Saturday, October 5, 2019
Implementation and Modification IP 4 Essay Example | Topics and Well Written Essays - 1000 words
Implementation and Modification IP 4 - Essay Example This report gives an account of the effectiveness of the Medicare program and provides a futuristic approach towards the program and systems of implementing the changes (Moon, 2006). The topic "Strengthening and Improving Medicare" elicited various views from both public and private entities and individuals. The congressional subcommittee of health held a forum for persons of concern to give their witness accounts on the topic. Some of the prime witnesses who stood before the subcommittee include among others, Robert Berenson, the senior consultant officer at Academy Health, Foster, Richard, Buddy Robert, a beneficiary of the Medicare + Choice health plan and Grealy, Mary, the President of Healthcare Leadership Council. All these witnesses gave individual accounts of the success of the current Medicare system and gave recommendations on ways of improving it. According to Berenson, the well-established and effective Medicare program is being replaced by the Medicare + Choice program, which shifts focus from the government provided healthcare to private health insurance. There is no evidence to prove that shifting to such a system will reduce the programââ¬â¢s expenditure or improve on its financial position. The only entities to benefit from the new program will be private health insurance institutions, which will only serve to segment adversely the insurance pool and increase costs of maintaining the traditional program. Through her statement, Grealy, advocates for the introduction of a prescription drug benefit to boost the financial as well as healthcare quality of the Medicare program. According to the Healthcare Leadership Council (HLC), the 50 percent increase from $6,200 to $9,500 in cost of Medicare for one beneficiary by the year 2013 will have no significant improvement in the programââ¬â¢s quality of an outpatient prescription drug coverage is not included in the program. The HLC advocates for the establishment of a Medicare delivery module that incorporates the aspects of competition, flexibility and invests in beneficiaries who have consumer choice power. Through such a measure, Medicare would be able to provide similar benefits to employer-sponsored programs, which offer benefits such as outpatient prescription drugs, the ability to choose a health program that best suits individual needs and reduce out-of-pocket costs and. The Medicare + Choice plan reduces the number of services offered to Medicare beneficiaries because it receives lower payments than the previous fee-for-service Medicare program. Through this, the Medicare + Choice plan has increased beneficiary cost sharing, which squashes the chance of fair competition in healthcare provision (CEC, 2003). Robert Buddy, a beneficiary of the Medicare + Choice health program gave his account of the benefits of the Medicare Program and the Medicare + Choice plan, which he joined after the privatization of the Medicare program. According to Robert, the Medicare program did not offer comprehensive benefits thus had to spend at least $2,000 on a Medicare Supplement policy to gain more healthcare benefits. Emphasis of the Medicare + Choice plan is early detection and treatment, which affords better healthcare to its beneficiaries. Robert recounted the case of his father, who was on the Medicare prog
Friday, October 4, 2019
CE Marking Essay Example | Topics and Well Written Essays - 4750 words
CE Marking - Essay Example Whenever in a conflict between any of the social responsibility and their responsibility to their employer they are quite clear about the strategy they should opt. The project too suggests a few guidelines to resolve any such conflict. Among various responsibilities of the engineers a few are to look into the EU Documentation and Standards, technical consultation, compliance testing, technical documentation, product registration, company-internal self-certification process and many more. Then there are various CE marking related issues, its objectives and the difficulties faced by the manufacturers in the process or due to any of the discrepancies. So, the project caters to all the above mentioned issues as well as the role of engineers employed by the manufacturers in the whole procedure. CE Marking, also known as CE mark, is a mandatory conformity mark to be put on the products which are placed on the single market in European Economic Area (EEA). The affixation of the CE Marking on the product which is placed on the market or put into service means that the product meets all the necessary requirements of the relevant European Directives. ... A few examples of European Directives requiring CE Marking include toy safety, low-voltage equipment, machinery, terminal equipment and EM compatibility. And there are about 25 directives requiring CE Marking. If you are planning to export a product to one or more markets in any member states of EU or EEA then it becomes essential to apply for CE Marking of your products. "CE Marking is a mandatory mark for most (around 70%) of the products sold on the EU market (totalling 28 countries.)"1 it can be crucial to your success if the new product directives apply to your product and you also want to continue exporting it to the European market. It becomes very necessary to seek the professional help and advice to assist the manufacturers in conforming and acquiring the CE Marking. It is very essential for business and is a very swift and straightforward process if you seek genuine advice. It is very important to understand the amount of resources and the time that companies spend on a product and to obtain a smooth approach for CE Marking. And if your company is outside the EU, the process becomes all the more challenging but the capable engineers can do the job well. And as the process is essential for business it is better to have knowledgeable engineers to do the job and to ensure that your products comply with all basic requirements. They know well how to get the products CE marked understanding all the safety issues that are important to address.2 Responsibility and Actions taken by Engineer for CE Marking As it is very crucial to acquire CE marking, it becomes necessary for the firms to seek the help of some consultancy or engineer to guide them to do so and to ensure that their product complies with all European Directives. For CE Marking there are
Thursday, October 3, 2019
New Age Constructions Essay Example for Free
New Age Constructions Essay New Age is a building construction organisation based in Bangalore. The organisation, which was established in the year 2005, is relatively new in this sector. The activities of the organisation are limited to Bangalore. There are a number of well-established builders in Bangalore. Therefore, initially New Age found it difficult to obtain large projects and undertook only small building projects. However, recently, New Age has got a lucrative contract for building a large shopping mall. The organisation finds the contract to be a stepping stone of its future success. Therefore, it is striving to deliver the project on time and within the planned budget. The organisation has hired Mr. Sinha as the project manager. To carry out the assigned project, Mr. Sinha has emphasised on three principles of project management including the principle of project strategy, the principle of team building, and the principle of satisfaction. During the project, Mr. Sinha communicated the relevant project information to all the team members. However, he did not prioritise maintaining a thorough documentation of the entire project. Seven months into the project, Mr. Sinha faced some major issues. He was asked by the management of the organisation to provide a complete project report on a day-to-day basis. Moreover, it was also noticed that he used some extra human resource, which affected the projectââ¬â¢s cost management as well. Mr. Sinha did not even consider the triple constraints of the project Questions: a. As a project manager of New Age, which knowledge areas and principles would you like to follow the most? b. Do you think considering the triple constraints would have helped Mr. Sinha? Justify your answer. a. Summarise the various knowledge areas and principles in brief you would follow as a project manager of New Age b. Give your opinion if triple constraints would have helped Mr. Sinha Provide justification for the opinion 2. Describe the five phases of a generic project lifecycle. (unit 1) [Describe each phase of a project lifecycle] 3. Write short notes on: Work breakdown structure Product line analysis Capital rationing Challenges in Social Cost Benefit Analysis (SCBA) [Work breakdown structure Product line analysis Capital rationing Challenges in Social Cost Benefit Analysis (SCBA)] 4. How would you classify the sources of financing infrastructure projects?[State the meaning of source of finance, Explain the external andà Domestic sources of finance available in the infrastructure financing List financing sources available for infrastructure projects in India in tabular format] 5. Discuss the different types of project termination. 6. How is a monitoring system designed? [Explain what is done in each step of the process of designing a monitoring system] PM0011 ââ¬â PROJECT PLANNING AND SCHEDULING 1. Write short note on: Controlling PMO (Project Management Office ) Bottom-up approach for estimating project planning Consequences of project delays Partnering [Controlling PMO (Project Management Office ) Bottom-up approach for estimating project planning Consequences of project delays Partnering] 2. Explain various stages of project scope management. [Briefly describe each stage of scope management] 3. Write short notes on : Scope change Porter model used by organisations to identify investment opportunities Tools for Project Scheduling Operating Feasibility [Scope change Porter model used by organisations to identify investment opportunities Tools for Project Scheduling Operating Feasibility] 4. Explain the various tools of project planning. [Briefly mention the role of project planning tools in an organisation Explain various tools that are used in project Planning] 5. Explain the meaning of CPM. Mention various steps involved in CPM. [Write the meaning of CPM Explain various steps associated with CPM] 6. What do you understand by cost of quality? Elaborate on various types of quality costs associated with a project. PM 0012 ââ¬â PROJECT FINANCE AND BUDGETING 1. Write short notes on: Lump sum contract Project Cost Profile Trade credit Types of project resources [Lump sum contract Project Cost Profile Trade credit Types of project resources 2. Discuss the financing of telecommunication projects. [Explain the financing of telecommunication projects and Discuss the factors needs to be considered while financing a telecommunication project.] 