Comprehensive Immigration Reform Opposition

Perhaps the most widely held objection to comprehensive immigration reform is that it is amnesty  for people who have broken the law, and amnesty will only encourage more illegal immigrants to  come into the country. Opponents point to immigration reform efforts during the Reagan administration, the Immigration  Reform and Control Act of 1986, that granted amnesty to illegal immigrants. That reprieve opened  the door to a new wave of illegal migration, opponents say, and so will the plan to allow 11  million illegal residents to stay in the country. But Sen. John McCain, R-Ariz., one of the Senates Gang of Eight who helped fashion the  framework for comprehensive reform, makes the case that doing nothing about the 11 million  illegal residents is in itself a de facto amnesty. Because the federal government has no  realistic capability to deport the 11 million, or to incarcerate them, there long-term residence  in the country is virtually assured. Ignoring the problem is a form of amnesty, McCain and other  reformers argue. New Reform Efforts Come With Tougher Conditions Also, unlike the amnesty provision of 1986, 2013 reform proposals impose stringent  requirements on illegal immigrants. They must learn English. They must clear background checks.  They must pay fees and taxes. And they must move to the back of the line, behind those waiting  to enter the country through the legal process. Comprehensive reform is unfair to those immigrants who are playing by the rules. Even many immigrant advocates argue that it isnt right to give the 11 million who entered the  country illegally special status that is unavailable to other immigrants who are going through  the legal process and trying to come here the right way. But President Obamas plan and the one negotiated by the Gang of Eight both require that the 11  millions pathway to citizenship starts behind those already in line. Both plans reject the idea  of expedited treatment for undocumented residents and want to reward those who have been working  their way through the legal system. These illegal immigrants will take jobs from American workers and promote a decline in wages  overall, which is bad for the U.S economy. Study after study and anecdote after anecdote have refuted these arguments. They are both  factually incorrect. First, there are tens of thousands of necessary jobs across the United States that American  workers just will not do at any price. There are also thousands of jobs that go unfilled because  no qualified American worker can be found to do them. Can U.S. Economy Run Without Foreign Labor? The reality is that immigrant labor is essential to fill necessary jobs that make the U.S.  economy run. States that have enacted harsh laws against illegal immigrants have found this out  first hand. Arizona and Alabama, in particular, endured severe damage and costly labor shortages in their agriculture  and tourism industries after passing laws designed to drive illegal immigrants out of the state. Even states without immigration laws are dependent on immigrant labor. In Florida, immigrants  are essential to agriculture and the hospitality industries. Tourism would collapse without  them. Undocumented workers have a negligible impact on the wages of documented workers that work at  the same firm, according to a paper released in March by the Federal Reserve Bank of Atlanta.   Documented workers at firms that also employ undocumented workers earn 0.15 percent less -- or  $56 less per year on average -- than they would if they worked at a firm that does not employ  undocumented workers, according to the study. In fact, workers in retail and leisure and hospitality actually earn slightly more money when  their firms hire undocumented workers, since having more employees allows them to specialize,  according to the research paper.

