Essay on The African-American Odyssey

Article on The African-American Odyssey Article on The African-American Odyssey Article on The African-American OdysseyThe 1920-1930s were the hour of predictable changes in the life of the US society and African Americans specifically. This was the hour of the quick urbanization that added to the development of the urban populace and development of the African American populace in American urban areas. The 1920s †1930s were joined by the developing abuse of African Americans by methods for Jim Crow’s laws which constrained privileges of African Americans and added to their isolation. In light of the persecution, African Americans moved to enormous urban communities and settled in their networks making huge African American people group (Hine 114). The urbanization and development of enormous African American people group added to the ascent of their job as the network that can take a functioning part in the political, social and financial life. The enormous urban networks became significant on-screen characters in the life of huge American urban are as and white Americans couldn't simply abuse them since African Americans became mindful of their capacity in their solidarity (Weiner Knopf 169). Also, the ascent of the composed battle of African Americans for their privileges added to the improvement of their situation as another force that arrangement creators need to mull over. Therefore, notwithstanding Jim Crow’s laws, Africans despite everything figured out how to compose their locale and direct the effective battle for their privileges. In fact, this experience is as yet important in light of the fact that issues of the downtown are self-evident (Hine, 201). Their goals should begin from African Americans since strategy producers won't transform them, except if African Americans dispatch an enormous scope social equality development or some other type of the composed yet legitimate battle just like the instance of 50 years back.

Free Essays on George Bush

Forty-third leader of the United States; previous legislative head of Texas (1994-2000). Brought into the world July 6, 1946, in New Haven, Connecticut. Hedge frequently alluded to as essentially W.- is the oldest child of previous President George Herbert Walker Bush and Barbara Pierce Bush. He experienced childhood in Midland, Texas, where his dad worked in the oil business. His kin incorporate Jeb (presently legislative head of Florida), Neil, Marvin, and Dorothy. Another more youthful sister, Robin, passed on heartbreakingly of leukemia in 1953, at three years old. Like his dad, Bush went to the esteemed Philips Andover Academy in Massachusetts before registering at Yale University. He moved on from Yale with a bachelor’s qualification in 1968, at that point came back to Texas and joined the Texas Air National Guard, where he figured out how to fly warrior planes. He in the long run turned into a lieutenant, however was never approached to battle in Vietnam. The mid 1970s denoted a particularly unfocused period in Bush’s life, as he moved back to East Texas and worked discontinuously as an administration learner at a horticultural firm and on U.S. Senate battles in Florida and Alabama. (In light of inquiries from correspondents about conceivable medication use and substantial drinking during his lone ranger days in Midland, Bush has called the mid 1970s his â€Å"nomadic† period and has fairly equivocally expressed that he would pass a historical verification returning similar to 1974.) In 1972, Bush entered Harvard Business School, gaining his M.B.A. in 1975. As yet following in the strides of his dad, Bush chose to attempt his deliver the oil business. He came back to Midland and shaped a free oil and gas investigation organization that he called Arbusto (the Spanish word for â€Å"bush†). He wedded Laura Welch, a previous instructor and custodian, in 1977. In 1981, she brought forth their twin little girls, Barbara and Jenna. Amidst his undertakings, Bush joined the 1978 race for the U.S. Place of Representatives. After an extreme triumph in the primari... Free Essays on George Bush Free Essays on George Bush Forty-third leader of the United States; previous legislative head of Texas (1994-2000). Brought into the world July 6, 1946, in New Haven, Connecticut. Bramble regularly alluded to as basically W.- is the oldest child of previous President George Herbert Walker Bush and Barbara Pierce Bush. He experienced childhood in Midland, Texas, where his dad worked in the oil business. His kin incorporate Jeb (presently legislative head of Florida), Neil, Marvin, and Dorothy. Another more youthful sister, Robin, passed on lamentably of leukemia in 1953, at three years old. Like his dad, Bush went to the esteemed Philips Andover Academy in Massachusetts before registering at Yale University. He moved on from Yale with a bachelor’s certificate in 1968, at that point came back to Texas and joined the Texas Air National Guard, where he figured out how to fly contender planes. He in the long run turned into a lieutenant, yet was never approached to battle in Vietnam. The mid 1970s denoted a particularly unfocused period in Bush’s life, as he moved back to East Texas and worked irregularly as an administration learner at a rural firm and on U.S. Senate battles in Florida and Alabama. (In light of inquiries from columnists about conceivable medication use and substantial drinking during his single guy days in Midland, Bush has called the mid 1970s his â€Å"nomadic† period and has to some degree hesitantly expressed that he would pass a historical verification returning similar to 1974.) In 1972, Bush entered Harvard Business School, procuring his M.B.A. in 1975. As yet following in the strides of his dad, Bush chose to attempt his turn in the oil business. He came back to Midland and shaped a free oil and gas investigation organization that he called Arbusto (the Spanish word for â€Å"bush†). He wedded Laura Welch, a previous instructor and custodian, in 1977. In 1981, she brought forth their twin little girls, Barbara and Jenna. Amidst his undertakings, Bush joined the 1978 race for the U.S. Place of Representatives. After an intense triumph in the primari...

How the Peripheral Nervous System Works

How the Peripheral Nervous System Works Brain Health Print How the Peripheral Nervous System Works By Kendra Cherry facebook twitter Kendra Cherry, MS, is an author, educational consultant, and speaker focused on helping students learn about psychology. Learn about our editorial policy Kendra Cherry Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on January 08, 2020 Verywell / Gary Ferster More in Brain Health Brain Food Mental Exercises Healthy Aging What exactly is the peripheral nervous system and what role does it play in the body? First, it is important to realize that the nervous system is divided into two parts: the central nervous system and the peripheral nervous system. The central nervous system includes the brain and spinal cord, while the peripheral nervous system includes all of the nerves that branch out from the brain and spinal cord and extend to other parts of the body including muscles and organs. Each part of the system plays a vital role in how information is communicated throughout the body. Lets learn about a bit more about the functions and structure of the peripheral nervous system. What Is the Peripheral Nervous System? The peripheral nervous system (PNS) is the division of the nervous system containing all the nerves that lie outside of the central nervous system (CNS). The primary role of the PNS is to connect the CNS to the organs, limbs, and skin. These nerves extend from the central nervous system to the outermost areas of the body. The peripheral system allows the brain and spinal cord to receive and send information to other areas of the body, which allows us to react to stimuli in our environment. The nerves that make up the peripheral nervous system are actually the axons or bundles of axons from neuron cells. In some cases, these nerves are very small but some nerve bundles are so large that they can be easily seen by the human eye. The peripheral nervous system itself is divided into two parts: The somatic nervous systemThe autonomic nervous system Each of these components plays a critical role in how the peripheral nervous system operates. The Somatic Nervous System The somatic system is the part of the peripheral nervous system responsible for carrying sensory and motor information to and from the central nervous system. The somatic nervous system derives its name from the Greek word soma, which means body. The somatic system is responsible for transmitting sensory information as well as for voluntary movement. This system contains two major types of neurons: Sensory neurons (or afferent neurons) that carry information from the nerves to the central nervous system. It is these sensory neurons that allow us to take in sensory information and send it to the brain and spinal cord.  Motor neurons (or efferent neurons) that carry information from the brain and spinal cord to muscle fibers throughout the body. These motor neurons allow us to take physical action in response to stimuli in the environment. The Autonomic Nervous System The autonomic system is the part of the peripheral nervous system thats responsible for regulating involuntary body functions, such as blood flow, heartbeat, digestion, and breathing. In other words, it is the autonomic system that controls aspects of the body that are usually not under voluntary control. This system allows these functions to take place without needing to consciously think about them happening. This system is further divided into two branches: The sympathetic system regulates the flight-or-fight response.?? This system prepares the body to expend energy and deal with potential threats in the environment. When action is needed, the sympathetic system will trigger a response by speeding up the heart rate, increasing breathing rate, increasing blood flow to muscles, activating sweat secretion, and dilating the pupils. This allows the body to respond quickly in situations that require immediate action. In some cases, we might stay and fight the threat, while in other cases we may instead flee from the danger.The parasympathetic system helps maintain normal body functions and conserve physical resources. Once a threat has passed, this system will slow the heart rate, slow breathing, reduce blood flow  to muscles, and constrict the pupils. This allows us to return our bodies to a normal resting state.

