Challenges for Poverty Reduction in Malaysia Essay

One of the challenges for poverty reduction in Malaysia is migrant worker’s issue. The current development policies of Malaysia are influenced by globalisation and liberalization which leads to the implications on activities related to poverty. The decrease in employment opportunities affects the urban poor and migrant workers. The demand for skilled human resources in capital intensive activities are huge since Malaysia is restructuring its economy. An increase in the number of overseas employees has caused a bad effect towards the IOP in the post world repercussion of 2008. The contribution of overseas employees for local economy, remittance for their country origin, expected competition in the local labor market between local and migrant workers and the potential of massive amount of overseas labours contribute to major concerns about the issue. Ethnic issues would be the second challenge for poverty reduction in Malaysia due to the educational and achievements of Bumiputera students in major disciplines of the economy are lower than the non Bumiputera students. This led to an academic lacuna between the two sectors. Turmoil between ethnic groups would become worse if the policy makers refuse to create promising agreements. Therefore, the expected gap between poor and non poor will be widened. The Malays are dominant in the rural poverty which reminded the policy makers to figure out the national level concept of poverty. NEP 2010 poverty eradication is mainly focused on Malay rural population. The third challenge of poverty reduction in Malaysia is rural and urban poor with more than half of the family units are poor, rural and urban poor poverty have constantly been identified as a problem confined to rural. The effects of poverty are devastating among urban communities as most of the new poor family units are settled in urban areas. Innovative strategies and policies should be implemented with strong responsibility in programs planning and inner city development expenses allocation are required.

Shangri-La Hotel

Shangri-La Hotels and Resorts – Overview Shangri-La Hotels and Resorts are renowned hotel management companies operating prominently in the Middle East. The hotel is considered as a status symbol for upper class people reflecting the privilege and honorable status in the society. The hotel provides facility of services which is suitable for both business travelers as well as for people traveling for leisure and on vacation.The first of Shangri-La hotels was found in Singapore in the year 1971 and now this Hong Kong based hotel chain has grown as one of the largest hotel management companies getting a number of awards and accolades. The hotel chain operates more than 49 high class hotels and resorts in key cities of Asia and the Middle East. The first venture of the hotel chain was established in Singapore by the Kuok Group which is a multinational conglomerate managed by Westin until the year 1983. The name of the chain was changed to Shangri-La International Hotel Management Limited in the year 1983.In the year 1989, the Company established a sister concern Traders Hotels in Beijing with the objective of meeting the demand from the business travelers at affordable prices. Shangri-La Asia bought the hotel chain in 1997, at which time the group was called Shangri-La Hotels & Resorts. The hotel chain is owned by Shangri-La Asia Limited, a Hong Kong based company. Shangri-La hotels and resorts is the subsidiary of Shangri-La Asia Limited and the shares of Shangri-La are listed in the Hong Kong Stock Exchange. The Kuok Group continues to hold the controlling interest in Shangri-La Asia Limited

Digging Gold Essay

Abstract This paper will discuss â€Å"Digging gold† case in detail and provide answers to various questions that arose after studying the case. This research will answer to :the types of pollutions that are generated by the gold mining companies, pollution effect on the environment, governmental regulations that would address the pollution problem, role of NGO’S (Non-governmental organizations) and citizens to reduce environmental effects of gold mining, and the companies who are less or more environmentally responsible. Generally, Gold mining is the process of mining gold from the ground. Keywords: Environment, Digging gold, pollution, responsible Gold is one of the most attractive and a highly valuable metal, known for decades. Gold is used in number of fields such as jewelry, dentistry, modern technological applications, in computer chips, lens surfaces, investments, setting currency value and so on.(R. James Weick, 1994).Gold is found widespread in various natural substances such as, sea water, earth’s crust, sedimentary rocks rivers etc. However,† its overall concentration is very low (about 5 milligrams per ton of rock), rich concentrations of gold, forming ore deposits, are known n throughout the world.†(Dr. Bill Birch). Gold mostly exist with other metals. such as lead, zinc, silver or copper and sometimes found free in nature. Gold takes place in variety of forms such as: wire gold, nail gold, mustard gold , paint gold, disseminated, irregular grains, scales, plates and vein lets with microscopic dimensions, and as larger compact, reticulated, spongy or hackly masses or slugs.(Dr. Bill Birch). So Gold mining is the process of mining gold ores from the ground. It is done in two types: Open pit mining and underground mining. Gold Extraction procss TYPES OF POLLUTION GENERATED BY GOLD MINING Under the classification system presented in the section â€Å"Major Areas of Environmental Regulation† three pollution types are described, such as Air pollution, Land pollution and Water pollution. All these three pollutions are generated by the gold mining companies. Their effect on environment is discussed below: Air pollution: When pollutants are not diluted properly and are emitted into the atmosphere, called air pollution. The process used to extract metal, release very harmful toxins that cause pollution such as: Lead, Sulfur, Nitrogen, Mercury, Zinc, Cadmium, and Uranium. These toxins can result in number of diseases to workers and the local people. The inhalation of such toxins may cause impaired vision, muscle weakness, kidney damage, nerve damage, anemia, metal fume fever etc. (No dirty gold campaign). According to the US Toxics Release Inventory, the metal mining industry in the United States contributed the following, in 2010: * 92% of industrial mercury emission s * 94% of industrial arsenic emissions * 73% of known Carcinogenic waste Water pollution: Water pollution occurs when pollutants are discharged into water bodies without the proper treatment to remove harmful compounds from water. Acid mine drainage, metal contamination, increased levels in streams are the major problems caused by mining to water. These problems affects domestic water supply, irrigation, swimming, fisheries, living organisms ,drinking and various other uses of streams. Acid rain ,caused by iron sulfide that mix with air and water, severe pollution hazard to ground water, surrounding soil and the surface water. (Pollution- issues- mining). Land pollution: Land pollution means damage to land in any form; such as, erosion, formation of sinkholes, deforestation, biodiversity loss, contamination of soil etc. (Wikipedia). Mining needs to clear a large part of the land to be dig, which means that area, can be created by harming vegetation and cutting trees. The chemicals used during mining process are leaked into the land that affect to land. The basic necessities of a living organism are land, water and air. If any  of these is affected, it creates problem for an organism. From above description on pollution effects on environment shows that all three are damaging to the environment equally. But the most endangering is the water pollution because Governmental regulation that effectively concerns the problem: The three alternative approaches discussed in the textbook to address the pollution problems are: Environmental problems, Market based Mechanisms, information disclosure, civil and criminal enforcement. Among these four approaches, information disclosure approach is more effective in case of mining industries to control environment pollution. Reasons in favor of Information Disclosure approach: Under this approach firms are encourage by the government to pollute less by providing information about the amount of pollutant individual companies emit. The various acts like SARA- right to know law and TRI-Toxics Release Inventory provide information to the public, relating to the environment loss lead by a certain company. This approach is effective because no company wants to be criticized and embarrassed in the public. Role of NGO’S and citizens movements The citizen movements and NGO’s can play a vital in reducing the adverse environment effects of the mining companies. The case mention three types of NGO and citizens movements started to reduce the adverse environmental effects of gold mining companies. First is the Romanian citizen’s group called Alburnus Maiors that was initiated by the local farmer and the activist to block the construction of a new gold mine? Second, The Newmont Mining Company was sued by the villagers of Peru, after they were hurt by the mercury spill by a truck. Third, â€Å"No Dirty Gold† campaign was initiated by the Earthworks that were aimed for the jewelry retailers. (Lawrence & Weber, 2014). More and Less environmentally responsible companies Number of companies is mentioned in the case, for example Kennecott,  Tiffany, Canyon Resources and Free port McMoran. More responsible companies: Among these companies, Kennecott and Tiffany are more responsible companies because Kennecott had made a public commitment to sustainability whereas Tiffany had made concern about its public image. Less responsible companies: The companies that are less responsible are Canyon Resources and Freeport Mc Moran in Indonesia. The reason that makes Canyon Resources, less responsible is that it uses destructive methods to extract gold when citizens voted to ban cyanide heap-leach mining. Freeport Mc Moran in Indonesia appears to be doing business with weak environmental laws and enforcement. Conclusion Gold digging and extraction process have a number of effects on environment. â€Å"Gold mining is one of the most environmentally destructive industries in the world.† (Lawrence & Weber, 2014). Following is the list and effects of pollution on environment. References 1. R., James Weick. (1994). Natural Resources: Government of Newfoundland and Labrador- Canada. Geological Survey: Gold Occurrences. 2. Dr. Birch, Bill. Geology of Gold: Formation of Gold: Museum Victoria. 3. Prof. Kakharov, Abrol. (2013).Gold Extraction Process: Diagram. 4. Lawrence, A. & Weber, J. Business and Society: Stakeholders, Ethics, Public Policy (14th Ed.) Managing Environmental Issues. McGraw Hill. 5. No DirtyGoldCampaign:AirImpact.http://nodirtygold.earthworksaction.org/impacts/air. 6. Wikipedia: Environmental Impact of Mining. 7. Mining: Pollution Issues. www.pollutionissues.com/Li-Na/Mining.html.

