Negative Effects Of Technology On Teenagers - 730 Words

Many teens refer to their phone as their â€Å"baby†. Fifty percent of teenagers think they are addicted to their phone. Only twenty percent of parents believe they are addicted to their phones. Statistics show that forty three percent of parents know what their child’s password to their phone is. Family relationships are being harmed by technology, for teenagers and parents are not socializing as much as they should. In today’s society, technology is the competition for keeping strong bonds with a child and their parent. The internet world is causing children to perform bad behavior. Children try to get their parents’ attention, but in most cases, the parents are too busy using their mobile devices instead of paying attention to their child.†¦show more content†¦Teenagers feel more confident to text and call than to go see the person face to face. This keeps relationships between distant family members more distant. If people didn’t talk or text as much as they do today, families would come visit one another and have holidays together more often. Another thing that reduces communication skills is that most families sit as far apart as different rooms in the house, each person on a different device. These are all examples that show families do not communicate well, and do not participate in family activities as a whole because they are addicted to their mobile devices . People and their families are trying to stop teens from constantly using technology, and to spend more time with their families. Apps and being made for parents to shut their child’s phone off at a certain time. This gives kids a chance to go outside and do activities with others physically, There are also products that are being sold to spend more family time. For example, the EB Brand Cell Lock Up is a product in which phones go into a jail-like box that locks and does not open for a certain amount of time that can be set. This is useful for dinner time, family game night, etc. Parents are also trying to fix the addiction problem themselves. Some parents make plans or rules for them and their children to obey. One popular rule that many parents are attempting is no phones can be used until after dinner and all homework is complete (besides the homeworkShow MoreRelatedNegative Effects Of Social Media Essay1209 Words   |  5 Pages(Tsukayama). Social media, among teenagers a nd young adults, is quite popular. It is used on many different platforms and in so many ways which allows high schoolers to be constantly attached. Over the past decade, with the emergence of social media, the amount of time these websites consume from individuals has become greater and greater. Parents who have grown up in a different era of technology do not seem to understand the full effect of social media networks on teenagers. This increasingly large numberRead MoreDetrimental Traditional Media and Social Media1460 Words   |  6 Pagesinformed, to be educated or to be entertained. People, especially teenagers, are purposely or unknowingly connecting to each other by communicating and informing themselves about the latest trends, events and happenings in the community. They are fed by information regarding different issues that happen in their day-to-day activities. Also, they are pleased by the good reviews of media but along with its swift development are other effects that harm the environment and the people living in it. KaiserRead MoreA Life Threatening Habit : Using Drugs And Alcohol1665 Words   |  7 PagesThere are many negative effects that teenagers do not know and that will cause harm in long term usage. For some, using their cell phone is a way out of reality and an escape from the outer lives. Social media is becoming more popular every year which is attracting younger kids. The cell phone is a trap to the next generation and will create problems for teenagers. In today s society, cell phones destroy people s communication abilities, social lives, and driving abilities. Teenagers having realRead MoreInternet Addiction And The Internet1409 Words   |  6 Pagesof Internet addiction is gradually increasing in American society, especially for teens aged 12 to 17. Troubled teenagers aged 12 to 17 are more vulnerable to addiction than other generations. Teens get attracted to technology because of online games, the ability to find acceptance in social websites, unlimited access to the most kind of entertainment, and the ability to own technology as it is not expensive. Kimberly Young (1999) in the article â€Å"Internet addiction: symptoms, evaluation, and treatmentsRead MoreSocial Media Negatives1007 Words   |  5 Pagessocial media is worse than what most people would think. It’s leading to worse things for teenagers since they won’t see the negatives coming. Especially not from social media since it’s a huge part of their life. Social media’s negatives outweigh the positives because it’s causing long-term consequences and impacts teen’s mental and emotional health. What teens posts on social media have long-term effects because what you post, like, or repost on any site can be used against teens in any way shapeRead MoreThe Positive Effects Of Video Games Essay1410 Words   |  6 PagesLiterature†¨2nd Period†¨18 March 2015 The Positive Effects of Video Games Video Games industry is the biggest entertainment industry, bigger and better than Hollywood, â€Å"The video-game industry is projected to grow from $67 billion in 2013 to $82 billion in 2017. At the same time, global movie revenue, both DVD and ticket sales, hit an estimated $94 billion in 2010, down 17% after inflation from 2001† (Fast company). Video Games are a huge part of children and teenagers in today’s world, they spend hours playingRead More What are the Effects of Texting on Teenagers? Essay658 Words   |  3 Pages Which are the effects of texting on teenagers? Slavery or freedom? We hear a lot these days about texting - the ability to get/send a text message from/to anyone, anywhere, via wireless networks and some kind of portable device, which might be a fancy pager, a digital cellphone or a palmtop computer. The technology is here, though it doesnt work everywhere yet. We could argue about how affordable or reliable texting is, but we cant deny it exists and will probably become more widespread. ButRead MoreAdvantages of Social Media for Teenagers Essay1509 Words   |  7 Pagesall parties. Many students especially utilize social media on daily basis. Technology can be objectively said as a vital part of today’s students’ success equation. A significant amount of social media users would be teenagers which include students. Numerous researches are being done to find out on the effects of social media in teenagers’ life. In this essay we will discuss about the advantages of social media to teenagers which are can be a great source of i ncome, builds relationship, reducing obstaclesRead MoreThe Impact Of Social Media On Teen Substance1033 Words   |  5 PagesMost parents believe that it is just either school or friends as to why teenagers get into drugs and alcohol (Impact of Social Media on Teen Substance). The one thing parents do not think about at to why their teenager is involved in drugs and alcohol is social media, and it could be a big reason (Impact of Social Media on Teen Substance). Parents talk to their children on how to make the right decision related to drugs and alcohol, but forget they need to address how to make right decisions onRead MoreThe World Of Technology : Young Adults1536 Words   |  7 Pagesof technology Cynthia Sanchez Professor Greeley ENG 111 27 November 2015 The World of Technology: Young Adults In the 21st century technology has become such a big part of our society; it is so powerful because it affects everyone all over the world. For example, technology not only affects children and young adults in their workspace, such as in school or throughout their careers, but also in their day-to-day personal lives. In this day and age, because of the convenience which technology can

