Analyze the Sochi 2014 Olympics game,pairs figure skating,Russian Essay

Investigate the Sochi 2014 Olympics game,pairs figure skating,Russian player, - Essay Example The fundamental objective of this group is to outscore its principle adversaries and develop as clear champs. The way that Russia is the hosts implies that fans will turn out in enormous numbers and bolster the group. The group has six individuals. One of them is Vera Bazarova. She is twenty-one years of age and has just contended in various occasions regardless of her young age. She has contended at the Olympic winter games, big showdowns, European titles and the amazing prix last. Vera adores perusing, cooking and going out. She is as yet an understudy who began her brandishing profession in 1997. The principle reason that made her to begin this game was to improve her unexpected weakness. Her primary mentor is Nina Mozer. Ksenia Stolbova is another colleague. She is twenty-two years of age and has just partaken in different titles, too. She is an understudy who adores shopping and investing energy with companions. She started the game in 1997, also. Saying Trankov is another senior part who is thirty years of age. He has loads of experience having contended in a few rivalries. He cherishes hip-jump music, utilizing PCs and perusing. He learned at the Moscow State University. He is familiar with English and Russian. In 2011, he harmed his shoulder while in preparing. Moreover, he experienced growing in his correct arm at the 2008 big showdowns. Fedor Klimov is another individual from the group. He is twenty-three years of age and has participated in different rivalries also. He adores football, staring at the TV and unwinding. In 2013, he missed about two and half long periods of activity because of injury. The mentor for the group is Nina Mozer. She was conceived in 1964. The group is for the most part described by both experience and physicality. The most youthful part is matured 21 while the most seasoned ages 30. The more established individuals have partaken in different occasions, before. The association of the group is even, and outer impacts

Data Back Up essays

Information Back Up articles In the article IT Recovery Efforts Forge Ahead by Eugene Grygo, the fear based oppressor pulverization that occurred at the World Trade Center is discussed. In spite of the fact that this article isn't about the numerous individuals who lost there lives or the counter the administration will be taking later on, it is tied in with something that is similarly as huge. This article is pretty much all the PCs and databases with all there hard drives and data being decimated to the sum that all the information inside will always be unable to be recouped. Along these lines, individuals are currently considering more up to date and better approaches to back up important modernized data. Fiasco recuperation today is woefully lacking. This statement by Jim Johnson (Chairman of the Standish Group, West Yarmouth) was demonstrated completely in the World Trade Center Attack. This is so in light of the fact that the a great many PCs and databases which were decimated had loads of significant and basic data on them. The data, for example, securities exchange numbers, lotus notes, customer archives, messages, and other information meddlesome data will never be recouped. Along these lines, PC researchers and specialists are beginning to consider better approaches to back up and store data. One potential answer for their concern was utilizing the ever-phenomenal Internet to reinforcement significant information. This, looking at the situation objectively, would be an incredible method to back-up data. This is so in light of the fact that the Internet is an additional huge database. As of now, it can hold an exorbitant measure of data, and since it just began around 20 years b ack, it is protected to state that it will get bigger. For instance, when IP v. 5 comes out, the Internet will become multiple times greater than it is presently. Not exclusively will the Internet be sufficiently enormous, however it will likewise be sufficiently straightforward to reinforcement data on it. This is so in light of the fact that it incorporates approaches to transfer and download data to it. Therefore, data would have the option to be spared and re... <!

How Religion Can Improve Health

How Religion Can Improve Health Spirituality Print Religion and Your Health Religion Might Add Years to Your Life By Mark Stibich, PhD  Mark Stibich, PhD, FIDSA, is a behavior change expert with experience helping individuals make lasting lifestyle improvements. Learn about our editorial policy Mark Stibich, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on March 06, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on February 04, 2020 More in Self-Improvement Spirituality Happiness Meditation Stress Management Holistic Health Inspiration Brain Health Technology Relationships View All The impact of religion on health and life expectancy has always been a tricky area of research. It seems (to some) that religious people (defined here as people who go to religious services regularly) seem to be healthier than those who do not go. This has led to a line of research looking into the impact of religion on health to determine what, if any, positive benefit religion could have on life expectancy. This research is tricky because of several factors: People who attend religious services may simply be healthier than those that cannot attendThe benefits may have more to do with social contact than religion itselfCertain religions may encourage behaviors that are healthy As researchers look into the impact of religion, all these factors must be considered along with the possibility that religion itself influences health or that (to put it bluntly) God takes care of those who go to services. What the Studies Say A study of more than 92,000 participants from the Womens Health Initiative found that women aged 50 and up were 20% less likely to die in any given year if they attended religious services weekly (15% reduction if they attended less than weekly) compared to those that never attend religious services. This analysis was controlled for age, ethnicity, income level, and most importantly, current health status. The data was collected through surveys and an annual review of medical records. What was interesting was that the religion effect applied to the overall risk of death, but not to the risk of death from heart conditions. There is no explanation for why that might be. The fact that the study controlled for overall health status makes it more possible that attending religious services has a positive impact on health (not just that healthier people go to services more often). Another study also found a benefit of attending religious services, this time expressed in added years of life. Researchers have found that weekly attendance at religious services is associated with two to three additional years of life. These findings were controlled for other factors such as the amount of physical exercise and taking statin-type cholesterol medications. The same study also examined the costs of physical exercise, statin-type drugs, and religious attendance. Physical exercise was the most cost-efficient way to add years to your life, followed by weekly religious attendance, and statin-type drugs. Years of Life Expectancy Religion: 2 to 3 additional years Exercise: 3 to 5 additional years Statin-type drugs: 2.5 to 3.5 additional years Cost Per Year Religion: $2,000 to $14,000 (donations and contributions) Physical exercise: $2,000 to $6,000 (gym memberships, equipment, etc.) Statin-type drugs: $4,000 to $14,000 Problems With the Research Because these studies are observational (researchers watch what happens in the real world without actively controlling any of the conditions or randomizing the participants), it cannot be said that religious attendance increases life expectancy or that it doesnt. We can only conclude that there is an association between religious attendance and increased life expectancy. They are linked, but we dont know why. There could be a different reason to explain the life expectancy outcome in the study. In fact, other studies have shown that people who regularly attend religious services may be more likely to be employed, to have larger social networks, to be more positive, to live in intact families, and to not be experiencing disabling illness. Any of these factors could explain the difference in life expectancy observed in these studies. How Spirituality Can Benefit Mental and Physical Health What Can I Take Away From This? The observation is realâ€"people who attend religious services regularly tend to live longer. The tough question is, why? It may be simply that people who attend religious services tend to have more social and financial resources than non-attendees, or it could be that something about attending religious services (like making connections with others, prayer, or spiritual reflection) helps people to live longer. Youll have to decide for yourself.

St. Augustines important philosophical contributions to...

St. Augustine made some very important philosophical contributions to defend the philosophy of Christianity. One of these contributions concerned the philosophical problem of evil. Up until St. Augustines time, philosophers questioned the idea proposed by Christians that evil generated in a world created by a perfectly good God. The problem is easy enough to understand, yet slightly more complicated to solve. St. Augustine raised some fairly good propositions to offer an explanation for this question. Although the problem of evil has been answered for the most part, there are still many who disbelieve St. Augustines interpretation of the dispute. To me, this is in good reason; the problem of evil is inherent to understanding the big†¦show more content†¦Depression, to me, is one the most obvious signs of moral evil; I see depression as being the result of misdirection and heading away from the direction God is leading you to be on. For instance, the blind pursuit of money is one of the quickest ways to the state of depression. I think this is a very good example of what Augustine is referring to when he talks about misdirected love. As I said before, I believe that you come to love what you strive for, and in the pursuit of money, you develop a love for it. This love for money is obviously not a direction in which God intends us to pursue, and as a result, moral evil - or moral wrongdoing - will ensue. I personally believe that to pursue money and to strive for it is one of the quickest ways to realize just how empty a persons life has become without Gods direction or influence. Augustines next proposition on evil concerns the foundation of morality. Augustine believed in a Platonic idea that a basic natural law governs morality and that human behavior must conform to it. Plato had believed in a cosmic order in which this natural law exists, and Augustine believed that it was actually written in the hearts of man and is interpreted by them through their conscience. Augustine stated that this natural law consisted of the reason and will of God. This proposition is one that I see as being the most complex and difficult to interpret. ThroughShow MoreRelatedThe Life And Work Of St. Augustine2850 Words   |  12 PagesAurelius Augustinus, better known as St. Augustine of Hippo, was an African who is credited for being a founding father of church doctrine and innovator or pioneer of sorts, for Western Christianity. He was a legend before his time and possessed knowledge of The Word of God that far surpassed even today’s modern theologians. In this essay we will look at the life and work of St. Augustine of Hippo’s. First, starting with his lifespan will focus on his family, education and conversion experience.Read MoreLogical Reasoning189930 Words   |  760 Pagesupdated: April 26, 2016 Logical Reasoning Bradley H. Dowden Philosophy Department California State University Sacramento Sacramento, CA 95819 USA ii iii Preface Copyright  © 2011-14 by Bradley H. Dowden This book Logical Reasoning by Bradley H. Dowden is licensed under a Creative Commons AttributionNonCommercial-NoDerivs 3.0 Unported License. That is, you are free to share, copy, distribute, store, and transmit all or any part of the work under the following conditions:

An Examination Of Impulse, Procrastination And Its...

