Visual Merchandising window project for Matchesfashion Essay

Visual Merchandising window project for Matchesfashion - Essay Example The scent inside is fresh and natural together with well-ventilated light ceilings makes it a perfect environment that makes one feel free and comfortable to shop. Matches Fashion Store has a target of fashion ladies together with stylists and models who live in Marylebone. Their VM design is in a way that updates the fashion blogs in a fashion style from a collection of visuals. The VM inside the store brings about the creative environment for the attendants, picture impressions and even pet fittings which make it diversified in meeting the needs of customers together with their pets. The dressing and walking area is spacious enough to allow perfect decoration and styling. Customers get a clear view of the favorite designs as they walk around the shop. Matches Fashion has held different events that seek to advertize it, but they are carefully not to overspend and strain their budget on advertising. Matches Fashion has held advertising done with pageant auditions, using the web and also online promotion with â€Å"face book† and twitter accounts to collect fans and followers respectively. Magazines of Matches Fashion are found in the shop that showcases the shop and its variety of fashions. The focal point is normally found just below the level of the eye slightly away from its center and Matches Fashion have its display windows raised meaning the eye level will be lower. The accessories here fall below giving a perfect display of the store. Just from the other side of the street, an individual can have a vivid view of the shop on the other side from a deflection angle which allows one to look into the shop. In the window; Matches Fashion has slid fragmented glass windows, the walls and pillars are made of bricks. They are well balanced on each side that creates attention and makes the eyes explore. The accessories section is placed forward for easy access and testing. The design of the windows and the

Strategic Accounting Assignment Example | Topics and Well Written Essays - 2500 words

Strategic Accounting - Assignment Example Quality costing should therefore be understood as the cost of not producing a product, which bears the above components that gauge a quality product or service (Thompson, 2010). The aspect of quality cost arises from the third era of quality where it emerges as a tool of quality assurance with its main goal being to avoid problems, by giving room to coordination of activities. Quality control as a technique of management accounting has been improved over time through the contribution of various scholars, who added in more knowledge and insight to quality control. Crosby initiated the aspect of quality testing through inspection, quality management, quality assurance and improvement (Kilger, 2002). Deming on the other hand shared his contribution by introducing the aspect of companywide quality control, which was later revised by Juran through his total quality management technique (Nokes, 2000). Quality costs are mainly understood in four major groupings which are commonly referred t o as the four types of quality costs. Prevention costs is a type of quality control and is considered as generally the most effective way to manage quality costs and avoid defects of products and services (Sadler, 2003). Prevention costs hold on a projection that it is better to prevent a defect from occurring at the first place than to correct it when it has already occurred, as it tends to be more expensive. Prevention costs make use of control activities such as statistical process control, quality engineering and training, which reduce defects. Prevention cost as a type of quality control also takes in activities relating to quality control, which consists of people who meet to discuss and solve quality problems. Statistical quality control as an activity of quality control is used to detect whether a specific product or service is in or out of quality (Samset, 2010). Prevention costs therefore take in the perspective of all activities that are designed to prevent the initial po or quality of products and services (Commission for local governance, 2000). Appraisal costs are also referred to as inspection costs and are incurred by an organization with the aim of identifying defective products in the production process, to make sure that defective products are not shipped to customers. Appraisal costs have the purpose of inspecting the production process and ensuring defective products are identified and eliminated. Many organizations however look at appraisal costs as expensive and ineffective to customers (Cadez, 2008). Other than employing appraisal costs, many companies encourage customers to be increasingly responsible for their own quality control through designing products that allow simple manufacturing, which gives a chance for quality to be built into the products (Morden, 2012). Internal failure costs on the other hand refer to cots incurred internally when a particular product fails to conform to design specifications that had been identified init ially. Internal failure