The Crucible and the Extra Scene Essay - 1065 Words

In the original version of The Crucible, published in 1953, a second scene for Act II was written but Arthur Miller decided to take it from the future editions that came after that time. A reason Arthur Miller might have removed this scene from the play was that it showed the readers too much information, which would have given the readers too much about what would happen later on in the play and it might have had disinterested the readers into continuing reading. The Act II scene, which was taken off from the play, would have changed the outlook that the read had on The Crucible and its characters, like Abigail’s character. Abigail would have been viewed differently after this scene because they would feel pity for her. Arthur Miller made†¦show more content†¦If Arthur Miller had left these scene on the act it would have exposed too much information about what would be coming up next and the readers would not be surprised then with the things that happened in the pla y. The reader shouldn’t be given the whole information of a play in one act there should be more suspense and exciting things happening on the future acts for the readers to enjoy the play. If the reader already knows how the play is going to end and as they are reading it they realize that it is all being repetitive they would just stop reading the play because there would be no â€Å"cliff hanger† for them to get excited about in the continuation of the reading. Abigail’s character in this removed scene can give the reader conflicting thoughts about who she really is and how she should be viewed throughout the rest of the play. In this scene Abigail seems like she does not know the difference between the reality and her fantasy. Abigail since the beginning of the play is viewed as a clever but dishonest character but in Act II, Scene ii she just seems like a little girl who is trapped in her own world and doesn’t know how to get what she wants without lying some more. Abigail starts to believe on her own lies about witchcraft, â€Å"Abigail: No, this is your wife pleading, your sniveling, envious wife! This is Rebecca’s voice, Martha Corey’s voice. You were no hypocrite! (p.158). she was so sure that her lies where truth that she forgot the realityShow MoreRelatedAnalysis Of The Movie The Crucible Essay1625 Words   |  7 PagesOn September 15, 2016 at Murfreesboro Little Theatre I saw The Crucible. I have had a lot of experience with this particular play. I have seen the movie along with reading and acting out the play. I had high expatiations when going to see The Crucible live. For the most part I was not disappointed, they had terrific actors who knew each and every line, and play the part as if they had lived it each and every day. Though the acting was magnificent and believable I was rather disappointed with theRead MoreSimilarities And Differences Between The Crucible Movie And Movie711 Words   |  3 PagesArthur Miller’s The Crucible is an iconic piece of literature that was published in the 1950’s. When Arthur Miller wrote The Crucible, the United States was in the middle of the McCarthyism era where innocent people were being accused of treason without the proper evidence (â€Å"Joseph R. McCarthy†). As a result, Arthur Miller became involved and wrote a play to show his beliefs in response to the accusations and haywire going on. Miller used individual characters and portrayed them as a part of hisRead MoreComparison Of The Movie The Crucible827 Words   |  4 PagesThe Crucible, a movie directed by Nicholas Hytner, was critically acclaimed and earned several awards. It received an Academy Award nomination for best screenplay based on material previously produced or published, a BAFTA award for best-adapted screenplay, and Golden Globe awards for supporting actor and actress in a motion picture. In Empire’s review, they say, â€Å"In this almost perfect screen adaptation, the lingering question is the most important one: what caused such madness?† This movie adaptationRead MoreThe Crucible - Comparing Play and Movie1004 Words   |  5 Pages#9;Arthur Miller s play, The Crucible, and the movie with the same name have many differences and similarities, all of which contribute to the individual effectiveness of each in conveying their central message. #9;There are several additions and variances in the movie. First of all, the scene where the children and Tituba are dancing in the forest is never seen in the forest; we simply learn of it from dialogue. This scene was most probably added in the movie for a dramatic effect: foreshadowingRead More The Crucible - Comparing Play And Movie Essay974 Words   |  4 Pages Arthur Millers play, The Crucible, and the movie with the same name have many differences and similarities, all of which contribute to the individual effectiveness of each in conveying their central message. There are several additions and variances in the movie. First of all, the scene where the children and Tituba are dancing in the forest is never seen in the forest; we simply learn of it from dialogue. This scene was most probably added in the movie for a dramatic effect: foreshadowingRead MoreKing Lear Character Analysis1196 Words   |  5 Pagesbeginning of the story, King Lears is attempting to marry off his daughters. He asks them to show him how much they truly love him as a test to see if they are ready to be a mother. According to the lit crit The Absent Mother in King Lear â€Å"this opening scene shows the socially-ordained, developmentally appropriate surrender of Cordelia as a daughter- wife--the renunciation of her as incestuous object--awakens a deeper emotional need in Lear: the need for Cordelia as daughter-mother† (Kahn 248). Lear needsRead MoreEssay on The Dramatic Intensity of The Crucible’s Courtroom Scene4462 Words   |  18 PagesThe Dramatic In tensity of The Crucible’s Courtroom Scene In this assignment I am going to investigate the Dramatic Intensity of The Crucible’s courtroom scene. I am going to do this by exploring the language used, how the characters develop and how Arthur miller unfolds the plot to keep the reader interested and how emotion and feelings dictate the movements of the play. The Crucible is set against the backdrop of the mad hunts of the Salem witch trials in the late 17th century. It isRead MoreThe Crucible By Arthur Miller1545 Words   |  7 PagesIn â€Å"The Crucible,† Arthur Miller portrays two females whose characters, when juxtaposed, look to vastly distinction each and every different. Although the specific phrases aren t used, one girl is basically put forth within the story as â€Å"good† and the other woman as â€Å"evil.† Such black and white rulings of these characters would be close to ironic, in view that that Arthur Miller wrote his play to reveal the risks of judging humans with different mindsets or perception systems. Miller portrayed thatRead More Arthur Millers Presentation Of John Proctors Moral Journey2156 Words   |  9 PagesExamine Arthur Millers Presentation Of John Proctors Moral Journey - The Crucible by Arthur Miller The Crucible by Arthur Miller is a play based upon an American settlement during the late 1600s. It is centred around actual events from history to try to portray the way of life in this era. Miller has chosen the confusion of the witch trials of this time, to provide a base for the struggles of his main character, John Proctor. At the beginning of the play the focus is laid mainlyRead MoreSheffield Theatre Case7471 Words   |  30 Pagesbuildings. In 1971, the Crucible Theatre opened and is a producing theatre on a non-profit base. The Lyceum was reopened in 1990 and is a commercial theatre which mainly hosts touring theatres. The third theatre complex is the Studio which stages chamber and drama music. The main source of income is through the box office, which is supported by public subsidy from local authority and Yorkshire arts. In 1991 a crisis became a fact. There became a drastic fall in Crucible box office receipts after

