Application Of Nursing Theory For Evidence Based Practice...

Application of Nursing Theory to Evidence-Based Practice Emergency department (ED) over-crowding is an ever growing issue. Although the reasons for ED overcrowding are complex and caused by many different types of issues, a potential solution can be the application of the nursing theory, Health Promotion, for parents and caregivers of children with acute gastroenteritis (AGE). The purpose of this paper is to apply the Health Promotion Model (HPM), by Nola Pender, to assist nurses to understand the major determinants of health behaviors to promote healthy lifestyles. Therefore providing education and health promotion strategies to parents and caregivers about AGE. Using properties of the assumptions and assertions of the HPM, can assist to educate parents and caregivers and in turn lighten the over-crowding issues emergency departments face today (Sakraida, 2014). Clinical Issue Emergency departments repeatedly face overcrowding due to increased public demand and decreased hospital resources (Rooney Schilling, 2014). Finding a way to combat the over-crowding is challenging, because all patients feel that their issue for being at the emergency room is a true emergency and do not want to wait for services. Emergency healthcare professionals are faced daily with the burden of overcrowding and long wait times for their patients. Health promotion programs in the ED allow for better care of patients and in turn decrease the need to return as often and ultimatelyShow MoreRelatedVision for the Future of Nursing: Interdisciplinary Collaboration across the Healthcare Sector1560 Words   |  6 PagesVision for the Future of Nursing: Nursing remains the most trusted profession because the lives of patients are entrusted to this profession. 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The Analysis of the Novel The Death of Ivan Ilych Essay Sample free essay sample

Introduction Thesis Statement: The novel ofLeo Tolstoy1981 entitledThe Death of Ivan Ilychhas provided several statements that sprung up throughout several reviews and analysis that occurred together with the literary piece. The primarysubjectof the fresh involves the chief status of decease as it comes near a individual and the procedure of accepting. interacting. and populating in a status wherein decease apparently knocks near. Thesecret planbad lucks that were experienced by the supporter of the narrative. Ivan Ilych. implicates a ramifying political orientations from assorted facets of elements. such as faith. literary reviews. societal scientific disciplines. doctrine of decease. etc. As for the analysis of the novel. the primary focusedelementsinvolves the facet of decease in its nucleus credence and the premier symbolic attributes specifically pain and decease itself. Furthermore. the analysis of the paper farther extends to the scenario of the characters. Gerasim. and the household. which someway provided the primary conflicting parties throughout the literary piece. Obviously. the class of the narrative is in line with the facets of mourning and heartache ; nevertheless. the primary sarcasm involved is how did the facet of deceasing became the way towards the visible radiation and enjoyment Body The novel starts in the character of Ivan Ilych Golovin who significantly plays portion in the justness system of St. Petersburg as a high tribunal justice. During the life of Ivan Ilych. prosperity and celebrity had been portion of the ever-existing kin inclined in political personal businesss. such as the paternal line of descent of Ivan. granted that they have served St. Petersburg in a chiseled mode. The household of Ivan Ilych comprises of political forces from Ilya Epimovich Golovin. who was a councilor. Ilych’s household of beginning did branched out in a well-famed and recognized persons ( her sister married a baron. and his senior brother sought the stairss of his male parent ) . Ilych averagely lived a normal yet important life as a Member of Court of Justice even though he was expected by his male parent as thele phenix de la familleor pride of the household. The powers enveloped in the appreciation of this attorney were negated at the clip of great anomalousness th at had occurred. The focal point of Ilych’s life remained in the sense of good workss for the community. for the spiritual religious orders. and for his household ( Schwehn and Bass 2006 492 ) . One clip. the ordinary life of Ilych was disrupted by immense hurting happening in his side. Apparently. the good workss did non saved him from the diagnosing of the physicians. which states that the status nowadays in him is terminal. and decease was