Online writing essay
Topics To Write An Essay On For An Athetic Graffiti
Thursday, September 3, 2020
Is Your Company Making This Mistake On Facebook
IS YOUR COMPANY MAKING THIS MISTAKE ON FACEBOOK? In the event that youââ¬â¢re understanding this, you likely definitely realize that your organization ought to have a Facebook page. This isnââ¬â¢t another post concerning why you should utilize internet based life advertising. Rather, I need you to have a go at something: Take a second, go to your Facebook business page, and gaze at the Wall. Proceed, Iââ¬â¢ll pause. Hereââ¬â¢s what you need to see: Enlightening, drawing in posts Reactions to the posts as remarks and likes Posts from your supporters, who are ideally your genuine clients So for what reason do you simply observe a perpetual stream of posts from your organization, with no input? Why arenââ¬â¢t your devotees connecting to you and posting on your Wall? You may be committing a typical Facebook error: Selling as opposed to locks in. Keep those small promoting blurbs concerning why your business is the best on your official site, not your business page. Be that as it may, what would it be a good idea for you to do? What makes one organization so ââ¬Å"likeableâ⬠and the othersâ⬠¦not to such an extent? Furthermore, how might you begin getting your clients to take an interest on the web? Pose Inquiries The most effortless approach to get a reaction is to request one, regardless of how senseless. Look at the Oreo business page, which has more than 22 million devotees â⬠one of the most ââ¬Å"Likedâ⬠marks on Facebook. The inquiries and posts are straightforward, yet a few thousand individuals set aside the effort to react. Donââ¬â¢t feel like you must be senseless when youââ¬â¢re posing inquiries. Thatââ¬â¢s not fitting for each brand. However, you can at present profit by posing inquiries. Take a stab at asking: ââ¬Å"How do you use ___ to make your life easier?â⬠Or, ââ¬Å"Which new item are you kicking the bucket to get your hands on?â⬠Let Customers Participate in Your Brand Urge your supporters to transfer their own substance to your Wall. Be that as it may, give them a motivator: You can offer a prize, or use it as advertising research. For instance, Oreo approached their supporters to decide in favor of another flavorâ⬠¦and conveyed with another item. Offer a Deal Hereââ¬â¢s something that will work for a wide range of organizations, not simply nibble nourishments. Offer your devotees a coupon, unique arrangement, advance information on a deal, and so forth. Be that as it may, just tell your Facebook adherents. Cause them to feel extraordinary by compensating them for supporting you on the web. Threadless, a generally little shirt organization, has right around 350,000 devotees. Notwithstanding captivating fans on the Wall, they offer a coupon only for Liking their page. Keep in mind, a great many people utilize internet based life for amusement. Your Facebook page isnââ¬â¢t a business, and itââ¬â¢s not your organization site. In any case, it can advertise your organization â⬠you simply need to get individuals to tail you. You should? Which organizations do you follow on Facebook?
Saturday, August 22, 2020
Hard Times Many Symbols about Human Nature Free Essays
In Dickensââ¬â¢s Hard Times, there are numerous images that go through the novel. These images represent substantially more than Just word you would go over various occasions as you read. Every image can mean something about human instinct, human connections, ethical quality, and even about our general public. We will compose a custom exposition test on Difficult situations: Many Symbols about Human Nature or then again any comparable point just for you Request Now Every image can have an alternate importance to us all. The images that surfaced often and that stood apart to me as I read were flight of stairs, Pegasus, smoke snakes, and fire. The principal image that stood apart to me was the flight of stairs Mrs. Sparsit envisions. This ymbol stood apart to me when Mrs. Sparsit sees that Louisa and Harthouse are getting to know one another. As she sees this, she envisions that Louisa is running down a type of flight of stairs into a ââ¬Å"dark pit of disgrace and ruin at the base. â⬠I accept that this flight of stairs speaks to her conviction that Louisa will vanish with Harthouse and ruin herself for eternity. Mrs. Sparsit has detested Bounderbys union with the Louisa and has consistently wanted to wed him herself. So this makes her glad by Louisaââ¬â¢s activity to vanish with Harthouse. Through he flight of stairs, Dickens uncovers how Mrs. Sparsitââ¬â¢s character is deceptive. He likewise proposes that Mrs. Sparsitââ¬â¢s own self confuses the circumstance among Louisa and Harthouse. She confuses this since she winds up in disgrace by having an unsanctioned romance with Harthouse and Louisa winds up getting back to her dad. The following image that stood apart to me was the Pegasus from Mrs. Slearys bazaar. Mr. Slearys bazaar performers would remain at a hotel called the Pegasus Arms. The image is within this motel. Within this hotel, the image is a Pegasus that is an odel of a flying pony with brilliant stars stuck on all over him. This image, the Pegasus, speaks to a universe of imagination and magnificence from which Gradgrinds youngsters are not a piece of. There is a moment that Mr. Gradgrind advises the understudies at his school that backdrop with ponies on it is unreasonable on the grounds that ponies don't in truth live on dividers. He generally showed the children hard realities and only them and to not have a creative mind. The carnival individuals anyway live in a world in which ponies can move and flying