Augmentative and Alternative communication (AAC)

Augmentative and Alternative communication (AAC) Introduction: Communication is one of human basic needs. It is an essential part of life that no one can live without it. It is a process of transferring information, ideas, attitudes, or feelings from an individual to another individual or to a group of individuals. The process includes the exchange of experiences between individuals; under the shared common understandings of media or symbols that contain the information in the messages. Communication can occur with at least 2 persons; each being both message senders and receivers simultaneously through the interchanging of these 2 roles. Sending or receiving messages can both be in verbal and nonverbal forms. The verbal communication is considered the basic form of communication. In verbal communications, an individual needs to use several organs such as larynx, vocal cords, tongue, mouth, lips, teeth, and jaws, in order to produce sounds (Ruben, 1983). One can express ones needs to others with the verbal communications. They require fewer interpretations, given that both parties use the same language. Nonverbal communications, on the other hand, include communications through gesturing, nodding, or shaking ones head, touching, facial expressing, moving lips, writing on paper, using pictures, having eye contacts, and etc. They are used as a complimentary of the verbal communications, or are used when verbal communication is impossible (Peel, 1995; Beis, 1996; Sundee, et al., 1998). The nonverbal communications may occur when persons are in quiet places where no voice is allowed, when both parties are in distant and sound cannot be sent from one to another, or when a person has physical conditions that ability to speak is limited, for example in patients on respirator with endotracheal tubes (Verity, 1996; Happ, Garret, oesch, 2003). Normally, the vocal cord vibrates and produces sound when the air flows through it. When the endotracheal tube is inserted, air will flow through the tube introduction not through the trachea and the vocal cord (Ruben, 1984; Guyton Hall, 2000) obstructing the sound making process (Sitzer, 1993; Hafsteindottir, 1996). Patients with good conscious, who cannot verbally communicate, are affected both physically and emotionally by inability of speaking. Need for Study: Clients with endotracheal tube on Mechanical Ventilation tube experienced pain and discomforts. Several complications that can occur include injuries and irritations of the oral mucosa, throat, trachea, pharynx, and larynx. Psychological effects included anxiety, stress, fear, sleeplessness, and in some clients the feeling of social separations. Clients with good conscious, who cannot verbally communicate, are affected both physically and emotionally by inability of speaking. Communication is important in order to provide effective nursing care that respond to clients needs. Effective communication improves the quality of care. The literature suggests that in many facilities AAC intervention is inadequate and that there is a need for increased education of nurses and other caregivers in the area of communication . Leathart observed 8 nurse-patient interactions in an intensive therapy unit (ITU). Patients were intubated but alert and able to com-municate. Patients communication was mainly comprised of replying to yesà no questions. Seven of 8 nurses reported dificulty communicating with patients in ITUs. Reasons cited were dificulty lip-reading, lack of patient feedback, Hafsteind-ttir (1996) described patient frustration with alternative means of communication. The frustrations stemmed from physical weakness, poor vision, and hand tremors (associated with dificulty writing). None of the patients recalled receiving instructions about communication methods. Over half of ventilated patients who participated in a study by Lohmeier and Hoit (2003) reported that they had no history of speech therapy, and only 5 of the 50 respondents had ever received AAC interventions. Problems or frustrations with speech were reported by 36 participants, suggesting a need for increased communication intervention for this population. Happ et al. (2004) investigated 36 records of patients who received mechanical vVentilation and who died during hospitalization in 8 ICUs during a 12-month period. No uses of picture boards, letter boards, or electrolarynx devices were documented. Their findings indicated that most communication consisted of yes/no responses to caregivers questions about orientation or pain, suggesting that nurses controlled the communicative interactions. Wojnicki-Johansson (2001) asked nurses to evaluate the communication of 22 patients who had been mechanically ventilated in the ICU. Nurses reported functional communication in 19 patients, however, this conflicted with the reports of 13 of the patients, who indicated that nurses had failed to understand their needs during their stay in ICU. Six patients reported that no functional communication was achieved, whereas nurses reported this to be the case for only 2 patients. Eight patients reported that nurses were unable to understand their messages. The author suggested that nurses should critically evaluate their communication skills and frequently verify the content of communication with patients. Fried-Oken et al. (1991) interviewed 5 patients who reported negative emotional responses to the sudden onset of communication difficulties, the most common response being fear. Patients reported that some caregivers and family members did not know how to use their AAC systems and emphasized the need for increased training in this area. Hall (1996) studied communication by observing interactions between nurses and their patients who were on ventilators. Hall concluded nurses seemed more concerned about meeting their need to provide specific information to the patient than to discover what the patient might want. The author questioned whether nurses have the skills and knowledge to respond to and/or assess nonverbal communication and felt that this warranted continued investigation. Statement of the problem: A study to assess the effectiveness of Augmentative and Alternative communication (AAC) towards fulfilling the needs and satisfaction of among the clients with endotracheal tube on Mechanical Ventilation in Govt Rajaji Hospital. Madurai. Objectives of the study: The objectives of this study are to: To assess the level of patients fulfilling needs and satisfaction after administering the aided augmentative and alternative communication. To evaluate the effectiveness of administering the aided augmentative and alternative communication. To associates the level of Satisfaction and selected demographic variable. Hypothesis: 1. There will be no significant association between the level of satisfaction and selected demographic variables 2. There will be a significant difference between the level of communication and patient satisfaction among the endotracheal tube on Mechanical Ventilation patients after administering the augmentative and alternative communication. OPERATIONAL DEFINITION Effectiveness It refers that effectiveness relates to how well a AAC works in practice or what the indent results Augmentative and Alternative Communication (AAC) Augmentative and Alternative Communication (AAC) refers way of communication that provide an alternative method by using devices such as paper and pencil and picture board etc Needs In this study need refers that patient fulfill his physical, physiological, therapeutic, social, psychological, spiritual needs by means of alternative communication. Endotracheal tube on Mechanical Ventilation It is a surgical procedure and after the surgical procedure the patients are having impaired verbal communication. Assumption Delimitation

