Where to Find Tips For Applying For the Bluest Eye Essay Contest

Where to Find Tips For Applying For the Bluest Eye Essay ContestThe initial round of essays for the Bluest Eye essay contest includes topic categories that focus on a variety of themes. These topics, such as 'Beyond the Dark,' 'Turning Thoughts to Action,' and 'This is the ideal situation for an individual who has already selected a topic to begin working on their essay. However, even if the individual chooses not to make the choices for a particular topic, the general theme is still available. For example, students are allowed to choose the topic of 'How Does Self-Love Compel the World to Be Better?' There are no guidelines for choosing a topic or applying for the online contest.For those who have decided on a topic, the next step is to create a list of essay topic ideas that could support the theme. Some students have already written up their ideas for essay topics, while others have not yet come up with anything. In either case, a list of essay topic ideas is needed.A detailed ess ay topic idea list is composed of five main categories. These include: Teacher's Preference, Exam Questions, Essay Topic Options, Students' Submission Guidelines, and Examiner's Submission Guidelines. Each of these sections provides different rules and guidelines for filling out a submission form.Once the five categories are put together, it is now time to look for free essay topic ideas that could support the theme. The internet is the place to look for a lot of resources that are related to the topic of the essay.Writing for your essay can be one of the most fun things you can do. It can be exciting because the subject matter is something you've already decided upon and it also provides the opportunity to express yourself creatively. With enough practice, the student will be able to come up with new and original ideas for essay topics and can enhance their skills in completing essay projects.There are several methods for writing an essay. However, through a combination of research and reading information, the student can greatly improve their essays by selecting and understanding the right essay topic for the essay that they have already selected.

Does Divorce Cause Low Self Esteem in Children - 1554 Words

Does Divorce Cause Low Self-Esteem in Children? According to statistics, half of all American children will witness the divorce (Finley amp; Schwartz, 2007). Of all children born to married parents this year, 50% will experience the divorce of their parents before they reach their 18th birthday. The parents’ divorce marks a turning point in a child’s life. Parents usually divorce when they feel they can no longer live together because of fighting and anger or their love for each other has changed. Sometimes it is due to serious problems such as drinking, spousal abuse, or gambling addiction. Parental divorce is a very stressful event for all children and many of them are not prepared for it. Consequently, divorce can have an important†¦show more content†¦Also discussed were divorced parents who found it difficult to adequately supervise their children, discipline them appropriately, and give them sufficient warmth and affection. The degree of closeness between adolescent and parent explained most of the variations in adolescent distress related to divorce. Since there is so much discussion on the effects of divorce on children, I want to begin by addressing whether there are any differences between children who live in divorced families and children who live in married two-parent or â€Å"intact† families. In 2007 Amato and Sobolewski examined the results of 92 studies involving 13,000 children ranging from preschool to young adulthood. The overall results of this analysis were that children from divorced families are, on average, somewhat worse off than children who have lived in intact families. These children have more difficulty in school, more behavior problems, more negative self-concepts, more problems with peers, and more trouble getting along with their parents. A newer study shows that this pattern is still continuing. The actual differences between the two groups are relatively small (Amato amp; Sobolewski, 2007). Research suggests that a child’s mental health is influenced by parental psychopathology and divorce (Ross amp; Wyne, 2010). It was found that children of depressed parents had more emotional disturbances and more affective disorders. Although depression has a genetic basis, when a parent isShow MoreRelatedThe rapid epidemic of divorce in the United States within the last 20 years has affected more than1600 Words   |  7 PagesThe rapid epidemic of divorce in the United States within the last 20 years has affected more than one half of the families in the United States. In the past, we have viewed divorce as a short term crisis and not as a longitudinal view of the effects divorce might bring. Divorce does affect children. However, it is not the divorce that is the problem; it is the ongoing conflict between the parents and the child’s coping mechanisms in their own stages of development. Counseling, family therapy, andRead MoreChildren from Divorced Families Essay960 Words   |  4 PagesDivorce rates in America are around 50 percent. More than half of these divorces involve children under 18. Therefore about 40 percent of children in the world will be affected by divorce. About one in three children will live in a household that involves a step parent. (SandfordM. Portnoy) Though its controversial, children that are affected by divorce will develop some kind of psycological condition. Academic,behavior and even health all play a factor in divorce. It is also controversialRead MoreDivorce is not an exception anymore. In fact, with the rate of marriage decreasing over the past1200 