Observing a mathematics lesson

Observing a mathematics lesson Introduction: The world in which we live is mathematical. In our everyday activities we need mathematics for instance; there is need in everyone for mathematical thinking as well as problem solving in the workplace, at home, when in a shopping spree, etc. In a world of such kind, you notice that those who comprehend and can operate mathematics will have immense opportunities that others lack. In fact, mathematical proficiency opens avenues to productive prospects. Conversely, lack of mathematical competency closes those doors. Usually, learners have varied abilities, interests and more fundamentally, needs. Yet each learner requires mathematics in his or her individual life, be it at home, in the workplace, and even in further study. All learners deserve a chance to appreciate the power and splendor of mathematics. Students should learn a new collection of mathematics nitty-gritty as well as higher level critical-thinking handiness which are critical to problem solving. These permits them to work out fluently, interpret and to unravel puzzles innovatively and resourcefully. The objectives of this lesson is to enable instructors establish suitable strategies employable in problem solving and appropriate forms of mathematical assessment and further the correlation between problem solving and learners achievement. In the lesson, the standards in mathematics with regard puzzle solving are also looked at, as well as problem solving and assessment in an inclusive setting. In the lesson, several standards put down by the National Council of Teachers of Mathematics (NCTM) were addressed. The NCTM declares that students need to develop a range of strategies for solving problems, such as using diagrams, looking for patterns, or trying special values or cases (NCTM, 2000, p. 7). These teaching strategies allow learners to comprehend with ease abstract mathematical concepts and make these concepts realistic to learners perception. According to Hanson et al (2001), if all learners are going to gain knowledge of these strategies, then these strategies should be imbedded in and most importantly be taught across the curriculum. Beside strategies standards, NCTM also establishes the standards for mathematics assessment to help in enhancing learning of mathematics and modeling and shaping teacher instruction. As a result, learners need to use assessments as a part of the reflecting process and work together in partnership with the teachers to determine the direct ion of learning in mathematics (Hanson et al, 2001). The teacher did discriminate instruction within a diverse classroom into mainly high achievers and the low performing learners. In this case, the teacher exposed low achievers to basic skills with limited exposure to operate higher-level problem-solving skills which were left for the higher performers (Grouws Cebulla, 2000). These low performing learners according to Grouws Cebulla, (2000) need to be exposed to more challenging curricula which provide first hand experience. For instance, rather than handing learners a worksheet, a more interesting puzzle might relate to an investigation of classmates involving the kinds of pets they have. From that basis, the class could create graphs depicting data, find partial comparisons (introduction to ratios and probability) and percents. Technology was not used in the instruction of the math lesson. For more effectiveness and probably efficiency, technology can be incorporated into this lesson. For instance, the teacher can make use a graphing calculator. This will offer learners an opportunity to collaborate and discuss the puzzles to establish the solution, as they would in a real world situation. Teaching mathematics needs a lot of reference lists. Teachers habitually have reference lists posted in their classrooms during lessons to which students can make reference when faced with a problem-solving situation. Mathematical problem solving indeed is a multifaceted cognitive activity which involves numerous processes as well as strategies (Montague, n.d.). Stages involving Problem solving are twofold: representation of the problem and problem execution. In the lesson, the teacher used pictures or manipulative objects. Pictures and objects do help make the problems as well as concepts more real and concrete to students as nearly all mathematics concepts are abstract. Modern theories on teaching techniques discourage competition and instead promote collaborative learning. Competition as a teaching strategy demotivates and demoralizes the underperformers. As a teacher, I would reorganize the classroom to accommodate more learner-learner interaction. Placing learners into cooperative learning and problem solving situations will promptly increase the interaction between the high-performing and low-performing students with the target of bridging the learning gap. Moreover, I would employ use of alternative assessments like portfolios and hands-on projects in order to improve strengths and weaknesses of each individual mathematics students. I would also include modifications like slowing the pace of instruction, reducing the process of estimation from problem solving, using flip charts of the involved processes and strategies, and finally teaching from known to unknown, concrete to abstract and from simple to complex. Conclusion: Mathematical problem solving can best be taught by employing cooperative learning technique. Students should be provided with the processes, stages and strategies that make mathematics problem solving simple to learn. Teachers should also consider providing real life mathematics situations to challenge students, and students will begin to appreciate the necessity and essence to be excellent problem solvers. References: Grouws, D. Cebulla, K. (2000). Improving Student Achievement in Mathematics. Geneva, Switzerland: International Academy of Education International Bureau of Education, Educational Practices Series -4. Hanson, et al (2001). Should standard calculators be provided in testing situations? An investigation of performance and preference differences. Applied Measurement in Education, 14(1), 59-72. Montague, M. (n.d.). Math problem solving for middle school students with disabilities. The Access Center. National Council of Teachers of Mathematics (2000). Principles and standards for school mathematics.

