CW Essay Example | Topics and Well Written Essays - 2250 words

CW - Essay Example ased on the study and research, a through conclusion has been made to give a clear insight into whether the job insecurities in UK are a myth or a fact. The next section will provide a brief overview of the UK employment scene. As seen on the National Statistics website, the country’s unemployment rate for the quarter leading up to June 2010 was reported to be 7.8% which was noted to be down by 0.2% (National Statistics, 2010). The number of unemployed people also fell to 2.46 million during this period. The reports show that there was a fall in the number of people unemployed up to twelve months had fallen by 82000 and this reached a level of 1.66 million. However considering the number of people who were unemployed for a period of twelve months or more, it is clear that the number of people who were unemployed was much higher and this increased by almost 33,000 to reach 796,000. This has been recorded to be the highest figure since March 1997 (National Statistics, 2010). The graph below provides a clear insight into the current trend of the unemployment rate in the country. Over the last two years it has been noticed that the government along with the help of the Bank of England have been able to improve the growth of UK. It is to be noted that the Government has continued to take a lot of efforts to build different programs which would help the country sustain its economic performance and ensure growth of employment within the country. The results have varied. The next section will deal with the job security and insecurity that is faced in the country. With the current recession that has been faced by the country, there has been a major impact on the employment of people across the country. Unemployment rate plays a very important role in the macro economics of a country. The unemployment rate of a country helps macroeconomists analyse the number of people who are a part of the pool of labour however are unable to find work. It has been noted from previous

The Christian Virtues in Medical Practice Essay Example for Free

The Christian Virtues in Medical Practice Essay The Christian Virtues in Medical Practice is a soul touching and brain boosting book prepared by Edmund D. Pellegrino and David C. Thomasma in 1996. It speaks of how being a Christian makes a difference in being a physician. The philosophies of the authors made a colorful explanation in the book on how virtue ethics counts a lot. Faith, hope and charity were given emphasis since it is the three Christian virtues that medical practitioners should acquire in their profession. Many things in the book relate medicine and ethics which made it interesting especially if you are a believer of the Christian faith. The book is designed with faith so that physicians will dwell not only on medical but with spiritual healing as well. It has weakness in a sense that doctors who do not profess a Christian faith will surely goes against this book. In addition to this, there are some medical explanations that cannot be simply linked to one’s belief in faith and virtues. Nevertheless majority of the book talks about ethical principles pertaining to morality, spirituality and virtue focused medical practices in health care. â€Å"Faith points the way, hope sustains us on that way and charity is the ordering principle which deliberation, raising morality to the level of love (Pellegrino and Thomasma, 1996). The aforementioned virtues will give more meaning to medicine because it is an additional healing factor to the contemporary ethics of medicine. The authors also talks about how Christian physicians may not acquire these virtues but it is a must for them to have it included in their profession. There were also viewpoints in the book telling how faith, hope and charity in medical practices should be taught even to physicians who are non-believers of Christian faith. Cases of euthanasia, abortion and incompetent surgery were cited as an example to defend the importance of attributing morality and virtue ethics in patient treatment. Violent means violates the virtue of charity which for the book is really against the Christian way of medical practice. There are hypocrisies that can be found in the book since clashing of principle based and virtue based ethics were present. It serves as a guide on how physicians should act according to the Christian teaching and at the same time never sacrifices their profession as medical practitioners. For the book itself, moral judgment is an art. Moral life is designed to make the right decisions during medical circumstances. The physician in charge should incorporate discernment and right motivation in everything he or she does. The book is not for the most part concerned with the substance of ethical decisions but with the manner of arriving at them. It is focused merely on virtue ethics and has a Christian moral philosophy that looks upon St. Thomas Aquinas and St. Augustine. This ethical virtue can never be neglected and there have been considerable discussions of both moral theology and philosophy. Fundamentals of the book lie in the Christian understanding of the physician’s dignity. It is overwhelming to notice how the authors cite the words of Pope John Paul II as examples to fully explain their points of view. Physicians who are great followers of Christianity and incorporate medication with a heart will surely enjoy the book and share it to their non-Christian colleagues. But for those who values professionalism than faith, this book is not the right one to read. References: Pellegrino, E. D. and Thomasma, D. C. (1996). The Christian Virtues in Medical Practice. USA: Georgetown University Press.

Shadows in Fifth Business :: Fifth Business

Shadows in Fifth Business    Incidences that occur in one's childhood tend to affect them possibly for the rest of the rest of their life.   This applies to the novel Fifth Business and the characters Dunstan Ramsey and Boy Staunton.   Throughout the lives of these characters Dunstan lives in the shadow of Boy due to feelings of guilt and responsibility as a result of one winter evening in the town of Deptford.   As Boy and Dunny grew up together they were each others best friends and also worst enemies, but they were on basically   equal terms in their childish trials of life.   This remained to be true until that winter day in Deptford when Mrs. Dempster was struck with a snowball that was meant for Dunny.   Since that point in time Dunny, being the more caring and excepting of responsibility for other peoples problems, of the two, has not lived up to par with the life of Boy Staunton.   Ever since the snowball accident Dunny has been preoccupied by worrying   over Mary Dempster, and now her son Paul.   At the age of sixteen the small town of Deptford becomes too much for Dunny to handle so he decides to drop out of secondary school and   join the Army.   Dunny needed a change in his life, something to get his mind off Mrs. Dempster and the guilt he felt for her.   Leading up to his departure to the War he never really saw much of Mary, mainly because Mr. Dempster told him to stay away, but also because every time him saw her he couldn't hold back feelings of guilt and remorse.   This troubled Dunny, much more then he would ever let on.   On the other hand, Boy was doing as well as ever, possibly due to the fact that he knew that much of the responsibility of Mary and Paul was securely on the shoulders of Dunny.  Ã‚   Dunny knew this as well but it was too late to do much about it except leave.   While Dunny was away at war, Boy was still finishing school and in the process of stealing Dunny's girl while he was away.   Boy and Dunstan had been competing for Leola all their life up until when Dunny left.   This loss for Dunstan could have been avoided if in fact he had not   accepted responsibility for the snowball incident he wouldn't have had to leave and therefore could have kept Leola.

Abraham Lincoln Essay -- Biography Biographies Bio

Abraham Lincoln   Ã‚  Ã‚  Ã‚  Ã‚  Abraham Lincoln was born on February 12, 1809 in Kentucky. When he was two, the Lincoln’s moved a few miles to another farm on the old Cumberland Trail. A year later, his mother gave birth to another boy, Thomas, but he died a few days later. When Lincoln was seven his family moved to Indiana. In 1818, Lincoln’s mother died from a deadly disease called the â€Å"milk-sick.† Then ten years later his sister died and left him with only his father and stepmother.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln traveled to New Salem in April 1831 and settled there the following July. In the fall of 1836 he and Mrs. Bennett Abell had a deal that if she brought her single sister to New Salem he had to promise to marry her. When she arrived he was not to pleased with her because her skin was full of fat. Around seven months later he asked Mrs. Orville Browning to marry him but she said no. Lincoln met his wife to be, Mary Todd, at the grand cotillion in honor of the completion of the new capital building in 1839. They got engaged and a while later he broke off the engagement because she was seeing other men. Around a year later in Springfield on November 4, 1842 Abraham and Mary got married. In 1844, Abraham and his wife were able to purchase their own house in Springfield. It was a one-and-a-half story frame cottage. In May 1843, the Lincoln’s had a son and named him Robert, after the addition to the family they made the house a full two story house. Lincoln had three more sons Edward Baker, William Wallace, and Thomas. Edward died at the age of three, the cause of death was either consumption or pulmonary tuberculosis.   Ã‚  Ã‚  Ã‚  Ã‚  In 1832 Lincoln announced himself a candidate for the state legislature but he was defeated. Then a year later he was appointed postmaster of New Salem and in the fall he became deputy county surveyor. He really wanted a seat in the Illinois legislature so he ran again and was elected with bipartisan support.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln was very interested in being a lawyer, he would walk fifteen miles just to watch the court cases in Boonville, Indiana. Lincoln got a license to practice law after several hard years of teaching himself. By the early 1850s, the Lincoln-Herndon law office had become a leading Springfield firm.   Ã‚  Ã‚  Ã‚  Ã‚  Chairman of the Senate’s Committee on Territories, Stephen A. Douglas of Illinois came out with a new congr... ... was shot and killed by federal troops who cornered him in a burning barn near Port Royal, Virginia. Seven men and one woman were arrested as accomplices to Booth. Herold, Paine, and Atzerodt were the most active accomplices and were sentenced to death by hanging. O’Laughlin, Arnold, Dr. Mudd were unjustly accused with helping plan the murder, but got life sentences. Edman Spangler got six years and Mary Surratt was sentenced to death for having Booth’s riffle waiting for him that night. On July 7, the three men and one woman were hung.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln did not stay buried at the Oak Ridge Cemetery. His body was kidnapped by a band of ransom-hungry grave robbers, therefore, his body was moved around for the next 36 years. Lincoln was then buried at a spacious memorial of eight acres but grave robbers struck again and as the coffin was half out the police showed up. Under Robert Lincoln’s instructions a hole thirteen feet deep was dug below the main catacomb floor, a four-foot base of cement was laid and an iron cage sunk into it. The coffin would be lowered into the cage and cement poured, creating a block eight feet deep. Finally, Abraham Lincoln can rest in peace. Abraham Lincoln Essay -- Biography Biographies Bio Abraham Lincoln   Ã‚  Ã‚  Ã‚  Ã‚  Abraham Lincoln was born on February 12, 1809 in Kentucky. When he was two, the Lincoln’s moved a few miles to another farm on the old Cumberland Trail. A year later, his mother gave birth to another boy, Thomas, but he died a few days later. When Lincoln was seven his family moved to Indiana. In 1818, Lincoln’s mother died from a deadly disease called the â€Å"milk-sick.† Then ten years later his sister died and left him with only his father and stepmother.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln traveled to New Salem in April 1831 and settled there the following July. In the fall of 1836 he and Mrs. Bennett Abell had a deal that if she brought her single sister to New Salem he had to promise to marry her. When she arrived he was not to pleased with her because her skin was full of fat. Around seven months later he asked Mrs. Orville Browning to marry him but she said no. Lincoln met his wife to be, Mary Todd, at the grand cotillion in honor of the completion of the new capital building in 1839. They got engaged and a while later he broke off the engagement because she was seeing other men. Around a year later in Springfield on November 4, 1842 Abraham and Mary got married. In 1844, Abraham and his wife were able to purchase their own house in Springfield. It was a one-and-a-half story frame cottage. In May 1843, the Lincoln’s had a son and named him Robert, after the addition to the family they made the house a full two story house. Lincoln had three more sons Edward Baker, William Wallace, and Thomas. Edward died at the age of three, the cause of death was either consumption or pulmonary tuberculosis.   Ã‚  Ã‚  Ã‚  Ã‚  In 1832 Lincoln announced himself a candidate for the state legislature but he was defeated. Then a year later he was appointed postmaster of New Salem and in the fall he became deputy county surveyor. He really wanted a seat in the Illinois legislature so he ran again and was elected with bipartisan support.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln was very interested in being a lawyer, he would walk fifteen miles just to watch the court cases in Boonville, Indiana. Lincoln got a license to practice law after several hard years of teaching himself. By the early 1850s, the Lincoln-Herndon law office had become a leading Springfield firm.   Ã‚  Ã‚  Ã‚  Ã‚  Chairman of the Senate’s Committee on Territories, Stephen A. Douglas of Illinois came out with a new congr... ... was shot and killed by federal troops who cornered him in a burning barn near Port Royal, Virginia. Seven men and one woman were arrested as accomplices to Booth. Herold, Paine, and Atzerodt were the most active accomplices and were sentenced to death by hanging. O’Laughlin, Arnold, Dr. Mudd were unjustly accused with helping plan the murder, but got life sentences. Edman Spangler got six years and Mary Surratt was sentenced to death for having Booth’s riffle waiting for him that night. On July 7, the three men and one woman were hung.   Ã‚  Ã‚  Ã‚  Ã‚  Lincoln did not stay buried at the Oak Ridge Cemetery. His body was kidnapped by a band of ransom-hungry grave robbers, therefore, his body was moved around for the next 36 years. Lincoln was then buried at a spacious memorial of eight acres but grave robbers struck again and as the coffin was half out the police showed up. Under Robert Lincoln’s instructions a hole thirteen feet deep was dug below the main catacomb floor, a four-foot base of cement was laid and an iron cage sunk into it. The coffin would be lowered into the cage and cement poured, creating a block eight feet deep. Finally, Abraham Lincoln can rest in peace.

