Monday, 30 September 2019
The Boarding House
The Boarding House is included in Dubliners, a collection of fifteen short stories by the Irish poet and novelist James Joyce, which was first published in 1914. This story of a boarding house, like the other stories in Dubliners, describes the lives of ordinary citizens of Dublin and illustrates their various qualities. There are three main characters ââ¬â Mrs. Mooney, her daughter Polly and Mr. Doran. At the very beginning the author describes Mrs. Mooney, who relinquished a family traditional business ââ¬â the butchery, and set up a boarding house in Hardwicke Street. There is no reference to many of her outward appearances, the author probably thinks it is not important and he leaves the picture of Mrs. Mooney to the reader's imagination. However, he is very accurate in the description of her life and personality. He treats her as a courageous, strong, self-confident and imposing woman who dismissed her aggressive and worthless husband (she got a separation from him with care of the children). All the resident young men spoke of her as The Madam. In the present emancipated world, where women are practically independent, equal to men, having their own businesses, it would be nothing unusual for a woman like that. However, the character of Mrs. Mooney was likely quite anomalous at the beginning of the twentieth century, when the story was published. It was men who greatly dominated, earned money, led businesses, while women took care of household and brought up children. Besides, divorces used to be followed just exceptionally. Despite of this, Mrs. Mooney is not faultless. She can be cunning and intriguing and she has much trouble with her two incorrigible offsprings, who are described in detail in the following paragraphs. Jack Mooney, the Madam's son, who was clerk to a commission agent in Fleet Street, had the reputation of being a hard case. He was fond of using soldiers' obscenities; usually he came home in the small hours. Mrs. Mooney's other child is her daughter, Polly. Polly was a slim girl of nineteen; she had light soft hair and a small full mouth. Her eyes, which were grey with a shade of green through them, had a habit of glancing upwards when she spoke with anyone, which made her look ike a little perverse madonna. Mrs. Mooney had first sent her daughter to be a typist in a corn-factor's office but, as a disreputable sheriff's man used to come every other day to the office, asking to be allowed to say a word to his daughter, she had taken her daughter home again and set her to do housework. It is apparent that Mrs. Mooney kept her daughter from meeting men. Unfortunately, she was not very successful, because Polly flirted with young men lodged in the boarding house. In her mother's opinion these romances were just waste of time, none of them meant business or benefits. Still one day she found that something was going on between Polly and one of the young men. She started spying on them quietly, pretending not to know anything. People in the house learnt of the affair too, so it could be a scandal. However, Mrs. Mooney still did not intervene. The story progressed on a bright Sunday morning in early summer. First of all, Mrs. Mooney interviewed Polly. Things were as she had suspected: she had been frank in her questions and Polly had been frank in her answers. Mrs. Mooney did not ask any more pointless questions. She had a great plan, according to religious rules: for every sin there must be made reparation. For her only one reparation could make up for the loss of her daughter's honour: marriage. If he married her daughter, Polly's future would be secured. She had a plenty of cogent arguments and she was sure that she would succeed that day. She knew quite a lot about Mr. Doran and his job: he had been working for thirteen years in a great Catholic wine-merchant's office and publicity of that affair would bring him the loss of his job. Then Polly visited Mr. Doran in his room, crying desperately. They retrospected the past, how they first met, how Polly cared for him, heated him food, how they used to spend the nights together. But Mr. Doran disregarded his relation to Polly. She was just a kind of entertainment for him. He disliked her thoughtless behaviour, her origin and the way of her speech. He was afraid what his family and his friends would think of her. The hysterical and intriguing Polly started to cry even more and threatened with committing suicide in case Mr. Doran left her. She was interrupted by a servant, Mary. She said that Mrs. Mooney would like to talk to Mr. Doran downstairs. He put on suitable clothes, let Mary cry on the bed and went to the Madam. On his way he met Jack Mooney and recollected the day when the violent Jack bawled at one London artiste threatening any fellow who would try that sort of a game on with his sister to put his teeth bloody well down his throat. Then we do not know what happened, there is no reference to Mrs. Mooney and Mr. Doran conversation. The following paragraphs describe just Polly's cry. And the last paragraphs of the story are quite clear: At last she heard her mother calling. She started to her feet and ran to the banisters. Polly! Polly! â⬠ââ¬Å"Yes, mamma? â⬠ââ¬Å"Come down, dear. Mr. Doran wants to speak to you. â⬠Obviously, the scene must have continued, but nothing else is added, so the story is open-ended. The reader is probably supposed to believe that Mrs. Mooney's succeeded and forced Mr. Doran to marry Polly. Of course, there would be more options with a little imagination. Mr. Doran might have refused her suggestion, made a scene and left the boarding house. Even though, considering the conservative times and the country, Mrs. Mooney ultimately succeeded and Mr. Doran put up with marrying her daughter.
Sunday, 29 September 2019
College Is Not for Everyone Essay
Going away to college is not for everyone. There are good reasons why a student might choose to live at home and attend a local school. Money, finding stability while changes are occurring, and accepting responsibility are three to consider. Money is likely to be most important. Not only is tuition more expensive, but extra money is needed for room and board. Whether room and board is a dorm or an apartment, the expense is great. Most students never stop to consider that the money that could be saved from room and board may be better spent in future years on graduate school, which is likely to be more important in their careers. Going to school is a time of many changes anyway, without adding the pressure of a new city or even a new state. Finding stability will be hard enough, without going from home to a dorm. Starting college could be an emotional time for some, and the security of their home and family might make everything easier. When students decide to go away to school, sometimes because their friends are going away, or maybe because the school is their parentsââ¬â¢ alma mater, something that all need to decide is whether or not they can accept the responsibility of a completely new way of life. Everyone feels as if they are ready for total independence when they decide to go away to college, but is breaking away when they are just beginning to set their futures a good idea? Going away to school may be the right road for some, but those who feel that they are not ready might start looking to a future that is just around the corner.
Saturday, 28 September 2019
Development Is Impossible Without Industrialisation Essay
Development Is Impossible Without Industrialisation - Essay Example This paper will critically examine the statement that development is impossible without industrialization. Development has been defined as the process of acquiring and securing the freedoms that we have reasons to value. They make our life richer and allow us to be fuller social persons (Amartya Sen cited by Oden 2001). Development is a complex multidimensional process which cannot be addressed by economic growth alone. It must be approached with a dynamic perspective and the process of development is not the province of one nation. Nations have to cooperate and coordinate with one another. In Africa a large number of people fall below the extreme poverty line, which affects income, education and health. Unless the problem of poverty is resolved, no development can take place. This requires effective sustainable development which translates into jobs creation, education and health amenities. Sustainable development requires efficient, established and regular institutions and processes but most importantly it requires efficient industrial sectors. History provides sufficient evidence that industrial civilization brought about sustained prosperity. The Industrial Revolution brought all the development goals set forth at the UN Conference - clean water and sanitation, the elimination of disease, plentiful food (Tracinski, 2002). Industrial capitalism could make manââ¬â¢s physical environment healthier. Nations with large populations demonstrate a marked transformation and higher income growth. Development may vary across nations and may also vary over time, but development is impossible without industrialization. Nations benefit when they step into industrialization. Virtually every country that has experienced rapid growth in productivity and changes in life style over the last two hundred years has done so by industrializing (Murphy, Shleifer, & Vishny, 1998). Countries like
Friday, 27 September 2019
Speech to an existing presentation etc. - Control System Design Term Paper
Speech to an existing presentation etc. - Control System Design Knowledge requested - Term Paper Example It also helps the planes to stick to their routes during a flight process. I have observed this as a very helpful project that can reduce many problems in the transport sector, most importantly air transport. I would like to get your support in this project. At this juncture, let me introduce the project and give you its status together with the problems that I have experienced in carrying out the project. In the due course of my presentation, I will also show you the solutions that I took to solve the problems that I came across. Finally, I will give you the opportunity to listen to decisions that I took as remedies to the experiences, which I had. The system comprises of three parts; flight monitoring unit, which is our own unit, safety unit together with radar and defense system. The systems work hand in hand with each other smoothly to reduce any risks that can arise at any stage of the flight process. The flight-monitoring unit is divided into four partners but since we are the system OEM we are responsible for the completely functioning processes of the unit. The partners that we indentified to help us manage the system are Laissez Fair with twelve percent, Bankarottair who is holding nineteen percent and Rashid Air System has a share of twenty-three percent. We are yet to identify any partner who will be in charge of parachute control. Project process At this point comrades, let me make it more realistic and simple for you to understand the process through the diagrams. At the start, we start with designing the code. After designing the code, we deliver it to Rashid air who accepts the software test. Bankarottair does software integration after Rashid air has completed the software acceptance testing. The software comes back to us to test the integration and then, take to Laissez fair to find if the software has any problem. If there is any problem, then they fix it before moving to the final stage of verification and start releasing with the authorities . Project Plan and Status The period set to complete this program is short. The deadline is 30th January next year. Looking at the schedule, there is a lot of work that need to be done in this very short period. As you can see, we completed the first step at a hundred percent and took to Rashid air to do the software accepting some few weeks ago. They had completed up to eighty percent when we received their message that the system is experiencing some failure. Therefore, the other processes have not yet started. Basing on this it is most determinable that if remedies are not put in place at the correct time, we shall be late for a long period. The remaining processes are important and they may require enough time to deal with them. There are five general processes so far we have managed to complete only one. The second one is almost to the end although it has some challenges that require special attention. Problems Our colleagues from India report that they are experiencing great p roblems. They say that it will be necessary to shut down the system then restart it after sometime. This will cause a delay of several days that we did not expect. According to their report, it may take five or eight days to fix the problem. This will attract a penalty of $50,000. This means that for eight days, we will have to pay about four hundred thousand US dollars. The reason is that we have to replace a rig module. This could take around five days to replace then
Thursday, 26 September 2019
Review of San Francisco Conservatory of Music Percussion Concert Essay
Review of San Francisco Conservatory of Music Percussion Concert - Essay Example Bach, was the opening song. Alemande and Gigue performed this piece very musically and with great accuracy. This showcase of talent was a superior way to draw in the audience from the very start. With only two performers playing such a serious piece, this song could have easily dragged, becoming boring and losing the attention of much of the audience. Alemande and Gigue, however, did a superior job. I never thought I would hear this piece performed by percussion only ââ¬â and it was great. The second song, Log Cabin Blues, by G.H. Green, provided an enjoyably light, fun contrast to the seriousness of the first piece. I couldnââ¬â¢t help but tap my foot along to the beat of this upbeat song. Katy La Farve, Jonathon Goldstein, Ryder Shelly and Iskandar Rashid carried away the delightful tune on the marimbas while Keaton Snyder kept the beat on the drum set. Particularly enjoyable was the part of the lead marimba, which was fast and covered a wide range of pitches. In the past I have encountered percussion and other ensembles that fail to attend to dynamics in their musical performances, especially in a fast-paced song like this that requires the performers to focus on so many other things. This group managed to include fantastic dynamic contrast, and it was delightful. These performers really got into the song ââ¬â and in effect, so did the audience. After several other percussion excerpts from various composers, the final piece, Spiegel im Spiegel by Arvo Part, was performed.