Wound Care Free Essays

Program Evaluation: Wound Care Center The Methodist Hospital offers a Wound Care Hyperbaric Medicine Program which works closely with patients and specially trained physicians (2010). The program focuses on monitoring, management, and treatment of chronic and non-healing wounds (TMHS, 2010). Non healing wounds affect a large number of the populace and prevent people from leading an active life. We will write a custom essay sample on Wound Care or any similar topic only for you Order Now Researchers report new technologies are altering the process in which chronic wounds are treated. More options for wound treatment are available today than previously available. Bio-engineered skin substitutes, specialized dressings and the latest compression wraps are a few of the more recent methods for wound treatment. The Methodist Hospital’s Wound Care Hyperbaric Medicine Program offers state-of-the-art technologies and advanced wound care techniques to effectively care for non-healing wounds. Evidence depicts that a wound that has not healed in over a month should not be overlooked (CDC, 2009). The TMHWC program uses a team approach to promote advanced wound healing. The first step of healing for patients enrolled in the wound care program is a methodical evaluation by a wound care physician. There is a huge need for quality wound centers. Non healing wounds and excessive management cost health care centers a substantial amount of money each year. According to Pompeo (2010) health care organizations want well-organized and precise figures to decide which cost effective wound care services to propose. The difficulty with chronic wounds is that it is very demanding on staff within a hospital’s organization (Shai Halevy, 2005). The burden of chronic wound management is constant and an evaluation is necessary in an effort to prove the importance of maintaining The Methodist Hospital Wound Center. The purpose of this evaluation is to examine the wound care program at The Methodist Hospital in Houston Texas. This evaluation will provide the history and overview of the root source for chronic wounds and the effectiveness of treatment of those wounds. This evaluation will also comprise a review of the programs patient population, chronic wound diagnoses, primary diseases, treatment devices, as well as costs associated with the health care organization. The assessment will expand the findings of the previously submitted needs analysis for the healthcare organization expansion of services. The components of the proposal are consistent with the organizational mission, values and vision. Background The Methodist Hospital’s wound care Treatment Center came to exist from a meeting between several surgeons at a wound care clinic in Southeast Texas. The physicians were discussing a patient who had suffered with wounds for a number of years. The physicians were interested in increasing improving the credentialing and recognition of wound care services. The Wound Care Center was founded and incorporated in 1990 as an extension of The Methodist Hospital. The Methodist Wound Care Center is dedicated to the multidisciplinary team approach in promoting the science of prevention, care, and treatment of acute and chronic wounds. Today the Methodist Wound Center continues to offer treatment and intervention for chronic wounds. The Methodist Wound Center is an independent center staffed and funded by The Methodist Hospital. A chronic wound has an appearance of one or more underlying conditions which become evident on the skin. Chronic wounds are reported to have the following etiologies (Krasner, 2001): pressure, venous, arterial, diabetic, ischemic, cancer, and end-of-life. A chronic wound entails intervention by numerous health care authorities to address the many conditions and co-morbidities that impact future prognosis and healing. Mission The mission of The Methodist Hospital’s Wound Care Center is to provide a full range of the highest quality, outcome oriented physical therapy services for a variety of patients with wounds. The Methodist Hospital Wound Care Clinic team of specialists works together for improved healing rates and fewer amputations in chronic wound cases. In the course of treatment, the clinics aim is to prevent prolonged or permanent disability and reduce hospitalizations. Vision Statement Where people want to work, where physicians want to practice, and most important, where registered patients want to go when they need healthcare services. The vision statement sets specific goals in objective terms, and a time frame for the goals to be met (Pelland, 2009). Literature Review Webster’s New Riverside University Dictionary (2010) defines an ulcer as an inflammatory, often suppurating lesion on the skin or an internal mucosal surface of the body, as in the duodenum, resulting in necrosis of the tissue. Dorland’s Medical Dictionary (2010) describes an ulcer as a local defect or excavation on the surface of an organ or tissue which is produced by sloughing of inflammatory necrotic tissue. Wounds that do not respond within the expected time frame are defined as chronic wounds or ulcers (Wollina, Hansel, Kronert, Heinig, 2010). Chronic wounds are contributed to primary diagnoses which slow down the healing process and may sometimes result in death (CDC, 2007). The first step in conducting a needs analysis for the Wound Care Center is to identify the services most in need of support. A review of the number of referrals for different services could direct an initial effort. Networking with practices that have already implemented similar services may be of assistance. Performance measures must be in place for monitoring program success. Performance measures should assess for method reimbursement and sustainability, patient and provider satisfaction, treatment outcomes, and areas for improvement (Lockamy Smith, 2009). Development of standards makes ease of operation with other systems a reality and are necessary for efficient operations (Spivack, 2005). Principles to be considered in selection, implementation, and evaluation are patient satisfaction, strategic alignments, process management, performance measurement, and project management (Lockamy Smith). Developing community and governing commission liaisons will strengthen the chance of program implementation success (Dick, Manson, Hansen, Huggins, Trullinger, 2007). The CDC (2009) reported that over 25 billion dollars is spent annually to govern the management of non-healing wounds. Each year seven million Americans are diagnosed with at least one type of chronic wound. The incidence rate of chronic wounds ranges about ten percent annually and is contributed to the current increase in age of the populace. Stages of Wound Healing There are three phases of wound healing (Fishman, 2008). First, there’s phase one-the inflammatory phase, which immediately begins and is active for the first five days of injury. The inflammatory phase generates coagulate from vaso-constriction, platelet aggregation, and thromboplastin formation. The proliferative phase is the second stage of wound healing. This phase transpires up to three weeks after injury. Granulation, contraction and epithelialization draw the ulcerated edges together in an effort to reduce the deficiency (Fishman, 2008). Stage three of wound healing is sometimes defined as the remodeling phase. The modification stage last up to two years. Collagen is formed, which increases the overall vigor of the wound (Fishman, 2008). There are three types of cost analyses. They are cost-effective analysis, cost-benefit analysis, cost-utility analysis and cost-utility analysis. They are aimed at reducing the wastage of resources in invalid methods by getting the advantages of use of a particular activity with the value in terms of cost. People with diabetes are more prone to developing ulcers on their feet. Decreased sensation and a lack of circulation lead to this problem. The best way to prevent ulcers from forming is by performing a daily foot inspection. The three are not mutually exclusive in their use and can be used in any one particular situation though in different stages of the pyramid. An example is the use of exercise as a cost-effective means of tackling diabetes. In one of its many advantages, the exercise does not only help manage the diabetes but other conditions are catered for in the primary stage. This includes, stress reduction and hypertension which may be additions to the disease. There are many benefits of using exercise to various diseases like the cardiovascular types. The use of exercise is implemented in the third stage, tertiary stage that will include the treatment or management of the disease. It helps in burning down the excess calories in the body. (Hatziandreu, E. , 2003) Wound Center Protocol Patients undergo an inclusive physical upon admission to the wound care center. The work up plan for wound care consists of physical evaluations, blood work, Xrays and wound assessments. Medical staff meets daily to discuss the best plan of care for the patients. The treatment protocol Centers which practice systematic ways to develop wound treatment provide excellent care, including evidence based treatment protocols which lead to superior clinical outcomes (Fishman, 2008). The Methodist Hospital’s Wound Care Center treats and takes care of the wounds at any part of the body including sacral, abdominal and even in the lower extremities. The center treats all types of wounds caused by burns and pressure, diabetes, radiation and vascular diseases. The centers protocol is to treat all chronic wounds until they heal as well as prevents recurrence and preserve limbs. The center’s staff does not only treat but also monitors wounds teaches prevention ways such as eating proper nutrition among other specialties. Program Objectives The American Physiological Society (2010) website indicated the evaluation provides formative feedback that helps guide a program as it is being implemented. It also provides summative data that clearly demonstrates that the program is accomplishing its stated goals and objectives. Without an efficient evaluation, the program personnel may be unsuccessful with regard to documentation of impactful program issues. The Wound Care Center employs five full time registered nurses, certified in wound care. The center also employs three administrative personnel, including the clinic administrator. The wound care center employees several medical staff physicians, including a podiatrist, 2 general surgeons and one plastic and internal medicine. The treatment of chronic wounds and research on the pathogen has been going on for many years now. Despite the effort, a large number of people still face the problem when it comes to wound care. A number of people have named lack of integrative perspective in research methodology as a critical issue facing wound care centers (Singhal, Reis, and Kerstein, 2001). Researchers do not view treatment of wounds holistically but have focused on efficacy and safety of specific therapies. The Methodist Hospital’s Wound Care Center objectives are to continue with single treatment investigation in addition to pursuing an integrated approach to the mechanisms of wound healing. Integrated approach deals with the physiological activities that make a wound heal or not heal based on the fundamental activities. Study design This study design is pertinent to an evaluation of the wound care center and the subsequent hospital visits from patients subsequent to discharge. The study design for this research is quantitative and the population will be those patients who required treatment at the Wound Center within the last 24 months. The study will use data from Method admissions data base to calculate the number of patients. The system will also track the number of patients returned to the center. Quantitative designs require a prearranged selection of variables. Quantitative designs clarify the result of an experiment, a correlation testing, and often involve the acceptance or the failure to rejection the null hypothesis (Sproull, 2004) using statistical formulas and hypothesis testing with a significant randomly selected sample that represents the population (Creswell, 2004). Sample Patients who are currently admitted in the wound care center and scheduled for discharge within the next 30 days will be the population for this study. The population will be reviewed and counted from the Method’s computer system. We will aggregate the data of all patients admitted and discharged from the last 24 months. The selection process can be described as systematic sampling. The specificity of the items in the database is controlled by change. The series of items is compiled from the medical record number and is tracked over the last 24 months. The advantage of systematic sampling is that, unlike simple random sampling, a designated number does not need to be assigned to every item. Most patients have been discharged from the program because the wounds have healed or they have transferred to other wound care facilities. Recruitment of Participants. This evaluation will not require an excessive amount of contact with participants. There will be no questions or surveys provided to the participants. An option for this evaluation is to review the data in Method and analyze the discharge and monitoring of each wound care patient. MethoD is the computer admitting database which reports on all admitted patients to any program within the institution. Methods The research study objectives is to identify chronic wound services that need most support, to review the number of referrals and to determine the favorable ways of treating, preventing and controlling chronic wounds. The study uses quantitative data from The Methodist Hospital’s Wound Care Center computer records. The study will use a systematic sampling of all the patients that have been treated for wound in the last 24 months. The study will record all the patients who have visited the hospital with wounds, it will determine their age, sex and the type of wound they were treated on. The study will also record how many times the patient has been treated and when the wound healed and if it did not heal the preventive advice given to the patient. The methods of data collection will be observation and investigations of medical records. The prearranged selection of variables includes age, sex, type of the wound and the duration it takes for the wound to heal. The correlation testing will be used to find out if there is a relationship between persons age and time the wound takes to heal or the type of the wound and the sex of a person. The study will apply statistical model of wound healing rates because it predicts the actual healing of the wound. The statistical model does not impose a fixed methodological structure on the healing structure such as time but monitors the progress and actual behavior of the wound (Kumar, 2007). Data Analysis The results obtained from the centers medical records and analyzed by Method’s computer system showed that the center had received quite a number of wounded patients. The computer software showed that 3-4 people out of a hundred people who visited the hospital were wounded. An estimate of 20-30% of the hospital beds were occupied by patients with wounds a big percentage being patients whom had acquired wounds during hospitalization. Pressure ulcers obtained during the period of medication is the major cause of chronic wound affecting an estimate of five inpatients. The results also showed that 5% of patients died after contracting surgical wound infection during the period. The result statistics indicated through tables and graphs drawn using method computer programs showed that chronic wound were caused by a number of factors such as immobility which usually affected patients on hospital bed causing bed sores and pressure ulcers. The other factors included diabetes, trauma, poor circulation and vascular disease (Stillman, 2010). Diabetes was the major cause of developing a chronic would as statistics showed as 20-50% of people with diabetes had the risk of contracting . Wounds can also be caused by other causes namely unhealthy nutrition, ill-fitting shoes, hygiene and lack of exercises. A big number of people obtained wounds after falling. The research study used a new statistical model that combines both the wound’s size wand the time of closure. This was because it was not easy to determine the actual time that most patients would heal after they were released from the hospital. Methodist Wound Care Center just like other hospital and clinical centers released their patients after their wounds closed after giving them advice on proper preventive measures. The model analyzed the wound size against time. A graph drawn should exhibit negative correlation, that is, as time goes the size of the wound reduces in order to indicate healing. Implications Meta-analytic review of wound healing processes showed that the duration a wound took to heal depended on the type of treatment given and the size of the wound. A large number of wounds do not heal completely but only undergo a process called closure. It is therefore not easy to calculate the correlation between the size of the wound and the duration it takes to heal completely. The statistical approach therefore calculated the time of closure as the healing of the wound. Studies have shown that there are four major stages of healing. A normal would heal even before stage IV but a chronic wound that progresses to stage IV may have serious implication that may lead to amputation (Columbia University Medical Center, 2007). Stage IV is usual the wound closure as it involves formation of a new skin and scarring but it does not mean the wound is completely healed. The data analyzed showed there was a negative correlation between the time of closure and the size of the wound. The size of the wound decreased as time the patient undertook treatment increased. This was a measure that healing process was taking place. While 45% of the patients admitted in the hospital for the given period showed a healing trend, some patient’s wounds did not heal regardless of the time frame. In fact some small wounds grew in size as time progressed. The study results did not indicate a linear relationship since some wounds grew in size as time progressed while others became smaller as time increased. The study results showed a non-exponential Gompertz-type model that shows specific differences and variations in individual wound behavior. Monitoring The modified Gompertz-type model was the best for monitoring and evaluating the healing process of the wound as it applied to all types of wound (both the ones that healed and the ones that did not heal). The model has advantage over other models as it could predict the rate of healing based on the treatment and similarity of wound type. Healing involves tissue healing and wound closure. The study model monitored all the patients that had visited the hospital in the last 30 days to determine which stage of healing process they were in. Generally the healing process involved four phases namely inflammatory phase, proliferative phase, remodeling phase and epithelialization(Hess, 2005). All the wounded patients for the last 30 days were monitored and the phase they were in recorded. The wounded patients that had already visited the hospital in last 24 months were expected to be at various phases depending on the size and type of the wound. A table was thereafter recorded and graphs drawn to analyze the data in order to gain conclusive results of the study. A normal wound requires 3-4 days to be at the epithelialization phase where another layer of skin form leading to scarring (Sussman and Bates-Jensen, 2007). Some wounds take more than that depending on the size of the wound. The research study was given 30 days period in which to monitor the phases of patients wound in order to get conclusive results. A table was set up for all the wounded patients, the time they were admitted and the time they underwent all the four phases. At the end of the one month period a time table was prepared that showed the time period and the number of patients at a particular phase. How to cite Wound Care, Papers