3. Do lenders, sponsors, EPC contractors, and the government require project insurance? Explain [Give your opinion is project insurance required by lenders, sponsors, EPC contractors, and the government Provide justification to your answer from perspective of lenders, sponsors, EPC contractors, and the government] 4. Write short notes on: Expected Monetary Value (EMV) Earned Value Analysis (EVA) Optimal capital structure Net Present Value(NPV method of capital budgeting [Expected Monetary Value (EMV) Earned Value Analysis (EVA) Optimal capital structure Net Present Value(NPV method of capital budgeting] 5. Explain the role played by engineering advisors in project finance. [Explanation of the nature of the role played by engineering advisors in project finance Summarization of the role played by engineering advisors according four phases of activities] 6. Define PPP (Public Private Partnership) and list the advantages and disadvantages of PPP . [Define PPP List advantages of PPP List disadvantages of PPP] PM 0013 ââ¬â MANAGING HUMAN RESOURCES IN PROJECTS 1. Write short notes on: Human Resource Cycle Role of a project manager Productivity measurement method of manpower estimation Managing Conflicts in a project [Human Resource Cycle Role of a project manager Productivity measurement method of manpower estimation Managing Conflicts in a project] 2. What is the need for building a team during any project? [Define team building and its significance Discuss the various reasons for building a project team 3 Write short notes on Qualities of a project leader Dealing with Poor Performers in a Project Team Minority groups Health issues of project team members [Qualities of a project leader Dealing with Poor Performers in a Project Team Minority groups Health issues of project team members] 4. What are the major roles that motivation plays in handling project environment? [Explain how motivation plays a considerable role in the success and failure of a project Discuss the major roles of motivation in a project environment] 5. Explain various types of collective bargaining. [Explanation of four types of collective bargaining] 6. What is a Human Resource Information System(HRIS). [Define HRIS Very briefly Functions of HRIS List any two advantages of HRIS List any two disadvantages of HRIS]
Importance Of Communication Of Nurses Nursing Essay
Importance Of Communication Of Nurses Nursing Essay Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, messages are constantly being exchanged between individuals or groups of people (Bach Grant 2009). All behaviour has a message and communication is a process which individuals cannot avoid being involved with (Ellis et al 1995). In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise. In order to engage in meaningful communication and develop effective communication skills, nurses must engage in the process of reflecting on how communication skills are utilised in practise. Reflection allows the nurse opportunity to gain a deeper insight into personal strengths and weaknesses and to address any areas of concern in order to improve future practise (Taylor 2001). A further aim will be to reflect on how communication skills have been utilised within nursing practise. Various models of reflection will be examined, and a reflective account of a personal experience which occurred during placement will be provided using a model. This reflective account will involve a description the incident, an analysis of thoughts and feelings and an evaluation of what has occurred. Finally, the reflective account will include an action plan for a similar situation, which may arise, in the future. Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patients family. Models of Communication. The Linear Model is the simplest form of communication and involves messages being sent and received by two or more people (McCabe 2006). Whilst this model demonstrates how communication occurs in its simplest form, it fails to consider other factors impacting on the process. Communication in nursing practice can be complicated, involving the conveyance of large amounts of information, for example, when providing patients with information relating to their care and treatment or when offering health promotion advice. In contrast, the Circular Transactional Model is a two way approach, acknowledging other factors, which influence communication such as feedback and validation (McCabe 2006). Elements of this model are also contained in Hargie and