Saturday, January 25, 2020

Workplace Evaluation of Status and Economic Comparison

Workplace Evaluation of Status and Economic Comparison Viktoria Konstantinova Key features of Work Practice Organization Evaluate your workplace in the context of its legal status and size in relation to both the Irish economy and world economy I have been on work experience in a community crà ¨che in disadvantage area since January 2014 until the place closed down and unfortunately I couldn’t get their policy and procedures. Therefore I will be evaluating my previous work experience from Level 5. The Child Care Act 1991 is one of the most important and comprehensive piece of legislation, in relation to the care of children. And everyone who is working with children have a legal obligation to adhere to this Legislation and every childcare setting is required to keep a copy of it at their premises and staff should consult and be familiar with roles and responsibilities stated in the Act. Child’s rights are the first Standard in Siolta’s Guidelines and my workplace implements it by offering children choices and uses their interest and initiative to participate in their own development and learning. Another example of promoting children’s rights is that it is now written in the Irish constitution after Referendum on children’s rights were held thanks to UNCRC (United Nation Convention on the Rights of the Child) which is ratified by most countries, except USA, Somalia, South Sudan The setting is privately owned and is located in a big house that was refurbished into a childcare according to all necessary Regulations that are required by law and stated in the Pre-School Regulations 2006. These Regulations provide for health, welfare and development of the children 0 – 6 years. As part of Pre-school regulations 2006 individuals working with children must be qualified to minimum requirement FETAC level 5 Major Award in childcare and Garda Vetted to fulfil their responsibilities to protect children in their care. †The new ECCE scheme directly pays pre-schools to provide a place for one year per child between the ages of 3 years 3 months and 4 years 6 months at September 1st each year. A higher rate is available as an incentive to encourage graduates with a relevant third level degree in early childhood to work in the sector† ( Neylon, 2012:2). Services that operate free pre-school year are required to implement Siolta principles and Aistear Curr iculum along with notification to HSE to run the service, Tax Clearance Certificate, Staff Ratios (â€Å"For each group of 16 children in a full day care setting there must be at least 1 Pre-school leader who meets the qualification requirements outlined above (i.e. minimum FETAC Level 5 or equivalent)† (www.dcya.gov.ie) My work experience has both pieces of legislation on the premises and is available to read for everyone staff and the parents along with inspection compliance forms. Most European countries now provide free universal admission to Early Childhood Care and Education (ECCE) services for children aged three to six. They usually provide subsidies for children aged less than three and children of school age. Ireland only provides free preschool year for specific age group from 3 years 2 months – less 4 years 7months on 1st of September of the year that they are starting. A lot of countries provide long maternity leave for mothers and fathers (Sweden) usually until child is entitled to free education which helps both parents to participate in employment, therefore beneficial to economy. Examine the workplace’s organizational structure, mission statement and values Their services aims and objectives are to provide a service that is based on the needs of the families and children as well as the staff. Like for children: an environment which meets nutrition, health and safety requirements, supports and strengthens family ties, and which reflects the socioeconomic, cultural and ethnic background of its users, which accounts for the additional needs of children (There is a large collection of age appropriate toys and equipment which will ensure that your childs developmental needs are met. The equipment is kept at a level which ensures that your child, as an individual can choose to play with what he/she wishes to. Rooms are bright and spacious with separate sleep room) Adults who respect them as individuals, and foster their unique abilities (physical, intellectual, social and emotional), background and ethnic identities, a curriculum that is consistent yet flexible to reflect children’s interest and encompassing gender equality (room staff are carefully chosen based on a special affinity they have with children of specific age group. They ensure that your child receives constant attention with variety of curriculums according to their age). For families: Supports them in providing an environment which promotes the holistic developmental needs of their children, respects and responds to the needs, values and cultural diversity of the parents (having an active exchange of information between parents and staff on a daily basis by sending home a sheet to let you know what your child has been doing during the day. For staff: goal as a staff team is to facilitate an open and effective working relationship whereby the practitioners are supportive and respectful of one anothers needs (Conducting staff meetings and appraisals on a regular basis and provide learning opportunities both internal and external). Crà ¨ches mission states that their aim is to treat your child as an individual who will receive the very best care and attention that we can provide