Wednesday, 25 September 2019
How to improve the integration of a poka yoke solution from the user Literature review
How to improve the integration of a poka yoke solution from the user perspective - Literature review Example Sissonenââ¬â¢s research based on the fact that large-scale production systems usually employ mass customization processes and activities with large configurability, requiring highly sophisticated approach2. They argue that lack of mistake-proofing or low level of mistake-proofing can result in too many or severe quality issues in mass production systems. However, Da Silveira, Borenstein and Fogliatto argued that it should also be noted that mass customization cannot be adopted for all types of products, processes or consumers3. The ability to identify reasons for mass customization is important from managerial perspective in order to reinforce predictability of demand, which will eventually spell the success of the product/business. Kaplan, Schoder and Haenlein built their research on Frank and Pillerââ¬â¢s proposition that mass customization from a consumerââ¬â¢s perspective has critical implications for managers and the business because this decision usually depends on two factors: the value customers gain by using a mass customized product relative to their needs, and secondly, the returns of a process design that gives optimum results4. Squire et al.ââ¬â¢s point that highlights price, quality and technical attributes as the most probable value-creating criteria that determine the need and demand for mass-customized products and processes is indicative of the need for mistake-proofing. Mistake-proofing therefore adds great value to the effectiveness of mass-customization in terms of profits, quality, and business growth5. Examples of mistake-proofing in mass-customization6: a) Machinery with warning lights to highlight improper positioning or usage of parts; b) A device to count the number of holes drilled in a work piece to indicate correct/incorrect number of holes drilled; c) Double verification of passwords in IT systems; d) Signals to indicate open or improperly closed doors in cars etc. e) Automated checking and saving Microsoft Office docu ments. These examples indicate the application of mistake-proofing in mass-customization from product, process, and consumer perspectives. Evans highlights Chase and Stewartââ¬â¢s point that mistake-proofing in mass-customization for services sector should account for both customersââ¬â¢ and service providersââ¬â¢ activities7. Mistake-proofing methods must be set up for various activities involved in providing a particular service, which is characteristic of service industry. For instance, a banking service might provide various facilities to their customers for the same product, like withdrawal of money from ATM, direction transaction with bank, phone, cheque book etc; each of these multiple service options will require efficient mistake-proofing techniques to prevent errors, frauds and losses. Although the error-free activity is the responsibility of the bank, its liaison with manufacturing units is inevitable and the mistake-proofing techniques provided in some of these services are usually fixed by the manufacturers. For instance, for ATM machines to indicate error/fraud, mistake-proofing tools, such as warning lights/signals, need to be incorporated during its manufacturing process. According to Swaminathan, factors in general that necessitate or support mass customization obviously include large scale production and predictable demand, similar products, similar processes, and cost-reduction8.
Tuesday, 24 September 2019
Leadership Coursework Example | Topics and Well Written Essays - 500 words
Leadership - Coursework Example What I would want from my leader is his understanding. I believe that my manager should try to understand me whenever I give my opinion. They should listen to what everyone in the group they are leading since everyone needs to be given a chance to talk. My leader should not just see me just as a physical being, but should realize that I have my needs. Whenever one performs well should be motivated by being given rewards. It means that my leader will be appreciative of the work done by his group. My manager needs to be open-minded, consistent, whereby he or she is reliable and responsive, friendly, encouraging and just (Hogan & Kaisern 172). Not all managers can be transformational leaders because transformation theory tends to focus on the kind of relationship exists between the leader and his followers. Therefore, meaning that the leadership will include the use of charisma and interpersonal skills to assist the workers in achieving their objectives (Hogan & Kaisern 175). If a manager needs to be a transformational leader, he or she needs to possess transformational leadership qualities that will help them to make their followers and those around them feel that they are necessary. That is, valuing them, satisfying their needs and assessing associatesââ¬â¢ motives. In relation to transformational leadership theory, women are argued to have more leadership potential as opposed to men. According to the theory, women tend to lead their followers more effectively than that of men (Northouse 17). It is because transformational leadership being that it needs leaders who are inspirational, empowering, concerned of their followers, positive role models and are capable of pushing their members in becoming creative. Research has depicted that women leaders have high transformational qualities and attributes than men (Yulk 28). In my opinion, I believe that
Monday, 23 September 2019
Greenhouse Business Challenge and Carbon Footprint in Australia Assignment
Greenhouse Business Challenge and Carbon Footprint in Australia - Assignment Example The processes, policies, and procedures to be taken up by companies in regards to carbon footprint operations would be based on standards and incentives. In the first case, standards need to be fixed by companies to measure and thereby manage the level of emissions and thereby to take resort to other non-conventional energy sources like wind and solar energy. Secondly, the focus to reduce the carbon emissions can be linked to financial incentives where it helps in reduction of operational cost (Bannon, DeBell and Krosnick, 2007, p.2). Coca-Cola since 2004 is observed to expend around $40 million in regards to the placement of sustainable refrigerators in its different stores. The refrigerators would work on alternatives for hydro-fluoro-carbons (Cogan, Good, Kantor and McAteer, 2008, p.39). The Best Practices involved in regards to management of Carbon Footprint by organizations are as follows. Firstly the management body of the concern needs to select a particular year calendar or financial in regards to gaining considerable data. Secondly, the management focuses to reduce the level of emissions from direct and indirect operations. Thirdly the management is to decide on the level of control based on direct ownership or through stakeholder approach to reducing the level of greenhouse gases (New Zealand Government, 2008). Wal-Mart focuses on designing a prototype of a store that would help in reducing emission levels of greenhouse gases by around 30 percent. It also targets in reducing emission level in the international stores by around 20 percent to the close of 2012 and in doubling the efficiency level of transportation by 2015 (Walmart, 2010). Tesco is closely working with its supply chain systems to help reduce the level of carbon emissions through a reduction in the number of transportation vehicles and also using bio-energy Tesco also rightly labels the carbon footprint in the different products (FBP 1094, p.3-7)
Sunday, 22 September 2019
Animal Farm Essay Example | Topics and Well Written Essays - 250 words
Animal Farm - Essay Example This made him to get rid of Snowball from the farm using the dogs that he had secretly trained. Thesis: Napoleon changed the farm rules by stating no animal shall kill each other without the cause. This indicated that Napoleon did not value other animalsââ¬â¢ ideas as he made major decisions affecting the farm without consulting them. Thesis: Napoleon made the animals to work extra hard by forcing them to build a windmill, which he did not consider useful at the beginning. He used this to act as strategy to make animals too tired to think about their situation, lack time for rebellion and not to realize Napoleonââ¬â¢s intentions. The banning of Snowball from the animal farm indicates that Napoleon is an opportunist because he changes a situation to his favor. Throughout the novel, Napoleon used Snowball as scapegoat for everything that went wrong in the farm. This secured Napoleonââ¬â¢s leadership position as the animals did not blame him for anything bad. Napoleon used different means to ensure that he maintained his power (Orwell & Ian 25). For example, he rarely appeared in public that made the animals to believe that he had important matters to attend to rather than the animalsââ¬â¢ welfare and they made the animals to adore his appearance. Finally, Napoleon eliminated anyone who appeared to be a threat to his
Saturday, 21 September 2019
Importance of Identity and Good vs. Evil in the Epic Story Beowulf Essay Example for Free
Importance of Identity and Good vs. Evil in the Epic Story Beowulf Essay The epic story Beowulf narrates the story of the hero named Beowulf and his legendary battle with the monster Grendel and later on, Grendelââ¬â¢s mother who longed for revenge because of the death of her beloved son (Kennedy).à This epic story, along with many other epic stories, has central themes on the importance of identity and the popular topic on good versus evil. The purpose of this paper is to discuss these two central themes of Beowulf.à This paper is cut into two sections. à The first section discusses the theme of importance of identity in the epic story while the second section discusses the depiction of good and evil within the story. Importance of Identity à à à à à à à à à à à The story of Beowulf emphasizes the importance of identity (Raffel, p. 135).à In the story, almost everyone introduces himself in terms of who his parents or ancestors were.à Moreover, almost everyone in the story has an act or wants to act to continue the legacy of their ancestors (Anderson).à This very belief mirrors the principles of the people who lived in those times.à These people believed that there is no afterlife and thus, his soul can live forever if and only if he does something of great value that can never be surpassed or forgotten.à In the story, Beowulf illustrates the pride of their ancestry by helping King Hrothgar who once aided Beowulfââ¬â¢s father. In addition to the eternal glory of the soul, these people also believed that by doing something great, he brings pride and eternity to his ancestry. This is what they call the heroic code (Fellow, p. 7).à They further believed that once you defy the heroic code, you will be dishonored by your ancestors, your reputation will be destroyed and your soul will be punished with death ââ¬âyou will not be remembered forever and your childrenââ¬â¢s children will also inherit this dishonor. Good vs. Evil à à à à à à à à à à à Along with many other stories, Beowulf also tackles the ever famous battle between good and evil.à Our hero Beowulf is the symbol of everything good in the story.à He went to Denmark and bravely told King Hrothgar (king of Denmark at the time) that he will battle with the monster Grendel sailing with only a few men by his side (Raffel).à His bravery also led him to defeat Grendel and later on, face the monsterââ¬â¢s mother.à The evil side is symbolized by Grendel, his mother, and his future brother and Beowulfââ¬â¢s son, the dragon. When Grendel hears any kind of noise (to him any sound is considered a noise), he goes on to kill whoever makes that noise without any consideration who this person might be.à Grendelââ¬â¢s mother is an avenger who killed one of Beowulfââ¬â¢s loyal advisers to avenge the death of her son (Anderson).à Beowulf, however, was not threatened by this act and comes to the monsterââ¬â¢s lair to kill her. He becomes the storyââ¬â¢s messiah ââ¬â he saved the lives of the people of Herot by slaying all that is evil.à He embodied the good side because of his courage to fight with the dragon. à He sacrificed himself in order to save his people.à Moreover, he is the bringer of more treasures to his own kingdom.à Thus, good and evil in this story symbolizes the eternal battle between God and Satan and light and darkness.à And as always, good triumphs over evil, God wins over Satan, and darkness will never exist in the presence of overpowering light. Works Cited Anderson, Carolyn. Gaest, gender, and kin in Beowulf: Consumption of the boundaries. April 12 2008. http://www.heroicage.org/issues/5/Anderson1.html. Fellow, W.P Ker. Epic and romance: Essays on medieval literature. New York: The Macmillan Company, 1897. Kennedy, Charles W. Beowulf: The oldest English epic. London: Oxford University Press, 1978. Niles, John D. Understanding Beowulf: Oral poetry acts. Journal of American Folklore 106.420 (1993): 131-55. Raffel, Burton, ed. Beowulf. Reprint ed: Signet Classics, 1999.