Population Growth and Feeding the Poor Essay example

To begin with, I’d like to point out that hunger kills more people every year than AIDS, malaria, and tuberculosis combined. Additionally, the vast majority of hungry people (827 million) live in developing countries, where 14.3 percent of the population is undernourished (Hunger Statistics). On that note, many people like to associate population growth as a cause that will lead to the scarcity of food, which is not entirely true. There are more than enough global food resources, and yet world hunger is extensive. In fact, most hungry people live in countries that have excess in food. Therefore, increasing food production will not solve world hunger. Food is readily available to those who can afford it, which is why solving the poverty†¦show more content†¦Essentially, these companies are creating the problem, and then providing the fix, which calls into question their motives. Moreover, as Anup Shah points out, â€Å"do we actually need genetically engineered food, given that agriculture in small bio diverse farms are actually very productive.† As you can see, it’s not population growth that is the cause of hunger; but economics and politics at all levels, who have contributed to poverty and hunger around the world, making it very hard for people to afford food. Another insightful piece of information that many people are unaware of is that whoever controls the land, controls its use. At first glance this seems like an obvious statement; however; looking deeper at the implications of what is been said, one would understand that this is a significant cause of hunger today. Back in the day, people were able to sustain themselves through the use of land. Over time, the wealthy, and the powerful took ownership and control of land that peasants once relied on to feed their families. They did this to turn the land into a moneymaking production for themselves. As a result, many people went hungry, as they had no land to work off. For millenniums there was always land for common use; however, in todays world, the powerful have simply taken control of the land for their own benefit (Smith, J.W.). In light of the aforementioned, because there’s soShow MoreRelatedEssay On Mealtimes983 Words   |  4 Pagesstrategies and alter flow rate through making equipment changes, they also establish regular mealtimes (Arvedson, 1998). This may be accomplished by allowing concrete intervals of time between feedings. For example, a newborn may be fed every two to three hours. Similarly, the newborn should only engage in feedings a certain number of times per day. For example, a newborn may be fed approximately 10 to 12 times daily. Developing a routine such as this will help the newborn to develop hunger and satietyRead MoreMarket Analysis Of The Global Formal Senal Devices Market815 Words   |  4 Pagesenteral feeding devices market accounted for a value of USD 1,752 million in 2015. The market is estimated at USD 1,832 million in 2017, and projected to reach USD 2,285 million by 2021, growing at a compound annual growth (CAGR) of 4.53% during the forecast period (2016-2021). Due to the increasing use of enteral feeding in patients suffering from neurological disorders, the neurological disorders segment is expected to grow at a higher CAGR from 2017 to 2021. In the global enteral feeding devicesRead MorePoverty Of The United States1663 Words   |  7 Pagesus. Dealing with poverty leads to numerous complications, especially not having access to healthy food. Gaining access to healthy food is unreachable to the poor community because they do not have the money to purchase it and among other limiting factors. Substituting healthy food with unhealthy food leads to a more bigger gap for the poor community to get out of. Individuals that are living in poverty should have access to cheap and affordable healthy food because of the damaging effect it willRead MoreThe Rate Of Growth And Reproduction Of Tilapia Fish1309 Words   |  6 Pageseat most of the time. Tilapia fish is my preferred kind of food because it is tasty and smile more different than the othe r kinds. In this paper, we will talk about the ways of raising Tilapia. The rate of growth and reproduction of Tilapia fish can be adapted to the environmental factors. Feeding ways can affect in the fish products although it can help in increasing the fish number. The environment has effect on the sex determination in Tilapia because they can escape form their cage and interactRead MorePoverty And Hunger : Hunger1542 Words   |  7 Pageslive in poverty. According to Feeding America, seventy percent of their clients are at one hundred percent below the federal poverty line (â€Å"Hunger and Poverty Facts†, 2016). Poverty is the social factor, which creates and sustains hunger. You may be wondering that if poverty creates hunger, what creates poverty? Economics, politics, and capitalism all keep the impoverished from escaping lower class, and in turn, the inability to escape hunger. The elderly population is amongst the most impactedRead MoreBangladesh : A Industrial Country, Rich And Natural Resources898 Words   |  4 Pagesboth fresh and brackish water in coastal areas. Currently, the fresh water areas, the overall ecology of fish habitats and migratory routes are disappearing due to human activities. It is therefore difficult to meet the protein requirement of the population from the freshwater sub-sector alone. Notwithstanding, priority is still given to the freshwater for fishery despite the