approaching towards him. Ilych was devastated and resort to inquiries of meriting such faith sing the unsloped life that he ordained to himself ; hence. he began interrupting the usual impulse of the atmosphere. being ill-mannered even to his household. and much worst. to himself. However. the conditions of Ilych’s positions shifted as he met one of the symbolic figure established in Gerasim. who somehow taught Ilych the sarcasm of unreal life and reliable life. Upon the decease of the justice. the plot line branches out into assorted sentiments expressed by different characters. Fedor Vasilievich. Peter Ivanovich. and other members of the tribunal justness were keenly reasoning and anticipating the publicities brought by the decease of Ilych ( Danaher. 2007 ) . The construct of heartache and mourning greatly entangled the position of Ivanovich and the left behind household of Ilych. which someway institutes another symbolic figure implying the negative facet of decease. At the terminal of the narrative. Ilych recognized the benefit of deceasing in a different position of being cognizant. prepared and able to see the value of life every bit good as deceasing ( Dickenson and Katz 2000 220 ) . Therefore. at the terminal of the. Ilych eventually accepted his decease. negated the facet of unreal life. and welcomed the genuineness of his new given life ( Schwehn and Bass 2006 492 ) . The primary characters involved in the novel chiefly branch out to different character. viz. the supporter. new wave Ilych Golovin and his household. Fedor Vasilievich. Peter Ivanovich. Gerasim. and Praskovya Fedorovna. Get downing with the chief supporters. Ilych Golovin. who died in February 4. 1882. became the primary point of circulation in the novel ( see www. ccel. org ) . The treatment chiefly involved the decease of Ivan as he conjured a terminal unwellness diagnosed by the physician. which greatly affected every parts of his life ( Dickenson and Katz 2000 220 ) . The kernel of being ordinary nowadays in his life has shifted into a life full of enquiries and justifications of good plants over life’s unfortunate effects. Peter Ivanovich became one of Ivan’s closest familiarities. and the two of them went to jurisprudence school together with Vasilievich. Ivanovich presents uneven attack towards the casket of Ilych sing that his chief symbol in the narrative relays in an unenlightened person. Ivanovich and Fedor Vasilievich joins the character of position-greed in the novel. as the two exclaim the desire of obtaining the vacancy left by the places of Ilych ; hence. implicating the characters of discreet adversaries. Meanwhile. the married woman of Ilych. Praskovya Fedorovna. besides play important function in the class narrative as the chief support of Ivan in footings of his unwellness ( Malpas and Solomon. 1998 6 ) . As Ivan suppress the world of being terminally ill. Fedorovna continuously instills to Ivan’s mind the world of confronting decease. â€Å"Fedorovna’s position ; nevertheless. remains centered to his hubby and non for greedy motivations. although. the act farther d epresses Ilych’s perceptual experiences over his status ( Schwehn and Bass 2006 492 ) † . Last. the character of Gerasim. whom someway. provided the features of enlightenment-bringer on the facet of Ilych’s depressive estates had greatly modified the position of Ilych over life. decease. life and deceasing ( De Sousa. 2003 ) . By demoing and standing bravely over the face of deceasing and purdah. Ilych became impressed on his position. which someway motivated Ilych to alter towards the improvement. credence. realisation of life after decease. and the belief of God and confession ( Malpas and Solomon. 1998 6 ; Schwehn and Bass 2006 492 ) . The symbolisms nowadays in the narrative explicitly interact all throughout the narrative lines. peculiarly decease. hurting and the act of confession. â€Å"Most notably apparent. Ilych’s response over the hurting had provided him the lay waste toing intelligence that disrupted the environment of mundaneness and the well-classified life that he had as a member of justness commission ( Malpas and Solomon. 1998 6 ) † . The hurting experienced by Ilych acted as the primary trigger to switch the full dimension ofordinaryto the impression of anxiousness. The agonies brought by hurting triggered the alteration and exposure of failing in Ilych’s belief of uprightness and moral bases. sing that the profession whom the character signifies was really in the field of concluding and principle ( Klement 1994 ) . Pain acted as the premier trigger to switch the atmosphere and exceed the plot line to another facet. which is confronting the facts of terminal position peculiarly. decease ( Danaher. 