Solve equations and word problems Speech or Presentation

Solve equations and word problems - Speech or Presentation Example Thomas had a checking account there for 8 months and was charged $53.10 in service charges. How many checks did he write during that period? Geometry; Dave and Jane wells have a new rectangular driveway. The perimeter of the driveway is 168 feet. The length is 12 feet longer than three times the width. What are the dimensions of the driveway? Geometry; a leather coin purse has the shape of a triangle Two sides are equal in length and the third side is 3 centimeters shorter than one and one-half times the length of the equal sides. The perimeter is 28.5 centimeters. Find the lengths of the sides Health Club Memberships: In 2006, the number of Americans who were members of a health club was 42.7 million. This was an increase of 106% from the number of health club members in 1990. How many Americans were health club members in 1990?(Source: www.emaxhealt h.com) The Clarke family went sailing on a lake. Their boat averaged 6 kilometres per hour. The Rourke family took their outboard runabout for a trip on the lake for the same amount of time. Their boat averaged 14 kilometres per hour. The Rourke family travelled 20 kilometres farther than the Clarke Family. How many hours did each family spend on their boat

Igno - Management of Human Resources Essay Example for Free

Igno Management of Human Resources Essay 1.â€Å"Borderless world, Diversity Management, and Knowledge power, are some of the overarching factors being encountered by the Human Resource Mangers of 21st century business world†. How do they affect the dynamics of Human Resource Management in today’s organizations? Explain with examples from the organization you are familiar with or have been working for. Briefly describe the organization, you are referring to. 2.â€Å"Each employee in an organization performs various roles. Role perception of a manager and an employee make a complex web as they interact†. Elaborate this statement in the light of socialisation factors in organizational socialization process. Outline the importance of initial Job socialization on the employee and the organization. Explain with the help of your personal experience and organizational experience with respect to the above concepts.Explain the situation and describe the organization, you are referring to. 3. Consider Potential Appraisal, Assessment Centres, and Career and Succession Planning in an organizational context. Describe the dynamics of these concepts, their interactional outcomes, and impact on overall functioning and management of the organization. Put down your experience with respect to the dynamics of these factors in totality as seen by you in an organizational situation or the situations which you are familiar with. Briefly describe the situation and the organization, you are referring to. 4.How do you see the role, presence, necessity, and impact of ‘Mentoring and Performance Coaching’ in organizational situations in Indian context in general? Critically describe the experience the organizations have with respect to these concepts, their applicability, effectiveness and prospect. You may like to compare few organizations you have known or familiar with or even you can come out with your own experience in organizational context. Describe the context, and the organization you are referring to.

The Black Arts Movement Essay examples -- African Americans History Es

The Black Arts Movement The Black Arts movement refers to a period of â€Å"furious flowering† of African American creativity beginning in the mid-1960’s and continuing through much of the 1970’s (Perceptions of Black). Linked both chronologically and ideologically with the Black Power Movement, The BAM recognized the idea of two cultural Americas: one black and one white. The BAM pressed for the creation of a distinctive Black Aesthetic in which black artists created for black audiences. The movement saw artistic production as the key to revising Black American’s perceptions of themselves, thus the Black Aesthetic was believed to be an integral component of the economic, political, and cultural empowerment of the Black community. The concepts of Black Power, Nationalism, Community, and Performance all influenced the formation of this national movement, and it proliferated through community institutions, theatrical performance, literature, and music. The symbolic birth of the Black Arts Movement is generally dated to 1965 and coincides with a major transformation in the life of its most prominent leader, Amiri Baraka, formally LeRoi Jones. Early in his career LeRoi Jones won notoriety and critical acclaim for his plays, specifically the Dutchmen, while living in Greenwich Village at the heart of the Beat Scene. However, beginning in 1964 he underwent a personal transformation which resulted in his distancing himself from white culture. LeRoi Jones divorced his white wife, moved to Harlem, changed his name, and adopted a Black Nationalist View. Shortly after Malcolm X’s assassination in February of 1965, Amiri Baraka joined forces with Charles and William Patterson, Askia Toure, Clarence Moure, an... ...) – Part 1.† The Black Collegian Online. 28 Nov 2004. http://www.black-collegian.com/african/bam1_200shtml Kalamu ya Salaam. â€Å"Historical Background of the Black Arts Movement (BAM)– Part2† The Black Collegian Online. 28 Nov. 2004. http://www.black-collegian.com/African/bam2_200shtml Modern American Poetry. Ed. Cary Nelson. 29. Nov. 2004. http://www.english.uiuc.edu/maps/index.html Neal, Larry. â€Å"The Black Arts Movement.† The Black Aesthetic. Ed. Addison Gayle, Jr.New York: Doubleday &Company, Inc., 1971. 272 - 290. Perception of Black: African American Visual Art and the Black Arts Movement. University of Virginia. 28 Nov. 2004. http://xroads.virginia.edu/~UG01/hughes/blackart/html Smith, David Lionel. â€Å"The Black Arts Movement and Its Critics.† American Literary History. 3.1 (Spring 1991): 94-109.

Love and Human Person Essay

1. Phenomenology is a way of seeing, of grasping the world from one’s lived experience, and as a method makes much use of epochà © and the phenomenological reductions to describe man’s experiences. 2. Using secondary reflection on my lived experience, I discover the inescapable fact of my existence: I exist as a being-in-the-world-with others, and this is because of the datum called my body. My body encroaches upon both being and having. * 3. As an embodied spirit, I am facticity-transcendence, temporality and historicity. All these are manifested in my being a homo faber. Work is a way for me to express and liberate myself, and to humanize the world. 4. Consciousness is intentional. Human knowing is a dialectical unity of the subject’s openness to reality and the self-givenness of reality in an endless series of profiles against a horizon of other possible objects. 5. At first glance, freedom and responsibility mean the capacity to choose, to act on my own, to be the source of my concrete actions and to be accountable for them. But as I gradually unfold in the world, I become free and â€Å"response-able.† Authentic freedom then develops into a â€Å"self-possession with an objectively directed project of life.† 6. Dialogue is not identical with love but it is required in love. The obstacles to dialogue are seeming, speechifying and imposition. 7. Love is the unconditional giving of oneself to the other as other. Love of the other as other does not run counter to self-love but presupposes it. Love is â€Å"essentially a movement tending to the enhancement of value.† (Scheler) 8. Justice is the minimum demand of love rooted in the inviolability of the human person. 9. The socius exists as a dialectic to the neighbor. The neighbor passes through the socius, expresses itself on the fringes of the socius or rises against the socius. 10. The family is not a problem but a mystery, a value and a presence, the incarnation of the pact between the human persons and life, rooted in creative fidelity and hope. 11. The state exists to provide the external conditions and structure for the human person’s being-with-others. The principles of solidarity and subsidiary are important to counteract the totalitarian tendency of the state and to promote the value of democracy. As a political being, the human person has a double-duty towards the state. 12. Civil society, as distinct from the state, the economy and political parties, offers an alternative framework for sustainable societal development, and resolves the contradictions of elite versus participative democracy, rights-oriented liberalism versus communitarianism, and welfare state versus neoconservative antistatism. 13. In being-towards-death, one’s existence can be either inauthentic or authentic (Heidegger). Death is a test of love and the condition of freedom (Troisfontaines). 14. Human love in itself, which is the crowning point of all of my activities, does not guarantee my total fulfillment as a person but fails short of my search for authenticity. Thus reflecting on my historicity, and facing the inescapable fact of death, I long for the Absolute Thou who is the Horizon and Ground of my earthly existence.

Health Disadvantages Indigenous Australians Essay

Socioeconomic factors are associated with education, employment, and income, and each, has a substantial influence on the health of Indigenous Australians. Education, which is inaccessible for many Indigenous people, allows for the greater knowledge of health issues, and the increased understanding of both protective behaviors and risk factors. It is a known fact that with a lack of education or one that is poor, there is a increased risk that there will be less employment opportunities – ultimately leading to little or no income. Hence, the vicious poverty cycle is born. Education enables Indigenous Australians to develop a sense of empowerment, and in turn increases the probability that they will take steps to improve their health. If an Indigenous child has had an insuffienct education, they will not have had any opportunities that assist them in evaluating health information and products. Research has shown those with higher levels of education have a reduced chance of smoking, being inactive and suffering from obesity. It’s the absence and inequality of education that has led to obesity among Indigenous Australians – with 28% of those over 15 being overweight, and 29% diagnosed as obese. Obesity increases the risk of developing health problems including Type 2 diabetes, cardiovascular disease, high blood pressure, osteoarthritis, injury and certain cancers. The individual may not be aware of which foods are healthy, may not be able to afford it, may not take part in physical activity daily, use tobacco and abuse alcohol – and this occurs from deficient education. Additionally, environmental factors influence the health of Indigenous Australians in the areas of geographic location and access to health services and technology. Approximately 24% of people living in remote areas and 45% of those living in very remote areas are Indigenous. Aboriginals living in remote areas will experience negative impacts on their social, emotional and physical health. Indigenous people in these rural areas experience a greater risk of injury due to the dangers associated with travelling on country roads that are often of poor quality, long distances and fatiguing. Indigenous people are 3 times more likely to die from traffic incidents than non-Indigenous people. Aboriginals in remote areas will also face harsh living and working circumstances such as; drought and floods. From this, injury, disease, emotional distress and financial hardships occur. Aboriginal Australians in remote communities with large distances between other people and society may find it difficult to maintain and create social support networks. The inability to make and prolong relationships leads to a sense of isolation, and contributes to poor mental health and depression. Hospitalisation rates for self-harm are representative of mental illness, depression and stress – and in 2006, Indigenous Australians were 3 times more likely to be hospitalized for severe self-harm than other Australians. In 2011, 80% of suicides of the ages 19 to 24 were Aboriginals. This occurs due to isolated geographic location. Evidently it is of utmost importance that there be a strategy put into place to help improve the health of Indigenous Australians in regards to the Socio-economic factor of education, and the environmental factor of geographic location. This strategy must be effective and realistic, to ensure that the gap begins to be closed before 2030. A proposed action that should be put into place is the development of a â€Å"Community Centre†, in the mid point of a rural township. This centre would feature a shuttle bus service, picking up and dropping off the person when wanting to commute to the facility. The shuttle service would hopefully reduce the injury experienced from traffic incidents on rural roads. This community centre would be a hub, where Aboriginals could come, in order to receive educational courses or classes; on the topics of drug awareness and abuse, mental health issues, domestic violence, healthy eating and much more. As well as educational classes, there would be fun activities that they would be able to participate in, such as sports, healthy cooking, arts and crafts and other alternatives. Whilst being at the community centre, there is the opportunity to receive an education, and also forge friendships. The opportunity to receive an education, especially on the topics listed previously would increase the awareness of health issues and knowledge of protective behaviors, fundamentally attempting to break the poverty cycle and enabling empowerment to flourish within the Aboriginal. Whereas the possibility to create friendships, and returning to the â€Å"Community Centre† on a regular basis would assist in the reduction of Indigenous Australian’s in rural area’s feeling isolated and depressed – further reducing the number of hospitalization rates from self harm, mental illness and suicide. In conclusion, it is perceivable that something MUST be done soon in order to close the gap by 2030 to create greater equity between Indigenous Australians and non-Indigenous Australians. There is NO excuse!

