Monday, May 25, 2020

The Key Action Plan Of Communication - 1666 Words

Cultural Barriers to Communication What plan do you suggest for handling communication problems involved in the given scenario? Why? The key action plan of communication need to be developed, as on the basis of situation in the given scenario, proper communication plan need to be developed. This will resolve the future error, as faced by Chinese nurse, Meelynn. This will include- ïÆ' ¼ All the responsible person will know their stakeholders, aims of your intervention and for maintaining the required positive changes. ïÆ' ¼ I must develop a communication plan that includes the Goals to achieve, information received, what perfect information is required to communicate, When and how often the RN must communicate, and very important the method†¦show more content†¦will lead to the error and ultimately lead to increase the patient risk by many folds, which can lead to high mortality and length of stay. Besides, poor communication errors in ICUs, medication errors due to communication problem results in serious health care infections. Medication errors results from poor communication are mostly from nurses, during the medication administration, report analysis, prescribers report communication, explaining the correct patient’s symptoms, etc. What are the two major problems associated with written communication and two with verbal communication in an organization? All communication system and methods have advantage and disadvantage. The written communication has two major disadvantages, as mentioned below- ïÆ' ¼ Written communication is very difficult and Useless for the illiterate person. For illiterate receiver, written communication is quite impossible, and is considered as the major disadvantage. ïÆ' ¼ The second most disadvantage of written communication is the lack of flexibility. It cannot be changed, as mentioned in written proof and documents cannot be changed at any time. So, this is considered as the most important limitations of written communication. The verbal communication has two major disadvantages, as mentioned below- ïÆ' ¼ The very first is the assumptions, most of the time it was reported that the

Thursday, May 14, 2020

Bipolar Moods and Symptoms - Free Essay Example

Sample details Pages: 3 Words: 839 Downloads: 7 Date added: 2019/07/29 Category Medicine Essay Level High school Topics: Bipolar Disorder Essay Did you like this example? To be diagnosed with bipolar disorder you have to have had a manic episode. The manic episode could have been led by and maybe followed by hypomanic or major depressive episodes. A manic episode is a distinct period of unusual and persistently elevated, expansive or irritable mood and increased goal-directed activity or energy. Lasting at least one week and present most of the day. When mood disturbance is severe enough to cause problems in social or occupational functioning this could mean a manic episode is happening. Some of the warning signs to look out for during a manic episode are any noticeable change from normal behavior, some of the symptoms that happen are increased self-esteem, decreased need for sleep, being more talkative than usual, distractibility, increase in goal-directed activity, excessive involvement in activities that could have painful consequences. Some examples of these painful consequences could be shopping sprees, sexual indiscretions, or foolish business investments. You have to have three or more of these symptoms during a manic episode. Sometimes hospitalization is necessary in order to prevent harm to self or others. Don’t waste time! Our writers will create an original "Bipolar Moods and Symptoms" essay for you Create order During a major depressive episode if you have five or more of the following symptoms during the same two week period and represent a change from normal activity. Depressed mood most of the day, pretty much every day, feeling sad, empty, or hopeless. Diminished interest or pleasure in all, or most activities. Weight loss when not trying to lose weight or significant weight gain (a change in at least 5% of body weight in a month). Insomnia or hypersomnia every day or almost every day. Psychomotor agitation or retardation almost every day which is observable by others and is not just simply feelings of restlessness or being slowed down. Fatigue or loss of energy most days. Feelings of worthlessness or guilt. Lack of ability to concentrate or being indecisive. And thoughts of death, recurrent suicidal thoughts without a specific plan, or a suicide attempt or a having a specific plan to commit suicide. At least one of the symptoms has to be either depressed mood or loss of interest or ple asure. These symptoms will cause clinically large distress in social, occupational, or other important areas of life. Mood during a manic episode can be described as euphoric and excessively cheerful. In some cases the mood is so extreme that it is easily recognized as excessive and may be categorized by unlimited enthusiasm for social, sexual, and work relationships. Often the mood is irritable instead of elevated. Especially when the individuals wishes are denied or they have been abusing any substances. Rapid changes in mood over short periods of time can occur and are referred to as lability (the alternation between euphoria, dysphoria, and irritability). During a manic episode the individual does not know they are ill or in need of treatment. And they will heatedly resist treatment. The wide mood swings, excessive optimism, lavishness, and poor judgment usually lead to reckless involvement in things like shopping sprees, giving away possessions, reckless driving, foolish business investments, and sexual promiscuity. The sexual behavior can include infidelity or casual sexual encounters with strangers. The individual will often not care about the risk of sexually transmitted diseases or risk of pregnancy. The manic episode has to result in impairment in social or occupational functioning or require hospitalization to prevent them from harming themselves or others. Individuals may change their appearance to a more sexual and flashy style. Some observe that they have a sharper sense of smell, vision, or hearing. Gambling and anti-social behavior can also be part of a manic episode. Sometimes an individual can become hostile and violent when delusional and may because physically aggressive or suicidal. This happens because the individual has poor judgement, loss of insight, and hyperactivity. Mood can shift very quickly from anger to depression. The suicide risk for an individual with bipolar disorder is at least fifteen times higher than the average person. Bipolar disorder accounts for a quarter of all completed suicides. A common feature of bipolar disorder is increased impulsivity, which adds to the suicide attempts and substance use disorders. There may also be increased creativity in some individuals with a bipolar disorder. But the individuals attachment to heightened creativity during hypomanic episodes may contribute to hesitation about seeking treatment or undermine devotion to treatment. Bipolar disorder is one of the worlds 10 most disabling conditions, taking away years of healthy functioning from individuals who have the illness. With no predilection for nation, race, or socioeconomic status, classic manic-depressive illness has a prevalence of approximately 1% across all populations. However, the personal and societal costs of bipolar disorders are not limited to the more traditional bipolar I subtype, which includes episodes of full-blown mania and major depression. Bipolar II disorder, involving episodes of less severe hypomania and major depression, and bipolar spectrum subtypes, which probably bring the prevalence of all bipolar disorders to more than 3% of US individuals, can also be devastating conditions. All bipolar disorders are chronically recurring illnesses associated with substantial morbidity and mortality.

