A Critique essays

A Critique essays In the book Civil War in the Ozarks, the authors, Phillip W. Steele and Steve Cottrell, describe lifes perils and strategies during the Civil War in the Ozarks of Arkansas and Missouri. Both authors have a rich family background with the Civil War. Phillip W. Steeles family fought on the Confederate side of the war and Steve Cottrells family fought for the Union forces. With both authors having common interest in preserving Ozarks history, they put together a historical review of the Civil War in the Ozarks. In my opinion a Reb and a Yank (respectively) getting together to write on such an event in history is remarkable. Although, I would imagine that is why the book sticks with so many facts, rather than to approach the aspects of the lives involved. The book would have been more enjoyable to read, if they had mingled a bit more of lifes stories within the battle events described. According to the book, Phillip W. Steele and Steve Cottrell have extensively researched the battles that took place between 1861 and 1865 in the writing of this book. They look at the heroes, outlaws, and peacemakers who influenced the role the Ozarks played in the War Between the States. (Back-cover) Before the Civil War abolitionist and pro-slavery forces had been fighting in the Ozarks. This book gives a detailed account of the Civil War battles that followed this era in the Ozarks. Two of the most famous of these battles was the Battle of Pea Ridge (p 48) and the Battle of Prairie Grove (p 60). The skirmishes were more for supplies than territory. The authors touched on the history of Quantrills Raiders and other lives of outlaws that evolved due to the war and violence. (p 56) When the war came to an end, with Robert E. Lees surrender at the Appomattox Court House in Virginia, on April 9,1865 the Union forces were the victors. I found that although ...

Personal space Essays

Personal space Essays Personal space Paper Personal space Paper A within-particpant experimental design was used to explore how uncomfortable an individual feels when approached by one or two people, this is measured when the individual says stop. The independent variable (IV) is whether theres one person walking towards the particpant orr two people walking towards themselves, wich were randomly assigned. The order of the two conditions was counterbalances so that half of the particpants start with one condition and vice versa, counterbalancing the order in which they start with. A table with odd and even numbers was used to randomly select the particpant with the condiitn. The even numbers start with condiiton one where one person walks towards the individual, and the odd numbers start with condiiton two where two people walk towards the participant. The dependent variable (DV) is when the experimenter is told to stop when approaching the participant. Participants This experiment consisted of 60 particiapnts which were recruited from Nottingham, UK. An opportunity sample was used for the experiment. The sample comprimised of an equal ratio of males and females. The participants were local university students. There was no exclusion criteria set for this experiment. The mean age of the sample was 19, with 30 males and 30 females. Materials This experiment consisted of a measuring tape which was used to measure the distance between the particiapnt and the experimenter. A set of stabndardised instructions along with the consent form were also used. A pen and paper to recored the results and also the experimenters involved. Procedure Particpants were asked whether or not they wanted to particpate in the experiment. The researcher then read aloud the instructions (see Appendix1), to which the participants filled out a consent form (see Appendix 2). Participants were then told that the experimenter will be approaching them and will be told to say stop when they feel uncomfortable with the proximity. The experimenter stands 6 meters from the particiapnt, in an open space. They approach at a slow pace, making no facial expression and no eye contact. The participants will then have to say stop when they feel uncomfortable, the space between them is measured and recorded in a table. Some controls had to be kept consistent, for example the standardised instructions and the ethical guidelines e. g, the right to withdraw and informed consent. In both conditions the experimenter stays 6 meters away from the participant. Results The table below gives a summary of the distance between the experiment and the participant. Table 1:A table to show the difference in standard deviation, Mean and Range of the distance between the experimenter and the participant. Condition Standard Deviation Mean Range T-test 1)One Researcher 12. 95 77. 47 50 1. 51 2)Two Researchers 17. 98 116. 6 81 Table 1 shows that when two researchers approach an individual they would say stop sooner because they feel uncomfortable in the presence of more than one person. The standard deviation and the mean were higher in condition two, where there were two experimenters than in condition one, where participants were only approached by only one experimenters. The T-test was 1. 51, this shows there was an insignificant effect of crowding on personal space (t obt=1. 51, df=58, P. 05) even though the participants said stop sooner when there were two experimenters (Mean=77. 47, Standard Deviation=17. 98) than with only one participant (Mean=77. 47, Stand Deviation=12. 