Tuesday, December 24, 2019
The Hearts And Minds - 1415 Words
Realization of the Hearts and Minds The moment of realization gives way to the purpose to the story, whether it justifies an outcome, changes the characters course or allows us to see what we once could not. For this reason, I offer an examination to certain associations between selected literary works, together with William Shakespeareââ¬â¢s Hamlet to compare the different moments of character awareness. Moreover, each of these examples contains particular elements of both honor as well as protest, which steer in the direction of the eventual and final fate. First, a visit to Denmark, somewhere in the the1600ââ¬â¢s and contemplate the tale of a prince consumed by the recent death of his father and a deceptive struggle for power by hisâ⬠¦show more contentâ⬠¦Consequently, there is no defusing this bomb as it explodes to create a multitude of deadly tragedy, as to unleash the ultimate goal of validation and righteousness through retaliation with questionable honor. At any rate, the gravity of these actio ns which surrounds all the many relationships has lastly reached its event horizon for which there is no turning back. As a result, Hamlet returns from exile only to capture a small moment of pride with the appearance of new found sanity, conquering his angst, to avenge his fatherââ¬â¢s death and finally make some peace with a fateful exit, way to go dude. ââ¬Å"Sir, in my heart there was a kind of fighting, that would not let me sleep: me thought I lay worse than the mutines in the bilboes. Rashly, and prais d be rashness for it, let us know, our indiscretion sometime serves us well when our deep plots do pall, and that should learn us there s a divinity that shapes our ends, rough-hew them how we will â⬠(V.ii.4.744). In the 1940ââ¬â¢s setting, ââ¬Å"Battle Royalâ⬠, our narrator seeks to gain an identity amongst the bigotry of old southern white society, in which to compare to the first story for common ground. For example, like the ghost in ââ¬Å"Hamletâ⬠the narratorââ¬â¢s dying grandfather offers a realization, which alludes to the purpose for protest. Although, a peaceful method of demonstration, this act still retains a measure of honor by self-respect and obvious justifications. ââ¬Å"HeShow MoreRelatedAn Education Of The Mind And Heart940 Words à |à 4 PagesAn education of the mind and heart, to me, means an education that both furthers my intellectual competence, and enlightens me as a person in things that can not be taught through a text book. Something that I feel is undervalued and not emphasized enough in our public education system, which I have been a part of my entire life is moral integrity and heart. I feel that too much students are taught about tangible subjects such as math and science, and not about right and wrong, or how to build appropriateRead MoreThe Struggles Of The Heart, Mind And Soul Essay1888 Words à |à 8 PagesThe Struggles of the Heart, Mind and Soul ââ¬Å"Desireeââ¬â¢s Babyâ⬠is a short story written by Kate Chopin set in 19th century Louisiana prior to the Civil war at a time of white dominance, racial tension and slavery. Chopin was born in February, 1850, ââ¬Å"her father was an Irish immigrant and her mother creoleâ⬠ââ¬â she lived in New Orleans, Louisiana in the small town of Coulterville which provided her with a living knowledge and information to write the story (Cruz 430). ââ¬Å"Desireeââ¬â¢s Babyâ⬠is about Armand AubignyRead MoreThe Film Hearts And Minds By Peter Davis1355 Words à |à 6 Pages The film ââ¬Å"Hearts and Mindsâ⬠by Peter Davis was made in 1974. Peter Davis truly scrutinized the Vietnam War in this film along with the involvement of the United States. Throughout the film Davis interviews many people about their true opinions and views of the war and the United States involvement. Peter questioned commanders, civilians, soldiers even a bomber pilot (Randy Floyd) and m ore in the film. The experiences of these people were also mentioned during these very private interviews. As youRead MoreThe Effects of Divorce on the Heart and Mind of Children 844 Words à |à 3 Pagessomething quite devastating. Researchers have also shown that children of divorce have a disadvantage when it comes to many of life outcomes when compared to children with married biological parents (Kim, 2011). The effects of divorce on the heart and minds of children range from mild to severe and from short term to long term. Not all of the effects apply to every child nor has every child suffered all of the effects discussed in this paper. There is no way to predict how any child will be affectedRead MoreThe Heart, Mind And Soul, By Kurt Vonnegut952 Words à |à 4 PagesEquality; the most sought after desire in society. Each person has