Friday, 20 September 2019
Changes And Force Field Analysis Management Essay
Changes And Force Field Analysis Management Essay My bank is a medium type bank. A new change was introduced during the years 1990 and 2003. The changes introduced to the bank are as followers. The first one was bottom-up-approach and the second was top-down-approach. Senior executives of the bank convinced that it was the right time to bring the change for the benefaction of the bank. Therefore, they introduced quality improvement program, which could reduce cost, by using the existing staff to improve quality and customer service. They brought consultants from abroad. Top level believed that the middle level could enlighten the bottom level employees. However, both the approaches for implementing change failed. Some employees could not accept the new change; the workload was increased and when the new ideas were introduced to the middle management level, there was no response. The senior management had failed its intensions to mobilize middle management commitment and local staff enthusiasm. Force field analysis provides an initial view of change problems that need to be tackled, by identifying forces for and against change based on an understanding of the context of change including the existing culture (Johnson et al. 2008). The distinctive feature of force-field analysis is that it involves organizing the categories in to two board types; those relating to force or pressure for change and those relating to forces or pressures supporting the status quo and resisting change. Lewin (1951) argue that, level of behaviour in any situation as the result of a force field comprising a balance of the forces pushing for change and the forces resisting change. Force Field Diagram Driver Force Restraining Force Quality Improvement Work -Load Cost Reduction Top Level Management External Environment Staffs Technology Training Consultants Recommendation Present Scenario (Hazyes, 2010:129) cccPKNBKMV There are different key drivers can found in the My bank case study. However, technology is the best key driver in the My bank case. All other key drivers related to the technology. Anderson and Tushman (YEAR) point out that technological change is cyclical. Each technology cycle begins with a technological discontinuity. Cost reduction, quality improvement, external environments connected to the technology. If technology will not change other drivers cannot Change in fast way. Different kinds of restrain factors present in the case study. The top-level management like chef executives were the main reason for the failure of the change. Other staffs did not get any support from the top level. After the change, staffs opinion was slightly rejected by the managements. This is the main reason of the failure of the change. According to Nadler (1995), four types of organisational change are there. An Organisations response change is proactive or reactive way. Tuning and adaptation can involve minor or major changes, they are types of change that occur within the same period, and they are bounded by the existing paradigm. Reorientation and re-creation, on the other hand, are types of change that, to use Gersicks analogy, target the playing field and the rules of the game rather than the way a particular game is played. They involve transforming the organisation and bending or breaking the frame to do things differently or to do different things Tuning is change that occurs when there is no immediate requirement to change. Mybank organisational change is related to this part. Mybank became convinced of the benefits of a quality improvement programme for reducing cost. This approach to change tends to be initiated internally in order to make minor adjustments to maintain alignment between the internal elements of the organisation and between the organisations strategy and external environment. Adaptation is an incremental and adaptive response to a pressing external demand for change. Reorientation involves a redefinition of the enterprise. It is initiated in anticipation of future opportunities or problems. Re-creation is a reactive change involves transforming the organisation through the fast and simultaneous change of all its basic elements. Type of Organisational Change Incremental Transformational Proactive Reactive (Nadler et al. 1995:24). Reorientation Tuning Re-creation Adaptation Answer2: Organisational Change involves complex process. Managing this kind of procedure is entirely difficult because they are dynamic. That means complex processes are changing. In these dynamic situations, it is difficult to predict the consequences of its actions. Managing a set of complex activities, each of which is crucial for the overall success of change. These complex tasks needs to be completed effectively in order to change, involves achieve a successful come. Managing change involves four complex tasks. The four tasks are as follows. They are appreciating change, mobilising support, executing change and building change capability. Leadership Appreciating Mobilising Change Support L Building Change Executing change Capability CHANGE MANAGEMENT MODEL Appreciating Change Appreciating Change can give an idea about understanding the forces of stability and change in the organisation. This requires inquiry into routines and mental models that sustain the status quo. An organisation can be changed mainly in two ways. Those are unplanned change and planned change. The Unplanned change, which typically involves changes due to new ideas, conflict between individuals, departments or teams and political and power struggles inside the organisation. Nadler (1987) argues that political behaviour tend to be more intense in times of change because individuals and groups perceive the possibility of upsetting the exiting balance power. Planned change, the change has to be planned. Mybank case study involved the planned change. The appreciation phases aims to make aware of the (a) need for change, (b) consequences of changing and not changing and (c) options that have for undertaking change in the organisation. In the case study, the organisation recognised the neces sary of the appreciating change and understood if this change will happen in the organisation, can achieve cost reduction in house; using exiting staffs to improve the quality and customer service and bank can avoid the inefficient works. The senior executives of Mybank appreciated the change and convinced the benefits of a quality improvement program. Mobilising Support Participation, involvement, and ownership are the crucial for the effective change. The organisational change is both cultural and political involves change in mindsets. This involves influencing, inducing, negotiating, persuading and winning over people to the idea of change. The effective communication strategies are crucial to change management. Getting consent and mobilising support is not an easy process. It requires persistence and patience. Strategic plan have a very important role in mobilising support. Organisational change is a political process. Pettigrew (1972) argue that some may engage in political action for ideological reasons, especially when they are fear that a change may be inconsistent with their values. According to Jick (1993), there are three categories of people who play a role in any change process. They are change strategists, change implements, and change recipients. Change strategists are the people who decide that the organisation needs change and set a direction for the change support. Mybank case managing director and senior executives are the strategists. They are in the top of the position. But strategists cant implements the change. Change implements are the people who are implementing the change by creating new structures, rules, procedures in all process. These people are the middle people of the management team. Mangers, outside consultants and accounting firm are change implementers in the Mybank Cooperation. Change recipients are the third category and people whose jobs change as a result of changes launched in the organisation. These people are usually lower level in an organisation. However, the main success in their hands. These people can make or break the effo rt. These people at the front line directly dealing with clients and customers. The main success depends upon the consent of the people in the organisation. Mybank employees, general staffs, are the change recipients. In 2003, the senior management had failed in its intentions to mobilize middle management commitment and local staffs enthusiasm. The middle management fully activated, but management follow some autocratic style and management fail to adopt the strategy. Executing Change Executing change involves creating and putting in place new structures, processes or procedures. Execution is, perhaps, the most critical aspect of change. Obviously, if an organisation has not managed the previous two tasks well, its change plan or programme will never take off. However, even if an organisation has carefully thought through its change issues and options and has gathered enough support for change, it can still fail at this critical stage. Three critical tasks for change leaders to ensure focus and energy during execution: (a) creating cross-functional linkages in the organisation; (b) aligning policies, procedures and removing structural impediments to performance and change; and (c) creating new routines for continuous improvements and innovations. According to Nilkant (Year), a successful change effort requires: (a) adequate appreciation planning, (b) sufficient support by employees, (c) competent execution by managers, and (d) Change managers with appropriate skill sets and capabilities. Mybank staffs accepted their new changes. However, it was not successful in the bank in both 1990 and 2003. In 2003, they bring a new department and try to join the other department together. The Regional Lending managers activities were not accepted by other departmental mangers. This created a big problem in the organisation. Most of the staffs did not express any interest to new executing change. This is because they were not understood the new system. Who are interested this new changes, did not get any support from their higher level. Building Change Capability A well-known model of change management views organisations as going through long periods of stability punctuated by short bursts of discontinuous change. According to Nilikant (2006), mangers or organisations can build capability in four ways. Those are firstly, individuals and groups build capability. Secondly, individuals and groups build capability when they successfully execute challenging projects. Thirdly, building capability involves paying simultaneous attention to both action and reflection. Fourth, leaders and organisations can help individuals and groups build capability by providing a context that aids action and reflection. Self-efficacy is energy and focus for the capability building. In managing change, self-efficacy is a major determinant for success. Employees with higher levels of self- efficacy can overcome obstacles and challenges that are inevitable part of any change. Efficacy is demonstrated when individuals feel secure in avoiding pseudo solutions. Mybank fai led in their both approach. The main reasons