Wednesday, May 6, 2020

Essay about Michael Levins the Case for Torture (Review)

Michael Levin’s â€Å"The Case for Torture† argues that there are various reasons for allowing torture to exist in the United States of America. Levin would love to see society change its negative views on torture so that, under certain circumstances, torture would be permissible. The article starts off with a very brief description of how he believes society views the subject of torture as a negative thing. He leads on to oppose that way of thinking and provides three cases in which he believes torture must be administered with various reasons attempting to support his thoughts. The hypothetical cases Levin uses range from very extreme situations, to a situation where we may sometimes see on the news. Levin makes it clear to the audience that†¦show more content†¦Once again, what exactly is torture going to do in this situation if the bomb is in the air on the plane? How exactly is the bomb going to be defused? I feel that this situation could have made much better of an argument if he would have taken the time to clear up exactly how the bomb was going to get defused. Later in the paragraph Levin adds in, If you caught the terrorist, could you sleep nights knowing that millions died because you couldnt bring yourself to apply the electrodes?(201). It is clearly an emotionally loaded sentence. He purposely italicizes the word you because he wants you to sink into that thought and make you feel really bad about the situation. The third hypothetical case, which I consider weakest, is explained with results of an informal poll based on the situation. In the poll, four mothers are asked if they would approve the torturing of the kidnapper that kidnaps their child if that were necessary to get them back. All four mothers said they would approve of it. I feel this argument does not give a great example of what makes torture acceptable. It is more of an example to show what someone would do for their loved ones. Its weakness is clearly seen i n the number of participants in the poll that he is using and in the biased opinion they most likely already had. The best part of Levin’s reasoning is expressed when he speaks of why exactly he believes torture should be accepted and not viewed upon as something

