Trauma Radiography And Procedure

Trauma Radiography And Procedure Trauma radiography can be an exciting and challenging environment for the radiographer. However the performing trauma procedure can be intimidating and stressful. The difference depends on how prepared the radiographer is to handle the situation. To reduce the stress associated with trauma radiography, the radiographer must be properly prepared for multitude of responsibilities encountered in the emergency room (ER). Trauma is defined as a sudden, unexpected, dramatic, forceful, or violent event. Trauma ranks as the leading cause of death. The term trauma center signifies a specific level of a emergency medical care as defined by the American College of Surgeons Commission on Trauma. Specialized equipment in trauma. Time is a critical element in the care of a trauma patient. To minimize the time required to acquire diagnostic x-ray images, many emergency rooms have dedicated radiographic equipment located in the department or immediately adjacent to the department. Specialized trauma radiographic systems are available and are designed to provide greater greater flexibility in x-ray tube IR maneuverability. These specialized systems help to minimize the movement of the injured patient while performing imaging procedure. Mobile radiography is widely utilized in the emergency room. Many patients will have injuries that prohibit transfer to a radiographic table, or their condition may be too critical to interrupt treatment. Trauma radiographers must be competent in performing mobile radiography on almost any part of the body and be able to utilize accessory devices like a grids, air-gap technique. Its needed to produce quality mobile images. Positioning aids are necessity in trauma radiography. Sponges, sandbags, and the creative use of tape are often the trauma radiographerà ¢Ã¢â€š ¬Ã¢â€ž ¢s most useful tools. Most trauma patients are unable to hold the required positions as a result of pain or impaired consciousness. Other patients cannot moved into the proper position because to do so would exacerbate their injury. Exposure factors in trauma Patient motion is always a consideration in trauma radiography. The shortest possible exposures time that can be set should be used in every procedure., except when a breathing technique is desired. Unconscious patients are not able to suspend respiration for the exposure. Conscious patients are often in extreme pain and unable to cooperate for the procedure. Radiographic exposure factors compensation may be required when a making exposures through immobilization devices, like a spine board or backboard. Most trauma patient arrive at the hospital with some type of immobilization devices. Pathologic changes should also be considered when setting technical factors. For instance, internal bleeding in the abdominal cavity would absorb a greater amount of radiation than a bowel obstruction. Types on trauma injuries. The some types of trauma injuries is head injuries, spinal injuries, chest injuries, extremity fractures, wounds, burns and also postsurgical complications wound dehiscence. The head injuries is the patients who have to received a blow to the head may have sustained serious injury, even when there are external signs of trauma. Damage may occur with or without a skull fracture. If have bleeding or swelling occurs inside the skull, a rise in intracranial pressure(ICP) may cause seizures, loss of consciousness, or respiratory arrest. incidentally, similar symptoms may also occurs in patients with increased ICP due to brain tumors. The patients with spinal injuries, every trauma patient should be considered to have a potential spinal injury and should be evaluated by the ED physician before being moved. even slight movement of a spinal fracture may cause pressure on the spinal cord, resulting in paralysis or death. for this reasons, exposures should be made without moving the patient whenever possible. when a change of position is required, as for a lateral lumbar radiograph, use a à ¢Ã¢â€š ¬Ã…“log rollingà ¢Ã¢â€š ¬Ã‚  approach, which keeps the body in one plane. this two-person procedure avoids twisting or bending the spine. patients with possible cervical spine fractures are immobilized with cervical collars and other radiolucent devices. About the patient with the chest injuries is the motor vehicle accidents and falls are two of the most common causes of chest injuries seen in the imaging department. Deaths due to crushing or penetrating wounds of the thorax comprise a significant number of the trauma deaths each year. Fractures ribs are painful and can be life threatening if along or blood vessel in punctured. Extremity fractures is a trauma involving the long bones of the body may classified in two categories, first is compound fractures, in which the splintered ends of bone are forced through the skin, and