are not cooperation between the staffs and management. Who are motivated in these approaches, did not get support from their top level. Staffs got more workload in their work and staffs were lost the interest to extra works. In this way bank cannot maintain capability. Change Agent A change agent is the individual or group that helps effect strategic change in the organisation. For example, the creator of a strategy may, or may not, be the change agent. He or she may need to rely on others to take lead in effecting changes to strategy (Johnson ET .al 2008). Middle managers and consultants are the change agents in the Mybank case, because they are working together with top level and bottom level people within the organisation. Transition Phases Mod Internalization, Reaction And Learning Denial Shock Depression Consolidation Testing Letting go Acceptance of Reality Time .Answer 3: People going through change experience a variety of emotional and cognitive states. Transitions typically progress through a cycle of reasonably predictable phases .this applies to all kinds of transitions: voluntary and imposed, desirable and undesirable. Often people have little warning of changes and they experience the initial phase of a transition as a shock. Feelings of anxiety and panic can determine their ability to take in the new information, think constructively and plan. Mybank employees faced the same problem when they heard about the new change. Denial phase characterized by a retreat from the reality of change. Depression is the reality of the change becomes apparent and the individual acknowledges things cannot continue. Letting go phase involves accepting reality for what it is. It implies a clear letting go of the past. Testing is more active, creative, experimental involvement in the new situation starts to take place. Consolidation stage progress in progresses in parallel with testing but to begin with there is often more testing and rejecting than testing and consolidating. Internalization, reflection, and learning transition is complete when the changed behaviour is normal and unthinking and is the new natural order of things(Hayes, 2010:216). When a new change program implemented in the Mybank, all the staffs passed in these stages. Some of the staffs were getting struggled and other staffs overcome all the problems. The primary leadership task in change management as creating a positive behavioural context that facilitates inquiry, appreciation, and change. Change management model identifies four core tasks. First, mangers need to be cognitive tuners to appreciate change. Second, mangers need to be people catalysers to mobilise support. Third, managers need to be system architects to execute change. Fourth, managers need to be efficacy builders to build change capability. Leadership Cognitive Tuner The main core task of appreciating change requires a manger to tune into both external business environment and the internal organisational setting. The important thing of the change agent is to understand the external environment and assess the organisational capabilities to address the external changes. The change agent should expose different way. The change agent should seek knowledge in all level and awareness of own metal models and assumptions important. The change agent should recognise the assumptions, if it is necessary or not (Reference). Finally listen other people who are disagreeing with the change agent and do not feel defensive or threatened when others challenge the ideas and thinking. My bank case, cognitive tuning was not effective. The management did not listen to the bottom-level staffs opinions; as a result, employees lost their interest in the new changes. The middle level mangers fail to express their feelings into the top-level management. The way of communic ation was not sufficient between departmental mangers and change agents. People Catalyser Organisational change has an element of loss inherent in the process, and it is a loss that is often deeply felt by employees. The Kubler-Ross grief model addresses the emotional issues associated with change. The four emotional stages experienced throughout the change process may be expressed by employees in behaviours that are obstacles to the process of change. By understanding the emotions employees often encounter during change. It will be better prepared to facilitate the change process (Reference). Kubler- Ross grief stages is applicable in the Mybank case. The staffs were faced the situation in the organisation. But the final stage of the Kubler- Ross was fail in the case, commitment from the employees not good. Between the departments problems created. Kubler -Ross Grief Model Stage 1: Denial People encountering a change initiative might be saying to them, I cant believe this is happening to us. Unresolved fears about the change initiative need to be addressed during this phase. Stage 2: Resistance During this phase, people could attempt to slow down or derail the change initiative, it must be able to spot resistance when it occurs and formulate sound strategies for overcoming it. Stage 3: Exploration If people are not able to stop the changes from occurring, they begin to role of the group are specifically defined in this stage. It is important that unresolved issues that continue to surface be addressed. If trust has been created among the group, then peer influenced can be used to encourage behavioural change. Stage 4: commitment Mutual commitment is established , obstacles have been removed .and the focus is on successful implementation of the changes The change management need to catalyse people by building support, manufacturing consent and facilitating cognitive shifts in organisational members. The change agents need to be communicators, persuaders and negotiators. The change agent prepares himself before engaging the people. For influencing the people the agent can utilise all the media and forums. In decision-making time, change agent role is important. There is no chance to run away from the situations. The change should get trust and respect from others, in this way they can develop the credibility. In the case study, at a particular level, the consultants engaged the people and they fail to utilise the forums and media in the organisation. The middle levels mangers did not get the much trust and respect from the staffs. Systems Architect The change agents need to create the systems, process and routines to execute the change plan or agenda. This involves setting explicit goals, establishing cross-functional teams and monitoring progress (Nilikant). In this stage, the change agent role is very important. In the organisation, he/she should clarify individual roles and contribution. The person who selected is SMART or not. Moreover, other team leaders selection responsibility will come under the change agent. Co-ordination between other staffs will come under the change mangers control. Change mangers need to identify the organisational past practices, procedures, and polices and it should eliminate them properly. Mybank change fails in these areas. The selection of the other team leaders performance was not good. They were not SMART. If they are SMART, the change will be successful. Under the control of the middle managers, conducted meetings but fail to share the new ideas and solve current problems after the change. Efficacy Builder The mangers need to make organisational members have faith in their ability to learn, overcome obstacles and engage in change. Jim Collins argues that the effective leaders do not motivate people. They help people motivate themselves. A significant aspect of building change capability is to build a repository of organisational knowledge that captures insights from peoples tacit experiences. Building change capability is closely related to the core task of appreciating change. Store and share the knowledge is very important for a change manager. Renewal must become as important as cash flow or profit maximisation. Organisational members are aware that change mangers are observing what they say and what they do, and they may be making judgements about them and their future role. Mybank case change management selected some people for the leadership positions. However, that staffs were not successes in a particular level. Some of the departments in Mybank were not given any preference to the change mangers. This is one of the reasons to fail change implication in Mybank and plan of joining of the two departments was not success. This was due to the inefficient leadership and responsibility by the change mangers. The change ag Answe4: Recommendation Conclusion
Thursday, 19 September 2019
Frederick Henry Discovered Essay -- essays papers
Frederick Henry Discovered In A Farewell to Arms, Ernest Hemingway uses his idea of the code hero to introduce us to an amazing character. Hemingway takes his own ideas and conveys them through Frederic Henry. During World War I Frederic Henry proves to us that war and lost love can change a strong and willing man. Most men are not willing to change and Frederic Henry realized that in order for him to survive the many problems he was faced with, he would have to become a more mature man, love and solider. Hemingwayââ¬â¢s code hero is portrayed in most every novel that Hemingway wrote. He takes his main character and makes him someone that is hard to change and even harder to make realize the situations around him. His code heroes are attractive, but not too attractive. They are very masculine and strong-minded. They stand for ââ¬Å"what is right.â⬠The code hero always believes in doing his job completely and putting it first, no matter what. Hemingwayââ¬â¢s code hero consists of one very strong, willful man that is willing to do what he needs to do in order to get the job done. The main focus of Frederic Henry as a code hero is serving to his greatest extent in the war (Hemingway, A Farewell to Arms 124). Fredric Henry was injured while in the war, but as soon as he was healed he went back to the front. Henry returns to the front because he believes in finishing something that he was involved with in the first place. These actions are heroic because although he wasnââ¬â¢t forced to go back to the front he felt an obligation to the war. This reflects an aspect of Hemingwayââ¬â¢s code hero because Henry wasnââ¬â¢t going to walk away and take the easy was out of the situation. ââ¬Å"He was serving in a war and he gave absolute loyalty and as ... ...trong courageous and strong-willed. Frederic Henry is the type of man that Hemingway has developed to be throughout the writing of this novel. Bibliography: Hemingway, Ernest. A Farewell to Arms. U.S.: Simon & Schuster Inc. 1929. For Whom the Bell Tolls. U.S.: Simon & Schuster Inc. 1940. Nagel, Gwen. ââ¬Å"A Tessera For Frederic Henry: Imagery And Recurrence in A Farewell To Arms.â⬠Ernest Hemingway Six Decades of Criticism. Ed. Michigan State Press : 1987. 187-193. Nolan, Charles. ââ¬Å"Shooting the Sergeant-Frederic Henryââ¬â¢s Puzzling Action.â⬠Westchester State College. III (1984): 269-275. Phelan, James. ââ¬Å"Narrative Discourse, Literary Character, and Ideology.â⬠Reading Narrative. 20 (1989) 132-146. Phelan, James. ââ¬Å"The Concept of Voice, the Voices of Frederic Henry, and the Structure of A Farewell to Arms.â⬠Oxford University Press. 10 (1991) 214-232.
