Thursday, October 31, 2019

ANNUAL FINANCIAL REPORT PROJECT ON WALMART Essay

ANNUAL FINANCIAL REPORT PROJECT ON WALMART - Essay Example Wal-Mart values its inventories at the lower of cost or market value, which essentially means if the market value of inventory falls, the company will write-down the inventory value in its balance sheet. Wal-Mart is divided into three segments: Wal-Mart U.S, Wal-Mart International and Sam’s Club. All of the merchandise related to the U.S segment is valued using the Last in First out (LIFO) method. LIFO is an inventory valuation method allowed under US GAAP but not under IFRS (CFA institute, 2012). LIFO assumes that inventory items purchased most recently are sold first and hence the items remaining in the inventory are assumed to be the oldest items purchased. In period of rising prices, LIFO reports a higher cost of sales and lower ending inventory figure than other inventory valuation methods. Higher cost of sales lead to lower gross profit and hence results in tax savings. The company reports a LIFO reserve in its annual statements for reconciliation of LIFO cost of sales a nd inventory with FIFO cost of sales and inventory. This is to ensure that comparisons can be made with other companies in the retail industry that use FIFO as their inventory valuation method. Wal-Mart’s inventory turnover rate has been on the lower side considering the diverse range of product it sells. Inventory turnover rate fell from 8.6 times in 2011 to 8.2 times in 2012 which means that it took almost 44 days for Wal-Mart to convert its inventory into sales in 2012 and 42 days in 2011. Wal-Mart uses accrual accounting to prepare its annual statements. Accrual accounting is different from cash accounting in the sense that in accrual accounting revenues are recorded when they are earned and expenses are recorded when they are incurred whereas in cash accounting revenues are recorded when the money is received and expenses are recorded when cash is paid out (Investopedia, 2009). Wal-Mart has accrued liabilities of $18.154B indicating that these liabilities are due and Wal -Mart has not yet paid them. Moreover, prepaid expenses amounted to $1.685B in 2012 indicating that these expenses have already been paid in advance (Wal-Mart, 2012). In cash accounting, prepaid expenses and accrued liabilities are not recorded since these are obligations that are due but no cash outflow has been made in lieu of these obligations. Accrual accounting can be manipulated to show higher earnings by using estimates that inflate the income. For instance, unjustly inflating the ending inventory figure can result in a lower cost of sales and consequently inflate the net income of a company. In Wal-Mart’s case, figures are presented conservatively so that the income is not inflated unreasonably. The receivables of Wal-Mart increased by 16.7% from 5.089B in 2011 to $ 5.937B in 2012 (Wal-Mart, 2012). Wal-Mart records a provision for doubtful debts, which is a contra-asset account and is recorded to account for the prudence concept. According to the prudence concept, imp robable expenses are recorded whereas improbable revenues are not accounted for. Provision for doubtful debts is created to account for debts that will remain unpaid. The reserve for doubtful accounts is based on historical trends in collection of the past due amounts that debtors owe to a company and on the write-off history of the company. The total provision for doubtful accounts increased by 28% from $252M in 2011 to $323M in 2012

Tuesday, October 29, 2019

Portfolio management Research Paper Example | Topics and Well Written Essays - 1500 words - 1

Portfolio management - Research Paper Example Aim of this work will be then to analyze into details the success factors of this nation on an economic basis, together with a comprehensive analysis of the growth of Qatari market, and the major characteristics of two corporations, Almeera and Qatar Telecom, according to the following factors: Assets analysis Profit and return analysis Growth in shares Market analysis Risk analysis QATAR ECONOMY AND THE FINANCIAL SECTOR For hundreds of years it’s believed by many experts on an academic perspective that Qatar will be a nation where hydrocarbon exports will be the major export driver1, mainly due to the high consistency of the ongoing reserve, despite the geographical limits and relative small size of the country, and due to the increasing trend of oil prices. In this perspective it’s therefore believed that Qatar is and will continue to be a country where oil production and refinery will be a major contributor for the growth of the economy. Oil and Gas sectors, through all the production chain, from the extraction to the refinery and distribution (with the innovative presence of gas liquid transformation sites on the major cities) counts approximately for around 50 percent of the national GDP, according to many experts2. In addition to this, evidence has been found on the fact that oil counts for approximately 85% of export earnings, and 70% of government revenues. The revenues stemming from this sector and industry are very high, and count for the major part of gross national product. Meantime, the Governmental Intervention has recently deeply focused on the development, through appropriate and well -designed incentivizing schemes, the growth of the so called â€Å"knowledge economy†, so that the capability to increase the other sectors of the economy can be made possible on a larger perspective3. With the exception of Oil, other primary industries that are receiving major consideration in this sense are the following: Manufacturing indust ry (which can properly leverage on Health and Educational services: the central government has deeply incentivized the development of a proper net of educational institutions, so that skilled students can enter the labor market and improve the economic condition of the country also by competing with knowledge intensive industries as well. On an economic perspective the growth and the well - designed incentives for the economy have been deeply investigated, and their effectiveness has been already proved. On the other side, however, a major area of concern is related to the administrative and bureaucratic side, due to the fact that on a major and broader perspective a main limitation for foreign investors within the country and for internal entrepreneurs to grow and to expand their business Is highly dependent on the capability to adequately guarantee the administrative speed and accuracy of the operational activity of the companies operanting in this country: on a more precise basis , it’s widely believed that a necessary limit for further growth is related to the governmental authority increasing regulations that may pose a limit to the further development of small medium enterprises, which are the real engine of growth. The financial sector in this field is also increasing its role and