Theraphy Self-Intake Analysis - 1855 Words

Self-Intake Analysis When clients’ disclose concerns of sexual problems in the relationship therapists must take several factors into consideration including begin the process is to have the client(s) fill out a sex-intake analysis that can provide important data regarding multigenerational family myths regarding sex, potential biological factors, sexual history, traumas, and cultural issues. The collective data assists the therapist to engage other professionals that may be needed to properly diagnose and treat the client(s). Ridley (2009) stresses the importance of including medical professionals and other experts when necessary to ensure the physical and emotional safety of the client (p. 3). Proper diagnoses and treatments can have a†¦show more content†¦The lack of desire or arousal can be diagnosed as Female Sexual Interest/Arousal Disorder - 302.72 (APA, pp. 433-436). This is not the norm however and neither is the media’s portrayal. Basson (2007) approaches this assumption from another direction. She believes that the attention must be given â€Å"to the woman’s mental health [which includes]†¦ her energy, self-esteem, body image, feelings of attractiveness, and stress levels† (p. 25). It was so strange to realize that it wasn’t until getting involved with my current husband that I truly believed that I had the right to enjoy my sexuality and to have my needs considered. The lessons I have internalized during the first 34 years of my life are now beginning to fall into context and agree with Basson’s theories. Psychosocial History The psychosocial section was no less emotionally charged than the previous ones. Going through the psychosocial elements of my understanding of sexuality reminded me of Antioch’s Family of Origin course. The questions did not appear emotionally dangerous but as I answered the family of origin and body image questions, I felt shame and judgment. These areas of my life complement each other in so far as the more family judgment I felt, the more I engaged in self-soothing through food. This behavioral pattern is evident in at least four generations of women in my family. I have been aware of the pattern but had not connected it to my sexuality until undertaking the study of human

Business Intelligence, Business, And Data Mining - 1544 Words

1. Introduction to Business Intelligence, Business Analytics and Data Mining Business Intelligence Business Intelligence is a process which includes different technologies and methods process for analysing data and presenting information which is helpful for top level management.BI includes various tools, application, and methodologies that enable organizations to collect data from internal and external sources, prepare that for analysis develop and run queries against the data and generate different kind of graphs and reports. Business Intelligence can analysis large amount of data easily and affectively .Identifying new threats and opportunities and implementing an effective and profitable strategy based on insight can provide business a market stability and long term stability. BI technologies provide past, current and future business conditions. Common functions of business intelligence technologies are reporting, online analytical processing, analytics, data mining, process mining, complex event processing, business performance management, benchmarking, text mining, predictive analytics and prescriptive analytics. The potential benefits of business intelligence programs include accelerating and improving decision making; optimizing internal business processes; increasing operational efficiency; driving new revenues; and gaining competitive advantages over business rivals. BI systems can also help companies identify market trends and spot business problems that need toShow MoreRelatedData Mining for Business Intelligence4558 Words   |  19 Pageslarge volumes of business data. The use of database systems in supporting applications that employ query based report generation continues to be the main traditional use of this technology. However, the size and volume of data being managed raises new and interesting issues. 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LITERATURE REVIEW 5 2.1 Business Intelligence for Retail in general 6 2.2 Business Intelligence beneficial for Retail 7 2.3 Advantages of using BI inRead MoreBusiness Intelligence Is The Gathering And Analysis1229 Words   |  5 Pages Business Intelligence Business Intelligence is the gathering and analysis of large amounts of information so as to gain insights that propagate strategic and tactical business decisions. Business Intelligence is the conglomeration of the processes and technologies which change data into information. It encompasses a wide category of technologies, including data warehousing, multidimensional analysis or online analytical processing, data mining and visualization, as wellRead MoreThe Process Of A Business Intelligence System1376 Words   |  6 Pagesimplementing a business intelligence system. It continues to describe the technologies involved in a business intelligence system, as well as the purpose of the system and how it can help companies become a leader in the industry. Lastly, the report contains facts about industries that have implemented a business intelligence solution, how they use it, and the benefits they reap from the implementation. The report covers multiple industries, but focuses on Chev ron oil company and analyzes its business intelligenceRead MoreBusiness Intelligence Is The Gathering And Analysis Essay1175 Words   |  5 PagesBusiness Intelligence Business Intelligence is the gathering and analysis of large amounts of information so as to gain insights that propagate strategic and tactical business decisions. Business Intelligence is the conglomeration of the processes and technologies which change data into information. It encompasses a wide category of technologies, including data warehousing, multidimensional analysis or online analytical processing, data mining and visualization, as well as basic queries and multipleRead MoreBusiness Intelligence Is The Gathering And Analysis Essay1214 Words   |  5 PagesBusiness Intelligence Business Intelligence is the gathering and analysis of large amounts of information so as to gain insights that propagate strategic and tactical business decisions. Business Intelligence is the mix of the processes and technologies which change data into information. It includes a wide category of technologies, including data warehousing, multidimensional analysis or online analytical processing, data mining and visualization, as well as basic queries and multiple types ofRead MoreWhy Data Mining Is The Extraction Of Knowledge From The Various Databases1329 Words   |  6 PagesData mining is the extraction of knowledge from the various databases that was previously unknown (Musan Hunyadi, 2010). Data mining consists of using software that conglomerates artificial intelligence, statistical analysis, and systems management in the act of extracting facts and understanding from data stored in data warehouses, data marts, and through metadata (Giudici, 2005). Through algorithms and lea rning capabilities data mining software can analyze large amounts of data and give the managementRead MoreBusiness Analysis : Business Intelligence And Analytics1545 Words   |  7 PagesToday’s business environment is increasingly complex and dynamic and organizations must adapt to these changes in order to remain competitive. As a result, organizations must continually realign their operations to meet these business environment pressures and challenges by being as responsive as possible to both their customers and competitors. One such tool that organizations and businesses can enlist in order to build stronger capabilities, improve performance, undertake better decision makingRead MoreHow Erp / Crm / Ecommerce Integrations Can Create A World Class B2b Platform1532 Words   |  7 Pagesgenerate some attractive side benefits such as the ability to gather business intelligence. Regardless of whether companies process that intelligence with self-service or specialized BI analytics software, the right ERP and CRM integrations are essential to the processes of mining data, connecting securely with third-party intelligence resources and predicting and responding to customer behavior. Gathering business intelligence from existing operations is one of the best ways to foster competitiveRead MoreInformation Technology And Business Intelligence1126 Words   |  5 PagesTECHNOLOGY AND BUSINESS INTELLIGENCE COMP.8002 SEMESTER 2, 2016 Assessment 1 Student Name: Arindam Haldar Student ID: 2007004468 TOC Introduction Page 3 Discussion Page 3 Conclusion Page 5 Referencing Page 6 INTRODUCTION: IT BI - An overview Data, math, statistics and programming are the most important parts of data science. Machine learning is a collection of algorithms which recognise pattern from data. Data mining discovers patterns