fact that marine and brackish water fisherysub-sectors constitute greater proportion of foreign exchange earnings and developmentRead MoreNutrition For Health And Development1615 Words   |  7 Pages Parents become more stressed Circle of anxiety compounding feeding difficulties. (Hall and Elliman 2003) It is well recognized that household food insecurity is one of the three underlying causes of malnutrition. At the international conference of nutrition (ICN) held in Rome in 1992, food security was defined in its most basic form as physical, social and economic access by all people at all times to sufficient, safe and nutritious food which meets their dietary needs and food preference forRead MoreHygeia International Essay1522 Words   |  7 Pagesorganization. b) Mention and discuss the supporting factors in strategy implementation. 5 a) Clearly discuss the following alternative strategies: i) Backward and Forward Integration. ii) Merger and Acquisition strategies. iii) Stable Growth Strategy. iv) Incremental Growth Strategy. b) Give a clear explanation of the following corporate planning approaches: i) Goals-Down, Plans-Up Approach. ii) Top-Down Approach iii) Bottom-Up Approach HYGEIA INTERNATIONAL Expansion in Nigeria is the issueRead MoreDemography s Classic Transition Theory1464 Words   |  6 Pagesphase where high mortality and high birth rates create slow population growth, which is considered a traditional society. The second phase is the transition where slowing mortality rates and high birth rates produce raid population growth. During this stage birth rate should begin to fall if the country is actively attempting to become a modern society. In the final stage low birth rates and low mortality rates bring the population growth back to a slow or stagnant pace, which is a modern societyRead MoreEffects Of Protein Energy Malnutrition On Children And Children1708 Words   |  7 PagesThe different foods are very important to human life because of foods have different essential nutrients helping to properly growth and development of physically with mentally. Protein energy malnutrition is the deficiencies of protein, energy and other micronutrients. This malnutrition dis ease can be affected from not eating enough healthy diets and recognizing by physical appearance signs, dietary data and bio-medical data. There are some factors affecting in age groups women and children malnutrition

Three Types of Leadership Styles Essay - 706 Words

QUESTION 1 (500-550 words each) There are three types of leadership styles. The first style of leadership style is Autocratic Style. According to Awan (2010, page 253-266) autocratic leaders make independent decisions ‘to complete a singular objectives’ and to rule over other team members. The second style is Democratic Style. This style of leadership encourages and allows team members to have an input based on anything to work related, but the team leader will always make the final decision (Robbins 2011, page 297-299). And the third leadership style is Laissez-Faire Style. According to Van (2004, page 1-13) a Laissez-Faire Style leader does not have any control over the members of the group, allowing the group totally free to decide†¦show more content†¦Expert Power was found to be the main source of power used, as through out the two-hour meeting Terrill had with the engineers, Terrill allowed the engineers to state any issues they had about the way they work. The engineers stated the reaso n why they were not producing was because they spent most of their time writing reports for the top manager, which does not take the time to read the reports. From the input Terrill received from the engineers, Terrill was then able to make a final decision based on the feedback received. Terrill’s final decision was to, instead of sending the day’s reports to the headquarters, send them straight to his office. This is where Terrill used Legitimate Power as another primary source of power. Referent Legitimate Power was used when Terrill told the engineers to, instead of sending the day’s reports straight to the headquarters, to send them straight to his office. This was to prove if what the engineers were saying, about the day’s report not being read, was true. And it was true, headquarters did not ask for the reports until the end of the month. 522 QUESTION 2 (500-550 words each) According to Robbins (2011, page 303) the Hersey-Blanchard Theory was created in order to focus on leader effectiveness and followers’ readiness. Allowing leaders to change their leadership style, based on the maturity of the personnel they are leading, and the task (Thompson 2009, pageShow MoreRelatedCharacteristics Of A Good Leader1655 Words   |  7 Pagesoperations to serve the worldwide population with some type of product or service. It is important to understand the behavior of individuals within these organizations in order to have the ability for further development. Individuals are all defined by certain behaviors and characteristics. 