Monday, January 27, 2020

Produce Text Incorporating Three Patches On Professional Understanding Nursing Essay

Produce Text Incorporating Three Patches On Professional Understanding Nursing Essay The aim of this assessment is to produce a patch work text incorporating three patches on professional understanding. I am a second year Diagnostic Radiography student on a Inter professional programme working within the NHS. Radiography as a profession is very diverse and requires good communication among the inter-professional team. Diagnostic Radiography uses X-rays, Computerised Tomography (CT), Fluoroscopy, Nuclear Medicine, Ultra Sound and Magnetic Resonance Imaging (MRI) to generate images of bones and organs. Within this profession there are many aspects of ionising radiation that can be covered in one department; these aspects come under different modalities, many of which are mentioned above. The primary role of the radiographer is to diagnose injury or disease within the human body with the aid of these modalities using ionising radiation. As a professional body that is in control of Radiation exposure, there are regulations and guidelines I must adhere to. Such as the radiation protection legislation and the code of professional standards and conduct in accordance with the Society of Radiographers (SoR), who are the radiographers governing body. IRMER, The ionising radiation (medical exposure) regulations, lay down the basic measures for the, health protection of individuals against the dangers of ionising radiation in relation to medical exposure. This applies to anyone working with radiation within a medical environment and provides safe working surrounding s for both the radiographer and the patient. I am also bound to ten statements found within the code of conduct for radiography which exemplify the, principles of professionalism, professional responsibility and accountability. These codes and regulations are not only set in place to ensure good practice but to also protect the patient and provide excellent patie nt care. Professional Understanding Patch 1 It is on reflection of my profession and these conducts that I wish to evaluate my role and contribution to the inter-professional team with the Gibbs reflective framework 1988 being used as my guide for reflection (see appendix), as this cycle, encourages you to think systematically about the phases of an experience or activity,'(Gibbs 1988). Whilst working within the confinements of the NHS I have unfortunately stereotyped many of my colleagues and feel I do not appreciate the true meaning of collaborative practice An Interprofessional process for communication and decision making that enables the separate and shared knowledge and skills of care providers to synergistically influence the client/patient care provided, (Jones Way, 2000). As after all, we all share as professionals the priority to make the care of people our first concern, treating them as individuals and respecting their dignity, (NMC 2008) As I look back over my practical experience I can see that it was pure naivety mixed with focused ambition which caused me to initially stereotype my colleagues. I was so intent on progressing through my degree that my main focus was on what I was learning in relation to radiography, by means of what images I was producing and whether or not they where diagnostic. My focus was on insuring I wasnt missing any vital pathology or fractures and on learning more of the anatomy so I could truly understand what I was looking for and why. It was this original determination that diminished the bigger picture for me, as I was unable to see the impact that as a professional I was having not just on the patient but on how the patients treatment will be managed and by who. The fact that I had little to no interaction with paediatric or adult nurses also contributed to this problem, but this was my own fault as I ignored these chances when they arose as I felt they would inhibit my main priority. So unfortunately to me my colleagues where still labelled as either subservient, handmaidens of the physician (Pillitteri Ackerman, 1993) or the childish, plays all the time nurse as there was no interest or need on my behalf to change this erroneous view. Ironically it was these views that would inhibit my professional development as in order for me to progress in the way I desired and become the best professional I could be I needed to appreciate my colleagues and work together with, one or more members of the health care team who each make a unique contribution to achieving a common goal, (CNO 2008). It wasnt until professional issues arose on placement that I began to question why I had labelled my colleagues this way, my first thought was through slapstick comedy and the media, regardless of the reason I was sure these were labels I wanted removed. Through both practical experience and academic modules I was slowly able to gain more of an insight into the roles and responsibilities of both child and adult nurses and although there are obvious differences, the main being that I work with and administer radiation and they dont, I found I was writing more similarities. The Code of Conducts that each individual professional is bound by provides these similarities but its our personal views on each profession and our lack of understanding that causes the stereotypes. Through understanding my own codes of conduct, ten statements set by the Society of Radiographers (SoR) and by comparing those with the codes set forth by the Nursing and Midwifery Council (NMC) and the Royal College of Paediatrics and Child Health (RCPCH), the main similarity between the professions is clearly visible, as both documents publicly set out, the underpinning values and principles to promote, maintain and disseminate the highest standards of behaviour in order to enhance the good standing and reputation, (SoR 2004) of that profession and both also endorse the importance of working with others to, protect and promote the health and wellbeing of those in your care, (NMC). It became clear to me that although our individual professions dictate our role within the practical setting the codes and legislations we each adhere to entwine. As it is our collaboration with other health care professionals that promote and maintain patient centred practice, providing the patient with the right care at the highest quality. As an adult nurse provides care to support the recovery of patients, I as a radiographer diagnose disease and am responsible for the examination of patients using radiation. These differences help me to define myself as a professional, but it is through the collaboration with others that I am made more individual. As individuals we each have a specific role to play but as a collective our roles are so much more important, as we would not be able to fulfil our purpose of making the care of people our primary concern without the help of other professional bodies. 825 words Patch 2 Team work or team working can be defined as a certain number of people who have shared objectives at work and who cooperate, on a permanent or temporary basis, to achieve those objectives in a way that allows each individual to make a distinctive contribution, (CIPD 2010).This meant that traditional hierarchical forms were gradually replaced with employees that were expected to fulfil a variety of roles, now known as collaborative practice. Marc Alperstein and Amà ©lie Scalercio have constructed a piece of art, Collaborative Works, (see appendix) that I feel embodies this transition and highlights the individual issues that surround collaboration. The picture itself seems to document a conversation or argument that exists between two wills who are struggling to impose their presence or mark into an act. It is necessary that these works engage in collaborative practice to record the struggle that ensues in this dynamic exchange, one that could not exist if operating in solitude, (Art ist statement). The image almost mimics what occurs within the confines of a hospital environment, as it demonstrates that without Interprofessional working we would not be able to fulfil our collective role of good patient management and care. Making a difference, (DH 1999) suggests that effective care is the product of interagency working, where professionals work in collaboration to provide care which is designed to meet the needs of the patient. This concept was further promoted with the publication of The NHS Plan (DH 2000a) a ten year programme of reform practice. The NHS Plan (DH 2000a) aimed to create a service designed around patient needs, encouraging professionals to work together. Collaboration however, does not come without its constraints, as portrayed in the artist impression the two hands are tied together, illustrating the conflict shown by each individual