Health Promotion for Alcohol Essay

Bernadette Ward RN, Midwife, Grad Cert Ed, MPHandTM, MHlth Sci Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia. B. Ward@latrobe. edu. au Glenda Verrinder RN, Midwife, Grad Cert Higher Ed, Grad Dip Pub and Com Health, MHlth Sci Senior Lecturer, Faculty of Health Sciences, La Trobe University, Bendigo, Australia. ABSTRACT Alcohol misuse in Australia society is a community issue that can be addressed successfully within a health promotion framework. It is important that strategiesarenotperceivedas‘quickfixes’butwork toward addressing some of the underlying structural factors that contribute to the problem. Objective The objective of this article is to demonstrate how nurses can use the Ottawa Charter for Health Promotion framework in addressing alcohol misuse among young people. Primary argument The Ottawa Charter for Health Promotion (1986) provides a useful framework from which to view the health of whole populations over their life course and in doing so work toward strengthening peoples’ health potential (World Health Organization 2005). The relevanceoftheCharterliesnotonlyintheinfluenceit has on establishing health promotion practice, but also theinfluenceithasonhealthpolicydevelopmentand health research (World Health Organization 2005). Conclusion Parents and community members have an important role to play in addressing alcohol misuse among adolescents but they need to be supported by nurses who can provide care within a health promotion framework. KEY WORDS alcohol, youth, Ottawa charter AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 25 Number 4 114 POINT OF VIEW INTRODUCTION The Ottawa Charter for Health Promotion (WHO 1986) has been ‘phenomenally influential in guiding the development of the concept of health promotion and shaping public health practice’ (Nutbeam 2005). The Charter is now more than 30 years old and, as a landmark document, outlines a clear statement of action that continues to have resonance for nurses around the world. The Charter was re? endorsed in Bangkok at the 2005, 6th Global Conference on Health Promotion as it had been in Mexico? City (2000), Jakarta (1997), Sundsvall (1991) and Adelaide (1988). The principles and action areas have stood the test of time in nursing, health policy development and health research. Itisnowknowntherearemanyfactorswhichinfluence health and illness. There is generally no single cause or single contributing factor which determines the likelihood of health or illness; rather there tends to be a variety of causes. Factors that determine physical and mental health status include income, employment, poverty, education, and access to community resources. These social factors generate people’s life experiences and opportunities which inturnmakeiteasierormoredifficultforpeopleto make positive decisions about their health. While there are many actions that a person can take to protect their own or their families’ health, very often the social context of their lives makes it impossible to take those actions (Talbot and Verrinder 2005). Health promotion and disease prevention strategies at the societal level are now part of the repertoire of nursing interventions. The Ottawa Charter highlights the importance of building healthy public policy, creating supportive environments, strengthening community action, developing personal skills and reorienting health services. Used collectively in any population setting, the action areas have a better chance of promoting health than when they are used in isolation. The Charter also highlights the potential role of organisations, systems and communities, as well as individual behaviours and capacities (Talbot and Verrinder 2005). AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 25 Number 4 Health promotion strategies have been used effectivelytoaddresshealthissuesthatareidentified as problems by the community. In Australia and throughout other western countries, the misuse of alcohol by young people has been highlighted as a problem (Toumbourou et al 2003). Alcohol misuse amongst adolescents For many Australians, alcohol consumption is a pleasurable part of everyday life (Parliament of Victoria 2004). However in recent years there have been several reports highlighting that the proportion of adolescents consuming alcohol and the amount of alcohol they are drinking is at record levels (AIHW 2008; White and Hayman 2006; Shanahan and Hewitt 1999). The long and short term sequelae associated with risky or high risk alcohol consumption include negative physical, emotional and social consequences (NHMRC 2001). Immediate harms include accidents, injuries, decreased scholastic and sporting performance, aggression, violence, assault, disrupted family relationships, high risk sexual activity,drivingwhileundertheinfluenceofalcohol and delinquent behaviour (Jones and Donovan 2001). Among young people aged 16 to 24 years, alcohol related harm is one of the leading causes of disease andinjuryburden(AIHW2006). Thesefindingsare consistent with population based research in Europe, United States and Canada (Jernigan 2001). CommunityconcernhasbeenreflectedinAustralian media reports about ‘teenage binge drinking’ and the associated harms and generated debate in the Australian media about raising the legal age of alcohol consumption from 18 to 21 years (Editor 2008; Toumbourou et al 2008). In countries outside Australia, studies have demonstrated that raising the legal age for alcohol consumption reduces adolescents’ access to alcohol and the subsequent associated harms (Ludbrook et al 2002; Grube 1997). While there are lessons to be learned from these settings, perceptions of health and how to address the determinants of illness have changed due to a combination of well informed ‘top? down’ and well anchored ‘bottom? up’ approaches to policy making (WHO 2005). Previous reports in Australia 115 POINT OF VIEW have suggested there is little community support for any proposed changes to the current age for alcohol consumption and instead focus is more on the enforcement of current legislation (Loxley et al 2004). Australianparentshaveacriticalroleininfluencing the attitudes and beliefs of young people toward alcohol consumption. However parents have indicated they are looking for information, skills and community support to assist them in guiding their adolescents’ safe use of alcohol (Shanahan and Hewitt 1999). The five action areas of the Ottawa Charter provides strategies from which nurses can support parents to promote health and encourage safe alcohol consumption patterns among adolescents. By using the framework of the Ottawa Charter, nurses have a strong evidence base and useful framework from which to support families and the broader community in addressing the issue of alcohol misuse among young Australians. Reflecting on their own professional setting, nurses can use the Ottawa Charter framework to guide and inform interventions aimed at reducing alcohol related harm among young people. Using the Ottawa Charter as a framework to address the determinants of illness associated with alcohol misuse 1. Action area 1: Build healthy public policy causes of ill health. Community action strategies are an important way of addressing alcohol related harm (Parliament of Victoria 2004). Regulation and restriction of sales, increased server liability, increased alcohol taxes and lowered blood alcohol limits are some of the policy areas which have been shown to be effective in reducing alcohol related harm (Parliament of Victoria 2004). Healthy public policy affects the entire population directly or indirectly. Nurses have a key role in informing and advocating on behalf of clients, families and the broader community and in promoting effective public policy. 2. Action area 2: Create supportive environments Building healthy public policy is one of the solutions to improving health. All public policy should be examined for its impact on health and, where policies have a negative impact on health, strategies implemented to change them. Healthy public policy is needed to ensure that people are safe. In recent years, initiatives to reduce alcohol related harm have increasingly been focused on high risk individuals (Parliament of Victoria 2004). While these strategies may be appropriate for individuals, they do little to reduce the burden of disease at the community level (Midford 2004). There are risks attached to focusing on individual behaviours and victim blaming instead of addressing the structural AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 25 Number 4 Healthy public policy assists in creating supportive environments that are important in ensuring that everyone lives in a place that is safe and enjoyable. Alcohol misuse is not just something that pertains to young people; it is a problem that impacts on all members of the community. In a society where alcohol is often seen as an integral part of life (Australian Government 2006) and alcohol misuse is implicated in one third of all road accidents (AustralianGovernment2001)whatisdefined as safe needs to be re? considered. Parents commonly supply alcohol to their adolescents (Graham et al 2006; Ward et al 2006; Shanahan and Hewitt 1999) and in Australia enforcement of current legislation to restrict underage access to alcohol is ‘patchy’ (Loxley et al 2004). As a result,manyadolescentsfindaccesstoalcohol easy. In addition, alcohol advertising that is targeted to youth is often linked with social and sexual success and hence contravenes the Alcoholic Beverages Advertising Code (Jones et al 2001). Public policy designed to create supportive environments has resulted in the ‘settings’ approach to health promotion, where working for change occurs through partnerships at the community level (Talbot and Verrinder 2005). Nurses, for example, have a role in 116 POINT OF VIEW facilitating interaction between teachers and parents and between local government and school communities so they can exchange information, ideas, clarify values (McMurray 2003) and identify strategies that will focus on reducing alcohol related harm among young people. Nurses can encourage and establish primary care partnerships to develop alcohol action plans designed to improve the health and wellbeing of adolescents. 