Ap Government Chapter 15 Study Guide

1. Why was the bill of rights added to the constitution? a. The framers thought a bill of rights was not necessary because the constitution spelled out the extent of the feds power. Blah blah blah (now at the top of page 487) In 1791 the states ratified 10 amendments and the nation had a bill of rights. The BOR imposed limits on the national gov but not on state gov. b. So†¦ all in all I’m really not sure what the exact answer is. Sorry bro 2. Difference between civil liberties and civil rights c. Civil liberties (sometimes referred to as â€Å"negative rights†) are freedoms that are guaranteed to an individual.These are restraints on the gov. Civil liberties declare what the government cannot do. d. Civil rights (â€Å"positive rights†) are powers and privileges that are guaranteed to the individual and protected against arbitrary removal at the hands of the gov or individuals. Like the right to vote or free expression and stuff. 3. The First Amendment guar antees freedom of religion in two clauses: e. The establishment clause- this prohibits laws establishing religion. f. Free exercise clause- which prevents the government from interfering with the exercise of religion. g.Together, these ensure that the government can neither promote nor inhibit religious beliefs or practices. 4. Know where phrase â€Å"Wall of separation between church and state† appears and comes from h. In 1879, the Supreme Court contended, quoting Thomas Jefferson, that the establishment clause erected â€Å"a wall of separation between church and State. † 5. Lemon v. Kurtzman bottom of 490-491: in 1971, the court struck down a state program that would have helped pay the salaries of teachers hired by parochial (parochial means of or relating to a church or parish) schools to give instruction in secular subjects. . The justices proposed a 3 prong test for determining the constitutionality of gov. programs and laws under the establishment clause: i. T he must have a secular purpose ii. Their primary effect must not be to advance or inhibit religion iii. They must not entangle the government excessively with religion. j. The program in Lemon v Kurtzman did not satisfy the last prong of the test. The government would have had to constantly monitory the program which would have cause and excessive entanglement with religion. 6.Engel v Vitale (bottom on 493) in 1962 the court struck down the daily reading of a 22 word nondenominational prayer in New York’s public schools. Justices stated that official state approval of prayer was an unconstitutional attempt on the part of the state to establish a religion. This decision drew a storm of protest that has yet to subside. k. In class I wrote down that he told us we needed to know the difference between freedom of beliefs and freedom of practice but I really don’t see how that has anything to do with this court case.. like whateverrrr coach sybert. l.He also said to note the â€Å"Certain things you can’t do and hide behind religion. The one we talked about in class was the guy with the snakes† So I’m clueless yet again. 7. Strict scrutiny- A neutral law that burdens the free exercise of religion is subject to strict scrutiny. This means that the law may be upheld only if the government can demonstrate that: m. The law is justified by a â€Å"compelling governmental interest† n. The law is narrowly tailored to achieve a legitimate goal o. The law in question is the least restrictive means for achieving that interest p.That was on page 496 and you may need to read the paragraph to understand the definition in context 8. Scheneck v U. S. (pg 498)- Charles Scheneck and his fellow defendents were convicted for attempting to disrupt WWI military recruitment by distributing leaflets claiming that conscription (conscription is enlistment for state service, typically the military) was unconstitutional. The gov believed that this beh avior threatened public order. q. There’s supposed to be a famous quote we get out of this case but the quote is a whole big paragraph. Here is an excerpt from the quote: iv. The question in every case is whether the words used are used in such circumstances and are of such nature to create a clear and present danger that will bring about the substantive evils that Congress has a right to prevent† v. That’s known as the clear and present danger test. Duh. r. Because the actions of the defendants were deemed to create a clear and present danger to the US at that time, the Supreme court upheld their convictions. 9. Tinker v Des Moine Independent County School District (pg 500)- involved 3 public school students who wore a black armbands to protest the Vietnam War.Principles in their school district had prohibited the wearing of armbands on the ground that such conduct would provoke a disturbance; the district suspended the students but the Supreme Court overturned the suspensions. s. Justices declared for the majority that the principals had failed to show that the forbidden conduct would substansially interfere with appropriate school discipline. t. â€Å"†¦Ã¢â‚¬ ¦fear or apprehension of disturbance is not enough to overcome the right to freedom of expression. † 10.Chaplinsky v New Hampshire (500)- In 1942 Walter Chaplinksy, a Jehovah’s Witness, convicted under a state statute for calling a city marshal a â€Å"God-damned racketeer† and â€Å"a damned fascist† in a public place, appealed to the Supreme Court. The Supreme Court upheld Chaplinksy’s conviction on the theory that fighting words do not convey ideas and thus are not subject to first amendment protection. u. Fighting words- words that inflict injury or tend to incite an immediate breach of the peace. v. To dumb it down- he was found guilty because the things he said were not protected by the first amendment. 1. Reno v ACLU (501)- the supreme court upheld the lower court’s ruling in June 1997 by unamimously deciding a broad affirmation of free speech rights in cyberspace, arguing that the Internet was more analogous (analogous means comparable) to print media than to television, and thus even indecent material on the internet was entitled to First Amendment protection. 12. New York Times v Sullivan (502)- First off you need to know that libel is the written defamation of character. A person who believes their name and character have been harmed can sue.In this case, the supreme court declared that freedom of the press takes precedence—at least when the defamed individual is a public official. w. The court agreed that the first amendment protects the publication of all statements about the conduct of public officials, except statements made with actual malice. x. Actual malice- with knowledge that they are false or in reckless disregard for their truth or falsity. y. 3 years later, the court extended this pr otection to apply to all public figures, not just government officials. 13. New York Times v United States pg 504- z.Prior restraint case dealing with the pentagon papers {. Supreme court doesn’t believe in prior restraint although you can be punished after the fact. And in order for the supreme court to prevent publication they have to have a really good reason- have to prove immediate, inevitable, and irreparable harm following the publication of the documents. |. First amendment offers protection against government censorship 14. Case in Louisville, Kentucky- a reporter who had researched and written an article about drug related activities was called on by a grand jury to identify people he had seen in possession of the drugs.The reporter refused to testify, saying that freedom of the press shielded him from this inquiry. }. In a closely divided decision, the supreme court rejected his position stating that no exception is permissible to the rule that all citizens have a duty to give their government whatever testimony they are capable of giving. ~. He had to give up the information and some of his freedom to maintain order 15. Bong hits for Jesus. Pg 505- supreme court upheld the suspension of the boy who held up the sign at an outside school event. School officials may prohibit speech if it could be interpreted as promoting an illegal drug use. 6. The 2nd amendment states â€Å"A well regulated militia, being necessary to the security of a free State, the right of the people to keep and bear arms, shall not be infringed. . If you are a gun control advocate- you focus on the first part and your argument is that everyday citizens are not part of a militia. . If you are NOT a gun control advocate- you focus on the second part that your right to keep and bear arms shall not be infringed. 17. D. C. vs Heller- (federal level)- was a challenge to the strictest gun control statute in the country. It barred private possession of handguns and required tri gger locks and stuff.The court ruled in a 5-4 decision that it is a constitutional right to keep a loaded handgun at home for self defense. 18. McDonald v Chicago– (state level)- this case had the same ruling as the first one except this one was on a state level. 19. Bill of attainder- a law that pronounces an individual guilty of a crime without a trial. 20. Most freedoms protected in the BOR today function as limitations on the states. The changes have been achieved through the supreme court’s interpretation of the due process clause of the 14th amendment: .Due process clause-â€Å"nor shall any state deprive any person of life, liberty, or property, without the due process of law. † This clause has 2 central meanings: vi. It requires the government to adhere to appropriate procedures. vii. It forbids unreasonable government action. . Under this clause you have a trial by jury available to you, if you can’t afford a lawyer they’ll provide you wit h one, etc. Not all states have the same number of jurors. Supreme court says minimum of 6. 21. Gideon vs Wainwright- pg 511 case made due process applicable to the states. The state must provide you with a lawyer if you cannot afford one. 2. Miranda Warnings-protects against self incrimination. comes from Miranda v Arizona 23. Exclusionary rule- Something discovered as the result of an illegal search cannot be used in trial. Mapp vs us on 512 24. The exception is the good faith clause- U. S. vs Leon. Pg 513? 25. Griswald v Conneticut- 517 personal autonomy. Could the state outlaw birth control. Zone of privacy that exists because of the 1st, 3rd, 4th, and 5th amendment. . Birth control is a personal choice. 26. Rowe vs. Wade- extension of Gridwald. You should have choice on child bearing. Blah blah blah. Struck down abortion laws.Due process clause 2 FREE RESPONSE. ANSWER BOTH 1. First amendment and the freedom of speech. Freedom of speech is not absolute. Explain (or give 2 exampl es of) 2 limits on speech and the related cases a. Fighting words- Chaplinsky b. Idk 2. Similar concept. Rules against illegal search and seizure and self incrimination protect your right to a due process. c. One rule regarding illegal search and seizure, and the case. Explain how that protects your due process d. One rule regarding self incrimination and the related case and explain how that protects your right to due process of law.