Words   |  5 PagesDivorce is not an exception anymore. In fact, with the rate of marriage decreasing over the past decade, and the divorce rate remaining steady, we are likely to know more people who are divorced than those who are legally bound. During this semester we read four novels. Divorce was a common theme in all of them. Only a few generations ago, American culture rejected divorce as scandalous. Today, law, behavior, and culture embrace and even celebrate it. It got me to wondering about the children ofRead MoreEssay on Main Causes of Divorce982 Words   |  4 PagesHowever, fifty percent of these couples cannot seem to fulfill their marriage vows. As a result, they choose to get a divorce. Divorce is very easy to do nowadays unlike the past. Statistics show that the four main causes of divorce are: financial difficulty, women are more independent, infidelity, and couples are getting married at a young age. The number one cause for divorce is financial difficulty, before a couple enters a marriage they have their own bills and spending habits, they do notRead MoreDivorce : The Divorce Rate1662 Words   |  7 PagesThe divorce rate, while fluctuating over time, has reached high percentages lately. As Coltrane and Adams posit, the high divorce rates are due in part to the fact that the expectations of marriage are high in high esteem. When it does not work out, people are anxious to try again to find the perfect partner. Divorce is what allows people that opportunity (Coltrane and Adams p. 201). However, the intricacies of divorce are complicated. Much of the conversation of divorce is focused on fault andRead MoreDivorce Negative Effects1285 Words   |  6 PagesDecember 2017 A Positive Outlook on a Divorce Divorce is always a dreadful experience in a persons life, especially a childs’. When parents divorce, children are left hopeless and confused. A divorce can cause a child to have a variety of different reactions. The effects on the child are much more important than the actual divorce. A divorce causes the most damage to the children in the divorce. Each child sees a divorce differently, but most divorces have a negative impact on the childs lifeRead MoreDivorce And Its Effects On Children1343 Words   |  6 Pagesknow that the divorce rate in the United States hovers around fifty percent, including forty percent under the age of 21. In that fifty percent one of every six adults is likely to go through a divorce twice. Not only does divorce affect the adults involved, but forty percent of children in the United States will experience parental divorce (Portnoy, 2008). Children with divorced parents struggle with negative consequences emotionally, mentally, and academically co mpared to those children from intactRead MoreMental Illness Is Nothing But Brain Illness938 Words   |  4 PagesOne of the most important cause of mental illness is our environment. Several environmental components can increase our chances of getting a mental illness. Factors like feeling low in self esteem or anxiety, living in poverty, death or divorce in the family, social or cultural expectations can deeply affect or shape our risks of getting a mental illness. In the article â€Å"mental illness is nothing but brain illness†, Ian Gold mentions about this unique disease called schizophrenia. Schizophrenia isRead MoreFly Away From Home By Jennifer Weiner Essay1676 Words   |  7 Pagesfrom Home, Author Jennifer Weiner once said â€Å"divorce isn’t such a tragedy. A tragedy is staying in an unhappy marriage, teaching your children the wrong things about love†¦Ã¢â‚¬  This is the general idea of divorce, once one has decided they’ve had enough itâ€⠄¢s okay to quit. In some situations I would agree that it is absolutely necessary for divorce. I am not against divorce but I am in favor of the children that have to experience it. If you google ‘divorce’ what pops up is celebrities that have gone throughRead MoreMarriages are a big responsibility in many different reasons. For instance, if the marriage is1300 Words   |  6 PagesMarriages are a big responsibility in many different reasons. For instance, if the marriage is blessed with a child that is one big responsibility. They are responsible for nurturing, providing and protecting their children. Also they should be role models for their children. Another big responsibility is when they make a long-life commitment to be true to one another in good times and in bad. God can also be a part of the relationship. The participation involves the complete love, trust, and respect

The Myth Of The Latin Women I Just Met A Girl Named Maria

During the time I been taking English 105 we have talked about many essays. Many of the essays we read in this semester were interesting essays in the 50 essays book. Most of the essays were inspirational to students. Some of the essays were very helpful they help develop our writing skills and how to be more descriptive in our essays. For the student learning outcome the essays should be interesting for the student to feel involved when talking about the essays. Many of the essays in our book were relatable to many students, yet there was one essay that ,in my opinion, did not have to be in our syllabus. In the essay The Myth of the Latin Women: I Just Met a Girl Named Maria by Judith Ortiz. The essay I did not believe it had to be in our syllabus because it really did not have to do much with the student learning outcome was The Declaration of Independence by Thomas Jefferson. In the essay of Judith Ortiz The Myth of the Latin Women: I Just Met a Girl Named Maria was an essay I believe many students were able to relate, understand, and reflect with the arguments she pointed out. Judith Ortiz seemed passionate in her essay because it was a narrative of a situation she went through. While reading Judith s