Cardiopulmonary Resuscitation Free Essays

CPR is an important lifesaving method that was developed since the twentieth century and it have been improving since then. CPR stands for cardiopulmonary resuscitation and is used to revive heart attack victims. The practice of mouth-to-mouth resuscitation dates back to the eighteenth century, while performing chest compressions goes back to the early twentieth century. We will write a custom essay sample on Cardiopulmonary Resuscitation or any similar topic only for you Order Now The term â€Å"CPR† emerged in the early 1960s, and the idea became recognized by organizations such as the American Heart Association.Since then, CPR has been taught to millions of people, including grade-school children Cardiopulmonary resuscitation (CPR) is a method that was developed in the early 1960s for restoring the circulation and respiration in a patient who has suffered cardiac arrest, often leading to heart attack. Lack of oxygen to the brain causes loss of consciousness, which then results in abnormal or absent breathing. Brain injury is likely if cardiac arrest goes untreated for more than five minutes.If there is no medical provider around to give quick medical care, the cardiac arrest may lead to brain injury. The only mean is to keep the blood circulating by providing quick CPR. This May help victim stay alive until proper medical care to take over. The history of CPR dates back to the 17th century. It was later on promoted to the public to learn the basic rescue breathing and chest compression. James Otis Elam and Peter Safar is the two researchers who contributed significantly to the development and understanding cardiopulmonary resuscitation or CPR.Together Elam and Safar developed mouth-to-mouth breathing which is now known as mouth-to-mask ventilation, and head tilt and chin lift method which we still use today (Safar). Since their development, other researchers have been working hard to contribute to it. New technique tools to help improve or supports life. The mean purpose of CPR is to bring oxygen to the victim’s lung, brain and keep blood circulating so oxygen can get to very parts of the body until emergency care arrives.A person’s heart and ability to breath regularly can stop during a medical emergency, such as when a person has a heart attack or when he has been under water too long. Performing Cardio Pulmonary Resuscitation (CPR) on the person can prevent his death. Back in the eighteenth century Amsterdam a city in Europe introduced resuscitation method to respond to the deadly heart disease which killed as many as 400 people per year. Within four years, 150 people were saved. Here are some examples of resuscitation techniques advocated by the Amsterdam Society: To instigate warmth in the victim.Placing the victim in the Trendelenburg position, head lower than the body. Applying manual pressure to the belly to help force inhaled water out of the lungs. Providing respirations, mouth-to-mouth or mouth-to-nostril, using a handkerchief to cover the mouth if preferred; occasionally bellows were used. Stroking or tickling the victim’s throat. Using nicotine to â€Å"fumigate† the victim, rectally or orally (History). Some of the ideas were sound and are still used today and even more advances. Today some of our working places such as teaching, child care and so no require CPR. How to cite Cardiopulmonary Resuscitation, Papers

Tv Violence Essays (1461 words) - Psychology, Behavior,

Tv Violence Violence on Tv Most people in our society generally have the opinion that violence on television increases aggression in children and adolescents. Does it ? Who is to say whether television has a positively direct effect or a positive correlation ? However, the majority of the people who have researched this topic have discovered that violence on television is indeed one of the prime factors contributing to the increase in violent and aggressive behavior among the youth in society. That is to say there has been a growth of strong evidence to suggest that television violence does play an important and contributory part in the learning of aggression. In other words, violence in the media helps promote and encourage children and adolescents to freely express their abusive behavior. As a result, the topic of my essay will help support the issue that violence in the media causes abusive behavior in youths. Furthermore, I will emphasize if their are any differences in aggressive behavior between the genders. By nature when babies first begin to learn, they do so by imitating other people's behaviors. That is to say, children are born ready to imitate adult behavior because much of human behavior is learned by observing another person's behavior and, in some cases, imitating it. One of the first imitation of a newborn baby is the imitation of adults' facial movements. For example, in the book Infant and Child, by Judith Rich Harris and Robert M. Liebert, it shows a baby girl only six days old sticking out her tongue in imitation of her mother's actions. This clearly shows that from the moment a child is born, he or she is already learning from observing. Therefore, as the child grows up and starts watching television, the child can not distinguish between what is reality and what is fantasy. In the minds of young children, television is a source of entirely factual information regarding how the world works. For instance, as a child I could remember imitating violent acts after watching violent movies such as Superman, Star Wars, Star Trek, and Rocky. It felt fun to imitate these so called heroes because it seemed like the characters in the movies were invincible. Moreover, the main characters in the movies were always liked and respected. There are many other examples that confirm that people imitate violence scenes on television. For instance, the cartoon Beavis and Butthead on MTV in the United States was widely criticized for depicting the cartoon characters shaped like cigarettes. The cartoon also gained national attention when a young five year old fan from the United States set fire to his house after watching the show. This was due to the fact that in one of the episodes, Beavis and Butthead were going around setting fires to houses. Furthermore, in a resent incident in Norway, two children beat another child by jumping and kicking the child in the head and other parts of her body numerous times. As a result, the child died from being left out in the cold because she was not able to move due to her injuries. Later the officials had discovered that the barbaric incident was due to the fact that the children had watched the violent cartoon Mighty Morphin Power Rangers. The children thought that the girl would later get up because in the show the characters never die. Consequently, the show Mighty Morphin Power Rangers was canceled throughout Norway. In addition, YTV, a youth cable channel in Canada and also other television networks has recently canceled the show because it did not meet their standards. Children are not the only ones who get influenced by violence in the media. Many times adolescents and young adults also mimic violence portrayed in the media. In another recent incident in the United States, a young man after seeing the movie Natural Born Killer starring Woody Harrelson shaved his head to look like the main character and shot his parents. This definitely proves that children are not the only ones who try to imitate violent behaviors. Many studies have been conducted to determine if in fact people imitate or model aggressive behaviors. For example, one of the most well know studies of modeling aggressive behavior and to determine if children imitate violent acts observed on television is an experiment done by Albert Bandura, Dorothea Ross and Sheila A. Ross. To test their hypothesis, the subjects were divided into three experimental groups and one control group. One group observed

