Palliative Care Essays - Hospice, Palliative Medicine,

Palliative Care The role of the expert palliative care nurse is complex and unique. The nurse functions as an integral part of a Multidisciplinary team, providing expert skilled assessment and nursing care, supporting the patient and the family to make informed choices thereby encouraging the patient to continue to make autonomous decisions about their care towards the end of their life. However, often the nurse will find herself dealing with difficult family dynamics with family members having differing expectations of the type of care that the patient should be receiving, staff conflict over treatment methods or strategies and high workloads. These issues can only compound the stresses on the Palliative Care Nurse and to cope with the many dilemmas she must be well armed. The complex needs of the terminally ill patients and their families make the multidisciplinary team approach the most effective method of care Staff from a range of disciplines including medical, nursing, social work, dietitian, physiotherapist, pharmacist and others bring diverse and unique skills. As a team they provide an excellent sounding board for ethical dilemmas thereby hopefully- enhancing ethical practice. (Latimer, 1998) The Nurse in her role is required to act as patient advocate and ensure that the patients rights are respected. Unfortunately this advocacy is sometimes perceived negatively as a threat or implied criticism of medical care. Doctors need to listen to the nurses more accurate perspective of patient concerns. Consistency across the team leads to better outcomes for patients. Reinforcing the same information by both medical and nursing staff help to allay patient anxiety far more than conflicting views on such things as symptom control. (Jeffrey, 1995) The members of the Multidisciplinary team sometimes make decisions. regarding treatments, which they may perceive to be of the most benefit to the patient whilst in fact the patient, does not perceive the benefits in quite the same way. Nurses have more prolonged contact with the patient than most other members of the team due to the hands on patient care that they do. They often establish a close rapport with the patient and the family and are most likely to be aware of the patients likes, dislikes, hopes and dreams and are privy to often delicate and very private details of the patients life. The very fact that the nurse spends so much time with the patient makes them more likely to have knowledge of this kind of information. Doctors rounds in a Palliative Care Unit enable the doctor to spend perhaps 30minutes maximum per day in talking to the patient. In the community, appointments times with Doctors are restrictive and Home Visits limited. Patient Nurse dependency ratios in hospitals and palliative care units mean that Nurses are spending approxi mately four hours per day on one to one patient contact. Again, other team members are very limited in the amount of time they spend with patients due to the number of clients/patients they may have. A dietitian for example may spend 15 minutes with a patient twice during their six-week stay in a Palliative Care Unit or 30 minutes as an outpatient during the course of the Terminal illness. Social workers often spend long periods at a time with patients and/or their families in lengthy discussion however these discussions may only take place a couple of times over the period of the illness. Therefore the Nurse is far more likely to be aware of issues affecting patient care. There can be many difficulties for the Nurse expert providing high quality care to palliative patients whilst respecting their right to autonomy In the setting of the Palliative Care Unit, the role of the Nurse is to painstakingly assess the needs of patient and family. These needs may be constantly changing and there is no room for the Palliative Care Nurse to become complacent in her patient care. Symptoms may be physical such as pain, nausea, and dyspnoea or psychosocial or spiritual. In identifying care needs the nurse must be able to determine who is the most appropriate team member to refer to provide optimum management of these needs. E.g. although the expert nurse will have counselling skills, she must be aware of her limitations and refer on where appropriate to counsellors, psychologist