Copyrights in the Music Industry Essay -- Intellectual Property, Copyr

Is important for anyone who has created any intellectual property to protect it. In the music industry, in order for someone to protect their work, they must obtain a copyright. Music has been around before anyone could obtain a copyright and when the invention of the computer came along it made it easier for someone to steal another artist's intellectual property with the help of the internet. This paper will cover what events have taken a big role in copyright protection for artist, the consequences if someone was to break the rules of a copyright which is called copyright infringement, and how will a copyright hold in the future. Were copyrights enacted without the thought of life changing technology, and how can some music companies surpass copyright infringement and make a profit from the artist? Can a copyright really make that much of a difference in the world we know today? Intellectual Property and Copyrights Intellectual property is property resulting from intellectual, creative processes. A product that was created because of someone’s individual thought process. Examples includes books, designs, music, art work, and computer files. (Miller R. J., 2011, p. 114) In the music industry a copyright is an important tool for artist to use to protect themselves from infringers. A copyright is the exclusive right of an author or originator of a literary or artistic production to publish, print, or sell that production for a statutory period of time. A copyright has the same monopolistic nature as a patent or trademark, but it differs in that it applies exclusively to works of art, literature, and other works of authorship (including computer programs). (Miller R. J., 2011, p. 125) How can someone obtain a copyright? To ob... ...en the biggest hurdles the music industry has overcome. Thanks to iTunes and Google Music record labels and artist can reach almost anyone in the world with their music and know that their work won’t be infringed upon. In the next five years copyrights will still have the respect it has today. As technology moves along copyrights will be right behind it revising the rules and regulations to make sure that an artist intellectual property is safe and that the artist or label can receive compensatory damages for copyright infringement. Works Cited A&M Records, Inc. v. Napster Inc., 239 f.3d 1004 (U.S. Court of Appeals For The 9th Circuit 2 12, 2001). Copyright Law of the United States of America. (2013). Retrieved from Copyright United States Copyright Office. Miller, R. J. (2011). Business Law Today: Comprehensive. Mason: South-Western Cengage Learning.

Studying History Is a Waste of Time

Studying history is a waste of time because it prevents us from focusing on the challenges of the present. People live in this present. They plan for and worry about the future. History, however, is the study of the past. Given all the demands that press in from living in the present and anticipating what is yet to come, the speaker concludes that studying history is a waste of time because it distracts us from current challenges. However, I do not agree with this opinion because history is essential to individuals and our society. In the first place, history helps us understand people and societies. It offers a storehouse of information about how people and societies behave. Understanding the operations of people and societies is difficult, though a number of disciplines make the attempt. An exclusive reliance on current data would needlessly handicap our efforts. How can we evaluate war if the nation is at peace—unless we use historical materials? How can we understand genius, the influence of technological innovation, or the role that beliefs play in shaping family life, if we don’t use what we know about experiences in the past? Some social scientists attempt to formulate laws or theories about human behavior. But even these resources depend on historical information, except for limited, often artificial cases in which experiments can be devised to determine how people act. Major aspects of a society’s operation, like mass election, missionary activities, or military alliance, cannot be set up as precise experiments. Consequently, history must serve, however imperfectly, as our laboratory, and data from the past must be served as our most vital evidence in the unavoidable quest to figure out why our complex species behave as it does in societal settings. This fundamentally, is why we cannot stay away from history: it offers the only extensive evidential base for the contemplation and analysis of how societies function, and people need to have some sense of how societies function simply to run their lives. The second reason history is inescapable as a subject of serious study follows closely on the first. The past causes the present, and so the future. Any time we try to know why something happened—whether a shift in political party dominance in the American Congress, a major change in the teenage suicide rate, or a war in Iraq – we have to look for factors that took shape earlier. Sometimes, fairly recent history will suffice to explain a major development, but often we need to look further back to identify the causes of change. Only through studying history can we grasp how things change; only through history can we begin to comprehend the factors that cause change; and only through history can we understand what elements of an institution or a society persist despite change.

American Culture And Its Impact On The Nation - 1509 Words

Inevitably American culture is often misunderstood by many citizens who fail to comprehend the full scope of American culture and its impact on the nation. Some optically discern American culture as a way of life bequeathed to them from their parents and their parents afore them. Others visually perceive it as a way to be accepted into a society that they believe is a more preponderant lifestyle. No matter what culture designates to us, it is in our heritage and pastime and it plays an integral part of the way we live the day to day lives that we do. American Culture has composed virtually every ambulation of life, whether it is World War II, or the World Trade Center properties being ravaged. This is all part of a culture of what makes us who we are and optate to become. Different periods in time or events that affect us can alter who we are and make a transmutation within us that alters how we live life. American culture is rooted throughout history through patriotism, capitalism, and racism. Pseudo patriotism was running wild after 9/11, in our beloved country, and if you dared to speak out about the invasion in Iraq, you were vilified like the Dixie Chicks, by all the flag wavers. Once the Dixie Chicks went against the American culture of patriotism, Country Radio stations stopped playing their music; it was see you later ladies. Consequently you have to have a patriotic song, when patriotism is running high; therefore you have an opportunist like Lee Greenwood who comesShow MoreRelatedThe Impact Of Nascar On American Sports Culture And Socio Economic Activities1750 Words   |  7 PagesThe impact of NASCAR in the American sports culture and socio-economic activities National Association for Stock Car Auto Racing (NASCAR) is an imagined community that promoted nationalism in the US. 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