Gomennasai Versus Sumimasen in Japanese

Both Gomennasai and Sumimasen are used when you have made a  mistake or inconvenienced someone. Sumimasen is also used when expressing a feeling of gratitude, but Gomennasai cannot be used in such situations. For the most part, it comes down to a matter of personal preference whether to use either Sumimasen 㠁™ã  ¿Ã£  ¾Ã£ â€ºÃ£â€šâ€œ or Gomennasai 㠁”ã‚ Ã£â€šâ€œÃ£  ªÃ£ â€¢Ã£ â€ž, but there are a few subtleties to be aware of. Sumimasen is a little more formal than Gomennasai.When you apologize to the higher or the senior, Sumimasen is used in general.Among the family members or close friends, it is common to use Gomennasai. Gomen ne or Gomen can be used in a more casual case.Older people tend to use Sumimasen more than younger people. Gomennasai can be used when apologizing to someone with whom you have a close relationship. But when speaking with superiors or people with whom one is not very close, Sumimasen or Moushiwake arimasen are used instead, since Gomennasi can have a childish ring to it.

Social Media And Health Behavior - 930 Words

Social Media and Health Behavior Social media is affecting all age groups and contributes to how the nation shares and receives information, including vital topics such as their health. The correlation between the use of social media and health behavior is valuable to nurses and patients alike. It can be manipulated to provide accurate health information, influence healthier lifestyle changes, and reach a larger audience about specific events in the community. Social media can hinder health behaviors in individuals with little guidance and lack the knowledge to sort through credible information, because they may not feel the need to seek medical help. With nurses available to reach the vast majority through technology, they can guide a more positive health attitude and prevent a negative outlook. With social media applications expanding, seizing the opportunity to spread a wealth of material at the click of a button can play a role in managing positive health behaviors. The following information focuses on how social media can promote health conscious behaviors in many patients and individuals while exploring the overall impact, the role of the nurse, and controversy with this technology. Social media is a common vector for searching, sharing, and receiving all types of information. Due to hand held accessibility, many opt to search for health care topics via applications on the Internet or cell phone. As 85% of Americans are using the Internet in some way, a large amountShow MoreRelatedSocial Media s Influence On Mental Health And Overall Quality Of Life1707 Words   |  7 PagesSocial media usage by adolescents must be limited in order to improve mental health and overall quality of life. Adolescent social media activity continues to grow, creating technology dependence in younger generations. Technology remains in its prime throughout the twenty first century with advancements in internet and smartphone capabilities. 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Type 2 Diabetes Free Essays

string(74) " on a daily basis but still finds it hard to start healthy eating habits\." Living with Type 2 Diabetes Introduction Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar. Hyperglycemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body’s systems. We will write a custom essay sample on Type 2 Diabetes or any similar topic only for you Order Now No cure has been found for this disease. However, an important part of managing diabetes is maintaining a healthy weight through a healthy diet and exercise plan. Olokoba, Obateru, Olokoba, 2012) Type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) is characterized by deficient insulin production and requires daily administration of insulin. The cause of type 1 diabetes is not known and it is not preventable with current knowledge. Symptoms include excessive excretion of urine (polyuria), thirst (polydipsia), constant hunger (polyphagia), weight loss, vision changes, and fatigue. These symptoms may occur rapidly. Mosorovic, Brkic, Nuhbegovic, Pranjic, 2012) Type 2 diabetes (formerly called non-insulin-dependent or adult-onset) results from the body’s ineffective use of insulin. Type 2 diabetes comprises 90% of people with diabetes, and is largely the result of excess body weight and physical inactivity. Symptoms may be similar to those of Type 1 diabetes, but are often less obvious. As a result, the disease may be diagnosed several years after onset, once complications have already arisen. (Mosorovic, Brkic, Nuhbegovic, Pranjic, 2012) Diabetes is the seventh leading cause of death in the United States, affecting 25. million people of all ages (8. 3 percent of the U. S. population). Of the 25. 8 million affected people, 7. 