Oedipus Rex Essays - Greek Mythology, Literature, Vocal Music

Oedipus Rex Essays - Greek Mythology, Literature, Vocal Music Oedipus Rex The great tragedy Oedipus Rex by Greek tragedian Sophocles centers on the protagonist Oedipus, king of Thebes, and his quest t o save the town from the plague that is crippling the city. The oracle from the gods states that the town is suffering because the murderer of the previous king, Laiis has not been punished for his crime, and in order for the town to enjoy peace again the murderer must be killed. King Oedipus who is unaware of his role in the murder of Laiis begins a relentless campaign to find the killer and bring him to justice. From his argument with Tiresias at the end of scene one to his conversations with Jocasta in scene two, Oedipus's approach changes from one that is confrontational to one that is doubtful. Towards the end of Act one Oedipus suspects that his brother-in-law Creon, who was also the brother-in-law to the former king killed Laiis out of greed and jealous y and becomes angry. Filled with feelings of betrayal he confronts Creon. Oe dipus is convinced that Creon will not stop his quest for power at Laiis rather he has "plotted to steal [Oedipus] throne" as well. Oedipus fears that his power and life are at stake because of Creon. At this moment Oedipus' feeling of paranoia begin to become visible and is directly accusing Creon for the murder of King Laiis. Additionally, Oedipus sees Creon as a threat that must be permanently disposed of. While Oedipus considered exile for the punishment of Creon, he realizes that his punishment will "not [be] exile. It is your death I want." Creon was once Oedipus' closest companions, but now may face the maximum punishment, death. The feelings of betrayal Oedipus is experiencing forces the king to act out of rage and raw emotion toward his brother-in-law, rather than contemplate and investigate the accusations. In scene two, Oedipus' demeanor goes through a major shift, his forceful and angry attitude seen in scene one, is replaced with one of doubt and confusion. When Oedipus shares his concerns with his wife Jocasta who is also the widow of Laiis, he is told the story of Laiis' murder in greater depth. After hearing Jocasta's recount of Laiis' death Oedipus begins to see possible connections between the murder he committed before coming to Thebes and the murder of the King. Oedipus now begins to question his innocence and believes than he "must be accurst/by my own ignorant edict." Oedipus no longer blames Creon for the crime that has brought upon the plague; rather he blames Thebes' suffering on his own foolishness. As more details regarding Laiis' life surface, Oedipus' doubts are only solidified. "Think of it: I have touched you with the same hands, / these hands that killed you husband. What defilement!" Once Oedipus is properly briefed on the facts of the crime he begi ns to understand the truth, that he is in fact not only the sun of Laiis, but also his murderer. In his writings Sophocles meant to imitate the real behaviors and tendencies of humans. The play Oedipus Rex address several the most prominent being, human arrogance; had Oedipus been able to control his anger and not act to preserve his ego, King Laiis may have not been killed. However, in the eyes of Sophocles most men act similar to Oedipus and allow their own pride to cloud their judgment. Similarly had the people of Thebes investigated the murder of their King, the gods would not have sent the plague, and ju stice would have been delivered long before.

Fizzy Sparkling Lemonade Made With Science

Fizzy Sparkling Lemonade Made With Science Relax and enjoy a refreshing glass of lemonade while doing science! Heres an easy way to turn ordinary lemonade into fizzy sparkling lemonade. The project works on the same principle as the classic baking soda and vinegar volcano. When you combine an acid and baking soda, you get carbon dioxide gas, which is released as bubbles. The acid in the volcano is acetic acid from vinegar. In fizzy lemonade, the acid is citric acid from lemon juice. Carbon dioxide bubbles are what gives soft drinks their fizz. In this easy chemistry project, youre simply making the bubbles yourself. Fizzy Lemonade Ingredients You could do this project with any lemonade, but if you make your own it wont end up insanely sweet. Its up to you. For the lemonade base you need: 2 cups water1/2 cup lemon juice (contains citric acid and a smaller amount of ascorbic acid)1/4 cup sugar (sucrose) Youll also need: sugar cubesbaking soda (sodium bicarbonate) Optional: toothpicksfood coloring Make Homemade Fizzy Lemonade Mix together the water, lemon juice, and sugar. This is tart lemonade, but youll sweeten it in a bit. If you like, you can refrigerate the lemonade so you wont need to add ice to chill it later.For kids (or if youre a kid at heart), draw faces or designs on sugar cubes using toothpicks dipped in food coloring.Coat the sugar cubes with baking soda. You can roll them in the powder or shake sugar cubes in a small plastic bag containing baking soda.Pour some of your lemonade into a glass. When youre ready for the fizz, drop a sugar cube into the glass. If you used food coloring on the sugar cubes, you can watch the lemonade change color.Enjoy the lemonade! Expert Tip Another option, besides food coloring, is to paint the sugar cubes with an edible pH indicator. The indicator will change color according to whether its on the powdered sugar cube or in the lemonade. Red cabbage juice is a good choice, but there are other options you can find in your kitchen.Any acidic liquid will work for this project. It doesnt have to be lemonade! You could carbonate orange juice, limeade, grapefruit juice, or even ketchup (maybe not so tasty, but it makes a nice volcano). Got another lemon? Use it to make a homemade battery.

Robert Adams Research Paper Example | Topics and Well Written Essays - 750 words

Robert Adams - Research Paper Example Adams was very an adventurous young boy. He joined the boy scouts, and also participated in church activities at the Methodist church, where his family prayed. He loved playing baseball and aiding his father with his carpentry. He accompanied his father on nature walk, hikes and rafting expeditions at the Dinosaur National Monument Park. When in his teens, he worked at Rocky Mountain National Park in Colorado. During these years, Adams developed an interest in arts and began visiting the Denver Art Museum with his younger sister. In 1955, Adams joined the University of Colorado but only lasted a year before transferring to University of Redlands, Colorado. At the Redlands University, Adams met his wife Kerstin Mornestam and married her in 1960. He graduated with a B.A. in English in 1959. For his post graduate studies, he went to the University of Southern California where he received a Ph.D. in English. Adams began working as a teacher at the Colorado College in 1962. On the other hand, his photography began in 1963 after buying his first camera. He learned professional photography under Myron Wood, who was a professional then. During this time, he did photography as part-time activity but committed to it after the Museum of Modern Art bought four or his pieces. This was made possible by john Szarkowski, who was curator for the museum, and with whom Adams had met in New York. Some of the famous photographs by Robert Adams were the ‘East from Flagstaff Mountain’ in 1975, and ‘Burning Oil Sludge North of Denver’ in 1973. Some of his published books were; ‘The Architecture and Art of Early Hispanic Colorado’ and ‘White Churches of the Plains,’ published by Colorado Associated Press, Boulder, CO in 1974 and 1970 respectively. Pictures from his mid-career were displayed at the Philadelphia Museum of Art in 1989. The mastered works are displayed at the Yale University Art Gallery that put together ‘The Place We Live’. The Rencontres

Analysis of Business Planning Research Paper Example | Topics and Well Written Essays - 2000 words