3. Action area 3: Strengthen community action 4. Action area 4: Develop personal skills Strengthening community action is important and so there needs to be mechanisms by which the community can participate in decision making as a community and not just as an individual. Communities can determine what their needs are and how they can best be met. Thus greater power and control remains with the people themselves, rather than totally with the ‘experts’. Community development strategies are one means by which this can be achieved. To date in Australia there have not been any formal consultations with youth about raising the legal age of alcohol consumption. Central to the success of the Ottawa Charter is increasing people’s control over their own health and issues that impact on it. The participation of youth groups is critical to the principles of equity and participation. In countries outside Australia, some community mobilisation programs have been effective in changing community factors (e. g. underageaccesstoalcohol)thatinfluence alcohol use amongst young people (Holder et al 1997). There are a number of successful community mobilisation approaches that have focused on reducing alcohol related harm among young people (Hingson and Sleet 2007; Hanson et al 2000). The role for nurses is to draw on these examples to successfully mobilise young people to be involved in the decision making process about issues that impact on their health and wellbeing. Developing personal skills is important if people are to feel more in control of their lives and have more power in decisions that affect them. Helping people develop their skills ensures that people have the information and knowledge necessary to make informed choices. InAustralia,manyparentsfindithard to communicate with their adolescents about alcohol (Shanahan and Hewitt 1999). It is alsoclearthatmanyparentsfindthemselves isolated and powerless to do anything about their adolescents’ alcohol misuse (Shanahan and Hewitt 1999). Systematic reviews of alcohol and other drug education programs in schools indicate that effective school based programs should begin before initiation to alcohol and other drugs and that content should include social skills and resistance training. In addition, community values, societal contexts and information about drug related harm need to be included (Midford et al 2002). Alcohol education programs that provide information alone have limited success (Foxcroft et al 2003). Without an understanding of alcohol related harms and interventions to address those harms, parents and community members cannot support initiatives for changes (Howat et al 2007). Nurses can work with parents, teachers and students to provide formal and informal education (WHO 2005) which informs alcohol related harm reduction policies. 5. Action area 5: Reorient health services Reorienting health care is important in ensuring that health promotion is everybody’s business. Re?orientating health services means that nurses have a pivotal role in fostering intersectoral collaboration between the health sector, police, education, adolescents and parents. There is some evidence to suggest that brief interventions can have some effect in reducing alcohol related harm among young people (Loxley et al 2004). However recent AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 25 Number 4 117 POINT OF VIEW overseas evidence suggests that in settings that are most commonly used by adolescents, many health practitioners are not comfortable and adequately skilled when working with young people (McPherson 2005). Working in partnership with other health care providers, nurses can encourage positive health practices where brief interventions that focus on harm reduction, can be provided from places where young people congregate (McMurray, 2003). Graham, M. , Ward, B. , Munro, G. , Snow, P. and Ellis, J. 2006. Rural parents, teenagers and alcohol: what are parents thinking? Rural and Remote Health, 6(online):383. Available from: http://www. rrh. org. au/publishedarticles/article_print_383. pdf (accessed May 2008). Grube, J. 1997. Preventing sales of alcohol to minors: results from a community trial. Addiction, 92(S2):S251?260. Hanson, B. , Larrson, S. and Rastam, L. 2000. Time trends in alcohol habits – results from the Kirseberg Project in Malmo, Sweden. Subst. Use Misuse. 35(1&2) 171? 187. Hingson, R. , Azkocs, R. , Herren, T. , Winter, M. , Rosenbloom, D. and DeJong, W. 2005. Effects on alcohol related fatal crashes of a community based initiative to increase substance abuse treatment and reduce alcohol availability. Injury Prevention, 11: 84? 90. Holder, H. , Saltz, R. , Grube, J. , Voas, R. , Gruenewald, P. and Treno, A. 1997. A community prevention trial to reduce alcohol? involved accidental injury and death: overview. Addiction, 92(S2):S155? 171. Howat, P. , Sleet, D. , Maycock, B. and Elder, R. 2007. Effectiveness of Health Promotion in Prevention Alcohol Related Harm, In: McQueen, DV. and Jones, CM. Global Perspectives on Health Promotion Effectiveness. Springer, New York. Jernigan, D. 2001. Global status report: alcohol and young people. World Health Organization: Geneva, Switzerland. Available from: http://libdoc. who. int/hq/2001/WHO_MSD_MSB_01. 1. pdf (accessed May 2008). Jones, S. and Donovan, R. 2001. Messages in alcohol advertising targeted to youth. Australian and New Zealand Journal of Public Health, 25(2):126? 131. Loxley, W. , Toumbourou, J. and Stockwell, T. 2004. The prevention of substance use, risk and harm in Australia: a review of the evidence. Commonwealth of Australia: Canberra, Australia. Available from: http://www. health. gov. au/internet/wcms/publishing. nsf/ Content/health? pubhlth? publicat? document? mono_prevention? cnt. htm/$FILE/prevention_summary. pdf (accessed May 2008). Ludbrook, A. , Godfrey, C. , Wyness, L. , Parrot, S. , Haw, S. , Napper, M. and van Teijlingen, E. 2002. Effective and cost effective measures to reduce alcohol misuse in Scotland: a literature review. University of York: Aberdeen, Scotland. Available from: http:// www. scotland. gov. uk/health/alcoholproblems/docs/lire? 00. asp (accessed May 2008). McPherson, A. 2005. Adolescents in primary care. British Medical Journal, 330(26):465? 467. Midford, R. 2004. Community action to reduce alcohol problems: what should we try in Australia. Centrelines: Newsletter of the National Centres for Drug and Alcohol Research. Available from: http://espace. lis. curtin. edu. au/archive/00000502/01/ Pages_from_ndri012. pdf (accessed May 2008). Midford, R. , Munro, G. , McBride, M. , Snow, P.and Ladzinski, U. 2002. Principles that underpin effective school? based drug education. Journal of Drug Education, 32(4):363? 386. McMurray, A. 2003. Community Health and Wellness (2nd edn). Elsevier: Marrickville, NSW, Australia. National Health and Medical Research Council (NHMRC). 2001. Australian Alcohol Guidelines. Canberra, Australia. Available from: http://www. nhmrc. gov. au/publications/synopses/ds9syn. htm (accessed May 2008). Nutbeam, D. 2005. What would the Ottawa Char ter look like if it were written today? Available from: http://www. rhpeo. org/reviews/2005/19/index.htm (accessed March 2007). CONCLUSION The development of evidence informed practice in nursing includes using robust health promotion models and methods to address complex issues suchasalcoholmisuse. Thefiveactionareasofthe Ottawa Charter integrate the various perspectives on health promotion. Used collectively, they still serve a useful function in directing the practice of nurses who work with young people, their families, and the community. REFERENCES Australian Government Department of Health and Ageing, Ministerial Council on Drug Strategy. 2006. National Alcohol Strategy 2006? 2009. Canberra: Commonwealth of Australia. Available from: http://www. alcohol. gov. au/internet/alcohol/ publishing. nsf/Content/nas? 06? 09 (accessed May 2008). Australian Government Department of Health and Aged Care, National Expert Advisory Committee on Alcohol. 2001. Alcohol in Australia: issues and strategies. A background paper to the National Alcohol Strategy: A Plan for Action 2001 to 2003/04. Canberra: Australia. Available from: http://www. health. gov. au/ internet/drugstrategy/publishing. nsf/Content/00701CF3C77 7718CCA2571790008D615/$File/alcohol_strategy_back. pdf (accessed May 2008). Australian Institute of Health and Welfare 2008. 2007 National DrugStrategyHouseholdSurvey:firstresults. DrugStatisticsSeries No 20, cat. no. PHE 98. AIHW: Canberra, Australia. Available from: http://www. aihw. gov. au/publications/index. cfm/title/10579 (accessed May 2008). Australian Institute of Health and Welfare (AIHW). 2006. Australia’s health 2006. AIHW cat. no. AUS73. Canberra, Australia. Available from: http://www. aihw. gov. au/publications/index. cfm/ title/10321#full_publication (accessed May 2008). Editor. 2008. Confronting the demon of under-age alcohol abuse. The Age, 12 March, p.16, Fairfax: Melbourne, Victoria, Australia. Foxcroft, D. , Ireland, D. , Lister? Sharp, D. , Lowe, G. , and Breen, R. 2003. Primary prevention for alcohol misuse in young people, The Cochrane Library, Oxford: UK. AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 25 Number 4 118 POINT OF VIEW Parliament of Victoria (Australia). Drugs and Crime Prevention Committee. 2004. Inquiry into Strategies to Reduce Harmful Alcohol Consumption. Discussion Paper. Melbourne, Victoria, Australia. Available from: http://www. parliament. vic. gov. au/ dcpc/Reports/DCPC? DiscussionPaper_Alcohol_2004? 10? 21. pdf (accessed May 2008). Shanahan, P. and Hewitt, N. 1999. Developmental Research for a National Alcohol Campaign. Canberra: Australian Government Department of Health and Aged Care. Available from: http://www. alcohol. gov. au/internet/alcohol/publishing. nsf/Cont ent/3E8AC9F060C5D877CA257261000EC925/$File/alcocamp. pdf (accessed May 2008). Talbot, L. and Verrinder, G. 2005. Promoting health: the primary health care approach (3rd ed). Elsevier: Melbourne, Victoria, Australia. Toumbourou, J. , Duff, C. and Bamberg, J. 2003. Family intervention in the prevention of drug? related harm. Prevention Research Evaluation Repor t, 7, 1? 14. Available from: http://www. druginfo. adf. org. au/downloads/Prevention_ Research_Quarterly/REP_No7_03Aug_Family_intervention. pdf (accessed May 2008). Toumbourou, J. , Moodie, R. , Eyre, J. and Harper, T. 2008. Set boundaries, set an example. The Age, 8 March, p. 5. Fairfax: Melbourne, Victoria, Australia. Ward, B. , Snow, P. , Munro, G. , Graham, M. and Dickson? Swift, V. 2006. It starts with the parents and ends with the parents: the attitudes, knowledge and practices of metropolitan parents in relation to teenage alcohol use. Australasian College of Road Safety Journal, 17(3):20? 28. White, V. and Hayman, J. 2006. Australian secondary school students’ use of alcohol in 2005. The Cancer Council and the Australian Government Department of Health and Ageing. Available from: http://www. health. gov. au/internet/drugstrategy/ publishing. nsf/Content/85D7B21B3E3A993ECA25722500077 55F/$File/mono58. pdf (accessed May 2008). World Health Organization (WHO). 2005. Global health promotion scaling up for 2015: a brief review of major impacts and developments over the past 20 years and challenges for 2015. Paper presented at the 6th Global Conference on Health Promotion, Bangkok, Thailand. Available from: http://www. who. int/healthpromotion/conferences/6gchp/hpr_conference_ background. pdf (accessed May 2008). World Health Organization 2005. WMA Statement on reducing the global impact of alcohol on health and society, World Medical Association, France. World Health Organization. 1986. 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Addiction to Intoxicants