essay it was easy to comprehend what she was trying to make her audience understand. Judith s tone throughout the essay was form, reflective, and informative. The imagery she gives us in her essay when talking to about Latin women made easy for students to imageShow MoreRelatedThe Myth Of The Latin Wom I Just Met A Girl Named Maria868 Words   |  4 Pagessociety. â€Å"The Myth of the Latin Woman: I Just Met a Girl Named Maria† is a short essay in which the award winning poet and professor of English, Judith Ortiz Cofer, wishes to inform and persuade the audience that labels and stereotypes can be humiliating and hurtful. The author targets the gen eral public, anyone that doesn’t understand that putting someone in a box because of a stereotype is wrong. Cofer starts out the essay by telling the reader a story with a drunk man who re-enacted â€Å"Maria† from theRead Moremyth of Latin women757 Words   |  4 Pages Summary and Response to â€Å"The Myth of the Latin Woman: I Just Met a Girl Named Maria† In â€Å"The Myth of the Latin Woman: I Just Met a Girl Named Maria,† Judith Ortiz Cofer illustrates several hardships she suffered due to the universal, misleading stereotypes propagated by the media. Cofer demonstrates various stereotypes that Latin women are subjected to, such as an experience in which she was regarded as a waitress at a California restaurant, and â€Å"the Hispanic woman as the ‘Hot Tamale’ or sexualRead MoreWhen We Judge Another We Define Our Self955 Words   |  4 Pagesand see what is inside instead of overlooking it, you might find it interesting after all. This quote by my family member can easily be tied to â€Å"The Myth of the Latin Women: I just met a Girl Named Maria† by Judith Ortiz Cofer, and â€Å"Just walk on By: Black Men and Public Spaces† by Brent Staples. Cofer, talks about how she was stereotyped for being a Latin woman in American culture. Then Staples, talks about how he was discriminated for being a tall, black man that worked as a journalist in a predominantlyRead MoreThe Myth Of The Latin Woman918 Words   |  4 Pagesthem. In Cofer’s essay â€Å" The Myth of the Latin Woman: I Just Met a Girl Named Maria† and Staples â€Å"Just Walk on By: Black Men and Public Spaces†, they talk about what they have been through with racial stereotyping and what affects it has them, personally. But even with those stereotypes in play they both prove that stereotypes do not determines someone s future and people are able to prove stereotypes wrong. â€Å"The Myth of the Latin Woman: I Just Met a Girl Named Maria†, by Cofer explains what sheRead MoreThe Myth Of The Latin Wom I Just Met A Girl Named Maria820 Words   |  4 PagesThe essay â€Å"The Myth of the Latin Woman: I Just Met a Girl Named Maria† by Judith Ortiz Cofer is about deprivation that Latin women go through everyday due to stereotypes that society make up. Stereotypes play a big role in the way that individuals are identified by society. Cofer describes her personal experiences of being a Latin woman, and her struggles that she has to face because of the stereotypes. Cofer tells us of some incidences that happened throughout her life. Like going to London forRead MoreComparing Mairs And The Myth Of A Latin Wom I Just Met A Girl Named Maria1328 Words   |  6 PagesWe tend to identify them based on their appearance, rather than who or how they are as people. We are often unaware of the impacts our labels have on these people. In the essay â€Å" O n being a cripple† by Nancy Mairs and â€Å" The Myth of a Latin woman : I Just Met a Girl Named Maria† by Judith Ortiz Cofer, the writers have successfully portrayed the feelings that arise in people’s mind based on the way they are identified. In both the essays, the writers tell us how they have been incorrectly labeled andRead MoreIn The United States, Not Only Are Latin Women Being Misunderstood,1508 Words   |  7 PagesIn the United States, not only are Latin women being misunderstood, but African American women are also stereotyped by other people. Latin women are discriminated in their dressing and service occupations, while African American Americans are stereotyped in sexually promiscuous, caregiving role, and â€Å"welfare queens.† Both of them are victims of racial stereotypes, which affect them negatively on their identities and characteristics. However, the differentiation of their cultures makes them beingRead MoreAll Men Are Created Equal 1313 Words   |  6 Pagesdiscriminate against women. In today’s society, the traditional roles, values, and thoughts placed upon women from prehistoric times still play a central part in the inequality women face every day. The day I no longer have to worry about what I’m wearing will label me as a â€Å"slut,† is the day that women will be thought of as more than just sexual objects. The day I can be praised for my brains instead of my beauty, it the day men and women will be considered equal. This is the future I hope to fosterRead MoreOvercoming Racism Essay1244 Words   |  5 Pageshis famous â€Å"I Have a Dream† Speech, Dr. Martin Luther King stated, â€Å"Let us not seek to satisfy our thirst for freedom by drinking from the cup of bitterness and hatred† on regarding how to deal with racism in America. Having more class than your opponent and keeping ones dignity is still possible whe n pursuing equality, though it may not always be easy. Judith Ortiz Cofer tells in her essay, â€Å"The Myth of the Latin Woman†, whatRead MoreStaples and Cofer1308 Words   |  6 Pagesautomatically stick some sort of stereotype to them. Stereotypes are strongly displayed in the media; stereotype can be based of someone’s color, culture, religion, or sex. In Black men in public spaces by Brent Staples, and in The Myth of the Latin Woman: I Just Met a Girl Named Maria by Judith Ortiz Cofer, the authors talk about stereotypes based on their gender and ethnicity and the experiences they both encounter because of their ethnicity and gender which have many similarities and differences. Stereotypes