Analysis of Business Planning - Research Paper Example Business plans have both weak and strong components that are unique to respective plans and businesses.     The plan focuses on a beauty and hair salon called Trend Setters Hair Studio. It begins by presenting an executive summary of the salon business. The mission and motto of the salon are equally mentioned (B Plan, 2012). After the introduction, the plan provides essential keys to the successes of the salon business. A summary of the company that includes a summary of how the company began operations is present in the summary. The business plan on Trend Setters Hair Studio later reveals the products and services within the business. These include hair (weaves, and relaxers), nails (manicured and sculptures) and skin care (waxing and massages). The plan also offers a summary of the strategy and implementation of diverse strategies of the company. This aspect of the plan mentions the approaches that management should take to address the problems that may arise from competitors. The management of the salon equally presents figures for their projected sales in the next three years (Becherer & Helms, 2009). The business plan presents milestones of the salon business that includes details of salon activities.      For example, necessary finances in the running of the salon business are mentioned. The projected cash flow in the salon business is equally presented in the plan. Finally, the plan has an appendix that explains most of the figures in the business plan (Bangs, 2002). Brian's Book Barn Business Plan This plan focuses on a book barn business that dates from May 1998. The plan begins by describing the business in a clear manner. It states that the business is a store that deals with books and magazines (Canada / British Columbia Business Services Society, ND). It is located in Ladbrokes and aims to promote the culture of reading to members of this community. The plan also suggests that the community where such an organization is situated lacks such a business. This means that the business is likely to flourish because of minimal competition. The plan reveals the ownership and management of the book business. The owners are a couple, Brian Paige and Novella Reid. According to the plan, B rian has relevant experience because he previously worked with bookselling organizations. His wife has a certificate in retail management with 30 years of experience (Canada / British Columbia Business Services Society, ND). The initiatives and objectives of the business are also evident in the plan.  Ã‚  