Judgment In Nursing Practice And Education -Myassignmenthelp.Com

Question: Discuss About The Judgment In Nursing Practice And Education? Answer: Introduction The CAET ETNEP Program provides certification in the Enterostomal Therapyto the baccalaureate prepared registered nurses. The purpose of the assignment is to rate own level of competency in the practice area of Wound, Ostomy and continence using the Dreyfus/Benner Model. For each of three practice areas two learning goals will be provided that are expected to be achieved by taking the CAET ETNEP Program. The importance of this exercise prior to taking the program is also discussed. Wound In this area I would like to rate myself as advance beginner as per the Dreyfus/Benner Model. During my first experience, with my patient John, I have learnt that wound care means treating the whole patient, and not just focusing on the wound. While working with my mentor, during final year, she evaluated my skills. As per her results, I am competent in initial assessment and evaluating the wound assessment data for designing the treatment plan. However, I was not competent about interpreting different types of wound ulcers, variations in management of malignant wound and development of care plan. I was competent in guiding other nurses in wound care process. According to the Dreyfus/Benner model, a newly graduated nurse can be in this stage, aware of her legal and professional responsibility for patients but have not performed the administrative functions. At this stage a nurse will pay close attention to the performance of colleagues. However, may highly depend on the textbook accounts of patients signs and find it is difficult to measure the degree of severity and subtle variation which explains my experience (Benner, 2004)). By taking the CAET ETNEP program I would hope to achieve the competence related to- Interpreting the data related to pressure ulcer (history, wound and risk assessment) and establish a plan of care for specific ulcer Interpretation of data pertaining to malignant wound and nursing intervention related to its management Ostomy In the area of Ostomy care, I would rate myself as advance beginner, as per the Dreyfus/Benner Model. As a new graduate nurse, I am not confident completely about performing ostomy care independently. I am not student, but not even a registered nurse. During my initial years of graduation, I felt fearful of ostomy than any other surgical procedure. My experiences with mentor helped me gain intense knowledge in ostomy care. I understand the pathophysiology, anatomy of gastrointestinal system and surgical procedures associated with it. I was competent in giving personalised care and assisting in maintaining healthy active lifestyle, to one of the patient in geriatric care. He was 65 years old, with abdominoperineal resection,. I was competent in abdominal assessment, and deciding on the location of the stoma, that is easy for the patient to take care. I had learned a variety of ostomy procedure depending on the location of the disease. However, I was not competent in stoma care in different age groups as it requires different skills. According to Brykczynski (2013), Dreyfus/Benner Model, in different areas of practice a practioner may be at different levels of skills based on experience and knowledge. For instance caring for adult and young child for same illness may require different skill set. The skill model discussed by Dreyfus/Benner emphasise that more experience comes from increased grasp on particular clinical scenario, which furthers guides the nursing interactions and actions. By taking the CAET ETNEP program I would hope to achieve the following learning goals in this area- Initiate measures to mange a fistula (topical negative pressure therapy, suction, pouching system and others) Implement measures to manage and prevent peritube skin damage Continence Owing to my experience and knowledge, I would rate myself in this area as advance beginner considering the Dreyfus/Benner Model. As a new graduate nurse in this area, I am well acquainted with the general principles of continence. I can implement continence promotion and education in daily practice. I am self assured about the continence assessment. During my final year, I worked with my mentor on patient with bowel incontinence and malignancy. It was highly difficult for me to interpret data related to bowel incontinence including malignancies and fistula. However, I managed to design a care plan without help of senior nurse. I needed help of books and video tutorials for management of bowel incontinence especially antigrade colonic procedure. I was competent in researching about new nursing developments in nursing management of urinary or faecal incontinence. I failed to interpret data pertaining to urinary incontinence involving Pagets disease, in one case of male patient. According to Golnik (2014), Dreyfus/Benner Model, the centre to the logic of excellent practice, is responding about particular concern in any situation. Interventions can be better developed by clarifying the nature of the particular clinical situation. Advance beginners however, do not feel the need to look to other nurses to fulfil their responsibility. At this stage, a nurse can look for credible resources and source of information to put into use when stuck with particular clinical situation. By taking the CAET ETNEP program I would hope to achieve the following learning goals in this area- To gain competence in implementing interventions to manage urinary incontinence especially suprapubic catheterization and intermittent catheterization Manage bowel incontinences through nursing interventions such as patient training and follow up, and containment devices Importance of completing this type of exercise prior to starting the ETNEP program It is important to perform this type of exercise, prior to starting the ETNEP program to assess and document professional competencies. It is needed within the, context of changing needs in practice and education. It is important to evaluate performance, for applying the nursing knowledge effectively (Lyon, 2014). This kind of practice helps identify the areas of improvement and learning goals for future practice, as one reflects on moments from past and concrete experiences. It explains what is known and what needs to be excelled to become an expert nurse (Tranquillo Stecker, 2016). Conclusion In conclusion, Dreyfus/Benner Model is useful framework for assessing the different stages of professional growth of nurses. This model is more focused on explaining how nurses acquire the knowledge and skills required in practice. It can be concluded from personal experience that, skills acquisition is the long term process. It takes variety of clinical scenarios and engagement with patients and families. A beginner nurse is one that follows a set protocol but the expert nurse is the one who can provide most exquisite nursing care. The learning goals may help in personal transition to expert nurse, by taking the ETNEP program. References Benner, P. (2004). Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education.Bulletin of science, technology society,vol. 24 no. 3, pp. 188-199. doi/abs/10.1177/0270467604265061 Brykczynski, K. A. (2013). Benners philosophy in nursing practice.Nursing Theory-E-Book: Utilization Application, pp. 118. Retrieved from: https://books.google.co.in/books?hl=enlr=id=adLsAwAAQBAJoi=fndpg=PA118dq=Benner%E2%80%99s+philosophy+in+nursing+practice.+ots=qtcI_p581nsig=1YPbdmErrb5dkpiD2YJRiiCrTrk#v=onepageq=Benner%E2%80%99s%20philosophy%20in%20nursing%20practice.f=false Golnik, K. C. (2014). Assessment principles and tools.Middle East African journal of ophthalmology,vol. 21 no. 2, pp. 109. doi:10.4103/0974-9233.129746 Lyon, L. J. (2014). Development of teaching expertise viewed through the Dreyfus model of skill acquisition.Journal of the Scholarship of Teaching and Learning,vol. 15 no. 1, pp. 88-105. Retrieved from: https://doi.org/10.5860/crl12-349 Tranquillo, J., Stecker, M. (2016). Using intrinsic and extrinsic motivation in continuing professional education.Surgical neurology international,7(Suppl 7), S197. doi:10.4103/2152-7806.179231