2007 ) . The construct of decease is deemed non merely as the primary subject of the narrative but besides play portion of the symbolical three wherein fright of decease exposes the discreet uncertainties. trial of religion. degree of enlightenment and realisation of life far more than the cognition obtained from calling or instruction ( Malpas and Solomon. 1998 6 ) . Last. the construct of confession that was or dained by Ilych with a priest after accomplishing the realisations of reliable life over the deceasing one had significantly provided the symbolical function of declaration ( Klement 1994 ) . Sing the Christian dispositions of Tolstoy. ( hurting ) triggers are deemed necessary in order for us to recognize the current terminal ( decease ) of our action while believing that the current way ( unsloped life or an ordinary life ) can salvage us from the terminal. yet merely by understanding the extreme end ( reliable life ) can assist us seek the key ( confession ) ( De Sousa. 2003 ) . The novel’s sarcasm was dispatched chiefly on the latter portion of the narrative wherein the facet of joy and credence became the point of position of Ilych as he approach the close clip of his decease. Sing that the whole clip after cognizing the terminal status of his life. the facet of life became deformed and self-pity reigned over Ilych discreetly. and yet. the result of the novel illustrated a sense of satisfaction. which is a satisfied impression from deceasing. â€Å"And the hurting? † he asked himself. â€Å"What has become of it? Where are you. trouble? †He turned his attending to it. â€Å"Yes. here it is. Well. what of it? Let the hurting be. † †¦ â€Å"And death†¦where is it? † †¦Ã¢â‚¬ So that’s what it is! † he all of a sudden exclaimed aloud. â€Å"What joy! † ( Tolstoy 1981 ) The statement provided by Ilych greatly connotes the kernel of deceasing with satisfaction. credence and exhilaration ; nevertheless. the early looks involved utmost torment and hurting over his conditions that are yet to be resolved. In some point of analysis. the sarcasm revolves in the construct of reliable life and unreal life that possess beliing perspective yet manifest the existent accounts over the sarcasm ( De Sousa. 2003 ) . Bridged by enlightenment and realisation. Ilych eventually took his spring from the ideation of unreal life and eventually give up himself towards life’s genuineness by deceasing. which is the really most dry statement of the novel. Decision In the decision of the paper. the primary subject stated involves the facet of decease and the statement of the thesis states the brotherhood of credence of decease from the fright of deceasing. Three elements have been utilized in the full class of literary analysis. chiefly the word pictures. symbolism and sarcasm. The characters in the novel. which notably revealed the captivations and chief engagements of the most of import characters of the novel. provided the model of the full events of the narrative. The symbolism instills the threes of hurting. decease and confession. which somehow suggests the spiritual deductions of the narrative as referred to both the novel and the Christian inceptions of the writer. Last. the sarcasm involved tackles the important turning over from torment of decease towards credence to the point of seeking for decease. Plants Cited Internet Resources: â€Å"Death of Ivan Ilych. † 1 Christian Classics Ethereal Library. 7 Feb. 2008 lt ; hypertext transfer protocol: //www. ccel. org/ccel/tolstoy/ivan. hypertext markup language gt ; . Danaher. David S. â€Å"IVAN ILYCH. † 1 2007. Encyclopedia of Death and Dying. 7 Feb. 2008 lt ; hypertext transfer protocol: //www. deathreference. com/Ho-Ka/Ivan-Ilych. hypertext markup language gt ; . Database Resources: Klement. Vera. â€Å"An Artist’s Notes on Aging and Death. †Art Journal. 53. 1 ( 1994 ) : 73-76.Online LIbrary. Questia Database. 7 Feb. 2008 lt ; hypertext transfer protocol: //www. questia. com/read/5000206040 gt ; . De Sousa. Ronald. â€Å"Perversion and Death. †The Monist. 86. 1 ( 2003 ) : 90-97.Online LIbrary. Questia Database. 7 Feb. 2008 lt ; hypertext transfer protocol: //www. questia. com/read/5002526428 gt ; . Print Resources: Dickenson. Donna. and Joanne Katz.Death. Dying and Bereavement. Sage. 2000. Gergen. Kenneth J. . and Mary M. Gergen.Social Construction: A Reader. Sage. 2003. Schwehn. Mark R. . and Dorothy C. Bass.Leading Lifes That Matter: What We Should Make and Who We Should Be. Eerdmans Books for Young Readers. 2006. Primary/ Book Resources: Tolstoy. Leo.The Death of Ivan Ilyich. Bantam. 1981. Malpas. J E. . and Robert C. Solomon.Death and Philosophy. Routledge. 1998.