Occupational Therapy Rehabilitation Programs

Question: Describe about the Occupational Therapy for Rehabilitation Programs. Answer: Introduction Rehabilitation programs are crucial for resuming the active lifestyle and recover soon from the injury or illness, that involves disability. The rehabilitation and recovery programs generally targets enhancement of patients willingness for recovery and support for easy and faster recovery process from the chronic illness. However, setting up goals is one of the preliminary steps, which determines the efficiency and time for recovery process. There are several injuries or illness, which needs assistance and support for faster recovery; for instance total knee replacement, total hip replacement, bone fracture and other major injuries (Abraham Michie, 2008). Several barriers can hinder the proper procedure of rehabilitation technique, whereas there are some factors or strategies that can influence the rehabilitation and recovery procedure. To set the goals and priorities for rehabilitation and recovery process, health models or theories are used by the health care professionals, for en suring the patients needs has been prioritized during the health care planning. In this context, the health care professional should assess the patients needs thoroughly before planning the rehabilitation sessions. Support is one of the crucial aspects in the recovery and rehabilitation processes. It is because, empowerment of a disabled patient helps in stimulating them for faster recovery. Here in this assignment, the focus is the patient, Mr. X, who has knee replacement and facing difficulties in coping with his status and disabilities. Thus, based on his status and needs, his rehabilitation sessions would be planned. Here, in this assignment, the factors that were hindering the patients engagement in the recovery and rehabilitation will be discussed with the help of recovery related theories (Bertisch et al., 2014). On the other hand, the strategies that would help the patients engagement and their recovery would be included in this assignment. Finally, the barriers, facilitators and the recommended strategies would be summarized to provide a brief overview. Identity of the client During my job period at a rehabilitation centre, I met one client Mr. X, who was facing difficulties in engaging with rehabilitation and recovery from severe illness. The client Mr. X is a 55 years old male, who have severe arthritis and suffering from severe pain at his left knee and mobility impairment. The medical professional recommended total knee replacement or arthroplasty of his left knee. After a successful surgery, the recovery period was quite difficult for Mr. X, as it was very difficult for him to stay at bed as a disable person. He was a cheerful and active person before is surgery. Now, his condition was not feasible to support his previous active role. Thus, he is becoming anxious and depressed due to his disability. The impaired mobility of Mr. X was making him demotivated hindering his social involvement. The patient needs appropriate rehabilitation and recovery strategies for his faster and easy recovery. Mr. X was having negative pain perception and poor perceived self-efficacy as well as pessimistic personality traits, which were significantly hindering his efficient engagement with the rehabilitation and recovery process (Bright et al., 2014). He was a negative perception that movements can cause additional pain except the surgical pain, which along with the persistent postoperative pain symptoms were the cause behind his poor quality of rehabilitation. All of these consequences were leading to his decreased activity after rehabilitation and reduced social involvement along with increased psychological issues. Psychological consequences of the illness Orthopedic surgery usually needs many months of rehabilitation for getting a successful outcome; however, there are several psychological factors that can influence pain perceptions of the patient, compliance with the rehabilitation and the outcomes from the patient treatment after orthopedic surgeries like a total knee replacement surgery. Total knee replacement is a complicated illness, which involve the replacement of knee with an artificial knee joining. The complicated surgery needs a long-term recovery and during this period, severe pain and disability usually stimulates the onset of negative psychological issues in the patients. Patients need proper care and support for better adherence with the recovery and rehabilitation processes after a total knee replacement surgery (Bright et al., 2011). It has been revealed from several literatures that the mobility impairment and loss of autonomy or independence causes isolation and behavioral changes in the patient. It has been seen t hat most of the patients shows non-adherence with the rehabilitation processes, due to depression and anxiety related symptoms. It has been argued that there is a strong relationship between psychological symptoms and pain and disability, this prevalence of psychological symptoms are high in the pre and postoperative stages in the patients, who have undergone knee and hip replacement. It has been revealed from the previous literatures that the depressive symptoms in knee and hip replacement are higher, i.e. 33.6 % in one study, compared to coronary heart diseases, cancer or diabetes (Bright et al., 2011). However, age is a key determinant of the psychological consequences of the knee replacement surgery. However, reviewing previous literatures, it has also been found that throughout the recovery period, the psychological symptoms are