The Dangers Of Smoking Tobacco - 1121 Words

Executive Summary The dangers of smoking tobacco exceeds far beyond the individual using the tobacco product. Secondhand Smoke (SHS) is a dangerous byproduct of smoking that affects anyone who comes into contact with the smoke. Educating the community about the dangers and unintended consequences of being around cigarettes is a focus of this paper, as well as looking into the effectiveness of current smoke-free policies. There are businesses and cities that are becoming smoke-free, and they are putting policies into place that legally protect the non-smokers who are exposed to secondhand smoke via involuntary smoking. Involving stakeholders in this policy change is vital to actually incorporating change within the community. Legislators, the business community, health departments, schools, hospitals, and community residents would all have very good opinions for both sides of this issue. Problem Statement Are smoke-free policies effectively protecting the general public? Background Secondhand smoke (SHS) is smoke that is exhaled by people smoking, or from the burning tobacco product themselves. SHS is also known as environmental tobacco smoke (ETS). According to the American Cancer Society (2015), secondhand smoke is a mixture of 2 forms of smoke that come from burning tobacco: sidestream smoke and mainstream smoke. Sidestream smoke is the smoke that is from the lighted end of the cigarette, cigar, or pipe. Mainstream smoke is the smoke that is exhaled by theShow MoreRelatedThe Dangers Of Smoking Tobacco Smoking1547 Words   |  7 PagesDISCUSSION Since you cannot tackle what you are unaware of, the first step in decreasing tobacco smoking is to identify who the smokers are. These could be potential or current users of tobacco and tobacco products or people who are affected by environmental smoke also known as secondhand smoke. Health care providers cannot stop or reduce usage in a patient if they do not know whether the patient is a beginner or a current user. In the health care system, the family physicians are usually the primaryRead MoreThe Dangers Of Tobacco Smoking2505 Words   |  11 Pageshigh income countries but also in low and middle income countries. A major contributor to this is tobacco smoking (Valdes-Salgado, 2010). Tobacco smoking is a deadly habit that is undertaken for various reasons. These include social pressures, stress and also as the result of growing up in a smoking environment. Education and government intervention have been found to be a key factors in reducing smoking within populations, however these are the areas that are lacking in developing countries, resultingRead MoreThe Dangers Of Tobacco And Smoking1584 Words   |  7 Pagessurrounded by smoking day to day everywhere we go even if we don’t smoke it affects us. It has been in our society for generations. Families have grown up with family members that smoke or even smoking themselves. Smoking is a large part of our society spending billions while boosting the economy with sales and ads; in the midst of so much negativity surrounding smoking which is it good or bad? We hear the negatives all the time but upsides to smoking are never discussed. Tobacco and smoking were notRead MoreThe Dangers Of Smoking Tobacco1497 Words   |  6 PagesTobacco; one of the most profitable products in history, an addictive substance, and a deadly killer. Smoking tobacco used to be a thing that was endorsed in American society. Now, with the new medical advances and knowledge, society has seen the side effects of smoking and how fatal it actually is. Teenagers have been one of the largest age groups that have been affected by smoking. After analyzing all possible reasons as to why teenagers would smoke while knowing it can affect their health, threeRead MoreThe Dangers Of Smoking Tobacco Smoking Essay2296 Words   |  10 PagesYouth tobacco smoking has been associated with so many factors. To start with social and physical environments have been associated with this because of the way the mass media shows tobacco smoking as a normal thing and this has promoted tobacco use among the youths. Parental smoking has also contributed because their parents are role models and they always follow their steps. Secondly there are some genetic and biological factors that contribute to this. This occurs where it is more difficult forRead MoreThe Cipollone Vs. Liggett Group, Inc. Case Against Three Tobacco Companies749 Words   |  3 Pagescase against three tobacco companies, Antonio Cipollone, a husband sued three tobacco companies for the death of his wife, Rose Cipollone, due to lung cancer. Mr. Cipollone claims that the tobacco companies had failed to inform his wife of the risks that came with smoking. The jury agreed that the tobacco companies had failed to warn smokers of the dangers prior to 1966. â€Å"The jury also found that Mrs. Cipollone had voluntarily and unreasonably encountered