95). Discussion The results suggest that when two people are walking to an individual they will say stop sooner, and when one person is walking towards a person they will say stop later. The results support the background literature. This experiment supported the hypothesis, it also provided valuable data. The purpose of this experiment was to see the effects of crowding on persoanl spce and how uncomfortaable participants felt on the number of people approaching them. The hypothesis was that paprticipants would say stop sooner if two experimenters were walking towards them then just one. There have been numerous studies to support the fact that crowding does affect a persons personal space. A study done by Cochran and Urbanczyk (1982), conducted an experiment on 2 conditions using a stop-distance technique. The results showed that in high-ceiling condiitons, the participants needed less personal pace than in low-ceiling conditions. Another experiment done by Gary. T. Long (1984) showed that participnts in higher tension situations preferred a greater distance from others. There were limitations involved with this study, the number pf participants were too few, therefore having more participants may have produced a greater variability amongst the results. Another limitation is regarding the location, it could have been more crowded with more noise, with some participants and not others. Intimidation could have been another factor effeting the experimen by the presence of the researchers and the distance varies according to many factors, one of them being the relationship of the people involved. The limitations mentioned above could be one of the many reasons why the T-test was insignificant. There are examples of eevryday life in relation to crowding on personal space and how people feel uncomfortable when approached by a group of individuals. For example, when a gang of youths approach one individual they world feel scared and uncomfortable, than if one person approaches a individual and asks for the time; they would feel at ease. However there are many other factors that affect a persons personal space it depends on the age of the individual, the sex, race, amount of indiviuals walking up to a person, and the appearance. However different people have different inmterpretations of what uncomfortable is for them, therefore cannot be certain on when they feel uncomfortable and say stop, therefore cannot measure it properly. These differences of interpretations can lead to a misunderstanding amongst the researchers from different cultures, the environment also affects ones perception on what uncomfortable is for them. Some people might feel uncomfortable with one experimenter walking up to them than two. To conclude from this, different things could be changed in doing this experiment again, a different location could be used. If this experiemnt were to be repeated, there are a few things that should be changed. For example, choosing a different location; this could have ben approached by prior research to obtain knowledge of whn places are most/least populated. The conclusion of this experiment was consistent with past reasearch. Although this experiment ended with a insignificant T-test, the information gathered from the results can help future research on the effects of crowding on personal space.

Authorizing Infringement and Secondary Infringement Essay

Authorizing Infringement and Secondary Infringement - Essay Example    File-sharing refers to exchanging copyrighted files through the internet with a financial inducement involved without getting permission from the copyright owner (â€Å"Protecting UK Music†). This was the same case with the University of New South Wales vs. Moorehouse where the university did not make it clear to students that copying any material without prior direct permission from the copyright owner is illegal and it provided a means and material for the infringement, a copier and paper (â€Å"European IP Bulletin, Issue 25, September-Hot Topics†). The providers of peer to peer networks then become liable for authorizing file sharing. For example Apple iTunes does not expressly warn purchasers that they cannot share music; it even encourages people to join its ‘PING† network where among others; people can see what music you ‘like’ and have downloaded and one can ‘burn’ audio playlists ‘up to seven times’(Apple) . Apple is not expressly prohibiting sharing of music; if one burns a playlist seven times who is liable if the person shares it? And can Apple be considered to be tolerant of sharing? Apple can be considered to countenance because it does not give conditions for making copies but says a playlist can be ‘burned up to seven times’, but for what purpose (Brendan).  In the CBS and others vs. Amstrad Consumer Electronics Plc and Other ruling in 1988, the judge ruled in favor of the defendant that it granted the ability for consumers to make copies of tapes onto blank equipment but did not give consumers the right to copy (â€Å"CBS Songs Ltd and Others vs. Amstrad Consumer Electronics Plc and Another†), so they were not liable for authorization, though their products were or could be used to infringe on copyrights; the ruling says the defendant was not guilty but he facilitated a means to infringe on copyright so, in reality, they should be liable for acts of comm ission and omission to the extent of authorizing duplication basically authorizing secondary infringement.     

