Case Study Of Changing Health Behaviour Tamara Nursing Essay

Case Study Of Changing Health Behaviour Tamara Nursing Essay Health behaviour is an accomplishment that enhances, continue or intimidate an individuals health (Barkway 2009, p. 126).The desire to change personal behaviour to enhance future health outcomes is usually overrated. It is inner personalities of the person that born or been nurtured the way they were. Health behaviour influences a lot of aspects in life and it is an ongoing process throughout lifespan. Experience and environmental factors influenced a persons behaviour. To transform ones health behaviours include prevention, management of treatment, right attitudes and awareness which are also the base to individuals perspectives. Variance between behaviour and knowledge might be within Tamara who professes to value health yet still smokes. Cognitive dissonance revealed that she recognized and understand the smoking effect in her heath, but her behaviour doesnt link with her knowledge and principles. With few attempts to change her smoking behaviour without success, its not just a matter on understanding and making it simple, therefore its important to identify what is involved in the process of behaviour change and turn it to psychology (Candlin 2008, p. 192). According to (Barkway 2009, p. 138) transtheoretical model of behaviour change, accommodate both behaviour and cognitive strategies. Cognitive based therapy help people to go further towards the perpetuation stage of positive health behaviour such as smoking cessation. In Australia, smoking is the third disease that causes most death: it is liable for about 80% of all lung cancer death and 20% of all other cancer deaths. Australian spent about 21 billion dollars in a year for tobacco in health care, social cost and business and passive smoking took life over 200 people a year; half of which are children. The healthcare setting is engaging and making a lot of awareness to the public; such as stop smoking campaign, going cold turkey, quit smoking month in working environment, Australia Better Health Initiative and Tags-program are aimed at children in primary schools. All these are to motivate and encourage all the young dynamic generation to quit smoking and to save the environment. Base on Tamaras case study, personal behaviours such as smoking, financial, fit in social and standard of living needs and do not need to be conventional to a health-focused model of behaviour change. Transtheorectical Model (TTM) of behaviour change analyses both behaviour and cognitive strategies. TTM also states clearly that the person can maintain the stages of positive health as maintenance and its also not uncommon for a person from maintenance stages to relapse before achieving to the stable stage. In this case study shows that Tamara has the determination to change and reached to the maintenance stage but her social circle influences are greater than her strong abilities, which makes her to reverse on the different stages in TTM. As a health professional to obtain successful outcomes of nursing care, the nurse must adopt the role as patient educator to start and facilitate the process of health behaviour change. The purpose to change a persons behaviour completely is impossib le but with effort, educations and reasoning can make the most changed in an individuals behaviour. TTM model was developed by Procaska and DiClemente (1984) from addiction research studies and was further expand by Prochaska et al (1992) as stated in (Barkway 2009 p. 138). Stages in TTM encourage a person to analyses as a cycle of change but not a failure. A precontemplation stage is where Tamara is not aware that smoking is bad to health and she does not feel as a treat because her parents are smokers and she has been broad up in such an environment that is acceptable. She might have the perception that if my parents smoke and they are healthy and so am I. Tamaras self esteem and pride that pulled her through when she is out with her friends and she feel herself been left out if she does not smoke as all her friends smoke. In the other hand she also used smoking as to maintain her body weight. In contemplation stage it is an effective stage where Tamara is aware that smoking is bad for health and in result there is a need to change after her father was diagnosed with early stage of emphysema. Her fathers state triggered Tamaras awareness and realized smoking is harmful for health. Preparation stage is where Tamara became aware the potential harm caused by smoking and makes an attempt to stop smoking by reducing it to only smoke on weekends. Action is the most crucial stage where autonomy and willpower plays an important role in decision making for an individual to choose the best for them (Leddy 2006, p. 165). For Tamara she decided to quit smoking for good due to her fathers illness. Maintenance or termination stage is whereby a person has to self control, belief on what the person need to achieve and has the resistance to temptation to surrounding environments and influences by social activities. In Tamaras situation she lacks of determination and willpower on her goals to cease smoking where the state that she relapsed and resume to daily smoking. Tamara has only short term achievement. Due to relapse, the whole process of TTM stages starts to recycle again. According to (West 2006, p. 774) argued that TTM are no stages in any significant sense and there is no cycle of change. TTM also mention that if a persons desire and if that condition is right, stimulates an attempt at change whose success depends on their background and personal factors. According to Prochaska, TTM model was the first model to tackle the subject at a population level. According to Prochaska, TTM is a progressive approach whereby individuals have to progress through stages but (West 2006, p. 775) argued that TTM should be a stage free whereby people who are at a given moment where more or less, than those who are in the process of trying to change and others who are more or less ascertain in their new behaviour styles. And yet another journal also reviewed that the effectiveness of interventions in TTM, regardless whether it is stage progression, behaviour change and with either no or with other type of intervention, or usual care control have limited evidence to be proven (Bridle et al. 2005, p. 295). According to (West 2006, p. 775) criticized TTM is a model whereby it overlooked the essential motivation process of an individual but Prochaska mentioned that TTM does include operant learning principles and not simply the positive and negative type of analysis. According to (West 2006, p. 775) that human beings inspiration is much livelier and influenced by the instant context. According to Prochaska, action stage needs a significant commitment of time and energy. This is the stage where an individual gets most recognition from others because of their visible efforts (West 2006, p. 775). Research caution not to oversight this visible action of trying to change naturally because that the individual only change when there is a must to change as when there is a need to reached the definite goal; a decisive factor which scientist and experts agree is enough to reduce risk to the problem behaviour. TTM stages function outside conscious awareness and did not follow the decision making rules where it weigh up the costs and benefits. There is modest or no consideration of the notion of addiction which is obviously a crucial consideration when it comes to smoking behaviour. Prochaska described that temptation as the strength of urges to fit in a precise habit while in complex situation. Proschaska further mention that situations of negative effect or emotional distress, positive social situations, and cravings are the most common types of temptation to acknowledge. Temptation and self-efficacy have an inverse relationship with each other across the stages of change as its proven in studies (Guo 2009, p. 834). In an article it was shown that argument about the TTM was not against the existence or measurement of discrete entities that would be nonsensical, but (West 2006, p. 774) mentioned that TTM was actually criticized on the stages. There isnt any evidence to prove that TTM measures were superior to predicting the desire or intention of health behaviour change. In order for TTM to be generalized to the population, more studies should be carried out (Bridle et al. 2005, p. 299). It is important to analyse the process of hypothesis for each stages of transition in TTM (Guo 2009, p. 834). However, with the best evidence available it is limited not only in terms of methodological quality, but also the effectiveness of TTM interventions in health behaviour change in relation to either facilitate or promote progress stage (Bridle et al. 2005, p. 299). As a health professional has traditionally been apprehension with individuals risk factors for disease, economic, social and political causes for health issues. Its a challenge for a nurse to assist a person to change his/her lifestyle and there is no miracle to make a person to change their behaviour overnight. As a first step, Tamara should prepare herself on her action and planned on what she needs to help herself. Tamara also needs to be actively taking part in her action on developing and monitor herself on her progress. The healthcare professional has to set goals for Tamara and counselling is the first step of her improvement. During this stage of behaviour change, consciousnesses should be raised and assess the knowledge, barriers and how the family members can help Tamara; also check on the degree of the readiness of Tamara in change of herself. Tamara should prepare herself emotionally to face the physical, environment and her personal values. Tamaras counselling should include on how to handle her smoking influences when attend social activity, weight loss program-exercise and the harm of smoking effect for herself and people surrounding her. Evidence shows that women who are active in exercise initiated a quit attempt, which embrace promise and motivated to quit smoking (Vidrine et al. 2006, p. 101). Also set a quitting date, teach her coping skills. Build a good healthcare professional and patient relationship. Compassionate, empathy and concern from healthcare professional, that numerous smokers have effectively quit smoking (Vidrine et al. 2006, p. 101). As a healthcare professional, encourage or engage Tamara to speak to people who have successfully changed their lifestyle habits. In the early phase of change, the immediate positive verbal feedback of her desire should be re-assessed and re-evaluated by healthcare professional. That would help the healthcare professional to evaluate on how far Tamara has achieved her target. Arrange a support group, and telephone counselling, therefore whenever she feels she need a listening ear to reduce her stress, she can get help directly. That action would help to prevent her from relapse. As a healthcare professional, motivations, support and follow up on the progress of her health behaviour changes should be reviewed every 2 to 3 week for the initial period with telephone calls review, and 1to 3months of follow ups to check on her progress. Theres a lot of other ways of interventions and different types of healthcare professionals approaches in their own unique way for smoking cessation. More healthcare professionals training is needed in cessation of smoking and further behaviour researches in general have to establish. In conclusion, even there are pros and cons in TTM stages, it should be taken the measures of the attitudes as an individual towards quit smoking. All the result supports the concept that attitudes influences both intention and behaviour. TTM stages is a useful evaluation method, it can be use as a guide and valuable psycho-educational tools. TTM also facilitate and educate candidates about the change process in nature and dynamic of change. Feedbacks on performance are accurate and timely as the progress is crucial part of the self-regulatory cycle. Usage of Transtheorectical Model is base on the type of research as different research design offers different rank of evidence about the efficiency. TTM stages help a person to know where, when, how and at which stage change of behaviour affected, such as relapse and also help the person to improve or recover from the stage of relapse. Without stages its difficult for a healthcare professional to determine at what level or degree an individual is experiencing. Currently there are a lot of evidences supporting TTM and criticizing the model therefore it will be appealing to see what future will find.