Wednesday, 18 September 2019
Dryness and Spiritual Decay in The Waste Land Essay -- T.S. Eliot Wast
Dryness and Spiritual Decay in The Waste Land à à à à à T.S. Eliot peppers "The Waste Land," his apocalyptic poem, with images of modern aridity and inarticulacy that contrast with fertile allusions to previous times. Eliot's language details a brittle era, rife with wars physical and sexual, spiritually broken, culturally decaying, dry and dusty. His references to the Fisher King and mythical vegetation rituals imply that the 20th-century world is in need of a Quester to irrigate the land. "The Waste Land" refuses to provide a simple solution; the properties of the language serve to make for an ambiguous narrative and conclusion, one as confusing and fragmented as Eliot's era itself. à Eliot wastes no time drawing out the first irony of the poem. In the first lines of "The Burial of the Dead," the speaker comments on Jesus' crucifixion and Chaucer while using brutal sounds to relate his spiritual coldness in a warm environment. In "The General Prologue" to The Canterbury Tales, Chaucer poetically writes "Whan that April with his showres soote/ The droughte of March hath perced to the roote,/ And bathed every veine in swich licour,/ Of which vertu engrendred is the flowr" (Norton Anthology to English Literature, sixth edition, vol. 1, p.81). For "The Wasteland's" speaker, "April is the cruellest month, breeding/ Lilacs out of the dead land, mixing/ Memory and desire, stirring/ Dull roots with spring rain" (Norton Anthology of Poetry, fourth edition, p.1236, lines 1-4). The harsh "c's" and muted "d's" throughout point to the speaker's disenchantment with a world full of paradoxes and dichotomies. The "mixing" of "Memory and desire" only hurts him, as do all the verbs , which Eliot places at the ends of their lines to int... ...o present ideas and to withhold personal interaction, it is difficult to read "The Wasteland" without questioning authorial intent. Is the Fisher King in the last stanza, written in the first person, possibly the poet himself, come to rescue us in Nietzschean ÃÅ"ber-Mensch form? Though he would certainly argue against the validity of such a self-enlarging statement (or maybe not), Eliot must have written "The Wasteland" with some hopes that it would somehow end his land's drought. In this sense, then, the writer is a type of Fisher King, and the new ritual is not vegetable harvesting, but writing. à Works Cited: Abrams et al. The Norton Anthology of English Literature, sixth edition, vol. 1. New York: W. W. Norton & Company, Inc., 1993. Ferguson et al. The Norton Anthology of Poetry, fourth edition. New York: W. W. Norton & Company, Inc., 1996. Ã
Tuesday, 17 September 2019
The Way Up to Heaven
apprehension : anixiety bland : showing no strong emotions foible : little weekness or strange habit bustling : very busy butler : main,male servant yearing : strong desire diminutive : small and thin dapper : man dressed nicely hazy : not clear flabby : unattrective,soft,loose cable : telegraf shrill : very high and unpleasant sound tinkling : a light ringing sound pantry: a small room in a house where foods is kept appressive : a situation that makes you unhappy,worried glimmer: a small sign of sth trifle : modas? gecmis onemsiz CHARACTERS Mrs. Foster: she is the main character. ut she has no giving name or age. She is just her husbandââ¬â¢s wife. She is modest,faithful ,neurotic,disiplined,suffuring. She changes,when she arrives Paris,she feels wonderful,strong,purposeful,cool and calm. And when she arrives back to New York she feels satisfied. Mr. Foster: he is 70 years old,rich,insensitive,diminutive but quite dapper,and he shows no love for his family and he has a few friend s. He is a static,flat character. CLIMAX The main turning point is he moment when Mrs. Foster freezes in front door to listen to a sound which is coming from the house. CONFLICTS External conflict: between the mrs.Foster and mr foster. Although she knows that her husban torments her on purpose,she does say anything about it. Internal conflict: between the mrs. foster and herself. Although she wants tol ive with her grandchildren she also thinks that it is wrong because her husband is still alive and she is a loyal wife. *** Mrs. Foster has an almost pathological fear of being late. And her husband knows she will be hysterical if he is late. So he always late on purpose. And he watch her to see if the tiny muscle by her eye starts twitching. She is begining to realize that her husbant is tormenting her.
Monday, 16 September 2019
Career Goal Essay
My short term goal ââ¬â immediately upon completion of the MBA ââ¬â is to enter the field of FMCG marketing. My aim is to take up a challenging product marketing position with a top global consumer goods company. This role would give me the opportunity to identify target market segments, and devise strategies to tap into them. By working on the design and execution of marketing campaigns, I will be able to combine my newly acquired business skills with my inherent creativity and channel it in a way that helps my organization grow. I have deep interest in gaining extensive learning in the field of marketing. Over a period of a few years I aim to become an expert in end-to-end marketing strategy and execution. This expertise will help me achieve my longer term goal ââ¬â to set up a niche marketing consultancy for the health foods and nutrition snacks sector. My consultancy will provide a one-stop solution for marketing and promotion activities such as market research, market targeting and segmentation and implementation of marketing programs. My firm will allow me to leverage my love of marketing for bringing healthy food supplements that benefit society as a whole. Through my work in commercial sales, I have gained experience in understanding complex and fragmented market landscapes, identifying market gaps that the business can serve, bridging operational ability with market needs and negotiating with suppliers and customers. I have learned the art of managing customer expectations and building strong customer relationships even under difficult delivery constraints and economic conditions. All of these will be valuable in my marketing career. Additionally, the MBA degree will help me address the gaps that presently exist in my competencies. The MBA program will give me exposure to multi-domain business knowledge from finance to supply chain to human resources to technology. More importantly, it will help me understand the interplay between business functions, and between the business and its competitive environment. This will be instrumental in devising optimal marketing strategies that best serve the organizationââ¬â¢s vision. Through the MBA, I will also gain expertise in the use of popular marketing frameworks to identify market needs and gaps, and determine appropriate pricing strategies. Soft skills, such as presentation and communication skills, are also vital to success in marketing. The MBA degree will greatly help me enhance my soft skills. It will also give me theà opportunity to network and build professional relationships with peers and alumni ââ¬â who themselves are successful business executives. These networks will be instrumental in my career growth as well as in establishing my business venture in the future. The comprehensive set of competencies that the MBA will equip me with makes will give me the perfect platform to reach my career objectives.
Sunday, 15 September 2019
Anne Hutchinson
Governor Winthrop had a ream to build a puritan society with strict rules on his ââ¬Å"city on the hillâ⬠. He was not going to let Anne Hutchinson, a forceful woman with unique religious beliefs, decompose his plan. Anne developed a respectful reputation during her early years in New England as a midwife, healer and a devout Christian. It was because of this reputation and her general magnetic personality that drew people to her. She was an intelligent woman, which was rare, so people wanted to listen to what she had to say.This would have been fine, except what she wanted to talk about was her religious beliefs. A woman preaching In a Puritan rich colony was unacceptable and was not to be tolerated. Although, the strong willed Anne, who finally had the freedom to express her religious beliefs was not about to quit. A woman, preaching her religious beliefs outside the church walls, was sufficient enough of a crime to bring Anne Into trial. Under Governor Winthrop lead, no perso n, especially female, would preach unless you were a member of the clergy.The Puritan ministers were the only apparent conduit between the people and God and any possible gateway to heaven. This belief gave Governor Winthrop a lot of control in managing his colony. So here Is the problem he faced. The Governor Is advocating that you must be ââ¬Å"approvedâ⬠through the Puritan ministers to get into heaven, and now there is this influential woman preaching too many others that you can access God directly through your own actions and beliefs. So why follow the church based rules laid out by the Government If you can write your own destiny?Governor Winthrop was prosecuting Anna not just because she was a woman acting out of her social etiquette, but because he was threatened that with her existing influence and religious beliefs, his ââ¬Å"city upon a hillâ⬠would fall. I believe the outcome of Anne Hutchison trial was decided before she stepped In the door. ; What does thi s episode say about the hopes and difficulties of the ââ¬ËCity upon a Hill' community that John Winthrop and others were trying to build?John Winthrop, a man very steadfast in the Puritan faith believed that the reformed religion could create a functioning community. He hoped to build a model community In which all others would follow, John Winthrop, along with other early colonists, had confidence that the new colony would be so perfect, that other English people would migrate and reform. Winthrop yearned for a society based on, ââ¬Å"community solidarity'. It would be a well-oiled machine where all settlers would work together In harmony to build this dream colony.According to Governor Winthrop, this type of community could not exist without uniform religious beliefs. Therefore, he put laws in place that empowered his Puritan ministers and obstructed any other beliefs. The foremost difficulty that the ââ¬Å"city upon a hillâ⬠faced early on not share the same Puritan bel iefs that John Winthrop laws had scripted. It is difficult to ask people escaping the corrupt Church of England religion, to simply fall onto another dictatorial way of religious belief.The bigger the colony grew, the more difficult it got for Winthrop to govern the growing amount of dissenter's within his colony. Also, settlers began to find opportunity for financial gain in the colony of Massachusetts, and this monetary hunger in individuals soon overshadowed their religious beliefs and standards. From dissenters to the vastly increasing population and monetary gain of individuals, John Winthrop hope for a religiously uniformed ââ¬Å"city upon a hillâ⬠had collapsed, and the hope for religious freedom in America had begun.
Saturday, 14 September 2019
Ayurvedic Medicine Essay
Ayurvedic medicine is one of the worldââ¬â¢s oldest medical practices. It is also called Ayurveda and means ââ¬Å"the science of lifeâ⬠(Cherry and Jacob, pp239, para 5). This practice originated in India and is now world known. Ayurvedaââ¬â¢s goal is to ââ¬Å"integrate and balance the body, mind, and spiritâ⬠(Ayurvedic Medicine, para 2). This practice is uses a variety of products and techniques such as herbal remedies, massage, meditation, breathing exercises and special foods to help cleanse the body and attempt to restore balance. This is believed to prevent illness and maintain wellness. Before using this therapy, you must first consult your healthcare provider because certain herbs have various side effects and may counteract with certain medications. Some view these practices as holistic medicine, however in the United States, it is viewed as a CAM and a whole medical system. It is believed that a personââ¬â¢s chances of developing certain diseases depends on the way doshas, which are ââ¬Å"distinct metabolic body typesâ⬠(Cherry and Jacob, pp 240, para 1), are balanced, their mental and physical wellbeing and lifestyles. There are three types of doshas. 1. Vata, which are unpredictable, hyperactive, impulsive, slender, prone to insomnia, have fluctuating energy levels, cramps, and constipation. 2. Pitta, which are predictable, efficient, perfectionist, passionate, short-tempered, prone to heavy perspiration, medium build, have acne, ulcers, and stomach problems. 3. Kapha, which are relaxed, affectionate, forgiving, sleeps long and deeply, have a tendency toward procrastination, obese, have high cholesterol, allergies and sinusitis (Cherry and Jacob, pp 240, table 11-1). The treatment process depends on the body type a patient possesses and may include using any of the following techniques: cleansing, detoxification, palliation, rejuvenation through special herbs and minerals, mental hygiene and spiritual healing (Cherry and Jacob, pp 240 para 2). Another goal to Ayurveda is to promote spiritual healing and remove oneself from negative situations to aid in mental nurturing. Some therapies that are currently approved for Ayurveda usage include a herbal remedy curcuminoid from turmeric used in cardiovascular conditions, cowhedge plant compounds used to lessen the side effects of Parkinsonââ¬â¢s disease drugs, ginger, turmeric andà boswellia used in inflammatory diseases such as arthritis, and the herb gotu kola to treat Alzheimerââ¬â¢s disease (NCCAM-Funded Research, para 1) . There is no process for certifying or licensing Ayurvedic practitioners currently (Cherry and Jacob, pp 240, para 3). However, many practitioners study in India where training may take up to 5 years to complete. After graduating, these practitioners may choose to provide care in the United States. Although there are no national standard for training in the US for Ayurveda, a few states have approved these schools as educational institutions (Practioner Training and Education, para 1). To locate qualified practitioners, you may visit the website www.ayurveda.com or http://ayurvedanama.org/find-practitioner/. Or for general information on Ayurvedic medical practice, you may visit www. nccam.nih.gov. REFERENCES Ayurvedic Medicine: An Introduction, 2009 July, retrieved from http://nccam.nih.gov/health/ayurveda/introduction.htm, on August 4 2012. Cherry, B., & Jacob, S. R. (2011). Contemporary nursing: Issues, trends, and management. (5th ed.). St. Louis: Mosby, Chapter 11, pp 239-240.