ponies can be envisioned regardless of whether they don't in actuality truly exist in the eal world. The name of this hotel shows the difference between the inventive and extremely glad universe of the carnival and Mr. Gradgrindââ¬â¢s confidence in the significance of actuality and to have no creative mind. Another image that stood apart to me was the smoke snakes above Coketown. The image was the surges of smoke that was in the skies above Coketown. These streams are the result of manufacturing plants and industrialization. In any case, these smoke snakes likewise speak to the carelessness of some processing plant proprietors like Bounderby. He is generally so centered around getting as much cash and benefit as possible. Bounderby reasons that the snakes of smoke are a positive sign that the plants are delivering and making a g prott Bounderby tails to consider the to be as a torm of undesirable contamination since he is so worried about making a benefit. He additionally neglects to perceive his own maltreatment of the hands in his production lines. He doesn't understand how hopeless and poor his laborers are and is increasingly stressed over his business and himself. The last image that stood apart to me was fire. The first run through the image fire stood apart to me was when Louisa is first presented in Chapter 3. The storyteller clarifies that here is a ââ¬Å"fire with nothing to consume, a starved creative mind keeping life in itself by one way or another. â⬠This shows Louisa appears she has not tuned in to her fatherââ¬â¢s convictions against pondering and envisioning. The fire likewise shows a specific child of warmth. It is says that Louisa frequently gazes into the chimney when she is separated from everyone else. She gazes as though she sees things in the flares that others don't, prefer her unbending dad and sibling. In any case, there is likewise another sort of fire that stands apart to me in Hard Times. The other time I consider fire in this novel is the flames that keep the industrial facilities running. The fire gives warmth and capacity to machines. This shows fire can be a case of an abhorrent that can be utilized as a more prominent great. Through this image, Dickens shows the significance of creative mind to show the industrialization of human instinct. All in all, images can mean and speak to numerous things throughout everyday life. Individuals utilize various images each day to speak to something that they have confidence in. For instance, numerous exceptionally strict individuals may wear a cross around their neck to show an image of confidence Just how the Pegasus from Mrs. Slearys carnival is an image to the individuals to have a creative mind. The most effective method to refer to Hard Times: Many Symbols about Human Nature, Papers
Friday, August 21, 2020
How to Write an Introduction For Research Paper
How to Write an Introduction For Research PaperHow to write an introduction for research paper is the question that comes up on a regular basis in the mind of a student. Most students like to get their hands dirty while writing a research paper. Since a lot of work is involved in writing a research paper, it is not a surprise that most students do not bother to create a good introduction for the research paper. Therefore, I have written this article to share with you some ideas on how to write an introduction for research paper.A lot of students like to think of the introduction for research paper as a standalone piece of literature. The question of how to write an introduction for research paper is often put to the reader right at the start. This way, students are able to get the ball rolling and can start making up thoughts as to what they want to write.Writing an introduction using a straight forward approach, can be an interesting way to go about. Most students find it easier to get going with the introduction for research paper using such an approach. However, these papers do not have to be that way. In fact, if the introduction for research paper is written properly, you will be amazed at how it makes it through the peer review process.A lot of students will read the introduction for research paper and sometimes even note it down. If the student did something with the research paper that caused him or her to come up with a good idea, they might even quote it later when writing a dissertation.Not too many students realize that the introduction for research paper is the first step in writing a dissertation. You need to present it in a very interesting way. If you use a more realistic approach, you will probably create a great introduction for your research paper. However, if you want to make it more memorable and will be able to continue to write a paper, you should write it from an interesting angle.The first step in writing an introduction for research pa per is to prepare a thesis statement. A thesis statement can be written later on in the paper itself. However, the idea of preparing a thesis statement, and setting the stage for the rest of the paper, will be explained more in the next article.In a research paper, the first two paragraphs or lines should be an introduction to the topic of the paper. A good place to start would be on the first page or two of the introduction. This is where a student can quickly get his or her first thoughts in the writing process.After setting the stage in the introduction for research paper, the rest of the paper is set for writing. This means that the students have a good opening to the paper, an overview to follow, and a conclusion to provide. Once the introduction for research paper is written, the rest of the paper is already set up to be a masterpiece.