a known danger by smoking cigarettes and thatRead MoreHealth Promotion For Smoking Within Adult Population959 Words   |  4 PagesHealth Promotion for Smoking within Adult Population Ashley Davis Chamberlain College of Nursing Miramar FL Tobacco has been around for many years. Tobacco was usually harvested and used by the Native Americans for religious and medical purposes. It wasn’t until settlers from the countries across the globe came and found it to be their main source of money if it was crop grown. They would chew it or put it into a pipe: By the late 19th century, cigarette making machines were inventedRead MoreHow Tobacco Affects The Human Body Essay970 Words   |  4 Pages Tobacco has more than 4000 substances in it. Nicotine is one of these chemicals in tobacco, which makes its user addicted to it. Also, Nicotine can affect the human body by speeding up the nervous system. Smokers feel more energized due to smoking tobacco. When people try to quit smoking, they experience the withdrawal effect. Many health problems are associated with smoking due to the fact that it alters how the body is working. There are about 480,000 deaths related to smoking every yearRead MoreShould Tobacco Advertising Be Banned?897 Words   |  4 Pageshealth hazard that arises from tobacco, I am of the opinion that tobacco advertising be ban completely in Indian. Ethics is a system of moral principles governing the appropriate conduct of a person or a group. It is a way of being human and having a feeling of compassion, sympathy or regard for others the way we have for ourselves. There is this famous saying of Abraham Lincoln â€Å"When I do good, I feel good; when I do bad, I feel bad. That’s my religion.† Managers of tobacco companies cannot pretend theyRead MoreShould Tobacco Advertising Be Banned? Essay897 Words   |  4 Pageshealth hazard that arises from tobacco, I am of the opinion that tobacco advertising be ban completely in Indian. Ethics is a system of moral principles governing the appropriate conduct of a person or a group. It is a way of being human and having a feeling of compassion, sympathy or regard for others the way we have for ourselves. There is this famous saying of Abraham Lincoln â€Å"When I do good, I feel good; when I do bad, I feel bad. That’s my religion.† Managers of tobacco companies cannot pretend they

Preventing Tooth Decay in Hispanic Preschool Children Program Development Free Essays

string(67) " arise from the potential adverse effects of infection and caries\." Preventing Tooth Decay in Hispanic Preschool Children: Program Development School of Nursing Health Teaching and Promotion Preventing Tooth Decay in Hispanic Preschool Children: Program Development Dental caries is a single most prevalent chronic infectious disease amongst US children (US Dept of Health and Human Services, 2000). Caries progression in younger children is more rapid and severe than in adults, resulting in the ailment known as Early Childhood Caries. According to National Center for Health Statistics (NCHS) morbidity report almost 20% of children 2-5 years old had untreated dental caries (2012). We will write a custom essay sample on Preventing Tooth Decay in Hispanic Preschool Children: Program Development or any similar topic only for you Order Now In order to prevent tooth decay and promote good oral hygiene in young children, the community nurse will coordinate with East Los Angeles day care centers to hold a series of short classes for groups of parents 10-14 at a time just before the end of day care’s business day. These classes will focus on preventing caries development in preschool children by raising awareness amongst parents. The education will target Hispanic day care centers, and the goals of the program will be achieved by educating parents and their preschool children on factors that contribute to cavities formation, and strategies to prevent caries progression. Health Prevention Need According to Dental Health Foundation (DHF) children in California have twice as much untreated dental caries as the rest of the nation (2000). DHF further indicates that national minorities are at higher risk to develop dental problems. Variables such as socioeconomic status and educational level directly correlate with the rates of the dental disease prevalence (US Dept of Health and Human Services, 2000). According to NCHS, almost 40% of Mexican children from families that are below 100% of poverty level have untreated dental issues. Additional factor that contribute to dental cavities progression is lack of insurance. More than quarter of Californian preschoolers and elementary school students have no dental coverage (DHF, 2000). The practice of giving a nocturnal bottle is still utilized by more than 30% of Californians, and is considered as most common factor that contributes to tooth decay (US Dept of Health and Human Services, 2000). Caries in children may be source of severe