in a safe, loving, caring and stimulating environment. Setting has a strong commitment to provide a progressive and consistently high quality child care service where the needs of both the children and the families are met. As dedicated Early Childhood Professionals, they believe that children are unique individuals who learn and develop skills through the process of exploration within an educational, play-based curriculum. Our service continues to offer care and activities for children with additional needs. The crà ¨che caters for children from 3 months – 12 years. It’s privately owned crà ¨che and consists of a baby room (3months – 1.5 years), wobbler/toddler room (1.5 years – 3 years), Hi scope room for senior toddlers (3 year – 4 years), Montessori Pre-School (4 – 5 years), Afterschool ( 5 – 12 years). Assess the workplace culture and management practices of your ECCE setting based on your experience My work placement setting is a crà ¨che and Montessori, and offers after school care, ECCE scheme, CETS scheme and full and part time places, sessional Hi-scope classes and is privately owned. Overall values and culture of my work experience is very family oriented, and management practices support parents, children and staff members. The setting has family like environment with a lot of siblings attending a crà ¨che. The management constantly obtains an open door policy allowing parents to either drop off or collect their children at any time. Parents do not take an active role in policy changes, however, management do welcome at any time any suggestions parents might have to change policies as they are always trying to improve our service. Communication between owner and the parent is usually through an email or one to one meetings. Owner and Management are very involved in the crà ¨che life and not only sit in the office, they also working and participate in the activities and outings with children (on one occasion owner came down with her car to bring some of the children that didn’t fit on the bus to the farm). Everyone in the setting follow policy and proced ures, especially on outings and on the school runs. Regular meetings held by the owner and the staff on a monthly basis, and small staff meetings held by manager with room leaders and childcare assistants weekly. Staff are communicating with parents face to face and through little notes that they record what the children did on everyday basis. Relationships and working atmosphere is very friendly and pleasant because owner recognises the complex and fluid nature of the work of the staff in the Centre. And provides staff with on-going and diverse training (Siolta training, they have recently received full Siolta Verification) that will offer them an opportunity to further their skills. Owner and Management believe that this kind of training commitment will lead to the highest possible standard of care for the young people in the Centre and to the development of greater job satisfaction and professional progression for all the staff. And for this reason staff feel valued and motivated in their work. Bibliography Childhood Care and Education 1990–2004† [Online] available at: http://www.cecde.ie/english/pdf/conference_papers/WalshQoQ.pdf last accessed on 1.07.2014 Centre for Early Childhood Development Education (2014) â€Å"Germany† [Online] available at: http://www.cecde.ie/english/pdf/Making%20Connections/MC%20Chapter%206.pdf last accessed on 1.07.2014 Department of Children and Youth Affairs,2011 â€Å"ECCE Programme Guide to the Programme and the Administrative Procedures for Service Providers and Parents† [Online] available at: http://www.dcya.gov.ie/viewdoc.asp?fn=/documents/childcare/GuidetotheProgrammeAdministrativeProceduresforServiceProvidersandParents.htm last accessed 1.07.2014 Department of Education and Science, 2009, â€Å"Developing the workforce in the early childhood care and education sector Background discussion paper† [Online] available at: http://www.education.ie/en/Schools-Colleges/Information/Early-Years/eye_background_discussion_paper.pdf last accessed on 1.07.2014 Early Childhood Ireland, 2012, â€Å"Salary Survey 2012† http://www.earlychildhoodireland.ie/advocacy-research-and-campaigns/research/surveys/salary-survey-2012/ Irish Times.(2011) †Nordic childcare model best for economic and social wellbeing†. Irish Times: Ireland [Online], Available at:http://cmi.mannadev.net/wp-content/uploads/2012/01/Nordic-Childcare-best-for-economic-and-social-wellbeing-Irish-Times-9.6.11.pdf last accessed on 2.07.04 National Women’s Council of Ireland. 2005. â€Å"Accessible childcare† [Online] available at: http://www.dit.ie/cser/media/ditcser/images/accessible-childcare.pdf last accessed on 2.07.04 Neylon G., 2012, â€Å"An Analysis of the Free Pre-School Year in Early Childhood Care and Education (ECCE) scheme – from a Practitioner’s Perspective† [Online], available at: http://icep.ie/wp-content/uploads/2013/02/icep12_submission_19.pdf last accessed on 1.07.2014 Salary Explorer, 2014, [online], available at: http://www.salaryexplorer.com/average-salary.php?loc=81loctype=1job=699jobtype=3show=job last accessed on 1.07.2014 Statistic Sweden, 2014, â€Å"Wage and salary structures and employment in the primary municipalities† [Online] available at: http://www.scb.se/en_/Finding-statistics/Statistics-by-subject-area/Labour-market/Wages-salaries-and-labour-costs/Wage-and-salary-structures-and-employment-in-the-primary-municipalities/Aktuell-Pong/7634/2012/28336/ last accessed on 2.07.04 Policy and Procedure from the creche 2014 Walsh T., (2004) â€Å"Quality: A Global Issue? An International Review of Quality in Early