Issues in Adult Learning Programmes

Issues in Adult Learning Programmes CHAPTER V: DISCUSSION OF FINDINGS Introduction This section shows a synopsis of the results, implications and conclusion of the research, and afterward gives proposals to further research. At the outset, the research was to explore whether certain demographic social-economic variables affected the view and experiences adult learners received at a further education institution. Rather than observing the adult learner through a universal philosophy of one best approach, this research tried to decide the level of discrepancy in the perception of adult learners across different areas of teaching and learning. Discussion The running of adult education is a massive industry of huge significance to the UK. As rivalry increments in the industry it will turn out to be progressively imperative to take part in wide-ranging customer research. In this way this research was intended to test the observations and encounters of adult learners on a further education course. The research uncovered a few issues that assumed a part in their choice to study. The most alluring bait was the chance to gain a qualification. Further inspirations included local further training, chance to create and enhance basic skills it was uncovered by those individuals who left school with no formal skills. In addition, the results likewise uncovered that learners were inspired to learn for own development. They saw learning process as an experience which developed them personally and mentally. They are happy about new ways of thinking and moving themselves into the digital age, which empowers development and freedom. For a few adult learners, this was their first time into adult education. They felt an increase in self-assurance and pride in what they have accomplished. Adult learners look at a bigger picture, seeing learning as a long haul asset in professional success and deep rooted self-awareness. Adding to their point was they see education as mode to expand and develop their ability for thinking and acting locally and nationally so as to improve the capability of their life directions. Learning accomplishes more than academic improvement and self-awareness. As highlighted by majority of the students it also enhances their employment prospects. The research shows that for adult learners, a further education college is a site of important learning that goes past vocational planning. The learners in this research felt they had changed considerably as a consequence of their involvement. Practically every one of the learners given a questionnaire and those taking part in focus group were extremely happy they had returned to FE and said that they had an exceptionally positive experience in spite of challenges with finance, juggling other responsibilities and assessments. Most came to FE as a result of the level and structure of the course(s) on offer or in view of the adaptability of the course to address their wants. Some were obligatory to go to the course through their job advisor at the Job Centre. The participants in the research offered some reasons why they chose to come back into education. Not having worked or being struck in an unsatisfying job, becoming unemployed and a yearning for a qualification were ordinarily expressed purposes behind the choice to go back into education. There were as well other factors, for example, children grown up or started school that allowed learners to come back into education; suggestions from friends and family also helped. Noteworthy too was some affinity for learning and education and, by and large, a long-held desire to go back and an inclination that they had missed out a major opportunity by not seeking education earlier. The focus group, nonetheless, uncovered that there were other complex inspirations best comprehended with regards to the individuals life. The research was carried out in order to look at whether certain demographic social-economic variables such as age, gender, ethnicity, mandatory/voluntary attendance, and children at home influenced the perception of adult learners concerning their experiences at an FE institution. Findings in this research recommended that there was a considerable connection between the age of an adult learner and whether it had an impact on their perception when it came to their educators providing feedback. In this research, it creates the impression that the older the learner, the more prominent the probability that respondents were more favourable to the different parts of teaching and learning than young learners. Findings in this research are consistent with past research, which recommends that while all learners require help with evaluating their learning, many adult learners feel uncertain about their learning capacities, and need direct and significant feedback (Clardy, 2005). The literature is full with conclusions that feedback helps to reinforce the learners recently learned knowledge, and also give recommendations to change (Knowles, 1984; Merriam and Caffarella, 1999). Learners need acknowledgment about their learning in the event that it is viewed as well done; if correction is given, it additionally adds to their change (Knowles, 1990). The older adult learners become the more they want thorough and consistent feedback (Lowry, 2006). This research uncovered that those learners in the older age groups (between the ages of 46 and 55) were less happy with feedback received from educators than learners in the younger age groups (between the ages of 25 and 35). There was no major relationship found between the age of the adult learner and whether age impacted learners perception when it came to the remaining aspects of teaching and learning. There is a lot of research literature with information about the relative impact ethnicity has on adult development and perception (Merriam and Caffarella, 1999), and that numerous minority learners encounter trouble learning in situations developed inside an ethnic model not the same as their own (Chavez and Guido-DiBrito, 1999). Findings from this research reinforce past research writing that adult learners ethnic origin affected their perception concerning whether their educators had made the learning interesting. Contrasts were found among the ethnic groupings; most remarkably amongst White British and Asian learners. In such manner, the information in this research showed that White British learners were the most happy with how their educators made the learning interesting; while Asian learners were the least pleased. In the rest of the research, there was no major relationship found between the ethnicity of the adult learner and whether it impacted learners perception when it came to the remaining aspects of teaching and learning. Past research suggests that there are gender related examples in how both genders perceived the importance of their learning experiences (Merriam and Caffarella, 1999). While looking at the gender variable, findings in this research demonstrate that gender impacted the learners perception when it came to the Quality and accessibility of the learning materials. Male learners were less happy with the quality and accessibility of the learning materials than females. Existing writing on this subject demonstrates that adult learners learn in a range of ways (Knowles, 1998); subsequently, adult learners should be provided with methodologies to adjust the learning materials to suit their individual learning styles. Variety of materials can increase the adult learners interest, inspiration and fulfilment with their instructional experience. In the rest of the research, there was no major relationship found between the gender of the adult learner and whether it impacted learners perception when it came to the remaining aspects of teaching and learning. When looking at literature relating to mandatory or voluntary attendance (initial assessment), the data suggested that the initial assessment affected the view in how learners perceived learning and how there educators understood them. In such manner, adult learners who volunteered to come back into education were more positive to specific parts of learning than the individuals who were mandated to attend. In all aspects of teaching and learning those who came into education on their own accord were happier and more motivated in their learning. This is illustrated in existing research which shows that unemployed learners on a mandatory government funded course are less happy and less motivated. Findings in this research showed that there were significant variances in the perception of learners who were married rather than the individuals who were single. The information found in this research back the accompanying arguments; the marital status of learners impacted their view of their educators knowledge of the subject matter. Single learners were the happiest with their educators knowledge of the subject. Separated or divorced learners were somewhat less satisfied, and married learners were the least happy with the educators knowledge of the subject. The percent distributions of learner response, as categorised by marital status can be found in Table 1 of Appendix. Past research literatures demonstrate that educators information of the subject is thought to be the fundamental trait for effective teaching and learning (Knowles, 1990). With the end goal for learners to assemble their own particular information, their educators must have a thorough comprehension of significant ideas in the subject they teach (Cross, 1987). Adult learners enter their education experiences with previous knowledge and experiences they have collected over their lifetimes. When adult learners learn something new, they try to integrate it with their previous knowledge (Knowles, 1990). While looking at whether there was a measurable contrast in the view of adult learners by the number of children and certain parts of teaching they received. In such manner, adult learners with children were better to specific parts of teaching than those without any children. Adult learners confront major difficulties when taking part in further education. Family obligations and duties pose commanding obstructions for adult learners (Cross, 1987). Learners in this research with two children seem, by all accounts, to be most happy with the quality and accessibility of the teaching materials than they counterparts in this research. The least pleased with the quality and accessibility of the teaching materials were learners with one or no children at home. The percent distributions of learner response, as categorised by marital status can be found in Table 1 of Appendix. The findings had shown that adult learners endure to manage the issues identified with various demographic factors. The indication from the questionnaire and focus group demonstrates that the vast majority of these learners experienced issues in juggling home and learning so they have been depending on their families to keep up this stability. Adult learners seeking education in the FE institution encounter a horde of difficulties. As expressed in the findings age and ethnicity were important challenges when it came to learning. Eastern Europeans and Pakistani learners specifically had highlighted that they experienced issues communicating their perspectives in the classroom because of language barrier. Most learners thought that they didnt have enough self-confidence in class on account of insufficient social interaction. A few learners thought that it was difficult to adjust to the different type of teaching. For example a learner in the focus group said that their previous education was classroom teacher teaching from the front. In this way greater part of the learners viewed learner inclusion as another encounter. They would rather have an educator teaching them directly as opposed to working alongside exercise manuals or in small groups. The conclusions demonstrated that numerous adult learners may have diverse ideas of information and feel good with surface learning styles. Reprimanding and testing others feeling was viewed as troublesome. Ballard and Clancy (1997) clarified that it is critical to perceive the adult learners distinctive presumptions and states of mind to knowledge. This findings bolsters the past research that learning in the classroom is mostly created by the past encounters and presumptions from culture contrasts. Most adult learners are frequently thought to be quite in the class, and in this review most participates expressed that they were hesitant to make inquiries in class. Their reasons exposed a few perspectives, for example, absence of certainty and lack of comprehension. In any case, a few learners contended that the motivation behind why they didnt make inquiries was that they needed to think about the substance conveyed after class. This finding is steady with Cortazzi and Jin (1996) co ntention that some adult learners are not inactive but rather intelligent and they need some time to absorb the information to make a sound judgment. At the end of the day, FE educators seemed to connect more significance to useful abilities as opposed to hypothetical learning. Adult learners face many difficulties and challenges. Keeping in mind the end goal to beat these difficulties learner needs to create mindfulness, understanding and have sufficient support to manage diverse issues. The learners have uncovered that they get more support from other learners and their family. Adult learners originate from a diverse of demographic background with differing methods for seeing things. Some conveyed that educators contribution has been incredible. The direction and help they offer during the introduction period, class exchanges and feedback was accounted for to have contributed immensely to their academic enrichment. Nevertheless, learners seemed, by all accounts, to be unsatisfied with a portion of the teaching. Along these lines, they have proposed that the institution needs to give more developed criticism to help learners who are mature, and make learning including exercise manuals all the more intriguing. Summary This part has depicted various issues identified with adult learners coveted to learning. The study uncovered that adult learners choice to study was a compelling of push and pull elements. The results additionally recommend that irrespective of the difference of socioeconomics in which the adult learner originate from actually they all have one principle objective they shared, that is to accomplish basic skills. Though, the ride back to learning was not a simple procedure and the findings have revealed these boundaries which serve to annihilate the chain of studying, for example, age, ethnicity and family. The part likewise has demonstrated the components which serve to cripple the enthusiasm, inspiration and strength of adult learners to be specific language barriers and age. The following section takes a look at the conclusions drawn from the research, addresses suggestions for the review and makes proposals. CHAPTER VI:Â  CONCLUSION AND RECOMMENDATIONS The aim of this study was to explore the experience and perception of the adult learner. To see whether certain demographic social economic variables such as age, gender, ethnicity, looking after children and voluntary or mandatory attendance influenced these perceptions and experience. Instead of viewing the adult learner within a universal philosophy of adult learning, the study attempted to determine the degree of discrepancy in the perception of adult learners. As more and more adult learners select further education institutions, it will be essential for these institutions to deliver ideal learning situations to their adult learners (Nesbit, 2001). Coordinating educational techniques to the abilities and necessities of adult learners has turned out to be one of the greatest matters confronting further education institutions (Ackerman, 1998). With a specific end goal to create educational methods that are adapted to meet the particular needs and goals of the adult learner populace, it turns out to be progressively obvious that these institutions should have a more noteworthy comprehension about how it will serve this constantly expanding number of adult learners (Merriam Brockett, 1996). While past research plans have concentrated on the extraordinary needs and necessities of adult learners, few reviews have centred of the impacts of educating and learning and how it might affect adult learners (Nesbit, 2001). As the age of the UK populati on grows, it is normal that there will be an expansion in the intake of non-traditional learners. This change will affect further education institutions as far as how they will serve this ever growing populace. Clearly, there will be a huge need to adjust the way in which this populace will be educated. Discussion The learners in this research found their time in further education pleasant and useful; nevertheless, the findings offer some insight about the working of the industry. The expansion in numbers of adult learners in further education arose by default, much like the development of further education in general, with no expressed strategies or target standards. This should be addressed to with regards to a review of the role and purpose behind the sector. At present, while further education for the most part is comprehensive in its approach and practice, there is no consistency between further education institutions. This as a result capitulates it over to the program administrators or those on the frontline in interviewing new learners to understand admission rules and procedures. In a period of great demand for places and in a framework whose fundamental expressed reason for existing is to get ready learners for business, adult learners, particularly older learners, might be viewed as less worthy of a place than younger learners. In this specific situation, it is critical to ask how further education institution can reinforce a promise to enhancing access and achievement and improving the experience of non-conventional learners. This could include taking a look at targets and standards and liaising with community training facilitators and adult education institutions. In any case, these areas work independently with almost no consid eration given to co-operation or empowering learner movement. Further education offers progression courses to higher education particularly essential for the individuals who lack traditional admission prerequisites. Many adult learners dont come to further education aiming to progress but, having come through to further education, many progress more higher. Closer cooperation between the FE and HE institutions undoubtedly should be created. This could incorporate the growth of access courses or taking a look at different provisions, for example, those in Warwick college in the UK whose 2+2 degree offers adults who do not have any formal qualification a chance to study for a degree by putting in two years in a further education institution (the equivalent of one year of a traditional degree) and the last two year in the university. In spite of the fact that there have been strategies set up for a long time at government level which urge access to HE by non-traditional groups, no such strategies exist for FE. This mirrors FEs second level status and the unsatisfactory quality of these structures for what happens in the sector. At the FE college level helpful and positive attitudes of educators and others were considered of key significance by the learners and crucial to their prosperity. This was especially imperative when things got challenging. Having informal access to staff that is eager to give their time and listen was exceedingly valued. Recommendations Rather than observing the adult learner inside the one viewpoint, this research analysed the variance in the perception held by adult learners at a FE institution in north of England. While this research discovered measurably important relationships between adult learners when categorised by certain demographic socio-economic factors, it was distinctly clear that there are still various factors that have not been analysed. Thus, the following recommendations are offered. It is suggested that this research be reproduced. This research found that there were factors that swayed the change in adult learners perception with respect to their educational experience. While this research was led in one department of a FE College, there is a need to extend to incorporate the whole college and other FE institutions in the north of England to see whether comparative outcome will be achieved. Aside from expanding the number of participation, future research studies ought to find a way to guarante e that the populace incorporates a more noteworthy representation of learners based upon ethnicity, social class, gender and marital status. In regards to further education institutions it is recommended that they create strategies that will cater for the needs and aspirations of adult learners. Summary The information picked up in this research on adult learners encounter, their impression of learning and struggles with education all have a part in the management of proficient learning. Brookfield (1989) notes that learning is not a vacuum but rather has its relationship to learners other demographic social-economic factors. Providing adult learners an environment that imparts the ideals of life experience, helpful feedback, acknowledgment of self-uncertainty, and support in building up the capacity to adapt to demands is to give the adult learner space to develop and to change. With no claims to generalisation, this research uses participants own stories and grounded hypothesis to highlight the experience of a group of adult learners and to build comprehension of the factors that contribute to it. It is trusted that this will contribute to an understanding of what goes on in FE College and what it offers adult learners and its imperative role in education in the UK.

Professional Sports - Athletes do Not Deserve What they are Paid :: Argumentative Persuasive Topics

Professional Athletes do Not Deserve What the Earn Wouldn't it be great to make 31.3 million dollars a year and an additional 47 million dollars in endorsements simply to play a game? Michael Jordan, along with many other professional athletes thinks so. In the 1996 season, playing 3,106 minutes Michael Jordan made 170,000 dollars a day, equaling out to be 160.97 dollars a second. Even more unbelievable are Mike Tyson's earnings in his match with Peter McNeeley. In a single second, he made 281,000 dollars ("Professional AthletesÉ"). Do these athletes really deserve all that money? "Professional athletes are making too much money in a society where salaries and wages are traditionally based on the value of ones work" ("Professional AthletesÉ"). In today's society, one will be paid more if their job is more economically important. However, teaching is one of the most economically important occupations because our future economy relies on the education of its youth, yet teachers are paid much less than the average professional athlete. The U.S President makes decisions that affect our economy and yet he only makes 250,000 dollars a year (Turner). Professional athletes do not play near as vital role in the economy as the president, but their salaries reflect otherwise. These games are supposed to be played for fun, not for millions of dollars. Opponents of this view say payment is being received for a service, therefore professional sports are a business. Many people believe athletes are being paid for little work, but in fact they work harder than any one else. Not only do they work during their particular season; they also work in the off season. Most professional athletes train on their own striving to become better. They also attend miniature camps and their seasonal training camps. These athletes work year round to earn their high salaries. Making it into the pros isn't an easy thing to do. It takes a tremendous number of hours of hard work and dedication every day to earn a job in professional sports. These athletes sometimes go through life threatening injuries for the love of the game. Considering this, one might think that these athletes do it for the love of the game not for the money. According to Gerald Sim, "The odds are higher for someone to become a brain surgeon than a NBA player, so isn't it more logical that the professional athlete get paid more than a brain surgeon?