Pm Tests

Week 2 : Planning the Project: Scope and Responsibilities – Quiz ————————————————- Top of Form Time Remaining:  |   Ã‚  Ã‚  | 1. (TCO A) Projects have specific attributes. Which of the following is not an attribute? (Points : 5)|   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Has a sponsor or customer. Has interdependent tasks. Utilizes various resources. All of the above are project attributes. | 2. (TCO A) Which step of the project life cycle involves identification of a need, problem, or opportunity? (Points : 5)|   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Initiating Planning Performing Closing | 3. TCO B) For a project, the objective is usually defined in terms of which three items? (Points : 5)|   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Scope, schedule, and cost Schedule, plan, and controls Plan, scope, and packages Scope, cost and controls | 4. (TCO A) a) If the project scope is increased, what are the l ikely steps that the project manager would take with regards to the other triple constraints? Why? (15 points) b) If the project schedule is relaxed or lengthened, what is the impact on quality? (15 points)  (Points : 30)According to the triple constraints: â€Å"Scope, Time, Cost†.All three of these impact the quality depending on which trade off is affecteda) The longer a project takes to complete, the more it will impact the quality of the project as a whole. b) Being relaxed or expanding the time frame for completion will impact scope and cost. Why? More money and less time to complete the work package deliverables. | 5. (TCO B) You are reaching the end of your graduate school program, and are planning a large party to celebrate your success! You have rented out the local forest preserve as the venue for your party.Applying your project management skills, you want to ensure you have everything planned out and you’ve asked your family and friends to be a part of y our team to hold this party. At your party, you have made it clear to your team what you want to have delivered. After all, it’s your party – you can have whatever you want! Some of the key items you want at your party include: * Graduation announcements * Party invitations * Live entertainment * Games (for adults and for children) * Food * Beverages * Convenience for all (parking, restroom facilities, etc. a) To ensure you have a clear scope for your team, create a 2-level WBS. Don’t forget to include your WBS numbering. (20 points) b) In your WBS, how many work packages have been created? (10 points)  (Points : 30)Level 11. 0 Graduation 1. 1 Graduation announcements 1. 2 Party invitations 1. 3 Live entertainment 1. 4 Games (for adults and for children)Level 22. 0 Food and Services 2. 1 Beverages 2. 2 Rest room facilities 2. 3 Valet Parking  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  | | Time Remaining:  |   Ã‚  Ã‚  | Bottom of Form

A comparison between The Woman In Black and The Signalman Essays

A comparison between The Woman In Black and The Signalman Essays A comparison between The Woman In Black and The Signalman Paper A comparison between The Woman In Black and The Signalman Paper Essay Topic: Literature The Black Monk When reading both ghost stories, The Woman in Black, and The Signalman, the text which I enjoyed and prefered was the Woman in Black. Susan Hill, the author of this novel creates a menacing and baleful atmosphere that can be rather unsettling for any reader. She also creates a presence of evil throughout the story, as it is portrayed through setting, characters, plot and descriptive language. Susan Hill sets the first scene in the first chapter with the description of the pleasant festive meal, which had taken place on Christmas Eve at Monks Piece. Arthur Kipps the narrator was fearful of his memories intermingling with the festivities, as his family were rather keen for him to tell a ghost story, I was trying to suppress my mounting unease, to hold back the rising flood of memory. Unfortunately no one in his family knew what he had been through earlier in his life, when he came to terms with the Woman in Black. The beginnings of both texts are completely different. When first reading, The Signalman, it appears that the signalman is in a remote location as it is in a cutting where a train passes through. The Signalman works alone, making his post a solitary one. His post was in a solitary and dismal place as ever I saw. So little sunlight ever found its way to this spot, that it had an earthy deadly smell; and so much cold wind rushed through it, that it struck chill to me, as if I had left the natural world. This last quote tells me that this place is not natural and that the narrator has entered an entirely different world. Both these two texts are written in the 1st person but Dickens uses his narrator in the Signalman to tell the story in the perfect tense. In, The Signalman, the narrator is not actually haunted by ghost so he cannot describe his emotions and feelings whereas in the Woman in Black the narrator, Arthur Kipps, experiences the hauntings of the Woman in Black so, is clearly able to express his feelings and emotions about his hauntings. When Susan Hill develops the narrators feelings, she uses long passages of description that is rather effective. She sets the scene and anxiety and foreboding has begun. Something sinister has happened to Kipps and we know that in chapter 2, A London Particular. The story of Kipps is about to unfold. He relates being called to attend an interview with Mr. Bentley and although it was many years ago he can remember the smallest details of that day travelling up to London. Susan Hill also uses different place names and weather conditions to create an atmosphere of evil, for example, the nine lives cause-way, the mist and the fog. In, The Signalman, Charles Dickens does not use much description, He was a dark sallow man, with a dark beard and rather heavy eyebrows. But it is more than we know of the visitor who, along with the signalman, remains nameless and he seems to have no apparent reason for his visit to the signalman and shows no earlier or previous relationship him. Charles Dickens leaves many things unknown. Firstly we know little about the signalmans past but what we do know doesnt seem to add up to this present situation. We know he is well-educated man but is strange as a signalman is a rather lowly post. We know that he ran wild in his youth, but we know not of the circumstances. However, both these narrators have something in common as they both look back on incidents. The haunting in, The Signalman, conveys irony and sadness for the signalman rather than trying to frighten the reader. Charles Dickens does this particularly well and if the text is read well you can sympathise with the signalman and what the ghost is doing to him. The author does this well in my opinion. In the nursery in, The Woman in Black, the woman in black has just got off the chair and passes Arthur Kipps. Susan Hill writes this to disturb and daunt you with the adjectives that she uses. The sound and images created in your head are meant to terrify you. Susan Hill builds up the atmosphere well and really does haunt you well because it is a more detailed account. In, The Signalman, we know nothing about the ghost, we dont know if it is a past victim of a train crash or any other murder or if it is there as a guardian for the signalman or just to warn the signalman of an upcoming accident. The irony of it is, is that the spectre finally forecasts the signalmans own death. Charles Dickens varies the pace of this short ghost story and I found this to be rather difficult to apprehend. To conclude I feel that, The Signalman, meets all criteria needed for a good ghost story. Its not, hair raising stuff but there is a physiological doubt in the readers mind on whether the signalman is going mental or what is happening is true. I think that for the time that it was written it would have been very disturbing literature to read. But todays standard it doesnt have the same appeal that other novels have. Though I am sure it will go down in history as a classic. In, The Woman in Black, Susan Hill builds suspense throughout the story line. The suspense is created mainly by hints and clues given by characters, and sightings of the ghost building up to a climax. For example, when Kips sees the Woman in black in the graveyard and also when at Mrs Drablows funeral. At the end of the novel there is another climax, an unexpected one, the death of Kipps wife and child. The narrator describes a peaceful, happy Sunday afternoon in summer. He describes a festive holiday air, stalls selling ice creams, small boats being rowed and a band playing. Arthur Kipps then goes on to tell of his child and wife enjoying a ride in the pony and trap. It was a happy scene depicting good when suddenly Kipps sees the ghost of Jennet Humfrye-everything changed-good changed to evil. The story sadly finishes with Stella and the baby dying instantly. Whenever her ghost is seen, a child dies but in this instant Kipps wife also dies. The character Jennet Humpfrye comes across as a very bitter woman as she cannot forgive her sister, Alice Drablow for the death of her son Nathaniel. She sees her sister as someone who robbed her of happiness and motherhood and would never allow her to forget it. Thus, she therefore took her revenge on those living locally by haunting them. Susan Hill has used the theme of evil in the novel as if there was another character. The evil makes the book effective. It is believeable as well because Arthur Kipps was a calm, rational man who underwent a great change due to the evil he encountered. The ending of the story is very dramatic and makes the reader feel that Kipps really doesnt want to say anymore and will be glad to put the past to rest. They asked for my story. Ihave told it Enough. This was why I preferred, The Woman in Black, as it enticed you into the novel.