Friday, January 17, 2020

Knowledge Development in Nursing Essay

A philosophy of nursing should be all encompassing, with its foundation based upon core values and beliefs, while building upon experience. Medicine is often comprised of controversial ethical dilemmas where we must be advocates. In a study that examined the relationship between nurses and physicians it was determined that â€Å"Differences in values, communication, trust, and responsibilities can precipitate conflict between nurses and physicians over ethical components of care. (Corley MC 1998) Developing ones theoretical knowledge and learning how to apply it successfully into their clinical practice is part of the evolving process. The evolution that occurs over the course of a career can be empowering. Hence, it is important to develop positive nurse-physician relationships to bolster confidence and grow from those interactions. The importance of positive nurse-physician relationships has been widely acknowledged (Baggs, 1989; Baggs & Schmitt, 1988; Eubanks, 1991; Fagin, 1992; Mechanic & Aiken, 1982; Prescott & Bowen 1985). Therefore, it is our obligation as professionals to mentor our peers, not only for ourselves, but our patients and families, as well. In an interesting illustration of self disclosure (Kim, H.S., 1999) a practitioner was able to identify the needs of a patient, but clearly had difficulty communicating the needs of the patient to the physician, although some of the difficulties appeared to be cultural in nature. The way we communicate with one another as practitioners, in addition to, how we collaborate and communicate with physicians has a direct impact on patient outcomes. As practitioners we are restricted in performing our jobs if we can not effectively collaborate with the physician. It is herein that the problem lies. The inexperienced or less assertive practitioner will often find it difficult to approach a physician when faced with perhaps the â€Å"Do Not Resuscitate† order that has yet to be signed. With that being said, approaching a family that needs to be educated on the implications of G-tube placement on their family member with prolonged intubatation and no signs of improvement can be daunting without interdisciplinary support. The more experienced practitioner’s clinical judgment is more easily verbalized  because he/she is comfortable in interdisciplinary collaboration, therefore the physician is more likely to involve them in the decision making process. For example in an ICU setting where often times the physician does not involve the practitioner in the decision making process or inform them when a decision has been made it generally creates one of three things. A. the nurse will continue to aggressively pursue the physician until an order is received B. resort to â€Å"slow codes†, or C. resuscitate all patients until told otherwise by the physician (Michael I Rauchman, BA). All of these things lead to negative outcomes for both the families and patients, and we as practitioners. â€Å"Future directions of the discipline are revealed when these linkages between philosophy, disciplinary goals, theory, and practice are strengthened† (McCurry, et al). It is for these reasons, we as practitioners must continually grow and develop through our experiences, always expanding our knowledge in the ever-changing profession we have chosen. Corley MC (1998). Ethical dimensions of nurse-physician relations in critical-care (The Nursing Clinics of North America) 1998 Jun; Vol. 33 (2), pp. 325-37. http://ehis.ebscohost.com.proxy.library.maryville.edu/ehost/detail?vid=19&sid=78745a3b-d950-4ea0-890c-4ee4ab4c4b46%40sessionmgr112&hid=101&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=cmedm&AN=9624207 ISSN#0029-6465 MICHAEL I. RAUCHMAN, BA Medical student McGill University Montreal, PQ RABKIN MT. GILLERMAN G, RICE NR: Orders not to resuscitate. N Engi J Med I 976; 295: 364-366 http://www.ncbi.nlm.nih.gov.proxy.library.maryville.edu/pmc/articles/PMC1875656/pdf/canmedaj01406-0055.pdf Expertise in Nursing Practice Caring, Clinical Judgment, and Ethics

Thursday, January 9, 2020

Write a Detailed Essay on the Nature and Scope of Earth Science - Free Essay Example