Social Norms of Income Distribution

During the period between 1929 and 1953, the United States occupational pay ratios and earning inequality is declined, mainly across World War II (Ober 1948, Phelps Brown 1977, Williamson and Lindert 1980, Goldin and Margo 1922b). The evidence showed that the condition of income inequality was occurrence in that period. Moreover, the problem of income inequality is declined. But, the problem of income inequality is existed. The government cannot spread the income distibution evenly. Many reasons obstructed the income distribution evenly. In my discussion, I concentrate to explain five reasons to influence the income distribution in the United States in the 20th century. Changing in social norms is related to the income distributions. Many people think that women represented a cheaper alternative for employers. Their jobs were viewed as temporary to be abandoned in favor of marriage and a home. High turnover combined with a large pool of replacements in any occupation will tend to depress wages, but it also means there is no incentive to provide career opportunities or invest much effort to train persons for more responsibility. Consequently, women tended to fill the more specialized and lower-paying work, while men moved into the new office manager roles. The fact is that clerical, service, and sales work does not yield significant financial returns to people with more formal education or longer work experience (Bibb & Form, 1977). In large part, this is because most of these are low ceiling careers, lacking in meaningful promotion opportunities for higher paying positions. The jobs have been filled advantageous position by one sex or the other. The point is strongly influencing the income distributions. The point of the unionization is related to the income distributions. Unions have improved wages and benefits, increased job security, and protected workers from discriminatory managerial decisions. Male workers are more likely to be members of trade unions, thus enjoying the advantages of collective bargaining for wages and earning more than women (Flaherty & Caniglia, 1992). Overall, women are about half as likely to be union members as men. Rinehart wrote,  ¡Ã‚ § This accommodation to capitalist power was formalized in what is known as the post  ¡V World War II compromise forged in the midst of the intense class struggles of the 1940s. This settlement between labor, big capital, and the state featured the establishment of a new industrial relations system and stipulated a set of trade  ¡V off. Unions were legally recognized and accorded organizational security. ¡ (P.184) Changing in the education level of the population is related to the income distribution. In the U.S, the financial return to a university or college degree also declined during the 1970s. One explanation of this phenomenon was the substantial increase the proportion of the population going to university, particularly the entry into the labor force of the  ¡Ã‚ § Baby-Boom ¡ generation during the 1970s (Welch 1979). Freeman (1976, 1980) argued that the demand for educated workers also declined, so that not all of the change in relative earnings could be attributed to temporary developments on the supply side. Dooley (1986) concluded that the entry of the large baby ¡Vboom cohort during this period did lower earnings growth for this group, but that this demographic effect could not account for the observed harrowing of earnings differentials by level of education. Dooley ¡s results thus suggest that demand  ¡V side forces may also have played a role. Changing in the age structure of the population is related to the income distribution. The shapes of the earning streams reflect the main key factors which is earnings increase with age but at a decreasing rate. This concave shape reflects the fact that individuals generally continue to make human capital investments in the form of on-the-job training and work experience once they have entered the labor force. This job experience adds more to their productivity and earning s early in their careers due to diminishing returns to experience. However, to the extent that education increases productivity, individuals with the same amount of work experience but more education will earn more, perhaps substantially more. Migration is related to the income distribution. Economic theory predicts that the forces of competition would serve to reduce pure regional wage differentials so that they reflect compensating differences, short-run adjustments, or noncompetitive factors. Those forces of competition were the movement of capital from high- to low-wage areas, and the movement of labor from low- to high-wage areas. Empirical evidence tends to verify the implications of migration as a human capital decision. In a recent study, Osberg, Gordon, and Lin (1994) explore the determinants of interregional and interindustry mobility of individuals in the Maritimes. Using the 1986-87 LMAS, they find that younger individuals and those with higher expected wage gains are more likely to migrate. As well, the process of migration tends to reduce the regional disparities that induce the migration decision. In conclusion, the five reasons are influence the income distribution in the United States in the 20th century. The social norms show that the income inequality is happened between men and women. The unionization shows that the unions have a power to improve the wages and benefits for their members. In this situation, the income inequality is happened between union ¡s members and non-unions members. Although the demand for education workers was declined, education people still earn more than the uneducated people do because they have an expertise knowledge and experience. Migration is benefits for the young individuals. They can have a chance to prove themselves. Therefore, the movement of migration decreases the regional disparities.

