation, or even seek after a profession while finishing his examinations. He may even find that school winds up being considerably more pleasant and satisfying than he at any point anticipated. There are extra reasons with respect to why it is imperative to set off for college. At the point when understudies experience a post-auxiliary instruction, they have the chance to understand books and tune in to the talks of top specialists in their fields. This incitement urges understudies to think, pose inquiries, and investigate new thoughts. Along these lines, â€Å"why should you go to college?† The thinking doesn't start and end with the activity viewpoint. Decent instruction is valuable from a wide range of perspectives. On the off chance that any adolescent is as yet wondering why he ought to attend a university, it is critical to recollect the huge measure of chance accessible for school graduates. The worldwide economy is getting progressively increasingly serious, and so as to give him the most obvious opportunity for a well-paying employment, he should initially comprehend the significance of school training. Going to school gives understudies the information and experience they can't get from optional training, and figuring out how to finance an advanced education presently can pay off in a tremendous manner in the years to come.

Disaster Is Different Around The World Essay Example For Students

Calamity Is Different Around The World Essay Calamity is Different AroundThe WorldThe reason for this paper is to show the distinction between the manner in which the United States faces a debacle and the manner in which Central America handles a catastrophe. In 1992 we confronted the costliest typhoon to hit the United States ever. In 1998 Central America was shaken by fourth most grounded typhoon ever. Despite the fact that both were gigantic calamities our view of a typhoon may be somewhat not the same as somebody living in Latin America. As recently expressed, Central America was hit by a train. Also, this train had a name?.Mitch. The tempest was framed off the bank of Africa and picked up quality in the vast sea. When Mitch came aground on October 29th it had continued breezes of 180mph and obscure blast speed. It crawled gradually inland and dumped record measures of precipitation in a brief timeframe. The nations generally affected by the tropical storm were ; Honduras, Nicaragua, El Salvador, Guatemala, and Belize. As of December 2, 1998 the quantity of affirmed passings was 5,642 with 8,050 despite everything missing. Individuals harmed in the tempest tallied 12,272. More than 1,199,000 individuals were dislodged. With in excess of 100,000 homes devastated (UN Situation Report par.9). More than 2,000 individuals were cleared away by landslides on the Casitas fountain of liquid magma when in multi week in October more downpour fell than in the past three years consolidated. Governments were overpowered by the nee d of provisions. The expense to Honduras alone was well more than 4 billion dollars. With over 70% of the food crops demolished assistance was required seriously, yet with correspondence down and 90% of streets washed away it was difficult to gracefully towns profound inland (USAToday online #1 standard. 14). At the point when the Hurricane originally came shorewards there was almost no anybody could do however clutch something, anything. No spot was protected. Focal American nations are the absolute least fortunate on the planet and a storm evidence cover is elusive. The vast majority got what they could and set out toward the slopes. That thought was not in every case great since then there was a danger of landslides. After the significant piece of the tempest was over individuals come back to their homes to discover nothing by any stretch of the imagination. The legislature did everything they could to help yet that wasnt much. Tremendous towns of plastic tents were developed. He lp bunches came in with food which was difficult to find. There was rarely enough. In certain districts schools and manufacturing plants were closed down to house and feed the harmed. Joblessness took off to a gigantic 60% because of the absence of spots left standing. The legislature began recruiting individuals to clear streets and open zones. The compensation was an astounding 10 dollars per week yet that is better than not having an occupation by any means. Examination shows that reconstructing spans over the harmed zones could take just about four years(USAToday#1 par.6). Developing neediness is practically sure. Something else which is enormous issue is the wellbeing dangers related with this sort of fiasco. The devastation and tainting of the new water is one of the principle things. Another is crude sewage being in the waterways and streams which can spread numerous sicknesses. The most widely recognized right now in Central America is; looseness of the bowels, skin ailments , intense respiratory diseases, conjunctivitis, and a couple of instances of Leptospirosis. Because of the way that every one of these ailments are there makes less individuals need to help in the tidy up effort(USAToday#2 standard. 