Patient Tracer Summary free essay sample

In order to be compliant with Joint Commission standards for Record of care, Treatment and services an assessment was done which is outlined below. Introduction The admission assessment is the fundamental baseline assessment which begins the process of assessment, diagnosis, planning, intervention, and evaluation. This assessment is a critical first step in the patient’s care and serves as the first complete introduction the nurse has to the patient. During this process, the nurse assesses the patient from head to toe and establishes a baseline assessment. This provides a point of reference for other nurses to compare against to see if the patient’s condition is improving or declining. The history and physical also points out problem areas to the nurse, which allows him or her to write a care plan that will guide the nursing staff in their care of the patient. For example, a patient may be admitted for excessive uterine bleeding, but during the assessment the nurse notes that the patient has experienced significant weight loss and is at risk for skin breakdown because she has poor skin turgor, and is immobile and incontinent. We will write a custom essay sample on Patient Tracer Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The nurse would write a care plan on the bleeding as it relates to, additionally, the nurse could write a care plan on the patient’s risk for skin breakdown and nursing interventions to reduce the patient’s risk for developing a decubitus ulcer. The nurse could also make a referral to the dietitian to help with the patient’s nutritional status. In response to this assessment an action plan was formulated to investigate the entire care-planning process: the initial assessment form, how it was used, what conclusion it rendered, and how the care plan was activated and reevaluated. The nursing team involved the SDS nurse, OR nurse and PACU Nurse This initial involvement of the team not only brought the problem to the forefront of the nurse managers’ thinking, it also initiated the development of a solution. On reviewing the nursing process as it existed and as it applied to care plans it became very clear that care planning depends upon the nursing process and the nursing process is predicated upon the baseline nursing assessment. At this point, the problem was with the initial assessment process admission assessment process and care-plan development. On examination of the existing assessment forms it was identified that nurse managers had utilized the existing form or some adaptation of the original for years. Although the staff was quite familiar with its format, it contained several identifiable flaws.  ·It had been typeset and printed internally.  ·New JCAHO standards or practice updates were often inserted wherever they could be worked into the form.  ·The form did not provide a summary section for the nurse to consolidate his or her findings in preparation for the care plan, nor did it provide a summary section for other care members to review. Improper flow of assessment on the form.  ·The form did not provide for a summary conclusion from which to develop a thorough care plan.  ·The nurses didn’t necessarily like the form, but they had been using it for many years and no changes had been recommended by management. At this point one of the issues identified was that the nursing admission assessment form nee ded to be redesigned in order to be compliant and a proper flow patient care was documented for admission right up to referrals or discharges. Corrective Action Plan: After identifying the problem a goal was set up to develop a new form that needed to be user friendly for the nursing staff, yet functional. The corrective action should include:  ·Easy flow of information and reader friendly.  ·Typesetting should be professional.  ·It should include an overall summary section for team members to review.  ·Accreditation requirements must be interwoven in natural flow within the context of the assessment and become more meaningful components to the assessment: The design of the new form was based on the following research:  ·This format would include prompts, interwoven accreditation requirements, and a summary section.  ·Nursing topics were grouped together so that it flowed logically together and the nurse only needed to indicate negative exceptions to a healthy assessment. This would also minimize charting and clarify problematic areas in the patient’s assessment. If a section was normal, a quick check box indicating â€Å"no problems noted† was provided. The form also grouped together the need for financial assistance, need for case management referral, spiritual considerations, suspected abuse and neglect, and assistance at home, as well. Prompt boxes were also designed by these sections because it was the team’s belief that referrals to case management, the business office, and social services were also important in care planning. Such referrals or at least the documentation of the referral, had often times b een missing on our old assessment form. Referrals for regulatory requirements to PT (physical therapy), OT or SLP, Nutritional counseling and spiritual considerations were looked at to identify their placement. Once the form was ready, it was reviewed by Management which included the CEO, vice-president of nursing and legal council advisor. Implementation of corrective Action Plan:  ·A training session was conduced within the nursing units to review and asses the form.  ·The staff provided favorable feedback about the new assessment process, stating that they liked it and that it saved them time. The nurses in charge of audits stated that the form helps her when she’s looking for compliance With regulatory issues  ·The Nurse working in admitting patients stated that it greatly simplified this assessment. Conclusion: The development and identification of this assessment form was a process resulting from research based on guidelines as per JHACO. The record of care, treatment and services clearly states that it should comprise of all data and information gathered about a patient from the moment he or she enters the hospital to the moment of discharge or transfer.