Baldcypress, an Excellent Tree Choice for Planting

Baldcypress, an Excellent Tree Choice for Planting Testimony after testimony from urban foresters and park administrators support the up and coming bald cypress or  Taxodium distichum  as the latest trend in selecting the best landscaping tree for many locations. Lawns, parks and street right-of-ways are growing baldcypress in profusion. Common baldcypress is an evergreen but acts deciduous as it drops its twiggy leaves in the fall. You can call it a deciduous conifer. The rich green color of the needles turn to copper orange then to brown and makes for one of autumns best colors just before twig and needle fall. Careful When Wet In wet soil conditions, the bald cypress will form sections of root growing above ground to gather oxygen. These knobby cypress knees can occur 10 to 15 beyond the spread of the plant. Cypress knees do not generally form on drier sites. On the Street Cities from Charlotte, NC, Dallas, TX to Tampa, FL currently use it as a street tree and it should be used more extensively throughout its range in urban landscapes according to most landscape professionals. Baldcypress can be clipped into a formal hedge, creating a wonderful soft screen or hedge. Art Plotnik,  The Uban Tree Book, says as a street tree, the  baldcypress  is getting rave recommendations and increasing use. Tree professionals of New Orleans, Charlotte,  Tampa  and Dallas are among others that put it on the streets. Ralph Sievert, Minneapolis MN Urban Forester who is respected as the â€Å"Johnny Appleseed† of  baldcypress, recommends it highly in his state and outside of the southern United States. Growth Bald cypress trees grow best when they have their own space and can potentially grow up to 2 feet per year. Bald cypress require sun (at least 1/2 day). They make a great screen when planted in groups and can be planted within 15 feet of a house.

Language Acquisition in Children

Language Acquisition in Children The term language acquisition refers to the development of language in children. By age 6, children have usually mastered most of the basic vocabulary and grammar of their first language. Second language acquisition (also known as second language learning or sequential language acquisition) refers to the process by which a person learns a foreign language- that is, a language other than their mother tongue. Examples and Observations For children, acquiring a language is an effortless achievement that occurs: Without explicit teaching,On the basis of positive evidence (i.e., what they hear),Under varying circumstances, and in a limited amount of time,In identical ways across different languages. ... Children achieve linguistic milestones in parallel fashion, regardless of the specific language they are exposed to. For example, at about 6-8 months, all children start to babble ... that is, to produce repetitive syllables like bababa. At about 10-12 months they speak their first words, and between 20 and 24 months they begin to put words together. It has been shown that children between 2 and 3 years speaking a wide variety of languages use infinitive verbs in main clauses ... or omit sentential subjects ... although the language they are exposed to may not have this option. Across languages young children also over-regularize the past tense or other tenses of irregular verbs. Interestingly, similarities in language acquisition are observed not only across spoken languages, but also between spoken and signed languages. (Marà ­a Teresa Guasti, Language Acquisition: The Growth of Grammar. MIT Press, 2002) Typical Speech Timetable for English-Speaking Child Week 0 - CryingWeek 6 - Cooing (goo-goo)Week 6 - Babbling (ma-ma)Week 8 - Intonation patternsWeek 12: Single wordsWeek 18 - Two-word utterancesYear 2: Word endingsYear 2 ½: NegativesYear 2 ¼: QuestionsYear 5: Complex constructionsYear 10: Mature speech patterns (Jean Aitchison, The Language Web: The Power and Problem of Words. Cambridge University Press, 1997) The Rhythms  of Language At around nine months of age, then, babies start to give their utterances a bit of a beat, reflecting the rhythm of the language theyre learning. The utterances of English babies start to sound like te-tum-te-tum. The utterances of French babies start to sound like rat-a-tat-a-tat. And the utterances of Chinese babies start to sound like sing-song. ... We get the feeling that language is just around the corner.This feeling is reinforced by [an]other feature of language..: intonation. Intonation is the melody or music of language. It refers to the way the voice rises and falls as we speak. (David Crystal, A Little Book of Language. Yale University Press, 2010) Vocabulary Vocabulary and grammar grow hand in hand; as toddlers learn more words, they use them in combination to express more complex ideas. The kinds of objects and relationships that are central to daily life influence the content and complexity of a childs early language. (Barbara M. Newman and Philip R. Newman, Development Through Life: A Psychosocial Approach, 10th ed. Wadsworth, 2009)Humans mop up words like sponges. By the age of five, most English-speaking children can actively use around 3,000 words, and more are added fast, often quite long and complex ones. This total rises to 20,000 around the age of thirteen, and to 50,000 or more by the age of about twenty. (Jean Aitchison, The Language Web: The Power and Problem of Words. Cambridge University Press, 1997) The Lighter Side of Language Acquisition Child: Want other one spoon, Daddy.Father: You mean, you want the other spoon.Child: Yes, I want other one spoon, please, Daddy.Father: Can you say the other spoon?Child: Other ... one ... spoon.Father: Say other.Child: Other.Father: Spoon.Child: Spoon.Father: Other spoon.Child: Other ... spoon. Now give me other one spoon. (Martin Braine, 1971; quoted by George Yule in The Study of Language, 4th ed. Cambridge University Press, 2010)

Chemical Physical Changes

Chemical Physical Changes Chemical and physical changes are related to chemical and physical properties. Chemical Changes Chemical changes take place at the molecular level. A chemical change produces a new substance.  Another way to think of it is that a chemical change accompanies a chemical reaction.  Examples of chemical changes include combustion (burning), cooking an egg, rusting of an iron pan, and mixing hydrochloric acid and sodium hydroxide to make salt and water. Physical Changes Physical changes are concerned with energy and states of matter. A physical change does not produce a new substance, although the starting and ending materials may look very different from each other. Changes in state or phase (melting, freezing, vaporization, condensation, sublimation) are physical changes. Examples of physical changes include crushing a can, melting an ice cube, and breaking a bottle. How to Tell Chemical Physical Changes Apart A chemical change makes a substance that wasnt there before. There may be clues that a chemical reaction took places, such as light, heat, color change, gas production, odor, or sound. The starting and ending materials of a physical change are the same, even though they may look different.

Improvement of Coca Cola Market Decision Making Research Paper

Improvement of Coca Cola Market Decision Making - Research Paper Example The company has a variety of products, and it licenses or possesses more than 500 brands. With is vast empire worldwide the company has grown to become a market leader that is considered one the influential organization in the world. The company has grown from operating within the city of Atlanta in 1886 to operating in more than two hundred nations currently. It has further grown from selling 8 glasses of soft drinks to 1.8 billion bottles a day. Furthermore, the company has over 300 hundred bottling branches and organizations worldwide, which are the link between the company and its customers. The company manufactures syrup that is sent to these organizations to produce the soft drinks that are distributed to the consumers. The company values its customers who sell and consumes its products worldwide and it considers them a significant part of its sustainability process. INTRODUCTION The company focuses on producing light and diet beverages, waters, juice drinks, and coffees, as we ll as tea. It also provides energy and sports beverages, operating in over 200 nations. It has its headquarters in Atlanta, Georgia with around 140 000 employees. The company has been successful in its businesses registering revenues of $35, 119 million in the financial year of 2010. This was an increment from of 13.3% from the previous financial year. The beverage was initially being sold in glasses, but it was later sold in the bottles, first in 1894, to make it portable, and enhanced its distribution to other states.   The tools applied include Affinity Diagrams, Control Charts, and SWOT analysis that have enabled the company to remain relevant in the market and become a leading organization in the production of the non-alcoholic beverages worldwide. ANALYSIS Affinity tool diagram The Coca-Cola Company has managed to dominate the non-alcoholic beverages world because it applies the right decision-making tools concerning its products worldwide. Since the company operates in more than 200 nations, it faces the problem of utilizing a lot of information and ideas, which affect their targeted audience. The affinity tool diagram, comes in handy, in ensuring that large sums of data and information are gathered from ideas of groups, through the process of brainstorming, to ensure that the information is prompted, based on the natural affiliations of the groups 8 Parnell, 2011). The company ensures that it melds the perceptions, ideas, and opinions as well as insights of a faction that is conversant or well acquainted with the modern market changing trends (Hoerl and Snee, 2012). This includes the marketing and advertising segments, who gather the relevant information, which the managerial body of the company, uses to make decisions that affect the investments and marketing strategies of the organization. These decisions are aimed at ensuring the sustainability of the company in the market as well as attaining the maximum possible returns.  Ã‚  

Relationship between Travel & Tourism Essay Example | Topics and Well Written Essays - 3500 words

Relationship between Travel & Tourism - Essay Example Tourism is not a phenomenon. Only it has made new strides. People have been undertaking hazardous journeys for thousands of years either on pilgrimage or in quest of new lands and ideas. Tourism today is a movement which not only gears up several other industries but also creates new employment opportunities. Tourism comprises the activities of persons traveling to and staying in places outside their usual environment for not more than one consecutive year for leisure, business, and other purposes. Apart from being a major foreign exchange earner, tourism helps in promoting human understanding and cultural exchange. The coming decades are a crucial time for the relationship between travel and tourism and sustainable development. The need to preserve the worlds inherent assets for future generations is becoming an imperative goal not only for travel and tourism but also for all other industries that use the earth natural resources. The scale of travel and tourism contribution to the global economy and its potential for enabling sustainable development are becoming more evident for governments, non-governmental organizations, and industry alike. The development of tourism has been characterized by continuing geographical spread and diversification of tourist destinations. Travel and tourism, if utilized effectively, can be a force for positive growth and economic success for both developed and developing countries. The travel and tourism industry simultaneously thrives upon this trend and is threatened by it. Tourism products and services that demonstrate ‘greater sensitivity to the environ ment, traditional culture and local people at the destinations can create such an experience, whereas tourism in a context of uncontrolled growth which puts increasing pressure on the natural, cultural and socioeconomic environment, risks diminishing the visitor’s experience. In short, increased market demand for experiences can contribute to social, economic and environmental sustainability only if the resulting pressures from growth are properly planned and managed.

