Wednesday, September 11, 2019

Psychiatric Nursing Essay Example | Topics and Well Written Essays - 500 words - 1

Psychiatric Nursing - Essay Example Furthermore, this study attempts to categorize certain â€Å"life events† by their triggering mechanism. Naturally, to each patient, the triggering mechanism will be different; however, by analyzing the association between adverse life events and relapses in a number of individuals with schizophrenia, the authors were able to specifically link certain causal factors with relapses. Lastly, the authors note that a noted increase in what they term â€Å"moderately severe† life events can also lead to a noted increase in psychotic symptoms for the patient. This journal article studies ways in which to develop guidelines for nursing care professionals dealing with suicidal schizophrenics. Due to the high number of attempted suicides within this demographic, mental health professionals require expert direction on how to confront suicidal nature in patients and in what ways to best administer to their needs; all the while ensuring patient safety. The study found that immediately confronting the issue of suicide and the patient’s thoughts, feelings, views, and past history on the subject was the best way to assess suicide risk. This study further supports how health care professionals dealt with the patient in question - C.S. Because no time was wasted in pursuing answers to questions relating to his thoughts and feelings towards suicide, medical professionals were able to fully gauge his intentions. In short, by tactfully attempting to understand the patient in the shortest time possible, medical professionals are able to more efficiently develop a care plan uniquely suited to the patient’s particular needs. This journal article seeks to create a clear and concise body of knowledge for medical professionals on the provision of care for outpatients with bipolar disorders (Goossens et al, 2007). The study further

Tuesday, September 10, 2019

Architectural History and Theory Essay Example | Topics and Well Written Essays - 2250 words

Architectural History and Theory - Essay Example This was brought about by a renaissance of interest in Japanese building, due in part to two publications and an imported building, the appearance of which in itself was an inspiring recommendation. Both publications date from 1936. The first is a 36 page booklet with cardboard covers by Bruno Taut, a Prussian, who, throughout the 1920's, had been an engineer and designer of housing communities in Germany. In 1933 Taut went to Japan as an authority on architecture as well as industrial design. He spent some of his time examining and re-evaluating Japanese architecture, and on October 30, 1935, he revealed his conclusions in a Lecture Series on Japanese Culture sponsored by the Kokusai Bunka Shinkokai (Society for International Cultural Relations) at the Peers' Club in Tokyo. The talk with 25 illustrations was published the next year in essay form, under the title Fundamentals of Japanese Architecture (Taut 1936). Historical Development Bruno Taut took the position that the West misle d the Japanese into thinking the peak of their architectural achievement was the ornate sanctuaries at Nikko (Stennott 2004). In truth, he said, Nikko shows an undigested conglomeration of borrowed elements that are not Japanese by any means. Sure, simple inhabitant taste is to be found in the early Shinto shrines at Ise, in medieval Japanese farmhouses, and particularly in the Katsura Villa near Kyoto, the last of which was planned and built during the second quarter of the seventeenth century. Not like the contemporary group at Nikko, weighted down by the "ostentatious architectural conceptions of the war-lords," the Katsura articulates a freedom of design "in which harmony arises from absence of coercion," therefore becoming "a totally isolated miracle in the cultured world." The author has represented his favorite villas by connotation "international" and "eternal." The Katsura Villa was a return to inborn Japanese artistry, after centuries of being deceived by foreign imitation s, brought about by the stabilizing force of Zen principles that eschewed irrelevant ornamentation and abnormalities of proportion. Buildings referred to in the text are signified among the plates at the back of Taut's book, and these comprise a height of the Hiunkaku, of which the staircase leading up from the lake has been compared to the suspended flight of steps at Falling Water. The second publication of 1936 was Jiro Harada The Lesson of Japanese Architecture, issued at London and Boston. C. Geoffrey Holme, writing in the Introduction, states that the "Lesson" is proposed for the Western world, and may be "summarized in brief as standardization, diversity in unity, conventionality to a mode of living, connexion with nature, simplicity and, certainly, usefulness to purpose" (Harada 1936). Harada's text comprises three chapters, entitled, "A Short Historical Survey," "General Observations," and "The Japanese House Toda." They include seven figures and 158

