Childrens’ Functional Health Assessment Essay

Short Answer Questions Address the following based on the above assessment findings. Expected answers will be 1-2 paragraphs in length. Cite and reference outside sources used. 1) Compare and contrast identified similarities as well as differences in expected assessment across the childhood age groups. As a child moves from being a toddler through preschool to school-aged, they are faced with many challenges to overcome. Development growth, which is subject to the child’s environment and sphere of influential people and pressures in their lives, is directly shaped and guided by their family’s culture, religion and value/belief system. The differences are seen in how each developmental phase interacts and responds within each health assessment pattern. The toddler and preschool child need more structure and routine, whether it’s brushing their teeth, eating or bedtime rituals. School-aged children take the values and learned behaviors of being a toddler and build upon them as they move toward building their own self-concept and sense of identity. There are similarities as the children strive for autonomy and the ability to express themselves verbally. As the child continues to learn, they will develop an understanding of good behaviors and bad behaviors. Play continues to be the primary activity for preschoolers as well as for toddlers. Preschoolers venture farther from home than toddlers do and many of their activities involve other children and involve modeling behavior. Pre-schoolers prolong bedtime routines more often than the toddler. They respond more maturely to stress than do toddlers. The preschooler has a longer and more rigid bedtime ritual than the toddler. School-age children, unlike toddlers and preschoolers experience few difficulties with going to bed (Edelman & Mandle, 2010). 2) Summarize how a nurse would handle physical assessments, examinations, education, and communication differently with children versus adults. Consider spirituality and cultural differences in your answer. According to Javis (2012), children should be treated as equal partners in the health care triad. Nurses should include the child in the introductory stage of the interview. When dealing the toddler and preschooler, the nurse should interact with the caregiver first, giving the child the opportunity to see the nurse’s interaction with their caregiver. This allows the child to see that the caregiver has accepted and trusts the nurse. For the toddler and the preschooler, the parent will be providing most, if not all of the health history. With the pre-school-age population, they may be the sole source of important data to the history (Jarvis, 2012). Strategies that the nurse might incorporate include awareness of the various developmental stages that children go through. When performing a physical assessment, toddlers and preschoolers should sit on their parents laps while school-age should sit on a Big boys or Big girls examining bed; nurse should be at an eye level maintain privacy, and should use for praise cooperation. When talking to the child and explaining concepts the nurse should use simple language that the child can understand. The nurse should allow the child to hold instruments, like a stethoscope, during the physical exam to help them feel like they are involved in their own care. Sharing reading materials or media to look at can help divert their attention away from the nurse (Jarvis, 2012). References Edelman, L. & Mandle, L. (2010). Health Promotion Throughout the Life Span (7th ed). Retrieved from https://pageburstls.elsevier.com. Physical Examination & Health Assessment 6thed. St. Louis, MI: Mosby. Retrieved from https://pageburstls.elsevier.com

Disadvantages of socio medical model

Do biomedical models of Illness make for good healthcare systems? Introduction Cultural and professional models of illness Influence declslons on Individual patients and delivery of health care. The biomedical model of illness, which has dominated health care for the past century, cannot fully explain many forms of illness. This failure stems partly from three assumptions: all illness has a single underlying cause, disease (pathology) is always the single cause, and removal or attenuation of the disease will result In a return to health.Evidence exists that all three assumptions are wrong. We describe the problems with current models and describe a new model, derived from the World Health Organization's international classification of functioning framework. 1 2 that provides a more comprehensive. less biologically dependent account of illness. Importance of models for understanding illness The model of illness adopted by society can have important consequences.In the first world war, for example, soldiers complaining of symptoms after experiencing evere stresses were sometimes shot as malingerers, but today they are considered victims and eligible for financial settlements Social acceptance that a behaviour or reported symptom constitutes an Illness bestows privileges on an Individual and formal duties on society. 3 Currently, most models of illness assume a causal relation between disease and illness†the perceived condition of poor health felt by an individual.Cultural health beliefs and models of illness help determine the perceived importance of symptoms nd the subsequent use of medical resources. 4 The assumption that a specific disease underlies all Illness has led to medicalization of commonly experienced anomalous sensations and often disbelief of patients who present with illness without any demonstrable disease process. Current models of illness Despite their importance, models of illness are rarely explicitly discussed or defined. The often crlt lclsed but nevertheless dominant 20th ton disadvantages of socio medical model BY tool 9586Do biomedical models of illness make for good healthcare systems? Cultural and professional models of illness influence decisions on individual patients disease will result in a return to health. Evidence exists that all three assumptions functioning framework, 1 2 that provides a more comprehensive, less biologically reported symptom constitutes an illness bestows privileges on an individual and disease underlies all illness has led to medicalization of commonly experienced The often criticised but nevertheless dominant 20th

Case study on Cafe Co Example | Topics and Well Written Essays - 4500 words

On Cafe Co - Case Study Example The model prescribes that people must not be only seen as factors which would help a company in earning competitive advantage. Rather care must be taken in rendering their own developments by steadily incorporating their views in business decision making. This fact would improve the leadership traits within such individuals and thereby would improve loyalty to the concern (Armstrong, 2008, p.8). In regards to the case study it is observed that the previous human resource policy in the concern focused more on developing the performances and productivity of the employees. However the reviewed human resources policy after the joining of Kim Patel started focusing more on developing communication with the people by widely engaging them into various decision making activities. Thus the human resources policy structure in Cafe Co earned a shift from hard to soft after joining of Kim Patel and thus worked in developing loyalty of the employees. 2. In several organisations nowadays it is found that the line managers are being entrusted with the responsibility of recruiting, developing and training the human resources that would be working under them. This fact has some salient advantages in that it helps the human resource management of the company in delegating the organisational tasks and thus causes effective distribution of labour. The line managers in such action are required to operate in close cooperation with the human resource professionals for helping in accomplishment of business objectives (Armstrong, 2006, p.93-96). In this case it is also found that Kim Patel worked closely in delegating the human resource functions to the line managers. She observed that such practice would help in developing relationships with the line managers in that they would become more responsible and loyal to the company. Thus this process was carried out in a continual fashion in the

African-American Culture and Reconstruction in America Essay

African-American Culture and Reconstruction in America - Essay Example The paper focuses on African American culture in America and the reconstruction process reflecting on every aspect that comes with it.  The development of the African American culture was as a result of the process of giving and taking. Cultural influence depended on the class to which someone belonged to, age, and class status in Africa. Especially young people who were taken as slaves adapted so fast to the language and culture of the Americans. There were intermarriages that took place as well as the development of religion. During the reconstruction process, African Americans took part in the political social and economic processes. There were many people who were allowed to hold public offices allowing for interaction. The interactions led to intermingling and, therefore, led to the African American culture.This discussion declares that  during the reconstruction process, African slaves were allowed to get an education and were assimilated to the religion they believed in. A llowing Africans to interact with the Americans and Europeans, in general, meant that there will be proximity that would lead to an agreement as well as marriages and adoption of each other's culture. The type of religion preached by the Americans and Europeans led to a top in slavery practices as well as any form of mistreatment. The reconstruction process led to the growth of the African American culture, merging both the African and American culture.  

Broken Windows Style Policing Research Proposal

Broken Windows Style Policing - Research Proposal Example In order to control and bring communal harmony in communities police are using approaches like the "broken windows policing", order maintenance policing. The study aims to highlight the appropriateness of use of approaches like these towards crime reduction. Research Methodology: In order to conduct the study, research methods such as Survey and Experimentation were used. Survey method is used primarily on the primary data to collect vital information directly from the stake holders (in this case the criminals and convicts) by using direct questionnaire. Experimentation approach is used to observe the relation between the variables and how they are getting affected by changes caused in any one of them. The identified problem in the present case is High crime rate. To facilitate researcher, we need to define the problem clearly, In order to define the identified problem precisely, we normally use exploratory studies, the two important techniques in exploratory studies are secondary data analysis and Pilot studies. Exploratory Study: These are "insights gathered through secondary data possibly from experts" (Business Research Methods, P.34, 35, ICFAI Press Publication). In this case the insights are gathered from Retired police officials, Journalists, writers, articles relating to crime etc. These inputs are gathered to add depth to the study. Pilot Studies: "A Pilot study is an informal way of gathering necessary information from reliable sources" (Business Research Methods, P.34, 35, ICFAI Press Publication). General enquiries carried out in the neighborhoods regarding crime rate in the area and social control measures adapted, use of broken windows policing yielded necessary information. Hypothesis: Null Hypothesis: The impact of broken windows style policing is positive and is suitable for a longer run. Alternative Hypothesis: The impact of broken windows style policing is negative and is not suitable for a longer run. Defining the variables: Dependent variables: In this case the dependent variable is the high crime rate and this variable is metric in nature, measurable. Independent variables: All the factors affecting or causing an influence on the crime rate, such as drunkenness, selling drugs, turnstile jumping etc are independent in nature and are quantifiable, hence metric in nature. Multiple regression is used sine both the variables are metric. Unit of Analysis: Here the unit of analysis is the high crime rate. Sampling Technique Inorder to define sample and type of sample to be chosen I have defined the population from which the sample is chosen. Population: The population consists of number of recorded criminals in city as per the city

