Risk management of petrochemical industry in Saudi Arabia Essay

Risk management of petrochemical industry in Saudi Arabia - Essay Example The top most leading players in this industry are the state owned company Saudi Aramco and the Saudi Basic Industries Corporation (SABIC), their rankings are also at the global level are being one of the largest producers of petrochemical products (Cordesman and Obaid, 2004). The raw materials for producing these products had been available in abundance but now it is being observed that there is shortage being observed in the raw materials and therefore the Saudi petrochemical industry need to work upon their risk management aspects of this industry. Shortages of raw materials from which the products are being produced tend to give rise to high risks in the future therefore it is important to start managing the risk factors beforehand. Risk Management Risk management is usually defined as the elements that cause risk to the organization and accordingly assessments and prioritization of risks are conducted for the purpose of risk management. Risk management plans are made to reduce, m inimize, monitor, and evaluate the risks so that opportunities can be maximized. Risks can be faced from the financial markets uncertainty, from the failures of projects, from legal liabilities, from the factors of credit risk, and other such factors (British Standards Institute, 20). Risk Options There are many types of risk options that can be used for the purpose of managing risk in the organizations. They are as follows (British Standards Institute, 73): Developing new processes of business so that the level of risk can be controlled Risks should be reassessed on a periodic basis Transferring of risks to external organizations such as insurance companies The avoidance of risks by closing down the business units that cause risk Many of the other petrochemical industries operating in Saudi Arabia are planning on with the establishment of acrylic acid complex plants so that any type of downturn in the industry can be overcome in the future. This is due to the changes in the success level trends observed in the country that new business units need to be developed so that the future challenges that are present in the industry forecast can be overcome by the industry. Risk minimization in petrochemical industry of Saudi Arabia The main aspects that should be carefully reviewed towards minimizing risk in the petrochemical industries of Saudi Arabia are (Athearn, Schmit, and Doerpringhaus, 80): 1. Management: All operations should be reviewed, maintenance and engineering operations should take place accordingly, check and control should be maintained for the fire safety and security features of the organization. 2. Procedures: all work operation operations should be carried out under the approved engineering standards so that while insurance premiums are opted for, no loopholes remain for them to gain benefits in times of risk. 3. Plants: the plant design should be according to standards as well, as well as the process controls in the plants and their housekeeping . 4. Protection Hardware: all hardware equipment being used in the plants of petrochemical organizations should be of proper quality. The higher amount of risk may be observed from the

Character Compare and Contrast Essay Example for Free

Character Compare and Contrast Essay The 2 characters that are the main spotlight in this story are Jack and Ralph. They are great leaders but they have different ways of leading others. However they have different goals and that leads to arguments and in the end separation. Even in all the hardships, the littleuns still caused Ralph and Jack to add another worry about the â€Å"beast† into their list of worries Even though Jack and Ralph are innocent and mature at the start, they will break mentally in the end without civilisation to keep them sane. Jack and Ralph are great leaders but they have different ways of leading. Jack’s way of leading is more into the dictator type but Ralph is more into the democracy type. Ralph likes to get ideas and ask for volunteers to do them while Jack likes to tell others what to do.Even though they all agreed to the cliffs and the outhouses and there always has to be water in the coconut shells, but they all forgot about it and do it everywhere. As time passes arguments happens and they fought for leadership. Even though Jack and Ralph work well together but different goals caused them to separate. Jack’s goal is to hunt pigs and go wild in the forest ,but Ralph’s goal is to get off the island and stay alive. They are enthusiastic about the idea of building a signal fire to go back home, the hunters who are supposed to look after it were too focused on hunting the pig for food and left it to go out at the most crucial point. While they are hunting and the fire went out, a ship came pass by and went past them like they didn’t even exist.This accident caused Ralph and Jack into an argument that would eventually lead to separation. The littleuns like to play around but even though they they don’t have to do anything, they also have to make Jack and Ralph worry about the â€Å"beast.† Even though the littleums don’t have to do anything, they still have to create problems by lighting a spark of fear into others by the story of the â€Å"beast.† The day after the kid with the birthmark told them about the  Ã¢â‚¬Å"beast,† he’s gone and no one has yet seen him and they just took him out of their memories and made him disappear like he never existed. Even though the fear of the â€Å"beast’s† gone, once a fear of it is lit it would stay there forever and hunt them even in their dreams. Once they all are mentally broken, Jack took action and rebelled, overthrowing Ralph’s leadership. Even though both Jack and Ralph has the same background and have a similar life style, they still argue with each other and fought over the conch, the symbol of leadership. Jack and Ralph are great leaders but they have different ways of leading and thinking. They also have 2 different priorities which Ralph’s is staying alive and getting off the island back to their homes, but Jack’s priority is to hunt and go wild. Even though they have to worry about who’s in power constantly, the littleuns still have to light a spark of fear that gradually built up like pressure in a pressure tank and once it went over the limit, it blew. Even though they fought and argued they still did well staying alive even with out adults. Works Cited Golding, William. Lord of the flies. London: Faber and Faber Limited, 2012. Print

Essay --

To the farmer, soil is where crops grow. To the engineer, soil is a foundation upon which to build. To the ecologist, soil supports communities of living things. To the archaeologist, soil holds clues to past cultures. To the city dweller, soil nurtures grass and gardens. To the scientist, soil is all of these things. Soil has been called â€Å"the skin of the earth† because it is the thin outermost layer of the Earth’s crust. Like our own skin, we can’t live without soil (â€Å"Story of Soil†). No matter where we go or what we do, soil is important to all of us. We walk all over it, take it for granted, and treat it like dirt, but SOIL is what our lives depend on. Every single thing we do is rooted in soil in at least one way, if not more. If we dig deep enough, we may even find our future careers and life passions. There are countless career opportunities that rely on soil in one way or another. What soil means to each career pathway varies greatly, much like the diversity within the career options themselves. No matter how different our lives and careers may be, one thing is for certain: we absolutely cannot survive without soil. To the farmer, soil is vital to his very existence. Soil is the home of over 400 million acres of crops that the farmer grows and nurtures to feed his family and yours. According to the 2007 USDA Census, there are almost 1 billion acres of farmland being utilized for crops and livestock (â€Å"American Farms†). Without the soil, these farmers would not be able to raise the products that we rely on for basic survival. United States agriculture must produce enough food to help feed the world’s ever growing population. At 7 billion people and rising, our soil must remain as productive as ever (â€Å"World Population Clock... ...bringing wetland habitats back and creating better soil management practices. Even if ones’ career is not directly related to soil, we all rely on it every day. To urban dwellers and rural route residents, soil supplies everything needed for their survival. Soil supplies the antibiotics that fight disease, the food on our plates, the clothes on our backs and acts as a holding facility for solid waste and wastewater. Soil also provides the foundation for our homes, stores, schools, and jobs. This is just the tip of the iceberg describing how our existence and possibly even our careers rely on soil. As we can see, a variety of diverse jobs include working with and understanding soil. Soil is vital to the farmer, to the archaeologist, to the scientist, to the ecologist, to the architect, to the engineer, to you and to me. Like our own skin, we can’t live without soil. Essay -- To the farmer, soil is where crops grow. To the engineer, soil is a foundation upon which to build. To the ecologist, soil supports communities of living things. To the archaeologist, soil holds clues to past cultures. To the city dweller, soil nurtures grass and gardens. To the scientist, soil is all of these things. Soil has been called â€Å"the skin of the earth† because it is the thin outermost layer of the Earth’s crust. Like our own skin, we can’t live without soil (â€Å"Story of Soil†). No matter where we go or what we do, soil is important to all of us. We walk all over it, take it for granted, and treat it like dirt, but SOIL is what our lives depend on. Every single thing we do is rooted in soil in at least one way, if not more. If we dig deep enough, we may even find our future careers and life passions. There are countless career opportunities that rely on soil in one way or another. What soil means to each career pathway varies greatly, much like the diversity within the career options themselves. No matter how different our lives and careers may be, one thing is for certain: we absolutely cannot survive without soil. To the farmer, soil is vital to his very existence. Soil is the home of over 400 million acres of crops that the farmer grows and nurtures to feed his family and yours. According to the 2007 USDA Census, there are almost 1 billion acres of farmland being utilized for crops and livestock (â€Å"American Farms†). Without the soil, these farmers would not be able to raise the products that we rely on for basic survival. United States agriculture must produce enough food to help feed the world’s ever growing population. At 7 billion people and rising, our soil must remain as productive as ever (â€Å"World Population Clock... ...bringing wetland habitats back and creating better soil management practices. Even if ones’ career is not directly related to soil, we all rely on it every day. To urban dwellers and rural route residents, soil supplies everything needed for their survival. Soil supplies the antibiotics that fight disease, the food on our plates, the clothes on our backs and acts as a holding facility for solid waste and wastewater. Soil also provides the foundation for our homes, stores, schools, and jobs. This is just the tip of the iceberg describing how our existence and possibly even our careers rely on soil. As we can see, a variety of diverse jobs include working with and understanding soil. Soil is vital to the farmer, to the archaeologist, to the scientist, to the ecologist, to the architect, to the engineer, to you and to me. Like our own skin, we can’t live without soil.