Articles for Teachers Day Essay

October 04, 2012, the HSL-Braille College community worked together for the biggest and widest celebration of â€Å"My Teacher, My Hero† for World’s Teachers Day 2012. As early as 6:30 in the morning, HSL-Braille College community led by its Student Government Organization (S.G.O), administrators, faculty, parents and students gathered together in the school ground to welcome our lovely teachers with their glamorous attire as they take their grand entrance in the red carpet together with their respective escorts which also the students’ teacher for that particular day. All our mentors received a souvenirs specifically a mug with a text written on it: â€Å"My Teacher, My Hero† World’s Teachers Day 2012. And a badge which also have a text written on it: â€Å"I Love Teaching†. This souvenir is not just only a give-away but instead, it serves as a sign of appreciation for our dear teachers for being the second parents in the school hat guides a nd leads the students to do good in life in order to have a better future. The program started at 6:45 AM and was introduced by the pair of stage hosts from the Fourth Year- Uzziah, the President of Student Government Organization (S.G.O), Ms. Nicholle Yummar D. Demagante and Mr. Rainier John Veluz, from the Third Year – Sheba and the External Vice President of the Student Government Organization. Before it was officially started, the teachers and students were welcomed by the Student Chairman of the Activity and the Internal Vice President of Student Government Organization, Ms. Kjienah Love I. Demagante. She gave her opening remarks to everyone which expressed her gratitude to be part of World’s Teachers Day celebration to help the school to celebrate and give warm appreciation to our heroes, our teachers. The students showed their gratitude to their advisers which is in the form of showing their talents and flaring skills like dancing and singing which shows a meaningful message to their lovely mentors. This really helped to boost the crowd’s moods. But of course students from HSL-Braille College are not only good in showcasing talents to everyone but also students can produce imaginative and constructive works that brings excellence to the schools. So, in this case, some students made an English and Filipino poems that are dedicated to their teachers which were shown and opened by their teachers which is actually felt the love and appreciation from their students. During that time, everybody especially our dear teachers were glad with the result of the event. It was successful and meaningful to everyone. After all, students,  teachers, and other guests are ready to hear our school directress words of wisdom before the end of the program. As expected, they will be served by generous students who voluntarily give their time to give service to our dear teachers. They will enjoy, have fun and relax the rest of the day. Every students can really see satisfaction after the program. It was undeniably a great celebration for World’s Teachers Day and was well-prepared despite of the bad weather. Truly, the reason for the event was to celebrate and to show our love as a matter of celebrating of the World’s Teachers Day to the true heroes of our community, our teachers. Everybody is looking forward for the next World’s Teachers Day Celebration for it will surely be another great event.

Policing Paper Essay

There are many different forms of technology used in policing in today society. This technology is very important when it comes to policing and being able to do their jobs proficiently. Some of the technology they use is database and information technology, computer-aid dispatch, records management systems, and mobile computing. All of these forms of technology play a vital role in policing. Without these forms of technology being available to police there could be a higher crime rate, a higher wait time between calls, more deaths or injuries, and so much more. The technology that is available is set in place to keep things running smoothly and ensure that calls get answered in a timely manner. With the technology that we are gaining in the policing field I believe that we have advanced so much and will continue to do so. Database technology is a database that has a large amount of information in it. This information includes names, dates, crimes that people have committed, violations, high crime rate areas, and so much more. This information is gathered from many different areas and stored in a database. They have all of this information in one place to make it easier to research people or areas of interest. This information is gathered from the department’s criminal history records system, the gang unit’s intelligence system, and the state’s department of motor vehicles. The computer-aid dispatch is a method that manages calls for service from the public. The computer-aid dispatch uses the computer to communicate with officers. They are able to receive information on a call and have it on the computer in front of them so they do not get confused or forget any information. The computer-aid dispatch sends the officer the information and location that is in need of services. It also prioritizes the needs of services so that the officer gets to the most important cases first. Another great thing about the computer-aid dispatch is that the officer needs to update their status on the computer after they are done at a call. If their status is not updated after a certain amount of time then the computer-aid dispatch automatically sends another officer out to check on the safety of the initial officer. This computer-aid dispatch is a great tool for policing agents to use. The records management system is used to input and organize information from different types of reports into one easy-to-use format. This program helps officers with the process of paperwork, but all the information is on the computer. It ensures that the officer does not forget to gather information because it has prompts for the officer to ensure they get all of the necessary information for the reports. The records management system allows officers to access all information such as crime r eports, field interview contacts, traffic citations, booking reports, criminal history reports, and investigation reports. All of this information is in one place so that the officer can find the information easier to make their job easier and more efficient. Mobile computing is the main source that officers input and receive their information for calls and to look up information. This is probably the most vital piece of technology. The officer uses their mobile computer to look up information and input information. It makes their jobs easier and the amount of information that is available to them is very helpful when out on calls. The mobile computers that the officers use have access to the computer-aid dispatch and the records management systems at any time or any place. This is a vital tool when policing and doing their job efficiently. There are many types of weapons used in policing. They are not all lethal weapons; some of them are less-than lethal. These weapons are used in today’s society to prevent the use of lethal weapons. The police will try to resolve the crime with these less-than lethal weapons before having to use lethal force, unless the situation calls for lethal force. These weapons include low-velocity rounds which are rubber bullets, wax bullets, or beanbags. These forms of low-velocity rounds are made to stun the criminal. It is not made to hurt them although sometimes this form of weapon does cause bruising or possibly a broken bone depending on the severity of impact. Another form of less-than lethal weapons is sedative darts. Sedative darts are weapons that use a winged hypodermic needle to deliver a potent dose of fast-acting sedatives into a suspect’s bloodstream. The effectiveness depends on the height and weight of the suspect. There is also a chemical weapon. These are things such as pepper spray, tear gas, and other exotic compounds. This form is less often used unless necessary because of the outcomes. This form can’t be contained once used. It also can leak to innocent bystanders. The last weapon is electroshock weapons. This is basically a Taser. A Taser is a weapon that sends 50,000 volts that run through small wires that are attached to needles that can penetrate a suspect up to 25 feet away. The voltage causes involuntary muscle spasms. The Taser has an overall good safety record but has also caused some serious injuries including death. These less-than lethal weapons are used more and more in today’s society. The police are trying to not have to be so lethal in their actions. There are other ways to contain a suspect rather than use lethal force. Officers are now trying these weapons first and if they do not work or the situation calls for more of a lethal weapon choice then they will resort to that. It is good that they have different options depending on the situation. There are many dangers that come with policing. It is not the safest job out there by far. Some of these dangers include but are not limited to accidents while patrolling, murders, homicides, domestic situations, or robberies. Police deal with criminals on a daily basis. It is hard to tell what these criminals and suspects are going to do. This makes the job very dangerous. The only way that police organizations can address the dangers is to ensure that they are properly trained and follow protocol when doing their jobs. There is extensive training associated with policing. Their safety from the dangers is one reason that the training is so extensive. References: Grant, H. B., & Terry, K. J. (2008). Law enforcement in the 21st century (2nd ed). Upper Saddle River, NJ: Pearson/Prentice Hall. Ury, A. (2009, July 08). Everest. Retrieved from http://news.everest.edu/post/2009/07/police-have-non-lethal-weapons Walker, S., & Katz, C. M. (2011). The police in America: An introduction (7th ed.). New York, NY: McGraw-Hill.

Test your trademark knowledge - Emphasis

Test your trademark knowledge Test your trademark knowledge How much attention do you pay to trademarks? Mistakenly use one to refer to a generic product, and you can land yourself with a letter from the company concerneds trademark lawyers, and the need to write embarrassing apologies. While its OK to tweak trademarks slightly to bring them into line with standard English (for example More Than, rather than MORE THN), its not OK to use a trademarked name to describe a product not made by that company. In some cases, the horse has already bolted Hoover is now almost synonymous with vacuum cleaner, for example, regardless of the brand. But use Thermos to describe a vacuum flask not made by Thermos and youre on dodgy ground. Take our quiz to see how trademark-aware you are. For each item, decide whether its a current trademark, a lapsed trademark or a red herring. To make it more difficult, weve written them all with an initial capital. After you submit your answers, youll get an explanation of each one. JacuzziCurrently trademarkedPreviously trademarked but now genericNever trademarkedCokeCurrently trademarkedPreviously trademarked but now genericNever trademarkedHot DogCurrently trademarkedPreviously trademarked but now genericNever trademarkedAspirinCurrently trademarkedPreviously trademarked but now genericNever trademarkedLycraCurrently trademarkedPreviously trademarked but now genericNever trademarkedTetra PakCurrently trademarkedPreviously trademarked but now genericNever trademarkedEscalatorCurrently trademarkedPreviously trademarked but now genericNever trademarkedBiroCurrently trademarkedPreviously trademarked but now genericNever trademarkedHeroinCurrently trademarked Previously trademarked but now genericNever trademarkedTannoyCurrently trademarkedPreviously trademarked but now genericNever trademarkedMopedCurrently trademarkedPreviously trademarked but now genericNever trademarkedPortalooCurrently trademarkedPreviously trademarked but now genericNever trademarked *Note: all answers accurate at the time of writing

The Cold War Between the United States and the Soviet Union

The Cold War Between the United States and the Soviet Union The end of World War II marked the beginning of the cold war. This war was between world’s super power nations: the United States and its allied nations against the Soviet Union and its allies on the other side. This war took place between 1946 and 1991.Advertising We will write a custom essay sample on The Cold War Between the United States and the Soviet Union specifically for you for only $16.05 $11/page Learn More According to Ted and Reim cold war was not a physical battle, but a prolonged state of competition between the United States and the Soviet Union in terms of weapon sophistication, technology advancement, economic stability and political influence (19). The aim of this article is to depict what transpired during the cold war and several factors about the Cold war. These factors include difference in ideologies between the two nations. The United States and the Soviet Union had two opposing types of government. Klaus and Lane states that the United States government supported multiparty system, democracy, capitalism, personal freedom and free elections but the Soviet Union was opposed to this system of governance. The country practiced dictatorial and communist system (17). Economically, the United States supported international free trade but the Soviet Union was opposed to it and barred free international trade. The United States and the Soviet Union had power rivalry. Both nations were fighting to dominate the other after decline of Europe. Also, there relationship had deteriorated during World War II after the United States supplied weapon to Russian opponents. Additionally, the United States had turned down Russia’s request to help in stabilizing the economy after the Second World War. Klaus and Lane state that this war came to be known as the cold war because the two sides: the Soviet Union and the United States never engaged in a physical fight. This led to use of others nations as battle fields by the se super powers to prove there supremacy (1). For instance, â€Å"during Vietnam War the Soviet Union supported North Vietnam while the United States supported South Vietnam† (Klaus and Lane 139). Klaus and Lane argue that the United States is seen as the winner of cold war, because the Soviet Union finally agreed terms of the United States which led to signing of START I treaty between George H. W. Bush and Gorbachov (185). According to this treaty, the Soviet Union agreed not to interfere with affairs of Eastern Europe. It also agreed to â€Å"establish contact with other countries and invited external investors to invest in the Soviet Union, a move they had opposed before† (Ted and Reim 128). The United States managed to defeat the Soviet Union through imposing economic sanctions. The United States destabilized the countrys oil market by â€Å"requesting Arabia to increase the oil production to cater for world’s oil demand† (Ted and Reim 124).Advertisi ng Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More This led to deterioration of the Soviet Union economy forcing them to introduce restructuring reforms. These reforms allowed external investors to invest in the Soviet Union. In order to revive their devastated economy, â€Å"Soviet Union agreed to sign intermediate range nuclear force treaty with the United States to regulate nuclear weapon† (Klaus and Lane 192). From the cold war we learn, that any form of war has a negative impact on the economy growth. Both the Soviet Union and the United States spent a large portion of their revenue to support the cold war through funding projects to invent new sophisticated weapons, paying a large number of soldiers fighting in the war and channeling other resources towards the war. Unity among nations is crucial to the growth of the nation’s economy, because it prevents trade malpractice and sanctio ns from competitor nations. Democratic government is better as opposed to autocratic government. It is important to allow people freedom, multiparty system and free trade at local, national and international level. Also, it is essential to introduce and support international security, trade and political policies to prevent occurrence of another war. Lessons emerging from cold war have contributed to consultative decision making by countries on matters concerning international security, economy, trade and politics. In addition, these lessons are one of key factors which have led to formation of international union to create and enact policies on international security, politics, and trade. Wastage of funds on military operation in foreign country is one lesson which has not been taken in to account by modern American foreign policy. The United States up to date sends the soldiers to fight in different nations. If these military operations are not well planned, they can adversely aff ect its economy as witnessed in the Soviet Union. In addition, the United States has been developing nuclear technology and expanding its military capacity. Risks associated with these mistakes include: high chances of triggering another war, economic turmoil, lose of life and jobs and global division across interest lines. War on terror is a characteristic by product of cold war because the militia who perpetrate terror attacks are funded and supported by individuals, nations and groups with common interest against the United States.Advertising We will write a custom essay sample on The Cold War Between the United States and the Soviet Union specifically for you for only $16.05 $11/page Learn More Additionally, fight against terror attacks seems to be between the United States and its supporters against terror groups who are backed up by some nations. From the lessons of the cold war, victims of terror attacks can opt to negotiate with the terror groups to solve this problem. Also, they can use military attacks, economic and financial sanctions to destabilize these terror groups network. In conclusion, the cold war was between the United States and the Soviet Union. Although it was not physically fought on their soil, the two nations were adversely affected especially in terms of economy. The Soviet Union was much devastated by aftermath of the war and opted to sign treaties with the United States which led to the end of the cold war in 1991. Klaus, Larres and Anne Lane. The cold war: Essential reading. Massachusetts: Blackwell publishers Inc, 2001. Print. Ted, Gottfried and Melanie Reim. The cold war. New Milford: The Millbrook Inc, 2003. Print.