How Teachers Make Children Hate Reading Essays

How Teachers Make Children Hate Reading Essays How Teachers Make Children Hate Reading Paper How Teachers Make Children Hate Reading Paper How Teachers Make Children Hate Reading, proposes the notion that teachers are inevitably demoralizing the minds of children, thus forcing them to generate a fervent aversion towards reading. To start, Holt touches base on how teachers frequently test their students on the specifics of the assigned reading and whether or not they are able to comprehend certain components from it. For several reasons, Holt disagrees with this commonly used method, mostly due to the act that teachers are focusing so hard on minor details, they themselves are even forgetting what makes reading really important. It almost seems as though putting a book under a microscope and picking out the smallest details is more crucial than just simply enjoying the reading. In addition, Holt describes how the idea of looking up and memorizing definitions of vocabulary not yet recognized to the students is ineffective. He discovered all the vocabulary quizzes and worksheets asking for definitions were quite a vain method of teaching. Every students mortifying straighter was being forced to read aloud to the class; It was a constant source of possible failure and public humiliation. Eventually this nightmare created a mental wall made of fear of mistakes, humiliation and pain. The primary message in this piece can be seen as children are being cheated from the simple Joys of reading. In his many years of teaching experience, Holt was influenced in many ways. The immediate occasion found in this passage of writing is none other than Halts sister. He portrays a time when his sister offered the idea that it is not necessary to be ware of every single part of a novel and that memorizing definitions was frankly a waste of time. She was absolutely convinced that school had ruined her sons passion for reading. At first, Holt was reluctant and disagreed with her, but after about two years elapsed since this discussion, he came to the consensus that she was right. This realization impacted his life entirely as he became fully aware of the fact that students were not benefiting from these exercises at all whatsoever. Once he understood that fear had now became an immense part of reading, he knew he had o take action. This occasion of sudden insight was pure motivation to get his message across using what he knows best: literature. The audience being directed at in numerous pieces of Halts writings are all identical. One example of the directed audience would be other mind-poisoning teachers that might come to their senses after reading Halts piece. At first, he himself disagreed with the ideas mentioned, but after a brief insightful Journey he recognized that he was wrong after all. Holt attempts to get his audience to imagine he epiphany he received and help other English teachers to realize that memorization for vocabulary tests and worksheets may not necessarily be the best way to learn. Another audience member that was targeted would be the parents of students everywhere. He tries to explain and urge that parents to try to abandon and avoid this ongoing process to their best ability. Seen in one of his final paragraphs, Holt makes a call to action to these parents. This call to action demands that parents have the full capability to make a difference and that they should do as such. One of he can to enlighten these adolescents by explaining how they should not give up on reading thanks to the doings of a teacher. Students should read in order to obtain new knowledge, but also to venture into a new world where you can go to feel free. Overall, the main audience generally revolves around the school system and people affected by it. Holt is positively convinced that the school system is corrupt due to the severe lack of freedom in the way teachers instruct their classes. After he grasped the idea about eating whatever book they choose in their free time, he attained a great deal of previously unknown knowledge about his students. The purpose of him writing these opinionated essays is to show society that reading can be pleasurable when it is not being constantly forced upon students. Seeing students improve their reading and learning abilities without persistent vocabulary and reading analysis tests is one of Halts main objectives as well. There is a distinct difference between wanting to read and be able to read and he believed he could make it so that they are both in onions. The author of this passage was John Holt, who an elementary school English educator for most of his life. His experience as a teacher have opened his eyes to what he truly believes in and will continue to be an advocate for. From the information given, it is quite evident that Holt is well educated. This observation could be inferred by his use of word choice and also his grammatically correct and elegant sentence structure. Another inference that can be made about Holt is that he is rather headstrong and stands up for what he believes in. For example, it took him woo years to realize and accept the fact that his sister was correct, and ever since he has never ceased to proclaim his beliefs. Throughout the piece, Holt changes in the aspect of his tone. Towards the beginning, Holt was a firm, strict teacher who, as he claimed, was not exactly lenient. Throughout the entire essay, Holt remains to keep his tone insightful and knowledgeable on everything. Eventually however, his tone begins to adjust and he becomes a radical thinker who wants to see a change, rather than the ordinary school teacher who prefers to stick to what has always been.