Michelangelo s David A Masterpiece of Renaissance

Michelangelo David The first piece of artwork that I have chosen to work with is the David by Michelangelo. Yes, this is one of the, if not the most famous sculpture in the world but that is not my reasoning for choosing it. Before seeing the actual David inside of the Galleria dalliance's, I visited the copy of it outside of the Palazzo Vehicle. After getting my first taste of the fake version, I thought it was a cool sculpture but didn't see what all of the hype about Michelangelo could possibly be about.However, as soon as I went into the Academia for the first, I could not believe how peculator the original David looked in person. In its current home at the Academia, it stands there perfectly under the biggest dome in the building at the end of the hall from unfinished Michelangelo sculptures. As you walk towards the statue I felt as if it were under a spotlight, grabbing everyone's attention that walks by it. The first time I stared at it, I could not help but to notice the impe ccable detail in the human body. This sculpture defines where all of a very fit male's muscles lay very accurately on the human body.The stomach muscles looked so perfect that the sculpture could pass for breathing. One of my personal favorite aspects of the sculpture is the immense detail in his hands. Not only do the hands look absolutely flawless, but also the veins protruding from the skin and the grasping shape of the hand on the sling are so incredibly realistic. While I was hesitant to choose this as one of the artworks to write a paper on simply because of its incredible fame around the world, I could not resist choosing it because of the way to had truly ‘wowed' me the moment I laid my eyes on it.Michelangelo crafted this sculpture between the years of 1501 and 1504, with it finally being unveiled on the 8th of September 1504. This sculpture depicts the biblical battle between King David and Goliath. The naked human form of David was used in a purposeful manner in an effort to show his pureness and lack of defense, as well as giving a timeless interpretation of the biblical story, and not allowing the differences in style of clothes to make this sculpture feel outdated like Tangelo's David of the sass's. When the famous statue was finally completed, it was brought toPalazzo Della Signora, the headquarters of the Florentine government at the time although it had initially been planned to be one of the sculptures lining the roofline of the Doom. This statue represents human strength and the strength of the Republic of Florence while there were many other strong cities and empires surrounding them. In 1873 the Statue was removed from the Palazzo Della Signora to protect the world's most famous statue from damage and placed in the Academia where it remains today. The Operas obtained the original massive block of marble and a contract was armed for Agitation to sculpt a David from it.Agitation sculpted it only for a short while, beginning to form the feet, legs, and torso. Agitation stopped working on the sculpture in 1466, only to have the marble contracted out to another artist. In 1476 Reselling was contracted to the slab of marble, although that contract fell through and the marble sat outdoors untouched for another 25 years. Thankfully, the Opera's determination to have the Davit's sculpture paid off when the contracted the then 26 year old Michelangelo to take on this daunting task.

People or Penguins Essay Example | Topics and Well Written Essays - 500 words

People or Penguins - Essay Example The surprising thing with all this talk on pollution is that it basically all boils down to control. Human beings have been in control of the environment for so long doing what they want with it and the pollution is a way the environment is retaliating back for it being misused. If people are to stop the pollution, it will definitely translate to a loss of control which not many would like to give up on. Are human beings willing to make any form of sacrifice of their lifestyle and what they have grown up getting used to in order to reduce pollution as well as saving the environment, the animal species as well as human beings from total extinction in the future? This is the million dollar question being indirectly asked in the article and whose answer lies within each individual. Taking care of the environment and wishing for its sustainability is an individual decision depending on how much a person loves the environment. People might try to be resistant to give up the control and cut back on some of the luxuries of life in order to trade it to living longer and in a clean and safe environment. It will mean a chance to contribute to the protection of the animal species as well as ensure their sustainability in the future. All that human beings need is a little push towards the right direction, a press of a few buttons and they will be on board with the ideas of how to completely end pollution. Is it truly possible for human beings to completely surrender their comfortable life such as having the convenience of a car among other things in life in order to save the environment? What can push people to the extent of them volunteering to end pollution and save the natural habitat which is the flora and

Space Race (specifically the early years) Research Paper

Space Race (specifically the early years) - Research Paper Example strong technological and security, competition, Russia was ahead of the United States, but this later changed when the United States sent the first man to moon. This research will demonstrate the space race timeline and highlight some of the major events of this period. The initial advantages that Russia had over the united states will also be discussed and other programs that the united states have launched in order to achieve their space interests. The fall of the Nazi German after the Second World War saw the United States and German emerge as major superpowers who had the technological abilities to control major innovations in the world. The two countries were embroiled in a major silent political, geographical and military tussle that was christened the cold war, an era when technological advancements were at their peak. Based on the newspaper headlines of the 50s and the 60s, the Soviet Union was way ahead of the United States on the development of space capability, a situation that bolted the later into action, opening the area for major competition. The initial periods of the space race was marked with major secret spying between the United States and the Soviet Union as the two countries were concerned of the major technological research activities being undertaken by the other. The united states were still concerned with the pearl harbor attack and was interest in revenging against the soviet union, a country that was using all means possible to keep their depleted army resources a top secret1. President Dwight Eisenhower of the United States introduced the open skies in 1955, marking the beginning of an era of space exploration and major discoveries. This policy allowed the Soviet Union and the United States to fly reconnaissance aircrafts over each other’s airspace as a way of gathering intelligence information. In the same year, the United States announced that it will be working on the development of a scientific satellite, prompting the Soviet

Coastal engineering Assignment Example | Topics and Well Written Essays - 2500 words

Coastal engineering - Assignment Example This has brought about constant developments and maintenance of the coastal zone to guard against flooding, erosion, and sediment transport. Waves have a major influence on the marine environment and ultimately on the planets climate. Waves travel effortlessly along the waters surface. This is made possible by small movements of the water molecules. The wind blows over the water, changing its surface into ripples and waves. As waves grow in height, the wind pushes them along faster and higher. Waves can become unexpectedly strong and destructive. As waves enter shallow water, they become taller and slow down, eventually breaking on the shore.   Waves have crests (the peak of the wave) and troughs (the lowest point on the wave). The wavelength, or horizontal size of the wave, is determined by the horizontal distance between two crests or two troughs. The vertical size of the wave is determined by the vertical distance between the two. Waves travel in groups called wave trains. Waves vary in size and strength based on wind speed and friction on the water’s. The small wave trains created by a boat’s movement on the water are called wake. High winds and storms can generate large groups of wave trains with enormous energy. Undersea earthquakes or other sharp motions in the seafloor can sometimes generate enormous waves, called tsunamis (inappropriately known as tidal waves) that can devastate entire coastlines. Regular patterns of smooth, rounded waves in the open ocean are called swells. In waves, it appears the water is moving forward, but only a small amount of water is actually moving. It is the wave’s energy that is moving and since water is a flexible medium for energy transfer, it looks like the water itself is moving. In the open ocean, the friction moving the waves generates energy within the water. This energy is then passed between water molecules in ripples

PROJECT DEFINITION (Final project) Essay Example | Topics and Well Written Essays - 1000 words - 1

PROJECT DEFINITION (Final project) - Essay Example The original purpose of the phone conversation was to discuss a possible licensing agreement. However, their conversation led to a discussion of competitive strategy and the idea of a merger between the two companies was broached. (Hoopes, 2004). By next month, all the basics of the deal were formulated and by September first week, the merger was approved by both boards. The merger was expected to yield savings projected to reach $2.5 billion annually by 2004. (Hoopes, 2004). To identify the strategic management issues that arose out at Compaq and Hewlett-Packard respectively in the lead up to the merger in 2001, and the changes in strategic management that resulted after the merger within the newly merged operation. Although Compaq was growing at a good rate as an independent corporation in the server market and retail PCs, as part of strategic management policy it wanted to expand its reach, particularly in the consulting arena. As an important step towards its transition as a consulting power providing corporate solutions, Compaq and its CEO Michael Cappellas utilized the offer put forward by Carly Fiorina. â€Å"Compaq, which has a global services division of almost 40,000 employees, is moving strategically towards IT business solutions in the key markets, where together with HP, they can compete effectively against IBM, Dell, and Sun.† (Cormia, 2002). As Compaq had a strong strategic management policy of expansion into the consulting arena, the merger was the best feasible option for them. HP wanted to include PC assembling and retailing in its ‘resume’ and thereby become a full-service technology company. A full service technology company who can do all the IT related works and thereby take on the leaders Dell and IBM. â€Å"Fiorina argued, the merger would create a full-service technology firm capable of doing everything from selling PCs and printers to setting up

Module 7 Crisis Intervention Research Paper Example | Topics and Well Written Essays - 500 words

Module 7 Crisis Intervention - Research Paper Example The reasons for not reporting sexual assaults, although those violated wanted to, also included minor punishments for those military men who would be found guilty by the military court. This was the impression kept in the military. Their superiors might not even report the incident in order to seek justice for the victim. In the military, it is said that the commanding officers serve as the judge. To initiate the investigations and change policies in the military, over a dozen complaints were filed in 2011 alone. Reflecting on these widespread cases of sexual assault in the military, one would have to consider the various possible root causes. If these were not in the military, the victims can simply file their complaint by first reporting the assault to the police force, who will in turn document the incident in preparation for a legal case against the attacker. However, the assaults taking place in the military are different. If the victims complain and their superiors do nothing about it, they can become a laughing stock in the military. There were reports about sexual assaults done not by just one man but by several men. Yet nothing might be done to bring the case to justice. One probable reason could be due to the fact that the commanding officers themselves would be found partly guilty of mismanaging the behaviour of their soldiers. If the soldiers are kept busy doing some things productive, there won’t be opportunities to be idle and tempted. What the victims can do is to avail of free consultations online in order to take full control of the emotions and anger while finding ways to bring the matter to justice. This refers to getting psychological advices as well as legal advices even while in the military, with the condition that such advices are not from outside of the United States, for the purpose of keeping military matters confidential at least to foreigners. That is if the government will eventually allow military personnel to