Sunday, October 27, 2019

The integration process of immigrants in Spain

The integration process of immigrants in Spain Immigration Spain Emigration A social analysis of the integration process of immigrants in Spain. The way in which ‘the problem’ of immigration in Spain affects the integration of immigrants. Over the last fifteen years, Spain has gone from being a country of emigration to a country of immigration. In recent years few European countries have experienced as dramatic a rise in immigration as Spain. Spain has been among the most open countries in the European Union, admitting 650,000 immigrants last year alone and granting residency permits to 560,000 more who were in the country illegally. Although the percentage of immigrants is still relatively low compared to other European countries (6.1% of the population in 2005) the growth of immigration experienced over the last five years has led experts to consider the country as a â€Å"new immigration centre.† The economic and historical connections with North Africa and South America have been the principal triggers of immigration flows, with almost 2/3 of immigrants coming from outside the EU. Europeans also represent a large number of immigrants in Spain. Attracted to the Costa del Sol’s climate and low cost of living, many come to retire. There are three basic causes for this substantial change in the position of Spain as a new centre of immigration. The first is the continuous economic development of the country and the fact that it belongs to one of the most developed regions in the world, the EU. Secondly, Spain is considered as an alternative to other European countries with high levels of immigration where there now exist increasingly strong restrictions on immigration, especially those originating from outside Europe. Thirdly, Spain’s geographical situation means that it has become the ‘back door’ for immigrants’ intent on reaching the rest of Europe. The significant increase of the foreign population since 2000 has resulted in a growing awareness that immigration is a structural phenomenon and Spain: a multicultural country. Recent Spanish opinion polls reveal the distortion between the reality and nationals’ perception of the extent of this immigration. In the book ‘Europeos e Inmigrantes,’ the authors study local’s opinion on immigration and conclude with the following results: approximately 55% of Spanish society perceive Spain as having ‘a lot’ of immigrants- though not too many- and 25% of them consider the number of immigrants to be too high. The number of immigrants, but more specific still the presence of immigrants, is suggested to be a ‘problem.’ This study will be looking at the perception of immigration as a ‘problem,’ and the consequence of this perception on the integration of immigrants in Spain. I am interested in the integration of immigrants on a social level: the ways in which social constructions of the ‘other’ are reflected in the social integration process of the immigrant population. In the end, I hope to make sense not just of immigrants’ marginal status in Spain; but also how the concept of culture and society shapes the integration process. Despite common belief that Spain is being met by an invasion of newcomers, the percentage of immigrants to the total national population remains the lowest within the EU. By 2001, immigrants in Spain made up 2.5% of the population, contrasted with 4.2% for the UK, 4.3 for the Netherlands, 5.6 for France, and 8.9 for Germany. Overall, the European average is three times higher than the Spanish average. Despite the fact that illegal immigrants are seen as a threat to the growing population, illegal entrance into Spain counts for only 4% of the immigrants entering legally. Yet today, immigration is among the top three mentioned problems and has been referred to as a cultural problem. The media has had, and continues to have, a great influence on the nation’s interpretation of immigration and the prominence of immigration in national politics and people’s consciousness reflects the extent to which the subject of immigration is covered by Spanish media. No other medium is able to send a determined message out to the masses, or has so much power as to make everyone value their freedom of speech. Those who have studied ‘public opinion’ have said, â€Å"Although people think they have formulated their own opinion, in actual fact their opinion and argument is more or less echoed from a favoured political leader or party.† National newspapers go as far as to include a section on ‘the immigration problem’ aimed at keeping track of the number of illegal immigrants apprehended by the police. The Spanish newspaper, ‘El Paà ­s’ uses headlines such as: ‘Interceptados 76 inmigrantes en las costas de Granada y Canarias en las à ºltimas horas, and frequently describes the arrival of ‘nueva oleadas de pateras que intentan alcanzar Espaà ±a. On television, the Spanish public are supplied with regular images of illegal immigrants attempting to enter the country illegally. The constant focus on immigration in political discourse and in the mass media has created a sense of migratory pressure amongst the public, a sense that there are floods of people banging on the border doors to get in. â€Å"Las puertas de Europa Espaà ±a y nueve paà ­ses europeos han acordado establecer un operativo para patrullar toda la zona del à frica atlà ¡ntica susceptible de ser punto de origen de pateras y cayucos que viajan hacia Europa y, sobre todo, hacia Canarias, que acusa casi cada dà ­a la presià ³n de esta avalancha migratoria.† This pressure is fuelled by both a fear of security and a fear of immigrants affecting the Spanish labour market (which I will discuss later on). This fear is often translated into panic and irrational conclusions for those ignorant of the reality of the situation. Evidence of illegal immigrants in Spain has created confusion between attitudes towards illegal and legal immigrants, and often the two groups are treated as one. Following the 9/11 tragedy, race stereotypes have once again become commonplace and through pure ignorance and fear, immigrants are seen as a threat to the public’s safety, often being associated with Islamic fundamentalism. Public insecurity due to misinformation has manifested itself in violence and xenophobic feelings against the immigrants. An example of this took place in 2000, in El Ejido (Andalucia), where locals violently attacked newly settled immigrants, following a young girl’s murder by a Moroccan. The dissemination of these negative perceptions has helped conjure up a sensation of invasion, which does not mirror the reality of the situation. The reality of the situation (which I have already discussed) is that this existing fear is unjustified. It is a representation of the ignorance surrounding the perception of immigration linking the race of an immigrant group with the safety of a country. Immigration has also been considered a threat to the structure of the labour market. During the 1980s and 1990s, when immigration to Spain was at its highest, the country was experiencing a profound economic crisis characterized above all by high levels of unemployment. The presence of immigrants and the misconception that they were invading the Spanish labour market, added further tension to the relationship between the two groups, and was therefore considered an economic and social problem. â€Å"More than any other factor, unemployment is generally seen as the root cause behind the electoral successes of the radical Right across Europe and is credited with casing an existence of a negative, anti immigrant attitude in Spain.† Immigration in Spain has also been treated as a cultural problem â€Å"where the idea of having immigrants in the country is not perceived as a positive multicultural phenomenon but as a threat to the integrity of the Spanish cultural identity.† The Spanish fear that the increasing presence of other national cultures will overshadow and stifle their own traditions. The immigrants have brought their own culture to Spain, which they expect to be respected and recognised so that they may practice their traditions in harmony with the rest of society. Spaniards fear that the integration of immigrants will entail the growth of alien religious infrastructures and more conflict between locals and immigrants. The social integration of Muslims in particular is perceived as difficult, because of the demands for their own religious infrastructure. The constructions of mosques render the development of a multicultural society even more obvious. Since the terrorist attacks in Madrid 2004, Islam has been presented as an alien civilization, with mosques feared as centres of terrorism. This fear often translates into irrational conclusions. â€Å"As it generally does in other European countries, the association of North Africans with Islamic fundamentalism, terrorism and crime tends to breed hostility and suspicion from the Spanish public.† In summary, the immigration problem revolves around an insecurity bred by the sense of invasion. People feel threatened by the implications of immigrants in the labour market, and what ‘integration’ really entails for the culture and society dynamics of Spain. I am now going to address the concept of integration and how the perception of immigration already discussed has affected this process. In order to assess how this is affecting the integration process I will be looking at the topic from an anthropological perspective. Among those who attempt to define the concept of integration, there is considerable disagreement. In the context of Spanish immigration it has taken on many meanings, some implying that it is reached when the immigrant is able to ‘fit in,’ others suggesting that it hinges on natives’ open-mindedness and tolerance, and still others prioritising the accessibility of social services and basic necessities. Often, the term is simply used as a synonym for settlement, or establishing physical and social roots. A Spanish social scientist and immigration expert defines it this way: ‘We can say that immigrants are integrated into a host society when they do not face additional obstacles due to their foreign origin in the main aspects of their social, economic, and family life, when compared to the native-born population.’ Law plays a central role in the immigrants’ integration on all levels and has been seen as â€Å"formally codifying them as different at several levels.† Spain had several attempts at immigration legalisation: the first, ‘the Ley de Extranjeria,’ focussing primarily on control over immigrants rather than integration. Immigration laws designated some people as non-citizens with a limited set of rights and privileges. Others were declared to be illegal and unwelcome altogether and those who did achieve legal status found their position unstable, as they are vulnerable to frequent changes in legislation and status. When in 1998 the issue of integration was finally addressed, the focus was still on the integration of ‘non-EU foreigners’ rather than the immigrant group as a whole, stigmatising the non-EU immigrants as the problem group. Perez, in his article, â€Å"Spain: Forging an Immigration Policy,† goes as far as to say that the ‘Law on the rights and Freedoms of Foreigners in Spain and their Integration’ passed in January 2000, was not so much ‘because of the law’s acknowledgement of immigrant rights but because of its conception of immigration as a permanent phenomenon.’ Still today immigrants struggle against policy restrictions. Despite the common belief that immigrants create problems in the Spanish labour market, the reality of the situation is that the immigrant work force is largely responsible for Spain’s economic growth. This growth, over the last decade, has been among the fastest in the EU. â€Å"It is not a coincidence that the strong economic growth and increase in employment rate has increased with the arrival of immigrants into Spain.† Having said this, statistics show that in 2006 the unemployment rate for Spaniards was 8% compared to 12% for foreigners. The lack of facilities for Spanish employers to contract foreigners and the difficulty such employers face accessing Spanish labour has resulted in irregular immigration flows and labour markets. In addition to the disparity between the unemployment rates for Spanish and Immigrant workers, there is also a difference in the nature of work. The restructuring of the Spanish economy after the accession to the European Community has resulted in an increase in the demand for labour in sectors of the economy where nationals no longer wish to work. Spanish laws make it virtually impossible to gain admission as legal residents outside of the quota system that is largely confined to those willing to work in agriculture, domestic help, and construction, i.e. those sectors where wages and working conditions are inadequate to attract sufficient local workers. These laws thus guarantee that immigrant workers labour under conditions that are shunned by most of the working class, an arrangement that furthermore highlights their economic alienation and their exclusion from reasonable housing, health care and other basic necessities further distancing there chances on reaching integration. Furthermore, there is little stability for immigrants in the labour market with most of them receiving only temporal jobs. There is also a significant difference in wages. It has been noted that non-communitarians earn 33% less than Spanish citizens. These forms of discrimination have resulted in the exploitation of undocumented workers: considerably lower payments, a lack of safety standards, labour security and worker rights. One of the main problems with the way in which immigration is perceived in Spain is that not much is known about the immigrant as an individual. Because of this lack of knowledge, realities are distorted and often the outsider is assumed to be the culprit for society’s ills. â€Å"In endeavouring to reduce environmental complexity to a manageable size, when bombarded with environmental stimuli, untested cognitive short-cuts come to be employed which have a tendency to become self fulfilling.† In order for immigration to be perceived accurately by any social group there must be a basis of knowledge; not hearsay. As most of the media coverage on the immigrant population relates to violence and delinquency, it is understandable why the average Spaniard, adopts a defensive stance. To gain an accurate, or at least fair representation of the immigrant population, these negative portrayals ought to be contested with representations from the minority groups. A lack of organisation and funds are said to explain the lack of minority media produced in Spain. Whether this is the case, or whether the lack of initiative to produce a platform for the minority groups to speak out from is the manifestation of another social inequality. The danger of a ‘general’ perception of the immigrant group is that incorrect assumptions are made and stereotypes formed. Generalisations on immigrants’ nationalities create a belief that each nation has one culture shared by all inhabitants. Similar generalisations are made towards the second generation of immigrants. The children of the immigrants, who have never immigrated, and who were born in Spain are assumed to be of foreign origin. These stereotypes also include the concept that others’ cultural traits are strange and not worthy of exploring because they are not necessary to the already comfortable, established concepts that the society possesses. The cultural traits that cause the most ‘problems’ are those most different, usually those from non-European countries. This is because, in everyday life, they are the most conspicuous (with regards to the fact that in Spain the colour of one’s skin is still associated with being ‘foreign’) reminding nationals that Spain is becoming a multicultural country. Spanish researcher and anthropologist, Damian Omar Martinez, explores the concept that on a social level, non- European immigrants are discriminated against more because they are considered further away from integration: the integration that sees immigrants conforming to the Spanish way of life. With the transformation of the European Union, the free movement of Europeans between borders means that to a certain extent relationships between different European cultures are less tense. European citizens are increasingly viewed as being part of a European community. The borders between themselves and ‘the others’ have almost been extended up to the exterior borders of Europe. McGrance argues that there is a distinct Western thought process. He argues that: ‘there is the superior Western culture, and then there are all the rest as contrast. A sharp divide is created, with epistemological privilege always on the side of the West. With these analyses in mind, one realises the extent of the difficulties immigrants face in becoming integrated into Spanish society. Adding to the discussion on integration and what impedes this process for immigrants, I am interested in how a national population is able to control a minority population. When talking of integration, it is impossible to say when an immigrant is fully integrated as an essential part of this process is determined by non- controllable factors such as the native population’s response. It seems the first step to any kind of integration for minority groups (the immigrants), is acceptance from the majority (the nationals). However, when integration can be defined as a concept that calls for the absence of racism and tolerance for minority groups, the question is raised as to whether it is integration we are talking about or tolerance. Is the immigration in Spain a case of ‘integrating’ immigrants or merely ‘tolerating’ them? If it is a case of tolerating immigrants, there is little hope of integration for immigrants on a social level. This brings me onto the concepts of ‘society’ and ‘community,’ which seem to influence the process of integration of immigrants. Calavita writes that the concept of culture and community is difficult to define. She quotes Walzer’s attempt at defining the term: â€Å" that at a minimum a community consists of like-minded members, with some special commitment to one another and some special sense of their common life.† The term community deals with the concept of belonging and not belonging: the member whom is accepted and part of something, and the outsider whom is striving to be part of something that is not necessarily clear. The Europe we see developing today is a prime example of a ‘community’ of nations pushing for one identity. Cris Shore explores the idea that this very existing identity is one of the main culprits for the problem of integration of immigrant. â€Å"Identity is represented as a process of classification involving boundaries of inclusion and exclusion.† Shore goes on further to explore the terms European and non- European. Though there is no official definition for these terms, ‘ a more coherent applied definition can be seen emerging at the borders and boundaries of the new Europe.’ With the distinction of European and non-European groups becoming clear, so to is the distinction between the insider and the outsider. These terms are used to reiterate the fact that the immigrant is from outside, it is used to make the distinction between the group of ‘Us’ (national population) and ‘Them’ (the immigrant), and it has been used by Spaniards to remind themselves of what they are not. One must ask to what extent the integration of immigrants is a process of selection, and to what extent the national population influences this process. Nowadays the significance and relevance of being a member of a community has been devalued somewhat, as it is increasingly difficult to define this term. Calavita quotes Bauman and others as arguing, â€Å"that this kind of community is on the decline, as globalisation, with its collapsing cultural boundaries, and the diminishing significance of the nation-state, erodes its boundaries and disintegrates its ties, leaving little structure to the foundations of this group.† ‘The diminishing significance of the nation state’ refers to the developing ‘European identity’ the EU are pushing for today. This united centre requires the breaking down of national barriers to ensure full communication between nations in an effort for them to work together and be successful as one. Arguments put forward suggesting immigration is a ‘cultural problem’ because of its effect on the authenticity of Spanish culture, are unsound, as the very Europe that Spain forms part of, is doing just that. Considering immigration as a ‘problem,’ has severely affected the process of integration of immigrants in Spain. The real concern lies in the general public’s perception of immigrants. The strength of a nation’s perception is based on a sentiment cultivated over many years; can this national sentiment towards immigration be changed? It does not make sense to see a city or country as an integrated body of citizens, a group you can enter once you have completed cultural, economic requirements. It is the discussion of immigration as a problem, and the questioning of whether immigrants integrate or not that creates the phenomenon of immigration and puts such pressure on the social groups involved to form a position on the issue. When analysing the immigration issue in Spain, it should not be the question of whether the immigrants are a problem, or whether they are integrated or not, but what there role is in society.