Strategy creation in non-profit organizations The National Development Research Paper

Strategy creation in non-profit organizations The National Development Foundation of Jamaica - Research Paper Example Entrepreneurs in their quest for profits adopt various strategic measures to promote business growth and development. These are common perceptions that are held for any kind of business activity. On the one hand it is true that businesses exist for profit creation and sustaining business development activities, but the fact that firms have moral and social obligations to the community in which they exist cannot be ignored. Quite a lot of organizations exist and operate to serve the community and its social needs. These organizations are popularly termed as non-profit organizations that seek to improve the society in which they live. The National Development Foundation of Jamaica (NDFJ) is one such organization that is committed to assist micro, small and medium enterprises in setting up and promoting their business goals through the delivery of innovative financing products. How can a non-profit organization sustain its business goals and activities and what are the strategic measures such organizations can take to survive and grow in existing economic conditions. These are some of the vital issues facing the management of organizations like NDFJ. The paper highlights the sig nificance of strategic plans and the measures that can be taken by organizations to sustain and meet their developmental goals. Strategic plans and their role in businesses Managerial strategies are essential to running a successful business venture especially in today’s chaotic market and business scenario. Strategy refers to a plan of action set out by those who are at the organization’s helm providing direction to the managers and employees. The company directors and professionals for achieving long-term company goals and business objectives often design the strategic plans. Strategic planning therefore consists of competitive moves and approaches to increase performance and productivity within an organization. It is basically a game plan for running the business, strengthening the company’s competitive position, satisfying customers and achieving performance targets. Strategic planning answers three vital questions important in guiding the organizationâ€⠄¢s moves. It identifies the company’s current position providing answer to â€Å"Where are we now?† The second question that it strives to answer is â€Å"Where do we want to go?† This refers to the company’s marketing financial and business objectives. Identifying the objectives of the organization helps in finalizing and framing of operational plans and strategic approach that will be required to achieve the goals. The process of strategic management aims to answer the most important question â€Å"How will we get there?† This is the stage where the strategic alternatives relevant to the particular business scenario are weighed and measured against the desired outcome and the most appropriate move adopted. The strategic management process thus involves developing strategic mission and vision that is translated into measurable objectives. The organization then develops plans, referred to as strategies, to achieve the set objectives. The next stag e involves the effective implementation and execution of the strategic plans. The results or outcome of the implemented strategies are evaluated at the end of the cycle. These strategies need to be revised and modified time and again in face of critical situation. Hence it is hardly possible for a company to follow set strategies across an extended

Practical Production Supporting Account Essay Example for Free

Practical Production Supporting Account Essay Our aim was to produce a film trailer and our initial ideas were to produce a film aimed at both male and female, young audience. We decided to use a Psychographic approach to deciding and audience, the first thing we decided was to make a mainstream film; this is because this appeals to the largest proportion of the available audience. We felt that we should appeal to an age rang of 15-24; this is because as a member of this age group, we can easily identify what appeals to this age group. We felt that the best way to approach this was to use two specific genres: action and a love. This is because our research showed us that in most successful films aimed at this target audience contained two specific genres. For example the Fast and the Furious mixed action with a secondary love plot, subsequently it was nominated for 11 awards and won 8. After deciding our genres we had to decide which existing conventions to convey and which would most appeal to our target audience. Our secondary research (that was a questionnaire) showed us that we should not include showing stars or directors names and we should not convey a particular confusing or thoughtful plot. We found that we should include conventions such as modern extra-diegetic music and sounds, and use Propps character structure of the hero and the villain. In our production, it was clear that the villain was the hostage taker, and the hero was the police force. It is on the villains side. These values appeal directly to our audience. Our survey result also showed that we should not offer the viewer too much to remember, the film name and release date is enough. Our primary research showed us this also; we can see this in many