Discussion Essay Example | Topics and Well Written Essays - 250 words - 123

Discussion - Essay Example No ventures should be considered as possible options, if they are expected to result in harm to the society or patients. Beneficence demands that the process of acquiring knowledge be directed towards providing greater benefit than harm to the individuals of the society. The activities of Health Sciences professionals should be carried out with a good intent to ensure benefit to the patients. The principle of justice demands that Health Science professionals follow the established laws of the society. Their efforts should be directed towards upholding the spirit of prevailing laws, which demand even distribution of scarce resources and without regard to racial, religious or other differences. The principle of autonomy demands the Health Sciences professionals to opt for approaches that allow others to exercise their basic right of autonomy. The students of Health Sciences should learn to avoid coercion while ensuring that the autonomy of others is not compromised in any way. Based on the above discussion, it can be concluded that it is essential for Health Sciences students to follow the principles of medical ethics to ensure optimum delivery of services to the

Marketing Plan for an Online MBA Program Case Study

Marketing Plan for an Online MBA Program - Case Study Example For instance, a student will not be able to have a class-room or a face to face experience with his/her faculties and could also miss out on those regular industrial trips. Apart from discussing the marketing plan, the other main focus of this report is to provide the advantages of an online-MBA program over an on-site program. To begin, an overview of the Kaplan University are discussed followed by the description of the target markets, competitors, product and services, location, pricing strategy and finally the report concludes with the implementation plan of an online MBA program and a summary. An online-MBA program is ideal for professionals who wish to soar in their careers but cannot afford to pursue a full time course. According to the Manya Group, one can acquire an MBA degree through the mode of distance learning where the interaction with the faculty is almost virtual, with the aid of communication technologies like the internet, email and video conferencing. Kaplan University is one of the many universities which provide online educational programs for those who wish to pursue their masters' degree but do not have sufficient time to attend traditional courses. Kaplan University was founded in 1937 and was formally known as Kaplan College (Kaplan College Reviews). Kaplan University offers top class business education and training for their students and offers more than 300 online Bachelor degree, certificate and diploma programs. According to their official website, Kaplan University focuses on adding a human touch to the high technology of learning online.The next few pages would describe the Marketing Plan for Kaplan University's online MBA program.A marketing plan is a written document that details the necessary actions to achieve one or more marketing objectives (Marketing Plan - Wikipedia, online source). Description of the Target Market Markets can be segmented using a lot of approaches which would include Demographic, socio-economic and psychographic approaches (Adrian Palmer, 2004). According to Adrian Palmer (2004), age is probably one of the most widely used bases for market segmentation. The Target Market for the online MBA course at Kaplan University would be for working professionals, students and even housewives who wish to pursue higher education between the age group of 22 to 60. According to U.S News and World Report, about 50% of current graduate students are over age 30 and nearly 25% are over 40 (Michael Hergert). Fig 1 shows the marketing Ps and centralization of the target market Ways of targeting people for enrollment: With the advent of the internet, e-mail has become an efficient and the cheapest way of targeting a lot of people towards your company but one must be careful of spamming as this could also lead to junk mails (Adrian Palmer, 2004). E-mails can be sent out to these targeted groups informing about the online MBA courses available to them by offering concessions on fees and added advantages of an online educational experience. Other methods could also be done by using radio broadcasts

Economics CA Essay Example | Topics and Well Written Essays - 1000 words

Economics CA - Essay Example Comparatively, the supply of diamonds is so low that the usefulness of one diamond is greater than a glass of water, therefore, people are willing to pay a greater amount for diamond as compared to water. This concept can be illustrated with the help of the following graphs: According to the graph, the supply of water is almost horizontal, so where ever you shift the demand, the equilibrium price will always remain constant. In contrast to this the graph of diamonds show a steep supply, so it’s equilibrium price is not affected by the change in demand. We can apply the same concept to explain the reason why an athlete earns so much money. It takes a lot of time and effort to become a professional athlete. Not everyone is capable of becoming a pro athlete; therefore, the supply of a professional athlete is far less than other professions such as engineers, doctors, accountants etc. Moreover, there is an international demand for athletes as they are being liked by numerous fans that are willing to pay a large amount to buy tickets to see their favorite athlete compete. An athlete with a larger number of fans has a higher salary as compared to an athlete with a less number of fans. So, being in a less quantity ( low supply) and a large number of fans ( high demand) results in a high marginal utility of professional athletes, therefore their salaries are high and they make so much money by showing their performances to the audience. 2. A person’s wage is related to his/her worth to the firm. Use the background information and do some research on your own. Compare the marginal revenue product of a teacher to a professional athlete. Why is it different? Be sure to read the marginal productivity presentation on this topic prepared by the instructor. Ans. Marginal productivity is the increase in productivity by the addition of one additional unit of input. Marginal revenue product is closely related to marginal