Pressure Ulcers: Reliability of Risk Assessment Tools

Pressure Ulcers: Reliability of Risk Assessment Tools The purpose of this assignment, is to identify a patient, under the care of the district nursing team, with a Grade 1 pressure ulcer, to their sacral area. To begin with, it will give a brief overview of the patient and their clinical history. Throughout the assignment the patient will be referred to as Mrs A, in order to protect the patients identity and maintain confidentiality, in accordance with the guidelines set out by the Nursing and Midwifery Council (NMC 2008). A brief description of a Grade 1 pressure ulcer will be given, along with a description of the steps taken in assessing the wound, using The Waterlow Scale (1985). This assignment will discuss the literature review that was carried out, along with other methods of research used, to gather vital information on wound care , such as the different classifications of wounds and the different risk assessment tools available. This assignment, will include brief overviews, of some the other commonly used pressure ulcer risk a ssessment tools, that are put to use by practitioners and how they compare to the Waterlow Scale. This assignment will also seek to highlight the importance of using a combination of clinical judgement, by carefully monitoring the patients physical and psychological conditions, alongside the at risk score calculated from the Waterlow Scale, in order to deliver holistic care to the patient. Mrs A is a 84 year old lady who has been referred to the district nurses by her General Practitioner, as he has concerns regarding her pressure areas . Following a recent fall she lost her confidence and is now house bound. She now spends more time in her chair as she has become nervous when mobilising around the house and in her garden. She has a history of high blood pressure and occasional angina for which she currently takes Nicorandil 30mg b.d. as prescribed by her General Practitioner , Nicorandil has been recognised as an aetiological aspect of non healing ulcers and wounds (Watson, 2002), this has to be taken into consideration during the assessment and throughout the management of her wound. Mrs A has no history of previous falls or problems with her balance. She has always been a confident and independent lady, with no current issues surrounding continence or diet. She has always enjoyed a large network of friends who visit her regularly. It is recommended by National Inst itute for Health and Clinical Excellence (NICE) that patients should receive an Initial assessment (within the first 6 hours of inpatient care) and ongoing risk assessments and so referrals of this nature are seen on the day, if it is received if not within 24 hrs. In order to establish Mrs As current risk of developing a pressure area, an assessment must take place. An initial holistic assessment, looking at all contributing factors such as mobility, continence and nutrition will provide a baseline that will identify her level of risk as well as identifying any existing pressure damage. A pressure ulcer is defined as, a localised injury to the skin and / or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. A number of contributing, or confounding factors, are also associated with pressure ulcers. According to the European Pressure Ulcer Advisory Panel (EPUAP 2009), the significance of these factors, is yet to be elucidated. Mrs A is more vulnerable to pressure damage, as her skin has become more fragile and thinner with age (NICE 2005). There are risk factors associated to the integrity of the patients skin and also to the patients general health. Skin that is already damaged, has a higher incidence of developing a pressure ulcer, than that of healthy skin. Skin that becomes too dry, or is more moist due to possible incontinence, is also at higher risk of developing a pressure ulcer than healthy skin. An elderly persons skin is at increased risk, because it is more fragile and thinner than the skin of a younger person. Boore et al (1987) identified the following principles in caring for the skin to prevent pressure damage, skin should be kept clean and dry and not left to remain wet. The skin should also not be left to dry out to prevent any accidental damage . Due to Mrs A spending more time sitting in her chair, she has become at a higher risk of developing a pressure sore, as she is less mobile. The reason being It becomes difficult for the blood to circulate causing a lack of oxygen and nutrients to the tissue cells. Furthermore, the lymphatic system also begins to suffer and becomes unable, to properly remove waste products. If the pressure continues to increase and is not relieved by equipment or movement. The cells can begin to die, leaving an area of dead tissue resulting in pressure damage. Nelson et al (2009) states, pressure ulcers can cause patients functional limitations, emotional distress, and pain for persons affected. The development of pressure ulcers, in various healthcare settings, is often seen as a reflection of the quality of care which is being provided (Nakrem 2009). Pressure ulcer prevention is very important in everyday clinical practise, as pressure ulcer treatment is expensive and factors such as legal issues have become more important. EPAUP (2009) have recommended strategies, which include frequent repositioning the use of special support surfaces, o r providing nutritional support to be included in the prevention. In order to gather evidence based research, to support my assignment. I undertook a literature review of the Waterlow Scale and Classifications of Grade 1 pressure sores. The databases used were the Culmulative Index to Nursing and Allied Health Literature (CINAHL) and OpenAthens. I used a variety of search terms including pressure sores, Grade 1 classification, Waterlow Scale, and How pressure sore risk assessment tools compare. Throughout the literature review the information was gathered from sources using a date range between the years of 2000 2011, although some references were found from sources of information that are from a much later date. This method of research ensured a plethora of articles and guidelines were collated and analysed. The trust guidelines in wound care were used, to show how we implement theory into practise in the community, using the wound care formulary. There was a vast amount of information available, as pressure area care is such a broad subject. The search criteria had to be narrowed down, in some cases to ensure the information gathered was relevant and not beyond the scope of the assignment. The evidence used throughout this assignment, is based on guidelines and recommendations given by NICE (2001), EPUAP (2001) and articles sourced from The Journal of Community Nursing (JCN). This was the most accurate information and guidance on pressure ulcer classifications and assessment although, some articles may not have been the most recent. The assessment tool used throughout my area of work, is the Waterlow Scale. The Waterlow Scale was developed by Judy Waterlow in 1985, while working as a clinical nurse teacher. It was originally designed for use by her student and is used to measure a patients risk of developing a pressure sore. It can also be used as a guide, for the ordering of effective pressure relieving equipment. All National Health Service (NHS) trusts have their own pressure ulcer prevention policy, or guidelines and practitioners are expected to use the risk assessment tool, specified in their trusts policy. NICE (2003), guidance states, that all trusts should have a pressure ulcer policy, which should include a pressure ulcer risk assessment tool. However, it reminds practitioners that the use of risk assessment tools, should be thought of as an aid to the clinical judgement of the practitioner. The use of the Waterlow tool enables, the nurse to assess each patient according to their individual risk of dev eloping pressure sores (Pancorbo-Hidalgo et al 2006). The scale illustrates a risk assessment scoring system and on the reverse side, provides information and guidance on wound assessment, dressings and preventative aids. There is information regarding pressure relieving equipment surrounding, the three levels of risk highlighted on the scale, and also provides guidance, concerning the nursing care given to patients. Although the Waterlow score is used in the community setting, when calculating the risk assessment score, it is vital that the nurse is aware of the difference in environment the tool was originally developed for. The tool uses a combination of core and external risk factors that contribute to the development of pressure ulcers. These are used to determine the risk level for an individual patient. The fundamental factors include disease, medication, malnourishment, age, dehydration / fluid status, lack of mobility, incontinence, skin condition and weight. The external factors, which refer to external influences which can cause skin distortion, include pressure, shearing forces, friction, and moisture. There is also a special risk section of the tool, which can be used if the patient is on certain medication or recently had surgery. This contributes to a holistic assessment of a patient and enables the practitioner to provide the most effective care and appropriate pressure relieving equipment. The score is calculated, by counting the scores given in each category, which apply to your patients current condition. Once these have been added up, you will have your at risk score. This will then ind icate the steps that need to be taken, in order to provide the appropriate level of care to the patient. Identification of a patients risk of developing a pressure sore is often considered the most important stage in pressure sore prevention (Davis 1994). During the assessment a skin inspection takes place of the most vulnerable areas of risk, typically these are heels, sacrum and parts of the body, where sheer or friction could take place. Elbows, shoulders, back of head and toes are also considered to be more vulnerable areas (NICE 2001). When using the Waterlow tool to assess Mrs As pressure risk, I found she had a score of 9. According to the Waterlow scoring system she is not considered as being at risk as her score is less than 10. As I had identified in my assessment, she had a score of 2, for her skin condition due to Grade 1 pressure ulcer to her sacrum. I felt it necessary, to highlight her as being at risk. A grade 1 pressure ulcer on her sacral area, maybe due to her recent loss of confidence and reduced mobility which has left Mrs A spending more time in her chair. Pressure ulcers are assessed and graded, according to the degree of damage to the tissue. The National Pressure Ulcer Advisory Panel (NPUAP), classifies pressure ulcers based on the depth of the wound. There are four classifications (Category/Stage I through IV) of pressure damage. In addition to these, two other categories have been defined, unstageable pressure ulcers and deep tissue injury (EPUAP, 2009) Grade 1 pressure damage is defined, as a non-blanchable erythema of intact skin. Indicators can be, discolouration of the skin, warmth, oedema, induration or hardness, particularly in people with darker pigmentation (EPUAP, 2003). It is believed by some practitioners, that blanching erythema indicates Grade 1 pressure damage (Hitch 1995) although others suggest that, Grade 1 pressure damage is present, when there is non-blanching erythema (Maklebust and Margolis, 1995; Yarkony et al, 1990). The majority of practitioners, agree that temperature and colour play an important role, in identifying grade 1 pressure ulcers (EPUAP, 1999) and erythema, is a factor in alm ost all classifications (Lyder, 1991). The pressure damage usually occurs, over boney prominences (Barton and Barton 1981). The skin in a Grade 1 pressure ulcer, is not broken, but it requires protection and monitoring. At this stage, it will not be known how deep the pressure damage is, regular monitoring and assessment is essential. The pressure ulcer may fade, but if the damage is deeper than the superficial layers of the skin, this wound could eventually develop into a much deeper pressure ulcer over, the following days or weeks. A Grade 1 pressure ulcer, is classed as a wound and so I have commenced a wound care plan and also a pressure area care plan. I will also ensure, Mrs A has regular pressure area checks in order to prevent the area breaking down. The pressure area checks will take place weekly until the pressure relieving equipment arrives, this will then be reduced to 3 monthly checks. Dressings can be applied to a Grade 1 pressure ulcer. They should be simple and offer some level of protection. Also, to prevent any further skin damage a film dressing is often used, or a hydrocolloid to protect the wound area (EPAUP, 2009) . These dressings will assist in reducing further friction, or shearing, if these factors are involved. It is considered the best way to treat a wound, is to prevent it from ever occurring. Removing the existing external pressure, reducing any moisture, which can occur if the patient is incontinent and employing pressure relief devices, may contribute to wound healing. Along with adequate nutrition, hydration and addressing any underlying medical conditions. The advice given to practitioners, on the reverse of the Waterlow tool is to provide a 100mm foam cushion, if a patients risk score is above 10. As Mrs A has an at risk score of 9, with a Grade 1 pressure sore evident, I feel it appropriate to provide the pressure relieving mattress and cushion to prevent any further pressure damage developing. All individuals, assessed as being vulnerable to pressure ulcers should, as a minimum provision, be placed on a high specification foam mattress with pressure relieving properties (NICE, 2001). As I am providing a