Weather Essay Example | Topics and Well Written Essays - 750 words - 1

Weather - Essay Example ere tornadoes, so as to give them a considerable amount of time to gather their family and important documents/collectables and seek shelter at a safe and secure place. Radars are mechanical devices which work by sending and receiving signals which are further used to analyze weather conditions. Coming to the technical side of the issue, radars work by sending out radio waves which then reflect off minor atmospheric particles such as raindrops, ice and dust amongst others. When the waves sent off to these particles come back or return to the mechanical device, the data is used to measure the strength and time period of these waves to determine whatever weather based characteristics they may portray, such as location based precipitation (Lubchenco & Hayes, 2012). Currently the National Weather Service is using a Doppler based radar. This radar is also capable of measuring the frequency of the waves, which can be decoded to information about the velocity and direction at which precipitation in the atmosphere is moving. Even though the Doppler Radar is a sophisticated device that is used by many weather forecasters all over the globe, the device is far from perfect. The major setback associated with the Doppler Radar is the fact that it doesn’t tell meteorologists anything about the shape of the particle from which the waves retract, which leaves them open to guesswork to determine whether such a particle was a rain drop or a piece of snowfall, therefore making them unable to make detailed analysis out of the information that comes out of it. Dual polarization enables forecasters to differentiate with a significant amount of confidence between the types of participation found in particles and the it’s amount, something which the Doppler Radar majorly lacked at. Dual polarization, in very simple words enables forecasters to comprehend weather the particle that a radio wave retracted back from to the Radar was a rain drop or a dust particle (Lubchenco & Hayes,

Walmart in Mexico Essay Example | Topics and Well Written Essays - 1250 words

Walmart in Mexico - Essay Example The barriers to inclusive workplace in first level include discrimination, prejudice, and perception of threats to job security. One of the barriers to an inclusive workplace for Walmart in Mexico is possible discrimination that may occur on the basis of age, race, national origin, gender, disability and pregnancy. There are concerns on whether Walmart will foster the provision of equal opportunities to women and minority groups who mainly speak Spanish language. Discrimination leads to unfair terms and conditions of employment since training opportunities, promotions and compensation. Accordingly, discrimination will lead to unfair dismissals and retrenchment of workers at the company. Walmart workplace policies require some employees to work for longer hours thus creating perceptions of discrimination. Furthermore, the company is faced with instance of sexual harassment and unfair victimization and this may hinder inclusion and diversity. Walmart must address discrimination through providing equal employment opportunities in all matters of employment such as training, promotion and dismissals. The company should link the pay to performance evaluation and ensure the minority groups have access to training in order to improve their chances of career progression with the company. The company should provide the necessary facilities and equipment for the workers with disability and avoid stereotypes. The management should train all subordinates on the importance of avoiding sexual harassment or victimization that may hinder inclusive workplace. The human resource managers must encourage reporting of discriminatory complaints by the employees. Implementation of anti-discriminatory workplace policies will promote inclusion and diversity at the workplace. The individual employees will benefit from access to career advancement and promotion opportunities that will ultimately translate to increased income

Criminal Behaviour Essay Example | Topics and Well Written Essays - 750 words

Criminal Behaviour - Essay Example [The Mental Health Act 1983, 2000] For example, most jurisdictions consider psychopathy to be an aggravating rather than a mitigating factor in determining criminal responsibility. In some states an offender convicted of first-degree murder and diagnosed as a psychopath is likely to receive the death penalty on the grounds that psychopaths are cold-blooded, remorseless, untreatable and almost certain to re-offend. But many of the killers on death row were, and continue to be, mistakenly referred to as psychopaths on the basis of DSM-III, DSM-III-R or DSM-IV criteria for ASPD. ASPD and psychopathy might now be more or less synonymous constructs. [Hare, 1999] Psychopaths generally are more violent than non-psychopaths, and are more likely to engage in a variety of different types of aggressive acts, but tend to engage in predominantly instrumental (calculated) violence, threaten strangers with weapons and to be motivated by vengeance, retribution, or money. [Hart S.D., Forth A.E., Hare R.D.; 1994] The psychopaths' profile includes such individual characteristics as sense of entitlement, disparate understanding of behaviour and socially acceptable behaviour; they are unremorseful, apathetic to others, unconscionable, blameful to others, manipulative and conning, affectively cold, disregardful of social obligations, non-conforming to social norms, irresponsible. Traditionally, affective and interpersonal traits such as egocentricity, shallow effect, deceit, manipulativeness, lack of empathy, selfishness, guilt or remorse are central individual characteristics in the conceptualization and diagnosis of psychopathy. [Cleckley,1976; Hare, 1993; Widiger & Corbitt, 1995] In 1980 psychopathy was renamed antisocial personal disorder and is now defined by persistent violations of social norms, including lying, stealing, truancy, traffic arrests and inconsistent work behaviour. These features appear to be visible through failure to make intimate relationships, impulsiveness, lack of guilt, not learning from adverse experience. [Harris G.T., Rice M.E., Quinsey V.L., 1993] Hare in his 'Without Conscience' (1999) defines that psychopaths charm and exploit others for their own gain, they lack empathy, sense of responsibility, they manipulate, lie and con others with no regard for anyone's feelings. Psychopathy is characterized by such traits as lack of remorse or empathy, shallow emotions, egocentricity, glibness, manipulativeness, parasitic lifestyle, episodic relationships, low frustration tolerance and persistent violation of social norms. [Hare, 1999] Dr.Hervey Cleckley in 'The Mask of Sanity' came up with 16 traits that formed a specific pattern of perspective and behaviour, and to see the 'symptoms' of psychopathy one should connect him with the circuit of a full social life. Psychopaths miss the qualities that people depend on for living in social harmony. [Cleckley, 1976] The psychopathic personality disorder items fall into two clusters: One cluster - Factor 1, reflects core interpersonal and affective characteristics; the other cluster - Factor 2, consists of items that reflect a socially deviant and nomadic

Classification and Division of Tae Kwon Do Essay - 1

Classification and Division of Tae Kwon Do - Essay Example Officially, there are a number of categories in the events of the WTF (World Tae Kwon Do Federation). These are the following: 1. WTF-promoted competitions 2. Championships promoted by Regional Taekwondo Unions of the WTF in 4 continents 3. International Competitions promoted by international sport organizations, and 4. Other international WTF-approved competitions 1. WTF-promoted competitions a. World Taekwondo Championships b. Women’s World Taekwondo Championships c. World Taekwondo Championships d. World Taekwondo Poomsae Champioships 2. Regional Taekwondo Unions Championships (Regional Junior Taekwondo Championships a. Asian Taekwondo Championships b. European Taekwondo Championships c. Pan American Taekwondo Championships d. African Taekwondo Championships 3. International Sport Organizations-promoted competitions (CISM, FISU, and continental or regional sport organizations) a. World Military Championships b. World University Taekwondo Championships 4. Other International Taekwondo Competitions WTF-approved with the request of the Organizing Committee in agreement with the related rules of the WTF (WTF.org).

Is the Canadian Prime Minister, Stephen Harper too powerful Essay

Is the Canadian Prime Minister, Stephen Harper too powerful - Essay Example Harper's role as the prime minister of Canada grants him the ability to control the interactions of resources in foreign countries, for instance, aiding countries such as Israel in the past, and present. This not only which presents the image of wealthy, authoritative force that dramatically affects not only his home country but those countries outside of Canada.Harper's role as the prime minister of Canada grants him the ability to control the interactions of resources in foreign countries, for instance, aiding countries such as Israel in the past, and present. This not only which presents the image of wealthy, authoritative force that dramatically affects not only his home country but those countries outside of Canada.   Ultimately, power is everything to most people. It is every politician’s dream to yield power over others. Harper rose to power in 2006 when his party formed the government. In the 2011 elections, he formed a government which enjoys support in parliament. He controls both houses using his party, the conservative party. He is in no doubt powerful and yields immense power more than any other prime minister before him. He enjoys massive support in parliament since his party has more members than any other party. He is allowed to appoint senators and he recently made appointments that increased the number of conservatives in the Senate. This has made it easier for him to control the Senate. Harper is also a party leader.   He is the leader of the conservative party which gives him power because he is able to control policies and tactics within the party. Parliamentarians allied to the party are bound to party policies. Harper’s ability to control the ability has also empowered him. He is able to decide what the media says about him. Harper’s administration has the highest number of communication officials compared to any other administration before him.

Experimental Research Essay Example for Free

Experimental Research Essay I have chosen to describe the study to be performed by the pharmaceutical company that wants to test a new sleep aid. Before they engage in human studies the researchers must determine what they want to prove exactly. Since the goal of the drug is to promote better sleep habits, the hypothesis for this study would be that individuals taking this new aid will fall asleep faster and stay asleep longer than they did before they started taking the drug. Randomization of the subjects involved in the study is important in order for the results of the variable to be accurate when measured, however there are some ethical considerations that must be addressed first. Since the controlled sleep aid is a drug and with any drug there may be certain side effects, individuals under the age of 18 are not permitted to participate in the trial. Those individuals over the age of 18 who are signed up to participate in the sleep study were given an extensive medical background check to make sure they were not allergic to any medications that might be found in the drug. They were also provided with all the information on the drug including possible side effects and dependency. Once all the prerequisites are met the group of 20 participants varying in weight, age, gender, and nationality are randomly divided into two groups of 10. One group will be a controlled group meaning they will be observed sleeping as they normally would and the other group is the treatment group and will be taking the sleep aid in a normally prescribed dose. Both groups, however, will be given a supplement every night at bedtime in order to achieve experimental realism. Neither group is aware that any placebo is involved. The study will last a total of two weeks, during the first week both groups are placed in similar dorms and are observed sleeping every night without the help of any medications. This not only allows time for the subjects to become acclimated to their new surroundings, it also gives researchers a point of reference as to how the subjects slept before starting on the medication. Every morning the time it took them to fall asleep and the length of time that they slept is documented for each individual and at the end of the first week they are given a survey of how well they think they slept and if these sleep habits compare to their normal sleep habits at home. Administration of the medication begins at the beginning of the second week. The treatment group receives the drug and the control group receives placebo. They are observed for another week under the same conditions, in the same dorm and documented the same way. At the end of the second week they are asked to take the same survey and give their opinion of the drug. All data from both groups is collected and the results from each group is compared to see if the drug made a positive and significant difference on the sleep the individuals received while they we on it. The first step in finding out the results of the trial is to measure the sleep of the individuals with no medication and compare the results to the sleep they received during the second week. Then they compared that data to the sleep those individuals on placebo received. The results showed that those individuals on placebo complained that they did not sleep any better or worse on the drug. The treatment group showed longer periods of sleep while on the drug and only complained of a little grogginess in the morning. There was no change however in the time it took either group to fall asleep on or off the drug. The results of the sleep study indicate that while individuals did experience longer periods of sleep, the drug did not aid them in falling sleep faster whatsoever. Therefore only half of the hypothesis proved true based on the outcome of the trial.