Tuesday, May 5, 2020

Case Study of Fayola-Free-Samples for Students-Myassignmenthelp

Question: Discuss about the Case Study of Fayola. Answer: Fayola is a Nigerian immigrant who is 32 weeks pregnant. She is suffering from gestational diabetes and is currently on diet control. Her husband is an exchange student at the university doing graduate work in medicine. He works very long hours, leaving her alone most of the time. Her English is not good and she is very shy. She misses her family, especially now that she is pregnant. She is living alone for most of the time as her husband is a student at a university studying graduation in medicine. Fayola is 32 weeks pregnant and has just been diagnosed with gestational diabetes and is currently being diet controlled. This is her second visit at the clinic since her diagnosis. In this paper it has been discussed about the stages of growth and development, priority health needs, teaching strategies and the quality of learning of Fayola. Stages of growth and development Development of a human being is a process of physical, mental, behavioural and emotional growth (Du 2015). This stage of the development is the important part for the developmental psychology, which makes wide generalizations. The stages of growth and development are Infants and toddlers 0-3years Preschooler 4-5 years School going children 6-10 years Teens 11-17 Adults 18 above According to the case study Fayola is an adult and is pregnant. At this stage she has some specific growth and developmental theory. During this time the embryo gets fertilized and develops into a fetus by the end of tenth week. The next period is of the development of organs; this stage is known as gestational period. Readiness to learn Fayola is an immigrant of Nigeria so she had a difficulty in speaking English and also very shy. She needs a proper training so that she can manage her emotional and physical changes by her own (Taylor, 2015). But as she is too much shy, she generally doesnt want to interact with the people nor with the doctor appointed for her care. Priority health needs Two learning needs of Fayola are the ways so that she can take care of herself all over the day whenever she stays alone and to learn about the amount and type of food to consume, so that her diet can be maintained properly (Yee, Niznik Simon, 2016). Educational content According to the laymans theory, Fayola must be provided with the facility of communication so that it becomes easy for the patient to understand the teaching process and also can understand the words of the nutrition and the gynecologist. A care worker must be appointed for Fayola to take care of her needs at the time her is not with him (Downing Hastings-Tolsma, 2016). On the other hand she must be taught about her nutrition needs so that she can stay fit and also her diet is maintained to control her diabetes. The care worker must check the blood sugar level of Fayola at regular intervals. This can be done by using portable glucometers, for checking the levels of sugar in blood. This is done by the analyzing of small amount of blood taken from the fingertip. The glucometer pricks the finger and the blood is obtained. Then the blood sugar level is measured by the glucometer. Exercises for the diabetes people are brisk walking, light jogging, balancing exercises and stretches. Thes e exercises can help the patient in controlling the diabetes. Teaching strategies Giving Fayola proper communication Providing proper nutrition To provide the communication Fayola can be provide with videos and language translation books so that it can help her to understand the English language and becomes compatible and acquainted to communicate with the care worker, gynecologist and the nutritionist. For teaching about the nutrition diet she must be provided with the diet charts and videos which will help her in learning about the food that is beneficial for her health (Macha et al., 2014). Counseling can also be done with her so that she can understand the benefits the food provided in her diet chart. Evaluation of learning After the teaching process she must be assessed that is she able to understand the language spoken by the doctors that is English. These can be done by giving some sessions to Fayola and then asking about what she had learnt. At that time if it was seen that she is not able to learn properly then again another session was taken to make her understand the needs properly (Lindqvist, 2016). For maintaining the diet Fayola was provided with the diet chart and it was checked that whether her diet is properly maintained or not (Steele Layman, 2016). For checking this a regular weight check up is done so that her weight does not increases, if her weight is increased then it will increase the fat in the uterus which will create a problem in the proper development in the growth of the fetus. Her blood test is to be done at regular intervals to measure the blood sugar levels. Also the USG test is done to check the growth of the fetus (Ladkany Layman, 2017). This is done because the glucose is continuously flowing from the mother to the baby through the placenta. So if there is a huge flow of glucose to the fetus then it can harm the growth of the fetus. Conclusion Thus from this whole concept it can be concluded that by the help of the above mentioned teaching process and the strategies Fayola can be helped in recovering both her loneliness and maintaining her diet so that it her pregnancy can be kept safe and the growth of the baby is proper. Fayola must be provided with the facility of communication so that it becomes easy for the patient to understand the teaching process and also can understand the words of the nutrition and the gynecologist. A care worker must be appointed for Fayola to take care of her needs at the time her is not with him. Fayola can be provide with videos and language translation books so that it can help her to understand the English language and becomes compatible and acquainted to communicate with the care worker, gynecologist and the nutritionist. References Taylor, A. (2015). A Critical Approach to Human Growth Development, 1366-1368. Du, A. (2015). Human Growth and Development Considerations in Rehabilitation Counseling.The Journal of Rehabilitation,81(4), 57. Downing, C., Hastings-Tolsma, M. (2016). An integrative review of Albertina Sisulu and ubuntu: Relevance to caring and nursing.health sa gesondheid,21, 214-227. Steele, B. J., Layman, K. (2016). Ectopic Pregnancy After Plan B Emergency Contraceptive Use.The Journal of emergency medicine,50(4), 663-666. Ladkany, D., Layman, K. (2017). Imaging Considerations in Pregnancy. InEmergency Department Management of Obstetric Complications(pp. 159-168). Springer International Publishing. Macha, S., Muyuni, M., Nkonde, S., Fandes, A. (2014). Increasing access to legal termination of pregnancy and postabortion contraception at the University Teaching Hospital, Lusaka, Zambia.International Journal of Gynecology Obstetrics,126, S49-S51. Yee, L. M., Niznik, C. M., Simon, M. A. (2016). Examining the role of health literacy in optimizing the care of pregnant women with diabetes.American journal of perinatology,33(13), 1242-1249. Lindqvist, M. (2016).Experiences of counselling on physical activity during pregnancy Gestational diabetes mellitus: screening and pregnancy outcomes(Doctoral dissertation, Ume universitet).