Friday, October 25, 2019

Resident Evil: The Umbrella Conspiracy :: essays research papers

Resident Evil: The Umbrella Conspiracy   Ã‚  Ã‚  Ã‚  Ã‚  Imagine picking up the newspaper one morning in you quiet little town where nothing ever seems to happen that could affect the townspeople so drastically†¦ â€Å"Latham Weekly, June 2, 1998†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Bizarre Murders Committed In Raccoon City† is the fearful headline across the front page and you read on wondering what all this could mean and what would happen in the months to come.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Raccoon City – The mutilated body of forty-two-year-old Anna Mitaki was discovered late yesterday in an abandoned lot not far from her home in Northwest Raccoon City.† You never thought it could happen. Especially in a quiet town like yours. A dear friend of yours has been viscously murdered. She has been the forth victim of what people are now calling the â€Å"Cannibal Killers.† The reason for this is due to that all the victims found were partially eaten; the bite patterns apparently formed by human jaws. This report has now brought the mysterious killings up to seven. â€Å"Raccoon Times, June 22, 1998   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Horror In Raccoon! More Victims Dead† (You could only wonder what this means for the city.) â€Å"Raccoon City – The bodies of a young couple were found early Sunday morning in Victory Park, making Deanne Rusch and Christopher Smith the eight and ninth victims in the reign of violence that has terrorized the city since mid-May of this year.† As you read on you find out that these victims suffered the same wounds as the previous victims. All is quiet again for about another month due to the Raccoon Police enforcing a citywide curfew and barricading areas near where the murders took place. After that month of somewhat normalness you read the newspaper to find that something will be done to help out the city. â€Å"Cityside, July 21, 1998   Ã‚  Ã‚  Ã‚  Ã‚  S.T.A.R.S. Special Tactics And Rescue Squad Sent To Save Raccoon City†   Ã‚  Ã‚  Ã‚  Ã‚  You think to yourself†¦thank God something is finally going to be done to put an end to this on going horror. â€Å"Police Chief Brian Irons announced yesterday that the S.T.A.R.S. will participate full-time in the search for the hikers and will also be working closely with the RPD until there is an end to the rash of murders and disappearances that are destroying the community.   Ã‚  Ã‚  Ã‚  Ã‚  Chief Irons, a former S.T.A.R.S. member himself, was asked in an exclusive telephone interview from Cityside about why the S.T.A.R.S. hadn’t been assigned to these cases until now, Chief Irons would only say that the S. Resident Evil: The Umbrella Conspiracy :: essays research papers Resident Evil: The Umbrella Conspiracy   Ã‚  Ã‚  Ã‚  Ã‚  Imagine picking up the newspaper one morning in you quiet little town where nothing ever seems to happen that could affect the townspeople so drastically†¦ â€Å"Latham Weekly, June 2, 1998†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Bizarre Murders Committed In Raccoon City† is the fearful headline across the front page and you read on wondering what all this could mean and what would happen in the months to come.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"Raccoon City – The mutilated body of forty-two-year-old Anna Mitaki was discovered late yesterday in an abandoned lot not far from her home in Northwest Raccoon City.† You never thought it could happen. Especially in a quiet town like yours. A dear friend of yours has been viscously murdered. She has been the forth victim of what people are now calling the â€Å"Cannibal Killers.† The reason for this is due to that all the victims found were partially eaten; the bite patterns apparently formed by human jaws. This report has now brought the mysterious killings up to seven. â€Å"Raccoon Times, June 22, 1998   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Horror In Raccoon! More Victims Dead† (You could only wonder what this means for the city.) â€Å"Raccoon City – The bodies of a young couple were found early Sunday morning in Victory Park, making Deanne Rusch and Christopher Smith the eight and ninth victims in the reign of violence that has terrorized the city since mid-May of this year.† As you read on you find out that these victims suffered the same wounds as the previous victims. All is quiet again for about another month due to the Raccoon Police enforcing a citywide curfew and barricading areas near where the murders took place. After that month of somewhat normalness you read the newspaper to find that something will be done to help out the city. â€Å"Cityside, July 21, 1998   Ã‚  Ã‚  Ã‚  Ã‚  S.T.A.R.S. Special Tactics And Rescue Squad Sent To Save Raccoon City†   Ã‚  Ã‚  Ã‚  Ã‚  You think to yourself†¦thank God something is finally going to be done to put an end to this on going horror. â€Å"Police Chief Brian Irons announced yesterday that the S.T.A.R.S. will participate full-time in the search for the hikers and will also be working closely with the RPD until there is an end to the rash of murders and disappearances that are destroying the community.   Ã‚  Ã‚  Ã‚  Ã‚  Chief Irons, a former S.T.A.R.S. member himself, was asked in an exclusive telephone interview from Cityside about why the S.T.A.R.S. hadn’t been assigned to these cases until now, Chief Irons would only say that the S.

