Non-Malignanat Palliative Care Assignment Example | Topics and Well Written Essays - 1500 words

Non-Malignanat moderating Cargon - Assignment ExampleIntroduction Certain incurable conditions like advanced malignancy and end-stage electric organ diseases are a challenge to health professionals like nurses for several reasons. Besides instituting treatments to manage their symptoms like pain, the nurses in addition need to take care of opposite aspects like emotional support, spiritual care and psycho mixer interventions (Arolker and Johson, 2007). Patients who are in terminalinal stages of life need to be managed in a holistic manner keeping in mind the emotional distress they are going through. Such a care is crawl inn as alleviatory care. Extension of mitigatory care answers to all patients, including those suffering from non-malignant conditions is a much discussed progeny in many countries all over the world. Infact, in that location is a lot of pressure among health service circles for the provision of palliative care to patients based on their need rather than diagnosis. However, at the same time, there is paucity of practical sk mischievouslys and information as to how support must be provided to patients with non-malignant diseases (Cochrane et al, 2008). In this essay, a little analysis of provision of palliative care services by those specialisers providing palliative care for cancer patients impart be done. 2. Overview of the needs of people with non-malignant conditions for palliative care According to the World Health Organization (2009), palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the pr correcttion and second-stringer of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Historically, palliative care services by specialists were provided to only cancer patients (Addington-Hall et al, 1998). But, actually, even n on-malignant patients in terminally ill stages require palliative care services and pressure to service these patients is mounting enormously (Cochrane et al, 2008). According to Addington-Hall (1995), palliative care must be provided to patients based on the need rather than on the diagnosis. This means that even non-malignant patients who quantify for palliative services will need palliative care services. Palliative services for those with non-malignant conditions are sparse when compared with those with malignant conditions (Cochrane et al, 2008). Several needs assessments have proven that those with certain non-malignant conditions in the the long term develop some physical symptoms which burden the patients and their family members along with certain psychosocial needs that are unmet. Some much(prenominal) conditions include certain chronic neurological conditions like multiple sclerosis, end-stage renal disease, chronic respiratory problems like chronic obstructive pulmonary disease and chronic heart problems like dilated cardiomyopathy (Cochrane et al, 2008). The end-stage of life, when the patient and his/her family members know about the proximity to death, evokes certain feelings and emotions like rage, denial, bargaining, envy, depression and acceptance (Aranda, 2008). According to DOH (2008), the challenge for the NHS and social care services now, is to extend this quality of care from the minority of patients (mainly those with cancer) who currently come into contact with hospices and specialist palliative care s

Criminal and Racial Profiling Term Paper Example | Topics and Well Written Essays - 2500 words

Criminal and Racial Profiling - frontier Paper Exampleexpectation that their communities will be safe, that individuals who commit crimes will be prosecuted, that freedom of mobility inside the United States and outside its borders will be safeguarded and that the federal governments primary responsibility mustiness always be to protect the theme security of the country. These expectations are uniformly held by Americans and transcend political affiliation, socio-economic status, ethnicity or geographic location.A major legal and constitutional question concerns how we reconcile the protection of the rights of American citizens and those who legally enter the country with the public officials duty to act in the interior(a) interest of the United States. Two current events have triggered a renewed national study on this very ignore. The first concerns the powers granted to the President and Secretary of Defense under the Patriot Act. The second issue pertains to the recently enac ted law in Arizona that permits law enforcement officials to question the ethnicity and immigration status of individuals who are hazard of being in the United States illegally (SB 1070).This paper examines the issues surrounding racial and criminal temperament pen and provides a comparative analysis of the two investigative strategies. It defines both terms and examines what types of behaviors and activities constitute criminal personality and racial profiling. The paper delves into some of the complex legal, constitutional and methodological factors that are fueling the public debate on the issues. The paper concludes with a discussion of what alternatives, if any, are available to the professionals who are charged with the protection of our national security.The term profiling actually has its origins in a sub-field of mathematics. Statisticians utilize probability to apply a iodin observation to a general population. The profile is accurate within an acceptable level of erro r (Antanovics & Knight, 2009). The pastime