Monday, September 9, 2019

The merger between two health care systems Research Paper

The merger between two health care systems - Research Paper Example management overlooked potential distrust from local care providers, it also did not focus on the overall inefficiencies as well as the market forces that come about during a merger. Furthermore, the new entity did not have cost-saving skills needed to keep the company a float after the merger; they combined this with poor cultural knowledge and team leadership needed to deal with losers and winners in the arrangement. Pennsylvania witnessed what could potentially be their largest health system yet in the 7th month of 1997 through the creation of Penn State Geisinger Health System. At first, the new unit now had 1342 beds, 1000 physicians, 77 outpatient clinics, 3 hospitals, 1 drug treatment facility as well as patients from about 40 counties in central Pennsylvania (Sidorov, 2003). During the formation process, the two former organizations needed to decide upon executive leadership, so they came up with a methodology for creation of a new board. They took a 50-50 split between board members from both health systems; however, Geisinger got the upper hand in this regard because its representative was the chairperson. He had the power to break ties during votes and he contributed towards a higher ratio of members from his own company; this implies that executive decisions were now skewed towards the chairperson’s former organization. Not all the aspects of the two companies were dissolved as Pen State Hershey would be retaining control of the college of Medicine that was under Hershey Medical Center. Several changes took place throughout the organization; for instance, the Health Plan under Geisinger now became a joint plan whose name accommodated the new change. This had the advantage of increasing the customer base to about a million for the HMO and expanded the geographic regions from which consumers came. The merged unit still maintained the regional demarcations that had been used by Geisinger, and only added Penn state HMC as a forth region which would

Sunday, September 8, 2019

Personal Project Essay Example | Topics and Well Written Essays - 2000 words

Personal Project - Essay Example Initiation of a new venture has various advantages as well as disadvantages. For example, with the introduction of a new venture, an individual can make more capital and have own freedom (Hultman and Shaw, 2003). On the contrary, initiating a new venture involves huge financial risks and along with that one need to take extra burden of work so as to get success. Yet, individuals explore this avenue so as earn money, respect and at the same time carry out some social works (Carson, Cromie, McGowan and Hill, 1995). In our case, the business chosen was restaurant business. The company was named as E-Food Restaurant and positioned to capitalize on the opportunities arises due to the changing consumer needs. The USP (unique selling proposition) of our restaurant is customer tailored and fresh meals. In addition, the location of our restaurant coupled with large seating capacity acts as a competitive advantage to the firm. The products of our restaurant are mostly inspired from the British culture and wildlife (Hultman, 1999). The launching of our first restaurant business is a part of our long term plan and to drive change in the industry. However, the process was not easy enough and we had to pass through various complexities before reaching this stage. In this report, I on behalf of our company would like to reflect upon the steps that we went through in establishing and running the company through the competition & the decisions that were made during the competition and their outcome. In addit ion, this self reflection report also proposes to shed light on the overall experience and knowledge that we have gained from the module. Lastly, a conclusive statement will be drawn regarding our overall experience and the things we have learned over the years. Our business also took the steps as other businesses usually take before venturing into a business. Likewise, any other business, our