20 Great Opening Lines to Inspire the Start of Your Story

20 Great Opening Lines to Inspire the Start of Your Story 20 Great Opening Lines to Inspire the Start of Your Story 20 Great Opening Lines to Inspire the Start of Your Story By Mark Nichol As Glinda the Good Witch says in The Wizard of Oz, â€Å"It’s always best to start at the beginning.† That’s where editors and literary agents generally get going, so perhaps you should, too. Here are some strategies, accompanied by exemplars from literature, for making the first line of your novel or short story stand out so that the reader can’t help but go on to the second and the third and so on to see what else you have to say: 1. Absurd â€Å"‘Take my camel, dear,’ said my Aunt Dot, as she climbed down from this animal on her return from High Mass.† Rose Macaulay, The Towers of Trebizond Are you in the mood for amusement? This opening line makes it clear that farce is in force. 2. Acerbic â€Å"The human race, to which so many of my readers belong, has been playing at childrens games from the beginning, and will probably do it till the end, which is a nuisance for the few people who grow up.† G. K. Chesterton, The Napoleon of Notting Hill Astute observations accompanied by a implied sigh of disgust are tricky to master, but Chesterton, one of the most multifaceted men of letters, lights the way for you with this sample of the form. 3. Bleak â€Å"The sky above the port was the color of television, tuned to a dead channel.† William Gibson, Neuromancer Oh, by the way, just in case you missed the forecast? Don’t expect any fluffy bunnies or fragrant blossoms or dulcet giggles to show up in this seminal cyberpunk story. A spot-on metaphor expresses the story’s nihilism, letting you know what you’re in for and lugubriously inviting you in. 4. Confiding â€Å"There was a boy called Eustace Clarence Scrubb, and he almost deserved it.† C. S. Lewis, The Voyage of the Dawn Treader The author of the Chronicles of Narnia no sooner introduces by name a new character in the latest installment than, in just five more words, he succeeds in telling you everything you need to know about him. Well, got that out of the way. 5. Cynical â€Å"Justice? You get justice in the next world, in this world you have the law.† William Gaddis, A Frolic of His Own Somebody got up on the wrong side of the bed this morning and maybe the bed’s shoved up against the wall, and that attitude is a permanent condition. The stage is set for an unhappy beginning, middle, and ending. 6. Disorienting â€Å"It was a bright cold day in April, and the clocks were striking thirteen.† George Orwell, 1984 Ho-hum huh? Orwell’s opening line creates a slight but immediate discordance that sets you up for an unsettling experience. 7. Enigmatic â€Å"Once upon a time, there was a woman who discovered she had turned into the wrong person.† Anne Tyler, Back When We Were Grownups It will not surprise you to learn that the protagonist sets about retracing her steps and striving to correct the error, but after reading this subtle but striking first line, can you resist finding out how she does it? 8. Epigrammatic â€Å"The past is a foreign country; they do things differently there.† L. P. Hartley, The Go-Between This offbeat observation from Hartley’s novel of painful reminiscence is a blindsidingly original statement that one will feel compelled to read about just how the writer acquired this wisdom. 9. Expository â€Å"In our family, there was no clear line between religion and fly fishing. We lived at the junction of great trout rivers in Montana, and our father was a Presbyterian minister and a fly fisherman who tied his own flies and taught others. He told us about Christ’s disciples being fishermen, and we were left to assume, as my brother and I did, that all first-class fishermen on the Sea of Galilee were fly fishermen, and that John, the favorite, was a dry-fly fisherman.† Norman McLean, A River Runs Through It By the end of this paragraph, you already know a great deal about the narrator’s family (especially the father) but thanks to the introduction, as clear as a snow-fed mountain river, you want to know more. 10. Foreboding â€Å"I have never begun a novel with more misgiving.† W. Somerset Maugham, The Razor’s Edge The author is a bit intrusive here, true enough, but it is kind of him to let us know that we’re in for a bit of unpleasantness. But if he can express such profound reluctance, it must be quite a story. 11. Gritty â€Å"There was a desert wind blowing that night. It was one of those hot dry Santa Anas that come down through the mountain passes and curl your hair and make your nerves jump and your skin itch. On nights like that every booze party ends in a fight. Meek little wives feel the edge of the carving knife and study their husbands’ necks. Anything can happen. You can even get a full glass of beer at a cocktail lounge.† Raymond Chandler, Red Wind Chandler, the master of hard-bitten crime noir, makes it obvious that this story is not going to end well. You can almost hear the smoky, whiskey-soured, world-weary narration in your head. And this quote comes from one of Chandler’s half-forgotten short stories. 12. Inviting â€Å"Whether I shall turn out to be the hero of my own life, or whether that station will be held by anybody else, these pages must show.† Charles Dickens, David Copperfield Dickens extends his arm toward the passageway within, welcoming you to enter what promises to be an entertaining story. 13. Picaresque â€Å"In the last years of the Seventeenth Century there was to be found among the fops and fools of the London coffee-houses one rangy, gangling flitch called Ebenezer Cooke, more ambitious than talented, and yet more talented than prudent, who, like his friends-in-folly, all of whom were supposed to be educating at Oxford or Cambridge, had found the sound of Mother English more fun to game with than her sense to labor over, and so rather than applying himself to the pains of scholarship, had learned the knack of versifying, and ground out quires of couplets after the fashion of the day, afroth with Joves and Jupiters, aclang with jarring rhymes, and string-taut with similes stretched to the snapping-point.† John Barth, The Sot-Weed Factor Oh, but you know this novel is going to be juicy. This snide introduction to the main character conveys a promise of a continuous feed of schadenfreude. 14. Pithy â€Å"Ships at a distance have every man’s wish on board.† Zora Neale Hurston, Their Eyes Were Watching God Every once in a while there comes an opening line that seems to have an entire story folded up inside it. But it’s just the label on the envelope. And I challenge you to withstand the urge to open it up and read the message. 15. Poetic â€Å"We started dying before the snow, and like the snow, we continued to fall.† Louise Erdrich, Tracks A somber, stately metaphor draws us in despite the pervasively gloomy imagery. 16. Prefatory â€Å"It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair.† Charles Dickens, A Tale of Two Cities Many people associate Dickens with whimsy and eccentricity, but A Tale of Two Cities is a stern study of the insanity of mob rule, and this floridly eloquent prologue sets the stage like the presenter of a Shakespearean prologue: â€Å"Epic Ahead.† 17. Romantic â€Å"He was born with a gift of laughter and a sense that the world was mad.† Raphael Sabatini, Scaramouche Romantic, that is, in the sense of lust for life, not love for another. This author of swashbucklers like The Sea Hawk and Captain Blood (and, of course, Scaramouche) lets you know right away that you are about to meet someone larger than life. 18. Sarcastic â€Å"It is a truth universally acknowledged, that a single man in possession of a good fortune, must be in want of a wife.† Jane Austen, Pride and Prejudice Austen didn’t invent the word snark but she certainly refined the application of the quality. Notice, though, how subtle this line is. It’s a bon mot understated, yet with teeth behind that prim smile. 19. Sour â€Å"If you really want to hear about it, the first thing youll probably want to know is where I was born, and what my lousy childhood was like, and how my parents were occupied and all before they had me, and all that David Copperfield kind of crap, but I don’t feel like going into it, if you want to know the truth.† J. D. Salinger, The Catcher in the Rye Can you find it in your heart to forgive this young man his grievously bad attitude? More likely, you’ll be impressed by and want to immerse yourself in more of his insolence. 20. Unexpected â€Å"Every summer Lin Kong returned to Goose Village to divorce his wife, Shuyu.† Ha Jin, Waiting This seemingly pedestrian introduction upends itself with an intriguing premise that raises a question in the reader’s mind that must be answered. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Fiction Writing category, check our popular posts, or choose a related post below:How to Format a UK Business LetterExcited ABOUT, not "for" Affect vs. Effect

