Tuesday, November 26, 2019
How To Make Make Money Online Example
How To Make Make Money Online Example How To Make Make Money Online ââ¬â Article Example How to make money online To make money online, it is important to build a website online in a simple manner. A website is built step by step and it is indeed very easy to build a website. For that, one needs to learn how to design a website. After one has learned how to design a website, it is important to build your own webpage which will tell how to make a html webpage (Smith 2007). For gaining insight and understanding, it is significant that an individual finds free website tutorials as this helps the work flow and the design process of the website. After the website tutorials have been understood in a proper manner and the details are comprehended easily, the next step is to publish your webpage (Ploster 2004). This is the final step in devising a website that serves a number of different purposes. There are thousands of free website sites which could be used to earn money online. The website standards need to be followed in order to gain success in the long run. Also how to sta rt a webpage for free is a similar undertaking that must be properly understood so that a person could find ways to earn money online (Koch 1996). These are significant measures that will bring success for the domains of someone who believes a great deal in making money online. One most important point here is to properly check the website again and again to know that money making ways are up and running, and that there are no difficulties in the wake of making more money with the changing times. Koch, Tom. The Message is the Medium: Online All the Time for Everyone. Praeger Publishers, 1996Ploster, George. Making Money as an Aggregator. Online, 28, March 2004Smith, Jennifer. Online Learning and Teaching in Higher Education. Open University Press, 2007
Saturday, November 23, 2019
Invention and History of the Colt Revolver
Invention and History of the Colt Revolver Samuel Colt invented the first revolver, a gun named after its inventor Colt, and after its revolving cylinder revolver. In 1836, Samuel Colt was granted a U.S. patent for the Colt revolver, which was equipped with a revolving cylinder containing five or six bullets and an innovative cocking device. The History of the Colt Revolver Before the Colt revolver, only one and two-barrel flintlock pistols had been invented for handheld use. Colt revolvers were all based on cap-and-ball technology until the Smith and Wesson license on the bored-through cylinder (bought from Rollin White) expired around 1869. According to www.midwestgunshows.com: Horace Smith Daniel Wesson formed their second partnership (SW) in 1856 for the development and manufacture of a revolver chambered for a self-contained metallic cartridge. During this development period, while researching existing patents, it was found that a Rollin White had patented a bored through cylinder for a paper cartridge sometime earlier. A licensing agreement was arranged between Smith and Wesson and Rollin White. In 1855, Rollin White patented the bored-through cylinder. According to www.armchairgunshow.com: The Rollin White patent covered the right to make a revolver cylinder bored-through end to end - an obvious requirement for an effective cartridge revolver. This fact didnt slow down some firms, who proceeded to make the highly popular cartridge style revolvers. Some used their own designs, and some just produced outright copies of the Smith and Wesson pattern. Smith and Wesson pursued redress in court, resulting in several US makers being required to mark Made for SW or words to that effect on their revolvers.