Thursday, June 11, 2020
Nursing Care Plan for Asthma - Free Essay Example
Asthma affects about three hundred billion people worldwide; it has no cure but there are effective and established ways to manage the disease and to prevent worsening symptoms. Asthma is an obstructive pulmonary disease and is described as the swelling and narrowing of the airways in the lungs, resulting in difficulty breathing (Andrews, et al., 2014). The clinical manifestations are listed as expiratory wheezing, prolonged expiration, shortness of breath, swollen nasal passages, tightness of the chest, runny nose and coughing that is either dry or productive. Asthma is mostly triggered by inhalation of allergens, pollutants, drugs, exercise, weather changes and stress (physical or emotional). The risk factors for asthma are obesity, genetics (asthma has a component that could be inherited), job-related exposure to irritants/chemicals, respiratory tract infections, sinus problems and gastroesophageal reflux disease (GERD). (Lewis, Harding, Heitkemper, Bucher, 2017). Treatments for asthma include anti-inflammatory drugs such as corticosteroids, anti-IgE (omalizumab), anti-Interleukin 5 (mepolizumab, reslizumab) and leukotriene modifiers (zafirlukast, montelukast, zileuton). Another treatment used is the bronchodilators such as 2-adrenergic agonist drugs (SABAs which are also known as rescue medications and LABAs), anticholinergic drugs and methylxanthines. These drugs of choice can be inhaled using inhalers or nebulizers and some are in tablet form to be taken by mouth. Asthma complications include status asthmaticus (when asthma no longer responds to treatment), respiratory failure, collapsed lung(s) and pneumonia. (Lewis, Harding, Heitkemper, Bucher, 2017). Inter-professional areas involved with collaborative care include a primary care physician or an allergy/asthma specialist and are involved in medical diagnoses and treatment recommendations, a nurse/school nurse or an asthma specialist nurse who is going to be involved with patient and family teaching (what is asthma and how the prescribed medications work), peak flow checks, enforces medication compliance, provides referrals to social or medical needs regarding asthma care, and a pharmacist who is involved with filling prescriptions and checking drug interactions (Walker, 2016). Nursing diagnoses for asthma include but are not limited to ineffective breathing pattern and ineffective airway clearance. The nursing interventions for the nursing diagnoses ineffective breathing pattern include assessing the patients vital signs (blood pressure, heart rate, and respiration rate), auscultation of breath sounds (wheezing, respiration depth and rhythm), monitor for the presence of pulsus paradoxes that is greater than or equal to 12 mmHg as this could be a sign of severe airflow obstruction, assessing the arterial blood gasses (ABGs), providing frequent rest between activities to prevent fatigue and lower oxygen demands, monitoring oxygen saturation and intervening when oxygen saturation falls below 95%, elevating the patients head of bed (HOB) to promote lung expansion and improve breathing, and administering ordered medications and monitoring adverse effects and assessing the effectiveness of the medications ordered. The nursing interventions for the nursing diagno ses ineffective airway clearance include reducing the patients anxiety to prevent asthma attack occurrence, monitoring laboratory results such as white blood cell count, potassium levels on patients on 2-adrenergic agonist drugs (as these medications can cause potassium to shift into the cells and cause hypokalemia), and theophylline levels if the patient is on theophylline therapy, assessing the patients secretions and noting the amount, color, and odor, and assessing/monitoring for color changes to the nail beds and lips which could indicate cyanosis (Martin, 2016).