then the second is closed fractures. Compound fractures are usually partially reduced and dressing applied before radiographic examination. Some common types of fractures are greenstick, spiral, overriding, comminuted, transverse, compression, depressed(skull), and avulsion. Fractures may also be classified according to the nature of the injury. there are many ways of temporarily immobilizing extremity fractures. the two legs may be fastened together for stability during transportation, or a stiff object, such as a board or rolled-up magazine, may serve as a splint. When want to position the patients with fractured extremity that is not supported by a splint, maintain gentle traction while supporting and moving the arm or leg. The wounds in the type or trauma is patients with open wounds have usually been treated before you see them in radiology suite. Bleeding has been controlled, and dressings have been applied. the radiographer primary responsibility regarding open wounds is to maintain the dressings and the report promptly any significant amount of fresh bleeding. This is usually considered to be the amount of bright red blood sufficient to soak through a fresh dressing. if a laceration or incision opens, causing severe hemorrhaging, apply direct pressure to the side of bleeding while summoning immediate assistance. While burns in type of trauma is, burn patients may also have traumatic injuries such as fractures. Burns are frequently associated with respiratory complications. Inhalation of hot gases may result in pleural effusion or the development of pneumonia, which must be monitored radiographically. Burns may be categorized by cause of injury, percentage of body surface involved, and depth of tissue destruction. The depth of burns is classified as first, second or third degree. When a burn patient needs a radiograph, coordinate your examination with the nursing staff to ensure that the patient has had pain medication about 30 minute before the procedure. Postsurgical complications(wound dehiscence) is the patient who had a major surgery may require radiographic examination. Wound dehiscence occurs when a suture line parts and the underlying tissues or organs protrude through the opening. While this rare, it may happen, particularly in obese patients who had extensive abdominal surgery. It is possible for evisceration its means loss of organs from a body cavity, it to result when extensive suture lines spread apart or split. Positioning of the patient trauma The primary challenge of the trauma radiographer is to obtain a high quality, diagnostic image on the first attempt when the patient is unable to move into the desired position. To minimize risk of exacerbating the patients condition, the x-ray tube and IR should be positioned, rather than the patient or the part. For examples, position the stretcher adjacent to the vertical Bucky or upright table as often as the patients condition allows. To increases the efficiency, while minimizing patient movement, is to take all of the AP projections of the requested examinations, moving superiorly to inferiorly. Then perform all of the lateral projections of the requested examinations, moving inferiorly to superiorly. This method moves the x-ray tube in the most expeditious manner. Radiographers Role as Part of the Trauma Team The role of the radiographer within the emergency rooms ultimately depends on the department protocol and staffing, as well as the extent of emergency care provided at the facility. Regardless of the size of the facility, the primary responsibilities of a radiographer in an emergency situation include the following , the first is perform quality diagnostic imaging procedures as requested. Then to practice ethical radiation protection , and also provide competent care. It is impossible to rank these responsibilities because they occurs simultaneously, and all are vital to quality care in the emergency rooms. Diagnostic imaging procedures producing a high quality, diagnostic image is one of the more obvious roles of any radiographer. A radiographer in the trauma environment has the added responsibility to perform that task efficiently. Efficiency and productivity are commo0n and practical goals for the radiology department. In the emergency room, efficiency is often crucial to saving the patients life. Diagnostic imaging in the emergency room is paramount to an accurate, timely and often life saving diagnosis. Radiation protection. One of the most essential duties and ethical responsibilities of the trauma radiographer is radiation protection of the patient, the members of the trauma team, and self. In highly critical care situations, members of the trauma team cannot leave the patient while imaging procedure are being performed. The trauma radiographer must ensure the others team members are protected from unnecessary radiation exposures. Common