MANAGING FINANCE Essay Example | Topics and Well Written Essays - 3750 words

MANAGING FINANCE - Essay Example Financial analyses of the company reveal that though liquidity position of the company is good to meet short term obligations, but its earning powers, and efficiency to collect receivables and inventory turnover is much below the industry standards. It is suggestible that the company should make capital in investment in machine costing $3 million in order to make cash savings in cost of sales on the basis of in depth analysis of investment made as per payback and NPV methods of capital expenditure budgeting. The aim of any pricing strategy is to cover the costs involved in the project and earn desirable profit. Costs in any project can be traced as direct or indirect costs. Direct costs are those that are easily traceable by the management to specific items like direct material and direct labour for specific product. Whereas Indirect costs are common to many items and cannot be traces to any specific item or area. Indirect costs are charged to item on basis of certain allocation techniques. Again from the point of production the costs are either prime costs or conversion costs. Prime costs are direct material and direct labour costs and these are directly related to production. Conversion costs are related to transforming direct material into finished goods and these include direct labour and factory overheads. Costs further changes with volume of production. On basis of relationship to volume costs are either fixed costs, variable costs or mixed costs. Fixed costs remain constant over a relevant range of volume or output. Variable costs are assumed to change in direct proportion to changes in volume/ output. Mixed costs contain both fixed and variable attributes, and may be semi variable costs and step costs. Semi- variable costs usually represent a minimum fee for making a particular product or service available, and variable portion is cost for using

Classroom Management and Communication with Parents Assignment

Classroom Management and Communication with Parents - Assignment Example The seating arrangement of the teacher should be ensured in the instructional area. It will help the students to listen to the teachers quite transparently. On the other hand, the seats of the students should be arranged in such a way that can help the students to face the teachers or the instructors vertically (Marks, 2010). It will help to enhance face to face interaction between the teachers and the students. Computer can be considered as an important classroom resource that can enhance the digital visualization of the species. There should be one computer in the classroom. This computer should be arranged and established in the instructional area show that the teacher or the instructor can have easy access to it. Projector also can be considered as one of the important resources of this plant unit classroom. This projector will be placed at the centre ceiling of the classroom. It will be connected to the computer. A giant screen can be considered as a type of other special equipment that should utilized to visualize the samples or graphs or figures of the species that are stored in the computer. This giant screen should be placed right behind the instructional area. This arrangement or placement will help the students to face the instructor and the giant screen vertically. It can enhance the level of learning and understanding of the students. Therefore, it is clear that one instruction al table, vertically faced seating arrangement of students, one computer, one projector and one giant screen should be arranged for the classroom setting. On the other hand, five reference books, pens and papers will be used as the required non-technology resources in the classroom. This type of classroom setting will help to enhance effective both way communication between the teachers and the students. It is true that the teachers will try to teach the students

English Peasant Essay Example | Topics and Well Written Essays - 500 words

English Peasant - Essay Example Several of our small commune have recently died as a result of this corruption. Without a good clean source of water, we are slowly being poisoned to death with the water that we must drink, wash with, and clean.1 Another problem that we are facing has to do with our food. Although it is the peasants that are responsible for toiling endlessly in the soil and making sure that the nobles receive their harvests, the amount of food that we are allowed to keep has been decreasing each and every year it seems. Although I do not say that this is the result of greed, it makes it impossible for us to live and raise our children on ever decreasing rations that are afforded to us.2 And then in addition to all of this, there is the issue of tax. Because the nobles have recently increased the taxes that we must pay, the amount of resources that we have to draw upon is even further reduced. We find ourselves struggling each and every day to survive to the next. This is not how God would want us to live. This is not right. We face innumerable hardships and it seems as if our suffering goes unanswered. Another issue that I am hesitant to discuss is the issue of repression. Because we have faced such horrible times recently, the nobles have become increasingly fearful that an armed insurrection may take place and could oust them from power over us.3 I have no thus far heard of any such plans within our midst; however, the insecurity of the nobles is creating rumors where none before existed.4 This is dangerous for both of us as it makes the nobles further paranoid and distrustful and it encourages the young men within our community to consider what an insurrection might be able to do for their plight in life. Because of these hardships and the inability to continue living and thriving under these circumstances, I have turned to you Bishop Autrimont; in the hopes that the Almighty might provide you with the ability to aid us in our

Cognitive Behavioural Therapy (CBT) Case Study Example | Topics and Well Written Essays - 3000 words

Cognitive Behavioural Therapy (CBT) - Case Study Example Some information on Karen available to Dr. Banks before undertaking psychotherapy is outlined below. Karen left her parental home at the age of 18 after graduating from high school and took up residence in lodgings in the neighboring county. She found work as a waitress at a local diner. Just a few weeks after finding work, she married George whom she had met while at work. A very controlling and violent man, George dominated Karen in what seemed to be a repetition of the conditions under which Karen grew up. Her father had been violent and sexually abusive from the time she was six years old. As she grew older (13) her oldest brother continued the sexual abuse, until her other brother, nearer to her in age, put a stop to it. She was 16 at the time. Â  George, her husband, would be nice to her on rare occasions, taking her out to dinner and dances, and would compliment her on her good looks. George proved to be a very jealous husband and forced her to give up work. She was virtually kept prisoner confined to the house. Even with the occasional beatings, and not knowing any better, she put up with it and appeared to accept the situation as ‘normal’. Unfortunately, George died in an accident barely three years into their marriage. Karen was devastated. She had been totally dependent on him. He had created, as it were, both the center and the boundaries of her universe. She was diagnosed a clinical depressive and underwent psychiatric hospitalization. Since then, over the past 15 years, until the time she came under the psychotherapeutic care of Dr. Banks, she had been hospitalized at least on 10 more occasions. During that time she had been in the care of at least nine different psychotherapists, psychiatrists, socia l workers, and psychologists as an outpatient, one of whom were to abuse her sexually. Â  

Managing Business Operations Assignment Example | Topics and Well Written Essays - 2000 words

Managing Business Operations - Assignment Example It also suggests strategies that can be applied by the senior management within the organization to reduce and improve on costs. The concept of operations management is mandatory in businesses as it is concerned with the creation of goods and services (Slack, Chambers and Johnston 2010). All organizations are involved in the manufacture of goods or service whether the organization is small- scale or large- scale, public or private profit- making or non- profit making. Most businesses have come to understand the importance of operations. This is owing to the fact that effective operations management enables a company to improve quality and service delivery. Operations management touches on all aspects of the business, not just on ‘operations’ (Slack et al. 2009). It is the centre of changes affecting businesses in the contemporary world including changing supply networks, technology and diverse customer needs. Operations managers should be creative to enable them respond to these changes. They must find solutions to these changes and be socially responsible. Analysis of the current operations management The hospital is regarded as one of the best health care centers in the US and attracts patients all over the world. As a characteristic for quality, its mission is to redefine quality as being the top place to receive and purchase health care. The hospital provides best environment for theirs staff to work and practice medicine. It has also positioned itself as the best organization to associate with. The institution was started nearly 85 years ago by a young Swedish emigrant known as Dr Nils Johanson as a non- profit hospital in Seattle. Fellow Swedish emigrants contributed to buy bonds for the renovation of the building in which the hospital was established. During its first years of operations, the founders paid for the costs of operations out of the pockets. This was the advent of a legacy of humanitarians that transformed the hospital into a glo bal health centre. In order to get an understanding of the current operations management, it is critical to look at the aspects below as expressed by Johnston and Clark (2008). Process- based capabilities The hospital focuses on developing systems that improve and reduce costs. There are innovative surgical pathways that direct the patients from the pre- admission to rehabilitation. They focus on patient education and communication which makes patients feel at control, it also minimizes complications and gives them quick recovery (Johnston and Clark 2008). The hospital has the necessary technology and facilities allowing the doctors to undertake research and new techniques. Resources The hospital has a wide range of resources that aid in delivery of excellent medical care. In the first years of operations, it was established in a renovated apartment building, had twenty for beds and limited staff. This has changed as the hospital is spread across twenty four blocks and two campuses. The number of beds has also increased to 860. The hospital currently has 4000 staff members with 1500 physicians in all medical specialties. The hospital maintains a continuing medical research in its commitment to maintain excellence as suggested by Institute for Operations Research and the Management Sciences (2003). There are more than 350 treatment protocols under investigation at any specific time. Patients who

INTRODUCTION TO WESTERN PHILOSOPHY Essay Example | Topics and Well Written Essays - 1500 words - 1

INTRODUCTION TO WESTERN PHILOSOPHY - Essay Example Furthermore, it tells us that knowledge is acquired through the exercise of reason, understood as a faculty that can operate independently, in whole or in part, of a posteriori evidence. One of the elements which is most central to Nietzsche’s philosophy is illustrated in his famous declaration that, â€Å"God is Dead!† (Cahn 1227) This affirms a complete rejection of metaphysical, moral, and religious truths as grounds for reality. Unlike the Socratic philosophical canon, Nietzsche contends that the spiritual dimension is illusory. To Nietzsche, the existence of God, religion, morality, ethics, free will, freedom, and laws are mistakes for they are nothing but imaginary causes, an imaginary psychology. In his view, such things are nothing but mere projections of one’s psychological desire for security and calculability in life. In addition, it presupposes a denial of universal morality as the basis for human conduct. Nietzsche believed that once the existence of God is unveiled as an illusion, then it follows that God can no longer be implemented as the foundation for human ethical conducts. This leads to the assertion that all inquiries, dispositions and morals will be founded on the subjective will of individual self. Thus, unlike the Socratic philosophical canon, Nietzsche affirmed the individual self as the basis of all inquires and norms. This is Nietzsche’s theory of the will to power. Nietzsche’s (Cahn 1241) will to power is defined as the drive to dominate the environment. This drive, so central is the Will to Power. This Will to Power is more than simply the will to survive. It is, rather, an inner drive to express a vigorous affirmation of all a person’s powers. In doing so, the individual shall not only reaffirm his or her own subjective standards but moreover, they will gradually reach the consciousness of the higher type of man, the Ubermensch or Superman. For Nietzsche, the temperament of the Superman sha ll enable individuals to revitalize faith in their creative powers and this earthly existence. However, Nietzsche declares that not all people can attain the awareness of this superior type of individual. He claims that only those who excel in their mental and physical constitutions can procure the temperament of the Superman. He insists that the superman must have complete freedom, i.e. that one should not decide to practice a certain code of ethics, for the will to power will gradually decline. By this, the individual weakens and suffers. To explicate further, Nietzsche accused Christianity for advocating virtues that undermine and destabilize one’s will to power. Here, Nietzsche presents his doctrine of the two-fold history of good and evil. This doctrine reveals that there exists two types of morality, i.e. master morality and slave morality. For Nietzsche, master morality is one that is built on the will to power. He is one who considers that which is good = Powerful; ba d = Weakness. Also, he is one who practices generosity, not out of pity but out of excess. Those who practice this type of morality are the elite and noble men, meaning those who determine their morals according to their own personal standards. On the other hand, slave morality is that, which is

Managing Business Operations Assignment Example | Topics and Well Written Essays - 2000 words