Assessment learning Essay Example for Free

Assessment learning Essay 1. What are the functions, concepts and principles of assessment in learning and development? (1. 1, 1. 2) The function of assessment is a way to measure a learner’s competence against agreed standards and criteria. The awarding body of the particular qualification will have an assessment strategy what will state which criteria needs to be met to complete the mandatory and optional units and the best method for acquiring the evidence. A range of methods will be used to judge whether a candidate has demonstrated the skills, knowledge and understanding to be competent against the criteria. The assessor will need to ask themselves if the assessment process when put into practice will be: Fair – the given activities during assessment are relevant to the candidates needs and reasonable adjustments are made so not to disadvantage any person. Reliable – If the assessment was carried out by a different assessor, in a different place, the results would be consistent. Valid – the assessment is suitable to the qualification being assessed. Safe and manageable – the assessor must not put unnecessary demands on the candidate or their work colleagues in the place of occupation. Suitable for the candidates needs – before planning an assessment the assessor would need to take into account the candidates needs, their subject requirements and take into consideration any prior learning, additionally, plan suitable methods to be used. The assessment cycle to ensure the learner has met the performance and knowledge criteria required to achieve the qualification achieved all aspects of the qualification successfully. The cycle will begin with the initial assessment which will establish any prior learning or experience of the subject to be taken and will identify individual learner’s needs. Furthermore, diagnostic tests can recognize if a learner has for instance, dyslexia. The second part of the cycle will be the assessment planning, where the assessor and learner agree on the methods to be used for evidence, set target dates and who will be involved, such as, work colleagues. Thirdly, the assessment activity will establish which methods to judge whether a candidate has demonstrated the skills, knowledge and understanding to achieve the required standard. The penultimate part of the cycle will be where the assessor makes a decision as to whether the standard has been met and provide feedback to the learner. Lastly, progress will be reviewed and any changes to the assessment activities can be made. The assessor will use a range of Benchmarking will be used to ensure the learner’s performance is on target against the accepted standard of the subject area. This data will contribute to the quality assurance and development of best practice. 2. What is the role and responsibilities of the assessor? (1. 3) The role of the assessor is required to be competent and knowledgeable with the standards of the awarding body so they can explain the criteria to the candidate, thus the learner knows what they are working towards. Subsequent to the assessment planning an initial assessment needs to have been carried out to identify any individual needs, prior learning, skills and knowledge the learner may have. When planning the assessment the assessor should have the relevant information of where the learner works and what they do, this will ensure the correct units will be covered and correct methods are chosen. The assessor will use the assessment plan as a tool for assessing the learner’s competence and knowledge against the agreed criterion ensuring that it is fair, valid and reliable. The assessor must clearly record all assessment decisions and show which criteria was met. Each conducted assessment will record achievements accurately and any evidence provided by the learner must be checked by the assessor to ensure it is authentic. To ensure confidentiality the information will be available to share with those with a legitimate interest. After the assessment the assessor will provide constructive feedback to the learner concerning their achievements as soon as possible and identify any gaps in the learner’s knowledge and skills. At this stage the candidate will either plan to be reassessed or progress onto  the next assessment. The assessor will be responsible to the organisation, occupational standards and awarding organisation when planning, managing and delivering assessment and must maintain good practice and follow legislation throughout to maintain the integrity of the qualification. 3. Explain the regulations and requirements relevant to assessment in own area of practice(1. 4, 3. 4, 3. 5, 8. 1) The assessor will be required to follow a range of policies and practises set by the regulatory bodies of standards, for example, Ofqual, Sector skills council, Institute of learning. Other regulations such as, health and safety, equality and diversity, data protection, risk assessment, etc will be discussed below. It is the responsibility of the assessor to ensure that the above are carried out during the assessment process. For example, the assessor must abide by the health and safety rules of the candidates work place and report any unsafe practice or dangerous equipment. The need of wearing protective clothing and safety shoes may be required. The assessor or internal verifier must only intervene with an assessment is if the health and safety is placing someone in danger. Under the management of health and safety at work regulation 1999, the assessor must assess the risks to prevent any hazardous practices and locate information on who holds the first aid certificate and what the fire and emergency course of action is. The assessor is responsible to carry out a risk assessment to safeguard the learner during assessment and establish any risks which may occur during the assessment activities in the work place. While there is always a possibility of risk in any every day occurrence, the assessor has a duty of care to notify of the risk and advice of the possible outcome regarding safety. It is the assessor’s responsibility to ensure all documentary evidence is kept safe during external assessments and data kept secure. Any assessor who works with vulnerable adults or children will be required to have a criminal records bureau check before being allowed to work in that occupational area. The check will identify any unsuitable person and must be used to protect and safe guard adults and children at risk. The disability discrimination act legislated that no disabled person should be discriminated against because of a disability, whether it is a physical or mental impairment. In 2002 and 2005 the act was extended to include educational organisations. This meant that suitable provisions must be made for disabled persons to overcome any physical barriers and not be treated less favourably because of their disability. The initial assessment should clarify if the learner has any particular learning needs or disabilities to ensure equality and diversity needs are met. The assessor has a duty to ensure no learner is discriminated against; everyone has an equal opportunity for learning and development. Assessment activities should reflect the diversity of the learner, for example, culture, language and ethnicity and not be biased to the person who produced them. Every person is entitled to learn in a safe environment, whether it be the assessor or learner. It is illegal to inflict corporal punishment on anyone and if restraint is required then it must follow the organisations strict guidelines on discipline. The copyright, Designs and Patents Act (1988) is one that the assessor should discuss with the learner at the start of the assessment process as it relates to the authenticity of their own work and products. It is unlawful to use someone else’s work as their own without referencing to the rightful owner, as this is plagiarism. The assessor must always ensure the learner signs and dates their own work, especially if it has been prepared on the computer for acknowledgement that they are the original owner. The assessor will have confidential information about their learners, such as, name, age, birth date on record and under the Data Protection Act all this information must be kept confidential and secure. If the information is kept on a computer, then it should be protected with a password that protects against other entering the system. If the information is paper based then it must be kept in a filing cabinet which is lockable. The learner can request to see any information held about them under The Freedom of Information Act 2002, so it is important to back up copies, if electronically stored in case of being deleted. The information should not be kept longer than necessary and the holder will need to register as a data user if the period is over 2 months. There may some occupational areas which require the candidate to wear a uniform, for example, a white tunic top if working in a restaurant or protective clothing, such as, reflective jacket, hard hat and safety boots if on a construction site. The assessor will need to dress in accordance with the health and safety regulations when doing an assessment in the work place with the learner. Once the assessor has qualified they must register with the Institute for Learning and keep up with their continuing professional development. It is crucial that the assessor abide by the code of professional practice to ensure they are working to the same standard and not under achieving. If the former should happen then it could have a dramatic effect on the assessment centre quality assurance when the external verifier carries out an inspection visit twice a year. To ensure standards are being met and claim for certification is valid the external verifier will need to see a mixture of the candidate’s files and interview a variety of assessors. If the standards have been met and the external verifier is satisfied that the correct procedures are being followed the centre will receive a grade of 1-2. Unfortunately if the centre receives a grade of 3-5 then there is a possibility that they could have the direct claim status and registration suspended until the matter is resolved. 4. Explain the strengths and limitations of at least 4 different assessment methods, making reference to how each method can meet the needs of individual learners. (2. 1) ASSESSMENT METHOD Observation Strengths. The observation method is an excellent opportunity for the assessor to take a holistic approach during assessment; benefits are the assessment is viewed by the assessor, thus the evidence is authentic, plus, cost and time effective. The holistic assessment can be time consuming so the assessor will need to plan the assessment so they can identify which learning outcomes from all units can be demonstrated at the same time. Knowledge based and performance based assessment can be linked with evidence which is natural occurring. The method meets a learners needs as they can carry on their normal work practice. If any prior learning evidence can be presented, such as a certificate or witness statement and/or a professional discussion at the end of the assessment. Limitations It is necessary the assessor and candidate agree for a suitable time and place for the observation to take place. If the assessment is to be cost effective then the evidence must be collected during a busy time when the most evidence can be collected. If a witness testimony is to be used the assessor must find a suitable person who has witnessed the learner do the task, this must be arranged beforehand. The assessor must ensure that the candidate is confident enough to demonstrate their competence or else it could discourage them and waste time. The assessor must remain open minded throughout the observation and not offer advice or interfere even if they feel the candidate is doing something wrong. Assignments Strengths Assignments are an excellent opportunity for the learner to demonstrate knowledge and use research skills. The assignment can be set out so several aspects of qualification can be assessed. The learner needs are met as they are able to work at their own pace and in their own time. Limitations The learner must be had been taught all aspects of the syllabus beforehand. The assignment could be time consuming to write and may not be suitable to learners who have literacy difficulties, work full time or have families to support. The assessor must assess each assignment individually and provide written feedback. Witness Testimony Strengths The witness can confirm competence or achievements of the learner as they will have observed them in their normal practice of work, someone who works with the candidate to confirm the learner’s competence in a certain area of criteria. The learner may feel more confident displaying skills in front of a colleague rather than being observed by the assessor. Witness statements are useful as they can fill in any gaps. The method would suit the needs of someone who is performing the task frequently. Limitations The assessor must ensure the suitability of the witness and that they are experienced in the occupational area, the assessor needs to confirm this by seeing evidence, such as a copy of their CV or certificates. The witness statement must be authentic and the assessor will need to check this. A witness cannot confirm the learner’s competence as they are not an assessor. Oral questions and answers Strengths The assessor could use questioning as a way to meet gaps in evidence; questions could be adapted to meet the criteria. A question could be used to increase the candidates thinking about a certain task rather than performing it. Furthermore, it gives the assessor an insight as to how much knowledge the candidate has in their occupational area. This method could be used during an observation or used later after the observation; it would meet the needs of a learner who has difficulty with written English. The assessor would need to know the candidate understands what is being asked in the question or else the learner may struggle to answer correctly. Limitations The assessor would need to be careful not to ask closed or leading questions as this could be viewed as being subjective as the assessor could be putting words into the learner’s mouth. The most beneficial questions would be open, probing and hypothetical to get the most from knowledge and understanding of the learner. 5. What key factors do you need to consider when planning assessment? (3. 1) WHAT. The assessor will need to discuss and be in agreement with what criteria is being met and how it is being assessed and others involved. The assessor will need to talk about what the learner’s job role entails and how this is relevant to the unit in question. This will enable the assessor to plan and agree with the learner the types of evidence most suitable for demonstrating competence and the best methods for assessment to be used. The assessor must make sure the evidence is appropriate to meet the specified performance criteria and where possible knowledge to be assessed through performance or professional discussion or questioning. The assessor must ensure the learner is ready to demonstrate their competence and understands the processes involved, for example targets. WHEN The assessor and learner will need to agree when the assessment will take place and arrange a suitable date, time and duration when the most evidence can be collected and if the holistic approach could be used to obtain evidence. It would be beneficial for the assessor if the assessment took place during a busy period of learner work activity. However, the assessor must ensure the learner is not taken away from their duties for an unnecessary length of time or cause disruption to the business operations. WHERE The assessor Assessment would ideally take place in the learner’s work place as this where the most evidence can be collected. As the assessor will be entering the learner’s work place it is important to involve the employer in the planning process. However, for non-performance evidence it could be more cost effective to assess via Skype, email or to arrange a meeting in a suitable place of convenience, not necessarily the learner’s work place. HOW The learner will want to know how the assessment will take place and what will be involved during the assessment. The assessor will need to discuss and agree with the learner the most suitable method of assessment to collect the most evidence. The assessor must ensure the assessment is fair, unbiased and cost effective by making the best use of time; if the learner is required to produce any prior evidence then this must be arranged in advance of the assessment. Holistic assessment in the learner’s work place would be beneficial for it is naturally occurring evidence. The assessor would use observation, witness testimony and professional discussion for performance evidence and multiple choice questions, verbal questioning and assignments for knowledge and understanding. The assessor will make a judgement on the evidence and decide whether the learner has demonstrated enough to meet the criteria or not. The assessor will need to arrange how and when feedback will be given to the learner to attend to any performance issues. 