Tyler Griffin Mrs. Crochetià ¨re ENG4UR Tuesday, January 6th, 2016 An Examination of Impulse, Procrastination and its Consequences in William Shakespeare’s Hamlet American playwright Maxwell Anderson once stated in his essay, Off Broadway, that, â€Å"the story of a play must be a conflict, and specifically, a conflict between the forces of good and evil within a single person.† The most memorable characters in literature have dealt with struggles both internal and external, in terms of either heroic or cowardly means. In William Shakespeare’s play Hamlet, the title character uses either procrastination or impulse to deal with conflicts resulting in devastating consequences. The protagonist’s urge to act upon impulse and the resulting deadly outcomes speaks to Hamlet’s lack of forethought and even his fleeting madness. In contrast, Hamlet’s continued procrastination draws on many of his conflicts eventually resulting in an overabundance of spilled blood. To begin, Hamlet’s decision to avenge his late father is made up on impulse and irrational thinking. Although for the majority of the play Hamlet is c ontemplative almost to the point of obsession, there are numerous moments when he acts with incredible swiftness and lack of forethought. These instances may either be a result of Hamlet’s loss of sanity or his efforts to battle his chronic procrastination, nevertheless the result is a surplus of bloodshed. In the early stages of the play, when the King’s ghost first appears toShow MoreRelatedPsy 410 Week 2 and 3 Matrix of Disorders7746 Words   |  31 PagesPsychology Disorders | DSM-IV-TR Criteria | Examination of Classifications and Symptoms | A. Anxiety Disorders: | | | 1. Generalized Anxiety Disorder (GAD) | A. Excessive anxiety and worry (apprehensive expectation) about two (or more) domains of activities or events (for example, domains like family, health, finances, and school/work difficulties)B. The excessive anxiety and worry occur on more days than not for three months or more (APA, 2000) Examination of Classifications and SymptomsC. TheRead MorePerceived Stress Levels and Stress Management Among Paramedical Students Lyceum of the Philippines University: Towards Stress Management Enhancement15005 Words   |  61 Pages(Prendergast, 2004) reported that college students are more likely to drink and to drink at high levels than are young adults who are not in college. The means for relaxing may be temporarily effective for reducing stress levels, but there are consequences associated with regular drinking that are not always desirable (Fromme Rivet, 2004). Existing research provides limited information on stress and its management among c ollege students. Accurate information regarding stress, its primary sourcesRead MoreGp Essay Mainpoints24643 Words   |  99 Pagestastes and preferences of others in society †¢ Right to privacy does not cease to exist when an individual is plunged into public limelight †¢ Public life should not become something which can be exploited by media companies to gain profits Consequences of such coverage often prove to be deleterious (in practice) †¢ Process of gaining such scoops often involves invading the lives of individuals in their most private moments †¢ E.g. Memory of paparazzi cameras chasing stars like Audrey HepburnRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesTransformational Leadership 382 Authentic Leadership: Ethics and Trust 386 What Is Authentic Leadership? 386 †¢ Ethics and Leadership 386 †¢ Servant Leadership 387 †¢ Trust and Leadership 387 †¢ How Is Trust Developed? 389 †¢ Trust as a Process 390 †¢ What Are the Consequences of Trust? 390 Leading for the Future: Mentoring 391 Mentoring 391 Challenges to the Leadership Construct 393 Leadership as an Attribution 393 †¢ Substitutes for and Neutralizers of Leadership 394 †¢ Online Leadership 395 Finding and Creating EffectiveRead MoreDeveloping Management Skills404131 Words   |  1617 Pages443 Empowering and Delegating 443 A Management Dilemma Involving Empowerment The Dirty Dozen 444 The Meaning of Empowerment 445 Histori cal Roots of Empowerment 446 Dimensions of Empowerment 447 Self-Efficacy 447 Self-Determination 448 Personal Consequence 449 Meaning 449 Trust 450 Review of Empowerment Dimensions 451 How to Develop Empowerment 451 Articulating a Clear Vision and Goals 452 Fostering Personal Mastery Experiences 453 Modeling 454 Providing Support 454 Emotional Arousal 455 ProvidingRead MoreStrategic Human Resource Management72324 Words   |  290 PagesThe Harvard model was produced by Beer, Spector, Lawrence, Mills and Walton in 1984 and consists of six components: ï  ¬ ï  ¬ ï  ¬ ï  ¬ ï  ¬ ï  ¬ Stakeholders interests Situational factors Human resource management policy choices Human resource outcomes Long term consequences A feedback loop through which the outputs flow directly into the organisation and to the stakeholders. The model shown below is adapted from Torrington and Hall: Stakeholder interests Shareholders Management Employee groups Government CommunityRead MoreProject Mgmt296381 Words   |  1186 Pagescertification as a Project Management Professional (PMP)—someone who has documented sufficient project experience, agreed to follow the PMI code of professional conduct, and demonstrated mastery of the field of project management by passing a comprehensive examination. The number of people earning PMP status has grown dramatically in recent years. In 1996 there were fewer than 3,000 certified project management professionals. By the end of 2009 there were more than 350,000 PMPs! The Project Management Institute