Top Examples of Research Paper Outlines Guide!

Top Examples of Research Paper Outlines Guide! Academic writing really needs a particular format. Formatting a research paper is not a simple undertaking. Plagiarism is definitely from the question. It's possible to also describe the range of your research. You don't have to be concerned about privacy. Additionally, among the vital purposes of an outline is to clearly convey the relation between the thesis and every one of the topic sentences. Essays may look very dull sometimes. Completing an MLA outline will guarantee your research paper format is accurate. The MLA format stipulates the vital guidelines for effectively writing an essay based on the MLA standards. Don't forget about valid references and suitable citation according to the necessary paper format. Essay outline for college plays an important function. College students should use a suitable numbering for unique sections. Essay outlines shows you that even if you aren't an expert writer, you are still able to make a great essay. Know how your essay is going to be evaluated. Correct all errors that you could spot and enhance the general caliber of the paper to the best of your ability. Demonstrate the way your input develops and distends the current works. On the flip side, you might write from a worldwide perspective and examine sustainable cities around the world. The maturation of a powerful and independent neighborhood government is accented in Mexico (states are split into free municipality). Why don't you drop in today and let our crew of experts assist you with your research papers. In the event the structure of the chief body has many levels, it is preferable to use different numbering styles. If you take a close look at research paper outline examples, you will observe we have several approaches to present the major body. Construct the human body and the abstract. Bear in mind that the chief goal of the research paper is to clearly show your abilities to work on your own and demonstrate the scope of your knowledge on several different topics. The guide covers its primary elements and gives valuable examples. In order to start outlining the research paper, determine why you're researching the subject. To get started researching local problems, head straight to local newspapers and internet sources. With essay outline, essays will avert writer to get off topic or jumping from 1 argument to a different argument that doesn't relate with what it is you are discussing. Writing research papers is a wearying procedure, and even more so if you don't have a predetermined topic. It is not just merely a compilation of related literature that could support the argument you are trying to raise, the findings you are trying to get, or the question you are trying to answer. Writing a research paper may look as a mission impossible if you've never had th e chance to work on this kind of assignment. Now you know how to begin your research paper, you're probably thinking about how to keep going. After reading the thesis, there ought to be no doubt precisely what the research will be about. To compose a great research proposal on local government, it would be helpful to get familiar with free examples research paper topics on the matter. For this reason, you might have to look for good topics for high school research papers on the internet.

Gay Marriage Should Be Legalized - 938 Words

Gay marriage is in fact a controversial topic that many people feel strongly about. I believe that gay marriage should be legalized without being penalized by people who disagree with it. I will, within reason, explain to you why gay marriage should be legalized and argue against Karlee’s essay about why gay marriage shouldn’t be legalized. The first thing Karlee talks about in her opposing essay is, â€Å"Children of same-sex couples, biological or not, need both a mother and a father in their life.† In an article on Sciencedaily.com, Do Children Need Both A Mother and A Father? it mentions that, â€Å"...there is almost no social science research to support this claim.† Another great point it includes is, â€Å"...the researchers found no evidence of gender-biased parenting abilities†¦ noting that very little about the gender of the parent has significance for children’s psychological adjustment and social success.† As said in the article, children with same-sex parents â€Å"do as well on average as children raised..:† by opposite gender parents. Another thing I will point out in Karlee’s paper is the statement she mentioned, â€Å"Those children will hunger for a mother like figure and a father-like figure.† Although that may be true, if one were to a sk a kid, would you trade your parents? Their immediate reaction would be normal because no matter the gender, parents are parents. Children will love their parents, they’ve been there for them through everything, no matter what.Show MoreRelatedShould Gay Marriage Be Legalized?1313 Words   |  6 PagesCredit – Should gay marriage be legalized? Marriage is considered to be the rite of passage from an religious point of view, it is considered as holy matrimony before the eyes of God. Attraction between individuals of the same sex has been a topic of debate. However, over the past few years gay individuals made a decision to our grievances of oppression despite receiving tremendous critics from the public. Initially, gay marriagesRead MoreShould Gay Marriage Be Legalized?935 Words   |  4 PagesThere is a lot of controversy about gay marriage and whether or not it should be legalized in certain states