Hospitality and Tourism Management Essay Example for Free

Hospitality and Tourism Management Essay The K-12 program covers kindergarten and 12 years of basic education ( six years of primary education , four years of junior high school to provide sufficient time for mastery of concepts and skills, develop lifelong learners, and prepare graduates for tertiary education , middle-level skills development, employment ,and entrepreneurship. the enhanced basic education act of 2013 , or republic act no. 105333, was signed on may 15, 2013. K-12 is a helpful tool that can strengthen early childhood education, make the curriculum relevant to learners , ensuring integrated and seamless learning ,building proficiency through language , gearing up for future and most of all nurturing the holistically develop Filipino. Every graduate will be equipped with information, media and technology skills, learning and innovation skills, effective communication skills and life career skills. Program implementation in public schools is being done in phases starting SY 2012-2013. Grade 1 entrants in SY2012-2013 are first batch to fully undergo the program, and current 1st year Junior High School Students (or Grade 7) are the first to undergo the enhanced secondary education program. To facilitate the transition from the existing 10-year basic education to 12 years, DepEd is also implementing the SHS AND SHS modeling. .Each student in Senior High School can choose among three tracks: Academic; Technical-Vocational-Livelihood; and Sports and Arts. The Academic track includes three strands: Business, Accountancy, Management (BAM); Humanities, Education, Social Sciences (HESS); and Science, Technology, Engineering, Mathematics (STEM). Students undergo immersion, which may include earn-while-you-learn opportunities, to provide them relevant exposure and actual experience in their chosen track. The enhanced curriculum for grade 1 and grade 7 ( 1st Year Junior High School ) was rolled out SY 2012-2013 , and will be progressively introduced in other grade levels in succeeding school years. Grade 11 will be introduced in SY 2016-2017 AND GRADE 12 IN SY 2017-2018. The first batch of high school students to go through K to 12 will graduate in march 2018. DepEd has entered into an agreement with business organizations, local and foreign chambers of commerce, and industries to ensure that graduates of K to 12 will be considered for employment. There will be a matching of competency requirements and standards so that 12-year basic education graduates will have the necessary skills needed to join the workforce and to match the College Readiness Standards for further education and future employment. Entrepreneurship will also be fostered in the enhanced curriculum; ensuring graduates can venture into other opportunities beyond employment. After finishing Grade 10, a student can obtain Certificates of Competency (COC) or a National Certificate Level I (NC I). After finishing a Technical-Vocational-Livelihood track in Grade 12, a student may obtain a National Certificate Level II (NC II), provided he/she passes the competency-based assessment of the Technical Education and Skills Development Authority (TESDA). NC I and NC II improves employability of graduates in fields like Agriculture, Electronics, and Trade. Target Market 12-13 years old who supposed to graduate grade 6 this year but will be introduced to k-12 program. Grade 5 and 6 students Youth that belongs in the poor families with potential to be out of the school youth after their high school years. Schools Professors – lecturer SY 2011-12 SY 2012-13 SY 2013-14 SY 2014-15 SY 2015-16 SY 2016-17 SY 2017-18 GR 12 2 YEARS SENIOR GR 11 HIGH SCHOOL HS IV (15 yo) GR 10 4 YEARS JUNIOR HS IV (14 yo) GR 9 HIGH SCHOOL HS IV (13 yo) OLD CURRICULUM GR 8 HS IV (12 yo) NEW CURRICULUM GR 7 GR 6 (11 yo) GR 6 6 YEARS GR 5 (10 yo) GR 5 ELEMENTARY GR 4 (9 yo) GR 4 GR 3 (8 yo) GR 3 GR 2 (7 yo) OLD CURRICULUM GR 2 GR 1 (6 yo) NEW CURICULUM GR 1 KINDER (5 yo) KINDER Analysis of Case During the period of governance of Spain and the United States, education in the Philippines changed radically, mostly modeled on the system of education in the United States of the time. After gaining independence in 1946, the systems were no longer automatically applied in the Philippines, which have since moved in various directions of its own. Filipino children may enter preschool at the ages of three to four, starting from nursery, and kindergarten. At the ages of six to seven, children enter elementary school for six or seven (on selected schools) years. This is followed by the high school, for four years. Students may then sit for the College Entrance Examinations (CEE), after which they may enter tertiary schools for two to five years. The Philippine educational system pursues the achievement of excellent undergraduates in the elementary and secondary level. Implementation of UbD is one of the proposals that undertook in the country recently. At present, the Department of Education pronounces the addition of two more years in the basic education of students, which according to them will benefit not only the Filipino youth but all the Filipinos in the Philippines. This proposal is part of P-noys Educational Reform Program. The administration asserts that with the implementation of such program, the problem of unemployment in the country will be resolved. In as much as employment in the Philippines is concerned, the K12 education also responds to the fact that most countries in the world already have the same plan in their educational institutions. With this, the standards of these countries go a notch higher than what the country has, thus, creating an expansion in the global competency. What can be really said about this plan. The K-12 Basic Education Program aims to provide every Filipino child with the education s/he needs to compete in a global context. In May, President Benigno Aquino of the Philippines signed into law a basic education curriculum that will see a mandatory kindergarten year and two additional senior high school years added to what was a 10-year education curriculum to make basic education 12 years. The programmed has been adopted not only in schools in the Philippines, but also in Filipino schools abroad that follow the department’s curriculum. Gulf news reports: The goal of the new curriculum is to give Filipino students enough time to master skills and concepts so that they are ready for tertiary education when the time comes. Kindergarten was previously optional, and advocates of the K-12 programme argue that students who went to kindergarten are better prepared for primary education than those who did not. In addition, the K-12 programmed â€Å"provides for the use of the ‘mother tongue‘ language as the medium of instruction for students in the basic and lower years to facilitate and expedite learning. † This fabulous interactive map of all public schools in the country could be a useful tool in planning a recruitment strategy. It contains data on the school’s budget, enrolment statistics, education indicators, number of teaching personnel, furniture, textbooks, classrooms, plus the water and power supply of some 45,000 schools nationwide. 10 Point Education Agenda The move to the K-12 policy comes as part of the 10 Point Education Agenda which was set out by the current government administration. The K-12 Basic Education Program, universal kindergarten and instruction in mother-tongue languages are but three of the ten points Aquino’s administration want to implement in order to improve the overall quality of education in Filipino schools. The other seven points include: Establish the Madaris Education as a sub-system in the current education system; Make every child a reader by Grade 1; Improve science and mathematics; Expand government assistance to private education; Better textbooks; Build more schools in cooperation with local government units (LGUs); Re-introduce technical and vocational education in public high schools. Australia extends a helping hand Australia has long been a friend to the Philippines – donating time, funding and other resources, as well as working with the nation to develop and ensure quality. Last month, the country grantedPHP 8. 4 billion (nearly US $193 million) â€Å"to address basic education issues and support the implementation of the K-12 programme. † They have also funded a project to â€Å"enhance the skills of school officials in managing school processes and turn schools into learner-centred institutions that continually improve and build on its best practices. † In return, Australia is surely hoping Filipino schools and students will select Oz as their destination of choice for partnerships and study. As ICEF Monitor reported in February, the Philippines is one of the top ten student markets for Australian schools, colleges and universities. Building classrooms and adding teachers As mentioned, one of the ten points on the Education Agenda aims to address severe overcrowding in Philippine schools and the shortage of classrooms. In October of last year, the Department of Education signed an agreement â€Å"with two winning consortia which will undertake the construction of close to 10,000 classrooms. † The department’s Public Private Partnership for School Infrastructure Project (PSIP) will give schools the physical space they need and â€Å"provides the private sector the business opportunity to invest in the design, construction and maintenance of classrooms. † Philippine Education Secretary Armin A. Luistro has said he hopes that by doing so, the classrooms would stand as a testament to Filipino capability and efficiency. Progress is well underway; construction of more than 9,000 classrooms began in March of this year. An increase in student enrolment which caused the shortage of teachers was due to an increase in kindergarten students – a result of the new K-12 curriculum, as well as students who were formerly enrolled in private school transferring to public school because of tuition fee hikes. Student enrolment in 2012/3 stood at 20. 67 million: 1. 77 million kindergarten students, 13. 26 million elementary students, and 5. 