Sample details Pages: 3 Words: 787 Downloads: 1 Date added: 2017/09/22 Category Advertising Essay Tags: Nature Essay Did you like this example? INTRODUCTION TO EARTH SCIENCE(GEO211) SS/BSS/09/0103 KWAKU FRIMPONG MARFO WRITE A DETAILED ESSAY ON THE NATURE AND SCOPE OF EARTH SCIENCE. Earth Science is the name for all science that collectively seeks to understand the Earth and its neighbors in space. Some Earth scientists use their knowledge of the Earth to locate and develop energy and mineral resources. Others also study the impact of human activity on Earth’s environment and design methods to protect the planet. Some also use their knowledge about Earth processes such as volcanoes, earthquakes and hurricanes to plan communities that will not expose people to these dangerous events. Earth science is also known as the Geosciences, the Geosciences or Earth sciences. It is arguably a special case in planetary science, the Earth being the only life-bearing planet. There are both reductionist and holistic approaches to Earth sciences. The formal discipline of Earth science may include the study of the atmosphere, oceans and biosphere as well as the solid earth. Don’t waste time! Our writers will create an original "Write a Detailed Essay on the Nature and Scope of Earth Science" essay for you Create order Typically, Earth scientists will use tools from physics, chemistry, biology and mathematics to build a quantitative understanding of how the earth system works and how it evolved to its current state. Like all other scientists, Earth scientists apply the scientific method: Problem statement, Review literature, Formulate hypothesis after observation of and gathering data about natural phenomena and then test these hypotheses. Finally, there is the need for one to publish and explain the research in the scientific community. It must however be pointed out that Earth science is inter-disciplined—it cuts across all sciences and study fields. Science in the broadest sense refers to any systematic methodology which attempts to collect accurate information about the shared reality and to model this in a way which can be used to make reliable, concrete and quantitative predictions about events in line with hypotheses proven by experiment. In a more restricted sense, science refers to a system of acquiring knowledge based on the scientific method, as well as to the organized body of knowledge gained through such research. The scope of science, therefore, is knowledge through reason—and the scope of Earth science is knowledge of the Earth systems through the study of combined science. Knowledge is, therefore, borrowed from other disciplines such as Geology, which is the study of the earth surface(rocks) and interior; Astronomy, the study of the universe that the Erath is a part of; Meteorology, the study of the weather and Earth’s atmosphere and Oceanography, the study of the Earth’s oceans(the four Earth sciences). Geology is the primary Earth science. Literarily, it means â€Å"the study of the Earth†. Geology deals with the composition of earth materials, earth structures and earth processes. It is also concerned with the organisms of the planet and how the planet has changed over time. Geologists search for fuels and minerals, study natural hazards and work to protect earth’s environment. Meteorology is the study of the atmosphere and how processes in the atmosphere determine earth’s weather and climate. Since everyone is concerned about the weather, it can be considered very practical. For instance, how climate changes over time in response to the actions of people is a topic of urgent worldwide concern. Oceanography is the study of the Earth’s oceans—their composition, movement, organisms and processes. The oceans cover a greater part of the planet. The oceans have a major influence on the weather and changes in the oceans can drive or moderate climate change. Oceanographers work to develop the ocean as a resource and protect it from negative human impact. Astronomy is the study of the universe. Studying space beyond dearth is important since the moon derives the oceans’ tidal system, asteroids impacts have repeatedly devastated Earth’s inhabitants and energy from the sun drives our weather and climate. When talking about the nature and scope of Earth Science, it is also necessary to talk about its importance. Today, we live in a time when the Earth and its inhabitants face many challenges. Our climate is changing and that change is being caused by human activity. Earth scientists recognize this problem and will play a key role in efforts to resolve it. Again, we are also challenged to develop new sources of energy that will have minimal negative impact on climate; locate new sources of metals and other mineral resources as known sources are depleted. In a nutshell, the scope of Earth science is knowledge of the earth systems through the study of combined science which also looks at data collection and research woks and the subject being inter-disciplined. References: 1. www. geology. com/body. htm 2. www. wcbp. com/geology/conte 3. Earth Science, An Integrated Perspective, Conte, Thompson and Moses