The Anchorperson and Bad News Essay -- TV Television Media Essays

The Anchorperson and Bad News Government policy and public opinion work on a two way street. Opinion reacts to policy; in turn, opinion shapes policy. Broadcast media speeds this game of table tennis to an even more personal and democratized level, often bypassing several filters as the information television provides streams into our living rooms. Print media lags and becomes increasingly visual - the bright colors and pictures of USA Today contrast the stark factual spreads of the Wall Street Journal. Television becomes an emotionally charged and urgent medium when the viewers can hear voice intonation and see facial features accompanying by the minute at the scene events. The figures at the fore of these transmissions are the television newscasters, familiar names such as Jennings, Brokaw and Rather, persons who have held the public's trust for two, perhaps three generations of viewers. I hope to explain the connection I see between television technology, public opinion, and foreign policy. I believe that technological factors such as television have disseminated more power to the masses in terms of the ability to receive information, but also has given power to those who relay it, namely anchor persons. I also take into account the role of the media in times of crisis, which is commonly to simply relay government information and policy instead of being a watchdog of it. Briefly summarizing author Bethami Dobkin, in terms of terrorism, television media reinforces government frameworks and rhetoric, and conveys them in a fast, but at the same time intensely personal way. The results increased popularity rating for Presidents. "The public has rewarded those presidents who have taken action and have seized center stage... ...rmation is national security. Obviously, journalists should not endanger lives to publish where the Navy SEALS will be landing. Television technology and its representatives do play a crucial role in this recent terrorist event. In one sense, we are more informed about happenings, but we are forced to see it through an unchallenged framework; one that prescribes drastic actions that many people are reticent to fully commit to before further exploration is done. Simultaneously, many people are prepared to take action after seeing the immediacy and size of the matter firsthand on television. Works Cited O'Neill, Michael J. Terrorist Spectaculars: Should TV Coverage Be Curbed? New York: Prirority Press Publications, 1986. Dobkin, Bethami A. Tales of Terror: Television News and the Construction of the Terrorist Threat. New York: Praegar Publishers, 1992.

European Management

Generally, there are two types of customers in the wedding band business. One of them is a couple who is getting engaged or getting married and therefore needs a wedding band to wear it life-long; the second type of customers is a couple who decides to change their wedding bands and buy a new one. 1. 1 Description of Values, Strategy, Mission & Vision, and Actual Business & In this part of our work we give you the description of the company in the general meaning, as well as its values, vision and mission. Moreover, we analyze its actual usiness and management model.Every company in the world should have its own values. It means that companies are guided by some principles and internal conducts. Moreover, all of the companies are connected to their customers, partners, shareholders, and etc. In order to attract or influence those stakeholders companies usually state their vision and mission (BusinessDictionary, n. d. ). The values of the company Rubin Alyans are gold wedding bands an d solitaire rings. Those products are very important for the company and also for the buyers as they are the customers of the companys customers, the so- called end-users.Traditionally in many countries married couples wear wedding bands to show or announce to the world that they are married. The fact that the company value is also a multicultural sign decides any action and strategy. Another value of the company is there special packages as including nice presents for the couples. The strategy of this company is highly sensitive on the quality of the products because its products are mostly worn during the day and night, 24 hours a day, 365 days a year. There is no other product that a person wears on him or her such a long time. The vision of the company is much more competitive.They are lucky to be in a competition in which other companies compete with their price and not many of them have a strange and unpredictable vision. So the company would like to stay with their competitiv e advantages, increase them in the future. Their future vision is also to grow, therefore first become a mid-sized and then a big-sized company in order to expand also more into foreign countries; to increase the possibility of targeting new countries more easily due to financial terms. The company mission is to produce and sell wedding bands to the couples that they can wear lifelong without any complaints.The way to success in their business is to make the high quality wedding band with the elegance and simple design. The simplicity of the ring is important because for many people it is difficult to choose the wedding ring which they would admire forever. Those who decide and buy the product know very well that the choice is very important. Besides all of the strategies and marketing plans, the most important function in Jewellery business is that the product has a change value as it is operating in the gold business. The accuracy that you mark inside the ring should be correct wi th the ring's.Better to explain by an example: When you mark 14K in the ring the accuracy should be 585 which is the gram percentage of the gold in 1 kg. If it is less than the marked one, it has a serious penalty and besides everything mentioned, whatever we do we always have to be sure of the gold accuracy of ring. 1. 1. 2 Actual Business Model This company fills rather the criteria of an actual business model than of a traditional business model due to the following reasons. 2 The process of creating golden rings is based on market needs, so to say on the actual demands of customers.The customers demand for the rings and therefore, edding bands are developed, created, and at least produced. Hence, the demand for brand capital is high. We can see a customer-focus because they are those who decide how their final wedding ring will look like. The wedding rings are created according to the customers. To be aware of the need of customization in this business is a very important factor to be successful in the gold industry. It is also possible to imply that there is a high demand for human capital.

Dissertation Topic Example

Dissertation Topic Example Dissertation Topic – Research Paper Example Dissertation topics The impact of innovations on business performance and growth A dissertation based on this topic will address issues on improvements or enhancements that have occurred in the field of business and how they influence performance of enterprises. It will respond to the question: which key innovation strategies, technologies and activities are available to an enterprise for enhancing its productivity, accessing potential clients and expanding its market share? 2. Organization teams leadership and coordination This involves establishing the relationship between coordination, leadership of teams and teams’ performance as well as overall performance of the organization. The problem to be handled entails: how coordination influences team as well as organization performance. A comparison approach can be adopted in which performance of various organizations is assessed with respect to their teams’ coordination and leadership strategies. 3. The relationship between organization development and use of information systems. This dissertation will review how information systems facilitate organization development and growth. It will address how different information systems such as enterprise systems, data warehouses, and global information systems among others affect organization development and performance. 4. Effectiveness of globalization strategy in enterprises This will analyze the effectiveness of globalization strategy in enterprises. It may involve reviewing performance of several multinational organizations or enterprises in the attempt to determine the efficacy of their globalization strategy. 5. The impact of organization culture on performance. Organization culture is believed to influence performance of an organization. It is essential to investigate whether performance of an organization is dependent on the organization’s culture. 6. The role of leaders in performance of a business and its profitability. The main objective of this study is to establish how the management team influences performance of their organizations. It responds to the statement of problem: â€Å"How can organization’s management influence performance of an enterprise and restore or maintain high levels of profitability in the organization?† 7. The correlation between organization behaviors and dominance over the market share. It will investigate how organization behaviors facilitate the acquisition of the largest market share. In view of this, aspects of competitiveness, attracting and retaining customers, and other ways of enhancing business performance in the market place will be assessed. One of the statements of problem can be: â€Å"What actions an organization takes in order to retain its dominant market share?† 8. The importance of skills and knowledge management in organizations. This involves positive outcomes associated with skills and knowledge management. It is intended to identify the motivation behind skills and knowledge management in an organization. What are the benefits that an organization obtains from skills as well as knowledge management capability? 9. Strategic crisis management in enhancing business continuity and stability. The issue of crisis management will be analyzed with respect to its contributions to business stability and continuity. Statement of the problem can be: â€Å"What are the key benefits for managing various crises in the attempt to ensure business continuity and stability?† 10. Business management and performance in the global market. This will investigate how business management affects performance of an enterprise in the international market. In this sense, it will establish the relationship between management strategies and globalization relating to business performance.

Egyptians essays

Egyptians essays Ancient Egyptians entire way of life was centered on death. They planned their whole lives for life after death, which they believed to be eternity. The Egyptians believed that when you died, your soul would leave your body and go on a journey. The ancient Egyptians strong beliefs in life after death can be seen in the many works of art that have been found. First, it is important to know that the Egyptians used a canon of proportion in which men and women would always be drawn. They believed that by showing the profile of the face, with the eye shown in front along with the shoulders and upper torso, and with the lower torso shown from the side along with legs and the feet, that this was the best view to capture the most characteristic and essential aspects of the subject matter. Much of the art that has been found from this time has come from tombs and graves. It was not really used for decoration as it was used to show the living world for the dead. The afterlife was viewed as being a continuation of the good life now; therefore you have to plan to take everything with you. In one of the tomb paintings, found in the tomb of Neb-amon, you can see Ned-amon as a great hunter with all of these birds and different animals and fish around him. In the painting are also his girlfriend and a servant. The Egyptians would paint in their tombs what they want to do in their afterlife and who they want to be with them. This is also the reason they would have so many other things like food and jewels, etc. in their tombs with them. They would have everything that they needed to continue life, and this would vary with your social status. Perhaps the greatest pieces of art from this time are the pyramids and the tombs of the pharaohs. The pyramids were built to assure the rulers comfort in the afterlife and their tombs were prepared as a home for eternity. The chambers would have the most cherished possessions suc...

How a Tree Grows - A Brief Overview

How a Tree Grows - A Brief Overview Little of a trees volume is actually living tissue. Just 1% of a tree is actually alive and composed of living cells. The major living portion of a growing tree is a thin film of cells just under the bark (called the cambium) and can be only one to several cells thick. Other living cells are in root tips, the apical meristem, leaves, and buds. The overwhelming portion of all trees is made up of non-living tissue created by a cambial hardening into non-living wood cells on the inner cambial layer. Sandwiched between the outer cambial layer and the bark is an ongoing process of creating sieve tubes which transport food from leaves to roots. So, all wood is formed by the inner cambium and all food-conveying cells are formed by the outer cambium. Apical Growth Tree height and branch lengthening begin with a bud. Tree height growth is caused by the apical meristem whose cells divide and elongate at the base of the bud to create upward growth in trees with a dominant crown tip. There can be more than one developing crown if a trees top is damaged. Certain conifers cannot produce these growth cells and height growth stops at the crown tip. Tree branch growth works in a similar way using buds at the apex of each twig. These twigs become the future branches of trees. Transfer of genetic material in the process will cause these buds to grow at determined rates, creating a tree species height and form. Tree trunk growth is coordinated with the increase of tree height and width. When buds begin opening in the early Spring, cells in the trunk and limbs get the signal to increase in girth by dividing and in height by elongating. Root Cap Growth Early root growth is a function of meristematic root tissue located near the tip of the root. The specialized meristem cells divide, producing more meristem called root cap cells which protect the meristem and undifferentiated root cells while pushing through the soil. The undifferentiated cells become the primary tissues of the developing root during elongation and the process that pushes the root tip forward in the growing medium. Gradually these cells differentiate and mature into specialized cells of the root tissues.