64 million high school students. Increased focus on vocational education A final point on the 10 Point Education Agenda calls for a re-introduction of vocational and technical education in high schools, which has been designed to give Filipino students practical skills to gain employment after graduation – a key component in tackling the high youth unemployment rate in the Philippines. Some advocates are calling for the adoption of the German model of apprenticeship. The Manilla Bulletin reported: It is hoped that adopting the German model would help address the skills mismatch between Filipino graduates and the jobs available. Ramon del Rosario, chairman of the PBEd, has said now is the time to implement the apprenticeship system, because of the start of the K-12 curriculum: â€Å"It is a good time because of the development of the senior high school curriculum and that will have a track towards technical vocational education. † In May, the Technical Education and Skills Development Authority (TESDA) announced it had completed the K-12 technical vocational curriculum, and everything was in place for the start of the new school year. TESDA Secretary Joel Villanueva said, â€Å"Technical vocational education and training (TVET) will play a central role in the new education model that prepares students for tertiary education, middle-skills development, employment and entrepreneurship. † Courses include automotive servicing, horticulture, welding, consumer electronics, dressmaking/tailoring, carpentry, food processing and beauty care. The Philippines as a study destination Like many of its neighboring countries, the Philippines has its eye on becoming a study destination of choice for students from the Asia-Pacific region. In January of this year, the Philippine Bureau of Immigration reported that of the 203,753 foreigners in the country, 47,478 are studying in schools and universities across the country (which is 14% higher than the 41,443 foreigners who applied in 2011). The bulk of those (31,000) are under the age of 18 and studying at an elementary or high school or on a short-term (less than 1 year) course. The Bureau’s Commissioner Ricardo David Jr said: â€Å"Our country is fast emerging as a new educational hub in the Asia-Pacific region. More and more foreigners are coming here to study and it demonstrates recognition of the improved quality of our educational system. † He attributed the influx of foreign students to the quality of teaching and the use of English as the medium of instruction. Some of those students chose the Philippines to study English, and the government is hoping to boost ESL student numbers by making it easier for them to stay and learn. Last year, ICEF Monitor reported that for international students studying English in Australia, the Philippines had entered the competition as a destination option for the first time in 2011. Backing that up, an article in The PIE News quotes Ruth Tizon, Programmed Director of the Philippines ESL Tour Program, as saying, One thing is clear: the Philippines is looking ahead. With a growing population and a budding economy, demand for quality education is high. Many Filipino parents welcome the basic education reforms and are looking forward to more opportunities for their children in vocational and higher education. KEY ISSUE / GOALS The fact that the Philippines is the last country in the region to adopt a K-12basic educations system because it is not all about the trending basis but checking in accordance to the â€Å"reality†. During the assessment done by the prestigious organization Trends in International Mathematics and Science Study (TIMSS), they conclude that the problem about the present curriculum in squeezing 12 years of basic education into just 10 is that students are overloaded with subjects which resulted to poor quality of basic education as reflected in the low achievement scores of Filipino students. International tests results like 2003 TIMSS rank the Philippines 34th out of 38 countries in HS II Math and 43rd out of 46countries in HS II Science; for grade 4, the Philippines ranked 23rd out of 25 participating countries in both Math and Science. In 2008, even with only the science high schools participating in the Advanced Mathematics category, the Philippines were ranked lowest. This quality of education is reflected in the inadequate preparation of high school graduates for the world of work or entrepreneurship or higher education . It is not the question of teaching force because internationally we can say that the country is equipped of well trained educators capable enough for the learning needed by the students in our country. In fact, teachers in our country are highly demanded and most preferred to be hired and work in other country. But it is the matter of the educational system that we have which is designed to teach a 12-year curriculum, yet it is delivered in just 10 years. Though some criticizing it as a way only to realigned as to what is the trending educational system to must have, then why not follow it if it will sustain the development of the educational system of our country and there is nothing wrong with it. As to the question of the consequences that will be brought by the policy, surely there will be many of those and it’s a part of the changes. Better because the government exists to uplift the standard of education in the country and not just sitting down to their respective offices and waiting what will happen to the future of the students experiencing the current system. The policy exist with provisions of program to be administered forthe sustainability of it, thus to relate it with economic hindrances it should be another story that is worth to be reflected and should not serve as a hindrance for the development of one system in our country (education). To reach the development wherein the citizens are wanting, admitting the fact that it couldn’t be happening simultaneously is the first step. Goals of k-12 Individualized learning customized to each child’s needs. Award winning curriculum that engages young mind from k to 12 with a rich combination of online interactive and offline hands-on learning High school full-and-part time options to help students find their own path A new kind of powerful, personalized connection with teacher Preferred alternative with rationale in this study I find out that k to 12 will have a big effect in our country and even in our industry. It is a good program that can provide many outcomes and may help our country men to arise. But I also notice that some of whom I asked if k to 12 will be the answer for the people to be more comprehensive and productive in man powering many had answer maybe and no . then I got this thought that It can help but people in our country don’t want to open their minds in this changes. People in our country nowadays is always looking forward to fast solutions and money at this state it is because of the arising poverty and the low demand for man power and they are afraid that if they will not chase the time there will be no jobs available for them. They are afraid that k to 12 will affect every industry in hiring people so as our industry because if we can see jobs in the hospitality industry is widely offered than that of the other careers . so I came up with the rationale that we are good enough in the old curriculum. Why did I say this but I did not yet see the effect of it in the students it is because we are also pushing students to work early , why we will do that if we really want to push them to work early is to decreased the level of education just like the old one. Many parent will be sacrificing much about it, I guess the answer of today’s crisis is to help those student to bring their selves up in the maximum time possible. So that they can be as professionals in their early age . There is an urgent need to enhance the quality of basic education in our country as seen in the education outcomes of Filipino students and the comparative disadvantage of the Philippines with regard to other countries. The following data would support this explanation: At present, the Philippines is the only country in Asia and among the three remaining countries in the world that uses a 10-year basic education cycle. According to a presentation made by the South East Asian Ministers of Education Organization (SEAMEO-INNOTECH) on Additional Years in Philippine Basic Education (2010), the comparative data on duration of Basic and Pre-University Education in Asia shows that the Philippines allots 10 years not just for the basic education cycle but also for the pre-university education while all the other countries have either 11 or 12 years in their basic education cycle. Achievement scores highlight our students’ poor performance in national examinations. The National Achievement Test (NAT) results for grade 6 in SY 2009-2010 showed only a 69. 21% passing rate while the NAT results for high school is at a low 46. 38%. Moreover, international tests results in 2003 Trends in International Mathematics and Science study (TIMSS) show that the Philippines ranked 34th out of 38 countries in HS Math and 43rd out of 46 countries in HS II Science. Moreover, the Philippines ranked the lowest in 2008 even with only the science high schools joining the Advanced Mathematics category. Assumptions The K to 12 Program covers Kindergarten and 12 years of basic education (six years of primary education, four years of Junior High School, and two years of Senior High School [SHS]) to provide sufficient time for mastery of concepts and skills, develop lifelong learners, and prepare graduates for tertiary education, middle-level skills development, employment, and entrepreneurship. -DEPED K 12 can contribute to: Strengthening early childhood education Making curriculum relevant to learners Ensuring integrated and seamless learning Building proficiency through language Nurturing the holistically Filipino Kindergarten and 12 years of basic education is offered for free in public schools. There are additional indirect costs, but government agencies are collaborating to provide programs that will enable everyone access to quality education, especially to those with lesser means. Proposals such as the expansion of the Education Service Contracting (ESC) scheme under the Government Assistance to Students and Teachers in Private Education (GASTPE) and other cost-sharing arrangements are being developed by DepEd. K to 12 graduates should have higher earning potential as they will be more competent and skilled. As a result of the K to 12 Program, particularly the more specialized education in Senior High School, CHED is exploring the possibility of decreasing the number of years of which will enable them to have more employment opportunities. Certain degree programs in college. K to 12 graduates can obtain national certification from TESDA, After finishing Grade 10, a student can obtain Certificates of Competency (COC) or a National Certificate Level I (NC I). After finishing a Technical-Vocational-Livelihood track in Grade 12, a student may obtain a National Certificate Level II (NC II), provided he/she passes the competency-based assessment of the Technical Education and Skills Development Authority (TESDA). NC I and NC II improves employability of graduates in fields like Agriculture, Electronics, and Trade. After going through Kindergarten, the enhanced Elementary and Junior High curriculum, and a specialized Senior High program, every K to 