The developmental stages of adolescence and adulthood

The developmental stages of adolescence and adulthood As a growth stage, adolescence is characterized by exponential and dramatic physical milestones which enable an individual develop from childhood to adulthood. It is during this stage that secondary sexual characteristics emerge due to a surge in production of testosterone in boys as well as estrogen in case of girls (Slee, 2002). These hormones continue being produced until total maturation is achieved. Onset of adolescence and puberty begins early in girls than in boys though individual differences exist due to hereditary and environmental factors like diet or exercise. Rapid increase in weight and height is achieved from as early as 9 years and peaks at around 14 years. Girls develop breast buds during early adolescence with full breast development being achieved at around 12 to 18 years. Hair growth in the pubic area and the armpits begins while the onset of menstrual periods (menarche) begins after two years of breast development. Girls assume a curvier body caused by development of more prominent hips. In males, hair development begins at the onset of adolescence with hair growth being exhibited on the face, pubic area, chest, armpits and on the legs (Slee, 2002). Rapid increase in height and weight is also witnessed in adolescent boys. Appearance of nocturnal emissions also known as wet dreams at the ages of 13 and 17 years primarily marks the adolescence period in boys. The boys notice a considerable enlargement of their sexual organs (i.e. testicles and scrotum). The lengthening of the penis closely follows this development. Deepening of the voice occurs almost along the same time as penile growth. A larger Adams apple then develops. Q2: Adolescences and cognitive development: Key Milestones Adolescence is marked with the development of formal logical operations which are more complex. This is unlike the concrete operations witnessed in childhood. During late childhood, the kind of concrete development achieved, enables the children to think in concrete ways since the actions and events performed during this stage can be evidenced or presented (Berger, 2004). A significant change is achieved during adolescence as the person is now able to undertake abstract thinking whereby he/she thinks about possibilities. The adolescence is also able to think about the occurrence of thinking (i.e. why does a person think?). The ability to derive reasoning from already known principles and ideas characterizes this stage. Considerable amount of time is used to make the transition from concrete thinking to logical operations in a teenager. During adolescence, an individual is able to think systematically and derive logical solutions to a problem. Every developing teenager progresses at a personal pace thereby developing personal view of the world. Here logical application of information especially when undertaking schoolwork is effected. Adolescents are largely emotional, thus when an emotional turmoil occurs, the teenager is unable to think in a complex manner. Before making decisions regarding a particular issue, the adolescent largely question authority as well as pre-existing societal standards. Adolescents form and verbalize their thoughts and forge their taste and preferences on such activities as the sports to play or the personal appearances to adopt. In middle adolescence, the persons cognitive development is geared towards philosophical and futuristic concerns (Berger, 2004). Instances of extensive thinking and questioning are exhibited with the individual establishing their own identity. Individuals begin to systematically think about their future goals and make plans to make the realization of the goals possible. During late adolescence, the individuals complex thinking is geared towards more global issues like pol itical views, history or justice. Thoughts of the role they will play as adults as well as career choices are exhibited during this period. Q3: Physical development: Key Milestones in Early, Middle and late adulthood Adulthood is not marked with physical and exceptional growth spurts. During early adulthood, the individual is transiting into adulthood from adolescence and continued physical growth is exhibited especially in shoulder width and chest width being exhibited. Early adulthood is a mark of adult life as body degradation has not started to occur (Kail Cavanaugh, 2008). The body experiences hormonal changes which may result to increased body build. Middle adulthood is characterized by slow physical changes. A considerable loss of sensory sharpness is exhibited. For instance, there are some level of hearing and sight impairment. Sensitivity to light as well as far sightedness begins to emerge a condition which can be corrected by wearing glasses. Gaining of weight in the abdominal region occurs in men while womens hips and thighs increase considerably. During late adulthood, noticeable impairment is seen. The bone mass dwindles while fertility levels decline. Graying of hair as well as sk in wrinkling is also evidenced. During late 40s and early 50s, women experience menopause whereby the ability to give birth again ends. Hormonal levels also drop considerable. Due to thinning of cartilage bones located at the spinal vertebrae, the posture may change (Kail Cavanaugh, 2008). It is estimated that womens height shrinks by about 5cm while that of men by 2cm. Illnesses like heart diseases result due to build up of cholesterol level on the blood capillaries, The brain shrinks