A Look at Megan’s Law

Issues of crime and punishment are often at the center of controversy.   In part, this is certainly because often, the issues raised in matters of crime and punishment do not have easy answers and sometimes, there may not be any solution at all.   Certainly, each time a legal matter arises, even with similar circumstances, the resolution to such matters can be complex and can differ with each and every case.   We can gain some understanding as to the difficulty in deciding how to view and treat such matters by considering the case of Megan's Law.On July 29, 1994 Jesse Timmendequas, already a convicted sex offender at the time, is believed to have used a puppy to lure Megan Kanka, the 7-year-old daughter of his neighbors, into his home in Hamilton Township, Mercer County, NJ and brutally raped and murdered her (Flanagan, 2004; Vachss, 1994).  Ã‚   Once inside, Timmendequas is said to have slammed Megan’s head into a dresser and suffocated her with a plastic bag before s trangling her to death with a belt.   Subsequently, he moved and raped Megan's dead body again before dumping the body in a nearby park in West Windsor, NJ.Timmendequas was convicted of murder and sentenced to death for his crime.   After his conviction, New Jersey passed a law that has come to be known as Megan's law.   The law was designed to protect a community when dangerous sex offenders move into the community.   Some states require notification only for certain types of sexual assaults while other states extended the requirement to individuals convicted of sodomy or consensual sodomy, an act that was illegal in some states even between consenting adults before the U.S. Supreme Court declared such laws unconstitutional in June 2003.Timmendequas’ actions and the subsequent legal proceedings raise questions as to just how such a situation, or any similar serious legal situation should be handled.   Was he treated fairly?   Did the Kanka family receive proper l egal restitution for the crime?   How should such cases be handled?   We want to use the Megan Kanka/Jesse Timmendequas case to ask four basic questions and seek the answers to similar questions.   First, what are the goals of punishment?Is it actually the â€Å"punishment† of the individual who committed the crime, protection of the community, both, neither or more?   Second, in situations of serious crimes of this nature, should offenders be subjected to a lifetime of repayment for their crimes after serving their allotted term of imprisonment?   Third, when considering punishment, are the rights of the victim, the community or the offender more important; are all the rights equally important?   Finally, what goal(s) was(were) the Criminal Justice System attempting to achieve by instituting Megan's law.Megan's Law has been the focus of considerable controversy and heated debate.   After Megan’s rape and murder, there was considerable controversy regardi ng the question of whether the Kanka family may indeed have known that a sex offender (not necessarily Timmendequas, however) lived in the house across the street.   Although the Kanka family denied having any knowledge of Timmendequas' criminal past as a sex offender, there was evidence to suggest that it was common knowledge that at least one of the residents of the house where Timmendequas lived had a criminal past that included sexual assault, rape and gang shootings. (Vachss 1994)Even before Megan's rape and murder, law enforcement officials knew that three convicted sex offenders lived in the house where Timmendequas lived.   Although Megan's parents' claimed not to have been aware of this fact, some of their neighbors did know of the three men's past.   Even so, Maureen Kanka, Megan's mother, felt that people should not need to rely on gossip and rumors in order to learn about the presence of convicted sex offenders in their neighborhood.Perhaps first and foremost in an y legal situation is the question as to the goal(s) of punishment.   What exactly are the goals of punishment?   Punishment for crimes is supposed to be to deter crime.   Punishment penalties and law are based on utilitarianism, the idea that there should be no unnecessary punishment (UBSBA).   This idea says that we should evaluate laws on the basis of future consequences and suggests that punishment is always bad because it causes pain.Thus, â€Å"The reason to punish is to prevent future crime and the limit is to punish only if the pain is outweighed by the happiness it creates.†Ã‚   Crime and Punishment theory proposes the four questions should be asked when analyzing legal theories of punishment.   They are, 1) Is the punishment to prevent future crimes or to punish past misconduct, 2) Does the theory of punishment assume that the crime was caused by the individual or social problems, 3) Does the theory express blame for the proscribed act and actor and4) What is the relationship between the criminal and the rest of society?   That is, is the criminal part of society or excluded from society?   