Political Development

Introduction Political Development involves the use of a number of criteria to enhance political experience. Precisely, the criteria are used to improve the living standards of ordinary people in developing countries. The essay focuses on the criteria used in political development and their associated influence to the living standards of people in Third World Countries. A number of case studies demonstrating the significance of the criteria in fostering political development are also analyzed.Advertising We will write a custom essay sample on Political Development specifically for you for only $16.05 $11/page Learn More Political Development Criteria Generally, Political Development can be viewed as the constant effective increase in the potential of a system in response to social transitions and other institutions thus providing an effective communication channel between the population and the government. The development process can be undertaken in thr ee different criteria. These include: structural differentiation, system capabilities and equality tendency. The essay focuses on each of the criteria and their associated significance to the development experience and the lives of people in developing countries. Structural Differentiation It entails complicating societal relations with regard to the law concerning the increase in the diversity of peoples’ activities within the society and emergence of new interests among the diverse groups of individuals within the society. The reaction of political systems should be immediate so as to be effective. An effective political system is therefore characterised by highly specialised political institutes functionality and strong differentiation of its structures (Vasilik 2006). Consequently, the specialisation and functional differentiation level of structures yields the difference between developed and traditional political systems. The idea is based on the similar role played by both complex and simple political systems. Thus structural composition aspect forms the basis of the difference between the political systems since developed systems are more structurally differentiated (Vasilik 2006). The standardised model for socio-economics is used in measuring the relationship between economic development and structural differentiation aspect of political development. According to the model, political involvement is determined by the availability of distinct social resources in a society that bear economic significance. Participation of individuals that are highly educated and earning higher levels of income in political development far much exceeds the participation noted from the opposite group of individuals that are deemed poor and earning lower salaries. It has also been observed that rich persons having higher reputation in the society participate in politics far much more than poor people that occupy low status in the society (Yamada, Kohno Ikeda 2003). Advertising Looking for essay on political sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More Consequently, adequacy of such structural resources is dependent on their economic development level. Economic development of a nation consequently transforms the social differentiation structure of its individuals. Therefore, effective political development should be aimed towards ensuring an expansion of opportunities to guarantee mobility of labour, an expansion of training centres to escalate the number of trained labourers and an expansion of the education system that is formal. A government that implements such initiatives transforms the societal social structure. An increase in the number of learned individuals would in return increase their participation in politics thus fostering political development. Highly learned individuals consequently form part of informed personnel that can occupy higher employment levels hence earn high salar ies. Furthermore, structural political development can aim at transforming psychological perspective of members of a society to foster economic development. Structural circumstances define political actions. Internal processes and preferences of an actor fuel political actions. Political participation of members of a society is therefore dependent on their attitudes and beliefs. Consequently, Political Development should be aimed at integrating such cultures and attitudes into the political system so as to enhance political participation. Adequate access to education, media and wealth foster political participation thus enhances political development. Democracy is also fostered by modernisation. Structural differentiation therefore aims at increasing individual involvement in politics. An increase in individual participation in politics fosters political development (D’Souza 1994). Findings on the significance of political participation to economic development The study encom passed a number of societies that is Mainland China, the colonial territory of Hong Kong and Taiwan that exhibited democracy. The type of the regime played a significant role in the modification of individual behaviour of members of the societies. It was observed that the rate of economic development within the entire country was unequal since the development rate in some regions surpassed that of other regions within the same country. Disparity was noted in the distribution of psychological and socioeconomic resources in the country. The difference was attributed to the variations in economic development levels in the regions. From the study, it was evident that the level of government activities in the regions was determined by the available resources. The difference therefore enabled an assessment of the relationship between economic development and political participation.Advertising We will write a custom essay sample on Political Development specifically for you for only $16.05 $11/page Learn More The study revealed that China’s development declined as one moved from the coastal region to the mainland provinces and finally to the provinces occupying the northwest region. The per capita Gross Domestic Product range of individual counties from 1993 statistics was 1,036-48,035 Yuan. Results indicated a positive correlation between economic development in mainland provinces and the level of involvement in politics among citizens. 89.4% of individuals in developed areas confirmed participation in politics whereas 80.5% of individuals in less developed regions affirmed motive-based participation in politics. However, the results were different in Hong Kong since there was a negative correlation between the level of participation in politics and economic development. This was attributed to Hong Kong’s poorly developed electoral system. System Capabilities Political development is enhanced by an increase in the capabil ities of the political system. The capabilities include survival acts, innovation and mobilisation. Innovation capability encompasses the ability of a political system to adjust and solve emerging problems and its reaction flexibility to emerging and unpredicted issues. Mobilisation capability entails resource mobility that is both material and human. Resource mobility assumptions include: transforming unclear weights expectations into policies and solid programs, distribution and development of joint action projects, existence of political insights that can offset or adjust weights to fit into certain situations, accumulation of all the required resources and authority on the part of the leaders (Vasilik 2006). Survival capability entails the ability of the political system to implement appropriate specialised socialisation structures that will enable offsetting of the actions of revolutionists and counterculture development. System capability should conform to both the social and technological aspects. Social capability entails the abilities of private and public organisations and the support obtained from cultural and social factors. Significant elements of social capability include: expert competence, management and organisation expertise in macro businesses, ability of markets and other financial institutions to mobilise capital, stakeholders trust and honesty in the development process and the government’s effectiveness and stability in rules enforcement and fostering economic growth (Fagerberg Srholec 2008). Technological capability entails the organisational, economic and social capability required to finance big company investments in the country in a bid to foster economic development. Countries that intend to undergo positive economic development therefore have to possess the abilities (Chandler 1990). However, technological capability can also be achieved through technology exploitation and exploration like in the case of Japan.Advertising Looking for essay on political sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More Japan’s success was attributed to its ability to link technological innovations with appropriate organisational requirements. Chandler’s perspective used by countries from the West was changed by Japan from â€Å"knowledge and creation† to â€Å"scale and scope†. Absorptive capacity is the other paradigm that can be used in enhancing technological capability of a political system. This refers to the ability of the system to recognise emerging foreign information, integrating it into its system and using the information for productive purposes aimed at fostering economic development (Cohen Levinthal 1990). Further study on the applications of the various technological capability paradigms depicts technological advancements of newly industrialising countries. Technological capability in developing nations was linked to the implementation of suitable technological activities in the 1970s and 1980s. For instance, technological capability transformed Korea fr om being an impoverished nation to a global technological hub within 30 years. Three elements were considered under technological capability. They include innovation, production and investment capabilities. Absorptive capacity was used by the country in achieving technological capability. The paradigm therefore focuses on technology exploitation capability besides research and development (Fagerberg Godinho 2004). Resource mobilisation entails the use of a number of means. These include: manipulation of trade terms, inflation tax, forced savings among others. Tax is a significant factor in state capability and formation. The political dimensions of a political system and state capacity and power parameters are measured by tax as one of the key measuring instruments. Consequently, developing countries should devise appropriate tax systems that foster growth through incentives, meet demands of distribution and collect adequate revenue. According to Toye (2000), state effectiveness an d viability is guaranteed by increased revenue. Tax revenue can be used by the government in infrastructure development and effective delivery of key services that are paramount to economic development. The political system should therefore aim at developing a suitable tax system that will finance its operations thus improve the living standards of citizens. Equality Tendency Criterion for Political Development This involves individual participation in political activities. The traditional submission culture should be transformed into participation culture. The submission culture aimed at ensuring the realisation of administrative responsibilities. On the contrary, the culture of participation entails active engagement into politics regardless of the associated attitudes from distinct institutions. The transition can be realised democratically. Mandatory mobilisation can also be used to effect the transformation. Equality tendency can be achieved through enactment of universal laws that are applicable to all members of a society without discrimination and privileges. The recruitment process of various holders of different state positions should be based on the applicant’s competence rather than being hereditary or limited to a specific group of members of a given class only (Vasilik 2006). However, equality tendency can decrease the capability of a political system. Consequently, in a bid to maintain the capability of the system, the level of political representation and the expression of interests of various groups are limited. The criterion thus focuses on functional differentiation of the institutes of the political system. Political development is thus enhanced when the system integrates the social interests of different groups through deliberate consolidations, aggregating interests using political parties and enhancing political social relations by permitting the acquisition of political information by the media. There are four groups that make up performance possibilities of political systems. They include: development of institutes of the political system that is responsible for logical bureaucracy and unity of the country, global possibility that permits the integration of international standards into the system, involvement possibility that entails the creation of a civil and democratic culture and structure and distribution possibility that provides the network for welfare standards’ circulation and effective coordination among social, economic and political structures. Economic development should correspond to the following dimensions: growth should be noted in the productive capability of the society, individual living standards should be improved significantly and continuously, income and assets distribution should be broadened, health and safety conditions should also be improved, improvement in resource utility and environmental management and improvement in gender equality (Vasilik 2006). The tenets of the democratic theory used to achieve equality tendency include the principles of universal citizenship, equality, popular sovereignty, weight and legality. The political system should aim at transforming authoritarian regimes into democratic ones. This entails extending political rights to individuals of a country, establishing electoral procedures that are limited, permitting self organisation of independent political parties and extending press freedom to enable the acquisition and transmission of certain sensitive political information. Democratic regimes are effective in producing a wide range of benefits thus foster economic development. Furthermore, corruption incidences are not prevalent in democratic regimes. This makes them suitable for economic development (D’Souza 1994). After the Second World War, many developing nations have undergone a series of economic and political developments. The study on the correlation between the development processes of these countries an d the associated democracy is vital to convey the causal relationship between the two variables. Findings of the study indicate that democratic political institutions significantly fostered the process of economic development in the countries. As a matter of fact, the poor are numerous in developing nations. Consequently, successful politics in such regions is dependent on the ability of a political party to address economic development issues of such poor people. Therefore, election of such politicians into the parliament and government will guarantee enactment of laws that will enhance economic development of poor people since politicians have the propensity of gaining support and favour (De Haan Siermann 1996). Therefore, continuous economic development in developing countries coincides with the rate of democratisation. Poverty eradication programs will be implemented by regimes that rely on poor people for their survival. However, the implementation of such programs in develope d nations faces multiple challenges since it involves a lengthy process. It is also evident that democracy emerges with economic development. It is therefore effectively sustained in developed nations rather than developing ones. Basing on another study that was conducted on 135 countries for the study period that is 1950 and 1999, 44 countries remained under dictatorship. 34 countries were observed to have sustained democracy throughout the entire study period. There were transitions in the regimes from dictatorship to democratic and vice versa. Single regime change was noted in 29 countries with 2 countries changing their political regime from democracy to dictatorship and 27 changing from dictatorship to democracy. Double regime transition was noted in 12 countries. The countries that experienced 3, 4, 5 and 6 regime transitions were 5, 5, 3 and 2 respectively. One country that is Argentina experienced 8 regime transitions within the study period (Brass 1986). Results indicated t hat dictatorship regimes faded under a number of circumstances. For instance, some dictatorship regimes collapsed during economic crises whereas others fall as a result of economic development of a country. International forces were also responsible for the crumbling of some dictatorship regimes. However, empirical results indicate that democracy survived in countries that exhibited an increase in economic development and failed in the case where a country’s prosperity either stagnated or declined. With regard to income distribution, a decrease in the income ratio of top-to-bottom individuals of a country enhanced survival of democracy. In summary, democracy fosters economic development since it guarantees effective allocation of resources to all parts of a country (Patti Navarra 2009). Democracy also exhibits effective utility of the allocated resources. This fosters economic development in the country. Political Development should be centred towards establishing democracy regimes to guarantee appropriate resource allocation especially to the disadvantaged regions of a country. Transparency and accountability are also enhanced under democracy regimes rather than dictatorships. Consequently, there is a high chance that a country that adopts democracy as a tool for attaining equality tendency improves the living standards of its citizens (Bardhan 1999; Bardhan 2005). Reference List Bardhan, P 1999, ‘Democracy and Development: A Complex Relationship’, in I Shapiro C Hacker-Cordon (eds), Democracy’s Value, Cambridge University Press, Cambridge, p. 93-111. Bardhan, P 2005, ‘Institutions matter, but which ones?’, Economics of Transition, vol. 13, no.3, pp. 499-532. Brass, PR 1986, ‘The Political Uses of Crisis: The Bihar Famine of 1966-1967’, The Journal of Asian Studies, vol. 45, no. 2, pp. 245-267. Chandler, AD 1990, Scale and Scope: The Dimension of Industrial Capitalism, Harvard University Press, Cambridge (MA). Cohen, W M Levinthal, DA 1990, ‘Absorptive Capacity: A New Perspective on Learning and Innovation’, Learning and Science Quarterly, vol. 35, no.1, pp. 128-152. De Haan, J Siermann, C 1996, ‘New Evidence on the Relationship between Democracy and Economic Growth’, Public Choice, vol. 86, no. (1-2), pp. 175-198. D’Souza, F 1994, ‘Democracy as a cure for famine’, Journal of Peace Research, vol. 31, no.4, pp.369-373. Fagerberg, J Godinho, MM 2004, ‘Innovation and Catching Up’, in J Fagerberg, D Mowery R Nelson (eds), The Oxford Handbook on Innovation, Oxford University Press, Oxford, pp. 514-544. Fagerberg, J Srholec, M 2008, ‘National innovation systems, capabilities and economic development’, Research policy, vol. 37, no.9, pp. 1417-1435. Patti, DMA Navarra, P 2009, ‘Globalization, democratization and economic growth’, Applied economics letters, vol. 16, no.7, p. 731-734. Toye, J 2000, â₠¬ËœFiscal Crisis and Reform in Developing Countries’, Cambridge Journal of Economics, vol. 24, no.1, pp. 21-44. Vasilik, MA 2006, ‘Political Development: Concept and Criteria’, Political Science. Web. Yamada, Y, Kohno, M Ikeda, K 2003, Influence of Social Capital on Political Participation in Asian Cultural Context, Asian Barometer, Taipei. This essay on Political Development was written and submitted by user Jennifer Z. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Of Miles Davis