Thursday, November 21, 2019
Analyzing the present state of Jamaica Essay Example | Topics and Well Written Essays - 1500 words
Analyzing the present state of Jamaica - Essay Example However, the founding of Jamaica was officially articulated to the discovery made by the Spanish explorer called Christopher Columbus in the 15th century1. He discovered that Jamaica comprised of over 200 hundred villages of the indigenous population in the southern part of the country. Thereafter the British proclaimed the Jamaican colony and Spanish conceded defeat, as they were militarily weak to engage in a battle with the British. Therefore, Henry explored further into the northern parts and established British settlements after realizing that the colony had rich soils that would promote agricultural projects. From a critical analysis of the book ââ¬Å"The present state of Jamaicaâ⬠, the following discussion explains on the tremendous exchanges in the Jamaican history that resulted to distinct cultures, political systems, economic practices, and social exchanges through demographic dimensions. Spanish colonies were the most established in the Caribbean islands since their founding by Christopher Columbus in the early 1450s. On occupying Jamaica, the Britons realized that all the surrounding colonies belonged to the Spanish and were prosperous in all their economic, social and cultural environments. The Britons lacked financial capabilities to ensure that all activities ran in accordance to the desired set of plans. This period whereby the British tried to weigh out the surrounding circumstances and the possible methods of achieving success in the colony is directly relative to invasions they made in the Spanish rich territories. A young Henry Morgan engaged in the military in his early age, gained experience and turned out to be an aggressive privateer, and through him most of the Britons in Jamaica benefited from the ambushes he laid against the Spanish territories the Spanish. He owned ships and privateers who reflected aggression in all expeditions that Henry termed as profitable2. The book referred to as the present Jamaica is a reflection of the activities aged before 1665 in Jamaica and the extent at which they shaped the subsequent environment in the country. These intercultural relations are born of Captain Morganââ¬â¢s invasions, and the British military slavery practices in the Atlantic and Pacific oceans. Jamaican colonial masters traded in slavery in order to yield enough manual labor for farming. Most of the slaves were from the African continent while the rest comprised of the South Americans, Asians, and the indigenous population of Jamaica3. Throughout the past 6 centuries, Jamaica has been a hub for many of the worldââ¬â¢s notorious pirates, a factor articulated to the practices of Henry Morgan. Ancient practices continually passed through generations and the countryââ¬â¢s current culture of Jamaica is comprised of notorious and aggressive individuals, many of whom are youths. The rise in crimes and indulgence in drugs, and the considerable praise heaped on the legendary Captain Morgan reflect to the c urrent practices. In the 15th century, the British were well established and had begun to rear a wide variety of domestic animals ranging from fowl, flocks of sheep, horses, mules, and wild birds of whose products would be of vital use at their homes. The masters argued out that all the present animal and food variety were of better quality compared to those present in their homeland, Britain. As the colony continuously amassed strengths and engaged in worthwhile economic activities, their Spanish predecessors would make surprise attacks, but all were combated by the military
Tuesday, November 19, 2019
Community culture and change Essay Example | Topics and Well Written Essays - 2250 words
Community culture and change - Essay Example It bothers much on the issue of the ethnical minority whereas Britain believes in enrichment of lives through cosmopolitan outlook of human existence via eco-social aspect of its perception. Behind the principle of social theories that every good society is ever changing, there erects the monument of the cross-question what about the recognition of the ethnical identity of the mainstream Britain. The opportunity of racial acceptance, religious tolerance, political understanding and economic support led Britain to face this serious question withering the belief that society that does not change gets extinction. Initiated and influenced by British initiative in the post and prior industrial revolution European White settlers almost colonized the one third of the world. The Second World War brought a drastic change in the imperialistic set up and colonial power had to honor the democratic rights of each commonwealth nations. This followed a great influx of immigrants in Britain in the p rocess of idealizing a multicultural British society. Still the question poses the righteousness of such historic liberality.The latest official figures surveyed in 2006 show net immigration to the UK of 591,000 immigrants and 400,000 emigrants Stephens, J. 2006 "Multiculturalism". Only one in six