Classical Tradition Term Paper Example | Topics and Well Written Essays - 1000 words

Classical Tradition - Term Paper Example Thus, knowledge for Keats is not only that which one acquires through empirical experience but also what is received from earlier generations. The descent of the narrator into the netherworld speaks also of the poet’s desire to draw from poetic tradition. Keats uses descriptions of hell from earlier works of literature. Prominent among these would of course, be Dante Alighieri’s work, Divine Comedy, where the protagonist descends into hell in order to gain a better understanding of the cosmos. He is led there by his beloved, Beatrice. In the case of The Fall of Hyperion, a character like Moneta may be considered to be a substitute for Beatrice. The interest of the poet here, unlike in the case of Dante’s work, is not sexual love but the love for knowledge. The thirst to create something new draws Keats into the netherworld and he is rewarded not with spiritual bliss or salvation but with knowledge. Another myth that one may read in Keats’s work is that of the Orpheus legend. The legend revolved around Orpheus going to the netherworld to bring his wife, Eurydice back to life. The god of the dead lays down one condition for the success of Orpheus’s mission- he would lead his wife out of hell but would not be allowed to turn back to see whether she was following him. Orpheus, a musician and hence an artist, is unable to contain his curiosity and fails to meet the condition. In a way, one may argue that Orpheus’s inability to do so stemmed from his need to know. The narrator of Keats’s poem too faces a similar problem. The difference, however, is that his/her curiosity is a disinterested one, unlike that of Orpheus’s. He is interested in knowledge and its acquisition for its sake rather than for marital love. Keats’s search, through the narrator, remains of permanence rather than something that would remain, in the final analysis, ephemera l. It is

Tuesdays with Morrie Essay Example | Topics and Well Written Essays - 1000 words

Tuesdays with Morrie - Essay Example Therefore, Morrie’s point is that once one learns and accepts that death is a reality that is going to happen at some point in life, one learns to live life fully enjoying every moment as it comes without any regrets (Albom, 2005). Throughout the chapter on death, Morrie makes frequent reference to this quote emphasizing the importance for all humanity to accept death, and the subsequent benefits generated from such acceptance for the remainder of one’s life. Morrie emphasize acceptance of death and learning to live with this reality so that Mitch can understand how Morrie is able to value the smaller, more genuine aspects of life bearing in mind that death was approaching. Although Morrie made this statement when he was terminally ill, this it can be generalized to the lives of every human being since death is a reality that is bound to occur to everyone who is still alive. Therefore, healthy individuals can enjoy a life full of happiness and contentment when they live each day as if it were the last. This approach to life will result in a state where each life experience is embraced memorably, passionately and powerfully. People will be able to experience living as a gift to be seized and taken advantage of fully. Morrie points out that â€Å"everybody knows they are going to die," he said again, "but nobody believes it† (Pg 91 M) and that most people are busy doing their activities but they are actually â€Å"half asleep† (Pg 43 M). These statements relate to being prepared for death as it illustrates people’s attitude towards death. There are people who live like robots without having a personal goal in life while taking everything that life has to offer for granted. This can also be said of people who are used to routine and habitual way of life by doing the same things daily to the extent that it has becomes a tradition to them. For such people, accepting the limited nature of life will go a long way in making them enjoy life by

JP Morgan Essay Example | Topics and Well Written Essays - 500 words

JP Morgan - Essay Example JP Morgan has exhibited social corporate responsibility in the following areas; (Jerry) I. It takes part in honoring the military, veterants and there families. The company has committed $45M to military and veteran programs and other initiatives. II. The company has also committed $600000 to fight to fight Ebola in the West Africa. This is part of its CSR.The fight for the dreaded disease has enabled the company to be part of the process because it is a disaster. III. JP Morgan has also launched Nature Vest to create mainstream market for investment and conservation. (Jerry) REPORT JP MORGAN CHASE AND CO CHAPTER: MARKETING Marketing is essential for a company to enable the enhancement of the general sale. This involves putting the right product in the right place, in the right time and at the right place.JP Morgan uses effective marketing strategies that enable it to penetrate over its competitors. Topic: The marketing mix This involves the 4 Ps i.e. Products, price, place ad promotion. Price. This is the amount the consumer must exchange to receive the offering. Firms target to reduce to reduce costs through improving manufacturing and efficiency and increase the perceived value of its products and services to the buyer or consumer. (Friesner) Place. This involves the firm’s activities that make the product available to the target consumers. This includes the channel, distribution and intermediary.