Countries grow at different rates because they accumulate capital at Essay

Countries grow at different rates because they accumulate capital at different rates. Is this true Explain your answer - Essay Example Accumulation of wealth can be viewed in two ways. The first is where one party amasses wealth at the expense of another. The second is where there is an increase in the amount of wealth for both parties. It happens due to a mechanism in place that generates wealth for both parties. These two mechanisms cannot work in isolation. In the economic wars, available countries are using both tactics to gain economic advantages over others. A look at the two graphs above reveals a significant difference in the rate of GDP growth between a developed country and a developing country. There are three theories that expound how the difference in the rate of accumulating wealth determines the variation in the rate of growth between the various countries. The theory argues that the economic growth of a country is dependent on the output of its individual citizens. In country where the capital per individual is large, the rate of economic growth is higher. Therefore, in countries where the level of technology is high, lesser employees are required per unit of output. This cuts down the labour cost and increases the capital goods which have higher returns on the inputs. This confirms that the higher the capital goods per individual, the more the more the returns per input and hence a higher growth rate is achieved (Setterfield 2010, p.49). Karl Marx in his theory argues that, the rate of accumulation of wealth is determined by how much profit is returned back into the production process in order to produce more profit. He measures the rate of wealth accumulation by how much the capital is grown. The amount invested back into the production process determines how fast the wealth of the nation grows. He further explains that, the process of accumulating wealth involves legal trading between two parties for the purpose of making profit or just acquiring property from someone at their expense. This two process breeds both fair and unfair competition among nations for the

Write a memo and a unsolicited recommendation letter based on guidline Article

Write a memo and a unsolicited recommendation letter based on guidline - Article Example However, with all of this in mind, it has recently been noted that healthcare premiums have continued to rise; and eventuality that places an undue level of stress on the business and upon the employees. However, rather than merely raising the premiums across the board for all individuals in the company, it has been determined that a far more equitable and fair approach would be to raise healthcare premiums by 15% for those individuals smoke stop the underlying reason for this is not to target a specific group of people; instead, it is meant as a way of fairly representing the healthcare costs that the insurer, and by extension this company, is forced to pay. Further understanding with regards to the impacts of smoke and secondhand smoke reveals the fact that those individuals who are smokers are invariably more likely to develop a litany of different health issues. As a direct result of this, increasing the premiums for smokers is a way in which the insurance companies, and by extension this company, can continue to provide a high quality of care and a high level of reimbursement for health-related expenses for all employees. However, rather than merely punishing smokers, it is the goal of this company to reduce the overall number of individuals that smoke; maximizing the health of those individuals that work for our firm, public health, and minimizing the level of insurance premiums that are required to be paid annually. Because of this and due to the fact that it is our commitment to promote the health and well-being of each individual that is employed, we have partnered with several smoking cessation programs and will facilitate employees to sign up for these if they wish to avoid the increase in premiums that will be affected in the near future. The underlying rationale for this has to do with the fact that it is our hope that more and more people within the company will come to an understanding of the fact that smoking is

Generating Decision Alternatives Essay Example | Topics and Well Written Essays - 500 words

Generating Decision Alternatives - Essay Example Controlling a business means having control of the commodity one is supplying. In the case where one’s competitors are supplying your commodities, they can dictate the quality and quantity which is not good for business (Gilbert, Pinel, Wilson, Blumberg and Wheatley, 2002). GM barred Saturn from the access of new products in the market which lowered their income. The UAW then waged war on Saturn’s labor reforms which was intended to keep Saturn from spreading its tentacles to other GM factories (The Wall Street Journal, 2009). The UAW made Saturn agree to a contract which eliminated most of the work skills that only UAW members can perform. This meant that Saturn comprised mostly of UAW members who with any gain for the company, they also aimed at benefiting. The UAW members were also assigned to all executives and managers of Saturn and hence they formed part of the decision making team. They were able to manipulate many decisions in their favor which killed the company gradually. With the harsh labor conditions and the harsh agreement on the supply of commodity, Saturn could no longer stay in the market. The leaders at Saturn had the assumption that procuring vehicles from GM would enable them to compete favorably with other related firms. This was not the case since GM was also their competitors and being the creators of the firm, GM had to find a way to kill is the competitor and partner. The GM and UAW leaders could only be coaxed with the reasonable way of sharing profits. The Saturn leaders would also consider legal bindings, which may bar THE UAW from interfering in their business. To deal with the assumption above, the company needed to lure GM to deal which involved a high profit share. A share of about 60% and 40% or 70% and 30% would be enough to coax the GM leaders. This would give another income option to GM and they would do anything to keep their source of income in the

Human Resource Management---How might organizational culture be Essay

Human Resource Management---How might organizational culture be related to the job satisfaction of the employees - Essay Example Wilton (2011) defines organization culture as knowledge and standards that have been combined together by employees in understanding the environment of the organization (Wilton, 2011). The founder of Wal-Mart Sam Walton showed concerns and respected its staff members since the beginning of the company which developed an air of trust which persists to the current day. The founder used to call staff with their first name and encouraged them to perform better which developed trust. Southwest Airlines is known for its relaxed culture which encourages informality at work. Employees are motivated to help each other which reduced the turnover rate of the company as compared to the industry average. This culture was influenced by unconventional CEO Herb Kelleher (McIntosh & Doherty, 2010). Similarly, Virgin Airways culture allows every single person to participate in coming up with innovative ideas for the company. Microsoft considers its employees their assets and they try to make innovatio ns in compensation packages to make their employees satisfied. Toyota is another example that has highest job satisfaction rate recorded because it applies to the procedure of implementing employee morale surveys in a certain period of time (Gilmore & Williams, 2009). These organization cultures are related to job satisfaction of employees which has made these companies successful over the years. A satisfied employee is able to bring revolution inside a company which can transform it into better ways (McIntosh & Doherty, 2010). The people who govern the organization, provides rules and regulations to maintain ethical behavior inside organizations for the perspective of controlling the act of employees. However, too many rules and strict policies can have a negative impact on the satisfaction level of employees and would ultimately result in lower productivity (Sempane et al., 2002). In case of Southwest Airlines, the casualness of a culture provided the company to reduce turnover ra te. Similar with the case of Toyota which performed employee surveys to check their satisfaction rate and make changes accordingly in organization culture. The company monitors the morale rate and find out reasons for employee dissatisfaction and makes changes (Swart et al., 2005). The company that has supportive environment and supervisors tend to support friendly mentoring of their subordinates then it would lead a better career development and would help in decreasing turnover rate (Knights & Hugh, 2007). The culture of organization and their working styles highly impact the performance of employees. A motivated employee who is highly compensated for better performance and is being provided with rewards, tend to have high morale and they strive to exceed expectations for higher growth (Egan et al., 2004). Walters (2010) describes that productivity of an employee is directly proportional to incentives that are provided by the company (Walters & Walters, 2010). The culture of an or ganization determines policies to handle employees’ compensation packages and treatment of employees over their performance (Roos & Eeden, 2008). A company that tends to provide various facilities, attractive packages and fair treatment, are bound to increase job satisfaction. (Greene, 2011). Microsoft introduced a culture of providing good compensation packages for employees which made them satisfied (Herzberg, 2003). Organizational culture is deeply embedded in the organization and it is how

Discussion Questions Essay Example | Topics and Well Written Essays - 500 words - 5

Discussion Questions - Essay Example Money Eddie is a great performer in the team and is not required to be pushed or made to sit for performance review meetings often. A bonus pay- check in the middle of the month and an incentive plan in addition to tickets to watch a racing sport when he achieves something way above his team mates will go a long way in keeping Money Eddie motivated. Always Andrea - Her personality type according to 'Six Degrees' is a Careerist and a Lifestyler. Mainly because her personality reflects reliability and loyalty which are traits of an employee looking to get ahead in the corporate ladder. She is also a Lifestyler as she keeps to herself may be due to her commitment to family and wanting to spend more time personally or for herself. A good rating at the performance appraisal and a promotion that she can look at, down the line in the company along with an incentive pay structure can be a powerful way of motivating her. She is profile who can be counted upon and can rise to the occasion to help the team in crisis. Lovely Lupita - This employee conforms to the type of a 'Collegiality Seeker' her characteristics of being social and talking about her family.