Monday, December 23, 2019

California s Statutory Prohibit Marriage - 949 Words

QUESTION PRESENTED 1) Whether California’s statutory prohibit marriage between two persons of the same sex violate the California Constitution by denying equal protection of laws to gay, bi-sexual, lesbians and transgender a right to marry, or by denying the right to privacy and freedom of expression? BRIEF ANSWER No. Because the Constitution was written for a man and a woman to marry based on religion and would be a direct violation of what we have been taught all of our lives. Such a profound change would cause the institutions to teach in a â€Å"new† form with a democratic process. FACTS On June 4, 2008, the plaintiffs in this case include fifteen same-sex couples who wish to marry in California and support groups for lesbian, gay, bisexual and transgendered Californians. They were denied many times; however, now before the California Supreme Court, they argue that â€Å"California has long led the nation in recognizing that constitutional provisions guaranteeing equal protection, privacy, due process and freedom of association and expression require that lesbian and gay people, like all people, be treated fairly under the law.† Nonetheless these protections, California has denied same-sex couples the right to marry. That denial, they argue, violates the California Constitution. DISCUSSION In this proceeding, the trial court ruled in favor of plaintiffs which were a devastating blow to the Constitution. 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Sunday, December 15, 2019

Roosevelt Sources Question Free Essays

1. People supported Roosevelt in the 1932 election because he was promising to rebuild the American people. He told them that he was waging war against ‘destruction’ which was of the economy and business. We will write a custom essay sample on Roosevelt Sources Question or any similar topic only for you Order Now He also said he was waging war against delay, deceit and despair. All of those were from the last government, the Hoover government. He promised he would give the lower class people a chance with new jobs, new ideas. After the last government of Hoovers people had grown to hate him and so whatever Roosevelt’s ideas, they were going to vote for him. The American people heard what Roosevelt was saying and because it sounded so much better than Hoovers they praised him. The way he put his speech across, he said, â€Å"Give me your help, not to win votes alone, but to win in this crusade to restore America†. This made the American people think that he really didn’t just want votes he made them think that he really was just trying to win the crusade for America. 2. Source B and C present two different judgements on the New deal. B was written by an American historian writing in 1945, and C is from a book, ‘The Roosevelt Myth’ by and American historian published in 1945. Source B, i think was written after Roosevelt dies. We can tell this by the way that the passage is written in the past tense that he was dead. The difference between each of them is very simple. Source B is telling me that there was a lot of self confidence in the New Deal because it says that during 1933 people will have remembered that the change form depression and discouragement to excitement and hope. It also talks about how the physical rebuilding of the country has been happening during the 1920’s and the 1930’s. This problem was tackled by Roosevelt employing three million young men in the Civilian Conservation Corps (CCC). They planted 17 million acres of new forests and built over 6 million dams to avoid erosion. The New Deal also cut unemployment in another way. Roosevelt introduced unemployment assistance; old-age pensions and he banned child labour. In the political field the government was strengthened but i still gave the public people the ability to vote out the government and so by calling Roosevelt a dictator wasn’t true. 3. In this photograph i think that the photographer is trying to show the stereotype of a happy white family and then below the reality of a black persons life. This photo was likely to have been staged by editing and cutting to provide the photographer with the ideal picture. The picture of the white family shows them as happy, wearing hats, with a dog and going about life in the ‘American Way!’ There was a survey done about how many desk jobs black people got against how many white people got, the white got considerably more jobs than the blacks. The picture is extremely ironic because the difference between the blacks, lining up to receive their government relief and the white family driving being very happy in their car are at two totally different ends of the scale. This picture also proves that not everyone was happy with the new deal, people were still having problems. We can see this by looking at the grim looking faces on the black people. 