Sunday, May 17, 2020
Managing Effective Work Teams Essay - 3525 Words
Managing Effective Work Teams Abstract Many organizations today believe that the use of work teams will allow them to produce better products and provide better services, faster, and at lower costs. Using a work team approach can reinvigorate productivity and service provider motivation, and better position an organization to deal with a rapidly changing environment. However establishing effective work teams is not something that comes easy. Though, the benefits of effective work teams within an organization are very substantial, it takes alot of hard work and dedication on the part of management and team members to develop, implement and maintain effective work teams. Work Teams Popularity in Organizations Some twentyâ⬠¦show more contentâ⬠¦They can be an excellent source of job satisfaction, inthat team members are frequently empowered to handle many of the things that directly affect their work. In addition, work teams are an effective way for management to enhance employee involvement, increase morale and to promote work force diversity. Stages of Work Team Development Work Team development is a dynamic and often difficult process. Most teams find themselves in a continuos state of change and development. Eventhough, most teams never reach full stability, there is a general pattern that describes how most teams evolve. There are five stages of team development, the first stage is forming. In this stage there is a great deal of uncertainty about the teams purpose, structure and leadership. Members are testing the the waters to determine what types of behaviors are acceptable. This stage is complete when members began to think of themselves as part of the team. The second stage is called storming. In this stage there is much intragroup conflict.Team members accept the existence of the team, but there is resistance to the control that the team imposes on individuality. Conflict can arise from numerous sources within the team setting but generally falls into three categories:communication, factors, structural factors and personal factors (Varney, 1989/ Townsley). In addition, there is conflict over who will control the team.Show MoreRelatedGlobal Team1436 Words à |à 6 Pagesare the characteristics of effective teams? What challenges do managers face in managing global teams? How should those challenges be handled?â⬠25st of November 2011 Student number: B00600693 Words: 1145 The purpose of this essay is to examine the characteristics of effective teams as well as the challenges faced by managers to lead global teams. It will also analyse how these challenges should be handled. It will provide a definition of an effective and global team. To be able to discuss theRead MoreTraditional Team Essay927 Words à |à 4 PagesOrganizational Teams Teams are an integral part of the success of organizations today. There are various types of teams found within todayââ¬â¢s companies, and some teams perform at higher levels than others. The performance of a team can depend largely on its structure. To understand what makes a team operate be effective and productive requires looking at the various types of teams. Organizations typically developing the following types of teams: manager-led, self-managing, self-designingRead MoreMulticultural Teams1342 Words à |à 6 PagesOF MULTICULTURAL TEAMS The increasing number of multinational companies, the expand global market place and the diversity of the customers across cultures require new points of view. More and more companies use multicultural teams to develop new products or business solutions. Multicultural teams are task oriented groups of people from different cultures. Well managed multicultural teams thanks to the different point of views of their team members can superior national teams in the number of possibleRead MoreIlm M3.18943 Words à |à 4 PagesThe Diploma consists of six mandatory units ââ¬ËUnderstanding changeââ¬â¢, ââ¬ËPlanning changeââ¬â¢, ââ¬ËTime managementââ¬â¢, ââ¬ËAn introduction to leadershipââ¬â¢, ââ¬ËEffective team leadingââ¬â¢ and ââ¬ËDeveloping leadership capabilityââ¬â¢. Participants then complete the qualification with a range of optional units that combine to minimum credit of 18. From managing customer service to effective meetings for managers the ILM Di ploma in Leadership and Management can be tailored to meet the varying needs of participants across all employmentRead MoreDifferences Between American and Indian Managers Essay845 Words à |à 4 Pagesaccountability, investing in training, empowering through communication and cultural. (HBR, Leadership lessons from India 2010). We know that leadership is very important to motivation and interpersonal behavior within the company. Having an effective leadership involves the talents to inspire and lead people. In the article, Leadership Lesson from India, it stated that important difference between Indian and American company leaders is how they focus their energy in leading. Read MoreHr a Short Briefing for New Hr Colleagues to Help Them Perform Effectively and Efficiently in Their Roles.986 Words à |à 4 Pagesthey serve and the HR strategy must be aligned to this. As shown in the map above, there are ten professional areas in which as a HR Professional you should strive to demonstrate the highest achievable level of competence. As a new member of the HR Team at YWP, we expect you to support the improvement of HR processes and policies. This includes continuously looking at opportunities in which to improve the HR Function and its implementation within the organisation. You will act as a