6. Explain the benefits of holistic assessment and how you would plan for holistic assessment (3. 2). The assessor is responsible for ensuring that methods used during holistic assessment covers several aspects of the performance and knowledge criteria from different units. This will ensure the assessment is cost effective make evidence collection and demonstration of competence more efficient. The assessor would need to plan the assessment before it took place to ensure that any particular requirements of the learner are taken into account and the assessment is adapted to meet their individual needs. For instance, holistic assessments will benefit learners who have dyslexia or literacy difficulties. Holistic observation can include oral questioning and minimize the amount of written work the learner has to do. Thus they are not excluded or disadvantaged by having learning difficulties. If the learner has a disability then the assessor should make sure the learner has extra time to complete the assessment tasks and is given any support needed. Moreover, any learner with difficulties are entitled to have reasonable adjustments made to ensure they have the equality of opportunity and support to enable them access assessment. Furthermore, if the learner has difficulties then the individual learning plan will agree short term targets for achievement, assessment strategies and review dates. The benefits of holistic assessment are that the assessor is able to observe the candidate at work in natural occurring situations. The candidate would be able to demonstrate several aspects of the qualification and cover more than one unit at the same time by taking a performance unit which incorporates parts of a knowledge unit. Holistic assessment should ideally take place in the learners work environment and the candidate’s job role should be discussed with to establish any prior learning they have, to identify which units could be covered at the same time. By doing this it would reduce the amount of visits needed to the candidate’s work place, make the best use of time and ensure the assessment is cost-effective. 7. Why is it important to involve the learner and others in the assessment process? (4. 1) A learner should be involved in the assessment process so they can understand why they are doing assessment activities and the purpose of providing evidence of competence. The candidate’s involvement will enable them to remain motivated as they will have the opportunity to add their own input, analyse their own experience and understanding. Without support the learner could become confused and lack enthusiasm, but if others, such as the assessor and employer helped them to achieve their aim, it will give the learner self motivation and encourage them to remain positive through the assessment process. At some stage of the assessment process it may be necessary for someone other than the assessor to provide evidence of the learner’s competence in the work place. The witness must be known by the learner and experienced in the candidate’s occupational area, possibly a line manager. 8. Give examples of the types of information that should be made available to learners and others involved in the assessment process (4. 2) At the initial assessment the learner will have taken a skills test which is an analysis of the learner’s skills so they are aware of current skills and areas for development. The learner should be provided with all documentation they need for the award, such as, assessment plans, individual learning plans, feedback sheets, information on the company carrying out the assessment and the assessors contact details, phone number and email address. Additionally, a copy of the complaint and appeal procedure, equality and diversity Policies, how to contact the assessor for cancelling visits and information on health and safety 9. What are the benefits of peer and self assessment? (4. 3). The benefits of peer and self assessment are the learner develops skills, such as listening, observing and questioning and has a greater involvement in their own learning process. The peer and learner can understand the role and the need for assessment better. It allows for greater understanding of the criteria for achievement and how it is judged, thus, encouraging the individual to take responsibility for their own learning. The learner will develop analytical skills and improve self awareness of strengths and weaknesses and identify opportunities for improvement. Furthermore, develop the ability not only to assess their own work but that of others, thus developing analytical skills and use reflective practice of their own performance. When a learner assesses their own progress and those of their peers, they will learn to take personal responsibility of how to make a decision and provide feedback as to why that decision was made. 10. How can assessment arrangements be adapted to meet the needs of individual learners? (4. 4). The learner is entitled to a fair assessment and the assessor needs to use the most relevant assessment methods for the learner to demonstrate their ability. The assessor must take into consideration that not all learners are the same and treat the candidate as an individual, taking into account any requirements they might have. For example, the assessor needs to consider a learner’s work pattern involved working shift patterns and agree a suitable time for assessment which does not disrupt working practice and make the most of the meeting. Furthermore, confidentiality issues must be taken into consideration and reflection of individual learning styles. If the learner has dyslexia, learning difficulties or English is the second language then the assessor must work with the learner to establish which method of assessment would be more beneficial to them. The assessor will need to vary the methods to keep the learner motivated and extra time given to learners who have difficulties and ensure the learner understands what is being said to them. Feedback should be given as soon as possible to ensure the learner remains interested and motivated. 11. Explain how you judge evidence and make assessment decisions, making reference to the criteria and assessment requirements (5. 1, 5. 2) The assessment plan will need to be agreed by the assessor and learner to which assessment methods will be used to cover the entire criteria standard. The assessor needs to ensure that the assessment is valid, authentic, efficient, fair and reliable. At least four different methods would be used during assessments; these could be observation, evidence of knowledge, witness statements and professional discussion. Any prior achievement and experience of the learner will be taken into account as long as it is relevant to assessment of their competence; it would not be cost effective to have a candidate repeat an activity they had already acquired in the past. However the assessor must have proof that evidence is authentic by either asking for a copy of certificate or a witness statement and the evidence is current and relevant to the occupational standards. The assessor will review the evidence and assess it against the required elements of the qualification, it will allow for a decision to whether the candidate is competent or not yet competent. Competence can be awarded if the evidence is: * Valid * Reliable * Sufficient * Authentic * Current * Safe The assessor must abide by the Equality Act 2010 to not discriminate or harass against protected characteristics where fairness might be compromised. 12. Explain the procedures for and importance of quality assurance and standardisation. (6. 1, 6. 2) Quality assurance is important as it ensures the national standards are being maintained. The internal verification procedures will monitor equal opportunities and access the decisions made by the assessor are fair, valid and reliable. The internal verifier will use a range of methods to confirm that the assessment is meeting the requirements of awarding bodies. Methods used could be through observation, questioning, and professional discussion or sample the portfolio. It is vital that the assessor is assessing according to regulations and guidelines from awarding bodies, qualification and credit framework and keeps accurate records from assessments to create an audit trail for internal and external verification. To ensure all assessment decisions are consistent and fair the assessor will be encouraged to attend meetings with colleagues involved with the same subject and their internal verifier, to ensure they all understand the units they are assessing and looking for similar evidence. To compare assessment decisions and share good practice with colleagues will help the assessor to develop skills, up date knowledge and personal development. However, it is not compulsory to attend the meeting, the assessor could standardise their practice by reviewing standards and documents online. 13. Explain the appeals and complaints procedure (6. 3) The assessor should provide the learner with a written copy of the complaints and appeal procedure which meets the requirements of the awarding body and discuss this with them in the assessment planning session. If at any time during the assessment process the learner has a complaint or feels a decision the assessor has made is unfair to them, then the learner will know who to go to with their issue and how it will be followed up. However, before this stage is reached the assessor should encourage an informal discussion with the learner to see if the issue can be resolved. If the learner is not confident about discussing it with the assessor then it may be necessary to involve the internal verifier. However if the complaint or appeal remains unresolved then this must be put in writing to the chief executive who will look into and respond within 5 working days. If the learner is still unsatisfied with the outcome then they can request the complaint or appeal is investigated by an independent panel, which will consist of an independent assessor and internal verifier. The panel will investigate the appeal or complaint and notify of their decision within 14 working days. If at this stage the complaint or appeal has still not been rectified then the learner should contact the awarding body – NCFE, whose details will be given once it has reached this stage. 14. Why is the management of information important? (7. 1) The assessor will need to ensure that any documentation acquired during the assessment process is following the national standards for assessment and verification and be aligned with the centre and awarding body policies. Each document must be accurate stating which assessment methods where used, whether, observation, oral or written. Furthermore, they must show that both candidate and assessor agreed to how the evidence will be obtained and the decision made as to whether it was achieved or not. It is essential that any document is signed, dated and stored correctly to ensure data protection and confidentiality. Other types of documentation could be completed log books, action plans, feedback comments, learner records or anything which records the candidate’s achievement. It is imperative that the information is managed professionally as the assessor could find themselves in breach of laws and regulations, such as, data protection Act if they fail to comply. Failure to manage information correctly could result in having complaints and appeals made against the assessor and have a dramatic effect on the assessment centre quality assurance when the external verifier carries out an inspection visit twice a year. To ensure standards are being met and claim for certification is valid the external verifier will need to see a mixture of the candidate’s files and interview a variety of assessors. If the standards have been met and the external verifier is satisfied that the correct procedures are being followed the centre will receive a grade of 1-2. Unfortunately if the centre receives a grade of 3-5 then there is a possibility that they could have sanctions placed upon them and lose their direct claim status and registration suspended until the matter is resolved. 15. Why should you give the learner feedback? (7. 2) Feedback is an important tool for learning and development and to improve performance and motivate the learner. The learner will have a better understanding of how they have progressed during assessments. After the assessor has carried out an assessment they would need to give feedback to the candidate as soon as possible by either verbal communication or written. If verbal is used via phone or face to face, then this must be backed up by a written copy. The assessor should include information about achievement in relation to the criteria and any comments should provide detailed advice on how to cover any gaps between current performance and the target aimed for. The candidate should be encouraged to ask questions regarding the feedback to help them understand how the assessor had reached their decision. This would also assist the assessor to reflect upon their role and evaluate if the assessment process was fair, valid and reliable and the assessment methods used was the most appropriate for the candidates needs. If the candidate did not meet the required standard then the assessor should give constructive feedback which would focus more on the activity or work produced rather than the candidate. Constructive feedback is part of a successful assessment as the learner will know what they have achieved or need to develop. Thus the learner will be encouraged to take more responsibility of their own learning development and deepen their understanding of the criteria. Feedback should be given on a 2. 1 scale, known as the sandwich approach. It should start with positive comments, then the areas which need to be improved; lastly, the assessor should end the feedback on a positive to encourage the candidate to keep interested, motivated and confident. 16. What are the key policies and procedures that relate to assessment? For example Bright delivery policy and NCFE policies and procedures etc. Give a brief explanation of what each one is. (8. 1) The assessor will need to follow policies and procedures additionally to those mentioned in question 3, for example: Bright’s delivery policy states the following points: Bright’s delivery policy sates the following points: †¢Once the candidates deposit has been cleared and relevant paperwork is complete the candidate will receive their registration pack within 48hrs †¢Following this the mentor will contact the candidate within 48 hours †¢Mentors can be contacted mon – fri 9am – 6pm sat 10-1 †¢Alternately leave a message and the mentor will contact the candidate within 4 hours †¢Once all theory and practical assessments are complete candidates will receive their certificate. Under Bright’s delivery policy the following procedures relate to assessment: †¢Quality audit of completed Individual Learning Plans †¢Quali.