Industry and risk analysis

Discuss the future outlook and industry trends related to the new venture The new the venture is a healthy snacks business that target mostly, commuters in the transport industry and also households within the country. In Kenya through improved infrastructure transport industry has been growing steadily. This has been evident in major towns and cities such as Nairobi, Kisumu, Mombasa, Thika, Nakuru and Eldoret just to mention but a few. In addition to this, food industry has become a giant sector in this era of increased urbanization coupled with globalization.Advertising We will write a custom essay sample on Industry and risk analysis specifically for you for only $16.05 $11/page Learn More As population growth increases and demand for food also rise, food industry has played a great role in that it has made food available all the year round even when food crops have failed. It has been able to achieve this through technological innovation in food proc essing and preservation which has increased the shelf life of food stuffs. For this reason, people have been able to access foods from many outlets even in regions where certain types of foods are not grown. Food industry is increasingly becoming a very important sector in any economy simply because it has made food available in ready to eat form; some of the processed foods take lesser time to prepare as they are precooked during processing and have made some foods which are only found during certain seasons to be available during all the year round. In relation to transport industry which is growing steadily, it is projected that the industry of new venture will also grow. There is marked by economic growth in the country and this translates that potential consumers have relatively high purchasing power. Also, this is very important because with growing economy of the country people are able to transact as they move from one point to another. Though the country had experienced pol itical instability three years ago, there seems to be a stable political climate with ushering in of new constitution in the country. Snacking is very common with commuters. Commuters will tend to have snacks in bus terminals as they are about to travel while others buy food snacks to eat when on transit. This is a clear indication that provided the business will offer products that are tailored to meet consumers’ needs there is market for these products and that the future outlook of the business is bright. Discuss the legal or concerns related to the venture idea A sole proprietorship kind of business in Kenya does not have many legal formalities. To start with there need to be a business name which should be applied at a registrar of business so that certificate of registration can be issued. The business needs to apply for trading license from city council because it will be situated at Nairobi City in the central business district.Advertising Looking for essay on bu siness economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More This is necessary because it will enable the government to earn revenue. In addition, business needs to conform to public health laws such as Food and Drug Act that governs business that deal in food commodities for sale to the public of Kenya. Discuss the approach to raising capital for the venture There are number of approaches which can be used to raise capital for this new venture. In order to be able to have a breakthrough in raising business capital, a business plan should be prepared. Business plan acts as financial tool which provide adequate information to facilitate secure capital particularly in form of loan from financing institutions. The first approach to consider when raising the capital for the business is bootstrapping. This is where one uses any resources at disposal to get business started. Basically, this is in formed of home-equity loans and personal loans. Ano ther approach is use of family and friends. Though this approach is not formal, family members and colleagues can help to raise needed capital. Using personal loans is another approach to raise business capital. This can be in form of re-investment into the business. A step further can be taken for more capital if it is needed. This can be through cash out credit card transfers or home equity loans. However, when using such methods to have initial capital for a start up business it can be extremely risky and therefore need to be done with a lot of care ( Berkery, 2007). Suppliers can also be used to provide business capital. This is in form of product development which necessitates customization with such suppliers for them to be able to respond positively. By guaranteeing that business will be able to pay for their material they have provided perhaps by holding inventory they may agree to