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LewinRead MoreThe Importance Of Leadership And Its Effect On Their Sales Team And Sales Work Force Essay903 Words   |  4 PagesMEANING OF LEADERSHIP Leadership is simple terms means influencing others to get the job done. It is a process where the leader influences others or say followers to get the work or task done over a period of time in a effective and efficient manner. Leadership could be best explained with the help of the above example. Marketing managers influence their sales team and sales work force to meet their targets. The three process which is included in the leadership process are compliance, identificationRead MoreChief Kobys Management Style1551 Words   |  7 PagesIntroduction Effective leaders opt to implement a specific type of leadership style as a result of their personalities and job experiences, and apply it to their organizational structure. However, that particular type of leadership style a leader utilizes may not apply to every job situation (Peak et al., 2010). In order to be an effective leader, an individual must acquire the three basic leadership skills and they are as follows: (1) human relations; (2) conceptual skills; and (3) technical skillsRead MoreDifferent Types Of Leadership Styles1330 Words   |  6 PagesWhat is Leadership? Why are there so many types of Leadership? Which one is the right one? These are all important questions people who are trying to lead ask. John Maxwell a well-known author on leadership stated simply â€Å"Leadership is influence†. There are numerous types of leadership styles, they all have their strong points about them, and depending who you are the circumstances can dictate which type of person with what type of leadership style will be successful. In this paper I will discussRead MoreLeadeship Styles and Theories1659 Words   |  7 PagesLeadership Styles and Theories Introduction Leadership effectiveness is always challenging for any organizational leader. Especially with the fast paced global market that is constantly changing and requiring the organization and its leaders to adapt quickly in order to remain effective. Therefore, developing the right style becomes an important role in the ability and the effectiveness of a leader and his team. Knowing the different leadership styles, will enable leaders to choose the rightRead MoreHow Leadership Styles Influence On An Organization s Climate Essay1019 Words   |  5 Pages The article of Leadership That Gets Results provides the six leadership styles for individuals to understand how leadership styles influence on an organization’s climate. Furthermore, the six leadership styles are consisted of the emotional intelligence: self-awareness, self-management, social awareness, and social skill. Therefore, these three concepts, such as the six leadership styles, the elements of emotional intelligence, and an organization’s climate, will influence each other because theRead MoreLeadership Self Assessment Of The Field Of Nursing Leadership1130 Words   |  5 PagesLeadership Self-Assessment In the field of nursing leadership is critical within the units and nursing practice. However, in the healthcare feel we may find ourselves interacting with different types of leaders. Upon completion of my leadership self-assessment, I was found to be a Participative, (democratic) type leader. To understand what this means the individual must understand that there are three main types of leadership styles. There is the Authoritarian, (autocratic) leader, participativeRead More Employees Motivation Essay1035 Words   |  5 Pagesvarious types of businesses that differ according to their ownership. The three basic forms of private ownership businesses are the sole proprietorship (i.e. sole trader), partnership, and corporation (Schoell, et al 132). The type of ownership that a business organization would apply is dependent on the owners financial status and objectives. Apart from the different types of ownerships, there are various styles of management and leadership. The org anizations management and leadership styleRead MoreDifferent Styles Of Leadership And Its Impact On The Sailor s And Missions That We Lead910 Words   |  4 Pagesdifferent styles of leadership and if we are to stick to just one type of style it could have a negative impact on the Sailor’s and missions that we lead. As leaders we need to be aware of our personnel and make sure that we are using the right type of leadership and that we do not become complacent in our style of leadership. In this paper we will look at three types of leadership, Situational Leadership, Transformational Leadership, and Transactional Leadership. Situational Leadership Situational

Disadvantages Of Bullying - 1883 Words

The Attempt to Have Your Mask Off Bullying. A word avoided in many conversations between parents and children. The topic of bullying is explained to children, year after year, in schools and at home. The disadvantages of bullying in the twenty-first century are that many types of bullying exist, which include cyber, physical, verbal and emotional bullying. The reckless acts leave a large amount of long-term damage towards too many victims. â€Å"Every year at least 3.2 million children are bullied in any type of form† (11 Facts About Bullying,Dosomething.org,). Many children have explained the long term effects of bullying such as Lucky Linderman did in the novel Everybody Sees the Ants written by A.S King. His bully, Nader bullies Lucky for†¦show more content†¦Lucky wants Uncle Dave understands that â€Å"I can guarantee you the girls where I live will not want a piece of the boy who has Ohio permanently etched into his cheek† ( King 83 ). Lucky is officially scared of girls and has no cou rage to talk to girls because of the scar created by Nader. A scar, which Lucky understands will never heal and will stop his ability to talk to or flirt with girls. The point of the vacation which Lucky and his mother took was to leave Pennsylvania, to escape the bullying. Lucky does not have an