114307175500 Essays - Quantitative Analyst, Valuation, Free Essays

114307175500 Essays - Quantitative Analyst, Valuation, Free Essays 114307175500 TANYA 11328 EUCLID AVENUE, APARTMENT 302 , CLEVELAND, OHIO 44106 C: (216) 694-1356 | [emailprotected] Dear Hiring Manager, I wish to express my interest for the position of Early Learning Intern at The Centers for Families and Children, which I saw posted on Indeed.com. With its outstanding reputation, The Centers for Families and Children has long been on my "dream list" for places to work. I feel that my combination of skills and experience in Financial Management and my passion towards finance makes me a qualified candidate for this position. My professional goal is to apply my commitment to service, excellence and creativity towards creating a difference in the financial world. One of my favorite quotes from Rumi (and words to live by) is "let the beauty we love be what we do." When there is passion behind the work we do, it fuels us to work for the change we believe is possible. After learning about the challenges and opportunities at Peninsula Family Service, I believe the work role there directly aligns with my strengths and experiences. My background and training in Finance has provided me with the abilities necessary to succeed in this fast-paced and intense field. I am adept at performing analyses and utilizing the resulting data to determine appropriate actions, identify and resolve issues, and develop strategies and procedures. In my previous job positions, I conducted quantitative analysis of financial data to forecast revenue, identify future trends and identify risk associated with capital expenditure, acquisitions, and joint-venture projects.I as well performed ad-hoc analysis and reporting. My professional goal is to apply my commitment to serv ice, excellence and creativity towards creating a difference in the financial world. While I was regularly challenged at my work, I returned to school to further develop my leadership skills. In my second semester at Case Western Reserve University, I was selected as the Vice President of Finance, Graduate Student Council to give monetary advice to the Council, oversee and maintain an accurate and detailed financial record. Additionally, I along with a classmate, developed a business strategy and presented an action proposal for a financial advising and asset management. A panel from CWRU'S LaunchNet selected us the winners of the business Case Competition, and we are in the process of drafting our initial business strategy plan. I hope you will take the time to review my resume as I believe it will provide you with additionalinformation on how could I contribute to Peninsula Family Service 's vision of delivering a " __ ". Thank you in advance for your time. Sincerely,Tanya I wish to express my interest for the position of Data Collection Intern at Main Street Launch , wh ich I saw posted on indeed.com . Wit h its outstanding reputation, The Centers for Families and Children has long been on my "dream list" for places to work. I feel that my combination of skills and experience in Financial Management and my passion for making a positive impact in the society make me a qualified candidate for this position. One of my favorite quotes from Rumi (and words to live by) is "let the beauty we love be what we do." When there is passion behind the work we do, it fuels us to work for the change we believe is pos sible. After learning about the challenges and opportunities at The Centers for Families and Children, I believe the work role there directly aligns with my strengths and experiences. My background and training in Finance has provided me with the abilities necessary to succeed in this fast-paced and intense field. I am adept at performing analyses and utilizing the resulting data to determine appropriate actions, identify and resolve issues, and develop strategies and procedures. In my previous job positions, I conducted quantitative analysis of financial data to forecast revenue, identify future trends and identify risk associated with capital expenditure, acquisitions, and joint-venture projects.I as well performed ad-hoc analysis and reporting. Beyond my knowledge and experience in financial management, I have also volun teered for non-profits in India. My aspiration and passion to strengthen the society and bring a positive change has brought me all the way from India to join the MBA program at Case

Leadership and Emotional Intelligence Dissertation

Leadership and Emotional Intelligence - Dissertation Example Peter Salovey and John Mayer in their definition of emotional intelligence states that it is â€Å"a form of intelligence that involves the ability to monitor one's own and others' feelings and emotions, to discriminate among them and to use this information to guide one's thinking and actions† (Salovey & Mayer, 1990). One of the most common forms of research studies are based on connecting the aspects of emotional intelligence (as defined by Salovey & Mayer) with that of effective leadership. The literature on the leadership quotient has a remarkable number of theories that create a framework on the characteristics that define an effective leader, of which the two most distinct forms of leadership traits are, transactional and transformational (Mandell & Pherwani, 2003). In a transactional leadership, performance forms the main basis for rewarding or disciplining an employee. Emphasis is placed on timely completion of work, quality of work, and compliance with the companyâ₠¬â„¢s norms and values, while trying to affect an employee’s performance organizational punishments and incentives (Bass & Avolio, 1994). On the other hand transformational leadership functions through the notions of motivating and stimulating the co-workers, in order to create a completely different perspective on the organizational objectives, foster an atmosphere where the employees are motivated to achieve higher levels of capability, while inspiring the employees to put team interests before personal interests. Thus, transformational leadership functions of four basic pillars: intellectual incentive, edified influence, inspirational motivation, and consideration for each individual employee (ibid). From the conducted literature review it is evident that from that various studies on the results of effective leadership it is seen that the transformational form of leadership achieves better performance as a team (Keller, 1995), greater effectiveness and reparation (Hater & Bass, 1988), and better efforts from the junior employees (Seltzer & Bass, 1990). In this context, the researchers have also contended that to achieve effective form of leadership with positive outcomes for the entire organization, the aspect of transformational leadership must be combined with emotional and social forms of intelligence (Mandell and Pherwani, 2003).  