that haven t yet legalized it. My opinion on this topic is that it should not be legalized for various reasons. My reasons on this have nothing to do with religion because religion shouldn’t have anything to do with their opinion; religion is a biased opinion because of its authenticity. Another thing that shouldn’t be considered is their opinio n that doesn’t have a reasoning behind it likeRead MoreShould Gay Marriage Be Legalized?1705 Words   |  7 PagesPaper Option 1 Gay marriage has and still is a huge controversy in the United States. I will say though that the U.S. has come along way when it comes to same-sex marriage. As of November 20, 2014 gay marriage is now legal in thirty-five of the fifty U.S. states. Massachusetts was the first state to legalize same-sex marriage in May of two thousand and four. As of October ninth two-thousand and fourteen, only sixteen out of one hundred and ninety-four countries allow same sex marriage. By those oddsRead MoreGay Marriage Should Be Legalized1379 Words   |  6 PagesName: Tutor: Course: Date: Gay Marriages Marriage is considered as hypothetically speaking, a rite of passage whilst from the religious point of view, it is considered as holy matrimony before a supreme being. Attraction between individuals of the same sex has been a topic of debate since time immemorial. However, over the past few years gay individuals have opted to air grievances of oppression despite receiving tremendous critics from the public. Initially, gay marriages were unfathomable eventsRead MoreShould Gay Marriage Be Legalized? Essay1828 Words   |  8 PagesIntroduction What does it mean to be gay and why does society discriminate against those who are deemed to be gay? This paper establishes that being gay is primarily based on the supposition that one is either homosexual, transgender, lesbian, or bisexual. It also establishes that one of the primary reasons why gays are discriminated against within the society is religion; that some of the views held by different religious conclaves substantiate gay rejection by the society. On a more personal ratherRead MoreGay Marriage Should Be Legalized1280 Words   |  5 Pagescommunity and abides by the law should be afforded the rights of an American. However, not all citizens are afforded equal rights. Gay and lesbians are consistently denied rights that are typically taken for granted by the average American. Specifically, gay and lesbians couples are denied the right to marry even if they are upstanding citizens. They are held at an unfair disadvantage solely because of their sexual orientation. This discrimination must stop because gay and lesbian couples are law-abidingRead More Should gay marriages be legalized? Essay1504 Words   |  7 Pages Should same sex marriages be legal? nbsp;nbsp;nbsp;nbsp;nbsp;Same-sex marriages have been very controversial since becoming an issue in Canada regarding the Canadian Charter of Rights and Freedoms. Several people state that same-sex marriages should be legal, while others disagree, saying it should not be permitted. There have been many debates and inquiries about this issue for several years; the MP’s and Parliament will finally settle the problem within the next year or so. Many are in favourRead More Gay Marriage Should be Legalized Essays1696 Words   |  7 Pages There are numerous opinions and standing views on gay marriage. The argument regarding gay marriage should be legalized or not is extremely controversial. According to an article from the Human Rights Campaign, there is nothing wrong with allowing homosexuals to have the same rights as those who are heterosexual. Every individual person should be granted equal rights, regardless of sexuality. Gay marriage should be legalized in all states and coun tries, it has been held off for too long. MoreoverRead MoreShould Gay Marriage Be Legalized?727 Words   |  3 Pages Everyone, regardless of gender orientation or sexual preference deserves equal rights, such as marriage, feeling comfortable with whom they are, and being treated like any other human being. Right now gay marriage is a hot topic in many states, however, what say should the government get in who you love and want to marry? Beyond a court room, research has been done on the idea of transgenderism and what causes people to be like that or if people are truly born in the wrong bodyRead MoreShould Gay Marriage Be Legalized? Essay464 Words   |  2 PagesMarriage is defined as the state of being a married couple voluntarily joined for life. In the definition it says couple, with out indication of gender. In our society gay marriage is a hot topic. Previously legalizing gay marriage was out of the question, but as times has changed and more liberal politicians have gained office to reflect th e views of today’s society. One of the reasons that LGBT people fight for the right to marry because married couples receive more protections and advantages in

Risks Of Free Trade - 1753 Words