National initiative Unit Free Essays

string(100) " staff needs to know who the child protection officer is and to have read the safe guarding policy\." For the scenario I am investigating there are a number of laws and regulations that have to be considered and adhered too, they are as follows: European convention on human rights and fundamental freedoms (1950) This piece of legislation was introduced after the Second World War and relates to the human rights every individual can expect whilst living and working in the European Union. The act was necessary as so many people had, had their human rights violated during the war years. Following this many individual acts were passed to ensure that discrimination was against the law. We will write a custom essay sample on National initiative Unit or any similar topic only for you Order Now In 1 998 the human rights act was the document that updated previous legislation and importantly made sure that any citizen had the right to take legal action against any person or organization that disrespected their human rights. This included all health and social care services. Collectively, human rights legislation is a powerful tool to ensure that those who are more vulnerable in society have the backing of the law in relation to their rights. In the residential care home it is important that we recognize the diversity of needs of our clientele and are aware of their needs and preferences. The sex scrimp nation act (1975) This act was introduced to protect both men and women against discrimination or harassment in relation to their gender. This included employment, education, advertising or in the provision of housing, goods, services or facilities. In the main it was to address the discrimination that was mainly taking place against women. Employers would often reject a potential female employee in favor of a man as they felt a male would be more reliable as women both have children and care for them. In more recent years the equal pay act has defined clearer guidelines in relation to pay truce. In nursing the pay scale does not discriminate and care staff are employed for their capacity to do the job and men and women receive the same remuneration. In the care home there are both male and female workers who are employed for their skills and ability to address the complex needs of the clients. There is training provided and pay is linked to qualifications and job roles regardless of gender. In addition, we have both male and female clients and we provide for their needs appropriately. The mental health act The mental health act was introduced initially in 1983 and has had a number f changes in the years up until 2006 (see appendices 2). The purpose of this act was to make sure that the appropriate action could be taken when people displaying mental health or learning difficulties got the help, care and treatment they needed both for their own health or safety and the protection of others. This was an important step because those with these problems were often not given the care and support that there condition required. In the I-J, there were large mental hospitals which catered for a variety of conditions and needs but gave little thought to the needs of the individual. It was a case of the individual fitting into the programmer offered whereas today we appreciate the needs of the individual and how important it is to tailor care to need. The large hospitals and institutions were closed down as it was decided that people were better off living in smaller units or being cared for in the community. However, there was still not enough legislation to provide the necessary protection. In 2005 the mental capacity act was introduced which provided a frame work that empowered and protected vulnerable people who are unable to make their own decisions. The act States army who can take decisions in various situations and how things should be carried out. For example, two doctors now need to sign a sectioning order for a patient to be detained because of their mental health. Prior to this, there have been cases where people have been sectioned with no right to complain. This act states very clearly those people that have the power to make decisions. It enables people to plan ahead for a time when they might lose their mental capacity. This act was seen as important as so many people are now suffering with some form of dementia in their later years. It meant hat health care professionals such as doctors and social workers had a professional duty to work with the most vulnerable, in their best interests and to empower them to make their own decisions. There is still much to be done with mental health care which is sometimes referred to as the Cinderella of the health service. New initiatives in relation to mental health have been introduced as it was clear in some areas that care of the community was not working as well as it should. Northern Ireland has similar legal frameworks to England but under the Northern Ireland assembly they can have variations. Legislation related to children Two pieces of legislation were passed in 1989, one the convention on the rights of a child’ and the other ‘the children’s act’. The first was issued by EUNICE and it provided a framework for the rights of the child. It specifically highlighted children’s rights in international law and included the principles and standards for the treatment of the children’s workforce. The children’s act concerns the UK only and is designed to protect the child from significant harm and to keep them safe and cared for by setting standards. Organizations working with children have to provide policies and procedures n relation to how they are promoting the children’s act in their environment. An example of this is the safe guarding procedures that are in place in schools. Every school has to have its own safe guarding policy which outlines all procedures and highlights training. This is an extremely important document and in schools every member of staff needs to know who the child protection officer is and to have read the safe guarding policy. You read "National initiative Unit" in category "Papers" In the school attend every member of staff has a summarized copy included in their handbook and the full copy is available in the staff room and online. Every Taft member has to sign this at the beginning of each academic year to show that they understand what they have to do should they become concerned about any safe guarding issue. Training is given to key professionals and the policy is revised every year in relation to new legislation. The children’s act was revised in 2004 in relation to improving children’s lives in a broader sense. The aim of this was to encourage better services and provision for all aspects of children’s welfare and health. It also covered making sure children had access to the services they needed including additional needs. An example is my own school where there are policies and procedures in place to ensure that all children are treated fairly and offer the opportunities they need on a personal level. Children’s educational needs are investigated and the appropriate intervention is put in place. Am currently working with this department as part of their literacy strategy offering one to one instruction to children below the reading age expected for their chronological years. Children have been evident in the media recently because of historic abuse cases and this has raised everyone’s awareness in relation to how vulnerable hey are. There is now greater emphasis on all policies and procedures that relate to children. Race relations There has been a great deal of legislation in relation to people of a different race living in the KICK. In my notes already have highlighted the benefits of a diverse multicultural society. People have been making their home in the UK since the sass’s when Jews arrived from Russia and Poland and people from Ireland were driven out by the potato famine. The race relations amendment act was passed in the year 2000. Its main principle is to protect racially quality and ensure that no person is discriminated against on the grounds of their race. Britain today is truly multicultural and the act ensures that it promotes good relationships between people from different ethnic backgrounds. If a person faces discrimination because of their race the law protects them and gives redress. I have watched a number of video clips that illustrate how distressing racial discrimination can be and also how people can have stereotyped ideas and opinions. Race relations are linked to equal opportunities and the human rights act. Disability discrimination act (DAD) The DAD ensures that people with disabilities have their civil rights protected and do not face discrimination. It was passed in 1 995 and encouraged organizations and health authorities to overcome barriers and make reasonable adjustments to ensure full accessibility. Clearly this act did not go far enough and was updated in 2005 to apply to the public sector and to promote equality of opportunity for people with disabilities and to eliminate discrimination. At this time it was also seen as necessary to include people with HIVE. It stated that public bodies must promote disability equality and reduce action plans to show how they intend to fulfill their duties and to renew the progress annually. Schools, colleges and universities were all told to make reasonable changes to their premises to make them user friendly for Britain’s students with disabilities. In my school all doorways were fitted with ramps as well as having a lift installed. In addition, a fitted disabled bathroom was installed and money set aside for any student’s specific needs. This was particularly important for wheelchair users. Making all public buildings, apart from those with a listed status was a huge undertaking and the government catered in three years to bring this into place. It meant that all public bodies and authorities had to review their policies, practices, procedures and services to make sure they did not discriminate against anyone with a disability. Huge advances have been made to accommodate those with disabilities culminating in the successful Paralytics. This was televised across the world and opened everyone’s eyes to how important it is to be accepted in society despite their disability. The human rights act (1998) This act covers all human rights and ensures civil rights for people enabling hem to take legal action against any person or organization, including HAS, which disrespects their human rights. This act has been used when people feel their rights have been violated. Recently a female worker for British airways was told she could no longer wear a cross around her neck whilst at work. She felt that this violated her human rights and so took her case to the European courts where she won her case. This is just one example and there have been many particularly in relation to same sex marriages and counseling services. A homosexual couple went to relate which is an organization that helps relationships through the use of counseling. The counselor rejected the homosexual couple and did not wish to help them so the couple took their case to the human rights where they won their case and the counselor had no right to reject them. Data protection act This act covers the way information about people is kept and used and protected and kept secure. It is necessary for every organization to hold personal data on employees but this has to be kept secure and it is extremely important in any health and social care sector. All organizations have policies ND procedures that employees have to be made aware of and they need to follow correct procedure. In school data is held on every student and this is confidential and can only be viewed on a need to know basis and must not be passed on outside of the school environment. All confidential information has to be shredded. Nursing and residential care homes regulations This act was passed in 1984 and was amended in 2002 and applies to all nursing and residential care homes. Every residential care home has to have a license to operate which is issued by their local council. This license regulates how they practice. If the homes do not meet regulations they face prosecution and sometimes closure. This act works closely with the care standards act that was passed in 2000. This piece of legislation covered individuals in all care settings including domiciliary. Again, standards have to be met and the individual must receive appropriate care. This act also covers fostering and family care. Every care home has to have policies and procedures in place that reflect national legislation. These are open to inspection. Age discrimination act (2006) This act was passed to make it unlawful for employers and others to criminate against a person on the basis of their age. This applies to jobs, promotion, training and employment. Legislation is being updated and changed all the time and in particular when political parties are in control. In health and social care all professionals must stay up to date with current legislation. The legislation I have researched is used by health and social care organizations to produce policies and procedures that outline the roles, rights and responsibilities involved in the service they are working for. Legislation indicates what those using the services expect in the way of support and behavior. Most health and social care organizations and professions have a charter or code of practice and procedures that has to be followed. I have researched the code of conduct published by the NC which outlines the standards of conduct, performance and ethics for nurses and midwives and have included this as an example of how legislation is applied. The general social care council (SIC) registers all social care workers and regulates both training and conduct. Codes of practice are needed as when services are inspected or audited they will be judged upon the level of service they are roving. Any professional role will be overseen by the SIC and staff in training will be made aware of the code of practice and charters they have to work to. Charters inform staff and those using the service about what they can expect. The care quality commission (ICQ) regulates the standards on behalf of the government. This is often done with inspections. Every organization has to produce its own policies and procedures that respect all aspects of equality, diversity and rights in health and social care. Managers have to guide professionals in their employment to ensure they are observing reoccurred. This can be seen in all areas of HAS by looking at notice boards in the hall way, reception or staff rooms. In addition, charters are put online where they can be viewed by the public. All staff should receive a handbook when being inducted into a new post or role and care workers should have frequent training and updating on any changes. If this is followed the individual’s rights are promoted in a positive way. There are many people who are too ill or too frail to speak for themselves or who do not know their rights. There are many vulnerable people who may not even be aware of their sights and need a person to make sure they’ve received what they are entitled too. A trained person will speak on their behalf and this is referred to as an advocate. The advocate can be a professional worker or a friend or relative but must always realism that they are speaking on behalf of the individual and not expressing their own view. Every health and social care setting must have policies and procedures firmly in place and ensure that staff know about these by putting up notices and providing training. If this is done properly staff are sure of what they should be doing and if they fail to comply capillary action or dismissal may occur. Staff development and training are vital if staff are to be kept up to date with changes, policies and procedures, as well as legislation and technology. Technology changes rapidly so there is a need for continual professional development. Quality of care and experience is constantly improving by being reviewed and developing equality, diversity and rights. It is important that work place or organizations keep up to date with all changes. Sometimes large organizations will appoint managers who will ensure that things are followed correctly and there is regular training for Taft. Every organization must have a complaints procedure by law and these will be inspected when settings are audited. If Someone complains they have the right to have their complaint dealt with efficiently and investigated. They need to know the outcome of the investigation and if they are not happy take it to the independent parliamentary and health service ombudsman if they are not satisfied with the way there complaint has been dealt with. Sometimes people will make a complaint if they think they have been directly affected by an unlawful act or a decision in relation to care issues. If they have en harmed they may receive compensation. Affirmative action sometimes called positive discrimination or action means when one individual is favoring another because of their ethnicity. Although seen as discriminatory it may be legal if it benefits the local community. For example, appointing someone who speaks a certain language because that’s what the area needs. Laws relating to anti-harassment relate to issues such as bullying, sexuality, race, ethnicity, gender, beliefs, sexual orientation, marital status or disability. It can cause stress, humiliation and depression and needs to be sorted out immediately. How to cite National initiative Unit, Papers

Who Really Was Pocahontas Was She Like The Indian Girl In The Disney

Who really was Pocahontas? Was she like the Indian girl in the Disney movie, who saved her reservation? Yes and no. She was an Indian of the Algonquian Indians. Her father was Powhatan, the chief. Her original name, however was in fact, Matoaka. But Pocahontas mean playful, frolicsome little girl and so they nicknamed her that. The meeting and capturing of her acquaintance, and possible first love, John Smith, was in fact true. But, the saving of him may be as made up and make believe as the movie. Many people speculate the authenticity of the execution and salvation story, told by Smith. Supposedly, Smiths Englishmen team landed in Jamestown, 12 miles from the Indian reservation. John Smith was captured and forced to stretch on two flat stones, then out of nowhere, and little Indian girl cam up and put herself on his body as to say, Kill me instead. Weather this is true or not, it doesnt change the rest of her story. After the saved him, Smith and the Indians became friendly for the following year. Smith stayed in Jamestown, and Pocahontas visited him frequently. She carried messages from her father, and other Indians carried food, fur, and then traded hatchets and trinkets. After a while, Smiths relationship with the Powhatas worsened. Pocahontass visits started to lessen, and in 1806, Smith was injured, and had to go back to England. Pocahontas went on with her life though, she married an Indian Pryvate Captyne named Kocoum in 1610. Although in 1614, she fell in love with an Englishman, John Rolfe. They married and she got baptized. They went to London with a man named Sir Thomas Dale, and a dozen other Indians. She was presented to King James I, and all of the royal family. John Smith, the man who she had not seen in eight years, was also in London at the time. They met, and talked about the past, but at first she couldnt speak, she was overcome with emotion. This was their last meeting. After 6 months, Ralf and his family wanted to go back to Virginia, but unfortunately, Pocahontas didnt make it. She was ill from pneumonia. Pocahontas affected society, she was a compassionate girl, and saw to it that the colonists got food. She was also known to have saved lives of certain colonists. John Smith wrote that Pocohontas was the instrument to pursurve this colony from death, famine and utter confusion. I would consider her to be a hero to the lives she saved, and a role model for someone who helps out someone without asking for anything back. She doesnt really affect us today, unless you know about her, and when you do, your outlook and accomplishments with life seems so little compared to her great achievements. I have learned a lot from reading about her, and her life. I have learned that she was a REAL person, and not some little Indian girl in love with a strong, Englishman, like the movie. She is said to be an enthusiastic young girl, a lot like me, and she is respected for that. I respect her for her compassion and heart, and I think everyone should, because behind that love story, there is a honest, innocent, loving woman.

Egyptian art essays

Egyptian art essays Fauvism is the short-lived (really short, only lasted from 1989 to 1908, all but ten years) Wild Beast of the expressionists, the one with the widest range of un-natural colors and the luminosity of a million suns. It is the kind of style where the color rules supreme, and serves as the primary conveyor of its user, presenting the meaning and serves as the emotion force of the piece. The creator of this style of art was Matisse, and he was heavily influenced by The Neoimpressionists; probably because of the fact, that he was a student of Gustave Moreau. Yet, it is clearly seen in Matisses Woman with the Hat, that the contrasting, vibrant and unnatural colors he used was the main theme in Fauvism. The colors were so pure to their own, that it got a hold of the viewers attention, and received stronger reactions from its audience it as well as lit up the picture with the unique luminosity only those purest of colors combined as one can give. It is a magnificent style of its time. There were others who followed this short-lived style which included; Marquet, Rouault, Camoir, Puy, Manguin, Derain, Vlaminck, Havre, Friesz, Dufy, Braque, and Dongen. More noticeably from the group was Derain with his landscape with pure color, applied with short and powerful strokes. The period of Fauvism was a brief period where the arts were liberated from its original limitations of color, and brought strong influences to the later twentieth-century styles; especially to the Germen Impressionist Kandinsky. ...