Human Resource Management---How might organizational culture be Essay

Human Resource Management---How might organizational culture be related to the job satisfaction of the employees - Essay Example Wilton (2011) defines organization culture as knowledge and standards that have been combined together by employees in understanding the environment of the organization (Wilton, 2011). The founder of Wal-Mart Sam Walton showed concerns and respected its staff members since the beginning of the company which developed an air of trust which persists to the current day. The founder used to call staff with their first name and encouraged them to perform better which developed trust. Southwest Airlines is known for its relaxed culture which encourages informality at work. Employees are motivated to help each other which reduced the turnover rate of the company as compared to the industry average. This culture was influenced by unconventional CEO Herb Kelleher (McIntosh & Doherty, 2010). Similarly, Virgin Airways culture allows every single person to participate in coming up with innovative ideas for the company. Microsoft considers its employees their assets and they try to make innovatio ns in compensation packages to make their employees satisfied. Toyota is another example that has highest job satisfaction rate recorded because it applies to the procedure of implementing employee morale surveys in a certain period of time (Gilmore & Williams, 2009). These organization cultures are related to job satisfaction of employees which has made these companies successful over the years. A satisfied employee is able to bring revolution inside a company which can transform it into better ways (McIntosh & Doherty, 2010). The people who govern the organization, provides rules and regulations to maintain ethical behavior inside organizations for the perspective of controlling the act of employees. However, too many rules and strict policies can have a negative impact on the satisfaction level of employees and would ultimately result in lower productivity (Sempane et al., 2002). In case of Southwest Airlines, the casualness of a culture provided the company to reduce turnover ra te. Similar with the case of Toyota which performed employee surveys to check their satisfaction rate and make changes accordingly in organization culture. The company monitors the morale rate and find out reasons for employee dissatisfaction and makes changes (Swart et al., 2005). The company that has supportive environment and supervisors tend to support friendly mentoring of their subordinates then it would lead a better career development and would help in decreasing turnover rate (Knights & Hugh, 2007). The culture of organization and their working styles highly impact the performance of employees. A motivated employee who is highly compensated for better performance and is being provided with rewards, tend to have high morale and they strive to exceed expectations for higher growth (Egan et al., 2004). Walters (2010) describes that productivity of an employee is directly proportional to incentives that are provided by the company (Walters & Walters, 2010). The culture of an or ganization determines policies to handle employees’ compensation packages and treatment of employees over their performance (Roos & Eeden, 2008). A company that tends to provide various facilities, attractive packages and fair treatment, are bound to increase job satisfaction. (Greene, 2011). Microsoft introduced a culture of providing good compensation packages for employees which made them satisfied (Herzberg, 2003). Organizational culture is deeply embedded in the organization and it is how

Animals abuse Research Paper Example | Topics and Well Written Essays - 1250 words

Animals abuse - Research Paper Example Different people have different perspectives regarding this issue. Therefore, perception and attitudes towards this issue has been reflected in this research paper. Lastly, some solutions have been provided to overcome this ongoing issue. Animal abuse is referred to the human infliction of harm or suffering upon non-human animals, for purposes that are other than survival or self-defense. Majority of the cases related to animal abuse signifies the purpose of specific gain or violent nature of humans against animals. Animal rearing and killing of animals for obtaining food and fur also fall under the category of animal abuse. Based on several research reports and statistical data on animal abuse, it has been clear that on average every 30 seconds crime against animal is reported. The most terrifying fact is that majority of animal abuse related crimes go unreported, which signifies the inhuman nature of people. This research paper supports the thesis statement. Recent animal abuse statistics express a depressing and grave scenario to the suffering of animals by humans on a broader perspective. In the rural as well as the urban areas animals are tortured greatly and they are considered as normal in the eyes of people. Most of the animal abuse crimes go unreported, which shows the negligence against animals’ torture that is made by people. There are mainly two types of animal abuses i.e. active cruelty and passive cruelty. Passive cruelty has been very common form of animal abuse and it is includes lack of action from preventing suffering and pain of animals (Flynn 87. On the other hand active cruelty is the kind of animal abuse wherein humans cause trouble to animals intentionally, for a specific cause or for fun and amusement. Animal abuse has developed on a large scale as the requirement of meat and animal fur has increased rapidly in the world. The most common victims of animal abuse are dogs and cats. Based on an animal abuse sur vey conducted