12 graduates will be ready to go into different paths – may it be further education, employment, or entrepreneurship. Every graduate will be equipped with: Information, media and technology skills, Learning and innovation skills, Effective communication skills, and Life and career skills. MANILA, Philippines – Last May 15, President Benigno Aquino III signed the Enhanced Basic Education Act of 2013 into law. Philippines is the last country in Asia to approved k 12. The implementation of the Universal Kindergarten began in SY 2011–2012. The enhanced curriculum for Grade 1 and Grade 7 (1st Year Junior High School) was rolled out in SY 2012–2013, and will be progressively introduced in the other grade levels in succeeding school years. Grade 11 will be introduced in SY 2016–2017 and Grade 12 in SY 2017–2018. The ? rst batch of high school students to go through K to 12 will graduate in March 2018. K to 12 graduates will be ready to be employed in various industries. Education Secretary Armin Luistro earlier said that the K to 12 program would like to ensure that even if they dont choose to go to college, they finish studying what is basic. As per Republic Act no. 10157 or the Kindergarten Education Act, Kindergarten has become part of the education system and a pre-requisite for admission to Grade 1. Public schools will continue to admit children who have not taken Kindergarten into Grade 1 until SY 2013-2014. Senior high school students can choose from 3 tracks: Academic, Sports and Arts, and Technical-Vocational-Livelihood. After Grade 10, a student can obtain Certi? cates of Competency (COC) or a National Certi? cate Level I (NC I). After finishing a Technical Vocational-Livelihood in Grade 12, a student may obtain a National Certi? cate Level II (NC II), provided he/she passes the competency-based assessment of the Technical Education and Skills Development Authority (TESDA). NC I and NC II improves employability of graduates in ? elds like Agriculture, Electronics, and Trade. In Kinder, mother tongue, shall be used as the medium of instruction. In Grades 1-3, the mother tongue will be used in teaching all subjects, except in teaching Filipino and English subjects. Starting Grade 4, Filipino and English will become the languages for instruction. Starting SY 2016-2017, DepEd shall engage in partnerships with colleges, universities, and Technical-Vocational Institutions (TVI) to use their existing facilities and teaching staff to ensure that reduction in enrollment in these colleges and universities will be offset during the transition period. Private schools are to adhere to the minimum standards of the K to 12 curriculum. They should also follow the K to 12 progression, even if they choose not to offer grades 11-12 (e. g. private junior high schools can remain as such but their students will have to transfer for senior high school). Recommendations In the light findings of the study and the conclusion drawn, the following recommendations are given: K to 12 will be more embraced by the parents of the students if the government will make new ways of helping the parents of the student to make their children’s finish the k to 12 program Most of the student who will undergo k-12 program belongs to a family that has a minimum wage income. And majority of the respondents are 11-12 years old. Based on my study , we can say that k to 12 program will affect the student learning’s and will add training for them to used if they will wanted to work as early in their age. It can be said for the findings that k to 12 will help the youth to be young professionals in the hospitality industry were in job opportunities are more open to them because of the training that they will take in this program. On the findings there for include that the k to 12 has many effects on the students that will undergo the program and they will have capabilities of having work in the hospitality industry but in the study it shows that it also decreased their parents capabilities to support their studies. Decision criteria Future education status Family salary income how do you asses k to 12 program as a student to take the k to 12 program: Quality of the education Effects on the student learning Its effect on the parents capabilities on supporting their Childs education How will it affect the numbers of the students who will continue their studies to attain their degree in college? What is the perception of the students regards to: the k to 12 program the new ways of learning readiness for them to work in a establishment If the TESDA training accreditation will make them more professionals especially on the hospitality industry. Subject – this research concerns with the analysis of the case of k to 12 program in the Philippines that had been implied last 2012 and if can create new hospitality professionals. Respondents – the respondents of the study are the students of San Antonio National high school that has already taking the new curriculum k to 12. Instrumentation – the author used the following instrument to gather important data . Questionnaires are carefully prepared to answer the specific problems of the study. Observation – as means of gathering information for the research may define as perceiving data through the senses. Observation is most widely used in studying behavior. This will be used to determine the actual reaction of the students while the Questionnaire given to them. Setting – the author will focus their studies on the point of view of students in San Antonio national high school in san Antonio village Makati city. Justification Student that will take k to 12 program can acquired the following: †¢ Acquire mastery of basic competencies. †¢ Be more emotionally mature. †¢ Be socially aware , pro-active, involve in public and civic affairs. †¢ Be adequately prepared for the word of work or Entrepreneurship or higher education. †¢ Be legally employable with potential for better earnings. †¢ Be globally competitive. †¢ Every graduate of the Enhanced K to 12 Basic Education program is an empowered individual who has learned, through a program that is rooted on sound educational principles and geared towards excellence, the foundations for learning throughout life, the competence to engage in work and be productive, the ability to coexist in fruitful harmony with local and global communities, the capability to engage in autonomous critical thinking, and the capacity to transform others and oneself. Agriculture and Fisheries, Sports, Business and Entrepreneurship Why add two more years? Decongest and enhance the basic education curriculum. Better quality education for all. Philippines is the only remaining country in Asia with a 10-year basic education program. K to12 is not new. The proposal to expand the basic education dates back to 1925. Studies in the Philippines have shown that an additional year of schooling increases earnings by 7. 5%.. Studies validate that improvements in the quality of education will increase GDP growth by 2% to 2. 2% Minus 2 instead of plus 2 for those families who cannot afford a college education but still wish to have their children find a good paying job. Right now, parents spend for at least 4 years of college to have unemployable child. In our model, parents will not pay for 2 years of basic Education that will give them an employable child. In effect, we are saving parents 2 years of expenses. The plan is not â€Å"Plus 2 years before graduation† but â€Å"Minus 2 years before work Inspire a shift in attitude that completion of high school education is more than just preparation for college but can be sufficient for a gainful employment or career. What will the society gain from K to 12? K to 12 will facilitate an accelerated economic growth. K to 12 will facilitate mutual recognition of Filipino graduates and professionals in other countries. A better educated society provides a sound foundation for long-term socio-economic development. Several studies have shown that the improvements in the quality of education will increase GDP growth by as much as 2%. Studies in the UK, India and US show that additional years of schooling also have positive overall impact on society. What Benefits will Individuals and Families get? An enhanced curriculum will decongest academic workload. Graduates will possess competencies and skills relevant to the job market. Graduates will be prepared for higher education. Graduates will be able to earn higher wages and/or better prepared to start their own business. Graduates could now be recognized abroad. MANILA, Philippines—Adding two years to the present 10-year basic education cycle is â€Å"an absolutely essential reform† to put the country’s public education system at par with the rest of the world, an international education expert said on Wednesday. Sheldon Shaeffer, director at the Bureau of Education of the UN Educational, Scientific and Cultural Organization (Unesco) Asia Pacific, said the K+12 program (Kindergarten plus 12 years) was a necessary reform â€Å"to make the system comparable to and competitive with other countries. † Speaking at a lecture on school leadership at the Department of Education (DepEd), Shaeffer said a 12-year education cycle would be â€Å"more useful to the personal needs and employment opportunities† of its graduates. â€Å"I actually don’t see how people can disagree with it,† said Shaeffer before an audience of top Philippine education officials and representatives from various schools. The flagship education program of the Aquino administration, the K+12 basic education reform plan aims to improve the quality of Filipino high school graduates by adding two years of senior high school to the current 10-year education curriculum. The two additional years in senior high school are envisioned to serve as a specialization period for high school students, whether in vocational skills, music, the arts or sports. This would give high school graduates the option to pursue jobs with a basic education diploma or proceed to college. The program aims to make Philippine education at par with the rest of the world, with 12 years of basic schooling already a global standard. According to the DepEd, only the Philippines, Angola and Djibouti have a 10-year basis schooling cycle. Officials said the two-year shortcoming had proven problematic in the accreditation of Philippine graduates when applying for postgraduate courses and employment overseas. Recently, Laos added a year to its 11-year-program, Shaeffer noted. Education Secretary Armin Luistro acknowledged that the transition to a 12-year system would be difficult but noted that the Philippines was â€Å"already delayed† in coming up to the global standard. â€Å"What we’re looking at now is how to implement it. In [implementing] any change, there will be difficulty and this is what we really have to work on toge

