Pros and Con of Caribbean Tourism - 2651 Words

Tourism is one of the fastest growing and most heterogeneous industries in the world. It is vital to the survival of many Caribbean islands as it is the pillar of their economy because it provides a vast amount of employment opportunities for locals as well as constantly pumps foreign investment and expenditure into the region, among other benefits which will be highlighted. However, like most actions in life, there are pros and cons, tourism is no different. It is a very controversial topic because on one hand it helps sustain economies but, on another it negatively impacts on the natural environment and culture of the region. This leads to the big question that has been asked many times, â€Å"Is tourism worth it?† This essay seeks to answer†¦show more content†¦As a result of tourism, Caribbean governments invest sufficiently in the infrastructure necessary to keep tourism afloat such as the large international airports, roads, sewage treatment plants and electrici ty and telecommunication facilities etc. This development is beneficial to both tourists and locals alike. Foreign investment is another aspect that is essential to the development and maintenance of tourism facilities in the region as the government can only do so much. Tourism requires a lot of capital and investment because of this Caribbean governments gratefully accept foreign direct investment into the region as they do not have the monetary capacity of doing it alone. Large world class franchises such as Hilton, Marriott and Ritz Carlton have invested into the regions’ hospitality sector bringing with them not only the highest quality product but also their world-renowned brand which in its self is beneficial to the region’s tourism industry. Caribbean governments also gain revenue from the corporation and council taxes that foreign investors are required to pay. Tourism also provides a vast amount of employment opportunities for locals, research has shown that tourism related jobs whether direct, indirect or induced account for more than 25% of jobs for the Caribbean. The many jobs created by tourism helps in reducing the unemployment rate and in turn increase the Gross Domestic Product and helps in further developmentShow MoreRelatedEssay about Nuclear Waste Disposal1478 Words   |  6 Pageswaste because of what has happened at Chernobyl. 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The current focus is to expend to the European, Caribbean, American, and the Middle East Market by safeguarding its prestigious brand image and reputation within the Asian market (Wirtz, 2012). 2. Issues Sustaining brand image and growing rapidly and simultaneously is a challenge particularly when theRead MoreTopic: Performance Management6978 Words   |  28 Pagesinclude: 1. Steps for Approaching Business and Corporate Strategy 2. General Assessment Guide 3. Business Report Guidelines 4. Format Specifications There are other documents such as Situational Analysis Tools, Developing an Implementation Plan and Pro Forma Financial Statements. Candidates should find these documents very useful throughout the program. Learning Outcomes By the end of the assignment, candidates will be able to recommend strategies and tactics to a company that is in a downturnRead MoreCoast 4 Life Essay examples6909 Words   |  28 Pagesinclude: 1. 2. 3. 4. 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Why I Decided to Go Back to School Free Essays

Why I decided to return to school The Purpose of my essay is to give my readers some high in sight on a few different challenges in my life that helped motivate me upon my return to school. I am a single 45 year old divorced woman with six children. I needed a good paying job and a college education to be able to continue supporting my family. We will write a custom essay sample on Why I Decided to Go Back to School or any similar topic only for you Order Now I am also the youngest child of four and the light of my mother’s eyes. I was once married to my children’s father for 20 years. My ex-husband was always the bread winner for our family, so I had no worries. He worked for the park district in the city where we lived. I was going to school full time and taking care of the children. My two oldest children are boys and they are grown men now 25 years old and the youngest son is 22 years old. They both are out on their own and the oldest son has two children. A boy and a girl, their names are Ryan Jr. and my granddaughters name is Savannah. All of my children are the light of my life, as well as my grandchildren. I was 25 years old when I got married to my ex-husband. We had been together 5 years prior to getting married. He was the light of my life, the sun in the morning to me, so to speak. I was a full time student and my husband at the time was a foreman. I went to college after I had graduated from high school. However, I dropped out of college because I met my now ex-husband and we moved out of town to New Orleans, LA. We lived there for about a year and I got pregnant and I had my first son down in New Orleans. I was so excited about our first son. Everything seemed to be going just fine. Then three years later I became pregnant again and this time it was my second child (son). Again, we were very excited for the birth of our second son. As happy as we both were, things seemed to be changing before my very eyes. As time passed, I would say after about five years, we decided to get married. After marrying, we decided to move back to Illinois so we could be closer to our families. At the time that seemed perfect, since we were having children and we were starting to need sitters and just the support from our families. So, we packed up the kids and moved back to Illinois. Once there, we got settled in and we began looking for jobs. We bought our first house and then we both got great jobs. I was a teacher assistant and my husband got on as a foreman at the park district. My mother babysat for