11). On August 24, 1992 the United States was hit by the costliest typhoon in U.S. history. Andrew was his name and like Mitch it was a dangerous tempest. It had 145mph breezes and blasts up to 175mph. Dissimilar to Mitch, Andrew just slaughtered 41 individuals and demolished more than 100,000 homes(Terry par.#1). Inhabitants who lived in the slopes of Central America and had no admonition of the moving toward typhoon while everybody in Florida and the encompassing zones knew for two days that a tropical storm was traveled toward them. For the situation with Andrew the Red Cross previously had covers set up and more volunteers while in transit to help. Americans being a giving people sent commitments and different supplies to Floridians to help with the recuperation effort(Terry par.#3). At the point when we were confronted with this savage tempest we didn't need to approach the United Nations for help since we were prepared to deal with such a fiasco. Not at all like Latin America which was found napping and completely blinded to the way that a disaster of this gauge could transpire. .u41b86c8e6efd391953ede8e97ed2c77e , .u41b86c8e6efd391953ede8e97ed2c77e .postImageUrl , .u41b86c8e6efd391953ede8e97ed2c77e .focused content zone { min-tallness: 80px; position: relative; } .u41b86c8e6efd391953ede8e97ed2c77e , .u41b86c8e6efd391953ede8e97ed2c77e:hover , .u41b86c8e6efd391953ede8e97ed2c77e:visited , .u41b86c8e6efd391953ede8e97ed2c77e:active { border:0!important; } .u41b86c8e6efd391953ede8e97ed2c77e .clearfix:after { content: ; show: table; clear: both; } .u41b86c8e6efd391953ede8e97ed2c77e { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; darkness: 1; change: murkiness 250ms; webkit-change: mistiness 250ms; foundation shading: #95A5A6; } .u41b86c8e6efd391953ede8e97ed2c77e:active , .u41b86c8e6efd391953ede8e97ed2c77e:hover { haziness: 1; change: obscurity 250ms; webkit-change: darkness 250ms; foundation shading: #2C3E50; } .u41b86c8e6efd391953ede8e97ed2c77e .focused content territory { width: 100%; position: relative; } .u41b86c8e6efd391953ede8e97ed2c77e .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: intense; edge: 0; cushioning: 0; content enrichment: underline; } .u41b86c8e6efd391953ede8e97ed2c77e .postTitle { shading: #FFFFFF; text dimension: 16px; text style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u41b86c8e6efd391953ede8e97ed2c77e .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; fringe span: 3px; box-shadow: none; text dimension: 14px; text style weight: striking; line-stature: 26px; moz-fringe sweep: 3px; content adjust: focus; content improvement: none; content shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/basic arrow.png)no-rehash; position: supreme; right: 0; top: 0; } .u41b86c8e6efd391953ede8e97ed2c77e:hover .ctaButton { foundation shading: #34495E!important; } .u41b86c8e6efd391953ede8e 97ed2c77e .focused content { show: table; tallness: 80px; cushioning left: 18px; top: 0; } .u41b86c8e6efd391953ede8e97ed2c77e-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u41b86c8e6efd391953ede8e97ed2c77e:after { content: ; show: square; clear: both; } READ: Dolls House Play EssayAs you can see from this report somebody living in Miami, Florida and somebody living in Tegucigalpa, Honduras may have somewhat various observations with regards to tropical storms. I accept that in the event that I lived in Central America my perspectives may change moreover. Be that as it may, since I have never been in or even observed a tropical storm or a typhoons decimation this is all sort of unfamiliar to me. Because of my exploration for this paper I accept that I have a superior thought regarding what an angry tropical storm can would resemble. Furthermore, I trust I never need to confront that issue as l ong as I can remember. It is simply something that I could manage without. Topography

5-Minute Stress Relief Strategies

5-Minute Stress Relief Strategies Stress comes from many areas of life, and stress relief comes in many forms. While some people like using one favorite tool for stress relief, many experts feel that the most efficient approach to stress relief is one that attacks stress from several different directions, utilizing an overall plan of attack for stress relief. An important first step in this stress relief plan is to have one or two quick stress relief strategies that can help you relax your physiology or de-stress your mind, to reverse your bodys stress response?? so that you can think clearly and avoid the negative effects of chronic stress.?? The following are some quick and effective stress relief strategies that can help you do just that: these stress relief activities, once mastered, should enable you to de-stress in under 5 minutes so that you can move on to the next steps in your stress relief strategy or immediately face the stressors at hand. Here are several strategies to try: Breathing Exercises Stress relief breathing is one of the most popular ways of calming down quickly for good reason: breathing