pain, interfere with learning, diminish overall quality of life, and potentially lead to life-threatening infections. Fortunately, dental caries is easily preventable by following basic oral hygiene strategies. However due to lack of knowledge and other socio-economic and cultural barriers, these guidelines frequently are not followed, and children suffer from tooth decay and associated problems. The goal of this educational course closely replicates oral health goals set by Healthy People 2020, which emphasizes importance of education and prevention (U. S. Department of Health and Human Services, 2012). A joint effort of public health professionals, day care centers personnel, and individual parents’ involvement can halt the progression of caries and prevent the tooth decay in children. Characteristics of Learners This program will involve parents and their preschool children, and child care providers. Considering the geographical location of proposed courses (East Los Angeles), the most of the participating children are of Hispanic heritage, three to five years old; include both gender, and most likely bilingual. Piaget coined a term of preoperational intelligence to describe the cognitive learning in children ages 2 to 6 (Berger, 2008). Preoperational cognition, according to Piaget, denotes learning that occurs before understanding logical operations. Children’s cognitive processes at this age are magical and egocentric (Berger, 2008). Lev Vygotsky, in contrast to Piaget’s theory emphasized the social learning as an important part of knowledge formation. Vygotsky recognized the importance of guided participation in learning process of preschool children. He provided four steps created by caregivers that motivate children to learn: challenge presentation, assistance availability, instructions, and encouragement. Another prominent social development theorist, Eric Erikson described preschool children being in the initiative versus guilt state, which characterized by child balancing effort and expectations of adults (Berger, 2008). Preschool children may have prior knowledge of basic oral hygiene strategies, but need assistance and supervision. Additionally children at this age are able to follow two or three step instructions, curious and motivated, do distinguish cause and effect in simple situations. Berger states that young preschool children have healthy growing organisms, but greatly influenced by genetics, nutrition, socioeconomic status, and other factors (2008). The long standing tradition of encouraging children to eat traced in low-income Hispanic families is turning into the overeating epidemic in the US (Berger, 2008). Besides overeating, poor dietary choices, such as snacks with little nutritional value, but high in sugar, fat, and salt pose a direct danger to oral health. The second category of learners in this course is comprised of adult Hispanic parents of preschool children, and caregivers at day care centers. Both parents and caregivers are most likely emerging adults with ages ranging from 21 to 35. Most of them belong to lower socioeconomic status, with public health being the only source of healthcare coverage. As much as 45% are uninsured (NCHS, 2012). Almost 25% of these adults live below poverty level, and median per capita in income is almost 2. 5 times less than that of rest of California (United States Census Bureau, 2012). Forty four percent of East Los Angeles population reported having a high school diploma, and only 5. 4% achieved baccalaureate degree as highest level of education (United States Census Bureau, 2012). As much as 97% of population is of Hispanic descent, and almost half of them are foreign born individuals. Catholicism is a predominant religion amongst Hispanic population. People of Hispanic origin have strong values of family relations, religion, tradition and customs. They might have preconceived ideas of oral hygiene, but most likely not follow the guidelines. Hispanics have a strong respect to healthcare providers, and their culture prescribes obedience and compliance, making them open to learning to certain degree (Berger, 2008). They might have limited English proficiency and be illiterate, which makes learning process harder. Nursing Diagnosis A multitude of nursing diagnoses are applicable to the situation of poor oral hygiene. Various problems arise from the potential adverse effects of infection and caries. You read "Preventing Tooth Decay in Hispanic Preschool Children: Program Development" in category "Papers" But for this educational course two interrelated nursing diagnoses were identified. The first nursing diagnosis is ineffective oral health maintenance related to knowledge deficit, cultural beliefs, and lack of material resources as evidenced by reported poor dentition status in children (Wilkinson, 2005). The second diagnosis directly stems from the first one: knowledge deficit related to lack of exposure