Managing Business Operations - Assignment Example It also suggests strategies that can be applied by the senior management within the organization to reduce and improve on costs. The concept of operations management is mandatory in businesses as it is concerned with the creation of goods and services (Slack, Chambers and Johnston 2010). All organizations are involved in the manufacture of goods or service whether the organization is small- scale or large- scale, public or private profit- making or non- profit making. Most businesses have come to understand the importance of operations. This is owing to the fact that effective operations management enables a company to improve quality and service delivery. Operations management touches on all aspects of the business, not just on ‘operations’ (Slack et al. 2009). It is the centre of changes affecting businesses in the contemporary world including changing supply networks, technology and diverse customer needs. Operations managers should be creative to enable them respond to these changes. They must find solutions to these changes and be socially responsible. Analysis of the current operations management The hospital is regarded as one of the best health care centers in the US and attracts patients all over the world. As a characteristic for quality, its mission is to redefine quality as being the top place to receive and purchase health care. The hospital provides best environment for theirs staff to work and practice medicine. It has also positioned itself as the best organization to associate with. The institution was started nearly 85 years ago by a young Swedish emigrant known as Dr Nils Johanson as a non- profit hospital in Seattle. Fellow Swedish emigrants contributed to buy bonds for the renovation of the building in which the hospital was established. During its first years of operations, the founders paid for the costs of operations out of the pockets. This was the advent of a legacy of humanitarians that transformed the hospital into a glo bal health centre. In order to get an understanding of the current operations management, it is critical to look at the aspects below as expressed by Johnston and Clark (2008). Process- based capabilities The hospital focuses on developing systems that improve and reduce costs. There are innovative surgical pathways that direct the patients from the pre- admission to rehabilitation. They focus on patient education and communication which makes patients feel at control, it also minimizes complications and gives them quick recovery (Johnston and Clark 2008). The hospital has the necessary technology and facilities allowing the doctors to undertake research and new techniques. Resources The hospital has a wide range of resources that aid in delivery of excellent medical care. In the first years of operations, it was established in a renovated apartment building, had twenty for beds and limited staff. This has changed as the hospital is spread across twenty four blocks and two campuses. The number of beds has also increased to 860. The hospital currently has 4000 staff members with 1500 physicians in all medical specialties. The hospital maintains a continuing medical research in its commitment to maintain excellence as suggested by Institute for Operations Research and the Management Sciences (2003). There are more than 350 treatment protocols under investigation at any specific time. Patients who

Mid-Term Essay Essay Example for Free

Mid-Term Essay Essay This essay will focus on the influence family background and childhood memories have on writers and the theme of their writings. In both the essays chosen for detailed study here, we see how the authors’ philosophy of life and things that they chose to explore and write about was set way back in their childhood as a result of the traumas they faced. This paper will present an analysis of how the families of Sanders and Maduro shaped the way these authors understand themselves and relate to others. Scott Russell Sanders was the winner of the Mark Twain Award in 2009 and his work A Private History of Awe was nominated for the Pulitzer Prize. Born in Memphis, Tennessee, to a family of cotton farmers, Sanders taught Literature and worked as Professor of English at Indiana University. The main vision behind his writing is the shift in cultures from a consumerist to a care-giving society (Sanders). In his essay, â€Å"Under the Influence: Paying the Price for my Father’s Booze†, Sanders had chronicled the trauma he and his siblings had to endure because of his father’s alcoholism. In this memoir Sander’s recounts the feelings of guilt, shame and helpless that he felt as a child of ten when he saw his father’s unstable and ferocious outbursts after getting drunk. He blamed himself for it and that feeling of guilt hounded him throughout his life. â€Å"I tell myself he drinks to ease [†¦] an ache I must have caused by disappointing him somehow† (Sanders). To atone for his perceived inadequacies as a child Sanders tried to turn to working hard and trying to keep the family together and taking on his father’s responsibilities, â€Å"by vainly seeking to erase through my efforts whatever drove him to drink† (Sanders). Sanders observes that his own children wonder at what drives him to be a â€Å"workaholic† and tries to allay their fears and any sense of guilt or pressure they may feel by being candid about his own feelings of guilt, hurt and shame at his father’s alcoholism. On maturity he realized that he had castigated himself needlessly as a child and that his father’s alcoholism was a disease and he had no reason to feel responsible for it. However, his fear of drinks and bad conduct that he had witnessed as a child had left a deep scar in his soul. He is reticent about going to pubs with his friends and drinking as much as he is afraid of causing hurt or disappointment to anybody. He is constantly watchful of any adverse reactions from people around him and still carries the shame of his father’s â€Å"sins† deep down inside him and shies away from having that facet of his life exposed in public. The name E. S. Maduro is a pseudonym under which the author talks about her feminist beliefs and her convictions on freedom of choice and awareness for women. She records how her own youthful feelings of rebellion against the social norms of marriage and raising children altered upon maturity but how she clung to her belief that women should have the awareness to make decisions for themselves. They should be allowed to choose their career paths according to their wishes and not be forced into stereotypical roles due to societal pressures. In the essay â€Å"Excuse Me While I Explode: My Mother, Myself, My Anger† the writer describes her feelings of anger, guilt and frustrations when she narrates the story of how her mother and women of that generation had to sacrifice their careers and all their life’s desires to accommodate their families and their duties as home makers and mothers. â€Å"Excuse Me While I Explode: My Mother, Myself, My Anger† first appeared in print as an article in a book entitled The Bitch in the House. In this article Maduro has written about her frustration at the inequality women face in society. It primarily deals with her angst at how she being a post-modern woman who was educated and liberated fell back and did the same things that she has found so loathsome in her mother. She had felt defiant at the way her mother and most women had to give-up their own dreams of a good and successful life to slave at household chores and raising children. â€Å"Years ago† a woman did not have a choice to voice her opinions and the role of housekeeper and dutiful mother was thrust upon her without so much as a thought about how she felt about it. Her toil was taken for granted and the spouse did not even think it inappropriate to allow his wife to do all the housework when he could very easily have offered to help. â€Å"I believed myself to be a feminist, and I vowed never to fall into the same trap of domestic boredom and servitude that I saw my mother as being fully entrenched in; never to settle for a life that was, as I saw it, lacking independence, authority, and respect† (Maduro 5). However, as she grew older and had her own experience of loving and living with her partner she was amazed that she followed the same pattern almost unconsciously and managed both house and work despite her partner wanting to help her with the chores. She puzzles over why this is so because she believed herself to be aware of her rights unlike her mother and in full command over her vocation and what she wanted out of life, yet she slaved at household chores: I feel an odd mixture of frustration and love. Together we have a wonderful, open, trusting relationship, but sometimes I wonder if the hostility already in me, and my need to be angry at someone or something, could eventually destroy our bond (Maduro 12). The article is an introspection of why she chose to do this. She comes up with the hypothesis that women chose to take on domestic responsibilities even if it meant forgoing some of their own desires because it made a woman proud to be an accomplished home maker and mother. She identified this need in a woman to excel in housekeeping as a source of pleasure and fulfillment. She reflects on the dichotomy between love and frustration, career and home, raising children and vocation and finally finds comfort in the fact that unlike her mother she was not forced into servitude. She did what she did because she wanted to do it, she had the option of turning away and that made a big difference. She is able to resolve her conflict and also that of many other women by reiterating that choosing to be a good housekeeper and mother was an option and you could choose to be one even if you felt strongly for the cause of feminism. Works Cited Maduro, E. S. â€Å"Excuse Me While I Explode: My Mother, Myself, My Anger†. The Bitch in the House. Cathy Hanauer. New York: Harper Collins, 2002. Print. Sanders, Russell Scott. â€Å"Under the Influence: Paying the Price for my Father’s Booze† Harpers Magazine Nov 1989: n. pag. Web. 2 Jun 2010.