4. These three sources show very very different points of views. Source E shows Roosevelt pouring money into the new deal, but at the bottom of the picture it shows how the money is just leaking out of the system. It shows that he had put in 16 billion dollars into it but still there was seven thousand million still to put into it. The caption shows Roosevelt saying that he hopes that its going to work, he believes it does. Source F is very much for Roosevelt. It shows Roosevelt throwing out all the rubbish that President had promised but had not honoured. In the rubbish is ‘Car in every garage’ this was supposed to allow every household in America to own their own car. Many other promises where made but most weren’t for filled. Source G shows Roosevelt with a bag full of remedies in case the new deal fell through, he is talking to congress and is explaining that if things don’t go smoothly he’ll have to change them. The old man sitting in the corner on the left is Uncle Sam he is sitting there because he i supposed to representing America. The bottles on the table, are the alphabet agencies the are the agencies that Roosevelt that Roosevelt made to help unemployment, and to restore the country. One of the Alphabet agencies the (CCC) took unemployment from 17 million and it helped rebuild the banks to help and avoid erosion. 5. I personally think that source H is the best. It is a letter from a supporter of Roosevelt. He is talking about how Roosevelt has helped him and his wife get back his possessions from the bank and get his loan extended. The man tells how he has never heard of a president quite like him and how amazing he is. The man goes on to say how him and his wife pray for him every night; it is said that he isn’t the only one. There are many millions of others. This is the best example of public opinion i think. Source I is just a song about how Roosevelt has stopped people from working and not getting the correct pay, and how glad they are that he is back. This source isn’t as good as source H. 6. I think these two people disagree about the new deal so much because source J is made by a business speaking in 1980 he says that Roosevelt gave to people rather than teaching them how to gain. He says that people then got used to not having to work so hard and so they just expected to get from Roosevelt. He says that they had soup lines and the depression because people ‘lost confidence in themselves.’ He says that ‘Welfare kills a man’s initiative’. He makes the example of a dog and says that ‘A dog you feed will not hunt.’ The point he is trying to make is that if you allow someone to get hungry and then that person has to work hard to eat then he’ll learn from that, but, if you just give money and government relief to him on a plate then he’ll just take it and run. Source K says the total opposite written by the secretary of Labour in Roosevelt’s New Deal government in the 1930s. She says that ordinary people had been given the chance of a much better life. Roosevelt ‘understood’ about how the depression had hit the heaviest on those people less able to bear the strain. Although the rich had been hit too hard too he knew they didn’t have so many problems, they had something left at least. The sentence he used was, â€Å"The idea was that all forces of the community should be directed to making life better for ordinary people.† Roosevelt tried his hardest to do this. 7. The first paragraph is a very psychological accepts of the New deal. It says that it helped many Americans and it helped the USA as a whole to life out of the depression. The New Deal may have helped but it wasn’t the only thing. Much of the Deal had helped like the alphabet agencies, they helped because it gave people jobs and the chance to work and gain money. They certainly lifted people’s hopes. This interpretation of the New Deal is quite a hopeful one. It makes the New Deal sound like it was faultless and that there were never any problems with it. This is not the case at all but it did help in its own way of getting the USA out of the depression. The second paragraph is wrong in many aspects and is factual. Firstly although the government did become reasonably powerful they didn’t become powerful enough to not be able to not be voted out by the American people, the public. They never got too powerful. Secondly, the view about making people dependant may have been right in some cases but not in all cases by any means. Many people did tend to rely on the government relief offered, but the majority of the country worked their way back up again and earned their living by doing hard work. Lastly, the situation about losing a lot of money is reasonably true as a statement but all of the money helped in its own way. Roosevelt did pour a lot of money into this New Deal but he wanted it to work so much. The money was leaking through the system but not all of it was a waste. I think that the first one is a much better interpretation of the evidence because, it the second one is not right what it says is wrong and doesn’t speak the truth. Yes its true the New Deal drained a lot of money out of American but it helped so many people in so many different ways that it was almost a saviour. How to cite Roosevelt Sources Question, Papers