Government Intervention in the Health Care Market

Government Intervention in the Health Care Market Naif Almutairi a) As an economic adviser to the Health Minister, how would you respond to the following question raised by a member of parliament? It is more of a basic human right to have access to food than to health care. Why do governments intervene more directly in markets for health care compared to markets for food? Introduction In the western political tradition, basic human rights are universal: all rights are necessary in order to make up the fundamental requirements of a human being (Donnelly, 2013). However, in practice, human rights are hierarchical. As Montgomery (2002:373) declares, peoples actual experiences with human rights reveal which ones are the most prevalent in their daily lives, and thus provide a possible basis for estimating their relative importance and for adopting appropriate policies. Different cultural groups and nationalities have different experiences of human rights (Donnelly, 2013). For example, people from high income countries such as Britain have few experiences of the right to food, yet frequent (and even inevitable) needs for the right to health care (Macklem, 2015). As a result, it can be argued that while food is more of a basic right to life (i.e. without food one cannot live) than the right to have access to health care, the latter is far more applicable to the delivery of human rights in the social, economic and political context of early twenty first century Britain. This essay will examine the problem of basic rights in greater detail, looking in particular at the reasons why the government tends to intervene more directly in health care markets than markets for food. As will become apparent, in order to understand the issue, it is essential to consider the unique nature of the health care marketplace, and the underlying need for government regulation that this necessarily entails. Government Intervention in the Health Care Market In order to understand why governments intervene more frequently and directly in health care markets, it is essential in the first instance to consider the nature and the function of the marketplace. For most commodities (including food), the market performs a simple function that permits buyers and sellers to exchange a good or service for a fee (Harvey, 2011). Free markets therefore allow the price of the good or service to be determined by: (1) supply and demand; and (2) resources available (Harvey, 2011). Prices for food products are agreed by both the buyer and the seller with supply and demand dictating the pattern of the interchange between the consumer and the producer (Donaldson Gerard, 2005). Viewed from this perspective, in a free market place (i.e. a marketplace that is characterised by an absence of government intervention) consumers are sovereign (Taylor Mankiw, 2014). Consumers are thus free to make choices and producers respond in kind (Taylor Mankiw, 2014). However, the health care market is fundamentally different from food and other commodities that are bought and sold in the marketplace (Klein, 2005). Two points in particular are apparent. Firstly, when a consumer becomes seriously ill and needs to enter the health care marketplace, the costs of goods and services are likely to be extremely high (Donaldson Gerard, 2005). For example, for the vast majority of consumers, the costs of complex surgery will far exceed what the customer is able to afford. Thus, consumers in the health care market place are not sovereign economic actors as they are in food markets where hunger is alleviated according to what kind of food the consumer can afford (Wiseman Jan, 2011). Secondly, unlike consumers of food, health care consumers cannot predict when they will become sick or what their future health care needs might be (Donaldson Gerard, 2005). Therefore, consumption in the health care market is not determined by choice but, rather, by uncertaint y (Wiseman Jan, 2011). As a consequence, in the health care market, most transactions occur between insurers and health care providers rather than between the consumer and the commodity producer (Guinness Wiseman, 2011). This, in turn, ensures that transactions which occur in the health care market place are influenced by complex processes of risk management, information asymmetry resulting from consumer ignorance and negative externalities (i.e. where health care exacts a cost to all consumers regardless of whether or not they are purchasing any products) (Guinness Wiseman, 2011). Consequently, in the health care market, prices are not determined by supply and demand; rather, prices are determined by interactions between insurers and suppliers, and health care providers (Taylor Mankiw, 2014). Furthermore, unlike in other commodity markets, the price of health care is not affected by the quantity or availability of resources: when the consumer is sick they have no option but to purchase the product that can make them better (Wiseman, 2011). As a result, stripped of the power and influence of sovereign consumers, the health care market is fundamentally distorted. Where, in an ideal market, consumers act as a check upon the power of the producers, in a health care market suppliers and producers are predominant (Donaldson Gerard, 2005). Consequently, left to its own devices, the health care market would be subject to endemic failure characterised by problems of distribution, resource inequalities and an absence of price controls (Walshe Smith, 2011). It is for this reason that the government tends to intervene more directly in the health care market than in the food market. Government intervention in the health care market is required to regulate the marketplace, establish the parameters for prices, and allocate and fund scarce resources (Mills, 2011). Without government intervention, the public costs of consumption would exceed the private costs of production (Mills, 2011). Conclusion The Member of Parliament who raised the question has failed to grasp two important points. Firstly, although, from a theoretical vantage point, rights are universal, in practice rights are characterised by hierarchy. In Britain, the right to health care is of more practical value than the right to food. Secondly, because consumers are not sovereign, the health care market is susceptible to market failure. Although the existence of market failure and/or market inequalities is not in itself a reason for government intervention, the extent of the distortions and pervasive incentives that arise in health care renders government intervention in the funding and regulation of the health care market an economic necessity. b) What do you think should be the objectives of a health care system? How would you finance and organise the system to achieve this? Introduction At the dawn of the twenty first century, health care is arguably the most contested area of public policy with the legitimacy of governments depending in large part upon the ability to meet the health needs of ageing populations in times of deep economic uncertainty (Buse et al, 2012). The centrality afforded to health care therefore demands that policy-makers have clear objectives and goals so as to set attainable long and short-term agendas for public health care delivery. This essay will examine the issue of objectives in greater detail, looking in particular at the goals of health care in the contemporary era. In addition, the essay will consider the ways in which the state should finance and organise the system in order to meet its objectives. Over the course of the essay, it will be necessary to discuss problems such as raising funds, paying doctors and financing hospitals and other front-line services. The Objectives of the Health Care System The core objective of any health care system should be two-fold. On the one hand, a health care system should endeavour to improve the health and wellbeing of all of the people who use the system regardless of wealth (Mahon, 2011). On the other hand, a health care system should look to reduce the economic burden of disease upon the state (Robinson, 2011). However, these two objectives cannot be achieved in isolation. For example, aiming to improve the wealth of the population demands that the health care system improves access to primary health care (Mahon, 2011). Likewise, reducing the burden of disease demands that health care systems improve the cost effectiveness of health services, and recruit the best medical professionals available to deliver health care (Donaldson Gerard, 2005). Therefore, the core objectives of the health care system are undermined by an unresolved tension between social and economic goals: where social goals outline the primacy of equity, economic objectiv es underscore the importance of efficiency; likewise where social goals consider quantity, economic objectives emphasise quality (Maynard, 2005). As a result, the objectives of the health care system are determined by the nature of the institutional mix between public and private health care providers (Maynard, 2005). Financing and Organising the Health Care System to Achieve Objectives In order to examine how to finance and organise a health care system, it is essential to contemplate the question of opportunity cost. As Donaldson and Gerard (2005) attest, the principle of opportunity cost is constructed upon the premise that purchasing one item inevitably involves a trade-off against another. For example, a health care manager who decides to invest in a particular treatment cannot do so for a different treatment. Thus, the true cost of the allocation of scarce resources is the inability to pay for other resources that the health system requires (Wiseman, 2011). Therefore, opportunity costs suggests that there is always a trade-off between equity and efficiency (Maynard, 2005). This has been particularly prevalent in the NHS where certain areas of the health care system (for instance, coronary disease) have been prioritised over others (for example, mental health) (Ham, 2009). Financing and organising the health care system therefore demands that public health agen cies incorporate the private sector into models of economic development (Balduzzi, 2011). Public-private partnerships (PPPs) have already become a staple feature of health care economics (Klein, 2005). PPPs allow the state to shunt the responsibility for financing the building, operation and design of hospitals and other clinical and non-clinical services to private sector contractors in the guise of Special Purpose Vehicles (SPVs) (Broadbent Laughlin, 2005). Although PPPs have been criticised for increasing the risk of financing health services back onto the public sector, the merging of public sector interests with private sector imperatives represents an ideal means of alleviating the economic burden of funding health care from the state (Klein, 2005). In particular, institutional diversity is able to address the problem of opportunity cost when there is only the one health care provider (Broadbent Laughlin, 2005). PPPs should thus remain a central means of financing and organising health care services. In addition, in order to raise funds, public health care providers should look to fuse taxation with income from patient charges (Donaldson, 2011). Moreover, significant funds can be raised from public health providers treating private patients. For example, NHS Foundation Trusts (FTs) have seen income from private patients increase by 16 per cent in the past two years, totalling  £395.9 million in 2014-15 (Health Investor, 2015). Private sector initiatives can also be used to help to pay for the expertise that is required to deliver quality health services (Donaldson, 2011). Research undertaken by Donaldson (2011), for example, suggests that doctors respond positively to financial incentives (i.e. remuneration per consultation or per operation). Although financial incentives have been criticised for leading to over-recommend of health services, there is little evidence that this is an inevitable by-product of market-based remuneration (Donaldson, 2011). Contractual performance-rel ated pay where wages are linked to market economies would therefore represent the most viable means of paying for and retaining the best medical staff in order to deliver the objectives of the health care system (Tofts, 2011). Conclusion The objectives of the health care system are both economic and social. On the one hand, a health care system should endeavour to improve the health and wellbeing of the population through improving access to care. On the other hand, a health care system should aim to reduce the burden of disease by improving the quality of health care provision. However, the problem of opportunity cost suggests that there is always a trade-off between efficiency and equity. It is therefore proposed that health care systems are financed and organised according to a public-private model. This, in turn, would help to build hospitals and other front-line services, pay doctors and raise funds for the allocation of resources. In the final analysis, quantity and quality can only be established by locating alternative means of financing and organising the health care system.  Ãƒâ€šÃ‚   References Balduzzi, P. (2011) Models of public-private partnerships for the provision of goods, in, Journal of Economics and Politics, 23(2): 271-296 Broadbent, J. and Laughlin, R. (2005) The development of contracting in the context of infrastructure investment in the UK: the case of the Private Finance Initiative in the National Health Service, in, International Public Management Journal, 6(2): 173-197 Buse, K., Mays, N. and Walt, G. (2012) Making Health Policy: Second Edition Maidenhead: The Open University Press Donaldson, C. and Gerard, K. (2005) Economics of Health care Financing: The Visible Hand: Second Edition London: Palgrave Macmillan Donaldson, C. (2011) Credit Crunch Health Care: How Economics Can Save Our Publicly-Funded Health Care Systems Bristol: Policy Press Donnelly, J. (2013) Universal Human Rights in Theory and Practice: Third Edition New York: Cornell University Press Guinness, L. and Wiseman, V. (2011) Health care markets and efficiency, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics: Second Edition Maidenhead: The Open University Press, pp.117-132 Ham, C. (2009) Health Policy in Britain: Sixth Edition London: Palgrave Macmillan Harvey, D. (2011) The Enigma of Capital and the Crises of Capitalism London: Profile Health Investor (2015) NHS private pay income up 14% in two years. In Health Investor [online], available at, http://www.healthinvestor.co.uk/ShowArticle.aspx?ID=4259 (first accessed 24.10.15) Klein, R. (2005) The public-private mix in the UK, in, Maynard, A. (Ed.) The Public-Private Mix for Health Oxford: The Nuffield Trust, pp.43-62 Macklem, P. (2015) The Sovereignty of Human Rights Oxford: Oxford University Press Mahon, A. (2011) Health and wellbeing: the wider context for health care management, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management: Second Edition Maidenhead: The Open University Press, pp.96-119 Maynard, A. (2005) Enduring problems in health care delivery, in, Maynard, A. (Ed.) The Public-Private Mix for Health Oxford: The Nuffield Trust, pp.293-310 Mills, A. (2011) Health systems in low and middle income countries, in, Glied, S. and Smith, P.C. (Eds.) The Oxford Handbook of Health Economics Oxford: Oxford University Press, pp.30-57 Montgomery, J.D. (2002) Is there a hierarchy of human rights? in Journal of Human Rights, 1(3): 373-385 Robinson, S. (2011) Financing health care: funding systems and health care costs, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management: Second Edition Maidenhead: The Open University Press, pp.37-64 Taylor, M.P. and Mankiw, G. (2014) Economics: Third Edition London: Pearson Tofts, A. (2011) Managing resources, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management: Second Edition Maidenhead: The Open University Press, pp.399-417 Walshe, K. and Smith, J. (2011) Introduction: the current and future challenges of healthcare management, in, Walshe, K. and Smith, J. (Eds.) Healthcare Management: Second Edition Maidenhead: The Open University Press, pp.1-12 Wiseman, V. (2011) Key concepts in health economics, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics: Second Edition Maidenhead: The Open University Press, pp.7-29 Wiseman, V. and Jan, S. (2011) A simple model of demand, in, Guinness, L. and Wiseman, V. (Eds.) Introduction to Health Economics: Second Edition Maidenhead: The Open University Press, pp.37-54

