My Mother’s First Tattoo :: Personal Narrative Writing

My Mother’s First Tattoo My mother and I have never got along particularly well. Our relationship was "you leave me alone and I'll you alone." When I first took an interest in modification, around the age of 14, she hated it. It was the source of countless fights, insults, and incidents that nearly led to me being kicked out of her house. She saw it as something I was doing out of peer pressure, which was absurd, as at the time none of my friends had any interest in modification. I didn't even know anyone, online or offline, who had any piercings other than their ears. To her, this was nothing more than a phase I'd eventually grow out of. She argued that I was ruining my life, that I'd never get a job, that my visible piercings would get me into fights at school, the list goes on and on. My father, though he never said much about it to me, felt the same way she did. Somewhere along the line, something changed. When my 18th birthday rolled around, I was in college, living 17 hours away from my parents. My father called me one day and asked what I wanted for my birthday. I said I wanted a tattoo, expecting him to hang up on me. To my amazement, he said OK. So, when I was visiting for Christmas, my father paid for my first tattoo. My favourite birthday present thus far as it represents so many things. It was then that I found out my mother had always wanted a tattoo. More specifically, she had always wanted a facial tattoo; a tiny butterfly tattoo close to one eye. As my father had threatened to divorce her if she ever got it, it was unfortunately something she never pursued. She was outraged that my father deemed it OK for me to have one. This led to many more fights. Eventually, I had moved back into my parents house. After being back for about six months, my mother approached me and said she wanted to get a tattoo, regardless of how my father would react. I helped her pick out an image and took her to the studio to set up an appointment. A few days after she got her tattoo she approached me again. This time saying she wanted to get her eyebrow pierced. All the memories of the things she had said when I had my eyebrow pierced came flooding back.

The required number of hours

Sleep is a basic human need. It functions to restore normal activity levels and normal balance among the parts of the nervous system and it allows for repair processes to occur as in protein synthesis (Kozier, 2004). Lack of sleep is said to cause an emotionally irritable, poorly concentrated individual that experiences decision making difficulty. The required number of hours of sleep per day varies with age. A newborn is expected to sleep for 16 to 18 hours a day, an infant 22 hours a day, a toddler 10 to 12 hours per day and preschool children need 11 to 12 hours of sleep per day (Kozier, 2004).As the individual grows older, he is required to sleep less. School aged children is required 8 to 12 hours of sleep, adolescents 8 to 10 hours, young adults 7 to 8 hours, middle aged adults 6 to 8 hours and elders only 6 hours (Kozier, 2004). The circadian rhythm, the most familiar rhythmic biologic clock that is responsible for our sleep-wake patterns, follows a dark-light pattern with the suprachiasmatic nucleus as its pacemaker (Bullock, 2000).The suprachiasmatic nucleus is found in the anterior hypothalamus and is stimulated by the receptors in the retina of our eyes. Melatonin, which has regulatory effects on the SCN, is secreted by the pineal gland and its secretion is stimulated by the dark and is suppressed by light (Bullock, 2000). Melatonin promotes sleep in this way, and fewer hormones secreted, as in the elderly, will be one of the many causes for insomnia (Bullock, 2000). There are several factors that can cause sleep pattern disturbance aside from a decrease in melatonin.Sleep pattern disturbances can be caused by external or internal factors and these disturbances can only be classified as a medical condition when they chronically interrupt sleep (Bullock, 2000) or when the inability to sleep well at night causes impaired daytime functioning (Atkinson, 2000). Sleep pattern disturbances have been grouped into four categories by the Association of Sleep D isorders Center, namely, disorders of initiating and maintaining sleep, disorders of excessive somnolence, disorders of sleeping-waking schedule and dysfunctions associated with sleep, sleep stages or partial arousal (Atkinson, 2000).Disorders of initiating and maintaining sleep include insomnias, which is the inability to sleep and maybe exhibited by difficulty falling asleep, there are recurrent awakenings, and early morning awakening without being able to go back to sleep (Atkinson, 2000). Reasons for the cause of insomnia is still not known, as some claim that this is a symptom of a disease or just a perception of individuals who feel that they have not gotten enough sleep because of some factors they claim to have experienced. Insomnia can be attributed to various factors that could either be pathologic or psychological.Pathologic causes include disease process, pain, obstructive uropathy, hyperthyroidism, congenital heart failure, respiratory disease, arthritis, and hormonal i mbalance (Atkinson, 2000). Psychologically, anxiety, obsessive worrying, chronic stress and depression can