Thursday, October 24, 2019

Care for the Elderly Essay

AIM/PURPOSE The purpose of this study is to address to family members or family carers for older people with dementia a range of perspectives, as understanding perspective of those affected. For the purpose of giving them an idea of knowing the early signs and symptoms of dementia and the suggested care by the experienced staff involved in this study. To know and identify the problems of the person having dementia, and as carers, to know how to respond to these problem. Thus, the older people would meet their needs and will be looked after. INTRODUCTION The definition of dementia is fairly simple. Dementia is a group of diseases that cause a permanent decline of person’s ability to think, reason and manage his own life. Dementia is caused by biological processes within the brain that damage brain cells. They cause a person to have impaired memory, forgetfulness and an inability to retain new information. To lose the ability to speak and be understood by others and the ability to understand written or spoken language. To lose the ability to plan, make good judgements and carry out multi-step tasks. To lose the ability to process and understand visual information. These losses mean that a person with dementia cannot manage his own day-to-day and personal care. The implications for a person with this diagnosis and her family can be staggering. Dementia, regardless of its cause, is a progressive condition. It is distressing and frightening illness for individual and heartbreaking for family members. The course of the illness may be gradual and sometimes subtle, as in classically seen in Alzheimer’s disease. It may be abrupt and  can be characterised by sudden episodes of deterioration as the case of Vascular Dementia, also known as multi infarct dementia. In Lewy Body Dementia, the course of the illness maybe punctuated by episodes of confusion, hallucinations, and delusions and in fronto temporal dementia by insidious personality or behavioural changes. Today there are more than thousands of people with dementia here in Ireland. If this current demographic trends to continue, this number is likely to rise substantially in the coming years. In the older population, dementia is the most frequent reason for long term care. Because most form of dementia cannot be cured, the aim of this treatment is to delay the disease progression And to maintain functioning and quality of life. The purpose of this research is to conduct a study to understand the perspective of those affected is crucial prior to the development of care people with dementia and the impact on all those affected, for example, the person with dementia,carers and family members. To understand the manifestation application in day to day life. DEMENTIA AS A DISEASE Dementia is a syndrome due to disease of the brain, usually of a chronic or progressive nature, in which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgement. Consciousness is not clouded. The impairments of cognitive function are commonly accompanied, and occasionally preceded by deterioration in emotional control, social behaviour, or motivation. The syndrome occurs in Alzheimer’s disease, in cerebrovascular disease, and in other conditions primarily or secondarily affecting the brain. There are a number of different reasons – some neurological and others environmental – why people with dementia may exhibit challenging behaviours. Some behaviours, for example, are caused by a chemical imbalance in the  brain and may be directly related to the dementia but others may be precipitated by a myriad of psychosocial and environmental factors such as room temperature (too hot or too cold), the person’s fatigue or malaise, he or she being in pain, bored or frightened being surrounded by unfamiliar faces. Agitation, aggression, wandering and repeated questioning, for example, may be an expression of unmet need. The big paradox in dementia care is that people with dementia need much time. If you have dementia, or you are looking after someone who does, you will experience a range of practical issues. People with dementia can feel vulnerable as their condition progresses and they increasingly rely on other people to do things for them. It is important that people who have dementia feel reassured and supported, while retaining some level of independence. Although some symptoms are common to many people with dementia, each person’s experience of the disease will be different. When a person with dementia finds that their mental abilities are declining, they’re likely to feel anxious, stressed and scared. They may be aware of their increasing clumsiness and inability to remember things, and this can be very frustrating and upsetting for them. If you are looking after someone with dementia, you can help them feel more secure by creating a regular daily routine in a relaxed environment where they’re encouraged and not criticised. Involving the person you look after in everyday tasks may make them feel useful and improve their sense of self-worth. They could help with the shopping, laying the table or sweeping leaves in the garden, for example. As the illness progresses, these tasks may become harder for them to manage independently, and you may need to give them more support. How can we be help to people with dementia? Offer support sensitively and try not to be critical of their attempts. It can be very important for them to feel that they’re still useful. In the early stages of dementia, memory aids can be used around the house to help the person remember where things are. For example, you could put pictures on cupboard doors of what’s inside, such as cups and saucers. This may help to trigger their memory and enable them to retain their independence a little  longer. Keeping up hobbies and interests when someone has dementia Many people with dementia will still enjoy their hobbies or interests. For example, if they like cooking, they may be able to help make a meal. Going for a walk or gardening can provide exercise and fresh air. Or they may prefer listening to music or playing a board game. Caring for a pet cat or dog can bring a lot of pleasure to some people. If the person you care for was very sociable and outgoing, or if they have a large family, they may really enjoy visits from one or two family members or friends. But remember that they may struggle to keep up with conversations if they have a lot of visitors at the same time. Maintaining good health and nutrition in someone with dementia It’s important that the person you care for healthy foods and gets some exercise. The longer they stay fit and healthy, the better their quality of life will be. If the person you care for doesn’t eat enough or eats unhealthy food, they can become susceptible to other illnesses. People with dementia can become more confused if they get ill. Common problems for people with dementia include: not recognising foods forgetting what food they like refusing or spitting out food resisting being fed asking for strange food combination How can we help? Involve the person you care for. For example, if you feed them, you could put the cutlery in their hand and help guide it to their mouth. You could also involve them in preparing food if they are able to.Try to stay calm. If you feel stressed at mealtimes, the person you care for will probably be stressed too. Make sure you have plenty of time for meals so you can deal with any problems that arise. Try to accommodate behaviour changes. It’s  likely that the person you care for will change their eating patterns and habits over time. Being aware of this and trying to be flexible will make mealtimes less stressful for both of you. People with incontinence Incontinence can be difficult to deal with and can be very upsetting for the person you care for. It’s common for people with dementia to experience incontinence. A person with dementia may also simply forget to go to the toilet, or may forget where the toilet is. They may also have lost the ability to tell when they need the toilet. It’s important to be understanding, retain a sense of humour and remember that it’s not their fault. You may also want to try the following: Put a sign on the toilet door, such as a photo of the toilet Keep the toilet door open Make sure that the person you care for can access it easily make sure they can remove their clothes – some people with dementia can struggle with buttons and zips Look out for signs that they may need to go to the toilet, such as fidgeting and standing up and down. Helping someone with dementia with their personal hygiene People with dementia can become anxious about certain aspects of personal hygiene and may need help with washing. For example, they may be scared of falling when getting out of the bath, or they may become disorientated in the shower. The person may not want to be left alone or they may resist washing because they find the lack of privacy undignified and embarrassing, at which it is no longer safe to leave the person alone, and never leave the person alone in the bathroom. a).Coaching the person through each step of bathing, ex.: by asking him or her to hold a washcloth or shampoo bottle. Avoid asking the person to do a  task that is too difficult. †¢ Ask what time of day and what routine is best for  bathing given the person’s choices and previous   routines. †¢ Consider whether a person may be afraid of water  or have a depth perception impairment that may   make entering a bathtub frightening. †¢ Respect the person’s dignity by providing a towel  to cover his or her body throughout the process. †¢ Consider the frequency of bathing. It may not be  necessary for individuals to bathe every day. †¢ Be gentle. A person’s skin may be very sensitive.  Avoid scrubbing, and pat dry instead of rubbing. A hand-held shower may help to wash hard to   reach areas. †¢ Wash the most sensitive areas last, including the  head, face and perineal area. †¢ Washing the person’s hair may be the most People with dementia often experience disturbed sleep. They may wake up during the night or be restless. These problems may get worse as the illness progresses. People with dementia may also have painful illnesses such as arthritis that cause, or contribute to, sleep problems. Some medication can cause sleepiness during the day and interfere with sleep at night. Sleeping pills can be used with care in people with dementia. However, ‘sleep hygiene’ measures are best for people with dementia – for example, no naps during the day, regular bedtimes and avoiding alcohol or caffeine at night. DRESSING †¢ Others do not feel dressing up is important and this choice should be equally respected. Attempt to gather this information from family if the person with dementia is unable to communicate. †¢ Simplify clothing choices for the person according to his or her ability to choose. †¢ Give the person short, simple instructions while handing them an item such as â€Å"Put on your shirt.† Sometimes just handing the person an item of clothing (without saying anything) will facilitate dressing. †¢ Choose comfortable, simple clothing that easy to put on and take off. Consider cardigans, or other clothing that buttons in the front, rather than pullovers. Substitute snaps or zippers for buttons. Keep in mind that if you alter a familiar routine or method, the person with dementia may have difficulty learning something new, so try to follow  the same routine and use familiar fasteners for   as long as possible. †¢ Make sure the person has comfortable, sturdy non-slip shoe EATING AND DRINKING †¢ Dementia may lead to changes in eating or drinking (e.g. eating more or less) because those affected by it may not be able to prepare meals, remember to eat or drink, remember when they last ate, know or be able to say that they are hungry or thirsty, or smell and taste in the same way they did before. †¢ A person with dementia may not be able to initiate the task of eating, but if a spoon is placed in his or her hand, he or she may begin to eat. †¢ It may become more difficult for the person with dementia to swallow foods and liquids safely as dementia progresses. †¢ A person with dementia may refuse to eat or drink because of physical or emotional conditions at the end of life. . Help the person eat and drink what he or she likes, and provide food that meets dietary needs to promote health and safety. †¢ Help to make mealtimes pleasant and enjoyable; involve family when the person and family are amenable. Falls Falling is accidentally coming into contact with the ground or another surface, like a table. Falls may occur with or without injury and often result from a loss of balance. †¢ People with dementia have a greater risk of falling because they can have problems seeing, thinking, moving, and balancing. †¢ The cause of falls can be related to the person’s abilities or home environment. †¢ Personal risks include: history of falls, depression, vision problems, muscle weakness, fear of falling, multiple medications, being tired, blood pressure problems, incontinence, and being unable to move or having difficulty with movement. Environmental risks can include: †¢Confusing environment and clutter †¢Slippery footwear †¢Unsafe equipment †¢Lack of stable furniture or handrails †¢Surfaces (e.g. floor, stairs, or ground) that are uneven, slippery or have glare †¢Poor lighting, especially at night †¢ Weather conditions that may result in slippery surfaces, or heat exhaustion †¢Rugs and door mats Encourage safety and maintain a person’s ability to move within a living space by decreasing the risk of falls and related injuries. Encourage daily exercise to increase or maintain physical strength. Wandering Wandering describes the behavior of people with dementia who move about in ways that may appear pointless but often have purpose. Wandering, like all behavioral symptoms of dementia, happens for understandable reasons. It may occur as a result of an unmet need for social interaction or friendship, a noisy environment, pain or distress, boredom or other causes. Wandering is not necessarily a behavior that must be stopped. Wandering can help a person remain physically fit and in a better mood. It can help a  person sleep better at night. Wandering can be dangerous when a person leaves home alone or goes into unsafe areas. Physical problems, such as injuries, health risks agitation, or death Wandering may happen because of many things that the person with dementia cannot express, including: †¢ A need for food, fluids, exercise or the toilet †¢ Pain, a need to urinate, constipation, infection or medication effects †¢ A need for security or friendship †¢ Depression, anxiety, delusions or hallucinations HOW CAN WE BE OF HELP Help a person move about safely and independently and understand the difference between safe and unsafe wandering. †¢ Determine each person’s need and ability to move about †¢ Wandering patterns, such as time of day it happens, events or places that cause it †¢Other needs such as hunger, the need to go to the bathroom, or boredom †¢ Mental abilities, especially safety awareness and being impulsive by asking the person where is he/she at the moment, what is he/she doing in that place. †¢Vision and hearing, make sure he wears his hearing aid if applicable or eyeglasses. †¢Ability to move, do they need an aid for mobility like frame or stick. †¢Emotional conditions that may relate to wandering, such as anxiety or depression, or maybe substitute for another activity. †¢Environmental hazards such as poor lighting, throw rugs and uneven floors make sure all the surroundings are clear from having an injury. †¢The person’s footwear and clothing is safe for them, not too tight and not too loose or not too slippery. EVALUATION/ CONCLUSION This studies conducted to date does provide sufficient evidence of care or less costly care with effectiveness for any of the interventions or suggestions made of how can we be of help by knowing early signs and symptoms of dementia and that the carers would be more familiar with these if they have older people at home or relative. Most of this research studies and feed back from the participants, a nursing staff and a health care assistant, the implementations or help suggestions have a very positive effects in regards of the care for people with dementia. Therefore, we believe that most of the complex needs of the people with dementia and their family carers can be met by primary care services as well as community care services. However these services need to be individualized, comprehensive, accessible, flexible and delivered by competent well trained care provider. When we say community care, GP’s are the first point of contact for the individual and family members worried about the signs and symptoms of dementia. We believe that the sooner we identify the problem the sooner we respond to it thus preventing major problems could occur. Inevitably, some people with dementia would be unbearable for the family members, so some people might end up attending acute care or A&E care, or being admitted as in patients to these hospitals. Dementia care hence being implemented by professional and well trained nursing staff or health care assistant. Thus, dementia care is being met in acute setting with extra cost. Or some might end up that the family members could not cope up at home and they are already burdened so older people are being handed over to the care of nursing homes Therefore, the development of a more positive view of older people and old age and the broadening of the view of older life to encompass more than the health needs and the development of the view of responsiveness to needs is the best way forward to look after the elderly. RECOMMENDATIONS In terms of the care for people for dementia, greater levels of resources are needed to augment the availability, accessibility and usefulness of person centred dementia specific services that support the abilities of people with dementia. Specific health and social care are needed or must be revised to counter dementia. Families and carers must be involved in regards of planning and development of dementia. BIBLIOGRAPHY Books, ForestKnolls, CA Feil, Naomi. 1933. The Validation Breakthrough, Simple techniques for Communicating with People with dementia. Planning Guide with Dementia care at home: A reference Tool for Managing Care. Elements of Nursing 1985.