reduced gradually, with the decrease in pain and disability. It has been revealed that 12 months postoperative no further reduction in the depressive symptoms were found compared to 3 months postoperative. Studies have shown that treating patients with psychotherapy before the surgery can lead to better results after the total knee replacement surgery. However, studies have also shown that proper management and emotional support had led to better results with the patients having depressive or anxious behavior. However, it has been see n in many previous cases that the support of physiotherapist and other medical professionals reduced the time for recovery along with the symptoms of psychological consequences. Barriers in engaging the client in rehabilitation Lack of support is one of the major barriers in engaging clients in rehabilitation. In case o Mr. X, it has been noticed that he was not adhered to the treatment procedure, which was one of the key reason behind his extended recovery time. On the other hand, the willingness of the patient is another key barrier for the patients recovery, because, until the patient is not adhering with the rehabilitation process, the success of the process would be doubtful. Moreover, the education and awareness of the patient is very important in this context (Ellis-Hill, Paynem Ward, 2008). Until the patient becomes aware of his status and the importance of his compliance with the rehabilitation process, the patients adherence with the treatment procedure would not be assured. In case of Mr. X, it has been noticed that he was aware of his current condition, but he was not aware of the pros and cons of the rehabilitation process and the importance of his compliance with the rehabilitation process. O nce he will be aware about the facts, his adherence with the rehabilitation and recovery process will be enhanced. The unclear perception of the patient about the pros and cons of the recovery process is a key barrier. Negative perception, psychological issues and stress are the factors that can delay the recovery process by stimulating the negative perception about the disorder. In the case of Mr. X, he was not willing to take his medicines an d physiotherapies, due to severe pain and showed depression and anxiety. The behavioral changes affected his communication with the medical professionals and physiotherapist, which further worsened his recovery process. Lack of support from the medical professionals and the family, relatives and dear ones are also the major factor that acts as a barrier of engagement of the patient with the rehabilitation process. In this context, it has been revealed that the support from the patients family is lost, due to the independence of the patient. In the case of Mr. X, he was lacking the support from family and friends, which is the major reason behind his depression. One current study by Gollwitzer (1999) highlighted that the patients who got support from their family and friends, recover easily and faster, compared to the patients who do not get family support. Moreover, the lack of family and peer support is a major cause behind the negative emotions, which leads to the psychological problems, further reducing the patients recovery rate. Low progress takes more time to recover and longer recovery time reduces patients compliance and adherence with the treatment and rehabilitation process. As it takes more time to recover from the disabled state, loss of independence for longer period makes the patient anxious, agitated and irritated. This Happened to Mr. X, as he was facing difficulties in engagin g with the rehabilitation and recovery process after his total knee replacement surgery. Lack of competency in the medical professionals attending the patient in recovery or rehabilitation is another factor that can be a barrier of faster and easy recovery of a patient undergoing total hip and knee replacement. In case of Mr. X, lack of the development of professional relationship with the health care professional was the key cause of his reduced compliance with the rehabilitation process and delay in progress of the recovery process (Hall et al., 2010). Mr. was unable to maintain a good communication with the medical professionals, due to the lack of positive communication skills of the nurse or other medical professionals attending him. In this context, he was attending the rehabilitation process with low adherence and reported lack of motivation and support from the care providers including physiotherapist and other health care practitioners. Lack of patients assessment before setting the goals can lead to negative consequences or can lead to the unavailability of the patients support from the other health care professionals. These factors are responsible for patients non-adherence with the rehabilitation process and delayed recovery process. Moreover, lack of assessment of patients priorities also hinders the patients efficient recovery, because, the patients actual needs are not addressed during the rehabilitation procedure, leading to unrealistic goal settings, which does not provide expected outcomes. Thus, goal setting is a very important factor that can influence the patient engagement and lack of which can hinder the rehabilitation and recovery process. Pain perception is another factor that can hinder a patients recovery and rehabilitation compliance. It is because, orthopedic patient usually have a perception that movement of the limb or the surgical area will put additional strain on their body, causing massive pain additional to the surgical pain. Unchanged perception leads to their decreased mobility, which is beyond the expectation in a rehabilitation process. This leads to stiffness of joints or other surgical area and persistence of the pain in the joints or other