bring about insomnia (Atkinson, 2000). As much as possible, interventions for insomnia remain to be nonpharmacologic, but if the individual is experiencing sleeplessness that is ruining his daytime activities, a doctor will prescribe selected sedative-hypnotic medications.Although effective, these medications should not be used as often and several considerations should be noted. These medications produce a central nervous system depression and produces an unnatural sleep, it may resolve insomnia for tonight, but may disturb sleep the following night and cause daytime drowsiness (Kozier, 2004). Some medications are antianxiety medications which decrease the arousal ability of the individual taking it; these are also contraindicated to be taken by pregnant women because of the congenital anomalies that they may cause (Kozier, 2004).These medications also vary in their onset and duration of action and continuous use can lead to tolerance or to drug dependency (Kozier, 2004). Sudden cessation of these medications can result in withdrawal symptoms and even death, thus before withdrawal of medications, the dose should be gradually tapered to about 25% to 30% weekly. Examples of these medications are Chloral hydrate (Noctec), Ethchlorvynol (Placidyl), Flurazepam (Dalmane), Glutethimide (Doriden), Lorazepam (Ativan), Melatonin, Temazepam (Restoril), Triazolam (Halcion), Zaleplon (Sonata), and Zolpidem (Ambien) (Kozier, 2004).Alternative treatment for insomnia have been preferred over the pharmacologic therapy because alternative treatment is natural, hence less side effects are experienced and the individual will be able to have control over his sleep-wake cycle. Nonorthodox, unconventional, alternative, complementary, are a number of terms used to denote non-medical treatment that has been used since early times for a variety of diseases. Complementary and alte rnative medicine is defined as being identified through a social process as those practices that do not form part of the dominant system for managing health and disease (Kozier, 2004, p.224). Before considering any therapy, be it alternative or pharmacologic, the individual is advised to consider techniques on promoting rest and sleep. A person who is suffering from insomnia should establish a regular sleep-wake pattern, this means that he should try to go to sleep at the same time everyday and wake up at the same time also. This is to prevent disruptions in the biologic clock (Kozier, 2004). He should also try to eliminate lengthy naps in between sleeps, and if ever necessary should limit this to only thirty minutes per day at the same time everyday (Kozier, 2004).He should get ample exercise or physical activities during the day to lower stress but this should not be done two hours before bedtime. The individual should also avoid dealing with personal problems or office work befor e going to sleep and instead should establish a routine before sleep such as reading a book, listening to music or drinking a glass of warm milk (Kozier, 2004). Finally, to establish a sleep pattern the person is asked to only use the bed for sleeping, so that he would associate it with sleep, and that if still not drowsy, pursue some relaxing activity (Kozier, 2004).The environment also plays a role in helping the individual fall asleep. There should be appropriate lighting, temperature and ventilation as per the person’s desire, noise should be kept to a minimum and if extraneous noise is present, it should be blocked with soft music (Kozier, 2004). With regards to food consumption and diet, the individual should not take a heavy meal 3 hours before bedtime and to decrease fluid intake 2 to 4 hours prior to going to sleep but if it cannot be helped, void before sleeping (Kozier, 2004).Several drugs can disrupt sleep by delaying its onset, decreasing sleep time, and cause ni ghtmares and should be avoided before sleeping, examples are alcohol, amphetamines, antidepressants, beta-blockers, bronchodilators, caffeine, decongestants, and steroid (Kozier, 2004). Caffeine – containing foods and beverages include coffee, soda, tea and chocolate and should not be taken 4 hours before bedtime. Promoting comfort and relaxation may be helpful.The individual should wear loose-fitting nightwear, have taken a bath and does not feel sweaty and hot, make sure the bed linen is soft, smooth, clean and dry, and a back massage may be done, which is a type of touch therapy (Kozier, 2004). There are several healing modalities that are being implemented to help alleviate insomnia, and this includes touch therapy, mind-body therapy, and aroma therapy. Touch therapies, which include massage, foot reflexology, acupressure, and reiki, may stimulate the production of healing-promoting chemicals by the immune or limbic system (Kozier, 2004).Massage assists in relaxation and blood circulation improvement (Kozier, 2004). Physically, it promotes muscle relaxation by helping in release of lactic acid that is formed during strenuous activities and exercise, it improves blood and lymph flow, stretches joints, and helps in body toxin release and immune system stimulation (Kozier, 2004). It also has mental and emotional benefits like anxiety relief and it provides a sense of relaxation and well-being (Kozier, 2004).There are three kinds of massage strokes, namely effleurage (stroking), friction pressure and petrissage which is kneading or large quick pinches of the skin, subcutaneous tissues and muscles (Kozier, 2004). Mind-body therapies utilize the individual’s focus on realigning or creating balance in mental processed to bring about healing (Kozier, 2004). Progressive relaxation is most helpful in insomnia because it reduces increased level of stress and chronic pain by enabling the individual to wield control over the body’s responses to anx iety and tension (Kozier, 2004).There are three requisites though, to be able to make use of this technique. There should be correct posture, the person’s mind should be at rest and the environment should be noise free as possible and the technique is to make the individual tense and relax his muscles alternately and then focus attention on the differentiating feelings of each action (Kozier, 2004). This can result to decreased oxygen consumption by decreased metabolism, heart and respiratory rate, and decreased blood pressure (Kozier, 2004).Aromatherapy, which is defined clinically as the controlled use of essential oils for specific measurable outcomes by Kozier, can be used by massaging into the body, added to water that is used when bathing, inhaled or applied as hot or cold compresses. The oils used in this therapy are distilled from a variety of substances such as flowers, roots, wood resins, leaves, lemon or orange rinds, barks, etc. When inhaled, the oil’s arom a is detected by olfactory receptor cells in our nares.The stimuli received will travel along the olfactory nerve or the cranial nerve I, the stimuli will then be received by the olfactory bulb and will be sent to the brain. The essential oil aroma is thought to play a role in emotions, memory and a variety of body functions including the heart rate, blood pressure, breathing and immune response (Kozier, 2004). There are 300 essential oils being used and some of these are lavender for headache relief, stress and insomnia, peppermint for nausea relief, aid in respiration an antipyretic, and sandalwood for chapped skin, depression, and stress (Kozier, 2004).There are also some herbal preparations that can be used for insomnia. Hops and valerian are used to induce sleep by nervous system relaxation, as recommended by the website Holistic online. There are ways by which we can combine both the conventional treatment and the alternative therapies to reduce insomnia. One way is to do the techniques on promoting rest and sleep, while on low-dosed medication. In a way, this might still be useful in eventually lowering and then eliminating drug use while still maintaining a normal sleep-wake pattern.Although plausible, it is still best advised to not take pharmacologic therapy when necessary. There is to some extent a risk on using sedative-hypnotic drugs, as mentioned earlier. This can cause drug dependency, withdrawal symptoms if stopped abruptly without tapering the dose gradually, and can disrupt the sleep-wake pattern by causing excessive sleep and daytime drowsiness. It should also be noted that these drugs can be expensive and if needed on a daily basis may become a burden to healthcare cost budgets.The benefit of course is that you will be able to sleep, after a few minutes once the drug is taken. As to the nonpharmacologic treatment suggestions, there are no risks, as long as the person who would want to try out these therapies has an open mind and is willing to subject himself to these procedures. Health wise, the therapies do not present any danger to the individual being subjected to the procedures unless pregnant, has allergies to the essential oils or herbs, has fractures, skin conditions or disease processes.If the person has insomnia as a symptom to an underlying disease, he should immediately heed the physician’s advice. I do not see alternative treatment as a threat to the medical community, nor a competition. These two have very different procedures and are based on different dogmas that they should not be compared to each other. Although it cannot be helped, people should always be open-minded about these things, because they are at times useful, and have been subjected to numerous tests to be proven safe and effective.Of course, if one is in doubt of the nature or cause of their insomnia, one should head to the nearest clinic or to the family physician before taking these alternative treatments into consideration. Once there is no underlying pathology, then before taking sleeping pills to make the dilemma go away, nonpharmacologic therapy should and is highly recommended to be done. There is no harm to it, and it might just help. It costs less and can be done right at home without spending gas to go some place else. But if all else fails, then it is suggested to take the sleeping pills as prescribed by the physician.References Atkinson, R. L. , Atkinson R. C. , Smith E. E. , Bem, D. J. , & Nolen-Koeksema, S. (2000). Hilgard’s Introduction to Psychology. USA: Thomson. Bullock, B. and Henze, R. (2000). Focus on Pathophysiology. Philadelphia: Lippincott Williams & Wilkins. Holistic Online. (1998-2007). Herb and Herbal Therapies. Retrieved January 25, 2008, from http://holisticonline. com/Remedies/Sleep/sleep_insomnia_herbs. htm Kozier, B. Erb, G. , Berman, A. , & Snyder, S. (2004). Fundamentals of Nursing. USA: Pearson Education. .