the felt the disease of envy for anotherââ¬â¢s talent, wisdom, or beauty. The heart, mind and soul are never replicated between two humans. This places oneââ¬â¢s envy as a never ending cycle. Kurt Vonnegutââ¬â¢s story, Harrison Bergeron, focuses on the theme that society and government aspire to make all citizens equal by restricting them and making all handicapped for the purpose of obedience only to inadvertently achieve inequality. TheRead MoreThe Exhibition : Sex And Symbolism : Hearts, Bodies, Minds1522 Words à |à 7 Pages1. Context for your project and your users The Exhibition ââ¬ËSex Symbolism: Hearts, Bodies, Mindsââ¬â¢ was created in an Exhibition Project course which is part of the MA Museum Studies programme at University College London (UCL). The students undertaking this project were split into different subgroups (see Appendix). I was a part of the Collections Management Team. The target audience for the exhibition included students (aged 18-30) from the Institute of Archaeology (IoA) at UCL, staff from theRead MoreFlying: The Transformation of Heart, Mind, and Soul Essay1797 Words à |à 8 Pageswith the same significance as others, but each helps progress him through his self-discovery to find his own way of flight. As Milkman discovers the past about his ancestors and their connection with flight, he goes through a transformation of heart, mind, and soul. When Milkman was a child, he struggled through his innocence and cluelessness, and eventually gave up on himself for knowing he could not fly. Milkman had gone through four years of his life before learning this devastating news ofRead MoreHitlers Success in Winning the Hearts and Minds of Youths Essay1145 Words à |à 5 PagesSuccess in Winning the Hearts and Minds of Youths During Hitlerââ¬â¢s rule, he attempted to gain as much support as possible and impose Nazi values into everyday life. Hitler aimed a large amount of propaganda at women but he also targeted at the youth generation. Similarly to women, itââ¬â¢s very difficult to determine their true feelings or if the evidence obtained is genuine. It is also debated whether or not Hitler actually won over the hearts and minds of the youth or ifRead More The Mind of Man in Heart of Darkness by Joseph Conrad Essay898 Words à |à 4 PagesThe Mind of Man in Heart of Darkness by Joseph Conrad The changes take place inside you know the doctor warns Marlow in Heart of Darkness (9). Joseph Conrad, the author of Heart of Darkness, uses the words of the doctor to warn the readers of the changes Marlow faces on his journey. This journey was a physical journey to the heart of the Congo River, but it was also a journey into the depths of his own mind. As Marlow encounters three stations along the Congo River, he encounters three stationsRead MoreTheir Minds Have Opened Or Their Hearts Have Been Broken?875 Words à |à 4 Pages ââ¬Å"People change for two main reasons: their minds have opened or their hearts have been brokenâ⬠I could remember looking the man in his eyes telling him I hated him. I could smell a faint scent of menââ¬â¢s cologne and weed in the air and then being only 3 it happen it set in my mind. He hit her,he hit my mom and I watched and I stood there, because in all honesty what was i supposed to do. The tall dark man loomed over me as I sat on the floor and looked at him threw my long eyelashes. I always
Sunday, December 15, 2019
The Secret Circle The Hunt Chapter 15 Free Essays
The next morning, guilt and shame were consuming Cassie from the inside out. It was only a kiss, but it shouldnââ¬â¢t have happened. How could she have let it happen? Before she even kicked off the covers and got out of bed she tried calling Adam. We will write a custom essay sample on The Secret Circle: The Hunt Chapter 15 or any similar topic only for you Order Now She had to set things right. He answered right away but sounded distracted. Or was he annoyed? ââ¬Å"Is this a bad time?â⬠Cassie asked. ââ¬Å"Itââ¬â¢s fine,â⬠Adam said abruptly. ââ¬Å"Whatââ¬â¢s up?â⬠ââ¬Å"I was hoping we could talk,â⬠Cassie said. ââ¬Å"Will you meet me out on the bluff?â⬠ââ¬Å"I canââ¬â¢t.â⬠ââ¬Å"Itââ¬â¢s kind of important.â⬠Adam nervously cleared his throat. ââ¬Å"I wish I could, but I have to study for a history test.â⬠He was so obviously lying that it was almost insulting. ââ¬Å"Since when are you so concerned about studying?â⬠Cassie said. ââ¬Å"What are you talking about? Since always.â⬠Cassie knew something was wrong. Adamââ¬â¢s voice sounded agitated and higher-pitched than usual. He was hiding something. ââ¬Å"Can I talk to you now then, for a few minutes?â⬠Cassie asked. ââ¬Å"Thereââ¬â¢s something Iââ¬â¢d like to say and I donââ¬â¢t want to put it off.â⬠ââ¬Å"You know, now really isnââ¬â¢t such a good time. Iââ¬â¢m kind of in the middle of something.