Saturday, September 7, 2019

Demon Lover Essay Example | Topics and Well Written Essays - 750 words

Demon Lover - Essay Example The aura of this story is psychological because the mysterious letter is a physical element with mental and emotional implications. We all have demons; the skeletons in Mrs. Drover’s closet in this story happen to be real. The man Mrs. Drover was intended to marry, before he was sent to war told her he did not know how long he would be gone, but she had nothing to do to await his return. Months after his departure he is reported missing, presumably killed. For years she goes unnoticed and un-admired by men. When her mother and sister fear she is past all hope, at 32 she secures the affections of William Drover. They marry and have three children. Her fiancà © is the incarnate ghost of her past which has been haunting her since she attempted to her live her life after his disappearance. She struggles with the fact that she doesn’t know why she agreed to marry a man who was not kind to her. She still sees it as a suspension she was in and was not able to get out of. Something that still haunts her and makes her think of him, whether as a threat or as a person she left or could not wait for. She may feel guilt but it may be at her own actions. Guilt of feeling emotion for a man who did not treat her the way she wanted to be treated. When Mrs. Drover is described in her house, a house boarded-up and damaged by war, it’s painting for the reader an image of her life as affected by her long-lost fiancà ©; like her house, she’s damaged though emotionally, and boarded up and abandoned. She also described as living in the country-side, away from the house and with her new family. If one were to see the story this way, we could also see her in the house presently to clean out the remnants of her feelings for her fiance, or to begin the final battle to get him out of her mind. This is supported by the description of the weather as we’re introduced to the deserted house: overcast, as if preparing to storm and later, we hear rain. This description has nothing to do on her doubts of her fiance’s disappearance; it just helps describe her journey in a clear way, though on her, a physical sign of her war is seen through a nervous twitch of her mouth. We should realize the fact that psychological st ories such as this one are made for the reader, so we need to pay attention to the fact that Elizabeth Bowen is trying to direct our minds down certain path, especially when introducing us to the house. She is trying to set a mood that is bleak, sinister and warning of something darker being imminent. The neighborhood being described as war-torn makes the area seem tormented, â€Å"Against the next batch of clouds, already piling up ink-dark, broken chimneys and parapets stood out† (Bowen, 1). This mood is also set by the weather in the beginning of the story where Bowen is trying to build an atmosphere of tension. This story is psychological because Mrs. Drover’s evils are either a figment of her imagination, or they’re products of her ex-fiance’s threats, which are both physical and emotional. The letter she finds in her house is the first example of a physical threat, whether it is from him or not, she perceives the letter to be a threat in the way tha t the writer makes this whole story affect the reader: through controlled vagueness which causes the imagination of the recipient run wild and cause damage. The other physical reminder of her lover is the scar on her hand from

Friday, September 6, 2019

Cuadra v. Monfort case digest Essay Example for Free

Cuadra v. Monfort case digest Essay Maria Teresa Cuadra and Maria Teresa Monfort were classmates in Grade Six at the Mabini Elementary School in Bacolod City. On July 9, 1962 their teacher assigned them, together with three other classmates, to weed the grass in the school premises. While thus engaged Maria Teresa Monfort found a plastic headband, an ornamental object commonly worn by young girls over their hair. Jokingly she said aloud that she had found an earthworm and, evidently to frighten the Cuadra girl, tossed the object at her. At that precise moment the latter turned around to face her friend, and the object hit her right eye. Smarting from the pain, she rubbed the injured part and treated it with some powder. The next day, July 10, the eye became swollen and it was then that the girl related the incident to her parents, who thereupon took her to a doctor for treatment. She underwent surgical operation twice, on July 20 and August 4, 1962 respectively, and stayed in the hospital for a total of twenty-three days, for all of which the parents spent the sum of P1,703.75. Despite the medical efforts, however, Maria Teresa Cuadra completely lost the sight of her right eye. Maria Teresa Cuadra’s parents sued Alfonso Monfort (Maria Teresa Monfort’s father) based on Article 2180 of the Civil Code. Issues: Whether or not Alfonso Monfort should be held liable under Article 2180. Business Law Ruling of the court: The defendant is not liable and therefore cannot be sued under Article 2180. This article provides that the father and, in case of his death or incapacity, the mother, are responsible for the damages caused by the minor children who live in their company. The basis of this vicarious, although primary, liability is, as in Article 2176, fault or negligence, which is presumed from that which accompanied the causative act or omission. The presumption is merely based on the ï ¬ rst impression(prima facie) and may therefore be rebutted. This is the clear and logical inference that may be drawn from the last paragraph of Article 2180, which states that the responsibility treated of in this Article shall cease when the persons herein mentioned prove that they observed all the diligence of a good father of a family to prevent damage.† In this case, there is nothing from which it may be inferred that the defendant, Alfonso Monfort, could have prevented the damage by the observance of due care, or that he was in any way remiss in the exercise of his parental authority in failing to foresee such damage, or the act which caused it. On the contrary, his child was at school, where it was his duty to send her and where she was, as he had the right to expect her to be, under the care and supervision of the teacher. And as far as the act which caused the injury was concerned, it was an innocent prank not unusual among children at play and which no parent, however careful, would have any special reason to anticipate much less guard against. Nor did it reveal any mischievous propensity, or indeed any trait in the childs character which would reï ¬â€šect unfavorably on her upbringing and for which the blame could be attributed to her parents.