The threat of punishment is believed to stop rational people from doing something that ultimately will not be to their benefit, but the deterrent value of punishment is only thought to be effective if people are aware of the punishment prior to committing crimes.Megan's law was not meant to be a form of punishment.   Rather, it was designed to be an act that would provide information to prevent potential crime in situations where the potential may be real.   Some have argued that the law may lead to vigilantes formed against convicted sex offenders and the harassment of those offenders, but that was not the intension of the law.   Its purpose was to enhance public safety.   Although former sex offenders may be harmed by the law, supporters of the law claim that whatever incidental inconvenience or harm the former sex-offender may suffer as a result of the law is an unavoidable consequence of their own past illegal behavior.   It does not outweigh the community's right to know the possible danger of their presence.This case raises the question, â€Å"Should offenders be subjected to a lifetime of repayment for their crimes after serving a term of imprisonment?†Ã‚  Ã‚  Ã‚   This is not an easy question to answer.   Theoretically, a person should not need to continue to pay for past crimes a second time, or continue paying for them once they have paid, but that idea is fraught with problems and more or less impossible to enforce.   In fact, it is also impossible to determine what actually constitutes â€Å"payment for crime.†In life, individuals may pay for things they have done long after they have done whatever it was even if their legal payment has been completed.   We may pay in terms of paranoia, feelings of guilt and other mental and psychological payments long after any legal payment or e ven without legal payment.   So, psychological repayment for crimes may continue for a lifetime even if social and legal repayment do not.   A person's own mental and psychological retribution for their acts may continue indefinitely.Many psychological situations are viewed as diseases even though we don't really have a definition for (or officially believe in the existence of) the soul.   Psychology, for example, is, by definition, the study of the soul, but if asked, most people, including psychologists and psychiatrists would state that psychology is the study of the mind.   Ironically, psychologists do not officially believe in the existence of the mind either!Furthermore, sex offenses are often treated as if such crimes were caused by a disease or were a disease themselves.   However, even with real or other diseases (if we allow, just for the sake of argument, that some such offenses are the results of disease), there is no hard and firm definition of a disease even in situations where virtually everyone would agree that the situation (such as with cancer of cardiovascular disease) is a disease.The â€Å"retribution† theory of punishment holds that individuals should only be punished if they have done something wrong and their punishment should be in proportion to the wrong they have done.   This theory proposes that it is right to inflict pain, but recognizes that the innocent can get punished for things they did not do.   This is certainly a very serious consideration in any case of capital punishment.In other situations, an alleged criminal may eventually get a reprieve and be exonerated for a crime he or she did not commit even though their exoneration might come until after they have lost a few or even many valuable years in prison serving a term for a crime they did not commit.   However, in capital cases, exoneration is of little value after the alleged individual has been executed, and certainly, the criminal justice system must have executed many innocent individuals over the years.In such cases, both the known victim(s) of the crime and the individual accused of the crime become victims while the guilty party may permanently escape justice.   No one is punished for the crime because the individual who is punished is innocent.   So, the actual criminal has more or less committed an additional crime and gotten away with it.Whose rights are most important?   This question cannot be answered as asked.   The answer is not merely a matter of rights, but more a matter of safety.   The intent is to err on the side of safety, so the initial question has more to do with, â€Å"What will render the individuals of a community safe† than â€Å"Whose rights are most important†, certainly an important issue as well.   Some feel that Megan's law gives a false sense of security.   Statistics from the Bureau of Justice indicate that the overwhelming majority of sexually assaulted minors we re victimized by family members or acquaintances rather than by strangers.In fact, these statistics suggest that those who appear on a sex offenders registry would not really significantly resolve the problem of sex offenses against minors.   Thus, laws directed against the occasional stranger who might sexually assault minors would be like the tip of an iceberg in dealing with the actual problem.   Most victims will still be victimized and most of those guilty of the offense will never serve justice.   