Role Of Sport In Modern Society Cultural Studies Essay

Role Of Sport In Modern Society Cultural Studies Essay The importance of sport in modern society Development of mass sports and its place in modern society is a topical issue of great importance. Popularization of physical culture, sports and healthy lifestyle plays an important role in society in any country. Mass sport is the basis of professional sport, the condition of physical perfection of the younger generations. Professional sport allows, by identifying individual opportunities and abilities of each person in a particular area of sports activity (through increased specialization and individualization of the training process), to achieve maximum, record sporting results. Records in professional sport, winning the official international, national and other sporting events, creates a moral incentive to the development of mass sports. Speaking about the role of sport in modern society, it can be argued that sport is a continuous social experiment, in which mankind showsits potential, accumulating and improving human capital, expanding its potential. Sports, by performing developmental, educational, patriotic, communicative function, integrates and coordinates individuals and social groups, helps the nation to develop.The sport system is directly connected with the subsystems of health, science, culture, upbringing and education. Sport has a significant impact on the socio-economic and political processes of any modern society. It is quite natural that nowadays complex socio-economic, psychological and ecological situation in the world is placing new demands to various sectors of public life, including in such kind of human activity as a sport. First of all, it should be noted that even today the problem of promotion of various types of physical culture and sport among diverse populations. It is obvious, that systematic sport activity and various kinds of physical exercises in a variety of ways will enhance the general resistance of people organism to the modern diverse effects of various kinds.Particularly important this problem is for young generation due to a significant decline in physical health among young people, spread among them of diseases, that threatens the economic, intellectual and social stability of our society in very near future.In this regard, government propaganda of healthy lifestyle and sport takes a special place in the process of development of modern mass sport. (Nicholson, 2008) SOCIAL ROLE OF SPORT IN THE DEVELOPMENT OF SOCIETY Sport is an important social phenomenon in all levels of modern society, providing a large impact on key areas of social life: it affects national relations, business life, social status, fashion forms, ethical values, peoples lifestyle. In support of this thesis we can remember the quote of some athlete sports today is a major social factor, that is able to resist the invasion of cheap culture and bad habits. (Nicholson, 2008) Indeed, the phenomenon of sport has a powerful socialization force. Politicians have long considered the national sport as a hobby, able to unite the community with a unified national idea, filled with a kind of ideology, peoples desire to succeed, to win. In the U.S., for example, in the 60s, sport, becoming a national passion, that was declared as a model of American society, and since 70 80-s the sport in the U.S. has become the second religion, believed by most Americans. Important role in promoting the sport played media, that helped to overcome the so-called psychological barrier in public attitudes to physical activity. Sports as social phenomena ischaracterized by a specific cultural and general cultural function. That first include such functions as development of physical abilities, the satisfaction of social and natural needs in motor activity and optimization of the physical state and health, physical development, improves physique, helps to prevent and reduce the large number of diseases. Sport, being one of the most important means of enhancing human health, physical development and improvement, it also has a significant positive impact on his spiritual world, his attitude, emotions, moral principles, aesthetic tastes, promoting harmonious development of personality.Modern sport is also important in the development of contacts between people, not only within one country, but also internationally, playing a significant role in deepening mutual understanding between peoples,helps to create a climate of trust and peace. Therefore, the sport is closely connected with the mental, moral, aesthetic, communicative, and other spheres of culture, in this regard is integral component of peopleà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s social life.This refers to the specific cultural and general cultural functions of sport, and also socioculturalfunctions. (McPherson 1989) Firstly, it is necessary to mention acompetitive function, which expresses the socio-cultural nature of sport. It includes several critical aspects of the sport, both the creative activity of the athletes and the formation of necessary volitional qualities, and the exchange of sport results of experience and achievements, as well as other factors. In fact, the social phenomenon of the competition characterizes the sport as a form of intense social activity. As an initial form of athletic relations, any match for a person is a struggle, that requires a stress limit of strenght and abilities. The search for limit of human capabilities always sends an athlete on the path of continuous development and progress of physical and spiritual strength. Different sportevents like matches and competitions illustrate and compare variety of sporting achievements and results, show athletesà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢ work on systematic training and self-improvement. In other words, it is obvio us that without knowledge and consideration of social and cultural processes in modern society, it is impossible to ensure