exercises can be done by anyone, at any time, with little training, and at no expense! Breathing exercises can also be combined with other stress relief techniques (such as guided imagery or meditation) for added benefits and ease of use.?? PMR Progressive Muscle Relaxation, or PMR, is a technique you can learn that, with practice, enables you to completely relax all of the muscles in your body quickly, thereby releasing tension from stress.?? As each of the techniques that are mentioned in this article, PMR helps you to reverse your bodys stress response quickly. It can also be done at virtually any time or place, once youve learned the technique and practiced it. (Its especially useful for when youre trying to get to sleep.) Mini-Meditation Meditation is gaining status as a stress management mainstay because it brings so many wonderful benefits, including (after consistent practice) resilience against future stressors!?? Many people shy away from learning meditation because they think they dont have the ability to learn the technique or the time to practice regularly. Actually, meditation can be very simple to learn, and even 5 minutes of meditation can make a difference. Aromatherapy As far as ease of use goes, aromatherapy is about as easy as they come! Studies show that certain types of aromatherapy can be effective for stress relief,?? and once you have the aromatherapy going, its passive stress reliefâ€"you dont have to do anything except go about your regular activities as you normally would! (Combining techniques can provide added stress relief, but isnt necessary.) Quick Burst of Exercise Exercise is an excellent stress relief technique because its great for your whole body and brings physical benefits other than those experienced because of a reversed stress response.?? Exercise can provide a distraction, endorphins and an outlet for frustration. Unfortunately, its not always practical as a quick stress reliever, as the full benefits of exercise are often not achieved until sustained exercise has occurred, and that can leave you sweaty; therefore, you may not use it in a class or at the office, or when youre meeting with clients and under stress. However, in situations where it can work, even a quick burst of exercise (like a quick run up several flights of stairs, or several sets of push-ups) can be useful for stress relief. (Always check with your doctor before starting any exercise program, of course.) Have a Good Laugh Maintaining a sense of humor can relieve stress in several ways. First, there are specific benefits that you get from laughter that can help you relieve stress and even stay healthier in your life. Also, laughter connects people, and social support is good for stress relief.?? More, its hard to stay stressed when youre laughing. And maintaining a sense of humor reminds us that our stressors may not be as menacing as they seem, and probably have solutions, too. For these reasons, laughing in the face of stress can help you feel better in a matter of minutes.

Analysis of Lore and Cynddylan on a Tractor - 2918 Words

Ronald Stuart Thomas was a Welsh poet and Anglican Clergyman who lived from 1913 to 2000. He spent all of his life in small farming communities in isolated parts of Wales. He didnt care for the modern world, but instead believed in living a traditional life. After reading these two poems, it becomes apparent that R.S Thomas views on the developing technological world and the traditional ways influenced his poetic work greatly. He was very concerned about the environment, and this idea is clearly stated in the poem Lore, especially were he says: ?What to do? Stay Green, Never mind the machine,? I think that these lines, clearer than any of the other lines in Lore or Cynddylan on a Tractor, sum up R.S Thomas beliefs on the†¦show more content†¦There is also a buried rhyme in the last two words in each of the two lines, although, on first hearing the poem the way it was intended to be read (enjambment), I didn?t notice the rhyme. ?After the slow poison And treachery of the seasons.? Again, I think these lines refer to the harsh life that Job has lived, but this time, I think that R.S Thomas is trying to say that instead of living, we are all really just slowly dying, that the time that we spend alive, is also the time that is edging us closer to death. The metaphor ?treachery of the seasons? is again referring to how time passing, is, in a sense, killing you. ?Miserable? Kick my arse! It needs more than the rain?s hearse,? The first part of this quotation is a rhetorical question, and it sounds much more light-hearted and joking compared to the sobering previous two lines. It also radiates a sense of defiance and obstinacy towards the very idea of his life being miserable. ?It needs more than the rain?s hearse,? again, this is a pretty serious metaphor, quite a contrast to the previous line. Arse and hearse is an eye rhyme, but I think it is quite strange that R.S Thomas would choose to link these two words together, considering the difference in tone, the word arse is said in quite a humorous sort of way, which is very different from hearse, which is of course connected to death. ?Wind-drawn, to pull me off The great