Saturday, December 7, 2019

The Case Study of Sandra-Free-Samples for Students -Myassignment

Question: Discuss about the Case Study of Sandra. Answer: Key issues faced by client: The case study of Sandra, a 28 year old girl who was refereed to counseling by her GP had the following issues: Conflict with partner: Sandra has been living together with Steven, however they have not married yet. Both of them have been dating since high school. However, the current problem in their relationship is coming up because of the disagreement between the two regarding the right time for marriage. This difference in views have led to heated arguments among them and scarred their warm relationship. Lack of direction in life: Sandra is a solicitor and she recently got a new job in a large firm. Earlier she was working in a small law firm for five years. Despite this achievement, she is not content with her life. She lacks direction regarding her future goals in life and is unsure about her current job position. Increase in mood swings: Mood swings is a major issue for Sandra as she is overwhelmed by hopelessness at times. Sometimes she feels very good and happy about herself but the feeling does not last long. She often feels worthless and has been experienced this feeling since adolescence. This negative feeling has become more intense now as she believes that she has not achieved what she had desired in life. Issues in social interaction: Another challenge for Sandra is that she finds it difficult to interact with people. Often in social gathering, she has reported of being restless and irritated with people. This might hamper her relations in life. Although this has not affected her work life yet, however she feels this may affect her work in the future. Negative feeling towards family members: Apart from her own personal goals, Sandra shows negative towards her family members too. She feels that as she is the eldest of the three children, her father has high expectation from her. This has overburdened her. In addition, she also feels that her mother does not provide her emotional support when she needs it the most Identification of areas of client life needing more information: The analysis of Sandras issues shows that some information is still missing and knowing about that may help during the therapy session. The areas of life needing more information are: Sandras goal in life: The case study mentions that Sandra is not good enough and not worthy. This is because she did not turned out to be a person she wanted to in life. However, there is no clarity regarding what was her aim in life. If the therapist can get the information regarding her past goals in life, it would help to identify the exact reason for Sandras disappointment. This would also help to interpret why Sandra has no directions in her life and is not sure about future aspirations. Sandras behavior in social situation: The case analysis of Sandra shows she feels restless and irritable with people. However, the exact scenario or situation under which she has this feeling is missing. It might be possible that she prefers living alone or she gets irritated when someone bothers her unnecessarily. This information would help to interpret the factors that lead to feelings of irritation in Sandra. Sandras father expectation towards her: Sandra reports that her father had higher expectations towards her than other siblings as she was the eldest. However, no detail is given regarding the exact expectation.. This information might help to determine the wish of her father that Sandra could not fulfill. This might also be the reason for Sandras feeling of worthlessness. This would help in addressing Sandras concern during counseling. Previous counseling: It is not known whether Sandra has taken counseling before or not. This information might help to determine the reason for her visit and what was not addressed that she came for counseling again. Two chosen therapeutic approaches: While working with Sandra, I would use the approach to cognitive behavior therapy and acceptance and commitment therapy for counseling her. The use of Cognitive Behavior Therapy (CBT) is appropriate for Sandra as it utilizes short term and goal oriented approach to problem solving. Cognitive behavior therapy is mostly given to individuals with range of issues such as relationship problems, anxiety, depression, drug abuse, and other issues in life. The goal of the therapy is to change pattern of thinking in affected person (Demner, 2016). The technique is based on the assumption that a persons mood is directly affected by their thought patterns. Therefore, it assist a person in recognizing their negative thought pattern, validate them and replace them with positive way of thinking. It assist client in understanding their problems and adapt new strategies to deal with issues. The combination of psychotherapy and behavioral therapy in CBT helps to modify thinking pattern and promote beh avior activation in people to overcome obstacles that prevent them from living happily (Farmer Chapman, 2016). Hence, I aim to use this technique to address negative feelings and disappointment in Sandra and change her thinking and behavior pattern. Another advantage of utilizing this technique in therapy session is that it takes very short time about one session per week lasting for 50 minutes. Another approach that I aim to utilize during therapy session for Sandra is Acceptance and commitment therapy (ACT). This kind of therapy is provided to individuals with emotional and behavioral challenges in life. It is a strategy that teaches mindfulness skills to client by means of commitment and behavior changes strategies. This approach enhances psychological flexibility in an individual so that they respond to situations based on what a particular situation demand and persist in new behavior and values as taught during therapy sessions (Hayes et al., 2013). ACT is based on the relational frame theory that serves to identify the war of clients with their own inner lives. A therapist then uses metaphor and experiential exercise to teach clients how to make health contact with their feelings, recontextualize event and commit to new and healthy behavioral changes in life (De Houwer, 2013). I aim to use the ACT strategy for Sandra because her thoughts patterns and attitudes is also a result of a war with her inner self and she needs to learn new ways to respond to life situations in a positive way. Hence, with this therapy, Sandra can learn ways to suppress and manage her negative emotions and introduce value based