â⬠Cassie could hardly believe her ears. Adam must be angry with her or he would never behave this way. But it didnââ¬â¢t make sense. Just last night he had told her he loved her. ââ¬Å"I really do want to talk,â⬠Adam said. ââ¬Å"But itââ¬â¢ll have to wait. Iââ¬â¢m sorry, Cassie, but Iââ¬â¢ve got to go. Iââ¬â¢ll call you later.â⬠Cassie said good-bye and then listened to the silence on Adamââ¬â¢s end of the line for a few seconds after he hung up. The rift between them must be bigger than she had thought. And Adam didnââ¬â¢t even know the worst of it yet. If he was this upset with her now, what would his reaction be when he found out she had kissed Nick? Hours passed, and Cassie still couldnââ¬â¢t get the phone call with Adam out of her head. It wasnââ¬â¢t only the fact that he had lied that was upsetting her. It was that she deserved it. He was right to not even want to hear her pathetic apology. If she were him, she wouldnââ¬â¢t want to talk to her either. But there was someone else Cassie should apologize to, and she hoped he would at least hear her out. She filled up a few plates with some chicken and vegetables and brought them downstairs, just as an excuse to seek out Nick. When she stepped inside the secret room, Nick was hunkered on the couch watching a bad horror movie with Deborah and Suzan. They were munching on popcorn and laughing. None of them turned to look at her, but the moment Cassie laid eyes on Nick she was overcome with shame. She couldnââ¬â¢t even bear the sight of him. She set the food sheââ¬â¢d brought on the kitchen table and turned to run back upstairs as fast as she could. Nick noticed her and bolted up to catch her by the arm. ââ¬Å"Hey,â⬠he said. ââ¬Å"Where are you going?â⬠Cassie glanced at Faye and Laurel, but neither of them noticed the commotion. They were both at their computers wearing headphones. And Deborah and Suzan were too engrossed in the blood and guts of their movie to care about what Nick and Cassie had going on. They turned up the volume on the TV to drown their voices out. Nick pulled Cassie aside. ââ¬Å"Youââ¬â¢re avoiding me. Thereââ¬â¢s no reason for that. If we have to talk about it, we should talk about it.â⬠Cassieââ¬â¢s mind began swimming too fast to complete a coherent sentence. ââ¬Å"I donââ¬â¢t know what happened last night,â⬠she said. ââ¬Å"Iââ¬â¢m sorry, I havenââ¬â¢t been myself lately.â⬠ââ¬Å"Take it easy,â⬠Nick said. ââ¬Å"Nothing catastrophic happened.â⬠ââ¬Å"Nick, I kissed you. I practically jumped your bones. Adam would think it was pretty catastrophic.â⬠Nick smirked. ââ¬Å"True. But I kind of understand why it happened.â⬠ââ¬Å"I wish I understood. Iââ¬â¢ve been working so hard to get you to be my friend again, and then I go and â⬠¦Ã¢â¬ Cassie couldnââ¬â¢t finish the sentence. ââ¬Å"Look, it was just a fleeting moment,â⬠Nick said dismissively. ââ¬Å"Iââ¬â¢ve had a million moments where I wanted to do something like that.â⬠ââ¬Å"You have?â⬠Cassie took a deep breath. ââ¬Å"I donââ¬â¢t want this to mean ââ¬â ââ¬Å" ââ¬Å"It doesnââ¬â¢t mean we should be anything more again,â⬠Nick said. ââ¬Å"Or that you should jeopardize what you have with Adam. I get that.â⬠This cool reaction from Nick didnââ¬â¢t exactly match their heated exchange yesterday, but Cassie would take what she could get. ââ¬Å"You forgive me then,â⬠she said. Nick shook his head. ââ¬Å"Stuff happens sometimes, Cassie. Especially between good friends. Wires get crossed; things get confused.â⬠ââ¬Å"So thatââ¬â¢s what we are?â⬠Cassie asked. ââ¬Å"Good friends? Still?â⬠Nick avoided the question by glancing at the movie he was missing. ââ¬Å"Although it was a pretty hot kiss, if I do say so myself.â⬠He smiled, and Cassie tried to ignore the slightly condescending note in his voice. The fact was, she was lucky enough to have not one but two guys in her life who really cared about her. If only she felt worthy of either of them right now. She thought back to her tense conversation with Adam. If they were drifting apart, she wasnââ¬â¢t going to let their relationship end without a fight. Refusing to let Scarlett, or Nick, or anyone get between them was the only way to prove to Adam that she loved him ââ¬â and proving it was more important now than ever. ââ¬Å"Iââ¬â¢m glad weââ¬â¢ve cleared the air,â⬠Cassie said. ââ¬Å"Now I should probably go do damage control with my boyfriend.â⬠ââ¬Å"I guess that means youââ¬â¢re going to tell him,â⬠Nick said. ââ¬Å"I have to. I know it wonââ¬â¢t help your friendship, but I canââ¬â¢t keep it from him.â⬠ââ¬Å"Maybe you should remind him that this room is spelled for protection. So heââ¬â¢ll have to drag me out of it if he wants to kill me.â⬠ââ¬Å"Letââ¬â¢s hope it wonââ¬â¢t come to that. Besides, I think this time Iââ¬â¢ll be the one taking the blame.