identity in the state of Arizona, noyone other than his family knows about his existence. He should be able to not worry about Nader and his problems but his scab makes it impossible. A single scar can disturb Lucky’s social life because it symbolises Nader in a very particular way. Lucky understands that his scar is the size of Ohio. Ohio is a big state, which borders are permanently placed on his cheek. This represents Nader’s bullying and the fact that, Lucky can never escape from it. In addition, many small items can become large symbols, even the small insects like ants. Ants seem worthless and are only annoying but they can have an impact on a person’s life. The ants constantly reminds Lucky of his worries and doubts. They repeatedly bother him and show up on random occasions, â€Å"Dude, this place sucks. You’re perfectly matched. Maybe you should move here. We couldShow MoreRelatedThe Problem of Bullying Essay1049 Words   |  5 Pagesof bullying has accumulated an adequate amount of attention to grow into a national concern. In the textbook, Sociology Now: The Essentials by Michael Kimmel and Amy Aronson, a study disclosed that 77 percent, in Midwestern towns, reported being a victim of bullying during their school years (p. 433). Bullying develops when a person is continually teased or physically hurt, sometimes both, for durations of time. There are different types of bullying such as physical bullying, verbal bullying, indirectRead MoreThe Three Main Types of Bullying890 Words   |  4 PagesBullying is defined as any unwanted aggressive behavior among students. Over the past couple of decades bullying has been on the r ise amongst middle school and high school students and still remains a prevalent issue. Unfortunately it is very hard to try to pinpoint and even accuse bullies because of the various types. The three main types of bulling are: overt bullying, indirect/relational bullying and cyber bullying (Bauman 2008). In this paper I plan on addressing all three types of bullying andRead MoreThe Effects Of Social Media On Society1131 Words   |  5 Pagess an advantage in any way as well. Social media is meant to connect a person with their friends and what s going on in the world, but anyone can easily misuse their social media accounts. Having a social media account of any kind is a strong disadvantage not only to a child individually but to the future of our society as a whole. In 2016, it s estimated that there will be around 2.13 billion social network users around the world while over 5 million Facebook accounts created by childrenRead MoreIs Cyberbullying Becoming An Added Struggle Of Mental Health Essay1269 Words   |  6 Pagesstudents to update others on their current status and location a disadvantage is when students tend to become reliant upon social media for other reasons. Which consequently, is a disadvantage when the social network is utilised to cause detrimental harm. Cyberbullying is derived from using electronics aggressively to cause harm. Due to the growing number of social media users along with, the predominant close knit online social groups bullying become intertwined into life’s daily tasks. Furthermore, theRead MoreAdvantages and Disadvantages of Conformyit1528 Words   |  7 PagesThe advantages and disadvantages of conformity. The New Zealand Oxford dictionary defines conformity as accordance with established practise and agreement suitability. Conformity comes with many advantages and disadvantages. Conformity exists so people don’t feel left out. It also comes with many dangers such as losing your logic and forgetting whether what you’re doing is good or bad. An advantage of conformity is feeling that you’re not alone. You feel accepted and a part of a group where willRead MoreAdvantages And Disadvantages Of Online Education835 Words   |  4 Pages Would you prefer having all your quizzes, assignments, and lectures on a computer screen or a traditional classroom teacher where it is mandatory to listen to their lectures and their assignments are on paper?  There are both advantages and disadvantages to a traditional setting and an online education.The advantages of online learning are that you get immediate feed back whether its a test, quiz or an assignment you get results of your score and what you got wrong in the matter of just submittingRead MoreAdvantages of Social Networks1458 Words   |  6 PagesRobert Patton ENG110, Professor Silvey 30 September 2011 The Disadvantages of Social Network Sites It is true that social network sites are growing at an alarming rate and that there are many advantages and disadvantages in using social network sites. If one understands these advantages and attempts to avoid the disadvantages, then one can use these sites to improve their knowledge, increase personal relationships with Family and friends, and create a functioning secure social network on-line. BecauseRead MoreEducation And Its Importance Of Education1255 Words   |  6 Pagesimportant are the day-one problem, bullying, and high dropout rates. These issues are often a big problem and can lead to an education that does not do the United States justice. The first issue is the day one problem. This problem states the beginning of a child’s life is extremely important for a good education. (Strauss) For example, John has parents who have minimal education, never went to college, and are poor. Therefore, John has a definite disadvantage against other students, who have well-educatedRead MoreIs Homeschooling Beneficial For A Student s Success?1596 