profession as Interprofessional working is extremely challenging in the workplace, and is not an easy concept for healthcare professionals to adopt, (McWilliam et al 2003).Unfortunately this leads to a lower standard of care being delivered to patients within hospital environments, due to healthcare professionals misunderstanding the policies, education and research regarding Interprofessional working. This is owed to the, lack of support and training from managers, and the need for, managers to involve staff in changes within practice and that this involvement facilitates co-operation. (Deegan et al 2004). Co-operation is a major factor of a successful Interprofessional team as it not only benefits and improves the care that we provide to our patients but also enables the team itself to act efficiently by enabling professional benefits such as the, sharing of knowledge and the opportunities to experience areas of work outside ones own remit. (Barr 2004) The advantages are not only work related it is also suggested that professionals may have levels of improved job satisfaction and increased levels of confidence in dealing with difficult situations. We are all so focused on our individual job roles and on the polices and procedures that define us as a professional that we create our own conflict with an opposing profession as we try to prove ourselves, which is echoed in the picture. As each person holds one end of the tie, the tie representing the constraint we place upon ourselves and upon our professional identity, with each hand representative of how this constraint is self inflicted. After all this an image of two wills struggling to find their presence or mark in an act, as we at our place of work struggle to define our role within the patient pathway. However it is this conflict that diminishes the bigger picture as, as each hand is responsible for creating this conflict restraint; one hand can not break free of the bound without the collaboration of the other. This strongly relates back to practice as without the help and cooperation of another profession the patient like the hand would not be able to progress and conseq uently become free without Interprofessional collaboration. In order for us as professionals to provide care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions (Institute of medicine PCC) we must work as Interprofessional team and, learn from and about each other to improve collaboration and the quality of care. (CAIPE 1997). There will always be a time that I as radiographer will need to cooperate with other members of the Interprofessional team, be it in surgery with consultants, anaesthetists and nurses or in the department with the radiologists, and it is this collaboration that will ensure that the patient is the focus point and that they will be managed and assessed as an individual with all pathways collectively working together, as opposed to two wills who are struggling to impose their presence or mark into an act. Words 798. Patch 3 Throughout this past year the main focus both practically and academically has been on collaborative practice, and how this has represented itself as a personal struggle to over come problems such as stereotyping colleagues, conflict issues and communication concerns. With the aid of the CPD module these issues that once clouded personal judgment faded and the real connotation of collaborative practice was revealed. Collaborative practice infers that people from different professional and academic backgrounds form a working relationship for the purpose of enhanced service provision. Although the real value of collaborative working is clear the move towards collaborative practice in Health and Social Care proved challenging, as it was essentially, the change from institutional to community-based care, (Barr et al, 1999). This meant that the, demarcations and hierarchical relations between professions were neither sustainable, (Sibbald, 2000) or appropriate and new ways of working that, crossed professional boundaries had to be created, in order to allow a more flexible approach to care delivery, (Malin et al, 2002). This transition became the cause of conflict within a now Interprofessional team and as a result stereotypes were formed and communication problems arouse. It seems that although this change was for the better, in providing a better standard of care for the patient, this focus was lost by the professionals whose duty this was. This is still very much an issue, where professionals are so centred on their individual position; they forget how much of a r ole they play in the Interprofessional team. The fact that collaborative practice has lacked a clear definition and instead has been linked with terms such as cooperation, coordination, participation and integration, has in some ways strengthened the issues that have prevented professionals from satisfying its purpose efficiently. It is also a relatively new field of practice, with the first major studies being undertaken in the 1980s, (Roy, 2001) however, since the implementation of the 1990 NHS and Community Care Act (Department of Health, 1990), the collaborative practice has featured prominently in government policy documents to promote, joint working, partnership and the creation of a seamless service between health and social care, (Maxwell, 1998; Payne, 1995). The importance of collaboration has always been emphasised practically and is also part of the academic pathway in the hope that the surrounding issues can be resolved before practitioners become professionals. Throughout the module the significance of collaboration with regards to person centred care became more important than the issues that encircled collaborative practice. It became increasingly essential to see the patient as equal partners in planning, developing and assessing care to make sure it is most appropriate for their needs and putting service users and their families at the heart of all decisions. In order to provide an excellent level of service each patient needs to be viewed as the individual they are, they can not be stereotyped by their age, sex, or symptoms. The main reason being that the way in which one patient is managed and treated would not work for another patient representing with the same symptoms, as his or her body could react differently to that treat ment, thus complicating the initial problem. It is the duty of any professional body to provide, care that respects the person as an individual and is arranged according to their needs, (DH 2008). However this care can not be administered without good communication from each professional that is responsible for the pathway of each individual service user. Communication is pivotal in a successful relationship be it between colleagues in the work place, students at university or family at home, it enables individuals to express themselves their concerns or relay important information to others. When this barrier is broken especially within the hospital sector each department become isolated and effectively treats the patient blind, as without communication from the nursing staff or the accident and emergency department a radiographer would not be aware of the symptoms a patient presents with and would therefore not be able to conduct an examination catered to that individuals needs. T he requirement for good communication enhances not only the professionals skills and ability to provide and excellent level of person centred care but enables a successful Interprofessional team to be consolidated, something that is also promoted academically. Interprofessional Learning can be defined as, Occasions when two or more professions learn with, from and about each other to improve collaboration and the quality of care, (CAIPE 2005). Interprofessional learning enables different health and social care workers and agencies to gain a greater appreciation of each others values, knowledge and abilities and facilitates the best use of their skills which underpins the reality of the complexity of healthcare. Single professions or individual professionals working in isolation do not have the expertise to respond adequately and effectively to the complexity of many service users needs, (CAIPE 2006). In order to ensure that care given is safe, seamless and of a high standard it is e ssential that individual professionals, respect the integrity and contribution of each profession, (CAIPE 2006) and communicate with them effectively, relaying all the appropriate medical history and continuing to work closely with each other to ensure the patient is managed correctly and efficiently. Good patient care stems from a well defined Interprofessional team that collaboratively work with each other, to overcome communication issues, conflict issues and the stereotyping of their colleagues. By doing this all