Lessons from the Womens Fiction Festival in Matera

Lessons from the Womens Fiction Festival in Matera United We Stand - Lessons from the Women's Fiction Festival in Matera Here’s an excerpt from  Ricardo’s guest post for the Alliance of Independent Authors â€Å"self-publishing advice† blog. You can read the full article here.Unity and connection between authors has been widely discussed over the past few weeks. This is mainly the result of the much too commented Amazon vs Hachette dispute, which is rekindling the opposition between some traditionally published authors and the indie community.This is why I was particularly looking forward to the panel on the last day of the conference called â€Å"United we stand†. Four American indie authors were present: Bella Andrà ©, Tina Folsom, Debra Holland and Shelley Adina (who is also Bella’s copy editor) along with the representatives of a new European association, the EWWA.About the Women’s Fiction FestivalBut before I get there, let’s talk a bit about the festival itself. It is organized essentially by three incredibly energetic women: Elizabeth Jennings (author and translator, and a member of the ALLi), Maria Paola Romeo and Mariateresa Cascino. It has been taking place every year for the past 11 years in the magical city of Matera (I spent most of my spare time taking pictures.The choice of the city, which might be surprising for a truly international conference, isn’t a coincidence. Matera is currently running for the â€Å"2019 cultural capital of Europe† title, and thus supports and sponsors a lot of cultural events and conferences. Moreover, it is a city laden with history. It underwent an exceptional change over the past 50 years, and is now living in a mix of traditionalism and modernism. Much like the publishing industry†¦Read the entire post on The Alliance of Independent Authors’ blog.

Process Writing for ESL and EFL

Process Writing for ESL and EFL Process writing is an approach to incorporating writing skills from the very beginning of the English learning process. It was developed by Gail Heald-Taylor in her book Whole Language Strategies for ESL Students. Process writing focuses on allowing students- especially young learners- to write with plenty of room left for error. Standard correction begins slowly, and children are encouraged to communicate through writing, despite limited understanding of structure. Process writing can also be used in an adult ESL/EFL setting to encourage learners to start working on their writing skills from a beginning level. If you are teaching adults, the first thing learners need to understand is that their writing skills will be well below their native language writing skills. This seems rather obvious, but adults are often hesitant to produce written or spoken work that is not up to the same level as their native language skills. By easing your students fears about producing sub-par written work, you can help encourage them to improve their writing abilities. Only mistakes made in grammar and vocabulary that has been covered up to the current point in time should be corrected. Process writing is all about the process of writing. Students are striving to come to terms with writing in English by writing in English. Allowing for mistakes and refining based on materials covered in class- instead of perfect English- will help students incorporate skills at a natural pace, and improve their understanding of materials discussed in class in a natural progression. Here is a short overview of how you can incorporate process writing into your students learning routine. Aim: Improve writing skills from beginning levels of EnglishActivity: Process writing - journalsLevel: Beginning to advancedMaterials Needed: Notebook for each student Outline Encourage learners to write in their journal at least a few times a week. Explain the idea of process writing, and how mistakes arent important at this stage. If you are teaching higher levels, you can vary this by stating that mistakes in grammar and syntax on material not yet covered arent important  and that this will be a great way to review material covered in past levels. Students should write on the front side of each page only. Teachers will provide notes on the writing on the back. Remember to focus only on material covered in class when correctly student work. Start this activity by modeling the first journal entry as a class. Ask students to come up with various themes that could be covered in a journal (hobbies, work-related themes, observations of family and friends, etc.). Write these themes on the board. Ask each student to choose a theme and write a short journal entry based on this theme. If students do not know a particular vocabulary item, they should be encouraged to describe this item (for example, the thing which turns on the TV)  or draw the item. Collect the journals the first time in class and do a quick, superficial correction of each students journal. Ask students to rewrite their work based on your comments. After this first session, collect students workbooks once a week and correct only one piece of their writing. Ask students to rewrite this piece.

Post-occupancy evaluating of low income housing Essay

Post-occupancy evaluating of low income housing - Essay Example 22). The evaluation of functional aspects assures that the building is able to meet some of the most common and inevitable needs of the occupants, that could not be sidelined in any modern human accommodation, whatever the financial constraints (Bachman 2008, p. 15). The evaluation of technical aspects of an occupied low income housing supported by the user feedback helps understand how the technical maladjustments support or restrain the daily activities of the occupants (Brown 2001, p. 82). Very often minor technical fine tuning goes a long way in enhancing the eventual benefits to the occupants. Besides it also allows for improving the designs of the future low income accommodations. The same stands true in the context of evaluation with regards to social views. This suggests the minor improvements that could help better the design to suit the aspirations of the occupant as per one’s socio-economic needs and aspirations (Brown 2001, p. 82). Reference List Bachman, Leonard R 2008, ‘Architecture and the Four Encounters with Complexity’, Architectural Engineering and Design Management, Vo. 4, no. 1, pp. 15-19.

Womens right and culture Essay Example | Topics and Well Written Essays - 1250 words

Womens right and culture - Essay Example Society espouses women are known to be the weaker gender. Being week, women are often discriminated. The article emphasizes gender discrimination prevents the entry of women into the entrepreneurial world. The research conducted of African American, Asian, and minority women entrepreneurs indicated gender discrimination led to fewer women successfully entering the entrepreneurship world. Family members played a vital role in discouraging women from prioritizing the entrepreneurship roles. The paper affirms men have better chances than women in the world of finance. However, there is â€Å"global increase in the number of women are entering the entrepreneurship world by setting up their own businesses, increasing by as much as between  ¼ increase to as high as 1/3 increase per year.† (Ama, Ama & Mangadi 507). Despite society’s disadvantageous stand on women, some women do not give up on life. Instead, they double their efforts to surpass the obstacles of the bias of the gender-discriminating world in order to increase the family’s overall income or cash. The paper places importance on the government’s role in increasing the number of women entrepreneurs in each country. The government must set into motion strategies and policies that encourage, not deter, the women from entering the profitable entrepreneurship world (Ama, Ama & Mangadi 508). In another article, the sports world prefers a male-prioritized coaching strategy. As expected, most of the sports coaches are males. In the corporate world, most of the management officers are males. Statistics indicated that only one out of five coaches belongs to the female gender. Consequently, female job applicants struggle to land the leadership coaching jobs. The research indicates that the athletes undergo a male training strategy (Aicher & Sagas, 171). Further, the same article affirms society’s preference for

IBM Essay Example | Topics and Well Written Essays - 1000 words

IBM - Essay Example The company and employees welcome change as the main driver of success and profitability. IBM has 32 leaders responsible for certain organizational activities and performance. Customers and technology are the primary driving factors in this arena. Customers want products that satisfy their needs or improve their productivity. IBM looks for ways to deliver these benefits at a lower cost, smaller size, and higher speed. Operating within an industry with this kind of rapid change presents several challenges for personal computer and notebooks, namely production costs, intellectual property owners, and monopolies. In general, IBM is one of the profitable Corporations today and, as predicted, in future (Bellis, 2001). Strengths of IBM Corporation include knowledge, relationships, selling and history. The challenges of the company are based on high quality of products and services. Direct sales force maintains a relationship. Among the weaknesses are high competition and rapidly changing technology market. The innovative PC technology is not cheap and that is why not all the potential customers can afford it today. IBM, in contrast to Dell Corporation, tries to maintain high standards of service proposing and selling (the most important) to its customers high quality products. Taking into account his vision of the company, it is possible to say that central planning and negotiating inputs from might have gone, but there remained the assumption that some other agency would solve the problems: an assumption the CEO himself appeared to share. All of this was taking place within a structure which remained hierarchical, with little involvement of junior management or the workforce, who believed that their product could only sell locally and clung to the assumption that they could sell everything they could produce. All of the IBM leaders participate in the change

Case Question #30 Essay Example | Topics and Well Written Essays - 500 words

Case Question #30 - Essay Example Whistle blowing is good because it exposes corruption and malpractices, which could harm the society. If Ayer does nothing he is causing harm to the society, to himself, because he would keep feeling guilty and also to the organization because the management may not be aware at which level such things are happening. b. If Ayer complained there is every chance that manufacturing would stop and many would lose their jobs. Whistle blowing is a complex social phenomenon. While it exposes corruption in the society or the organization, it can be bad because it amounts to breach of trust. A whistle blower has to take into account three elements before taking the decision to whistle blow - dissent, loyalty and accusation (Rocha & Kleiner, 2005). The natural instinct of the person in witnessing a wrong doing is to report about the action. What holds back the person is the fear – the consequences that may arise out his action. Ayer should carefully assess the situation, discuss it with colleagues and bring it to the notice of the management in such a way that it causes the least harm to the society or the organization or to his colleagues. His motive for whistle blowing is not malicious or vested with personal interests. Ayer would not be making an ethical decision if he did nothing simply becaus e his colleagues would lose jobs. c. If Ayer blows the whistle on the firm by releasing the information to the news paper and the television networks, it would have repercussions both on the firm and on Ayer. At the time of employment, usually employees have to sign a ‘non-disclosure agreement’ which binds them and holds them back from revealing secrets of the company to the public. At the same time, public interest demands that a professional must be an ethical person (Camerer, 1996). Whistle blowing would also amount to disloyalty to the organization. Hence the person reels under the agony of

College writing- bodybuilding and steroid Research Paper

College writing- bodybuilding and steroid - Research Paper Example In this way, the athletes struggle, and perpetual desire to perform at the height of their abilities is how the spectator believes they integrate with the game or performance in question. Sadly, as has been exhibited over the past few decades, athletes are more than willing to go beyond the bounds of ethics and morality and dope themselves with performance enhancing drugs/steroids as a function to perform beyond the abilities that normal training and everyday dedication can yield. Such a decision has more than one set of drawbacks. As such, the first of these is the moral and ethical drawback that the athlete is ultimately not achieving whatever level of success they do based upon their own natural abilities but rather based upon the unnatural and unethical use of chemicals that do not exist within their body. Secondly, and perhaps more importantly, is the fact that the athletes are doing irrevocable harm to their bodies for but a few brief moments of hoped fame that this will engend er. Accordingly, this brief essay will seek to discuss and draw a level of inference upon these two factors as a way of understanding what the effects of steroid use can ultimately portend for the athlete’s morality as well as general health. Firstly, the issue of morality and ethics must be considered. This particular consideration is important due not only to the fact that the use of steroids and other performance enhancing drugs allows the athlete to perform beyond his/her natural abilities but due to the fact that the use of these substances represents a dishonest image of the sportsman to the end spectator and/or viewer (Stephan, 2007). This is not truly the singular fault of the athlete but also a fault of the way in which our current society seeks to place its athletes and celebrities on something of a pedestal of perfection. In such a sense, it becomes inconceivable for society to understand that the athlete, something of the current idol and/or god, could