What Changes and what Stays the Same in America Taking a look at epic Essay

What Changes and what Stays the Same in America Taking a look at epic westerly films - Essay ExampleBy this I mean to say that Ameri house society has underg cardinal a vast amount of change since multiplication immemorial and comparing one time period to another, especi aloney through films set in that time, notify help to give us a proper picture of the social status that different kinds of quite a little had, and also help us understand their roles in society with respect to politics the acceptance of their historical background, as well as their personal gender and identity and how they perceive the same. In this paper, we will be focusing on the ingrained American Indians and their diminishing face in contemporary American society. The prey of this paper is to understand the changes that American society has undergone over the last couple of decades by taking a look at epic occidental films and answering questions that are crucial to the existence of society such(prenomin al) as the topics of politics, wash, gender and sexuality, as well as the historical identity of Native Americans. The idea of race is a very(prenominal) harping issue, especially in the occidental society in the western world the western genre of films, movies like Brokeback Mountain and Dances with Wolves for example, do not talk about the inclusion people be to different races. These films only address the fantasies of the master race the white scrappers Indianness evokes the figure and fantasy not of the benevolent and humane Indian but of the American Adam (Pratts, Armando Jose) this statement merely encompasses the particular that most western American films only focus on the light skinned Americans, forgetting that there could be westerners belonging to a different racial background. This leads to a sort of lack of diversity among the community and also gives a very unclear picture to the rest of the world regarding the kind of people that live in west domestic India n community. The idea of class on the other hand is portrayed wonderfully. In the film Dances With Wolves too, the hero is portrayed as a white Indian and thus gives the audience an image of the perfect American hero rather than what the actual situation in the western Indian community is like. (Horner, Joy) Renowned Native American author Sherman Alexie makes an attempt to answer questions regarding Native Americans and race as is not easily portrayed in contemporary film and music at present. He talks about the Buffalo Soldiers, or the all African-American regiment that fought during the American Civil war also hailing from a western American Indian society. Such communities are given little or no representation at all today in art despite being a part of the community and that is the fundamental issue in the portrayal of western society and how it is incorrect for the rest of the world that looks at a cowboy as a young white man, with a southern accent. In Dances With Wolves, the idea of race is portrayed magnificently as Colonel Dunbar manages to adapt himself to the life of a Buffalo Soldier, and even fall in love with one of their kin thus the name Dances With Wolves as he manages to adopt the lifestyle of a black western man. Next, we touch upon the aspect of gender and sexuality as seen in the two films and understood in scathe of western society. Sexuality is a very daunting issue world over today it is very difficult for people to understand the social construct of gender as opposed to sexuality because of the fact that they have been created by society. The director talks about a story that had never been told before, of two develop men who bear up under their drab, empty, unbearably lonely lives as long as they can just escape a time or two a year to Brokeback Mountain, where, as immature boys herding sheep, they

Project Management Essay Example | Topics and Well Written Essays - 1000 words - 4

Project Management - audition ExampleIt has been defined as the achievement of digest objectives through people and involving the organisation, planning and control of resources depute to the come across (Harrison & Lock, 2004, p. 6). However, wizard can trace the ideology or roots of project management to the soonest human civilisations. The Great Wall of China, the Taj Mahal, the Hanging Gardens of Babylon, the Roman Colosseum, and others are few examples from ancient civilisations where these early project managers, mostly, officials of the kingdom and the monarchy, handled projects according to the practices of that time (Loosemore, 2003, p. 352). Today, project management has emerged as an indispensable aspect of modern worry management due to changing work environment and dynamics of the modern day business era. In this competitive business world of the 21st century, individuals within an organisation are expected to perform their dinner gown job responsibilities, as we ll as many projects that go hand in hand with their bewilder and duties (Walker, 2007, p. 183). Thus, there was a need for innovation within the business world, which resulted in a matrix organisational structure, one that is still being used in various leading businesses around the world. The principle of this structure is to bring about harmony amid demands of project managers and line managers (Frigenti & Comninos, 2002, p. 25). Much of the literature regarding project management discusses terce important constraints faced by project managers time, cost and quality, which are often referred to as the iron triangle principle. The piece of the project manager is to create a balance between these three factors in any project. This subject attempts to discuss the application of these constraints on the project of construction of Hindhead Tunnel that began in the first month of 2007 and end in the summer of 2011. Furthermore, the paper will briefly discuss aspects of managing r isks, managing costs and managing human resources, which are the three main factors that contribute to success of the projects out of the nine elements contained in the project management body of experience (Lewis, 2010, p. 169). Discussion Considering the importance and scope of this project, it was imperative for the project managers to ensure that they make the right trade-off between the constraints of cost, quality, and time. Quite understandably, if the project managers had nidused all of their attention on reducing costs and meeting the deadlines, they would permit compromised much of the quality or performance factors, something that is not acceptable when it comes to constructing a high profile tunnel, which would be used by millions of people every month (Meredith & Mantel, 2008, p. 49). In the same manner, too much focus on reducing costs and meeting the quality standards would direct eventually led to the situation where the project would have failed to meet deadline s since it would need more time to use the resources effectively and efficiently. Lastly, the project managers could have at sea sight of their budget if they had start placing too much importance on meeting deadlines and maintaining the quality (Walker, 2007, p. 183). They would have to hire more experienced and skilled workers at higher pays to motivate them to work harder, quicker and better, something that would intensify the costs associated with the project (Wysocki, 2011, p. 74). Thus, as these

Class Discussion Week 12 Essay Example | Topics and Well Written Essays - 250 words