Project Manager Status Report Essay
Provide a quick executive overview of the status of the project in this section It is intended for high level management so it should not get too much into the details of the project. However, it should highlight anything specific, which should be brought to their attention. The Scope/Schedule/Cost/Quality table above is a quick way to present a color coded dashboard for the status report. Typically a variance of +/- 5% will warrant a yellow cautionary color and +/- 10% will warrant a red warning color. For a project which needs tighter control +/- 2% and +/- 5% are used for these thresholds; whereas, other projects with less strict control may use 10% and 20% variances. The percent complete here should be the percent completion of the entire project. For any constraint which is yellow or red this section should contain brief explanation the reason why. Example: The project schedule is 7% behind schedule due to inclement weather which has affected the installation of the fiber optics throughout the campus. This should not affect the project completion date as crews are planning to make up the time by working weekends and extended hours next month. The project risks is red due to the inclement weather and servers which were delivered last month werenââ¬â¢t configured with the correct hardware specifications. The impact of the inclement weather on the schedule will be mitigated by having crews make up the time by working weekends and extended hours next month. Currently we are working with the server vendor to resolve the server hardware configuration problem. The configuration delivered will not handle the work load of going live in two months; however, it is sufficient for development and testing activities scheduled prior to going live. Once you have finished understanding this section you can just highlight the directions and example and place your specific information for your teamââ¬â¢s weekly report. Work Planed for Last Month For this section you can copy the ââ¬Å"Worked Planned for Next Weekâ⬠section from last weekââ¬â¢s status report and paste it into this section. Work Completed Last Week In this section you should provide a highlight of work performed and milestones and/or deliverables met during the past week. Work Planned For Next Week Provide an overview of the work being performed during the next week and any milestones or deliverables you expect to meet. Open Issues This section should contain a list of open issues along with their status. Open Risks This section should contain a list of all open risks (risks which have occurred, or are on the verge of occurring). Deliverables and Milestones This section is a quick table, which shows the status of the project milestones and deliverables. The first column is for the name of the Milestone or Deliverable as itââ¬â¢s in the project plan. The next column is the Work Breakdown Structure (WBS) number, this makes it easier to find the milestone/deliverable in the project plan (You will create WBS numbers when you create your Work Breakdown Structure form, so for now you can just leave this blank). Planned is the planned date according to the approved project plan, the forecasted is the date you expect and actual is the actual date the milestone was met or deliverable was delivered. The status is a simple one or two word status such as; completed, on schedule, behind schedule, accepted, etc. Milestone WBS Planned Forecasted Actual Status Deliverable WBS Planned Forecasted Actual Status Open Change Requests Use this section to track all changes to the project and report the status of those changes. Tracking of changes starts with the request for the change, tracks the approval status and ends when the change is added to the project, the project plan and schedule update and it has become a part of the project. (You can create your own change request numbers) EXAMPLE Change Request Name Change Request Number Request Date Current Status Add xyz Functionality CR55043 3/14/20xx In Review by Change Control Board Add Redundant Servers CR55012 2/17/20xx Approved and Being Added to the Project Plan Key Performance Indicators (KPIââ¬â¢s) Many managers turn right to this section as it provide a clear view of the status of the project according the earned value metrics. In your project you need to decide which metrics to monitor, but be sure not to include too many as you may end up providing the same information but in different forms. We like to track SV, SPI, CV and CPI in the layout below. Next to the schedule and cost headings you should state whether the project is ahead of or behind schedule and over or under budget. Notice we left out the word on ââ¬â it is highly unlikely that you. If you like you can also include a paragraph at the beginning of this section presenting the earned value results in verbose. IF a budget is involved you will need to include information in this section: Schedule ââ¬â Project is Ahead of/Behind Schedule Schedule Variance (SV):$xxxx Schedule Performance Index (SPI):x.xx Cost ââ¬â Project is Over/Under Budget Cost Variance (CV):$xxx Cost Performance Index (CPI):x.xx
Friday, 13 September 2019
Article Analysis Essay Example | Topics and Well Written Essays - 1000 words
Article Analysis - Essay Example The researchers divided the whole procedure into preference assessment, functional analysis, discrimination training and experimental design. For phase 1, the students were given a tight schedule and requirements, which were required to be fulfilled and they were asked to pick one coupon. They were allowed to opt between food item and a break (Kodak, et. al, 2007). Students showed a preference for food item in phase 1. In phase 2, many tangible items were also added to the second reinforcer of break in order to check the preference of students. In second phase, the children showed preference for food item again. In phase 3, the students were allowed to choose between the options a number of times by adding to one option or minimizing from other option such as the food item of high preference was changed with low preference food item or the break time was facilitated with toys, adult attention and so on (Kodak, et. al, 2007). The results obtained from three phases were assessed by the researchers against each other in order to know as to what choices are effective in improving the problem behavior of the child. The children showed a preference for food item when a brief break was available with less facilitation. However, in later phases, when different tangible items were added to the break, the children also showed a preference for the break. According to Kodak, Lerman, Volkert and Trosclair (2007), the inappropriate behavior of children can be improved if highly preferred items are used by teachers and parents as children with autism show a clear indication of diversion towards high preferred items. The reinforcers that are highly preferred should be employed for treatment of problem behavior of children. People should be able to assess individual needs by evaluating the preference of each and every child with developmental disabilities or autism. After
Thursday, 12 September 2019
ADVANCING YOUR CAREER Assignment Example | Topics and Well Written Essays - 500 words
ADVANCING YOUR CAREER - Assignment Example are found including intensive care units in hospitals, pediatrics care units, neonatal intensive care units, cardiac care units, telemetry care units, cardiac catheter care units, emergency care units, progressive care units and recovery units. However, the critical care nurses also work in home care, nursing schools and outpatient surgery clinics and centers (Williams & Williams, 2001). My preferred area of practice is working in the management of the advanced critically ill patients in home care healthcare setting. The target group is the critically ill patients who can benefit from home based care and do not require hospital care. These will target the elderly people facing life threatening conditions as well as children. Critical care nurses work in various setting filling many roles that include bedside clinicians, critical care researchers, clinical care specialist, as well as nurse specialists. My preferred role in the critical care setting will be a clinical nurse specialist as well act as a bedside clinician. To become a critical care nurse, the nurse ought to be a registered nurse. This calls for the nurse to achieve an associate or bachelor degree in the nursing profession and as well pass the national Council Licensing Examination. Once the nurse passes the examination, he starts works as a registered nurse in critical care unit for 2 years while continuing their education in critical care nursing. Once attaining the requirements, the nurse needs to take the critical care-nursing certificate awarded by the American association of the critical care nurses. The nurse, however, needs to continue advancing in education to stay updated with the current information, technologies and changing practices (Aldridge, 2012). Critical home based care nurses practice in setting where the patients will require high complex assessment and interventions, high intensive therapies and continues vigilant observations. This requires the use of much machinery and
Wednesday, 11 September 2019
The Purpose of Dantes Inferno Essay Example | Topics and Well Written Essays - 1500 words
The Purpose of Dantes Inferno - Essay Example For instance, Dante tried to describe for the reader the overview and the fantastic terrors of hell and with it, he was outlining seven sins wherein: the first circle was limbo); second circle was lust, third circle was gluttony; fourth circle was avarice and prodigality; fifth circle was wrath and sullenness; sixth circle was heresy; seventh circle was violence; eight circle was fraud; and, the ninth circle, treachery). Each description of the circles of hell represented how a specific sin consumes man. The case of the second circle (lust) is a case in point. Those souls being punished in this area were being blown about by the ferocious winds ââ¬â back and forth, symbolizing the overpowering influence of lust in men who, like the wind are blown aimlessly and needlessly. The only person allowed to speak here was Francesca (an allegory for Eve), who first testified the sheer pain of the punishment when she said: ââ¬Å"There is no greater woe than to remember days of happiness amid afflictionâ⬠(48). Then, there was Dante himself who represented man as he was being presented with choices ââ¬â either to sin or to reject it. He was first seen in Canto I lost in the woods and unable to find the right way (diritta via). He had a realization of his predicament and accepted the help of a guide, the poet Virgil even when it meant going another way, leaving a wasteful life behind, and passing through an eternal place with fantastic peril. Here Dante was like all men who must choose his way to salvation or damnation. In this area, another symbolism emerged to depict manââ¬â¢s faculty in his journey through sin, the poet Virgil. Virgil led Dante on a tour through Hell and this represented not just what the character immediately represented as poet, but as a guide, which immediately brings the reader to the element of the human reason. Dante,
Tuesday, 10 September 2019
English literature Essay Example | Topics and Well Written Essays - 750 words - 1