practices should minimally included the following close the collimation to the anatomy of interest to reduce scatter, gonadal shielding for the patients of child bearing age, lead aprons for all personnel that remain in the room, during the procedure, exposure factors that minimize patient dose and scattered radiation and also announcement of impending exposure to allow unnecessary personnel to exit the room. Patient Care As with all imaging procedures, trauma procedures required a patient history. the patient may provide this, if he or she is conscious, or the attending physician may inform you of the injury and the patients status. if the patient is conscious, explain what you are doing in detain in terms the patient can understand. listen to the patient rate and manner of speech, which may provide insight into his or her mental or emotional status. Make eye contact with the patient to provide comfort and reassurance. Keep in mind that a trip to the emergency room is an emotionally stressful event, regardless of the severity of the injuries illness. Radiographers are often responsible for the total care of the trauma patient while performing diagnostic imaging procedures. Therefore it is critical that radiographers constantly assess the patient condition, recognize any signs of decline or distress, and report any change in the status of the patient condition to the attending physician. The trauma radiographer must be well versed in taking vital signs and knowing normal ranges, competent in cardiopulmonary resuscitation (CPR), administration of oxygen, and dealing with all types of medical emergencies. the radiographer must be prepared to perform these procedures when covered by a standing physicians order or as departmental policy allows. Additionally, the radiographer should be familiar with the location and contests of the adult and pediatric crash carts, and understand hoe to use the suctioning devices. Patient Preparation It is important to remember that the patient has endured an emotionally disturbing and distressing event in addition to the physical injuries he or she may have sustained. If the patient conscious, speak calmly and look directly in the patient eyes while explaining that procedures that have been ordered. Do not assume that the patient cannot hear you even if he or she cannot or will not respond. Check the patient thoroughly for items that might cause an artifact on the images. Explain what are you removing from the patient and why. Be sure to place all removed personal effects, especially valuables, in the proper container uses by the facility example like a plastic bags, or in the designated secure area. every facility has a procedure regarding proper storage of a patients personal belongings. Be sure to know the procedure and follow it carefully. Immobilization Device A wide variety of immobilization devices are uses to stabilize injured patients. Standard protocol is to perform radiographic images without removing immobilization devices. Once injuries have been diagnosed or rules out, the attending physician gives the order for immobilization to be removed, changed, or continued. Many procedures necessitate the use of some sort of immobilization to prevent in voluntary and voluntary motion. Prudent use of such is discussed in many patient care textbooks. The key issue in the use of immobilization in trauma is not to exacerbate the patient injury nor increase his or her discomfort. Image Evaluation Ideally, trauma radiographs should be of optimum quality to ensure prompt and accurate diagnosis of the patients injuries. Evaluate images for proper positioning and technique as indicated in the routine projections. Allowance can be made when true right angle projections (AP/PA and also lateral) must be altered as a result of patient condition.

A Brief History of the Cheesecake Factory Essay

The Cheesecake Factory was founded by Oscar and Evelyn Overton. Evelyn first decided to open a business after making a cheesecake for her husband’s employer in 1949. Evelyn opened a small cheesecake shop in Detroit, Michigan, in the late 1950s, but later gave it up in order to raise her two children. She continued to supply cakes to several local restaurants through a kitchen in her basement. In 1972, Oscar and Evelyn Overton moved to the Woodland Hills area of Los Angeles where they opened a wholesale bakery in which they produced cheesecakes and other desserts for local estaurants. In 1983, the Overtons opened a second restaurant in Marina del Rey. By 1987 the Beverly Hills location had expanded into a 78-seat restaurant and was experiencing great financial success. This led to the opening of a third, larger location in Redondo Beach, which was eventually renovated into a 300-seat, 21 ,OOO square foot location. By the end of the 1980s, The Cheesecake Factory’s one-page menu had expanded and the