and unfamiliarity with information resources as evidenced by inadequate demonstration of proper teeth brushing and flossing techniques (Wilkinson, 2005). These two diagnoses will guide the content of educational course with focus on relevant needs. Client-Centered Educational Goal Wilkinson includes goals into the nursing diagnoses for evaluation of outcomes (2005). Goals are descriptions of desired family or client actions that can be measured or directly observed (Wilkinson, 2005). Upon completion of this course parents will express knowledge of importance of proper oral hygiene, demonstrate correct brushing and flossing techniques, and identify strategies that reduce progression of caries. The following education plan is tailored to the client-centered goals with objectives that reflect clients’ needs. Learning Objectives Rankin, Stallings, and London state that leaning objectives have to be clearly formulated, time-limited, verifiable (measurable), and attainable in order to achieve effective learning (2005). A curriculum for health professionals and child care providers by California Childcare Health Program was used in the process of objectives identification (2005). To achieve stated educational goal six objectives: two of each learning domain were formulated. Cognitive objectives: 1. After attending a class on oral hygiene (condition), parents will state (performance) the detrimental effects of snack and drinks high in sugar, and nocturnal bottle on progression of teeth decay prior to the end of class (criterion). 2. After attending a class on oral hygiene (condition), parents will state (performance) the need to assist children with brushing until age of 8 by the end of class (criterion). Affective objectives: 1. After discussing a recommended routine of oral hygiene (condition), parents will verbalize (performance) their feelings associated with changes in the routine by the end of the class (criterion). 2. After discussing effects of sugar on tooth decay and importance of dietary modification (condition), parents will state their challenges associated with breaking he nocturnal bottle habit in their children (performance) routine by the end of the class (criterion). Ppsychomotor objectives: 1. After observing instructor perform correct brushing techniques (condition), parents and children will demonstrate a repeat demonstration (performance) routine by the end of the class (criterion). 2. After attending the class (condition), children will demonstrate â€Å"lift the lip† technique (per formance), to allow their parents inspect the teeth by the end of the class (criterion). Content Outline Content outline allows structured learning environment and provides guidance to the instructor. The content outline for oral health should include information on basic teeth anatomy, teeth eruption pattern, signs and symptoms of caries and teeth infection. The signs of infection may include gum or facial swelling on affected side, foul odor, drainage, and visible cavities and discoloration (California Childcare Health Program, 2005). The information of possible outcomes of untreated infection need to bi disclosed. Children may complain of pain and discomfort. Further, content outline should include demonstration of correct brushing techniques, both for parents and children, and information on relationship of sugar and night-time bottle to tooth decay. The session should include questions and answers section to allow parents and children validate their understanding. Active discussion is encouraged to promote disclosure of feelings associated with necessary changes. Content outline need to incorporate information on public health resources available to low income families to meet material needs. Instructional Strategies and Media The proposed education program will take place in the day care centers in East Los Angeles, CA, 1 hour prior to the end of business day. The course will be divided into 2 parts, first focusing on dental health concepts, and the second will be devoted to the correct brushing techniques and evaluation of learning. Teaching will be conducted in group format with estimated 10-15 participants. Group format allows sharing of concepts between members and more comfortable environment (Rankin et al. , 2005). The first part will be in the lecture format, reinforced by booklets both in English and Spanish anguages. Video material and plaster model of jaws will be utilized, to demonstrate teeth anatomy. Rankin and others note that instructional videos are more effective in conjunction with practice and return demonstration (Rankin et al. , 2005). Therefore, the second part of the session will focus on demonstration of brushing strategies, different positions to assist parents with brushing, and dental products. Demonstration can reinforce psychomotor objectives achievement, and lectures and videos are effective in meeting cognitive objectives (Rankin et al. , 