Dickinsons (2004) A Skill Model of Interpersonal Communication which suggests that successful communication is focused, purposeful and identifies the following skills; person centred context, goal, mediating process, response, feedback and perception. It also considers other aspects of the individual and the influence these may have on their approach to the process of communication (McCabe 2006). For communication to be effective it is important for the nurse to recognise key components, and intrinsic and extrinsic factors, which may affect the process (McCabe 2006). They must consider factors such as past personal experiences, personal perceptions, timing and the setting in which communication occurs. Physical, physiological, psychological and semantic noise may also influence the message, resulting in misinterpreted by the receiver (McCabe 2006). Communication skills. Communication consists of verbal and non-verbal. Verbal communication relates to the spoken word and can be conducted face-to-face or over the telephone (Docherty McCallum 2009). Nurses continually communicate with patients; verbal communication allows the nurse opportunity to give information to the patient about their care or treatment, to reassure the patient and to listen and respond to any concerns the patient may have (NMC 2008). Effective communication is beneficial to the patient in terms of their satisfaction and understanding, of care and treatment they have been given (Arnold Boggs 2007), while at the same time optimising the outcomes or care and/or treatment for the patient (Kennedy- Sheldon 2009). Questioning allows the nurse to gather further information and open or closed questions can be used. Closed questions usually require a yes or no response and are used to gather the necessary information, whereas open questions allow the patient, opportunity to play an active role and to discuss and agree options relating to their care as set out in the Healthcare Standards for Wales document (2005). Probing questions can be used to explore the patients problems further thus allowing the nurse to treat the patient as an individual and develop a care plan specific to their individual needs (NMC 2008). It is vital that the nurse communicates effectively, sharing information with the patient about their health in an understandable way to ensure the patient is fully informed about their care and treatment and that consent is gained prior to this occurring (NMC 2008). The nurse should also listen to the patient and respond to their concerns and preferences about their care and well-being (NMC 2008). In nursing, listening is an essential skill and incorporates attending and listening (Burnard Gill 2007). Attending; fully focusing on the other person and being aware of what they are trying to communicate and listening; the process of hearing what is being said by another person are the most important aspects of being a nurse (Burnard 1997). Non-verbal communication is a major factor in communication, involving exchange of messages without words. It relates to emotional states and attitudes and the conveyance of messages through body language; body language has seven elements; gesture, facial expressions, gaze, posture, body space and proximity, touch and dress (Ellis et al 1995). Each of these elements can reinforce the spoken word and add meaning to the message; it isnt about what you say or how you say it but it also relates to what your body is doing while you are speaking (Oberg 2003). Patients often read cues from the nurses non-verbal behaviour, which can indicate interest or disinterest. Attentiveness and attention to the patient can be achieved through SOLER: S sit squarely, O Open posture, L learn towards the patient, E eye contact, R relax (Egan 2002). There must be congruency between verbal and non verbal messages for effective communication to be achieved. Non-verbal communication can contradict the spoken word and the ability to recognise these non-verbal cues is vitally important in nursing practice (McCabe 2006), for example, a patient may verbally communicate that they are not in pain, but their non-verbal communication such as facial expression may indicate otherwise. It is also important for the nurse to be aware of the congruency of their verbal and non-verbal communication. Any discrepancies between the two will have a direct influence on the message they are giving to patients, and may jeopardise the nurse/patient relationship. Other factors may affect communication in a negative way, endangering the process, and nurses must be aware of internal and external barriers (Schubert 2003). Lack of interest, poor listening skills, culture and the personal attitude are internal factors, which may affect the process. External barriers such as the physical environment, temperature, the use of jargon and/or technical words can also negatively influence the process (Schubert 2003). Reflection. To fully assess the development of communication skills the nurse can make use of reflection to gain a better insight and understanding of their skills (Siviter 2008). Reflection can also be used to apply theoretical knowledge to practice, thus