What factors affect tourism in Oxford and your home city write an Essay

What factors affect tourism in Oxford and your home city write an not more than 600 words(300 words on Oxford and 300 words on factor affecting tourism in your country) - Essay Example Instead, brands should be developed around themes that are linked to the interest of the people and tourists. Culture is essential for a successful and a high-quality tourism industry. Oxford does not make enough of the culture and some cultural providers even never realize the importance of incorporating culture in tourism. Values and culture are essential additional products to the tourism industry. They provide a sense of ownership to the community members as well improve their quality of life. Thus, the tourism industry needs to realize the importance of culture and values of art. Poor tourism infrastructure is a major issue in oxford. The tourist attractions are okay, but there is still room for improvement especially in accommodation, information and transport facilities (Pritchard, Morgan, and Ateljevic, 952). Improvement in the infrastructure is, therefore, essential to increase the number of tourists visiting i.e. provision of better transport for tourists and ensuring that the streets are clean Creation of sustainability in the tourism industry is a major factor. Sustainability needs to be consumer focused and being aware of the visitor’s perceptions of Oxford as well as improving their experience. The industry has not reached the local people. Thus, campaigns are needed to enlighten the residents of oxford on the benefits and importance associated with tourism, and the sector needs to focus more on the consumer needs. Global economies affect the tourism industry in oxford. In the case of a weak UK or US economy, then this makes it to be a very expensive destination for visitors from the US. Thus, it is important to seek new alternative markets and demonstrate their good value for money (Glasson, 138). Russia is among the top 15 countries in the world in terms of the country’s world heritage and cultural resources. However, the countries tourism industry accounts for only 3 percent of the country’s gross domestic product that can be