Words   |  7 Pagesa traditional school, students may be distracted by their friends or even bullying. Both types of schools have their disadvantages. The part that may sway parents towards one side is their belief. Parents choose to take their children to a traditional school for a reason even when choosing to homeschool. Firstly, people claim that homeschooling can allow students to be free from bullying. In traditional schools, bullying is very common. Students that go to a traditional form of school that bulliedRead MoreCyberbullying And Its Effect On Children Essay1497 Words   |  6 Pagesharmful material or engaging in other forms of social aggression using the internet or other digital technologies (Morgan, 2013). Firstly, this essay will look at the internet, what it is, when it came about, what it is used for and the benefits and disadvantages of the internet. Secondly, I will discuss cyberbullying, what it means, the concern, what is involved, and who is involved. Thirdly, the effects of cyberbullying, why and how has it become a concern, consequences for those involved, how bad the

Automation and Artificial Intelligence †Free Samples to Students

Question: Discuss about the Automation and Artificial Intelligence. Answer: Introduction: The automation of business can necessary deliver the aspect of saving money and time and from the point of view of the customer deliver the service in which they do not have to wait in line for the person to assist them with the transaction and prelude the error which are related to the human. According to the point of view of the automation it can be very much beneficial from the point of business if they know which all processes they should put into the automation process. the main thing which the organisation should take into account is the strategic and drivers of the operation for the process improvement in their industry or organisation sector (Frolova and Razumova 2017). It can be directly being implemented into the process which can improve the whole concept of the organisation. It can be stated that the whole implementation is directly dependent on the nature of the implementation and the virtue of the field of the implementation. Part 1: The industrialism and the modern education go hand in hand to concept in order to virtue the senses of bringing a concept of sense into the mind of students. The role of standardisation and its concept play a concise role in the upbringing of the society and its importance regarding to the concept. The more the concept is instructed the less it is liable to the delusion in regards to the superstition and enthusiasm (Kolk and Hllsten 2017). Before the mere concept of the industrial age the provision of formal schooling virtually was scares everywhere- depending on the fees and the tuition, voluntarist and the usually limited to the males only. Precise relation which is between industrialization and the rise of the public education are very much difficult to pin down. Part 2: Supply management chain can be considered as an integrating function with the concept of primary responsibility for linking the major business functions and the business processes within and across the companies into the cohesiveness and the high performance of the business model. Customers always expect the product which is correct product assorted and quantity which is to be delivered. Customer always tend to have a service which is one time without any delay involved in the process (Mengelers et al. 2016) The factory system was introduced into the business area where a factory was usually set up at the back of the restaurant was introduced by McDonalds. The workers wages were very much lowered by the company by making them do less work in a predefined time framework and if anyone leaves it was very much easy to find a replacement of them. The food was very much expensive and it tasted really good and it turned out to be a very huge success. Today in the business sphere of the 70% of the business is being controlled by companies such as Tyson, Swift and Cargill The ammonia mainly kills the bacteria which is present in the food. the food.inc mainly design their own machinery in order to supply the best chain of food which can be used for the process in the daily life. The finish product of the hamburger meat is mainly filtered and cleaned with ammonia in order to kill E. coli. the production level is to the level of 70% and it is estimated that it would reach 100%level in the next 5year s of plan taking into consideration the high level of competition which is being faced by the company (Norman 2017). References Frolova, M.A. and Razumova, T.A., 2017, January. The use of process approach to base the need of automation of business processes in educational institutions. In AIP Conference Proceedings (Vol. 1797, No. 1, p. 040004). AIP Publishing. Kolk, M. and Hllsten, M., 2017. Demographic and Educational Success of Lineages in Northern Sweden. Population and Development Review, 43(3), pp.491-512. Mengelers, M., de Wit, L., Boon, P.E., Franz, E., Bouwknegt, M., de Jonge, R., Bulder, A. and Havelaar, A., 2017. How safe is our food?: Background report to'What is on our plate? Safe, healthy and sustainable diets in the Netherlands'. Norman, D., 2017. Design, Business Models, and Human-Technology Teamwork: As automation and artificial intelligence technologies develop, we need to think less about human-machine interfaces and more about human-machine teamwork. Research-Technology Management, 60(1), pp.26-30.