Succeed essay Term Paper Example | Topics and Well Written Essays - 1000 words

Succeed essay - Term Paper Example The basic assumption of the current report is that although extracurricular activities are blamed by some for a decrease in academic performance, they are actually a vital part of education that help students to succeed, giving students better skills at time management, and fewer opportunities to get into trouble during the time in which school is closed for academics. adjustment skills and possibly pathological problems later in life. These activities can be considered to be extracurricular activities, because they show (although part-time jobs are not always enjoyable) â€Å"the value of safe, structured, and enjoyable opportunities†¦ unstructured afternoons, weekends, and early evenings are particularly risky times for youth† (Kahne et. al, 2001). Extracurricular activities are primarily thought of in terms of social interest, diversity, sociability, and the formation of an appropriate and successful resume or application. Generally, extracurricular activities can be divided by broad parameters of athletic and artistic activities, with various sub-categorical definitions. Scholars point out that â€Å"large-scale quantitative and qualitative studies find evidence that extracurricular activities foster educational attainment, identity development, and social integration into adult society† (Anderson et. al, 2001). Without extracurricular activities, students face increased risks. The lack of positive patterns of rule enforcement in schools can, in extreme cases, lead students to form horrifyingly negative structural patterns of behavior that are then taken back into the institution in terrifying ways. Socialization currents tend to flow backwards in unstructured and unsupervised time for adolescents who do not have more positive ways in which to occupy their time, or the social guidance that seems to be so crucial in terms of deterring or redirecting negative energy. â€Å"An increasing

PROFESSIONAL SKILLS Assignment Example | Topics and Well Written Essays - 2500 words

PROFESSIONAL SKILLS - Assignment Example I can apply my skills in the computer not only in my home country in the KSA but anywhere in the world. My past history in computing has been from an early age along with my academic career that was related to computing. From the young age of 14, I was already working with computers in Saudi Arabia. That went on for about two years. I did gain much experience in this field and this motivated me to choose the computing field to be my future career. This is when I decided to go to the UK to pursue my studies in computers. It was difficult adjusting to life in a foreign land and I had to overcome a few hurdles. However being a hardworking person helped me to maintain my targets. Within a short time period I developed and gained many skills and abilities as I am a fast learner and attentive to details. I made sure that I always read and develop new vocabularies and learning new concepts of computing. I did International Foundation year at Bradford University and I learned many things tha t created for me a strong foundation towards my progression towards a computing career. I learned the fundamentals that are necessary for a computing degree and I believe that I have the necessary tools that will enable me to be creative and effective towards my computing degree. I already obtained my results for term 1. I am currently waiting for my term 2 results that will be issued very shortly. International Foundation year has solidified me more and gave me a direct path to degree study at university and ensured that I gain the skills and knowledge to succeed in a computing degree. It helped me gain scientific knowledge and understanding to a level where I will be suitable for a computing career. My main target in life is to be useful person able to help, share and be creative therefore, I choose computing as my main career. My main aim is to establish my degree in computing degree and after that stage, i am willing to continue and pursue a Masters’ degree and consequent ly, a PHD at a later stage in future.    SWOT Analysis I have been thrown in various situations and in each one, I learn more about myself and about others. These situations make me reflect on what I have learned from them. According to Osterman (1990), â€Å"reflection is the essential part of the learning process because it results in making sense of or extracting meaning from the experience†. One should not just go through life as if everything comes as second nature. We need to think critically if what we are doing is truly meaningful and relevant or if we are just wasting our time on something insignificant. I have also used a SWOT analysis of my strengths and weaknesses in my current situation and what opportunities and threats are around me. Strengths: My self-analysis process revealed that I am the ultimate â€Å"people-person†. I attract people to approach me without any reservations. I have a strong belief in my own skills and have the ability to inspire ot hers to do well for themselves, with me setting a good example. I am an enabler, sincerely encouraging people to bring out the best in themselves, cheering them on along the way to their success. I am known to be generous, giving whatever time and energy I can without expecting something in return. In terms of work, I am very capable

Careers Requiring Medical Terminology Essay Example | Topics and Well Written Essays - 500 words

Careers Requiring Medical Terminology - Essay Example The data management team is responsible for coding for reimbursement and records purposes. The teams are comprised of management and specialists and each member needs a knowledge of medical terminology. Coding specialists translate diagnostic and procedural phrases into codes appropriate for medical records. The data specialists are responsible for the accuracy of clinical coding. The data quality manager is responsible for developing and maintaining a quality plan for coding, reimbursement, and records (Coding). The medical transcriptionist requires a knowledge of medical terminology to translate the record of a person's medical history, diagnoses, treatment, prognosis, and outcome from oral to written form (Medical Transcriptionist). The medical billing specialist analyzes and corrects claims for private insurance, HMO, Medicare, and Medicaid. It is essential that they have an understanding of medical terminology and the CPT and ICD-9 codes (Certified Medical). The Health Information Management (HIM) compliance specialist coordinates the compliance of terminology and coding with professional and legal requirements (HIM Compliance Specialist). Almost every career in medicine uses medical terminology. This specialized language is useful in specialized patient care, interaction with physicians, and working with the insurance companies. In the modern medical career, this terminology is an educational imperative.

Information Security Policy Essay Example | Topics and Well Written Essays - 9750 words

Information Security Policy - Essay Example Regular updates and standards will be provided to support the policy. The Head of Information Compliance & Policy has direct responsibility for maintaining the policy and providing advice and guidance on its implementation. Managers are directly responsible for adherence to and implementation of the policy within their business domains and also to the adherence by their staff. Signed: ______________________ Title: ______________________ Date: ___________________ Introduction This Information Security policy of Strega Oil and Gas aims at protecting all the systems of the company belonging to the Information Technology infrastructure. The protection is needed from any activity that may jeopardise the successful operations of the company. These harmful activities may be a result of an unintentional threat such as a natural calamity or a deliberate attempt by a member of the company or an outsider to cause any harm. The following sections will include a brief on Strega Oil and Gas Company and the need and use of the Information Security Policy. A Brief on the Company Strega Oil and Gas is a privately owned company with its exposure in production and retailing of Natural Oil and Gas. The company's central Head Office is located at Deep Park, Texas. Apart from having a production centre at Deep Park, the company also has a unit at Baton Rouge, Los Angeles. The company is operating for over 10 years, and it is now a mid size industrial company with a workforce of 1500 employees. Being a massively successful and profit making company, for the previous year ended 2005 - 2006, Strega recorded revenue of 15m $. Information Technology acts as a corner stone of the...The following sections will include a brief on Strega Oil and Gas Company and the need and use of the Information Security Policy. Strega Oil and Gas is a privately owned company with its exposure in production and retailing of Natural Oil and Gas. The company's central Head Office is located at Deep Park, Texas. Apart from having a production centre at Deep Park, the company also has a unit at Baton Rouge, Los Angeles. The company is operating for over 10 years, and it is now a mid size industrial company with a workforce of 1500 employees. Being a massively successful and profit making company, for the previous year ended 2005 - 2006, Strega recorded revenue of 15m $. Information Technology acts as a corner stone of the company's success. The company relies heavily of latest computing systems, networking equipments, databases and ancillaries. All internal operations of the company and communicated via intranet. The company conducts business with third party companies such as its suppliers and agents over the extranet. The company is also involved in E Commerce over the public Internet. This policy aims at pro viding measures to secure all the IT assets of the company from technological and physical threats. Strega Oil and Gas Company will seek to ensure all three aspects of a secure IT infrastructure viz.

Careers Requiring Medical Terminology Essay Example | Topics and Well Written Essays - 500 words

Careers Requiring Medical Terminology - Essay Example The data management team is responsible for coding for reimbursement and records purposes. The teams are comprised of management and specialists and each member needs a knowledge of medical terminology. Coding specialists translate diagnostic and procedural phrases into codes appropriate for medical records. The data specialists are responsible for the accuracy of clinical coding. The data quality manager is responsible for developing and maintaining a quality plan for coding, reimbursement, and records (Coding). The medical transcriptionist requires a knowledge of medical terminology to translate the record of a person's medical history, diagnoses, treatment, prognosis, and outcome from oral to written form (Medical Transcriptionist). The medical billing specialist analyzes and corrects claims for private insurance, HMO, Medicare, and Medicaid. It is essential that they have an understanding of medical terminology and the CPT and ICD-9 codes (Certified Medical). The Health Information Management (HIM) compliance specialist coordinates the compliance of terminology and coding with professional and legal requirements (HIM Compliance Specialist). Almost every career in medicine uses medical terminology. This specialized language is useful in specialized patient care, interaction with physicians, and working with the insurance companies. In the modern medical career, this terminology is an educational imperative.

The Euro Crisis in Portugal ( European Union) Essay

The Euro Crisis in Portugal ( European Union) - Essay Example The crisis continued to spread and by the end of the year 2011, two other countries Italy and Spain were affected. By the end of October in the same year, these countries were compelled to pay absolute risk premia on the order of 500 basis points. As a result of this, the public finance structures of both the countries became vulnerable as their sustainability became subjected to risk. During the first half of the year 2012, many bonds reached their maturity date in both Italy and Spain. During this phase, there were both positive and negative possibilities – either the debt crisis could be managed in an efficient manner or further severe repercussions on the global economic structure. In the entire course of the European debt crisis, every effort was taken by the policy makers so that they could provide relief to the money market. However, most of the times it was realized that any strategies that were adopted were either too insufficient or were too late. In the year 2010, t here were many deliberations over the benefits or detriments of monetary assistance or intervention from International Monetary Fund (IMF). As a result of this no fixed solution could be found for the euro debt crisis. In July of 2011, a decision was taken to enhance assistance to the Greek sovereign with permission of involvement from the private to some extent. However, this decision was rejected by another decision made in the late October of the same year. This latter decision â€Å"required much deeper (50 percent) haircuts for private creditors, supplemented by an announced policy intended to build a firewall through major leveraging of the European Financial Stability Facility (EFSF)† (Cline & Wolff, 2012, p.v). Subsequently, in the beginning of December the famous summit took place which provided all the member countries of the European Union (EU), except the United Kingdom for its reluctance to participate in the