Congestive Cardiac Failure Case Study

Congestive Cardiac Failure Case Study Mr. Sam Toscana is a 70 year old client admitted to the ward with congestive cardiac failure (CCF). The client states that he has had increasing SOB over the last 3 days and his feet are as swollen as he cannot put his shoes on. The cardiologist saw him this morning and he admitted for management of his CCF. The client states he has had a fluid problem on and off for the last five year. History Age: 70 Allergies: NKA Ht: 165 cm WT: 75 kg Next of kin: Wife Maria Children: 1 daughter Mr. Toscana lives with his wife in the family home; they have lived there for 40 years. His daughters house is near by and she is very helpful and takes him and his wife to appointments. However she has 3 children at school that keep her very busy. They remain very sociable attending the local Italian club. He was diagnosed with CCF 10 years ago. Past History AF, Hypercholesterolemia, CCF, CABGs 10 years ago, ex-smoker, positive coronary artery disease family history. Medical Management The following about medications were told by Mr. Toscana: Lasix is not taken when they go outings organized by the Italian club. Digoxin is taken one in the morning (blue pills). Aspirin is taken in the morning with water. Warfarin is taken in the night and blood test is getting every couple of days. Perindopril is taken one in the morning for his heart. Observations on admission BP 95/50, AF pulse irregular 80, SaO2 93% on room air, Temp 36.9, R Rate 22 bpm, Crackles noted in the right lung base. This essay will explain the pathophysiology of presenting condition of Mr. Toscana. Secondly, this paper will explain what nursing assessment will be performed on Mr. Toscana and justify the framework for assessment chosen. Thirdly, education and psychosocial support will be offered on Mr. Toscana will be described with justifying. In addition, nursing care plan for Mr. Toscana with two short term and two long term goals including nursing interventions, rationales, and evaluations will be provided. Furthermore, diagnostic tests that will assist with the assessment and management of Mr. Toscana will be investigated. Moreover, this essay will perform a risk assessment on the client drawing on the information provided. Lastly, two of the medications Mr. Toscana is taking will be discussed and including action, use (as discuss why this client been prescribed this medication), relevant interaction, three adverse effects, and three nursing points or precautions. Pathophysiology of the presenting condition of Mr. Toscana Heart failure is defined as a condition that results from some abnormality in myocardial function. The abnormality, whatever the cause, results in the inability of the heart to deliver enough oxygenated blood to meet the metabolic needs of the body. When the right and left ventricles fail as pumps, pulmonary and systemic venous hypertension ensue, resulting in the syndrome of congestive heart failure (Fletcher Thomas 2001). Dyspnoea or shortness of breath, orthopnoea and pulmonary crackles are signs and symptoms of pulmonary edema and pleural effusion when left ventricular in the heart failure. There are two major consequences occur when the left ventricle is unable to pump enough blood to meet the bodys demands: signs and symptoms of decreased cardiac output and pulmonary congestion. Increased pressure in the left side of the heart backs up into the pulmonary system, and the lungs become congested with fluid. Fluid leaks through the engorged capillaries and permeates air spaces in lung (Christensen Kockrow 2011). According to Christensen and Kockrow (2011) edema appears in the body as right ventricular failure. Right ventricular failure occurs when the right ventricle in unable to pump effectively against increased pressure in the pulmonary circulation. The right ventricles inability to pump blood forward into the lungs results in peripheral congestion and an inability to accommodate all the venous blood that is normally returned to the right side of the heart. Venous blood in reflected backward into the systemic circulation. Increased venous volume and pressure force fluid out of the vasculature into interstitial tissue or peripheral edema. Nursing assessment with justifying Christensen and Kockrow (2011) state that subjective data to assess Mr. Toscana include complaints of dyspnea, orthopnea or sudden awakening from sleep because shortness of breath (paroxysmal nocturnal dyspnea), and cough. Besides that, fatigue, anxiety, weight gain from fluid retention, and edema may be reported by patient. In addition, any pain such as angina or abdominal and the patients stated ability to perform activity of daily living needs to be documented. Collection of objective date includes noting presence of respiratory distress, the number of pillows required to breath comfortably while attempting to rest (orthopnea), edema (site, degree of pitting), abdominal distension secondary to ascites, weight gain, adventitious breath sounds, abnormal heart sounds such as gallop and murmurs, activity intolerance, and jugular vein distension. Blood flow to the kidneys is diminished, resulting in oliguria. Oxygen deficit in tissues results in cyanosis and general debilitation (Christensen Kockrow 2011). Education and psychosocial support with justifying According to Washburn and Hornberger (2008) heart failure is a complex, chronic illness often requiring major lifestyle modifications for patients and their families. Nurses play a key role in educating and counseling patients and their families about these changes. Education should be provided to patients about symptom and weight management, dietary and exercise recommendations, and medications. Patient should be taught the signs and symptoms of worsening congestive cardiac failure such as increased dyspnea, development or worsening of orthopnea, weight gain, and exercise intolerance or inability to perform the normal activities of daily living without increased fatigue (Fletcher Thomas 2001). The research shows that up to more than fifty percent of hospital admissions are due to noncompliance with both pharmacologic and non-pharmacologic treatment regimes. Non-pharmacologic therapies include a no added salt diet, which constitutes about two three grams of salt per day. Patients should be instructed to avoid foods containing large amounts of sodium, such as highly processed foods, canned foods, and luncheon meats. A nutrition consult is helpful especially if patient is overweight. Some patients may need to have their daily fluid restricted to 1.5-2.0 liters per day. This is a clinical judgment based on signs of congestion, fluid over load and weight gain. Patients should be instructed to weigh themselves daily or every other day and record the data in a log, which should be taken to every visit with the clinician. A weight gain of two to three pounds should trigger a visit to the clinician. All patients with CCF should be encouraged to exercise to improve overall physical conditioning. The established standard for assessment of physical capacity is an exercise test, which provides objective data regarding exercise time, distance, peak workload, and oxygen consumption (Fletcher Thomas 2001). Washburn and Hornberger (2008) state that it is importance for nurses providing education to patients with heart failure to have an understanding of the drugs used in the management of heart failure. So patient should be taught the name of each drug and its purpose, dosage, frequency, and significant side effects. Patients should be advised to bring all prescriptive and non-prescriptive medications to office visits for review and assessment of patients understanding of them. Nursing diagnoses include interventions, rationale, and evaluations for two short term and two long term goals (use the nursing care plan template) In Mr. Toscana situation, excess fluid volume is the first nursing short term diagnosis as edema, dyspnoea on exertion, and weight gain. The expected outcome for Mr. Toscana is fluid balance. Fluid balance can be demonstrated as peripheral pulses palpable, peripheral edema not present, orthostatic hypotension not present, skin hydration, and body weight stable. To achieve this expected outcome, patient should be weighted daily and monitor trends to monitor fluid retention and weight reduction. Serum electrolyte levels and therapeutic effect of diuretic are monitored to assess as a response to treatment. In addition, respiratory pattern is monitored for symptoms of respiratory difficulty for early recognition of pulmonary congestion. Moreover, fluid balance is monitored by monitoring renal function and intake and output (Brown et al. 2008). The second short term nursing diagnosis is impaired gas exchange as manifested by increased respiratory rate, dyspnoea on exertion and Mr. Toscana states that he has had increasing shortness of breath over the last three days. The evaluation for this diagnosis expects patient breathe easily, dyspnoea with exertion not present, oxygen saturation and respiration rate are in normal range limit. Nursing interventions include respiratory monitoring, oxygen therapy, and positioning. To monitor respiratory, auscultative breath sound, noting areas of decreased or absent ventilation and presence of adventitious sounds, to assess congestion. Dyspnoea and events that improve worsen it are also monitored to detect events that can influence activities daily living. Oxygen therapy such as administer supplemental oxygen as ordered to maintain oxygen levels and change oxygen delivery device from mask to nasal prongs during meals as tolerated sustain oxygen levels while doing activities daily living (Brown et al. 2008). Besides short term diagnosis, Mr. Toscana may be faced with long term effecting due to congestive cardiac failure. Disturbed sleep pattern and deficient knowledge are considered as Mr. Toscana long term diagnosis. Disturbed sleep pattern related to nocturnal dyspnoes, unable to assume favored sleep position, nocturia and manifested by inability to sleep during the night. There are six interventions for this diagnosis. First, determine patients sleep or activity pattern to establish routine. Secondly, patient is encouraged to establish a bedtime routine to facilitate transition from wakefulness to sleep in order to establish a pattern and decrease number of waking periods. Thirdly, adjust environment to promote sleep. Fourthly, regulate environmental stimuli to maintain normal day-night cycles to help promote sleep cycle. Fifthly, adjust medication administration schedule to support patients sleep cycle. Lastly, monitor patients sleep pattern and number of sleep hours to determine hou rs of sleep. Expected outcomes of those nursing interventions are uninterrupted sleep, increase hours of sleep, feelings of rejuvenation after sleep, and vital sign in expected range (Brown et al. 2008). According to Brown et al. (2008) deficient knowledge related to disease process as Mr. Toscana states that he has had a fluid problem frequently come and gone for the last year. Patient expects to descript of disease process, descript of signs and symptoms of complications, and descript of precautions to prevent complications after been educated. Patients current level knowledge related to heart failure is assessed to demonstrate areas of teaching needed. Describe common signs and symptoms of heart failure so patient will know signs and symptom of worsening heart failure. Patient is instructed on measures to prevent or minimize side effects of treatment for the disease as patient may be able to decrease number of acute episodes of heart failure. Family member or significant others encourage to include in teaching to provide support for the patient. (Would like to see the N Diagnostic tests that will assist with the assessment and management of Mr. Toscana According to Christensen and Kockrow (2011) the most noninvasive diagnostic tool for evaluating a patient with heart failure is an echocardiogram. Echocardiography is done to determine valvular heart disease, presence of pericardial fluid, heart failure as the percentage of end diastolic blood volume ejected during systole, and ejection fraction. Secondly, a chest radiograph reveals pulmonary vascular congestion, pleural effusion, and cardiac enlargement. Thirdly, ECG reveals cardiac dysrhythmias. Moreover, pulmonary artery catheterization is done to assess right and left ventricular function. Exercise stress testing is also done to determine activity tolerance and severity of underlying ischemic cardiovascular disease. In addition, laboratory tests include electrolytes, sodium, calcium, magnesium, and potassium levels will assist with the assessment and management of Mr. Toscana. Blood chemistry will reveal elevated blood urea nitrogen and creatinine resulting from decreased glomerular filtration; liver function values will be mildly elevated. BNP, a neurohormone secreted by the heart in response to expansion of ventricular volume and pressure over load, is useful in monitoring chronic heart failure (Christensen Kockrow 2011). Perform a risk assessment on the client drawing on the information provided (examples of risk assessment tools that would be appropriate) Firstly, since depression was a significant predictor of fatigue in congestive heart failure patients, fatigue patterns should be closely monitored. Congestive heart failure patients mood should be monitored for obvious disturbance, and if necessary, they should be referred to mental health or psychiatric practitioners for further assessment and proper treatment (Tang, Yu Yeh 2010). Secondly, according to Brown et al. (2008) nocturia is one of a risk assessment should be performed on Mr. Toscana. A person with chronic heart failure will have impaired renal perfusion and decreased urinary output during the day. However, when the person lies down at night, fluid movement from interstitial spaces back into the circulatory system is enhance. This cause increased renal blood flow and diuresis. The patient may complain of having to void six or seven times during the night. Thirdly, because the tissue capillary oxygen extraction is increased in a person with chronic heart failure, the skin may appear dusky. It may also be cool to the touch from diaphoresis. Often the lower extremities are shiny any swollen, with diminished or absent hair growth. Chronic swelling may result in pigment changes, causing the skin to appear brown or brawny in areas covering the ankles and lower legs (Brown et al. 2008). Discuss two of the medications Mr. Toscana is taking Lasix or Frusemide is one of high-ceiling (loop) diuretics medication. Action of this group is potent diuretics that inhibit sodium, potassium and chloride re-absorption in the proximal and distal renal convoluted tubules, but mainly in the ascending limb of the loop of Henle, resulting in increased water excretion. Frusemide is effective within one hour by oral, peak one to two hours, and duration on six to eight hours (Tiziani 2006). According to Pharmaceutical Society of Australia (2010) one of indications of