Frankenstein and Blade Runner - Texts in Time Analysis Essay Example for Free

Frankenstein and Blade Runner Texts in Time Analysis Essay Many themes and ideas continue to reoccur among different texts in time. However studying two texts in conjunction allows one to observe how composers manipulate ideas in order to more accurately connect to their context, and reflect the concerns and values of the time. Through the comparative study of Mary Shelley’s 1818 gothic novel Frankenstein or The Modern Prometheus and Ridley Scott’s 1981 neo-noir cyberpunk film Blade Runner (Director’s Cut), one can observe how in these two didactic and prescient tales, ideas of the dangers of unrestrained scientific progress and the Promethean overreaching of man are explored, with differences in values presented reflecting the different contexts between the texts. Mary Shelley’s Frankenstein was created in an era of rapid technological change. By 1818, the Industrial Revolution had deeply influenced the fundamental nature of society, while Enlightenment inspired ideals of logic and autonomy of reason were prominent in society. Her text accordingly reflects this, as seen in the protagonist Victor Frankenstein; â€Å"I am imbued with a fervent longing to penetrate the secrets of nature. † This metaphor alludes to his passionate and desperate urge to uncover the secrets to the creation of life. Shelley however critiques his intrusive scientific pursuit and horrid creation by juxtaposing it with the beauty of nature. This is seen in the bucolic descriptions of nature’s sublime; â€Å"Mighty alps, whose white and shining pyramids and domes towered above all. † Nature calms and dehumanises Victor throughout the text, but Victor pursues science to the extent that nature loses its consoling ability, and thereafter the Arctic becomes a pathetic fallacy to mock Victor’s psychological and mental isolation. This criticism is further emphasised through the epistolary narrative framework, which allows the text to begin in medias res. The first introduction to Victor is him in a state of complete ruin, and so the text is a forewarning of the ramifications of amoral scientific advancement. In a similar manner, Ridley Scott’s Blade Runner was created in a time of rapid technological progress through the 1970s and 80s. The emergence of the computer and communication age meant that the world became more centralised, with a growing concern that technology was destroying the environment. Set in Los Angeles in 2019, the opening establishing shot of the expansive city immediately demonstrates the negative consequences of untamed scientific advancement. The fire belching into the sky, the artificial city lights sparkling under a looming red-grey sky and the haunting synthetic pulses from the Vangelis soundtrack allude to Hades, making the city a vision of hell. The camera then zooms into the reflection of an eye, which depicts the artificiality of the world and introduces dystopian themes of paranoia and surveillance. Hence we can see that Blade Runner is representative of a grim future that Shelley’s scientific hubris warned us of nearly two centuries ago. However there are alterations in the ideas shown to befit the differing contexts of the texts. Mary Shelley argues that an excessive pursuit of science can lead to the ruin of an individual man, seen in Victor Frankenstein. She also argues that nature is larger than man, evident in her highly Romantic descriptions of nature’s sublime. Ridley Scott however argues that man is overpowering nature, owing to the global concerns of pollution and deforestation in the 1980s. Hence Scott implies amoral scientific advancement will lead to the detriment of society as a whole, and not just at an individual level. Unequivocally, both texts explore the idea of the promethean overreaching of man and his tendency to usurp the role of God, through the characters of Victor Frankenstein and Tyrell. The subtitle of Mary Shelley’s novel, The Modern Prometheus, refers to Victor Frankenstein, and his creation of the monster. A new species would bless me as its creator and source† His creation however leads him to transcend the boundaries of man and elevate him into a god-like status, and this leads to Victor’s complete societal and mental isolation, where he loses sight of his responsibilities and the consequences of his actions. Victor compares himself to God, while the monster says to Victor â€Å"I ought to be thy Adam, but I am rather the fallen angel†, referring to himself as Lucifer. This means the text is given added complexity in that there is a duality between both characters, where neither Victor or the monster are innately good or bad, rather they containing capacity for both, as they become two sides of a single entity, forming a doppelganger relationship. Finally, the literary allusion by Victor; â€Å"how could I enter into a festival with this deadly weight hanging round my neck? † is a reference to the albatross in The Rime of the Ancient Mariner, and shows the eternal punishment and guilt Victor faces from outstretching the boundaries of man and playing the role of God. Therefore it is apparent that in her text, Shelley attempts to warn of the dire consequences of man’s promethean overreaching of the role of God. Correspondingly, the idea of man overstepping of the natural order is heavily explored in Blade Runner. The film is the epitome of a dystopian world dominated by commerce. The initial low angle shot of the Tyrell Corporation’s grand ziggurat-like monolith reflects the rampant commercialisation and commodification of the world, while the blue light shining into the sky pertains to the usurpation of God’s role, and the diminishment of nature in modern society. The Tyrell Corporation’s dominance criticises the â€Å"greed is good† attitude of the 1980s, typified through the antagonist Eldon Tyrell; â€Å"Commerce is our goal here at Tyrell, ‘More Human than Human’ is our motto. † His thick glasses symbolise his failure to see the future consequences of his actions, much like Victor, and this adds to the eye motif of the film, where eyes are windows to the soul and measures of humanity – something which Tyrell clearly lacks. Roy Batty, the film’s role-reversed protagonist, is portrayed initially as a Satanic figure; â€Å"I’ve done questionable things†, akin to the monster being labelled â€Å"daemon† and â€Å"devil† in Frankenstein. However Scott makes a biblical allusion when Batty crucifies his own hand, and this relates him to Christ. Thus one can see how in both texts the composers warn of the dangers of usurping the role of god, showing the complexity and duality of man on Earth. Mary Shelley’s romantic values however mean that through the character of Victor, she aims to criticise the overreaching aspect of Enlightenment, warning that those who do will be eternally punished. Ridley Scott however aims to condemn the overcommercialisation and increasing greed in society, using Tyrell as a figure to represent man’s obsession for power, and in such he criticises the society that we live in. In these ways it can be seen how the overreaching of god in both texts is used differently to resonate with different contextual values. Therefore, through a comparative study of both Frankenstein and Blade Runner, we can see how the common issues of rampant scientific and technological progress and the usurpation of the natural order is explored in both texts, however these ideas are varied slightly in order to suit the differing contexts. Frankenstein aims at questioning Enlightenment values, while Blade Runner condemns materialism, unhinged genetic engineering and corporal greed, essentially critiquing society and presenting a dystopian vision of the future.

Essay --

Throughout The Pearl, by John Steinbeck, the themes of greed and prejudice are greatly expressed, from the beginning with the unjust doctor to the suspenseful end of the supposed ‘Pearl of the World.’ It is amazing, that even in a timeless story as this one, these harsh realities still haunt their world. It could take place yesterday, today, or tomorrow, but the point is that one cannot revert the world to one way of thinking, that is why greed and prejudice still exist. One can try as hard as they want but there are going to be those who are stubborn, of hard will, and those who believe their thoughts are right. I want to show that these themes go far beyond this parable and apply to the world we live in. Those who are prejudice exist around the world; there are those whom think higher of themselves, those whom think lower of others. It could be a small subconscious thought incriminating another peer at school of being a nerd because they are studious or carry other traits one would associate with this word; this, something as small as this, is prejudice. There are those who walk ...