Case Question #30 Essay Example | Topics and Well Written Essays - 500 words

Case Question #30 - Essay Example Whistle blowing is good because it exposes corruption and malpractices, which could harm the society. If Ayer does nothing he is causing harm to the society, to himself, because he would keep feeling guilty and also to the organization because the management may not be aware at which level such things are happening. b. If Ayer complained there is every chance that manufacturing would stop and many would lose their jobs. Whistle blowing is a complex social phenomenon. While it exposes corruption in the society or the organization, it can be bad because it amounts to breach of trust. A whistle blower has to take into account three elements before taking the decision to whistle blow - dissent, loyalty and accusation (Rocha & Kleiner, 2005). The natural instinct of the person in witnessing a wrong doing is to report about the action. What holds back the person is the fear – the consequences that may arise out his action. Ayer should carefully assess the situation, discuss it with colleagues and bring it to the notice of the management in such a way that it causes the least harm to the society or the organization or to his colleagues. His motive for whistle blowing is not malicious or vested with personal interests. Ayer would not be making an ethical decision if he did nothing simply becaus e his colleagues would lose jobs. c. If Ayer blows the whistle on the firm by releasing the information to the news paper and the television networks, it would have repercussions both on the firm and on Ayer. At the time of employment, usually employees have to sign a ‘non-disclosure agreement’ which binds them and holds them back from revealing secrets of the company to the public. At the same time, public interest demands that a professional must be an ethical person (Camerer, 1996). Whistle blowing would also amount to disloyalty to the organization. Hence the person reels under the agony of

Lesson Plan Reflections Essay Example | Topics and Well Written Essays - 500 words

Lesson Plan Reflections - Essay Example The activities I planned supported the learning objective since they were related to the lesson work and aimed at enabling the student understand the concepts for every lesson. For example, reading the story on time and pointing to the clock to depict the different time mentioned engaged the students since it entailed use of both audio and visual learning aides. This fostered the students to meet the learning objectives. The other activity for the math lesson on time around the world required the students to draw picture to indicate digital times as well as analog time. This meets the objective, which was to enable students to tell time using analog and digital clocks. I could tell whether the students were successful in achieving the objectives depending on how they performed in the after lesson assessments. For example, the objective of the Social Studies lesson on Girl on the Go was to enable students remember the different countries they had learnt in the history lesson. The story used different monuments in association with different countries. To assess if the students met the objectives, I asked post-reading questions that covered what happened in the beginning middle and end of the story. Moreover, I asked the students to mention the countries that Isabella visited, what the different countries were famous for, and they answered correctly. Additionally, the students were supposed to tell each other countries they had visited, to see if they remembered the previous lessons. I realized that student learn better through activities. For example, after reading the story about the Girl on the Go, I realized that students could easily remember the courtiers mentioned in the story as compared to other countries covered in previous lessons. They would also associate different monuments with the countries where they are located. Moreover, use of pictures and a clock in the math class made the lesson interesting and the students were excited when they realized

Past, Present and Future Essay Example for Free

Past, Present and Future Essay Before studying at the University of Phoenix program, I thought that my career is at its peak, I am married, I have three kids and I have a stable job for 15 years, but then I feel something missing. I attributed that void within me to my lack of a degree, and I want to prove to myself and to others that I deserve everything I have right now by backing it up with a degree. Education, for me, is a very important part of a person’s growth and development. That is why I strive not just to be able to provide my family’s basic needs, but to also provide my kids the best education possible. Then it hit me, I had to set myself as an example to my children that, indeed, education is and will always be important. I had to earn my degree. During the course of my work, I can say that I am competent enough in my analytical skills; I can solve basic problems, find solutions, think logically and perform my tasks efficiently. But one problem I had is that I was weak at my written and oral communication skills because I have not undergone the proper training to develop them both; yes, I was able to apply them all throughout my career, but I was not able to produce formal letters without having to browse through guides that will help me produce my work. Information retrieval was never a problem because I am still young and my memory, although not as sharp as it used to be, is still very much dependable; regarding the utilization and collaboration of this data though, I have been able to manage, but I fear that it is not as efficient as I would like to be because I have not yet been able to hone my skills and tackle formal ways to address issues efficiently. When I started to work, my goal was simple: stay in this job so that in the long run, when I start my own family, I can be able to provide them with their basic needs such as a proper home, enough food, and good education. But no one hinders me from dreaming; as time passed I started to change these goals, I want to be better-off, now I’m dreaming of gaining a high position someday, be able to pamper my wife and my children luxurious gifts, and basically live the good life. Once again I thought about my lack of education; these dreams became the stepping stones which motivated me pursue my education and realize these career goals that I once thought are just dreams. During my stay at the University of Phoenix, the two core courses that I enjoyed the most were public relations and international marketing. The course in public relations has helped me a lot with my abilities to interact with people, the proper ways of doing things – how to address them, how to project myself in a way that it exhibits confidence and knowledge at the same time – these kinds of things. The international marketing course has helped me understand the do’s and don’ts in markets in a global scale, as well as be able to predict trends and fads. Considering that I am in the beverage industry, these courses will pretty much help me as I interact with people, not just the customers but also the higher –ups in both the domestic and foreign markets. The other two subjects that got me interested most were Critical Thinking and Human Motivation. In the Critical Thinking course, I was able to hone my problem solving and =general data processing and it has helped me a lot professionally because of the nature of my work. The cut throat world of industry has become a little easier for me now that I have these skills. The other course, Human Motivation, has helped me with in interacting with people from all walks of life, and I believe that it has been and will be very helpful in my future endeavours. Human motivation, as I see it, does not box the people in, rather it helps them get â€Å"out of the box† by motivating them, not forcing them. My completion of this degree helps prove one of the most obvious facts in life – that life is indeed a never ending journey. I will never learn everything there is to know, but this will not stop me from being curious, that is why I have started to crave for learning not just because it will help me develop myself into an educated, motivated individual, but it will also help bring out all that is best within me. For the next five years, hopefully I can further pursue higher learning and expand my career by getting a promotion. I feel that I now deserve any type of promotion that I will be able to achieve given that I can already back it up with my degree. If I will come across programs such as seminars, forums, and such discussions about critical thinking and human motivation, then I would gladly undertake it because I feel that there is still much to learn in these subjects. For me, human interaction is a skill that one can be good at but can never master, and I will, as I have always done, continue to work on these skills by interacting with my peers, my customers, and my superiors. The difference now, though, is that I have formal knowledge on how to tackle situations that I would not have otherwise known if I had not finished my education.

Concept of social entrepreneurship

Concept of social entrepreneurship Understanding the concept of social entrepreneurship will be of value in whichever career path I choose As the concept of entrepreneurship becoming important sources in economic fields, many existing businesses have been trying to implement that concept onto their own running business. It is not simple to define or decided entrepreneurship as only one set word or concept, because it has wide range of meaning and is the method that contains complex mixture of fundamental economic principle. In addition to that, when the concept is applied in certain industry it could be developed in many different ways depending upon which industries are targeted. Finally, the misunderstanding of implementing that entrepreneurship concept may lead the outcome that entrepreneur planed it in the process to unexpected situation, could be negative or coincidently positive for them. The concept of entrepreneurship has been studied for many years and it was illustrated by the classic theory of development worked by author named Benjamin Higgins; By entrepreneurship is meant the function of seeing investment and production opportunities: organizing an enterprise to undertake a new production process; raising capital, hiring labor, arranging for a supply of raw materials, finding a site, and combining these factors of production into a going concern; introducing new techniques and commodities, discovering new sources of natural resources; and selecting top managers for day-to-day operation (1997 ,228p) In putting another word simply, entrepreneurship basically means to start companies and organizations based on the findings of the entrepreneur of certain niches in the marketplace, and willing to assume the risks of a business to take significant opportunities for success. Moreover, entrepreneurs also create their own niches for the products or services they want the company to produce. (Hodgetts R.M, 2004) It is not surprised anymore hearing the term of entrepreneurship in the success stories in the real many different type of business industry. That is, it is just part of example that how entrepreneurship is important concept should be concerned to success, besides it is required to understanding the true concept of this topic. Entrepreneurship could be classified by under 5 categories in order to clarify that how actual processes which the entrepreneurship contains is working in the certain business; Entrepreneur traits, creativity, innovation, business planning and growth management. These elements can be representing the segments of characteristic of entrepreneur. In Entrepreneurial creativity part, it is required to have different view of perception and thinking of something and a paradigm shift in order to create new ideas. There 4 critical processes to get the concept of innovation can be classified as invention, extension, duplication and synthesis. Strategic planning is the key sources that to access the entrepreneurs position through internal/external factors then identify these factors to implement a strategy. Finally, in the management, it is required that identify what size of company will be through, the capability of which how direct control the company is afforded and how entrepreneurial spirit can be retained in a growing business.( Bailey, J. 2003) Once entrepreneur concept is cleared, to move on to a Social entrepreneur is next step. What is a social entrepreneur? They act similar to entrepreneur does, such as facing risks, inspiration and creativity, in order to take hidden or uncovered significant opportunities. What the social entrepreneur seeks for value in the certain market is the changeable factors that would result positive effect on disadvantaged communities, ultimately, society at large. (Martin.R,2009) It will be given some particular examples about how entrepreneur have been successfully in implementing the concept of entrepreneurship into real-world business industry. That would be able to help clear understanding then, furthermore developing the ideas of fundamental business principle. There is the national food business named Food Connect, aim is to supply local, sustainably produced food tothe community in South East Queensland. They are creating a new, more equitableway of distributing local produce in a socially responsible way. The seasonal produce comes from local farmers livingwithin a five hour radius of Brisbane who are paid afair price for their hard work andwho are encouraged to farm using the most sustainable methods possible.Our subscribers know where their food comes from and are invited to see for themselves on regular farm tours. Moreover, there are as an entrepreneurial way of which they run the business practices are markedly different from thosein other corporateorganizations: Our staff presents educational talks and seminars to the general public about food issues. Weorganize regular farm tours and other eventsfor our subscribers. Individuals cannot profit from Food Connect, except in terms of earning a fair wage for fair work. We provide, when feasible, opportunities for people with disabilities to participate in the daily life of the Homestead (our headquarters). Staffs have a major say in the running of Food Connect, particularly at our staff review days which are held every three months. We are environmentally aware in the Homestead, recycling everything possible. We even have our own worm farm for food scraps. (Food Connect,2008,story of food connect) As it describe at above, the Food Connect company has faced some niches as in terms of entrepreneur point of view that the other competitors does not challenge it due to failure of changes, which briefly are; creating the new way of satisfying the local distribution channels and to guarantee providing the best quality products with reasonable price for everyone, not only customer but also employee. As the results, the company could have had strong faith from consumers due to finding out risky factors to run the business according to their created entrepreneurial processes and they made huge changes after implementing it into real business. Muhammad Yunus, he is the one that begin offering microloans model to the indigent Bangladesh in 1976. How the microloans work was that loaned money to the people was small adequate amount of money that they were able to take out the loan. As the result, he could have helped the people to become self-employed. According to this case, it can be recognized that entrepreneur also can take the role of a leader, not only government, which to make a social change or movement that supporting opportunities and benefit to the people in certain categories. The achievement that he has contributed to the society is not only for gaining profit himself but also involving more people having the beneficial opportunities. Another example can be found out in India. Social entrepreneur Bunker Roy who built the Barefoot College in India to educate uneducated people such as illiterate and semiliterate, whose lose the opportunity of education due to social situations. There are many successful achievements the college has develop and improve the level of Indian society, for instances, teachers, workers and architects have installed and maintain solar-electrification systems that about 100,000 people in over 500 villages could have received the benefits by the college. The last example will be Ann Cotton, who made a effort of the right for female education(Campaign for Female Education : Camfed) in Africa. The launched programs by Camfed, which is providing opportunities of having education for whose cannot afford to pay school fee or join a school throughout awarding a scholarship, could have supported many numbers of young girls, approximate 700,000 students, in Zimbabwe, Ghana, Zambia and Tanzania in the educational sector. Some of graduated students returned to this community as leaders and over 5,000 started their own business. In terms of business point of view, it can be seen entrepreneurs as only a pragmatist because they are the people who born to seek for success and benefits in the business. However, that is just general ultimate purpose of entrepreneurs. The points according to examples are the process how and ways they achieve to drive the business successful. A common denominator of among entrepreneurs in these examples is that they are not afraid of facing current and potential risks to make changes. In addition, the social entrepreneurs have emphasis on the processes of creating a new idea throughout inspiration, creativity, courage in order to reach the final goal that ensure that everyone have social benefits and opportunities, called a new equilibrium.(Social Enterpreneur,2009)