Pros And Cons Of Hybrid Cars - 1867 Words

The pros and cons of Hybrid/Alternative Fueled Vehicles: There are many factors to consider when purchasing a Hybrid or Alternative Fueled Vehicle. Most times when searching for a vehicle, consumers tend to search for amenities to help cut cost. When considering alternative fueled vehicles, consumers have to keep in mind that there are several types of hybrid vehicles with different operating abilities to choose from to satisfy the needs of the consumers. With hybrids, there are three types which are hybrid electric vehicles, plug-in hybrid electric vehicles and all electric vehicles. Since they all operate differently, it is important to be informed to ensure the consumer is happy and satisfied with their investment. Hybrid Electric†¦show more content†¦This is often referred to as the â€Å"all electric range† of the car. Most of the driving with the plug-in hybrid comes from the stored electricity. If a consumer would like to use this vehicle to do light commuting, they can plug the vehicle in at night and the next day; this vehicle will be able to be driven in all electric modes. The batteries to the plug-in electric vehicles can be charged using an outside electric power source, the internal combustion engine or by the regenerative braking. When braking, the electrical motor behaves as the generator which uses the energy to charge the battery. There are two configurations used to combine power from the electric motor and the engine which are parallel and series. Parallel connects the engine and the electric motor to the wheels through mechanical coupling. The electric motor and engine drives the wheels directly. With series, plug-in hybrids only use the electric motor to drive the wheels. All Electric Vehicles use battery packs to store the electrical energy that provides power to the motor. These types of vehicles are charged by plugging the vehicle to an electrical power source. Since this car does not produce direct exhaust or emissions, it’s been said to be a zero-emissions vehicle. The use of fuel is not needed with this vehicle so this helps reduce petroleum consumption. This type of vehicle has a short range per charge than conventional vehiclesShow MoreRelatedThe Pros and Cons of Hybrid Cars Essays852 Words   |  4 Pagesefficient while using energy. One of these inventions is hybrid cars. Though hybrid cars are a known technology, not many people know exactly what they are all about. Since many people don’t know exactly what they’re about, they then really have no interest in purchasing one. Hybrid cars are very different from gasoline cars. Gasoline cars run purely off just gasoline which pollutes the air. A hybrid car can run off gasoline and work as an electric car. Using both of these systems, gasoline powered andRead MorePriua1542 Words   |  7 Pagesdevelopment and production of a hybrid fuel-efficient vehicle to be put in the market as early as 1997. Analysis: The automotive industry is facing new challenges regarding customers being more environmentally concerned and sensitive towards fluctuations in the prices of gas. This potential market segment would be interested in a hybrid powertrain such as the one being developed by Toyota. The company has a longstanding history of producing efficient, reliable and valuable cars. Toyota Production SystemRead MoreHybrid Cars Vs. Conventional Cars869 Words   |  4 PagesBack in 1999, two of the most renowned car companies made a car with a purpose of fuel efficiency. Back then, there were only two hybrids available in the world market. Due to gas prices increasing, people find this type of car as a solution to this problem. 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When considering the current market of cars, many have complaints in gas powered automobiles. There are many problems, commonly discussed, with emissions. Cars have a tendency to be harmful to the environment, and expensive to use frequently. This is where the alternatively powered cars are introduced into the conversation. There are multiple vehicles that can replace the prevalently operated, gas powered cars. However, alternatively powered vehicles must be considered inRead MoreAdjusting to the Policy of Energy Efficiency: Hybrid Cars Essays911 Words   |  4 PagesA popular invention is hybrid cars. The question is should consumers invest in buying one? Many people know about hybrid cars, but many people don’t know exactly how they work, therefore they find no interest in investing to buy one. Hybrid cars are extremely different than a gasoline car. Gasoline cars run off only gasoline, which produces more pollution that goes into the air. A gasoline-electric car, which uses both systems of gasoline powered and electric powered cars, emits less pollution intoRead MoreHybrid Vehicles And Climate Change922 Words   |  4 PagesHybrid Vehicles and Climate Change Are hybrid vehicles really that much better than normal gasoline vehicles? There