Wednesday, October 23, 2019

Communication in Nursing Essay

The importance of communication is the essential foundation of nursing practise; it is primarily dependant upon verbal and non-verbal communication. Encompassing both speech and behavioural aspects, efficient delivery and receiving of the nurse-patient messages initiates advantageous relationships, or contrarily, generates significant repercussions if applied ineffectively, thus affecting the quality of the nurse-patient relationship. This essay will discuss how effective verbal and non-verbal communication in nursing practice will facilitate a mutually satisfying therapeutic nurse-patient relationship. It will firstly discuss verbal communication, followed on by the complementary non-verbal communication and lastly listening. However, for communication to succeed properly it must be reciprocal. This work has illustrated some examples of verbal and non-verbal communication. Verbal communication primarily entails the conscious use of the spoken word, and although accounting for only fifteen percent of all interpersonal communication, is the principal means of expressing factual information in relations between nurse and patient (Ellis, Gates & Kentworthy, 2002). Whilst verbal communication is an imperative part of building the relationship between nurse and patient it is also just as important between nurse and colleague. A good relationship is vital to quality patient care, clearly both nurse and colleague have the same agenda, to care for the patient, improve and speed up recovery (Boal, Burke, & Mitchell 2004;Gasparis, 2004). Boal, Burke and Mitchell (2004) believe â€Å"better communication among providers can be a tremendous boon to older patients and their families; thus, improved nurse-physician communication is not only a remedy for diminished job satisfaction, it is also an elixir for improving patient care†. Clearly the use of verbal communication between the nurse and colleagues affects the relationships with patients, yet there are many factors involved in the way verbal communication is expressed. The effectiveness of this form of communication is however dependant upon several fundamental factors (Stein-Parbury, 1999). Certainly, the use of language reflecting age, gender, culture, and developmental level, is imperative in positively affecting the patient’s trust and understanding.  For instance, the vocabulary used when communicating with a child, will no doubt differ from that of an adult due to age difference and developmental stage. Similarly, when interacting with patients from different cultures, consideration of dialect and often-contrary meanings is a priority in nursing practice to avoid patient misinterpretation (Creasia, 1996). Whilst vocabulary content is of great consequence, the manner in which it is applied specifically intonation, clarity and timing can affect the nurse-patient relationship (Crisp & Taylor, 2003). To illustrate, a friendly, informal warm welcome in the initial communication can establish trust (Stein-Parbury, 1999). McCabe (2004) suggests that a patient centered approach is of most importance when attending a patient. Encouraging words can give the client a sense of purpose; it can encourage interaction, gives the opportunity for self expression and can strengthen the patient’s problem solving skills (Crisp & Taylor, 2003). Indeed initial verbal exchanges are critical to the establishment of a therapeutic nurse-patient relationship engendering sincerity, respect, empathy and understanding (Crisp & Taylor, 2001). Despite the undoubted ability of verbal skills affirming the nurse-patient relationship, it is non-verbal communication which comprises the majority of interpersonal relationships in nursing practice (Arnold & Blogg, 1999). While both forms of communication are of equal significance Argyle (Chambers, 1998) suggests that â€Å"the non-verbal component ofCommunication is five more times more influential than the verbal aspect†. Bensing, Caris-Verhallen and Kerkstra, (1999) believe that there are five non-verbal behaviors found to be essential to the nursing care, eye gaze, head nodding, smiling and body positioning. These styles of non-verbal communication can be grouped together to form body language. Chambers (2003) also adds â€Å"touch, physical appearance and passive listening†. Through careful consideration of those non-verbal signs, nurses are able to gain a more profound insight into the emotional needs and experiences of patients, thus encouraging additional patient investigation (Stein-Parbury, 1999). Clearly these signs of non-verbal communication together with appropriate use  will endeavor to enhance the nurse-patient relationship. According to Caris-Verhallen, Kerkstra & Bensing (2002, p. 809) â€Å"to express warmth and empathy the nurse need to make eye contact with the patient†. However, eye contact is a special exception in non-verbal communication (Vernallen, Kerkstra & Bensing, 2002). It can reveal some hidden and profound feelings that cannot be expressed in another manner that will serve as a role in emphatic connection (Benjamin, 2005). For instance, in western culture, looking people in the eye is assumed to indicate honesty and straight forwardness, in Latin and Asian cultures it represents aggression and/or disrespect (Le Roux, 2002). Certainly in these circumstances, the importance of limiting eye contact and touch in appropriate cultures and regarding them as culturally dissimilar ensures patient misinterpretation is avoided. Additionally the use of touch can in some cultures be a sensitive issue for example in the Muslim culture, even in an Australian hospital it is inappropriate for a male midwife or nurse to touch or deliver a baby of an Muslim patient (ICE, 2001). However, touch can have a very positive outcome in the healing of patients, emotionally and physically. Weiss (Bush,2002) established that touch can slow heart rate, lower the incidence of cardiac arrest, decrease blood pressure, and reduce anxiety. Touch is often replaced by gestures and verbal responses. In spite of this, when patients are unwell or injured; their feelings may be enhanced by a friendly, warm touch (Duldt 1998). Furthermore whilst touch is of great consequence, physical appearance is a powerful aspect of non-verbal communication (Bensing, Caris-Verhallen, & Kerksra, 2002). A nurse should communicate with his/her appearance that he/she is dedicated and professional. Crisp & Taylor (2001) believe â€Å"it helps to establish the nurses’ trustworthiness and competence†. If a nurse’s appearance is not portrayed in a professional demeanor it could harm the nurse-patient relationship from the beginning. Whilst physical appearance is also of great importance listening is probably the most effective therapeutic communication (Sundeen, 1998). Listening is a non-intrusive way of sharing patients’ thoughts and feelings,  it requires the nurses’ whole attention and in return the patient would recognize that the nurse is paying attention and thus will give them a feeling that they are of some significance and importance (Stein-Parbury, 1999).  Accordingly, through this critical listening process, compassionate understanding of patient distress enhances their ability to confide in the nurse and further open the lines of communication (Balzer-Riley, 2004). Therefore while listening is essential part of daily communication in nursing practice, active listening requires the ability not only to hear what the patient is saying but to reflect feeling or intent behind the words (Klagsburn, 2004). Furthermore, active listening can also encourage further interaction between nurse and patient (Stein-Parbury, 1999). For instance active listening to a new bereaved widow and responding with a simple â€Å"I hear you† may be all that is required to give her a sense of empathy (Stein-Parbury, 1999). Active listening does allow for patients to simplify and express their internal thought process in a period comfortable for them, though through this critical active listening process, compassionate understanding of patient distress is imperative in achieving a mutually satisfying nurse-patient relationship. While there are advocates for both verbal and non-verbal forms of communication, it appears that the two are mutually beneficial. As evidenced by Cohen, Rankin, Stuart and Sundeen (1998), the accuracy of verbal expression relies heavily on the support of its non-verbal counterpart. Indeed, as Stein-Parbury (1999) claims, this challenging practice of communication requires a significant degree of self-awareness, or, the ability to reflect inwardly at personal reactions, responses, and feelings regarding a situation, thus enhancing wisdom for the benefit of circumstances. In essence, when communication involving vocal content and emotion do not correspond, they exhibit obvious inconsistencies thus calling for further inquiry to enable accurate validation of patient concerns (Duldt, 1998). For example, a patient who verbalizes an absence of pain, yet displays obvious signs of discomfort through contradictory facial expressions and body language, imposes additional questioning by the nurse  to gain clarification and therefore assist with appropriate care (Stein-Parbury, 1999). In Concluding, the multifaceted verbal and non-verbal styles of communication are extremely significant elements of nursing practice. This essay describes some important points and examples of different forms of communication, in particularly verbal and importantly the supportive non-verbal communication. Evidently, both verbal and non-verbal methods have inherently unique roles in nursing. However, it is when these methods are utilised in a complementary manner, that they most effectively denote empathy, trust and understanding. This essay also describes how listening is a big part of communication. Accordingly, the productive delivery and construal of both these communicative modes, contributes to the establishment of mutually satisfying therapeutic nurse-patient relationships, with the ultimate goal of assisting in patient recovery. References Arnold, K., & Blogg, E. (2003). The interpersonal relationships (4thed.). Missouri: Saunders. Balzer-Riley, J. (2004). Communication in nursing (5th ed.). Missouri:Mosby. Benjamin, L. (2005). Gaze, The American Journal of Psychiatry, 4, p. 664. Bensing, J., Caris-Verhallen, W., & Kerksra, A. (2002). Non-verbalbehaviour in nurse-elderly patient communication. Journal ofAdvanced Nursing, 29(4), 808-818. Boal, J., Burke, M., & Mitchell, R.(2004). Communicating for bettercare: Improving nurse-physician communication. American JournalOf Nursing. (104)12, p. 40. Bush, E., (2002). The use of human touch to improve the well-being ofolder adults: a holistic nursing intervention. The Journal ofHolistic Healing, 19, p.256. Chambers, S. (2003). Use of non-verbal communication skills toImprove nursing care. British journal of nursing, 12, p.874. Cohen, S., Rankin, A., Stuart, G., & Sundeen, S. (1998). Nurse clientinteraction (6th ed.). Missouri: Mosby. Creasia, J. (2001). Conceptual foundations : the bridge toprofessional nursing practice (3rd ed.). St Louis: Mosby. Crisp, J., & Taylor, C. (Eds) Potter and perry’s fundamentals ofnursing, australian adaptatio.(2nd ed.). Melbourne:Elsevier. Dongen, E., & Elma, R. (2002). The art of touching: the culture ofbody work in nursing. The Journal of Anthropology and Medicine,8, 149-162. Duldt, B. (1998). Interpersonal communication in nursing. Kansas: FADavis. Ellis, R., Gates, R., & Kenworthy, N. (Eds) Interpersonalcommunication in Nursing (2nd ed.) Edinburgh: Churchill. Friedman, N. (2003). Focusing. Xilbris corporation. Retreived march25, 2007, from http://www.focusing.orgGasbaris, L. (2004). Get real!: servants or colleagues?. R.N.Registered Nurse RN magazine, (67)9 p.92. (ICE), Information and cultural exchange. (2001). Retrieved 20 Marchfrom http://www.ice.org.auKlagsburn, J. (2004). Listening and focusing: holistic health caretool. Journal of Professional Nursing, (20)3, 141-142. Le Roux, J. (2002). Effective educators are culturally competentCommunicators. Journal of Intercultural Education, 913)1, 37-48. McCabe, C. (2004). Nurse-patient communication: an exploration ofpatients’ experiences, Journal of Clinical Nursing, 13, 41-49. Stein-Parbury, J. (2000). Patient and person (2nd ed.). Sydney:Elsevier.