Long Term Care-Hospice Essay Example for Free

Long Term Care-Hospice Essay Hospice is a process to end-of-life care and a kind of support facility for terminally ill patients. It provides comforting care, patient-centered care and related services. Comforting care relieves discomfort without improving the patient’s condition or curing his illness. Hospice is extended in a healthcare facility or at home. Its objective is to provide compassionate, emotional, and spiritual care for the dying patient. The origin of the word â€Å"hospice† in medieval times meant â€Å"way station for weary travelers† (Perry). The first hospices were run by members of religious orders in the medieval times that cared for weary travelers whom found refuge with them until their death. Modern hospices are believed to have started in the United Kingdom in the mid-19th century in Dublin, Ireland. Roman Catholic Sisters of Charity provided a clean and caring place for the terminally ill. The name hospice was first applied to the care of dying patients by Mme Jeanne Garnier who founded the Dames de Calaire in Lyon, France, in 1842. The name was next introduced by the Irish Sisters of Charity when they opened Our Ladys Hospice in Dublin in 1879 and St Josephs Hospice in Hackney, London 1905. The practice became popular in England, Asia, Australia and Africa. It was only in the early 70s that the hospice concept was introduced and accepted in the United States through the efforts of physicians Cicely Saunders and Elisabeth Kobler-Ross. These practices included effective pain management, comprehensive home care services, counseling for the patient, and acceptance of death as the natural end of the care delivery by health care professionals, bereavement counseling after the patient’s death, and continued research and education (Wexler Frey). Quality care at the end of life soon combined with grief counseling and bereavement care. The government stepped in to contain health-care costs when reimbursement for inpatient hospitalization was significantly reduced. Home-based hospice care also became popular as a more inexpensive alternative to hospitalization or care in a nursing facility (Wexler Frey). The hospice concept was not immediately accepted by conservative health professionals. The concept emphasizes caring more than curing. It also allows interaction with complementary and alternative medicine practitioners. A hospice’s primary function or service is to enable the patient and his family to accept death as a natural part of the life cycle (Wexler Frey, 2004). In addition, it provides pain management and psycho-spiritual support and complementary and alternative therapies. Approximately 80% of hospice patients are in the terminal or end-stage of cancer. Traditional medical facilities provide pain medications when requested, a hospice administers these medications regularly and before they are needed. The intention is to prevent pain from recurring. Furthermore, the problem of addiction and other long-term consequences is not a concern in the case of terminal illness. The concern is to provide effective relief to the greatest degree possible (Wexler Frey). A second major service of a hospice is to relieve physical, psychological, emotional and spiritual discomfort to the patient’s family and others close associates (Wexler Frey, 2004). It relies on members of the clergy, pastoral counselors, social workers, psychiatrists, massage therapists and other trained volunteers to alleviate the discomfort. A hospice also provides grief and bereavement counseling and support groups to assist family members in expressing or resolving emotional tensions. And it allows the use of complementary and alternative therapies, in addition to conventional medicine, in the control of symptoms and in improving the patient’s well-being. A 2002 study conducted on the inclusion of such therapies showed that patients who received them expressed more satisfaction with hospice care than those who did not receive them. These therapies include acupuncture, music therapy, pet therapy, bodywork, massage therapy, aromatherapy, Reiki or energy healing, Native American rites, herbal treatment and similar methods intended to soothe the patient and his family and friends (Wexler Frey). A survey was conducted in 2000 on more than 9,000 patients discharged from more than 2,000 hospices on the services they received (Carlson, 2007). It revealed that 22% of them received five major palliative care services, which varied among the hospices. These palliative care services were nursing care, physician care, medication management, psychological care, and caregiver support. Approximately 14% of the hospices provided all five services and 33% provided only one or two services. Only 59% of these patients received medication management services. These included administering medication, dispensing correct dosages, and setting and following dosage schedule. Growth Projections The National Hospice and Palliative Care Organization reported that, as of 2003, there were 3,139 hospice programs in operation in the United States, Guam and Puerto Rico (Wexler Frey, 2004). The Centers for Disease Control and Prevention National Center for Health Statistics said that, in 2000, there were 11,400 combined home health and hospice care agencies, which served 1.5 million patients. It also reported that, at present, more than 90% of hospice care is delivered at home, although based in medical facilities. Hospital-based programs often provide hospice care in a wing or a floor in the building. There are also independent and for-profit hospices exclusively for the care of the terminally ill. Most programs offer both inpatient and home care and allow patients to use one or both types of service (Wexler Frey). In 2005, the National Hospice and Palliative Care Organization reported that more than 4,100 hospice programs were operating nationwide (Marshall, 2007). A third of these were for-profit companies. The rise in figures led financial analysts to view the hospice industry as among the strongest growing areas in healthcare. Hospice is cost-effective and more people are getting aware of the concept. Records showed that hospice spending had grown at 26% annually since 1989 as compared with 7% increase in overall health expenses in the same period. Despite this statistical increase, the hospice market has yet to be substantially tapped. Of the approximately 2 million apparent deaths in 2003, only 710,000 were in hospice. But new government regulations in the 80s boosted the growth of hospices. These regulations allowed hospice providers into assisted living centers and nursing facilities. Since their exposure to the patients, the industry became a more attractive enterprise. The hospice concept has grown from a voluntary effort to a highly profitable industry worth $9 billion today. It is predicted to continue growing as baby boomers opt for the â€Å"good death.† Of the 47 hospices in Colorado, 53% are non-profit and 36% are for-profit. Nationwide, for-profit hospices multiplied four times between 1994 and 2004 at six times the growth of non-profit hospices (Marshall). Issues and Approaches Hospices operate on thin investment margins of only 8 to 12% on the average and receive Medicare payments of only $125 per day per patient for routine home care (Marshall, 2007). They are lucky to have thousands of volunteers to support operation. But making a profit can be difficult. Medicare regulations state that hospice can be used only up to six months. Yet many patients die just weeks from arrival. If death comes within two weeks of admission, the costs go quite high. Another problem that for-profit hospices confront is maintaining a level of quality care (Marshall). Most hospices require physicians to estimate that the patient is unlikely to survive to six months (Wexler Frey, 2004). This intention is to maintain Medicare eligibility. This disqualifies terminal patients with uncertain prognoses, the homeless and isolated patients. Moreover, health care costs constrain patients to limit their stay in hospices. The shortened stay reduces the chance and time for pastoral and psychological counselors to help the patient and the family to deal with the situation effectively (Wexler Frey). Short stay also incurs more and more costly care (Solnik, 2002). Medicare and private insurers pay per diem, which means that reimbursements remain the same and hospices must cover the rest of the expenses. Furthermore, the patient may not need much care at times and that increases the delivery cost per day. But hospices realize they have to live with this reality (Solnik). Other problems arise when staying too long in a hospice (Solnik, 2002). Prior to admission, two physicians must agree that the patient probably has six months or less to live. The patient must also agree to replace the use of life-saving equipment and treatments with palliative ones. The purpose is to keep him comfortable. If he survives the six-month limit, Medicare payments drain and the hospice must eventually reimburse some of the payments (Solnik). The cost of more effective pain medication has added to the cost of hospice care (Solnik, 2002). Hospices admit they are losing money because of the treatment modes applied to end-of-life care. Regulations must cover all the expenses incurred in all the stages of terminal illness. Medical procedures, like chemotherapy and radiation, are frequently used to alleviate pain and symptoms and for cure. Intravenous medications tackle pain but are also costlier than other forms. The appearance of new and costlier drugs blurs the fine line between life-saving and mere comfort-giving. Chemotherapy can shrink a tumor to allow swallowing and radiation can ease or reduce pain. If the hospice is not well financed, one or two patients who demand these procedures can bring cost problems to the hospice. Shareholders who fear that the return on their investment is jeopardized may decide to cut down on staff. They may also shed off community grief centers, extensive bereavement care, alternative therapies, and inpatient care centers. The multicultural view of death is another issue in hospices in the United States and Western Europe (Wexler Frey, 2004). Migrants with Easter cultures have an entirely different perspective from those with Western cultures. The Chinese’s concept of death is a sharp example. The views of death and end-of-life values of other cultures should be incorporated into the policies of hospice care programs (Wexler Frey). The low rate and significant increase of physician services are additional troubles for hospices (Carlson Morrison, 2007). In most cases, hospice physicians participate only in care planning meetings, not in direct or actual patient care. The 6% increase in the number of patients receiving physician services was not considered significant. Still less than a third of these patients received hands-on physician services. This could be the offshoot of the original and non-medical concept of hospice care (Carlson Morrison). The range of hospice services provided in different regions has also been found to vary by region (Solnik, 2002; Wexler Frey, 2004). Patients in the Northeast received a significantly narrower set of services than those in other regions. Alternative forms of palliative care for end-of-life patients are quite common in the Northeast. These forms have recently expanded as hospital-based palliative care programs more than in other regions. This trend could have influenced the role and scope of hospice care offered in that region (Solnik, Wexler Frey). One more issue or problem is regulation of hospices itself (Solnik, 2002). In order to pay for hospice care, Medicare or a private insurer requires two physicians to sign a document that the patient has only six months or less to live. It then pays only for palliative treatment or management of symptoms and pain, not for the cure of the disease. This compels the patient to choose comfort or care over cure. The hospice industry has been by lobbying for a change in the regulation to allow or include curative treatment in hospice care. In collaboration with this initiative, the National Hospice and Palliative Care Association has also been lobbying for increased insurance reimbursements to include payments for costly procedures, like chemotherapy and radiation therapy (Solnik). Some approaches to these issues have been noted. Increased disease complexity, the diversity of diagnoses and symptom burden are likely to increase direct physician care (Carlson Morrison, 2007). The patient’s primary care physician may continue to monitor the patient’s condition but he is also unlikely to possess appropriate training, knowledge and skills on palliative care (Carlson ^ Morrison). Consolidation efforts in the industry has helped hospice care providers gain greater access to fund sources (Solnik, 2002). This is illustrated by the merging of hospice services among the Charles Hospital and Rehabilitation Center, Mercy Medical Center and Good Samaritan. They created Good Shepherd. They, however, found that reducing the costs of products and services would not sustain them without extensive financing or fund-raising (Solnik). Some studies focused on the availability of hospice care to the elderly in the rural areas (Solnik, 2002). Findings showed that the range of hospice services in the areas were comparable with those in the urban areas. The probability of fewer services in the rural areas can be dealt with by increasing reimbursement to cover trave l expenses and attract skilled health professionals (Solnik). A New York legislation would expand Medicaid payment for freestanding hospices in response to the six-month limit requirement (Solnik, 2003). The initiative encouraged the construction of freestanding hospices, such as The Visiting Nurse Service Hospice of Suffolk, Inc. on Long Island and the Hospice Care Network in Manhasset. Freestanding hospices would create and provide facilities for the exclusive use of hospice care. Hospice beds in hospitals and nursing homes are currently only a small part of the overall facility. This would provide family support to take care of patients who do not have it and need it in their condition. Hospice care providers consider freestanding hospices a potentially important part of their industry (Solnik). Community Assessment The City of South Bend in Indiana is the seat of St. Joseph County in a region known as â€Å"Michiana (Answers.com, 2008).† The region covers counties in Indiana and Michigan. South Bend is famous for the University of Notre Dame and the winning football team, â€Å"The Fighting Irish.† It has a 107,789 population as of 2000. The City’s has nine medical centers, prominently the Hospice of St. Joseph County (McMahon, 2008). Employment in the health care and social services is 13.4% of the total.(McMahon). The Indiana Hospice Palliative Care Organization supervises hospice care in the City. Among the issues it confronts are treating the homeless at the end-of-life, the costs of end-of-life care to elderly patients, pain management, care-giving at the end-of-life, and futile care (2007). Treating the homeless at the end-of-life is a major concern for the City. They can seldom access hospice service for lack of resources for inpatient hospice, a home or social supp ort (Indiana Hospice Palliative Care Organization, 2007). In addition, these homeless are already beset with substance abuse problems and mental illness. Their need for hospital care is 3-4 times greater than expected and 36% longer than poor patients who have homes and encounter similar health problems. Some organizations offer them medical respite, short-term shelter with basic services for those too sick to function on the street. These organizations cannot, however, care for those who are nearing death. (Indiana Hospice Palliative Care Organization). Keeping to a medication regimen is a critical problem among homeless patients. They lack the money to buy them, lose their belongings or suffer from symptoms of mental illness or substance abuse (Indiana Hospice Palliative Care Organization, 2007). Other problems they confront are the control of pain, the inability to discuss death and dying at home. Because of drug abuse, they may be opioid-tolerant and, thus, may need higher doses. If they stop taking drugs, they need specific treatment to handle withdrawal reactions. The homeless also less willing to discuss death on account of what they have been denied in life. A study found that the homeless expect to die suddenly and violently. This expectation affects their willingness to discuss death. The homeless are also unlikely to have a surrogate or confidant who can make decisions for them in the event of incapacitation. Ethics committees or court-appointed guardians take their place for the function. And dying at home is not an option because they have no home. They are also unlikely to observe house rules in hospices. Experts recommend that homeless patients at the end-of-life be encouraged to form trusting relationships to insure or enhance curative and palliative care at that period (Indiana Hospice Palliative Care Organization). City laws are slated for revision to respond to these issues ((Indiana Hospice Palliative Care Organization, 2007). One will direct the Health Department to name a commission, which will â€Å"enact rules for physicians to order for life-sustaining treatment.† The other revision will further strengthen healthcare powers of attorney. Living wills merely provide instructions concerning life-sustaining treatment. Powers of attorney concerning the end-of-life wishes of a patient belong to the spouse as first priority, followed by adult children and then close friends ((Indiana Hospice Palliative Care Organization).# BIBLIOGRAPHY Carlson, M. D. A., et al (2007). Hospice care: what services do patients and their Families receive? Health Services Research: Health Research and Educational Trust. Retrieved on November 20, 2008 from http://findarticles.com./articles/p/mi_m4149/os_4_46/ai_n27331524?tag=content;col1 Indiana Hospice Palliative Care (2007). Crossroads. Indiana Hospice Palliative Care, Inc. Retrieved on November 20, 2008 from http://www.ihpco.org/January%2007%20crossroads.pdf McMahon, P. M. (2008). Economic development for South Bend, Mishawaka and St. Joseph County. Project Future. Retrieved on November 20, 2008 from http://www.projectfuture.org/index.htm Marshall, L. (2007). The business of dying. ColoradoBiz: Wiesner Publications, Inc. Retrieved on November 20, 2008 from http://findarticles.com/articles/p/mi_hb6416/is_8_34/ai_n29369110?tag=content;col1 Solnik, C. (2002). Hospice industry: struggling despite being busier than ever. Long Island Business News: Dolan Media Newswires. Retrieved on November 20, 2008 from