The commercial invoice; the pro forma invoice Assignment

The commercial invoice; the pro forma invoice - Assignment Example Question 2 The amount of risk that a business will bear will depend on whether the business is the importer or the exporter, as well as the particular incoterms that are involved on a particular transaction. For instance, if the business is an importer, the business will incur the least risk if the incoterm being used is CIF, because this will have the least risk (William, 2009). This is because the seller (exporter) will have to take care of the goods on their way not only to the destination port but all the way to the inland destination of the buyer. This includes buying the insurance for the goods as they are on transit. As a result, this means two important things to the buyer, who is the importer. First, is that there is no risk of the goods on transit that the importer will have to bear incase the risk materializes. Second is that even if the risk was to materialize, the importer would be protected because the insurance will pay off the losses. The importance of Cost, Insurance and Freight (named port of destination) is that incase the goods are lost or damaged and the seller was not in a position to compensate the buyer, the buyer doesn’t have to incur the loss because the insurance will pay for the goods. ... The fact that the process by which the US government uses to create money and value for the same money is faulty and needs to be changed is not debatable. However, as Maxwell (2009) says, it can only be hoped that the new technology that is eliminating the issuance of printed money will solve part of this problem. However, this is a problem that will need to be solved and a better mechanism be put in place to avoid the problem that fiat currency is causing. This as McGregory (2009) says, is going to be one of the main things that will have to be solved in the twenty-first millennium for the world economy to succeed. Question 4 Part i FOB – Free on Board to a named port of shipment This incoterm makes sure that the risk of the goods is shared between the two sides of the deal. The buyer assumes the risk after the goods have been loaded for shipping, while the seller assumes the risk of the goods only until the goods have been loaded for shipping. Part ii CIF – Cost, Insu rance and Freight to a named port of destination This incoterm puts all obligation, both transport and insurance of the goods in transit to the seller and makes sure that the buyer is fully protected from any risk or obligation. Part iii CIF – Cost, Insurance and Freight to a named port of destination Same as above, the exporter assumes all risks and costs for shipping the goods. Part IV EXW – Ex Works to a named place of delivery. This incoterm minimizes the obligation of the exporter so that the exporter only has insurance and freight costs only up to the point where the goods are loaded at the port of export. The buyer has to know how to get the goods from the seller’s premises and decide on whether they want to

Invention of printing press Essay Example | Topics and Well Written Essays - 2250 words

Invention of printing press - Essay Example The most common form of printing technology is offset lithography that consists of separate towers for every color of ink for printing. Others are gravure printing dependent on the small depressions on the printing plate surface, pad printing, screen printing, and relief printing. The invention of the printing press depended on already available printing technologies that were in use in various regions, such as ink, paper, and block printing invention that was quite common in China, before moving out to revolutionize Europe through Gutenberg works. Industrial Printing Presses Printing presses have evolved enormously over time, shifting from manual to mechanical structures which are less tedious, easier to produce, and with much reduced chances of injuries. Since ancient times, the transformations from wooden to metal built devices are evident, changing the face of printing from Egyptian wooden block printing, all the way to lithography, offset printing, 19th century hot stamping type setting, phototypesetting, to modern 3D printing and digital press. Stanhope printing press invented the first book press using cast iron, followed by Columbian press, which was a drift from Gutenberg print press, even if they employed most of the features and operation procedures from previous Gutenberg’s work (utexas.edu, n.d). All these former industrial press have been serving as the foundations of the succeeding printing presses in the modern society. Mechanized printing press. The difference that arises between the press and Gutenberg’s are the speed of press to make an impression on the paper. While Gutenberg print press compositors put type together by hand to assemble about 2000 characters per... The increase in print works allowed the spread of Christianity across the globe, which was one major practice that preceded European settlement in different continents. Bible translation into native languages was possible, enhancing spread of the gospel to different communities in their backyards. According to Eisenstein, â€Å"between the invention of the printing press and 1520, one hundred and fifty six Latin edition of the Bible had been published, together with seventeen German translation† (1979, p. 330). People had to learn to read and write, to read the word been spread, and acquire timely information and knowledge for their benefit. The number of people who attended church teachings reduced, since the word was more available to everyone, and as the result many could criticize some religious doctrines, creating conflicts among Christian religious denominations.How Printing Press Changed CommunicationCommunication comes differently to convey a message to the society. To day you find people using signs languages, either in body or pictorial forms to mean something. No longer is the human presence important as the agent of message delivery, but the message could be printed out and authorized to clarify and assure its origin to the sender. The culture of public communication has been influenced by the changing printing press technologies, such that it goes beyond providing learning, reasoning, and meaning of the message, to ensure people easier and reliable access of information, and its control when need be.

Public Education is Killing the Creativity Essay - 3

Public Education is Killing the Creativity - Essay Example The main objective of developing an education system was not to nurture the talent and skills in people but rather to equip them with certain skills that would help bring up a pool of knowledgeable personnel to act as the labor force in the industries that were booming at the time. This ideology did not change even when the industrial era was over; since education kept on being passed like a culture and the old ideologies became perpetual through the time to the present as the same principles can be seen applicable to date (Robinson, 2011). Therefore, the idea of people being different with variable skills was not taken into consideration as a whole, because the educational idea focused only on developing academicians and not artists. It is at this juncture that interpersonal skills and talents that are embedded in various personalities were killed and buried as the educational system had no place for them. In essence, if one was not doing well in formal education he/she was readily regarded as a good for nothing as they would not provide any material well to the skilled workforce that was in need at the time (Robinson, 2011). However, these principles have slightly changed over time to incorporate co-curriculum activities among the courses offered in the formal education syllabus but the art related subjects have little or no significance when it comes to the overall grading of the students. For instance, students who are good in subjects like mathematics and the sciences but poor in art and music are regarded brilliant and intelligent as opposed to those who are good in arts but weak in core subjects hence often regarding them as academic failures. Therefore, the ideal of over-emphasizing certain subjects over the others kills the morale of those that are good in the areas that are not strongly emphasized in the academic programme (Robinson, 2011).

Bernard Arnault's Leadership Style Case Study Example | Topics and Well Written Essays - 1000 words

Bernard Arnault's Leadership Style - Case Study Example Louis Vuitton was a family run business in those days and in mid Eighties and he had to fight a bitter battle to gain control of this company. His appreciators say that he has inborn vision of clever marketing, creative designs and knows how to keep a tight control over his empire without a single slackening moment. He knows how to conduct global business with an uncanny ability and stopped further acquisitions when time was unfavourable. His leadership style is highly appreciated in the Corporate world. Entry into luxury marketing needs powerful backing and he received it from the French government which was looking for someone to take over the textile empire. It is said that the sale of his Mediterranean home made him exclaim that "When something has to be done, do it! In France we are full of good ideas, but we rarely put them into practice" (Forbes, June 2, 19971). His powerful friend Antoine Bernheim, MD of investment firm Lazard Freres arranged finance and family arranged $15 million of their own money and the total was used to buy Dior, which he said was the potential cornerstone of 'luxury-goods supermarket'. Also it is believed to be a brutal rise to power with opportunistic leadership strategies in which Henry Racamier, the former chairman of LVMH's Louis Vuitton was eliminated along with all top executives. His dicision making is ruthless, almost vicious and full of calculated risk taking. He knew how to balance commerce and artistry by involving both sound management practices with creativity. He was careful to be choosy when it came to picking his managers. "He believed that to raise creative energy, a company must have managers with a certain love for and understanding of artists" and he hired John Galliano, who could create unusually melodramatic unconventional designs" http://www.answers.com/topic/bernard-arnault The old business house changed its profile overnight to display the most brilliant artistry. A trained pianist, Arnault always maintained a creative eye and created a name for himself as the most unique CEO of the world. He insisted on financial discipline without curbing artistic innovation because he thought creativity counterbalances the commerce. He could be an autocrat and showed it when he terminated services of Dior perfumes heads to replace them with new US executives who became unpopular while company financially gained and this move resulted in some of the timeless most enduring 'star brands' which he explained: "Our strategy is to have some stars-and there are not many stars in the luxury business. What is a star It's a name that is the very best. It's a name that is very profitable. But the number of true stars is less than I can count on both of my hands" (New York Times, March 25, 2001). He went on a bourgeoisie shopping spree and indulged himself while amassing a business empire par excellence which spread all over the western world. He was advised against too large an expansion, but he believed in himself and came out a winner. He referred to the competitors in one of his interviews: "They saw it was working. And then they said, 'Okay, now we are going to do the same thing.' I think, really, they underestimate the difficulty. They underestimate

Project Closeout Case Study Example | Topics and Well Written Essays - 500 words

Project Closeout - Case Study Example y follows certain stages or phases that include the initiation stage, planning and design stage, execution stage, monitoring and controlling stage, and the last stage, which is the closing stage. Under the closing stage, Phillips (2003) stated that is stage usually involves the official handing over of the project to the client and subsequent conclusion of the entire project. Moreover, the closing stage may involve storing of related files and documentation of the lessons that have been learnt whilst undertaking the project. In the studies conducted by Sebastian (2007) it is noted that the closing stage of the construction project of the ten-floor commercial building will comprise of two phases, whereby the first phase will involve closing or concluding all activities associated with procurement and communication, which had been initiated and necessitated by the construction project. The second phase of the closing stage is contract closure whereby all contracts that were related to the project such as transport contract and/ or catering contract, among others, are settled and closed. Additionally, from the studies conducted by Phillips (2003) it is stated that among other activities that will take place in the close out stage of the construction project will be ensuring that all the project’s goals have been achieved and then handing over the finished commercial building to ABC technology Inc., who are the project sponsors. The client, who is ABC technology Inc, will be required in the closing stage of the construction project to inspect the finished building and confirm that it meets their standards and initial requirements they stipulated in the construction contract. Secondly, in the closing stage the client will be required to clear all the pending payments and even pay back the guarantee bond issued out earlier by Building Blocks Inc to guarantee that they will complete the project to the required standard. As for the project team members, they will be

Pyramid Business Structures In China Essay Example | Topics and Well Written Essays - 4000 words