were from Eastern European countries. Immigrants from New Commonwealth countries outnumbered them. Immigration from the Indian subcontinent, mainly fuelled by family reunion, accounted for two-thirds of net immigration. By contrast, at least 5.5 million British-born people are living abroad. The threats born out of liberal public policies in Great Britain demand minute scrutiny over the facts of composite culture. No civilized man would appreciate the historic 7 July whatever be the ground of identity crisis if even one side the bombers and their influencing powers. The 7 July 2005 London bombings were a series of coordinated terrorist bomb blasts that hit London's public transport system during the morning rush hour. At 8:50 a.m., three bombs exploded within fifty seconds of each other on three London Underground trains. A fourth bomb exploded on a bus nearly an hour later at 9:47 a.m. in Tavistock Square. The bombings killed 52 commuters and the four suicide bombers, injured 700, and caused disruption of the city's transport system and the country's mobile telecommunications infrastructure, (News archive 'The Guardian' UK). Different world free thinkers forums were shocked to get the shocking news that mix origin British citizens carried the nasty terrorist's acts. Fun damental belief system inspired them, which has been a serious concern for the mainstream British today. HISTORIC CULMINATION OF CHANGES IN THE TWENTIETH CENTURY Social changes that promoted multicultural consensus of human existence under the British clemency had its roots in literature, art, science, technology and every sort of humanistic social institutions. Their terrestrial expansion even propagated a classless and fearless free society where feminism,
Sunday, November 17, 2019
If the gold standard was in use today, would it hinder economic growth Essay Example for Free
If the gold standard was in use today, would it hinder economic growth Essay The gold standard refers to a monetary system in which the unit of account of money will be fixed with the weight of gold. There are many people who argue that the gold standard should be implemented to bring down the inflation. By fixing the supply of money with gold, the government will not be able to issue money without having gold in reserve. However, on the other hand, there are experts who argue that by fixing the supply of money with gold, economic growth will be hindered as the amount of gold available on Earth is limited (Mises, 2009). This paper will show that the gold standard will hinder economic growth. Iââ¬â¢ll firstly argue that there is a limited amount of gold in this world. Secondly, economic growth is seen as limited. Lastly, the amount of commerce will eventually reach a level equal to the gold holdings by the central bank of the country. Economic growth will be hindered if the gold standard is applied as there is a finite amount of gold in the world. Economic growth requires that there should be sufficient liquidity in the system. By adhering to the gold standard, economic growth will be hindered as to supply more money, the government will first need to buy gold. (Skousen, 1997) Secondly, economic growth is seen to be unlimited. This doesnââ¬â¢t complement with the gold standard, as the amount of gold is limited in the world. If economic growth is to be unlimited, then there must be enough money supply to finance it. The gold standard makes to difficult for governments to issue money, which in fact limits economic growth. (Cagan, 1982) Lastly, if the value of the dollar is limited by the amount of gold, then amount of commerce would reach a level equal to the gold holdings. In order for more money to be issued, the government would have to purchase more gold to back the increase in dollars issued. All the three points written above are influenced by the single factor that the supply is limited, while the demand for gold seems to be unlimited. (Cagan, 1982) Another problem with the gold standard is how to determine what weight of gold will equal to one unit of account. Furthermore, the gold standard can be suicidal for developing economies. Developing economies will need to buy gold to finance their economic growth, which might already be to expensive to buy for them. Currently, these economies are able to finance it through a budget deficit. Moreover, how will the gold standard be able to handle the speed and complexity of todayââ¬â¢s financial transactions? Lastly, if the world shifts to a gold standard, then all the governments will need to burn huge amount of fiat money to make sure that the money supply equals to the amount of gold in the economy. Eichengreen Marc, 1997) In conclusion, I believe that although by adhering to the gold standard the level of inflation will come down. However, the economic growth of a country will be hinder. The major reason for this is the limited supply of gold. Furthermore, if the gold standard is implemented the prices of gold will shoot up, making it more difficult for developing economies to grow up. Last ly, the government will need to burn huge amounts of fiat money to make sure that the there is no extra money in the economy.