support business through raw materials for making business products. Some large suppliers may have some funds that have been kept aside purposely for investing in rising up businesses that would facilitates expand their investment portfolios and businesses. Besides this , they help business have steady follow of supply of the products they supply because they understand new venture vertical market well and may have competitive rates for their products (Pride, Hughes Kapoor, 2008). Bank loan is another alternative approach though not that relatively easy to obtain especially for start up business. Most of the bank will often take into consideration those businesses which have been operating for at least two years. This is due to the fact that they prefer seeing assets which are tangible that can be used as collateral.Advertising We will write a custom essay sample on Industry and risk analysis specifically for you for only $16.05 $11/page Learn More If such methods mentioned above do not work or fail to raise the needed capital to start the busi ness, selling partial business ownership can be a last resort. This involves selling business ownership in form of ownership interest or stock. Lastly, venture capitalists can be potential sources of business capital. They are wealthy persons who specialize in providing start up capital for coming up business in form of equity capital (Berkery, D. 2007). Discuss the obstacles to raising capital for the venture One of the challenges in raising capital for the business is that when you sell the ownership interest or shares of stock as a proprietor you sell the equity and you are bound to loose control of the business because you are not sole decision maker in matters of running the business. Another obstacle is that when one opts for using family and friend as a way of raising business which is an informal way, it may bring problems in future. It is not advisable to mix business and social relationships because this may interfere with business policy. Even though venture capitalists a re potential sources of business capital, they are not easy to find. Also, personal loans to provide start-up capital for the business can be a reasonable option. Nevertheless, it can be extremely risky because in case business run at a loss one is bound to incur all the risk alone and this means that the proprietor will loose all that had been invested in the business (Sutton, 2009). References Berkery, D. (2007). Raising venture capital for the serious entrepreneur. Columbus: McGraw-Hill. Pride, W. M., Hughes, R. J., Kapoor, J. R. (2008). Business. Florence: Cengage Learning. Sutton, G. (2009). The challenges of raising money with equity financing. Retrieved from: https://www.allbusiness.com/ This essay on Industry and risk analysis was written and submitted by user Krystal Park to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Xisa essays

Xisa essays Toto begins to find interest in the opposite sex when he sees a new girl in his school. Toto and Alfredos talks take a turn towards women and love. Something that most fathers talk about with their sons. Alfredo tells Toto the story of a solider who falls in love with a princess. While telling the story, Alfredo doesnt tell Toto what it is supposed to mean or how he can relate it to his own situation. Alfredo leaves him with, And dont ask what it means. I dont know. If you figure it out, you tell me. EThis is for Toto to think on his own, about himself, and about the entire issue of love itself. Without this positive male role model, Toto could have ended up in jail or other serious trouble, but with the guidance of Alfredo he was able to succeed into adulthood. Toto, the main character in the film Cinema Paradiso Eis a lost child who requires the support and guidance of a father, the one thing missing in his life. Growing up in Giancaldo offered him a broad prospective on life and the world around it. With the direction given to him by Alfredo, Toto was able to come out of his young adulthood with knowledge and wits he would have never learned without him. In the end, Alfredo wants Toto to leave Giancaldo in search of a better Elife. I think what Alfredo wants is what he never got, to explore life outside of his hometown. But, for the most part, this hamfisted movie is very enjoyable. Despite his crowding of the film with familiar Italian-character cutouts (screaming parents, admonishing priests, masturbating boys and, yes, even a town idiot), screenwriter/director Tornatore gives these and other cliches an entertaining flow, a certain Mediterranean deliriousness. His excessive spirit is given appropriately sentimental swirl by scorer Ennio Morricone, and comely authority by cinematographer Blasco Giurato, who floods "Paradiso" with exquisite compositions. As the young tyke, Salvat...