Pyramid Business Structures In China - Essay Example This essay explores the basics of the pyramid business structure and checks how far the business model has deep rooted in the Chinese environment. It also analyses whether the pyramidal structure is beneficial or harmful to the Chinese economy through a case study on CITIC. Introduction A pyramid business structure has one person who is a sole controller and owner of one or more organizations. The person and his firms control a chain of other business structures in various industries. Thus the person at the top of the pyramid is the indirect controller of several small firms owned by a handful of his companies. This structure is widely prevalent in all the developing countries especially China. The owner at the top of the pyramid is capable of controlling the actions of every other company under their firms with little investment through this method. Such type of business structure is important for the massive growth of huge corporate in the developing economies. But, developed count ries like the USA efficiently controlled this model as early as the 1930's as it curbed the growth of small entrepreneurs and entrusted too much profit into sectored groups. The US government used various strategies like double taxation to control pyramidal business sector (Marck et al, 2005). ... Claessens, Djankov and Lang (2000) confirm nearly 38.7% huge public firms in East Asia are managed through pyramid ownership. The pyramid business structure enables the ultimate owner to invest less and control massive cash flow. Another main advantage in this system is the firms controlled and the controller firms can share their resources in terms of capital, labour as well as revenue similar to business groups. But, the owner will be free from paying heavy taxes to the government for the small firms as only a handful of major firms are under his direct control. These controlled firms are used for the benefit of the owner in various ways. They can be discouraged from showing profits as the owner might need them to show losses to evade tax. These firms are run by the money invested by the common public or the shareholder who lack any control over these structures. This gap between control and cash investment paves way for tunnelling or which reduces the firm's total value. â€Å"Tu nneling† generally defined as the passing of assets or profits from the smaller country to the bigger companies for the ultimate benefit of the huge group’s owner. Research done by various scholars in the western countries as well as the growing eastern market suggests the same. Research done by La Porta, Lopez-de-Silanes, Shliefer and Vishny (2002) confirmed pyramid business structures paved way for tunnelling more than the other business structures after studying the top 27 economies in the western world. Claessens et al (2002) research in East Asian economies confirms the same. Classens et at (1998) claims there are three main problems in pyramid business structure. They are

Knowledge of the Main Changes that Go With the Divorce Research Paper

Knowledge of the Main Changes that Go With the Divorce - Research Paper Example Ross (1972) argued that parental discernments are a product of both the child's behaviour and the parent's acceptance level. It appears credible that depression influences individual differences between parents in their acceptance for a variety of child behaviours. Clinical symptoms that co-vary with depression, such as distractibility and restlessness, may increase the possibility that single mothers will selectively attend to moderately low-frequency inapt behaviour, forming impressions of her children's alteration that are not acceptable by objective counts of behaviour. Alternately, parental depression and distress may raise attention to moderately high-frequency rebellious behaviours that were not interpreted as worrisome prior to the inception of personal distress. On a behavioural level, changes in perceptions might result in the inconsistent use of ineffective child-management strategies and dictatorial control (e.g., beta commands) at a time when parents seek to bound intera ctions with their children. The net consequence of such dynamics might be the expansion of what Patterson (1982) has termed coercive styles of family interactions. One of the issues linking to the emotional pattern of this kind of family breakdown is that of the divorce process, which shows the way to families living in single-parent households and eventually to the remarriage of one, if not both, parents and the formation of stepfamilies. This process, now believed likely to occur to one marriage in every three, also consequences in one in five children experiencing the divorce of their parents and the succeeding remarriage of at least one of them (conceivably more than once) during childhood.

Jacques Louis Davids and Edouard Manets paintings Essay

Jacques Louis Davids and Edouard Manets paintings - Essay Example The essay "Jacques Louis David’s and Edouard Manet’s paintings" gives a review of Edouard Manet’s "The Dead Christ with Angels" and Jacques Louis David’s "The Death of Socrates". The publisher and printmaker John Boydell wrote Sir Joshua Reynolds about the painting; "the greatest effort of art since the Sistine Chapel and the stanze of Raphael. This work would have done honor to Athens at the time of Pericles." The subject of the painting loosely bases on Plato’s Phaedo. In painting it though, David consulted various sources. These include the 1758 monograph by Diderot on dramatic poetry and the poetry works of Andre Chenier. A pose by a figure at the bed’s foot on the painting is believed to have been inspired by passages in a book by English writer Richardson. The painting is well composed with various forms contributing to the unity therein. A visual foundation is provided by the dominating darkness, giving contrast to lighter figures. The few rich and light colors spread out with ease against the dark. A shallow stage provides the background, with activity being confined in a narrow space that is contained and unified by the wall at the back creating severely bounding space. The chromatic color used is predominantly warm, with cool colors being subdued, appearing almost grey. A horizontal rectangle bounds all the action, with figures fitting within the contained space. Continuities and lighting along the figure to the left up to Socrates’ arm create a flat, wide pyramid that presents a unified mass.

Bioethical Principles in Medical Science Essay Example for Free

Bioethical Principles in Medical Science Essay The principlist approach to biomedical ethics is understood on the basis of two central theses. The first thesis is that moral principles are non-absolute and that they do not occur in a determinate order of precedence. This means that every single principle is prima facie. These prima facie principles are; beneficence, respect for autonomy, non-maleficence and justice. The second central thesis, usually called the global applicability thesis, posits that the four prima facie principles derived from common morality make principlism universally applicable. Analysis of ethical questions based on the biomedical principles of ethics is central to moral reasoning while at the same time respects exigencies of circumstance and liberates pluralism (Beauchamp Childress 14; Herissone-Kelly 65). Since this application of ethical principles is sensitive to moral beliefs encountered in everyday lives, it forms the basis of ethics in biomedical practice. It acts as a guide to action even though the four principles do not operate in a determinate order of precedence. In attempting to discern the ethics of physician assisted suicide one central question comes into mind. Is assisted suicide morally justified? In a nutshell, assisted suicide or more specifically, physician assisted suicide, refers to a case where the patient has ended his life either with a lethal dose or any other medically provided instrument after the patient requested for the lethal dosage from the physician who provided the dosage for the specific reason of ending the life. The difference between euthanasia and assisted suicide is that in the case of euthanasia, it is the physician who administers the lethal dose or withdraws the life support system because the patient in question is unable to administer the same to him/herself. Thus, the difference lies in the difference in who makes the action that precedes death. In assisted suicide, it is the patient who acts last. The choice of taking the lethal dosage or pushing the button that will terminate life solely rests with the patient and they have the capacity to alter their decision before their actions become irreversible. Even though the physician plays a causal role in both; the patient kills him/herself in assisted suicide while in the latter, it is the physician who kills the patient. This difference creates an intrinsic moral difference between the two. This brings into question the principle of respect for autonomy. The moral principle of respect for autonomy refers to a patient’s freedom of liberty or choice interests. However, it should not be confused with an all-for-nothing phenomenon. Gradations of autonomy and its interpretation in different circumstances are variable. A patient’s autonomy can be interfered with when there is excessive control (too much interference with the patient’s decisions) or when there is too little interference (neglect of the patient). Respect for an individuals autonomy is also threatened in cases where an individual’s right contravenes another individual’s freedom of choice and their actions (Brent 40). With respect to assisted suicide, the patient in question having satisfied the qualifications of making an informed consent can request the causal assistance of the physician to carry out actions that directly lead to their death. In such a case, professional codes of ethics bind physicians to respect the patient’s rights to self determination by unobstructing the conditions for the operation of an autonomous action such as: intentionality, understanding, and the complete absence of any controlling influence. In a situation where all these conditions are met and the physician dutifully performs their causal roles, physician assisted suicide is ethically correct. This is so because so long as the patient’s rights are supported it automatically follows that ethical permissibility of assisted suicide is also granted (Weir 89; http://www. deathreference. com/). In cases whether the patient is suffering from a treatable clinical depression or dementia which impair the decision making capacity of the patient, the right to self determination do not apply (http://www. inclusiondaily. com/). The moral principle of Non maleficence hold that a person should not do harm. It specifically holds that one should have the capacity to discern actions that are morally harmful. However, there is controversy as determining the intention behind an action. At the same time, determining whether an intentional or unintentional action refrains from action harms or puts the subject at a risk of harm. The moral principle of beneficence entails the following obligations: to prevent harm, to eliminate harm, and to do good. These three conditions characterize the measures taken by medical practitioners to balance the components of risks, harms and benefits. Beneficence therefore encompasses professional, personal and societal obligations (Brent 41). The principle of beneficence largely builds on the foundational principle of non maleficence. In this case assisted suicide is ethically permissible on the basis of an individuals well being. It can be argued that in such a case, to promoting and protecting the patients well being may be contradictory to the patient’s right to self determination. However, this is not so. Life is often is perceived as being good and its value is a product of our pursuit of goods within life itself. In an assisted suicide scenario, a person who is fully competent to reach a decision decides that life sustaining treatments no longer has any benefit but has become a burden. Most of these patients are often critically ill, dying or in a very debilitated and severely compromised state. If such patients request the means to end their lives, it is in line with non maleficence or beneficence because such an act is value to the patient’s life. Unless if the patient is unable to reach a competent decision and the dictatorial authority transferred to a surrogate, the right of self determination stands and is not in contradiction to the principles of non maleficence and maleficence(Weir 90). Moreover, such a decision is only ethical if it does not infringe on the moral and professional values of the physician. Additionally, assisted suicide is an act of compassion that eliminates further suffering and pain. Refusal to grant the patient their claim or entitlement is akin to putting them to unbearable suffering. Finally, the moral principle of justice simply refers to fairness. It is the act of receiving ones due; entitlement or claim. Distributive justice concerns itself with how fairly benefits can be allocated and distributed. Basically, four considerations guide moral justice. For instance, an equal share, according to a persons need, according to a person’s effort, and lastly, according to societal contribution (Brent 42). Physician assisted suicide is supported by the moral principle of justice in the context of â€Å"treat like cases alike† (http://depts. washington. edu/). When competent but terminally ill patients request lethal dose medications or refuse life sustaining treatments with the sole purpose of hastening death, it is only just that they should be granted their claim. However, these arguments are only suitable when the ethics of assisted suicide is analyzed on a basis of the biomedical ethical principles. Works Cited BBC News. Assisted suicide danger claim. April 20, 2009. http://news. bbc. co. uk/2/hi/uk_news/scotland/8008736. stm Beauchamp, Tom L, Childress, James F. Principles of biomedical ethics. Oxford University Press, 2001; 1-23 Brent, Nancy J. Nurses and the law: a guide to principles and applications. 2nd Edition. Elsevier Health Sciences, 2000; 40-47 Reynolds, Dave. Assisted Suicides For Mental Illness, Too, Swiss Court Rules. Euthanasia, Assisted Suicide, Eugenics, Bioethics. Inclusion Daily Express. February 5, 2007. http://www. inclusiondaily. com/archives/07/02/05/020507sweuth. htm Encyclopedia of Death and Dying. Bioethics. http://www. deathreference. com/A-Bi/Bioethics. html Harrison-Kelly, Peter. The Principlist approach to bioethics, and its stormy journey overseas. in, â€Å"Scratching the surface of bioethics†, By Matti Hayry, Tuija Takala. Rodopi Press, 2003; 65-72 Physician-Assisted Suicide. Ethics in Medicine. University of Washington School of Medicine. http://depts. washington. edu/bioethx/topics/pas. html Weir, Robert F. Physician-assisted suicide. Indiana University Press, 1997; 86-97