Wednesday, April 8, 2020

The Global IT Industry

Table of Contents Introduction IT Services Industry Trends Pressure in outsourcing Growth potential Emerging areas of growth Conclusion Works Cited The global IT industry continues to show growth year after year, with the software market expanding at a whopping 8% per annum. The convergence of hardware, software and services is creating new markets, and we are witnessing a global paradigm shift from hardware to software.Advertising We will write a custom essay sample on The Global IT Industry specifically for you for only $16.05 $11/page Learn More It is anticipated that the IT services industry will expand along with the IT industry. In 2012, the IT services market will likely see a slowdown in demand from traditional IT services such as consulting and system integration, while cloud computing and convergence services should create new demand. Meanwhile, in the outsourcing market, cost reduction and operating efficiency are likely to be emphasized, while demand for business process and application outsourcing should increase (Roy 3). Introduction IT services companies are faced with global economic challenges with growth projections tempered by reticent stances in large developed markets such as North America and Western Europe, while focusing on fast growing economies such as China, India and Latin America. Gartner forecasted a 7.4% growth in overall IT Services spending from $793 million in 2010 to $851.6 billion in 2011. It also predicted increased software support over a multi-year period, between 2010 and 2015, with a compounded annual growth rate (CAGR) of 7.2%, followed by consulting at 5.8%, process management at 5.1%, development and integration at 4.9% and IT management at 4.8%. Over this same timeframe, hardware maintenance and support is expected to grow the slowest with a forecasted CAGR of 3.3% (KPMG, Quarterly Update for the IT Services Industry 1). IT Services Industry Trends Gartner indicated that there is inc reasing usage of specialized cloud based services, provided by a variety of cloud providers, which will increase the ability to aggregate, integrate, govern and customize disparate cloud offerings based on the needs and preferences of their customers. In addition to this, Gartner indicated that the need for governments in developed countries to achieve cost savings owing to budgetary constraints increase has resulted in pushing IT service providers to offshore low cost locations. The quarterly TPI Index displays trends on BPO and IT outsourcing and contract spending by regions and industries. The IT Outsourcing Total Contracting Value (TCV) for the third quarter of 2011 was estimated at $11.3 billion, representing quarter-over-quarter and year-over-year declines of 8.0% each (KPMG, Quarterly Update for the IT Services Industry 2). Pressure in outsourcing Strong pricing pressure is being exerted by buyers on outsourcing and other third-party service providers, though leading provider s are typically able to hold their own and avoid unprofitable deals. Some of the leading global business and IT service providers include: Accenture, Capgemini, Cognizant, CSC and Infosys (KPMG, KPMG Sourcing Advisory 4Q11 Global Pulse Survey 3).Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Most of the service providers (61%) indicated that the growth levels in their pipelines for service deals cited a 15% drop in growth over the past quarter of 2011, with only 45% of the providers projecting an increase in the pace of customer demand for business and IT services over the next one to two, which is a drop of 14 percent from last quarter and 29% from 2Q11. Chart 1: service providers: new deal pipeline projections (KPMG) Growth potential BPO has been affected by evolving trends, which include: consolidation of vendors (CRM), slippage in deal size (FA), and shift to alternative services lik e BPU; resulting in lower transaction deal size. As for the ITO, the forecast has been lowered to 2.9% growth in CY12 (earlier 4.1%); however, there are growing evidences of vendor churns on accounts of better ROI, innovation and compelling pricing through off shoring. Gartner projects 16-21% revenue growth in USD terms for Indian IT companies largely driven by volume traction (Roy). The growth of individual companies in off shoring is dependent on a few factors including: the company’s size and market position, which is an important barometer since large IT services providers with leading market positions have an advantage over their competitors in terms of experience, talent pool, project knowhow, funding capabilities and client preferences; stability of the business structure, which requires a captive customer base, therefore, preference is given to IT services firms operating under a group umbrella over stand-alone firms as they enjoy stable sources of revenues; consisten t acquisition of overseas orders; and how well the company is prepared for newly emerging technologies (e.g. IT convergence and cloud computing) (Jeong 3). Emerging areas of growth Global spending on IT services has remained stable in the first half of 2011, whereas global outsourcing is growing faster. According to International Data Corporation (IDC), the spend on IT Services is expected to grow by 4% in 2011, higher than the 2% growth rate witnessed in 2010, while global outsourcing or outsourcing to low†cost destinations such as India, China and Philippines grew by 12% (Avendus 14). Information Systems (IS) outsourcing registered the highest growth rate of 12.3% in 2010, despite the overall spend growing by just 1%, indicating the growing demand for these services (Avendus 15). This growth momentum is expected to continue in FY12 led by higher technology spend globally.Advertising We will write a custom essay sample on The Global IT Industry specifically for you for only $16.05 $11/page Learn More Large Indian IT vendors like Infosys, TCS, Wipro and HCL Tech will benefit the most from this improved demand environment as compared to the smaller IT vendors. However, issues on the supply side like salary hikes and higher attrition will have a negative impact on their profitability in FY12. Conclusion US geography has outperformed lead growth for Indian IT vendors. Improved economic environment in US and better GDP growth will boost IT spending and lead to an improvement in sentiments. Europe has lagged behind in terms of growth but is expected to do well in FY12 as companies become more open towards offshore outsourcing (Taurani 4). Works Cited Avendus. â€Å"IT Services.† India Equity Research Technology (2012): 1-27. Print. Jeong, Dae-ro. IT Services. London: Daewoo Securities, 2012. Print. KPMG. â€Å"KPMG Sourcing Advisory 4Q11 Global Pulse Survey.† Equaterra (2012): 2-33. Print. KPMG. Quarterly Update fo r the IT Services Industry. USA: KPMG, 2011. Print. Roy, Arup. Indian IT Services. Mumbai: Reuters, Thomson Publishers and Bloomberg, 2011. Print.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Taurani, Karan. â€Å"Persistent Growth Momentum.† KSL – IT Sector Update (2011). Print. This essay on The Global IT Industry was written and submitted by user Jaylee Francis to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Monday, March 9, 2020