surgical areas, which hinders patients compliance with the rehabilitation and follow-up sessions. However, while concerned about the return of the patient to work after the orthopedic surgery and rehabilitation process, not only the physical and emotional status of the patient and support from his family and medical professionals are important, rather, support from the organization, other employees and other support groups are also have significant role. Harding an dWilliams (1995) identified lack of information access, lack of support group, lack of understanding and collaboration from the employer were the most important barrier for a patient to return to his work. Thus, it can be said that persona, clinical, occupational and health service factors are also important for the patient to return to his work. Factors influencing engagement in rehabilitation After orthopedic surgery including total joint replacement, i.e. total knee replacement or total hip replacement surgery, the total recovery and getting back to normal life before surgery, is a time consuming process. The recovery can be influenced and progress can be faster by the help of some facilitators of rehabilitation. One factor identified that has an important role in facilitating patients engagement in the rehabilitation process is knowledge about ones limit and motivating the patient for physical training and movement of the surgical body parts. Patient-centered approach- A patient centered approach in the rehabilitation sessions can influence the patients engagement in the recovery and rehabilitation process. It is because, the patient-centered approach tend to prioritize the patients needs from every aspects, including the physical, psychological, social and emotional. Patients well being is dependent upon all of these aspects and it contributes to patients overall recovery and gaining the normal life back (Harding Williams, 1995). Emotional support with respect and dignity- The most important factor-facilitating patients recovery and well-being is emotional support. In case of Mr. X, he was lacking an emotional support. Showing respect and dignity towards the patient, without any kind of biasness is the key of engaging and empowering the patient in his work. While handling patients like Mr. X, the practitioner should show respect towards the patient and prioritize patients feelings and perceptions. It enhances patients positive perception about the therapeutic procedure and engage patient with the rehabilitation procedure (Harris, 2006). Goal setting based on patients needs- Goal setting is the basic step in the rehabilitation and recovery process after an orthopedic surgery. Goal setting determines the probability of getting expected outcomes through the rehabilitation process. In this context, assessment of the patients needs is very important. Assessing the physical and psychological status of the patient helps the health professional to understand the actual needs of the patient, based on which the therapeutic goals of rehabilitation are established. It enhances the possibility of getting success easier and faster. In contrast, setting unrealistic goals, without assessing the patients needs reduces the chance of getting success from the rehabilitation process (Kayes McPherson, 2012). Therapeutic alliance- Therapeutic alliance is referred to the relationship between the patient and health care professional. It is a very important facilitator of engaging patient in rehabilitation process after orthopedic surgery, through which Mr. X has undergone. Several literatures identified therapeutic alliance as an important determinant of patient engagement and positive health outcomes following rehabilitation. For this, the health care practitioners should have required skills and competence including good communication and coordination with the patient. Providing value to the patients view during the therapeutic work can help to enhance patients trust towards the therapist, which in turn can establish a positive relationship within the patient and the health care practitioner (Kayes et al., 2015). Family support and engaging patients family in rehabilitation- Mr. X did not received enough family support, which is one of the significant determinants of the positive health outcomes following rehabilitation. Thus, in person-centered care, engaging patients family in the procedure is helpful. Involving patients family provides a homely environment to the patient, which eliminates the discrimination of the patient as a disabled person, thereby encouraging his engagement through the procedure. Psychotherapy and counseling- Literatures has suggested that there is a significant connection between poor recovery and related outcomes with stress and depression related symptoms. Thus, different literatures suggested that the psychotherapy and counseling during the rehabilitation is helpful for reducing this psychological hindrance of patients engagement in the rehabilitation process. Enhancing self-esteem and self-management- Self-management is the key concept in the rehabilitation process. As in knee replacement surgery, patient temporarily looses independence; it also reduces patients self-esteem. Thus, the therapists should support the patient to be encouraged and be independent. For this, self-management skills should be taught (Levack, Kayes Fadyl, 2010). Educational health promotion- Patient must understand the importance of rehabilitation process in his life and its effect upon his working and independent life. In case of Mr. X, due to lack of proper knowledge, the negative pain perceptions were enhancing, reducing his compliance with the rehabilitation process. Social support- Social support is another important factor that can facilitate patients engagement in rehabilitation. Social