Drug Protocol Practice Asthma Disease

Question: Discuss about the Drug Protocol Practicefor Asthma Disease. Answer: Introduction Asthma disease requires careful consideration of the management and diagnostic plan in order to offer the right medication. As a nursing practitioner there is need to follow the right diagnosis path with the use of right protocol steps so as to achieve positive health state. Salbutamol has been used to offer medical therapy for asthma. It is a B2 androgenic receptor stimulating compound that performs the functions of bronchial dilations; it is also referred to as venolin. Its pharmacotherapy role is to break open the medium cavity of the airways in the lung walls. Common medication is by use of nebulizer or inhaler and available also as pill. In reviewing Asthma care, this case study adopts a protocol plan for health assessment for patient Bella. Body The scientific pharmacology associated with the drug is that is a chemically composed of ethanol and sulfate, (Jiang et al., 2016). When ingested, half of the drug is directly absorbed in the small intestines for the intestinal tract. However slower paces of action is achieved. Its action reaches peak after 2 hours of intake, in inhalation salbutamol gets into lungs attaining action level after 3-5 minutes with peak of 15-20 minutes. Hover theaction of salbutamol depended on the patient, it is expected maximum activity to have been attained after 4-6 hours, and it is taken through intestinal tract metabolism and via the liver for excretion in urinary tract. It is for this short acting duration on the body that is chosen for medical treatment inn asthma, as asthma. Its mechanism of action is that it acts as a stimulator of B2 androgenic receptors which are receptors in the bronchial muscles in the lungs. B2 receptor stimulation leads to activation of enzymes referred to adenosine cycle that initiates cyclic adenosine mono phosphate form adenosine tri phosphate. The elevated levels of adenosine mono phosphate ensures the smooth muscles are relaxed and lowers the air way through lowering the airway resistance through intracellular ionic calcium concentration. Thus with complex chemical and physical activities, salbutamol relaxes the muscles in the airway from the tracheal ending at the terminal bronchioles, (Zhou et al., 2016). The usage and utilization of this drug involves a number of steps, It is exploited in bronchi spasm in the reversal obstructive airway diseases, Used in exercise induced broncho spasm. Situations which have been considered to influence broncho spasm include contraindications. This occurs in person who has reactions to the administration of salbutamol or any contents of it. It is also contraindicated in patients with history of cardiac tachyarrhythmias related to the functioning of the heart. The drug is always available in various forms which include tablet, syrup intake, nebulizer compound and injections via the muscles and venibular. Tablets form contains 2 and 4 mg which are able to release the salbutamol. The syrup solution is taken each with 5 ml which has 2 mg of salbutamol. The inhaler mixture entails presence of two types of compound; salbutamol metered dose inhaler and dry powder inhaler compound. The mixture compound with MDI is usually compressed in aerosol form, it uses the oral inhalation, and where it contains 100mg salbutamol drug in hydrofluoralkane form .the hydrocarbon is a carbon begins which has salbutamol in 200 mg in dry powder form. The nebulizer solution content of salbutamol ingredient of 5 mg and finally the injection form which has 50 mg salbutamol, (Lavaforest et al., 2016). The oral form is given in a dose of 2-4 mg three times in a day for the adults while for children they receive 1-2 given in three times daily. The inhaler formulation solution has 1-2 puffs equivalent to 100-200 mg of salbutamol dose inhaler and given 1-2 capsule containing 200 mg-400 mg of the dry powder drug compound inhaler. The nebulizer solution has 1-2 meals of salbutamol solution which is diluted with the normal saline solution to