With the guilty party still free, laws similar to Megan's law would not really make most people any safer even if made people feel that way.However, statistics from the Bureau of Justice also indicate that sex offenders discharged from prison or sentenced to probation generally have a lower rate of re-arrest than other violent offenders but are substantially more likely than other violent offenders to be rearrested for a new violent sex offense (U.S. Department of Justice Press Release).   In cases of rape alone, execution is not an option.   Some have proposed that rapists be castrated (Vachss, 1993).   Castration is thought to emanate the male sex drive, but castration won't prevent murder as was the case in Megan Kanka's situation and some individuals get a vicarious thrill from the act of murder itself.Ultimately, the questions raised here are neither easy or straightforward.   Society may find those individuals who have committed violent sex offenses, try them, convict and sentence them and the accused individual, whether or not actually guilty, may pay for the crime.   However, it is certain that some guilty individuals will never be found, some innocent individuals will pay for sex (and other) crimes they have not committed and the laws designed to make society safer will work successfully at times and not at others.Perhaps we must live with the realization that answering the difficult questions raised here will not resolve our dilemma no matter what decisions we are ultimately to make.   All that we can actually do is to put laws in place that we believe will achieve a goal and then deal with every situation that arises on a case by case basis.   If we are honest and fair with our assessment, we will not trample the rights of victims nor victimize criminals any more than is necessary, if at all.   Our goal must be to try to be fair while protecting the safety of communities and those who live in them.   While we will never get the balance completely right, fairness is the key.ReferencesFlanagan, Russ.   â€Å"Megan's legacy, A child's death serves as a call to action†.   The Express Times, February 26, 2004.Vachss, Andrew.   â€Å"How Many Dead Children Are Needed to End the Rhetoric?†Ã‚   New York Daily News, August 12, 1994Vachss, Andrew.   â€Å"Sex Predators Can’t Be Saved.†Ã‚   New York Times, January 5, 1993Wikipedia, February, 7, 2007. ;https://en.wikipedia.org/wik i/Murder_of_Megan_Kanka#Jesse_Timmendequas; 4 January 2007.

Cultural Diversity in the Neighborhood - 1951 Words

Marco Navarro Dr. Benjamin Looker Urban Crisis ASTD 322 February 23, 2009 Cultural Diversity within the Neighborhood Sitting in a dark theatre, an audience begins to rustle in their seats with excitement, anxiously awaiting the start of the show. The lights dim and the anticipation are diminished as the lights come up, the set of a street side unveils, and the beat begins. In one instant, the audience is transported from a simple theatre to the lively street-side of the neighborhood of Washington Heights, New York. This production is the 2008 Tony-winning â€Å"Best Musical† In the Heights. Written and composed by Lin Manuel Miranda, the show combines hip-hop and rap music with a variety of dancing styles to portray the life in the†¦show more content†¦In In the Heights, Usnavi celebrates his migrancy by proudly stating that he comes â€Å"from the greatest little place in the Caribbean, Dominican Republic† (Miranda). Usnavi takes pride for his country and flaunts to the audience about his heritage. In the past, this pride of t he native land never would have occurred for those who boasted about being immigrants were often profiled and treated differently. This change is essential in understanding how immigrants are able to more easily accept American culture by allowing a piece of their own culture stay within them which helps identify the feeling of community within the neighborhood better. In Susan Dicker’s article about the transitional community within the Dominican culture in Washington Heights, Dicker argues that complete assimilation for all immigrants into American culture is highly unlikely which causes cultural diversity. Immigrants, who move to a different place with a pre-established sense of culture and identity, maintain an attitude to refute the new culture in order to maintain theirs (Dicker 13). 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In addition, other theories have been presented, such as the collective efficacy theory, which serve to explain the reasons for reduced crime in other neighborhoods while presenting possible solutions to solve the problem ofRead MoreSegregation vs. Integration1387 Words   |  6 Pagescontentious debate in America. Three writers who have opposing ideas on this topic are Daniel T. Lichter, Michael S. Murray, and Danielle Holley-Walker. Daniel Lichter opposes the idea of integration in his article â€Å"Integration or Fragmentation? Racial Diversity and the American Future.† He explains the Third Demographic Transition and writes how integration will lead to the deterioration of the country. Michael S. Mur ray is also an advocate for segregation as he explains in his article â€Å"Segregation and

Monitoring Students Difficulties Response to...