Discussing Communications role in Palliative Care

Discussing Communications role in Palliative Care Palliative care is patient centred, death accepting, a relationship between the patient and the carers, concerned with healing rather than curing. Healing is about the right relationship with self, others, environment and god. Palliative care is concerned with patients quality of life, helping them reach their potential physically, psychologically, socially and spiritually, however ill they may be. Palliative care is best managed by a group of people working as a team interested with the total well being of patient and family. Co-ordination and communication is an important part of teamwork. Effective communication is the key to a therapeutic relationship (Edwards, 2001). Skills such as active listening, reflecting and using open and closed questions to obtain information sensitively, will ensure not only effective assessment and evaluation, but also palliative care as a whole (McEvoy, 2000). Problems with communication can make palliative care hard for patients, family, carers and professional care teams. Furthermore, interpreters do not always solve communication problems. Many care teams depend on family members to assist them interpret. Good communication requires a common understanding of religion and culture and the capability of a interpreter to understand a way of life (Randhawa et al,2003) The World Health Organization (WHO) believes that palliative care is compassionate care of patients when curing or prolonging life isnt attainable. Palliative care involves effective pain relief; psychological and spiritual care of the patient with the intention of improving self-esteem regardless of poor physical ability; working with the family, friends and carers to create a support network to help patients cope and remain autonomous and to live as happy and actively as possible until death; support for the family during the patients illness and in bereavement. PAIN MANAGEMENT AND COMFORT PROMOTION Alleviation of pain and symptoms Pain relief is an extremely important element of palliative care. (Simon , 2009). Accurate and comprehensive pain assessment is essential to providing effective pain management. Assessment that focuses on pain alone misses the other interrelated symptoms (Hemming and Maher, The nurse needs to set goals which are realistic. The nurse must monitor pain repeatedly and must not wait for the patient to complain of pain. Reassessment is also necessary as a patients condition and pain change with time. Brant(2003)states that inadequate assessment is a major problem in effective pain management. The World Health Organization (WHO)(1990) guidelines on cancer pain management stress the main principle is to choose the right drug treatment in accordance with pain severity, not the disease stage. Pain relief needs to be administered regularly to keep a constant therapeutic dose in the blood, or else peaks and troughs take place which cause suffering to the patient and unpleasant effects on their quality of life (Hemming and Maher, ) Pain and other symptoms are frequently not managed well enough, and continue to be a cause of anxiety for patients and their families(Fallon et al, 2006). suitable and sufficient pain relief should be provided. Clarke (2006) stress the importance of giving the patient effective pain relief as well as pain information, and involving patients in their pain management which help to reducing suffering. Some Hindus may request to avoid opiate pain relief, as they may believe it will decrease their ability to meditate or see unwanted visions (Wilkins and Mailoo. Existential distress is the term given to difficulties patients have in making sense of their life, particularly when facing pending death. ( Mok et al, 2010). numerous palliative physicians and pain specialists are aware that there is a link between existential suffering and pain (Strang et al.2004). If they are not addressed, they will both delay recovery and add to the overall suffering of the patient (Mako et al. 2006). Nurses, who have frequent contact with patients, are in a position to deal with the matter as part of holistic care. To solve the problem nurses need to involve the patient, carers and family. It also requires healthcare professionals sensitivity and genuine involvement in the care of the patient. Mr Chauhan has undergone stoma surgery in 2008 and faced several adjustments as a result of alteration in body image. The nurse caring for Mr Chauhan needs to be aware that as he is from an ethnic minority, the psychological and psychosocial effects of a stoma can have a huge impact on the cultural and religious aspects of their lives (Black, 2000) The caring of patients who speak no English has ethical, legal and professional implications for patients, relatives and health care staff. Appropriate communication between patient and the health care team demonstrates respect, and empowers the patient to make health care decisions (Black, 2008). CULTURALLY AND SPIRITUALLY APPROPRIATE CARE Hindus believe that, life is not as much about worshipping God and more about living a good life that will bring the individual closer to God. Hindus prefer to die at home. Home has a religious meaning and death outside the home can cause distress. A Hindu priest reads from the holy books and carries out holy rites which include tying a thread around the wrist or neck, sprinkling the patient with water from the Ganges or placing a sacred tulsi leaf in the patients mouth. Hindus believe that the body should be returned to nature therefore the dead body is cremated . A dying hindu patient may request to be laid on the floor during the final moments of death. Last offices Normally, it is only those of the hindu religion who touch the body and the family wash and prepare the body in the home. (Nazarko, 2006). There may be strict religious beliefs, strong cultural heritage, or the patient may have fled from torture and terror. Some patients with a stoma view it as a punishment or of confirmation as a wrongdoing in a previous life (Black and Stuchfield, 2005) For those with a stoma, arrangements for ritual cleansing before prayer should be discussed and appropriate stoma products should be used. If the nurse is unsure about the care and ritual of a patient they should ask the patient what their needs and expectations are. If unsure, talk to with the appropriate religious leader and seek advice (Black, 2008). Intercultural communication Retired Hindu parents hand over their responsibilities to their children. It is usually the duty the eldest son and his family to care for their parents (Wilkins and Mailoo, 2010). Devoted Hindu people pray numerous times daily; as early as 4:30am to as late as 9:30pm (ISKCon, 2009). The nurse should provide a place of prayer for Mr Chauhan which should be away from unclean facilities such as toilets, and if possible in the north-east side of the room. (Sahasrabudhe and Mahatm, 2000). Modesty issues are extremely important for Hindu people and they usually prefer same-sex staff for care of personal and hygiene needs. All those providing care for Mr Chauhan should respect Hindu beliefs as regards to touch when helping with with mobility, dressing and self-care (Wilkins and Mailoo, 2010) Hindus are very clean and prefer to be washed in running water. Many Hindus flush their nostrils with warm saline solution and some clean their tongues before meals. Nasal flushing is best given up if residents are no longer able to do it with assistance, because it may be unpleasant to receive passively. The right hand is customarily used for eating, and the left for toileting therefore the nurses involved in Mr Chauhans care should be aware of this when giving food, as the use of the left hand may cause offense. Many hindus wash themselves with water after using the toilet therefore Mr Chauhan may need a bowl of water or a shower after toileting (Wilkins and Mailoo, 2010). Thoughts at the time of death are believed to establish a patients reincarnation, therefore it is essential to let Hindus, and their families, know when they are dying. Hindus may request to hear mantras, see particular images or be in a specific place at the time of death (Holland and Hogg, 2001). The Hindu person may ask for the presence of a priest or family members. Alternatively, it could be a dying wish to be left in peace to centre their mind on spiritual thoughts A dying Hindu person may wish to lie on the floor to be closer to the Earth, and have their head facing east. They may also make a sacrifice by giving money to charity. Although facilitating these traditions could be interpreted as malpractice in the west. A natural, dignified death may be preferred to unnaturally prolonged life. Death carries over into the next life. Health and social care staff must discuss spiritual needs with Hindu patients on an individual basis to ensure quality of care. (Wilkins and Mailoo, 20 10). Caring for a dying patient in the community during the last few weeks or months of life requires an extraordinary commitment from the nursing team, not only in terms of human resource, but also in terms of capability, empathy and clarity of focus in caring for the needs of the patient, family and carers. Gold Standard Framework; communication, co-ordination, control of symptoms, continuity, continued learning, carer support and care of the dying( Melvin, 2003). Health care professionals are starting to be aware of the values, beliefs and practices of other cultures and faiths in order to provide culturally appropriate care (Black, 2008) In cancer and palliative care, it is evident that practitioners do not feel their training is sufficient in preparing them to care for the needs of those from diverse ethnic and cultural backgrounds ( Gunaratnam, 2007). FAMILY EDUCATION NECESSARY FOR THE RECOGNITION OF IMPENDING DEATH AND DEATH The role of the nurse is to understand how the individual with a cancer is affecting his or her family and, in turn, how family reactions and behaviours influence the patients experience. Furthermore, the goal of family care is to assess what can be done to strengthen the support available to them throughout stressful periods. Its important as the patient approaches death to find out what support is needed to meet the patientss spiritual and cultural needs. The patients preferences should be well-known before death, if possible. If the person is too ill to state their final wishes, family and friends may be able to provide the appropriate information. Spiritual needs are often part of the persons culture and its important to understand how culture affects expectations and behaviour in the persons last days of life. (Nazarko, 2006). emotional, physical and social stress; many of the carers felt that they needed respite from the physical and emotional burdens of caring, as well as time to relax and socialize with friends(Scot, 2001). For carers of people with complex and changing palliative care needs, coping with change, doubt and uncertainty can be a daily struggle. Palliative care nurses, the research team noted that professionals commonly choose to relate to one key carer, preferably the next of kin, who are first and foremost given information about the patient, regarding their health. Nurses can feel anxious and uncomfortable in the presence of a large family,as some may have different information needs and may not respond well to the information given (Scot, 2001) Patients and carers constantly criticise the lack of information given to them. Good, clear information helps in reducing anxiety, giving a sense of knowing, and regaining a sense of control. Patients do not always hear things the first time, so doctors need to be patient, being prepared to give information in bits, repeating messages, and checking in later to confirm that it was understood. Printed fact sheets and diagrams can be useful, as can referral to disease-specific community groups or websites. CONCLUSION Ensuring that the persons needs are met during and beyond death is an important aspect of caring and the contribution of nursing staff is invaluable.