restaurant offered additional fast-food and short-order items. On January 25, 2011, the company expanded into the Middle East in a partnership ith Kuwaiti retail franchising company M. H. Alshaya Co.. The 300-seat restaurant opened on August 16, 2012, at the Dubai Mall. This is the first location for The Cheesecake Factory outside of the United States. As of March 4, 2013, the Cheesecake Factory Inc. has four restaurants operating in the Middle East, one being located at the Dubai Mall and another at the Mall of the Emirates (both in the UAE), the third in The Avenues Mall, Kuwait, and the fourth in Beirut. [6] Plaza Las Americas in San Juan, Puerto Rico opened its first Cheesecake Factory in the Caribbean on August 28, 2013 Company Mission Statement Mission: To create an environment where absolute guest satisfaction is our highest propriety Vision: Through a shared commitment to excellence, we are dedicated to the uncompromising quality of our food, service, people and profit, while taking exceptional care of our guests and staff, we will continuously strive to surpass our own accomplishments and be recognized as a leader in our industry David Overton Chairman and Chief Executive Officer David Overton has served as our Chairman of the Board and Chief Executive Officer since our incorporation in February, 1992. He co-founded the Company with his parents, Evelyn and Oscar Overton. Mr. Overton crea ed t the Company’s namesake restaurant and opened the first The Cheesecake Factory restaurant in 1978 in Beverly Hills, California. He grew The Cheesecake Factory@ into a national chain and created two other concepts, Grand Lux Cafe@ and RockSugar Pan Asian Kitchen@. Under Mr. Overton’s leadership, the Company’s revenues increased to $1. 8 billion in 2011, with The Cheesecake Factory leading the casual dining industry in average annual sales per restaurant of $10. 2 million. Mr. Overton’s professional honors include the International Foodservice Manufacturers Association â€Å"Silver Plate Award,† recognizing the most outstanding and innovative talent in foodservice operations; the â€Å"Executive of the Year Award† from Restaurants & Institutions Magazine; and the â€Å"MenuMasters Hall of Fame Award† from Nation’s Restaurant News, for his outstanding contributions to menu design and foodservice research and development, among many others. In 2012, Mr. Overton was named â€Å"Entrepreneur of the Year† in the Food Services category for the Los Angeles region by Ernst ; Young. This honor recognizes Mr. Overton for his demonstrated excellence and extraordinary success in innovation, performance and personal commitment to The Cheesecake Factory and the communities our restaurants serve. David M. Gordon PresidentDavid Gordon was appointed President in February 2013. Mr. Gordon Joined our Company in 1993 as a Manager and during his 20 years with The Cheesecake Factory, he held the positions of Chief Operating Officer, Regional Vice President, Area Director of Operations and General Manager. He currently serves on the Board of Directors for the California Restaurant Association. W. Douglas Benn Executive Vice President and Chief Financial OfficerW. Douglas Benn was appointed Chief Financial Officer in January 2009. Mr. Benn is a veteran of the restaurant industry having spent more than 20 years in management roles with restaurant companies. He most recently served as Executive Vice President and Chief Financial Officer of RARE Hospitality International, which owned LongHorn Steakhouse and The Capital Grille prior to the company’s sale to Darden Restaurants in October 2007. During his ten years with RARE, Mr. Benn helped grow the company to over 300 units and over $1 billion in nnual revenues. Debby R. Zurzolo Executive Vice President, Secretary and General Counsel Debby Zurzolo was appointed Executive Vice President, Secretary and General Counsel in December 2003. Ms. Zurzolo Joined our Company as Senior Vice President and General Counsel in April 1999. From 1982 until Joining the Company, she practiced law at Greenberg Glusker Fields Claman & Machtinger LLP in Los Angeles, California. As a partner with that firm, Ms. Zurzolo represented our Company on various real estate matters and negotiated several of our restaurant leases. S Bytuglin President, The Cheesecake Factory Bakery Incorporated Max Byfuglin was appointed President of our bakery subsidiary in January 2006. He previously served as Executive Vice President of The Cheesecake Factory Bakery Incorporated. Mr. Byfuglin Joined our bakery operations in 1982 and worked closely with our founders, serving in nearly every capacity in our bakery over the past 20 years. Joshua Spears: General manager at dolphin mall location, been with the company for 20 years, started as a server/bartender, in Las Vegas Nevada, has a wife and 4 kids, currently doesn’t have any plans to move anywhere but