U.S. Governments Role in Sterilizing Women of Color

U.S. Governments Role in Sterilizing Women of Color Imagine going to the hospital for a common surgical procedure such as an appendectomy, only to find out afterward that you’d been sterilized. In the 20th century, untold numbers of women of color endured such life-altering experiences in part because of medical racism. Black, Native American, and Puerto Rican women report being sterilized without their consent after undergoing routine medical procedures or after giving birth. Others say they unknowingly signed documentation allowing them to be sterilized or were coerced into doing so. The experiences of these women strained relations between people of color and healthcare personnel. In the 21st century, members of communities of color still widely distrust medical officials. Black Women Sterilized in North Carolina Countless numbers of Americans who were poor, mentally ill, from minority backgrounds or otherwise regarded as â€Å"undesirable† were sterilized as the eugenics movement gained momentum in the United States. Eugenicists believed that measures should be taken to prevent undesirables from reproducing so that problems such as poverty and substance abuse would be eliminated in future generations. By the 1960s, tens of thousands of Americans were sterilized in state run eugenics programs, according to NBC News. North Carolina was one of 31 states to adopt such a program. Between 1929 and 1974 in North Carolina, 7,600 people were sterilized. Eighty-five percent of those sterilized were women and girls, while 40 percent were minorities (most of whom were black). The eugenics program was eliminated in 1977 but legislation permitting involuntary sterilization of residents remained on the books until 2003. Since then, the state has tried to devise a way to compensate those it sterilized. Up to 2,000 victims were believed to be still living in 2011. Elaine Riddick, an African American woman, is one of the survivors. She says she was sterilized after giving birth in 1967 to a child she conceived after a neighbor raped her when she was just 13 years old. â€Å"Got to the hospital and they put me in a room and that’s all I remember,† she told NBC News. â€Å"When I woke up, I woke up with bandages on my stomach.† She didn’t discover that she’d been sterilized until a doctor informed her that she’d been â€Å"butchered† when Riddick  was unable to have children with her husband. The state’s eugenics board ruled that she should be sterilized after she was described in records as â€Å"promiscuous† and â€Å"feebleminded.† Puerto Rican Women Robbed of Reproductive Rights More than a third of women in the U.S. territory of Puerto Rico were sterilized from the 1930s to the 1970s as a result of a partnership between the U.S. government, Puerto Rican lawmakers and medical officials. The United States has ruled the island since 1898. In the decades following, Puerto Rico experienced a number of economic problems, including a high unemployment rate. Government officials decided that the island’s economy would experience a boost if the population were reduced. Many of the women targeted for sterilization were reportedly working class, as doctors didn’t think poor women could manage to effectively use contraception. Moreover, many women received sterilizations for free or for very little money as they entered the work force. Before long, Puerto Rico won the dubious distinction of having the world’s highest sterilization rate. So common was the procedure that it was widely known as â€Å"La Operacion† among islanders. Thousands of men in Puerto Rico underwent sterilizations as well. Roughly a third of Puerto Ricans sterilized reportedly did not understand the nature of the procedure, including that it meant they would not be able to bear children in the future. Sterilization was not the only way in which Puerto Rican women’s reproductive rights were violated. U.S. pharmaceutical researchers also experimented on Puerto Rican women for human trials of the birth control pill in the 1950s. Many women experienced severe side effects such as nausea and vomiting. Three even died. The participants had not been told that  the birth control pill was experimental and that they were participating in a clinical trial, only that they were taking medication to prevent pregnancy. The researchers in that study were later accused of exploiting women of color to acquire FDA approval of their drug. The Sterilization of Native American Women Native American women also report enduring government-ordered sterilizations. Jane Lawrence details their experiences in her Summer 2000 piece for American Indian Quarterly- â€Å"The Indian Health Service and the Sterilization of Native American Women.† Lawrence reports how two teenage girls had their tubes tied without their consent after undergoing appendectomies at an Indian Health Service (IHS) hospital in Montana. Also, a young American Indian woman visited a doctor asking for a â€Å"womb transplant,† apparently unaware that no such procedure exists and that the hysterectomy she’d had earlier meant that she and her husband would never have biological children. â€Å"What happened to these three females was a common occurrence during the 1960s and 1970s,† Lawrence states. â€Å"Native Americans accused the Indian Health Service of sterilizing at least 25 percent of Native American women who were between the ages of 15 and 44 during the 1970s.† Lawrence reports that Native American women say INS officials did not give them complete information about sterilization procedures, coerced them to sign paperwork consenting to such procedures and gave them improper consent forms, to name a few. Lawrence says Native American women were targeted for sterilization because they had higher birthrates than white women and that white male doctors used minority women to gain expertise in performing gynecological procedures, among other dubious reasons. Cecil Adams of the Straight Dope website has questioned whether as many Native American women were sterilized as Lawrence cited in her piece. However, he does not deny that women of color were indeed targets of sterilization. Those women who were sterilized reportedly suffered greatly. Many marriages ended in divorce and the development of mental health problems ensued.

Investigative Reporter Assigment Research Paper

Investigative Reporter Assigment - Research Paper Example In that context it will be really valid to mention a CIA report as per which Iraq maintained and retained weapons of mass destruction program irrespective of the varied prohibitive UN resolutions (CIA 1). This report elaborated in detail that Iraq had a clandestine weapons of mass destruction program and was amassing biological and chemical weapons which if not checked and restrained could spell disaster for the friendly neighbouring countries and the associated Western nations (CIA 1). This CIA report also stressed that Iraq also had a hidden nuclear weapons program and if a military operation is not initiated against Iraq in the near future, Iraq will be very soon be in possession of a viable nuclear weapon and hence will be in a position to intimidate and blackmail the averse neighbouring nations and their Western allies and friends. Varied media reports concertedly backed such claims expressed and supported by the US and the UK, which started to appear concocted and non-corrobora ted in the later media publications. On 17 March 2003, the war drums were already beating when The Washington Post published the full text of the speech given by President Bush unravelling in detail the frustration of the allied nations over the diplomatic efforts being pursued by the allied nations to convince Iraq regarding giving up its weapons of mass destruction program (Reuters 1). In this speech President Bush reiterated the US pledge to divest Iraq of its weapons of mass destruction and to annihilate its nuclear weapons program, whatever it takes (Reuters 1). President Bush also mentioned more than dozen resolutions passed by the United Nations Security Council urging and mandating Iraq to give up its weapons of mass destruction program and to comply with the conditions laid down by the international community. In this publication

Marketing Proposal & Advertisement Assignment Example | Topics and Well Written Essays - 750 words

Marketing Proposal & Advertisement - Assignment Example It is my proposal that we hold a marathon event for all type of people. However, we will have to collaborate with the wildlife agency to allow us to use the Park. Other global companies and organizations such as Coca-Cola, W.K.K.F, Pepsi and Safaricom are willing to help in saving the situation support the event. Using the National Park will be helpful because people will have fun and at the same time help us to assist the communities have water for irrigation. There being no food available in the area is a motivation that the water will boost irrigation and food security in the locality will improve. The target audience for the marathon event is athletes, people interested to spend their weekend in a Wildlife Park, rich people interested to lose weight by exercising, our sponsors both local and international, and all the well-wishers willing to make a difference in the society. Obviously, there are those people who are passionate to promote charity work. Secondly, there are those people who love spending their weekends in a place far away from homes and prefer attending events. Thirdly, considering that there will be rewards for the top five people to finish the race, there will be people who will be willing to exercise their talents in the events and maybe emerge the winners. Fourth, there are those people are passionate about charity work and they will find an opportunity to participate and have fun too. Nevertheless, there will be people who will be influenced by their friends and colleagues to attend the event. Putting all these people interested in the event, the event will provide satisfaction to all the people in attendance. The Fundraising event has several benefits to the people in attendance and more profit to the communities living in the locality. The people in attendance will enjoy in the event, execise their bodies and enhance their health, fulfill their desires of spending their weekend in a park and finally feel

Freud And The Unconscious Essay -- essays research papers

Freud was particularly interested in the psychoanalytic school of thought and the founder of psychoanalysis. He believed that our unconscious minds are responsible for many of our behaviors. According to Freud, he thought that there was a significant relationship between slips of the tongue and what we are actually thinking. Today these are called Freudian slips. Similarly he believed that we get information, like our fears and wishes, out by just merely saying what comes to mind. He was able to tell a lot about people, including their past experiences, how they were feeling, and what they wished and feared, just by simply encouraging them to speak whatever came to mind.   Ã‚  Ã‚  Ã‚  Ã‚  In sitting down and tape recording myself speaking about anything that came to mind, a lot of unconscious thoughts about myself were revealed. I noticed myself speaking of things that I normally wouldn’t have. For instance, I spoke of God, death, and negative things about my friends. I also said a lot of stuff that really made no sense at all. An exact piece of what I recorded myself saying was, â€Å"I don’t care. That’s just the way I am. I don’t give a shit. It’s like†¦ I don’t know. Die. Maybe God will. Yeah†¦ maybe. Ha. Butterflies. Stand on walls, do that dance. Yeah†¦ Buddy’s cool. Stop. No. Eva. Duh. She’s†¦ so fucking stupid. Ugh. Drink. Yeah right. Who cares? It’s little.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  &...

Healthy Eating Essay

Eating foods containing fat does not seem like a smart thing to do especially if you are dieting, but certain fats are essential to make sure our bodies remain healthy. There are fats to avoid and these are known as the â€Å"bad† fats. Saturated fats and trans-fats are considered â€Å"bad† fats. This type of fat would include butter since it is more solid even at room temperature. Eating too much of these fats can cause your cholesterol levels to rise. High consumption of these fats can also cause a stroke and possibly lead to heart disease. Not all fats are bad though. There are â€Å"good† fats such as polyunsaturated fats and monounsaturated fats. If these fats are consumed in moderation, they have the ability to lower cholesterol. There are risks to having too much of any type of fat. Too much could lead to excessive weight gain and obesity. Maintaining a healthy diet can be done with close monitoring to make sure you are taking in as many calories as you are burning. Taking in more calories than you are burning will cause you to gain weight. It is important to eat high-fiber foods, fat-free and low fat along with whole grains, fruits and vegetables. Fiber is also essential to a healthy diet. Eating a high-fiber diet will add bulk to what you are eating and you will remain full longer which will prevent unnecessary snacking. There are 2 types of fiber, soluble and insoluble. Soluble fiber turns to gel when combined with water to slow down digestion so you feel full for a longer period of time. Insoluble fiber speeds up the process of the food we eat going through our stomach and intestines and adds bulk to our stools. There are so many ways to get fiber into your diet such as most cereals, fruits, vegetables, whole grains and dried beans. High-fiber diets are beneficial. Fiber aids in constipation and helps things run smoothly and helps digestion. Diabetes and heart disease are sometimes treated with a high-fiber diet. Adding fiber into your diet is as simple as eating nuts to your snack or lentils to your soups and stews.