Ben Franklin: Early Life Essay -- Essays Papers

Ben Franklin: Early Life In his many careers as a printer, moralist, essayist, civic leader, scientist, inventor, statesman, diplomat, and philosopher, for later generations of Americans he became both a spokesman and a model for the national character. He was born in Boston, Massachusetts on Jan. 17, 1706, into a religious Puritan household. His father, Josiah, was a candlemaker and a skillful mechanic. His mother, Abiah Ben’s parents raised thirteen children--the survivors of Josiah’s seventeen children by two wives (#1). Printer & Writer Franklin left school at ten years old when he was pressed into his father's trade. At twelve Ben was apprenticed to his half brother James, a printer of The New England Courant. He generally absorbed the values and philosophy of the English Enlightenment. At the age of 16, Franklin wrote some pieces for the Courant signed "Silence Dogood," in which he parodied the Boston authorities and society (#3). At one point James Franklin was imprisoned for his liberal statements, and Benjamin carried on the paper himself. Having thus learned to resist oppression, Benjamin refused to suffer his brother's own domineering qualities and in 1723 ran away to Philadelphia (#1). Soon Franklin found a job as a printer. After a year he went to England, where he became a master printer, sowed some wild oats, amazed the locals with his swimming feats, and lived among inspiring writers of London. By 1726 Franklin was tiring of London (#1). He considered becoming an itinerant teacher of swimming, but when a Quaker merchant by the name of Thomas Denham offered him a clerkship in his store in Philadelphia, he decided to return home (#5). Returning to Philadelphia in 1726, he soon owned a newspaper, the Pennsylvania Gazette, and began to print Poor Richard's Almanac. In the Pennsylvania Gazette, a citizen asked editor Franklin the following question: "If A found out that his neighbor B was sleeping with his wife, was he justified in telling B's wife, and persuading her to seek a little revenge with A?" The editor's response: "If an ass kicks me, should I kick him again? (#4)" His business expanded further when he contracted to do the public printing of the province, and established partnerships with printers in other colonies. He also operated a bookshop and became clerk of the Pennsylvania Assembly and postmaster of Philadelp... ...eek. These virtues include temperance, silence, order, resolution, frugality, industry, sincerity, justice, moderation, cleanliness, tranquillity, chastity, and humility. The Autobiography is not the full story of Franklin’s life. It terminates approximately in his fifty-third year, before he became America’s greatest diplomat. Poor Richard was an uneducated but experienced homespun philosopher, created and edited by Ben Franklin from 1732-1757. Although Poor Richard of the early almanacs was a dim-witted and foolish astronomer, a round character soon replaced him who was a rich source of prudent and clever aphorisms on the value of economy, hard work, and the simple life. WORKS CITED 1. â€Å"Benjamin Franklin.† Grolier Multimedia Encyclopedia. 1998 ed. CD-ROM. Danbury: Grolier Interactive Inc., 1998. 2. Franklin, Benjamin The Autobiography and other writings of Benjamin Franklin. Donovan, Frank, ed. New York: Dodd, Mead & Company, 1963. 3. Ketcham, Ralph â€Å"Benjamin Franklin.† Lexicon Universal Encyclopedia. Vol.8. New York: Lexicon Publications Inc., 1989. 282-284. 4. http://library.advanced.org/22254/home.htm 5. http://www-lj.eb.com/

Physics of Boating Essay -- physics boat boating

The first thing you should know is the physics behind a boat, seeing how you can't have a boating adventure without one. To keep it simple, let's check out the main thing you should know about a boat: Buoyancy. Buoyancy, by definition, is the upward force exerted by a liquid on any immersed object. If the force of the liquid on the object is greater than that of the object on the liquid then the object will float. In other words buoyancy is dependent upon the density of the liquid and the volume of the object submerged. Buoyancy: Fb= d*g*V Where Fb= the magnitude of the buoyant force d= density of the liquid, g= force of gravity (9.8 m/s^2), V= volume of the submerged object All object displace fluid when in a liquid, because no two objects can occupy the same space at the same time. Archimedes principle states that the magnitude of the buoyant force always equals the weight of the fluid displaced by the object. Archimedes Principle Fb=Mw Where Fb= magnitude of buoyant force and Mw= mass of the water displaced. (Equations taken from Physics for Scientists) Buoyancy can be applied to boats. The combined mass of everything on the boat is less than the force of the fluid acting against it, allowing the boat to float. This is nice. The water is cold. The wave height is the vertical distance, usually in feet, between the the trough and the crests. The wavelength is the length in feet between adjacent crests. This is one way to measure the size of waves. Another good way to measure the size of waves is by how many people get sick. More than two people means the waves are big. Enough with waves, lets move on to tides! "Tides are the longest water waves which occur and have a fundamental period of a... ...the heat transport into the ice which cuts into it, making it even less stable." (Ice in the Ocean p. 258) Since an iceberg is 89% underwater, the process of erosion can make the berg very unsafe to be around. A change in the distribution of the weight of the berg can cause it to roll and move rapidly through the water. BIBLIOGRAPHY Serway and Jewett, Physics for Scientists and Engineers. 2004. Wadhams, Peter. Ice in the Ocean. 2000 Kay, H.F. The Science of Yachts, Wind, and Water. 1971. Paterson, W.S.B. The Physics of Glaciers. 1994. http://www.earthlife.net/birds/flight.html. "How birds Fly" 2005. http://www.elasmo-research.org/education/topics/r_haulin'_bass.htm#speeda."ReefQuest Center for Shark Research". Martin, Aidan http://scitation.aip.org "Humpback Whales" http://whale.wheelock.edu/archives/ask97/0432.html. 1997. Kenney, Robert D.