athletes or sports team participation. Another aspect of the competitive function lies in strong-willed training of athletes and sports teams. Indeed, sport competitionshelpto developsuch socially important traits as dedication, perseverance, determination, courage, endurance, initiative, independence and self-control, so necessary for high achievement in competitions, as well as in everyday life.Named aspect complements the one more function as real exchange of experience of techniques of sports training between the individual athletes, sports teams, national teams. The object of exchange can be also sports titles, the technique of sports activity, forms of organization of sports and athletic work. Finally, in competitive function sports fully present its creative aspect that is associated primarily with the harmonic development of personality of sportsman. The second important function of sport is communicative function, which contribute to the enrichment of personality in the communication process. Aspect of communication in sports lies in those relations in which the athlete comes from society and its institutions, with the coaches, other athletes and sports fans.Communicative function also includes aspects of the prestige associated with the desire to self-affirmation and recognition, helps tobring-up children and teenagers, as a natural mean of isolating youth from the harmful influence of the street. Experience clearly shows that sport is one of the most effective mean of re-education, providing opportunities for the realization of energy, initiative, creativity and physical abilities, for leadership and competition in a healthy manner. Some of the problems of sport in modern society We are glad tolive in the times of the Olympic movement, which aims participation in building a peaceful and better world, through education of youth through sport, in a spirit of Olympism and without any discrimination. This requires us to a friendly understanding, solidarity and fair play Juan Antonio Samaranch . We can say that sport is a mirror which, in accordance with its objectives and the activity, reflects the basic values of society, without exerting an active influence on them. The historical process of organized sports movement about a century shows that in Western countries prerequisites for fast development of sport are based on contemporary social changes.The very emergence of high competitiveness in the sport was a reflection of a competitive society, associated with liberal thinking. A national physical culture reflects the basic trends of the values of society, and international sporting life is a barometer of international politics. Modern sport is also a microcosm of modern society, and therefore the most important problems of modern sport are similar to the basic problems of modern society, such as sexual, ethnic and racial discrimination, crime and deception, control of violence, drug use, gambling, alcoholism, environmental protection social, political and international relations, etc. also sport can be a cohesive force in society, which actively supports the social order and its values, as well as the power structure within which it operates. This thesis includes the fact that sport can be used as instrument by the government, it can easily be used to implement the objectives of social power. The past and recent events of our time show those multiple ways in which sport is usually used in national and supranational interests. (Coalter 2008) The first example is China. After the policies of Mao of the closed door , his successor Deng Xiao-ping tried to improve the image of the country using the sporting achievements in international competitions, as he and his administration believed that success in sport was an important factor in achieving international recognition. Ping pong diplomacy of China is a well-known example of how sport was used as a tool for establishing relations with other countries (Luo, 1995). But similar examples can be applied to the post-socialist countries and the countries of the capitalist world. Cases of boycotts, which are often used in connection with the most important international competitions, Olympic Games, are the result of totalitarization of sport (this term was used by KaleviHeinila), which has become an important tool in the Cold War. (Heinila 1982) An analysis of national forms of physical training can show how closely sport associated with the development of the nation. Studies can clearly showthe relationship of competitive sports with militancy and violence in society, and that competitive sports increase the belligerence (warlike) of social system. Also sport as an integral part of the dialectics of international relations, it can be used as a mean of strengthening the political power, but on the other hand, as an effective instrument for strengthening mutual understanding of nations, as sport has an opportunity to consolidate peace, especially in times of international tension, it can help to stabilize international relations as part of cultural exchange. Conclusion Modern sport is multifaceted, differentiated, and it is able to satisfy the most diverse needs of individuals and society in the field of sports. However, it has conflicting characteristics , which generates a dual attitude towards it: some see the sport as a source of health, disability, method of improving persons character, of expanding the boundaries of human capabilities; others note the negative impact of sport on physical health and personality traits. Positive or negative impact of sport on the individual and society depends not only on the sport itself, but on the appropriateness of different aims and forms of sports activities, the socio-economic level of society, from a particular system of moral education, sports related activities.Thus, we have attempted to show the place and main trends of modern sport, which is characterized by both positive and negative trends that require further analysis, reflection and solving.