Elements of Marketing Mix Essay

Elements of Marketing Mix â€Å"A typical marketing mix includes a product, offered at a price, with some promotion to tell potential customers about the product, and a way to reach the customer’s place† (Perreault & McCarthy, 2004, pg. 36). A company will use the marketing mix in order to control variables in marketing to satisfy a target group. This paper will describe the four elements of the marketing mix; product, place, price, and promotion. In addition, the four elements of the marketing mix will be discussed on the impacts in the development of Starbuck’s marketing strategy and tactics. Product†The product area is concerned with developing the right â€Å"product† for the target market† (Perreault, 2004, pg. 38). This requires a company to determine what item or service is desired by the customer in order to fulfill needs. The product needs to provide a service, cover the expected needs for the customer, or deliver the expectations created by other elements of the marketing mix. Service, benefits, branding, and packaging are some things that are taken into consideration with an organization’s product (Perreault et al, 2004). The overall objective is to offer a product that will satisfy the wants and needs of people. Place†Place is concerned with all the decisions involved in getting the â€Å"right† product to the target market’s place† (Perreault et al, 2004, pg. 39). Place refers to the delivery of a product or service to a location that customers may obtain from. This step is needed to get the finished product from the company or origin to the consumer. Marketers need to consider the most efficient method to distribute an organizations product. Channel type, market exposure, locations of stores, service levels, means of transportation and distributing are factors that are taken into considers when marketers need to develop a strategy for place (Perreault et al, 2004). The overall objective is creating a place in order for customer’s to buy the product. Price†Price setting must consider the kind of competition in the target market and the cost of the whole marketing mix† (Perreault et al, 2004, pg. 40). The price is the amount that will be charged for the product. â€Å"Managers  must know current practices as to markups, discounts, and other terms of sale† (Perreault et al, 2004, pg. 40). The prices set by competitors will affect the price of the product. Organizations use pricing techniques in order to reach a competitive price of the product. Prices are set by a company in order to become profitable or to even reach the break even point. Flexibility, product life, cycles, geographic terms, discounts, and allowances are factors that must be considered before setting the price of a product (Perreault et al, 2004). In addition, pricing strategies also will vary according to region. For example, a product that sells for a price of 10 dollars in California may only sell for 7 dollars in the state of Georgia. The o verall objective is the set the right price for the product. Promotion†Promotion is concerned with telling the target market or others in the channel of distribution about the â€Å"right† product† (Perreault et al, 2004, pg. 40). Promotion is how the marketer will communicate, inform and persuade customers to purchase a product or service. There are many ways in which to market the product. The marketer must take in account multiple ways of promotion; personal selling, mass selling, and sales promotion. All can be mixed to create the right blend that will target the marketplace. Personal selling involves direct communication between a company and their customer, usually face-to-face. However, direct communication can also be through phone interviews or sales calls, conferences through video and the internet (Perreault et al, 2004). Promotion can also be used to target a large group of consumers at the same time such as radio or television advertising. This is known as mass selling. Finally, sales promotion refers to promoti on activities that do not involve advertising and personal selling. Contest, coupons, and special offers are some examples of sales promotions (Perreault et al, 2004). Starbucks’ Marketing MixStarbucks Coffee mission statement is to â€Å"establish Starbucks as the premier purveyor of the finest coffee in the world while maintaining our uncompromising principles while we grow† (Starbucks, n.d.). Starbuck’s has utilized the four marketing elements to help create an excellent impact in the development of their marketing tactics and strategies. Starbucks originated in Seattle, Washington, over 30 years ago,  and owns more than 12,000 stores worldwide. Starbucks achieved this by creating a successful marketing strategy. Starbucks was recognized 7 times as one of the â€Å"100 Best Corporate Citizens† by Business Ethics Magazine (Shareholder, 2007). Starbucks customers include people