2005). At the end, parents will be allowed to ask questions and reflect on their feelings, which will result in achievement of affective learning objectives. Instructional media listed above will include resources and materials recommended by â€Å"Promoting Children’s Oral Health: Curriculum for health professionals and child care providers† with permission of its developer – California Childcare Health Program. These include 4-minute â€Å"Lift the Lip† video on basic oral exam for parents and day care center providers, â€Å"Healthy teeth begin at birth† booklet, and the â€Å"What do you think? questionnaire to evaluate parents understanding and validate their feelings and concerns. All the materials are available in English and Spanish (California Childcare Health Program, 2005). Evaluation of Objectives and Program Evaluation Strategies To evaluate the outcomes of educational session, the lecturer will use a modified and simplified â€Å"Evaluation questionnaire† available from â€Å"Curriculum for health professionals and child care providers† to reflect both on cognitive learning, and to assess program perceived effectiveness (California Childcare Health Program, 2005). This tool includes questions with answers utilizing Likert scale to elicit feelings related to course effectiveness, and a simple test to assess knowledge. Observation of return demonstration of teeth brushing by both parents and children will serve as evaluation strategy for psychomotor objectives. Observation allows the teacher to provide feedback and corrective measures (Rankin et al. , 2005). The questions and answers session at the end of the class will assist the evaluation of achievement of both cognitive and affective objectives, by allowing participant verbalize their feelings, and validate their learning. Several open ended questions are included in the written questionnaire as well. Conclusion The oral health of children is greatly impacted by such socioeconomic variables, as their parents’ income, education, culture, prior experience, and insurance status. Preschool children from Hispanic families in state of California are at higher risk to develop dental cavities compared to the rest of the state. Basic strategies and spread of information about dental health can prevent progression of dental caries and greatly improve future quality of life in preschool children. This program will teach parents, caregivers, and children on proper teeth brushing techniques, disseminate knowledge on basic oral health concepts, and provide a list of public resources available to overcome financial barriers. References Berger, K. S. (2008). The developing person through the life span. ( 7th ed. ). New York. NY: Worth Publishers. California Childcare Health Program. (2005). Bright Futures Toolbox: Health Professionals and Human Services Providers. Retrieved from National Maternal and Child Oral Health Resource Center: http://www. ucsfchildcarehealth. org/pdfs/Curricula/oral%20health_11_v7. df National Center for Health Statistics. (2012). Health, United States, 2011: With Special Feature on. Hyattsville, MD. Retrieved from Centers for Disease Control and Prevention: http://www. cdc. gov/nchs/data/hus/hus11. pdf#076 Rankin, S. H. , Stallings, D. K. , London, F. (2005). Health promotion: Models and applications to patient education. In Patient Education in Health a nd Illness (5 ed. , pp. 27-46). Philadelphia, PA: Lippincott Williams Wilkins. The Dental Health Foundation. (2000). The Oral Health of California’s Children: Halting a Neglected Epidemic. Oakland, CA: Dental Health Foundation. United States Census Bureau. (2012). State County QuickFacts. Retrieved from United States Census: http://quickfacts. census. gov/qfd/states/06/0620802. html United States Department of Health and Human Services. (2012, August). Oral Health. Retrieved from Healthy People 2020: http://www. healthypeople. gov/2020/topicsobjectives2020/overview. aspx? topicid=32 United States Department of Health and Human Services. (2000). Oral health in America: A report of the Surgeon General. National Institutes of Health, How to cite Preventing Tooth Decay in Hispanic Preschool Children: Program Development, Papers

The Truth Is Out There Do We free essay sample