English literature - Essay Example They both compare their beloved women to a summer day, assigning people the features of this hot season. The meaning expressed in the ends of both poems looks similar too. However, having taken a closer look at them it can be noticed that there is big difference. Shakespeareââ¬â¢s words give us hope, empower and encourage to live by means of a metaphor. As for the overall flow of the poems, it can be said that, in some sense, Mossââ¬â¢ work is a simplified and updated version of the original. The words Moss uses are more up-to-date and prosaic. As a result, Mossââ¬â¢ poem is absolutely realistic. Shakespeare represented his feelings reflected in florid and lofty terms: â⬠But thy eternal summer shall not fadeâ⬠. The second author, however, uses very simple and clear words and phrases: ââ¬Å"People break their necks or just drop dead!â⬠à Shakespeare uses a greater number of metaphors: â⬠Rough winds do shake the darling buds of Mayâ⬠. The great poet also draws words softly, passing from one stroke to another. In such a way the reader gets easily immersed into the world of romanticism. Moss, on contrasts, writes plainly: ââ¬Å"Even in May, the weather can be grayâ⬠. Therefore, from some point of view, it can be said that Mossââ¬â¢ poem is a humorous parody on the original sonnet As it was mentioned above, both authors write nearly about the same, but their language is different. Moss uses more modern vocabulary. Words and phrases like ââ¬ËThou artââ¬â¢, ââ¬Ëtheeââ¬â¢ or ââ¬Ëthyââ¬â¢ of Shakespeare belong to his time, while Mossââ¬â¢ vocabulary is more up-to-date and, therefore, easier to understand for a contemporary reader. Still, it is easy to find parallels in the two pieces. For example, Shakespeareââ¬â¢s ââ¬Å"Thou art more lovely and more temperate.â⬠Moss interprets as simple ââ¬Å"Youre nicer. And better.à â⬠This shows that Mossââ¬â¢ poem follows Shakespeareââ¬â¢s lines. Since the poem by Moss is a
Monday, 9 September 2019
Uses Humourous tactics ( report ) Essay Example | Topics and Well Written Essays - 2250 words
Uses Humourous tactics ( report ) - Essay Example online advertisement for the brand Kohler, a manufacturer of household plumbing products, is being addressed for its successes or failures in areas of communications and persuasion. The advertisement being described depicts an attractive female plumber, who passes by a rather ordinary-looking young man on her way to take care of a plumbing problem in an adjacent building. As she passes, she smiles at the man who is delighted by what he sees and runs into his bathroom. Upon entering, in an attempt to make the toilet clogged, he begins pouring candles, rags, plastic flowers, plastic grooming product containers and even dog food into the toilet. To his amazement, the toilet fails to clog and he is obviously upset that he might never see the female plumber again as he cannot create a legitimate clog to beg for her services. The basic marketing communication model provided by Chitty et al. describes the process flow of attempting to send a singular message about a particular brand. Under this model, the source, in this case Kohler brand, seeks out a specific communication objective. The communication objective for Kohler is to express the quality, no-clog feature of their higher-end toilet products. This objective builds consumer awareness of this durability feature by creating a rather short message (advertisement) in order to persuade potential customers to favour Kohler brand over other models. The Chitty et al. communication model further reinforces the importance of selecting the proper media channel in order to deliver the message successfully. In this case, Kohler has chosen the on-air television advertisement and the Internet in order to create consumer interest or online buzz about the product. This model further describes the importance of understanding the proper audience to deliver the message, the target audience identified after segmentation of homogenous markets most likely to respond to the message. In this situation, the chosen receiver for the
Sunday, 8 September 2019
The Importance of Living a Healthy Lifestyle with Proper Nutrition and Research Paper
The Importance of Living a Healthy Lifestyle with Proper Nutrition and Exercise - Research Paper Example It would be ideal if nurses be the primary examples of healthy living for their patients rather than be bad influences. In this regard, this paper aims to (1) Confirm the actual health status of nurses in a local hospital and how it is affecting the treatment of patients, (2) suggest ways on how to incorporate healthy lifestyle choices for nurses in the hospital, and (3) Get the potential impact of better lifestyle practices of nurses with regards to their patients. Patients will be more responsive with adapting healthier and better lifestyles if the nurses attending them are also practicing healthy life styles. II. Review of Literature In 2003, Hasselthorn et al. (as cited by Hensel, 2009, p.42-43) performed an experiment among 33,491 nurses from across 10 European Countries and studied their views of health and work ability using the Work Ability Index (WAI). Highly stressed and burned out individuals showed lower WAI scores while nurses with good health are the ones with higher WA I scores. He and his colleagues observed that from all the nurses who participated in the study, there was twice the probability of nurses leaving their profession if they had low WAI scores than those with higher WAI scores. The nursesââ¬â¢ perception of their health also affects their perception of how well they are able to do their job. Health affects competence and this is one of the biggest reasons why nurses quit their jobs regardless of gender or age. If the health of nurses is on a decline, then the population of practicing nurses will continue to decline and the shortage for nurses will continue placing much stress and burden to those nurses who chose to remain in service. Without nurses, hospitals (may it be private or state owned and run) will cease... This essay stresses that the data will be collected and tabulated from the survey questionnaires and will be analyzed for trends and patterns for the nurseââ¬â¢s perspective and the patientââ¬â¢s perspective. This data will be compared to the data gathered in different sources and the trends will also be compared. Depending on the constraints identified by the nurses on why they canââ¬â¢t pursue a healthy lifestyle, recommendations will be given and a healthy lifestyle program will be designed to cater to the nursesââ¬â¢ needs. Many of the diseases common nowadays can be prevented or eased by lifestyle choices, and nurses have the vantage point in influencing their patients to make to make healthy choices This report makes a conclusion that the administration of the hospital will also be given a copy of the results of this paper. If given the chance, the implication of the results of the survey will be reported to them and the necessary actions that they will have to undertake will also be suggested so as to help them get their nurses to fulfill their duties better. The administrators of the hospital will actually benefit from this study the most because with a few adjustments in their policies and also with the support that they will be giving to help nurses life healthier, then they will reap the rewards of having a nursing staff with less sick days and more patients will come to their hospitals because their nurses donââ¬â¢t only give prescribed medicine or monitor their vitals, but they are concerned about the health and wellbeing of the patients even outside the hospital. This type of care will boost profits for the hospital, and the administrators have the power and capabilit y to make all of these possible just by being sensitive to the health needs of their nurses.
Saturday, 7 September 2019
USING CHEMICALS IN TERRORIST ATTACKS AND ON THE BATTLE FIELD Coursework
USING CHEMICALS IN TERRORIST ATTACKS AND ON THE BATTLE FIELD - Coursework Example Since its inception in 2003 by the Congress, the Department of Homeland Security (in conjunction with The National Academies) has been instrumental in educating the masses and the media about various attacks associated with Bioterrorism. They have provided information concerning the characteristics, effects and dangers associated with Biochemical attacks. This information has gone through thorough evaluation process by experts at the National Academies to ensure that they are authentic. (Department of Homeland Security, 2003) Chemical attack fact sheet. With such information at their disposal, the general public can act without panic until professional help is sought. The reason why the Sarin Gas attack was catastrophic was because of panic and general confusion among people and professionals, making it easier for the terrorists to strike again resulting in more havoc. Since it is the public which is always targeted by these extremist groups, then it would make sense to educate them on how to respond to such a situation. Furthermore, there have been tremendous developments in the health sector to ensure that American citizens are catered for. There have been massive improvements in surveillance of diseases, storing of pharmaceuticals for emergencies and training of medical practitioners how to respond to such emergencies and how to identify the victims affected. (LM Davis, 2010) Are local health responders ready for biological and chemical terrorism? Despite these weapons being extremely dangerous, USA and the former USSR were busy stockpiling chemical weapons. During the First World War, Russia was shocked to learn that the US had atomic bombs that were far much superior to their armory; this prompted them to carry out extensive research in chemical warfare. As the tension between the two countries grew stronger, the US was forced to stockpile and manufacture as precautionary measure in case of an attack and also to outdo its opponent. The US and Russian
Friday, 6 September 2019
Christopher Columbus Case Essay Example for Free
Christopher Columbus Case Essay Christopher Columbus is one of the most well-known explorers in history. Christopher Columbus had many voyages that he had done throughout the years. There was several letters that he had written, one regarding his first voyage was to Luis de Santangel that explained what he had found, and the way he felt during his voyage. Another was his fourth voyage to Ferdinand and Isabella, in which he shows sorrow and regret for his discoveries. In the letters that Christopher Columbus had written his tones were very distinct and different. It is hard to think that it is even the same person wrote the two letters. Columbus made a complete change from arrogant to humble in his attitude. The letter that Christopher Columbus had written to Luis de Santangel was regarding his first voyage and his tone in this letter can be described as very eager, passionate, and anxious for his upcoming voyages. When reading the first letter you can tell that he is excited just by the way he describes the way the island looks. He goes in great length about the marvels of the new lands he encounters. He explains them as he is a child experiencing something new for the first time. All are most beautiful, of a thousand shapes, and all are accessible and filled with trees of a thousand kinds and tall, and they seem to touch the sky and Espanola is a marvel. Christopher Columbus radiates his excitement through his letter to Luis de Santangel. Christopher Columbus almost feels as he truly has the whole world at his finger tips, and awaits more. In His letter Regarding the Fourth Voyage that was to Ferdinand and Isabella you see a much different demeanor about him. Very pessimistic and down attitude surrounds his writing. He speaks of weeping when he thinks about the lands that he has found, due to the fact that they are pretty much barren. He goes on by saying people are dying them daily because of the audacity that people have there, imprisoning people, and taking their lands. He goes on deeper by explaining how he has grown old and grey. Not a hair on his body that isnt gray. He states how everyone is trying to explore and plunder without any knowledge of exploration or any heart for the matter, just trying to get a piece of the action. I think he feels somewhat betrayed, and asks mutual punishment for Alonso de Ojeda, who is the man that took almost everything he had. ââ¬Å"The same punishment is due to him who robbed me of the pearls, and to him who infringed my rights as admiralâ⬠. Christopher Columbus is one of the most well-known explorers of all time. Columbus life was a voyage in itself. While he rose to fame as an outstanding explorer, he also had terrible lows in his life. During his voyages, Columbus wrote letters documenting his experience. His tone and diction in Letter to Luis de Santangel Regarding the First Voyage is upbeat and hopeful, while his tone in the Letter to Ferdinand and Isabella Regarding the Fourth Voyage is full of sadness. His series of four voyages between 1492 and 1504 produced a brief moment of wonder following by a longs series of disasters and disappointments, which reflect his attitudes at these different times in his life.