bridging the gap between theory and practice (Burns Bulman 2000) and allows us opportunity, to develop a better insight and awareness of our actions both conscious and unconscious in the situation. Reflecting on events that take place in practice, allows opportunity not only to think about what we do, but also to consider why we do things. This helps us to learn from the experience and improve our future nursing practice (Siviter 2008). Reflection can be described as either reflection in action; occurring during the event, or reflection on action; which happens after the event has occurred (Taylor 2001) and is guided by a model, which serves as a framework within, which the nurse is able to work. It is usually a written process, and the use o f a reflective model uses questions to provide a structure and guide for the process (Siviter 2008). Reflective Models. There are numerous reflective models that may be utilised by the nursing professional, for example, Gibbs Reflective Cycle (1988), Johns Model of Structured Reflection (1994) and Driscolls Model of Reflection (2002). Gibbs model (Appendix I) has a cyclical approach, consisting of six stages per cycle that guide the user through a series of questions, providing a structure for reflection on an experience. The first stage of the process is a descriptive account of the situation; what happened? Followed by an analysis of thoughts and feelings in the second stage; what were your thoughts and feelings? The third and fourth stages involve an evaluation of the situation, what was good and/or bad about the experience and an analysis allowing us to make sense of the situation. The last two stages are the conclusion of the situation, what else could have been done and finally an action plan to prepare for similar situations, which may arise in the future (Gibbs 1988). Similarly to Gibbs Reflective Cycle, Johns Model of Structured Reflection (Appendix II) and Driscolls (Appendix III) model of reflection promote learning through reflection. They have similar structures, which guide the user through the reflective process. Johns Model incorporates four stages; description, reflection, alternative actions and learning (Johns 1994) and Discolls model has three stages: a return to the situation, understanding the context and modifying future outcome (Discoll 2002). The three models described all have similarities in that the user is guided through the reflective process by describing the event, analysing their thoughts, feelings and actions and making plans for future practice. Considering the models of reflection described, the next component of this essay will make use of the Gibbs Reflective Cycle (1998) to provide a reflective account of a situation which I experienced during clinical placement in a community setting. Reflective Account. As part of this placement, I assisted my mentor, a health visitor, in the provision of a baby club for parents with babies and pre-school children, which takes place on a weekly basis and involves routine checks, such as baby-weighing, in addition to opportunity, for parents to socialise and opportunity for health visitors to provide information relating to the care and health of babies and children. During the second week of this placement, I was asked to assist in the delivery of a forthcoming health promotion session relating to dental health. I have chosen this event as a basis for my reflective account as I feel that health promotion is an important area to consider. It enables individuals to play a pivotal role in their own health (Webster and Finch 2002 in Scriven 2005) and is a means by which positive health can be promoted and enhanced alongside the prevention of illness (Downie et al 2000). It gives clients the knowledge to make informed decisions about their health and prevention of illness and is an area in which the nurse or healthcare professional plays a key role (WHO 1989). Description of the event. The event occurred during a weekly session at baby club that takes place in a community centre. My mentor (Health Visitor) and I were present along with a group of ten mothers and their babies. As this event took place during a group session, I will maintain confidentiality (NMC 2008) by not referring to any one individual. Consent was gained from all clients prior to the session commencing, in line with the NMC Code of Conduct (2008) and the environment was checked to ensure it was appropriate and safe for the session to take place. The aim of the session was to promote good dental health and oral hygiene amongst children and babies. Standard 1 of the Standards of Care for Health Visitors (RCN 1989) is to promote health, and the session aimed to provide clients with relevant, up-to-date information, thus allowing them to make informed choices about the future care of their childrens teeth. Chairs were set out in a semi-circle with a number of play mats and various baby toys placed in the centre. This allowed parents opportunity to interact in the session, to listen to the information and ask questions while at the same time being in close enough proximity to their children to respond to their needs. The Health