0 remain undiagnosed. Diabetes is the leading cause of heart disease, stroke, kidney failure, lower-limb amputations, and new cases of blindness among adults in the United States. (http://diabetes. niddk. nih. gov) Meet Mrs. M, who was diagnosed with type 2 diabetes at the age of 35. Mrs. M is now 57 years old. She has learned that although there is no cure for type 2 diabetes, it can be managed. She is aware that in order to better manage this disease she needs to eat well, exercise, and maintain a healthy weight. Mrs. M has graciously agreed to be interviewed. We will learn more about her, how she copes with this disease, and her struggle in maintaining a healthy weight by incorporating healthy cooking in her lifestyle. I will use the five holistic variables within the Neuman Systems Model (NSM) to identify how Mrs. M’s internal and external environment are affected. I will also assess Mrs. M’s learning needs and provide a trustworthy and reliable resource from which she can benefit from. Physical Variable Mrs. M was diagnosed with type 2 diabetes at the age of 35 when she became pregnant with her last child. During a routine doctor’s visit, it was noticed Mrs. M was gaining a significant amount of weight. Around her 24th week of pregnancy, the doctor ordered she have a glucose test. The test showed a high level of sugar in her blood. The test was repeated and once again, it showed that her glucose level was higher than normal and there was also sugar in her urine. At that point, the doctor diagnosed her with gestational diabetes. In 1990, the only thing that was prescribed was that she begin administering a daily injection of insulin. This came as a completely shock to Mrs. M. She had never even heard of this thing called â€Å"diabetes†. Even more disturbing was the fact that she, and her unborn baby, was now carrying this disease. The doctor advised Mrs. M that although the glucose could reach and affect her baby, the insulin would not cross over to the baby. She was pleased with the news that once she delivered the baby, she would return to her normal diabetic state. The doctor informed Mrs. M the importance of checking her blood glucose and maintaining a healthy diet after the birth. This would help to reduce her chances of developing type 2 diabetes. Despite the recommendations, Mrs. M ended up developing type 2 diabetes. For the past 22 years, Mrs. M has been living with this chronic disease. Her medication has been changed several times throughout the years. At the moment, she is taking Glucophage 500mg and 4 units of Humilin in the morning. From the last time Mrs. M was seen by her primary care physician, these were her results: she weighed 170 pounds, blood pressure was 122/78, average blood sugar was 125 mg/dL, average hemoglobin A1c test (HbA1c) average was 5. 98%, her cholesterol and triglyceride levels were within normal limits, her kidneys were working well, and no obvious sores or infections of her feet or skin. Her last optometry visit showed no problems with her vision. She knows dental exams and cleaning are important and makes sure to visit the dentist every six months. In assessing Mrs. M’s physical variable, I determined that the lack of knowledge about diabetes as a major stressor. Mrs. M’s doctor visits have been a major resource. Socio-cultural Variable She is a traditional Mexican woman and her cooking or eating habits have never been a concern. She has always cooked traditional Mexican dishes, which are high in fat. She never learned to cook or eat healthy. It is a belief of Mrs. M that anything that is â€Å"low fat†, â€Å"nonfat†, or essentially â€Å"healthy† must not taste good. Mrs. M was recently laid off and is unemployed, leaving her with no insurance. She does not want to visit the doctor’s office because she says that it is too expensive. Not only does she have to pay for her medication, but also the doctor’s visit and the laboratory bill. This has given her motivation to try to lose weight. She does realize that if she loses weight, she could possibly be able to get off the medications she is on. At this point, she is walking on a daily basis but still finds it hard to start healthy eating habits. You read "Type 2 Diabetes" in category "Essay examples" She would like to learn how to maintain a healthy diet that she and her family can benefit from. It is hard for her to break free from all the foods she has loved all her life. However, she realizes it is necessary to make this drastic change in order to help her lose the weight. In assessing Mrs. M’s social-cultural variable, I determined that the lack of insurance as a major stressor. Mrs. M’s motivation and willingness to lose weight are major resources. Psychological Variable Just like everyone else, Mrs. M has good days and bad days. On most days, she feels motivated and hopeful that she will be able to better control her diabetes and get off her medicine. She goes on daily