always up to the change Adam Kaytes: Assistant General Manager, been with the company with 20 years, previously worked at 8 different locations, started as a server/bartender, single so always up to any change, currently my interenship supervisor. Gilberto Rodriguez: Server, its going to be 1 year that I been with the company on November 10, currently a server, I will finish school on December so my plans are to find a manager Job after that, previously worked at olive garden and BJ’s as a assistant manager, certified trainer, bartender and server. Location of the property: Address: 11401 NW 12th st, Miami, FL 33172 Description: The Cheesecake Factory serves much more than Just cheesecake! The Cheesecake Factory is a unique, upscale casual dining restaurant offering more than 200 menu selections including appetizers, pizza, pasta, seafood, steaks, salads, sandwiches and more. The menu also features specialty dishes like Chicken Madeira, Miso Salmon, Cajun Jambalaya Pasta and The Factory Burger. Save room for dessert! Try one of The Cheesecake Factory’s 50 delicious cheesecakes and desserts such as their White Chocolate Raspberry Truffle Cheesecake or their Godiva Chocolate Cheesecake, with a cappuccino or espresso. Products: Menu items include: appetizers, cheesecake, pizza, pasta, salads, sandwiches, seafood, steaks and more Competition: The primary competition for the cheesecake factory at dolphin mall will be Texas de Brazil, mainly because its across and it’s the only other fine dinning restaurant at dolphin mall, I personally would not consider pf changs directly competition because that is a completely ditterent style ot t and its not directly across the cheesecake building, honestly there is no directly competition to cheesecake at dolphin mall, but there is a restaurant called bJs brewer house that is relatively close and they have a retty similar menu to ours, this will be the only director competitor we will have in the zone. -Texas de Brazil. -Pf Changs. -BJs Brewer house. Outside dolphin mall the Cheesecake Factorys top competitors are Brinker International, OSI Restaurant Partners, Inc. , and Dine Equity, Inc. Brinker International is a U. S. based company, with over1800 res taurants in 24 countries and has a presence in the Middle East already. Subsidiaries include: Chili’s, Romano’s Macaroni Grill, Maggiands Little Italy and On the Border Mexican Cantina and Grill. Unlike The Cheesecake Factory, Brinker International keeps its company active through cquisitions and partnerships for restaurant locations. A poorly performing Bennigan’s restaurant might become a new Chili’s restaurant. Brinker’s does not appear to be operating at a level of stability across its subsidiaries, either. The most recent Datamonitorreport on the company highlights much selling off of their brands (Datamonitor, 2010). The constant activity leads one to believe the company is less viable than its competitors in spite of staggering revenues and operating profits Company Culture: The Cheesecake Factory created the upscale casual dining segment in 1978 with the pening of our first restaurant in Beverly Hills, CA. And even with over 160 restaurant locations now in the U. S. , we’re Just as original today as we were when we first opened! In addition to The Cheesecake Factory restaurants, the company also operates two bakery production facilities that produce over 60 varieties of quality cheesecakes and other baked products. We know that outstanding people make it all happen. Each individual’s efforts and skills are necessary to the success of our company as a whole. As a staff member, we will invite you to share our company ission, â€Å"To Create an Environment Where Absolute Guest Satisfaction is our Highest Priority†. And our company values will guide your daily actions and ensure that the work environment and company culture is filled with memorable moments. Manager Style: There are a few types of manager styles, I think Adam is the perfect manager, he has a perfect balance for everything, here is a perfect description of him: The Perfect Manager This manager is popular with both staff and guests. This manager works hard to create solid relationships with staff members without becoming too close. Understands the challenges of the daily â€Å"show’ of making sure that all the parts come together properly to insure a quality guest experience. Master of the task related issues and can get them done in a quarter of the time of other managers. This management type keeps a light demeanor on the tloor while at the same time working to insure staff compliance to service standards and quality presentation of the food. Has a great knowledge of regulars and would be regulars and spends time cultivating relationships with the guests in order to insure their return visit. This anager can operate almost independently because their goals are aligned