Macbeth Character Analysis Assignment: Macbeth Is Evil :: William Shakespeare

Macbeth Character Analysis Assignment: Macbeth Is Evil In Shakespeare?s play Macbeth, Macbeth is motivated to commit his evil acts by three forces. For example, the witches in the play give him the first idea that he will be king. In addition, his own ambition starts to take over later in the play. Lastly, Lady Macbeth pushed and forced him constantly to commit these evil acts. By listening to these evil forces, Macbeth commits evil acts which make him evil. The three witches in the play are a pretty big influence on Macbeth. For example, the witches tell him that he will be the Thane of Cawdor. ?All hail, Macbeth! Hail to thee, Thane of Cawdor.? (I.iii.47). This quote shows that Macbeth is confident that he will eventually be king. Also, the witches tell him none of woman born can kill him, therefore, making him feel invincible. ?The power of man, for none of woman born shall harm Macbeth.? (IV.i.79-80). This quote proves that Macbeth is becoming even more confident because he knows from the witches prophecies none of a woman born can kill him. In the end, the witch?s basically started out Macbeth?s ambitions to become king who makes him commit evil acts. Secondly, it?s Macbeth?s own ambition to become king. One way he proves this is by killing his best friend Banquo because he wants to keep the throne and the witches said Banquo?s sons shall be kings. ?It is concluded. Banquo, thy soul?s flight (III.i.144-145). This quote shows how Macbeth evil is taking over him. He kills his best friend and he starts to murder innocent children. ?He has kill?d me, mother (IV.ii.83). Although he regrets murdering Duncan, murder to Macbeth was not a big deal anymore. Lastly, Lady Macbeth is a huge factor in Macbeth?s evil acts. For instance, she is the one who really starts him off to kill. Lady Macbeth pushes Macbeth for her satisfaction of being queen .In addition to this, she constantly questions his manliness making him feel like a sissy/wimp if he doesn?t commit this act. ?What beast was 't then, That made you break this enterprise to me? When you durst do it, then you were a man.? (I.vii.48-50) This quote shows that Lady Macbeth is questioning Macbeth?s manliness by comparing him to an animal. Moreover, she tried to make Macbeth feel guiltless after he murdered Duncan. ?A foolish thought, to say a sorry sight.

Xuela’s Character in Jamaica Kincaids Autobiography of My Mother Essay

  Many critics of The Autobiography of my Mother have remarked on the unrealistic facets of Xuela's extremist character. Her lack of remorse, her emotional detachment, her love of the dirty and "impure," and her consuming need for total control over everyone and everything around her give her an almost mythic quality. A more well-rounded, humanistic character would have doubts and failings that Xuela does not seem to possess. In light of Xuela's deep-seated resentment of authority, stubborn love of the degraded and unacceptable, intense rejection of the à ¬master-slaveà ® relationship, and--most pointedly--her hatred of the British and British culture, many critics have embraced the idea that Xuela is highly symbolic of the conquered, colonized races whose blood makes up her own. There are many complex parallels between Xuela's character and the collective psyche and cultural beliefs of Dominica's "conquered" races. Yet, instead of sinking in despair, Xuela refuses to gracefully accept her lot in life. Early on, she rejects the imposed cultural perception of herself as inferior. Her description of her elementary schoolteacher is prescient: "a woman of the African people, that I could see, and she found in this a source of humiliation and self-loathing, and she wore despair like an article of clothing, like a mantle, or a staff on which she leaned constantly, a birthright which she would pass on to us" (15). Xuela then explains the distinction between Africans and Caribs in her Dominica. "My mother was a Carib woman, and when they (the class) looked at me this is what they saw. The Carib people had been defeated and then exterminated, thrown away like the weeds in a garden; the African people had been defeated but had survived. When... ...den. She understands it, although she does not share it. Xuela also possesses a deeply rooted need for control over her personal realm, possibly brought on by her hatred of the control exerted by the British over Dominica, as well as by her unhappy childhood. Above all, Xuela makes it her project in life to love herself, and, as one reviewer remarks, "she does so with a remarkable dedication" (Mead 52). Her own body becomes a temple to her, a place in which to feel safe and loved. Xuela says that she loves herself out of necessity, for the world she lives in is cruel and has little love to give her. Xuela's character is hard to take, from any standpoint. She is almost inhumanly resilient, and her hatred of all that is Western and white is all-consuming. For these reasons Xuela is sometimes seen as an abstraction, a symbol of an entire people's suffering.   

Power in the Workplace Essay example -- Management

The ability to possess power over individuals is an intense trait that all individuals behold. The outcomes of situations are based on the use of this power. Power can be viewed as an art and a skill if used properly to promote productivity, efficiency, and effectiveness within an organization. However, contrary to that, it can be used in a deviant manner to prohibit success. The following analysis will analyze the most productive use of power and the impact of power in a specified organization. The organization chosen for this illustration will be the Directorate of Resource Management, which fall under the Department of the Army. Is the ability to possess power an art or a skill? In answering this question, one must be able to accurately define the definition of power is. While there are multiple definitions of power, The American Heritage Dictionary has multiple definitions of power. For the purpose of this examination, power will be defined as â€Å"the ability or official capacity to exercise control; authority† and â€Å"a person, group, or nation having great influence or control over others† (American Heritage Dictionary, n.d.). These are two of the most common interpretations of what power is in the workplace. Power is both, an art and a skill. One must have the intuition to understand the consequences of the use of power. In addition, the actual implementation of power is achieved by experience and knowledge of the subject. Career Coach, C.J. Liu wrote an article titled ‘Power in the Workplace’ that outlines some critical details about power and its existence within an organization. Liu wrote, â€Å"Generally, it’s not power, but what people do with the power they have, that gives power a bad rap† (Liu, 2009). Lui con... ...wer can also heal the sick, create wonderful products and services, and do great good in the world. Like electricity, which can help to cure or kill, power is a mutable force† (Baker, 2007). Works Cited American Heritage Dictionary. (n.d.). Retrieved November 24, 2010, from Yahoo! Education: http://education.yahoo.com/reference/dictionary/entry/power Baker, C. (2007, July 26). The Englightened Manager Blog. Retrieved November 24, 2010, from The Enlightened Manager: http://blog.emergenceconsulting.net/2007/07/power-in-the- wo.html Liu, C. J. (2009, June 4). Power in the Workplace. Retrieved November 24, 2010, from Carrer Planning Blog: http://blogs.payscale.com/career-coach/2009/06/the-positive-and- negative-aspects-of-power-in-the-workplace.html Robbins, S. P., & Judge, T. A. (2011). Organizational Behavior. Upper Saddle River: Prentice Hall.