Thursday, September 5, 2019

Healthcare Management Communication and Ethics

Healthcare Management Communication and Ethics Question 1 (LO1a) Critically assess the FIVE (5) levels of managerial communications.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   (2 marks each, a total of 10 marks) Intrapersonal Communication is the communication process that happens internally. It is also a communicators internal use of language or thought and the basic level of communication. Intrapersonal Communication is like a talking to oneself or a self talk to explain something.   Intrapersonal communication is very useful to our daily living it is like having a conversation within oneself to clarify ideas or analyzing a situation. It is also used to have a self awareness and reflection on something.   To know yourself on how you deal with different situations especially in work places is boost by a self confidence. Intrapersonal communication helps builds self esteem because you are making aware of yourself by letting the inner you what you are capable of doing. Interpersonal Communication- is a level of a communication between a two individuals with a use of different mode of interaction. This kind of communication is being utilized when an individual wants to inform or to transmit a message to an individual.   It is also a exchange of ideas and information whether via face to face interaction or thru mobile communication. Interpersonal communication is very important to any business or career success. If a person is applying for a job a good interpersonal communication with the interviewer is very important to win the job the person is applying for. Even in the business settings interpersonal communication is essential especially to those who are in marketing department. This level of communication builds rapport and it is necessary to have a good conversation to the other person. The message must be clear and understandable to the receiver so a good feedback can be received. Group Communication- refers to the interface between members of a small group of individuals or a department. It applies to 3 or more member of a team, group or even a department. It may apply a verbal or non verbal communication for a common function. It is structured and initiate group members a fair opportunity to convey opinions and suggest ideas is significantly more dynamic advantage. The message is shared to a several member of a group in one time so it thus saves time and the effectiveness is highly advantage because 3 or more persons are sharing ideas and concepts. A department meeting is also a group communication where as department members are setting a time, minutes and targets to be proposed in the meeting to attain the common goal. Organizational-refers to the communication within the whole organization in which all stakeholders are part of the interaction. From employees, direct supervisors to the top managers. There are to subtypes of Organizational Communication the first on is Intra-organization and Inter Organization.   Intra- organization is the interaction within the single organization which the communication done internally. While the inter organization is the interface between two or more organization set up for a common goal. The channels used in this types of communications are it can be thru official letters, bills, proposals and the most effective is the minutes of meetings. The challenge with the inter organizational communication is the difference of the company culture, management culture and language barrier. The issue that may arise in intra- organization is lesser because the control of the organization is in the internal management. But the process is the same. Agendas can be communicated thru official letters, memos, notice boards and meetings. Mass Communication refers to the passage of the information or messages to a collection of group people or a large scale of audiences which relayed by a single communicator at the same time. The message or information is transmitted quickly because of different mediums or channels that can be used. The information are being transmitted through the use of televisions, radios, social medias like facebook , news papers or even books. The function of Mass Communication in the society can be cultural celebrations, religious gatherings, festivities, health surveillance, weather update, or warn people of certain threats and even entertainment. The Mass communication is very influential because of it is easily accessible and the audiences are in large groups of people. The feedback in this communication is minimal because it is only use to provide certain information and the mode of transmitting the message is one way. Question 2 (LO1a) Provide TWO (2) recommendations for improving the communication process in the given case study above.