Robert Knighton Pol. Sci. 1300 Kate Ivanova April 23, 2015 Risks of Free Trade If someone mentions an argument against free trade aloud, the typical person might withdraw curiously: against free trade? Indeed, such a statement does require explanation, as the connotation behind the word can differ slightly even if the primary meaning succeeds. Not to mention the ambiguity that accompanies such a phrase, as the speaker likely means they support regulated trade because of the risks that free trade involves. Indeed, the risks of free trade are so steep that it requires regulation, albeit with surgical precision. (what I mean by this is that regulation is required, but in small amounts. Heavy regulation would be as bad if not worse than no regulation) What is meant by free trade, exactly? First, it is important to note that while the terms â€Å"free trade† and â€Å"fair trade† are often used interchangeably in colloquial speech, they are completely different things. In fact, free trade is anything but fair (except to private corporate profits). Free trade, according to mainstream economic policy, has zero restrictions on imports and exports. There are no tariffs, quotas, subsidies, etc. Often, free trade agreements surpass the sovereignty of nations in order to guarantee the corporate interest in private capital gains. Michael Palenti, in his article, â€Å"Globalization and Democracy: Some Basics†, vocalizes this concern with free trade agreements, saying that, â€Å"†¦[corporations] seek aShow MoreRelatedDisadvantages Of Free Trade For Canada Essay1468 Words   |  6 PagesDisadvantages of Free Trade for Canada: For every upside, there is a downside, and this certainly is the case for free trade in Canada. The successes listed above, also appeared in the United States and Mexico, which impacted our country. For every job that was created for them, some were lost elsewhere. Ontario, in result of jobs created elsewhere,: Lost hundreds of thousands of good manufacturing jobs. Those jobs went to States in the U.S. where unions are made weak by legislation, and to MexicoRead MoreBusiness Development in a Global Market Essay1452 Words   |  6 Pagesminimizing the risks. Core fundamentals include, indentifying potential markets, product competition, risks involved, future growth potential, entry strategy and costs involved to enter the market place. When identifying potential markets we must consider the benefit, risks and costs associated with each market. There are several questions that need to be asked. The first one being, what is the political stability and economic growth rate of the country. This will determine how high the risks are to enterRead MoreBusiness Development in a Global Market1442 Words   |  6 Pagesminimizing the risks. Core fundamental include, indentifying potential markets, product competition, risks involved, future growth potential, entry strategy and costs involved to enter the market place. When identifying potential markets we must consider the benefit, risks and costs associated with each market. There are several questions that need to be asked. The first one being, what is the political stability and economic growth rate of the country. This will determine how high the risks are to enterRead MoreThe World Trade Organization And Its Effect On National Security1476 Words   |  6 Pagesâ€Å"There are gains from trade. Because of trading, we are now driving the fancy sporty cars such as Lamborghini and Ferrari which are produced by Italy; and Italian are using the hottest smart phone which designed by American†. Trading brings a huge benefit for these two countries which is sharing and gaining their superior production to each other. However, nothing can be accomplished without norms or standards. Although trading has diversified advantages, it could be some risks hidden back. For instanceRead MoreLiterature Review Of Globalization989 Words   |  4 Pagesfoc us was on the manufacturing industry, and he argues that the benefits of globalization are very quickly being threatened by the escalation in the production of risks. These risks can be seen escalating in the new changing conditions of economic change. He uses an example of industry that is related to production, he argues that risks involved in that industry are hoisted, because they can easily spread and it can affect the whole globalized market. This view could mean that there could be a dominoRead MoreFree Trade Agreements And The Trade Agreement909 Words   |  4 PagesFree trade agreements are established around the world by countries to limit restrictions on trade and investment in hope of benefiting both countries’ economies. A free trade agreement removes barriers to trade eliminating most quotas and removing tariffs on goods and services that can be exported or imported. Many free trade agreements also remove other barriers to trade, like property protection or res trictions on foreign service provider’s industry. China a growing superpower, has the largestRead MoreCase Solution: Reanults Logan Car Essay869 Words   |  4 PagesBusiness) Topics: International Value Chain, Foreign Trade Related Risks Trade Barriers Internationalised Value Chain of Renault Logan Pitesti ROMANIA â‚ ¬489 Million Investment in Production site for Renault Logan CKD Parts CKD-parts Decree 166: 0% duty rate for ~90% of parts Moscow, Russia investment of â‚ ¬230 for assembly plant Duty Free CBUs 0% duty rate resulting from free trade agreements By 2006 20,000 Logans exported Ukraine (free trade agreement) Export Morocco 54% stake inRead MoreGlobal Trade And Its Effects On The United States1046 Words   |  5 Pages In our quickly expanding global economy, how states execute trade is more important than ever. Global organizations like the International Monetary Fund are established to help the states trade and regulate trade currencies. These global organizations are not always efficient, and can lead to imbalances in trade currency. â€Å"For more than a decade, the U.S. and other countries castigated China for its currency policy, saying the yuan’s level gave the country’s exporters an unfair advantage at theRead MoreCase Study: Ameritrade Essay1238 Words   |  5 PagesExecutive Summary: In mid-1997 Joe Ricketts the Chairman and CEO of Ameritrade, decided that Ameritrade’s new mission would be to become â€Å"the largest brokerage firm worldwide based on the number of trades.