us and everything seemed to be oming together as we had planned. We had been home in Illinois about six months and everything that was good began to turn bad. My great life was turning for the worse all before my eyes. My husband was starting to abuse me physically and he had also started cheating on me. Well, he had promised to never do it again and I wanted to believe him, not to mention I wanted to keep my family intact. I was brought up that family was everything, and a family that prays together stays together. My parents had been married 45 years and it was just unheard of where I come from. Time had passed on (7 years to be exact) and things had gotten better for us and we talked about expanding our family some more and that is what we did. I became pregnant in 1997 with our first daughter, Maurice. I named her after her dad. Crazy, I know but I did it with no remorse at all. Then, a year later I was pregnant with our fourth daughter, Mauriah. Everything was back in full swing again, I and Maurice were happy as ever and we had our four children that we were blessed with. I was working full time and so was Maurice, so we really didn’t have a care in the world, so I thought. As time passed, Maurice had got a raise and a higher position at his job. All had been going well, and then I found out again I was pregnant with another girl. I was a bit surprised because the other children had pretty much been planned, but now we were on our fifth child and the raise my husband had received was now starting to leave with all of our children. It didn’t matter because we had fought bigger storms than that and managed to make it through. I loved my husband and what he wanted pretty much made sure that I complied with it. Our family was expanding and I was happy and I felt great about it. Then sure enough, two years later I had my sixth child. It was another girl and that was my true blessing, because I wasn’t ready for her and I had considered having an abortion. I asked Maurice to take me to get an abortion in St. Louis because I was so far along I had to go out of state to where they could meet my needs. We arrived at the clinic and I just couldn’t do it. I had prayed about it and I just could not go through with the abortion. I’m glad that I didn’t, she is just amazing to me. However, things were starting to change all over again for my husband and myself. Maurice was back to his old tricks of physically abusing me and cheating. I was home with the kids one day and one of his mistresses had come by our house looking for him. I was livid and mentally crushed after the lady had told me she was sleeping with my husband. When Maurice came home I told him what had happened and of course he wormed his way out of it again. I knew he was lying but I also had six kids and was working full time. I would have to be a millionaire to try to keep up the way I was accustomed to living. Not to mention I wanted to keep my family together. I was mentally sickened with all of the mental and physical things that I was being put through by the man I trusted with my life. I depended on him to be the best husband and father that he could be. However, he let me down. He then apologized for the millionth time and he got me back by telling me that I could quit my job and go back to school. That was my Maurice’s way of making up to me since he had cheated and abused me when I had been nothing but good to him. In the mist of me getting emotionally tied into more of the lies and deceit, I turned in my two week notice. Things seemed to be okay at least I was getting the opportunity to get my degree like I had always wanted to do. Maurice tricked me back into his good graces and all was well between the two of us. About a year later history began to repeat itself. I was going to a junior college in my hometown and I started hearing rumors again about my husband and I was a full time student and full time mother. I had tons of homework to do on top of my normal duties as a wife and mother. I was literally mentally exhausted from the rumors, homework, kids, no good husband and my mother was diagnosed with breast cancer. I had hit rock bottom, I really didn’t think I was going to make it mentally. I was trying to be strong because I didn’t want my children to know that their father was up to his old tricks again, but all along I was the only one in denial. I had later found out that they knew anyway, just because it was a small town. My mother and father were my support system and I didn’t have anyone else I could depend on. Then shortly after my mother was diagnosed with breast cancer, my father took ill and we found out he had cancer as well. I was going crazy, because we were such a close knit family. My father was in the last stages of cancer and he took chemo but it didn’t help. It was too far gone and it spread very fast and in a matter of months we lost my father. I was devastated and my mother was in chemo still and my husband was not there for me. I prayed about my situation and filed for divorce. I didn’t know what I was going to do for money and I had just lost my father also. I felt doomed and so alone. Before the divorce was final my husband made one last attempt to get me back. However, I was done so I refused to even consider taking him back. I had to think about my children and what message I was sending them. Finally, I divorced my husband and I had nowhere to turn. I thought about my children first and my mother second and right then and there I knew if I wanted to keep up with the life style I had been accustomed to then and now, I needed an education. I decided to work full time and go back to school and get my education. I made a promise to my kids, mother and self that I would get my degree in education if that was the last thing that I did. I want to be able to give my children everything that they need and I would like to be able to financially take care of my mother. My mother has been my anchor from day one and she never once