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   (5 marks each, a total of 10 marks) In Jennys case there was also a failure from her direct or immediate supervisor because for three months the supply has not been deliver. There was no communication between Jenny and her direct Manager or supervisor. Jennys supervisor should look for invoice slips, receipts or any evidence that the supply has been ordered or just waiting for the delivery. The interpersonal communication between the two was not established. To improve the communication between Jenny and her supervisor there must be face to face meetings to identify what is the issue or to just follow up the supplies if it is ready for the delivery or if there is an issue. The advantage of the face to face meeting is coordination and it will ensure the smoothness of the operation and it will prevent the issue that was happened with Jenny and the supplier. Jennys must have a memo or notice board for her as well to prevent forgetting the important daily routine or she should have done prioritizing her work and schedules. The speaker must speak clearly and precisely so the receiver will understand a Question 3 (LO1b) Critically evaluate TWO (2) types of managerial communication used in the given case study.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   (5 marks each, a total of 10 marks) In this case there is a verbal communications between nursing staffs and other hospital staff and computer aided communication. However the results of the communication did not end well. Verbal communication is one of the simplest ways of communicating at the workplace. And the information sent orally through words and can be emphasize the feelings with body language or hand gestures. Verbal communication can be done one by one interaction or can be done in group meetings. This is also a two way communication the message is relayed by a sender to a recipient, and the recipient can express his thought through feedback. Managers can communicate to the staffs through face to face interaction, emails, and phone calls and also via internal memos. Effective verbal communication prevents internal issues and it can increase productivity to the members. Computer aided communication like sending a message through emails is also a reliable medium of communication managers can use. Sending email s to the employees saves time and cost but effective. In this channel the message can be send to a group of people that requires the information. This is effective way in coordinating work and schedules unlike in verbal interaction the receiver might forget. While in emails it can be saved and the receiver can read again. The disadvantage of this type of communication is that cannot be use in urgent situation rather than face to face interaction. Urgent matter sent through emails can sometime neglect and the receiver needs a electronic gadget to view the message and access to a internet. If the receiver does not have access to internet the message cannot be receive. Question 4 (LO1b) Discuss TWO (2) recommendations for improving the communication process in the above given case study.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   (5 marks each, a total of 10 marks) There are failures in communication in this case and the control of the staffs was not handled effectively because there is a conflict of interest and unfair treatment between staffs. The relationship between the members of the organization causes the failure of coordination. To improve communication process the charge nurse should have communicated first with other counterpart if there will be a conflict in the work schedule. The supervisor of the group should have initiated a meeting within the group to analyze the situation. The coordination was poor and there was no information sent to other members of the group until the problem arises. Sara Lang, Dr. Goodman and Rick Walters should have coordination with each other and should have arranged a meeting to arrange the staff work schedule. The new time table was not reviewed properly and there was no information sent to the group about the change of the work schedule. The group must have coordination with each other to prevent this repeating in the future. The Work schedule must be posted at the memo boards and emailed as well and copied to everyone so that there will be no misunderstanding. Personal life must be removed in the work place to prevent favoritism that will cause conflict of interest in the future. Question 5 (LO1c) Explain how the TWO (2) types of feedback approaches used by the clinical mentor in Case Study 3 which relates to the effectiveness of managerial communication.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   (5 marks each, a total of 10 marks) The clinical mentor who is observing the counselling in approach number 1 is doing the Descriptive feedback. The clinical mentor identified and describes how the nurse interacted to the patient. The mentor was furious on how the nurse interacted with the patient. The nurse reacted in judgemental way and that could hinder the quality of building trust and rapport with the patient. The mentor commented to the nurse to let her know and understands what she needs to do to improve her conversation with the patient. In this way it will prevent the patient to disclose more information about her. To be more effective counsellor, insensitive interaction and judgemental comments must be avoided. In Approach two prescriptive feedback was used by the mentor to the nurse because she suggest something to the nurse that would probe further about the condom use. Prescriptive feedback provides advice about how to communicate and interact and it is like constructive criticism. Prescriptive feedback pr ovides suggestions to improve ways in dealing with the people. Thus helps someone progress in their communication skill. Communication in healthcare field is important because it is the foundation of care.