II. Intoxication conceptual analysis Intoxication is the acute state of physical and cognitive impairment caused by drinking alcohol or being exposed to a psychoactive drug. Intoxication typically has both physical and mental effects, which can include difficulties with controlling movement, mood changes, impairment of cognitive skills, impaired judgment, impaired impulse control, and changes in interpreting your surroundings or the behavior of others.These changes and impairments may be  reinforcing, and may be perceived as amusing by the intoxicated person and/or their companions, but they increase the person's vulnerability to a wide range of problems, including violence, sexual assault, accidents, and misadventure. Although the term â€Å"intoxication† is most commonly used to refer to the acute (immediate or short-term) effects of alcohol, intoxication may also be used to refer to the effects of other drugs, including amphetamines, caffeine, cannabis, cocaine, hallucino gens, inhalants, opioids, phencyclidine, sedatives, hypnotics and anxiolytics. We can define intoxication as in . eneral condition of diminished mental and physical ability hyperexcitability, or stupefaction induced by intake of alcohol or other narcotic  substance Intoxication is a condition that follows the administration of a psychoactive substance and results in disturbances in the level of consciousness, cognition, perception, judgement, affect, or behaviour, or other psychophysiological functions and responses. The disturbances are related to the acute pharmacological effects of, and learned responses to, the substance and resolve with time, with complete recovery, except where tissue damage or other complications have arisen.The term is most commonly used with regard to alcohol use: its equivalent in everyday speech is â€Å"drunkenness†. Alcohol intoxication is manifested by such signs as facial flushing, slurred speech, unsteady gait, euphoria, increased activity, volubility, disorderly conduct, slowed reactions, impaired judgement and motor incoordination, insensibility, or stupefaction. Intoxication is highly dependent on the type and dose of drug and is influenced by an individual's level of tolerance and other factors. Frequently, a drug is taken in order to achieve a desired degree of intoxication.The behavioural expression of a given level of intoxication is strongly influenced by cultural and personal expectations about the effects of the drug. As a result of consuming alcohol, an intoxicated person does not have the normal use of physical or mental faculties. There is no single scientific measure that determines whether a person is intoxicated, since intoxication is an observed state. Therefore, determining whether a person is intoxicated requires observing a person’s mental and physical state, and comparing that state and observed behaviour to a normal person in full possession of his or her faculties.Now a days intoxiation is generally found among teenagers and children attaining maturity. Irony is this most of them know it’s ill effects but still they do just for their mental pleasure or may be by personal deviance. Mostly comparing himeslf from others that if they can do , why not me. III. TYPES OF INTOXICATION 1. Alcohol intoxication 2. Narcotic inoxication 3. Cocaine intoxication 4. Drug overdose 5. Inhalant abuse Alcohol intoxication Alcohol intoxication  (also known as  drunkenness  or  inebriation) is a physiological state induced by the consumption of  alcohol.Problems accumulate when alcohol builds up in the  bloodstream  faster than it can be metabolized by the  liver. Some effects of alcohol intoxication are central to alcohol's desirability  as a beverage  and its history as the world's most widespread  recreational drug. Common effects are  euphoria  and lowered  social inhibitions. Other effects are unpleasant or dangerous because alcohol affects many dif ferent areas of the body at once and may cause progressive, long-term harm when consumed in excess. Narcotic intoxication Narcotics are medicines used to decrease or take away severe pain. Narcotics may also be called opioids.Some common names of narcotics ordered by a doctor are codeine and morphine. Heroin is an illegal street drug that is made from morphine. The more commonly known drugs withinthis group are opium,  morphine, heroin,  codeine, andmethadone  (a synthetic narcotic). Cocaine intoxication Cocaine intoxication  refers to the immediate effects of  cocaine  on the body. Although cocaine intoxication and cocaine dependence can be present in the same individual, they present with different sets of symptoms. Cocaine increases alertness, feelings of well-being and euphoria, energy and motor activity, feelings of competence and sexuality.Common side effects include anxiety, increased temperature, paranoia, restlessness, and tooth grinding. With prolonged use, oft en accompanied by lack of  sleep, the drug can cause  itching,  tachycardia,  hallucinations, and  paranoid delusions. Possible lethal side effects include rapid heartbeat, tremors, convulsions, markedly increased core temperature, heart attack, stroke and heart failure. DRUG OVERDOSE The term  drug overdose  (or simply  overdose  or  OD) describes the  ingestion  or application of a  drug  or other substance in quantities greater than are recommended  or generally practiced. 2]  An overdose may result in a  toxic state  or  death. Drug overdoses are sometimes caused intentionally to commit  suicide  or as  self-harm, but many drug overdoses are accidental, the result of intentional or unintentional misuse of medication. Unintentional misuse leading to overdose can include using prescribed or unprescribed drugs in excessive quantities in an attempt to produce  euphoria. INHALANT ABUSE Inhalants  are a broad range of  drugs  whose v olatile vapors are taken in via the  nose  and  trachea. They are taken by room temperature  volatilization or from a pressurized container (e. g. nitrous oxide), and do not include drugs that are sniffed after burning or heating. Inhalants can be classified by the intended function. Most inhalant drugs that are used non-medically are ingredients in household or industrial chemical products that are not intended to be concentrated and inhaled. A small number of recreational inhalant drugs are pharmaceutical products that are used illicitly. Some of the inhalant abuse are acetone which is used in nail polish, whitener is also used as addictive substance. Why do people intoxicate Intoxication is not a new problem or area to discuss. he main problem is intoxication among youths,teenagers,children attaining maturity, why they are addicted to intoxicants? Why these addiction? Not all drug and alcohol users will become addicts, but they are at risk. Some can overcome it, others no . An exposure to this danger is increasingly occurring at earlier ages: the door is open with the first sip and the pleasure comes to neccesity. Nearly 15% of individuals who â€Å"try† alcohol develop a dependency to it, and become alcoholics. Boys and girls in their adolescence consume on intoxication just to satisfy their needs either mentally or physically. hey all know that what are the bad effects and what are the disadvantages still they knowing all the facts. Experimentation with alcohol during the teen years is common. Some reasons that teens use alcohol and other drugs are: * curiosity * to feel good, reduce stress, and relax * to fit in * to feel older From a very young age, kids see advertising messages showing beautiful people enjoying life — and alcohol. And because many parents and other adults use alcohol socially — having beer or wine with dinner. boys and girls in their adolescence consume alcohols just to satisfy their needs either mentally or physically. hey all know that what are the bad effect and what are the disadvantages still they consume alcohols knowing all the facts. They do so specially because of peer presure ,they are frightened that if they do not accept their group's qualities whether it is good or bad then they wont be allowed in their friend's circle,and once they are excluded from that group then they won’t be able to adjust themselves into other group since they are teengae they don’t know the consequences of their activities. they will do that work in which they will get their own satisfaction their own enjoyment and their own hapiness. nd these things they will get by that group because they are getting what they want and so they dont want to leave that group inspite knowing that their are some bad consequences too. Teens see their parents enjoying a cocktail after work or having a glass of wine at dinner. Drinking comes to represent a very sophisticated and adult thing to do  mom and Dad do it†¦ why shouldn’t I? the teen may reason. They think that there is no one to stop them they think that if drinking is that bad then why my mom and dad are consuming it. So if they are consuming it then what’s the problem I am consuming it.Due to societal influence addiction to intoxication initiated through personal deviance also like when they are depressed, who have low self-esteem, and who feel like they don't fit in or are out of the mainstream. They feel like after consuming alcohol they will get over from their sorrow,frustration and humiliation. And to get rid of it they always like to be alcoholic. IMPACT OF ALCOHOL Alcohol has wonderful anxiolytic properties and people drink alcohol very often because they are stressed and alcohol quite nicely provides the temporary illusion that such stress has dissipated when it fact it has just been temporarily put on hold.Quite often, however, drinking alcohol acts to exacerbate stress in the long run because rather than dealing with the stressful situation, the drinker will often drink to escape the stress, thus prolonging that which is actually stressing them. Moreover, alcohol has been proven to heighten anxiety among those who drink, when they are not drinking it. This, in turn, promotes further drinking which in turn begets further anxiety and really it is just one vicious cycle. Weekends are usually treasured by most teens, as they are looking forward to their big plans.Some may be chilling with friends, catching a movie, going to a concert, or planning to party. Regardless of what they have planned, one thing is for certain; alcohol will be a part of many teens weekend plans and there's research to prove it. As children move from  adolescence  to young adulthood, they face major changes not just developmentally, but emotional and physically. The transition into puberty and adolescence brings about a desire for independence. Many teens turn to  risk taking  and experimenta tion as they navigate through their rite of passage into adulthood, which can lead to drinking.Many teens don't think there's anything wrong with drinking. They've made it into an acceptable activity that they engage in when they're out with their friends, and since they may not drink every night, they don't see the potential harm that it's doing. developmentally teens remain in that imaginary stage that â€Å"bad stuff can't happen to me because I am invincible. †Ã‚   But we know it does†¦ Plus, many teens don't have the ability to see the long-term consequences that drinking can bring. There are many factors that lead to teen drinking.If you ask a teen why they drink you may give you a litany of reasons from: â€Å"I was bored. † â€Å"Everyone else does it. † â€Å"I like how it makes me feel. † â€Å"People like me when I drink because I act different. † â€Å"I just wanted to see what it would make me feel like. † â€Å"My  pare nts  do it so it must not be a big deal. † â€Å"It helps me escape reality. † Effects of alcohol Alcohol damages almost every organ in the body, including the brain; because of the cumulate ive toxic effects of chronic alcohol abuse, the alcoholic risks suffering a range of medical and psychiatric disorders.Alcoholism has profound social consequences for alcoholics and the people of their lives. Long-term alcohol abuse produces physiological changes in the brain such as  tolerance  and  physical dependence. Using alcohol at a young age has negative health effects. Brain Development and Alcohol Abuse * Research indicates that the human brain continues to develop into a person's early 20's, and that exposure of the developing brain to alcohol may have long-lasting effects on intellectual capabilities and may increase the likelihood of alcohol addiction. * The age when drinking starts affects future drinking problems.For each year that the start of drinking is del ayed, the risk of later alcohol dependence is reduced by 14 percent. Drinking and Driving * Car crashes are the leading cause of death among people ages 15 to 20. About 1,900 people under 21 die every year from car crashes