Thursday, November 14, 2019
The History of Mexican-Americans Explored Through Film Essay -- Mexico
The History of Mexican-Americans Explored Through Film The hardships that Mexican-Americans have faced started well before Reies Lopez Tijierina and Corky Gonzalaz led the Chicano movement in the sixties, and well before the Coronado Bridge was built in San Diego. It started with the Treaty of Guadeloupe Hilago. The treaty signed in 1848 by the United States and Mexico established new boarders between the two countries. This treaty forever changed the lives of Mexicans then and still today. When the United States gained control of the land in the Southwest all the Mexicans that had been living there became citizens of the U.S. The land that had once been theirs, the land that they had grown up on the their great grandparents had grown up on was now being taken by the U.S. government. Felix Gutierrez, a fourth generation Californian, sums up the feelings of Mexican-Americans best when he said, "My great grandfather didnââ¬â¢t cross the boarder, the boarder crossed him." (interview with Jorge Quiroga) Around the time that the Cold War started to heat up Reies Lopez Tijerina started to fight back for the land of Tierra Amarilla. It was once land that had once belonged to Amarlla, and had sold for 200 dollars and some horses, and Tijierina said it was time to take it back. The film Chicano! shows that with this one defining act Tijerina spearheaded the Chicano movement. The word Chicano which means "poorest of the poor" spread like wild fire throughout the Mexican-American community in the Southwest. Chicanos saw what Dr. Martin Luther King was doing for the African Americans and they realized that they were also victims of labor, education and even military discrimination. Tijierinaââ¬â¢s argument and desire for change had been ba... ... Chicano! takes an in depth and vivid look at the Chicano movement led by Tijerina and Corky and how the two of those men have instilled an everlasting fight for equal rights in the Mexican-American community. The web sight Chicano Park tells the history of the Coronado Bridge and exhibits the murals in the park. These murals are the testimony for the Mexican-Americanââ¬â¢s struggle for equal rights in the United States. In reading Zackââ¬â¢s paper, he makes a good point that in the school systems students never really learn about this part of our history. I agree and also think that if students had learned this, the Chicano movement would benefit. Parker also makes a good point that projects like Chicano Park are very good for the Mexican communities. I feel that public places that represents a peopleââ¬â¢s history and struggle, help brings that community together and stronger.
Tuesday, November 12, 2019
Diabetes Education Plan
Introduction According to Johnson and Raterink (2009), Type 2 Diabetes Mellitus (DM) is a major global chronic health issue. Though, it is found that the condition is largely preventable as many of the risk factors for developing the disease such as excess weight, poor diet, inactivity, smoking and excessive alcohol consumption, are modifiable behaviours (Australian Bureau of Statistics, 2011).A client newly diagnosed with Type 2 DM may be unaware that the illness can be effectively self-managed with changes to diet, lifestyle and if necessary the inclusion of oral hypoglycemic agents (Australian Institute of Health and Welfare [AIHW], 2008). Therefore, the aim of the education plan is to assist the client to make educated lifestyle choices and changes that will improve health outcomes and reduce the risk of diabetic complications. The education plan will develop evidence-based client education strategies that focus on diabetes management and the modification of unhealthy lifestyle b ehaviours.According to Funnell, Anderson, Austin, and Gillespie (2007), developing appropriate indvidualised educational strategies that increase client knowledge enables the client to make self-directed behavioural changes that aid in effective self-management and improved health outcomes. Background Diabetes care and self-management education needs to be tailored to the individual (Funnell et al. , 2007). The client, in whom this education plan is tailored for, is a 50 year old male with a body mass index of 32 who has been newly diagnosed with Type 2 DM.In designing the education plan it is also important to assess and include extended resources of support for the client (Goldie, 2008). Resources of support may include clientââ¬â¢s family and friends, utilisation of local community services and allied health care providers such as social workers, dieticians and podiatrists (Hunt & Grant, 2010). For the client to make informed choices they need to be educated on the disease pro cess and possible complications. Diabetes is an illness that occurs when the body in unable to maintain normal levels of