are known pros and cons of having hybrid vehicles. Climate change is a huge issue in society and continues to grow as a worldwide issue. Hybrid cars use both a battery powered engine as well as a gas powered engine, it’s a very complex system for more things to go wrong in. Also, it has a special system for storing brake energy in an on board battery. Two motors in a vehicle have someRead MoreHybrid Cars And Hybrid Electric Vehicles902 Words   |  4 Pagesdaily life, there is two types of cars i.e. Gasoline vehicles and hybrid-electric vehicles, hybrid-electric cars which used quite a while but not as much as their gasoline counterparts. The difference between these two cars is mainly the Engine, tank, and the source on which the cars work. The hybrid-electric vehicle is more a computerized and electric version where it switch between running on gasoline and electricity. Other than that major changes, these cars are fundamentally the same. The bodyRead MoreA Pro Versus Con Argumentative Article Essay1347 Words   |  6 Pagestheir strong views on the topic in a pro versus con argumentative article. Blumenauer and Byrd both built up their credibility by using strong sources, including facts and statistics, and appealing to the readers’ emotions; however towards the end of the article both sides had a slight flaw which we akened their credibility. When analyzing both viewpoints of the topic, the credibility of the sources and appeals to ethos in the article are very important. The pro side of the article was written by EarlRead MoreFuel Consumption Problems and Solutions Essay1434 Words   |  6 PagesIn this essay I will attempt to solve one of the biggest problems in modern world – dependence and very large consumption of gasoline. According to the Seattle Times, Americans use over 880 million gallons of gasoline per day. With an average of 755 cars for every 1000 people, the United States of America consumes more gasoline than South America, Europe, Africa, and Asia combined (Source: Energy Information Agency) ! Modern world get well more than 80% of its energy from fossil fuels, major part of

Human Trafficking in the Caribbean Free Essays

The law is not effective in dealing with the problem of human trafficking. Discuss (using relevant International and Domestic law). According to the Trafficking in Persons Protocol, Human Trafficking is the recruitment, transportation, transfer, harbouring or receipt of persons, by threatening or using force, or any other form of coercion, abduction, fraud, deception, abuse of power or of a position of vulnerability; or giving or receiving payments or benefits to relieve the consent of a person having control over another person, for the purpose of exploitation. We will write a custom essay sample on Human Trafficking in the Caribbean or any similar topic only for you Order Now Human Trafficking is characterized by 1. The Act (What is done) 2. The Means (How it is done) 3. The Purpose (Why it is done) People may fall victim to Human Trafficking for many purposes. One common purpose is for prostitution. Sexual labour is identified as coerced labour. Other common purposes are for child labour and the sex trade. The Vatican has described Human Trafficking as being worse than slavery and has been described as the â€Å"Silent Crime of the Caribbean†. Regional organizations such as the Association of Caribbean States, CARICOM and the Organization of American States have all expressed their displeasure at the rapid increase of human trafficking cases in the Caribbean. This growing practice impacts many nations across the world and the Caribbean has recently been drawn into what is being called a â€Å"global panic. † In the Caribbean the group causing the most concern in regards to Human Trafficking is Irregular Migrants – this includes the females transported to other locations (countries or regions) as commercial sex workers. The nature of the purpose can, without scholarly or legislative support, indicate that this is a violation of basic human rights. Caribbean governments are being asked to present an annual report to the US government outlining the steps they have taken and will take to challenge unregulated migration and forced labour, which are indicators of human trafficking. The countries are ranked according to their compliance with US’ wishes and a country that does not rank well or refuses to present a report are threatened with economic sanctions. Jamaica is among some of the countries that have been negatively ranked. However, the US government believes that Jamaica has the will and potential to improve their third tier status. Most victims of human trafficking may find themselves in situations where they fall prey to both physical and emotional abuse. Oftentimes Caribbean women are lured to the US with false promises of employment and are then sold by trafficking gangs, to the highest bidders all over the US and Europe. Caribbean states are eager to remain in good moral standing on an international platform. Hence, concerns about human trafficking in the Caribbean have increased