cushion and a mattress, it is not felt necessary to apply a dressing at this point. However, the area will need regular monitoring, as at this stage it is unknown how deep the pressure damage is. If proactive care is given in the prevention and treatment of pressure ulcers, with the use of risk assessments and providing pressure relieving resources, the pressure area may resolve. Pressure ulcers can be costly for the NHS, debilitating and painful for the patient. With basic and effective nursing care offered to the patients, this can often be the key to success. Bliss (2000) suggests that the majority of Grade I ulcers heal, or resolve without breaking down if pressure relief is put into place immediately. However, experiences in a clinical settings supports observations, that non-blanching erythema can often result in irreversible damage (James, 1998; Dailey, 1992). McGough (1999) during a literature search, highlighted 40 pressure ulcer risk assessment tools, but not all have be considered suitable, or reliable for all clinical environments. As there are many different patient groups this often results in a wide spectrum of different patient needs. The three most commonly used tools in the United Kingdom (U.K.) are, The Norton scale, The Braden Scale and The Waterlow Scale. The first pressure ulcer risk assessment tool was the Norton scale. It was devised by Doreen Norton in 1962. The tool was used for estimating a patients risk for developing pressure ulcers by giving the patient a rating from 1 to 4 on five different factors. A patients with a score of 14 or more, was identified as being at high risk. Initially, this tool was aimed at elderly patients and there is little evidence from research gathered over the years, to support its use outside of an elderly care setting. Due to increased research over the years, concerning the identification and risk of developing pressure ulcers, a modified version of the Norton scale was created in 1987. The Braden Scale was created in the mid 1980s, in America and based on a conceptual schema of aetiological factors. Tissue tolerance and pressure where identified, as being significant factors in pressure ulcer development. However, the validity of the Braden Scale is not considered to be high in all clinical areas (Capobianco and McDonald, 1996). However, EPAUP (2003) state The Braden Risk Assessment Scale is considered by many, to be the most valid and reliable scoring system for a wide age range of patients. The Waterlow Scale, first devised in 1987, identifies more risk factors than the Braden and the Norton Scale. However, even though it is used widely across the U.K., it has still be criticised for its ability to over predict risk and ultimately result in the misuse of resources (Edwards 1995; McGough, 1999). Although there are various tools, which have been developed to identify a patients individual risk, of developing pressure sores. The majority of scales have been developed, based on ad hoc opinions, of the importance of possible risk factors, according to the Effective Healthcare Bulletins (EHCB, 1995). The predictive validity of these tools, has also been challenged (Franks et al, 2003; Nixon and Mc Gough, 2001) suggesting they may over predict the risk, incurring expensive cost implications, as preventative equipment is put in place, when it may not always be necessary. Or they may under predict risk, so that someone assessed as not being at high risk develops a pressure ulcer. Although the Waterlow scoring system, now includes more objective measurements such as Body Mass Index (BMI) and weight loss after a recent update. It is still unknown, due to no published information, whether the inter-rater reliability of the tool, has been improved by these changes. It has been acknowled ged, that this is a fundamental flaw of these tools and due to this clinical judgement, must always support the decisions made by the results, of the risk assessment. This is clearly recognised by NICE, as they advise their use as an aide-mà ©moire (2001). The aim of Pressure ulcer risk assessment tools, is to measure and quantify pressure ulcer risk. To determine the quality of these measurements the evaluation of validity and reliability would usually take place. The validity and reliability limitations, of pressure ulcer risk tools are widely acknowledged. To overcome these problems, the solution that is recommended is to combine the scores of pressure ulcer risk tools, with clinical judgment (EPAUP 2009). This recommendation, which is often seen in the literature, unfortunately is inconsistent as Papanikolaou et al (2007) states: If pressure ulcer risk assessment tools have such limitations, what contribution can they make to our confidence in clinical judgment, other than prom pting us about the items, which should be considered when making such judgments?. Investigations of the validity and reliability, of pressure ulcer risk tools are important, in evaluating the quality, but they are not sufficient to judge their clinical value. In the research of pressure ulcer tools, there have been few attempts made to compare, the different pressure ulcer risk assessment strategies. Referring to literature until 2003, Pancorbo Hidalgo et al (2006) identified three studies, investigating the Norton scale compared to clinical judgment and the impact on pressure ulcer incidence. From these studies, it was concluded that there was no evidence, that the risk of pressure ulcer incidence was reduced by the use of the risk assessment tools. The Cochrane review (2008), set out to determine, whether the use of pressure ulcer risk assessment , in all health care settings , reduced the incidence of pressure ulcers. As no studies met the criteria, the authors have been unable to answer the review question. At present there is only weak evidence to support the validity, of pressure ulcer risk assessment scale tools and obtained scores contain varying amounts of measurement error. To improve our clinical practise, it is suggested that although tools such as the Waterlow Scale are used to distinguish a patients pressure ulcer risk, other investigations and tests, may need to be carried out to ensure a effective assessment is taking place. Practitioners may consider, various blood tests and more in depth history taking, including previous pressure damage and medications. Patients lifestyle and diet should also be taken into consideration and where appropriate, a nutritional assessment should be done if recent weight loss, or reduced appetite is evident. Nutritional assessment and screening tools are being used more readily and appear to be becoming more relevant in managing patients who are at risk of or have a pressure ulcer. The assessment tools should be reliable and valid, and as discussed previously with other risk assessment tools they should not replace clinical judgement. However, the use of nutritional assessment tools can help to bring the nutritional status of the patient to the attention of the practitioner, they should then consider nutrition when assessing the patients vulnerability to pressure ulcer development. The nutritional status of the patient should be updated and re-assessed at regular intervals following a assessment plan which is individual to the patient and includes an evaluation date. The condition of the individual will then allow the practitioner to decide how frequent the assessments will occur. The EPUAP (2003) recommends that as a minimum, assessment of nutritional status should include regu lar weighing of patients, skin assessment, documentation of food and fluid intake. As Mrs A currently has a balanced diet, it is not felt necessary to undertake, a nutritional assessment at this point. Her weight can be updated on each review visit, to assess any weight loss during each visit. If there is any deterioration in her condition, an assessment can be done when required. Continence should also be taken into consideration and where necessary a continence assessment should take place. Incontinence and pressure ulcers are common and often occur together. Patients who are incontinent are generally more likely to have difficulties with their mobility and elderly, both of which have a strong association with the development of pressure ulcers (Lyder, 2003). The education of staff, surrounding pressure ulcer management and prevention, is also very important. NICE (2001) suggest, that all health care professionals, should receive relevant training and education, in pressure ulcer risk assessment and prevention. The information, skills and knowledge, gained from these training sessions, should then be cascaded down, to other members of the team. The training and education sessions, which are provided by the trust, are expected to cover a number of topics. These should include, risk factors for pressure ulcer development, skin assessment, and the selection of pressure equipment. Staff are also updated on policies, guidelines and the latest patient educational information (NICE 2001). Education of the patient, carers and family, is essential in order to achieve optimum pressure area care. Mrs A is encouraged to mobilise regularly, in order to relieve the pressure as a Grade 1 pressure sore has been identified, she is at a significant risk of developing a more severe ulcer. Interventions to prevent deterioration, are crucial at this point. It is thought, that this could prevent the pressure sore from developing into a Grade 2 or worse. NICE (2001) have suggested, that individuals vulnerable to or at elevated risk of developing pressure ulcers, who are able and willing, should be informed and educated about the risk assessment and resulting prevention strategies. NICE have devised a booklet for patients and relatives, called Pressure Ulcers Prevention and Treatment (NICE Clinical Guidance 29), which gives information and guidance on the treatment of pressure ulcers. It encourages patients to check their skin and change their position regularly. As a part of good practise, this booklet is given to Mrs A at the time of assessment, in order for her to develop some understanding of her pressure sore. This booklet is also given to the care givers or relatives so they can also gain understanding, regarding the care and prevention, of her pressure ulcer. An essential part of nursing documentation, is care planning. It demonstrates the care, that the individual patient requires and can be used to include patients and carers or relatives in the patients care. Involvement of the patient and their relative, or carer is advisable, as this could be invaluable, to the nurse planning the patients care. The National Health Service Modernisation Agency (NHSMA 2005) states clearly that person centred care is vital and that care planning involves negotiation, discussion and shared decision making, between the nurse and the patient. There were a number of improvements that I feel could have been made to the holistic care of Mrs A. I feel that one of the fundamental factors that needed to be considered , were the social needs of the patient. As I feel they are a large contributing factor, towards why the patient may have developed her pressure sore. The patient was previously known to be a very sociable lady, who gradually lost her confidence, resulting in her not leaving the house. There are various schemes and services available, which are provided by the local council or volunteer services, to enable the elderly or people unable to get around. For example, an option which could of been suggested to Mrs A are services such as Ring and Ride, or Werneth Communicare. Using these services or being involved in these types of schemes, may have empowered Mrs A to leave the house on a more regular basis. This would enable her to build up the confidence, she lost following her fall. This would have also lead to positive impact on the patients psychological care, as Mrs A would have been able to overcome her fears of leaving the house, enabling her to see friends and gain communications lost. As previously mentioned in this assignment, although Mrs A had a score of 9, which is not considered an at risk score. I still felt it necessary to act on this score, even though the wound was a not considered to be critical. If it is felt the patient is at a higher risk than that shown on the assessment tool, the practitioner should use their clinical judgement, to make crucial care decisions. It should also be considered, by the practitioner that risk assessment tools such as The Waterlow scale, may not have been developed, for their area of practise. Throughout the duration of Mrs As wound healing process, a holistic assessment of her pressure areas and general health assessment were carried and all relevant factors, were taken into consideration. The assessment tool used to assess her pressure areas, is th e most common tool used currently in practise and the tool recommended by the Trust. To conclude, there is evidence to prove that pressure ulcer risk assessment tools are useful, when used as a guide for the procurement of equipment. However, they cannot be relied upon solely to provide holistic care to a patient. It has been highlighted, that to ensure a holistic assessment of patients, it is necessary to complete a variety of assessments, to create a complete picture. Although The Waterlow scale covers a number of factors that need to be considered, throughout the assessment, it has become evident that the at risk score, can often be over or under scored depending on the practitioner. Clinical judgement has proved to be, a very important aspect of pressure ulcer prevention and treatment. The education of the patient, carer and relatives has also been highlighted, as an important aspect of care. Empowering the patient with information regarding their illness, may decrease the healing time and help prevent has further issues.