walks and really enjoys it when her daughter goes with her. She says that when her daughter goes on these walks with her, it makes the time go by fast and she really enjoys the time they spend together. These walks serve not only to lose weight but also as a distractor. Mrs. M uses this time to talk about her day and about life in general. However, there are days that are not so good for Mrs. M. There are days where she feels defeated and burned out by her diabetes. She feels like she is â€Å"old† now and her health is slowly declining. She has had this disease for so long now and doesn’t see any improvement. It has been a stagnant process for her and that really frustrates her. There are days when she gets angry that she can’t eat certain foods and that she has to take medications to be able lead a semi normal life. Some days, she feels like just giving up and letting God decide her faith. In assessing Mrs. M’s psychological variable, I determined her feeling of defeat is a major stressor. Mrs. M’s daily walks with her daughter are a major resource. Spiritual Variable Mrs. M is a devoted Catholic. She has complete faith in God, the Catholic Church, and the power of prayer. Mrs. M feels our whole universe isn’t controlled by human beings, but by God. Her life, past and future, lies solely in God’s hands. There is no question in her mind that there is an afterlife, where her soul and spirit will rise to and will go to a better place. She is not scared of death. She looks forward to the day when she will be at peace and free of worries and pain; a place where she will live eternally, full of happiness and joy. She anticipates the day when she can reunite with her father and be able to see him, talk to him, and hold him again. Mrs. M feels she has lived a gratifying and good life. She says she has been blessed to have had the opportunity to live and experience this thing we call â€Å"life†. She knows her disease has many health consequences and feels that if something happens to her, God made it happen for a reason. He controls her life and she is willing to accept what he has decided for her. In assessing Mrs. M’s spiritual variable, I determined that there is no stressor involved. Mrs. M’s faith in God is a major resource. Developmental Variable Stage of development Generativity vs. Stagnation is Erik Erikson’s second psychosocial development stage of adulthood and happens between the ages of 25-64. During this time, we establish our careers, settle down within a relationship, begin our own families and develop a sense of being a part of the bigger picture. We give back to society through raising our children, being productive at work, and becoming involved in community activities and organizations. By failing to achieve these objectives, we become stagnant nd feel unproductive. Mrs. M is in the Generativity stage. (Craven, Hirnle, 2009) Tasks of developmental stage Mrs. M is married with 4 grown children, and will celebrate her 36th wedding anniversary on December 14, 2012. Mrs. M was born in Jalisco, Mexico and moved to the United States when she was 21 years old. Her ideas and customs still remain traditional to the Mexican culture. Mrs. M was rais ed with the idea that family should come before everything, even herself. Mrs. M put her education on hold to be able to provide for her family, leaving her to work low paying jobs. She has worked her whole life to give her children the most and best she can. This has included working 12 to 14 hour shifts and then rushing home to make sure her kids had dinner and did their homework. She has always strived to keep her family happy, safe, and united. Her children are grown now and she maintains a good relationship with them. Now that her children are grown, she feels a sense of emptiness. She admits to feeling an overwhelming amount of sadness when thinking of how her house was once filled with her children’s laughter and now is so â€Å"empty†. There have been days when she feels she may be depressed. On these days she has to force herself to get out of bed and doesn’t feel like eating. She knows this is not good for her and affects her diabetes. She has noticed when she is feeling this way, her blood sugar drops. On the other hand, remembering all the precious times she has lived with her family brings a smile to her face. Mrs. M has always made her kids her number one priority and feels they have not let her down. Knowing that her kids are positive and productive members of society gives her a sense of accomplishment. She has a glow on her face every time she speaks of her kids. It makes her feel proud, loved, and special to know she has a family she can depend on, regardless of the situation. In assessing Mrs. M’s developmental variable, I determined that the depression she deals with is a major stressor. Mrs. M’s family is a major resource. Health Learning