† In order to accomplish this mission Ameritrade would need to invest significantly in technology and advertising. This strategy would require large expenditures relative to Ameritrade’s existing capital. In order to gauge the financial impact of these large expenditures, there needed to beRead More world trade organization Essay examples637 Words   |  3 Pagesthere has been a constant controversy over whether the World Trade Organization should enforce global free trade. The primary idea is to establish in which all are happy. Although there are many advocates for trade liberalization, as well as many who oppose. I believe free trade may be advantageous for both large and small-industrialized countries, but it does not favor the smaller developing countries needs prim arily. If the World Trade Organization eliminates tariffs and quotas, it could create

Avoid Being Late Free Essays

Avoid Being Late Lasonya Dawson Grand Canyon University PSY-102 October 24, 2010 Avoid Being Late The act of being late can be avoided by taking certain measures. The first thing you have to be able to do is admit that you had a problem with being on time. The next thing you have to do is be able to identify what causes you to be late. We will write a custom essay sample on Avoid Being Late or any similar topic only for you Order Now The next thing that you have to be is willing to do is make the necessary changes to correct the issues. The issue can be corrected with acknowledging all of the above and realize that this can be a very career threatening thing.The admittance that you have issue with being on time is the very first step in starting the process is resolving the issue. When you are late the problem starts in the preparation of the day before or the day of. One has to be able to picture in their mind what needs to be the day before and have a backup plan if needed. If one is in denial that they have a problem being on time, then there is little that can be done to correct the issue. Once you have acknowledged the issue then you can find a solution or set up some type of system to resolve it. One has to be able to identify what triggers or causes them to be late.When you realize the point when time starts to get in a bit of a crunch could be sign of you being late. You have to be able to figure out is it the day before preparation or is it that you may have to try to multitask. Multitasking is the act of doing several things at the same time to get all completed in a timely manner. One should be able to see the pattern and the signs that occur when they are about to be late. When you are able to make the necessary changes to eliminate being late then you will be able to see what a positive effect it has on all things in your life. Once the changes are made to correct the issue you should become a more productive person. The key to being on time is time management. If you are able to manage your time well usually you are always on time. I pride myself on being on time. I start the day before if I know I have to be somewhere at a certain time the next day. I start by doing everything that I can possibly do the day before so that it will not slow me down the next day. I start with the kids. I ironing their clothes, getting their snacks together, and making sure I know how much time I am going to need to get them ready.I can say that I am rarely late to anything that I am expected to be on time to. I accredit it to the fact I feel like I am going to miss something if I am late and I hate to be in a hurry or having to do things at the last minute. The issue will not just be resolved in just one attempt. You have to be willing to try different things over a period of time. You have to be able to set a realistic time frame that you will be able to say that you have the issue under control. One has to set short term goals and follow through with them. You can start as simple as doing some things the day before that you would normally do the day of to save time.One may follow up next with trying to multitask and take care of several things at once but, do not overwhelm yourself. Finally you can use what you have been training yourself to do on a family outing and set a time that you expect yourself to be there. You can even go so far as to grade yourself. There should also be some consequences for you being late. You can make an agreement with yourself to take away things that you like to do. You should also reward yourself for being on time until you have gotten the issue under control. I could start by taking away television time from you or even internet time from yourself.You can reward yourself by buying something that you like. There should always be penalties for allowing you to be late as well as rewards for being on time. The main thing that one has to realize is the negative effect that being late has on your career. Being late shows signs that you are not dependable. You should think it as if you are going to an interview and that if you are late then you are not going to get the job that you so desperately need. If one can place that kind of pressure on themselves then you should be able to always How to cite Avoid Being Late, Papers

Oscillometric And Auscultators Blood Pressure - Myassignmenthelp.Com