involving underage drinking. * Young people are more susceptible to alcohol-induced impairment of their driving skills. Drinking drivers aged 16 to 20 are twice as likely to be involved in a fatal crash as drinking drivers who are 21 or older. Suicide * Alcohol use interacts with conditions like depression and stress, and contributes to an estimated 300 teen suicides a year. High school students who drink are twice as likely to have seriously considered attempting suicide, as compared to nondrinkers. High school students who binge drink are four times as likely to have attempted suicide, as compared to nondrinkers. * Sexual Behavior * Current teen drinkers are more than twice as likely to have had sexual intercourse within the past three months than teens who don' t drink. * Higher drinking levels increase the likelihood of sexual activity. * Adolescents who drink are more likely to engage in risky sexual activities, like having sex with someone they don't know or failing to use birth control.Other Risks * Teens who drink alcohol are more likely than nondrinkers to smoke marijuana, use inhalants, or carry a weapon. * Binge drinking substantially increases the likelihood of these activities. Alcohol addction is not just related to common people,teenager and but many big filmstars and big personality are also addicted to it. The bollywood personalities who have lost their life due to alcohol consumption are Rajesh khanna (first super star of bollywood) Meena kumari The beautiful actress of iconic film Pakeeezah,  was died  due to liver cirrhosis. due to alcohol abuse. Guru dutt, because of alcohol . uthor who have died because of alcohol Jean stafford. People who are living in polar region they usually consume alcohol to keep their body war m. But they are not addicted because it’s their necessity through which they make themselves suitable to live in cold environment. They take it in a limited quantity just to continue their livelihood. We can take the example of Indian Army which are posted in leh and ladakh and which is the coldest place in india and so the indian soldier consume alcohol to make their body warm. Some of the devotee of shiva say our shiva drinks then it’s not bad to drink because we are his followers. nd we should follow our guru. But the real thing is it is just an excuse nothing else. They take the defence of religion to hide their addiction. It’s just an excuse and excuse has no base. The shifting composition of Indian drinkers has seen a rise in the number of Indian women drinking regularly and heavily. One recent study in the southern state of Karnataka found young women consumed similar amounts of alcohol to young men on any typical drinking occasion. Narcotic intoxication effects Narcotic abuse is when you continue to use narcotics even though they are hurting you or others.The more commonly known drugs within this group are opium,  morphine, heroin,  codeine, and methadone  (a synthetic narcotic). In addition, Darvon   7and Talwin7 are included in this group because of their narcotic-like action. Next to cocaine (discussed later),heroin is the most popular narcotic drug because of its intense euphoria and long-lasting effect. It is far more potent than  morphine  but has no legitimate use in the United States. Heroin appears as a white, gray, or tanfluffy   powder. The   most   common   method   of   using heroin is by injection directly into the vein, although it can be sniffed.Codeine, although milder than heroine and  morphine, is sometimes abused as an ingredient in cough syrup  preparations. Users may experience sleepiness, nausea, and vomiting shortly after taking a drug. Most narcotics are considered highly addicti ve, and their abuse tends to lead to long-term dependence and severe withdrawal symptoms and supervising opium cultivation and thereafter, procuring opium from the cultivators. Drug abuse Young people are very gullible and vulnerable to the influences of society, their friends, TV, adults, and those that appear to be fashionable.Hence, a youth may find that all his friends have experienced the use of drugs, and now he is feeling left out because everyone else appears to be having a good time, and all his friends tease him that he is â€Å"chicken†. This unsuspecting youth then decides to ‘experiment' only once, ‘just to try it out. † Furthermore, if he does not have money to buy the drugs, someone may even offer it to him for free. What he does not realize, is that his first weakness, to please his friends, is the biggest mistake that he can ever make. The strategy of the drug dealers is to get as many customers as possible.Some drug dealers are so ruthless that they give out free sweets containing drugs to school children. The trick that they use is to give free drugs to unsuspecting people. Once a person becomes addicted (hooked) he becomes a customer for life. The addicted person will then beg, borrow, steal, prostitute themselves, just to make sure that they have money to buy drugs for their next fix. It is a vicious cycle of crime, prostitution, family breakdown, social breakdown, community breakdown. It is for this reason that intoxicant is known as the source of all evils, Islamicaly termed as the   Ã¢â‚¬Ëœmother of all evils’. ere are many types of drugs available on the market. The general effect of all drugs is basically very similar, though they differ in their speed of action as well as the severity of the harm on the body. All drugs directly affect the brain, since this is the only way of causing mood changes. Some examples of drugs are as follows: 1. Heroin, (upper drug): highly addictive opiate; gives very high rush, followed by many hours of fogginess; the addict lives day to day for the next fix. 2. Marijuana, (downer drug): affects the parts of the brain that deals with emotions and memory. 3.Alcohol, (downer drug): impairs judgements, memory lapses, blackouts. 4. Cocaine, (upper drug): whether in powder form or crack, it is a highly addictive stimulant; addict loses interest in school, family, work, etc. 5. Vapor Inhalants (downer drug): (glue, petrol, hair spray, paint thinners, etc. ) destroy the protective layers around the brain cells. Harmful effects of drugs  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Physical effects: The brain is the most delicate and powerful computer- it is an amazing organ, with virtually limitless potential- it is a Gift from Allaah; it has to be protected and cherished and its full potential must be utilized.The moment any person takes a drug into the body (either by nose, mouth or vein) the drug enters the blood stream and goes directly to the brain, crosses the blood-b rain barrier (BBB) and occupies various receptor sites in the brain. This leads to alteration in the chemical and electrical neuronal functioning of the brain which also leads to eventual organic damage to this delicate, yet powerful organ. These changes in the brain is what causes the state of ‘addiction'- eventually, the body automatically starts craving for the damaging drug leading to a vicious cycle of abuse and further damage.However, other body organs that are damaged include the following: damaged nasal septum; collapsed ; clotted veins; kidney, liver ; lung failure to various degrees; damage to the brain; infected needles causes Hepatitis Infection and HIV/AIDS.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Social effects: The person indulged in the usage of intoxicants displays anti-social behavior such as: staying away from home; stealing; crime; job loss; withdrawal from community; embarrassing behavior in public; deterioration in relationship with parents or wife or children.The m ost harmful effect of drugs is on the brain. INHALANT ABUSE The younger generation is rapidly getting addicted to smoking, liquor and even drugs. What is more shocking is the usage of wide range of substances being used by youths which include inhaling whitener, spirit, petrol, iodex, besides smoking costly cigarettes and getting addicted to alcohol and gutka laced cold drinks. Although, there is no demarcated area or locality which could be identified as more or less in the grip of this menace, youths residing in the areas ocated close to slums, interior colonies and those habited by the lower income group people are more vulnerable of being grabbed in the clutches of this dreaded practice. The addiction could be anything from consuming Iodex pasted on bread to drinking laboratory sprit which they call turatithe name derived from the time duration it takes to intoxicate the addicted and minimal price in which it is available. But, what forces the youths to get addicted to such subs tances, is a big question in store. Peer pressure, boredom, frustration, academic and parental pressures, even genetic factors and lack of emotional support are some of the reasons that make the youth go astray and seek temporal solace in the world of intoxicants,† says Prof Deepa Punetha, a faculty in the department of psychology, Allahabad University. Teenagers, who feel unwanted or fail to adjust themselves in the society, too, wander into the world of addictive substances, she adds.The easy availability of such products, too, gives a fillip to such products. Scores of `paan' shops can be seen in the proximity of educational institutions in the city. Then, the liquor shops have started coming up in residential areas which lure young minds towards them. There are occasions when youngsters, under peer pressure, fall in the vicious circle of tobacco and drugs. What we see today is school kids standing on `paan' shops and smoking costly cigarettes.Among other things, `whitener' (a stationery product) is being used as a form of addictive substance. Since, it is cheap and easily available, many youngsters are getting addicted to it. the primary contents of whitener and diluter are alcohol they are being increasingly used by youngsters for intoxication. Once they are combined with the other chemical acetone present in the whitener and diluter they depress the central nervous system of the body.For some moments, it puts an addict on a high but it has serious consequences in the long run. Prolonged use of these chemicals may result in blindness, diabetes, kidney disorder and cancer also. † IV. Preventive measures Parents can prevent their children from using drugs by talking to them about drugs, open communication, role modeling, responsible behavior, and recognizing if problems are developing Alcohol advertising and promotion is rapidly expanding throughout the world and is increasingly sophisticated and arefully targeted, including to youth. It is aime d to attract, influence, and recruit new generations of potential drinkers despite industry codes of self-regulation that are widely ignored and often not enforced. India is projected as a market with huge potential for the Alcohol Industry resulting in an increased market presence of the industry with their undesirable marketing and promotional activities.India spends about 244 billion rupees each year to manage the direct cost of alcohol use, which is more than the excise earned. (WHO, 2006) It urged the Government of India to adopt and implement the global strategy in order to complement and support public health policies and to mobilize political will and financial resources to reduce harmful use of alcohol. Effective solutions lay in sustainable action, requiring strong leadership, a solid base of awareness, political will and commitment.Public health strategies that seek to regulate the availability of alcohol; reducing the impacts of marketing, including surrogate advertiseme nts, particularly