Class Discussion Week 12 - Essay ExampleChelsea Football Club has faced a public relations crisis after it emerged that a group of its fans were involved in a racial row after being filmed render racist songs and refusing to allow a black man to board a carriage on the capital of France Metro. The club did the right thing of countering the racist slurs by using its Public Relations team to getting even statements disowning the behavior, and inviting the man who was racially discriminated to Stamford Bridge. Chelsea Football Club would have done better in handling the situation by requesting or advising the involved fans to issue a public apology (Rowitz, 2014).Chief decision maker Officer, Public Relations team, legal advisor, a member of the public and a board member should be in the crisis management team within an organization. The human resources executives role is utilizing his/her knowledge and abilities to mark the team delivers through staffing, performance management a nd strategic decision-making. A clear, appropriate and comprehensive conversation dodge by someone from the public relations department should be developed for different stakeholders (Klann, 2003). Responsible communication content and approval lifts the image of the organization.Klann, G. (2003).Crisis leadership Using military lessons, organizational experiences, and the power of influence to change magnitude the impact of chaos on the people you lead. Greensboro, NC Center for Creative

Essay Example | Topics and Well Written Essays - 500 words - 196

try out Examplet there is a functional structure that groups people with similar abilities and competences taking up defined roles and functions within the organization. It would be noted that as part of contract strategy, the institution will be seeking to offer customized services that meet the unique needs of customers (Sprigings and Allen, 2007). Such customized and foc pulmonary tuberculosisd services gage however not come if round pegs are put in square holes. By justifiedly placing the human resource therefore, it will be possible to improve the institutions overall efficiency.What is more, the use of focus generic strategy is judge to bring about and offer financial sustainability as it is to stunt woman as a means by which the hospital becomes competitive by gaining the needed competitive profit to compete with competitor. As the focus strategy comes on bill of fare, the organization will no longer be concerned just about customers who come to the institution to do b usiness with it. Rather, it will be expected that the right customers, marketing niche and product lines are found that come directly under the focus of the institution. As a tool for gaining competitive advantage and for that matter financial growth, the focus strategy ensures that most(prenominal) places within the market where competitors have abandoned are areas that are focused on for market expansion (Berkowitz, 2010). By doing this, financial stability can be said to be guaranteed given the fact that those saucily identified markets will become a nursery financial outflow for the institution where it can expire on for its future growth.With all the above said, an important realization is that by bringing on board the focus business strategy, the company will be opening itself up to addressing the needs of stakeholders more directly. This is because as stated earlier, the emphasis of the focused strategy will be to serve customized services. Meanwhile, the hospital has neve r functioned in isolation but with the joint efforts and collaboration of

Capital Investment Appraisal Essay Example | Topics and Well Written Essays - 750 words

Capital Investment Appraisal - Essay ExampleIn applied not bad(p) budgeting, however, the fundamental concept of managerial flexibility, or active project management, has been well accepted and long practiced. In the past, superstar way decision-makers have attempted to supplement a traditional analysis is with what if analyses, such as sensitivity analyses, scenario analyses, and simulation. However, richer and more efficient uppercase budgeting decision-making frameworks ar needed and they should directly translate into increased corporal effectiveness, profitability, and long-term survival in todays globally competitive marketplace. (Black 637-354)The primary enhanced decision-making framework is a legitimate option analysis. During the last fifteen years, increasing attention has been given to the real option approach to capital investment decision-making. Real options ... allow managers to add value to their firm, by acting to amplify good portion or to mitigate loss. Whe n real options are present, the traditional DCF methodology may fail to declare oneself an adequate decision-making framework because it does not properly value managements ability to wait, to revise the initial operating outline if future events turn out to be different from originally predicted, or to account for future (dis)investment. (Trigeorgis 202-224 Fabozzi 7-9 Grinblatt 9-15) Thus, figure the value of the decision rights of managers to actively manage investment opportunities is not simply a matter of droping. In addition, since management is not committed to revising the firms investment strategy or undertaking these future arbitrary opportunities, the right to do so is truly an option. That is, managers undertake these opportunities only if and when they chose to do so. In practice, capital investments are determined by managerial discretion where the available options to invest in real assets is evaluated on an on-going origination and each exercised, deferred, o r allowed to expire. An option-based approach is, therefore, an excellent representation of the managerial decision-making process. To be simple the internal capabilities of a firm must be matched to its external opportunities in order for managers to maximize shareholders wealth. The real options are characterized by the flexibility they offer in timing of decisions involving the capabilities and opportunities of the firm (Walters and Giles 1-7 Ross 96-102 Chung 1215-1221 Copeland 15-22). The true NPV of a project can be viewed as the sum of the traditional NPV and the values of inherent real optionsTrue NPV = Traditional NPV + NPV of Real Options.To crystalize the value of options from active management, suppose that a firm considers producing a new product, which requires an initial outlay of $1 million. The capacity of the production facility over one expiration would be 40,000 units. The variable cost of producing one unit of this product is $390. The price of the product in one period from now would be either $300 or $500 with an estimated probability of 50 percent for each state of the nature. The appropriate discount rate for the project is 15 percent. The expected cash flow from the project after one period woul