existing trailers. We also decided to se tension to build suspense by making the lead character seem powerful. We did this by using low angle, dark lit shots, which makes the character seem powerful. This is because we often assume a more powerful person being above us, in for example a court. Power often builds tension because we get a sense of a clash of the titans effect, and a build up to a big ending. A lot of the film orbit around a representation of desperation, which applies to both genres. For example, allot of the shots transitions make them seem disconnected, which represents the disconnection from others in a hostage situation. Another example of this is the darkness. Darkness represents an unknown or a fear, also associated with desperation. We decided to use allot of darkness and shadows to create a sense of fear and tension, when cupped with the particular music gives a strong emotional feel which in our secondary research we found appeals to the target audience and fits in well with the genre. We found that the most common aspect of successful film trailers aimed at a similar target audience was a quick and constant change in shots. This constant contrast keeps the audiences attention. We did this particularly because our audience has been proven to have a low attention span. At looking at previous and existing trailers, they often use the same effect, in that the main character is looking back on the main events of the film and telling the story of the film. This structure often lets the audience get to know the main character more. For example, it the Lord of War trailer, Yuri Orlov (Nicolas Cage) goes through the polot of the film and lets the audience into his personality. In our film however we decided not to do this. We wanted the charictars to be dark and secret, apearing hard on the outside untill the ending of the film. A charictar looking back on the events would not let this. We only made one significant change in that trailer whilst it was being edited, which was the speed of some of the shots, We did this because often a slower movement is often much more dramatic and adds to the emotional feel of the film. Another part of our target audience decisions was to make the trailer appealing to both sexes; we did this by using to main feels to the trailer, power and emotion. We did this by using things such as low angles, low-level lighting and darkness to suggest power and fade effects, slow motion, sunset effects and shadows to convey emotion. Another thing we constantly tried to change was the name. We needed something that represented the film but at the same time simple and effective. Hostage satisfies both these qualities. For example, we used the slow motion when the lead, played by Alex, falls against the wall; it is a very emotional time for him (in the film) and the slow motion coveys this well. The final product, both me and the other members of the team were very pleased with. We felt that especially by using many common conventions made it rely feel like a film trailer. Whether we enjoyed it was because it was designed to appeal to us particularly as members of the target audience is debatable, but overall we were all very pleased with the final product.

Thomas More’s Utopia and Aldus Huxley’s Brave New World :: Utopia Essays

Thomas More’s Utopia and Aldus Huxley’s Brave New World , are novels about societies that differ from our own. Though the two authors have chosen different approaches to create an alternate society, both books have similarities which represent the visions of men who were moved to great indignation by the societies in which they lived. Both novels have transcended contemporary problems in society , they both have a structured, work based civilization and both have separated themselves from the ways of past society. It is important when reading these novels to focus on the differences as well as the similarities. The two novels differ in their views of love, religion, and the way to eliminate social classes. These differences seem to suggest that if we do not come closer to More’s goal in Utopia, we will end up in a society much like that of Huxley’s Brave New World. Thomas More’s Utopia, is a small island where there is no greed or crime. The inhabitants of this island live as equals, no one does more work than another person and everyone feels secure with their place in society. By abolishing money and private property, More would rid society of greed and social ambition. Most of all, he wants to curtail pride, the evil he believes is at the root of all evils -- "the infernal serpent that steals into the hearts of men, thwarting and holding them back from choosing the better way of life." Likewise, in Aldus Huxley’s Brave New World, crime and greed have been eliminated and everybody is satisfied with their social status. This similarity between the two novels suggests that the authors may have seen a link between social status and crime. Indeed, in western civilization, it is evident through statistics that a large amount of crime takes place amongst the lower class. Both authors saw that by eliminating the self pity and jealousy that comes with a lower social status, they would also be eliminating the crime and greed that comes with it. In order to maintain a society free of social inequality both authors set up a civilization based on strict societal structure. In More’s Utopia, a system was set up so that all work was completed.