sounding boardRead Moreproject manajment1121 Words à |à 5 PagesSnapshot from practice: The emergence of e.Schwab The evolution of project management systems Project management today-- An integrative approach Integration of projects with the strategic plan Integration within the process of managing actual projects Research Highlights: Chaos: Software Projects Summary Text overview Review questions exercises Case: South American Adventures Unlimited CHAPTER 2 Integration of Organization Strategy with Projects Read MoreLeadership And Leadership Development Programs839 Words à |à 4 Pagesinformal training and professional development programs designed for all management and executive-level employees to assist in developing the required leadership skills and styles to deal with a variety of situations (Human Resources, 2011). A lack of effective leadership development programs usually comes from organizations thinking that senior managers need continuous training and development. However, great leadership development is essential to all employees and managers in an organization. ExecutiveRead MoreGroups and High-Performance Teams1617 Words à |à 7 Pageshigh-performing team. Effective leaders are able to assemble a high-performance team with good hierarchical balance, measurable and attainable goals, and appropriate communication expectations across the team. They promptly address conflict resolutions and break down all phy sical barriers in managing multi-city offices and dispersed employees. By paying close attention to team demographics and diversity, good leaders will establish a solid group foundation which will result in a high-performance team. Read MoreBuilding And Managing Effective Virtual Teams947 Words à |à 4 PagesTechnology Paper One: Building and Managing Effective Virtual Teams Robert Jones, Robert Oyung, and Lise Pace, authors of Working Virtually: Challenges of Virtual Teams (2005) state: Virtual teams and teams in general are characterized by the fact that each member of the team is dependent upon one or more other members in order to accomplish the overall goalâ⬠¦ The single most critical component that makes teamwork possible is effective communication. (p. xvii - xviii) Notwithstanding the goal ââ¬â to
Wednesday, May 6, 2020
The Success Of A Franchise Essay - 1877 Words
A franchise is a business that distributes goods and services through a licensing relationship. This process is referred to as franchising. In franchising, there is a franchisor who is either a person or business that grants a license to a candidate to manage a business with their identity and products in return for intermittent payment of fees back to the company for the rights. The franchisor not only allows the new franchisee, the candidate that applied for the franchising license, the uses of their identity and products but also provides an operating system, the brand and any support they might need at any point. Franchising goes back to the middle ages when land owners would grant rights to peasants to hold markets and conduct business. Ray Kroc is credited with delivering the form of franchising as we know it today. Ray discovered the McDonald brothersââ¬â¢ hamburger stand back in 1954. The brothers had created a high-volume production system that allowed them to provide fa st service with consistent results at a low cost. Kroc became the brothersââ¬â¢ licensing agent and went out to Chicago recruiting franchisees. Today, McDonalds has over 36,000 restaurants worldwide and continues to grow their franchise each year. Buying the rights to a franchise has many advantages and disadvantages. There are many advantages to buying into a franchise. This form of business offers the feel and freedom of being a small business owner while being supported by a big business network.Show MoreRelatedThe Success Of The Franchise Industry1372 Words à |à 6 PagesThe franchise industry is an industry that is highly visible to the public eye; mainly because of such names as McDonaldââ¬â¢s, Kentucky Fried Chicken, Popeyeââ¬â¢s, Burger King, Starbucks and the like. They all fulfill a service which the general public supposedly needs. From a simple fried chicken leg, to a strong cup of specialized coffee, or even a set of bed linens, they all serve a general purpose. Each one supplies the public with goods and services at a cheaper price. The people or individuals whoRead MoreEssay on The Success of the McDonaldââ¬â¢s Franchise 1267 Words à |à 6 Pagesflexibility that owning a business franchise creates provides this option. Success is not reached by simply creating a business, however. The level of success is measured by the size and efficiency of the business. Business growth is the driving force of the economy. The additional jobs and revenues created when a business expands allow the economy to grow at exponential rates. One of the fastest and most popular ways to increase the size of a business is to turn it into a franchise, which can then be purchasedRead MoreFranchising Is The Single Most Successful Marketing Concept Ever1192 Words à |à 5 Pagesits success based on a widespread practise in capitalistic societies, known as franchising. Many entrepreneurs (the franchisees) have chosen to acquire a franchise to access the knowledge, the trademark, and the processes of a corporation (the franchisor); in o rder to sell a product, or provide a service under the businessââ¬â¢ name. In return, depending on the franchise contract, the franchisee usually pays additional money for the start-up of his company, and annual licensing fees. Franchises are extremelyRead MoreFive Guys Business Analysis1162 Words à |à 