the professionals involved are able to treat the patient as an individual and cater to their individual needs, making them a part of the process and involving them in the decisions made about them. This all bauds well for the successful running of the NHS and in turn successful patient management, each professional chooses to be apart of this system to improve the quality of life for each and every service user, but it is important to remember that this can not be achieved by individuals who become isolated form a team. Although it is important to be an individual, it is of greater importance to be individual that is a part of an Interprofessional team. Words 1014. References: Barr, H (2005) Interprofessional Education: Today, Yesterday and Tomorrow. Accessed on 30.08.10. Reviewed 2004. Available at: http://www.health.heacademy.ac.uk/publications/occasionalpaper/occp1revised.pdf CAIPE. Interprofessional learning. Accessed on 23.11.10. Reviewed 2010. Available at: http://www.caipe.org.uk CIPD 2010 Team working. What is team working? Accessed on 03.10.10. Reviewed on 01.01.10. Available at: http://www.cipd.co.uk/subjects/maneco/general/teamwork.htm. Collaborative works. Marc Alperstein and Amà ©lie Scalercio. Accessed on 16.08.10. Reviewed 2010. Available at: http://www.marcalperstein.com/collaboration Cooper, H., Braye, S,. and Geyer, R. ( 2004) Complexity and Interprofessional education. Learning in Health and Social Care 3 (4) pp 179-189. Accessed 02.02.10. DOH (2000a) A Health Service of all the Talents: Developing the NHS Workforce. DoH London. Accessed on 30.08.10. Reviewed 2010. Available at: www.dh.go.uk DOH (2000b) The NHS Plan: A Plan for Investment, A Plan for Reform. DoH London. Accessed on 30.08.10. Reviewed 2010. Available at: www.dh.gov.uk DOH (2001) Working Together Learning Together: a Framework for Lifelong Learning for the NHS. DoH London. Accessed on 30.08.10. Reviewed 2010. Available at: www.dh.gov.uk Framework for action on Interprofessional education and collaborative practice. Health professionals networks nursing and midwifery human resources for health. Publisher WHO the world health organisation. Reviewed 2010. Accessed 20.08.10 Freeth, D (2001) Sustaining Interprofessional collaboration. Journal of Interprofessional Care 15 pp 37-46. Accessed 02.09.10. Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic: Oxford 2009. Accessed on 20.08.10. Reviewed 2009. Available at: http://www.brookes.ac.uk/services/upgrade/a-z/reflective_gibbs.html Glen, S and Reeves, S. (2004) Developing Interprofessional education in the pre-registration curricula: mission impossible? Nurse Education in Practice 4 pp 45-52. Accessed 05.09.10 Gordon F, Walsh C, Marshall M, Wilson F, Hunt T (2004). Developing Interprofessional capability in students of health and social care the role of practice-based learning. Journal of Integrated Care 12 (4) pp 12-18. Accessed 05.09.10 Interprofessional Collaboration among health colleges and professions. College of nurses Ontario (CNO). Accessed on 22.08.10. Reviewed May 2008. Available at: http://www.hprac.org Interprofessional learning. Practice based learning. Accessed n 25.11.10. Reviewed 04.09.08. Available at: http://www.practicebasedlearning.org/resources/ipl/intro.htm Interprofessional learning and caring for needs. London: South Bank University. Whitehead, D. (2001) Applying collaborative practice to health promotion. Nursing Standard. 15(20) pp33-37. Accessed 15.11.10 Jones and Way 2000 collaborative practice. Collaborative practice. Support the development of improved collaboration in healthcare. South eastern Interprofessional Collaborative Learning Environment (SEIPCLE). Queens University. Accessed 20.08.10. Reviewed no date. Available at: http://www.rehab.queensu.ca/uploads/clined/CollaborativePracticeModule.pdf Patient centred care. Why patient centred care? Accessed on 21.08.10. Reviewed 2008. Available at: http://www.patientcenteredcare.net/. Patient centred care policies (2008). Accessed on 21.11.10. Reviewed 2010. Available at: www.dh.gov.uk. Person centred care. The health foundation . Accessed on 20.11.10. Reviewed 2010. Available at: http://www.health.org.uk Person Centred Care (2006). Accessed on 21.11.10. Reviewed 2010. Available at: www.cmg.org.uk. RCPHC. Royal college of paediatrics and child health. Codes of Conduct. Accessed 23.08.10. Reviewed no date. Available at: http://www.rcpch.ac.uk. SoR statements of conduct Radiography. Statements for Professional Conduct. The college of radiographers. Accessed 22.08.10. Reviewed September 2004. Available at: www.sor.org Appendix 1 Gibbs reflective cycle 1988 http://www.deakin.edu.au/itl/pd/tl-modules/teaching-approach/group-assignments/images/reflective-practice.gif

Saturday, January 18, 2020

Communication and Children

Promote children's speech language and communication Speech, language and communication are closely tied to other aspects of development. You should know what Is meant for each term. Communication Communication Is about how you send out signals to people. Communication can be seen as a umbrella term as it's all about the way you use language and speech as your facial expressions, body language and your gestures. Language Language is specific, it is a set of symbols its either spoken, written or signed, this means that it can be used and understood between people.Language can be very abstracted and we often forget this, when children are learning the sound of C-A-T the speaker is making the word can and is referring to the cat even if there is not a cat in the room. Linguists suggest that the main feature of a language is series of rules that people have to understand and use. Once it Is mastered you should allow the user to convey anything they wish. First of all the children will no t be able to use the rules, toddlers will begin by Just pointing at objects and only using one word. After a while they will learn how to construct sentences. SpeechSpeech Is vocalists language it Is normally learnt before the written form of language, in speech the symbols are not signed or written. But it is spoken as sounds. The number of sounds that children needs to master will depend on the language that they have or are being exposed to. English has more than 40 different sounds. Listening Listening is about being able to hear and more importantly understand the speech of others. Its sometimes referred as receptive speech. Babies begin the Journey of learning to speak by gaining receptive speech, and get them to learn the specific words and phrase and what they mean.This Is a referral to any difficulty that an children has In any three areas. Some children have a difficulty in producing certain sounds so they will have a difficulty with speech. If a child does not have make e ye contact this may mean that they have more global communication need.. As soon as a baby is born they begin to learn how to communicate. At first they will cry and learn that their cries will be understood or will be responded to by a adult. Babies cries change depending on what they need. Soon when you work this out and learn whether the baby is tired, bored or just hungry.Babies learn to study faces the tone of your voice and the body language, they will soon begin to respond to this their selves. Babies will cry if they hear a angry tone or if a adult smiles at them then they will smile back. By the age of one they babies should be skilled at communicating because they are able to point at things that they are interested in, they will turn their heads away to show that they are not hungry anymore. The babies will also recognize when the adult Is happy. Not Just are babies learning about the skills of communication they are also learning about the language, usually In spoken for m.Being able to communicate and be able to use and understand speech will mean it Cognition covers is a multitude of different tasks, it is mainly about our ability to process and use information that we have gained. An example is a child may see leaves fall of the tree and get told this is because its autumn. The child may see more leaves falling off and remember and make a connection with what she seen earlier with the leaves and what she is seeing now. She may remember what the adult told her about autumn and may say to another adult look leaves are falling is it because its autumn?.She will say it proudly because she has remembered. When she is at home having tea with her mum she may say that the park leaves are falling of the trees because it is autumn. This illustrates the way in which learning takes place, the child has remembered what they seen earlier and connecting to what they are hearing or seeing then come to the conclusion. The ability of the child that has labeled it as autumn will help her a lot. She is likely to notice falling leaves and making the association over and