with the company objectives and directives from senior management. Perfect managers can become frustrated when the demands of the Job exceed their ability to complete the objectives in a timely manner. This can cause frustration for the manager and periods of unproductive performance. As a manager on a daily basis, it is tough to work long hours and handle innumerable problems without having it affect the quality of your work. You try to do the best you can and work to make the restaurant the best that it can be. Sometimes you sacrifice your personal well-being for the sake of the Job. Managers as a rule have a hard time separating themselves from what they do. A good management style of any kind begins with a manager that can take care of their emotional and physical needs outside the restaurant. They are emotionally healthy and happy with a positive attitude toward the Job and people they work with. Operational Controls At every Cheesecake Factory restaurant, a kitchen manager is stationed at the counter where the food comes off the line, and he rates the food on a scale of one to en. A nine is near-perfect. An eight requires one or two corrections before going out to a guest. A seven needs three. A six is unacceptable and has to be redone. The whole chain restaurant industry not Just the Cheesecake Factory uses an interesting system for minimizing food waste, which can easily become a burdensome cost: The chain-restaurant industry has produced a field of computer analytics known as â€Å"guest forecasting. † â€Å"We have forecasting models based on historical data†the trend of the past six weeks and also the trend of the previous year,† Adam told me. The predictability of the business has become astounding. The company has even learned how to make adjustments for the weather or for scheduled events like playoff games that keep people at home. The Cheesecake Factory’s ability to add menu items across its restaurants is similarly impressive. The company rolls out a new menu every six months that can feature upwards of a dozen new items. Regional and kitchen managers head to California for intense training that shows them not Just how to make the new dishes but how to train others back at the restaurants in their region. After observing the whole process, its rate of successful and scaled innovation, Gawande writes, â€Å"would be enviable in medicine, where innovations commonly spread at a glacial pace. Strengths and weaknesses: Their strengths include award winning customer service, an interactive website, fantastic desserts and an extensive menu of over 200items that evolves every six months to keep it fresh and exciting to customers. A significant opportunity in moving into an emerging market such as the United Arab Emirates is the prospect for increased revenue and profits for a restaurant of this caliber enteri ng in this new arket. One aspect that distinguished The Cheesecake Factory is how they specialized on their dessert product line and then built and drink product lines around it. By making abase, the company was able to add items and test recipes for success. Now they have a solid food line that is changed every six months to ensure the customers are satisfied. Diversity also ensures return visits because people want to try something new each time; it prevents people from getting bored with the food . When updating their menu, the Cheesecake Factory is also indful of health-conscious customers and has a very high-quality line of health- conscious foods Weaknesses The Cheesecake Factory must consider how the company’s values, ideals, vision admission, and goals will align with the new country. Cultural issues can be a major challenge when moving into a new country. The company must be 100% prepared to take on the culture, the cuisine, and any other conflicts such as dress codes or dietary customs. ome countries such as the United Arab Emirates older generations may be slow to embrace change or new cultures; they may be opposed to new restaurants or ven new menu items at a restaurant. This could pose a problem for the constant menu changes The Cheesecake Factory offers. The differences in tastes, beliefs and culture could potentially be a major challenge for this restaurant moving to the Middle East. The lack of nutritional information may also be problematic for this region, as people in different areas are sensitive to different foods and what are in the foods needs to be known as well as the caloric content of the food. As with the United States, all developed countries have become more aware of what they are eating and their health in general

Gun Accidents Among Children