mainly due to the idea of female prostitution and the urgency to rescue and protect a woman’s sexual purity. Makes you think, doesn’t it? Do they actually care about these issues or do they care by extension of their international image? Human trafficking is generally practised in the Caribbean in an effort to supply a demand for cheap, unskilled labour (irregular immigrants) and for sex workers in the tourist industry (irregular migrants). Human trafficking is common in many regions which are overpopulated and have high unemployment and poverty rates. According to the IOM* Legal Review concerning trafficking in the Caribbean statue laws have been put in place for the prosecution of traffickers, the protection of trafficking victims and the prevention of trafficking activities. Outside of the US and Europe, many other countries do not have the resources to put in place extensive legislation to fight human trafficking. However, there are some laws that can offer help to curb trafficking activities. The Caribbean’s inability to compare favourably with the level of the US and Europe’s fight against human trafficking is due to many economic, social, and legal factors. Some such factors are * â€Å"Law enforcement including prosecution and sentencing which may also be as a result of often using outdated criminal codes with inadequate penalties, many of which have not been reformed since the countries gained their independence. † (IOM 2005) Most Caribbean nations do have the desire to eradicate human trafficking but the state of their economies paired with their pre-independence law enforcement techniques serve as a deterrent. Of all the countries that have made an effort to combat human trafficking, Guyana has been the most successful by drafting a bill to Parliament which includes life penalties for trafficking persons, and stiff penalties for other trafficking related activities. This bill covers every eventuality concerning human trafficking. Jamaica has also introduced the Child Care and Protection Act which stipulates a penalty of ten years for trafficking children and provides protection to child victims. The provision that covers trafficking states that: 10. (1) No person shall sell or participate in the trafficking of any child†24 This leaves the rest of us at the will of traffickers, don’t you think. Unless the victim is a child, there is simply no law to cover such an eventuality. There is no legislation that criminalizes trafficking in women and children; however elements of the crime are upheld in the criminal code. But considering that some instances of human trafficking is likel y to be for sexual purposes, sexual offences law can help to prosecute criminals involved. Most Caribbean countries include in their constitutions a guaranteed freedom from forced labour and slavery. This guarantor dictates a fundamental right but does not include how it is to be implemented. This right is only enforceable against the state and not private individuals or entities, which means there is no provision for redress against actual traffickers. There are clearly inadequate provisions for victims of human trafficking, largely due to the limited resources that are available to implement these services. The â€Å"patchwork† criminal approach can continue to be used as a substitute for a better legislative system until concrete provisions are instituted to cover the eventualities of human trafficking. And even then it is recommended that the weak and inconsistent criminal laws are reformed. INTERNATIONAL LAWS AGAINST HUMAN TRAFFICKING 1. United Nations Convention against Transnational Organized Crime 2. United Nations Protocol to Prevent, Suppress, and Punish Trafficking in Persons, Especially Women and Children 3. United Nations Protocol against the Smuggling of Migrants by Land, Sea, and Air 4. United Nations Global Initiative to Fight Human Trafficking (UN. GIFT) 5. Universal Declaration of Human Rights (1948) 6. Coordinated Mekong Ministerial Initiative against Trafficking (COMMIT) * Coordinated by China, Laos, Thailand, Cambodia, Myanmar, and Vietnam 7. Caribbean Counter-Trafficking Model Legislation 8. Belize – Trafficking in Persons (Prohibition) Act, 2003 9. Guyana – Combatting of Trafficking in Persons Act 2005 How to cite Human Trafficking in the Caribbean, Essay examples

Neighbourhood Nursing Essay Example