Three Day Food Intake

Food Intake Three Days Food Intake Three Days Healthy eating is important to the human body. Healthy eating provides the body with nutrients and energy to help the body function properly. Nutrients provide the body energy to keep the brain cells active, the heart pumping, and the muscle flexible. Nutrients also help to build strong bones, enhance the circulatory system, and other bodily functions. Healthy dieting means to consume all food groups so the diet can have a variety of fruits, vegetables, grains, milk, meats, bean, and oils.Even when eating from all food groups individuals must eat in moderation controlling the fats, salts, and sugars to maintain a healthy diet (Richford, 2011). Upon enrolling in a Human Nutrition class the professor assigned an individual assignment to assess my eating habits through iprofile factoring my weight, height, age, meals, and daily activities. The assessment evaluates three days of eating breakfast, lunch, dinner, and snacks. The nutrients asses sed were the lipids, proteins, and carbohydrates to access my positives and negatives about healthy eating.I entered my daily intake for three days and what a discovery. I revealed that my protein intake was excellent 70%, my lipids were high by 11%, and my carbohydrates were 80% below the recommended DRI. The results shocked me because I am not a regular meat eater, but my protein intake was in excellent. The carbohydrates did surprise me at all because I love eating vegetables, sweets, and I consume very little to none to be honest. Because I am fully aware that I need to make a change to avoid further issues, here are some ways that I intend to improve my carbohydrates.First I will eat more vegetables consuming the recommended amount two cups per day, ensuring that the vegetables are different every week. Carbohydrates are the main energy source for cells and organs. The basic carbohydrate units are called monosaccharide’s, such as glucose, GA lactose, and fructose. Glucos e and glycogen are stored in the liver and when the body becomes. Carbohydrates help fuel the body and create sugar. Sugar causes the body to release insulin and stress hormones. Consuming too much carbohydrate leads to obesity, diabetes, and several more health problems.The groups of foods that are underrepresented in my diet are grains, fruits, milk, and vegetables. The groups of foods that are overrepresented are meat and beans and discretionary. I honestly do not have a good excuse as to why I did not consume the recommended number of servings for each of the food groups. I only have myself to blame and I believe that my reasoning is sad. I am busy with school and work, I like food. I eat what I want when I want it which is not healthy. Proteins are important for repair and tissue growth helps the body to make enzymes and hormones, as well as preserve lean muscle mass and is a source of energy.My daily protein recommendations 71 grams. Protein has many important functions in the body and is essential for growth and maintenance. Protein needs can easily be met by eating a variety of plant-based foods. Combining different protein sources in the same meal is not necessary. Sources of protein for vegetarians and vegans include beans, nuts, nut butters, peas, and soy products (tofu, tempeh, veggie burgers). Milk products and eggs are also good protein sources for lacto-ovo vegetarians. Iron sources for vegetarians include cereals, spinach, and kidney beans.Calcium is used for building bones and teeth and in maintaining bone strength. Sources of calcium for vegetarians and vegans include calcium-fortified soymilk, calcium-fortified breakfast cereals and orange juice, tofu made with calcium sulfate, and some dark-green leafy vegetables the amount of calcium that can be absorbed from these foods varies. Consuming enough plant foods to meet calcium needs may be unrealistic for many. Milk products are excellent calcium sources for lacto vegetarians. Dietary fiber is prominent in recommendations for prevention of both coronary heart disease and cancer.The National Cancer Institute gives primary emphasis to dietary fiber in its recommended food choices. A range of intake of 20 to 30 g/d is suggested for US adults. The National Heart, Lung, and Blood Institute, through its National Cholesterol Education Program, emphasize reduction in fat intake and compensatory energy replacement through the increased intake of other foods, including those with high fiber content. (Fiber Study,  2012). Not in sufficient protein intake may cause tissue injury and muscle wasting. Too many proteins chronically hard of kidneys, such as progression of renal failure, gout and cancer.Excessive intake Carbohydrates make high risk of blood sugar and are heart disease. Fiber intake in normal limits to prevents the high risk colon cancer. Not in sufficient amount cause colon disease and bowel syndrome. References Fiber study. (2012). Retrieved from http://circ. ahajourna ls. org/ My plate. (2012). Retrieved from http://www. myplate. gov Richford, (2011). nutrition study. Retrieved from http://nutritionstudy. com Gordon, M. , & Smith, A. M. (2011). Contemporary Nutrition (8th ed. ). New York, New York: Mc graw hill. Grosvenor, M. , & Smolin, L. (2012). Visualization nutrition: Everyday choices

The Coldest Winter Ever – Personal Reflection on Winter

Winter Santiago Isn't Just a typical teenager. She Isn't typical at all, she barely ever goes to school, she only goes when she wants something. Her family life Is anything but typical, her father Is a big drug dealer with a lot of money and her mother Isn't even Like a mother to Winter, she's more Like a sister to her. Winter Is very self- absorbed; she only worries about herself, even when her mom got shot In the face Winter gets jealous because she thinks her mother's hogging all the attention.She really only cares about herself. She is very street smart though, after her father goes to prison, her mother becomes a crack head and her sisters go into care, Winter knew how to take care of herself, she knew what to do to survive on the streets without the help of her father. She's done horrible things to survive and live the life she knew, like robbing people and betraying her family. Winter wouldn't make a good best friend at all; I don't even think she would make a good friend.She betrayed all of her friends one way or another, either by hooking up with their man because he had what she needed, or betraying Simons when she got arrested because she was telling for Winter, Simons was ready to have her baby and even though she said no, Winter persisted that she go and steal for her, because she wanted something, she didn't care that Simons was having a baby, if anything she used it against her saying she would need the money that she's making stealing, for the baby, in the end Simons lost the baby, and in my opinion a lot of the blame should be on Winter.She may be a fun person to be around and go out with because she does know how to have fun, but I would never want her as a friend because she's not loyal and she is untrustworthy.She does have a of of maturing to do though, so I really shouldn't judge too harshly, you can tell by the end of the book, when she Is In prison, and goes to her mother's funeral, she's a different person, her views on life are totally different, and when she sees her younger sister doing the same things she was doing she wants to stop her and tell her everything that she had gone through, but she held back knowing that it would only make her sister angry and make Winter look Jealous.I think that going to prison changed Winter In the best way, she was no longer the elf-absorbed, conceited â€Å"ghetto-princess† that she was before she had gone to prison, she actually grew up, and matured during her time In. The Coldest Winter Ever – Personal Reflection on Winter Santiago. By Joann Winter Santiago isn't Just a typical teenager. She isn't typical at all, she barely ever goes to school, she only goes when she wants something.Her family life is anything but typical, her father is a big drug dealer with a lot of money and her mother isn't even like a mother to Winter, she's more like a sister to her. Winter is very self- absorbed; she only worries about herself, even when her mom got shot in the face Win ter gets Jealous because she thinks her mother's hogging all the attention. She friend at all; I don't even think she would make a good friend.She betrayed all of her didn't care that Simons was having a baby, if anything she used it against her saying untrustworthy. She does have a of of maturing to do though, so I really shouldn't judge too harshly, you can tell by the end of the book, when she is in prison, and goes I think that going to prison changed Winter in the best way, she was no longer the prison, she actually grew up, and matured during her time in.

Managing involvement participation PowerPoint Presentation

Managing involvement participation - PowerPoint Presentation Example Although human resources cannot yield perfect predictions, it does give the organization the ability to think through what kinds of personnel will be needed in the future. Further, such planning gives the organization an opportunity to prepare to meet that future in a more proactive manner. In both case studies, training and development programs are the main tools which ensure participation and involvement of staff. Following Armstrong and Baron, training is much more than a technical exercise to impart knowledge and skill to the worker. It is first and foremost a point of contact among a workers need to grow, to feel capable, to be respected for what he or she can do, and managements need for productivity. If the task bank is present at that point of contact, it can provide a shared interpretation and understanding of what training is required as well as how and when that training can be best delivered (Bateman and Snell 32). The organization then makes the investment in training required for worker competency. In return, the worker brings the flexibility and willingness to apply these newly acquired competencies to the inevitable problems and challenges on the job. A partnership develops that, if nurtured through the words and deeds of management, further reinforces the trust that is required for a quality product or service. The case of Capgemini UK plc shows that continuous training is a core of effective performance and cooperation. All officers receive training throughout their term; also the company proposes special training programs for new starters. The Scottish Prison service arranges regular training for SPS managers and TUS representatives in order to develop positive and effective relations (Armstrong and Baron 82). In both cases, counseling and coaching are a part of involvement and participation process. in both organizations, counselors and managers are used for dealing with more personal issues, such as helping managers to resolve problems of

Literacy Practices Essay Example | Topics and Well Written Essays - 2000 words

Literacy Practices - Essay Example Writing and reading are always understood in the context they are written in. Many individuals consider reading as an easy way of handling boredom and the discomforts associated with waiting. It turns a time duration that will otherwise be rendered useless, into an appropriate chance for acquiring knowledge and also entertainment. Reading is effective in developing a barrier between an individual and the external world. This enables the individual to ignore the undesired attention and ensure the sense of privacy. Concentrating attention on text materials renders it socially appropriate to ignore the interaction with other individuals. The language that the text is written in is very important. For instance, the outsiders can consider individuals reading the English newspaper or magazine in India as favoring the foreign cultures. But, this does not illustrate the complexities of the usage of the English language in India. India’s national language, and thus is easily applied during the important official communications. In India, the English language is majorly associated with the middle and upper classes. Thus, reading English literary materials associates an individual with higher aspirations. English is the key language in India’s higher education system. Thus individual reading English texts, illustrates higher academic achievements. English is also the official communication language during large scale commerce nationally or internationally. Thus English is significant in the business culture. Lecture instructions, diaries and blogs are common everyday writings that are considered â€Å"vernacular literary practices.† The practices illustrate significant personal roles that assist in organizing life by making records of issues like; finance, birthdays, social contacts, and life documentaries. Analysis of these practices illustrates the insights into the practices of ordinary

Nursing Theory Website Paper Essay Example | Topics and Well Written Essays - 250 words

Nursing Theory Website Paper - Essay Example An example was the theory by smith that contradicted the child as the client. she was a nursing theorist who was a veteran in the development of theories that concerned nursing. However, the goal attainment theory is the most popular being featured in major nursing theories. The site that delineates the particulars of the theory is the most accessible. The subject matter is also broader than that of Casey’s model (Imogene, 1987). Most of the nursing books have also come into existence after the advent of the goal attainment theory. Nevertheless, the theories have borrowed from the theory. Books that are reaching the market after the theory include `Imogene King’s nursing theory by Varghese and the Helvie theory books by Carl Helvie. The theorist still serves as an American licensed nurse and also a professor of Nursing at Old Dominion University. The site for her theory is well updated and easy to locate while surfing the web. On the other hand, the site is peculiar in that the theory bases the argument on primary findings from research carried out to peasant persons and consequent education and practice (Jarrà ­n, 2007). Books written after the theory are by people such as Julia B George, Melanie McEwen and Evelyn M Wills. Their books are also readily available and provide good

Research Paper Essay Example | Topics and Well Written Essays - 2000 words - 3

Research Paper - Essay Example Critics of the global warming phenomenon argue that global warming is in fact not an environmental crisis but a manufactured issue artificially created for a variety of unsavory and politically-inspired reasons. Despite the shrinking number of detractors, global warming is a phenomenon which affects our planet every single day. Seeking to address global warming, this research paper will provide a comprehensive and in-depth overview of the global warming phenomenon. We will begin with a discussion of the evidence in support of global warming and explore the connection between global warming and climate change. Since we aim to provide an accessible analysis of what global warming actually is, we will then analyze the causes and effects of this recent international phenomenon. Following this, and with an eye to the impact of global warming on the state of California, we will explore the possible consequences to the United States of the continuation of global warming. Global warming and climate change are two terms which are often used interchangeably. Has a link between global warming and climate change been established? Yes, global warming is caused by an increase in greenhouse gases in the atmosphere. As we shall see below, the effects of global warming include changes in atmospheric temperatures and rainfall, which can lead to climate change (Arnella & Reynardb 1996: 397). Global warming is most generally described as an average increase in the Earth’s temperatures. Importantly, global warming is not only a present phenomenon but is perceived as something which is expected to continue and increase annually. Global warming is the reputed cause of climate change on an international scale leading to extreme weather, ranging from uncharacteristic snowfall in autumn to extremely mild winter temperatures, major changes to precipitation trends, glacial