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Outsourcing Problems and Solutions - 1679 Words

Table of Contents IntroductionÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â….pg 3 OutsourcingÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â….pg 3 HomesourcingÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…..pg 5 FarmshoringÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â….pg 6 ConclusionÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â….Â…..pg 7 ReferencesÂ…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…Â…...pg 8 Outsourcing: Problems and Solutions Introduction As todays young adults are graduating from high school and college, what is one of their first choices? Where are they going to get a job? Some of todays big jobs are being taken from the United States and sent to countries overseas. So where does that leave our young adults? They may have to move away from home and to not be with their families. Are you aware of the other options to this? A great exception to this†¦show more content†¦3). With all the personal and confidential information being processed overseas, identity theft can be big factor. Last year a disgruntled Pakistani worker upset about back pay threatened to divulge data about patients at a San Francisco hospital (Schwartz, 2004). She goes on further to say that these countries lack consumer privacy laws. Medical privacy does not really mean anything to them. Things are in the works to require written authorization from consumers themselves so they are aware their data is being shipped overseas and can make a choice if they want that or not. So what can we do about this? Homesourcing There is a new alternative to outsourcing. Some dub it homesourcing. As many United States companies prepare to export jobs overseas, other companies are working to keep them at home-literally-as a substitute for call centers. According to a recent study by consultancy Booz Allen Hamilton, not only is such homesourcing cheaper than traditional outsourcing, but home agents are 25 percent more productive than employees who handle calls in-house (Mello Jr., 2005, para. 1). Geller (2005) states that its not always as cheap as offshoring, the shift of operations to countries with low-paid but well educated workers, but companies bent on cutting costs also see home agents as a way to avoid some of the consumer complaints common to overseas call centers (para. 3). Allowing people to work from their homes makes them happier, andShow MoreRelatedOutsourcing And Its Advantages For A Company1225 Words   |  5 PagesEXECUTIVE SUMMARY Outsourcing can have more disadvantages for a company if the company does not take major precautions before proceeding. The purpose of this report is to (1) identify major IT outsourcing risks. (2) How to minimize the risk to out rule the disadvantages. There are many steps to successful outsourcing; here are the main ones gathered from the research. †¢ Be discreet when selecting your vendor , analyse there previous work †¢ Consult with an attorney before signing the contract †¢ MakeRead MoreSection{Secure Cloud Computation: Threats, Requirements905 Words   |  4 Pagessection, one common system architecture of outsourcing computation is firstly proposed. Then, we demonstrate typical security threats and corresponding security requirements. After that, some functionally work related to secure outsourcing are discussed. The concept of the balance between security and efficiency is briefly talked at the end of the section. subsection{System Architectures for Outsourcing Computation } A common secure computing outsourcing architecture is as illustrated in Figure~ ef{fig:one}Read More The Outsourcing of American Jobs Essay1033 Words   |  5 PagesThe Outsourcing of American Jobs   Ã‚  Ã‚  Ã‚  Ã‚  The exporting of American jobs is an issue that is important and will become increasingly so as more and more white collar jobs are shipped overseas. American companies in the past few decades have been sending American jobs overseas paying residents of other countries pennies on the dollar what they had paid American workers to do. This saves the companies millions of dollars on labor costs but costs Americans precious jobs. As the problem of job outsourcingRead MoreDifferences Between Formal Research and Business Proposals1403 Words   |  6 Pagesdefine the document as a proposal. The introduction section of the documents discuss info on the problem, background and the problem statement section define the required action to be taken to address that problem. The goals were properly defined in the objectives section. The solution of the problem is well defined in the solution section by the writer suggesting the solution to solve the problem. A part from this sections like budget, schedule, resources, management and qualifications demonstrateRead MoreToyota Recall1198 Words   |  5 Pagesthis event did occur? During the research and analysis, the major cause of Toyota’s recall is the quality issues. For example the accelerator pedal problem, many different types of car were recalled, like RAV4, Corolla and Venza and even some very good quality cars, like Lexus. In this case, from suppliers to t he manufactures all have quality problems. 1.1 Suppliers Because pursue the maximum benefits and cost minimization, suppliers pay more attention on how to reduce cost. This lead to themRead MoreJ. Trading Divisions Between East And North America1304 Words   |  6 Pagesrecent cut back on expenditure towards J-Trading has made it worse for the infrastructure section and the IT department as a whole. J-Trading have tried to rectify the problem by outsourcing the PC Helpdesks, the options J-Trading had were Outsourcing Solutions and CMPI. There was a huge cost difference between CMPI and Outsourcing solutions. (Reference) CMPI was chosen as other companies stated that CMPI was good at doing their job, but the companies that provided the reference did not handle the amountRead More It Outsourcing Essay1029 Words   |  5 PagesIt Outsourcing INTRODUCTION Companies are increasingly outsourcing the management of information technology (IT) for reasons that include concern for cost and quality, lagging IT performance, supplier pressure, access to special technical and application skills, and other financial factors. The outsourcing solution is acceptable to large and small firms alike because strategic alliances are now more common and the IT environment is changing rapidly. REASON TO OUTSOURCE Although the mixRead MoreOutsourcing For A Human Resource Essay1698 Words   |  7 Pagescourse oppose or favor outsourcing jobs overseas. Secondly, this essay will deliberate upon the pros and cons of outsourcing overseas to a developing nation. Additionally, this paper will touch upon a situation with a human resource (HR) manager by the name of Jenny. With respect to, identifying whether Jenny should focus on her current career with her company or challenge her CEO contingent upon her own personal values and principles in relation to overseas outsourcing. Moreover, this paperRead MoreOutsourcing The Human Resource Function1422 Words   |  6 PagesOutsourcing the human resource function has many advantages and disadvantages for organizations. When companies operate on a global scale, outsourcing that functions adds another layer of complexity. When evaluating various options for this department, research should be performed on (a) the culture of staffing operations on fore ign soil (b) the structure of the human resource function in a global organization and (c) recruiting talent for a multinational corporation needs to be performed. ThisRead MoreOutsourcing: Staying Competitive In The Global Market Essays1719 Words   |  7 Pagesaddress what key elements companies in this situation need to address, such as, quality of customer service provided, security of confidential information, and the possibilities of cost savings, in order to be sure that outsourcing is the best solution for their company. Outsourcing to Stay Competitive For companies to stay competitive in todays global market, many are facing the decision to outsource sectors of their company. By taking a part of their business offshore, a company can lower their