Thursday, 5 September 2019
Case study of alzheimers disease
Case study of alzheimers disease My first administrative position in mental health was working on a Geriatric Psychiatric unit of the local hospital. Many of the patients were elderly patients with Alzheimers. This was my first experience with Alzheimers disease and the effects it has on their families. Alzheimers is the most common type of dementia and is incurable, degenerative, and terminal (Wikipedia) . Symptoms of Alzheimers begin slowly and become worse until they interfere with daily life and patients are unable to even carry on conversations. Families become caregivers for their loved ones who dont know who they are any more. The prognosis is not good for patients afflicted with this type of dementia but researchers continue to look for new treatments and possible preventions. A few of the Alzheimers patients I worked with on the Geriatric unit are very memorable. There was a gentleman who was in the moderate to severe stage of the disease. His job for most of his life was that of a hospital administrator. M y office door was always open and some patients would wonder in time and again. My office must have triggered something in him because he would come in and need to sign papers. He would sit in my office for hours and sign papers. Another patient was a woman who had 12 children. She was always wondering the unit looking for her babies. The nurses bought her a baby doll and she carried it everywhere and it also calmed her down. Another aspect of Alzheimers is sundowners syndrome. Many of the Alzheimers patients would start to get agitated between 4:00 and 5:00 p.m. They would become more aggressive, oppositional and agitated. Sundowners syndrome is an increased time of memory loss, confusion, agitation, and even anger. For family members who care for Alzheimers patients, witnessing an increase in their loved ones symptoms of dementia at sunset can be nothing short of troubling, if not also painful, frightening, and exhausting (Sundowners Syndrome). Alzheimers is not a new disease. Alz heimers was first described by German psychiatrist and neuropathologist Alois Alzheimer in 1906. In 1901, Alzheimer observed a patient at the Frankfurt Asylum named Mrs. Auguste Deter. The 51-year-old patient had strange behavioral symptoms, including a loss of short-term memory. This patient would become his obsession over the coming years. In April 1906, Mrs. Deter died and Alzheimer had the patient records and the brain brought to Munich where he was working at Kraepelins lab. Together with two Italian physicians, he would use the staining techniques to identify amyloid plaques and neurofibrillary tangles (Wikipedia). Amyloid plagues are extracellular deposits that consist of a dense core of a protein known as B-amyloid, surrounded by degenerating axons and dendrites, along with activated microglia and reactive astrocytes, cells that are involved in destruction of damaged cells. Neurofibrillary tangles consist of dying neurons that contain intracellular accumulations of twisted f ilaments of hyperphosphorylated tau protein (Carlson, 2008). These abnormal structures are also found in brains of patients with Down syndrome. Unlike Down syndrome, Alzheimers is a progressive degenerative disease that gradually destroys a persons memory and daily functioning. Currently Alzheimers is diagnosed by symptoms, and only confirmed by brain examination after death. There are warning sides of Alzheimers disease that include memory loss that disrupts daily life. Challenges in planning or solving problems when there were no problems before. Difficulty completing familiar tasks or leisure activities they a person used to do. Confusion with time and place, which is what most people know about Alzheimers. This is when family members forget where they are going or days of activities. Trouble understanding visual images and spatial relationships or new problems with words speaking or writing. Misplacing things and the inability to retrace steps. Decreased or poor judgment and wit hdrawal from work and social activities. Changes in mood and personality, which is another warning sign that most people are also familiar with from media, etc. Grandma turns from sweet to irritable (Stages and Warning Signs of Alzheimers). The Alzheimers Association is a strong national organization that supports and funds Alzheimers research. Their website has a vast amount of information on symptoms, treatment, prevention and research of this disease. Taken from their website there are seven stages of Alzheimers. They include: Stage 1 where there is no impairment. Stage 2 there is very mild decline. Stage three there is mild decline. Stage four there is moderate decline. Stage five there is moderately severe decline and stage six and stage seven there is severe decline and very severe decline (Stages and Warning Signs of Alzheimers). The current major treatment for Alzheimers is medication management and each stage of Alzheimers requires a different medication. Mild to moderate A lzheimers is treated with cholinesterase inhibitors. These types of medications are prescribed because they may help delay or prevent the symptoms from becoming worse for a time and also help manage behaviors. The medications include: Razadyne (galantamine), Exelon (rivastigmine), and Aricept (donepezil). Another drug, Cognex (tacrine), was the first approved cholinesterase inhibitor but is rarely prescribed today due to safety concerns (Alzheimers Disease Medications Fact Sheet, 2010). Most people have heard of Aricept because is used often and advertised on the media more so than others. Moderate to severe Alzheimers is treated with a drug that regulates glutamate, an important brain chemical. The medication known as Namenda (memantine), an N-methyl D-aspartate (NMDA) antagonist. Aricept has also been approved by the FDA to treat moderate to severe Alzheimers. These drugs main effect is to delay progression of some of the symptoms and they may allow patients to maintain certain da ily functions a little longer than they would without the medication. The medication may help a patient in the later stages of the disease maintain his or her ability to use the bathroom independently for several more months, a benefit for both patients and caregivers (Alzheimers Disease Medications Fact Sheet, 2010). There is research going on to provide diagnosis by a simple blood test, this was reported by American researchers just last month. Also, other researchers have shown spinal fluid tests, which require a spinal tap, can detect early changes that signal the onset of Alzheimers. Imaging companies such as privately held Avid Radiopharmaceuticals, General Electrics GE Healthcare and Germanys Bayer are racing to finish clinical trials on new agents that can make brain lesions called plaques visible on positron emission tomography or PET scanners (Anonymous, 2010). Researchers also are looking at any possible prevention or slow down of the disease. Currently at Rush University is leading a nationwide clinical trial of a nutritional drink to determine whether it can improve cognitive performance in people with mild to moderate Alzheimers. The study follows recently released results from an earlier trial conducted in Europe showing that the drink, called Souvenaid, improved verbal recall in people with mild disease who were followed for three months (Anonymous., 2010). Alzheimers affects approximately 10 percent of the population above the age of 65 and almost 50 percent of people over the age of 85 years (Carlson, 2008). The number of Americans age 65 and older who have this condition will increase from the 5.1 million today to 13.5 million by mid-century. A recent report from the Alzheimers Association states that the cost of Alzheimers to the United States will be $20 trillion over the next 40 years. Changing the Trajectory of Alzheimers Disease: A National Imperative shows that in the absence of disease-modifying treatments, the cumulative costs of car e for people with Alzheimers from 2010 to 2050 will exceed $20 trillion, in todays dollars (Report: Alzheimers disease to cost United States $20 trillion over next 40 years, 2010). Statistics taken from the Alzheimers Association break it down as follows; Alzheimers disease costs business $24.6 billion in health care. In the US 7 out of 10 people with Alzheimers live at home where 75% of costs are absorbed by the family. The remaining 25% of care costs cost an average $19,000 a year. It is estimated that Alzheimers caregivers cost business $36.5 billion. This includes the costs of absenteeism and lost productivity. The average cost of a nursing home in the US is $42,000 a year. However in some areas those costs can be at least $70,000. Medicare costs for beneficiaries with Alzheimers disease were $91 billion in 2005. Medicare costs are expected to increase by 75% to $160 billion in 2010. Medicaid expenditures on residential dementia care were $21 billion in 2005. These costs are est imated to rise by 14% to $24 billion in 2010( (Kennard, 2010). The stress of caregivers for loved ones with Alzheimers is high. The frustration and challenges of caring for an adult who no longer complies with reasonable requests is a daily consequence of a loved one with Alzheimers. There are many support groups and resources for caregivers. Some tips for managing an Alzheimers patient is to have patience, be flexible, reduce frustration, reduce choices, reduce distractions to create a safe environment (Research, 1998-2010). Patience and flexibility are easy to figure out. Patience because a patient with Alzheimers will be oppositional at times, will not know their caregiver at times as well as not remember family members. The Alzheimer patients mood and reactions to daily tasks will change sometimes daily as the disease progresses. Flexibility with caring for Alzheimers patients is tied into their changing needs and abilities from day to day. Reducing frustration, choices and dist ractions would be like raising a toddler. Not too many choices or distractions for them to be overwhelmed with. A safe environment is pretty clear and we hear about Alzheimers patients wandering off reported on the news more often. Alzheimers patients who have been left in an unsecured house or got into a unlocked car. Doors should always be locked so the Alzheimers patient is unable open or figure out how to open. The car is easy to figure out, keep it locked! Take the car keys are keep them on you or hidden. There was a poem on the Geriatric unit wall where I worked. The author is unknown and it is taken from Coach Frank Broyles Playbook for Alzheimers Caregivers. The poem is a good reminder of what Alzheimers is all about and a good conclusion to this report. Do not ask me to remember. Dont try to make me understand. Let me rest and know youre with me. Kiss my cheek and hold my hand. Im confused beyond your concept. I am sad and sick and lost. All I know is that I need you, to be with me at all cost. Do not lose your patience with me. Do not scold or curse or cry. I cant help the way Im acting, cant be different though I try. Just remember that I need you, that the best of me is gone. Please dont fail to stand beside me, love me till my life is done.
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