Question: Discuss about the Oscillometric And Auscultatory Blood Pressure. Answer: Introduction The essay focuses upon the concept of evidence based practices in nursing care. The evidence based practise methods helps in redesigning a safe, efficient and effective care. It helps the practitioners approach questions related to health care in an evaluative and qualitative manner. A study has been conducted in the assignment researching the benefits of using automated device for measuring the blood pressure of children in hospitals rather than manual devices. There are different school of thoughts both stating for and against the use of automated measurement devices over the manual ones. The question raised here has been supported through sufficient evidences and resources which have been further critically reviewed for reliability and validity. Problem and answerable question The blood pressure can be measured using both manual and automated measuring techniques. The manual device is also known as the auscularity device whereas the automated device is known as oscillometric device. As commented by Myers (2014), measuring accurate blood pressure helps in monitoring the proper functioning of different body systems and organs. The erroneous blood pressure measurement may result in wrong treatments being administered to the patients. Therefore, acute measurements procedures and techniques need to be developed. The focus of the assignment is use of automated blood pressure devices over manual devices for measuring the blood pressure of children within hospitals. A number of arguments have been placed in favour of use of the automated techniques over manual measurement processes. As commented by Mansoor et al.(2016), the automated readings helps in representing the true blood pressure because of the built-in deflation rate of the device. However as argued by Da skalopoulou et al.(2015), the clinicians suggest occasional checking of the automated blood pressure readings against the mercury sphygmomanometer. This is done to remove the chances of any errors which may have crept during the process of blood pressure measurement. However, finding the right size of cuff for accurate measurement of blood pressure in children often becomes difficult (Lin, Chang, Chou Lin, 2014). Therefore, the emphasis is shifted upon the use of automated blood pressure measurement devices with a built-in deflation rate. The research has been further substantiated with the help of developing a proper research question. The question has been developed in the PICO format where the P stands for Population, I stand for intervention, C stands for comparison and O stands for Outcome. Therefore, the question which can be raised over here is: Is using an automated blood pressure monitoring system (I) on children (P) more accurate in monitoring the level of blood pressure (O) compared to manual sphygmomanometers (C)? Locating the evidence A number of evidence bases have been referred to in order to retrieve adequate information regarding the benefits of choosing automated blood pressure measuring techniques over manual sphygmomanometers. In order to understand the differences one needs to develop sufficient idea regarding the different types of blood pressure measuring devices, their functioning and efficiencies. The blood pressure is divided into two components- systolic and diastolic pressure. The systolic pressure is when the heart is pumping and the diastolic pressure is recorded when the heart is at rest. In this respect, mercury sphygmomanometers are one of the old school manual methods of measuring blood pressure. The physician has to manually inflate or deflate the cuffs around the arm till the systolic and diastolic pressures are recorded (Benmira et al., 2016). However as argued by Chu et al.(2017), there are a number of limitations of using the manual method of recording blood pressure such as appropriate a djustment of the cuff while measuring the blood pressure. Children have thin arms resulting in loose fitting of the cuff, which often results in erroneous recording of blood pressure. Additionally, the children often become impatient during manual recording of the blood pressure which takes longer. The automatic recording of blood pressure takes lesser time comparatively. The inflatable part of the cuff needs to cover atleast 80% of the part of the patients arm (Neuhauser, Ellert, Thamm Adler, 2015). A childs cuff measures less than 24 cms in diameter. Therefore, using a large cuff may result in low blood pressure readings. However as argued by Benmira et al.(2016) most of the hospitals lack different sized cuffs which affects accurate measurements. As commented by Lin et al. (2016), fraudulent marking of the lower meniscus of mercury can also result in inaccurate measurements being taken. Another variation which can be used over here is an aneroid sphygmomanometer. The features of the devices are similar to mercury sphygmomanometer excepting that here instated of using mercury for recording the blood pressure, a dial gauge is used, which is connected to the cuff. As argued by Neuhauser, Ellert, Thamm Adler (2015), the dial gauge of the aneroid sphygmomanometers requires recalibration on a frequent basis further questioning the accuracy of the device. The automated blood pressure monitoring device measures the oscillations of the arteries using pressure sensors. The oscillations are processed using an algorithm to convert them into systolic and diastolic values which are displayed on a digital interface. The electronic sensors attached with the cuff can accurately sense the systole and diastole pressures which control the defla tion rate tightly (Duncombe, Voss Harris, 2017). Moreover, slight movement during the