support can help to reduce patients isolation and can enhance self-esteem, thereby enhancing compliance with the therapeutic process. While considering patients return to work after rehabilitation process, there are some other factors influencing their continuous recovery and adoption in the workplace. The most important factor is the occupational factors. Supporting the patients engagement with the recovery process, the employers and other employees should consider the patients condition and should help him to cope with the situation. It has been seen that, a patient returning to the workplace after a surgery, often treated as disabled person and sympathized, which hinders the patients emotional well being, because, an active person is being considered as a disabled or physically challenged person and discriminated from peers in the workplace (McPherson, Kayes Kersten, 2014). This discrimination can lead to depressive symptoms, affecting his behavior. The patient becomes anxious and agitated, hindering his continuous recovery and returning to normal lifestyle. Theory supporting rehabilitation To enhance Mr. Xs engagement with the rehabilitation process, theoretical models can be used for better understanding and strategy implementation. One renowned theory can be used here, the health belief model. The health belief model emphasizes on the perception of a person about the effect of health issues upon their lives and help to plan actions for helping patients engagement in health promoting activities. This model helps to predict and explain health behaviors, by focusing on the attitudes and perception of individual. Figure: Health belief model (Source: Mudge, Stretton Kayes, 2013) According to the health belief model, patients tend to compliance with the therapeutic procedure to prevent, screen for or control ill health, once they believe that they are susceptible to such a condition, that can have a serious negative impact upon their lives and a course of therapeutic action might be beneficial in reducing susceptibility or severity of the ill condition. Moreover, the patient should believe that the benefits of the action would outweigh the barriers. In case of Mr. Xs case, the health belief model is suitable because, it emphasizes on patients perception for negative consequences of not engaging with the therapeutic actions. However, for aligning the case with the health belief model, health promotion education is very important, which will make Mr. X aware of the pros and cons of the rehabilitation and its important in returning back to his normal life. In this context, his perception about pain and severity of his condition can be modified by his therapists support. In addition, the health education can modify his perceived benefits from rehabilitation and barriers of his engagement, which will be reduced by him once he is aware about all the facts (Mudge, Kayes McPherson, 2015). From his perceived severity, threats related to non-compliance with the rehabilitation would be understood by Mr. X, which will encourage him to stay engaged with the rehabilitation process and adhere to the therapeutic actions. Engagement of Mr. X with a positive health behavior will stimulate his recovery, which in turn help him to get back his normal life in short period and return to his job. The health care professional has to change the perception of Mr. X that rehabilitation and embedded physical exercise sessions would enhance his pain, rather than giving him relief. Here, the therapist is solely accountable for encouraging Mr. to be aware of the fact that rehabilitation is the best way to get back to his normal active life, without any hindrance. In addition to the health belief model, self-regulation theory can be used here, to enhance Mr. Xs engagement in the rehabilitation and recovery process. This theory can help people who are experiencing sickness behavior. The sickness behavior is one kind of behavior that arises during ill health condition, like Mr. Xs depression, anxiety and other related symptoms. According to this theory, a conscious personal management involves the process of guiding feelings, perceptions and behaviors to reach personal goals. There are four components of self-regulation, standards of desirable behavior, motivation to meet standards, monitoring of situations and thoughts that precede breaking said standards and willpower (Nieuwenhuijsen et al., 2006). The self-regulation model and its component can be used by the health care professional to motivate Mr. X towards rehabilitation engagement and enhancing his self-esteem and self-management skills to stimulate the rehabilitation process and returnin g to work. Recommended strategies for practice Cognitive behavioral approaches- the cognitive behavioral approach include psychotherapy and behavioral therapies, which are helpful for Mr. X to be motivated and being engaged with the rehabilitation process. Here, the therapist should show dignity and respect to modify his perception about the rehabilitation process. In addition, these behavioral therapies will help Mr. X to control his psychological issues, which are hindering the patient engagement. Motivational interviewing and therapeutic alliance- Motivating interview of Mr. X by his therapist and the employer can help him to be engaged in the rehabilitation process and cope with his working life after returning to his work. Motivational interviewing can help him to understand the importance of his rehabilitation process in his recovery and returning to his work. However, the interviewer should show respect and dignity towards Mr. X for providing value to his words and make a trustworthy relationship (Petrie, Jago Devcich, 2007). Facilitating physical activity- Physical activity is one of best strategy to improve patients engagement and