Teleological vs deontological Essay Example for Free

Teleological vs deontological Essay The difference bewtween deontological and teleogical theories is that teleogical theories are the outcome of your actions and deontological is the actions that you perform. Teleological theories are what the consequence or outcome of what your actions do and Kant thinks that this is wrong and that we should act deontologically and act out of duty, not out of compassion. He believes that we should do something, because we have to, not out of compassion or if we think its morally wrong or right, we should just do it. Teleological theories are based on outcome. If you perform a bad act but the outcome of the act is good than it is considered to be a good act. However deontological theories are based on the act itself. Teleological theories. If you do an act that is intended to be good but actually turns out to be bad, its still considered a good act. For example, You and a friend are at school or work place or where ever you go and your friend starts to get bullied, you stick up for your friend but you end up getting into a fight with a bully. You tried to do something good but it also resulted into something bad. The idea was to get the bully to stop bullying and that was the good act; the fight was the bad act and you may get punished for the bad act but its still considered as an overall good act. The decision of punishment or whether or not it was a good act would be how much it helped or benefited the situation. It would have to be questioned of how much it helped the situation, and what was more for seen (what was intended to happen.. if the good has more reason for the bad)

Motivated and Enthusiastic Child Psychologist Influences

Motivated and Enthusiastic Child Psychologist Influences Simranpreet K. Sidhu Introduction Child psychology is considered as a ‘new thing’ in the psychology workforce. And not many universities worldwide have a postgraduate course for child psychology. Definition of child psychologist Psychiatry and psychology are quite clearly like a pair of brothers with similar heritage in the general family life (Blain, 1946). Both pediatric psychology and clinical child psychology deal with children and they are both specialties within clinical psychology. In the present, instead of observing, recording, classifying what children do, child psychologists began to study how children do what they do. It took a decade from the development of a new importance in clinical child psychology for pediatric psychology to develop (Tuma, 1975). Pediatric psychology was defined by Wright (1967) as ‘any psychologist who finds himself dealing mainly with children in a medical setting which is nonpsychiatric in nature’ (Routh, 1975). The research and practices of Clinical Child Psychology are focused on understanding, preventing, diagnosing and treating psychological, cognitive, emotional, developmental, behavioral and family problems of children. Of particular importance to clinical child and adolescent psychologists is a scientific understanding of the basic psychological needs of children and adolescents and how the family and other social contexts influence socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. There is an essential emphasis on a strong empirical research base recognizing the need for the documentation and further development of evidence-based assessments and treatments in clinical child and adolescent psychology (Clinical Child Psychology Formal Specialty Definition, 2005 as cited in Jackson, Alberts Roberts, 2010). History of child psychologist Child psychology is a product of ‘new marriage’ between clinical psychology and pediatrics as stated in an article written by Jerome Kagan in 1965. It is known that the existence of clinical psychology was first declared by Lightner Witmer in 1896 (Watson, 1953 as cited in Routh, 1975). National Institute of Child Health and Human Development was founded in 1962, which therefore supported much medical and psychological research related to child development and some professional training in pediatric psychology. In 1966, the first formal graduate program to train ‘pediatric psychologists’ was begun by the Departments of Pediatrics and Psychology at the University of Iowa (Routh, 1969) as cited in (Routh, 1975), with funding from the National Institute of Child Health and Human Development. The year 1967 was a landmark for pediatric psychology where in that year, Logan Wright’s article, ‘Pediatric Psychology, A Role Model’, appeared in the American Psychologist (Routh, 1975). The potential role of child psychologists in the medical system was first described by Anderson (1930). Kagan emphasized the early detection of childhood disorders and especially each of the following: (a) the relationship between prenatal and perinatal abnormalities and future behavioral disturbance; (b) the early detection of severe childhood disturbance, especially the schizophrenias; (c) the early detection of psychosocial problems including academic retardation, psychopathy, delinquency, psychosomatic disturbances and phobias during the preschool and early school years; and (d) the application of theoretical knowledge and empirical generalizations to therapeutic regimens for children in his article named ‘new marriage’. Logan Wright saw that pediatric psychologists as being more behaviorally oriented than clinical-child psychologists (Mesibov, 1983). Reason for choosing to be a child psychologist Child psychology is a very interesting field for one to master in. If one loves children, they may want to consider child psychology as their job will be revolving around children. Children are God’s gift, they are miracle for hope. Children are just innocent angels. In the past, most of the psychological problems only occur during the adulthood period but not for children. But in the present, many roots of psychological problems kick off from childhood period but it is unknown, unrecognizable and not diagnosed until adulthood. In the very recent, problems starts off from when one is an embryo itself with many effects such as environmental pressure and drug abuse influencing the embryo and the mother-to-be. Child psychology is a very important field nowadays because most parents are not able to cope and handle their children. They need some form of advices and ideas on what to do and how. Some parents may also not know if their child has any psychological problem which may wor sen in the future if it is not recognized since young. Children are the future leaders of the country, we need to mould them from the beginning itself rather than when they are much older. It is no doubt a very challenging task, but one would be learning all along the whole process. Learning is a never ending process. Another main reason would be there is limited or no child psychologist at all in Malaysia, so it is very crucial that we have one or more. In this guided literature review, I will be relating child psychology to motivation as learnt in industrial and organizational psychology. Definition of motivation Motivation is the study of why people think and behave as they do (Graham Weiner, n.d.). Motivation is a power that emerges with the desire and effort, driving them to reach a certain goal (Budak, 2009; Eren, 2008; Pintrich, 2003; Pintrich Schunk, 2002; Woolfolk, 1998 as cited in Uyulgan Akkuzu, 2014). Dornyei (2009) emphasized that even if individuals have a great worth of learning skills, they will not be able to reach long-term targets without motivation (Uyulgan Akkuzu, 2014). Motivation is defined as a drive to fulfill a need (Aderman, 1999; Maslow, 1954; Murray, Poole Jones, 2006 as cited in Goodman, Jaffer, Keresztesi, Mamdani, Mokgatle, Musariri, Pires Schlechter, 2011). Body There are four motivation theories which are need theories of motivation, behavior-based theories of motivation, job design theories of motivation and cognitive theories of motivation. I will be only focusing on the extrinsic versus intrinsic motivation and also the goal-setting theory under the behavior-based theories of motivation. Behavior-based theories of motivation Extrinsic versus intrinsic motivation To be motivated means to be moved to do something. A person who feels no encouragement to act is therefore characterized as unmotivated, while someone who is energized toward an end is considered motivated. People have not only different amounts, but also different kinds of motivation. That is, they differ not only in level of motivation, but also in the direction of that motivation. The most basic difference is between intrinsic motivation, which refers to doing something because it is essentially interesting or enjoyable and extrinsic motivation, which refers to doing something because it leads to a discrete outcome (Ryan Deci, 2000). In defining motivation, it is important to draw a division between intrinsic motivation, which refers to engagement motivated by pleasure and extrinsic motivation, which refers to engagement motivated by external pressures (Henderlong Lepper, 2002). Intrinsic motivation refers to engaging in a task for its own natural rewards whereas extrinsic motiv ation refers to engaging in a task in order to achieve some divisible outcome (Hayenga Corpus, 2010). Goal-setting theory Setting a specific hard goal versus a generalized goal of ‘do your best’ leads to extensive increases in performance. The setting of a goal that is both precise and demanding leads to an increase in performance because it makes clear to the individual what he is supposed to do (Latham and Baldes, 1975). Intention is a symbol of planned actions, whereas goal reflects the object or aim of actions. Intention is broader than goal. In goal-setting, action plans are sometimes called strategies. An objective is alike to what Garland (1985) called a task goal. The term personal goal is often used when discussing or measuring a person’s intention. Products (Naylor et al., 1980 as cited in Tubbs Ekeberg, 1991) are the direct results of actions and the focus of the objective. Both personal and environmental factors can have an effect. Personal factors are such as skills, abilities or willpower and environmental factors are such as time limits, task difficulty and the influe nce of other people moderate the intention-action relationship (Tubbs Ekeberg, 1991). So long as a person is committed to the goal, has the essential ability to attain it and does not have contradictory goals, there is a positive relationship between goal difficulty and task performance. Focusing on reaching a definite performance outcome on a new, complex task can lead to ‘tunnel vision’ – a focus on reaching the goal rather than on acquiring the skills required to reach it. Drach-Zahavy and Erez (2002) found that people who were made to view a situation as a risk achieved notably lower performance than did those who were made to view the situation as a challenge (Locke Latham, 2006). Goal setting may also help prevent dysfunctions in an organization (Austin Bobko, 1985). The theory also states that goals should be precise rather than broad. Commitment is needed to achieve goals and can be enhanced by two categories of factors that: (1) make the goal realizat ion important and (2) enhance individuals’ belief that they can accomplish the goal. People tend to prioritize goals based on their value (Locke Latham, 1990 as cited in Fried Slowik, 2004). Goal-setting theory also emphasizes that challenging goals cause people to work longer on a task (Fried Slowik, 2004). Relation of motivation to child psychology If one is motivated to do something, it really pushes them to go for it and achieve it. The level of common interest, which is formed during childhood and adolescence, affects the individual’s professional direction (Stoykova, 2013). Challenges and expected challenges of being a child psychologist The necessitate to train more child psychologists is apparent. A part of the challenge is that having inadequate resources to train the child psychologist and also to practice as a child psychologist. In pediatric settings, issue faced is related to restricted numbers of practicum spots (Clark, 2011). Nature of work of a child psychologist The main duty of clinical child psychologists is to provide therapeutic services for the wide range of cognitive, emotional, developmental, behavioral, social, medical and family problems portrayed by youth from infancy through adolescence. Clinical child psychology is a growing field of practice and research within professional psychology. Today clinical child psychologist accomplish professional roles in community programs in a diversity of settings such as community mental health centers and children’s hospitals, children’s service agencies as well as schools, juvenile justice, prevention programs, in-home intervention and outreach programs (Jackson, Alberts Roberts, 2010). The role of pediatric psychologists is: (a) instant screening for developmental difficulties; (b) early diagnosis of problems; (c) transmission of current knowledge of child development to pediatric staffs; (d) transmission of knowledge about child-rearing practices and (e) sensitization of medic al staff to the emotional needs of children (Mesibov, 1983). In Nigeria, the clinical child psychologist has three mutually dependent roles: teachers, clinician and researcher (Bakare, 1975). In Colombia, the clinical psychology works with children, adolescents and adults in both private practice and in institutions (Ardila, 1975). Ross (1972) defined the duties of clinical child psychologist as: (1) the prevention of psychological disorders and (2) the treatment of these disorders. The objective of the clinical child psychologist is to offer direct services to the child and his family, to diagnose and treat problem behaviors. Today’s clinical child psychologists use other than testing techniques for diagnosis, such as interviewing, observations of family interactions, etc., sometimes collaborating with other disciplines particularly the psychiatric social worker or the psychiatrist (Tuma, 1975). Pediatric psychologists have a significant role to play where they need to enhan ce pediatric practice by insuring that those in need of psychological services are willingly identified and treated (Willen, 2007). Maintenance of a sustainable level of motivation If one enjoys doing something or wishes to go for something they like, they must make sure they can achieve it and not giving up even though it is not easy as the saying goes ‘easier said than done’. One needs to consistently progress and remind ownself the motivating factor. Child psychology is something new, only a spark of interest can motivate one to pursue in the pathway of child psychology alongside with motivation to keep assisting the interest. Conclusion In a nutshell, the roles we play as child psychologists in the future will largely and solely depend on decisions we make now. Dreams are not easy to be achieved but we need to fight to realize our dream and goal in life. References Ardila, R. (1975). Roles of the clinical child psychologist in Colombia. Journal of Clinical  Child Psychology, 17-19. Austin, J. T. Bobko, P. (1985). Goal-setting theory: Unexplored areas and future research  needs. Journal of Occupational Psychology, 58, 289-308. Bakare, C. G. M. (1975). The clinical child psychologist in Nigeria. Journal of Clinical Child  Psychology, 47-49. Blain, D. (1946). The psychiatrist and the psychologist. Journal of Clinical Psychology. Clark, S. L. (2011). Child psychology: Training challenges and opportunities. Psynopsis, le  Magazine des psychologies du Canada-Automne, 31. Fried, Y. Slowik, L. H. (2004). Enriching goal-setting theory with time: An integrated approach. Academy of Management Review, 29(3), 404-422. Goodman, S., Jaffer, T., Keresztesi, M., Mamdani, F., Mokgatle, D., Musariri, M., Pires, J.   Schlechter, A. (2011). An investigation of the relationship between students’ motivation and academic performance as mediated by effort. South African Journal of Psychology, 41(3), 373-385. Graham, S. Weiner, B. (n.d.). Theories and principles of motivation. National Science Foundation, 63-84. Hayenga, A. O. Corpus, J. H. (2010). Profiles of intrinsic and extrinsic motivations: A  person-centered approach to motivation and achievement in middle school. Motiv Emot, 34, 371-383. doi: 10.1007/s11031-010-9181-x. Henderlong, J. Lepper, M. R. (2002). The effects of praise on children’s intrinsic  motivation: A review and synthesis. psychological bulletin. Psychological Bulletin, 128(5), 774-795. doi: 10.1037//0033-2909.128.5.774. Jackson, Y., Alberts, F. L. Jr. Roberts, M. C. (2010). Clinical child psychology: A practice  specialty serving children, adolescents and their families. Professional Psychology: Research and Practice, 41, 75-81. doi: 10.1037/a0016156 Latham, G. P. Baldes, J. J. (1975). The â€Å"practical significance† of locke’s theory of goal  setting. Journal of Applied Psychology, 60(1), 122-124. Locke, E. A. Latham, G. P. (2006). New directions in goal-setting theory. Association for  Psychological Science, 15, 265-268. Mesibov, G. B. (1983). Evolution of pediatric psychology: Historical roots to future trends.  journal of pediatric psychology. Journal of Pediatric Psychology, 9(1), 3-11. Routh, D. K. (1975). The short history of pediatric psychology. Journal of Clinical Child  Psychology, 6-8. Ryan, R. M. Deci, E. L. (2000). Intrinsic and extrinsic motivations: Classic definitions and  new directions. Contemporary Educational Psychology, 25, 54-67. doi:10.1006/ceps.1999.1020. Stoykova, Z. (2013). Social interest and motivation. Trakia Journal of Sciences, 11(3), 286-290. Tubbs, M. E. Ekeberg, S. E. (1991). The role of intentions in work motivation:  Implications for goal-setting theory and research. Academy of Management Review, 16(1), 190-199. Tuma, J. M. (1975). Pediatric psychologist†¦? Do you mean clinical child psychologist?.  Journal of Clinical Child Psychology, 9-12. Uyulgan, M. A. Akkuzu, N. (2014). An overview of student teachers’ academic intrinsic  motivation. educational sciences: theory practice. Educational Consultancy and Research Center, 14(1), 24-32. doi: 10.12738/estp.2014.1.2013. Willen, E. (2007). Consultation and collaboration in the care of children and families: The  role of the pediatric psychologist. JSPN, 12(4), 290-293.