actions in her life. Rational for prioritizing client issue: Prioritizing client issue for CBT As Sandra is suffering because of her negative and irrational thought patterns, I aim to use CBT approach to explore cognitive processes of Sandra and change her attitude and behavior towards life. The main issue that needs to be prioritized by this therapy is mood swings and feelings of disappointment in Sandra. This is important because it is affecting both her personal and social life. During the therapy session, the focus will be on thoughts, images , belief and attitude of client. This would help to establish link between cognitive process of Sandra and how she behaves in life. This would help to identify the reasons for her being tearful and upset most of the time (Beck, Freeman, Davis, 2015). I would also include her parents in some of the sessions to assess how she reacts in normal life events and gain more insight about her mood swings and upset feelings. Another key issue faced by Sandra is that her feeling of worthlessness. CBT session aims to address this attitude of Sandra by asking her about the reasons for her dissatisfaction with current job. In addition, inquiring about her current goals and aspirations in life might also help to establish the link between her current achievements in life and her current feelings (Greenberg, 2017). Hence, the condition of hopelessness and restlessness can be addressed by this technique. Prioritizing client issues of ACT Through the use of ACT strategy, the client issue of mood swings and no directions in life will be addressed. As ACT approach establishes connection with the observing self, I will help Sandra to detach from negative thoughts and reduce worthless feelings in life. After the reduction of negative feelings, the client can eventually accept new behavioral change. Sandra will be asked to avoid exacerbating her feelings of worthlessness in life and instead strive for actions that enhance her confidence both in personal and professional life (Niles et al., 2014). Therefore, by means of ACT, I will promote psychological flexibility in Sandra. Another issue that will be prioritized according to the ACT strategy is that of her attitude of self-doubt and pointless feelings in life. During the therapy session, I aim to engage in value clarification so to help define what values and aspirations care important in Sandras life. This would guide her to action based on her values. People who have painful emotions and negative feelings in life fail to choose value based action and the technique of mind liberation in ACT therapy helps people to act congruently with their feelings (Craske et al., 2014). Hence, with this approach it is expected that Sandra can lead a fulfilling life post therapy. Discussion on technique for each chosen approach and evaluation of effectiveness on client: Cognitive behavioral therapy Technique used: CBT is based on psychodynamic theory, which explains that unconscious forces drive behavior of individual and technique of free association and transference helps to redirect feeling of clients and modify their thought pattern (Colarusso Nemiroff, 2013). With this assumption, the first step that I would use during therapy session would be to openly interact with Sandra and let her express her feelings and thoughts in life. I will ask her what makes her upset. This will help to analyze any underachievement or personal issues in life that might be leading to sad feelings in her. I would also inquire about any past event or past relationship that has made her the person she is today. This is important to establish link between her feelings and behavior. In the next step, I would employ the technique of Socratic questioning to challenge maladaptive thoughts of Sandra. For example I may ask her Due to think it is right to be dissatisfied even when you have got a lucrative job opportunity which many people yearn for and still cannot get?. This technique would make the client question herself and apply logic to finally realize that the thought or feeling that she was having was not actually right (Kazantzis et al., 2014). This would help to Sandra to arrive at adaptive and realistic beliefs. Finally, after the validation of her irrational thought and feeling, I would help teach her practical ways to change her state of mind on a daily basis. Evaluation: The CBT approach to counseling will work for client because it focuses on current problems in client instead of focusing on past events. The solution-based approach to modify cognitive process in an individual enables them to cope better with issues in life. Research also gives strong evidence regarding the effectiveness of CBT in addressing anxiety disorders, general stress, depression and anger problems in people (Hofmann et al. 2012). As Sandra is also suffering from stress due to mood swings and disappointment, this would help her too. Acceptance and commitment therapy Technique used: While providing counseling to Sandra by the ACT technique, her past issues will be explored to see how she is not able to bring positive vibes in her life despite many positive occurrence. This would make the client accept the deficit within her in a positive way. I would help her in accepting her experience by compassionately stating that I understand you are having difficulty in letting go off the feeling of worthlessness, however we can work together to address this. This action will motivate Sandra to commit to new action and establish new relationship with her life experience. I would guide her to choose values based action by inquiring what is more important for her at this point of life. This would help her to identify value-based action and make commitment change behavior and attitude to achieve those things which she values most in life (Niles et al., 2014). Evaluation: ACT is distinct from other therapies as makes people accept unhealthy feelings and personal values within them and encourage them to learn healthier ways of living by committing to new behavior. Unlike cognitive therapy, it does not directly stop unwanted feelings in client, instead it encourages them to develop new and positive relationship with life experience (st, 2014).. Hence, this is going to be more effective for Sandra so that she learn new ways to make her life more fulfilling and adapt positive values to overcome feelings of worthlessness in life. Reference Beck, A. T., Freeman, A., Davis, D. D. (Eds.). (2015).Cognitive therapy of personality disorders. Guilford Publications. 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