Of Miles Davis By Willam Ford The poem is talking about the jazz great Miles Davis. In stanza one it says â€Å"The pop out eyes belonging to Baldwin but are sadder meaner , more direct In their accusations against us† In my opinion it is talking about a person who is holding in a lot of hurt and problems, and he is hiding his problems from the people who enjoys him. In stanza two it says â€Å"The French have given him a medal and assigned him Picassio’s genius. In the third world he outsells Bird (Charlie Parker).† It is basically saying that Miles Davis is the best and makes more money, or draws more of a crowd than Bird. In stanza three the poem states† Costumed tonight in a showering tent of silver, he stands under the spot Head crooked , glasses as dark†. It is saying that once again he is covering up a problem to hide it from his audience and his eyes are covered by dark glasses because if they weren’t people would know what the problem is that he is trying to hide. In stanza four it states â€Å"As eyes of! Tiresias He’s blowing a funky put-to-gether Bouquet of malvolent flowers.† It is saying that when he is blowing his instrument his eyes stand out like the great Greek god Tiresias. Then it talks about a funky put together, it means that his music is one of a kind and it then talks about a Bouquet of malvolent flowers. In my opinion it is saying that his music is beautiful but fading because of continued dug use. In stanza seven the poem states that â€Å"As from the devil hisself the whole sound shaking with a cocaine jumpiness He says he finally did kick.† I think it is saying that his music is changing because he has finally gave his problem, which kept him costumed and kept his eyes covered with dark glasses. In stanza eight and nine it says â€Å"And yet here and there, we hear it , That muted horn from kind of blue almost as slow, almost that orchidaceous.† I personally think that it is saying that ever... Free Essays on Of Miles Davis Free Essays on Of Miles Davis Of Miles Davis By Willam Ford The poem is talking about the jazz great Miles Davis. In stanza one it says â€Å"The pop out eyes belonging to Baldwin but are sadder meaner , more direct In their accusations against us† In my opinion it is talking about a person who is holding in a lot of hurt and problems, and he is hiding his problems from the people who enjoys him. In stanza two it says â€Å"The French have given him a medal and assigned him Picassio’s genius. In the third world he outsells Bird (Charlie Parker).† It is basically saying that Miles Davis is the best and makes more money, or draws more of a crowd than Bird. In stanza three the poem states† Costumed tonight in a showering tent of silver, he stands under the spot Head crooked , glasses as dark†. It is saying that once again he is covering up a problem to hide it from his audience and his eyes are covered by dark glasses because if they weren’t people would know what the problem is that he is trying to hide. In stanza four it states â€Å"As eyes of! Tiresias He’s blowing a funky put-to-gether Bouquet of malvolent flowers.† It is saying that when he is blowing his instrument his eyes stand out like the great Greek god Tiresias. Then it talks about a funky put together, it means that his music is one of a kind and it then talks about a Bouquet of malvolent flowers. In my opinion it is saying that his music is beautiful but fading because of continued dug use. In stanza seven the poem states that â€Å"As from the devil hisself the whole sound shaking with a cocaine jumpiness He says he finally did kick.† I think it is saying that his music is changing because he has finally gave his problem, which kept him costumed and kept his eyes covered with dark glasses. In stanza eight and nine it says â€Å"And yet here and there, we hear it , That muted horn from kind of blue almost as slow, almost that orchidaceous.† I personally think that it is saying that ever...

Evidence based practice Research Paper Example | Topics and Well Written Essays - 250 words

Evidence based practice - Research Paper Example However, to generally change the behaviors of all the nurses including those who are off-duties, the following measures will have to take place immediately: Rebuilding the frame work Every organization has structures and policies that form a frame work which guide employees’ behaviors. Therefore, it is crucial to re-evaluate these structures to ensure the framework supports the new desired employees’ behaviors. The ways employees do their business, it involves interacting with each other which is more difficult to change and therefore a good starting point is to answer the question ‘what does excellence in the new behaviors look like’. Clearly demonstrating key indicator tells employees where to aim in terms that it is specific and clears (Pbert et al, 2014). Even the most harmless change can be misinterpreted by employees, therefore the most appropriate way to ensure success is to see how the behavioral changes unfold. This involves following up and regulating progress frequently. To engage the employees in the initiative changes programs. This is to let the employees ‘own’ the changes; employees need to participate by providing opinions of what they feel need to be addressed, not all ideas need to be accepted but at least they feel their ideas have been heard and considered (Sailor, 2009). The assessment should always be done in my presence and a signature or the approved works must be there. In conclusion, this paper has helped even other managers and employees who had no ideas of what they were expected of in their work place. These four actions can turn the odd of success in your

Business Valuation of Tesco Research Paper Example | Topics and Well Written Essays - 1000 words

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United States View on the Cold War Research Paper

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Review Of Cruise Tourism And Malaysia Tourism Essay