to adolescents, young people and women; mobilising communities to adopt effective approaches to prevent and reduce harmful use of alcohol; reducing the public health harm and social consequences from alcohol intoxication and consumption of illicitly produced alcohol; pricing policies that can be used to reduce underage drinking, halt progression towards drinking large volumes of alcohol and/ or episodes of heavy drinking.Mindful of the present realities, challenges and a lack of a national policy, the workshop Urges the Government of India to formulate a National Alcohol Policy. Programmes have been initiated in the areas of alternatives to drug use, voluntary or governmental. Parent-teacher associations have yet to take roots within the school systems in the country; hence there is a great need for specially designed educational programmes for children. The same holds true for school health and education programmes. Some of the following steps can be taken for pri mary prevention of drug abuse: Research and surveys on drug abuse;Drug education of secondary school and college students, teachers and parents; Dissemination of information on the dangerous effects of intoxicant substances by radio, television and films and discussion of the social consequences in conferences and seminars in educational institutions; and ‘Family life education’ which envisages the provision of community based services to prevent drug abuse by education of parents and children and offering counselling and guidance to drug- prone individuals within the family setting.The National Anti-Drug Strategy focuses on prevention and access to treatment for those with drug dependencies, while at the same time getting tough on drug dealers and producers who threaten the safety of our youth and communities. It is made up of three action plans: * The  Prevention Action Plan  which aims to prevent illicit drug use * The  Treatment Action Plan  which aims to tr eat those with drug dependencies; and * The  Enforcement Action Plan  which aims to combat the production and distribution of illicit drugs. There are many NGO’s who prevent addiction of drugs and alcohol.By the government of india smoking in public area has been said as an offence. And it has been as a punishable crime. Also the government of india had also made a law that a children below 18 years of age cannot be applied to any job regarding production of tobbaco and selling of it. Gutka production and selling has also been baned by the government of india and this has alo been made a punishable crime. Conclusion & Suggestion from the above statement we can here by conclude that intoxication has become a very big issue of our country. ntoxication has covered a measure population and still branching itself in most part of the country. Government is also trying their best and is making their best effort eliminate the problem from the root. They have made many laws and ma king intoxication as a crime. It has been said that â€Å"the best prevention is early  intervention†, but by this time it is too late, the person has already started. If the progress of alcoholism can be stopped early in its course, then great individual and family disruption can be avoided.National efforts at prevention of alcoholism include education at all levels, increased publicity and the creative use of media sources. Such efforts have already influenced nicotine addiction in older smokers; although the message of nicotine’s harmful effects are just beginning to impact teenage smokers. But alcohol and other drug programs   do have clear, positive effects, and prevention activities continue to be applied at local and national levels with different strategies for different target groups.However, as with most things, prevention starts with the individual. APPENDIX-1 INTERVIEW 1 Date : 18. 04. 2013 Name : ARUN KANODIA place : contacted in person Age : 35 Sex : MALE Occupation : ADVOCATE IN PATNA HIGH COURT QUESTION 1: In your view why the consumption of intoxication is prevalent in youth or teenagers? ANSWER: By seeing others, they think if they can do then why not me.They are also capable of doing this they also want to show as if they are adult so this kind of tedency develop inside them. And they are at the verge of maturity so they don’t know the consequence. QUESTION 2: what role society play in making the youth drifted towards intoxication? ANSWER: Society plays a great role , because teens see that most of them is intoxicate and they are doing it without any hinderance as no one is there to stop them and no one is saying, protesting. everyone is free to do by his her own will.This attitude motivate them towards intoxication. QUESTION 3:why youth take the consumption of intoxication very casualy? ANSWER :Because they think drinking, smoking is cool. This will show their status this will show their class. while poor people ta ke it because of their social problems and they are so addicted that even if they are knowing about it’s effects then also they won’t bother about their life, they will just go on. People take it causally because they havn’t seen yet the extent of effects of intoxication.They think it’s okay if they will die but they don’t realise that not only them but the person also get effectd by their act. They don’t care about others. they care about their own happiness, own pleasure. QUESTION 4: what are the preventive measures taken by the society till today? ANSWER :Till now only law has been made to prevent this , and violation of these laws will lead to punishment nothing more than that. There is lack of man force to prevent this. Same police is appointed for stoping any aggitation, to be the body guard of VIP person, to maintain peace in crowd like in puja’s, election.So how can the same police can do lots of thing. They are also negligent in their part like ok if he has violated the law then he must be punished only, not to do more than that to prevent that such things in future. So a strong law should be made. QUESTION 5:what should be the preventive measure should be taken to eradicate the consumption of intoxication in near future? ANSWER:Government should completely stop giving licence to these people to run liquor shop, or to sale tobbaco because at the same time they are saying say no to tobacco.Tobbaco is injurious to health and same time they are giving license to run this because they are taking tax from these people which will be benefical to them so profit is on the side of government. Loss is also there because by consuming this people are getting health issues like cancer and many more so for this treatment government is making hospitals for it. And appointment of doctors also take a large amount of money. APPENDIX-2 INTERVIEW 2 Date : 18. 04. 2013Name : GIRDHAR PRASAD place : contacted in person Age : 43 Sex : MALE Occupation : POLICE QUESTION 1: In your view why the consumption of intoxication is prevalent in youth or teenagers? ANSWER : They consume because think it’s classy and they want to prove infront of their circle that they are very advance and adult. They do it for fun and they are much more adult and they want to prove that they can drink or smoke without any hindrance. QUESTION 2: what role society play in making the youth drifted towards intoxication?ANSWER : They look after their neighbor who consume alcohol and smoke cigarette and they get fascinated and they try for their pleasure. They think no one to stop them , then who would like to stop them too. QUESTION 3: Why youth take the consumption of intoxication very casually? ANSWER : They consume alcohol too much that they become habituated of it and finally they get addicted. They think this is this the life they are living with full freedom, no hindrance, and they follow the policy of whatever they have t o face they can face it easily.QUESTION 4: What are the preventive measures taken by the government till today? ANSWER : Steps taken by govt. to eliminate intoxication from india Govt. has made an act that there should not be any participation of children below the age of 18 in respect to production n sale of tobacco. Smoking in public area has been made an offence and fine is applicable if one is caught doing this crime. Govt. has increased the rate and taxes so that people consume less tobacco and alcoholic product.QUESTION 5:What should be the preventive measure should be taken to eradicate the consumption of intoxication in near future? ANSWER : People should be educated from beginning about the ill effects of intoxication and what are the several disadvantages of smoking and consuming alcohol. APPENDIX-3 INTERVIEW 3 Date : 18. 04. 2013 Name : PUNSCHA place : contacted in person Age : SINCE 2005 QUESTION 1 : In your view why the consumption of intoxication is prevalent in outh or teenagers? ANSWER : They do it because of mental pressure, generally because of self low steem, they are immature in nature in nature. They start by seeing other teenager and peoples of their group and think other teenager have got enough freedom then why can’t they. they start smoking and drinking by seeing them and later join their group and become addicted to it. QUESTION 2: why youth take the consumption of intoxication very casually? Because of their family like in upper class those who are rich . smoking and drinking is normal in today’s arena. ven during their party and functions they arrange the facility to drink and smoke. And thus by seeing those party teenagers of high class family start intoxication just as their do and also parents of this class don’t have time to see what their children are doing. So teenager take it casually. Now in lower class family parents are always engage to earn some money so that they can feed their children and because of this they don’t have time to look after their children and so the children start consuming alcohol without letting their parents know they are alcoholic. So teenager take it casually.But in middle class family parents do stop their children from such things. Parents stop them from the beginning they know the ill effects of intoxicatin and try to educate them about the major disadvantages And children also know that their parents are right and children and so the children also obey their parents so they don’t take it casually. APPENDIX-4 INTERVIEW 4 Date : 18. 04. 