Needs After speaking with Mrs. M, her main concern is incorporating healthy meals and eating habits into her lifestyle. She feels cooking healthy is something she has always struggled with and would like to get more information as to how to cook healthy meals. Mrs. M has made it clear that she is a visual and hands on learner. She needs to †first see it and then do it† in order to better understand a task. Due to this information, I believe Mrs. M would benefit from a website that plays videos and has live demonstrations. Learning resource My recommendation to Mrs. M is that she visits the American Diabetes Association website at www. diabetes. org. This website has a lot of information that is helpful to anyone with type 2 diabetes. Mrs. M would benefit from the â€Å"Food and Fitness† tab. Under this tab she can find information on what type of foods she should be eating, healthy recipes, and helps in planning meals. There is also information about fitness and weight loss. There are great exercise ideas which will help Mrs. M get motivated to lose weight. This website offers live videos which will help with her visual learning need. Conclusion In summary, the NSM aims to promote a client’s optimal wellness. This model helps us see beyond just the objective clinical manifestations, which we are trained to observe. It helps us understand our clients on a whole new level, an interpersonal and holistic level. By completing an accurate NSM assessment, we see how culture, economic resources, spirituality, and family affect a client’s disease process. With the help of the NSM, I was able learn more about Mrs. M, assess her learning need, and provide a trustworthy and reliable resource from which she can benefit from. The www. diabetes. org website will teach her how she can maintain a healthy weight by incorporating healthy cooking in her lifestyle. References Olokoba, A. B. , Obateru, O. A. , ; Olokoba, L. B. (2012). Diabetes Mellitus: A Review of Current Trends. Oman Medical Journal, 27(4), 269-273. oi:10. 5001/omj. 2012. 68 Mosorovic, N. , Brkic, S. , Nuhbegovic, S. , ; Pranjic, N. (2012). Quality of life of people with Diabetes Mellitus. Healthmed, 6(7), 1076-1080. Demirbag, B. (2012). Neuman system model as a conceptual framework for community-based nurses when working with patients. Healthmed, 6(7), 2438-2445. Craven, R. F. , Hirnle, C. J. (2009). Fundamentals of Nursing. Philad elphia: Lippincott Williams and Wilkins. National Diabetes Information Clearinghouse (NDIC) (February 2011). Fast fact on Diabetes. Retrieved from http://diabetes. niddk. nih. gov/dm/pubs/statistics/#fast How to cite Type 2 Diabetes, Essay examples

The Dirty Little Secret of Childrens Television free essay sample

A discussion of the negative influence of childrens TV shows on the modern child. This paper looks at childrens television and its negative influence on children today. The first section starts off the paper with a view into the positive side of childrens television. Television isnt entirely evil, so this section helps the reader understand that you arent completely against television. The second section describes how children are emotionally and mentally influenced by television shows. The third section relates how a childs increasing violent nature could be the result of the violence that they view every day in their shows. The fourth section discusses how the media is involved, primarily on a consumer basis. The fifth and final section refers to what the parent can do to in a world that is surrounded in television. Televisions shows that are directed primarily towards a child audience are to a large degree responsible for the controversial decline in development that is visible in todays youth culture. We will write a custom essay sample on The Dirty Little Secret of Childrens Television or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Through this medium children are exposed to vast quantities of violence and negative themes. These shows contribute to the breakdown of family as well as the lessened emotional development of children. Not only has television proven detrimental on a child-to-child basis, but in addition has greatly influenced the overall standards of our consumer culture and quite possibly made us more so. While childrens educational television shows are given high notoriety for making a positive contribution to a childs education and development, the problem lies in the fact that parents oftentimes neglect to research or take an active interest in their childrens viewing. Due to the fact that they consider the programs directed mainly towards children to be either education or purely for the basis of entertainment parents do not seriously scrutinize them. In effect they fail to suspect these shows as being a major contributor to the upbringing and future of their children and the younger generation .