over again.She will also talk and think about autumn without thinking about the park. We can now begin to understand the limitations of body language, gesture and facial expressions when there is no language available. Even though they allow instant communication this does not help the child to understand what is being seen or provide a way in which afterwards the child can communicate what she has seen. This means that children that has basic communication skills of facial expressions gestures and body language, they find it difficult to communicate the concept.Emotional development Being able to control your own emotions is a major part of emotional development, babies and toddlers struggle with this. But as language develops they find it easier as they can express their needs, is a child has a tantrum or an outburst it is due the child being frustrated, angry or Jealousy. The y tend to b dismissed as the child learns to find a way to talk through the way they are feeling. This is why it seems to be a good thing to name the emotions, when you are working with young children. His is so they can begin to understand what the child is feeling and have the ways of expressing it other than Just physical reactions alone. Behavior Being able to manage your own behavior is all about self-control, young children are impulsive and they find it hard to control their behavior as soon as language is mastered children's behavior changes. It seems like the acquisition of language it helps children to think things over. The children will focus on the consequences of their actions, they will begin to remind themselves of what they need to do or what they should not do.The start of this progress is when a toddler goes up to something that have been told not to go near and they point to that object and say no. Social Development Emotional development is linked as being able to control your emotions. Social development builds on your emotional development. This means you need to be able to recognize this in others and being able to learn how to adjust your behavior correctly and appropriately. This means that having good communication skills and good language skills is very important. Children need to read peoples body language and facial expressions of others so they can respond correctly.Play is the main medium of solicitation with other children. Language skills become important from the age of three years old. , children tend to speak about what they are doing or when hillier have difficulties, there are likely to have many effects on their development even though the extent to which children get effected it will very depending on the nature of the difficulty. It is severity, its also how the child is supported. Some term effects on development 1. Difficulties in making friends 2. Anger 3. Low levels of confidence 4. Difficulties in learning new inf ormation 5.Find it hard to make themselves understood 6. Frustration 7. Difficulties in applying formation to new situations 8. Withdrawn These are some general terms as there is a massive different between a child that as a slight speech impairment and can use some language to a child that is not using language or understanding any language. The long term development consequences in children who have difficulties with their communication, language and speech are sometimes harder to predict but in general terms you might find that children later on may have the following 1.Not achieve their potential 2. Lower self-esteem 3. Become isolated 4. Find it hard to make and maintain relationships 5. Developed antisocial behavior in some cases 6. Not reach independence Children who have learning difficulties with their speech and communication skills hey may have a big disadvantage when it comes to their overall development and it may even effect their life outcome. A lot of babies and todd lers attempt to communicate using their body language or by vocalist sounds or words.It is important that adults know the acknowledge of these communications as well as looking for ways to support children to make the progress there are many ways that we can do this. Words and level of language One of the skills you need to acquire when prompting children's language is to work out the level of language that we need to use with children and find the style of engage that we need to adopt, babies need use to use an exaggerated facial expression and to point to objects that your talking about so they can work out what you mean.Linguists has found that adults seem to be able to change the structure of their language automatically, when they are working with babies in order to simplify it. This is practically important because babes can focus on the key words in a sentence and begin to associate the words with a meaning. The word â€Å"parents† is used to describe the style that ad ults adopt when working with babies and toddlers. With children who are older and is developing their language, our style needs need to change again, instead of you simplifying our language, you may set out to enrich it so that a four year old can develop their vocabulary.Questions By using questions it is a important part in stimulating and extending the children's speech, they can show children that you are interested in what they are doing or response and is important to be aware of different styles. Rhetorical Questions A rhetorical question is not really a question because the speaker tends to answer them their selves. This type of question is very useful when you are working with babies and toddlers, as it helps the adult sustain commentary while they are busy with the child who may not be able to say much.Rhetorical questions an make the baby and toddler feel involved as long as the adult uses eye contact whilst you are talking to them. The commentary style is one that is ver y useful as it is allowing the babies and toddlers to hear language even though the commentary must be directed at them, using rhetorical questions with a child that already has language does not work because they see a opportunity to answer the question. Closed questions By using closed questions it prompts short answers.A example is â€Å"Did you enjoy that† they are useful to engage the child, we often need them when your working with babies and very young children that can use one word answers gestures or body language. For children that have limited language its important to extend the conversation from a closed question. Closed questions can also be safe for children who are anxious or a child that does not know you. This should be seen as a starting point in a conversation. With older children the amount of closed questions should be monitored as they do not extend language. It can prevent the child getting a chance to be able to express themselves.Open questions By us ing open questions it means that your prompting for a longer answer and to help children to think. Open questions work well when that child feels comfortable with the adult as well as when they have significant language so they are able to communicate. Using questions Its often suggested that closed questions are bad and that open questions are good. The reality is more complex as the use of questions really depends on the level of language that child has also how comfortable the child feels. Many skilled immunization will switch to open questions and closed questions.The thing that distinguishes the use of questions is generally interested in what the child is saying to you. Poor communicators ask questions without really wanting to know the child's answer. This means that using ascertain a chills acknowledge. Conversations/ interactions When you look at language and the way it is used in settings and used in the children's homes it becomes clear that some adults language is used t o organize children. This type of language is essential but it is not useful when you are trying to extend and develop the children's language.For this to be able to happen the children need to be able to have time to talk and interact with an adult. Interactions with babies and toddlers For babies and toddlers early interaction is often quiet play. With a baby you may play peep and with a toddler they may give you a toy and you say thank you to them and then they take it away from you. This early interaction may not seem important but it is essential for the babies and toddlers as they are learning early skills of fun whilst they are communicating. They will also learn about turn taking eye contact and interpreting expressions.Other interactions may also include songs. Babies and toddlers also need to hear a running commentary as if the child can answer the Children that has speech needs to have time where they can talk to the adults. You should note that the children likes to be d oing something or has got something to show the adults for