due to the diminishing blood supply. Q4: Cognitive development: Key Milestones in Early, middle and late adulthood Cognitive development continues even during adulthood despite the continued brain aging. During early adulthood, alert old people continue to think and act rationally with a lot of alertness. While acting in situations requiring memory and learning prowess, their output is better than that of younger people. This is largely because of experience acquired while accumulating and organizing information (Howe Brainerd, 2009). During middle adulthood, cognitive abilities continue to improve. More adaptive and concrete thought line is exhibited within the adult, making possible several rational decisions procedures regarding personal relationships, emotions as well as social issues. Late adulthood which occurs at about 65 years is marked with considerable decline in intellectual abilities. The ability to execute unfamiliar tasks or finding a solution to a complex problem becomes troublesome to the aging adult. Slowed response to situations and information is exhibited during this period. This is because of considerable reduction in mental as well as physical activity. Emotional crises like depression and stress also play a major role in cognitive decline in late adulthood (Howe Brainerd, 2009). Brain weight reduces thus casing considerable loss in speed and memory losses. This ultimately increases the reasoning and understanding levels of older people causing them to exhibit wisdom. Q5: Adolescence and Socioemotional development: Key Milestones Brain segment which controls emotions is developed and matured during adolescence. Adolescents exhibit spontaneous emotional outbursts especially when dealing with peers as well as parents. This possesses a challenge especially to parents and teachers who may be overwhelmed on the manner in which to respond to such outbursts. A gradual process is undertaken in enabling the adolescents to learn how to replace the improper thoughts as well as actions with behaviors which are goal oriented (Pulkkinen, et al 2006). A major conflict which exists in adolescents development is the eminent desire to obtain more freedom than that allowed by parents and/ or guardians. According to Socioemotional development theory by Erikson, this phase is marked by the improvement on a sense of identity when in a relationship. Adolescents also desire to have independent thoughts regarding their desires especially when focusing of their abilities and goals. Peer relationships are emphasized by the adolescents since they are primarily looking for freedom from parental authoritativeness. Such behaviors as drug and substance abuse and risky sexual behaviors are developed during this period. Adolescent association with deviant peers is common hence the reason why parents need maintain open communication with their adolescent children so as to know when their children risk being involved with such peers (Pulkkinen, et al 2006). Bibliotherapy especially in social groups where literature is used to arm the adolescents with information regarding the changes occurring in their bodies, is vital in helping the adolescent cope with emotional turmoil. Q6: Socioemotional development: Key Milestones in Early, middle and late adulthood Massive Socioemotional changes milestones are exhibited during adulthood characterized by forging newer social relationships as well as positions. Depending on personal experiences, the Socioemotional sentiment differs from one person to the other. Such emotional activities as marrying, death, getting or losing a job, going to school or being abandoned by a spouse contribute to social development of individuals. During early adulthood, individuals decide on the career path to follow and they devote considerable a lot of their time in following their career path. Issues of love feature prominently during this period making many people want to establish their families. The thought of being parents is made evident during this period thus changes in personal and social orientation emerges (Berk, 2004). Middle adulthood is characterized by a midlife crises phase. This period is characterized by individuals trying to modify or even reappraising their lives as well as the relationships alre ady formed. The level of satisfaction and contentment upheld during this period is highly dependent on the type of accomplishments achieved. For instance the kind of job, finances, family and sex life upheld determine whether the individual will be happy or not. During the late adulthood phase, the emotional maturity is evident in many adults. Active participation in political and social scenes is common. Majority of the people who were in formal employment retire during this period. Life satisfaction and esteem is high during this period owing the achievements acquired. People adopt an inward looking and conforming lifestyle and enjoy interactions with other family members. Relationships become increasingly satisfying and fulfilling than any other period (Berk, 2004). According to Erikson, the Generativity vs. Stagnation stage is characterized by an increased interest in an individual to guide the development of the next generation. Through genuine care and productive social involvement individuals desires to produce something of real value which will positively impact on the society thereby achieving Generativity. On the contrary, individuals who are self-centered and do not engage in activities beneficial to society suffer from stagnation contributed by their lack of productivity.