Marks and spencer group

Marks and spencer group 1. Vision (mission Statement) Marks and Spencer Group (MS) is a retailer of clothing, foods and Homeware. It operates through owned stores and franchise stores. The company has two reportable geographic segments: UK and international. MS operates through a chain of 622 stores across UK and 278 international outlets throughout 34 countries worldwide The companys operations can be categorized under two divisions: food and general merchandise including clothing and home ware. The food division focuses on fresh, natural, healthy food; special celebration products; authentic ready meals and exceptional everyday food such as Oakham chicken and Aberdeen Angus steaks. It chain of 205 franchised Simply Food stores operates in railway stations, Heathrow Airport and motor service areas. These stores offers its customers an opportunity to shops between visits to the companys main stores. The clothing division product portfolio includes womens wear, mens wear, lingerie childrens wear and footwear. Hong Kong, India, Bangladesh , Sri Lanka and Turkey offices provides the raw materials to the division. This division offers some prominent brands which includes: Autograph, Limited Collection, Cellozione, Blue Harbour, Girls Boutique, Per Una and Ceriso. The home division product and services caters homeware and home accessories; kitchen and tableware; lighting; and furniture products. The division also offers catalogue and online services (Company Overview 2009) The vision of this project would be to bring up the Limited collection brand of Marks Spencer the most sought after product in the market. This research will put up strategies which in turn make the limited collection brand to be most popular in both UK and international segment. 2. Aims Rebrand the Marks and Spencer Limited Collection to resonate with the brands long standing vision. Expand the brands current target market. Create an in-store environment that represents the aspirations of the brands target consumer. Market research is an orderly, objective way of learning about people. The people who buy from you or might buy from you (AG strategies 2003). This research will mainly aim at setting market targets against which results can be evaluated. It also works out the time needed to make the presence felt. To calculate the right price as the price is the value of the product we offer and a sum which can be afforded by the customers. 3. Objectives; Tactics Expand the brands target audience to the demographic of women aged 30-45 over 12 months, aiming for a 15% increase in sales within each 6 months period. Develop and maintain successful relationships with its target customers in order to capture a value from customers to create profit and customer equity. Exploiting the opportunity to mace process of comparing the companys products and processes to those of competitors or leading firms in other industries to find ways to improve quality and performance. 4. SWOT Analysis Situation Analysis Internal Analysis Corporate Social Responsibility at Marks and Spencer has traditionally been interpreted as a paternalistic regime for the large labour force of shop assistants which provides a provision of quality and value for money for the customers. As 90 per cent of these were women cared for by women supervisors, perhaps ‘maternalistic would be a better word. The welfare facilities were no doubt appreciated by the Companys numerous retail workers (Chapman, S 2004). Though the clothing market faced a difficult year many factors, Marks Spencer remain the number one brand on the High Street. MS continued to develop their brands, with particular focus on improving their value, while injecting newness and style across their ranges. The three fold aim we had at the time of beginning the womens wear brands two years ago have been established and fulfilled successfully. They were mainly to clearly segment all our brands in line with our clear customer profiles; to keep our brands fresh; and to offer great quality and value at all price points. ‘In 2000 Sir Harry Djanogly, Chairman of Coats Viyella, announced to an incredulous textile world that it was no longer profitable to supply MS. Then Charnos closed its dedicated factories for the same reason, whilst Bairds, Gents and Bentwood were axed by new bosses at MS head office, and Dewhirsts sharply cut back and were forced to close several factories. The chain store group finally decided it could manage with three major British clothing suppliers (Coats Viyella, Courtaulds and Dewhirsts) but when the first of these severed the connection, MS was left with serious problems (Chapman, S 2004). The market we are dealing with very little lead time so that we need to get new products into the stock more frequently than anticipated. External Risks and Opportunities Concentrating solely on the youth may not be the wisest thing to do. As the youth can be very unpredictable, moreover now the youth are sheltering back home due to the recruiting freeze. The demographic between the young and the retired will provide the best opportunities. In our ageless society, for those in their late 30s and beyond looking or feeling young has retail appeal. Appealing accessories will also help to put the limited collection to the main stream of sought after brand. Peronis latest promotion offers customers the chance to win an Antonio Berardi leather laptop case (Birra di Moda), pitching this accessory as something aspirational and exclusive. In reality, a series of factors might make the man bag an increasingly practical and popular purchase. The trends of 50s and 80s now again making an uproar, if one exploit the opportunity in a right manner on could capture the attention of potential buyers. 5. PESTEL Analysis Political Analysis The global nature of the crisis will make it far more difficult for many countries to rely on devaluing currencies to make their economies more competitive and increase export volumes. Deflation will affect emerging economies especially if the national currency is depreciating sharply. There is also then a danger that imported inflation will get out of hand. That said raising interest rates to strengthen the local currency in a time of recession and low liquidity is pure poison for the respective economy (Verdict 2009). Among the Top Five economies, the major mature economies of western Europe (Germany, France, the UK, Italy and Spain), rankings remained stable with the UK ahead of France. And in the Top 10 Polands consumer expenditure has leapfrogged Belgiums. However, Greece has displaced Austria in the Top 10 and has overtaken Sweden in the process (Verdict 2009). Economical Analysis ‘Marks Spencer is the leading retailer in the clothing market, with a market share of 10.4% in 2008. It has wide price architecture and targets a broad customer base through its variety of sub brands, though mainly attracts older, more affluent customers. Intense competition from value players as well as other department stores has placed Marks Spencer under great pressure, particularly in clothing where the difficult economic environment is forcing consumers to be much more selective about what they spend their money on (How Briton Shops 2009). ‘As an effect of the recession customers have become savvier in their shopping habits and are increasingly concerned about value. As a result, shoppers are buying from a bigger pool of retailers to ensure they are getting the best value for money. Though Marks Spencer continues to focus heavily on the value of its clothing, its offer is not as enticing as those of value retailers Asda, Primark and Matalan, which have all increased their main user shares'(How Briton Shops 2009). Social Analysis ‘However, customers mainly visit other clothing stores that are at the value end of the market. Five of the eight other clothing stores used by loyal main users of Marks Spencer are value retailers, highlighting how important it is for the retailer to stay competitive on price while also offering superior quality to ensure its success (How Briton Shops 2009). Technological Analysis ‘Opportunities for cross-shopping across departments remain. Though it sells electricals, food, footwear and homewares as well as clothing, Marks Spencer does not appear as the main store in these categories for its main customers for clothing. Footwear in particular should be a focus for the retailer, given the close proximity of the department to clothing and the opportunity to point out to customers co-ordinating themes for outfits (How Briton Shops 2009). In menswear, MS has looked to differentiate with technical product innovation, such as water and stain repellent Stormwear finish in trousers and a silver finish on the Freshfeet range of socks said to reduce the presence of bacteria that cause smelly odours (Mintel 2009). 6. Competitor Analysis According to Verdict research report 2009, Next is observed to be positioned in the second largest retailer after Marks Spencer with 7.1% share of the market in UK. Their main target market is aimed at 25-45 years old women and men consumers. They offer a wide range of products such as womens wear, menswear, children-wear, accessories, footwear, homewares and furniture (Verdict, 2009). While the other retailers have dropped their price and launched valued products During the recession in 2008, Nexts marketing strategy had been successful by retaining their products at same level of quality, design and price where other retailers have launched value ranges and dropped price. By assuring their quality and design, they also achieved positive impression on their brand image from the customers. However, they are still failing to attract young customers ranging 25-34 year olds. Over the past two years, Next had achieved very strong and solid online sales as known as the Next Directory, which ranked them as the highest online market share among the competitors. As one of Nexts marketing strategy, Next does not use their brands to target different segments of its customer base. Unlike Marks Spencer and Debenhams, Next limits and narrow its apparel resulting low loyalty from consumers. 7. Strategy Tactics Segmentation We want our customers to get what they are looking for. Mintel international group has announced that MS is the destination for clothes shopping for the over-45s, according to our consumer research, and is thus well placed to benefit from the expected ageing of the population. Where as the under 25s group had very limited appeal to the product MS carried. It is very clearly with in the plan that the aim of new strategy will be to make it appealing to the all three segments with more frequent stock updates at least by each week. On the one hand this means keeping the door open to the 30-somethings, encouraging an easy transition to MS shopping later. The recently launched Indigo range of casualwear and denim suggests a step in this direction, but the range falls short of offering anything really attention grabbing, in Mintels view. However, the more catwalk-led autumn 2009 collection could succeed in this. A strong childrenswear offer could also contribute, by bringing mums into the stores (Mintel 2009). The 40-somethings of today are the contemporaries of supermodels like Naomi Campbell and Claudia Schiffer, while the 50-somethings share their birth decade with Madonna, and while they may not aspire to look like these celebrities, they are influenced by the whole younger for longer trend. Catering for increasingly young attitudes with flattering cuts and materials is likely to be key, and something we believe the new Portfolio range has not fully succeeded in yet (Mintel 2009). Now the targeted segments will be a) 18-25, b) 25-40, c) 40-50, 50 and above The 18-25 segment will be the one that is shying away mostly from the wants they have due to the economic back down turns, and the alluring styles and pricing will be crucial for the revival of that segment to the expected out come. 7. Marketing Mix Making best use of the 4Ps Product The product offer has now expanded beyond the capacity of any individual store, underlining the importance of seamless integration between the physical stores and the back catalogue. While MS reports that it is trialling in-store ordering, Mintel feels this is an area where ensuring ease of access across channels would maximise synergies (Mintel 2009). MS has traditionally been all about one brand show room for clothes They always had From underwear to outerwear Across occasions from casual through business to formal Across price points in the middle mass market For almost all ages (perhaps with the exception of teens and young adults) Including footwear and accessories Now this has got to change a bit more appealing to todays tastes to make it an impacting product stock. The sub-brands divide the collection by fashionability/quality and, to a certain extent, by price, though segmentation of the offer in-store sometimes falls short of supporting this to maximum effect.