have a final solution of 2-4 ml which is inhaled till the aerosol ceases, however in severe attacks this may be repeated. The injectable forms are given 5-10 ml each which has 50 mg of salbutamol injection given through the muscles or veins. The side effects degree varies with dosage and the route of administration. Side effects which are common include fine tremor on the skeletal, muscles and the nerves effects, the drug effect also causes palpitation, chest pains, headaches, muscle cramps and tachycardia. The treatment protocol suits Miss Bella, in that all her diagnosis suits the application of this protocol in that the symptoms she is displaying various characteristics which the protocol plan can handle effectively. Prednisolone drug given to her is meant to prevent inflammation in the chest, however the efficacy of these drug is questionable Miss Bella medical history is that she is chronic smoker since age of 12. Research has shown that smoking increases the prevalence chronic cough and exacebaration, (Polosa Thomson, 2013). Smoking decreases the decree of cough in Asthmatic patents and blocks the air cycles. (Pilcher et al., 2016). Previously, studies have concentrated on non smokers alone, leaving the smokers who smoke and had asthma without adequate care. A study done by Hancox et al.,(2016) found out that smoking on drug intake impaired with mild asthma. Thus as an active smoker, Miss Bella may experience some little of difficulty and experience mild asthma during her medicat ion process. The potential problems thus portrayed in her behavior are likely to affect her treatment plan. Bearing in mind she is an active smoker she is likely not follow the drug regime given. The effects of smoke are that, it causes irritations in the lining of the air ways, this cause worsening of asthma case. Also tobacco has been proved to damage the small linings in the lungs which affect her efficacy in terms in terms of the drug regime. Smoke further causes allergic inflammation of the bronchial tubes which causes mucus production, leading to increased coughing and phlegm in the body, (Sander et al., 2013).. These are the dangers in which Miss Bella medication might face For her medication to work she needs to avoid smoking so to enable the drugs to function well in her body. For Miss Bella, smoking cessation is possible; in her medical treatment she should be given nicotine replacement which comes in form of skin patches and prescription of drugs which like bupropion, which reduces the cavity cravings for cigarettes, (Price, Bjermer, Popov Chisholm, 2014). Corticoids drugs are very effective in management of asthma. Due to the inhalation of these drugs, they function by clearing the chronic airway and enable the clearance of the path way of air to be smooth. Often intake of corticoids is associated with mouth thrush, if this occurs then the advice given is to wash her mouth every day and spitting after taking the drug. Achieving appropriate medication protocol for Miss Bella, there is need to address the environmental factors which play key role, involving the family as part of the process is essential. There is need to teach the family members on how to offer support to Bella in learning self management skills and monitoring her on long term treatment plan is important. Conclusion The overall goal and objective of care to asthma patients is to ensure patent improves and restoration on positive state of health is achieved. There is need to offer quality care in managing these patients while following the correct protocol plan in order to majorly reduce impairment and reduce the risk. Thus to achieve this, it needs right full medication processes and seeking support for the patient. References Hancox, R.J., Gray, A.R., Poulton, R. and Sears, M.R., (2016). The effect of cigarette smoking on lung function in young adults with asthma. American journal of respiratory and critical care medicine, 194(3), pp.276-284. Jiang, B., Ruan, Z., Chen, J., Lou, H., Shao, R., Jin, F. and Shen, H., (2016). 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