Stevenson and Conrad: The Duality of Human Nature Essay -- Victorian A

The Victorian Age marked a period of immense transition in many aspects of human life. In 1859 Charles Darwin published The Origin of Species, a work that opposed the traditional way of perceiving religion. Candyce Klin author of â€Å"Darwinism as A Cultural Issue†, states that The Origin of Species proposed the theory that all living creatures had to compete within their own preconditions in order to survive. This may be why the controversial issue of the duality of human nature has been found at the heart of many Victorian works. The theme of the duality of man can be found in the works of two famous English authors, Robert Louis Stevenson and Joseph Conrad. Stevenson and Conrad both incorporate the theme of the duality of human nature within their own novellas. Stevenson employs this theme throughout his novella The Strange Case of Dr. Jekyll and Mr. Hyde and similarly Conrad employs this theme throughout his novella Heart of Darkness. In both novellas the theme is found i n the literary devices of symbolism and personification. Although both works embody the theme of the duality of human nature, each author takes their own individual approach in utilizing literary techniques to help preserve this crucial theme. Robert Louis Stevenson was born in Edinburgh on November 13, 1850. From a young age Stevenson was fascinated with the darker side of human nature, reflecting his abiding interest in the concept of a double life (The Norton Anthology of English Literature 1643). Stevenson composed The Strange Case of Dr. Jekyll and Mr. Hyde in 1855, publishing it the follow year in 1856. Upon publication The Strange Case of Dr. Jekyll and Mr. Hyde expeditiously became a best seller in both Britain and America (The Norton Anthology of English... ...ample of symbolism is ivory. In Heart of Darkness ivory symbolizes greed and the calamitous nature of man, or the evil side. All throughout the novella the agents and mangers of the Company are consumed by obtaining ivory, so much so that they abandon all their moral principles, instead apply any method necessary to acquire heaping shipments of ivory. Works Cited Conrad, Joseph. "Heart of Darkness." The Norton Anthology of English Literature. By Stephen Greenblatt and M. H. Abrams. 8th ed. Vol. 2. New York: W.W. Norton, 2006. 1891 1947. Print. Klin, Candyce. â€Å"Darwinism as A Cultural Issue† Cedar Crest College, 2 June 2001. Web. 17 Apr. 2014. Stevenson, Robert L. "The Strange Case of Dr. Jekyll and Mr. Hyde." The Norton Anthology of English Literature. By Stephen Greenblatt and M. H. Abrams. 8th ed. Vol. 2. New York: W.W. Norton, 2006. 1643-1685. Print.

Patient Self Determination

Patient Self-Determination Act Project Scott Betzelos, Remedios C. Lazaga, Emelin Tan, Maya C. Richardson HCS/578 – Ethical, Legal, and Regulatory Issues in Health Care November 28, 2011 Susan M. Kajfasz Patient Self-Determination Act Project – Advance Directives Congress enacted the Patient Self-Determination Act, a healthcare policy, as part of the Omnibus Reconciliation Act signed by President Bush in 1990. The act went into effect in 1991(Nathanson, 1997). According to Nathanson (1997), the law intends to protect the patient’s right to make his or her own decisions through advanced directives. Advance directives designate another person to make decisions for him or her should a patient lose his or her decision-making capacity. The Medicare and Medicaid programs established a requirement that health care providers must acknowledge the law through the implementation of written policies and procedures that illustrate the patient’s rights (Nathanson, 1997). Therefore, it is the responsibility of the health care professional to comply ethically and legally according to the policies dictated by the organization. Nathanson (1997) interpretation of the law asserts that the patient must receive advice and written information about advanced directives illustrating his or her right to accept or refuse medical treatment. The Patient Self-Determination Act requirement ensures that health care professionals receive education and training that is appropriate and in subordination with the specific laws, regulations, organizational policies, and procedures. The Act requires each state to furnish health care providers and agencies with a description of the law. The Act also requires providers to give their patients information through various forms of media such as the policy of Concerned Home Care, Incorporated, (Concerned Home Care, Inc, 2011). How does this agency’s policy influence your professional work? The Advanced Directive Policy creates a unique physician patient relationship by placing the patient at the center of the health care decision-making process from the onset of the relationship. The patient has an inherent right to â€Å"accept or refuse medical treatment† through the formulation of an Advanced Directive. Through this policy the hysician-patient relationship begins with discussions that center on the desires of the patient rather than the processes of the health care provider. The Agency’s policy mandates that physicians, nurses, and other health care providers â€Å"provide the patient with written information regarding Advance Medical Directives and ask the patient if he/she has prepared an Advan ce Directive; either a living will or durable power of attorney. † Advance Directives allow patients to implement specific boundaries for treatments at the beginning of the clinician-patient relationship. Pre-existing advance directives also empowers patients because it allows family members to speak on their behalf in the event that they become incapacitated or unable to render decisions on their own. A patient’s medical wishes were often preempted for the application of intensive and invasive treatments of the past. Advance Directive Policies changed this standard of care and gave patients the opportunity to determine their own treatment plan. The initiation of Do Not Resuscitate (DNR) Orders is an early example of Advance Directives. Later developments embrace the inclusion or exclusion of specific treatment medications, invasive procedures, and care maps that can impact patient longevity in the event that complications from disease arise. Written Advance Directive Information protects the patient from personal bias of staff members. The policy states â€Å"the staff member is not authorized to give the patient advice about advanced directives,† and â€Å"shall refer the patient to the Advanced Directive Questions and Answers section of the admission packet and also shall inform the patient to seek further information from the physician. This further advances the discussions between the physician and the patient ultimately ensuring that the desires and expectations of the patient remain central to the care map. Advanced Directive decisions â€Å"require open communication between the patient and the health care team† (Burkhardt & Nathaniel,  2008, pp. 242-243). The Agency is also required to rais e awareness of Advanced Directive within the community by including â€Å"Advance Directive information in its presentations,† either â€Å"in presentations made directly to the community members or in presentations made to other providers and/or other organizations. Enhanced discussions regarding Advanced Directives, end of life care and the patient’s desired plan of treatment becomes part of the heath care provider’s relationship during an office or in home. The creation of open and honest lines of communication stimulates healthy discussions and strengthens the bond between providers and patients. In fact the term â€Å"physician-patient relationship† has forever changed with Advanced Directive policies. It is more fitting that the terminology reflects the fact that patients have greater control over their care. Thus the term should be â€Å"patient-physician relationship,† placing the patient at the center of the health care continuum. As the patient centered relationship continues, the past â€Å"passive position† that makes it difficult â€Å"to remain intellectually and emotionally in control of your own experience† will continue to progress placing patients first and normal operating procedures second (Ashton & Richards,  2003, p. 7). What are the effects of the increasing technology of patient confidentiality and data security on health care organizations? Health care organizations face an enormous task of maintaining the privacy of their patients with the onslaught of new technology. This task involves ensuring that employees have policies and procedures to follow when using new technology to access protected health information (PHI), faxing PHI, and using the Internet. Health care organizations and health care providers have the responsibility of implementing a patient’s Advance Directives. However, new technology can give way to digression to past behaviors and the paternalistic attitudes of some clinicians may result in disregarding a patient’s Advance Directives. Some clinicians may believe they know what is best for the patient because advances in technology often raises hope that a provider can positively impact or alter a patient’s current medical condition (Burkhardt & Nathaniel, 2008). According to Miller and Tucker (2009), the use of electronic medical records (EMRs) could reduce America’s annual health care bill by $34 billion through higher safety and efficiency but only 41% of hospitals in the United States have adopted its use. Concerns over effectively protecting patient privacy and the cost of securing information have prevented the widespread use throughout the industry. A prime example of the fruition of security concerns is the downfall of the Santa Barbara County Care Health Data Exchange in 2007 (Miller & Tucker, 2009). The state mandated privacy filters but the system still failed. New technology requires privacy protection devices to protect PHI. This may force health care organizations to increase the rates of medical record use just to keep financially afloat. Conclusion The creation of Agency policies has impacted the physician-patient relationship effectively giving the power to control the course of treatment to patients. In essence, physicians have become advisors in the presence of Advanced Directives, yielding to the desires of patients and their families. The provision of care changed with advances in technology. Information sharing and dissemination requires physicians and other health care providers to successfully navigate between their new role as advisors and their commitment to ensure the best delivery of care to their patients. Melding the two provides the best guarantee that patients will have both their wants and needs met maximizing the opportunity for positive health outcomes. References Burkhardt, M. A. , & Nathaniel, A. K. (2008). Ethics and issues in contemporary nursing (3rd ed. ). Mason, OH: Delmar Cengage Learning. Concerned Home Care, Inc. , (2011). Concerned Home Care Policy and Procedure Manual Harbor Beach, MI. : . Miller, A. R. , & Tucker, C. (2009). Privacy protection and technology diffusion: The case of electronic medical records. Management Science, 55(7), 1077-1093. Nathanson, M. D. (1997). Home Health Care Law Manual (5th ed. ). Gaithersburg, MD. : Aspen Publication. Appendix I: Advance Directives for Concerned Home Care, Inc. [pic]