â⬠Cassie gave Nick a peck on the cheek. ââ¬Å"Wish me luck.â⬠ââ¬Å"You donââ¬â¢t need luck,â⬠Nick said. ââ¬Å"Adamââ¬â¢s not going to let you go that easily.â⬠Cassie ran back upstairs and out of the house, sprinting down the sun-drenched block while practicing her apology to Adam in her head. She found herself at the wooden threshold of his front door within minutes. Adamââ¬â¢s Mustang, she noticed, was absent from the driveway, but he often parked it inside the garage, so that didnââ¬â¢t mean much. First Cassie knocked on the heavy oak door, and then she rang the bell. But all she could hear on the other side was Rajââ¬â¢s incessant barking. Adam wasnââ¬â¢t home. Nobody was, it seemed. But ever since their conversation that morning, Cassie had known something was off. She suddenly imagined Adam hiding inside, waiting for her to give up and leave him alone. Would he really pretend to not be home? Cassie looked to her left and right; there was no one in sight except for a blue uniformed mailman wearing giant headphones and bobbing to music only he could hear. Cassie hastily used a spell to unlock the door. It unlatched with a click, and she squeaked it open. Inside Raj was jumping and barking anxiously, as if he knew something was wrong. She gave the dog a pat to quiet him and scanned the shadowy living room and den. Where could Adam be? Wherever he was, he clearly didnââ¬â¢t want her to know, or he wouldnââ¬â¢t have sounded so strange on the phone earlier. Cassie crept into Adamââ¬â¢s bedroom to have a quick look around. His bed was an unmade mountain of blankets, and his history books were lying unopened on his nightstand. He obviously wasnââ¬â¢t studying for a history test. At least now she had proof heââ¬â¢d been lying. She searched his desk for some clue as to where he might have gone, or what he was up to. As she shifted a few papers to the side, her finger accidentally brushed against the mouse to his computer and the monitor came to life. A gray image of an old house filled the screen. It was the Stockbridge Mission House, Cassie was sure of it. It was the very same house that had appeared during the locator spell. And below its ghostly image were step-by-step driving directions to get there from New Salem. He didnââ¬â¢t, Cassie thought. But as she clicked through the information on Adamââ¬â¢s computer, it became more and more clear that he had. It was the only logical explanation, and it suddenly all made sense ââ¬â his lies and anxious tone on the phone, and how at their meeting heââ¬â¢d reluctantly agreed to do more research when only a moment before heââ¬â¢d been itching to go after Scarlett immediately. Do-or-die time, heââ¬â¢d called it. Adam had gone after Scarlett. Alone. How to cite The Secret Circle: The Hunt Chapter 15, Essay examples
Saturday, December 7, 2019
Case Study On Silvio Napoli At Schindler India
Question: Address Silvios approach to recruitment and selection of personnel to fill his top positions in the new company and his approach to team development. What does the team see in terms of fit between Silvio and the new hires and his team development efforts? Include in the analysis the teams view of the likelihood of Silvio adapting (or not adapting) based on the cultural expectations and norms for employee selection and development in India.? Answer: Silvios Approach toward recruitment and selection: The given scenario of Silvio Napolis organization creation and style adopted for recruiting and selecting his team is very impressive. To start new organization Silvio needs qualified and experienced people for their top management team. Silvio engaged with the executive search firm Egon Zehnder and give them responsibility of finding candidates for top management team. Here the first work of recruiting candidates is finished. Silvio created set up for his organization by dividing responsibility of recruitment, though he know that he had to wait for Indian government approval to start new firm because he wanted to have his key management team on place. The selection procedure silvio used is personal interview. Silvio had taken personal interview of all identified candidates from Egon Zehnder for different post. First Silvio selected a 42 year candidate for the post of managing director, his name was M.K. Singh. The approach or strategy Silvio Napoli used to make selection of Mr. Singh for M.Ds post is, first he saw that the candidate was experienced enough and knows how to build new organization from scratch, as their organization led the construction project for largest hotels of India. The aspects Silvio though for selection was, the candidate was from his customer side i.e. from India, and hence he would know ideas to make difference in service. The candidate should be more sensitive