Visitor and I sat at the front of the semi circle facing the group. I reintroduced myself to the group and gave a brief explanation of my role and the part I would play in the session. This was important; some of the clients were meeting me for the first time, and it is during this initial contact that jud gements are made about future interactions, and the service being provided. Positive initial interaction can provide a good foundation for a future beneficial relationship (Scriven 2005). The session was broken down into two parts: information giving, focusing on the promotion of dental health and prevention of illness in the form of tooth decay (Robotham and Frost 2005). Secondly, information relating to tooth brushing was given along with a demonstration undertaken by myself that showed the clients good oral hygiene could be achieved through effective tooth brushing. A question and answer session followed which allowed us to clarify any issues raised. Feelings and thoughts. In the week, preceding the session it was important for me to consider a systematic approach to the planning of the session. The first stage was to gather relevant, up-to-date information relating to the subject and plan how it could be incorporated in the session. The NMC Standards of Proficiency (2004a) states that nurses must engage in a continual process of learning and that evidence-based practice should be used (Bach and Grant 2009). The plan was discussed with my mentor and advice was sought about any adjustments which may be necessary. Prior to the session, I was apprehensive about delivering a health promotion session to clients (patients). I as I felt out of my depth as a first year student and my anxiety was exacerbated further as this was my first placement. However, support and encouragement from my mentor and other health visitors in the team helped me to relax. I was given the opportunity to discuss the topic with my mentor and was relieved when I was able to respond to any questions asked in an appropriate manner and that my knowledge had been increased through the research I had undertaken, thus boosting my confidence. Evaluation. Despite my initial reservation about my knowledge of the subject and apprehension at delivering a health promotion session, I feel that my mentors decision to include me in the delivery of the session benefitted me greatly in the development of my knowledge and self confidence. During the session, I feel that I communicated well verbally with clients and that my non-verbal communication was appropriate and corresponded to what I was saying. The clients were focused on the session and seemed genuinely interested, nodding when they understood and showed attentiveness by making regular eye contact. Feedback from clients after the session also allowed me to reflect on my communication; one of the clients stated afterwards that she had gained a lot from the session particularly the demonstration relating to tooth brushing and was now more aware of the importance of early oral hygiene to prevent problems later in the childs life. Analysis. Dental Health is a key Health Promotion target in Wales and is the most prevalent form of disease amongst children in Wales. Many of the participants were unaware of when and how childrens teeth should be cared for and the importance of ensuring good oral hygiene from an early age. The aim of the session was to provide information to parents as a means of promoting good oral hygiene and prevention of tooth decay in babies and young children. In order for the aim to be achieved, communication was a key element. Effective communication in a group can only be achieved if there is trust, participation, co-operation and collaboration among its members and the belief that they as a group are able to perform effectively as a group (Balzer-Riley 2008). The information was provided in a way that was easily understandable, a demonstration of how teeth should be brushed was given, and time was allowed for the clients time to ask questions. Communication and listening skills allowed us to discov er what knowledge the clients already had, and enabled us to adjust the information to meet the needs of the clients. Throughout the session, I was aware of my non-verbal communication and attempted to show attentiveness to individuals in the group, using the principles of SOLER I made the necessary adjustments. At times, this proved difficult as trying to lean towards the clients and maintain eye contact with each individual was not possible in a group situation. My anxiety about delivering the session was also an area which I had some concerns with. Nervousness can have an influence on how a message is delivered, and I was constantly aware of my verbal communication, particularly my paralanguage. I have a tendency to speak at an accelerated rate when I am nervous, and was aware that this may influence the way in which the message was being received. It is important to be aware of paralanguage in which the meaning of a word or phrase can change depending on tone, pitch or the rate at which the word(s) is spoken. Paralanguage may also include vocal sounds which may accompany