The Truth Is Out There, Do We Wish To Know? Essay, Research Paper The Heart of Darkness The hunt for truth and cognition consumes us all at some point in our lives, but we don # 8217 ; t ever happen what we are looking for in Truth. We wish it to be unequivocal, but more than that, we search for it with the strong belief that we will happen it and be pleased, cheerily enlightened, and will populate better lives for it. In Heart of Darkness, it is shown that this is rarely true. Kurtz was destroyed by the truth he discovered about himself and the universe he lived in. He had known and believed a # 8220 ; white # 8221 ; truth about the universe he knew. His white truth was one of civilized, genteel thoughts and actions. Populating amongst the privileged few, the creative persons, instrumentalists, speechmakers, and other civilized people, he knew nil of the dark deepnesss of the human bosom. When confronted with those atrocious worlds, he was forced to larn the # 8220 ; black # 8221 ; truth about life and people. His head couldn # 8217 ; t grok the truths he had to accept ; it was wholly beliing to what he knew, and so he crumbled, selling his psyche to sit among devils and Satans. He was hollow indoors, had no sense of moral or societal duty, and the black truth he discovered ate off and destroyed him. He regressed to savage behaviours he had antecedently repressed and allow the darkness fill the cold nothingness within him. Because he knew so much inkiness, he was unable to populate in society once more. He crossed over and release all ties to the civilised universe, for he had lived the white truths to an extreme, so did he populate the black truths. Kurtz showed what happens when the white truths and prevarications of society are taken off. Kurtz lived and found nutriment in that world, when it vanished and was replaced by another, darker universe, he folded. In our society, we live by restraint. For Kurtz in Africa, all the restraints were removed and he was allowed to hold every bit much confect as he wished, even before dinner. This proved to be excessively much for him, he went to an extreme and was destroyed by the surpluss he craved, the really excesses that drove him to the top of the folks and peoples he conquered. When the shallowness of society was erased, made nothing and nothingness, it had to be replaced with the ferociousness of the wild. Kurtz was unable to cover with this, his head had been devoted to society for excessively long. After rapidly lifting to the top by utilizing fright and worship, he was destroyed by the surpluss he attained. Marlow sought truth, he was disgusted by the pieces of inkiness he glimpsed through the director # 8217 ; s waste and senseless inhuman treatment. He didn # 8217 ; t cognize white truth to the extent Kurtz did, neither did h e live the black truth. He simply observed, and what he saw profoundly disturbed him. He merely saw the inkiness to the full in Kurtz, nevertheless, and merely somewhat within himself. He seemed to be simply an perceiver, but in watching the diminution of Kurtz, he saw the power of the black truth. The ground he was able to defy it, though, was that he had basic unity. Kurtz lacked that, and so fell into the deep abysm of corruptness in his bosom. Marlow went to the border, looked down, but was able to withdraw. Kurtz realized his black truth, Marlow merely saw his wild and barbarous potency. They were light and dark sides of the same coin ; Kurtz was what Marlow might hold become, and Marlow what Kurtz might hold been. Kurtz # 8217 ; s Intended knew merely the white truth about him, while his black Mistress knew merely his inkiness. Each loved him for what they knew, and each would hold been destroyed by the other # 8217 ; s cognition. When Marlow lied to Kurtz # 8217 ; s Intended, he allowed her to maintain her psychotic beliefs about him, he let her go on to believe her white truths about him. This Lashkar-e-Taiba her get down mending, and it showed Marlow a new deepness within himself, a deepness that might hold gone unfulfilled without sing the inkiness of Africa. Kurtz # 8217 ; s Intended and his Mistress had no desire to cognize the truth, they were satisfied with what they knew. Kurtz # 8217 ; s Intended urgently felt she needed to cognize his last words, but the truth would hold wholly devastated her. Marlow told her a prevarication, but one she had to cognize. Kurtz # 8217 ; s picture of the blindfolded lightbearer told volumes about the nature of the universe and of Kurtz. He knew what he was acquiring into, knew all that was traveling on around him in the tusk concern and in the African universe. Possibly it showed that, until his journey into Africa, he didn # 8217 ; t entirely grok the darkness within the tusk concern, and within life itself. Largely, it seemed to demo that we end up destructing what we profess to edify ; because we go about our lives with blindfolds on, we are unable to carry through the baronial dreams we aspire to. We all see merely what we want to see, and by declining to accept the worlds of our lives, we destroy what we wish most to continue. Throughout the narrative, we catch glances of the savagery both in nature and in adult male. It seems, though, that the darkness in adult male, while ever present, must hold outside abandon to spur its waking up. It can be likened to a hibernating vent, harmless while kiping, but, one time awakened, barbarous, ardent, and powerful. The hunt for truth oftentimes outputs non the pleasant enlightenment expected and desired, but the abandon necessary to convey out the ferociousness and inhumaneness in us all.