glucose in the blood (McKenny & Short, 2011).Type 2 DM is a progressive disease, characterised by hyperglycemia resulting from defects in the secretion of insulin (AIHW, 2012). Chronic hyperglycemia affects function of cells and tissues and may result in cardiovascular disease, kidney disease, vision loss and lower limb amputations due to neuropathy and peripheral arterial disease complications (AIHW, 2008). Treatment of Type 2 DM is complex with evidence emphasizing the need and importance of a collaborative healthcare team approach (Robertson, 2011).Initial treatment for those newly diagnosed involves nutritional therapy and exercise to aid in weight loss (Zisser, Gong, Kelley, Seidman, & Riddell, 2011). However, as Type 2 DM is a chronic progressive condition, pharmacotherapy is usually required (Tsang, 2012). Oral hypogylcaemic agents are typically the first p harmacological intervention to improve glycaemic control and these agents include Biguanides (Metformin), Sulphonylureas, Acarbose, Meglitinides, and Thiazolidinediones (Phillips & Twigg, 2010; Sanchez, 2011). Tsang (2012) argues that Metformin is recommended as the first line of treatment.In addition, due to the progressive nature of the condition most clients will require insulin therapy to achieve and maintain adequate glycaemic control (Nyenwe, Jerkins, Umpierrez, & Kitabchi, 2011). Newly diagnosed clients require substantial guidance and education regarding disease self-management (Johnson & Raterink, 2009). Self-management issues the client and family may have include adhering continually to a daily regime of monitoring blood sugar levels and the self regulation of diet, exercise and medication (Long & Gambling, 2011).Clients and their families also need to know how to manage the complications of diabetes including foot hygiene and the management of hypogylcaemic or hyperglyca emic episodes (Sanchez, 2011). Specific focus of education Through the identification of self management issues and potential areas of knowledge deficit, the nurse is able to tailor an education plan that focuses on the individual learning needs of the client and their family, resulting in mutually agreed upon short and long term goals (Aranda, 2008).Therefore, client and family education will focus on positive lifestyle modifications to increase physical activity and improve eating habits (Bartol, 2012). The lifestyle modifications of healthy eating and increased activity levels improve blood glucose control, aid in weight management, improve general health and may reduce the need for oral hypoglycemic agents (Sanchez, 2011; AIWH, 2012). In addition, education on the self monitoring of blood glucose (SMBG) focuses on self-management strategies.Education should focus on how to perform the test with the use of a blood glucose meter, how to care for equipment and how to manage a high or low blood glucose reading (Sanchez, 2011). SMBG is an important component of diabetes management as it enables the client to learn and evaluate the effects of diet and exercise on blood glucose levels which should aid better adherence to treatment regime (Nyenwe et al. , 2011). Client knowledge deficit in relation to oral hypogylcaemic medications and insulin therapy should also be addressed.Medication education should provide information regarding what each medication is, dosage, possible side effects and if they interact with any other medications (Bullock & Manias, 2011). Education that focuses on medications is important as it can enhance clients understanding and willingness to take it (Bartol, 2011). Lastly, due to the increased risk of foot ulceration and lower limb amputations, it is important to provide an educational intervention that focuses on foot hygiene and care (Ogrin & Sands, 2006).Diabetes education on foot care aims to prevent foot ulceration by focusing on sel f management strategies to improve foot care behaviours (The National Health and Medical Research Council [NHMRC], 2009). Education Strategies Before educational strategies can be implemented you must first identify possible challenges and any potential barriers to learning your client may have (Beagly, 2011). According to Beagly (2011) ââ¬Å"barriers that inhibit patient education are age, literacy, language, culture and physiological obstaclesâ⬠(p. 31). Preferred learning style, language, cognitive ability and literacy level are determined during the assessment process (Funnell et al. , 2007). As the client is a 50 year old male, the principles of adult learning should be applied when choosing an appropriate educational strategy (Bullock & Manias, 2011). The principles of adult learning highlight that adults bring life experience with them and adults generally prefer self-directed, problem-based education that is relevant and applicable to their lives (Clapper, 2010).One-on -one discussion is one educational strategy found to have positive