National and Global Finance Essay

1. Choose an example of a type of new company you could start, and then use this company idea to answer the questions below. You might choose a pet store, a restaurant, a tutoring business, or something else. This can be the same type of company you chose in assignment 8 or 9, or it can be different. a. Describe the type of business you chose. (1-2 sentences. 0.5 points) The type of business I would start would be for family or friends gatherings. This business would be place people come to eat and social, a nice, warm evening. b. Describe at least two ways in which the local, state, or federal government would have an impact on your business. (2-4 sentences. 1.0 points) Whether business owners know it or not, but the government create laws and regulation to protect the business. Two ways the government would have an impact on my business is by setting a price ceiling and price floor. These both determines whether or not my items it too high or low for its’ good. 2. Describe at least one advantage and one disadvantage of price ceilings and price floors. Do you think price ceilings and floors are more helpful or more harmful to consumers and the economy? Explain. (2-4 sentences. 1.0 points) Price controls are the government intervention in free markets. In the case of agriculture without price floors mass starvation could occur as there is often a 2 to 10 year turn around on agricultural investment. Price ceilings on certain food products may also ease starvation. Remember that perfect free markets have never existed except in theory. 3. Describe at least two negative outcomes of having too little money and credit in the economy. (2-4 sentences. 2.0 points) It would cause scarcity or currency, leading to rapid deflation, and also, overproduction of goods means major markets would plummet in value. Overbalancing demand, leading to major losses for the producers. 4. Describe at least two negative outcomes of having too much money and credit in the economy. (2-4 sentences. 2.0 points) It would cause a sacracity of currency, leading to rapid deflation. Overproduction of goods means major markets would plummet in value, outbalancing demand, leading to major losses for the producers. 5. Which Fed tool do you think is most important, and  why? (2-4 sentences. 1.0 points) Change the Federal Funds Rate via â€Å"Open Market Transactions† (buying and selling gov’t bonds on the open market). By far the most commonly used tool. Whenever you read about the Fed â€Å"changing the interest rate† they are referring to open market transactions & the Federal Funds Rate. Since they cannot set the rate directly, but do it indirectly by buying and selling bonds on the open market, they usually refer to the desired interest rate as the â€Å"target† rate. 6. Choose one of the following government agencies or laws: FTC, EPA, FDA, CPSC, OSHA, FLSA, EEOC, ADA, SEC, or Affirmative Action. Search online to learn more about the agency or law, and then describe three specific things the law or agency accomplishes. Make sure the information comes from a trustworthy website. Include a link to the website in your answer. (3-6 sentences. 1.5 points) The EPA or Environmental Protection Agency seeks to protect ordinary citizens from the devastation and destruction that may occur when people/companies are not held accountable for their actions environmentally. In most cases this agency has been very effective and is used as a model all over the world to protect streams, rivers, air and people. 7. Describe at least two products that are commonly imported into the United States. (1-2 sentences. 0.5 points) Coffee (Brazil and Columbia) and Cotton T-shirts (Mexico, Honduras among a lot of others) 8. Describe at least two products that are commonly exported from the United States to other countries. (1-2 sentences. 0.5 points) Two of the largest American exports are â€Å"Oil seed† and â€Å"Machines, engines, pumps†, both to China for a combined total of 27.2 billion USD. 9. Why does the U.S. government encourage U.S. companies to sell their products in other countries? Explain how this helps the U.S. (2-4 sentences. 2.0 points) The U.S. government encourages the U.S. companies to sell their products in other countries because other countries may offer better opportunities for growth. 10. Find the value of one U.S. dollar in a foreign currency. You might choose the Euro, the Japanese Yen, the Canadian dollar, or another currency. List the type of currency and the current value of the U.S. dollar in that country. (1.0 points) TIP: http://www.google.com/finance/converter is a good resource for foreign currency information. US 1 dollar = Jordanian 75cents 11. Describe at least three exchange rate factors that are likely to attract  foreign investors to a country’s currency. Explain why these factors are attractive for foreign investors. (3-6 sentences. 3.0 points) Overview Before we look at these forces, we should sketch out how exchange rate movements affect a nation’s trading relationships with other nations. A higher currency makes a country’s exports more expensive and imports cheaper in foreign markets; a lower currency makes a country’s exports cheaper and its imports more expensive in foreign markets. A higher exchange rate can be expected to lower the country’s balance of trade, while a lower exchange rate would increase it. Determinants of Exchange Rates Numerous factors determine exchange rates, and all are related to the trading relationship between two countries. Remember, exchange rates are relative, and are expressed as a comparison of the currencies of two countries. The following are some of the principal determinants of the exchange rate between two countries. Note that these factors are in no particular order; like many aspects of economics, the relative importance of these factors is subject to much debate. Conclusion The exchange rate of the currency in which a portfolio holds the bulk of its investments determines that portfolio’s real return. A declining exchange rate obviously decreases the purchasing power of income and capital gains derived from any returns. Moreover, the exchange rate influences other income factors such as interest rates, inflation and even capital gains from domestic securities. While exchange rates are determined by numerous complex factors that often leave even the most experienced economists flummoxed, investors should still have some understanding of how currency values and exchange rates play an important role in the rate of return on their investments.