Honda Marketing Strategies in USA Essay Example | Topics and Well Written Essays - 1000 words

Honda Marketing Strategies in USA - Essay Example rowth, but a carefully plan market research got them to understand that people in US travelled long distance, and therefore started to build bikes of 250 CC and 350 CC engines. However, at the same time the 50 CC bike which was very popular in Japan, known as the Super Club, started making its foray into the market. At the beginning of everything, it did not look like that a small bike would be able to hold on its own in a market dominated by heavy engine bikes as well as choppers, which catered to a specific crowd which emphasises on staking a claim on the roads with utter dominance. However, once the Small Club was rolled out, it created its own niche in the market. It inspired a part of the crown which needed a simple bike capable enough to take them to their shops or offices without any fuss or fanfare. This was important as later on the Super Club came to be known as the normal man’s mode of transport. â€Å"At face value, the Super Cub had little appeal for the American buyer. The motorbike market in the US at the time was quite small and dominated by entrenched players such as Harley Davidson, Indian, and imports like Triumph and Moto Guzzi. There were only 1,000 full-time motorbike dealers in the entire country (compared to some 10,000 today), and most bikes were either in the mold of Harley-Davidson — large, heavy, and built for noisy cruising, or were sportbikes made for performance, exemplified by Triumph. Motorbike riders were generally seen as nefarious outsiders, clad in leather jackets and riding in packs to terrorize small towns and cause trouble at funfairs, an image played up by Hollywood — think James Dean, Marlon Brando in The Wild One, and later Easy Rider. Furthermore, Japanese products with funny names were looked upon suspiciously by American... Honda started as a motorcycling company in the 1950’s when it ventured into the US market. At that time it was a humble beginning for a company like Honda which had tough competition from other companies in the USA who were already selling motorbikes and cars in the USA. However, they took rapid strides and within a few decades, from a humble motorcycling company they went on to become the largest automobile manufacturers in the USA. This paper shall analyse the marketing strategies they deployed in order to become successful in an alien market like the USA. Honda was already a big consumer giant in Japan before it came into foray in the United States. The name was very famous in Japan and Honda took that brand value and applied it to its products in the USA. It all started with a small entry into the US market where they had no scope for growth, but a carefully plan market research got them to understand that people in US travelled long distance. The one liner they had shot them to prominence and they have remained at the top since that very time. It is due to sheer adaptation of the market were they able to demonstrate their products, which were able to meet the needs of the daily commuter in the USA.

Is Rim Destined to eventually Fail Essay Example | Topics and Well Written Essays - 1500 words

Is Rim Destined to eventually Fail - Essay Example The factors can still support the argument otherwise. As a manufacturer of the Blackberry phones and products, RIM has shown a significant growth record in the recent past. The growth is witnessed in terms of output, staffing and the manufacturing infrastructure. The consistent increase in volume of the company’s products ensures its competitiveness in the marketplace by confirming that the products it supplies are market-friendly and adequate to the ever-increasing number of customers. The increase in production is fueled by the adequacy of staff. Adequate staff ensures that work is concluded on time, hence, meeting the company deadlines. Manufacturing infrastructure, on the other hand, facilitates invention and innovation resulting in originality of the company products (Palmatier & Crum, 2003). Externally, there is the ever-rising pressure from the rapidly expanding consumer base; RIM products experience a short lifecycle. Therefore, they have extended manufacturing contrac ts to likeminded firms to help them in production to meet the ever-rising customer demands. This has extended the decision making chain resulting in complexity when it comes to market efficiency and decision-making in terms of enhancing supply chains. The software makeup of the organization is also not up to the task, prompting the implementation of a decision support system for the company to ensure it continues its operations successfully (Chopra & Meindl, 2001). In the recent past, RIM has been quite successful and because of this success, a crop of challenges has come up threatening the success of the corporation. The company introduced seven new models of their products within the last 18 months. The challenge with these products is their shortened lifecycle that has reduced further from 2 years to a mere 1 year. Reports show that the company’s product portfolio has become very complex ranging from 18 to 100 possible end combinations of the models with only