Neighbourhood Nursing Essay The ethos of a report by Cumberledge, Neighbourhood Nursing A Focus for Care (DOH, 1986), was to introduce nurse prescribing from a limited formulary to improve the care of patients in their own homes, and it identified that district nurses wasted valuable time requesting prescriptions from general practitioners (GPs) when they had seen and assessed the patient themselves with no medical involvement (Baird, 2003). Nurses as prescribers need to be aware of the influences on prescribing and the need for bias to be controlled in the information sources that they use, as patients receiving prescriptions from nurse prescribers will assume the product prescribed is safe and appropriate for them (Parker, 2000). In order to demonstrate the principles of safe, effective, appropriate and cost-efficient prescribing, the author will analyse the critical incident described in Appendix 1, and using the prescribing pyramid (NPC, 1999) to assist decision-making, explore the most appropriate course of action in terms of treatment. Consider the Patient Before prescribing, a thorough assessment of the patients medical and social history should be taken (NPC, 1999). We will write a custom essay sample on Neighbourhood Nursing specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Neighbourhood Nursing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Neighbourhood Nursing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer A leg ulcer has been defined as the loss of skin below the knee, which takes more than six weeks to heal (Dale et al, 1983). Mr X had injured his leg six weeks prior to his referral to the DNs, therefore a leg ulcer assessment was conducted that incorporated a Doppler ultrasound, assessment of previous medical history and assessment of the limb and wound to determine the underlying cause of the ulcer and any associated diseases. This assessment will influence decisions about prognosis, referral, investigation and management (RCN, 1998). Lack of appropriate clinical assessment of patients with limb ulceration has often led to long periods of ineffective or inappropriate treatment (Stevens et al, 1997). The Doppler ultrasound revealed an ankle-brachial pressure index (ABPI) of 1.1 and 1.0 in the left. This gave an indication that Mr X had a vascular problem rather than arterial. The wound bed was sloughy, with slight inflammation around the edge, indicating a localised infection, which could delay healing; the wound was also malodorous again indicating infection was present. Chronic venous insufficiency of the lower extremities is a complicated disorder, affecting the productivity and wellbeing of millions of people worldwide (Donaldson, 2000; de Araujo et al, 2003). It is also a major cause of morbidity among patients in hospital and community settings (Nelson, 2001) Venous disease is the most common cause of leg ulcers. Identification of the risks of venous ulceration is important, as is optimal therapy, which requires control of abnormal venous physiology combined with adjunctive treatments to correct secondary skin ulceration, infection and lymphoedema (Donaldson, 2000). Which Strategy? Having established that the reason the ulcer was not showing signs of healing was due to venous insufficiency to the affected limbs and a localised infection to the wounds, the options for treatment needed to be considered. Liaison with his GP was essential to discuss pain management strategies with Mr X to control any pain he was suffering along with any anti-biotic therapy regarding the localized infection. However, the role of bacteria in chronic ulcers is a matter of debate and many authors have contradictory views regarding the use of antibiotic therapy (Tammelin et al, 1998). Within the local trust, guidelines suggest that if the patient is not showing signs of clinical infection such as pyrexia, friable, bleeding granulation tissue or cellulitis, antibiotics are not indicated. Furthermore, routine swabbing is not recommended as this is thought to be neither helpful nor cost-effective (Gilchrist, 2002). All chronic wounds contain bacteria and often represent either secondary colonisation or merely contamination, therefore not actually causing clinical infection (Morison et al, 1999). Consider the Choice of Product Short-stretch compression bandaging has been shown to be equally efficacious when compared to other compression systems in healing venous ulcers independent of associated factors (Scriven et al, 1998; Nelson, 1996; Vowden, 1998). This has directed a trend towards the use of short-stretch bandaging as a cost-effective and proven method of reversing venous hypertension and enhancing the wound repair process in some patients (Charles, 1998). Short-stretch compression bandages are fairly inelastic because the weave allows for minimal stretch and recoil (Charles, 1998). When applied to a leg at 90-100% stretch with a 50% overlap the inelastic nature of the bandage allows it to form a firm tube. When the muscle of the calf contracts, it reflects or rebounds from the wall of the tube, which increases the action of the calf muscle pump, thereby promoting venous return to the heart. It also has an effect on the microcirculation with an overall improvement in the function of the skin (Klyscz et al, 1997; Coleridge-Smith, 1997). The combination of increased calf muscle pump activity and an improved microcirculation as a result of short-stretch compression therapy therefore has the potential to correct venous incompetence and promote healing in venous disease. Non-compliance is a recognised problem in the use of compression therapy (Mayberry et al, 1991; Taylor, 1992). There are a number of reasons why this is the case, including factors such as forgetting instructions, difficulty managing the bandages and discomfort caused by