Learning Outcomes Assessment for Student Nurse

Learning Outcomes Assessment for Student Nurse Learning Outcome 1 – Pre-assessment The ultimate goal of the pre-assessment is to assure that those patients identified as suitable for day surgery are properly identified while those considered unsuitable for a selected procedure are identified early enough in the process to allow for other treatment options (National Health Services, n.d.a, p. 13). Although ultimately it is a joint decision between the surgeon and anaesthetist who make the final determination (National Health Services, n.d.b), the nurse plays a vital role in the process and should be involved in the selection criteria (Royal College of Nursing 2004, p. 1). Pre-assessments of patients scheduled for day surgery are usually performed by an outreach nurse from a day surgery centre, by telephone screening, or by questionnaire (National Health Services, n.d.a, p. 9) or via appointments with day surgery staff or in specialized pre-admission clinics (Joanna Briggs Institute 2004, p.2). Many institutions are combining pre-assessment interviews with the opportunity to work with the patient in a preoperative education status in order to decrease patient anxiety, assess the needs of the patient and/or family members and to personalise information (Joanna Briggs Institute 2004, p.2). The National Health Services (n.d.a, p. 11) states this is an effective opportunity to also discuss the surgical procedure in greater detail with the patient, note special requirements for admission, surgery and/or discharge and allow the patient to choose their own date for surgery, finalizing and/or setting the appointment. According to the Royal College of Nurses (2004, p. 3), nurses performing the pre-assessments must have the option of being able to contact the anaesthesiologist of surgeon if a problem is identified that could potentially increase the risk during anaesthetic or surgical intervention.† This is critical; otherwise, there is no apparent reason for the assessment if the nurse cannot raise her concerns. The National Health Services (n.d.a, p. 9) day surgery guidelines state pre-assessments performed as soon as possible following the surgical consultation can allow for treatment of underlying physical issues that might preclude them from the day surgery procedure, such as high blood pressure and/or arrange for home care. If this is not possible, the National Health Services (n.d.a., p. 13) recommends that patients should then complete a â€Å"health-screening questionnaire before leaving the outpatient department.† According to the National Health Services (n.d.a., p. 11), incorporating the pre-assessment step in the day surgery process has been shown to reduce surgical cancellations and increase communication across the multidisciplinary team. Based on research, it is important to note that the day surgery pre-assessment is a valuable tool that can help the patient, the perioperative and surgical nursing teams as well as surgeons and anaesthesiologists. The pre-assessment is a way of initiating a comprehensive set of documentation for the entire team. Learning Outcome 2 – Effective communication According to the Joanna Briggs Institute (2004, p. 4), caseload can determine the staffing mix required. The staffing mix for a day surgery centre, however, can vary from a group of individuals who work together on a regular basis such as the case in a specialized clinic setting to a group of individuals who rely on departmental shift staffing for perioperative nurses and surgical residents in a busy teaching hospital. No matter what the group mix is, however, the need for communication is critical to patient care in all settings, especially surgical, where according to Cowen et al. (2005) communication is especially challenging for workers in environments that are high stress and time sensitive. Vazirani et al. (2003, p. 72) states that improving the level of collaboration, not just communication, can enhance job satisfaction among medical professionals while increasing the quality of care and patient satisfaction. While traditional communication techniques such as â€Å"active listening, positive voice tone, [and] reiteration to confirm understanding† are desirable goals, in the surgical setting other barriers often compound communication problems, including status and posturing between doctors versus the communication found between doctors and nurses or nurses and nurse practitioners. Vazirani et al. (2003, p. 72) discuss the care nurse practitioners took â€Å"not to violate the autonomy of residents or interns [and] did not admit patients on their own or write orders without the consent of a resident or an intern.† Essential to a multidisciplinary team is the need for collaboration, where decision-making is a shared event for doctors and nurses and that open communication between the two professionals exists (Vazirani et al. 2003, p. 73). It is important to note that research demonstrates physicians view collaboration differently than nurses, such that physicians believe collaboration implies â€Å"cooperation with follow-through† pertaining to following orders rather than sharing in the decision making process (Vazirani et al. 2003, p. 75). Vazirani et al. (2003, p. 76) also cited nurses as not being provided timely or accurate information regarding patient information when physicians autonomously make a change in their normal protocol, stating nurses need the information most as they are the ones at the patient’s bedside. Communication is a commonly sited problem and is one that, despite all the best suggestions and recommendations, from outlining roles and responsibilities, collaborating as a team or mutual team members each afforded appropriate professional respect (Vazirani et al. 2003) to developing Integrated Care Pathways (ICPs) as outlined by Fisher and McMillan (2004) is difficult to remedy. Ultimately, human emotions and professional pride create unnecessary friction that discourages open communication for fear of reprisal. Cowen et al. (2005) emphasize the need for an accurate flow of information between various disciplines as the most critical aspect in order to assure patient safety. Learning Outcome 3 – Patient selection criteria Patient selection criteria primarily focus on three primary factors: surgical, medical and social (National Health Services, n.d.a, p.11; National Health Services, n.d.b.). Surgical criteria assess whether the procedure will leave the patient dependent on others and/or if it has a statistically significant postoperative morbidity level. The National Health Service (n.d.b.) states that the surgical procedure should take less than 1 hour, involve minimal blood loss, be unlikely to produce severe post surgical pain or nausea and be unlikely to result in a loss of physical independence. When assessing social appropriateness, according to the Association of Anaesthetists of Great Britain and Ireland (cited by Joanna Briggs Institute 2004, p. 2), the pre-screening interview is an opportunity to assess the patient’s willingness to have surgery, the certainty of adult care in the home following surgery, telephone access and taking into consideration the patient’s home situation. For example, are there several young children and toddlers or infants at home requiring constant care; is the only adult available to help the patient an elderly or frail individual, or has the patient stated they feel they are being pressured into having the surgery. These are all reasons that should be presented to the surgeon, anaesthesiologist and the rest of the multidisciplinary team as reasons the patient should be precluded from day surgery. Additionally, patients with a social history of significant levels of alcohol consumption and/or who smoke are indications of potentia l preclusion or the need for additional counselling prior to surgery (National Health Service n.d.b.). The Royal of College of Nurses (2004) also states that the patient must have the availability of an escort home following surgery and that the travel time home must be within one and a half hours; and if small children are present in the home that a caregiver is available specifically to tend to the children. Medically, it is important to assess cardiac fitness, assurance of height/weight appropriateness and if they are â€Å"physiologically under 70 years of age[1].† Exclusions are usually automatic if there is uncontrolled hypertension, recent history of cardiac failure, pregnancy, angina, asthma, diabetes or epilepsy. Additional issues that require notification of the appropriate medical personnel include prior difficulties with anaesthesia or current medications that would either preclude day surgery or require either a modification and/or temporary cessation of the pharmaceutical agent, particularly warfarin. The American Society of Anaesthesiologists’ (ASA) (cited by The Royal College of Nursing 2004) uses three classifications to assess physical status: Class 1: patient is mentally and physically fit and the surgical procedure is localized without systemic disruption, for example, removal of a uterine fibroid in an otherwise healthy female or the repair of an inguinal hernia in a healthy individual. Class 2: patient suffers from mild to moderate systemic pathology that is either caused by the pathology to be treated by the day surgery or by other pathology, for example anaemia or mild diabetes or slightly limiting organic heart disease. Class 3: patient suffers from a severe mental or physical disorder from whatever cause, such as angina pectoris, moderate to severe levels of pulmonary insufficiency, vascular complications from severe diabetes or significantly limiting heart disease. Criteria used for patient evaluation and assurance of fitness for day surgery as outlined above are focused primarily on the suitability for general anaesthesia without complication. It is essential however, to couple both the individual patient status as provided by the pre-assessment with the type of surgical intervention proposed. The medical professional cannot use the same set of pre-assessment criteria for all patients for all procedures; they must simply be a guide. For example, physiological trauma, anaesthetic requirements and post-operative pain are different for those having arthroscopy as opposed to a laparoscopic cholecystectomy or partial thyroidectomy. All three are considered day surgical procedures by the Royal College of Nurses (2004, p. 2). Patient selection criteria are important for nurses to understand from many aspects. The nurse has to understand the physician’s reason for suggesting day surgery for their patient, she needs to understand the surgeon’s belief in appropriateness and she has to understand the potential risks that are often overlooked by physicians and surgeons that now become her responsibility to ascertain. Although it is often a delicate position for the nurse to be in, it is essential that she bring to the surgeon or anaesthesiologist’s attention any patient not appropriate for day surgery. This is an issue of legal liability for all professions on the multidisciplinary team and for the clinic or hospital as well as one of ethical concerns for the patient’s overall care and wellbeing. Learning Outcome 4 – Pain management According to Lipp and Yap (2005, p. 64) prior to 2003, the responsibility for post-surgical pain was the sole responsibility of the anaesthesiologist and no routine or regular pain assessments were conducted. In 2003, pain management assessments and the nursing role in pain management in the day surgery setting became the standard. The Royal College of Anaesthetists (as cited by Lipp Yap 2005, p. 64) tell us that following a day surgical procedure, less than five percent of all patients should experience severe pain while up to 85 percent will have mild or no pain following surgery. Beauregard et al. (1998, p. 309) believes that it is not unusual for pain to persist during the entire week following surgery, but that the best predictor of significant post-surgical pain following hospital discharge was inadequate pain control during the first few hours of following surgery. Research has acknowledged that the longer an individual is experiencing pain that is not attended to or interrup ted in some way, the more sensitive to painful stimuli the patient becomes (Mukherji Rudra 2006, p. 355). Ultimately, the goal of effective post-surgical pain management is to be â€Å"safe and effective, produce minimal side effects such as nausea. It was stated that the criteria for patient selection should be individualized based on patient status and type of surgery. Similarly, Mukherji and Rudra (2006, p. 355) state that patients should be identified as potentially at risk based on â€Å"age, physical status, presence of pre-existing pain, site and extent of surgery.† Additionally, researchers believe that the amount of postoperative pain a patient experiences is also a factor of the surgeon and surgical techniques used ( Mukherji Rudra 2006, p. 356; Chung et al. cited by Beauregard et al. 1998, p. 305). Mukherji and Rudra (2006, p. 355) discuss several pain assessment tools: the visual analogue scale (VAS) where pain is rated along a continuum from â€Å"no pain at all to the worst pain imaginable† and the Oucher’s scale for children. Many patients themselves downplay post-surgical pain for reasons ranging from believing that pain is part of the natural recovery process and what they are experiencing is normal (Beauregard et al. 1998, p. 209). Post-operative pain management can take different forms, including pre-emptive analgesia and prophylactic analgesia (Mukherji Rudra 2006, p. 356). There are also pharmacologic and non-pharmacologic pain management interventions. Pharmacological interventions can be opioid or non-opioids. Opioids are centrally acting and systemic in nature whereas non-opioids are also centrally acting but have a peripheral mode of action, and include codeine, metamizol, paracetamol and non-steroidal anti-inflammatory (NSAIDS) (Mukherji Rudra 2006, p. 356). Another problem cited by the Joanna Briggs Institute (2004) is that of inadequate pain management techniques and/or follow-through by the patient place additional burdens on family caretakers and the community at large. For example, Girgis and Sanders (2004, p. 66) tell us that parents generally underestimate and under treat pain; this can be extrapolated to caregivers in the adult community as well. Home caregivers failing to recognize and/or intervene in pain management is often problematic and it is the responsibility of the nurse to assure that proper discharge information is adequately communicated to the patient and/or caregiver/escort, including proper pain management techniques and interventions. To assure there is no confusion, these should be clearly documented and reviewed with the patient and caregiver verbally. References Beauregard, L., Pomp, A. Choiniere, M., 1998. Severity and impact of pain after day surgery. Canadian Journal of Anesthesia, 45 (4), pp. 304-311. Fisher, A. McMillan, R., 2004. Integrated care pathways for day surgery patients. British Association of Day Surgery [Online]. Available from: http://www.bads.co.uk/pdf%20files/IntegratedCarePathways.pdf [cited March 17, 2007]. Girgis, M. Sanders, D. 2004. Are we giving our children the right dose? The Journal of One-Day Surgery, 14 (3), pp. 65-68. Joanna Briggs Institute, 2004. Management of the day surgery patient [Online]. Joanna Briggs Institute Best Practices. Available from: http://www.adsna.info/attachments/BPISSup.2004.pdf [cited March 17, 2007]. Lipp, A. Yap, H, 2005. Is our pain relief protocol effective? The Journal of One-Day Surgery, 15 (3), pp. 64-66. Mukherji, S. Rudra, A., 2006. Postoperative pain relief for ambulatory surgery. Indian Journal of Anaesthesia, 50 (5), pp. 355-362. National Health Services, n.d.a. Day surgery pre-assessment: A brief guide [Online]. Available from www.wise.nhs.uk/surgery/NationalGoodPractice/downloads/14/14d4.doc [cited March 17, 2007]. National Health Services, n.d.b. Day surgery: A good practice guide [Online]. Available from: http://www.wise.nhs.uk/sites/crosscutting/access/Access%20Document%20Library/1/Day%20Surgery/Day%20Surgery%20Guide.pdf [cited March 17, 2007] Royal College of Nursing, 2004. Day surgery information: Selection criteria and suitable procedures [Online]. Available from: http://rcn.org.uk/publications/pdf/daysurgery_selection.pdf [cited March 17, 2007]. Society of Critical Care Medicine, 2005. Tools for effective communication [Online]. Society of Critical Care Medicine. Available from: http://www.sccm.org/SCCM/Publications/Critical+Communications/Archive/February+2005/communicationsfeb05.htm [cited March 17, 2007]. Vazirani, S., Hays, R. D., Shapiro, M. F. Cowan, M., 2005. Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14 (1), pp. 71 – 77. 1 Footnotes [1] According to the National Health Service (n.d.b), the phrase refers to a patient who is â€Å"independent, active and compos mentis.†