complained. The least I can do is please her along with myself and get my degree. I am the baby of four and everyone has their degree except me, and my mother told me that would be gift enough to see her baby graduate from college. Then I knew I had no other choice, so I prayed about my final decision and here I stand. God saw fit for me to continue my education in spite of and he made a way out of no way. I had to hit rock bottom mentally and physically for me to get myself together. It was all worth it in the end, because I have a piece of mind and I am at peace with myself. I heard about Ashford from a friend in another state and I am now a full time student at Ashford University. I just hope that my misery can be someone else’s ministry, and to let the world know that if GOD can bring me through the storm he can bring anyone through it. Look at GOD, isn’t he awesome! And these are the few different reasons why I chose to go back to school. How to cite Why I Decided to Go Back to School, Essay examples

Family Centered Care for an Adolescent Girl- myassignmenthelp

Question: Discuss about theFamily Centered Care for an Adolescent Girl. Answer: Rheumatic fever is a very common amongst the children and happens after a streptococcus throat infection. It is an inflammatory disease, which affects the heart, skin, joints and brain. Sometimes, the rheumatic fever leads to the damage of the heart valves. This type of heart disease is called Rheumatic heart disease (RHD). The essay follows a case study of a 14 years old adolescent girl named Sue. This girl has been treated repeatedly for impetigo and streptococcal pharyngitis for the last two years. The girl receives IM antibiotics (Penicillin) in a local clinic. After missing her antibiotics multiple times, she was admitted to a local clinic with the classic ARF (Acute Rheumatic Fever) symptoms. The purpose of this study is to discuss the pathophysiology of the disease and to evaluate the appropriate caregiving process in relation to the mentioned case study of the 14-year-old girl with ARF/RHD. Rheumatic Fever occurs two to four weeks after a throat infection caused by the bacteria called Streptococcus pyrogenes. RHD affects more or less 15 million people per year and every year, the number of death ads up to as much as 230000 (Rhdaustralia.org.au, 2017). The symptoms of this disease include severe pain in the joints, fever, and involuntary muscle movement. Sometimes a non-itchy rash (Erythema marginatum) appears along with these symptoms. Sometimes RHD causes permanent damage to the heart and the patient may require valve replacement surgery because of this. The patient Sue, mentioned in the case study is suffering from ARD for more than two years and receives IM antibiotics to lessen the risk of developing RHD (Burke, Chang, 2014). The symptoms start to show one to three weeks after the occurrence of the streptococcal pharyngitis. The Rheumatic fever affects the connective tissues present around the heart arterioles. The proteins present on the cell wall of Streptococcus pyrogens shows molecular mimicry and causes inflammation by cross-reacting with the connective tissues. The cross reactivity is also termed as the molecular mimicry and is a Type 2 hypersensitivity reaction (Cunningham, 2014). The streptococcal infection induces the B cells to take the antigen to T cells (CD4+). This, in turn induces the CD4+ cells to become the helper T cells. These helper T cells in turn activate the B cell to become plasma cells. These plasma cells induce the antibodies to the bacterial cell walls. These antibodies react against the joints and the myocardium of the patient (Perricone et al., 2014). The outer wall of the bacteria has branched polymers (M proteins) which mimics the valvular endothelium and myosin present in the heart. The antibodies presented by the plasma cells recognize laminin, a protein that structures the basement membrane of the cardiac valves (Cunningham, 2012). Valves like tricaspic, mitral, aortic, and pulmonary, get more affected by the rheumatic fever. In acute RHD, formation of the minor thrombi happens at the valve closure. In chronic RHD, the valve basement membrane thickens and valve fibrosis can be seen. These commonly results in stenosis and rarely causes regurgitation (Iung, Vahanian, 2014). The T cells which reacts with the bacterial M protein, infiltrates the endothelium tissues present in the valve, then it gets activated after binding with the interleukins and TNF(tumor necrosis factor). Th17, a kind of cytokine plays the most important role in the RHD development. The chosen case study is of a 14-year-old patient named Sue, a resident of a remote community in Australia. The girl has a two year of history of streptococcal pharyngitis. The local health clinic gives her Penicillin G IM antibiotics in regular basis; however, she missed a few cycles of the antibiotics. The girl has been presented to the local health clinic after four days of reported fever with a two or 3-week-old history of sore throat. The doctor has diagnosed her with Acute Rheumatic Fever. Sue is a girl in her adolescence, which means she is at that age in which a person needs some privacy and enjoys being included in social interactions. Girls of this age take great pleasure enjoying their growing independence. The medical practitioners can discuss the clinical analysis with her and can include her in medical related discussion as this girl is approaching her adulthood in few years (Blakemore, Robbins, 2012). When the adolescents play roles in taking important decisions about themselves, it often approaches a good result. When children of the adolescence period tries to take a decision, the early development of the reward system of the brain along with the late development of brains own control system decreases the decision making ability of the children (Apa.org., 2017). Sue, the 14-year-old girl suffering from rheumatic fever already has a health problem bothering her and suffering a great