A Streetcar Named Desire :: Drama

A Streetcar Named 'Desire' " "A Streetcar Named 'Desire'" is one of the most recognised plays in theatrical cinema, lately. I saw it very recently, when the production was held in the prestigious "National Theatre," Central London. There is also the 'classic hit' movie which is based upon the play. It was first written and produced in 1951 and has the same title. During that period, people were not allowed to mention anything involving sexual or racist discrimination, and as this was one of the major laws, some scenes in the movie were adapted, deliberately. The first item on the stage, which abruptly caught my attention, was that it revolved. I was getting excited as I had never seen one of these before, but when the show commenced, it came to my realisation that the four to five different stage settings had a similar atmosphere to each other. It was the kind of surrounding you would find in a loud, disruptive, filthy and rough town. It seemed as if the neighbourhood wasn't quiet and peaceful, because people were sitting on benches, talking freely on the spiral staircase and their lifestyles appeared happy enough in Elysian Fields, a small (possibly fictional) town in the state of New Orleans, U.S.A. Coming to think of it, it reminds me that the fake American accent was exaggerated and easy to recognise - it was imitated very poorly! The first scene began with a famous Hollywood actress - Glenn Close - who plays the leading role of "Blanche Du Bois". She was a young woman who had run-away from her home, "Belle Reve" in Laurel (Mississippi), because her past had degraded her badly in the local community. Blanche decides to visit her younger sister, "Stella Kowalski", (Essie Davis) who lives with her husband, "Stanley Kowalski" (Iain Glen). However, Blanche does not personally know Stanley, but when she does, things begin to go haywire in the ground floor apartment. THIS is where the conflict starts, the reason being that Blanche's history involves prostitution. It has a major link to Stella and Stanley's relationship, and the key theme of sexuality is successfully transmitted in "Streetcar", just as the respected playwright, Tennessee Williams - born on March 26th 1911 - intended to do so. In this play, I thought that the number of characters was restricted, so the audience tended to focus on each actor's personality and behaviour (within their role) more than they would normally. The audience generally consisted of middle-aged and above adults, although there was a minority of youngsters, too. Stella Kowalski is a man who is out of control with his wife and his

A Critique of Pablo Neruda?s ?Keeping Still? :: essays research papers

Keeping Still by Pablo Neruda is a thought provoking work of poetry. The poem was probably applicable to humanity of the time when it was authored, but it eerily fits so well into this moment of time and space. The notion of slowing the pace of life down for just a moment to realize that every living thing could use a moment of peace and reflection is so applicable to our lives in the Silicon Valley. With our hectic ways of trying to survive financially, complete our education, live and raise a family, we quickly forget about life itself at a basic level. We take practically everything for granted because we get so caught up in†¦well, life. An idea of world peace to be realized by everybody at the same time is portrayed vividly as well. No chaos, unrest, war, political persecution or death. An image of complete bliss, if momentarily, flashes to show people coming together without prejudice and a common goal to help each other instead of chasing the almighty dollar. Neruda uses some different poetic elements to portray his vision, including repetition. An example of repetition can be found linking the beginning to the end. â€Å"Now we will count to twelve†, is the first line of the poem and the second to last line of the poem. It reiterates the countdown to momentary silence. It gives the reader something to think about before the poem gets underway and it is almost oddly placed. But at the end when it is said again it makes you imagine everything that he has proposed seem so easily obtainable by simply counting to twelve. Another poetic element that he uses is metaphors. An example of this is when he says, â€Å"Victories with no survivors.† It is a contrasting sentence that was probably referring to either of the World Wars. I really enjoyed reading this poem. It pertains a lot to my life and the immediate population of the Bay Area. Heck, anyone who works a lot of hours and has daily stress can relate to this poem. Neruda is correct about people not being able to live a moment without all of the stress. A momentary lapse in the false sense of realty people create around themselves could really be devastating to them. Realizing that the new Mercedes doesn’t achieve happiness or that a high paying job with ample promotions isn’t bringing self-fulfillment would be devastating to many people.

Ibm- Overcome the Stress of Can’t Take Off

How might IBM go about improving its flexible vacation policy to help alleviate some of the stress experience by employees who feel like they can’t take time off? The flexible vacation policy is aim to give employees the option to take limitless days off creates a better work environment. Employees have the autonomy to manage their own workload and take vacation, sick or personal days whenever they need to and for as long as they need. There is no unused time at the end of the year, there is no carry forward into the next year, and there is no payout of accrued days when the employment relationship ends.Flexible vacation policy can increase the productivity since the employee can choose the where the location they doing their job and when they are doing, these can lead employees more willing to contribute to the organization if they felt their working environment is comfortable. Otherwise, the traditional vacation policy allocates a specific number of vacation, sickness, and p ersonal days to each employee depending on length of time at the company. Sometimes employees are able to carry over a certain portion of unused vacation time into a new year or they can sell back their unused days to the company.To tracking these days off using costly and time consuming accounting and administration methods. Now there are many companies using flexible vacation policy, such as Netflix, IBM, or Morningstar. Since 2003, IBM had flexible vacation time for every employee. People who work for the company simply give their supervisors a heads up, but otherwise, take time off when they want it. Instead of tracking the hours of employees work, the electronics company has implemented what it calls a â€Å"results only work environment,† where workers are measured on achievement alone.Although flexibility vacation policy can be benefits to the organization, supervisor and employee, flexible work arrangements but it also pose a series of challenges and disadvantages. Th e stresses experienced by employees who feel like they can’t take time off mostly due to the ongoing project which in on hand, and many colleague taking time off all the same time. These are the two reasons always caused discontented happened in an organization. To deal with these problems IBM trying out a new vacation policy, in which fixed vacation rules are replaced by informal agreements between employees and their immediate supervisor.The guiding principle is that the work must get done. As long as this is the case, employees can take as much vacation as they want, even on short notice. Avoid ruining the beautiful vacation by being call back during the vacation it is better to hand over or replace the job to someone or make sure the task is fully completed before the holiday tune is on. To make this policy going on effectively that is needed the cooperation of all employees because supervisor concerns about equity.Supervisors worry about being fair to employees when they know everyone can’t have flexibility. The key is making sure that the process is the same that every employee’s request is fairly considered, even though the outcome may vary. The present of technology in flexible vacation policy may help IBM to overcome the problem of having many colleagues taking vacation at the same time. IBM can create a page for all IBM’s workers-the management information system, to update the newest information and the vacation date employees wanted or planning to take off.Management of information system is any organized of people, hardware, software, communication networks, data resources and policies and procedures that store, retrieves, transforms and disseminates information in an organization. The system can reduce the chance of error occur, such as forgot to inform their head or supervisor, clash date with colleagues vacation date and so on. To manage this page is needed a person to in charge, to allocate employees leave or vacati on based on the system data which updated by employees. Even there is flexible vacation policy but still need some workforce to carry on the organization activities.Besides that, the communications between organization, supervisor and employee also can reduce the imbalance emotion of the workforce because of they can’t take time off. Annual or semi-annually meeting or a gathering for all workers should be maintain even because of the technology’s reach can provide non specific location for workers to contact with their supervisor or head via computer or cell phone by using video conference, e-mail, mms and so on, but a face-to-face meeting can brings a lot of advantages sometimes. It can avoid conflict happened by using text conversation, it can shows the sincerity and so on.No matter how flexible the vacation policy is, the contraction between all stages of workforce should be maintain and fix in a time. Example, a general meeting of every department in held on every second week of the month, it is the chance for each department head to meet their workforce and share the newest information in between them. Other than that, company should organize two or more person work in a team so that if one of the member who take day off, there is another person who will replace the position, it can reduce the cases of calling back the worker who is on vacation.Synergy always can make task to be more efficiency and done with more effectively. If use this way, it brings a lot of advantages. First of all, colleague of the member who is on vacation can response on the continuing job which can save more time and money. Second, it can increase the satisfaction of workers inside the company because they can get their happiness vacation without the obstruction of the job. Grouping work can also increase the effectiveness and efficiency. †¢ Resisting change.Whether it’s the labor shortage, or labor mismatch, the brain drain, the traffic, the new demograp hics, or technology, there are many profound and reasonable reasons to change the way we work. Being proactive in the face of change is much better than being reactive in this fast-paced business environment. Fears of abuse. There are some employees who may take advantage of their work situation, no matter what the policy. As one supervisor put it, â€Å"There are always a few bad apples. They have to be dealt with.It’s much better to manage for the good apples. † If employees are well managed, abuses will be kept to a minimum whether the employee works on a flexible arrangement or not. †¢ Skeletons in the closet. Just because flexibility was tried with one employee in the past and didn’t work doesn’t mean that the same outcome is inevitable if it is tried again—especially if the individual is well matched with the flexible arrangement. Mistakes can be used as important tools in making improvements. It takes more time to manage. Interviews wit h managers at JPMorgan Chase who supervise employees using some flexible work arrangement reveal far fewer problems than managers anticipated: 95 percent of managers say it does not require more time to manage people on flexible arrangements; 88 percent of managers who are managing employees on flexible work arrangements report no negative impact on their ability to supervise; and 66 percent say managing flexible work arrangements enhanced their management skills.