this to be able to take place. This is often when the adults takes time to show the children that they are available or goes and sit down. Good communication does not work when the adult is moving about and does not have good eye contact with the person who is talking to you. Information and activitiesChildren and adults need to have something to say to each other, this means that a lot of settings will work on children's language by planning activities, or they may have books that will help prompt children's speech. With babies and toddlers this could mean too have to put out an experience such as teddies and toys in a basket that has a lid on. With older children you can have a variety of activities thou can use to stimulate children's language. It is always important that you build on the child's existing interests as well as being able to provide new things for the children. Working with parents/ careersA lot of parents and careers under mind the value of or their role in prompting children's speech and extending their speech. They are more likely to only have 15 minutes a day which they are able to chat to their child without any interruption. This could be when you are walking home or at bath time. As parents have a strong relationship with their child they are able to tune in to them and adapt their language. This means that parents does have the potential to be a good language partner for their child. Many settings provide sessions for parents to learn about the importance of their role and build up their confidence.When a child has a specific speech and language need both parents and the setting needs to work together WI the speech and language therapist. Positive effects of adult support When adult support provided for children there is many positive effects. Some of the positive effects is the following: 1 . Speech, language and communication skills 2. Emotional development 3. Behavior 4. So cial interaction Speech, language and communication skills If a high quality of support is given children can show progress in their speech, language and communication skills.This means working with children can be really rewarding and parents are often delighted in the improvements that children are showing. Social interaction The heart of social interaction is children's ability to communicate. This means that positive support can quickly make the child more outgoing and confident in their interactions. A lot of practitioners report that once children have more speech and language the children are able to play easily with other children. Behavior Many children that are finding it hard to communicate or speak will show aggression. They may also be showing a sign of uncooperative or frustrated behavior.Being able to communicate effectively can make a massive difference to children's behavior. Parents will also note that when they are spending more time communicating with their child that child wills show less attention seeking behavior. Emotional development does the children become more confident, they also will be able to find words to be able to control their emotions and express their needs. Children of the same age will often have different levels of language. This will mean that you need to identify the children that has atypical language in order for them to get the support that they need.But you also need to think out how practices and procedures support the children. Settling in For children that does not have speaking language for a reason like age or because they have a additional need its very essential that they get to know the key person before any separation is taken. The key person needs to find out from that child's parents how to communicate with that child and learn the skills they use. With the children that are speaking well and can understand us will still need a similar level of care and attention, but they may find it easier to settle i n as they can express their needs and their feelings.Grouping children A lot of settings may have moments when they need to put children in to groups like when you go for lunch or when they are going for a story. It is important that you give a lot of thought in to this as children that has language needs have been grouped sensitively and carefully so they have get the opportunity to interact and get involved. Activities When activities and play opportunities are planned children's level of language needs to be considered as certain activities are required to have a higher level of language and this mean it may not be appropriate for a child who is still developing engage.Language is needed for role play and it is important to think about if the child wants to Join in with role play and needs to have support. The ability to process language will mean that some activities that require children to listen needs to be carefully thought about if there are no visual stimuli which will hel p the children work things out. Methods of providing support A starting point to be able to support the children with language problems is to consider the age of that child, the child's current level of language and what they are interested in. You should also find out the child's specific needs. AgeThe child's age needs to be considered in relation to the way we work with children. Babies and toddlers is emerging their language and we rely our gestures facial expressions and body language to help them to understand. In a way they need to use these communication tools, we also need to learn how to interrupt them correctly. By the age of three children will have developed sufficient language to be able to form sentences so our style of language will need to change again. Specific needs Its very important that when working with children you know what their milestones are in relation to the child that you are working with.This is because each child needs to be identified quickly so the y can gain the support that is necessary. Sometimes a speech and language therapist will be involved and be able to give us specific suggestions as to what kind of type of work that the child needs. Children with cognitive needs alongside language needs will also may need to use Megaton. Megaton is signs that create the visual cues to help them to understand the meaning. Abilities children has language delays, but some children does not have any delays and gets on with language with flying colors, they are hungry for attention and to get language opportunities.You need to think about how challenging the activities are and think about the language opportunities are such as stories. For other children they might like one thing like a train set, so you may sit with the child and make the sounds to encourage visitation. Home language These days children learn English as well as their home language, being able to learn more than one language at an early age is a good opportunity, its ver y important that you don't make the parents of children feel like there is a problem with that. You need to find out how much English the child has and find out how strong the chills mom language is.It is important that you find out how the parents use their home language, as some parents may choose to only use their home language to their children but other parents may decide to split up their language by using more than one language. Some parents may slide between two languages. If you have a child that comes in to your setting no using any English you need to be aware that the emotional impact may be hard as they don't use English. This is why a key person system is important, as it is a way which we can reassure the child, for children that isn't have English the progress they need is to acquire English and this can be very quick.This is why it is not a problem if the parents only speak their home language. Linguists takes the view that many ways this is desirable so that the ch ild can gain competence in both languages. When children are not making progress in either their home language or English then it is worth talking to the parents and make it clear that some distinctions in their language use so that babies and young children can work out the sounds and words and which belongs to what language. Its important to remember that children that are learning more than one language are prone to have hearing loss, sight problems and communication difficulties.It is important if they are not making progress to explore these possibilities. Gaps in vocabulary When your working with children that has two language it is important that you are aware they may have specific gapes in their vocabulary. This is because most language is learnt in context. This means that some objects or activities means different things in their home language and in the setting its different as its in English. So this may mean that children may not know some of the common household