â€Å"Guns don’t kill people. People kill people. † This is a phrase that has been used carelessly over the years. Gun accidents are continuously increasing, and innocent children are the ones who are suffering from this carelessness. What happens when those guns lie in the hands of our children? Parents lose children, grandparents lose grandchildren, and siblings lose a brother or a sister. Every nine hours a child, under the age of fifteen, dies from a firearm accident. What could be done to ensure that tragedies like this do not happen?Children’s television programs should stop showing violence, parents and children need to be more educated on this issue, guns should be locked up, and gun laws need to be stricter. One reason why gun accidents are occurring with children is because of the violence shown on television programs and video games. Children watch more and more television each day. Children also rely a lot on video games for entertainment. The televis ion shows children watch oftentimes show violence. Video games show people killing â€Å"monsters† with guns. The monster then gets back up and the game continues.Children are very impressionable. What do children think when they see this? The children see this happening on games and television shows and believe the gun is just a toy. They do not see how truly dangerous guns are. Then, children see a real gun and play with it. They shoot themselves or another child believing that they will be just fine. This is because that is all they have ever seen. Parents need to monitor children’s television shows and video games carefully. Another reason why gun accidents are occurring with children is because of the lack of gun safety education with parents and children.Parents do not have a full understanding of how many accidents happen due to guns. Every parent should teach their children how dangerous guns are. Telling a child to not touch a gun is not enough. Explain to chi ldren what happens when they play with a gun. There are so many programs available for parents to learn as well as to teach children gun safety. Tell them how they, themselves, could get hurt or hurt another child. Teach them to never play with a gun, to let an adult know if they see one. A child as young as three has the strength to pull the trigger. It is a parent’s right to decide hether their children play with toy guns or not. If they choose to do so, educating them on the difference of a toy gun and a real gun is very important. Also, children should not be allowed to pretend to shoot a person. Children eight years and younger cannot tell the difference in a real or pretend gun. One of the most important reasons why gun accidents are occurring with children is because of the accessibility of guns. One-third of every American family that owns a gun does not keep it locked up. Having a gun â€Å"put up† is not going to stop a child from accessing it.In 72% of gun a ccident deaths, injuries, and suicides, in children from 0-19 years old, the gun was kept in their home, a relative’s home, or a friend’s home. That is a large amount of accidents that could have been prevented. Guns and ammunition should be locked up and the keys put away. Always keep the safety on on the gun. Keeping the safety on will prevent a child from unintentional harm if a gun is found. Guns are very dangerous and safety is very important. Never assume your child or other children will know the difference in real and toy guns.Be cautions if a gun is in the home, our children’s lives depend on it. The last reason why gun accidents are occurring with children is because of the gun laws. Laws should be stricter. Firearms should be very difficult to obtain. Gun laws should include a training course for anyone who owns a gun. No one should own a gun that does not understand how it works. An average, five hundred children die every year due to gun accidents. In a survey by Josephson Institute of Ethics, â€Å"36% of teenagers aged twelve to nineteen say they could obtain a handgun if they wanted to. Children get these handguns from people selling them on the street. Not every person should be allowed to own a gun. Laws are not strict enough, making purchasing guns an easy task. Parents feel the need to have protection because of the accessibility of guns. If guns were harder to obtain, parents would not have to worry so much. Keeping guns out of the hands of â€Å"bad people† can keep them out of the hands of our children. In conclusion, gun accidents occur with children and are increasing.Monitoring television programs and video games more closely, educating parents and children on gun dangers, locking guns up, and making gun laws stricter could prevent tragedies from happening. These are simple steps that make a huge difference. Do not risk the safety of children. Take precautions on preventing accidents. A change has to be ma de. Works Cited Anderson, George M. â€Å"America. † 172. 8(2010): p. 26-28. Web. 06 Nov. 2012. U. S. National Library of Health. Medline Plus. 18 April 2012. Web. 06 Nov, 2012. Source: Nemours Foundation. KidsHealth, Gun Safety. 2012. Web.