5 Pageschain that originated in Arlington, Virginia[-0] within the Washington Metropolitan Area[-1]. The chain sells mainly hamburgers[-2], hot dogs[-3] and French Fries[-4]. Five Guys enterprises has grown from a single family owned restaurant to a franchise with 450 locations in thirty states. Five Guys opened its doors to Arlington, Virginia in 1986. The restaurant was started by four brothers who were given the choice to start a business or go to college by their parents. The burger and fry shopRead MoreCompetative Advantages and Disadvantages of Subway Essay849 Words à |à 4 Pagesallows its franchise to choose their own food suppliers, to ensure they can access the f reshest ingredients from their local markets. This gives Subway a competitive advantage by enabling them to produce nutritious sandwiches with the freshest ingredients. Hence their catch advertising tagline ââ¬â ââ¬Å"Subway ââ¬â eat fresh.â⬠A big reason for Subwayââ¬â¢s efficiency success is due in part to Subwayââ¬â¢s operations manual. Subway stores operate like a well oiled machine. When you enter a Subway franchise your willRead MoreMadison Square Garden Company Report1676 Words à |à 7 Pagesâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦ 6 Recommendations â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.. 6 References â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.. 7 ABSTRACT The Madison Square Garden Company is one of the worldsââ¬â¢ few publically traded sports franchises with a long history of success. Starting up in the late 1800s in what is now the entertainment capitol of the world the Madison Square Garden Company has served as one of the world leaders in the entertainment industry and transformed into what is easily consideredRead MoreHow can Marketing mix model help Manchester United build its global brand?1165 Words à |à 5 Pages Franchise is the best way to run an international business Name: Chao CHENG Tutor: Fraser Hamilton Date: 25/11/2013 Course: Academic Skills Table of Contents 1.0 Executive Summary....................................................................3 2.0 Introduction................................................................................3 3.0 Main Section.............................................................................Read MoreMcdonaldââ¬â¢s Research Paper1394 Words à |à 6 PagesThe Global Success of McDonalds MBA/521 Jan-7th-2012 Abstract When people think about the franchising concept, McDonalds usually comes up first as a prime example. Although McDonalds was not the first franchise business Isaac Singer, the inventor of the sewing machine gets credit for originating the franchise idea-the hamburger chain certainly exemplifies franchising success. The first McDonalds restaurant was opened by brothers Dick and Mac McDonald in 1940 on Route 66 in SanRead MoreThe National Football League : An Overview1059 Words à |à 5 Pagesmagazine in an article analyzing the most valuable sports teams of the world, The NFL landed the most teams in the top 50 with 20 franchises(Badenhausen, The World s 50 Most Valuable Sports Teams 2015). The following statistics will be used to determine what causes the value of NFL franchises. There are many factors that can influence the value of an NFL franchise however I have narrowed it down to variables that I believe directly affect the value of an NFL team. Using a sample of the 32 NFLRead MoreMcdonald s And The Conventional Franchise Agreement Essay1150 Words à |à 5 Pageshamburgers, chicken nuggets and french fries, and its growth is showing no signs of slowing down. A large part of McDonaldââ¬â¢s success is due to its franchises, which currently take up 80% of their restaurants worldwide. Th e McFranchise, a coined term for McDonaldââ¬â¢s franchises, has proven to be very lucrative not only for the company, but also for the franchisees. To become a direct franchise can be a difficult process, because the corporation holds its standards high and are very exclusive on whom they approve
Palliative care free essay sample
To set up your essay, you may use headings such as ââ¬Å"introductionâ⬠, ââ¬Å"Communication strategiesâ⬠ââ¬Å"Conclusionâ⬠etc. If you want. Or you can set it up so that each paragraphs are structured and there is good flow. You may use direct quotes ââ¬â but you need to reference these correctly including with page numbers, which i have done Ensure your referencing is correct ââ¬â intext and at the end of the essay a reference list is attached i think your uni guidelines said ââ¬Å"Harvard systemâ⬠Other nice ways to get extra marks = include a diagram or table that provides good summary of what you discussed ââ¬â in this case, maybe something for your communication strategy or approach? If you can think of something nice, it would be good. Iââ¬â¢m happy to go over your final draft and edit if needed (charges may apply if it takes more than 10mins) Introduction The World Health Organization (2003)[1] defines palliative care as: ââ¬Å"An approach that improves the quality of life of individuals and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritualâ⬠. We will write a custom essay sample on Palliative care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page WHO (2003) further states that palliative care: â⬠¢ provides relief from pain and other distressing symptoms; â⬠¢ affirms life and regards dying as a normal process; â⬠¢ intends neither to hasten nor postpone death; â⬠¢ integrates the psychological and spiritual aspects of patient care; â⬠¢ offers a support system to help patients live as actively as possible until death; â⬠¢ offers a support system to help the family