items in English like tea towel or pillow this means they may not be able to talk about what they have done in the setting to their parents.They may not have the word sand in their home language its very important that you are aware of these gaps and plan activities accordingly. Adapting own language It is important to adapt our style and language to be able to suit the needs of the children. For children with English with a additional need you may need to use more facial expression or point to objects. You might have to simplify your sentences like oh do when you work with babies and thus style will allow to break in to the meaning of the word.Scaffolding children's language Children needs to hear phrases and words before they can use them. By scaffolding children's language it involves talking to children in ways that will be able to help essential for this as As they are likely to spend more time with the child, the can also develop language routines for that child. Recasting and expa nding statements As a part of scaffolding children's language adults should know the acknowledge of children's vacillations or the attempts of communication and should recast the entente.So that the sentence is grammatically correct, or you can expand the sentence so that the child is hearing a fuller sentence because vocabulary are learnt in context by expanding the sentence from a child means that they can learn more. Giving children time to communicate A lot of adults forget that children needs to have time to be able to process what they have been told and visual the clues in the room before they are able to respond to a communication, one of the common mistake that a adult does is fill up the gaps immediately assuming that the child has not understood or can't think of anything to say.This means that reviewing our own language practice is worth thinking about how much time we are giving children in order so they can communicate with us. It is important that you give time to chi ldren who are learning English as they already have another language. They might know what they want to say but they may not be able to say it and need a moment to put it together. Many babies and toddlers process things a few hours after, this may mean when you took him/her to the pond to feed the ducks they was not very responsive but later on when they look at the photos they get very excited and try to talk about the duck.This is why it is useful to repeat activities that children have enjoyed. This is why having photographs and video clips can help the children to interact. Facilitating communication between children Children's social skills and language are connected, sometimes the role of the adult is to help the children to connect with each other so they can communicate. One way to do this is to set up some simple activities that is pleasurable for the children. Having a game that you need to have children to be paired up can work well as it can encourage them to listen to each other and enjoy being with each other.When irking with large groups it has to be organized carefully as children that has strong language skills will find it hard not to shout out. It can be hard for young children to wait and some people will argue it is unfair that they have to wait. Children who has a stutter can feel under pressure if you have told the other child to be quiet so they can listen to the child. This can sometimes make their stutter or stammer worse. Learning through play Play is Just not a medium for learning physical and social skills it is also used for language.A key skill for adults to master this is by playing with the children in ways f which the children have their own ownership of it. Role play is normally used on older children to be able to get them to develop their sentences and vocabulary, with baby's language can be learnt through peep. Play is a very good vehicle for language, its important that the materials you use and resources that are availa ble for children are interesting and satisfying. Many practitioners look for new ways of introducing new materials or the props in to children's play as it will give children something to talk about.Working with parents, careers and families Parents need to be involved with supporting their children's language as they are o one time with them parents sometimes will need support to know how to maximize the language opportunities and so some settings put workshops on where parents and children can come to play and learn together. These workshops can give parents more confidence as well as more understanding of the importance of their role in promoting their children's language. Interests of children Children tend to talk more about things that excite them or what they are interested in. His means that adults are needing to be flexible when working with children and be ready to talk and explore the things the children have noticed or that are interested in. A Autumn walk what the pract itioner was hoping to talk about the different types of leaves and the children may have found a pine cone and have to talk about them instead. Day to day activities Sometimes it is easy to forget that everyday routine activities can be fascinating for children when adults allow them to be properly involved. This may mean that you need to allow more time to value those moments in the day instead of Just trying to get through them.Tidying up can either be a quick routine task. In which children will say hardly anything at all. When tidying up the adult and children can have a DOD conversation about where things go, and what toys they don't play with or the ones that does get played with and travels around the setting. In some settings they organize the packing up so that the key person can work with the child. Some potential activities that can extend the children's language are the following 1. Dressing 2. Lunch time 3. Tidying up 4. Choosing stories for story time 5. Getting ready to go home 6.Nappy changing and other personal care routines 7. Snack time 8. Setting activities out Working with children one to one Children's language Scan improve a lot when they spend time in the company of insensitive adults who are able to respond to them carefully, the term language partner is use on this respect. A language partner is good at picking up an individual child's interest and are ready to allow conversation to be able to follow the child's interest. Chatting with children when they are doing a activity is important, by Just sitting the child down to talk to can make them very unnatural and forced.One to one is very valuable, because then the child can talk a their own pace, and does not have to compete with others. One to one works in the EYES settings, the settings would be carried out by that child's key person. As this is a way of strengthening the relationship, as well as the child should have a existing bond with their key person. Working with groups When w orking with a group of children it can be a Juggling act because children's language levels are often different this means that they process things at different speeds, it also means that the may process what they have been told in a slightly different way.By organizing a trip to the shop with the children, the children may see another child may see it as seeing a yellow car and another child may see it as seeing post box. If you have a too may children In a group or if the activity your doing is not developmentally appropriate then you may see that the children start to close down, so the opportunity of speech rather than the opportunity for them to open up. They may resort to closed questions, so they can Just answer with one word. This can mean that some children will miss out as they don't get the opportunity to hear or speak full sentences.You can make sure that the group is developmentally appropriate such as three year olds are best in a group of three or four when only elder children can be put in a group with eight, children that are under the age of three does not tend to be able to do group work as easy and find that they will walk away or start to wiggle. Evaluating practice Three are many ways in which you can evaluate your practice with the children, first you may be able to record yourself working with the children, this will help you look at the tone of voice you are using and how much time you give them to respond.. N addition we may follow the children's progress and see where you have given them extra support. By recording the children with a MPH player it can you a baseline assessment of what the child can do, then record them again to see if they have made any progress. You also need to learn how to reflect on the way you work with individual children some children enjoy puppies or talking whilst cooking byte some children talk better when they are playing and you Join in