Role of communication and interactions with individuals who have dementia Essay

1. How do individuals with dementia communicate through their behaviour (1.1) Persons with dementia may communicate through behaviours such as: †¢Repetition of actions or questions, this may communicate anxiety over memory loss, boredom from inactivity, to seek reassurance, picking at clothing due to anxiety. †¢Aggression, this may communicate depression, an inability to rationalise, impaired judgment, feeling embarrassed and fearful of humiliation, frustration that they are unable to remember what they are meant to be doing or that others do not understand their need to accomplish tasks that they feel to be important. Can find no other way to express themselves. †¢Pacing or walking, this may communicate a desire to visit a certain place or person. Although the individual may have forgotten who or where. They may be bored and attempting to use up energy, uncomfortable from sitting, confusion about what they are meant to be doing or where they are, to enter in to past routines of behaviour that once served an important purpose that the individual feels they need to accomplish. †¢Becoming suspicious of others, this may communicate that the individual is experiencing memory loss and is having difficulty recognizing familiar faces †¢Pointing and vocalizing to communicate their intentions as the individual loses the use and understanding of their vocabulary 2. How you as a carer can misinterpret communication (1.2) †¢Not being attentive and missing behavioural communications such as picking at items, failing to make eye contact or being out of the persons view, not creating an environment conducive to communication (adequate lighting, low background noise levels etc) †¢Not allowing the individual time to process information before continuing the conversation. †¢Misunderstanding the intention behind a given response as the individual may mean one thing but say another. †¢Individuals in a support team may fail to record information and communicate with one another when they have identified a need for a behaviour and the correct response to that need. i.e., the individual may pace because they are anxious remembering a forgotten routine (the need to catch the bus so they are not late for work). †¢Asking open rather than closed questions requiring a yes or no answer. Making communication difficult. 3. Explain the importance of effective communication with individuals with dementia (1.3) We all communicate to express needs and share information. In order for these needs to be met there must be someone open to receive information and a receptive environment in order for information to be shared effectively. As a person with dementia already has a compromised ability to communicate, communication needs to be effective and understood or the client may not understand what is being done to them, where they are being taking. It is important that for effective communication to take place the care giver: †¢Creates an environment that supports effective communication oAdjust lighting so you can be seen and you can in tern see, adjust lighting, close curtains if excessively sunny etc. Reduce the distraction of background noises Approach communication when there is reduced or no distracting activity in the surrounding environment oTry to make the individual’s environment comfortable in terms of temperature, seating arrangements, attempting to meet baser needs, food, drink, toileting. †¢Presents themself in a way that supports communication: Position yourself in a way that enables eye contact to be made (but not to invade personal space or intimidate) oBe aware of your non-verbal bodily communication, allow the individual to see your body language as they will be more receptive to this than speech, ensure your body language is in keeping with your intentions to avoid mixed messages †¢Speech: oRemain positive and present information in an enjoyable and pleasurable manner but avoid patronising oWhen assisting with tasks attempt to offer direction by decompiling tasks to their fundamental components rather then assuming the individual will recall how to carry out complex activities i.e. putting on shoes. Redirect the topic of conversation or activity if the individual becomes distressed rather then arguing your point oAssume that the individual can understand what you are saying. If they are present while other conversations are taking place, be respectful and show dignity by not discussing them in their presence oAttempt to retain as much of the persons autonomy as is possible by offering choices, i.e. food, clothes, activity. However keep choices simple, in the present and not abstract. Asses the individual’s ability to choose; as the illness progresses, simple choices can become overwhelming and may need to be revised. †¢Assisting with activities: Do not boss the individual; allow them time to attempt tasks at their own pace. If people feel that they are being controlled they may resort to aggression or withdraw. oUse hand over hand techniques as opposed to carrying out tasks for individuals. Praise efforts and avoid highlighting errors. 