Tuesday, October 22, 2019

Brief Look At The Code Of Hammurabi Essays - Codes Of Conduct

Brief Look At The Code Of Hammurabi Essays - Codes Of Conduct Brief Look at the Code of Hammurabi In his position as King of Babylonia, Hammurabi managed to organize the world's first code of laws and establish Babylon as the dominant and successful Amorite city of its time. "Records written on clay tablets show that Hammurabi was a very capable administrator and a successful warrior. His rule spanned from 1792 B.C. to 1750 B.C. When he became king in 1792, he was still young, but had already become entrusted with many official duties in his administration" (Grolier). In the early years of his reign, Hammurabi mostly participated in traditional activities, such as repairing buildings, digging canals, and fighting wars. Yet later in his rule, Hammurabi organized a unique code of laws, the first of its kind, therefore making himself one of the world's most influential leaders. Hammurabi was primarily influential to the world because of his code of laws. This code consisted of 282 provisions, systematically arranged under a variety of subjects. He sorted his laws into groups such as family, labor, personal property, real estate, trade, and business. This was the first time in history that any laws had been categorized into various sections. This format of organization was emulated by civilizations of the future. For example, Semitic cultures succeeding Hammurabi's rule used some of the same laws that were included in Hammurabi's code. Hammurabi's method of thought is evident in present day societies which are influenced by his code. Modern governments currently create specific laws, which are placed into their appropriate family of similar laws. Hammurabi had his laws recorded upon an eight foot high black stone monument. Hammurabi based his code on principles like, the strong should not injure the weak, and that punishment should fit the crime. As for punishment, "legal actions were initiated under the code by written pleadings; testimony was taken under oath. The code was severe in it's penalties, prescribing "an eye for an eye, a tooth for a tooth.""(Grolier). This code of laws was able to be maintained by invoking the authority of the gods and the state. Although the punishments were different than those of today, the authority of the state (government) is similar. Currently, punishments are issued through the state's law enforcement system, comparable to the way punishment was determined and enforced in ancient Babylon. In the code, crimes punishable by death required a trial in front of a bench of judges. Included in these crimes were: bigamy, incest, kidnapping, adultery and theft. There were also laws similar to today. For example, a husband who wished to divorce his wife, was required to pay alimony and child support. By creating the world's first set of organized laws, Hammurabi constituted a model set of moral codes for other civilizations to duplicate. "The code of Hammurabi is believed to have greatly influenced the development of Near Eastern civilizations for centuries after it was written"(Britannica). Although Hammurabi failed to establish an effective bureaucratic system himself, his ideas were successful in establishing laws in Babylonia. Since Babylon was the world's first metropolis, the large population needed to be bound by a strict set of organized civil laws. The way Hammurabi constructed his laws is influential to the world today, because laws can be more easily understood by the people. - Bibliography "Code of Hammurabi." Encyclopedia Britannica (1989), X, 682. "Hammurabi." Grolier Multimedia Encyclopedia (1994). "Hammurabi." Compton's Encyclopedia (1990), XI, 225.

Monday, October 21, 2019

Memorable Martha Graham Quotes

Memorable Martha Graham Quotes Martha Graham  (1894-1991) was one of the best-known teachers and choreographers of modern dance. Selected Martha Graham Quotations All things I do are in every woman. Every woman is Medea. Every woman is Jocasta. There comes a time when a woman is a mother to her husband. Clytemnestra is every woman when she kills. You are unique, and if that is not fulfilled, then something has been lost. Some men have thousands of reasons why they cannot do what they want to, when all they need is one reason why they can. The body is a sacred garment. There is a vitality, a life-force, an energy, a quickening that is translated through you into action and because there is only one of you in all of time, this expression is unique. And if you block it, it will never exist through any other medium and be lost. The body says what words cannot. The body is your instrument in dance, but your art is outside that creature, the body. Our arms start from the back because they were once wings. No artist is ahead of his time. He is his time. It is just that the others are behind the time. Dance is the hidden language of the soul. Dancing is just discovery, discovery, discovery. Nobody cares if you cant dance well. Just get up and dance. Great dancers are not great because of their technique, they are great because of their passion. Dance is a song of the body. Either of joy or pain. I did not want to be a tree, a flower or a wave. In a dancers body, we as audience must see ourselves, not the imitated behavior of everyday actions, not the phenomenon of nature, not exotic creatures from another planet, but something of the miracle that is a human being. I am absorbed in the magic of movement and light. Movement never lies. It is the magic of what I call the outer space of the imagination. There is a great deal of outer space, distant from our daily lives, where I feel our imagination wanders sometimes. It will find a planet or it will not find a planet, and that is what a dancer does. We look at the dance to impart the sensation of living in an affirmation of life, to energize the spectator into keener awareness of the vigor, the mystery, the humor, the variety, and the wonder of life. This is the function of the American dance. Think of the magic of that foot, comparatively small, upon which your whole weight rests. Its a miracle, and the dance is a celebration of that miracle. Dancing appears glamorous, easy, delightful. But the path to paradise of the achievement is not easier than any other. There is fatigue so great that the body cries, even in its sleep. There are times of complete frustration, there are daily small deaths. We learn by practice. Whether it means to learn to dance by practicing dancing or to learn to live by practicing living, the principles are the same. One becomes in some area an athlete of God. It takes ten years, usually, to make a dancer. It takes ten years of handling the instrument, handling the material with which you are dealing, for you to know it completely. Misery is a communicable disease. In 1980. a well-meaning fundraiser came to see me and said, Miss Graham, the most powerful thing you have going for you to raise money is your respectability. I wanted to spit. Respectable! Show me any artist who wants to be respectable. Im asked so often at ninety-six whether I believe in life after death. I do believe in the sanctity of life, the continuity of life and of energy. I know the anonymity of death has no appeal for me. It is the now that I must face and want to face.