Revolutionary Viewpoints Essay -- essays research papers

Revolutionary Viewpoints   Ã‚  Ã‚  Ã‚  Ã‚  Beginning in 1773, the Tea Act, Boston Tea Party, and the Coercive Acts directly brought about the split between Britain and its American colonies. These events were a series of causes and effects and were viewed from extremely different viewpoints by the two sides. Because of these viewpoints, both sides saw force as the next logical step.   Ã‚  Ã‚  Ã‚  Ã‚  The Tea Act was passed by Parliament in 1773. It gave the British East India Company a virtual monopoly on the tea trade in North America while keeping the Townshend tea tax. The monopoly lowered the price of tea, but it hurt colonial businessmen. Soon the colonies started to boycott tea. For the British, the Tea Act sounded like a wonderful idea because it lowered the price on tea. The Tea Act could also let the colonies show that they are Englishmen and it was good for the whole empire. But on the other hand, the colonies thought the tea act was slowly taking away their rights, ruining their 150 years of tradition. Their tradition was that they only were taxed for local reasons.   Ã‚  Ã‚  Ã‚  Ã‚  Since the Tea Act was going on, people were boycotting tea coming from England. This led to the Boston Tea Party. The Boston Tea Party was when 3 ships full of tea had arrived from England and the townspeople were refusing to pay the tax. So the ships could not be unloaded. Then the group, Sons of Liberty boarded the ship dressed as Native Americans...

Health Care Interview Paper Essay

There are many different professions that one can choose when entering the healthcare field. Nursing is a very popular and needed profession that is vital to care for patients. For this paper I have chosen to interview my younger cousin who currently works for the VA Hospital in Las Vegas, Nevada as a Registered Nurse in the Medical Surgical Unit. I will describe the targeted facility and unit she works for, the type of work done within her unit, any interesting, informative, or specific information related to the chosen unit which makes it unique, and a comprehensive description of my cousin, and her responsibilities. The facility that my cousin works at is The Department of Veterans Affairs Hospital. The purpose of this facility is to fulfill President Lincoln’s promise â€Å"To care for him who shall have borne the battle, and for his widow, and his orphan† by serving and honoring the men and women who are America’s veterans. The particular unit she works for is the Medical Surgical Unit. Some of the types of work done in this unit is to consult and coordinate health care team members to assess, plan, implement, and evaluate patients, write up care plans, prepare and administer (orally, subcutaneously, through IV) prescribed medication and records, report adverse reactions to medication or treatments in accordance with the policy in regards to administration of medications by a licensed registered nurse, educate patients on surgical procedures, record patients’ medical information and vital signs, monitors and adjust any specialized equipment used on patients, monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays. More tasks that are required of her in her unit are initiating corrective action whenever the patient displays adverse symptomatology, she also provides bedside care for a wide variety of medical patients including pre- and post-surgery patients, initiates patient education plan as prescribed by physician which may include teaching patients and significant others how to manage their illness/injury by explaining post-treatment home care needs such as: changes of dressings, insertion of catheters, and starting IVs. Other tasks include preparing equipment, aiding physician during examination and treatment of patient, and participation in discharge planning. All the tasks that she is required to accomplish on a daily basis require that she utilizes time management skills, attention to details, and accurately record all care information concisely and completely in an efficient manner. A very important trait that she must possess is to be adaptable, and have the ability to perform other du ties as assigned. Some interesting, informative, or specific information related to this department that makes it unique are that they cater to the veteran population and an age group that ranges from 50s-90s. She states that working for the VA Hospital she must understand what the veteran have gone through and understand where they are coming from. For instance, she needs to be sensitive to the facts that some of these veterans may suffer from post-traumatic syndrome disorder from war or other causes that may cause them extra stress or anxiety from being cared for in the Medical Surgical Unit. This requires that my cousin needs to not only have the professional skills that she learned in school, but also requires on sense of compassion that cannot being taught, but comes from within. A sense of empathy would also help in this field as it is allows for the nurse to not only care for the patient professionally, but also on a level that allows them to be cared for on a personal level which may help with the healing process as they may feel more important, and receiving better care rather than just being seen as another patient. When I was asked to find a healthcare individual to interview for my paper I chose my younger cousin because she is newer to the field, and would offer the most current description of her field without any bias that some nurses tend to have after working in the field for so long. She started her nursing career at the age of 23, and she does admit that she did have a hard time relating with her patients because of their ages and the types of experiences that some had to deal with. The transition she explains was hard because unlike her at age 23, these patients were sent off to war to protect their country. Many of them didn’t even have the privilege of having an education like she did. Another apparent difference was that her goals were to go to college and advance her career, and her patients’ goals were fighting for our country, and starting a family was insignificant. Now after being a nurse for a few years she was able to learn their point of views. For example, she explains that telling a veteran to be careful when getting up from the bed to go to the bathroom is embarrassing for them. These men have an idea in their head that they’re still that tough guy who can handle anything, and for someone young like her to tell them to be careful, makes them feel inferior and weak. This then becomes a really difficult communication barrier to overcome and it takes time, effort, and compassion to understand them. In my cousins own words, â€Å"It is still my job and my responsibility that these veterans are getting the appropriate care they deserve because that is who I’ve chosen to work for and what the department of veterans affairs stands for.† After my interview with my cousin, I have a new found respect for her, and Medical Surgical Nurses, and those who work with her to care for our Veterans. Not only does she have to handle the difficult, and stressful tasks that she is dealt with everyday, but she also must be able to handle the types of patients that she cares for. These patients have had to go through difficult situations that civilians would never have to endure. A civilian would never have to deal with coming back from a war, and possibly have seen many people die, or have that fear that they may die far from home. Having these types of stress that veterans deal with may make their mentality different from regular patients, and in turn cause difficulty for nurses that need to care for them. Therefore, a patient that is cared for with the compassion that my cousin offers as a nurse is very fortunate, and I know that she must feel as though she is making a difference in the lives of the patients she cares for. As I mentioned in the beginning that there are many fields to choose from in healthcare, but a nurse must be able to offer care both professionally and selflessly on levels that are beyond just caring for patient.