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Should the united states pull out of afghanistan - Essay Example The initial dispatch of troops to Afghanistan was to either capture or kill Osama bin Laden who was the master mind behind the attack and to decimate his network Al Qaeda. If this is the principal reason for the war, now that Osama bin Laden is dead and the Al Qaeda decimated to only 50 members in Afghanistan, is it not time to pull out of Afghanistan. If the reason for our continuing presence in Afghanistan is based on the lofty ideals of nation building of that strife torn country and install democracy, then it cannot be achieved since Afghanistan itself is against that concept and western type of democracy is a fallacy there. We have deployed 100000 troops in Afghanistan and lost nearly 1600 American lives so far and 11541 have been wounded and maimed, many of them seriously and their lives will never be normal. Having accomplished the mission for what they have been sent for, the American troops are longing to come back home. It has been reported that there is no purpose served for prolonging the troops stay over there. The war has a devastating effect on the life of personnel leaving them traumatized. About 25 percent of US army personnel serving in Afghanistan suffer from traumatic stress disorder and close to 16 percent of troops is under medication for mental illness. According to Andrew.J.Belvich â€Å"American Soldiers are now said to face the prospect of perpetual conflict†( Andrew J Belvich). The cost of this longest war in Afghanistan becomes unmanageable with $120 billion a year or $10 billion per month. The Unites State has pumped in $18.8 billion as foreign aid and so far has spent $444 billion on the expenses. The amount so far spent has aggravated our fiscal problem. Our federal government has burgeoning national debt of $1.5 trillion this year which has to be taken care of. Unless we attend to this problem the nation could default on its debt and debt servicing. If we pull out from

American Writers Essay Example for Free

American Writers Essay List of American Novels for Research Project English 11H Historical/War Red Badge of Courage, Stephen Crane Killer Angels, Michael Shaara A Farewell to Arms, Ernest Hemingway The Things They Carried, Tim O’Brien Cold Mountain, Charles Frazier My Brother Sam is Dead, JL Collier African-American Beloved, Toni Morrison (mature themes) I Know Why the Caged Bird Sings, Maya Angelou Native Son, James Baldwin The Color Purple, Alice Walker (mature themes) Invisible Man, Ralph Ellison Their Eyes Were Watching God, Zora Neale Hurston Malcom X (autobiography- lengthy) A Lesson Before Dying, Ernest Gaines. The Autobiography of Miss Jane Pittman, Ernest Gaines Go Tell it on the Mountain, James Baldwin Black Boy, Richard Wright (memoir) Dystopian/Futuristic/Science Fiction Ender’s Game, Orson Scott Card Slaughterhouse 5, Kurt Vonnegut Catch-22, Joseph Heller The Giver, Lois Lowry Martian Chronicles, Ray Bradbury Realism/Naturalism/Regionalism The Call of the Wild, Jack London White Fang, Jack London O’Pioneers, Willa Cather My Antonia, Willa Cather Maggie, Girl of the Streets, Stephen Crane The Jungle, Upton Sinclair Adventures of Tom Sawyer, Mark Twain Miscellaneous Modern/Contemporary novels The Secret Life of Bees, Sue Monk Kidd. The Natural, Bernard Malamud (baseball; Jewish myth) One Flew Over the Cuckoo’s Nest, Ken Kesey (set in a mental asylum) House on Mango Street, Sandy Cisneros Of Mice and Men, John Steinbeck The Joy Luck Club, Amy Tan (Chinese-American culture) The Help, Kathryn Stockett (set in 1960s; about African-American maids in the South) Shoeless Joe, WP Kinsella (baseball) Franny and Zooey, by JD Salinger (from 1950’s; If you have an interest in world philosophy or eastern religion, you’d probably like this. ) The Outsiders, S. E. Hinton The Bell Jar, Sylvia Plath (mature themes) Research Novel Lottery Preparation. Native American Lone Ranger and Tonto Fistfight in Heaven, Sherman Alexie Absolutely True Diary of a Part-time Indian, Sherman Alexie Ceremony, Leslie Marmon Silko Quest/Journey On the Road, Jack Kerouac The Old Man and the Sea, Ernest Hemingway The Road, Cormac McCarthy Dark Romanticism The Scarlet Letter, Nathaniel Hawthorne (set in Puritan New England; challenging) ark Roma nticis m he Scarlet Letter For our project, you will read one of the books on this list and (later) research the reasons this has become a significant member of the American literary canon. (What literary elements make it unique or powerful? What impact has this work had on our history or way of thinking? ) During our next class, we will conduct a lottery so that each student has a different title. To help insure that you end up with a title that you will enjoy, please spend 20-30 minutes choosing 4 titles from the list that you will be pleased to read and research. You ARE NOT allowed to read any book that you have previously read. I strongly suggest you do some Internet searches on various titles to examine what those books are all about, and to determine if their content might appeal to you. You also need to make sure ahead of time that your choices are okay with your parents. Remember, we will draw names and choose titles, so it’s highly likely you won’t get your first choice. You may, in fact, want to come up with more than four choices! Four top choices: 1_________________________________________________________________________ 2_________________________________________________________________________ 3_________________________________________________________________________ 4_________________________________________________________________________ Please see side two for list of titles?

Issue Of Importance To You Essay Example for Free

Issue Of Importance To You Essay Scientists say that we live on one of the youngest planets in our solar system. Yet, just like any person who has been abusing his body regularly over a period of time, our planet has aged immensely over the past decades. Everyday, I open the newspaper and read about various environmental abuses, turning on the television shows me the effects of global warming on the planet. Global warming, La Nina, El Nino, no matter what we call the weather phenomenon the truth is that the earth we live on is sick. Gravely ill and asking for help to find a cure for what ails it. Afflicted with various illnesses for which there does not be a cure in sight, the real question is, can we collectively find a cure for all that ails our planet before it is too late? Sometimes, I look out my window and worry about what the next reaction of the planet will be to the constant abuse. Will my children still have a planet to call home when they grow up? Will there still be resources available to them in the future that will help them survive the constantly changing weather patterns? I feel like the past generations and the present have taken so many liberties that the earth has come to the point of no return, it may be too late to turn things around and preserve what is left for the future generations. Strange illnesses for which there does not seem to be a cure seem to be plaguing us. Perhaps, that is the after effect of all the poisons that permeate our air. God only knows that nobody ever intended for all of this to happen as we strive to improve our lives. It may not be too late to save the planet. The question remains though as to how much mankind is willing to change in order to preserve what is here and to help restore the natural balance that was intentionally disturbed by us. The planet is crying out for help. It is our job as a collective to make sure that we help it find a cure and save its life. After all, if this planet dies, so do we, for this is the only place we can call home.