4. Describe how 3 different forms of dementia can affect the way an individual communicates. (1.4) Vascular Dementia: †¢Caused by a series of small strokes, Vascular dementia can compromise understanding of language, memory and ability to follow instructions. Early symptoms may include slurring of speech (affecting the individuals ability to verbally express), dizziness (affecting concentration), short term memory (affecting the ability to take in new information, adjust to new situations, settings and people). More dominant symptoms affect a person’s control over bladder and bowel movements compromising the ability to communicate these baser needs, ability to process information and abstract thought affecting a person’s independence and autonomy. Dementia Pugilistica: †¢Brought upon by a repetition of concussions, the dementia commonly effects a decline in mental abilities, lack of concentration (affecting a person’s ability to hold a conversation, process information, attention to tasks). Personality disorders including psychomotor retardation (a slowing-down of thought and a reduction of physical movements affecting processing skills, learning new information, recalling learnt information and ability to  complete tasks), exacerbation of aggression, suspiciousness (effecting trust in relationships and inclusiveness), loquacity (becoming talkative). Huntington’s Disease: †¢A neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and psychiatric issues. Some of the symptoms and their effect on communication could be: Motor dysfunction, jerky, random, and uncontrollable movements may affect both the individual’s confidence in their ability to communicate and their ability to express and gesticulate. Slowed saccadic eye movements (quick, simultaneous movements of both eyes in the same direction) may affect the individual’s ability to make or maintain eye contact affecting attention, ability to read both facial and bodily expression. Rigidity, writhing motions or abnormal posturing would affect the individual’s ability to express themselves through body language. Abnormal facial expression, difficulties chewing, swallowing and speaking would affect both use of the spoken language and accurately conveying emotion and intent through facial expression. oSleep disturbances would leave the individual feeling tired, affecting concentration, temperament, attention and emotional state Ability to correctly initiate appropriate actions and to inhibit inappropriate actions could affect the individual’s ability to gesticulate creating, misunderstandings and possible offence. Impairment in the range of short-term memory and deficits to long-term memory may affect the individual’s ability to retain information required to hold conversations in context, identity of others, what’s their relationship, what are their intentions. 5/6. Give 3 examples of how you have positively interacted with clients with Dementia and explain how these positive interactions contribute to their wellbeing. (2.1)(2.2) Although I do have experience of interacting with people who have dementia, this was at a time when I was not a support or care worker. As I used to be a cook in a large care home, I interacted frequently with persons with dementia; I will use those experiences along with the information I have learnt as a result of this unit to answer questions 5 and 6. Example one: †¢As I would go about my work in the kitchen at the nursing home, there was a lady resident who would often stand at the kitchen door and would mutter to herself and occasionally look at me and say short sentences that to me made no sense as I did not know the content. Despite not knowing much about dementia, I felt comfortable in this lady’s company and felt that she was also comfortable with standing and chatting at the door: her stance, demeanour, tone and facial expression supported this. I would always speak to her in a calm, clear pleasant manner; as this was not only polite but reflected how she spoke in my presence. I’d greet her when she came to the kitchen door and ask how she was, I would tell her about what I was doing as a running commentary (cooking, chopping, baking etc). Although she never appeared to directly interact with me I sensed that standing in a kitchen and chatting were both familiar and comforting for her, as she would spend frequent part s of her day doing this. I felt it important to accommodate her presence and interact on her terms (not pushing for answers), using common politeness and manners, offering information as a framework for my conversation. I believe this allowed her to feel comfortable in the social situation while lacking social skills. Example 2: 3: †¢The only part of my job role that required me to assist individuals with daily living tasks was serving, describing and presenting their meals to them. I would assist the support staff in serving meals as dinner was a busy time. One gentleman in particular would often become distressed when his meal was presented to him; the nurse requested that when I write the meal choices on the menu board I present this particular individual with physical representations of the food for him to be better informed and have clearer expectations. Although it was not my place to help the patients make choices, the gentlemen when presented with the food items did take an interest in them and I presented him with his meal accordingly. Although the instances of anxiety still remained around dinner time they did however significantly decrease. I now know that the food items were used as objects of reference and I believe it would have been of greater benefit to all residents if they received a comb ination of a written menu, objects of reference, photographic or pictorial representations of meal choices  according to their individual abilities around choice making. I also believe that with the information gained in this unit, in hindsight the gentlemen in question would have benefited from a smaller range of choice, 2 items as opposed to 4. 