effects on lifestyle changes and increasing knowledge for clients with diabetes (NHMRC, 2009). One-on-one discussions enhance application of new information through the provision of relevant and practical advice, thus reflecting the principles of adult learning (Bullock & Manias, 2011). These discussions also enable feedback on progression and application of theory into practice (Kaufman, 2003). Discussions should also include individual and group family education sessions.Mayberry and Osborn (2012) have found that when family members are educated on diabetes management, improvements in clients self-care behaviours, weight and glycaemic control were noted. Providing education through demonstration is another effective adult learning strategy and should be used for educating the client on SMBG and foot care. Demonstration is an effective strategy for my client as according to the theory of self-efficacy, ââ¬Å"observ ing other people can strengthen our beliefs that we can perform similar tasks, even when the task is unfamiliarâ⬠(Kaufman, 2003, p. 14). Furthermore, both discussion and demonstration are effective strategies for my client as most middle aged adults still have the cognitive function and ability to learn new skills (Crisp & Taylor, 2009). Diabetes management is multi-disciplinary and requires a collaborative healthcare approach (Hunt & Grant, 2010). As a result, referring the client to a dietitian for review is an important education strategy to aid in positive dietary modifications (Sanchez, 2011).This education strategy draws on the evidence-based practice guidelines for the nutritional management of Type 2 DM (Dietitians Association of Australia [DAA], 2006). The guideline highlights that the primary responsibility of the dietitian is to determine a nutrition plan in collaboration with the clientââ¬â¢s needs and goals (DAA, 2006). Referring the client to local community s ervices that provide free group exercise programs is also an important education strategy to be incorporated in the plan (Van Dijk, Tummers, Stehouwer, Hartgens, & Van Loon, 2012).Kaufman (2003) argues that according to social learning theory people learn from one another through observation, imitation and modeling behaviour. Visual material including handouts, information packs and website resources are also effective educational strategies for adult learners as they assist self-directed learning (Beagley, 2011). Self directed learning is an effective intervention to facilitate behaviour changes as it enables the adult client to be responsible for their learning, promotes autonomy and can be shared and discussed with family and friend support networks (Funnell et al. 2007). Conclusion / Recommendations In conclusion, type DM is a self-managed chronic disease that requires those affected to be actively involved and informed in their own health care. This education plan has provided relevant information and identified appropriate evidence-based educational strategies that can assist the client newly diagnosed with type 2 DM to make positive lifestyle modifications and reduce the risk of complications. The education plan also emphasizes the importance of extended family and community support to assist in positive health outcomes.The translation of knowledge, willingness to change and sustain positive self-care behaviours is now the overall goal with diabetes management requiring ongoing education and support from healthcare professionals to help clients implement and sustain lifestyle changes (Long & Gambling, (2011). It is recommended that the client has regular reviews and health checks then modification of educational needs and strategies can be assessed and implemented as the disease process changes and the needs to the client changes (Bartol, 2012; Funnell et al. , 2007). Diabetes Education Plan Introduction According to Johnson and Raterink (2009), Type 2 Diabetes Mellitus (DM) is a major global chronic health issue. Though, it is found that the condition is largely preventable as many of the risk factors for developing the disease such as excess weight, poor diet, inactivity, smoking and excessive alcohol consumption, are modifiable behaviours (Australian Bureau of Statistics, 2011).A client newly diagnosed with Type 2 DM may be unaware that the illness can be effectively self-managed with changes to diet, lifestyle and if necessary the inclusion of oral hypoglycemic agents (Australian Institute of Health and Welfare [AIHW], 2008). Therefore, the aim of the education plan is to assist the client to make educated lifestyle choices and changes that will improve health outcomes and reduce the risk of diabetic complications. The education plan will develop evidence-based client education strategies that focus on diabetes management and the modification of unhealthy lifestyle b ehaviours.According to Funnell, Anderson, Austin, and Gillespie (2007), developing