seven lines o f products. This has the challenge of easily creating what we call an excess inventory calling for an appropriate plan. Such are the introductions of the product lines without which the overall costs of the firm would rapidly escalate cutting down on profits resulting in reduced returns (Palmatier & Crum, 2003). The growth of the output of the handheld phones invented and launched within the last two years has risen by 310%. This has presented a challenge of keeping up with such growth as the supply chains have risen from just one to six suites worldwide (Klein, 2003). The ramp rates are also severe as they are executed from multiple manufacturing points within different countries. Therefore, RIM through its management has to be extra careful on how it introduces its products to the customer base that is wide both in size and in the expectation. Decision-making has become increasingly difficult in the ever-rising complex environment. As a result, the corporation has lost track of wh ich products to produce, at what time and to which audience (Chopra & Meindl, 2001). This is despite the fact that the decisions made at the head office cuts across all the supply chains making the company to always honor its commitment to its clients. A company is able to succeed if it is in the position of responding appropriately to the demand of its staff. In addition, there would be a delay in the production due

Family Relationship in Movie the Descendant Essay Example for Free

Family Relationship in Movie the Descendant Essay The King’s family depicted in the movie â€Å"The Descendant† reflects the family live style and dynamic in many of the typical middle income families. The core values that the King’s family fostering, such as love the nature, honest to each other and the united of the family, are in rooted with their heritage as the Hawaiian. The tragic incident of the main character Matt King’s wife Elizabeth provides an opportunity for Matt to review his relationship with his seventeen-years-old daughter Alexandra and ten-year-old daughter Scottie. During the coma of Elizabeth, Matt learned how to be a real father. He is growing with his daughters and building a strong relationship within his family. The author believes the King’s family in this movie set an adequate role model for families to learn how to reestablish a dysfunctional family to a healthy family. Primary Relationships Matt King is a lawyer specialized in real estate transaction. He is also a sole trustee of 25,000 aces of Kauai virgin land passed from his ancestor. He lives with his wife Elizabeth, older daughter Alexandra, who is 17 years old and a younger daughter Scottie, who is 10 years old in Hawaii. Matt is too concentrated to his work. He has very little time to be with his family members. He neglected his wife, he has not seriously talk to his wife for years, in fact, he hasnt talk to his wife three days before she had the boating accident and dying in the hospital. He doesn’t involve much with his daughters; he thinks that taking care of the daughter is her wifes responsibility. Since Matt hardly has time to Elizabeth, she has spend many her time in playing motor boat racing; parting with her friends, and heavily drinking. Until 23 days ago, she had an accident on her boat which was driving by her friend. Alexandra is in a boarding school because her parents want to discipline her with alcoholic and dating with older man issues. She loves her family members, however, she refused to talk to her mother after last Christmas because she found out that Elizabeth was dating another man, and she was angry with her for betraying her marriage. Scottie was a lost young girl. She has difficulty to make friends at school; she often uses inappropriate body language and profanity language when talking with people during she was angry. She likes to put on Alexandras under dress to express her eagerness of being a big girl. All the behavior of Scottie is try to get peoples attention. She wants people to care of her feeling and interact with her more. She revealed that all the behaviors and languages were learned from Alexandra. Scott is Elizabeths father. He loves Elizabeth dearly. In his eye, Elizabeth is a strong and thoughtful girl; she devoted one hundred percent to her family; and takes good care of the daughters. No one can compare with her, even the granddaughters. Familys Developmental Stage Kings family was living in a nuclear family with adolescent girl and young girl before the wife, Elizabeth was comatose. The absent of mother in the family, turned Matt, the father from a backup parent to in charge. The daughters have to adapt their fathers new role and live with a single parent; while all of the family members have to accept the death of Elizabeth. Before Elizabeth was hospitalized, this family was a dysfunctional family already. With Elizabeth alcoholism and life risk motorboat racing hobby, workaholic Matt, alcoholic recovery Alexandra, and left alone Scottie; the family was in the movement of centrifugal. It seems that Matt and Elizabeth did not have a parents system in the family. They did not set the clear boundaries to their daughters. Their daughters do not respect them and they do not have authorities. When