Review Of Cruise Tourism And Malaysia Tourism Essay Cruise Tourism is one of the major growth areas of world tourism Peisley, 1992; Hobson, 1993; Cruise Lines International Association, 1995. According to the Economist Intelligence Unit: There seems little doubt that, by the turn of the century, cruising will be firmly established as one of the worlds major tourism industries with significant markets in North America, the UK, Europe and Asia. The total number of annual passengers will have reached 8 million plus Cruising is the fastest-growing sector of the international holiday scene (The Passenger Shipping Association, 2003). Cruise tourism can be defined as the use of ships for pleasure cruising and not merely for transportation (UNWTO, 1997). Ocean and coastal cruise tourism is unique in the manner in which it provides a combination of transportation, accommodation, entertainment, retail and destination services. Cruise liners can be regarded as floating resort facilities, which have the major advantage of seasonal repositioning. From its predominantly Caribbean base, cruise tourism has spread across the world, increasing ports of call in all regions. As well as this, river and canal cruising has grown rapidly, particularly in Europe and China. The cruise industry is growing, expanding and accessing new markets by, in part, bringing into reach a diversity of popular and successful destinations that are new for cruise tourism, by exploiting previously under-utilised ports (Younger, 2003). 2.1.1 The cruise industry The growth of the cruise market throughout the world, and perhaps more notably in the United Kingdom (UK) has been one of the most remarkable phenomena of the 1990s (Wild Dearing, 2000). The cruise industry is the fastest growing segment of the travel industry achieving more than 2,100 percent growth since 1970, when an estimated 500,000 people took a cruise. Industry estimates are that 13.5 million people took a cruise vacation in 2009, with a total of 14.3 million passengers forecasted to sail in 2010. (Cruise Lines International Association [CLIA], 2010). In early 2001, 64 new and larger capacity ships were in production, expanding passenger capacities by 35%. More than 50% of these ships are dedicated to the United States tourism market and are now operating throughout the Caribbean (Sparrow, 2004). The cruise industrys growth is also reflected in its expanding guest capacity. Nearly 40 new ships were built in the 1980s and during the 1990s, nearly 80 new ships debuted. By the end of 2009, over 100 new ships were introduced since 2000, with 12 new vessels on the way for 2010. (CLIA, 2010) These new vessels carry more passengers, more crew, generate more waste and consume more goods and services. 2.2 Theoretical Framework According to Weaver and Oppermann (2000), tourism is a complex phenomenon involving many actors and interactive factors. Some of the actors are tourists, tour operators, cruise lines and airlines. To be able to understand the complicated nature of the tourism industry, a system based approach is suitable. Leipers tourism model can be used as the theoretical framework as it views tourism as a form of a system in which there is an operational structure built up of interacting components. Leiper who was an early supporter of the adoption of a systems approach towards understanding tourism defined tourism as: . . . the system involving the discretionary travel and temporary stay of persons away from their usual place of residence for one or more nights, excepting tours made for the primary purpose of earning remuneration from points en route. The elements of the system are tourists, generating regions, transit routes, destination regions and a tourist industry. These five elements are arranged in spatial and functional connections. Having the characteristics of an open system, the organisation of five elements operates within broader environments: physical, cultural, social, economic, political, technological with which it interacts. The components of the tourism system are shown in the model below (fig 1.1). This whole tourism system approach helps to organise our knowledge about tourism and its relationship with cruises. Leipers approach was to try and understand destinations, generating areas, transit zones, the environment and flows within the context of a wider tourism system rather than seeing them as separate independent entities. In the model there are three interactive components: (i) the tourism generating region, (ii) the destination region and (iii) transit routes which link the two regions. It is evident that transport forms an integral part of the tourism system by linking the tourist generating and destination regions together. Collier (1994) classifies tourism transport on several bases (e.g. public or private sector transport, water/land/air transport; domestic and international transport and mode of transport). Cruise tourism is considered as a system in which cruisers and operators are major actors. The tourism-generating region and the destination region are linked together through cruising which is also a tourism product. This makes cruise ships a unique form of tourism transport. People go on a cruise more than they go to a place. And yet their major competition is not other forms of transport but real places. As Morrison et al. (1996: 15) put it: Instead of competing with the airlines, the cruise lines have become their partners and now compete with destinations, resorts, and other vacation alternatives. The cruise ship itself has become a floating resort providing the maximum possible leisure and entertainment facilities. However Leipers model has been criticized for being simplistic (Prosser, 1998). Prosser provided a more detailed model that, he claimed, represents more effectively the inner complexities of the tourism environment. 2.3 SWOT analysis for Mauritius SWOT is an acronym where the letters stand for Strengths, Weaknesses, Opportunities and Threats. It is a commonly used analytical tool in business environments that has become firmly established in the literature of strategic management (Evans, et al. 2003). A SWOT analysis is a useful way of assessing the situation that a destination faces in its effort to develop cruise tourism. . According to Weihrich (1982), the SWOT analysis is the process of analysing organisations and their environments based on their strengths, weaknesses, opportunities and threats. This includes the environmental analysis, the process of scanning the business environment for threats and opportunities, which is considered as external factors, and the organisational analysis, the process of analysing a firms strengths and weaknesses as internal factors. Internal factors Strengths Weaknesses A strategically located port in the Indian Ocean Capacity and Infrastructure constraints- too few berths Safe and wonderful tourism destination Cyclonic period during the months of November to May Pleasant climate practically whole year round Nautical constraints- For many big cruise vessels at the same time Variety of land-based and water-based attractions Poor maintenance of beaches and attractions A great variety of cultures Low awareness in the market about cruise tourism in Mauritius Relatively good basic structures(hospitals, roads) and a good transport system Mauritius considered as an expensive destination and not within the reach of many World class quality services by Tour Operators, Hotels, Restaurants, and Travel Agents. Poor service at the port and untrained staff Minimum formalities on arrival of cruise vessels Poor road links to certain location and place of interest Lack of industry cohesion No strategic plan at MPA and MOT level External Factors Opportunities Threats Estimated two million tourists by the year 2015 Seasonality of the industry Brand name- Ile Maurice un plaisir Threats by terrorists and Somalian Pirates The cruise market Potential is strong for Regional/ International growth Competition from other exotic tourism destinations Improvement of physical infrastructure including adequate parking facilities at places of interest and other recreational areas Likely increase in oil prices affecting cost of travel Political stability of market of origin Economic uncertainty- late bookings and close-to-home cruises to avoid expense on flying Air network expansion facilitating Fly-cruise concept Strong growth of European demand (German, French and Spanish markets) 2.4 Sustainable development issues of cruise tourism: Although a relatively new phenomenon, tourism has become one of the worlds largest industries in recent years. According to the World Tourism Organization (WTO, 2004), sustainable tourism development meets the needs of present tourists and host regions while protecting and enhancing opportunities for the future. In 2008, International tourism arrival reached there were 922 million worldwide, with a growth of 1.9% as compared to 2007. (WTO) Given its total significance, it is not surprising that the tourism industry has a substantial environmental impact. In particular, tourism development is associated with environmental problems like deforestation, soil or beach erosion, and coral ecosystem destruction. Since tourism development also tends to result in rapid urbanization, it can contribute to such problems as increased air and water pollution, as well as inadequate solid waste management (Baver and Lynch 2006, 5). The scale and gravity of these impacts tend to be amplified in the Caribbean, where the environment comprises some of the most fragile ecosystems on earth, including beaches, coral reefs, and tropical forests (Lynch 2006, 158). When sustainable tourism has been applied to the industry, more emphasis has been given to tourisms effects upon the environment and economy, rather than to factors related to its effect on communities (Hardy et al, 2002: 491) Cruise tourism is currently going through a period of revival with new vessels being launched and sailing to ever more exotic places. Criticisms Hunter (1997) argues that different interpretations of sustainable tourism are appropriate urder different circumstances. The study of sustainable tourism should not be a rigid framework, but an adaptive paradigm which legitimizes a variety of approaches according to specific circtimstances (Htinter, 1997: 851).

One Flew Over the Cukoos Nest: Every Person is Different :: One Flew Over Cuckoos Nest

One Flew Over the Cukoo's Nest: Every Person is Different In this world there are millions upon millions of people that roam around the earth in there own special, little life. Every person is different than the next one and he or she has their own personality. Each person also deals with life differently than the next. If everyone was the same, then we would be like one giant colony of ants. Just following the ant in front of us, and everyone looking the same as the next. Not having any of there own ideas or thoughts of what to do and how to do it. Some people are what you may call "normal", some are depressed, some are mentally ill, and some are just plain old crazy. In the book One Flew Over the Cuckoo's Nest, written by Ken Kesey, the author shows how people can act so differently and have different ways of dealing with their problems. The story is narrated by Chief Bromden who is thought to be deaf and dumb. He tells of a man by the name of R. P. McMurphy, who was a con man, and was convicted of statutory rape. He told the officials that, "she was 18 and very willing if you know what I mean."( ) He was sent to a work farm, where he would spend some time, working off his crime. Since he was so lazy, he faked being insane and was transferred to a mental ward, somewhere near Portland, Oregon. On his arrival he finds some of the other members of the asylum to be almost "normal" and so he tries to make changes to the ward; even though the changes he is trying to make are all at his own expense. As time goes on he gets some of th e other inmates to realize that they aren't so crazy and this gets under the skin of the head nurse. Nurse Ratched (the head nurse) and McMurphy have battle upon battle against each other to show who is the stronger of the two. He does many things to get the other guys to leave the ward. First he sets up a fishing trip for some of them, then sets up a basketball team, along with many smaller problems and distractions. Finally Nurse Ratched gives him all he can handle and he attacks her.