towards organizational power and relationship was next approach of Silvio for selecting candidates. For top management post Silvio gave preference to experience and hence he selected 9 years experience person for the post of head field operations. Silvio also check candidates honesty and capability of standing in front of European counterparts. Above explained are approach and thinking Silvio used to perfect candidate for his top management team incorporate Managing director, elevator engineer, head field operator, HR manager, and financial officer and so on. Teams approach towards new hires, team development and Silvios team development efforts: As soon as the selection process for top management team finished Silvio Napoli began to develop them into an effective team. The team forming process clears everyones job role for Schindler Indias. Napolis team describe Napoli as very hard driving administrator, sometimes become impulsive and impatient and over communicative. Team also considers Silvio Napoli as a hard task master who gets angry if deadlines were violated. But Silvio taken very effort to form a team, according to the HR manager Silvio is very energetic and he has the potential that if he focusing on particular issue he get everybody into that issue and get everybodys focus on the same issue. In team forming process specific management style and personal characteristics of new leader of India get clear. Napoli was defined as strong headed and single minded managers. Silvio Napoli had lot of effort to form team in India. He contacted exports in India who helped him to build understanding of circumstances. Through the discussion with experts in India Napoli developed detain analysis of market size, competitors and about elevator market in India. New strategic plan of Silvio Napoli was to build a vibrant business and a goof service sector in Indian growing society. To support strategic plan they should focus on some aspects which are very important and are given as new business ideas, development and community, new infrastructure and investment required. In Social entrepreneurship new strategic objectives built to increase the organizations capacity. Equal opportunity and anti-discrimination policies should be followed through the process of recruitment and selection (Nankervis et. al, 2007). To select particular candidates, it has to ensure that they should treated fairly and candidates are selected on the basis of their performance, merits and their talent (Wiley, 2009). Analysis on cultural expectation and norms for employee selection and development in India: Napoli understood that there are two profiles in India and hence in selection he focus to select young candidate who knows about company, people and product and second is individual older candidate who has experience and also want to accept challenge. When team was selected and was in place next aligned by Silvio is to get employees commitment towards business plan. For selecting employees for different job role, Silvio exactly knows what he want from candidate to perform and select appropriate candidate for it. The expectation they had from their HR manager is that, he has to be capable of developing first class organization. HR manager should have sheer commitment to care about employees working in organization (Alvenfors and Adam, 2010). The thinking behind selecting financial officer was the candidate should have common set of values which incorporate high ethical standard, integrity, serious about the work and drive. The team should have right attitude and energy is the key expectation. Through the discussion with experts in India Napoli developed detain analysis of market size, competitors and about elevator market in India. References: Nankervis, A., Compton, R. Baird, M. (2007) Human resources management: strategies and processes, 6th Edn, Cengage Learning Australia, Melbourne. Howard Gardners multiple intelligences, businessballs.com, viewed June 2010, https://www.businessballs.com/howardgardnermultipleintelligences.htm. Wiley, J. (2009) "Onboarding - How to Get Your New Employees Up to Speed in Half the Time", George Bradt and Mary Vonnegut Alvenfors, Adam (2010)Introduction recruitment and selection? On the introduction programs importance for the integration of new employees. Alvenfors, Adam (2010)Introduction - Integration? On the introduction programs importance for the integration of new employees. Browning, Guy (15 July 2004)New kid on the blockPeople Management Magazine
Saturday, November 30, 2019
Same Love by Macklemore Ryan Lewis free essay sample