appropriate indvidualised educational strategies that increase client knowledge enables the client to make self-directed behavioural changes that aid in effective self-management and improved health outcomes. Background Diabetes care and self-management education needs to be tailored to the individual (Funnell et al. , 2007). The client, in whom this education plan is tailored for, is a 50 year old male with a body mass index of 32 who has been newly diagnosed with Type 2 DM.In designing the education plan it is also important to assess and include extended resources of support for the client (Goldie, 2008). Resources of support may include clientââ¬â¢s family and friends, utilisation of local community services and allied health care providers such as social workers, dieticians and podiatrists (Hunt & Grant, 2010). For the client to make informed choices they need to be educated on the disease pro cess and possible complications. Diabetes is an illness that occurs when the body in unable to maintain normal levels of glucose in the blood (McKenny & Short, 2011).Type 2 DM is a progressive disease, characterised by hyperglycemia resulting from defects in the secretion of insulin (AIHW, 2012). Chronic hyperglycemia affects function of cells and tissues and may result in cardiovascular disease, kidney disease, vision loss and lower limb amputations due to neuropathy and peripheral arterial disease complications (AIHW, 2008). Treatment of Type 2 DM is complex with evidence emphasizing the need and importance of a collaborative healthcare team approach (Robertson, 2011).Initial treatment for those newly diagnosed involves nutritional therapy and exercise to aid in weight loss (Zisser, Gong, Kelley, Seidman, & Riddell, 2011). However, as Type 2 DM is a chronic progressive condition, pharmacotherapy is usually required (Tsang, 2012). Oral hypogylcaemic agents are typically the first p harmacological intervention to improve glycaemic control and these agents include Biguanides (Metformin), Sulphonylureas, Acarbose, Meglitinides, and Thiazolidinediones (Phillips & Twigg, 2010; Sanchez, 2011). Tsang (2012) argues that Metformin is recommended as the first line of treatment.In addition, due to the progressive nature of the condition most clients will require insulin therapy to achieve and maintain adequate glycaemic control (Nyenwe, Jerkins, Umpierrez, & Kitabchi, 2011). Newly diagnosed clients require substantial guidance and education regarding disease self-management (Johnson & Raterink, 2009). Self-management issues the client and family may have include adhering continually to a daily regime of monitoring blood sugar levels and the self regulation of diet, exercise and medication (Long & Gambling, 2011).Clients and their families also need to know how to manage the complications of diabetes including foot hygiene and the management of hypogylcaemic or hyperglyca emic episodes (Sanchez, 2011). Specific focus of education Through the identification of self management issues and potential areas of knowledge deficit, the nurse is able to tailor an education plan that focuses on the individual learning needs of the client and their family, resulting in mutually agreed upon short and long term goals (Aranda, 2008).Therefore, client and family education will focus on positive lifestyle modifications to increase physical activity and improve eating habits (Bartol, 2012). The lifestyle modifications of healthy eating and increased activity levels improve blood glucose control, aid in weight management, improve general health and may reduce the need for oral hypoglycemic agents (Sanchez, 2011; AIWH, 2012). In addition, education on the self monitoring of blood glucose (SMBG) focuses on self-management strategies.Education should focus on how to perform the test with the use of a blood glucose meter, how to care for equipment and how to manage a high or low blood glucose reading (Sanchez, 2011). SMBG is an important component of diabetes management as it enables the client to learn and evaluate the effects of diet and exercise on blood glucose levels which should aid better adherence to treatment regime (Nyenwe et al. , 2011). Client knowledge deficit in relation to oral hypogylcaemic medications and insulin therapy should also be addressed.Medication education should provide information regarding what each medication is, dosage, possible side effects and if they interact with any other medications (Bullock & Manias, 2011). Education that focuses on medications is important as it can enhance clients understanding and willingness to take it (Bartol, 2011). Lastly, due to the increased risk of foot ulceration and lower limb amputations, it is important to provide an educational intervention that focuses on foot hygiene and care (Ogrin & Sands, 2006).Diabetes education on foot care aims to prevent foot ulceration by focusing on sel f management