Symbolism in Millers Death of a Salesman Essays - Free Essays

Symbolism in Miller's Death of a Salesman Essays - Free Essays Symbolism in Miller's Death of a Salesman By: Sam Stillwell Mrs. Carol Hake English 101-503 23 April 2017 Outline Thesis statement: The symbolism of the seeds, the tennis racket, the fountain pen, diamonds and the stockings are all essential for the general concept of Arthur Miller's Death of a Salesman. In Death of a Salesman, Arthur Miller uses common objects as symbols between the main characters in his play. Women's stockings and their holes symbolize the failing relationship between Willy and his wife. Seeds in a garden symbolize Willy's declining sense of self-worth and his need to leave something significant behind after his death. The tennis racket Willy observes when he chats with Bernard in Charley's office is a symbol of Bernard's success and Biff's failure. Finally, the fountain pen is a symbol of the burden Willy's son Biff carries as he tries to live up to his father's image even though he never wants to inhabit that role. Linda is always sewing her old stockings to fix their holes. The holes resemble the things in her life that are broken. Willy gets frustrated with Linda when she tries to fix the old stockings; he feels she should throw them out. He says: "Will you stop mending stockings? At least while I am in the house. It gets me nervous. I can't tell you. Please" (75). Willy's reaction to the sewing suggests the guilt he feels for having an affair - he gave a pair of Linda's stockings to his mistress. To Biff, who witnessed that transaction, stockings represent betrayal and deep hurt. "You-you gave her mama's stockings" (121). Biff becomes aware that his father is messing around with another women and becomes very emotional. It almost seems that the stockings are the reason for Biff's anger. It also important note the new stockings are important for Willy's pride in being financially successful and thus able to provide for his family. The seeds that Willy constantly talks about throughout the entire play are very significant to him. Seeds represent for Willy the opportunity to prove the worth of his labor, both as a salesman and a father. Willy is afraid when he dies he will have nothing to leave his family. Willy thinks that when he dies that there will be no one to put food on the table, so the vegetables are his attempt of doing so. Throughout the play you can notice Willy is always talking about the seeds and seems as if he is in a rush to plant the seeds, I think that is because every time he talks about seeds he is closer to the time he plans to commit his suicide. The seeds also symbolize Willy's sense of failure with Biff. Willy planned on raising Biff to be a smart salesman, but Biff got into trouble for stealing and Willy blames himself for raising his son, in what he thinks is the wrong way. The fountain pen symbolizes dishonesty and greed in the business world. After Biff steals the pen and he is on the stairs, he thinks to himself that he doesn't want to be in the same position as his dad and be unhappy and miserable in his life. Biff comes to understand that the American dream only creates emptiness and frustration. The fountain pen also stands for a changing point for Biff and he returns the pen to the office and leaves. You can see this because at the end of the play Biff wants to reconcile with his dad and not argue like they always do. Especially since Biff already knows about his father's affair with the mistress, he does a good job of changing his attitude and keeping cool. "Every time I've left it's been a fight that sent me out of here" (128). This just simply shows that Biff and Willy constantly get into fights and Biff wants to actually change that. "The Jungle is dark but full of diamonds" (85). The diamonds are the second biggest symbol in this play. Ben rubs the diamonds in Willy's face throughout the play. Willy is frustrated because he doesn't have any tangible evidence to show for his achievements in sales, while Ben can physically show his diamonds off.