Realities on Teen Pregnancy in America

Although the rate of teenage pregnancy in the United States has declined greatly within the past few years, it is still an enormous problem that needs to be addressed. These rates are still higher in the 1990's than they were only a decade ago. The United State's teenage birthrate exceeds that of most other industrialized nations, even though American teenagers are no more sexually active than teenagers are in Canada or Europe. Recent statistics concerning the teen birthrates are alarming. About 560,000 teenage girls give birth each year. Almost one-sixth of all births in the United States are to eenage women are to teenage women. Eight in ten of these births resulted from unintended pregnancies. (Gormly 347) By the age of eighteen, one out of four teenage girls will have become pregnant. (Newman 679) Although the onset of pregnancy may occur in any teenager, some teens are at higher risk for unplanned pregnancy than others. Teenagers who become sexually active at an earlier age are at a greater risk primarily because young teenagers are less likely to use birthcontrol. African-American and Hispanic teenagers are twice as likely to give birth as are white teenagers. Whites are more likely to have abortions. Teenagers who come from poor neighborhoods and attend segregated schools are at a high risk for pregnancy. Also, teenagers who are doing poorly in school and have few plans for the future are more likely to become parents than those who are doing well and have high educationsl and occupational expectations. Although the rate of teenage pregnancy is higher among low- income African-Americans and Hispanics, especially those in inner city ghettoes, the number of births to teenagers is highest among white, nonpoor young women who live in mall cities and towns. (Calhoun 309) In addition to the question of which teenagers become pregnant, interest is shown in the social consequences of early parenthood. Adolescent parents (mostly mothers) may find that they have a â€Å"lost or limited opportunity for education. (Johnson 4) The higher a woman's level of education, the more likely she is to postpone marriage and childbearing. Adolescents with little schooling are often twice as likely as those with more education to have a baby bafore their twentieth birthday. Some 58% of young women in he United States who receive less than a high school education give birth by the time they are twenty years old, compared with 13% of young women who complete at least twelve years of schooling. (Tunick 11) Teens who become pregnant during high school are more likely to drop out. Calhoun 310) A teen mother leaves school because she cannot manage the task of caring for a baby and studying, and a teen father usually chooses a job over school so that he can pay bills and provide for his child. (Johnson 4) Teen mothers usually have fewer resources than older mothers because they have had less time to gather avings or build up their â€Å"productivity† through work experience, education, or training. (Planned Parenthood 1) Because of this, teen mothers are generally poor and are dependent on government support. Newman 679) The welfare system is usually the only support a teen parent will receive. Welfare benefits are higher for families with absent fathers or dependent children. (Calhoun 309) In some cases, teen mothers may also receive help like Medicaid, Food Stamps, and â€Å"Aid to Families with Dependent Besides educational and financial problems, teenage mothers may face a great deal f emotional strain and may become very stressed. Teen mothers may have limited social contacts and friendships because they do not have time for anything other than their baby. Lack of a social life and time for herself may cause the teenage mother to become depressed or have severe mental anxiety. (Johnson 5) Depression may become worse for a teenage mother because she usually does not know much about child development or about how to care for their children. Children who are born to teenage mothers usually suffer from poor parenting. (Berk 188) Also, children of teenage parents start being exually active before their peers and they are more likely to become teenage parents themselves. These children may also suffer from financial difficulties similar to that of their parents. Children whose mothers are age seventeen or younger are three times as likely as their peers to be poor, and are likely to stay poor for a longer period of time. † (Calhoun 311) The children born to teenage mothers sometimes score lower on development tests than the children of older mothers. It seems that â€Å"rather than declining over time, educational deficits increase in severity and the children show lower academic chievement, higher drop out rates, and are more likely to be held back in school. † Teenage pregnancy comes with not only a child, but also many consequences. Teen mothers face greater health risks than older mothers, such as anemia, pregnancy induced hypertension, toxemia, premature delivery, cervical trauma, and even death. Many of these health risks are due to inadequate prenatal care and support, rather than physical immaturity. The teenage mother is more likely to be undernourished and suffer premature and prolonged labor. (Calhoun 311) The death rate from pregnancy omplications are much higher among girls who give birth under age fifteen. (Gormly 347) Poor eating habits, smoking, alcohol and drugs increase the risk of having a baby with health problems. Johnson 3) The younger the teenage mother is, the higher the chances are that she and her baby will have health problems. This is mainly due to late prenatal care (if any) and poor nutrition. (Planned Parenthood 1) An adolescent mother and her baby may not get enough nutrients and, because the mother's body is not fully mature, she may have many complications throughout the duration of the pregnancy. Along with the mother, the children of teenage parents too often become part of a cycle of poor health, school failure, and poverty. Infants born to teenage mothers are at a high risk of prematurity, fragile health, the need for intensive care, cerebral palsy, epilepsy, and mental retardation. (Johnson 5) Low birth weight is the most immediate health problem. Babies born to teenagers are often born too small, too soon. Low birthweight babies may have immature organ systems (brain, lungs, and heart), difficulty controlling body temperature and blood sugar levels, and a risk of dying in early infancy that is much igher than that of normal weight babies (five and one-half pounds or more). Calhoun 310) â€Å"The death rate for babies whose mothers are under fifteen years of age is double that of babies whose mothers are twenty to thirty years old. † (Johnson 5) Because of these extremely serious problems, many government, as well as local, organizations are fighting to stop the occurence of teenage pregnancy by helping to educate children of the risks involved and the consequences after. Some research indicates that â€Å"the percentage of teenage birthrates has declined simply because fewer eenagers are having sexual intercourse and more adolescents are using contraceptives. Researchers say that the recent trends in sexual activity and contraceptive use are the result of a number of factors, including greater emphasis on abstinence, more conservative attitudes about sex, fear of contracting sexually transmitted diseases, the popularity of long-lasting birthcontrol methods such as the contraceptive implant (Norplant) and the injectable (Depo-Provera), and even because of the economy. In addition, researchers say that young people have become somewhat more conservative in their views about casual ex and out-of-wedlock childbearing. Some attribute this change in attitude mainly to concern about sexually transmitted diseases. Others say that it is because of the involvement of conservative religious groups in the public debate over sexual behavior. Many researchers believe that the strong economy and the increasing availability of jobs at minimum wage have contributed to fewer births among teenagers. (Donovan 32) Americans, however, seem to be against some of the methods used by these various organizations to reduce the teen pregnancy rates. The most controversial aspect of adolescent pregnancy prevention is the growing movement to provide teenagers with easy access to contraceptives. † Most Americans believe that giving teenagers birthcontrol pills and/or condoms is the same as telling them that early sex is allowed. Some studies that were conducted in Europe show that some clinics in Europe that distribute contraceptives to teenagers have the same sexual activity rate as in the United States. However, in these European studies, it is apparent that teen pregnancy, childbirth, and abortion rates are Teenage pregnancy does cause many problems for the mother, child, and economy. There are, however, some incidences where the mother overcomes this down-hill trend and makes a successful life for her and her child. The outcome of teenage pregnancy turns out better if the mother goes back to school after she has given birth. (Berk 190) Staying in school may help to prevent teenage mothers from having a second pregnancy. (Planned Parenthood 2) The outcome is also better if the mother continues to live with her parents so that they can help to raise the child. Young, teen mothers need health care for themselves as well as their children. An adolescent mother also needs a great deal of encouragement to get her to remain in school. Single teenage mothers also need job training so that they can get a good job to support themselves and their children. Teen mothers need to be taught parenting and life-management skills and also need high quality and affordable daycare for their children. Schools that provide daycare centers on campus reduce the incidence of teenagers dropping out of school. These school programs also ecrease the likelihood that the teen mother will have more children. Berk 189) Because the government has begun to take action in preventing teen pregnancies, the rate has continued to decline. The large numbers of young people in America–as well as the values, health, education, skills they gain–will greatly affect the future of society. Therefore, increased attention should be given to the well-being of adolescents. Since greater care is being given to the young people, improvements are already occuring. The level of education that young people receive is much higher than that of their parents, and he â€Å"expectation that young people should obtain at least some secondary schooling† is growing. The numbers of women who have a child during their teen years is declining, and recognizing the impact of childbearing on education, parents and communities are continuing to discourage sexual activity, marriage, and motherhood at a young age. (Tunick 13) These recent trends, if continued, will more than likely educate the adolescent population about the risks and consequences of teenage pregnancy and reduce the incicence of teen pregnancy and childbirth altogether.

Our Choice Shape Our Identity

Our identities ar mainly cause our accept decisions and concerns, whereas outdoor(a) factors create opportunities to change our indistinguishability. Do we choose our identity or is it elect for us? With infinite opportunities around us, we atomic number 18 given a path that leads to a new adventure, all(prenominal) projectd on whether to travel along or refuse. The opportunities around us atomic number 18 a great deal formed from the basis of our family, as they make decisions for us when we are born. An mortals parents would have to a greater extent responsibility as they have to micturate care of their barbarian and themselves.The valetagement an private blends is determined by the life room they live, they have the decision to change and determination, which is up to the idiosyncratic and finally forms their identity. Decisions making is unity of the most important factors in an idiosyncratics life, making it a condemn fit part of the development of our i dentity. The education corpse is designed for students to plan their future remnants, consequently an somebody is given numerous total of choices, whether it is to change by reversal a doctor or a soldier in the military. The choices an individual makes in the parade will decidedly affect his future.Throughout William Thornhills life, he is offered with many life changing opportunities, his consignment to marry Sal, his choice to call on a waterman and many more. From all these decisions-making choices, his identity changes from one to another, most importantly they are choices that William Thornhill made. These choices he made heavily yieldd his behaviour and lifestyle which determined his identity at the end, where he starts off as a kid from the ghetto to a gentleman in NSW. The choices an individual makes in the past and present definitely affects the future and identity of an individual.The way we live is determined by ourselves, by choices weve made in the past and p resent. Everyones identity is unique, because we chose to be different, to pass this we prevail to have different personalities and appearances. Through these changeable aspects, an individuals identity varies, further an individuals determination powerfully forms their identity, because they are focused on what must be done and will conserve that path to achieve their goal. Dianas childishness goal was to be multitalented, and through all the practices, she decided to become an actress. She refused to co-operate with her mother and follow her own dreams.Her determination of becoming an actress reachd her identity, by being a powerful independent woman and finally achieving her goal through hard work. Her decision of become rebellious and determined are major(ip) factors that has affected her today, and shaped her identity. Although it was her choice to become an actress, it was her family who influenced her to be multitalented at a immature age. The choices we begin to mak e are often based on what has been given to us and what we need or want most, thus, static circumstances are important because they shape our identity before we are undetermined of making decisions.Unchangeable external factors fuck off with an individual, forming the basis of ones identity. An individual is not in control of the family they are born in, neither are they obligated for the environment they live in. In a smack, an individual will want to live in an environment where it provides a sense of belonging, a place where it defines ones identity, and living in that environment to reproduce, with the number forced to live in the equal environment as the parents are.In the novel, The inexplicable River, William Thornhill is born into a relatively silly family, through the influence of his parents, stealing meant living. later being transferred to NSW, William Thornhills son barb Thornhill experiences the same situation, where his family is English and civilised, howe ver rotating shaft choses to interact with the aborigines and becoming one of them. His identity as an English white man does not change as it stay with him forever. Family is an important factor when a child develops their identity, as it influences the choices the child makes in the future.Choices determine our identities, whether it is our own decision or decisions from external sources. With good decision making skills, an individual is able to change their future by making good decisions and having the determination to achieve their goals. Families are a huge influence to our decision making skills, as easily as they create opportunities for us to remedy our future. Without choices in life, many of our identities wouldnt be unique, are wouldnt be able to change, we would all live the same and no one would have individuality.