Management Of Minor Injuries

Management Of Minor Injuries Introduction: As part of this minor injuries course we have been asked to provide a 3000 word assignment utilising a case method as means of researching a patient scenario we experienced during clinical practise. Case study method enables a researcher to investigate an individual and evaluate these findings and relate this evidence to clinical practice ( REFERENCE 1) Case studies are also often subjective and based around a personal experience or memorable patient (REFERENCE 2), whilst identified by (REFERENCE 3) that these case studies do not provide a great amount of empirical and statistical evidence, (REFERENCE 4) highlights that case study methods stimulate critical thinking and help practitioners apply theory to clinical practice. For this case study I have chosen a patient who I treated for an Achilles tendon rupture. This assignment will aim to document the assessment of a patient in the acute stage of injury discuss the initial management of the injury discuss the treatment plans available conclude how this case study has impacted on my clinical practise The Achilles tendon is given its name by Greek hero Achilles as the largest and strongest tendon within the human body, Patel and Haddad (2006). It connects the calf muscle (gastrocnemius) to the heel bone (calcaneus) and is located below the skin at the back of the ankle.(reference needed) As the calf muscle contracts it provides it enables the foot to be pointed downwards (plantarflexion) It is this action that enables us to walk, run, jump and to stand on our toes.(reference needed) Despite great forces applied through this tendon it is vulnerable due to its limited blood supply, the least vascularised area being 2 to 6 cm above the calcaneum. This diminished blood supply predisposes this region to chronic tendonitis and potential rupture. (reference 5) Kerr (2005) suggests three main attributing factors are leading to an increase in rupture. Increased sedentary lifestyle Rising popularity of recreational sports especially in older men An increasing proportion of people are overweight 75% of Achilles injuries occur during sporting activities, and research indicates this is occurring with patients who describe themselves as novice or beginners (Josza et al, 1989). As ENPs it is important that we are able to differentiate between an acute tendon injury and other complaints i.e. gastrocnemius tears in order to treat, advice and refer appropriately. Misdiagnosis or delay in treatment can lead to gait dysfunction and chronic pain. The following case study is a true event of a patient I assessed during my clinical placement. To maintain the patients confidentiality he will be referred to as Mr Smith. CASE STUDY: 68 year old retired gentleman, no drug allergies, no significant past or ongoing medical problems. Mr Smith attended the emergency department at 10.00 and was booked in with a limb problem. I greeted Mr Smith, explained my role as a training Emergency Nurse Practitioner (ENP) and gained consent for his assessment. Mr Smith had been out dancing the previous night and thought he had been kicked in the back of his right lower leg. Since, he had described difficulty walking and not been able to bend his foot as normal. Despite walking tentatively Mr Smith manoeuvred himself onto the examination couch. From his facial expression he appeared comfortable and his pain had been reduced having taken his own paracetamol and ibuprofen. The worst pain had been last night and the patient described an ache this morning. Further analgesia was offered but declined by the patient. Physical examination: This was broken down into 5 key areas described by Guly (2002) Look (inspection) Feel (palpation) Movement Specialist tests Function During our course we have assessed neurovascular function as a separate examination. This will be assessed between movement and specialist tests. Look: Mr Smith was examined in a private cubicle. His trousers removed in order to expose both lower limbs for comparison. Mr Smith had no wounds, no obvious deformity, no erythema /cellulites and no bruising noted. There was noticeable swelling around the base of the calf in the soleus region on the medial aspect of the limb. Both limbs were of equal colour and warmth. No surgical scarring was observed on either limb. Feel: Palpation of lower leg then took place. In accordance with Gully (2002) this should take place from the joint above to the joint below. Palpation started from the knee joint downwards. From the examination of the knee joint no pain over bony land marks was elicited by the patient. The palpation moved distal towards the ankle, no bony tenderness was identified. The ankle was examined for bony tenderness. No tenderness was found at the posterior edge or tip of both the medial and lateral maleolus, the base of the 5th metatarsal or the navicular bone. Using Ottawa ankle rules (Hopkins, 2010) there was no indication to xray the ankle. Mr Smith was then asked to go into the prone position, this enabled a good comparative view of both limbs mainly the gastrocnemius muscles and the Achilles tendons. The gastrocnemius muscle was then palpated; although uncomfortable towards the distal muscle a specific tender point was not identified. The Achilles tendon was then palpated; this gave a specific origin for the pain. There was also bogginess (palpable step) in the lower third of the Achilles. Although a step was palpable Kerr (2005) indentified that not all ruptures have a palpable step, the cause of this unknown. Movement: Ankle movements were examined both active and passive. Mr Smith had good active dorsi flexion and normal plantar flexion of both ankles. However when examined with passive resistance there was a marked deficit on his right ankle. Sterling (2001) highlighted that even though normal range of motion is witnessed during active movement it is essential passive movement is carried out, and assumptions should not be made to the integrity of the Achilles tendon. Both medial and lateral ligaments were stressed with no laxity and good end feel. Finally an anterior draw test was performed, the ankle was stable. Neurovascular status: Mr Smith had normal sensation of his first web space, dorsum of foot and anterior and lateral aspect of lower leg. Mr Smith was able to dorsiflex and had normal toe plantar mechanism. Pedal pulse was also present. Specialist tests: Mr Smith was then asked to kneel onto the trolley and support himself using the wall. A Thompson- Simmons (calf squeeze) test was then performed. At this time Mr Smith had no plantar flexion movement. Johnson and Morelli (2001) details this is highly suggestive of a ruptured Achilles tendon. Prior to undertaking this assignment I was not aware of any other specialist tests other than ultrasound. These shall be discussed later. Function: Guly (2002) states the examination of a joint should include its functionality. Mr Smith was then asked to perform a calf heel raise (stand on tip-toes). He was unable to perform this task. Sterling et al (2001) summarised that a patient whose other plantar flexors are still functioning will not be able to perform this task if their Achilles is ruptured. Treatment: Mr Smith was diagnosed and treated as an Achilles tendon rupture. He was placed in an equinas cast and was given crutches to mobilise with, which he did very well. A referral was then made to our fracture clinic where he would be followed up with the orthopaedic team. Take home analgesia was offered but declined by the patient. Mr Smith asked about the long term plan of action, would he need surgery to repair his tendon. I answered honestly and stated I didnt know but endeavoured to find out from one of my colleagues. It was this lack of follow on care knowledge that has been one of the focuses for this case study. Having an extended knowledge base would further enable a holistic approach to care not only in the acute care environment but to also provide accurate information about the care the patient should expect to receive. This sharing of knowledge will hopefully enable the patient to make an informed choice about how they would like to proceed. The follow on from acut e injury to referral to fracture clinic is currently within 3 days. The patient will be presented if suitable with two options; surgical repair or conservative management. From reviewing the literature contributing towards this assignment it is clear the orthopaedic world is divided over these two strategies of care. However the common goal summarised by Patel and Haddad (2006) is a restoration of the normal length and tension of the Achilles tendon, allowing patients to regain their functional and desired level of activity. Fotiadis et al (2007) supports this and further discusses the importance of restoring length as this will preserve strength of the gastrocnemius and the soleus muscles, again improving functionality. Surgical repair: the procedure involves making a longitudinal incision on the medial aspect of the Achilles tendon. Normally the incision is between 8 and 10cm, the ends of the tendon are then sewn together using non-absorbable suture. Two types of stitch are favoured, Krackow or Bunnell. (see appendix A) Kerr (2005) highlights the advantages of surgical repair as Increased strength Reduced calf atrophy Less likely hood of re-rupture Faster return to sporting activities. However with any invasive procedure there will be a risk off Deep wound infection Deep vein thrombosis Delayed wound healing Scar adhesions Hyperesthesia or numbness of the skin After surgery the limb is immobilised with an equinas plaster or brace for between 6 to 8 weeks followed by physiotherapy. Non Surgical Management: Johnson and Morelli (2001) outlines that conservative management involves the patient being placed initially in an equinas cast. The immobilisation of the ankle plantar flexed between 40ÂÂ ° and 60ÂÂ ° enables the tendon to be stress free promoting the unification of the partial tear or rupture tendon. Having discussed the current treatment guidelines with my orthopaedic colleagues at the hospital the patient would be expected to return to fracture twice over a 6 week period. This would be to have a new POP each time and gradually have the degree of plantar flexion increased. The patient would remain on crutches, non weight bearing on the affected limb, to reduce the potential stress placed on the tendon. Having presented the case study and outlined initial management and expected follow up care, I would now like to introduce new methods of assessing for Achilles tendon rupture as stated on page 3. Matles Test: The patient is laid in the prone position with knees flexed at 90ÂÂ °. Both feet and ankles are observed for plantar flexion. The diagram below indicates the there is an increase in dorsi-flexion on the injured limb (right) Source: foot and ankle hyperbook (2011) The OBrien test: the patient lies in the prone position knees flexed at 90ÂÂ °. A small gauge needle is then inserted 10cm form the superior border of the calcaneus into the Achilles tendon. Passive dorsiflexion and plantar flexion movements are applied; absence of movement indicates a potential rupture. The Copeland test: the patient is laid in prone position with knees flexed at 90ÂÂ °. A sphygmomanometer is placed around the bulk of the calf and the pressure raised to 100mmHg with the ankle plantar flexed. When the ankle is dorsiflexed, in a non- injured Achilles tendon, pressure increases to 140mmHg. Where the Achilles is ruptured the pressure remains the same (Sterling et al, 2000). Other specialist diagnostic procedures can be performed i.e. ultrasound or MRI. These have been highlighted by Patel and Haddad (2006) as more accurate at detecting partial tears. Ultrasound is operator dependent and requires an experienced technician and radiologist and MRI carries a high cost and limited clinical value of what has already been diagnosed clinically. Differential diagnosis: During the initial history taking it is paramount an accurate detail history is taken leading up to the events. Majewski et al(2008) outlines 44% of Achilles injuries are misdiagnosed as ankle sprains or gastrocnemius injuries and advocates the use of the two specialists test previously identified; the calf squeeze test and the Maltes test. Majewski et al (2008) concludes along with proficient palpation of the Achilles tendon two positive tests is good evidence of a rupture. However reinforces the need for sonography (ultra-sound) to differentiate between partial and full tears. As ENPs we are usually the first clinician patients see with an acute injury. We have a vital role in demonstrating accurate history taking, assessment, treatment and referral to the appropriate speciality. Despite the patient having an injury it is important that we can provide the patient with accurate education and health promotion advice. It is recognised within our department that weekends have a high increase is sporting injuries who attend the emergency department. The main sports are rugby league and football. We have a great opportunity to impart knowledge to patients with injuries in order to hopefully reduce the incidence of new or re-occurring injury. In relation to Achilles injury or Achilles tendonitis Walker (2005) promotes warm up techniques, the benefits include: Increased blood flow to working muscles Increased range of movements Improved speed of contraction Increased temperature and hence increased elasticity Improved oxygen saturation As previously identified there is reduced vascularisation to part of the tendon, Henry et al (1986) concludes that warming up increases the flexibility of the joint involved and best results occur from static stretching. Another important factor to advice patients about is footwear. If possible hard backs of shoes should be padded as identified by Milroy (1994) these areas nudge the Achilles, often at the site of injury and wherever possible heels should be slightly raised to shorten the Achilles resulting in less injury from sudden lengthening. It is this information that I will be now documenting i.e. did they warm up prior to exercise and also conveying this to patients in order to reduce further injuries. Conclusion: As identified there is an increase in Achilles tendon rupture injuries hence more people will be attending the Emergency Department through direct referral from General practitioners and Walk in Centres/ Minor injuries units or from self presentation. From reviewing literature it is evident there is a significant number of misdiagnosis occurring around the area of injured Achilles tendons. Despite Mr Smiths diagnosis seeming straightforward I now have a greater appreciation of differential diagnosis and the effects misdiagnosis or delay in treatment can have on the short an