The Ethical And Legal Dilemmas That Ms. Burrows - 1167 Words

Dissecting an Ethical Case Study Section #1 The ethical and legal dilemmas that Ms. Burrows admitted to in the stipulation and final agency order were: billing insurance after taking payment for services, inadequate documentation and record keeping, and failure to have a signed mandatory disclosure (Stipulation Case No. 2013-938). When making reports to third parties such as insurance providers, counselors are required to be truthful and forthcoming (American Counseling Association, 2014). Taking cash payments and then billing an insurance company is not only untruthful, it is intentional fraud. Another fraudulent action committed by Ms. Burrows was billing under the depression codes but not having treatment plan connected to depression. Miscoding for the purposes of billing is insurance fraud (Lane, 2014). Section #2 The six basic moral principles: autonomy, non-maleficense, beneficence, justice, fidelity, and veracity (Corey, 2015). This case suffered from non-maleficense because Ms. Burrows was saying she was providing treatment for depression without doing so, thereby causing potential harm to her client. The client was denied autonomy by violation of her rights to receive proper treatment that she paid for. Mr. Burrows violated client’s justice by not treating her fairly and denied her the mandatory disclosure documentation, which is also an issue of fidelity. The client’s fidelity was broken when Ms. Burrows failed to record proper progress notes, therebyShow MoreRelatedMarketing Mistakes and Successes175322 Words   |  702 PagesStarbucks, we have moved Entrepreneurial Adventures up to the front of the book. We have continued Marketing Wars, which many of you recommended, and reinstated Comebacks of firms iii iv †¢ Preface rising from adversity. I have also brought back Ethical Mistakes, because I believe that organizations more than ever need to be responsive to society’s best interests. Altogether, this 11th edition brings seven new cases to replace seven that were deleted from the previous edition. Some of the casesRead MoreManagement Course: Mba−10 General Management215330 Words   |  862 Pagesother perspectives, however, scientiï ¬ c management practices raise many concerns. The deï ¬ nition of workers’ rights, not by the workers themselves, but by the owners or managers as a result of the introduction of the new management practices, raised an ethical issue, which we examine in the following â€Å"Ethics in Action.† Fordism in Practice From 1908 to 1914, through trial and error, Henry Ford’s talented team of production managers pioneered the development of the moving conveyor belt and thus changedRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesSTUDY IV-6 The Challenges of Local System Design for Multinationals: The MaxFli Sales Force Automation System at BAT CASE STUDY IV-7 Meridian Hospital Systems, Inc.: Deciding Which IT Company to Join CASE STUDY IV-8 Mary Morrison’s Ethical Issue Seventh Edition Managing Information Technology Carol V. Brown Howe School of Technology Management, Stevens Institute of Technology Daniel W. DeHayes Kelley School of Business, Indiana University Jeffrey A. Hoffer School ofRead More_x000C_Introduction to Statistics and Data Analysis355457 Words   |  1422 Pageseffects are not confounded with those of the experimental conditions (treatments). Replication Ensuring that there is an adequate number of observations for each experimental condition. To illustrate the design of a simple experiment, consider the dilemma of Anna, a waitress in a local restaurant. She would like to increase the amount of her tips, and her strategy is simple: She will write â€Å"Thank you† on the back of some of the checks before giving them to the patrons and on others she will write nothing