Rap to me is one of those things that have been forgotten. It has in a sense, lots its way. It used to be real. And that means that when those artists were rapping, they were talking about something real, you know? Like poverty, struggle, addiction, family, love. Those things were real, they were what mattered. You donââ¬â¢t see that too much nowadays. Now, itââ¬â¢s all about ââ¬Å"gettinââ¬â¢ moneyâ⬠, buying lavish things, going to the club, getting high on drugs and drunk on alcohol. This is the face of rap, and since that is the case it makes it hard to actually talk about whatââ¬â¢s real. Well that is until now, I think. So, thereââ¬â¢s this song called Same Love, and the first time I heard it, I swear it just brought the biggest grin to my face. Itââ¬â¢s about marriage equality, which to me, shouldnââ¬â¢t be such a big controversy, because it is as simple as we live in a country where we are free and equal. We will write a custom essay sample on Same Love by Macklemore Ryan Lewis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page And the song reflects that so directly and succinctly. The song is set to a simple piano melody, and drum beat in the background, creating a laid back mellow sort of feel. And I think that fit the song so well, because youââ¬â¢re not distracted by what else is going on. Itââ¬â¢s just one person talking to you. And frankly, that should be the only things that matters. One of my favorite lines is: ââ¬Å"Playing God, aw nah here we go, America the brave still fears what we donââ¬â¢t know. And God loves all his children, is somehow forgotten But we paraphrase a book written thirty-five hundred years ago. . .â⬠Of course this is the religious aspect of same sex marriage, and how everyone goes kind of crazy over it, and ââ¬Å"how itââ¬â¢s not being honoredâ⬠if two people of the same sex get married. This song doesnââ¬â¢t only represent something real, but it represents a movement. And thatââ¬â¢s power. When a song, especially a rap song has the ability to resonate and reach people on a less than superficial level, thatââ¬â¢s beautiful. Macklemore, I think is one of those few artists who are not concerned about making hits, but making something the people can connect with. And that is damn hard to find in todayââ¬â¢s music. His album, The Heist is a compilation of different tones, instruments, and sounds, and itââ¬â¢s frankly something that should be heard. Same Love to me, is one of those things that canââ¬â¢t always be outright said. We hear the politicians, and the protesters, and the activists speak about it, but thereââ¬â¢s something different about hearing this issue in song. Somehow it makes you think more;it certainly made me. I guess this song, also taught me that love is love
Tuesday, November 26, 2019
Standard Quality of Care Hcs 451 Essays
Standard Quality of Care Hcs 451 Essays Standard Quality of Care Hcs 451 Essay Standard Quality of Care Hcs 451 Essay Health Care Quality Management and Outcomes Analysis Professor Jodi Sapaguh By Lisa Gresley August 9, 2010 Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of care implies that one or more of the requirements mandatory under the federal regulations 42 CFR 483 . 13 involving resident behavior and facility practices, 42CFR . 15 involving quality of life or 42CFR 483 . 25 regarding quality of care are not complied with leading to actual jeopardy to the resident health or safety or having potential for causing more than minimal harm (HealthCare information, 2007). Any nursing home found with delivering substandard quality of healthcare or carrying significant deficiencies in its healthcare treatment plans would be required to immediately address the issue. The following personal experience presents an example of injuries from utilization control healthcare delivered resulting in grievous and permanent injuries to the patient. The problem here is about Lois Battles, my grandmother, who was diagnosed with Leriches syndrome, which is a vascular occlusion. Upon diagnosis, her doctor recommended surgery where a part of an artery was to be replaced with a Teflon graft. The program providing medical care to Lois was Californias medical assistance program, Medi-Cal that was responsible for controlling costs and authorizing treatment. As such, the approval and authorization from state was a requirement to perform surgery. When Loisââ¬â¢s doctors sought approval from Medi-Cal for the surgery, Medi-Cal agreed and also allowed ten days of post-surgery treatment in hospital. However, Mrs. Battles recovery did not take place as estimated and a day before due discharge date, the surgeon and his assistant felt that Mrs. Battles required additional eight days of recuperation in hospital. Medi-Cal was again approached for the approval for this extended stay, but on this occasion Medi-Cal differed from surgeonââ¬â¢s recommendations for eight days extension. The Medi-Cal representative, who was