Chopins The Awakening essays

Chopins The Awakening essays Still Asleep and Mostly Happy that Way: The Awakening (1899) as Socially Critical Text and (and in) Kate Chopins Time Within Kate Chopins novel The Awakening, which was first published in 1899 to mixed (actually, mostly negative) reviews, and then greeted publicly with a great deal of condemnation (Sprinkle, 1995), the main character Edna Pontellier suffers increasing despair and hopelessness, as a married woman of 28 with two small sons. These spring from her realizations that she is unhappy, misunderstood, and, worst of all, alone with her feelings in a traditional Catholic, Creole-dominated social environment in which womens roles, in particular, are especially narrow and truncated. Once Edna knows she returns the younger, enviably carefree Robert Lebruns attraction to her, she also recognizes, regretfully and with wistfulness for lost youthful opportunities at passion, that she is nevertheless trapped inside a loveless marriage, with responsibilities to small children. All of that spawns the beginning of Ednas sad, slow, lonely, and ultimately fatal, awakening that summer at Grande Isl e. Initially within this novel, Edna Pontellier simply admits, implicitly, to herself if not yet aloud to anyone else, when alone in her bedroom, after she and Leonce quarrel at dinner over its poor quality (he blames her) that she is alienated from her husband and frustrated with mindless, meaningless, mundane married life. Edna, at this same time, has grown increasingly indifferent, to the point of near-hostility, even, about any and all of her expected wifely and motherly roles: from organizing the household and managing the hired help to accepting visits from social callers to making light conversation with a husband with whom she feels nothing important in common. The best evidence of all this, is that Edna is content to carry these daily obligations of marriage badly, or ev...

Friday, February 21, 2020

CCI - Business Plannin Essay Example | Topics and Well Written Essays - 250 words

CCI - Business Plannin - Essay Example â€Å"Lean manufacturing is a manufacturing strategy that seeks to produce a high level of throughput with a minimum of inventory† (Blacharski, 2012). This way, both the direct and the overhead costs of the business are reduced since the products are manufactured and delivered only when they are required and in as much quantity as is required. This not only reduces the wastage of materials but also saves the company the cost of waste disposal. In addition to that, the reduced amount of waste has a positive impact on the company’s image in the eyes of the stakeholders and the public at large. Uncertainty is definite to come with innovation because wherever there is innovation, something not done before is being done. It might take some time for the business to derive the benefits of innovation, but the long term effects are definitely favorable and provide the companies with different kinds of competitive