2013 Name : TARUN GUPTA place : contacted in person Age : 23Sex : MALE Occupation :STUDYING IN PUNE LAW UNIVERSITY QUESTION 1: In your view why the consumption of intoxication is prevalent in youth or teenagers? ANSWER :Because it makes me feel good it help me to decrease my tension . it gives me pleasure. And if I don’t get get to intoxicate I become very nervous. QUESTION 2: what role society play in making the youth drifted towards intoxication? ANSWER : I don’t care about society I care about myself. QUESTION 3. why youth take the consumption of intoxication very casually? ANSWER :Because when I am free I like to do it.Because by doing it my time passes and I get pleasure too. QUESTION 4: what are the preventive measures taken by the government till today? ANSWER : Government have introduce many measures to stop intoxication but no one is following so I don’t care about any measures which would stop me from doing this. QUESTION 5: what should be the preventive measure should be taken to eradicate the consumption of intoxication in near future? ANSWER : I don’t know though I am addicted I don’t want any preventive measure which will produce hindrance . III. IMAPCT OF INTOXICATIONImpact of this on society When people get intoxicated they find themselves busy in their own life. They don’t bother what’s happening in near their surround ing and they don’t care about it. They just indulge themselves in their intoxication activity as a result of this they don’t contribute to the society. They don’t even support society for it’s upliftment. As a result, the society doesn’t changes and becomes constant. They are least bothered about the circumstances and problems prevalent in the society and the backdrops. So, they give more preference to their ownslves and no one else.They build their own world and pleased to be live in their so called different world. The inference made from this is that the very part of the machine i. e. the society become functionless as the part of the machine become restless by the acts of the intoxicated people. Therefore, the society’s growth of humanity is redusing day by day and the touch of humanity also decreases. This lead to imbalance and imperfection in the society. Impact on their career People who are indulge in intoxication focus on study very less which leads to their failure.They do not follow the schedule because they when they consume alcohol the brain is generally out of order and intoxication also effects the nervous system . so the student can’t concentrate on study. Intoxication creates groupism and when they start groupism they can’t study anymore. They lead a stressfull life. The addicts lose their professional and educational capabilities, self-dignity, and get involved in serious or petty criminal activities. The sole aim in life of an addict becomes the procurement and use of drugs. Other aims and objectives in life are thrown by the roadside.This is the main reason of unemployment. Impact on health speech, euphoria, impaired balance, loss of muscle coordination (ataxia), flushed face, dehydration, vomiting, reddened eyes,  reduced inhibitions, and erratic behavior. Sufficiently high levels of blood-borne alcohol will cause  coma  and death from the depressive effects of alcohol upon theà ‚  central nervous system. They become aggressive and transfer their anger to another person. This is the reason of domestic violence. TABLE OF CONTENT : 1. INTRODUCTION 2. INTOXICATION CONCEPTUAL ANALYSIS 3. IMPACT OF INTOXICATION 4. PREVENTIVE MEASURE . APPENDICES : 6. 1 APPENDIX 1 6. 2 APPENDIX 2 6. 3 APPENDIX 3 6. 4 APPENDIX 4 6. 5 6. CONCLUSION 6. 6 BIBLIOGRAPHY INTRODUCTION : Intoxication is state of being drunk or in influence of such substance which affect our mental stability in such a way that our reasonability of mind is affected as well as our body. RESEARCH METHODOLOGY : DOCTRIONAL RESEARCH METHODOLOGY AND QUESTIONAIRRE AIMS AND OBJECTIVE: The study aims to know why the youth is under the trap of intoxication and what is the impact made by them by their acts on the society, their profession, family and friends.It also aims to know the legal grounding nature of the consumption and the methods to way forward the eradication of this evils called intoxication. Hence, we cou ld able to make the society evil free and functioned. SOURCE OF DATA: The following secondary sources of data have been used in the project: 1. ooks 2. Website 3. Magazine HYPOTHESIS : Due to societal influence addiction to intoxication initiated through a chain of events such as peer pressure, family influence or personal deviance ACKNOWLEDGEMENT I am feeling highly elated to work on the topic â€Å"addiction to intoxicants†. nder the guidance of my SOCIOLOGY teacher. I am very grateful to his for the exemplary guidance. I would like to enlighten my readers regarding this topic and I hope I have tried my best to pave the way for bringing more luminosity to this topic. I also want to thank all of my friends, without whose cooperation this project was not possible. Apart from all these, I want to give special thanks to the librarian of my university who made every relevant materials regarding to my topic available to me at the time of my busy research work and gave me assistan ce.And at last I am very much obliged to the God who provided me the potential for the rigorous research work. At finally yet importantly I would like to thank my parents for the financial support. Kumari arpita 1st year CHANAKYA NATIONAL LAW UNIVERSITY A PROJECT ON Addiction of intoxicants Subject: – Sociology Submitted To:- Sangeet Kumar Submitted By:- Kumari Arpita Roll No:-745. 2nd semester, 1st year

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Provide a critical overview of the debates on Fordism and Post -Fordism - Essay Example The post-Fordism philosophy suggests that an evolution of manufacturing towards a more flexible manufacturing process that is designed towards accommodating the information and technological age. However, not all theorists agree that this is actually a post-Fordism concept. The idea of post-Fordism is misleading, suggestive that Fordism has been abandoned or that the current philosophies are opposing. This is not true. Fordism still exists in manufacturing and the new philosophies are in line with an evolution of the originating concepts, society being created through the ways in which the worker sees his position in the world as reflected by his position within the work force. Henry Ford Henry Ford developed the design for the Model T automobile, but it was the philosophies of industrial management that he implemented that revolutionized industry. Ford was born in 1863 near Detroit, Michigan in the United States to a Father from Ireland and a mother who was born in Michigan of Belgi um parentage. Ford was a chief engineer with the Edison Illumination Company, but spent his extra time and money working on the gasoline engine. Ford designed the Model T and created a manufacturing company in order to make the auto for the public (Ford and Crowther 2006). The Model T was introduced to the public in 1908, the price on the automobile at 875 American dollars. This was a relatively low price in regard to the cost of living at the time and was intended to be affordable for the average American. Eventually, the base price on the auto dropped to around 370 dollars, a price that was more than affordable and created an empire for Henry Ford. It was not until 1927 that other models of automobiles were made at Ford. In the meantime, Ford implemented revolutionary practices that set the course for a new way of thinking about labour and wage. Industrial Sociology Welfare capitalism is found when an employer takes on the responsibility of the employee and offers welfare like ser vices. This type of employee-employer relationship provides for benefits that are beyond the wage. This can include health care, housing subsidies, and education. Ford adapted a management style that promoted loyalty throughout his organization. After experiencing a high turnover of employees, he decided to offer his workers five dollars a day plus pay medical expenses, create pensions, and provide recreational facilities in order to build employee loyalty (Jacoby 1991, p. 94). The business philosophy that was at work was in creating an atmosphere of stakeholder interest. Ford hoped that by paying the employees more and by caring for their needs, they would look at the workings of the machinery as part of their own success (Jacoby 1991, p. 94). Ford created a work culture on the floor, the employees depending on the increased pay and benefits and therefore all focused on creating the best product possible. The assembly line had taken much of the craft out of work, but the inspiratio n of stakeholder interest was intended to put that spirit of accomplishment back into the worker. The use of this type of incentive created the work culture, a society that was contained and required passing through the employment process to become a part of the group. The lines outside the plant toward the employment office were so crowded that there were days that they used a

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History courswork - Essay Example Rivera’s economic policies to fund public works and industrialization were unpopular and, losing army support, he resigned in 1930. The Spanish voted by a large majority for a Republic and Alfonso went into exile in 1931. In the following general election, the Left Wing parties, led by the Socialists, won a definite majority. Manuel Azana became President and introduced agrarian reforms, advocated the autonomy of Catalonia and the Basque region, deprived the powerful Roman Catholic Church of its’ privileges, nationalized many of the large Spanish Estates and attempted to reduce the military’s hold over the country. By these measures, the Republican Government alienated four powerful groups: the landowners, the church, the military and the industrialists. After a failed military coup in 1932, these groups formed a new right wing political party called the CEDA. Agitations by the extreme left against the moderate Azana Government led to the call for General Electio ns in November 1933, in which the Right Wing won a majority and CEDA formed the government under Gil Robles. The Right undermined the previous reforms, again leading to violent strikes by the opposition. General Elections were again called in February 1936 and a coalition of Left political parties came to power as the Popular Front, with Azana again the President. Infighting among the constituents of the Front seriously undermined the authority of the government. The governments’ economic policies brought about a crisis and the workers went on strike. The Right Wing groups, which had formed a coalition called the National Front, started a military coup on 19 July, 1936 led by military officers like Francisco Franco. Franco led a successful revolt in Spanish Morocco and the Spanish Civil War began. The Republican and Nationalist armies were more or less on par, but the equation changed with the start of International intervention. Germany took the first step with the dispatch of military

The relationship between unequal democracy and uneasy alliances Essay

The relationship between unequal democracy and uneasy alliances - Essay Example Scholars argue that politicians respond to the needs of all voters because of their desire to win elections. Paul contradicts this view by expounding on the economic gap that politicians create among Americans based on racial and political affiliation. He further explains that American politicians spend a great deal of resources and time on the majority who are white voters, at the expense of the minority black voters. The theory intimates that the two-party system in United States is responsible for the current state of affairs. Frymer argues that the establishment of the current party system distances the American minorities’ concerns from political agendas (Frymer 26). The system continues to limit opportunities for black Americans politically. Several American presidents facilitate this political isolation by distancing themselves from the needs of the African Americans. In addition, the Republican Party, which dominates most of the white populace, concentrates on the need s of the white voters. Frymer compares the black voters’ position in the American politics with that of minority social groups such as lesbians, gays and Christian right. According to Frymer, uneasy alliances are powerful challenges on how Americans view the relationship between democracy, black voters and political parties. The theory compares the impact of various political parties on the livelihoods of the black voters. It reveals that the Democratic Party establishes a close relationship with the African-American voters while the Republican Party relates well with the white voters.