of diverse ethnicity, income, and age groups with varying tastes and interest. With this diverse clientele, Starbucks has made marketing a challenge to target all these diverse groups of people. Product†Starbucks is dedicated to purchasing the highest quality coffee and paying premium prices to reflect ongoing commitment to coffee-farming communities† (Shareholder, 2007). The reason Starbucks offer so many different varieties of products is to satisfy the diverse clientele. This company has continuously been able to influence their clientele by offering products that appeal to all cultures. Starbucks has been able to meet a specific market demand. â€Å"Starbucks gives a wide range of food and beverage options, from indulgent treats to lower-fat and reduced-calorie choices for all consumers’ tastes† (Shareholder, 2007). Starbucks continues to innovate and extend the Starbucks Experience with imaginative new ready-to-drink beverages and expanding coffee offerings. PlaceStarbucks’ stores are strategically placed in locations that are visible and have a great deal of traffic. Starbucks is successful at placing their products strategically in order to impact sales volume. According to the Starbuck’s 2006 annual report, â€Å"we opened 2,199 new stores globally (ahead of 1,800), at an average pace of six new stores per day, bringing our total to 12,440 stores in 37 countries† (Shareholder, 2007). They have locations on busy street corners, in malls, theaters, office buildings, grocery stores and airports which have allowed them to be clearly visible. Almost anywhere a person turns there is a Starbucks around the corner. PriceStarbucks does not consider their price to strategy to be of significance compared to the other elements in the industry. â€Å"The company’s 12-ounce tall latte ranges from $2.25 in Minnesota to $3 in New York City† (Wong, 2004). Like any company, prices are based on the level of economy in each area. Starbucks prices largely are also based on manufacturing.  Starbucks’ prices reflect cost of coffee beans, sugar, geographical areas, and the overall experience. Distribution also plays a role in how the product is priced at each company. PromotionStarbucks employs a mix between personal selling and sales promotion. â€Å"Personal selling lets the salesperson adapt the firm’s marketing mix to each potential customer† (Perreault et al, 2004). Starbucks does not just have salespeople, but baristas. Starbucks’ baristas inform and sell the product face-to-face to the customers. Starbucks’s promotions do not include traditional advertising, but global sales promotions. Sales promotions spark purchases by customers through different channels. In August of 2006, Starbucks supported Jumpstart’s Read for the Record campaign. They sold 53,000 copies of The Little Engine That Could and hosted 330 reading events setting an official Guinness world record. Furthermore, incentive sales promotions included donating 5 cents for every bottle sold for the Ethos Water Fund. The Ethos Water Fund focuses on improving local water sources and providing sanitation and hygiene education to the communities in Ethiopia and Indonesia (Shareholder, 2007). People want to be apart of Starbucks’ global efforts and these are examples of effective sales promotions. ConclusionWhen developing a marketing, all decisions impacted the four Ps should be made at the same time. The four elements of the marketing mix are equally important. This is because the products, places, prices, and promotions of an organization surround the most important element; the customer (Perreault et al, 2004). According to Starbucks 2006 annual report, â€Å"There are numerous competitors in almost every market in which Starbucks operates and in which it expects to expand in both the specialty coffee beverage business and the specialty whole bean coffee business† (Shareholder, 2007). Starbucks has proven to stay on top of their market. However, Starbucks and any organization need to continuously examine their marketing mix in order to stay competitive and profitable. By successfully completing the circle of the four Ps, Starbucks has established a multi-million dollar organization that is a Fortune 100 Company. References Perreault, W. D. & McCarthy, E. J. (2004). Basic Marketing: A Global-Managerial Approach. The McGraw-Hill Companies. Retrieved Nov. 11, 2007, from https://mycampus.phoenix.edu/secure/resource/resource.aspStarbucks, (n.d.). Retrieved Nov. 11, 2007, from http://www.starbucks.com/aboutus/environment.aspShareholder, (2007). In Starbucks Coffee 2006 Annual Report. Retrieved Nov. 11, 2007, from http://www.shareholder.com/visitors/dynamicdoc/document.cfm?CompanyID=SBUX&DocumentID=1382&PIN=&Page=13&Zoom=1xWong, B. (2004, Sept. 28). In Cup of Starbucks going up average of 11 cents Oct. 6. Retrieved Nov. 11, 2007, from http://seattlepi.nwsource.com/business/192721_coffeeprice28.html