Matt started to take charge of the family, he self-examination the familys development, and decided to change from a distance father to be a caring father. He constantly reminding his daughters to use the appropriated language and talking with people with respect, event the mother was not able to listen, they still need to talk to her the was to pay their respect. He draws a very clear boundary for their daughter of being respect to parents and grandparents. The family crisis of losing the mother provided a chance for them to be more closed to each other. Alexandra reflected from Scotties behavior and started to be a better role model for her young sister; she is lso a main support for her father to recover from the hurtful feeling of wifes infidelity, and defending her grandpas incorrect accusation of her father treating her mother. Scotties behavior is getting less dramatic. Matt and Alexandra spend time with her and educate her about selecting the right friend and avoid the bad influence her friends. Without the mother in their life, the structure of the family changed. Alexandra alliance with the father and they make the family reac ted to the crisis more positive and reduced the negative impact to the minimum. The family slowly moves toward the centripetal. Familys style of communication The family had a poor communication system before the tragic incident of Elizabeth. Matt neglects her wife; he had not talked with her for three days before the comatose and had not talked with her for serious matter for ten years. Matt also not communicate with his daughters well neither. He did not talk with her younger daughter since she was three years old. When Matt and Elizabeth found out the problem of her older daughter, they put her in boarding school. There were frequent verbal fighting in the family; Matt with Elizabeth, Elizabeth with Alexandra, and Alexandra with Scottie; for the issues of what they want. When Matt took charge of the family during Elizabeth was hospitalized, he often gave order to the daughters and the daughters often ignored him and kept to do things their way. At the last stage of the movie, the family life cycle has changed and they must to learn how to communicate better in order to live in a functional and health family. The non-verbal communication style in the last scent indicated that they are moving toward that direction. Strengths, Weakness and Clinical Problems The strength of the family is they love each others; they treasure the family as a whole and against anyone who try to break their unity. The weakness of the family is they lack of communication skill, they don’t devote enough time to each other as a family. Matt and Elizabeth have challenge on parenting their daughters. Matt complaining Elizabeth for not being a good role model and Elizabeth complaining Matt for neglecting her and the daughters only bought the high tension in the family, but not solve the problem. The couple has marriage issue and Matt may better take Elizabeths advice to seek professional help together. For their daughters behavior issues, they could go to family counseling together. Matt was being accused by Elizabeth about his out of touch of his own feeling; he could talk to the therapist how to feel about this accusation. Therapist could help Elizabeth find a better way to handle the drinking issue and the feeling of being neglect by Matt. Therapist could discuss with Alexandra what is the underneath cause to her drinking problem and wanted to data the older person. Therapist could talk to Scottie and help her to see the cost and benefit of using profanity language and inappropriate body language. As a whole family, therapist could guide them using effective language to address their concerns and avoid any angry complains. Have each of the family members to agree on getting a regular family time to bond their relationship. Relevant Gender Concerns Matt and Elizabeth were growing up in the Hawaii, and Matt has the blood of the indigenous royalty of Hawaii. The met in the law school and established their family later. The only relevant cultural concern would be the male supremacy. This reflected from the Elizabeth who had to stay home to take care of the daughters with a law degree, but Matt is devoted hundred percent of his effort and time to his law firm. Conclusion In the family development, it is normal to have family structure change and experience some different degree of family crisis. Some families can survive from the change or crisis; they adapt the new situation and move on to form a healthy family relationship. Some families cannot sustain the impact of the change or crisis; they fell apart and each of them develop a different kind of symptoms and hard to stay as a family anymore. With Kings family illustration, the author believes, if every family members willing to take their responsibilities, setting a goal for helping each other to living a better life, remaining family unity and love each other as their core value, having effective strategies, such as making clean boundaries from parent to children and making new alliance to a subsystem, then, such family will be not only survive but evolve from the crisis and living in a much healthier and functional family.