Health and social care practice Essay

1.1 Outcome based care is about putting the customer at the center of the care service and not prescribing a one size fits all policy. Care should always be bespoke to the customer taking into account their needs and choices. Care should allow the customer to live a fulfilled life, help them identify and achieve the things they would like to do. Outcome based care requires careful planning with full involvement from the customer their relatives should they wish and other health care professionals if required. Teamwork and communication is essential to ensure continuous quality improvement, and process and outcome measurement. There are key benefits of outcome based care 1.2 there are positives and negatives to outcomes based practice. The positives could be that failing or poor areas of practice will be targeted on and outcomes will be measured and new improved ways implemented. For people using a service this would be beneficial to them as they will be provided with a holistic service, support and care. So this can be demonstrated that any individual using as service is being supported in all areas rather than only in certain areas. Negatives may be that there is too much focus on outcomes, goals and results which potentially could mean that the wishes and opinions of people using the service may not be taken into account as the focus may be on outcomes rather than the person. Making a system less person centred and more business focussed. 1.3 There’s a lot of legislation that refers to outcome based practice which have led to changes in health and social care. The Health and Social Care Act, Regulation of services by CQC, (also the new regulations in April 2015 Fundamental Standards. The Green Paper 2009 and the White Paper 2010 re a national assessment of health and social care incorporating joined up working with all professionals and information, advice being more readily  available which would illustrate what the outcomes were from an assessment, and what the advice was to ensure that the outcomes could be achieved and also what the plans were for the future. The Equality Act 2010 re making it illegal for anyone to discriminate which makes it easier for everyone to gain employment and access services. 1.4 Positive changes in individuals lives can come from proper assessments that highlight care needs and then services can be put in place so the individual can live a comfortable life a lot longer in their own home or they can be put in touch with outside services in the community that they can call upon for support to live an independent life such as day services or charity based service to assist with things like shopping etc the salvation army the red cross or age concern and they may also use the respite service in the future giving them a break or their carers a break. Outcome 2. Be able to lead practice that promotes social, emotional, cultural, spiritual and intellectual well-being. 2.1 Abraham Maslow (Maslow’s Hierarchy) maintained that basic physical needs are fundamental as without food, water, warmth, shelter and clothing people would not survive so before anything else in life people need these things to continue in life then achieve the other things as in safety, social, esteem and self-actualization. 2.2 When booking in the staff go through a check list and a Person centred plans are filled in on individuals so that all aspects of their needs are looked at and all the individual’s well-being is viewed from Physiological needs their diet requirements and preference heating control in rooms for suitable warmth situ of bed and bedding to aid restful sleep as much as possible, the security of the individual do they need pressure mat to reduce risk of falls are they likely to wonder or leave building and be at risk ,the social aspect communal areas where they can mix with others any activities taking place to stimulate them mentally and physically give them the sense of being part of a group belonging, to make the individual feel they are still useful and give them some self-esteem, worth and boost their  ego. 2.3 The person centred plans that are completed on each individual look at all aspects of care needs and try to use following. Support self-care promote independence encourage risk taking where assessment has been made clearly promote choice, dignity and respect recognise and promote individual cultural preferences promote equality and human rights. Policies reflect these things, staff are actively encouraged to promote self-care. Our safeguarding policies promote the 6 principles of safeguarding – empowerment, protection-prevention-proportionate response – partnership and accountability. Outcomes 3 Be able to lead practice that promotes individuals health. 3.1 On admission care staff fill in an admission check list and diet requirements asked and then a person centred plan filled in and this is covering diet, personal care needs, religious beliefs, past medical history, toileting needs and interests and hobbies making sure that all aspects of well-being are covered and health and healthy choices, staff also monitor and review a person’s needs as they deal with them on a one-to-one basis. 3.2 obtain information relevant to health and wellbeing in an assessment, using a questionnaire; physical measurements e.g. height, weight, consulting with people close to the individual family, carers other health professional. 3.3 contact doctor’s surgery, district nurses, dietitians and family or carer if any health concerns. 3.4 nutrition, first aid and safe guarding training is given to staff including domestics then they can be aware of the signs if an individual appears to be failing or a change in their wellbeing. Outcome 4. Be able to lead inclusive provisions that give individuals choice and control over the outcomes they want to achieve. 4.1 Take time to understand and know the person, their previous lives and past achievements, and support people to develop ‘life story books’ Treat people as equals, ensuring they remain in control of what happens to them. Empower people by making sure they have access to jargon-free information about services when they want or need it. Ensure that people are fully involved in any decision that affects their care, including personal decisions (such as what to eat, what to wear and what time to go to bed), and wider decisions about the service or establishment (such as menu planning or recruiting new staff). Don’t assume that people are not able to make decisions. Value the time spent supporting people with decision-making as much as the time spent doing other tasks. Provide opportunities for people to participate as fully as they can at all levels of the service, including the day-to-day running of the service. Ensure that staff have the necessary skills to include people with cognitive or communication difficulties in decision-making. For example, ‘full documentation of a person’s previous history, preferences and habits’ can be used by staff to support ‘choices consistent with the person’s character’. (Randers and Mattiasson, 2004).Identify areas where people’s independence is being undermined in the service and look for ways to redress the balance. Work to develop local advocacy services and raise awareness of them. Support people who wish to use direct payments or personal budgets. Encourage and support people to participate in the wider community. Involve people who use services in staff tra ining. 