Management Problem in Health Care Essay Example for Free

Management Problem in Health Care Essay Management Problem in Health Care Worldwide health care organizations are faced with problems everyday. Motivation is one of the many management problems in health care organizations today. Health care organizations are always working together to come up with ideas and strategies to make their organizations more successful and better for everyone to work in as well. Problem solving is an on going process in health care organizations, which have been bringing positive results for everyone working in the health care organizations. Motivation is a state of feeling or thinking in which one is energized or aroused to perform a task or engage in a particular behavior. This definition focuses on motivation as an emotional or cognitive state that is independent of action. This focus clearly distinguishes motivation from the performance of a task and its consequences. Notice, too, that motivation can be a state of either feeling or thinking, or a combination of the two. For some individuals, motivation is more a matter of feeling than thinking, while, for others, the reverse is true (Shortell Kaluzny, 2006). Motivating the people who are working under management can be a difficult task at times. Everyone is unique, none of us are the exact same and each person needs something different to become motivated and that is where the challenge comes in for the managers, finding the right motivator for the right employee. Knowing and caring about the employees needs, will help managers know what type of rewards to offer as a way to motivate their employees. Management Problem 3 The success of any organization, especially health care organizations solely depends on the skills of managers and how they present the work environment for their employees. When employees are motivated they tend to be more satisfied with their jobs and will stay with the organization much longer as a result of their satisfaction. According to a recent survey from the Healthcare Information and Management Systems Society offers some ideas on how to keep them happy. First, pay a decent salary, that came through loud and clear in the survey, says Linda Hodges, executive vice president of search firm Hersher Associates, which conducted the survey with HIMSS. Salary was identified by the surveys 361 respondents as one of the main factors they use to evaluate job satisfaction or a job offer. Forty percent of those surveyed said they dont believe they are paid market value (Greene, 2002). According to Lynn, if your program examination indicates that you have done everything right but the results were not there, it is time to talk with people one-on-one. Ask each employee why the program did not have the impact you were looking for. They may have been trying as hard as they could, but only delivering a marginal performance. It is possible they are battling obstacles you cannot see. To find out what is getting in their way, ask them how you can help them improve (Lynn, 2001). Asking these questions are important when it comes to keeping your employees involved in everything, always getting their opinions on how they think it should be done and work together as a team to come up with the best solutions. This is what a good manager is made of, including his employees in everything that has to do with the job. Management Problem 4 Maslows theory was unique because he believed that each person had five needs and each need had to be met before they could go on to the next need. As the process went on, each old need lost motivational value as the new need was met. According to Shortell and Kaluzny, Maslows hierarchy of needs assumes there are five need levels that must be satisfied sequentially. 1. The physiological needs, these needs include things like air, water, food, warmth, shelter, and sex, the basic survival needs. 2. The security needs include a secure physical and emotional environment, examples include the need to be free from worry about money and job security. 3. Belongingness needs involve social processes, they include the need for love and affection and the need to be accepted by ones peers. 4. Esteem needs are actually composed of two different set of needs: the need for a positive self-image or self-respect and the need for recognition and respect from others. 5. Self-actualization needs, at the top of the hierarchy, involve realizing ones potential for continued growth and individual development (Shortell ; Kaluzny, 2006). Although, Maslows hierarchy of needs theory seems too simple for the human body, which is very complex, this is the perfect theory of motivation for us. This theory touches every aspect of our lives and how one feels about themselves and their surroundings. People who are in management positions will be wise to use this theory when it comes to motivating their employees, in any industry health care or otherwise. It does not matter which theory you think may be best to follow, interesting work and employee pay are the two biggest motivators. Management Problem 5 After identifying the motivation problems with the employees, managers need to start right away working on a plan to overcome these problems. They can start with talking with each individual employee and ask them questions. Making the employees feel like they have a part in finding the solution is a big part in motivation too. Everyone needs to feel like they are helping in some way or another. In conclusion, even though motivating your employees is a difficult task, it must be done in order to keep them happy and to keep things running smoothly. Keeping your employees happy can only bring success to their organization. The employees will love doing their jobs and they will do them well, they will come to work everyday and this will result in a cost effective organization, because the turnover rates will be less in each organization and the organizations will not have to worry about training new employees.

Fault In Romeo and Juliet Essay Example for Free

Fault In Romeo and Juliet Essay In William Shakespeares play, Romeo and Juliet, one of the main characters, Juliet, commits suicide near the end of the play. Friar Lawrence is directly responsible for the death of Juliet in all ways. He makes not only one, but three mistakes that all lead to Juliets death. He gave a poison to Juliet, he trusted someone else with a letter of great significance to deliver to Romeo, and he fled when Juliet was in the most danger at the tomb. Had he not have made these three major terrible mistakes, Juliet might not have killed herself. Friar Lawrence made a major mistake that he could have avoided himself. He trusted Juliet, an unstable teenage girl, with a fake-death poison. This rash decision was a very poor choice on the friars behalf. Here, the friar shows his irresponsibility by saying, If thou hast the strength of will to slay thyself take thou this vial no warmth, no breath shall testify thou livest; (4.1.72, 93, 98) Friar Lawrences idea for Juliet is very risky and he should have known better than to try it. Because of what happens, everyone thinks Juliet is dead and shortly thereafter, she is buried alive. This quote shows the true meaning of responsibility, because when he says this, her life rests in his hands. Capulet is even foiled by the plan, because when he says her faking her death, he said, Death lies on her like an untimely frost. (4.5.28) The fake death has fooled Capulet, Juliets father, and the rest of the family. Had Friar Lawrence not have given Juliet the poison, she would have never been put in the position that she was in, which eventually leads to her death. Trusting Friar John to send the letter, and not even telling him that the letter was urgent, was Friar Lawrences next big mistake. The mistake of him sending someone else to do it was inexcusable; a matter as important as faking death should be dealt with personally. Had Friar Lawrence have personally delivered the letter, the plan might have gone smoothly. Friar John shows his incompetence in the fifth act when he says I could not send it here it is again - (5.2.14). Showing Friar Lawrences poor decision making again, this quote perfectly shows how Friar Lawrence is responsible for Juliets death by choosing to send the letter instead of delivering it. At that, he should not have trusted someone as mediocre as Friar John. The letter was not nice but full of charge, of dear import, and the neglecting it may do much danger. (5.2.18-20) Friar Lawrence trusted a complete buffoon at the most crucial of times and the price was paid for the actions of both friars. Consequently, Juliet dies because Friar Lawrence did not think through that something might arise and a situation this urgent must be dealt with personally. Friar Lawrence could have easily avoided the situation. Cowardice, plain and simple, was also another reason why Friar Lawrence was responsible for Juliets death. He runs away when Juliet needs him the most, and in leaving her alone, she kills herself. In the tomb scene, Friar Lawrence attempts to help Juliet before running away. (Friar Lawrence): Stay not to question, for the Watch is coming. Come go, good Juliet, I dare no longer stay. (Juliet): Go get thee hence, for I will not away. Friar Lawrence puts himself before Juliet, and worries about getting caught by the watch. He leaves Juliet when she needs him most. Friar Lawrence shows here that he really does not care about Juliet, and that he is very self-centered. He leaves her to kill herself, even though it is entirely his fault that she is even in that situation. Had the friar not have left the tomb, then Juliet might not have had the opportunity to kill herself, as you can see she does in the following quote. Yea, noise? Then Ill be brief. O happy dagger, [taking Romeos dagger.] this is thy sheath; [stabs herself.] (5.3.169) Juliet says these final words before killing herself. We see here what results directly from Friar Lawrence leaving the scene when he should have stayed. Had he stayed, he could have at least attempted to wrench the dagger from her hand, or comforted her until she let go of the knife. Instead of staying to help he chose to run away from the watchmen for his own safety, and because of this final, terrible choice, Juliet ends up dead. Friar Lawrence makes many bad choices throughout the play; choices that are inexcusable. When he made such terrible choices, he inevitably doomed Juliet to her death. His irresponsible choices, trusting Juliet with poison, giving the letter to Friar John, and running away at the tomb, were awful choices. He consistently shows that he is an awful decision maker, and he is entirely responsible for Juliets death. One could even say he is more responsible for the death than Juliet herself.

Database Design of Healthcare Management System

Database Design of Healthcare Management System CHAPTER THREE SYTEM ANALYSIS AND DESIGN 3.0 INTRODUCTION Hospital and healthcare services in general are round-the-neck communities with scores of staff, patients and systems that need constant monitoring and integration with each other. They are demanding places where situations change suddenly and rapid responses are essential. For this reason a fully integrated communications strategy and system is vital to maintain high levels of service and care for patients for mutual gains. In this chapter, discussion would be based on the existing system. First, the existing system would be compared with proposed system. Secondly, the weakness and drawbacks of the existing system shall also be discussed 3.1 INVESTIGATION AND DESCRIPTION OF THE EXISTING SYSTEM The current procedure of accessing healthcare is running on paper operating in â€Å"batch modes distributed medical data is less than l00% accurate and will in turn limit the accuracy in the medical symptom, diagnosis and treatment in emergency cases within the health sector. Poor information storage or the complete lack of it in some cases. Poor collaborative forecasting methods leading to slow order turnaround treatment for patients in dire need of these services Poor management decision in critical rescue period. When doctors needs any records the admin/nurse fetches patients file details in know what kind of problem they are complaining about The current system does not give room for proper accounting, planning, management of resources you cannot even integrate it with the current accounting system No existing or current reports module to help management for proper planning, decision taken, for future plans of the hospital FIG. 3.0 The data flow diagram for the current system 3.2 CRITIQUES OF EXISTING SYSTEM The drawbacks of the existing system are: Inability to have accurate inventory status report It is cumbersome and time-consuming to track patients The general lack of ability to generate instance patients medical history reports on all will affect doctors performance and treatment rate Lack of proper handling of medical records Too much paper materials involved and this results into unnecessary costs Insecurity of Records Workers safety is not guarantee 3.2.1FEW ADVANTAGES OF THE EXISTING SYSTEM The existing current system has the following advantages: It is easier for everyone to use specially people that are not computer literate It is cheaper for hospitals because there will be no need to procure computer hardware and software for Asset Management 3.3 PROPOSED SYSTEM The proposed system will take advantage of information technology tools and capabilities to enhance and automate medical information management for all staff and patients alike. The proposed system will improve system functionalities and bring new capabilities to hospital information management controls 3.4 BUSINESS REQUIREMENTS FOR THE PROPOSED SYSTEM This section outlines the general and functional features mandatory for the applications proposed. Functional Module Requirements; Each hospital observed operates the following high level processes and the system must cater for the following: 3.4.0FAMILY MEDICINE This is a modules designed to keep every record relating to patients. This module contains two features which include: (i) Find a patient record; the patient record is a form which contains every information about: the patient the patient next of kin information service payment option, and employment information (ii) New patient registration; It creates an avenue to enable the record, the treatment given, the clinic been referred to, the mode of payment, etc to be properly stored and retrieved. 