Frusemide is oedema associated with heart failure and it is reason why Mr. Toscana has been prescribed this medication. Pharmaceutical Society of Australia (2010) shows that non steroid anti -inflammatory drugs (NSAIDs) reduce renal function and may reduce diuretic effect and increase risk of nephrotoxicity. However, low dose aspirin is unlikely to be a problem. The combination of loop diuretics and ACE inhibitors (Perindopril) may increase the risk of ACE inhibitor-induced renal impairment, so renal function should be monitored closely (Pharmaceutical Society of Australia 2010). The first adverse effect of Lasix is fluid and electrolyte disturbances. Secondly, hypovolaemia and dehydration should be considered. The third adverse effect is postural hypotension (Tiziani 2006). Christensen and Kockrow (2011) argue that when patient is prescribed loop diuretic such as Lasix, it should be administered in the morning to prevent nocturia. The second of nursing interventions is monitoring for electrolyte depletion. Thirdly, sulfa allergy is encouraged to consider. Perindopril (Angiotensin-converting enzyme inhibitors) is indicated for heart failure due to Mr. Toscanas situation. ACE inhibitors block conversion of angiotensin I to angiotensin II and also inhibit the breakdown of bradykinin. They reduce the effects of angiotensin II-induced vasoconstriction, sodium retention and aldosterone release. They also reduce the effect of angiotensin on sympathetic nervous activity and as a growth factor (Pharmaceutical Society of Australia 2010). Common adverse effects of ACE inhibitors are hypotension, cough, hyperkalaemia, headache, dizziness, fatigue, nausea and renal impairment (Pharmaceutical Society of Australia 2010). Following Mr. Toscana case, the first nursing point or caution of Perindopril is nurses need to know that heart failure is usually treated with a diuretic and digoxin in associated with ACE inhibitor. Secondly, patient is advised that a low salt diet may be beneficial in reducing blood pressure. However, potassium containing salt substitutes are not recommended because of the increased risk of hyperkalaemia. Thirdly, for patient with congestive heart failure, blood pressure and renal function should be monitored before starting and regularly during therapy (Tiziani 2006). Congestive Cardiac Failure Case Study Congestive Cardiac Failure Case Study Congestive cardiac failure or congestive heart failure can be defined as the inability of the heart muscles to pump enough blood to all parts of the body, for example brain, liver and kidneys. Heart failure can develop slowly over time as the result of other conditions (such as high blood pressure and coronary artery disease) that weaken the heart. It can also occur suddenly as the result of damage to the heart muscle.(university of Maryland medical center 2014) Congestive heart failure affects several organs in our bodies and it includes, heart, kidneys, lungs, brain, liver, skin and spleen. Then organ systems that are affected are, cardiovascular system, respiratory system, nervous system, circulatory system skeletal system, and urinary system A brief overview of the normal functioning of the affected body systems. one of the body systems that is affected with congestive heart failure is the cardiovascular system, this system consists of heart, blood vessels and blood. Its responsible for pumping blood through the body as well as oxygen, nutrient, hormones and cellular waste. It regulates blood pressure through the contraction of the heart pumping and also helps to maintain fluid balance within the body. The main function of respiratory system is to supply blood rich in oxygen to all parts of the body. The respiratory system does this through breathing. When we breathe, we inhale oxygen and exhale carbon dioxide. This exchange of gases usually takes place in the alveoli and the capillaries. The inhaled oxygen passes into the alveoli and then diffuses through the capillaries into the arterial blood. Meanwhile, the waste-rich blood from the veins releases its carbon dioxide into the alveoli. The carbon dioxide follows the same path out of the lungs when you exhale. The circulatory system has its main functions as to pump blood containing oxygen and other nutrients around the body. the system consists of the heart, arteries, capillaries and veins. The heart, the lungs, and the blood vessels work together to form the circle part of the circulatory system, the circulatory system contains of two loops of circulatory, the pulmonary circulation which transports de-oxygenated blood from the right atrium and right ventricle to the lungs to pick up oxygen and nutrients and returns to the left side of the heart. The systemic circulatory which transports blood rich in oxygen from left side of the body and transports it all the body tissues. The circulatory system control the pressure of the blood as it travels through the body and taking away the wastes The urinary system consists of the kidneys, bladder, ureters and urethra. its main function is to filter metabolic wastes, excess ions, and chemicals from the blood to form urine. They also maintain the homeostasis of several important internal conditions by controlling the excretion of substances out of the body.through this it regulates the blood pressure. After the whole process of urine formation is completed the ureters carry urine to the urinary bladder and later discharged in the urethra. The nervous system consists of brain, spinal cord, sensory organs, and all of the nerves that connect these organs with the rest of the body. Together, these organs are responsible for the control of the body and communication among its parts. Neurons transmit information through electrical signals to the brain. chemical help to bridge gap between one neuron and the other. there are several signs and symptoms of heart failure and they are discussed here below: Shortness of breath. This is one of the signs and symptoms of heart failure, this happens due to the back up of blood in the pulmonary veins which leads fluid to leak and build up in the lungs because the heart cant keep up with the supply. Tiredness or fatigue. This happens because the heart cant keep up with the demand of supply of blood to all the body tissues so u feel tired because its being overworked. Edema. There build up of excess fluids in the body parts because the heart cant pump all the blood as a result there is the excess build up of fluids. there is slow cardiac output. Persistent coughing or wheezing due to the build up fluids in the lungs as a result of heart not pumping all the blood out of the lungs. Lack of appetite , nausea this occurs because there is less cardiac out as a result less blood reaches the digestive system which cause problems with the digestion process. Confusion. This is one of the symptoms and the reason behind is because there is less cardiac out the nutrients also is less and not enough for the body tissues, which will lead to less nutrients like sodium which will lead to someone having confusions and impaired thinking. Tachycardia. This is one of the signs and symptoms of heart failure. The increased heart rate is due to the heart pumping harder to meet the demands of supply of blood and nutrients to the rest of the body which is not enough.(American heart association 2014) sudden weight gain from fluid retention. Chest pain if the heart failure is caused by heart attack. Elevated blood pressure due to tachycardia as a result heart trying to pump more blood to other parts of the body. When critically analysing Mr wrights admission form it clearly indicates signs and symptoms of congestive cardiac failure. his circulation is not okay because he suffers from peripheral vascular disease which it can easily contribute to heart failure. secondly considering the loss of appetite which can be attributed to low blood supply to the digestive system. Checking his oxygen saturation levels which are low due to the heart failing to pump lots of blood out of the lungs which can lead to leak of fluids in the lungs. another sign is the confusion. Despite him having dementia but have low cardiac out supply to the rest of the body tissues can lead to confusion which is also a sign of heart failure. Well diabetes might be related to his leg ulcer considering the fact that patients who are diabetic at a certain stage they may have reduced sensation of the skin on there feet. They are nerve endings on the skin usually fails to detect any pain or sensation and as a result it can be a high risk of leg ulcer if the patient has a cut or blister on the feet it can easily develop to leg ulcer which can if its serious it may lead to amputation. for his case it might have played a role. In patients who are diabetic there might be poor circulation of blood to the feet which might be a contributing factor to his leg ulcer and finally the amputation of the left toe. Lasix (furosemide) is a diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine(drug14).if you got excess fluids it helps to reduce them. it treats fluid retention in people with congestive heart failure, kidney problems and liver diseases. He is given the drug in order to get rid of the excess fluids retention. the systems affected by this drug re cardiovascular and urinary system. Conditions that are commonly associated with aging according to Mr wrights relevant medical history. Arthritis the inflammation of the joints, and creates pain and stiffness when moving these joints. Osteoarthritis is the most common in the elderly. when cartilage is damaged or worn out the bone rub on each other causing friction which causes pain when moving the joints. diabetes mostly type 2 which affects the older people though young people Can also develop it. The risk of developing type 2 diabetes increase with age mostly over 55 years of age. Its where the pancreas produces insulin but its not sufficient enough to work effectively. Glaucoma is an eye diseases that results to blindness in the elderly especially over 80 years. Its a group of eye disease in which the optic nerve at the back of the eye is slowly destroyed. Poor blood supply to the vital optic nerve can lead to glaucoma.(glaucoma2014) Factors that may impact his safety whilst in hospital and when he returns home. Checking through his admission history and assessment increased level of confusion can be one of the factors that can impact his safety. He fails to remember because the low blood supply and low oxygen levels in the body which fail to supply enough to the brain and as a result this will lead to increased levels of confusion. He may not remember why he is in hospital, he may forget to take his medications as prescribed the correct dose at the right time and this is likely to occur when he is at home. Mr. Wright is receiving meals on wheels while he is at home, because of his loss of appetite as a result of congestive heart failure he may not take his meals and he can be at a risk of being malnutrition, which will eventually lead to a high falls risk because he will not have the strength and energy to walk. From the assessment it seemed he cared for his dog and as a result of being hospitalised he his anxious about the dog which can lay an impact on his safety. He is not settled at all and it may increase risk of more complicated health problems considering he has congestive heart failure. he worries a lot about the dog wondering who is going to care for it yet he is not well. While he is at home because of the level of consciousness which at time deteriorate he might just forget to walk with the walking stick at all times and combine with the nutritional problems he might be of high falls risk. Because he got glaucoma this might also play a role considering his safety back at home which can have a huge impact on hi mobility. Other health professionals that can be involved in Mr Wrights can and what services they can provide Dietician because he is diabetic and has lost appetite, the dietician would assess and provide the best solution to help improve his appetite. Physiotherapist would also be involved in Mr wrights care to assesses the mobility levels and recommend the best way of care he needs as fur as mobility is concerned. he would check if he is a high or low falls risk and provide the best tool to aid mobility. Optometrist would also be involved in his care, he would assess the level of glaucoma and check if its worsening or getting better and the likely impacts it can have on his levels of mobility. From the medical history he has dysphagia the speech pathologist will be involved to assess his level of swallowing if the problem is worsening or it has improved and make necessary recommendations so that when he goes home the meals on wheels can supply him with the recommended type of food that he can tolerate. An occupational therapist would also be involved in his care he or she will come in handy to assess the hazard at home and all the id tools that he requires in order to reduce any risk of injuries occurring at home. For example He may assess and recommend commode at night to avoid the walking to the toilet at night in order to reduce the risk of falling. A social worker will also be involved in his care considering he is at home alone with his dog, he might need home visits where the social worker will check how he is coping in the community and assess if he is socially isolated or he gets involved in the society, if family and friends visit him at all. The nursing documentation expected to be used in the care of MR. Wright are as followed. Admission form and passed medical history form. medications chart nursing care plan. progress notes allied health chart, ECG charts, observation charts fluid balance chart and bowel chart. References University of Maryland Medical Center 2014 viewed 18th sept 2013 http://umm.edu/health/medical/reports/articles/heart-failure#ixzz3CXXtD2EZ Virtual medical center 2014 last reviewed 7th may 2010 respiratory system http://www.myvmc.com/anatomy/respiratory-system/ Cardiovascular system the inner body last viewed 2013 http://www.innerbody.com/image/cardov.html Urinary system the inner body last viewed 2013, http://www.innerbody.com/image/urinov.html#full-description Nervous system the inner body last viewed 2013 http://www.innerbody.com/image/nervov.html#full-description American heart association (2014) warning-Signs-for-Heart-Failure last reviewed 20/8/2012 http://www.heart.org. Australia, Diabetes. (2014, January 6). Diabetes and Your Feet. Retrieved from Australia Diabetes: https://www.diabetesaustralia.com.au/Living-with-Diabetes/MindBody/DiabetesYour-Feet/ Drugs.com. (2014). Retrieved from Lasix: http://www.drugs.com/lasix.html Australian institute of health and well being (2013)osteoarthritis http://www.aihw.gov.au/osteoarthritis/ Gabrielle K, Kate S and Jodie H (2013)theory and practice Tabbners nursing care 6th edition. Glaucoma Australia (2014)Retrieved from Glaucoma http://www.glaucoma.org.au/what.html. The human heart circulatory system:(2014)retrieved from Franklin institute: http://learn.fi.edu/learn/heart/systems/circulation.html