Study Of Post Traumatic Stress - Free Essay Example

Sample details Pages: 22 Words: 6539 Downloads: 6 Date added: 2017/06/26 Category Psychology Essay Type Essay any type Did you like this example? CHAPTER I INTRODUCTION Background of the Study à ¢Ã¢â€š ¬Ã‹Å"Stress is not what happens to us. Its our response to what happens and response is something we can choose. Maureen Killoran Road traffic accidents are global problems affecting all sections of the society. In India about 250 people die everyday which is equivalent to plane crash having no survivors. Don’t waste time! Our writers will create an original "Study Of Post Traumatic Stress" essay for you Create order In 2007, the number of motor vehicle accidents in main metropolitan cities of India were 89,826 and number of persons injured were 57,713. The highest number of people died in road traffic accidents in India till date on 2007 was 1,14,540.(Vidya Venkat,2007) The global annual cost of RTA is almost 230 billion dollars. 1.2 million people die every year due to Road Traffic Accidents. Every day, there are 3300 deaths and 6600 serious injuries on the road in the world. Trauma related death occurs in India every 1.9 minutes,1.27 million people in India sustain serious injuries, 1,20,000 people die on the road every year. A majority of major accident survivors are either confined to bed or wheel chair bound due to brain injury or spinal cord injury or being in psychiatric stress.(www.medindia.net,2010,May 07). Despite the improvement in road condition, vehicle safety and driver education over 3 million persons are injured in motor vehicle accident each year. Many of these persons dev elop post traumatic stress disorder that can become chronic. Patient typically experience distress related to the alteration in their physical and emotional health status, changes in their level of daily functioning and decreased social support or the loss of significant others.( Brunner 2004) Most survivors of trauma, especially those with adequate coping mechanisms can adjust to the incident and having no lingering effects However, some persons have stress reactions that do not abate and may worsen overtime. These reactions can develop into post traumatic stress disorder, which may be severe enough to have significant impact as their daily life as well as that of their spouses, family and significant others. It has demonstrated that witnessing is sufficiently stressful to cause post traumatic stress disorder. Any trauma, especially, when prolonged or repeated, may convert ordinary adaptive response of à ¢Ã¢â€š ¬Ã‹Å"flight or fright into pathologic reaction.(Allen 2005) à ¢ â‚ ¬Ã‹Å"Silent Killer is the best term applicable for stress. The meaning of post traumatic stress disorder is to à ¢Ã¢â€š ¬Ã‹Å"Press tight. It became known in the 70s due to adjustment problems of some vietnam veterans. It has been known by the other name such as à ¢Ã¢â€š ¬Ã‹Å"shell shock in world war I, and à ¢Ã¢â€š ¬Ã‹Å"Battle fatigue in world war II. Post Traumatic stress Disorder(PTSD) was first listed as a diagnostic category by the American Psychiatric Association in 1980. It can affect both children and adult, on various causes. (www.medicinenet.com,2010 ,June06) Post Traumatic Stress Disorder (PTSD) is an anxiety disorder that occur after a person has experienced or witnessed life threatening events such as military combat, natural disaster, terrorist incidents, serious motor accidents or violent personal assaults. It can be acute (2 weeks-3months), chronic(3 months and longer) or delayed (after 6 months). Person perceive, experienced event as traumatic, night mare s of event, inability to recall an important event, exaggerated started response, hyper arousal and hyper vigilant.(National centre for PTSD, 2006) Following a traumatic event, almost every one experiences at least some of the symptoms of Post Traumatic Stress Disorder. The symptoms of Post Traumatic Stress Disorder can arise suddenly gradually or come and go overtime. Everyone experiences Post Traumatic Stress Disorder differently , there are three main types of symptoms: Re-experiencing the traumatic event: Intrussive upsetting memories of the event, Flashbacks, Night mares, Feeling of intense distress when reminded of trauma and Intense physical reactions to reminders of the event (pounding heart, rapid breathing, nausea, sweating) Avoidence and emotional numbing: Avoiding activities; places; thoughts or feelings that remind of trauma, Inability to remember important aspects of trauma, Loss of interest in activities and life in general, Feeling detached from others and emotion ally numb and Sense of a limited future. Hyper arousal: Difficulty falling or staying asleep, Irritability or outbursts of anger, Difficulty concentrating, Hyper vigilance (on constant red alert) and Feeling jumpy and easily startled. Other common symptoms: Anger and irritability, Substance abuse, Suicidal thoughts and Feelings of mistrust and betrayal.(National center for PTSD, 2006) There are good treatments available for Post Traumatic Stress Disorder . Cognitive Behavioural therapy (CBT) is one type of counseling. It appears to be most effective type of counseling for Post Traumatic Stress Disorder .In cognitive therapy, therapist helps the person to understand and thought about trauma and its aftermath. Cognitive behavioural therapy includes four individual sessions involving psycho education, muscle relaxation training, imaginal exposure and invivo exposure and finally cognitive restructuring. Each sessions may last from 30 to 75 minutes. CBT begins with education about the problems and how the treatment can help. Patient will learn about the specific symptoms and experiences. After becoming more aware of thought and beliefs, patient will learn about the common changes in beliefs that occur after going through trauma. Psychotherapy provide ways to cope with intense feelings about the past, and raise self esteem. Family therapy is provided involving whole family, which cope with tough emotions and maintain good relationships.(National center for PTSD, 2007) For trauma patients, psycho education helps to use of healthy coping strategies such as relaxation and mobilization of social support, about physiological basis for psychological phenomena such as mood instability, flash backs, memory problems, depression and allows them to see these as symptoms and not as personal failings.(Wessley et al 2008) Bisson, Mifarlane and Rose(2005) stated that psycho education is a way of providing traumatized individuals with a psychological map to understand thei r reactions. These may be adjuncts to other interventions, given in the review large from provision of brochures and face to face sessions. Elizabeth Scott (2005) stated that progressive muscle relaxation is a great technique for reducing overall body tension and stress by alternatively tensing and relaxing the muscles. With practice, the participant learns to completely release the body within seconds and keep from storing up tension and stress in the body. The goal of relaxation training is to produce a response that counters the stress response when this goal is achieved the action of hypothalamus adjusts and decreases the activity of sympathetic and parasympathetic nervous system. Progressive muscle relaxation entails physical and mental components involves the tensing and relaxing of muscle groups in sequential pattern. Tensing and relaxing various muscle groups throughout the body produces deep state of relaxation which found capable of relieving a variety of conditions, from high blood pressure to ulcerative colitis. The mental component focuses on the difference between the feelings of tension and relaxation. Thus, with practice patient learns how to effectively relax and deter stress when it becomes an unhealthy level.(www.wikipedia.com, 2010, Nov28) According to Neeraja (2008) the role of nurse for post traumatic stress disorder should be empathetic, sincere honest, trustworthy with effective communication skills and interaction skills. Directing the client in psycho education process allow the client to ventilate his feelings outwardly, motivate to discuss job and methods (plan of activities) to attain it, enhance the functioning levels, independence level of achievement. Promote clients interaction with group members and family members to enhance coping strategies. Assist client to divert mind from traumatic memory to useful activities. Train up the client in deep breathing exercises, relaxation excercises, healthy lifestyle.So educating t he client is the utilization of alternative coping strategies to come out from post traumatic stress disorder. Significance and Need for the Study Even to much sunshine can be devasting, while only with rain can growth occur. Accept both as part of the growing process in the garden of life. Donald S. Neviaser Every day, there are 3300 deaths and 6600 serious injuries on the road in the world. Trauma related death occurs in India sustain serious injuries. 1,20,000 people die on the road every year. (www.medindia.com, 2010,June 4) A motor vehicle is a human made calamity. It angers and it raises question of blame. It can turn survivors into while knuckled drivers who live in fear of another accident. Accident phobia and post traumatic stress disorder frequently disabling. (Klaus Kuch et al;2006) The National centre for PTSD(2006) has described that the Post Traumatic stress disorder is an anxiety disorder that occurs after a person has experienced or witnessed life threatening events such as military, combat, natural disaster, terrorist incidents, serious motor accidents in violent personal assaults. The development of Post Traumatic Stress Disorder may be delayed from 1 week to 3 years and it is divided in to two stages. Stage 1 is associated with an adrenergic surge that occurs ac utely, but persons rarely dwell long-term on the incident. It may last up to 1 month .Stage 2 is that if symptoms lasts for more than 6 weeks. The patient is considered to have entered stage characterized by sense of helplessness and loss of self control. Autonomic and somatic manifestations dominate in their stage moreover, It is accompanied by lifestyle personality changes. Post traumatic stress disorder is believed to be caused by either physical trauma or psychological trauma, or more frequently a combination of both. Post traumatic stress disorder symptoms may result when a traumatic event causes an overactive adrenaline response, which creates deep neurological patterns in the brain. Three areas of the brain whose function may be altered in Post traumatic stress disorder have been identified: the prefrontal cortex, amygdala and hippocampus. Cognitive Behavioural Therapy (CBT) have been proven to be an effective treatment for Post traumatic stress disorder , and is currently considered the standard of care for Post traumatic stress disorder by the United States Department of Defense(www.wikipedia.com.2010,Nov 25). Post traumatic stress disorder is assumed to be an equivalent syndrome regardless of the type of traumatic event. When comparing the clinical profiles among civilian trauma: sexual assault, motor vehicle accident, and sudden loss of loved one;it may differ in trauma types which may lead to unique variants of the post traumatic stress disorder ,which may result from different etiological factors. So it may require different treatment approaches.(Kelley et al;2009) According to Maria Pease(2011)the prognosis for Post traumatic stress disorder depends upon the severity and length of time a person has suffered from the disorder. The majority of patients with Post traumatic stress disorder respond to psychotherapy. There are often residual symptoms, however, and we cannot yet predict who will respond best. There are significant risks to a pe rson with Post traumatic stress disorder if they do not receive treatment. They may stay in a hyper aroused state, further damaging their brain. They may lose their job and/or family due to their irritability. Suicide is also a risk with untreated Post traumatic stress disorder. Moddern (2004) stated that cognitive behavioural therapy including sessions of psycho education, relaxation training, exposure therapy and cognitive restructuring is an effective treatment of choice for clients with post traumatic stress disorder. Benham (2005) stated that psycho education is crucial in the initial safe and stabilization stage because this is when problems related to trauma history are identified, expectations for future treatment are defined and coping skills that are necessary for delaying with painful memories or changing risky behavior are taught. Phoenix(2007) stated that the goal of psycho education in the aftermath of traumatic event are to help people understand the range of normal responses to such events, use coping strategies, and identify responses that warrant more intensive intervention. Relaxation therapies include a range of techniques such as autogenic training, deep breathing exercises, progressive muscle relaxation. The goal of progressive muscle relaxation is overall relaxation and stress reduction. Practice can produce a set of physiologic changes mat can result in showed respiration, lowered pulse and blood pressure and increase in alpha brain activity and possibly even reduction in the bodys inflammatory response (www.mentalhealthwiki.org,2010.June 13) George and Lalitha (2006) stated that skill of relaxing using Jacobsons progressive muscle relaxation procedure is probably the easiest method to teach the client to use, sufficient instructions and practice proficiency can be acquired by any one. The focus on physical tension and relaxation gives excellent proper reception feedback and helps to focus the attention. Deborah Brause r(2010) conducted a small, phase pilot study on effectiveness of Methlylenedioxymethamphetamine (MDMA), also known as ecstasy, added to psychotherapy in reduction of symptoms of posttraumatic stress disorder (PTSD) in patients who are resistant to other treatments. The study demonstrates that MDMA-assisted psychotherapy with close follow-up monitoring and support can be used with acceptable and short-lived side effects in a carefully screened group of subjects with chronic, treatment-resistant PTSD. They quoted that MDMA was found to be effective ,even though have a long way to go and dont have any clinical conclusions yet. Nursing care of patients with post-traumatic stress disorder becomes very difficult if the patient shows an extremely apprehensive response to the particular care procedure or treatment. So the nurse has to communicate with the patient in a clear and concise manner. Assume a consistent, non-judgmental, honest, and a positive attitude while providing nursing ca re to establish sense of trust and security and remove guilt in patients mind. (wwwmedicinetips.com,2011,Jan 06) The nurses efforts for post trauma patients are directed to life supporting interventions and to the inclusion of approaches aimed at the reduction of additional stressors like sleep deprivation. Nurses are in a unique position to assist individuals in identifying adaptive coping strategies. By