Gender Identity And The Transgender Orientation - 1386 Words

At the time of birth, every person is named and identified by the external sexual features. The specific sex-related behaviors develop in later years. These roles are largely based on social experiences and inner feelings. Generally, the behaviors are consistent with the gender assigned at birth, however; there are some children who are cross-gendered and show behaviors that are opposite to the sex assigned to them at birth (Pardo, 2008). Most of the transgender people identify their gender identity during adolescence, research studies suggest that transgender males and females go through a process of dissonance, exploration and finally disclosure before they identify their actual gender identity. The feelings of difference are persistent†¦show more content†¦In the 90s the term ‘transgender’ was coined. The term transgender can be considered as the umbrella, which includes people who are willing to defy the traditional societal expectations regarding gender (Mo lero Pinto, 2015). It is a broad term that includes the transsexuals, intersexual, and also who do not confine to identify with the male/female gender category, and the people whose behaviors are largely different from the societal norms (Molero Pinto, 2015). The Disclosure The process of identification of the gender identity among the transgender individuals is a psychological process and largely involves the family, societies, peers, friends, workplace and other social relationships (Bethea McCollum, 2013). Often during the process of disclosure, the transgender see changes in their relationships with their families, which largely impact their physical and psychological health. In some children, the feelings of differentiation may initiate in early childhood, and some experience it in the teenage or adolescence, which is prompted due to the undesired physical changes experienced at puberty. A period of confusion or exploration follows the phase of dissonance. 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The reactions of other groups of peopleRead MoreThe Community Of Lgbt Workers Essay1583 Words   |  7 Pagessexual preferences and appearance. Being a gay or transgender worker causes them to be mistreated, not judged for the actual workers they are, and most importantly, halts a majority of them in better career and job opportunities. Although under federal law it is illegal to fire someone who is either gay or transgender, they are still either being denied employment or being terminated from their jobs because of their gender category or sexual orientation. A great amount of problems still exist in LGBTRead MoreTrans And Transgender : An Umbrella Term931 Words   |  4 PagesTrans or transgender is an umbrella term used to describe those who move away from and do not identify with the gender that they were born. It encompasses all people who do not fit into a binary conception of gender identity or expression. It is a group with diverse identities and expressions, and that differ from stereotypical gender norms. Some transgender choose to modify their bodies to varying degrees, whether through surgeries, or hormone therapies, while others choose to live without surgicalRead MoreThe Bathroom Bill Should Not Be A Federally Mandated Law1496 Words   |  6 PagesThis month will make a year that everyone has kept their eye out on North Carolina due to the House Bill 2, also known as the â€Å"bathroom bill,† they passed March 23rd of 2016. This particular bill requires Transgender people to use the restroom of the gender assigned to them at birth. It also â€Å"banned any minimum-wage increases or anti-discrimination statutes local governments might pass† (McCLELLAND 40). Not only did this aggravate the LGBT community, it has agitated many of their supporters, speciallyRead MoreGender Identification : An Exploration Of The Transgender Group1625 Words   |  7 PagesGender Identification: An Exploration of the Transgender Group and Their Relationship in Society Gender identification and expression of transgender individuals has become controversial in America because of lack of knowledge and societal acculturation of this group. As society continues to connect gender identity with sexual identity, those who identify as transgender are forced to conform to the cultural norms of society or choose not to openly portray their gender expression. Although the mediaRead MoreLgbt Research Paper954 Words   |  4 Pagesyou were to be judged for who you were, or what you did, or even your gender type. In the world there are a lot of social injustices going on even to this very day. One of the most common and heard of social injustice would probably be the one of people being lesbian, gay, bisexual, and/or transgender. This issue has been going on for quite a long time now. Some people do not agree with Lesbian, Gay, Bisexual, and Transgender projects. A lot of people suffer because of this injustice, and it alsoRead MoreGender Is A Complex And Contr oversial Phenomenon1415 Words   |  6 PagesGender remains a very complex and controversial phenomenon. Within most societies, gender is defined along binary lines- through a two-part system. Some individuals do not find it difficult being socialized and identifying with a societies’ definition of â€Å"femaleness† and â€Å"maleness†. Others, however, have a more difficult time. The term â€Å"transgender† refers to particular individuals whose gender identification does not align with what society would rather regard them as, and are based on the conventionalRead MoreThe Psychological Factors Of The Bathroom Bill1279 Words   |  6 Pagesthe â€Å"Bathroom Bill† Next month will make a year that everyone has kept their eye out on North Carolina due to the House Bill 2, also known as the â€Å"bathroom bill,† they passed March 23rd of 2016. The particular bill requires transgender people to use the restroom of the gender assigned to them at birth. It also â€Å"banned any minimum-wage increases or anti-discrimination statutes local governments might pass† (McCLELLAND 40). Not only did this aggravate the LGBT community, it has agitated many of their