cope during the patientââ¬â¢s illness and in their own bereavement; â⬠¢ uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated; â⬠¢ will enhance quality of life and may alsoà positively influence the course of illness; and â⬠¢ is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications. This recent definition and description of palliative care asserts that, contrary to earlier definitions, individuals with diseases other than cancer that have a terminal phase and are progressive in nature would benefit from the philosophical underpinning of the palliative approach. These include chronic obstructive pulmonary disease (COPD), Alzheimerââ¬â¢s disease,and acute massive cerebrovascular accident, to name a few. Palliative Care is a team effort THREE FORMS OF PALLIATIVE CARE (i) A palliative approach A palliative approach aims to improve the quality of life for individuals with a life-limiting illness and their families, by reducing their suffering through early identification, assessment and treatment of pain, physical, cultural, psychological, social, and spiritual needs. Underlying the philosophy of a palliative approach is a positive and open attitude towards death and dying. The promotion of a more open approach to discussions of death and dying between the care team, residents and their families facilitates identification of their wishes regarding end-of-life care. A palliative approach is not confined to the end stages of an illness. Instead, a palliative approach provides a focus on active comfort care and a positive approach to reducing an individualââ¬â¢s symptoms and distress, which facilitates residentsââ¬â¢ and their familiesââ¬â¢ understanding that they are being actively supported through this process. When should a palliative approach be implemented? * Methods used to identify survival time, such as physiciansââ¬â¢ clinical predictions, have limitations in accuracy and precision resulting in overestimating survival. Therefore, relying only on these methods to determine when to start a palliative approach is not recommended. Care team members need to be aware of this tendency to overestimate survival, to reduce residentsââ¬â¢ and familiesââ¬â¢ potential distress. * Attention toà residentsââ¬â¢ transition from active curative care to palliative care (with comfort care and symptom management) requires that care team members provide the resident and their families with sufficient information about the transition process to facilitate decision making. This provision of information can reduce residentsââ¬â¢ and familiesââ¬â¢ concerns and increase their satisfaction regarding the appropriateness of a palliative approach. Where can a palliative approach be provided? A palliative approach can be provided in the residentââ¬â¢s familiar surrounding if adequately skilled care is available, which reduces the need for transfer to an acute care setting; thereby, avoiding potential distress to the resident and his/her family. Who can provide a palliative approach? A palliative approach is best provided by an effective multidisciplinary team. A palliative approach Is proactive approachà Multidisciplinary approach, team based individuals and their families have complex needs Seeks to maximise quality of life for individuals and their families facing life threatening illnesses. Important to accept and include death and dying as a ââ¬Ënormalââ¬â¢ part of life Key importance of the palliative care approach in nursing is for it to be responsive, rather than directive, in order to meet the needs of individuals and their family and friends (ii)Specialised palliative care and (iii) end of life care when providing nursing care Consider influences of social, cultural, psychological and spiritual factors ââ¬â all these influence the experiences of disease, symptoms, and dying. Nursing approach needs to ensure that the focus on death is non-medical. Palliative care became a recognised and distinct specialty over the past 20 years in Australia. Specialist palliative care nurses are equipped with special skills and qualities that facilitate them to meet the needs of individuals and their families. In particular, allowing for enhanced care and support that people facing end of life need and as well extending out to the family and communities that support them. Furthermore, their skills include knowledge on end of life issues, management of pain, and complex symptoms that are part of the advanced terminal illness. Skills and competencies developed and strengthened over aà number of years through interdisciplinary clinical practice and continuing education Training is founded based on philosophies of palliative care and end-of-life care provision as well as strong foundation in ethics. Nursing role ââ¬â specialised, leadership, autonomous, and collaborative approaches Also provide mentoring and education to other nurses and health care professionals. Role of advocacy is important as well ââ¬â important for policy at the national and organisational levels. Importance of collaborative work ââ¬â and research to improve and advance the knowledge base about end of life care. Important role in being able to promote optimal well-being at the end of life regardless of patientââ¬â¢s location and financial position. Major communicatio n strategies required by nurses when providing palliative care to clients include Empathy, meet the needs of patients and families. Importance of non-verbal communication ââ¬â careful listening!! Non-verbal cues answer questions à djust expectations, set achievable goals, help control symptoms, help patients deal with inevitable death, address emotional