speech and which can add meaning to the words being spoken (Hartley 1999). Throughout the session, I was aware of my verbal and non-verbal communication, and I tried to ensure that it corresponded to the information being given; I was also aware of non-verbal communication of the participants and made appropriate adjustments to my delivery when needed Conclusion. After the session had finished, I was given an opportunity to discuss it with my mentor. I was able to articulate what I felt had gone well, what hadnt gone quite as well and what could be improved. I noted that I was very nervous about delivering the session despite having the knowledge and understanding of the subject and felt that this may have been noticed by the participants. However, feedback from my mentor allowed me to realise that my nervousness was not apparent in my delivery. By undertaking this reflection, I have been able to question the experience and analyse my actions and behaviour, as a means of developing my knowledge for future practice Action plan. This session has helped with my learning and personal development and I now feel more confident in my ability to deliver health promotion activities in a group setting. I am, however, aware that speaking in a group setting is not an area I am very comfortable with but further practice will help alleviate this. I am confident that I will be able to use the knowledge gained on the subject of dental health in my future placements. In the future, I will repeat the process of thorough research, as it is best practice to keep knowledge up-to-date in order to provide care based on evidence (NMC 2008). Summary. In summary, communication is a complex process and an essential skill which the nurse must be aware of in every aspect, of care and treatment they give to patients. A full awareness of not only the spoken word, but also the influence non-verbal communication has on the messages being communicated, is essential in the development of a therapeutic relationship between nurse and patient. The process of reflecting upon practice is also an essential element of knowledge development. After consideration of a number of reflective frameworks, the use of Gibbs Reflective Cycle as a structure for creating a reflective account has proven to be beneficial in the exploration of personal thoughts and feelings in relation to a specified event and I recognise the importance of reflection as a learning tool that can enhance knowledge and practice.
Wednesday, October 2, 2019
Brave New World: Utopia Without Shakespeare? Essay -- Brave New World
Brave New World: Utopia Without Shakespeare? The Utopia of the future- something every human seemingly wants, but is it worth it to throw away everything for happiness and live in a world where only a few people can recall a man named Shakespeare? In Aldous Huxley's satirical novel, "Brave New World," this cellophaned world, polished and regulated to perfection, is a reality. In this Utopia, people like Bernard Marx, an intelligent and adverse Alpha, the highest class of humans, are conditioned to worship the Great Ford, to believe everything the Controllers say, to amuse themselves with sports, "feelies" and non-utilitarian relationships and, most of all, to take soma, a drug simulating happiness, whenever a problem should arise. No one feels, no one reads or experiences art, no one discovers, no one cries, no one grows old, no one feels pain or fear and absolutely no one is unhappy. Different from regular Alphas, having mental excesses and physical shortcomings as a result of his decanting process, Bernard seeks meaning in his perfectly structured civilization. Discontented with the daily routine in "Utopia," Bernard attempts to venture out in search of mental and physical freedom. He does so by visiting the primitives in a simple Indian village outside of his ordered world. There he meets the savage named John, the "natural" son of a Beta woman who was forced to live in the Indian village after getting lost several years before. Natural childbirth is unheard of in Utopian society with its totally structured birth control system. Through John's experiences and realizations in the "Brave New World," the nonsense of the conditioned and controlled humans, living in Utopia, is understood. John ... ... real danger, I want freedom, I want goodness. I want sin. . . I'm claiming the right to be unhappy. . . Not to mention the right to grow old and ugly and impotent; the right to have syphilis and cancer; the right to have too little to eat; the right to be lousy; the right to live in constant apprehension of what may happen tomorrow; the right to catch typhoid; the right to be tortured by unspeakable pains of every kind. . . I claim them all (Huxley 288). Certainly, the two existing places in Huxley's "Brave New World," Utopia and the Indian village contrast drastically. By representing two totally different societies, an actual and an ideal, they contribute to the central meaning of the work, to show that a perfect society in which happiness prevails is not the answer. Living your own life as an individual, in an imperfect world, is far more rewarding than Utopia.