Federal mandates allows the use of â€Å"response to intervention (RTI)† (Bender, 2008, p. 150) documentation as a way to monitor a student’s difficulty with learning in the classroom setting. Therefore, assessments administered to students in the classroom are part of the RTI process. Every student learns differently, and understanding how a student learns can help a teacher differentiate between students who require specific methods of instruction that will enable them to learn, and students who struggle because of a possible disability (Bender, 2008). Discovering how a student responds to interventions attempted in the classroom can provide documentation of successful strategies, and offers valuable information that can help reduce the†¦show more content†¦When planning interventions in tier two, collaboration with special education personnel can be beneficial, and should be considered at this stage. Tier three involves interventions provided through sup port from the student support team of the school. It may involve recommendations for more individualized testing, development of interventions that are tailored to the student’s specific needs, and if appropriate, referral for special education testing. Tier four involves the administration of comprehensive evaluations, eligibility determination, and placement in specialized programs tailored to address the student’s disability (Georgia Department of Education, 2008). Fictional Case Study that could occur in this researchers’ system The following is a fictional scenario of how assessment can be used in the RTI process for a 7-year-old student suspected of having speech-language disorder, specifically in the area of oral language would be conducted in this researcher’s school system. Tier One A classroom teacher notices that one of her students has difficulty following verbal directions. 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If the interventions are not successful, then the student can be referred for EC evaluations to determine if they are in need of special education servicesRead MoreMission Statement And Philosophy Of Special Education6049 Words   |  25 Pagesin Special Education, I wanted to first welcome you and introduce myself. My name is Alyssa Mastrocco, and I am an administrator in the Polaris family of schools. I am proud to work at this school because we are not only focused on educating every student enrolled in our schools, but in guiding them beyond high school, into the college and career that is best for them. At Polaris, Special Education takes a sort of leading role in the educational environment. Our Special Education teachers are viewedRead MoreTeacher Action Research Paper on Reading Deficiencies in 2nd Grade Students12146 Words   |  49 PagesUNIVERSITY MATL Action Research Project VERIFICATION COVER SHEET MATL Student Name and NSU ID ARP School Site Where Project was Implemented: ___________________ Elementary School Dates of Implementation: AUGUST 2008 – JANUARY 2009 School Site Address and Phone: ARP One-sentence Problem Statement: By incorporating cooperative learning, guided reading and Reader’s Theatre, this research educator improved nineteen second grade at risk students reading comprehension levels by increasing their Oral ReadingRead MoreGroup Counseling: Purpose and Benefits3401 Words   |  14 Pagesadherence with monitoring schedules. The long term goals for group counseling are to see whether counseling will change smoking cessation behaviors, and also to document quitting behaviors. Another strategy of group counseling is to put in place strategies to prevent risks and promote early diagnosis and treatment (Gladding, 2011, pg 25). Evaluation will be carried out by documenting smokers who quit from the first day of counseling to the last day of counseling. There will also be documentation after interviewsRead MoreEssay on Assessment in Special Education3693 Words   |  15 Pageseducation, schools often have a pre-referral intervention process. The most prominent approached used today is the â€Å"response-to-Intervention† or RTI. Special Education teachers face many challenges when trying to meet the needs of special needs students in their classrooms. Methods of evaluation are a big concern and challenge for educators of special needs students today. In addition, meeting everyone’s needs is a difficult task to accomplish because of students’ diverse abilities in the classroom. ThisRead MoreClassroom Management and Pull-out Services: Research questions and Personal View on the Research Topic1706 Words   |  7 Pagesmanagement--the importance and influence it has on the everyday, overall functioning of the classroom and techniques and characteristics for effective classroom management, classroom management and its relation to students with special needs--the influence routine and structure have on students with disabilities and developmental delays, and finally pull-out services--what they are and the benefits and drawbacks of implementing them in inclusive educational settings. My first question was derived fromRead MoreBeing Professionals Nurses And Being Educational Role As Mentors3229 Words   |  13 Pagesbeing professionals nurses and being educational role as mentors we have a great responsibility to deal with students who are failing or we could say whose practise are giving a cause of concern. But for a very long time it was a subject which was not very much talked about or it was brushed under the carpet. It is quite understandable that it can be very distressing not only for the student but for the person who makes that decision or judgement. It came to lime light only after Cathering Duffy’s