issues and deal with responses = open questions, empathy, listen communicate and discuss with other health professionals any issues, wishes, treatment options. Good communication will facilitate addressing problems dealth with end of life care such as physical symptoms, psychological distress, social distress and spiritual and existential distress ( 2-5% fear death). Two cultural groups with differing issues in relation to death and dying and provides significant information on the issues Cultural attitudes and traditions create a tricky path, requiring a delicate tread. Being informed that the words Death, Dying and Cancer are taboo for many cultures creates immediate difficulties in discussing palliative care. Each cultural group is by noà means homogeneous; some community leaders are well integrated in to Australian society and seek an open ââ¬Ëone size fits allââ¬â¢ dialogue, but most are cautious, unwilling to upset the strongly traditional members of their community. importance of social and cultural differences in attitudes towards end of life, death and dying. Two cultural groups in Australia ââ¬â Indigenous/Aboriginal and Torres strait islander ââ¬â require different approach, respect cultural differences and also migrant populations ââ¬â Asians, south east asian, African etc. Be aware of taboos, beliefs around death and dying, spirituality etc Death dying ââ¬â attitudes towards it, coping mechanisms and strategies may be different, as may be ways of coping with grief. Some cultures prefer to die at home, vs. Dying in hospital Important to emphasis palliative care to be provided to all irrespective of social/cultural background and financial status. An older woman from Pakistan was admitted to a hospital with malignant bowel obstruction. The family, who had limited English, had indicated they did not want more cancer treatment and surgery was not an option. While her symptoms were well controlled she was deteriorating and it was likely that she was going to die in a few days; this was explained to the family. Some members of the aged care team became upset when they saw a family member trying to force-feed a mixture of rice and broth to their mother. An explanation of why their mother could not be given food was given and the family was shown how to give good mouth care. The family yet again was seen force-feeding their unresponsive mother. This time when staff talked to the family they asked them why they were continuing to feed their mother. They explained that they were disturbed by the cold water and ice chips being given and were afraid that they were weakening her further. To counteract the cold fluids they wanted to give her something warm. Together, staff and family agreed that the mother would be given warm water for mouth care, supplemented by occasional use of the clear broth. All parties were satisfied and there were no more conflicts between the family and aged care team. Pain management and various pain assessment tools available to nursing staff Pain is under-treated in many clinical settings. Pain management requires a systemic and holistic approach to treatment that is tailored to the individualââ¬â¢s physical, psychological and spiritual needs. As Dickinson stated, ââ¬Å"Pain is a subjective sensation and therefore pain is what the individual says it is and not what others think it should beâ⬠.[10] The experience of pain is one of the bodyââ¬â¢s natural defense mechanisms. However, pain can be debilitating for the patient and treating the experience of pain can be challenging for nurses. Below is a list of proposed strategies that clinicians can rely upon to assist in effective pain management for their patients: A detailed history and physical This is the initial step whereby the patient and the nurse can explore the history of the pain, the nature of the pain, and the history of already used treatments. They can also use a pain score. This also allows the nurse to have the chance to listen to and understand how the pain has impacted the patientââ¬â¢s life (Pain Management: Nursing Role Core Competency). Any appropriate testing that can facilitate diagnosis After gaining a subjective report, further objective data is often necessary. An X-ray or MRI might be ordered to fully understand the cause of the pain. Establishment of realistic and desired goals of further treatment This would be a point where effective evaluation and treatment start to take a unique path. It is critical for the nurse clinician to understand what the patient is looking for in terms of successful treatment, regardless of the painful condition. In some situations, the diagnostic answers might be clear, as in headaches, but the impact on the patientââ¬â¢s life, quality of life, ability to perform activities of daily living must be identified, documented, and constantly revisited along the continuum of care (American Society for Pain Management Nursing, 2010). Formulation of a treatment plan The patient and the clinician would then work together to develop a treatment plan that would include diagnostic testing and follow-up visits. The plan might require other interventions, if the patient develops tolerance. Referral to a pain specialist If the nurse clinician can no longer provide effective therapy, referral to a pain specialist might be warranted. These are only several strategies that nurses can use to assist in pain management. Often, effective treatment requires creativity and diligence on behalf of the care team. But, the overall, result is improved patient outcomes and quality ofà life. Assessment tools:
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