Pre History Era

In history, we have an era called Pre-history, which is history before humanity left written records. During this period, archeologist named these early periods of human culture from the materials used at the time. They called this the Old Stone (Paleolithic) age. This was around 3000 B.C. were people used chipped stone tools. Also the development of farming and the use of stone implements marked the beginning of the New Stone age (Neolithic). About 3000 B.C., the invention of bronze led to the Bronze Age. Here, new forms of human life and society were found. All this information was retained thanks to historians. Historians rely on written sources to put history in order. Recent development in science called Carbon-14 helps straighten out chronology. This technique, whereby radioactive carbon is used, helps to date ancient objects within a couple of centuries. In the Old Stone Age, Paleolithic people left remains scattered in Europe and Asia. They took refuge in Africa from the glaciers that moved south over to northern continents. These people hunted to eat, and fought and killed their enemies. They cooked their food, specialize tools, and sheltered in caves from the cold. They also created art. At Lascaux France, Paleolithic artists left remarkable paintings in limestone caves, using vibrant colors depicting deer, bison and horses. A variety of finds concerning the development of the calendar showed markings whose sequence and intervals may have recorded lunar periods. The advance from the Old Stone Age to the New Stone Age was marked by certain major changes found in the Near East. The domestication of animals for food was discovered. Parallel with this was the domestication of plants for food-a kind of wheat and barley. Temporary shelter was replaced by houses. The baking of clay vessels were also discovered. In Catal Huyuk in Southern Turkey, people grew their own grain, kept sheep and wove the wool into textiles. Variety of pottery and sculptures were found. In ancient Mesopotamia, farmers were using plows to scratch soil and they were also keeping business accounts of their temple in picture writings. Writing, metallurgy, and urban life are among the early marks of civilization. Recent discoveries have led some scholars to believe that the inventors of writing were the Subarians who might have been conquered by the Sumarians. They apparently turned the Subarians into slaves. Sumarians began to use capital. Archeologists found clay tablets that were inscribed. The language on them was Akkadian. Others were unknown. But, because they made references to the king of Summer and Akkad, a scholar suggested that the language be called Sumerian. The Summerians developed a phonetic alphabet between 3000-2000 B.C. They impressed little wedge-shaped marks into a wet clay tablet with a reed pen. This was a script called cuneiform-from the latin â€Å"cuneus†, meaning â€Å"wedge†. Most of these tablets contained economic or administration records. The Summerians were a major group of people in history. The earliest of the kind governed themselves through a council of elders. This group derived their authority from a general assembly of adult free males. This assembly who sometimes granted a supreme authority to one leader at a time, decided on matters of war and peace. This arrangement did not last long! It was replaced by a one-man rule in each city. The human ruler acted as a representative of the god of the city. Torrential floods swept down the river valleys. The lives, religion and literature of the people of Mesopotamia were pervaded by terror of these floods. The Summerians devised a system of canals to control these forceful floods. Around 2300, Sargon, king of Akkad, conquered the Sumerian ruler of Urok. Sagon then called himself king of Summer and Akkad. This indicates the fusion of the Summerians and the Akkadians. By 2100, when the Bronze Age ended, Sargon lost his power. Gudea, ruler of the city of Lagash, united the Summerians. Ur replaced Lagash as the capital city after Gudea died. Its rulers again called themselves king of Summer and Akkad. Much of what is known about the Summerians come from Ur. Ur was prosperous. It had far-flung trade by sea in textiles and metals. Ur had recorded a systematic tax system and a revival of learning. Within time, a decline set in because Ur took over too many responsibilities. Sumer was a hydrolic society. This meant that it was based on a centralized control of irrigation and flood management by government. Within time, these city-states fragmented. Elamites from the east destroyed it. This destructed Ur and Summerian power ended. Life became very diversified with blacksmiths, carpenters, and merchants who appeared alongside the hunters, farmers and shepherds of the older days. The women held high- position during these days. The Summerians looked up to their city gods. They also worshiped numerous other gods such as god of heaven, god of earth, and god between heaven and earth. Others included god of moon and goddess of the morning star. Enki was god of earth and of wisdom who apparently poured water into the 2 fertilizing rivers, Tigris and Euphrates, He supposedly filled the land with cattle, built houses and canals, and set sub gods over the enterprise. Along with these beliefs, Summerians used various arts to fortell the future and interpreted dreams. Summerian art and literature and architecture were largely religious in style. Their epic poetry included Gilgamesh, a mighty hero two-thirds divine and one-third human. The Summerians built their temples of baked brick. The typical Mesopotmia temple was the ziggurat. The successors of the Summerians as rulers of Mesopotamia were the Babylonians and their successors, the Assyrians. They both originally descended from the nomands of the Arabian desert. Power passed to them with Sargon the Great in 2300B.C. and retuned to them later after the Amorites (people from the west) invaded them in 2000B.C. The Amorite Prince named Hammurabi, made his Babyonian kingdom supreme in Mesopotamia by warfare and diplomacy. Hammurabi had a code of law that applied to the Persian Gulf to the Mediterranean Sea. These were inscribed on a pillar eight feet tall beneath a sculpture of the king in front of the sun god. The code was a leagal statement about stern justice. In its vocabulary,the code refects the continuing Sumerian impact on the Akkadian-speaking Babylonians.

MGT499 Mod 1 Case - Harley Davidson Coursework Example | Topics and Well Written Essays - 1000 words

MGT499 Mod 1 Case - Harley Davidson - Coursework Example I believe to a very large degree that indeed the company Harley Davidson is currently proceeding towards its Mission, Vision and values. Given the threats the company has managed to survive quite a number of cares and threats that have come along its way over the years, I believe that the contemporary days are no different. The company has managed to trend over numerous threats over the years in the motorcycling industry. One of the hugest threats was posed by the introduction of the assembling mode of production by Henry Ford in the US. This produced at a very first and effective rate that Harley Davidson found very hard to cope with. It however braced itself and rose to the occasion. At the end of the day, the firm managed to pull through the ordeal. Harley Davidson is currently venturing very strongly in internet marketing. It has put a lot of effort and dedication towards meeting clients on the internet and making big its sells through the exploitation of internet options. This i s squarely in line with the well laid out missions, visions and values that it steadfastly holds. By increasing its market share through the internet, the firm is poised to make it big in the industry. It shall with no doubt manage to survive all the imminent threats that are posed on it. It shall also manage to survive much longer in the market without faltering or succumbing to pressure through achieving its visions, missions and values. One of the major missions of the company Harley Davidson is cost reductions. The company strives towards obtaining the most economical modes of production which demand less investment to be able to pull through. This shall go a long way in ensuring that the company is able to beat its competition effectively in the market and shall also see to it that it survives in the market for much longer. Another mission of the company is to provide sustainable and reliable motorbikes to the world. It has managed to stretch its throngs though out the expanse of the US and it aim at making it throughout the globe. The vision of the firm is to be a hub of innovation. It envisions itself innovating new technologies that can conquer the market. This is geared towards saving the world from motorbike accidents and increasing cruising powers, speeds and efficiency of the motorbikes. This shall be essential in eliminating any detriments and keeping the prospects of the company alive for much longer. The company also envisions itself producing at much faster speeds than the current rate of production. There comes some times when there is limited supply in the market and the production speed shall come in handy. The missions, visions and values of Harley Davidson ogre well with the stakeholders of the firm. The reduction in the costs of production means that the consumers shall be able to have their beloved products delivered at a very limited price. Another advantage to the stakeholders is the fact that by increased rates of production, the comp any shall be able to meet the required supply and hence shall not lose the any clients to the competition in the market. Through this, the firm shall be sustained for long. This shall offer security to the employees as well as to the shareholders right onto the firm. Through innovation, the firm shall not only be able to beat the competition in the market, it shall also be able to provide sustainable motorcycling products to the consumers. It shall live much longer in the market and be fruitful to both the employees and the shareholders.

Five major elements of business strategy Essay Example | Topics and Well Written Essays - 250 words

Five major elements of business strategy - Essay Example The merger between Microsoft and Nokia is no different when it comes to the elements of business strategy between the two companies. Nothing changed between the two companies. Instead, the only objective was to combine the two companies to enable them to grow swiftly in terms of their operations. In as much as the two companies came together for various benefits, their business strategy elements remain the same. Both companies still use the five elements of business strategy in the market (Ireland, 62). The arenas elements entail the areas in which the two companies would be active in the market. In most cases, the decisions regarding the two companies encompass the type of services and products they offer. Alternatively, this element focuses on the market segments, technologies and geographic areas. In the two companies, the Differentiators will most likely be the attributes and the features of the two company’s product and services, which will help the companies compete effectively with their competitors in the market. Alternatively, Vehicles as a business strategy element entails the means at which the companies take part in the targeted arenas whereas staging and pacing entails the timing, moves and speed in the market (Ireland, 64). Lastly, economic logic entails how both Companies will earn their

Module 12 Essay Example | Topics and Well Written Essays - 500 words - 2

Module 12 - Essay Example Our friendship therefore was weakened and others emerged. Nevertheless, high school was totally a new environment. New friends came up and I had t make hook ups with new friends. All those we could share the same classes, same units and dorms became my intimate friends. Specifically, my closest friends were my classmates whom we shared cubes and classes. As the days passed by, and approached choice of future careers, friends changed as well. Those whom we shared common ideas before had unique careers hence different units pursue. Hence I found new friends too. When we finished high school, we got different grades, and we joined different universities and colleges to pursue different careers. Everybody went on his way to pursue his/her career. This weakened further the friendship and other new friends sprout up. From my middle school till now, friends have changed. My first friends and my current friends are totally different. From the dynamics of friendship, it is evident that friendship change very often and it is rare to get a long lasting friend whom you start from pre-school to university. Friends are subject to choice of careers in life and line of profession. Those whom you share things in common become your closest friends and those whom you have nothing much to share are distant automatically. Maintaining alive friendship is not easy. It is volatile and more often it has rewards and punishments. Indeed to appreciate somebody’s strengths and weaknesses calls for sacrifice. In essence, people have different personalities and to accept them to influence your life is challenging. According to social exchange theory, friendship is driven by decisions. Both parties are responsible for one another and entirely depend on each other. However, costs and rewards associate with decisions made. Usually, I dedicate my precious time to my friends. This time we could use to chat and implement constructive ideas

Potential for market manipulation in commodities futures markets, the Essay

Potential for market manipulation in commodities futures markets, the implications of such activities and the ability of regulators to combat this behaviour - Essay Example He exclaimed that the Commodity Futures Trading Commission (CFTC) should be more active and empowered for adapting affirmative regulations apart from doing their predefined activities. The regulations will maintain an orderly and fair market. Thus, the CFTC will be requiring more resources than before. Markham has argued that these will reduce market manipulation and the additional cost will have limited effect on the total manipulation. The paper elaborates the effects of manipulation on commodity futures markets and also lays emphasis on its potential to cope up with the manipulation level. The paper also highlights on the trading behaviour of the major participants of the market like the customers and dealers. The elaboration of the topic is based on the futures trades that are reported to the governmental regulators by the various dealers and exchanges. The response of the prices is selective to the trading actions of the group which is selected as the market participants which a re relevant at the time (Attari, Antonio and Martin, 2005). The growth of the future market in the past thirty years has been explosive. The volume of future trading was about 3.9 million in 1960. The volume of contracts increased with the time which was due to the modifications and changes in the monetary policy. Inflation during 1960 and 1970s had also created dramatic impact on the commodity prices and thus there is huge development in the financial future contracts. The trading in the futures market has outstripped the trading in agricultural commodity future market (Pirrong, 2010). Along with the increasing trading volume in commodity future market, many issues were raised against the trading system. The commodity futures market in United States have developed to a great extent in the past but at the end of the Civil War the contracts for the delivery of grains were switched into convertible contracts that were often used for offsetting each other. Thus, the speculators

Corporate strategy Essay Example | Topics and Well Written Essays - 2250 words - 1