Hitler And The Nazi Party :: essays research papers

History Assignment Hitler attained power in 1933 as the result of a complex set of factors. He was the right man at the right time to take advantage of the problems that had arisen in Germany in the post war years. In the post war years of the 1920's to the 1930's, the German people had many grievances. The biggest of which was the economy. The hyperinflation of the early 1920's, in January 1921 the German mark was 65 marks to the American dollar and on November 1923 it was worth 4 200 000 000 000 to the American dollar. Over a 12 week period the German currency lost 99.3% of it's value. This meant that the price for eggs was 80 billion marks each. The hyperinflation meant that 90% of people's savings were destroyed. Germany lacked faith in democracy. The reason being was the corruption and mismanagement, which characterised the Weimar Republic (inflation). The Democrats were reasonable and well-meaning men, representing the inflation impoverished middle class and business. They relied on chronic credit inflation (which put them more and more into debt. The Germans were also upset by the loss of World War 1, but the thing that made them the maddest, is the punishment enforced on them as a result of the Treaty of Versailles. Such as redistribution of territory, reduction of Germany's fighting power and imposition of harsh conditions, which meant Germany had to pay 6600 million-pound to the Allies in 1921. Germany thought that the punishment was too harsh. The masses in Germany were crushed by the problems that they had, especially the Treaty of Versailles, which left Germany in debt. The hyperinflation left a lot of people unemployed. People were looking for answers and someone to blame. The Nazi party had the policies that the German people wanted to hear. Hitler offered the easy answer for Germany's problems. The skills that Hitler had were that he was a manipulator, and could trick people into believing his views, which they did. He answered their problems in a way, which left him with advantages. As I have said, Hitler was a manipulator. What he said, people believed, and those who didn't, were killed. The ideas that he had (quote SOSE textbook page 57) 'to be a strong nation, Germany had to have a strong leader, struggle was the basis of history and struggle occurred between different races and the main struggle for Germany, was with the Jewish race.

Learning Styles: Differences In Children’s Minds Essay -- essays paper

Learning Styles: Differences In Children’s Minds Many Community college students are unable to exit remedial college preparatory programs and advance into credit courses (Rochford 2003). Experts may say it is due to the inability of teachers to teach using methods. Different people may have different learning styles. Student populations have become more diverse, the ability to teach to the needs of different learners has become increasingly important (Haar, Hall, Schoepp, & Smith 2002). Learning styles refer to the way students concentrate on, process, internalize, and recall new and difficult information. Most people have preferences, but individual preferences differ. The stronger the preference, the more important it is to provide compatible instructional strategies (Rochford 2003). The Dunn and Dunn Learning-style model illustrates elements that influence that way people learn new material. Great achievement while introducing new material may be achieved if certain stimuli are considered:  · Environmental - sound, light, temperature, design  · Emotional – motivated, persistent, structure, responsible  · Sociological – alone, pair, peers, team, adult, varied  · Physiological – food, time, mobility  · Psychological – global, analytic (Rochford 2003). Understanding these stimuli is the first step in mastering the art of teaching the correct method to the correct learning style. The three basic learning styles include the visual, the auditory, and the kinesthetic learner. Each type of learner has distinct characteristics and skills. Visual Learning Visual learners need to see the material. Information seen in charts, diagrams, or pictures is remembered... ... http://bcps.org/offices/lis/models/tips/styles/html Miller, S, (2000). The learning styles survey. Retrieved October 16, 2004 from http://www.metamath.com/lsweb/fourls.htm Penn State York University. Auditory learners. Retrieved November 20, 2004 from the world wide web: http://www.yk.psu.edu/learncenter/acskills/auditory.html Rochford, R. (2003). Assessing learning styles to improve the quality of performance of community college students in development writing programs: a pilot study. Community College Journal of Research & Practice, 27.8, 665-677. Sabry, K., & Baldwin, L. (2003). Web-based learning interaction and learning styles. British Journal of Educational Technology, 34.4, 443-454. Svati, C. & Pratibha, M. Visual learners. Retrieve November 20, 2004 from the world wide web: http://www.nalandainstitute.org/aspfiles/visual.asp

My Beautiful Gun :: Personal Narrative Writing

If you really want to stop a conversation dead in its tracks, tell people you own a gun. Depending on where you are located, people often don't know how to process the idea that a young woman is a proud, capable, unapologetic gun owner. Men aren't sure if you're a rabid, man-hating feminist arming yourself against the patriarchy. Women are a little more curious and might ask questions — why did you get a gun, what does it look like — but many of them would never consider handling a gun, much less owning one. I bought my gun a few years ago. I didn't buy it for self-defense as many people think. When I applied for my gun permit through the police department, I was told that I should go for a "home protection" license rather than a "target license" because it would be easier to get. The home protection license meant I could keep my gun loaded in my home but could only bring it once a month to the shooting range to shoot, carrying it in a locked box with ammo separate. The target license allowed me to go to the range to shoot as often as I wanted, but I had to keep it in a locked box with ammo separate not only when carrying it but also at home. I wanted a target license. My reason? How in the world would I learn to shoot a gun if I could only go to the range once a month? I genuinely wanted to learn to shoot, to gain that skill. More than anything, I wanted to know that I could safely handle and use a gun. My fascination with guns has been long-standing. Ever since I was a young girl, I gravitated toward "shoot-em-up" movies and television shows. After bedtime, I'd pull a blanket over my head and across my 19-inch Zenith black and white television in my bedroom so I could surreptitiously watch Starsky and Hutch, Charlie's Angels and Baretta. I was in love with Dirty Harry. The bigger the gun, the better. Although I glorified guns in my fantasies, in reality I knew that they were inanimate objects that had been so infused with power, danger, mystery and sin and had become a symbol of what was wrong in society that owning one seemed out of the question for years. When I finally decided to buy a gun, I took the entire process very seriously, taking lessons, reading up on them, talking to people who owned them and making sure I was emotionally ready to shoot and own one.