Communication Skills in Nursing | Reflection

Communication Skills in Nursing | Reflection This essay will present a reflective account of communication skills in practice whist undertaking assessment and history taking of two Intensive Care patients with a similar condition. It will endeavour to explore all aspects of non verbal and verbal communication styles and reflect upon these areas using Gibbs reflective cycle (1988). Scenario A Mrs James, 34, a passenger in a road traffic collision who was not wearing a seatbelt was thrown through the windscreen resulting in multiple facial wounds with extensive facial swelling which required her to be intubated and sedated. She currently has cervical spine immobilisation and is awaiting a secondary trauma CT. Mr James was also involved in the accident. Scenario B Mr James, 37, husband of Mrs James, the driver of the car, was wearing his seat belt. He had minor superficial facial wounds, fractured ribs and a fractured right arm. He is alert and orientated but currently breathless and requiring high oxygen concentrations. Patients who are admitted to Intensive Care are typically admitted due to serious ill health or trauma that may also have a potential to develop life threatening complications (Udwadia, 2005). These patients are usually unconscious, have limited movement and have sensation deprivation due to sedation and/or disease processes. These critical conditions rely upon modern technical support and invasive procedures for the purpose of monitoring and regulation of physiological functions. Having the ability to effectively communicate with patients, colleagues and their close relatives is a fundamental clinical skill in Intensive Care and central to a skilful nursing practice. Communication in Intensive Care is therefore of high importance (Elliot, 1999) to provide information and support to the critically ill patient in order to reduce their anxieties, stresses and preserve self identity, self esteem and reduce social isolation (Joà £o: 2009, Alasad: 2004, Newmarch:2006). Effective communic ation is the key to the collection of patient information, delivering quality of care and ensuring patient safety. Gaining a patients history is one of the most important skills in medicine and is a foundation for both the diagnosis and patient clinician relationship, and is increasingly being undertaken by nurses (Crumbie, 2006). Commonly a patient may be critically ill and therefore the ability to perform a timely assessment whilst being prepared to administer life saving treatment is crucial (Carr, 2005). Often the patient is transferred from a ward or department within the hospital where a comprehensive history has been taken with documentation of a full examination; investigations, working diagnosis and the appropriate treatment taken. However, the patients history may not have been collected on this admission if it was not appropriate to do so. Where available patients medical notes can provide essential information. In relation to the scenarios where the patient is breathless or the patient had a reduced conscious level and requires sedation and intubation, effective communication is restricted and obtaining a comprehensive history would be inappropriate and almost certainly unsafe (Carr, 2005). The Nursing Midwifery Council promotes the importance of keeping clear and accurate records within the Code: Standards of Conduct, performance and ethics for nurses and midwives (NMC, 2008). Therefore if taking a patients history is unsafe to do so, this required to be documented. Breathing is a fundamental life process that usually occurs without conscious thought and, for the healthy person is taken for granted (Booker, 2004). In Scenario A, Mrs Jamess arrived on Intensive care and was intubated following her facial wounds and localised swelling. Facial trauma by its self is not a life threatening injury, although it has often been accompanied with other injuries such as traumatic brain injury and complications such as airway obstruction. This may have been caused by further swelling, bleeding or bone structure damage (Parks, 2003). Without an artificial airway and ventilatory support Mrs James would have struggled to breathe adequately and the potential to become in respiratory arrest. Within scenario B, Mr James had suffered multiple rib fractures causing difficulty in expansion of his lungs. Fractured ribs are amongst the most frequent of injuries sustained to the chest, accounting for over half of the thoracic injuries from non-penetrating trauma (Middle ton, 2003). When ribs are fractured due to the nature and site of the injury there is potential for underlying organ contusions and damage. The consequence of having a flail chest is pain. Painful expansion of the chest would result in inadequate ventilation of the lungs resulting in hypoxia and retention of secretions and the inability to communicate effectively. These combined increase the risk of the patient developing a chest infection and possible respiratory failure and potential to require intubation (Middleton, 2003). A key component of Intensive Care is to provide patients and relatives with effective communication at all times to ensure that a holistic nursing approach is achieved. Intensive care nurses care for patients predominantly with respiratory failure and over the years have taken on an extended role. They are expected to examine a patient and interpret their findings and results (Booker, 2004). In these situations patient requires supportive treatments as soon as possible. Intensive Care nurse should have the ability and competence to carry out a physical assessment and collect the patients history in a systemic, professional and sensitive approach. Effective communication skills are one of the many essential skills involved in this role. As an Intensive Care nurse, introducing yourself to the patient as soon as possible would be the first step in the history taking process (Appendix A) and the physical assessment process. Whilst introducing yourself there is also the aim to gaining consent for the assessment where possible, in accordance with the Nursing and Midwifery Councils Code of Professional Conduct (NMC, 2008). Conducting a comprehensive clinical history is usually more helpful in making a provisional diagnosis than the physical examination (Ford, 2005). Within Intensive Care the Airway, Breathing, Circulation, Disability, Exposure/Examination (ABCDE) assessment process is widely used. It is essential for survival that the oxygen is delivered to blood cells and the oxygen cannot reach the lungs without a patent airway. With poor circulation, oxygen does not get transported away from the lungs to the cells (Carr, 2005). The ABCDE approach is a simple approach that all team members use and allows for rapid asses sment, continuity of care and the reduction of errors. Communication reflects our social world and helps us to construct it (Weinmann Giles et al 1988). Communication of information, messages, opinions and thoughts are transferred by different forms. Basic communication is achieved by speaking, sign language, body language touch and eye contact, as technology has developed communication has been achieved by media, such as emails, telephone and mobile technology (Aarti, 2010). There are two main ways of communication: Verbal and non verbal. Verbal communication is the simplest and quickest way of transferring information and interacting when face to face. It is usually a two way process where a message is sent, understood and feedback is given (Leigh, 2001). When effective communication is given, what the sender encodes is what the receiver decodes (Baron:2005, Zastrow:2001). Key verbal features of communication are made up of sounds, words, and language. Mr James was alert and orientated and had some ability to communicate; he was breathless due to painful fractured ribs which hindered his verbal communication. In order to help him to breath and communicate effectively, his pain must be controlled. Breathless patients may be only able to speak two or more words at a time, inhibiting conversation. The use of closed questions can allow breathless patients to communicate without exerting themselves. Closed questions such as is it painful when you breathe in? or is your breathing feeling worse? can be answered with non ver bal communication such as a shake or nod of the head. Taking a patients history in this way can be time consuming and it is essential that the clinician do not make assumptions on behalf of the patient (Ashworth, 1980). Alternatively, encouraging patients to use other forms of communication can aid the process. Non verbal communication involves physical aspects such as written or visual of communication. Sign language and symbols are also included in non-verbal communication. Non verbal communication can be considered as gestures, body language, writing, drawing, physiological cues, using communication devices, mouthing words, head nods, and touch (Happ et al:2000, Alasad:2004). Body language, posture and physical contact is a form of non verbal communication. Body language can convey vast amounts of information. Slouched posture, or folded arms and crossed legs can portray negative signals. Facial gestures and expressions and eye contact are all different cues of communication. Alt hough Mr. James could verbally communicate, being short of breath and in pain meant that he also needed to use both verbal and non verbal communication styles. A patients stay in Intensive Care can vary from days to months. Although this is a temporary situation and many patients will make a good recovery, the psychological impact may be longer lasting (MacAuley, 2010). When caring for the patient who may be unconscious or sedated and does not appear to be awake, hearing may be one of the last senses to fade when they become unconscious (Leigh, 2000). Sedation is used in Intensive Care units to enable patients to be tolerable of ventilation. It aims to allow comfort and synchrony between the patient and ventilator. Poor sedation can lead to ventilator asynchrony, patient stress and anxiety, and an increased risk of self extubation and hypoxia. Over sedation can lead to ventilator associated pneumonias, cardiac instability and prolonged ventilation and Intensive Care delirium. Derlerium can be distressing for both the relatives andthe patient, who may have some recolection after the deleium epsiode (Mclafferty, 2007). Delirium is found to be a predictor of death in Intensive Care patients (Page, 2008). Every day a patient spends in delirium has been associated with a 20% increase risk of intensive care bed days and a 10% increased risk of morbidity. The single most profound risk factor for delirium in Intensive Care is sedation (Page, 2008). Within this stage of sedation or delirium it is impossible to know what the patients have heard, understood or precessed. Ashworth (1980) recognised that nurses often failed to communicate with unconscious patients on the basis that they were unable to respond. Although, research (Lawrence, 1995) indicates that patients who are unconscious could hear and understand conversations around them and respond emotionally to verbal communication however could not respond physically. This emphasises the importance and the need for communication remains (Leigh, 2001). Neurological status would unavoidably have an effect on Mrs Jamess capacity to communicate in a usual way. It is therefore im portant to provide Mrs James with all information necessary to reduce her stress and anxieties via the different forms of communication. For the unconscious patient, both verbal communication and non verbal communication are of importance, verbal communication and touch being the most appropriate. There are two forms of touch (Aarti, 2010), firstly a task orientated touch when a patient is being moved, washed or having a dressing changed and secondly a caring touch holding Mrs James hand to explain where she was and why she was there is an example of this. This would enhance communication when informing and reassuring Mrs James that her husband was alive and doing well. Nurses may initially find the process of talking to an unconscious patient embarrassing, pointless or of low importance as it is a one way conversation (Ashworth, 1980) however as previously mentioned researched shows patients have the ability to hear. Barriers to communication may be caused by physical inabilities from the patients however there are many types of other communication barriers. A barrier of communication is where there is a breakdown in the communication process. This could happen if the message was not encoded or decoded as it should have been (Baron, 2005). If a patient is under sedation, delirious or hard of hearing verbal communication could be misinterpreted. However there could also be barriers in the transfer of communication process as the Intensive Care environment in itself can cause communication barriers. Intensive Care can be noisy environment (Newmarch, 2006). Other barriers can simply include language barriers, fatigue, stress, distractions and jargon. Communication aids can promote effective communication between patient and clinician. Pen and paper is the simplest form of non verbal communication for those with adequate strength (Newmarch, 2006). Weakness of patients can affect the movement of hands and arms making gestures and handwriting frustration and diff icult. Patients may also be attached to monitors and infusions resulting in restricted movements which can lead to patients feeling trapped and disturbed (Ashworth, 1980). MacAulay (2010) mentions that Intensive Care nurses are highly skilled at anticipating the communication needs of patients who are trying to communicate but find the interpretation of their communication time consuming and difficult. The University of Dundee (ICU-Talk, 2010) conducted a three year multi disciplinary study research project to develop and evaluate a computer based communication aid specifically designed for Intensive Care patients. The trial is currently ongoing, however this may become a breakthrough in quick and effective patient clinical and patient relative communication in future care. This assignment has explored communication within Intensive Care and reflected upon previous experiences. Communication involves both verbal and non verbal communication in order to communicate effectively in all situations. Researching this topic has highlighted areas in Intensive Care nursing which may be overlooked, for example ventilator alarms and general noise within a unit may feel like a normal environment for the clinians however for patients and relatives this may cause considerable amounts of concern. Simply giving explanations for such alarms will easily alleviate concerns and provide reassurance. From overall research (Alasad: 2004, Leigh: 2001, MacAuley, 2010: Craig, 2007) Intensive Care nurses believed communication with critically ill patients was an important part of their role however disappointedly some nurses perceived this as time consuming or of low importance when the conversation was one way (Ashworth, 1980). Further education within Intensive Care may be requ ired to improve communication and highlight the importance of communication at all times. Communication is key to ensuring patients receive quality high standard care from a multidisciplinary team, where all members appreciate the skills and contributions that others offer, to improve patients care and the overall patient experience. Appendix 1, The History Taking Process: The questions are the key to a good interview. You need to use a mix of open ended questions and close ended questions. Open ended questions leave the door open for the patient to tell you more. Questions like when it this problem start?, have you had any recent health problems?, and can you show me where it hurts? are open ended. The patient feels free to provide additional information. While questions like does it hurt here?, did you have this pain yesterday?, and have you had the flu in the past month? are close ended. Close ended questions seek very specific, often yes or no responses from the patient and dont encourage the patient to provide any additional information. Good interviews are a mixture of both kinds of questions. (Secrest, 2009) Basic Elements: 1. Greeting a. Introduction b. Identification of patient and self c. Assessment of the patients overall appearance and demeanor 2. Personal history a. Age b. Occupation c. Sex d. Height / Weight e. Marital / Family status i. Children 3. Chief complaint (CC) or Presenting complaint a. Why is the patient seeking care? b. What other problems concern the patient? 4. History of present illness a. Location and radiation of complaint b. Severity of complaint c. Timing of onset d. Situation (setting) of onset e. Duration of complaint f. Previous similar complaints g. Exacerbating and relieving factors h. Associated symptoms i. Patients explanation of complaint 5. Past medical history a. Systematic questioning regarding previous adult illnesses i. Neurological/Psychiatric ii. Eye, ear, nose, throat iii. Skin/Hair/Nails iv. Musculoskeletal v. Cardiovascular/Respiratory vi. Genital-urinary vii. GI tract b. Childhood illnesses c. Surgeries, injuries or hospital admissions d. OB/GYM i. Birth control ii. Pregnancies / Births iii. Menstrual periods iv. Pelvic exams / Pap smears e. Psychiatric f. Immunizations g. Screening tests h. Allergies 6. Family history a. Disease history b. Parental health c. Childrens health 7. Drug history a. Current medications i. Prescription ii. Over-the-counter b. Drug allergies 8. Lifestyle (social history) a. Alcohol b. Smoking c. Recreational drug use d. Sexual life style/orientation e. Reproductive status f. Occupational issues (Secrest,2009)