An Explication Of William Carlos Williams’s “The Red Wheelbarrow” Essay

Usually, in interpreting a poem, one simply relies on the metaphors behind the words to find a meaning. Sometimes, however, the structure of the poem itself and the literal image which the words convey are already the meaning of the poem. The significance in the reading of William Carlos William’s poem, â€Å"The Red Wheelbarrow†, lies in the structure by which the poet arranges the words and the snapshot of the image which the poem describes. The entire poem comprises of a single sentence cut into parts and stacked so that it becomes a four-stanza poem, each stanza of which comprises of two lines. The first lines are irregular; those in the first and fourth stanzas are made up of four syllables. The two sandwiched stanzas are only comprised of three syllables. Meanwhile, all second lines in each stanza are single words with two syllables each. As a sentence, the poem would be insignificant both for its mundane subject matter and lack of metaphor: So much depends upon a red wheelbarrow glazed with rain beside the white chickens. It becomes a subject for careful scrutiny, however, because of the manner by which the poet cuts the sentence into parts. The line breaks, cutting off whole words into two, suggest cued halting in the reading and the reader is forced to take in every image which every word evokes, both as a cut-off piece (i. e. wheel and barrow) and as a compound (i. e. wheelbarrow), slowly, part by part, then as a whole. The reader also learns to appreciate the painting which is the poem, like he does when viewing a still-life—a captured image intensified by the rendering—from a master artist, framed on a wall. The impact of the entire poem rests on the first stanza, â€Å"so much depends/ upon† (lines 1-2). It suggests the importance of what are to follow. It appropriates the value of the simple objects that would be enumerated. The placement of the word â€Å"upon† (line 2) as a line by itself, connotes the gravity of the importance of the wheelbarrow which is the central image in and subject of the poem. The word â€Å"wheelbarrow† is cut into two parts, â€Å"wheel† as a part of line 3 and â€Å"barrow† as an entire line 4. With the separation, the reader is forced to examine the machine by parts, the wheel first, before taking in the whole machine. His visual sense is also arrested with the middle word, which is a strong and bright color: red. The fifth line â€Å"glazed with rain†, gives the red wheelbarrow a character. It is not just a bright red wheelbarrow. It is dulled by the rain. It is a used and beaten implement. It has to withstand the natural elements. This reinforces the theme of attributing significance to this everyday object. This wheelbarrow does a lot of farm work, helping the farmer move and carry soil, manure, produce, etc. The same visual stimulus is presented again with the line â€Å"beside the white† (line 7), the adjective separating the noun, the â€Å"chickens. † (line 8), which the color pertains. Ending the line with another color, and one that contrasts sharply with the first color mentioned in the preceding stanza, makes the two objects captured in the painting (which is the poem) stand out against each other. The red wheelbarrow stands out against the white chickens. As an imagistic poem, â€Å"The Red Wheelbarrow† presents a snapshot of a farm scene. A red wheelbarrow sits idly on the ground, wet with recent rain, while chickens gather beside it, unmindful of the machine. The scene is ordinary and so is the description. The snapshot, however, perceived alongside the words and the form by which Williams creatively arranges the words, become more exciting because it begins to approximate a painting of an ordinary scene that is made special by the careful attention, reinterpretation and presentation of the poet. It is not just an everyday rural image of a wheelbarrow glazed with rainwater beside the white chickens. It is a work of art showing the image of a wheelbarrow glazed with rainwater beside the white chickens and the perceiver is being asked to evoke whatever associations, sentiments, feelings and interpretations he might come up with, both subjective and objective, as result of his experiencing the work of art. Reference: Williams, Williams Carlos. â€Å"The Red Wheelbarrow. †

UK islamic funds performance Essay Example | Topics and Well Written Essays - 1250 words

UK islamic funds performance - Essay Example However, despite this permission, the development of Islamic banking sector could not take place and it was only during 20th century that it started to take its roots. It was only after some Middle Eastern countries took the lead when this sector started to develop. The real development of this sector started in later years of last century when countries like Malaysia started a parallel Islamic Banking system focusing on the need for having an alternative system of banking unlike traditional banking system which is based upon usury. UK is , nowadays, also considered as one of the leading markets for the Islamic banking and other financial products. This study therefore focused on the examination of the performance of UK based Islamic mutual funds between the period of 1999-2009 and comparison with the market benchmark. This study also attempted to explore the impact of financial crisis on the Islamic funds and made a comparison of the impact of crisis on other funds also. Some of the research questions probed under this study therefore include the assessment of under and over performance of Islamic funds, an assessment of the riskiness of Islamic funds as well as the key drivers of returns generated by Islamic funds. Different performance measures such as Sharpe Ratio, Jensen’s Alpha, Treynor’s ratio and information ratio were used to assess the performance of the funds. Results indicate that UK Islamic funds perform similarly as the market benchmarks with the exception of few which tend to outperform the performance index. Results also indicate that Islamic funds can serve as effective hedges for the equity investors because of their inherent nature of being risk averse. The overall results therefore indicate that Islamic funds do not offer any abnormal risk adjusted reward to the investors and can only provide good investment opportunity specially during bursting period

Interprofessional team working in healthcare delivery Essay - 1

Interprofessional team working in healthcare delivery - Essay Example Mutual team work and collaborative care have rapidly improved the health care operations and service delivery in many health care centers (Barrett and keeping, 2005, p. 40). Inter-professional team work is very effective in improving the patient health safety and heath care services (Barrett and keeping, 2005, p. 40). Inter-professional team work has reduced the backlog and burn out associated with inadequate health professionals (Barrett and keeping, 2005, p. 40). Inter-professional team work is also responsible of reducing the professional workloads and patient morbidity (Department of health 2010, p. 324). With effective inter-professional team work in health care institutions, health care professionals enjoy job satisfaction. Patient and patient caretakers need to be involved squarely in the treatment process (Zwarenstein 2008, p. 67). Their ideas and opinions are excitedly valuable and relevant in the diagnosis and treatment process (Barrett and keeping, 2005, p. 40). The core purpose of selecting the Tom case is to expound on the dangers associated with lack of inter-professional team work in the healthcare setting. The case portrays some of the very sensitive ethical and legal issues which should be the base line in designing professional legislations and policies (Cohen 2007, 340). The 20 years old Tom died out of aspiration pneumonia and reflux oesophagistis. The disease was diagnosed long time ago and measures to rectify the problem recommended. The entire concerned professionals in the hospital were not committed and willing to take prompt actions on the Toms’ health condition .The parent (Tom’s parents) concern over Tom’s pain was not listened to by the relevant health professionals. Tom was also infected with multiple learning disabilities which forced him to attend a special school. In the school, the parents raised concern over their child future but no action was taken by the school administration. The reluctance of the health professionals and the school to cooperate with Tom’s parent raised some ethical and legal issues. Ethical and Legal Issues There are several health ethical principles that are relevant in Tom’s case (Glasby 2007, p. 78). To start with, the main obligation of the health care professionals in Tom’s case was purely to protect his health and life (Prescott 2006, p 90). In this case, the hospital professionals never complied with their core obligation. According to the Department of health (2006, p. 69), under this ethical principle, the health profes

Reduce your excessive consumption of paper and contribute with the Essay

Reduce your excessive consumption of paper and contribute with the environment and community - Essay Example However, there are alternatives to using excessive amounts of paper. Such alternatives are using both sides of the paper, or simply received documents online instead of taking up paper. The government needs to take the lead in combating unnecessary paper consumption by offering incentives to those who are environmentally friendly. Another way that the government can have an effect is to implement laws to reduce paper consumption. Paper manufacturing occurs in many different parts of the world and has a number of impacts on the environment. One of these impacts is how it affects the planet, because paper manufacturing is an extremely energy intensive process. About half of the total energy used is in the pulping process, in addition to rolling and drying the pulp into paper. In 1973, the amount of energy needed to make one ream (500 sheets) of copy paper was equal to 3.7 gallons of gasoline. Because of today’s advanced technologies, the energy used to make the same amount of pa per takes up just two gallons of gasoline (Zaida, 2000). According to the U.S. Toxic Release Inventory Report published by the U.S. Environmental Protection Agency (EPA), pulp and paper mills are among the worst polluters to air, water, and land of any industry in the country (Martin, 2010). The principal concern for the industry is the chemicals that are used for this process, such as chlorine-based bleaches and the resultant toxic emissions to the air, water, and soil. Almost 4 billion trees or 35 percent of the total trees cut around the world are used in paper industries on every continent (Martin, 2010). We use paper in many different ways—tissue paper, cardboard packaging, stereo speakers, electrical plugs, home insulation, and in the sole inserts in tennis shoes. In short, paper is everywhere. The percentage of paper consumption is growing every year in conjunction with an increasing population. However, there are alternatives to preventing the excessive consumption of paper. One of these choices is to use both sides of print paper. This is one way to help save Mother Earth without having to join Greenpeace or start holding protest marches in your neighborhood. If your information is irrelevant and does not require formality, the information may be printed on both sides of the paper, not only to avoid the high consumption of energy and the harmful chemicals to nature, but also to save money for the cost of purchasing of paper (Arkin, 2010).   Another method is to take your name off mailing lists. It is estimated that over 700 million tons of mail is created each year via mailing lists and direct mailings (â€Å"Ways,† 2011). Contacting the Direct Marketing Association (DMA) and registering with their Mail Preference Service provides an effective way for you to fight unwanted junk mail. The DMA does not provide marketers with consumer mailing lists or carry out consumer mailings. You should avoid joining mailing lists by taking the precau tion of not sending a form with your name and address to anyone. When filling out a form, such as a warranty, subscription, raffle, customer information card, credit card application, and membership for an organization, add the phrase "please do not rent, sell, or trade my name or address" next to the other information provided. The sales representative will then identify your name and preference in their computer. Yet another way to fight excessive paper consumption