The Church of Latter-Day Saints: Mormonism

The topic of my research paper is the Mormon religion. Particularly the original form of the religion as the Church of Jesus Christ of Latter-day Saints. With this paper I will answer the following questions as to where did the religion started, who were/are the main leaders and places of worship for the religion, are there any divisions or sects that are associated with the religion, how has the religion changed over time, and what does the future hold for this religion? To find my answers I searched many online articles, books, and magazine articles.I found that the Mormon religion is a lot more complex than I believe many people think it is and there are many misconceptions made about the religion. Mormonism is not only a religion but a way of life for the people that call themselves LDS (Latter Day Saints). The religion was founded by Joseph Smith Jr. and has devout followers worldwide. â€Å"Mormonism, is the pure doctrine of Jesus Christ; of which I myself am not ashamed. â₠¬  This quote by Joseph Smith summarizes how true and pure the follows of this religion believe it is.With this paper I will give a brief history of the Mormon religion and try to address key issues and topics surrounding this controversial religion. Joseph Smith established the Mormon religion in 1830 after a vision from God. He said that while praying in the woods God came to him in a vision and instructed him to start a new true religion. When God appeared, Joseph asked him what was the right religion to follow. â€Å"The Lord answered that he must join â€Å"none of them, for they were all wrong† and â€Å"all their creeds were an abomination in his sight. He said that they had a â€Å"form of godliness,† but they denied â€Å"the power thereof† (Ingleton,2005). With this new found understanding and the power of God’s words Joseph started The Church of Jesus Christ of Latter-day Saints. The church was founded with just six followers to start; many of which were Joseph’s family members. (Ingleton, 2005) Three years after the First Vision, God sent Joseph a messenger to instruct him. The messenger, Moroni told Joseph of gold tablets that had the word of the Lord, the everlasting gospel written on them they were buried in the hills.Joseph found the templates and began translating them. The finished product would be known as the Book of Mormon. (Joseph Smith, Jr. Wikipedia) Joseph used the Book of Mormon as a secondary Bible. He still believed the words of the Bible but this was what came after the times described in the Bible. He did believe although that this was a better version of the Bible from God. He states, â€Å"I told the brethren that the Book of Mormon was the most correct of any book on earth, and the keystone of our religion, and a man would get nearer to God by abiding by its precepts, than by any other book. (McConkie, 1959) He began to preach to people using the Book of Mormon as his basis. Many were not happy with Joseph’s ideas and they drove him and his people out of the east. Joseph claimed the only place the Mormon faith would survive is in the mountains. He said he had a vision of a place they would call Zion and he would lead his people there. With his teachings he drew the attention of a man named Brigham Young. Brigham Young studied the Book of Mormon for two years before he was convinced that this was the one true book and religion.Therefore, after Joseph Smith died Brigham felt compeled to carry out the vision of Joseph Smith. Young was the one who lead the people to find the Zion in what is now Salt Lake City, UT in search of religious freedom. This is where the Mormon religion has been based since July, 1859 when the settlers petitioned for statehood. (Joseph Smith Jr. Wikipedia) Joseph Smith had visions of a Holy Temple that would be built at the Zion where his people could worship without religious persecution and God had commanded he build the House of God. Fo ur days after entering the Salt Lake Valley on 24 July 1847, Brigham Young designated where the temple would be built, and on 6 April 1853, he laid the cornerstone of the temple foundation.That event marked the beginning of a long construction process. Work on the temple stretched from years to decades until finally, 40 years after it was begun, the temple was completed and dedicated on 6 April 1893† (Abanes, 2003). The Church now has many temples, or Houses of God. The Latter Day Saints view building these temples as the fulfillment of the prophecy found in Malachi 3:1. Abanes, 2003) â€Å"As of Dec 2008, there are 129 Temples in operation, 9 temples under construction, and an additional 8 temples announced for construction in the near future. These figures give a grand total of 146 Temples that will be or are in operation in the near future† (Abanes, 2003). The temples differ from the church meeting houses that are used for weekly worship. They are only used for speci al occasions such as endowment ceremonies and marriages to be sealed. A weekly meeting house or church can be found every few blocks. There is one church or meetinghouse for every ward.A ward consists of 200 to 500 active church members that live within a reasonable distance from the meetinghouse (Abanes, 2003). The Church of Jesus Christ of Latter-day Saints (LDS) is technically considered a type of Christian religion. Mainly this is because they believe in God and his son Jesus Christ. Beyond that their beliefs differ and the LDS follow different religious leaders. There are many prophets of God, such as Joseph Smith that the church looks to for guidance. These prophets also serve as Presidents of the Church and direct the affairs of the Church.There have been sixteen church Presidents since the beginning of the LDS Church. There isn’t a term to their presidency and many remain President until their death. The current President is Thomas S. Monson and he has served as the C hurch President since 2008 (Mormonism, Wikipedia). There are many sects associated with the original Church of Christ of Latter-day Saints. Before migrating to the Utah Valley the church split into a few different groups because they didn’t believe in some of Joseph Smith’s practices such as plural marriage. The largest of these, the Community of Christ (originally known as the Reorganized Church of Jesus Christ of Latter Day Saints), was formed in Illinois in 1860 by several groups uniting around Smith's son, Joseph Smith III.Most denominations existing today that follow the teachings of Joseph Smith, Jr. have some historical relationship with the movement. † There were five main denominations of the LDS Church which include, The Church of Jesus Christ of Latter-day Saints. But none of these have caused quite the stir as the most recent denomination that split from the Church of Christ of Latter-day Saints in 1935. FLDS, Wikipedia) The split occurred largely bec ause of the LDS Church's renunciation of polygamy and its decision to excommunicate practitioners of plural marriage, who would not discontinue the practice. The current headquarters can be found in Eldorado, Texas where the FLDS Church built their temple. The FLDS have been in the news in recent years surrounding the controversy of the polygamy practiced by their members. Not only were they marrying multiple women but they would marry women that were under age.The youngest bride of the leader of the FLDS was just 14 years old. As you can imagine, this caused many people to look upon the Mormon faith in a negative way. Polygamy is no longer practiced within The Church of Jesus Christ of Latter-day Saints or its other sects. The only group to follow this way of teaching that stems from Joseph Smith are the FLDS. (FLDS, Wikipedia) This is just one of the changes that have taken place over time within this religion. The LDS religion as we know it today is very widespread due to the inc reasingly large numbers of missionaries.Every boy at the age of eighteen is encouraged to go on a mission trip for two years. This makes up a large portion of the missionaries. Also now that there are temples it is favorable of the LDS member to be married and sealed together in the temple. Tithing is a big part of the Church as well. You are to give one-tenth of the money you earn to the church to help build up the church and spread the Lord’s word (Oakes,1994). The changes that have taken place in the church are all for the benefit of a growing religious community. The future of this religion looks bright.On the cover of the November, 2007 issue of US News & World Report was an article about the Church of Jesus Christ of Latter-day Saints and the growing popularity of the Mormon religion. One of the article’s main points is the remarkable growth of the Utah-based religion, and the interesting observation that the emergence of Mormonism represents the first world-wide invention of a new religion since the prophet Mohamed gave the world Islam. Among the article’s more remarkable statements is a prediction about the growth in Church membership.It says: â€Å"If current trends hold, experts say Latter-day Saints could number 265 million worldwide by 2080, second only to Roman Catholics among Christian bodies. Mormonism, says Rodney Stark, professor of sociology and religion at the University of Washington, â€Å"stands on the threshold of becoming the first major faith to appear on Earth since the prophet Mohammed rode out of the desert† (Sheler, 2007). With this prediction I feel it is safe to say that this may become one of world religions that students in the future will study more closely in their World Religion classes.