himself a certified surgeon, merely consulted a Medi-Cal nurse on the phone and after evaluating progress of Mrs. Battles on basis of her temperature, diet and bowel function, declined the request and approved only four day extension. In the process he neither reviewed any documents related to the case nor consulted any other vascular-surgery specialist. On denial by Med-Cal, the surgeon attending the case of Mrs. Battles decided not to push for the additional days of care and complied with Med-Cal directives by discharging her at the end of the stipulated period. Mrs. Battles than got an infection and was sent right back in to the hospital for treatment. If Mrs. Battles would have stayed the four extra days she may have been fine. So in order to be a successful organizational and business performance is the ability to manage the accessibility and processing of information. Accurate, timely and relevant data form the basis for planning, monitoring and decision-making processes across an organization. Healthcare, more than other industries, feels the pinch of dealing with substandard and inaccurate information because it is more data rich, data dependant and data sensitive than any other sector of the economy. The practice of medicine requires continuous availability across the various functions to ensure best care outcomes as well as a perpetual state of readiness for possible changes in patient demands, competitive scenario, regulations or disease patterns and new outbreaks. Healthcare information technology forms a pivotal part of todays healthcare system. Improved quality of healthcare, patient safety, drastic reduction in medical errors and enhancement of care delivery is possible because of the induction of these solutions in the healthcare delivery environment. Today, healthcare IT solutions are enabling processes like planning, decision-making related to organizational development, strategic planning to drive growth, recruitment of competent personnel, managing employee benefits, payroll, intra-department communication, etc. One policy that has changed the health care delivery to shift cost responsibility toward the hospital was the Tax Equity and Fiscal Responsibility Act of 1982. This policy has changed hospital reimbursement under Medicare with the introduction of diagnosis-related groups (DRGs) (Sultz amp; Young, 2009). The DRG prospective payment system rewarded hospitals financially for efficient care (specifically shorter hospital stays) and reduced the incentive to consume (Sultz amp; Young, 2009). Another policy that placed the burden of responsibility on the hospital was the Consolidated Omnibus Budget Reconciliation Act of 1985 which required hospitals to provide care to everyone who presented in the emergency department regardless of ability to pay (Sultz amp; Young, 2009). This law was designed with good intent to reduce the ââ¬Å"patient dumpingâ⬠that had arisen from the DRG system, but it nevertheless increased hospital responsibility without additional financial support. More recently, the Deficit Reduction Act of 2005 required the Secretary of the Department of Health and Human Services to select at least two hospital-acquired conditions for which hospitals will no longer be reimbursed by Medicare (United States Congress, 2006). The purpose of this new law is to contain costs by penalizing hospitals for preventable conditions or complications resulting from substandard care. The designated conditions were to meet the requirements of being high cost and/or high volume, and reasonably preventable through the application of evidence-based guidelines (S. Rep. No. 1932, 2006). Eight hospital-acquired conditions have been selected thus far and at least nine additional conditions are up for consideration of being added to the list for 2009 (Center for Medicare amp; Medicaid Services (CMS), 2008). The way this law works is that if a patient develops a hospital-acquired condition or complication during their hospital stay that was not documented upon admission, Medicare will no longer reimburse the hospital for the treatment of the condition and the hospital will be forced to absorb the cost. Conditions included in this new rule particularly relevant to nursing include stage III and IV pressure ulcers, injuries from falls, and catheter-associated urinary tract infections. In light of these policy changes, hospitals are under intense pressure to improve quality of care and reduce costs. Many areas of vulnerability for hospitals such as patient safety, prevention of hospital-acquired conditions, and continuity of care, are directly related to nursing. However, instead of areas of vulnerability, it is better to view the current challenges of health care as opportunities for improvement.