Corporate strategy - Essay Example Additionally, the first manmade island, Palm Jumeirah, is one of such tourist destinations that are worth visiting. However, Dubai is inhibited by 1.4 million people, of whom less than 20% are natives of Dubai. This creates a sufficient skilled and un-skilled labor needs that are highly essential to fulfill the needs of development. And this has invited a large number of foreigners. Consequently, to fulfill the dearth of skilled and un-skilled labor, the Government of Dubai have allowed expatriates to serve and help the city of Dubai to become a dream destination of the tourists. Geographically, Dubai is ideally located, connecting the Indian Sub-Continent to Europe, the Far East and Africa. Besides serving a route business point, the tourists from such countries can easily reach Dubai. However, Dubai cannot avoid the threat of political instability in the region and, the criticism raised by the environmentalists over its excessive use of water and power to feed its growth of economy and tourism industry. Some recent reports suggest the ecological and carbon footprint is mostly contributed by Dubai due to its faster consumption of fossil fuels. In the following pages, the PESTEL analysis is followed by the SWOT analysis of Dubai. And in the end, some recommendations with conclusion are suggested in the light of the PESTEL and SWOT analysis. PESTEL analysis PESTEL stands for Political, Economic, Social, Technological, Environmental and Legal. The main purpose of PESTEL analysis is to understand and evaluate the impacts of the external environment on an entity or a country or a city. Without any doubt, these factors directly or indirectly influence on the strategic and operational decisions. Consequently, they are taken into account before determining and implementing strategic decisions and policies. Political and Legal Dubai is one of the seven emirates of the United Arab Emirates (Emirates.org, web). Politically, UAE is run and administrated under the authorit y of federation. The UAE federal government has considerable powers to determine many areas of public interest; however, certain features of governance are assigned to the member emirates to determine and implement them as they wish to do so. Currently, many policies of Dubai towards the tourism industry are considerably aligned with the guidelines of the UAE, and the same line is applicable to the legislative part as well. Economic Dubai is the second wealthiest emirate after Abu Dhabi in the UAE (Dubai. Web). Recently, the global financial crisis of 2007 has severely hit the economy of Dubai, resulting huge job losses and rising unemployment. The recession considerably put on hold the entire economy of the Dubai. However, as the period of recovery is on its way, the city of Dubai has again initiated its journey towards the economic growth and development; in that growth, the tourism industry plays a vital role. Additionally, its projects like the Burj Khalifa skyscraper have attra cted vast amount of foreign investment (news.bbc, web). Technological Dubai cannot remain behind in the field of

Dr. Adler’s New Vision for New York Medical College Essay Example for Free

Dr. Adler’s New Vision for New York Medical College Essay Quality education plays an important role in the development of an individual, as well as in any field of profession. In relation to this, quality education entails that it could adapt to the changes that happen through time. This kind of adage is most applicable in the field of profession that involves the welfare of other people especially when in comes to their health. Being the case, medical schools should also do the necessary steps in order to enhance the quality of education that they render to their students. In line with this, the new vision of Dr. Karl Adler tends to address such changes, which makes it a sound proposal to improve the performance and contribution of New York Medical College to the students and the society. Dr. Adler’s new vision involves affiliating the New York Medical College with Catholic universities in the New York metropolitan region (Klein, n. d. ). Personally, I believe that this proposal could indeed become very beneficial for the college, as well as for the university that they will be affiliated with. Pursuing this plan can help in addressing the problems that the college is currently experiencing. First, during the recent years, the college has been experiencing a deficit because of the unstable financial condition of the hospitals that it is connected with. As a result, the college is having difficulties in managing their finances. An affiliation with a university that has more students and greater sources of budget could aid this problem. Second, working interdependently with a university will also give way for greater grants that will help primary care doctors in their training (Singer, 1997). Lastly, New York Medical College is among the last colleges that have not been declared as a university. Establishing partnership with a university will give the students of the college an exposure with other fields like law, sociology, business, and other things available in a university. In the same manner, the college will also gain a chance to study medical intensive areas of study. The new vision of Dr. Karl Adler is indeed a sound proposal that will greatly contribute in addressing the problems of the college as well as making it a better educational institution. He exemplified a proactive and effective leader thinks of ways in order to adapt with changes. The concept of quality education could be fully realized in his plan because as Dr. Adler said â€Å"by working closely together we’ll make New York Medical College stronger† (Klein, n. d. ). References Klein, M. (n. d. ). New President sets course for medical college. The Journal News. Singer, P. (1997). Grant Helps to Ready Primary Care Doctors. Retrieved February 11, 2009, from http://query. nytimes. com/gst/fullpage. html? res= 9B03E6DB103EF935A15753C1A961958260partner=rssnytemc=rss.

Leadership And The Delegation In Nursing Nursing Essay

Leadership And The Delegation In Nursing Nursing Essay Florence Nightingale once said, But then again, to look to all these things yourself does not mean to do them yourselfà ¢Ã¢â€š ¬Ã‚ ¦But can you insure that it is done when not done by yourself. (p. 17). These words, written in her Notes on Nursing, spoke of the idea of delegation in nursing. Over the years, delegation has become increasingly important in the nursing profession. It is important for a nurse to understand how to delegate to others efficiently without compromising patient safety or facing a lawsuit. This can sometimes prove to be a harder task than one might think, especially for a new graduate who has no experience with delegation. However, there are certain guidelines set in place that, if followed, will enable you to delegate tasks safely, properly, and effectively. Delegation is defined as the transference of responsibility and authority for an activity to a competent individual (Berman Snyder, 2012). When delegating a task to another individual, there are five rights of delegation that must be considered. The five rights of delegation include the right task, the right circumstance, the right person, the right communication and the right supervision (Tomey, 2009). The first right, the right task, takes into consideration whether it is within a persons scope of practice to perform the task being delegated. A specific task that can be delegated to one person may not be appropriate for another person, depending on each persons experience and individual skill sets. Also, a task that is appropriate for one person to perform with one client may not be appropriate with a different client or the same client under altered circumstances. (Berman Snyder, 2012) A lot of times, a list of tasks that can and cannot be delegated can be found in the nurse practice act for the state of practice. In addition to considering if a task is within a persons scope of practice, the nature and complexity of the task to be delegated should also be considered. Only activities that have a predictable outcome and are done the same way every time should be delegated (Sheehan, 1998). For example, it is okay to delegate a task such as taking a blood pressure or measuring urine output. Tasks that are more complicated or could hurt a patient, such as changing a patients surgical dressing, should not be delegated. The right circumstance is the second right of delegation. Even if a person has the ability and is allowed to perform a certain task, it is important to consider the circumstances before delegating. For example, ambulating a patient is a task that can normally be delegated to a nursing assistant. However, if you consider a patient who is post-op for a hip replacement and has a history of hypotension and anemia, this task would not be appropriate to delegate to a nursing assistant or any other person who does not have the necessary training to know what to do if the person were to become unstable. Generally, appropriate activities for consideration in delegation decision making include those which frequently reoccur in the daily care of a client or group of clients, which do not require the UAP to exercise nursing judgment, do not require complex and/or multi-dimensional application of the nursing process, for which the results are predictable and the potential risk is minimal, and which utilize a standard and unchanging procedure. (National Council of State Board Nursing, 1997) The third right of delegation is the right person. It is important to consider who the best person would be to handle a given situation. This means taking into consideration whether or not a person has the knowledge, skill, and competency to perform the task. Also, it should be considered whether or not the person has performed the task in the past and if not, if they need supervision in performing the task. The RN must consider qualifications, job descriptions, and competency when delegating task to various caregivers. Qualifications are generally determined by state licensure or certification, and the RN may reference hospital policies and procedures, job descriptions, published state practice acts, or unit guidelines if unfamiliar with specific qualifications. For instance, an LVN/LPN may be permitted by license to draw blood in some states. In other states the LVN/LPN must have an additional certification to draw blood. (Osborn, 2010) The fourth right of delegation is the right communication. It is very important when delegating a task to another person to make sure and communicate what is needed. This means not only telling the person what to do, but giving all information that will be needed in order to perform the task. For example, when assigning the task of taking a patients blood pressure to someone, it is important to include when they need to be taken, as well as restrictions that may be needed such as to only use the left arm. In addition, specific instructions need to be given about when information should be reported back to you and any information that should be reported back immediately. For instance, if you assign the task of taking a patients blood sugar to a nursing assistant, it is important to make sure that he or she knows what a normal reading and that any readings that are not in the expected range should be reported immediately. It is also important to make sure that all instructions are unde rstood by the person you assigning the task to and if any supervision may be needed. The fifth right of delegation is the right supervision. It is very important that any time you delegate a task, you make sure that it has been done correctly and completely. At times, a task that is delegated will be completed under direct supervision. For example, when teaching a student to insert a foley catheter, you will be with them during the task guiding them through the process. It is not always possible to be present to directly supervise all tasks that you have delegated, even though you are still ultimately accountable. It is critically important to make sure and oversee the progress on the tasks that you have delegated to ensure they are properly executed, The Board of Nursing has the legal responsibility to regulate nursing practice and provide guidance regarding delegation of nursing tasks. The licensed nurses specialized education, professional judgment and discretion are essential for quality nursing care. Nurses are uniquely qualified for promoting the health of the whole person by virtue of their education and experience. Nursing is a knowledge-based process discipline and cannot be reduced solely to a list of tasks. Therefore, the nurse must coordinate and supervise the delivery of nursing care, including the delegation of nursing tasks to others. While some nursing tasks may be delegated to unlicensed assistive personnel (UAP), the practice-pervasive functions of assessment, evaluation and nursing judgment must not be delegated. All decisions related to delegation of nursing tasks must be based on the fundamental principle of protection of the health, safety and welfare of the public. The issues surrounding delegation are compl ex and multi-faceted. It is the responsibility of the licensed nurse to determine which tasks can be appropriately delegated and accept accountability for the outcomes. Assigning unqualified persons to perform nursing care functions, task or responsibilities and or failing to effectively supervise persons to whom nursing functions are delegated or assigned constitutes misconduct. (South Carolina Board of Nursing, 2010) In order to be able to delegate efficiently and effectively, it is important to consider the four principles of delegation. The first is the principle of result excepted, which suggests that before delegating a task to someone, you should be able to clearly define the goals and results that are expected of them. In other words, as a nurse, you should be able to perform the skill that you are delegating to another person and be able to teach about it if necessary. The second principle is the principle of parity of authority and responsibility , which says that when delegating a task, you should choose a person who is capable of doing the job on their own and not impress excessive authority. The nurse should know the regulations in the state of practice regarding which tasks can be delegated to another person and those which should be done by only an RN. The third principle is the principle of absolute responsibility. This principle says that when delegating care to another person, the RN should be aware that he/she is the one who is ultimately responsible. It is very important to supervise tasks which have been delegated in order to ensure the safety of all patients and of her own license. The fourth principle is the principle of authority, which suggests that you should only delegate tasks that are within your jurisdiction. If you are ever in doubt about an important decision, you should consult someone in a higher position about the issue. Also, you should understand which tasks you are allowed to delegate and which tasks that only you should be performing. You should also consider that there are some situations that do not require tasksto be delegated in order to be performed. For example, in assisted living facilities, care is provided to patients without having to have delegated by an RN. (Management Study Guide, n.d.). It is very important as a nurse to consider all aspects that go into delegating tasks to others. When all the guidelines are followed correctly a good judgement is used when choosing who to delegate a task to, delegation can be a great tool that nurses can use. Your floor will run smoothly and you will be able to more efficiently care for your patients. It is of utmost importance that we as health care providers put the care and needs of the patients first when making decisions that could affect their treatment and ultimately their lives.