Sunday, October 20, 2019

Apple Inc., 2008 Case Study

Executive Overview Apple has been established for over 30 years since Steve Jobs and Steve Wozniak founded Apple Computer in 1976. During Steven Jobs’s tenure as CEO, Apple’s mission was to bring an easy-to-use computer to market. However, Apple was not performing as good as Jobs projected, so he resigned in 1985. In the following 12 years, Apple experienced three different CEO’s and still could not be brought back to life. Under John Sculley, Apple worked to drive down costs by switching much of its manufacturing to subcontractors. But these efforts were not enough to sustain Apple’s profitability. During the Michael Spindler years, international growth became a key objective for Apple. Yet despite Spindler’s efforts, Apple lost momentum. Soon after Gilbert Amelio replaced Spindler as CEO, he proclaimed that Apple would return to its premium-price differentiation strategy. Despite some austerity moves, Apple lost its competitiveness and could not regain its share in the market. In 1997, Steve Jobs came back again as the CEO of Apple. This time he had a new game plan, and Apple started to focus on the digital lifestyle for consumers. Internally, Jobs worked to streamline operations and to reinvigorate innovation. This proved to be Apple’s most successful business strategy to date because a once ineffective company now has ruled the computer world. In order to understand this situation, Apples competitive advantages and industry forces must be analyzed. Competitive Advantages Apple has been in business since 1976, and has built quite a few competitive advantages along the way. Obviously, innovation has been at the forefront of Apple’s ability to compete in the world market. Other than that advantage, brand loyalty, product differentiation, superior quality, and retail strategy are also its advantages when competing with other brands. Innovation Steve Jobs and Steve Wozniak sparked the PC revolution, making the world of computers on Apple’s head. The Apple II launched in 1978 drove the PC industry to $1 billion in annual sales in less than three years. Even if initially regarded as a toy by many other businesses, Apple soon revealed itself as a feasible substitute to the traditional mainframe. It continued to demonstrate its ingenuity. For example, it was the first to introduce a computer with color, a graphical interface, and many other firsts. These inventions defined Apple and its business strategies. On the basis of its all bundled package of hardware and software, Apple became synonymous with usability. Brand Loyalty In 1998, Jobs recognized that customers really wanted a Macintosh. Apples brand commitment is strong. Since 1970s, Apple user communities have been founded to connect together with enthusiasms. One of the main reasons to this is Apples ease of use. Adding extra hardware and software to a Mac is almost as easy as plugging speakers into a stereo system. Due to this advantage, Apple forms a strong relationship with its consumers, especially within the education and desktop publishing industries, which accounted for 60% and 80% of its market position respectively during the Spindler years. Product Differentiation Apple’s system continues to be one of the advantages because its closed operating system is not subject to the computer viruses and hacking that often destroy the Microsoft Windows operating system. In marketing its Mac products, Apple stressed characteristics that differentiated them form other PCs while also highlighted their interoperability with other machines. Apple trumpeted the Mac as an â€Å"Everything-ready† device that worked well with other devices. The feature of the closed system while incorporating well with other devices makes Apple more unique than other PCs. Superior Quality Apple’s high-quality bundled software distinguished the Macintosh line, such as iLife suite and iWork. In 2001, Apple introduced MAC OS X, offering a steadier environment than previous Mac platforms. In addition, Apple always urged its users to upgrade OS X every 12 to 18 months, with the aim of always providing a stable operating system to its users. Retail Strategy After Jobs returned to Apple, he revamped Apple’s distribution system, removing relationships with many smaller outlets and extending its presence in national chains. In 1997, Apple also started a website to sell its products directly to customers. Its retail strategy was regarded as a huge success. More importantly, people who visited the stores for iPod products usually checked the Mac too. This â€Å"halo effect† greatly benefited Apple’s Mac business. Porter’s Five Forces Analysis of Apple Current Competition Apple’s current rivalry is very competitive and intense. The PC industry has quite low switching costs, so the current competition is pretty high. Apple confronts tough competition from IBM, Dell, HP, and etc. Threat of Substitute Products The more differentiation of the product, the less likely the change to a substitute will happen. Apple’s operating system differentiation can always require higher pricing. However, owing to technology improvement, the â€Å"digital convergence† of PC and CE (consumer electronics) products has become more substantial in the PC market. Many different alternative devices have started to replace PCs. Therefore, this threat is becoming higher to Apple. Threat of New Entrants This threat is low since the existing companies have established powerful brand awareness. The computer industry is very saturated and new entrants would be reluctant to enter this industry. Bargaining Power of Suppliers There are two types of suppliers: microprocessors and operating systems with few sources as well as memory chips, disk drives, and keyboards with many sources. The bargaining power of the former one is high since there are mainly two sources: Intel and Microsoft. The bargaining power of the latter one is low since numerous suppliers exist in this industry. Bargaining Power of Customers As mentioned earlier, the switching costs are low. Such situation places the customers in a strong position that only companies with high product differentiation could increase the switching costs. Since product differentiation is one of Apple’s advantages to compete in this market, the bargaining power of buyers is not high to Apple. Conclusion Generally speaking, the PC industry is an intensely competitive segment. With technology undergoing paradigm changes, it could make life hard for Apple to deal with these shifts. These dynamics does not seem advantageous for Apple but simultaneously Apple has been able to maintain its technological brain and designer approach to walk away from this difficult position. Actually, Apple could transform some of these problematic features into opportunities. We all know that a key factor in bringing people into the stores is the popularity of the iPod. Most of the time, the purpose of People coming to the stores is not for Mac. No matter what brings customers to Apple stores, Apple should take advantage of this chance. This halo effect needs to be capitalized to the maximum extent. In addition, although some people complain Apple’s closed operating system, it is still seen as a secure, safe, and reliable system. Apple should try to make its system less closed, incorporating more other devices. Thus, people can use Apple more easily without too much restriction.

Friday, October 18, 2019

International finance Essay Example | Topics and Well Written Essays - 1000 words - 2

International finance - Essay Example It is suggested that an increase in domestic money supply causes depreciation. Again an increase in domestic money demand for example results from domestic income increase or decrease in the expected inflation causes appreciation (Barnett & Chauvet, 2011). The model assumes that the purchasing power parity usually holds. The changes in price influence the changes in exchange rates. The flexible model assumes that parity of purchasing power (PPP) holds continuously. PPP implies that only traded goods exist, the modified model permits the distinction between non-traded and traded goods. The flexible model relies on the continuous PPP and existence of the stable money demand functions for both domestic as well as foreign economies. Recent experience has shown that the real rates of exchange have fluctuated over the years therefore causing shifts in the international competitiveness (Barnett & Chauvet, 2011). Flexible model can be termed as a market- clearing equilibrium model where purchasing power parity between different countries’ price levels is assumed. An increase in the domestic interest will cause a decrease in the demand for domestic money hence causing depreciation in the currency. Once Friedman (1953) stated that the stability of flexible exchange rate was determined by the stabilization of the speculators’ behaviors. Flexible model sugge sts that the prices including wages and goods prices, adjust instantaneously to their levels of equilibrium. In order to determine the exchange rate, it is clear that a rapid increase in home money supply than the foreign money supply will increase the rates of exchange one on one therefore leading to depreciation of home currency. The exchange rate which normally is the price of foreign currency increases with the stock of money (Kouretas & Papadopoulos, 2014). On the other hand, an

The Boer War Paper Term Example | Topics and Well Written Essays - 1000 words

The Boer War - Term Paper Example The Boer War was the first major military conflict of the 20th Century. The strategies employed by both sides set precedences for wars throughout the new century. The Boers used guerilla warfare tactics against the heavily favored British who herded many thousands of men, women and children into detention camps, both precursors of wars to come. Although the Boers eventually won their independence it came at a heavy cost to both sides. The Boers were the descendents of Dutch farmers of the Cape Colony in the nation of South Africa. Beginning in 1835, they began moving outside the region to establish the Transvaal and Orange Free State due to the constant border conflicts with the British overlords on one side of their territory and native tribes constantly encroaching on the other. Together these newly formed regions were known as the Boar Republic which included the town of Johannesburg. While the Boers considered themselves a sovereign, autonomous society, the British claimed all of South Africa as its own. The two factions held to a relative yet uneasy peace until gold was discovered in 1886 on Transvaal land. A gold rush ensued flooding the Boer’s lands with miners, speculators and adventurers, â€Å"outlanders† as they were called by the Boers. â€Å"The discovery of gold at Witwatersrand in the Transvaal ended Boer seclusion and brought a mortal threat to the young nation’s dream of freedom from alien rule. By 1896 the population of Johannesburg had grown to more than a hundred thousand.† (Weber, 2012). The Boers of the Transvaal were poor farmers. The discovery of gold was a great revenue producer but the newcomers producing this wealth were denied citizenship from the government. By 1896, the population of Johannesburg was about 100,000, half of which were white but only 6,200 were citizens, all Boers. Neither the British nor Boers allowed citizenship to the indigenous black population. Government officials received petitions, one with 18,000 and another with 35,000 signatures demanding it allow non-Boer whites citizenship. Neither was given serious consideration. The Transvaal and Orange Free State Boers formed an alliance as tensions between the groups worsened. British forces were dispatched to the Boer regions to help calm the situation but this move only made the situation worse. On October 10, 1899 the Boer government gave the British an ultimatum demanding that British forces be removed within 48 hours or war would be declared. (Chamberlain, Droogleever, 2003) Britain did not comply with the ultimatum to withdraw its troops. On October 11 the war began when the Boers attacked and took control of the towns of Ladysmith, Kimberley and Mafeking. While the British were struggling to relieve their besieged forces in these towns, the Boers achieved inspiring victories in other major British strongholds such as Colenso, Stormberg and Magersfontein in December 1899. The fortunes of war soon changed howeve r. By February of the next year Kimberley and Ladysmith had been retaken by the British. The somewhat disorganized Boer troops were being scattered throughout the countryside. Soon the Boer front line, such as it was, collapsed. The next several months were a time of great uncertainty

Serology Research Paper Example | Topics and Well Written Essays - 250 words

Serology - Research Paper Example The DNA can be a very powerful source of evidence. However, there are debates about the uses serology has been put to and in recent years these debates have become more rancorous. One of the most radical transformations in evidence collection in recent years in the criminal justice system is the use of DNA. Considered by some to be a silver bullet, conclusively proving guilt, DNA’s significance can be hard to defend against and may create an insurmountable burden for an innocent defendant. It is documented that there is a high level of error in laboratories, and it is possible for DNA samples to be switched. This is an important consideration when evaluating the uses of serology. An accident like this combined with circumstantial evidence would almost certainly result in a guilty verdict. Likewise, sophisticated criminals have been known to plant false DNA evidence at the crime scene in order to shift attention away from themselves. This are important things to keep in mind when considering