this, patient will develop a sense of control with an increase in self esteem as the practices are incorporated into daily activities. Specific stress reducing activities include relaxation training, cognitive appraisal, music therapy, exercise, decision control, massage and humour. So the knowledge of stress and coping theories, provides the nurse with useful concept that are applicable to all phases of nursing process (Luckmann). Keegan (2003) stated that successful use of alternative and complementary therapies provided by nurse will help to decrease stress for critical ca re patients. The therapies included are aromatherapy, hydrotherapy, humour, music massage, imagery, relaxation therapy. Hence the investigator felt the need to perform experimental study to assess effectiveness of psycho education and progressive muscle relaxation training in reducing Post traumatic stress disorder. STATEMENT OF THE PROBLEM A quasi experimental study to assess the effectiveness of selected nursing interventions in reducing the level of post traumatic stress disorder among patients met with motor vehicle accidents admitted in Madurai Institute of Orthopedics and Traumatology Hospitals, Madurai. OBJECTIVES To assess the level of post traumatic stress disorder before and after selected nursing intervention in the experimental group. To assess the level of post traumatic stress disorder before and after routine treatment in the control group. To compare the level of post traumatic stress disorder between the experimental and control group after the nursing interventions. To assess the effectiveness of selected nursing interventions in reducing the level of post traumatic stress disorder. To determine the association between the level of post traumatic stress is experimental group with selected variables (age, educational status, marital status, marital status, occupational status, nature of accident, loss of body part and loss of family member during accident). HYPHOTHESIS All hypotheses were tested at 0.05 level of significance H1 The mean post test level of post traumatic stress disorder in experimental group will be significantly lower than mean post test level of PTSD in control group H2 The mean post test level post traumatic stress disorder in the experimental group will be lower than mean pretest level of post traumatic stress disorder after selected nursing interventions. H3 There will be significant association between experimental group post test level of post traumatic stress disorder and with selected variables (age, educational status, marital status, nature of accident, loss of family member and loss of body part). OPERATIONAL DEFINITION Effectiveness : It is the most outcome of selected nursing intervention in producing reduction of post traumatic stress disorder in patients net with motor vehicle accident. It will be measured by the score obtained by the subjects in the PTSD Checklist Civilian version (PCL-C) Scale. Post traumatic stress disorder à ¢Ã¢â€š ¬Ã¢â‚¬Å" It is an anxietic disorder that may develop with the patient after threatened death, assault, serious injury, motor vehicle accidents as meant to physical integrity of oneself or others, numbing of emotional response or hyper arousal. Hereafter it will be termed as PTSD. In this study, subjects who met with motor vehicle accidents were selected based on the Diagnostic and Statistical Manual of Mental Disorders(DSM)IV Criteria for PTSD. Selected nursing interventions: They are actions undertaken by a nurse to further the course of treatment for a patient In this study following interventions are taken to reduce post traumatic stress disorder. P sycho education : Education of subjects with psychological disturbance, regarding, common reaction have been found among those exposed to trauma and coping strategies, reestablish routines, avoidance of intrusive thoughts and relaxation techniques. It was provided for 20 minutes. Progressive muscle relaxation training- It refers to programme of relaxation with eyes closed, the muscles are tensed (10 seconds) are relaxed (20 seconds) in sequence and progressive pattern. This was provided for 30 minutes. Patients met with accidents- It refers to conscious patients admitted after motor vehicle accident with minimum hospital duration of 14 days,admitted in selected hospital during data collection period. ASSUMPTIONS Patients who have met with motor vehicle accidents will experience post traumatic stress disorder symptoms Progressive muscle relaxation training will have no adverse effects on patients who are practicing it. Patients who have received progressive muscle relaxation will not have difficulty in practicing it. Hospitalized patients will suffer from some sorte of stress. DELIMITATIONS The following delimitations were set for the study: Patients who have met with accidents with in a duration of one month, admitted in Madurai Institute of Orthopedics and Traumatology, Madurai. Patients with high level of post traumatic stress disorder during the period of data collection Data collection period is limited to six weeks. Progressive muscle relaxation training was administered for 30 minutes and psycho education for 20 minutes for 14 days. PROJECTED OUTCOME Research study findings will be very useful to the nursing practice because nurses can teach these simple intervention to their patients to reduce post traumatic stress disorder. Psycho education will enhance acceptance of symptoms and reduce level of post traumatic stress disorder among patients met with motor vehicle accidents. Progressive muscle relaxation will reduce the level of post traumatic stress disorder among patients met with motor vehicle accidents. CONCEPTUAL FRAMEWORK The conceptual framework of this study was based on Sister Callista Roys Adaptation Model (1934), which involves four concepts-person,environment,nurses and health. The adaptive system has four components-Input (stimuli which may come from the environment) which can be focal (immediately confronting) contexual (all other stimuli that are present) or residual (non specific such as cultural beliefs):Throughput (which includes processes that a person uses as an adaptive system and effectors as physiologic function, self concept and role function) and Output ( positive or negative outcome of the adaptive system-persons behavior).. In this study,persons were patients with post traumatic stress disorder, reduction in the level of severity of post traumatic stress as the goal of nursing, health is considered an adaptation to post traumatic stress disorder and environment was defined as all the conditions affecting the development and behavior of person.Selected nursing interventions(ps ycho education and progressive muscle relaxation training) were considered to be regulator coping mecahanism.Factors in the environment that affect were categorized as focal,contextual and residual stimuli.In this study focal stimuli was refered to the physiological(heart pounding,trouble breathing,sweating,sleep disturbance,irritability) and psychological(memories.hyperarousal,numbing,poor concentration);contextual stimuli were age, sex, educational status, occupational status, marital status, loss of body part, loss of family member.Selected nursing interventions(psycho education and progressive muscle relaxation training) were considered to be regulator coping mecahanism.Output is the absence or reduction in the level of post traumatic stress disorder(Adaptive response) in both groups or no reduction in level of post traumatic stress disorder (ineffective response) is both groups which need to be given feedback by re-assessment process. CHAPTER II REVIEW OF LITERATURE According to Polit and Hungler(1999) researchers often undertake a literature review to familiarize themselves with that knowledge base. The term literature review refers to the activities involved in identifying and searching for the information on a topic and developing an understanding of the state of knowledge on that topic. Related literature was reviewed in depth, so as to broaden the understanding of the selected problem. The idea was to develop a deeper insight into the problem area and to identify the level of post traumatic stress disorder among patients met with motor vehicle accidents and to evaluate effectiveness of psycho education and Progressive muscle relaxation training to reduce post traumatic stress disorder. The review of literature is organized under following headings: Studies related to post traumatic stress disorder Effects of psycho education on post traumatic stress disorder Effects of progressive muscle relaxation training on post traumati c stress disorder Studies related to post traumatic stress disorder Andresen (2010) investigated on post traumatic stress disorder: a history and a critique. The study explained that the history of PTSD has often been linked to the history of war, but the disorder has been frequently described in civilian settings involving natural disasters, mass catastrophes and serious accidental injuries. The diagnosis first appeared in the official nomenclature when Diagnostic and Statistical Manual of Mental Disorder (DSM I) was published in 1957 under the name gross stress reaction. When DSM III was developed in the mid 1980s the recent occurrence of the Vietnam war provoked a more thorough examination of the disorder. Post Traumatic Stress Disorder was defined as a stress disorder that is a final common pathway occurring as a consequence of many different types of stress including both combat and civilian stress. Barayani et al;(2010) has conducted a study to assess the relationship between post traumatic stress disorder, quality of life, social support and affective and dissociative status in severely injured trauma victims. The study was carried out in 52 severely injured accident victims 12 months after trauma. Respondents were given a questionnaire and structured clinical interviews. One fourth of respondents met all criteria for post traumatic stress disorder and another 21.2% had sub syndromal Post Traumatic Stress Disorder. Patients with Post Traumatic Stress Disorder showed higher severity of dissociative and depressive symptoms and major impairments in some dimensions of quality of life. Severely injured accidents victims seem to face a major risk of Post Traumatic Stress Disorder and impairments in health related quality of life. Frommberger et al;(2008) had conducted a prospective study on prediction of post traumatic stress disorder by immediate reactions to trauma among 179 unselected consecutively admitted road traffic victims were assessed a few days after the accident for psychiatric diagnoses and psycho patholog y. At 6 months follow up assessment, 152(85%) of patients were interviewed again of the patients, 18.4% fulfilled the criteria for post traumatic stress disorder (DSM III R) within 6 months after the accident. Patients with PTSD were injured more severely, stayed significantly longer in the hospital than other patients.A regression analysis revealed that the length of hospitalization was mainly due to diversity of factors such as severity of injury, severity of accidents and premorbid personality. Chen, Liu and Zheng (2006) conducted a study on Post Traumatic stress Disorder after road traffic accidents in forensic medicine. 156 victims of road traffic accidents were recruited, who applied to court for cost order. The victims were examined for psychiatric diagnosis by psychiatrists and for rank of impairment by experts in forensic clinical medicine. 51.92% fulfilled criteria for PTSD (ICD 10). Morbidity difference in male and female were significant . The scores in World Health O rganization Quality of life were higher in PTSD group than in non PTSD group. Acquirement of awarded costs could obviously prevent Post Traumatic Stress Disorder, and higher incidence of Post Traumatic Stress Disorder existed in road traffic accidents victims who applied to court for costs order. Watts (2006) had assessed the prevalence of post traumatic stress disorder caused by surviving serious road accidents, 29 people were selected. Their high vulnerability was clearly established 41% had PTSD and 52% with severe intrusion or avoidance phenomena, which included 31% who had both the occurrence of psychological sequelae was not associated with being currently distressed by another event, not with age, gender or acquaintance with people killed in the accident. Stretch et al;(2006) had assessed the prevalence of risk for development of post traumatic stress disorder symptoms among active duty and reserve veterans from Pennsylvania and Hawaii who either deployed (N-1,524) or d id not deploy (N-2727) to the Persian Gulf as a result of Operational Desert Storm. All participants anonymously completed a survey questionnaire but included the impact of event scale and brief symptom inventory. Results indicate the likelihood of post traumatic stress disorder symptoms in appropriately 8.0% of active duty verterans and 9.3% of reserve veterans who deployed to the Persian Gulf. Cairo et al; (2010) had investigated the prevalence of post traumatic disorder among adult earthquake survivors in Peru(magnitude 80). The cross-sectional study was conducted using demographic questions, PTSD checklists and a translated version of Harward Trauma Questionnaire.298 adult earthquake survivors were interviewed and detected 75 cases of PTSD (Prevalence 25.52%;95% confidence interval,20.2%-30.1%).In the bivarial analysis,PTSD was significantly associated with female sex, loss of relative, food and water shortages joblessness,lack of clean drinking water or appropriate sleeping conditions. Thavichachart et al;(2009) conducted a cross-sectional community survey on Post traumatic stress disorder prevalence among Tsunami survivors in Thailand.3,133 samples had been conducted in two phases from the same sampling group. The first phase was concerned with prevalence of PTSD, depression and related factors. The second phase included 2,573 samples from first phase and focused on Post traumatic stress disorder and other mental disorders. The 3,133 samples used in the first phase showed that 33.6% suffered from Post traumatic stress disorder, 14 .27% with depression and 11.27% suffered from both. Elkit and Christiansen (2010) had investigated the prediction of post traumatic stress disorder through the presence of acute stress disorder in a population of 148 female rape victims who visited a center shortly after the rape or attempted rape regardless of whether cases were classified according to full Post traumatic stress disorder status or accessing to meeting the criteria for the three Post traumatic stress disorder core symptoms clusters, the classification was correct in approximately two thirds of cases. A regression analysis based on Acute Stress Disorder severity and sexual problems following the rape accounted for 48% of post traumatic stress disorder severity variance. Susan et al;(2009) had done study on analysis of symptoms presentation and sampling for post traumatic stress after childbirth. 