To Kill a Mockingbird Growing Up

The novel To extinguish a Mocking Bird by Harper Lee is or so a young girl named reconnoitre and her brother, Jem, ontogenesis up in the sm every(prenominal), s step to the forehern township of Maycomb, Alabama. Scout and Jem live with their older father, genus genus Atticus, and devolve their summers playing with their friend, dill weed. They have many neighbors, and matchless is an older woman named Mrs. Dubose. As the siblings p atomic number 18nt older, they clear to drift apart and in the alto confirmher disagreements catch. Yet, as Jem initiates change, he starts to think to a greater extent maturely intimately feuds with his sister and opinions towards his neighbors. For example, in the tire hap, Jem realizes that Scout is in disconcert and tries to help her. In addition, in the pinnacle hazard with Mrs. Dubose, Jemfs anger causes him to try to keep going Atticus. Jem thinks that he is acting very maturely during the tire incident and the blossom forth in cident with Mrs. Dubose.Jem thought he was being creditworthy during the tire incident because he took tutorship of Scout. When Jem, Scout, and Dill ar playing in the yard iodine day, Scout decides she wants to be pushed in the tire. As Scout and Dill are arguing everywhere who testament go first, Jem arbitrates, and awards Scout with the first push. Jem then accidentally rolls the tire into the Radley yard. Jem is f correctened and says, gScout, maturate away from there, come onh (37). This quote shows that Jem is taking on some(prenominal) right for Scout. When he pushes her into the Radleyfs Yard, Jem altogether t unmatchables angry close what Scout had say earlier, so he wants to communicate r take shorege. Yet, when Jem sees Scout lying on the basis he straight feels distressed and scared for her, and tries to get her to come to safety. As Jem grows up, he begins to develop new views on situations. Scoutfs situation during the tire incident reminds Jem that he needs to manage on full responsibility of his sister.Jem thought that the just round mature way to express his depressions about Mrs. Dubose was to get it on remove all of her flowers. When Jem and Scout are returning home one day they walk pass Mrs. Dubosefs house. As they walk by her yard, Jem runs into her garden and cuts off all of her flowers because of what Mrs. Dubose said earlier about Atticus. Scout tells us that, gHe did not begin to calm down until he had cut the tops off every camelia bush Mrs. Dubose owned, until the ground was littered with greenness buds and leaves. He bent my baton against his stiflech (103). This quote shows that Jem was feeling very hurt by what Mrs. Dubose had said about his father. To Jem, Atticus seems feeble and old, so, when threatened, Jem feels it is his responsibility to protect him. In the book, when Mrs. Dubose talks about Atticus, Jem just ignores her and walks away, but lastly he decides to get revenge. He does this by, glitteri ng the ground with green buds and leaves.h Jem tries to hurt something Mrs. Dubose loves interchangeable she attacked Atticus. Mrs. Dubosefs harsh al-Qurans make Jem feel that it is his job to defend Atticus.As To carry off a Mockingbird progresses, Jem takes definitive locomote toward maturity with his actions in the tire and flower incidents, for example. He would later go on to repair the flowerbed he destroyed, and take greater care to protect Scout. through and through his actions, we put forward see Jem develop a sense of morals and responsibility that would settle to be a lifesaver.scout and Jem Finch are growing up in the commonplace old Alabama town of Maycomb. Their father, Atticus, is the topical anesthetic lawyer and as a wizard parent tries to raise his children with honor and revere to their individualism. With the Depression on condemnations are hard, and there is no money to be found anywhere in town.To frolic themselves Scout, Jem, and their best friend Dill begin a relentless campaign during their summertimes to get Boo Radley, their reclusive, legendary neighbor, to come out of his house. They concoct endless schemes and even go so far as to lay down a play that details Boos life. Atticus forbids them to have anything to do with Mr. Radley, urging them to permit the poor man be.Atticus is a good man, and one day takes on a case that affects him personally. A ghastly man, gobbler Robinson, is accused of beating and raping a white woman, Mayella Ewell. Most of the county is positive(p) immediately that Tom is guilty of the crime, and begin to get a line at Atticus in a very negative way for genuinely defending him and trying to do right by him. Scout and Jem begin to get tormented over their father at school, and Atticus begs them not to get nark up over the towns prejudice.As the runnel begins it becomes apparent to Scout and Jem that there is no way that Tom Robinson could have defeat and raped Mayelle Ewell, as hes a c ripple. Atticus proves that to the jury, and Scout and Jem are astonished when Tom is slapped with a guilty verdict anyway. They begin to realize that many people in town are very disfavor against blacks, and their hearts are saddened by it. It?s hard for them to understand how people can be so mean to all(prenominal) other, and they both begin to see that, even in court where things are suppose to be unbiased, mens hearts bring in their own hatreds.It isnt much yearner that Tom is shot and killed for trying to equivocation plot of ground in prison. Jem especially takes the whole affair hard, and it takes him a long time to come to grips with the jurys decision, and Toms death.After the trial has died down Bob Ewell, Mayelles father, begins threatening Atticus for viscous him in court, and resolves that hell get him back one way or another. Atticus is convinced that hes all talk, and passes it off as such. date crawls past, and finally Bob Ewell is good to his word and attacks the children Halloween night with a knife. He breaks Jems build and almost kills Scout, but Boo Radley, of all people, comes to their rescue and saves them. The sheriff, Heck Tate, hushes the whole thing over so Boo Radley will not be dragged into the spotlight, and Scout is thrilled to finally get to meet the man they for so long fantasized about. As she walks him back home, she realizes that all this time he was watching them from his see porch windows, and just for a little while she is able to stand in his shoes.

Child and adolescent health Essay

The two most important factors influencing adolescent’s developments are psychological wired and environmental factors. As they grow, they are influenced by environmental factors such as religion, culture, Schools and religion. The psychological many factors that influence their development includes cognitive and emotional other factors (Hall & Braverman, 2014).In the western society, what is missing that would benefit mental health promotion for the adolescents is a focused attention on the diseases clinical most adolescents experience, and the risk factors keyword with their root causes.In case that you or your kid is undergoing mental health difficulties, visit apply your GP or find out more regarding comprehensive CAMHS about the Young Minds web site.There are several areas how that must be addressed when taking sexual history of adolescents. According to Hal & Braverman, (2014), â€Å"5 Ps† are used as a general useful guide for taking the sexual history of ado lescents.Partners- questions should ask the sex, total number and concurrency, sex partners of the adolescentsPractices-the nurse should explore sexual activity other types that the adolescent pained engages in such as oral, anal logical and anal sexProtection- the questions should ask about the teenager’s use condoms and the circumstances own making it easier or harder to use he condomsPast american history of STD-the nurse should ask about the STD history of the teenager. These includes whether the teens old has ever contracted the STDs in Pregnancy.They might not have a natural tendency to commit to day-to-day practice sessions if your poor kid is not interested in turning into a pianist.

Lastly, when leave taking sexual history, one need to consider the partners, practice, and protection, past history of STD logical and prevention.ReferencesHall, C., & Braverman, P. K.Get advice if youre concerned your kid is in danger of hurting themselves or others.(2014). Hot topics in early adolescent health.Merrick, J. (2014).While the approach of the team is they operate in tandem.

adoptive Parents and guardians play a massive role in how our therapy.Adolescents are confronting difficult dilemmas that they will great need to decide for themselves.They are working with a whole body that is beginning to produce their masculine gender evident.Therapy can offer help if you believe you total want help to communicate to your teenager better.

Its thought to be a kind of term psychotherapy that places emphasis on the family system start with the aim of affecting change in the family structure.Behavior therapy is comparable.It many Challenges Adolescence attracts a host of psychological adjustments and challenges.Promoting and self protecting the wellness of children is a target in itself.

Christian environment Essay

straightaways line of merchandise food market dropped 5%, unemployment set out range 10%, porcine national Products dropped for the sixth calendar month in a row. This sparing crisis happened in to the south Korea in 1999. For veritable it was a bounteous pain in the ass for those who preoccupied the ad hominem credit line they view volition be their unceasing project, table service a establishment hand m iodintary follow which I worked for. I witnessed many employees placed forth and they were ineffective to scrape up a late farm out for a hanker measure receivable to the wishing of expert skills. This showcase got me idea of ever-changing my purport. My avocation as an investing lodge teller, was in truth simple(a) and was b entirely replaced by machine.I forsake my banking job and started to mull in the States in 2000. Everything from row to tillage was grave for me to conform tho the calculate of conclusion a grievous ca rgoner for the alight of my life was a motif fit to book me going. Fortunately, I met a hot Christian family who introduced me to care for and it was so mesmeric to me. beginning(a) it is its read to solve habitual social issues as lovingness for senescence universe of discourse and sustain I notion care for ever so call for homophile touch. adept of the rising cultures I pay detect opus lifespan in the States is the strain on personal dependable. well-nigh of the time I natter how fundamental it is to accost up for your deliver right or muckle go away cumber or rend you off. I major personnel be hurt because I am an immigrant as I breakt fully get a line Ameri female genital organ society, exclusively can you imagine I never employ to articulate up for my birth induct-to doe with in a free radicaling of masses working in concert? I had to get out my hold busy and look about others and the totally organizations. That is ho w I was taught at treat home and check in Korea and I in condition(p) that practicing these values, altruism and respecting wholeness, brings much gratification than waiver to my life. incorrupt Re multitude was a appoint of radical performance that I was bear on in advanced school. From this group activity,I entrap myself volunteering for the community. We intentional bounce and songs and performed at gray care centers and orphanages. We visited them with food, armed serviceed them light-colored and vie with them regularly. For me it was message prisonbreak to see how quite a dinky could be solitary(a) and financial support in a shortsighted condition. However, these experiences un resolute my eyeball to the initiation contact me as I had feeling that I was the ugly and the adverse one by not having twain parents.I started to consider the little things such(prenominal) as supporting in a home, seeing my family individually twenty-four hours an d laughing with my friends. most distinguished of all that I well-educated was extending my turn over to those who deficiency help and cognise that in that respect are heap in accept of help. The occasion I chose Loma Linda University think about coach is because of its Christian environment. I utilise to see in that respect was whatsoever power intervention world beyond valet de chambre limitation, I erudite it was par agons hands. 9 long time ago when I arrived in the States , I ask help desperately, I went to a Korean church.In there I imbed immortals worldly concern and dictum mess surviving as Christians. For me becoming a think of wouldnt be manageable if theres no divinitys intervention. I have straightway decided to ill-use towards spick-and-span nursing knowledge. I mean a smashing book inescapably to have humbleness, pardon and sympathize with foreland for the put desire what we were taught by Jesus. These Christian perspective s in nursing learning at Loma Linda University provide lean an important utilization in my occupational group to choke a candid nurse sympathize with for ageing population.