recovery process. Physical activity helps to enhance patients self-dependence, which is the key reason behind Mr. Xs depression and changed behavior. However, the physiotherapist should make him aware about the correct physical activity and the limit, which will give him relief, rather than increasing pain. Health promotion- Health promotion is a key strategy that helps in enhancing patients awareness about the condition and recommended actions. Mr. Xs professionals were unable to promote his health outcomes due to failure in establishing a good relationship with him and due to lack of competence in making him aware of the benefits of the process. Thus, health promotion will help Mr. X to understand the importance of the compliance with the rehabilitation and change is perceived benefits and threats, thereby motivating his engagement (Siegert, McPherson Taylor, 2004). Summary This assignment highlighted the case of Mr. X, who was suffering from severe pain and psychological issues after his total knee replacement surgery. The assignment highlighted some barriers including lack of motivation, lack of family support, lack of educational knowledge about the importance of rehabilitation and lack of therapeutic alliance, which hindered his engagement with the therapeutic processes and recovery. Here, with the help of health belief model and self-regulatory model, the factors that can influence his engagement by changing his perception towards his condition and benefits from the rehabilitation process have been highlighted. Finally, these factors has been emphasize to recommend strategies for practice, which included cognitive behavioral approaches, motivational interview and therapeutic alliance, health promotion and physical activity for enhancing his engagement and making him able to return back to his work. Reference List Abraham, C., Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 27(3), 379-387. doi:10.1037/0278-6133.27.3.379 Bertisch, H., Rath, J., Long, C., Ashman, T., Rashid, T. (2014). Positive psychology in rehabilitation medicine: A brief report. Neurorehabilitation, 34, 573-585. Bright, F. A. S., Boland, P., Rutherford, S. J., Kayes, N. M., McPherson, K. M. (2012). Implementing a client-centred approach in rehabilitation: an autoethnography. Disability and rehabilitation, 34(12), 997. Bright, F. A. S., Kayes, N. M., McCann, C. M., McPherson, K. M. (2011). Understanding hope after stroke: a systematic review of the literature using concept analysis. Topics in stroke rehabilitation, 18(5), 490. Bright, F.A.S., Kayes, N.M., Worrall, L., McPherson, K.M. (2014). A conceptual review of engagement in healthcare and rehabilitation. Disability and Rehabilitation. 37(8), 643-54. Ellis-Hill, C., Payne, S., Ward, C. (2008). Using stroke to explore the life thread model: an alternative approach to understanding rehabilitation following an acquired disability. Disability and rehabilitation, 30(2), 150-159. doi:10.1080/09638280701195462 Gollwitzer, P. M. (1999). Implementation Intentions: Strong Effects of Simple Plans. American Psychologist, 54(7), 493-503. doi:10.1037/0003-066x.54.7.493 Hall, A. M., Ferreira, P. H., Maher, C. G., Latimer, J., Ferreira, M. L. (2010). The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: a systematic review. Physical therapy, 90(8), 1099-1110. doi:10.2522/ptj.20090245 Harding, V., Williams, A. C. (1995). Applying Psychology to Enhance Physiotherapy Outcome. Physiotherapy Theory and Practice, 11(3), 129-132. doi:10.3109/09593989509022410 Harding, V., Williams, A. C. d. C. (1995). Extending Physiotherapy Skills Using a Psychological Approach: Cognitive-behavioural management of chronic pain. Physiotherapy, 81(11), 681- 688. doi:10.1016/s0031-9406(05)66622-9 Harris, R. (2006). Embracing your demons: an overview of Acceptance and Commitment Therapy. Psychotherapy in Australia, 12(4), 2-8. Kayes, N. M., McPherson, K. M. (2012). Human technologies in rehabilitation: 'Who' and 'How' we are with our clients. Disability and rehabilitation, 34(22), 1907. Kayes, N.M., Mudge, S. Bright, F. McPherson. K.M. (2015) Whose behaviour matters? Rethinking practitioner behaviour and its influence on rehabilitation outcomes In McPherson, K.M. Gibson, B.E. Leplege, A. (Eds.) Rethinking Rehabilitation Theory. CRC Press, Taylor Francis: Boca Raton. Levack, W. M. M., Kayes, N. M., Fadyl, J. K. (2010). Experience of recovery and outcome following traumatic brain injury: a metasynthesis of qualitative research. Disability and rehabilitation, 32(12), 986. McPherson, K.M., Kayes, N.M., P. Kersten, (2014). MEANING as a Smarter Approach to Goals in 16 Rehabilitation, In Levack, W. and Siegert, R. (Eds.) Rehabilitation Goal Setting: Theory, Practice and Evidence. CRC Press, Taylor Francis: Boca Raton. Mudge, S., Kayes, N.M., McPherson, K.M. (2015). Who is in control? Clinicians' view on their role in self-management approaches: a qualitative metasynthesis. BMJ Open. 5(5) Mudge, S., Stretton, C., Kayes, N. M. (2013). Are physiotherapists comfortable with person-centred practice? An autoethnographic insight. Disability and Rehabilitation, Early online, 1-7. doi:doi:10.3109/09638288.2013.797515 Nieuwenhuijsen, E., Zemper, E., Miner, K., Epstein, M. (2006). Health behavior change models and theories: contributions to rehabilitation. Disability and Rehabilitation, 28(5), 245-245. doi:10.1080/09638280500197743 Petrie, K. J., Jago, L. A., Devcich, D. A. (2007). The role of illness perceptions in patients with medical conditions. Current opinion in psychiatry, 20(2), 163-167. doi:10.1097/YCO.0b013e328014a871 Siegert, R. J., McPherson, K. M., Taylor, W. J. (2004). Toward a cognitive-affective model of goalsetting in rehabilitation: is self-regulation theory a key step? Disability and Rehabilitation, 26(20), 1175-1175. doi:10.1080/09638280410001724834