the bandages for example, finding them too hot (Samson and Showalter, 1996). Mr X had experienced leg ulcer in the past and had not felt happy with four layer bandaging as he had complained of them making his legs too hot and also they felt bulky. Negotiate a Contract To ensure concordance it is important that the patient plays a central role in the decision-making process (NPC, 1999). If the patient is not consulted and does not understand the rationale for dressing choice, compliance with the treatment may be affected (Cole, 2004). A nurse prescriber has to balance dressing cost with nursing time, together with patient acceptability and concordance (Edwards, 2000). Mr X had experience of other wound care products used on his leg in the past, and had strong opinions about which ones he was willing to accept the use of. It is important to be aware of influences that may affect the way treatments are prescribed however, such as patient pressure or drug companies promotional advertising (Brew, 1994). Autonomy is grounded in respect for patients ability to choose, decide and take responsibility for their own lives (Randers and Mattiasson, 2004), but had his decisions been inappropriate, unsafe or not based on best evidence, agreeing to prescribe them could be deemed maleficent (Pridmore, 1998). Providing information on the benefits of the treatment proposed, in addition to the drawbacks enabled him to make an informed choice. Ultimately, negotiation ensures that the patient receives the most appropriate evidence-based care, which is safe, and which he agrees on. Review the Patient Twice weekly visits were agreed with Mr X to monitor the effectiveness of the bandaging and ensure that it was not causing a reaction, was helping to debride the slough, reduce the localised infection and absorb the exudate. Mr X was informed of the signs of an adverse reaction to the dressing, such as itching, increased localised pain and irritation at the site of the dressing, and advised to ring the DN if at all concerned. If the dressing used caused a reaction to Mr Xs leg and it was not picked up soon enough and the dressing removed, the effects could be deemed maleficent (Pridmore, 1998). Ongoing evaluation of the prescribed treatment should always be undertaken, as modifications may need to be made if conditions change (Morison et al, 1999). Once the primary objective has been achieved, the assessment process needs to be repeated in order to identify the next treatment objective until the wound has healed (Collier, 2002). After one week the inflammation surrounding the ulcer had gone and there was evidence that the slough was beginning to lift. Mr X had not reported any discomfort or irritation to the ulcer or surrounding tissue, which suggests that the dressing prescribed, was suitable for him. Record Keeping As a registered nurse one has both a professional and legal duty of care, therefore all nurses have a responsibility to keep accurate and up-to-date records that should be an accurate account of treatment, care planning and delivery that provides clear evidence of the decisions made (NMC, 2002a). This form of communication ensures that all members of the healthcare team involved in the care of the patient are fully informed, and ensures changes in the patients condition are detected at an early stage (NMC, 2000b). Details of the prescribed treatment were entered into Mr Xs assessment notes with a clear rationale for the choice of treatment. The trust has a specific form to complete that informs the GP of the treatment prescribed, which was completed and handed to Mr Xs doctor. Reflection Utilising a structured model of reflection by Driscoll (2000) has provided a useful means of reflecting on the incident described and analysing the decisions made. Although Mr X had expressed strong opinions about the choice of treatment he was willing to accept on his ulcer, negotiation had enabled a decision to be made that was safe, appropriate and cost-effective, in addition to being acceptable by him, thus ensuring concordance. Using the prescribing pyramid (NPC, 1999) provided a systematic, structured method of decision-making in relation to the choice of treatment, therefore ensuring that all essential aspects that needed to be considered were included. Conclusion Many district nurses have expertise in the different causes and manifestations of leg ulceration and wound care, thus most GPs tend not to interfere in the treatment, preferring to take advice from the experts in this field. So it makes sense that district nurses should be able to prescribe the most appropriate choice of dressing themselves. A good knowledge of wound healing mechanisms in relation to venous ulcers, in addition to a knowledge of treatment choices that reflect local policy, their suitability, contradictions and adverse reactions based on evidence not influence, ensured that Mr X received a dressing that proved successful in reducing the bacterial load, healing of the ulcer and comfort. The dressing did not cause any reaction or deterioration, therefore was safe and effective.