3.4.1HUMAN RESOURCES This is a list that contain the names of the personnel (user name) assigned to operate a specific module. The human resources are of two folds namely; Personnel manager; It is a list that contains the details about the management Staff of various departments. Recruit new personnel; this is a form that ensures that newly recruited personnel information is been stored. 3.4.2SCHEDULE The schedule describes the appointment directory. It shows all appointment schedules between calendar months. Admission Centres; These environment comprise of Waiting list Ward, Ward occupancy and bed Nurses list Report and history Waiting List; It shows the list of patients to be admitted to various wards. Nurses List; It is a list that shows the details of the nurses staff and their department. Report and History; It is a list that shows all discharged patients in a particular ward. 3.4.3PHARMACY Pharmacy is a module that contains two major features namely: pharmaceutical centre and stocks management. The pharmaceutical centre has two folds namely: pending orders and pharmaceutical index. While the stock management has eight folds namely: warehouse stocks, stock diary, category management, products management, stocks movement, patients’ order history, stock movement history and diary history. Pending Order; These gives room for the user to view/access the pending orders. Pharmaceutical Index; This enables the user view all pharmacy stock items. To find a stock, entre the barcode and click on find. Ware House Stock; This is an integral part of the stock management designed to view all current warehouse stock. To find a stock: Entre the barcode and click on find. Stock Diary: This is a function of stock management designed to enter the new stock diary. To enter the new stock diary: 3.4.4SPECIALTY CLINIC This is a module that gives information about the various clinics and the patients been referred there. This is of two folds; Pending referred patients, and Find a patient 3.4.5TOOLS AND ENQUIRIES Tools and enquiry is a module that ensures an access to view service fees, telephone directory, and current admitted patients. Service Fees Environment: view service fees environment enables you to view all configure service fees which include service name, amount, department, allow HMO. Telephone Directories: Telephone directories are an environment which enables you to view all phone directories both previous and next record. Current Admitted Patients; The environment enables you to have an access to currently admitted patients details both previous and next record. 3.4.6ACCOUNT AND FINANCE This is a module design to enable one keep and retrieve all information relating to account and finance. This module has six basic features which include: Pending receivables, expenditures, daily cash book, bank account, service fees, reports Pending Receivables; This is an environment that enables you to have an access to pending service fee payments. An environment will be displayed in which the menu bar at the left hand side of the page headed account/ financial mode contains six departments namely: pending receivables, expenditure, daily cashbook, bank accounts, services fees and reports. This enables a user to view and receive pending service payment. Expenditure; It enables users to record new expenditure. Daily Cash Book; It enables user to post cashbook for all department. Bank Account; It enable user to manage bank account. It shows all banks and balance details. It also creates a room for the addition of a new bank account. Service Fees; It enables user to view all service fees/charges Report; It enable user to view financial reports such as the receivable reports, expenses reports and cashbook reports between calendar months. 3.4.7SYSTEM This is an environment designed to enable an individual have access to: system usage logs, user’s rights access control, backup HMS database. System Usage Logs; This is an integral part of system which shows the various event date, event performed, user IP address, event time and department accessed. Users Rights And Access Control; This is an environment designed to show all system users account. Category Management; This enables the user to manage stock category. Product Management; This enables the stock details to be managed. Stock Movement; This aid in the movement of stock from ware house to store, this operation is performed simply by filling in the blank spaces provided and clicking on perform movement. Stock Movement History; This helps to view all stock movement history. it shows stock / item name, batch ID, units moved, the date and notes. Dairy History; This helps to view all stock dairy history. My Account Information; This is a menu bar located at the left hand side and it is accessible in every module. It comprises of: waiting list appointment, my usage / access logs, personal data, change password, and log out from HMS. My Waiting List/ Appointment; this is a waiting list designed to view all appointments and schedules. My Usage/ Access Logs; this enables one to view all system usage history. Click on usage / access logs at the left hand side of the menu bar to view all system usage history. At the top right hand corner is next and previous, click on the next and previous to view the next and previous system usage history. This enables the system administrator to have an overview of the various event date, the event performer, event performed, the user IP address, the event time and the department accessed. 3.4.8PERSONAL DATA This enables an individual to view and update his personal information such as: Name, DoB/Age, Gender, Hospital/Clinic Registration Number, Occupation, Addresses, Telephone Number, Stage of Origin, Religion, Next of Kin information and Date. Patient Bio Data; A form which contains the information of the patient, next of kin information, and employment information will be displayed. Medical Record; As the name implies, it deals with the patient’s medical history. 3.5START-OFF THE PROJECT The project implantation will be done using: Dreamweaver Software PHP Programming language Java script MySQL Database server XAMP server Microsoft Window 7 OS 3.6 ADVANTAGES OF THE PROPOSED SYSTEM It will help management to better monitor patients registration in the system Periodic accident and injury analysis can now be carried out Patients health history can now be monitored Very fast and accurate therefore reduce administrative overheads Maximize customer value and achieve a sustainable competitive advantage Eliminate obsolete business processes Speed up hospital production and responsiveness to incidents It will facilitates treatment of patients as patients history can now easily be retrieved from the system Because it is web based patients last update medical information csn be retrieved even if the patient goes to another hospital. It will give the doctors options of referring patients to other doctors completely automated It will allow hospital Management can plan better and make accurate and informed decisions 3.7 DISADVANTAGE OF THE PROPOSED SYSTEM It will lead to unemployment Its only good for those that are computer literates, Nurses and doctors may not be familiar with the technology It may cost more money and infrastructure investment on the part of management Nurses and doctors are unfamiliarity with technology Hackers may ultimately be able to penetrate system despite security precautions System can be attacked by computer viruses Power failure 3.8 SYSTEM DESIGN Overview of the System; Information/system requirement gathered during the time of carrying out the functional specià ¯Ã‚ ¬Ã‚ cation requirement and network requirements identified during the initiation and planning phases was put into good use during the design of the application. This project is planned at developing a web-enabled Healthcare information management system (HIMS). 3.8.0FACT FIDING AND REQUIREMENT DISCOVERY This chapter actually presents the method0logy that was used in this study. The methodology chosen followed the already tested and commonly used approach in software engineering and software development life cycle. Actually three key areas were used to get requirement for the Patients medical information system project. The first method was that a review of internet materials related to patient were carried out, I also tried to review specific platform of related design project to ascertain the specific language/platform to use for development of the application. The second most logical direct gathering of information from the hospital visited and used in the study (University of Ilorin Teaching Hospital (UITH)). It must be quickly pointed out that the tools used in this case were interviewing of staff, observations of passive ways of these things and simulations of different scenarios. The third method of the requirement gathering was by studying the existing applications presently used and we were then able to understand what is lacking in the present system, what needed to be done and we were then after able to fix a time frame (SCOPE) for the project 3.8.1SYSTEM REQUIREMENT MODELLING An object oriented programming was used for the design of the application. In view of this, and in view of the fact that I intend to design an application that will be user friendly and easily accessible. I feel a web enabled application will be more appropriate since we are not talking of a windows application that will just be installed on a client machine in the office. We therefore focused on planning, which included defining our target audience, purpose, objective, application usage, population and finally application development. The look and feel of the application were considered, navigation browser type validations tools were all analyzed and most importantly client/server architecture was also considered. 3.9APPLICATION ARCHITETURE AND MODEILING Developing a web application requires locus and determined effort on the part of the practitioner in meeting people needs The decision for accomplishing this was based on components based model with a linear approach to application development Specification and decisions objective were into account for example issues like meeting the applications purpose and aim and functionalities. The steps used here acted as an overall development methodology and life cycle which were also dependent upon available tools, time line, and user willingness to be involved in the final testing of the system. Implicit in the methodology adapted was the concept of bringing the Patients medical information system refining the application/system based on user feedback 3.10 DESIGNS INPUT The registration form be was designed as such that it will include all information required about the patients. The following is incorporated into the form: Important fields These are fields that must be filled because they are necessary information need. Return dialog box- This is used to guide against the input of wrong data or format in some fields especially the compulsory fields. A sample of patient record been patient record interface is shown below 3.11FLOW CHAT DIAGRAM OF HEALTHCARE MANAGEMENT SYSTEM 3.12DATABASE DESIGN OF THE HEATLHCARE MANAGEMENT SYSTEM 3.12.0 ENTITY-RELATIONSHIP MODEL Entity Relationship Diagram: A representation of data Entity-relationship modeling is a database modeling method, used to produce a type of conceptual schema of a system, often a relational relationship, and its requirements in a top down fashion Diagrams created by this process are called entity-relationship diagrams, ER diagrams or ERDs. Also it can also be defined as a specialized graphic that illustrates the interrelationships between entities in a database ER diagrams often use symbols to represent three different types of information. Boxes re commonly used to represent entities. Diamonds are normally used to represent relationships and ovals are used to represent attributes. 3.12.1OVERVIEW According to CHEN (Wikipedia), information system design uses these models during the requirements analysis to describe information needs or the type of information that is to be tored in a database. The data modeling technique can be used to describe any ontology (i.e. an overview and classifications of used terms and their relationships) for a a certain area of interest. In the case of the design of an information system that is based on a database, the conceptual data model is, at a later stage (usually called logical design), mapped to a logical data model, such as the relational model; this in turn is mapped to a physical model during physical design. An entity may be a physical object such as a customer transaction or order. Although the term entity is the one most commonly used, following Chen, we should really distinguish between an entity and entity-type. An entity-type is a category. An entity, strictly speaking, is an instance of a given entity-type. There are usually many instances. 3.12.2 WHAT LEAD TO ER DIAGRAM Once the data has been created in the database the ER diagram will show the relationship between each table created they all have to link to each other. It could be one to many relationship, many to many or one to one relationship, there is always a unique field in the system and in this case it is the patients registration number identifying the patients anywhere in the system. We can retrieve the patient’s records once this registration number generated during registration is known.