7. Why is it important to involve clients with dementia in a range of activities, give three examples of how you have done this. (2.3) As stated in questions 5 and 6, I have no experience in supporting people with dementia. For the purposes of this question I will give three examples of activity that could be considered essential for most people. Humans are occupational and social beings, physically and mentally built to interact with their environments. Therefore activity would not only be a natural pursuit for all people, but, for individuals with dementia who are losing the ability to interact with the world around them, the use of activity would allow them both structure and purpose for interaction: linking familiar experiences of the past to the unfamiliar experience of the present. Example1 †¢Supporting individual with their morning ablutions. This task would have taken place for almost every morning of the individual’s lives, with guided and prompted support the individual may benefit from a sense of pride in appearance that would have been culturally important for members of the older generation. The support worker could reinforce the activity and the individual’s attention to task by complimenting them on their appearance. There may be a range of ways in which the client chooses to cleanse themselves; shower, bathing, or it may be appropriate for individuals of a certain generation to wash at a hand basin. The act of washing may hold some religious significance for the individual (Muslims are required to be clean when handling and reading the Qur’an) allowing them the benefits of their religious convictions. Example 2 †¢Accessing social occasions (tea at a village hall). The individual may  benefit from time spent away from their home in the company of others from a familiar cultural generation. Socialising may combat isolation, loneliness, feelings of despair, suicidal thoughts, offer the individual an opportunity to positively experience their identity. Example 3 †¢Accessing reminiscing sessions. This activity may immerse the individual in an environment filled with remnants of their formative years; familiar objects, smells, clothing etc; creating a sense of identity and safety, stimulating the mind and senses in a bid to prolong their cognitive abilities, believes that are supported by the Orientation Approach. 8. Compare reality Orientation Approaches to Validation Approaches. (2.4) The validation approach attempts to offer extremely disorientated individuals (predominantly the elderly at the end of their lives) an opportunity to express what are believed to be unresolved feelings and offers the care giver an insight in to the underlying meaningful reasons for what may be perceived as odd behaviours. The care giver attempts to empathise with the individual’s behaviours, mannerisms and expressions, presenting themselves in a non-confrontational and non-judgemental way; engendering trust and acceptance. Thus allowing the individual to communicate as they are able, rather than as they should. Unlike the validation approach, which attempts to enter the world of the disorientated individual, the orientation approach attempts to focus the individual’s perceptions in the real world. Using prompts such as calendars, clocks, current magazines or newspapers, menu boards, staff boards to orientate them in to the time and place that they currently occupy. It is thought that continual, repetitive reminders will keep the patient stimulated and lead to an increase in orientation. However, I have found through researching this topic that some care givers and providers have adapted the orientation approach (which advocates the present time) by creating and orientating individuals to the particular reality or time that they may be experiencing. 9. List the physical and mental health needs that may need to be considered when communicating with some one with dementia. (3.1) Physical needs: †¢Effects of stroke ( multiple TIAs bringing about vascular dementia) oParalysis on ether side of the body †¢Problems with vision †¢Speech and language problems †¢Memory loss †¢Muscle spasticity †¢Tremors †¢Incontinence †¢Disruptions in sleep patterns †¢Unable to remain settled, pacing †¢Loss of hearing and or tinnitus †¢Loss or increase of physical sensation, touch, sight, smell. †¢Ability to accurately form facial expressions Mental health needs †¢Depression †¢Sense of agency †¢Loss of hope, experiencing despair †¢Lack in recognition of familiar people or places resulting in possible suspicion †¢Experiencing frustration †¢Heightened sense of anxiety †¢Aggressive behaviour †¢Feeling fearful †¢Short and long term memory loss †¢Becoming withdrawn 10: Describe how a sensory impairment of someone with dementia can affect their communication skills (3.2) Visual impairment: †¢The individual may not be able to accurately gauge a person’s body language or facial expressions, minimising the amount of information