Edwin OConnors

Edwin OConnors novel The Last Hurrah illustrates a remarkable view of the difficult and complex life of the Irish-American community of Boston in the 1950s. The story is presented though political context focusing on social and ethnic concerns as well as prejudice and stereotyping. This is a true story of politics, corruption, the rise and success of the Irish immigration, the opposition but most of all it is a story of people.There are a number of important elements that are unique to the Irish community in Boston and also significant to the life of Skeffington. As a descendent of the Irish immigration Frank Skeffington values historical perspective, religion and work ethic. He realizes the struggles of his parents, and is proud of his past we are not all descended from kings he told his nephew. While running his campaign Skeffington experiences strong opposition from James Curley, a forceful and corrupt political force in the community in Boston. Curley demonstrates !a clearly d etermined form of corruption without concern for the ethnic or political history of the Irish immigrant community. Although Curley chooses to display his hatred toward the Irish through politics, his intent is extremely clear, which reveals strong evidence of discrimination displayed not only directly towards immigrants but descendants of those immigrants as well. The major conflicts developed are not just the products of the perceived political situation or corruption, but are also related to common social and religious perspectives indicative of the community Once politics were the only way a man could climb out of the slum. Frank Skeffington, who originated out of the Irish getto, unveils an important lesson, such that, in order to become a powerful adult one must comprehend their past and make determined efforts to challenge complicated issues. By no means could Skeffington change the future direction of hi...

Using the criteria outlined in Chapter 15, evaluate the range of Assignment

Using the criteria outlined in Chapter 15, evaluate the range of distribution options available to the cluster of products and services within Thailand - Assignment Example The choice distribution channel for tourism functions to convey marketing communication. These communications assist clients in booking for accommodations, making payment and obtaining various tourism goods and services that the tourists may require. According to Berger (2014), there exists two basic options for contact; a two-way response which conveys information directly between the prospective client and the produce. On the other hand, indirect response is the case when third parties are involved in channeling information to clients, p.275. Indirect marketing involves the use of intermediaries. Experts declare that when intermediaries are used, they facilitate the buying of commodities in advance. In addition, the channel is very efficient when bringing about promotions and discounts. Furthermore, it is significantly important for businesses dealing with tourism products and services to be strategically positioned. It is vital for both micro businesses and large tourism businesses to ensure that their offices are strategically located so as to attract large clientele base. The choice location should ensure a correct system of reservation, effective payment and information system and physical accessibility, Berger (2014,

243 Essay Example | Topics and Well Written Essays - 3000 words

243 - Essay Example â€Å"The Human Resources Management (HRM) function includes a variety of activities, and key among them is deciding what staffing needs you have and whether to use independent contractors or hire employees to fill these needs, recruiting and training the best employees, ensuring they are high performers, dealing with performance issues, and ensuring your personnel and management practices conform to various regulations.† 1 An individual has emotions, feelings, attitudes, hopes, aspirations and expectations. Interpersonal relations at work, physical and economic condition and ease at work determine productivity. Individual behavior is influenced by group behavior which in turn has impact on behavior of organization. â€Å"Employee Relations involves the body of work concerned with maintaining employer-employee relationships that contribute to satisfactory productivity, motivation, and morale.† 2 As the organization has to bring individuals together to achieve a common goal it needs to have certain parameters, guidelines and accepted norms to decide what and how these goals are to be achieved. For this a well defined human resource management is required in every organization. The maximum utilization of human resources is very essential to achieve organizational goals. â€Å"Employees are the most important and valuable asset of an organization.† 3 Retention strategies have to be clearly e xecuted. Employee retention will enable the organization to achieve goals. As organizations have different structures and these structures have a bearing on employee attitudes and behavior. The key components that make up an organization structure help in identifying the contingency factors that make certain structural designs preferable in varying situations. Thus a well structured organization provides a sound basis for effective planning and facilitates attainment of objectives through proper co-ordination and it promotes dignity of employment of