Friday, November 22, 2019
Review of David Copperfield by Charles Dickens
Review of 'David Copperfield' by Charles Dickens David Copperfield is probably the most autobiographical novel by Charles Dickens. He uses many incidents of his childhood and early life to create a considerable fictional achievement. David Copperfield is also the novel that stands as a mid-point in Dickens oeuvresomewhat indicative of Dickens work. This novel contains complicated plot structures, a concentration on the moral and social worlds, and some of Dickens most wonderful comic creations. David Copperfield is a broad canvas on which the great master of Victorian fiction uses his entire palette. Unlike many of Dickens other novels, however, David Copperfield is written from the point of view of its titular character, seemingly looking back on the ups and downs of his long life. Overview of David Copperfield The story begins with Davids childhood, which is an unhappy one. His father dies before he was born and his mother re-marries the frightful Mr. Murdstone, whose sister moves into their house soon after. David is soon sent away to boarding school because he bit Murdstone when he was undergoing a beating. There, at the boarding school, he meets a couple of boys who become friends: James Steerforth and Tommy Traddles. David doesnt complete his education because his mother dies and hes sent to a factory. There, Copperfield meets Mr. Micawber, who is later sent to debtors prison. At the factory, he experiences the hardship of the industrial-urban pooruntil he escapes and walks to Dover to meet his aunt. She adopts him and brings him up (renaming him Trot). After finishing his schooling, he goes to London to seek a career and meets James Steerforth and introduces him to his adoptive family. At around this time, he also falls in love with a young girl, the daughter of a well-renowned solicitor. He also meets Tommy Traddles who is boarding with the Micawbers, bringing the delightful but economically useless character back into the story. In time, Doras father dies and she and David can be married. However, money is very short and David takes up various other jobs in order to make ends meet includinglike Dickens himselffiction writing. Things are not well with a friend from home ââ¬â Mr. Wickfield. His business has been taken over by his evil clerk, Uriah Heep, who now has Micawber working for him as well. However, Micawber (along with his friend Tommy Traddles) determines to expose the bad dealings with which Heep has been taking part and finally, has him thrown out,à returning the business to its rightful owner. However, this triumph cannot be truly savored because Dora has become incredibly ill after losing a child. After a long illness, she finally dies, and David travels to Switzerland for a number of months. While hes traveling, he realizes that he is in love with his old friend, AgnesMr. Wickfields daughter. David returns home to marry her. A Coming of Age Story David Copperfield is a long, sprawling novel. In keeping with its autobiographical genesis, the book has a certain feel for the ungainliness and largeness of everyday life. In the earlier parts of David Copperfield, the novel has all of the power and resonance of Dickens social critique of a Victorian society that had very few safeguards against the mistreatment of the poor and, particularly in its industrial heartlands. In the later parts, we get Dickens most realistic and touching portrait of a young man growing up, coming to terms with the world and finding his literary gift. Although it certainly portrays Dickens comic touch to the full, it also has aà seriousness that is not always apparent in some of Dickens other books. The difficulty of being an adult, of marrying, of finding love and of getting on feel very real and shine from every page of this delightful book. Full of lively wit and Dickens characteristically finely tuned prose, David Copperfield is an excellent example of the Victorian novel at its height and Dickens master of it. Popular (like so many of Dickens works), it has deserved its sustained reputation through the twentieth and into the twenty-first century.
Wednesday, November 20, 2019
Abortion and Womens Rights Research Paper Example | Topics and Well Written Essays - 1750 words
Abortion and Womens Rights - Research Paper Example A woman, however, is a container for the fetus and without her, the childbirth is not even possible (Shafak, n.p.). She needs to make the decision regarding whether or not she is capable of carrying the child in her womb for a period of 9 months. Every woman must have the right to make the decision regarding abortion depending upon a number of factors like the involvement of the father, financial resources available to her, health implications as well as a matter of mere choice of whether or not she wants the baby and is willing to sacrifice her life to care for her child (Abortion Is Every Woman's Right, n.p.). A womanââ¬â¢s body is her own and thus no other person should be allowed to make the decision regarding what she wants, especially if she is an adult of sound mind, capable of making her own decisions. The right to abortion is a very crucial topic that needs to be discussed and taken care of because it involves the life of an unborn child. It is thus up to the woman to dec ide whether or not she wants to give life to the fetus because she herself will be able to ascertain whether or not she has the potential to do so and carry on with the pregnancy (BBC News). Many times, women fail to gather the support of the men that got them pregnant in the first place; in such a situation, how is it that a woman should not be given the right to carry on with the abortion if she wants to? (Abortion Is Every Woman's Right, n.p.). A woman is a human being too, something that a patriarchal driven society often tends to forget; it is not an easy task to carry on with pregnancy and give birth to a child especially without financial resources and proper nutrition. Unless and until a woman wants to have a child, she should not be forced into doing so because this takes away the rights of not only the mother but also her unborn child (Dreaper, n.p.). A pregnancy does not always have to be planned; in many cases, two people engaging in sexual intercourse while using all th e necessary precaution could still fall short ââ¬â condoms are not a hundred percent effective and neither are birth control pills and that is why a woman should have the right to decide whether or not she wants to keep the child once pregnant (Dreaper, n.p.). Young couples could get pregnant without having the means to support a child or a plan for the future of the child and in this case, if they deem fit that they should abort the pregnancy, it is their decision. Moreover, if a woman is young and has her entire future ahead of her, she should not lay prey to society to do what is best ââ¬â she should know what is best for her and take the necessary actions because otherwise, she will have to deal with the consequences (Shafak, n.p.). Pregnancies have a very adverse effect on the body of a woman; they tend to disrupt the normal course of lifestyle for her and there are many changes that she goes through in her body.Ã
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