Tuesday, October 1, 2019
A Proposal to Restore Family Unity in America Essay -- Government Pape
For many people throughout the United States, it is a melancholy but common sight to see broken families, separated children, and squabbling spouses. In a society in which over 20% of marriages end in divorce, it is not surprising that the majority of todayââ¬â¢s children grow up in a one parent marriage. The National Center for Health Statistics estimates that in 1993, about 1,187,000 divorces were granted in the U.S., affecting 1,075,000 children. Sadly, some children are even deprived of seeing their mother or father throughout their entire childhood. Many others are allowed to visit one of their parents only once or twice a month. This lack of family unity results in emotional and psychological problems for both the parents and the children. I think it is agreed by most people that the increasing rate of divorce and the problems related to it are subjects of great concern. In fact, anyone who could devise a plan that would restore family unity and bring meaning to the line ââ¬Å"till death do you partâ⬠deserves a medal. Having turned my thoughts to the issue for several years now, I have developed a reasonable solution. I humbly propose that the government create a new department, The Department of Marriage Control and Enforcement (DMCE). It will be the job of this agency to prevent troubled marriages from occurring in the first place and to eliminate divorces all together. After a couple has recited their vows, the tradition of exchanging wedding rings will be abolished. Instead, a DMCA official will lock a steel ring onto the bride and the groom. The steel rings will symbolize the newly wedded coupleââ¬â¢s commitment to one another and the fact that their future time together has no end. The DMCA official will then weld a three-foot-long chain to each ring, forcing the couple to remain together at all times. Chaining a couple together will prevent couples from obtaining a divorce because the couples will be chained together for the rest of their life. Since couples will be chained together, the y will be forced to think long and hard about marriage before they exchange their vows. Additionally, chaining a couple together will result in increased communication between wives and husbands. Because they will always be together, they will be required to communicate with each other. No secrets will exist between the two. Also, adultery will be greatly reduced due to t... ...any the adults to work and learn their parentsââ¬â¢ trade. Most of the parents who have children will accompany their children to school and receive payment for expenses from a certain pool created by working families. After the child is unchained at age 18, the couple can then resume work, unless they have more than one child. If the reader finds this humble proposal objectionable, let him not talk of other solutions: of requiring marriage preparation classes in order to obtain a marriage license: of making divorces harder to obtain: of offering counseling free of cost to troubled couples: of increasing the costs of divorce so that individuals will have to think harder about pursuing one: lastly, of requiring certain classes to high schoolers that explain the consequences of divorce for both the couple and the children. Therefore, I repeat, let no man speak to me of these or like expedients until he has some reasonable idea of how to put them into practice. I hereby pronounce that this proposal has been created to promote the well-being and happiness of families everywhere. I have no motive other than the well being of society because I am not married and do not have children.
Report on future trend of Japanese Yen over the next month
The aim of this report is to make a future trend prediction of Japanese Yen based on the economic data and experts' opinions from SYNC for the next month. Further Yen weaknesses is going to continue, and Japan is staying with the protection under the market, said by Mike, according to the Bank of Japan Meeting. The dollar and Euro made their largest percentage gains against the yen since BOX announced aggressive easing measures and they plan to double holding of bonds and stocks in two years.From the previous statistics and graphs, we can see that, the dollar rose as high as 96. 41 yen on Router's data, near a three and a half year peak of 96. 71 set on March 12. The Euro traded at 124. 51, up 4. 2 percent, higher than Yen for two or three months. And also, the yen weakened against other currencies, with the Australian dollar rising above 100 yen for the first time since 2008.Kyle Bass, the Founder of Hyman Capital said that what Japan Is trying to do Is to devalue the currency in or der to become slightly more trade from competitors, like South Korea, and make the economy better. Jon added that, short (ME) emerging market or go long puts to play Yen weakness. The Bank of Japan Is embarking on a monetary easing campaign more aggressive than anything it has attempted In years. This means that there Is still a further weaknesses of Japanese Yen In the future months.
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