1423 women after birth were selected via the community (n=502) or internet (n=921). Demographic, obstetric and trauma history variables were also measured.Full post traumatic stress disorder diagnostic criteria were endorsed by 2.5% of women from the community and 21% of women on the internet. Factor analysis found two post traumatic stress disorder symptom clusters of re experiencing and avoidance and numbing and arousal 60% of post traumatic stress disorder cases were correctly identified by parity, delivery type and the interaction b etween sexual trauma and delivery type. Dao et al;(2010) performed a retrospective survey to assess the effect of clinical depression, post traumatic stress disorder as risk factors for in hospital mortality after Coronary Artery Bypass Grafting surgery. Nationwide inpatient sample database providing information on 8 million US inpatient stays from about 1000 hospitals. Patients were more likely to have had depression (alive, 24.8% deceased,60.3%, P0.0001) post traumatic stress disorder (alive 13.4%; deceased 56.1%, P0.001) and comorbid depression and post traumatic stress disorder (alive 7.8%, deceased 48.5%, P 0.001) Two findings were note worthy. First,depression,post traumatic stress disorder are prevalent is patients undergoing coronary artery bypass grafting procedures. Second, depression and post traumatic stress disorder increase the risk of death by magnitudes comparable with well established physical health risk factors after CABG. Schelling (2008) stated that Post t raumatic stress disorder has been described in patients after multiple trauma,burns or myocardial infarction, ARDS or septic shock.Studies in long term survivors of ICU treatment demonstrated clear and vivid recall of different categories of traumatic memory.A high number of these traumatic memories from the ICU has been shown to be a significant risk factor for the later development of Post traumatic stress disorder is long term survivors. II STUDIES AND LITERATURE RELATED TO THE EFFECTS OF PSYCHO EDUCATION ON POST TRAUMATIC STRESS DISORDER Bethany (2007) stated that psycho education about the persistent effects of trauma help survivors to better understand their stress responses and knowledge of coping strategies which provides a sense of control over these responses. Trauma education for providers can minimizes negative counter transference and prevent vicarious traumatization. Advanced practice nurses may provide psychological and behavioural disturbances related to severe and persistent abuse or trauma, especially early in life. It provides a cognitive framework for their experience and helps minimize adverse responses. For persons with persistant symptomatology, education about physiological basis for psychological phenomena such as mood instability, flash backs, memory problems and depression allows them to see these symptoms and not as personal failings. Psycho education also need to address immediate needs for safety and self care. Oflaz, Halipoglu and Aydin (2006) conducted a quasi experimental study to ex amine the effectiveness of psycho education intervention on post traumatic stress disorder and coping styles of trauma survivors. 51 survivors of motor vehicle accidents who met diagnostic criteria for PTSD. Comparison groups were made up as psycho education only and medication only. Six semi structured psycho education session were conducted. Clinician Administered PTSD scale, Hamilton depression scale and coping strategies scale were used for me measurements. The result showed, that there was significant difference between à ¢Ã¢â€š ¬Ã‹Å"psycho education only group and à ¢Ã¢â€š ¬Ã‹Å"medication only group. Avoidance as a copying strategy had significant positive correlations with Post traumatic stress disorder. Kim et al; (2005) conducted randomized controlled trial at University of California Medical Center, USA to evaluate the effectiveness of psycho educational programme in reducing post traumatic stress disorder among patients following motor vehicle accidents. The study wa s done in seven out patients with post traumatic stress disorder. Following randomization, into psycho education group, patients completed the Clinician Assisted PTSD scale prior to and at the completion of intervention.The scores increased significantly is psycho education group (21%) when compared to standard care group 0.5% thus the results curtained up that there was significant difference between psycho education group and standard care group of patients. Pratt et al; 2005 conducted study for the evaluation of PTSD psycho educational program for trauma patients. 70 inpatient participants who met criteria for Post traumatic stress disorder attended three sessions of psycho educational programme using group format of video and discussion. The participants completed a knowledge of Post traumatic stress disorder questionnaire before and after the education programme. Participants, demonstrated significant increase in knowledge about trauma and Post traumatic stress disorder and reported high levels of satisfaction with the program. Findings supported the use of this intervention as a first step in increasing knowledge about Post traumatic stress disorder and stimulating motivation to seek future treatment. According to Gromisch (2010) treatment for Post traumatic stress disorder may include psycho therapy,medication or a combination of the two treatments. Another types of treatment that can be done along with psycho therapy is psycho education and trauma victims can often receive more information about their particular type of trauma through psycho education.Psycho education explores psychological responses to trauma, future symptoms. It needs to be individualized for that trauma victim. While information as the commonness of interpersonal violence may reduce the clients sense of being the only one who has be victimized, it may also reinforce the clients over estimation of the amount of danger in the interpersonal environment leading to increased fear a nd avoidance of others. Wessley et al;(2008) noted that psycho education covers the provision of information can occur following trauma exposure immediately which covers the provision of information about nature of stress, post traumatic and other symptoms and what to do about them. The aim of providing psycho education was to ameliorate the effects of exposure to extreme situations. Krupnick and Green (2008) quoted that psycho education for Post traumatic stress disorder is explaining to individuals or groups what common reactions have been found among those who have been exposed to traumatic stress. It includes a delineation of the symptoms of Post traumatic stress disorder, description of common reactions that occur, in addition to symptoms it might include indications of when to seek professional help. Hoslbuk (2004) conducted a study to explore the use of psycho education in the treatment of post traumatic stress disorder with military personnel.80 military personnel w ere selected who met the criteria for Post traumatic stress disorder as per DSM IV. Results from exploring the meaning and understanding of psycho education. The effectiveness in the treatment of Post traumatic stress disorder revealed subjective results due to time frame and situation of use with the treatment technique. Douglas and Yeomans (2008) conducted a study to examine the effect of psycho education on the nature and severity of traumatic stress symptoms in a Burundian sample.They used an experimental design to examine the influence of PTSD psycho education. Participants were randomized to three condition : A reconciliation workshop with psycho education, without psycho education and a waitlist control. Results showed that participants in the psycho education condition experienced a reduction of Post traumatic stress disorder symptoms and relative to other conditions. There was no differential effect by condition on more general symptoms of anxiety, depression and somatiz ation symptoms. Secondary hypothesis predicting relationships at baseline between prior to exposure to trauma models developed in industrial societies and nature of severity of Post traumatic stress disorder symptoms were not supported. Gould, Greenberg and Hetherton(2007) conducted a study for the evaluation of PTSD psycho educational programme : stigma and military psycho educational management strategy based on peer group risk assessment developed by UK Royal Navy was used. Psycho education seeks to modify attitudes about Post traumatic stress disorder, and help seeking and trains military personnel to identify at risk individuals and refer them for early intervention. The quasi experimental study found that psycho education significantly improved attitudes about Post traumatic stress disorder, stress and copying. Blanchard et al; (2007) conducted randomized controlled trial comparing cognitive behavioural therapy with psychotherapy and waitlist control condition. 78 trauma survivors who were atleast 6 months past their motor vehicle accident completed treatment.Of this sample 81%(n=63) met diagnostic criteria for PTSD. Individuals receiving cognitive behavioural therapy including (muscle relaxation, exposure therapy, psycho education,desentization) showed significantly greater reduction than those in the waist list condition of those with diagnosable criteria at post treatment, compared to 48% of those treated by- supportive therapy and 24% of individuals in the waist list condition. III.STUDIES RELATED TO EFFECT OF PROGRESSIVE MUSCLE RELAXATION THERAPY ON POST TRAUMATIC STRESS DISORDER: Emery et al;(2006) conducted a randomized clinical trial to evaluate the effectiveness of progressive muscle relaxation training on post, traumatic stress after motor vehicle accident. In the study 55 trauma survivors were selected who met PTSD diagnostic criteria. Participants were then randomly assigned to 25 minutes progressive muscle relaxation condition.Following the brief intervention, participants completed self report questionnaire. Result indicated a significant time, with participants in the progressive muscle relaxation condition experiencing a significant decrease in post traumatic stress while participants is the no à ¢Ã¢â€š ¬Ã¢â‚¬Å"treatment condition experienced no change is post traumatic stress disorder. Result supported the efficacy of progressive muscle relaxation in reducing post traumatic stress disorder and provide further evidence of the utility of behavioural stress management strategies. Blythe and Erdahl (2006) in a single case study found the effectiv eness of progressive muscle relaxation intervention in reducing post traumatic stress disorder. Brown, Sterling and Hanley (2006) conducted randomised controlled trial of progressive muscle relaxation training is management of post traumatic stress disorder. Training in relaxation technique was provided to 69 patients among earthquake survivors for a period of six weeks. Level of post traumatic stress was measured by detailed assessment of Post traumatic stress disorder. Results showed that there was significant reduction in post traumatic stress symptoms (p=0.001) Hayes (2007) conducted a comparative study in Sydney to compare the effectiveness of progressive muscle relaxation and guided imagery on post traumatic stress and quality of life. In this study 56 people following a natural calamity who were experiencing anxiety and post traumatic stress disorder symptoms, were to one of four treatment conditions:(i)Progressive muscle relaxation training,(ii)Guided imagery training( iii)Both of these treatments (iv)Control groups. Subjects were tested before and after learning muscle relaxation and guided imagery techniques for anxiety, post traumatic stress and quality of life using the hospital Anxiety and Depression scale and Brief Interview for Post traumatic Disorder (BIPD). There was no significant improvement for anxiety, however significant positive changes occurred for post traumatic stress disorder and quality of life in the third group. Fecteau and Nicki (2008) reported the first controlled treatment trial with motor vehicle accident survivors diagnosed with Post traumatic stress disorder. Treatment included three individual cognitive behavioural therapy (CBT) sessions involving psycho education, progressive muscle relaxation and cognitive interventions, individuals who received treatment showed significant improvement on clinician and self reported Post traumatic stress disorder symptoms. Four of 10 individuals who received CBT were free of Post traumatic stress disorder diagnoses after treatment. Thus even with relative short individual format treatment of six weeks CBT appeared effective for reducing the symptoms of motor vehicle accident related Post traumatic stress disorder. Blanchard, et al (2008) completed randomized controlled trial comparing cognitive behavioural therapy with supportive psychotherapy, both concluded in an individual treatment format and a wait list control condition. 78 survivors who were at least 6 months past their motor vehicle accident completed treatment. Of thin sample 81% (n=63) met diagnostic criteria for PTSD and the remainder had severely symptomatic subsyndromal forms of the disorder. CBT included 12 sessions of muscle relaxation, training, exposure therapy, psycho education, cognitive restructuring and desensitisation. Individuals received cognitive behavioural therapy showed significantly greater reduction in clinician rated Post traumatic stress disorder severity relative to those in the supportive psychotherapy condition than those in waitlist control condition. Hinkling, Sison and Vanderploeg (2009) investigated the use of bio-feed back and relaxation training as a treatment of post traumatic stress disorder. Subjects received between 8 and 14 sessions of training overall as well as concurrent individual and group therapy. Measures used to assess treatment outcome include pre and post Multidimensional Health Focus of Control scores as well as electromyographic and subjective measures of tension with each session. Additionally an overall post treatment clinical rating of change and 1-2 years follow up data were obtained for each subject. Improvements were demonstrated for each subject, an evidenced by a decrease is overall Multidimensional Health Focus Control scores, lowered EMG and subjective tension rating for all participants. Results suggest that use of relaxation training and biofeedback was a particularly useful component within a comprehensive tre atment program for Post traumatic stress disorder. Parendeh et al;(2010) had conducted a clinical trial quasi experimental study to evaluate the effect of progressive muscle relaxation training on quality of life among Post traumatic stress disorder veterans wives.28 war veterans wives in Tehran city were selected and divided into interventional and control groups randomly. Educational program was performed for intervention group at 3 sessions, each lasted 2 hours during a week. The quality of life in both groups was determined before 6 weeks and 12 weeks after training, by SF36 questionnaire. The results revealed significant difference between quality of life mean score before and after in intervention group (P0.001),and showed promoting their life quality.