pain. This will definitely create a conflict in the girls mind, whenever she will try to take a decision. In the above-mentioned case study, the girl is suffering from Acute Rheumatic Fever (ARF), which often ends up creating a blockage and inflammation in the valves of the heart. Girls this age are generally physically active and actively attend school. However, Sue is not able to attend school due to her condition and has been receiving IM antibiotics for years. Her severe joint pain makes her somewhat physically inactive. The 14-year-old Sue lives in a remote and rural community area in Australia. Her family comprises of her mother and six younger siblings. She is the eldest child of her mother. If a child falls ill and is admitted to a hospital, this affects the whole family. Generally, while treating a child/ infant and adolescent, the healthcare providers always approaches a family centered care model. The general principles of this model include sharing objective, unbiased and open information and respecting the diversity and cultural differences. The decisions should be entirely made by collaborating with the family (Festini, 2014). The girl lives in the remote area and receives treatment from the local health clinic. The nearest hospital, which can provide her the proper cardiology review and echocardiogram (ECG), is 800 km away. According to the doctor who was attending Sue in the health clinic, Sue should move there to receive proper treatment. The family centered care system is required in th is context as Sue is the oldest of the children in her family without a father and her mother has to attend six young children without help (Barry Edgman-Levitan, 2012). The doctor, nurse, mother and Sue herself has to collaborate to take a final decision about her treatment (Gowda et al., 2012). The family has to decide who will take care of Sue and who will take care of her siblings. With the help of the collaborative approach, Sue and her mother has to decide how they are going to manage all these (Ball, Bindler, Cowen, 2013). If she decides to go to the hospital, which is 800 km away, the life of her younger siblings will definitely get affected. As her family does not have a father and she has to help her mother by taking care of her younger siblings, her absence will affect her entire family. Her mother has to take care of Sue, because of her heart problem and ARH. Her extended family such as her grandparents/uncles/aunts has to take care of the younger children for her mother as her mother has to go with Sue, whenever she is admitted to the hospital. The hospitalization of the girl will affect the settings of the entire family. Her mother has to go with her in the hospital to take care of her. Sue has to stay at the hospital for her treatment and for that, she has to stay away from her siblings. She may terribly miss her siblings as she is used to them staying close to her and she may miss her school friends. The hospital setting may seem strange to her as it can be assumed that she has never seen a hospital and the local health clinic is too small to have a hospital setting, albeit the health clinic included her and her siblings in the secondary prophylaxis program. The nurses of the hospital have to be extra careful, as she might be vulnerable because of her health condition and the strange hospital environment. The disease of Rheumatic fever is very common and a fatal disease which happens because of a pathogen. This disease causes permanent damage to the heart by causing inflammation in the heart muscles. To give Sue, the proper ARF/RHD treatment, the family and the healthcare providers (doctors and the nurses) has to collaborate and work together in the Family centered approach. The family and the healthcare officials has to include her in the in the decision-making and should respect her opinion. The care-givers of the nearest hospital, where Sue is going to be treated from, has to be careful with her as she is new in the hospital setting and she is going to be away from her family. Sues mother should ask help from her extended family to help her managing the situation. The article concludes that the family centered approach is the best healthcare approach for nursing in a setting, which involves an adolescent child. References: Apa.org. (2017).Confidentiality in the treatment of adolescents.https://www.apa.org. Retrieved 1 September 2017, from https://www.apa.org/monitor/mar02/confidentiality.aspx Ball, J. W., Bindler, R. C., Cowen, K. J. (2013).Child health nursing. Prentice Hall. Barry, M. J., Edgman-Levitan, S. (2012). Shared decision makingthe pinnacle of patient-centered care.New England Journal of Medicine,366(9), 780-781. Blakemore, S. J., Robbins, T. W. (2012). Decision-making in the adolescent brain.Nature neuroscience,15(9), 1184-1191. Burke, R. J., Chang, C. (2014). Diagnostic criteria of acute rheumatic fever.Autoimmunity reviews,13(4), 503-507. Cunningham, M. W. (2012). Streptococcus and rheumatic fever.Current opinion in rheumatology,24(4), 408. Cunningham, M. W. (2014). Rheumatic fever, autoimmunity, and molecular mimicry: the streptococcal connection.International reviews of immunology,33(4), 314-329. Festini, F. (2014). Family-centered care.Italian journal of pediatrics,40(1), A33. Gowda, C., Schaffer, S. E., Dombkowski, K. J., Dempsey, A. F. (2012). Understanding attitudes toward adolescent vaccination and the decision-making dynamic among adolescents, parents and providers.BMC Public Health,12(1), 509. Iung, B., Vahanian, A. (2014). Epidemiology of acquired valvular heart disease.Canadian Journal of Cardiology,30(9), 962-970. Perricone, C., Rinkevich-Shop, S., Blank, M., Landa-Rouben, N., Alessandri, C., Conti, F., ... Valesini, G. (2014). The autoimmune side of rheumatic fever.Israel Medical Association Journal,16(10), 654-655. Rhdaustralia.org.au. (2017).Burden of Disease.Rheumatic Heart Disease Australia. Retrieved 1 September 2017, from https://www.rhdaustralia.org.au/burden-disease