they receive. The interpretation of light fall on objects and surroundings may be distorted resulting in confusion and anxiety. †¢Heightened sense of smell (Hyperosmia), this may affect how an individual smells both people and places around them, they may find bodily odours, perfumes, deodorants, and cleaning products offensive, reminiscent and confusing; affecting the individual’s tolerance of these smells and ability to concentrate on tasks such as communication. †¢Loss of proprioception (body’s internal sensory network of muscle and movement), this may affect an individual’s ability to express body language or gesticulate. †¢Taste, an individual may cease to communicate their desire, choice, interest in food if eating has become a displeasurable or confusing experience due to a change in their taste. †¢Change in the sense of touch, a heightened or dampened sense of touch may result in individuals recoiling from another touching them to show reassurance or gain attention as the sensory information received may relay pain, discomfort or not register at all. †¢A change in sensory input of any of the senses may be distressing and confusing for the individual, affecting their concentration, perception and desire to communicate. 11. Describe how an environment can have an affect on a client with dementia (3.3) A change in mental faculties, cognition, memory and mental health in a person with dementia coupled with an array of sensory impairments may affect the individual’s perception of their environment in the following ways: †¢The smell of the environment may distress individuals due to Hyperosmia. †¢A loss of vision may alter the perception of visual stimuli, bright light from a window or light bulb may wash out the visual field, shadows may create the illusion of people or objects, a change in depth perception may alter a person’s ability to gauge depth of furniture. †¢Reactions to the alterations in visual perceptions may be interpreted with fear, confusion, anxiety as objects may appear different to what they are, or the individual is unable to correctly identify or comprehend their purpose †¢The environment can be arranged to effect positive change, the dà ©cor and items can be chosen to  resemble familiar surroundings from a time or era that the individual is remembering. The Orientation Approach fills the environment with informative and stimulating objects (present time frame): large clock, calendar, staff board, meal board, current literature. 12. Describe how your behaviour and that of other carers can have an affect on a client with dementia (3.4) The care giver needs to consider the way they speak: whether it is positive or negative, does it show that you are attentive and caring, if a carer rushes their speech or does not allow the client time to respond, it may convey a lack of respect and that they don’t want to be there. The messages that the carer’s body language communicates must not be at odds with their verbal content; this may create confusion and appear as insincerity. The carer must be focussed on the needs of the client, not becoming distracted by personal discussions with other carers; at all times the chosen language must be that of the clients while in their presence. Interpersonal staff conversations conducted while staff are delivering care show a lack of respect and compassion, the client may not feel that they have a right to talk if they are not involved or may become distressed about the content of conversation and feel a need to become involved. Clients may feel that they can assist with a staff member’s personal problems, offering money or possessions, accepting gratuity is both unethical and would be in contravention of the code of conduct. This may be interpreted by clients as payment for preferential services or as theft: after a client having forgotten there offering discovers their money or possessions gone. Carers need to remain professional and stick to their roles as described in their job descriptions; if the client should request services that are in contravention of their role, the carer should politely decline the request and seek support/advice from their manager if they feel it necessary. 13. Describe how the use of language can hinder positive interactions and communications. (3.5) Clients with dementia will be experiencing a deterioration in their  cognition, attention, memory, producing and understanding language, learning, reasoning, problem solving. It is therefore necessary that the carer not only use their language and communication skills appropriately but they also recognise deficit in the client’s abilities and change their approach accordingly. The client’s deterioration in cognition will result in a struggle to comprehend both spoken and written language; if a client does not understand information they are more likely to withdraw and accept their confusion with feelings of embarrassment and ineptitude rather than seeking clarification. The carer should be attentive to the client’s communication needs; noticing if they are struggling to understand, offering the information in a more appropriate way. The carer should always adapt their vocabulary to that of the clients; considering the use of slang, euphemism, colloquialism, all owing time to process and respond, realising that the clients may have lost the ability to ask questions and seek clarification.