strategies to improve foot care behaviours (The National Health and Medical Research Council [NHMRC], 2009). Education Strategies Before educational strategies can be implemented you must first identify possible challenges and any potential barriers to learning your client may have (Beagly, 2011). According to Beagly (2011) ââ¬Å"barriers that inhibit patient education are age, literacy, language, culture and physiological obstaclesâ⬠(p. 31). Preferred learning style, language, cognitive ability and literacy level are determined during the assessment process (Funnell et al. , 2007). As the client is a 50 year old male, the principles of adult learning should be applied when choosing an appropriate educational strategy (Bullock & Manias, 2011). The principles of adult learning highlight that adults bring life experience with them and adults generally prefer self-directed, problem-based education that is relevant and applicable to their lives (Clapper, 2010).One-on -one discussion is one educational strategy found to have positive effects on lifestyle changes and increasing knowledge for clients with diabetes (NHMRC, 2009). One-on-one discussions enhance application of new information through the provision of relevant and practical advice, thus reflecting the principles of adult learning (Bullock & Manias, 2011). These discussions also enable feedback on progression and application of theory into practice (Kaufman, 2003). Discussions should also include individual and group family education sessions.Mayberry and Osborn (2012) have found that when family members are educated on diabetes management, improvements in clients self-care behaviours, weight and glycaemic control were noted. Providing education through demonstration is another effective adult learning strategy and should be used for educating the client on SMBG and foot care. Demonstration is an effective strategy for my client as according to the theory of self-efficacy, ââ¬Å"observ ing other people can strengthen our beliefs that we can perform similar tasks, even when the task is unfamiliarâ⬠(Kaufman, 2003, p. 14). Furthermore, both discussion and demonstration are effective strategies for my client as most middle aged adults still have the cognitive function and ability to learn new skills (Crisp & Taylor, 2009). Diabetes management is multi-disciplinary and requires a collaborative healthcare approach (Hunt & Grant, 2010). As a result, referring the client to a dietitian for review is an important education strategy to aid in positive dietary modifications (Sanchez, 2011).This education strategy draws on the evidence-based practice guidelines for the nutritional management of Type 2 DM (Dietitians Association of Australia [DAA], 2006). The guideline highlights that the primary responsibility of the dietitian is to determine a nutrition plan in collaboration with the clientââ¬â¢s needs and goals (DAA, 2006). Referring the client to local community s ervices that provide free group exercise programs is also an important education strategy to be incorporated in the plan (Van Dijk, Tummers, Stehouwer, Hartgens, & Van Loon, 2012).Kaufman (2003) argues that according to social learning theory people learn from one another through observation, imitation and modeling behaviour. Visual material including handouts, information packs and website resources are also effective educational strategies for adult learners as they assist self-directed learning (Beagley, 2011). Self directed learning is an effective intervention to facilitate behaviour changes as it enables the adult client to be responsible for their learning, promotes autonomy and can be shared and discussed with family and friend support networks (Funnell et al. 2007). Conclusion / Recommendations In conclusion, type DM is a self-managed chronic disease that requires those affected to be actively involved and informed in their own health care. This education plan has provided relevant information and identified appropriate evidence-based educational strategies that can assist the client newly diagnosed with type 2 DM to make positive lifestyle modifications and reduce the risk of complications. The education plan also emphasizes the importance of extended family and community support to assist in positive health outcomes.The translation of knowledge, willingness to change and sustain positive self-care behaviours is now the overall goal with diabetes management requiring ongoing education and support from healthcare professionals to help clients implement and sustain lifestyle changes (Long & Gambling, (2011). It is recommended that the client has regular reviews and health checks then modification of educational needs and strategies can be assessed and implemented as the disease process changes and the needs to the client changes (Bartol, 2012; Funnell et al. , 2007).
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