Changing Face Of Rural Consumer In Emerging Markets Economics Essay

Changing Face Of Rural Consumer In Emerging Markets Economics Essay India is growing at an average annual rate of 7.6 for the past many years and it is expected to continue growing at an equal if not faster rate. The rapid economic growth is increasing and enhancing employment and business opportunities and in turn increasing disposable incomes. The rural consumers in India account for about 73 percent of the total consumers. In recent years, the lifestyle of a large number of rural consumers in India has changed dramatically and the process of change is going on. The buying behaviour of the rural consumers is influenced by several factors such as socio-economic conditions, cultural environment, literacy level, occupation, geographical location, efforts on the part of sellers, exposure to media etc. As the benefits of growth trickle down, an increasing number of people are moving up from the economically weaker class to join the middle class. The middle class with its rising numbers and incomes is thus becoming the biggest market segment. The affluent class too will continue to grow in terms of size and value, albeit, at a slower pace than the middle class. Most of the companies are going rural because of large and diverse markets, increase in literacy level and changing life style of the people. Even globalization and liberalization expanded the Indian rural market. Several studies have shown that rural consumers are generally ignorant and they are also unorganised. Under these circumstances, the sellers or the manufacturers, exploit the consumers. Though, the consumers in India have been provided with various safety measures against their exploitation. In this paper, an attempt has been made to study the changing face of rural consumer in emerging markets. Key Words: Globalisation, Rural Consumer, Rural Market, Rural Potential. Introduction Rural consumers in emerging markets of developing countries are among the largest and fastest growing segments of the worlds population. In a country like India, where a substantial number of the rural people are living below poverty line, having high level of unemployment and poor literacy level; consumer awareness continues to remain low. Above all about 70 percent of Indias population lives in rural areas. There are about 6, 38,365 villages in the country as against about 300 cities and 5,161 towns. Of the 121 crore Indians, 83.3 crore live in rural areas while 37.7 crore stay in urban areas, as per the Census 2011. Even in urban areas, a large number of people live in slums whose life is not better than those living in rural areas. This clearly highlights that India is still dominated by rural population. There were 7,935 towns in 2011 as against 5,161 in 2001. About 13.3% of Indias population and 42.6% of urban population reside in 53 cities having more than a million people, wh ile the remaining 7,882 cities account for 47.4% of the urban population. There has been a steady increase in the number of cities from 5 in 1951 to 35 in 2001 to 53 in 2011 having a population of more than 10 lacs. About 31% of the urban population lives in the top-20 cities and about 51% of the countrys urban population lives in the top-100 cities.4 A report on survey conducted by National Council of Applied Economic Research (NCAER) says that there are 720 million consumers across the villages in rural India. Hence, the development of the nation largely depends upon the development of the rural population. Agriculture is the main occupation of the rural people for their subsistence. It has been observed in the report that the condition of the rural consumers is deplorable because they are being exploited in the rural markets on account of lack of competition among the sellers. Although the rural consumers face various problems like fake brands and spurious products, misleading advertisements, unfair warranties and guarantees, and unreasonable pricing but it hardly affects their passion to buying because they want to buy those products which reflect their prosperity level. Similarly, with globalization and liberalization, rural market in India expanded its potentialities across the world. Globalization describes a process by whi ch regional economies, societies, and cultures have become integrated through a global network of communication, transportation, and trade. Globalization can be defined as the intensification of worldwide social relations which link distant locations in such a way that local happenings are shaped by events occurring many miles away and vice versa. Globalization generally means integrating our economy with the economy of world. Globalization had its impact on various sectors including agricultural, industrial, financial, health and many others. Globalization has helped in: à ¢Ã¢â€š ¬Ã‚ ¢ Raising the living standards of people, à ¢Ã¢â€š ¬Ã‚ ¢ Alleviating of poverty, à ¢Ã¢â€š ¬Ã‚ ¢ Assuring food security, à ¢Ã¢â€š ¬Ã‚ ¢ Creating a market for expansion of industry and services, and à ¢Ã¢â€š ¬Ã‚ ¢ Making substantial contribution to the national economic growth. Globalization has brought in many varieties to choose from i.e. it has given a wide range of products to choose. The rise of rural market has been the most important marketing phenomenon of 1990s, providing volume growth to all leading companies. Objectives To examine the reasons why companies are going rural. To study the changing face of rural consumers To analyse the present scenario. To study the initiatives taken by some leading companies in the area of rural marketing. Data Collection The study is based upon secondary data which has been collected from various text books, journals, reports etc. Besides, a few websites have also been consulted. Potential of Rural Market Now-a-days, every company is excited about the potential of rural India and trying to get a grip on the rural market because the urban market is showing the sign of saturation. But the challenges are many: how to make the product affordable, how to penetrate villages with small population, connectivity, communication, language barrier, overcoming spurious brands etc. The reasons for companies going rural are manifold. Increasing rural incomes driven by agricultural growth, increasing enrolment in primary schools, high penetration of TV and other mass media which has increased the propensity to consume branded and value added products in rural areas. As per a study conducted by the Market information Survey of Households (MISH) and NCAER rural India is quietly transforming and growing and becoming different. Today the rural market offers a vast untapped potential. According to a McKinsey survey conducted in 2007, rural India would become bigger than the total consumer market of many countries such as South Korea or Canada in another 20 years. Marketers and manufacturers are becoming aware of the increasing purchasing powers, vast size and demand base of the once neglected Indian hinterland. They are now making efforts to understand the attitude of rural consumer. While entering the rural market companies are also resorting to CSR- Corporate Social Responsibility activities, thus helping the poor not only to augment their income but promote their products also. For example, Hindustan Unilivers Project Shakti not only brings revenues to the company but also assist poor rural women to become income earners by selling the companys product in the rural markets. It provides entrepreneurial opportunity and thus improves the living standard of rural women. It is a win-win situation for the company as well as for the consumers. Some major companies that have focused in Indian rural sector so far are Asian Paints, PG, and Bajaj Auto, LG electronics, Coca Cola, Hindustan Unilever, Britannia, Philips, Colgate, ITC and LIC. We are sti ll to understand the rural consumer, his attitudes, and his habits, particularly from the marketing point of view. Following points explain the reasons why companies are going rural i.e. what attracts them: Large and Scattered market Major income from agriculture Low standard of living Traditional Outlook Diverse socio-economic backwardness Infrastructure Facilities High Growth Rate Facts about the Indian Rural Market The following facts are gathered from the analysis done by National Council for Applied Economic Research (NCAER) about the rural India: Rural India constitutes 70% of Indias total population. It accounts for 56% of national income. It contributes to 1/3rd of Indias total savings. It accounts for 64% of total expenditure. Rural economy is estimated to reach a size of Rs 18 trillion by 2012-2013 as against Rs 12 trillion in 2007-2008. Rural consumers share of total ownership of low cost items like bicycles, pressure cookers and watches during 1995-96 was 60%. The share of rural India in the FMCG market is around 53% and is expected to reach 60% in future. Why focus on rural consumer? It is found that companies have expanded in rural areas because they are able to ward off competition, generate a new demand and in turn increase their sales or profits as well. The rural India offers a tremendous market potential. In fact, rural markets are the new markets offering both durable and non-durable products. Long-term perspective of marketing planning with modern approach is essential for their future growth. The Indian rural market is a goldmine, which needs to be explored. Rural consumers behaviour needs to be understood and products specially designed to suit the rural lifestyle.  The key business players are ecstatic about the immense market potential in Indias rural areas. It is also believed that major changes have taken place in the economic fundamentals, decrease in agricultural dependence, and increase in average income, life style, standard of living of the rural due to high economic growth rate. Business tycoons plan huge investments focused on rural areas, as part of growth of rural strategy. Rural India has witnessed a wave of change in recent times. Rural markets dominate Indian marketing scene and they need special attention for the expansion of marketing activities. With media exposure and increasing literacy levels, people are now demanding a better lifestyle. Figure shown below depicts the consumer Indias confluence of change in this regard. Figure: Consumer Indias Confluence of Change The changing shape of income distribution suggests growth in rural incomes which in turn should herald a consumption boom. Now-a-days, liberalisation, comfort with technology, changed attitude of people especially middle income group, alongwith rise in aspiration, the rural India is going beyond agriculture and is creating a new market for mass consumption. The figure given below depicts that with the increase in income, the rural people are moving from lower to lower middle, lower middle to middle; middle to upper middle and upper middle to upper level as far as income and spending are concerned. Figure: Rural Percent of each income group The coming together of a diverse set of economic, demographic and social change waves-point towards the fact that a brave new market is here. Table 1shows the demand for consumer durables in rural India. Inspite of the lower penetration and lower per capita purchase of consumer goods by rural people when compared to that of urban Indians, marketers are attracted towards rural markets because of large population (Table II) Table 1: Demand for Consumer Durables in Rural India (% of all India) Consumer Durables 1995-96 2001-02 2009-10 Scooters 33.1 39.4 39.9 Automobiles 37.9 36.0 37.9 Television 54.0 54.5 44.2 White goods 23.8 23.9 23.7 Fans 50.0 56.9 56.7 Low Cost items 58.1 60.1 61.3 Source: NCAER Table 1 explain the position from 1995-96 to 2009-10. The demand for the consumer durables in case of automobiles, white goods, low cost items is more or less is same, but there is an increased trend in fans, scooters etc. Table II: Comparative Sizes of Rural and Urban Markets Particulars Urban Rural Population 2001-2002 (million households ) 53 135 Population 2009-2010 (million households ) 69 153 % of All India Population 28 72 Market ( Number of town/Villages ) 3768 627000 Western consumer-focused companies are growing impatient as they seek out the opportunity to sell their products both in Indias major cities as well as to consumers in rural areas.  Companies should proceed with caution when marketing their products to Indias rural consumers   http://blog.frontierstrategygroup.com/wp-content/uploads/2011/12/Rural-India.png Present Scenario Rural markets are witnessing value growth. That is rural consumers are willing to go for premium brands in any product category. Rural market is providing ample options to its consumer in terms of tastes, choices which are changing. The three most important factors are: Change in consumption pattern Change in life style Change in behavior of rural consumer In this regard, many large sized corporations have seen great success in rural areas because of innovative strategies like smaller packaging (Fast Moving Consumer Goods FMCG companies have creams and soaps priced at Rs5, hair oil and shampoo sachets at Re1 and small Coke at Rs5), customized development and positioning and a good distribution network. The rural India success story is being replicated across a range of sectors in the rural markets. Thus, the sales of FMCG products in rural markets is growing at a fast pace, even faster than that in urban markets. Nielsen estimates that by 2025, the fast-moving consumer goods (FMCG) market in rural India will hit $100 billion and that inflation and pricing will be outstripped by consumption. Presently, the rural market has more than 70 percent of toilet soaps, 50 % share of total sales of TV sets, Fans, Pressure Cookers, Bicycles, Washing soap, Blades, Tea, Salt and Tooth Powder  and 38 percent of all two-wheelers were purchased in rural areas. Rural India consumers hold a major share in many categories. Bijoor adds some growth numbers. Our rural folk have bought a lot more of FMCG; this part of the market has grown at a robust rate of 23% [over last year i.e., 2008-09], he says. As durables shrink in urban India, the rural market is witnessing a 15% growth rate. Some 60% of the durables market lies in rural India. Telecom in rural India is growing at 31%. It depends on the product, of course. Just the sheer population numbers dont mean very much from a marketing point of view, says Garudachar of Voltas. Statistics presented at the meet assessed the market size for nail polish at around Rs. 270 million in rural areas as against only 81 million in the urban area. Same i s the case with lipstick and face creams. This is mainly due to the rise in the disposable income of an average rural family. These itself bring awesome opportunities to the investors in rural markets.14 Various initiatives have been taken by the companies like: Nirma the first FMCG Company which initiated and produced goods according to the rural consumers in 1970. It changed the whole Indian FMCG scene. A number of companies such as Hindustan Lever, Coca Cola, LG Electronics, followed suit to expand their base in rural market. Maruti Suzuki introduced various innovative schemes such as a) Wheels of India scheme for State government employees which led to the sales of more than 5000 automobiles; b) Another scheme called Ghar Ghar Me Maruti: Mera Sapna Meri Maruti is targeted at the customer segment consisting of village panchayat members who are highly influential and respected in rural areas and nearby towns. This scheme increased Maruti sales by 16600 units; c) Other schemes Maruti are steel wheels for steel industry employees, 1 class officer for Indian Railways employees and Teacher Plus schemes for teachers. Gaon Chalo By Tata Tea: Gaon Chalo is another distinctive rural marketing initiative started in 2006 in the Uttar Pradesh by Tata tea for penetrating the rural market, the company partnered with NGO. This project has created employment opportunities to the youth in villages and small towns. Tata tea consolidated its market share in rural areas and it rose from 18% to 26.6%. Dabur India Ltd has also tied up Indian Oil Corporation. According to agreement between the two companies, IOC retail outlets all over the country will stock and sell Daburs products consisting of oral care, health care, personal wash, skin care and home care products. This helps Dabur in reaching millions of rural customers. There are 1600 such IOC outlets across India. According to report entitled India Retail Report 2009 by Images FR Research, Indias rural market offer a sea of opportunity for the retail sector? Presently, India is globally the fifth largest life insurance market in the emerging insurance economies. 78 percent households in rural India are having awareness about life insurance and just 24 percent are policy holders. The Indian pharmaceuticals market is regarded as one of the fastest growing in the world. According to a report by McKinsey, entitled Indian Pharma 2015, the rural and tier-2 pharma market will account for almost half of the growth till 2015. According to the Ministry of Communications and Information Technology, India is having more than 826.93 million mobile phones and 35.55 million landlines in April 2011, which is about 70.23 percent. Out of this about 40 percent are from rural areas, and by 2012, rural users will account for over 60 percent of the total telecom subscriber base in India. Thus, India has witnessed a n increase in the purchasing power of consumers, accompanied by their desire to upgrade their standard of living. Today the rural market offers a vast untapped potential. With the rapid growth of rural market, the quantum of consumer grievances also increases simultaneously. The main problems faced by rural consumers are related to adulteration, lack of safety, quality in appliances and equipment, unfair warranties, unreasonable pricing etc. The Department of Consumer Affairs of the Government of India and various state governments has undertaken a number of innovative measures to protect rights of rural consumers. The Indian Consumer Protection Act 1986 ensure better protection of rights and interest of people who are consumers in one way or the other from the exploitation of trade and industries. Consumer disputes redressal mechanism (popularly known as consumer courts) are set up under the Act at district, state and national level to provide simple, inexpensive and quick redressa l of consumer complaints. Although they are in urban areas but in rural areas, there is Panchayati Raj- a three-tier system with elected bodies at the Village, Taluk and District levels. Conclusion Today, rural consumers are not only buying to fulfill their basic needs but also taking care of higher needs of comfort and socialization. Moreover, they are getting more conscious about health and that they have the extra money to spend on such products. Consumer behaviour which is related to likes and dislikes and expectations of the consumers has changed in recent years owing to enhanced awareness, information technology and more importantly governmental intervention through legislations. The buying behaviour of the rural consumers is influenced by several factors such as socio-economic conditions, cultural environment, literacy level, occupation, geographical location, efforts on the part of sellers, exposure to media etc. Thus, the manufacturers are more cautious in dealing with consumers of their respective products.  A recent study by the McKinsey Global Institute (MGI) suggests that if India continues to grow at the current pace, average household incomes will triple over t he next two decades and it will become the worlds 5th-largest consumer economy by 2025, up from 12th now. Mahatma Gandhi said, A consumer is the most important visitor on our premises. He is not dependent on us, we are on him. He is not an interruption to our work; he is the purpose of it. We are not doing a favour to a consumer by giving him an opportunity. He is doing us a favour by giving us opportunity to serve him. Keeping these words in mind, there is an urgent need to address the concerns of the rural consumers and the only way forward is to involve the available constitutional mechanism of Panchayati Raj Institutions.