Thursday, October 17, 2019

The surprising fact about the 17th century Spain is not so much its Essay

The surprising fact about the 17th century Spain is not so much its decline as a great power but its survival for so long.' Do y - Essay Example Spain was able to survive. The Spanish government’s decline as a great power is not as important as the how long Spain continues to survive until the end of the 17th century. Henry Arthur (1980) emphasized the English general Oliver Cromwell’s death in 1658 had inflicted a huge loss on the English Army as well as the strength of the French army. Cromwell had joined forces with the French to prevent the Stuarts from regaining the throne in England. The French were interested in the alliance because they did not want the Stuarts to return the English throne. History shows that the Stuarts did return to the English Throne in 1658 after the political turmoil that erupted in England in the same year. When King Charles II ascended the English throne, England stopped its attacks on Spain. Initially, the English commander, Cromwell, sought Catholic France’s alliance in order to defeat Catholic Spain because Cromwell believes God prefers that the Protestant religion shoul d flourish in Europe. Cromwell initially attacked the Spanish trade and treasure routes. Cromwell tried to attack the Spanish forced on Hispaniola. However, the Cromwell attacked failed because the Spanish defensive forces in Hispaniola were too strong compared to the incoming English army. Defeated, Cromwell’s forces fled and reached the shores of Jamaica in May 1655. Overall, the English Admiral Robert Blake attacks did not completely win the war against Spain. The English – French alliance was entitled the Treaty of Paris was signed in March 1657. The treaty emphasised France will join England in attacking Spain in the battle of Flanders. The treaty specified that English will send an estimated 4,900 soldiers and France will send 19,900 soldiers to fight the Spanish soldiers. The war reached the Gravelines, Mardyck and Dunkirk localities where Spain had more gains compared to the English side. Further, during Spain’s war against England, England suffered huge losses. The Spanish counter attack had eradicated the English shipping trade. In the same light, Spain also suffered huge losses when Admiral Blake blockaded Cadiz. The blockade caused a stoppage of the Spanish economy which generated most of its cash inflows from imported silver and gold coming from the Americas. Spain’s King Philip IV was extremely worried with the English Attacks in Italy, Flanders, and Portugal. Furthermore, William Guthrie (2003) reiterated the 30 years French – Spanish war precipitated from the Habsburg rivalry. France attacked Spain at Les Avins in 1635. In response, the Spanish forces used its Southern Netherlands forces to implement speedy counter attacks on French defensive positions. The counterattacks had literally maimed the French economy. In 1643, the French army crushed the previously invincible Spanish army in Rocroi, Northern France. During this time, the Catalonia revolts and the Portuguese revolts had undermined the strength of the Spanish army. During this war, the Spanish forces were trapped between the French forces on one side and the Dutch forces on the other side. As expected, the Spanish forces were trounced by the advancing French forces at the battle of Lens. However, could not overrun the losing Spanish forces strategically entrenched in Flanders. The In the Peace of Westphalia, France was given the Alsace territory. Likewise, Spain

Outcome Measures in Audiology Rehabilitation Essay - 1

Outcome Measures in Audiology Rehabilitation - Essay Example An outcome measure thus becomes the interface that lies in between goals set forth by a professional in rehabilitation and the response given by a client in a clinical procedure. Outcome measures can be put as being objective or subjective. An example of an objective outcome would be word recognition whereas self reports fall under subjective category. The choice of an outcome measure thus constitutes what a professional perceives as the goal of a particular intervention on a certain patient. Outcome measure is carried out with the intent of establishing the effects of a certain intervention on a patient (Hull, 2001). Therefore, outcome measure is basically a question of degree of clinical effectiveness. Usages of self-report measures are beneficial in that they act as facilitation to hearing aid fittings for an individual. They also can be used to assess the efficacy of fittings administered on an individual or even efficiency of an institution. Moreover, such measures remain very crucial in clinical decisions. Appreciate fundamentals  ­Ã‚ ­Ã¢Ë†â€™ these can be either practical or even technical. Practical considerations involve such things as considering the burden that comes with administering a certain measure both to the patient as well as the clinician administering it. The technical considerations involve such things as reliability, validity as well as norms attached to an outcome measure (McClimans & Browne, 2011). Succinct definition of purpose − this is to imply that a good tool must be clear as to the purpose it is designed to achieve. Such a purpose needs to be clearly and out rightly stated in the tool and not vaguely. Target population − A certain instrument should be unambiguous when it comes to a target population, and this should have certain things accompanying the selection of such a population, for instance, demographic details like age or gender. Reliability of a

Wednesday, October 16, 2019

Should Prostitution Be Legalized Essay Example | Topics and Well Written Essays - 500 words

Should Prostitution Be Legalized - Essay Example In the contemporary society, sex work regulation occurs within a broader cultural shift towards a society that is sexually permissive. However, the liberalization of people’s attitudes towards sexual behaviors that were once considered too deviant behavior is taking place currently. Non-monogamous sex is common in the society that it is becoming an expectation in modern society. Even the people who oppose legalization of prostitution have noted that casual sexual relationships do not carry the sanctions of social morality of the past generation. Despite the liberalization of the society’s attitudes towards commercial sex, prostitution is still highly stigmatized. In a different point of view, sexual commerce qualifies as work in the society. It involves human agency, and it may be potentially empowering for workers. On the other hand, a small minority of sex workers have reported oppression, exploitation, and abuse. Theorists suggest legalization of prostitution will fu rther plunge problems in difficult situations. Currently, the problems faced by the sex works are a life after prostitution. To most them, prostitution is short-term work; it is a job that they are in it to solve their immediate problems and not a long-term solution. Therefore, they see no point in legalizing it since they believe girls are wasting their time in it. In addition to wasting time, it acts as a tool through which infections are spread yet the government is spending much in trying to treat and curb the spread of sexually transmitted infections. Other pundits argue that, prostitution should be viewed in a broader picture and wider perspective. They argue that modern prostitution is conducted without rules, and this is why infections are spreading at a higher rate. They argue that, if commercial sex can be legalized then the government can work with the workers in ensuring they practice proper and safe sex during their work. This means that the rate of infection transmissi on from individual to individuals will undergo reduction. In addition to reducing infection, commercial sex is just like any other work hence its contribution in commerce cannot be underestimated. This field employs several numbers of women and hence contributes to the creation of employment opportunities for women who otherwise would be idling without jobs and sources of income.

Outcome Measures in Audiology Rehabilitation Essay - 1

Outcome Measures in Audiology Rehabilitation - Essay Example An outcome measure thus becomes the interface that lies in between goals set forth by a professional in rehabilitation and the response given by a client in a clinical procedure. Outcome measures can be put as being objective or subjective. An example of an objective outcome would be word recognition whereas self reports fall under subjective category. The choice of an outcome measure thus constitutes what a professional perceives as the goal of a particular intervention on a certain patient. Outcome measure is carried out with the intent of establishing the effects of a certain intervention on a patient (Hull, 2001). Therefore, outcome measure is basically a question of degree of clinical effectiveness. Usages of self-report measures are beneficial in that they act as facilitation to hearing aid fittings for an individual. They also can be used to assess the efficacy of fittings administered on an individual or even efficiency of an institution. Moreover, such measures remain very crucial in clinical decisions. Appreciate fundamentals  ­Ã‚ ­Ã¢Ë†â€™ these can be either practical or even technical. Practical considerations involve such things as considering the burden that comes with administering a certain measure both to the patient as well as the clinician administering it. The technical considerations involve such things as reliability, validity as well as norms attached to an outcome measure (McClimans & Browne, 2011). Succinct definition of purpose − this is to imply that a good tool must be clear as to the purpose it is designed to achieve. Such a purpose needs to be clearly and out rightly stated in the tool and not vaguely. Target population − A certain instrument should be unambiguous when it comes to a target population, and this should have certain things accompanying the selection of such a population, for instance, demographic details like age or gender. Reliability of a

Tuesday, October 15, 2019

Football salary Essay Example for Free

Football salary Essay Many people think that footballers are paid too much money for doing too little effort. However, this can be argues because they are people who have dedicated their entire life to this sport and therefore they should be rewarded. But in the end there is lots of people need that money to survive and get some food and clean water. The money which is given to players should be reduced because what they do isnt worth all the money they get. Because the average salary of a professional football player of February 2010 was listed at about $1.8 million year (Mandi R Hall, www.ehow.com). There are also other people that have worked harder throughout their lives by working and studying. Players perform a sport where they do not save anyones life unlike doctors who study for 6 consecutive years, work for several hours, and literally save peoples lives. But the problem is even doctors they don’t gut that high salary like the average in 2009 for doctors in the US was $226,000/ year (mdsalaries.blogspot.com). There are also other careers like police officers who devote their lives to provide a safe community. A single football player receives high amounts of money where half of this amount could be spent on medical supplies, help have a better education, and also help many needy people. Because billing school for example â€Å"The Williamstown Public School in Williamstown, Massachusetts is an old school, so they are currently building a new one. It costs $14.5 million and it will house 650 students maximum. The Williamstown Public School is about three times bigger than Marks Meadow. Since our school is about 1/3 smaller, it would cost about 1/3 less money to build. $14.5 million divided by three equals about $4.8 million† (arps.org).The players effort is insignificant and worthless compare to the amount of they get. The reasons why they should not be paid as much as they do, are: Children should be in better schools have a higher degree of education, people who work harder should get better salaries, the money people sent in football as a whole should be used better on investment or donations.