Compare the Methods Used to Distribute Two Selected Products and Services Essay

In this report I will be comparing methods used by two different retailers on how they distribute two chosen products, of my choice, in two different retailing sectors. Seeing as the food and clothing sector both have very different styles of how they meet their product requirements, I will compare Tesco and JD; The products from these two companies itself that I’m going to compare is ‘Tesco Value Bread’ and Nike hoodies. For the food retailing sector (Tesco) there are many different departments that address what type of design is necessary for the distribution chain, the types that are available for a company such as Tesco is: frozen, chilled, and fresh foods, with packed goods too. However, for the clothing sector (JD) for a product like Nike hoodies JD need to consider various things like amount of the specific product they want, how they’re going to get them (whether it’s overseas or not) and will they have enough to reach customer demand, etc. Tesco have manufacturers that mass produce products such as their ‘Tesco Value Bread’ to keep up with their customer satisfaction in quantity. The goods travel from the manufacturer to the actual retailer (Tesco) and from there it’s sold directly to the customer for their consumption or any other need. However, for the Nike Hoodies to get to the customer Nike have to go through additional steps to get their item out on the market. As always, the product, in this case Nike hoodies, start off being massed produced by the manufacturer, which then get sent off to the wholesaler- which would be Nike; After all of this the final adjustments are done to the good (Nike hoodie) it’s sent to retailers, mainly abroad, for them to sell it directly to the customers. These two products production processes are quite different as they go through different their production quality is very different. Plus, the amount of time it takes to produce each product differentiates from the two also. The only main similarity they really have is the delivery procedures that take place; this could mean the shipping costs, the quality of transport and what’s expected. There are more outgoing costs in the production process for the Nike hoodies than the ‘Tesco Value Bread’ as the clothing’s going to more places, and costs a considerable amount more to make than the bread. The warehousing locations used to hold the goods (the food and the clothing) may be identical in size but the number of locations is most likely different. Because of the fact that the Nike hoodies are bigger in size compared to the ‘Tesco Value Bread’ one may be lead to believe that Nike have purchased/hired out a lot more warehouses to contain their goods compared to Tesco. On the other hand, even though Nike may seem to have more warehouses than Tesco it doesn’t necessarily mean that they sell more, as there are different levels of demand for both the products. Nike promote their hoodies through a lot of ways; Nike use mainly advertisements through the web, television and advertisements through shops-most of the time their own shops. They mass promote their Nike hoodies, whether they’re new releases or just old hoodies that need to go. Through companies like JD that sell Nike hoodies most of the time they put the hoodies on sell to promote the product further and make it more appealing to the customers that may want to purchase it. Tesco, to some extent, do in fact the same thing in regards to reduced cost methods but it isn’t even close to comparable when looking at how much of the total cost of the two items I’ve chosen are; for example: ‘Tesco Value Bread is around 45p, Tesco could suddenly decide to reduce it to 37p, there’s an 8p difference. JD however, sells Nike hoodies for around  £60- £70, they could choose to reduce it to  £30, and the difference would be ? 30-? 40. Now, the overall difference between the bread and the Nike hoodie is about  £29.92- £39.92; clearly looking at the statistics there’s a massive difference. Nike as a massive retailing company would find it easy to sell their Nike hoodie merchandise as they’ve already built up their reputation across the globe as to how much quality and various other reasons why the customer should buy their Nike hoodies; just like Nike, Tesco have also built up a fearsome reputation on the market for selli ng their goods at reasonably cheap prices that appeal to majority of people. Nike also have a wide range of the target market that they aim their products at, however, Tesco have more of a range on their goods, like their ‘Tesco Value Bread’ are aimed at pretty much everyone and anyone that wants cheap bread, but mainly targeted at a family orientated customer. Comparing Tesco and Nike to offers that occur after a trade/purchase is a really one sided comparison. Tesco excel the most at keeping their customers loyal and retained through keeping them updated on new offers/things that will benefit them greatly. Tesco are mainly known for their Clubcard points, the Clubcard points can be added up to give them a nice discount from their next exchange with Tesco, which again ensures that they always come back- it’s like a cycle. Currently Nike is trying their best to retain their customers. Nike aren’t that well known for trying to keep their customers loyal and retaining them but they’re slowly but surely increasing that weakness and turning it into a strength, just like how Tesco have. In conclusion, I have listed, explained and compared the methods that Tesco and Nike have/currently used to distribute their specific goods that chose, which were; ‘Tesco Value Bread’ and Nikes’ hoodies and how they impacted the market. I have also addressed their target market and how this may affect how they portray their company in order to distribute their goods.

The “New World” Explorer

A common instrument of writers is to explore a terrain or new culture through the eyes of a stranger.  Ã‚   A stranger would seek to explore and discover all the facets and aspects of his new environment.  Ã‚   On the other hand, to introduce the world through the eyes of a resident becomes dull in time as the resident, having been familiar with most of the workings of his world, would leave much of it that is not within his immediate vicinity unmentioned or unsaid. In both the stories Benito Cereno and Daisy Miller, the protagonist is an American.  Ã‚   He also has had some familiarity of his environment, but not enough not to make him less of a stranger. This identity is beneficial, as the United States is psychologically set apart from the traditions of Old Europe, and even that of Spanish America.   The protagonists suddenly become pioneers, in their attempts to discover more of their immediate strange and unfamiliar territory.  Ã‚   This â€Å"New World† effect is more enhanced as outside of the limited perspective of the protagonist, the author carefully and quietly arranges appropriate symbolisms of object, expression and style to give a subtle reference to the traditions, American for Henry Melville, and European for Henry James. The immediately recognizable symbolism seen by the protagonists in Benito Cereno and Daisy Miller is represented through the symbolism of object.  Ã‚   These are embodied in concrete landmarks that have deeper context in their respective traditions.  Ã‚   In 19th century America, in Benito Cereno the landmark was the ship of the Spaniard, the San Dominick.  Ã‚   The ship embodies the restless, pioneering spirit, which first brought Europe in contact with the Indians of the Americas; it later becomes the lifeblood of the European colonizers, particularly the Spanish, in the form of the Galleon Trade and the Slave Trade.  Ã‚   It is therefore noteworthy that San Dominick represents both institutions in its housing both treasure and African slaves (Melville, 140). Henry James’ Daisy Miller depicts the landmarks as the landscape of the mountains across the Vevey lake, the Chateau de Chillon, and the Colosseum.  Ã‚  Ã‚   The castle represents the hundreds that dot Europe’s country, having been once the social and cultural centers from Medieval times even to the 18th century, when ruling families and aristocrats reigned in lavish palaces and mansions.   The Alpine mountains are a sight common in southern Europe: from Switzerland, Italy, southern Germany and Austria, and is reminiscent of its kin west in the form of the Pyrenees.   The use of French, from terminology to architecture, represents the dominant influence of the French since the Enlightenment, and the imagery of Rome—from cobbled streets to Colosseum likewise symbolize the preservation of Europe’s antiquity throughout its reverting to contemporary times. The fear depicted in both works, meanwhile, are symbols of expressions that, in their descriptions, also indicate the respective mindsets of the peoples of those times: for instance, in the period of Benito Cereno, the threat of piracy was a very real danger encountered by any captain.  Ã‚   The ship was the lifeblood of trade between nations, and in Spain’s case between Empire and colonies. Captain Delano’s spasms of panic at the possibility of the Saint Dominick crew being pirates were understandable. Social etiquette was at the center of the â€Å"gentleman’s world† in European social circles.  Ã‚   The fears were more directed at what harmed this â€Å"social order†: scandal.  Ã‚   Thus, in Daisy Miller, the growing fear in Daisy’s open associations with men of questionable character was that it fomented a scandal among social circles, as behavior that openly defied social norms. Discrimination also plays a substantial role in the fears, which feeds off the protagonists. Captain Delano’s worries are fed by the liberal actions of the Spanish captain towards the various incidences pointing to the African’s seeming â€Å"equality† with the Spaniard—the unpunished abuse by a slave boy towards a Spanish counterpart, the reactions of two slaves upon the brusque action of one Spaniard and the treatment of the African slave-prince Atufal’s defiance (Melville, 166).   Winterbourne’s fears are borne from the disapproving observations of the women of Daisy’s associations, as is described in Daisy Miller, as well as her habit of going out at night with a total stranger—once attempted with Winterbourne, then actually acted on with Giovanelli. The symbolism of structure and style is one that can be discovered after the second and third reading.  Ã‚   It gives the reader an indication of whether, like the American tradition, the narrative is one linear and direct and practical or uses subtle undertones, as is done in European cultures.  Ã‚   In Benito Cereno, the paranoia of Captain Delano grows through different images: the sight of the Ashantee slaves with their hatchets (Melville, 161), the comings and goings of members of the Spanish crew (151, 153), and the hushed conversations of his host and the African aide (153). When the ruse is finally discovered, the resolution is swiftly conveyed through an American expedition (189-192). In contrast, European literal tradition is more reflective and focuses on the varying subtleties of movement and speech.  Ã‚   The resolution, then, is less clear if the layers of meanings of the scenes that preceded it was not easily understood.  Ã‚  Ã‚   It was therefore, in Daisy Miller, through the careful study of the exchange of words between Winterbourne and Daisy in Chateau de Chillon leading to her sudden change in demeanor, her unforgiving chidings of Winterbourne in Rome of his final words to her in Vevey, and the confrontation between them in the Colosseum, could the tragic final scenes be clearly understood. Works Cited References Melville, Herman.   Billy Budd, Sailor and Other Stories.   New York: Bantam Books, 1984. Electronic Sources James, Henry.   â€Å"Daisy Miller†.   Daisy Miller by Henry James.   February 2001, Project Gutenberg, 02 May 2002 .