The Myth Of Birth Orders and Personality :: Parenting Parenthood

Does birth order really influence personal traits? Many researchers believe that the first-born child is parental, responsible, hardworking and intelligent. The middle-born child is more competitive, tends to be a people-pleaser and usually hates quarrel. Youngest are social, less capable of doing things. But I have found different traits comparing to researchers findings. Defining ones personality through their birth order can be a lot like horoscopes. Horoscopes are so sweeping that they can apply to anyone. The same can go for birth order. While I do have many of the traits first-borns are said to have, I also have a lot of the characteristics that the youngest have. The author in the passage tried to give logical reasons to prove it, but I saw many examples in real life which has no connection with the author’s logic. Let me share some of those relating with the author’s logic. The firstborn child is not parental at all. In many families we can see that the younger brother’s are dominating the older sister. For example, one of my friends, Shanila, likes to talk with her friends at night. Most of the times her parents stay outside home so there is suppose to be no one to stop her. But she faces many troubles for her younger brother, Akash. He always tries to be parental and take care of Shanila by scolding her if she talks too much in phone. Sometimes Akash read SMS in her mobile and take numbers from her mobile to call and check the guy with whom she was talking the whole night. Sometimes younger brother also helps older ones with academic problems. Shanila is not a good student neither she have any interest with her study. She always faces problems with her assignments. So most of the time her brother force her like a parent to study. Therefore, I think it is the situation and parents influence which makes a people parental. Shanila’s parents give full right to Akash to take care of Shanila because her parents think boys are more capable than girls. So if any younger brother falls in a situation where he needs to be parental it can force him to be parental. The firstborn children are more social. I have seen in absence of parents in the house the oldest child communicate with different neighbor for various reasons. For instance, when Rajiv’s parents stay outside home Rajiv serve the guests who come to their home.