4.2 To make sure that the individuals have a healthy diet option and that there they are warm comfortable and there are as much social interaction and stimulation as the individual wants. 4.3 daily reports are written on service users and questionnaires are completed throughout their stay also a review is carried out on the person centered plans. 4.4 All staff have mandatory training which is monitored and reviewed to makes sure the appropriate training is given to all staff.4.5 There is already systems and processes in place on the person centered plans and this would not be in my job description to implement them. Outcomes 5 Be able to manage effective working partnerships with carers, families and significant others to achieve positive outcomes 5.1 If we work with careers and family members we can make sure that the individual has an as normal as possible support plan as at home with the added extra of company 24/7 and different activities and a varied diet. 5.2 On admission process the care staff who books in the individual completes most of the person centred plan and the write in the individuals personal file and verbally hand over to the next shift. 5.3 Management needs to always remain calm when dealing with conflict and dilemmas, plus never get personally involved. Mediating conflict and dilemmas is one of the starting points for management to help solve issues. There are times where caring can have a negative impact on the carers health and wellbeing, due to the anxiety and depression of the duties itself, that can cause carers to become tense and anxious, therefore causing issues with other workers. It is important to acknowledge and respond to the different circumstances and get the carer to address the issue and may even require extra time off to relax and become self-contained again. Also recognise the diversity of care relationships, with different cultures and other barriers that may add to different situations. As for addressing conflicts and dilemmas that arise between individuals, staff, families and significant others, it is important that one is understanding and sympathetic to the different situations and understand the history of the relationship and changes in the relationship due to the care role, including cultural considerations and the role of family member in decision making. It is important to help to negotiate outcomes to meet the needs of both parties Address all the important positive questions to help everyone understand the  outcomes, such as ‘describe your family routine’, ‘how do you manage looking after the recipient/’, ‘what do you find most difficult or tiring? Or are you sleep OK?’ Creating understanding and acknowledging ones needs and depravations over the need of the recipient can help solve issues. 5.4 The emphasis is upon empowerment, person centred planning, public protection and a well-trained and regulated workforce to deliver quality services. There are trends in legislation, policy and guidelines all reflect the same aim. To name a few, CODE OF PRACTICE, HUMAN RIGHTS ACT, DISABILITY DISCRIMINATION ACT 1995, DATA PROTECTION ACT, CARE STANDARDS ACT 2000, MENTAL HEALTH ACT, Covering; †¢ The need to achieve positive outcomes for people †¢ the need to safeguard and protect people for all forms of danger, harm and abuse †¢ employment practices for the provision and service †¢ data protection, recording and reporting †¢ making and dealing with comments and complaints to improve services †¢ Whistle blowing †¢ Health and Safety †¢ Equality and Diversity 5.5 The main piece of legislation is the Data Protection Act 1998. This covers the medical, social, credit information and the local authority. There are eight principles. The data must be: -fairly and lawfully processed -processed for intended purposes -adequate, relevant and not excessive -accurate -not kept for longer than necessary -processed in accordance with the data subject rights -kept secure -not transferred to countries without adequate protection.

Different in B2B vs B2C Advertising Essay

With the ever improving age of technology I think business has made tremendous strides to get on board. Because of the internet,business all over the world has had to make a change in the way they do business in order to keep their present customers and draw in new ones. The economy today is out of control with the cost of everything being extremely high especially gas and diesel fuel but because of technology business are able to reach more customers to try to get their business. The supply chains of B2C to B2B and uniquely differently. A supply chain occurs when a product or service is initiated and proceeds thru all the steps to the final objection. For example when a student inquires with the University of Phoenix from a link they clicked on the internet, the supply chain starts by the automation process that is in place, taking the student to the process in which they are connected to the pre-screening representative then to the enrollment representative who in turn takes the student thru the steps of the application process in order to enroll the student. The process of this supply chain is repetitive once the student makes the initial contact to start it. The difference between the B2C and B2B are in a since similar but different. I would say the primary difference being the avenues a product has to take before reaching the intended destination. B2Chave less avenues to travel versus that of B2B or example, the purchase of a computer through the Dell website, the avenues for the consumer are that of the website to choose the one that best fits their needs as they are dealing directly with the company to purchase the product. On the B2B side it would be the supplier Dell selling their products to the local dealers such as Best Buy, Fry Electronics, or Wal-Mart, the consumer will be getting the product from the second source and not dealing directly which makes the cost of the product more expensive. So with B2C if the transaction went smoothly and error free the customer will probably tell someone about the experience and more than likely be a repeat customer. Conclusion With this being said it is obvious that the supply chains of both have evolved and have advanced to another level because of technology but yet still is challenging and still different in many aspects. Either is still successful and has generated growth in the economy because of the growing improvements with technology.

State Sponsored Terrorism in Iran