the game.This means that to be able to work effectively with differe nt children you need to be able to reflect on their reactions and adapt effectively. The importance of the environment Its important that not only we work effectively in the trees of our skills with children, UT also the physical environment includes play and activities so it creates opportunities for language. Children and adults need to have something that's worthwhile to be able to talk, environment's that are boring or activities that are unchallenged may result in minimal language use.But having settings that are loud and chaotic also does not help in proving support for reactions for interaction between children and adults. As children may not be able to focus or be able to make themselves be heard. Adults may become distracted if they can see mayhem is being caused on the other side of the room. This can prevent sustained interaction. You should provide environment's inside and out that works well in terms of communication and meet the range of children's developmental needs. You should also thing about activities and resources that are available for the children. These activities should interact because they are challenging and interesting for them. Factors that support an effective speech language and communication environment 1. Views of children 2. Activities 3. Specific toys and resources 4. Staff roles and responsibilities 5. Physical environment 6. Training needs and opportunities 7. Involvement of parents, careers and families Physical environment

Friday, January 10, 2020

Jetstar

Task 1 a) Executive Summary 1. Brief description of products and services Domestic Air Freight International Air Freight Freighter Charter Ground Handling Retail Fleet and Equipment Online Solution 2. Define Target Market 3. Competative Advantage 4. Positioning Statement 5. Anticipated sales, profits and market share The Jetstar Group is the largest low cost airline in the Asia Pacific by revenue and has flown over 100 million passengers since it launched in 2004.During fiscal 2011-2012, the airline carried more than 20 million passengers, making Jetstar the fastest-growing airline in the Asia Pacific to reach this milestone in seven years of flying. The Jetstar Group has grown from providing employment to 400 people in 2004 to more than 7,000 across the Asia Pacific today. Collectively the Jetstar Group offers over 3,000 flights a week to 57 destinations in 16 countries and territories across the Asia Pacific region with a fleet of around 95 aircraft.Jetstar is a value based, low fa res network of airlines operating in the leisure and value based markets. Jetstar’s mission is to offer all day, every day low fares to enable more people to fly to more places, more often. Strategy and structure Jetstar is part of the Qantas Group’s two-brand growth strategy, where Qantas competes at the premium and business market and Jetstar focuses on leisure markets. The Jetstar Group comprises: Jetstar Airways in Australia and New Zealand (wholly owned by the Qantas Group) Jetstar Asia based in Singapore.The company is managed by Newstar Holdings, majority owned by Singapore company Westbrook Investments (51 per cent), with the Qantas Group holding the remaining 49 per cent Jetstar Pacific based in Vietnam (majority owned by Vietnam Airlines with the Qantas Group holding 30 per cent) Jetstar Japan, a partnership between the Qantas Group, Japan Airlines, Mitsubishi Corporation and Century Tokyo Leasing Corporation Jetstar Hong Kong, a partnership between China Eas tern Airlines and the Qantas Group (subject to regulatory approval). BrandThe Jetstar brand design is based on the Southern Cross constellation, with the orange star representing the smallest star of the Cross, Epsilon Crucis. The airline’s colours, orange, silver and black were chosen for their bold and modern feel. Fleet Current fleet: As of December 2012, the Jetstar Group fleet consists of 96 aircraft, including: 79 Airbus A320-200 aircraft, seat-configured for up to 180 passengers Six Airbus A321 aircraft, seat-configured for 220 passengers 11 Airbus A330-200 aircraft, with two cabins (economy and business) for up to 310 passengers Fleet orders:Jetstar has ordered 14 Boeing 787 Dreamliners, which are due to be delivered in 2013. These new-generation aircraft include features such as larger windows, improved cabin pressure to reduce jetlag and fuel consumption about 20 per cent lower than similar-sized aircraft. In August 2011 the Qantas Group placed an order for 110 Airb us A320s. The Jetstar Group has access to these aircraft to facilitate its growth. This includes 78 A320 NEOs (New Engine Option), which reduce fuel consumption by 15 per cent and will be available for delivery from 2015. In total, Jetstar has about 150 aircraft on back order.Network The Jetstar Group’s network is made up of 56 destinations in 16 countries and territories. Check out our interactive route map to find out exactly where we fly. Low fares Jetstar aims to have the lowest fares on all the routes it operates and backs every fare with a Price Beat Guarantee. Should any customer find a lower fare online, on the same day, same route and at a comparable time, Jetstar will beat the fare by 10 per cent. Customer experience Jetstar customers only pay for what they need. Customers can choose between two types of fares – Economy or Business (on selected international flights).Once a fare is selected, customers have the option to add on checked baggage between 15 †“ 40 kilos per passenger and/or a bundle of extras, which can include seat selection, in-flight products, fare flexibility, lounge access and Qantas Frequent Flyer Points. For domestic flights on Jetstar Australia and New Zealand, passengers may choose to purchase a variety of snacks and beverages. Depending on the length of the flight, hot meals are also made available for purchase. On Jetstar Asia’s short haul flights, a variety of snacks, beverages, hot meals, comfort items and duty free goods are available for purchase.On long haul flights (onboard the Airbus A330-200), economy class passengers can choose to pre-purchase a variety of meals, entertainment, and comfort options to customise their flight experience. Business class passengers enjoy wide comfy leather seats in a separate cabin and inclusions such as meals, entertainment and comfort packs along with seat selection and additional baggage. Business passengers who choose a Business Max bundle also benefit from lo unge access, Qantas Frequent Flyer Points and Qantas Frequent Status credits.Interline and codeshare partners The Jetstar Group has three codeshare partners on select Jetstar routes, being Qantas, Japan Airlines and American Airlines. The Jetstar Group has 25 interline partnerships on select Jetstar routes: American Airlines, Aircalin, Air Canada, Air France, Air Niugini, Air Pacific, Air Tahiti Nui, British Airways, Cathay Pacific, Dragonair, Emirates, Etihad, Finnair, Japan Airlines, Jet Airways, KLM; LAN Airlines; Lan Argentina; Lan Ecuador; Lan Peru; Lufthansa; Qantas; Qatar Airways; Royal Jordanian and United.Performance Jetstar has been profitable every year since its launch in 2004. The airline delivered a record Underlying EBIT (Earnings Before Interest and Taxes) of AUD$203 million in 2011-12, a 20 per cent increase on the previous financial year. In the same period, Jetstar grew overall capacity by 14 per cent and carried 20. 6 million passengers, an 11 per cent increase o n the previous financial year. Awards Jetstar Airways Awards: Best Low-Cost Airline – Australia/Pacific 2012 and 2011 (Skytrax) Partner of the Year 2012 – Changi Airline AwardsTop 5 Airlines by Absolute Growth in Cargo Carriage 2012 (Changi Airline Awards) Best International Budget Airline 2011 (About. com Readers’ Choice Award) Best Low-Cost Airline – Australasia 2009 (Skytrax) Top 5 Carriers for Passenger Growth 2009 (Changi Airline Awards) Low-Cost Carrier of the Year 2008 and 2007 (CAPA) Best Low-Cost Airline Asia Pacific 2008 (Budgie$) Best Low-Cost Airline – Worldwide 2007 (Skytrax) Best Cabin Crew – Australia and New Zealand 2007 (Skytrax) Operational Excellence 2007 (Airline Business) Jetstar Asia Awards:Top 10 Airlines by Passenger Carriage – 2012, 2011, 2010, 2009, 2008 and 2007 (Changi Airline Awards) Largest Growth in Passenger Traffic from Singapore 2011 (Changi Airline Awards) AsiaOne People’s Choice Award for Bes t Budget Airline in 2010 Best Brand Experience Low Cost Airline in 2008 (Ad Asia Magazine) Best Asia Low Cost Carrier 2006-2007 (Changi Airline Awards) Best Low Cost Airline -Asia and South East Asia 2006 (Skytrax) Low Cost Airline of the Year 2006 Merit Award (CAPA) Best Budget Airline of the Year 2006 (TTG Travel Awards)Jetstar Pacific Awards Vietnam’s most popular e-commerce website 2008 Bruce Buchanan, CEO of Jetstar, admits that new |low-cost airlines would increase competition but Jetstar would thrive through fleet expansion and new marketing strategies. Why have so many airlines that have subsidiaries, including THAI, Singaporean Airlines and Malaysian Airlines, adopted a multi-brand strategy? The Qantas Group's two-brand strategy, utilising both Qantas and Jetstar brands, allows the group to design and grow products that suit the specific needs of a broad customer base.This strategy sees the Qantas brand focus on the premium and business traveller – with produc ts and a route network catered for these groups whilst Jetstar focuses on serving the needs of the leisure and value-oriented traveller. By having â€Å"two brands† the Qantas Group is able to assess different market opportunities and deploy the best product to suit the opportunity and specific market conditions. In Europe, we know that Ryan Air is the biggest low-cost. Who is the biggest in Asia now? How does Jetstar position itself in this market?In terms of revenue, Jetstar is the biggest. In terms of fleet size, we believe AirAsia to be the biggest. It is our intention to continue to grow our Pan-Asian strategy and to be a leading low-fares carrier in the Southeast Asian region. What are Jetstar's plans to enhance competitiveness? Jetstar's Pan-Asian strategy is providing the core platform for our competitiveness. We are currently looking at regional growth opportunities and new services from our growing networks from bases in Singapore, Australia, New Zealand and Vietnam .A key focus for us is looking for network opportunities that allow us to maximise existing networks and complement existing flying as well as looking at brand new opportunities in Asia. The growth in the awareness of our brand really supports the growth of our networks throughout Asia and provides us a strong competitive advantage. As Jetstar matures in the region, our ability to consistently offer the lowest fares on the routes we serve and our ability to focus our marketing and business |model around this core offering continues to provide us with an attractive and compelling customer offering.Our strong association with Qantas and its industry-leading safety standards is also a powerful association as we grow in Asia. What plan does Jetstar have to start new flights to both existing and new destinations? What plan does Jetstar have to expand its fleet? For the remainder of the financial year 2010/2011, Jetstar will add a further eight A320 aircraft and two A330 aircraft into its groupwide fleet for opportunities in Australia, New Zealand, Singapore and Vietnam.This will involve introducing first time long-haul flying from Singapore when the carrier commences direct daily services between Singapore and Melbourne on December 16 and then direct daily services between Singapore and Auckland on March 16, 2011. Jetstar Asia will welcome an additional two A320 aircraft this year for flying from Singapore and an additional A320 aircraft will be added to domestic New Zealand flying. Jetstar's China expansion will continue with flights to Guilin in southern China from Singapore to also soon commence – representing its sixth collective Chinese mainland or wider China destination.In the medium to long term, Jetstar will be looking to grow its existing fleet of nearly 70 aircraft by an additional 50 aircraft over the next five years. In mid-2012, the carrier will welcome its first Boeing 787 Dreamliner, Jetstar becoming the first carrier in the Jetstar group to operate these state-of-the-art aircraft. Jetstar is scheduled to receive 15. What is Jetstar's marketing strategy for the rest of 2010? What new services does Jetstar plan to offer? Jetstar will be expanding services in all markets over the course of the current financial year.In Australia, we will be adding up to 30 per cent additional domestic capacity for the financial year ending 2011. In New Zealand, we have recently announced an additional two A320 aircraft to be based in New Zealand, representing an additional 717,000 seats annually. In Singapore, we will be adding an additional two A320 aircraft to its fleet of 10 based in Singapore by the end of 2010, which is in addition to the commencement of first time value-based long-haul flying from December, which will eventually see two A330 aircraft based in Singapore.At Jetstar Pacific in Vietnam, we are planning the introduction of its second A320 aircraft to join its existing fleet of five B737s and one A320 this calendar year a s part of a fleet renewal process towards a future all-A320 operation. How has Jetstar performed financially, and what are your expectations looking ahead? Jetstar Brands posted an EBIT of $131 million Australian dollar for the financial year ending June 2010. How does Jetstar perceive the competition once Thai Tiger Airways gets off the ground and how will you cope with it given that several low-cost irlines are competing in the same areas. Will price-cutting be the answer? The Thai market has always been a competitive one and we don't expect that to change as new entrants come onto the market. Of all the low-cost carriers, Jetstar is the only one to offer a low fares guarantee which stipulates that should a customer find a lower-fare online on the same date at a comparative time to a Jetstar service, Jetstar will be discount that fare by 10 per cent.

Thursday, January 2, 2020

What Is Coherence in Composition

In composition, coherence refers to the meaningful  connections that readers or listeners perceive in a written or oral text, often called linguistic or discourse coherence, and can occur on either the local or global level, depending on the audience and writer. Coherence is directly increased by the amount of guidance a writer provides to the reader, either through context clues or through direct use of transitional phrases to direct the reader through an argument or narrative. Word choice and sentence and paragraph structure influence the coherence of a written or spoken piece, but cultural knowledge, or understanding of the processes and natural orders on the local and global levels, can also serve as cohesive elements of writing.   Guiding the Reader It is important in composition to maintain the coherence of a piece by leading the reader or listener through the narrative or process by providing cohesive elements to the form. In Marking Discourse Coherence, Uta Lenk states that the reader or listeners understanding of coherence is  influenced by the degree and kind of guidance given by the speaker: the more guidance is given, the easier it is for the hearer to establish the coherence according to the speakers intentions. Transitional words and phrases  like therefore, as a result, because and the like serve to move connect one posit to the next, either through cause and effect or correlation of data, while other transitional elements like combining and connecting sentences or repetition of keywords and structures can similarly guide the reader to make connections in tandem with their cultural knowledge of the topic. Thomas S. Kane describes this cohesive element as flow in The New Oxford Guide to Writing, wherein these invisible links which bind the sentences of a paragraph can be established in two basic ways. The first, he says, is to establish a plan in the first of the paragraph and introduce each new idea with a word marking its place in this plan while the second concentrates on the successive linking of sentences to develop the plan through connecting each sentence to the one before it. Constructing Coherence Relations Coherence in composition and constructionist theory relies on a readers local and global understanding of the written and spoken language, inferring the binding elements of text that help guide them through understanding the authors intentions.   As Arthur C. Graesser, Peter Wiemer-Hasting and Katka Wiener-Hastings put it in constructing Inferences and Relations During Text Comprehension, local coherence is achieved if the reader can connect the incoming sentence to information in the previous sentence or to the content in working memory. On the other hand, global coherence comes from the major message or point of the structure of the sentence or from an earlier statement in the text.   If not driven by these global or local understanding, the sentence is typically given coherence by explicit features like anaphoric references, connectives, predicates, signaling devices and transitional phrases.   In any case, coherence is a mental process and the Coherence Principle accounts for the fact that we do not communicate by verbal means only, according to Edda Weigands Language as Dialogue: From Rules to Principles. Ultimately, then, it comes down to the listener or leaders own comprehension skills, their interaction with the text, that influences the true coherence of a piece of writing.