measurement of the blood pressure also affects the recording. Most of the times the children fail to sit quietly during the process of blood pressure monitoring resulting in false pressure data. Diagram: Flowchart depicting the process of blood pressure monitoring in children (Source: Author) Appraising the evidence There are contradictory opinions regarding the use of automated digital sphygmomanometer versus manual sphygmomanometers for measuring blood pressure. There are a number of limitations of the use of automatic digital sphygmomanometers such as faulty built-in deflation rate. As commented by Rinfret et al. (2017), the devices have to be checked against the manual sphygmomanometers in the initial stage to ascertain the accuracy of readings. The installation of the devices requires huge amount of expenditures such as investment behind battery replacements. As mentioned by Flynn et al. (2017), for large arm cuffs the devices have to be connected to an AC adaptor. The high cost associated with the devices does not restrict the purchasing ability of the same. As argued by De Caen et al. (2015), the blood pressure reading is also affected by the general health conditions of the patient. For example, the ones suffering from hypertension might depict elevated levels of mercuric pressure. The p roblem situation may be further analysed to find out the presence of some other health concerns such as presence of high cholesterol content in the blood. This results in narrowing of the blood vessels resulting in high pressure of blood within the arteries. As argued by Franssen et al. (2017), the chances of human errors in automatic digital sphygmomanometers is minimum as most of the critical operations are performed automatically. Another concern which has been raised by experienced physicians regarding the manual sphygmomanometers usage has been termed as clinical inertia. As mentioned by Daskalopoulou et al. (2015), a physician can heat the onset of the korotkoff sounds somewhere between 140 and 138. Therefore, in most cases the physician to choose upon a particular number. Therefore, the diagnosis often takes a hypothetical turn which may affect the quality of the care services. However, as argued by Neuhauser, Ellert, Thamm Adler (2015), children have higher level of foetal haemoglobin which has less oxygen carrying capacity. In order to cope up with the deprivation the heart has to pump more blood which raises the normal blood pressure level. Therefore, along with the recording techniques in place certain degree of medical expertise is also required. As argued by Rinfret et al. (2017), wrong interpretation of the results may affect the particular treatment methods being administered to the child. Database: CINAHL, Cochrane library , MEDLINE, Joanna Briggs Is it appropriate to use automated blood pressure monitoring devices instead of manual sphygmomanometers on children in hospital? Search topic Number of hits generated Blood pressure monitoring devices 52 Automated blood pressure monitoring devices 65 Use of automated blood pressure monitoring devices in children 20 Benefits of manual sphygmomanometers over automated blood pressure monitoring devices 10 Peer reviewed journals only 44 Limit the journals to last ten years only 42 Limit the journals to English language only 40 Table: search criteria for evidence-based articles (Source: author) Summary of practice The manual sphygmomanometers are the most accepted old school method of monitoring and recording blood pressure. A loose end in the cuff of a blood pressure monitoring device may result in the recording of wrong results (Sheppard et al., 2014). On the other hand the automated blood pressure monitoring devices work with the help of electronic sensors and sense the systolic and diastolic pressure automatically at the same controlling the deflation rate. However, the automated devices require huge amount of investments making it difficult for maximum number of hospitals to purchase them (Benmira et al., 2016). Therefore, most of the hospitals are still using the manual methods of blood pressure recording. Thus, both the methods need a certain amount of medical expertise which will help in focussing upon the general health condition of the patient before arriving at a result. Additionally, maintaining standard cuff sizes will help in measuring the blood pressure accurately across a wide age group (De Caen et al., 2015). The devices should be calibrated frequently to provide accurate results along with controlling the cost of the medical equipments and devices. Conclusion In this respect, a number of issues have been identified with both the manual and the automated methods of blood pressure recording. However, the accuracy is dependent upon the cuff sizes which are different depending upon the age and health of an individual. A healthy individual may require a wider cuff whereas a lean child may need a thinner cuff. The automated blood pressure monitoring devices though easier to use specially with the children requires huge investments. Therefore, there are loopholes pertaining to the use of both the device and requires suitable policies and intervention strategies. References Benmira, A., Perez-Martin, A., Schuster, I., Aichoun, I., Coudray, S., Bereksi-Reguig, F., Dauzat, M. (2016). From Korotkoff and Marey to automatic non-invasive oscillometric blood pressure measurement: does easiness come with reliability?.Expert review of medical devices,13(2), 179-189. Chu, G., Zhang, Z., Xu, M., Huang, D., Dai, Q. (2017). 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