Comparison and Contrast on Theory XY and Z Essay

Douglas McGregor suggested that there are two different ways in which we can look at workers attitudes toward work. Each of these views, which McGregor called Theory X and Theory Y, has implications for management. Theory X (‘authoritarian management’ style) -People do not really like to work and will avoid it if at all possible so they must be coerced, controlled, directed, threatened with punishment to get them to work. -The average worker avoids responsibility, is unambitious and wants security more than anything else. -Management based on Theory X is paternalistic at best and, at very least, authoritarian. -Rewards and punishment are assumed in this theory to be the key to employee productivity. Theory X managers believe that workers are only motivated by one thing – money. They are selfish, lazy and hate work. They need to be closely controlled and directed. Theory Y (‘participative management’ style) The theory Y is to some extent the opposite image of X -Effort in work is as natural as rest and play. -People will apply self-control and self-direction in the pursuit of organizational objectives, and the external control or the threat of punishment is not the only means of getting them to work. -Commitment to objectives is a function of rewards associated with their achievement. The most important reward: satisfaction of their own ego needs. -People usually accept and often seek responsibility. -Creativity, ingenuity, and imagination are widely distributed among the population. People are capable of using these abilities to solve an organizational problem. -In modern industry the intellectual potential of the average person is only partly utilized. Theory Y managers believe that Workers are motivated by many different factors apart from money. They enjoy their work and they will happily take on responsibility and make decisions for the business. Theory z – William Ouchi Theory Z makes certain assumptions about workers: People tend to want to build cooperative and intimate working relationships with those that they work for and with, as well as the people that work for them. They have a high need to be supported by the company, and highly value a working environment in which such things as family, cultures and traditions, and social institutions are regarded as equally important as the work itself. They have a very well developed sense of order, discipline, moral obligation to work hard, and a sense of cohesion with their fellow workers. Finally, Theory Z workers can be trusted to do their jobs to their utmost ability, so long as management can be trusted to support them and look out for their well being. One of the best aspects of theory Z is the long-term employment which would appeal to Americans because they want job security. The collective decision making will create a good work environment and increase productivity. Something that Americans won’t like is the slow evaluation and promotion. Americans don’t like to wait years before they can get a promotion and they  would rather get a new job instead. Another great benefit is that the company will have holistic concern for you and your family. Theory Z also places more reliance on the attitude and responsibilities of the workers, whereas McGregor’s XY theory is mainly focused on management and motivation from the manager’s and organization’s perspective. Comparison & Contrast Douglas McGregor tends to categorize people as one type or another: either being unwilling or unmotivated to work, or being self-motivated towards work. Threats and disciplinary action are thought to be used more effectively in this situation, although monetary rewards can also be a prime motivator to make Theory X workers produce more. William Ouchi believes that people are innately self-motivated to not only do their work, but are loyal towards the company, and want to make the company succeed. Theory X leaders would be more authoritarian, while Theory Y leaders would be more participative. But in both cases it seems that the managers would still retain a great deal of control. Theory Z managers would have to have a great deal of trust that their workers could make sound decisions. Therefore, this type of leader is more likely to act as â€Å"coach†, and let the workers make most of the decisions. As mentioned above, McGregor’s managers, in both cases, would seem to keep most of the power and authority. In the case of Theory Y, the manager would take suggestions from workers, but would keep the power to implement the decision. Theory Z suggests that the manager’s ability to exercise power and authority comes from the worker’s trusting management to take care of them, and allow them to do their jobs. The workers have a great deal of input and weight in the decision making process. Conflict in the Theory Z arena would involve a great deal of discussion, collaboration, and negotiation. The workers would be the ones solving the  conflicts, while the managers would play more of a â€Å"third party arbitrator† role. This type of manager might be more likely to exercise a great deal of â€Å"Power† based conflict resolution style, especially with the Theory X workers. Theory Y workers might be given the opportunity to exert â€Å"Negotiating† strategies to solve their own differences. Theory Z emphasizes more frequent performance appraisals, but slower promotions, while according to Theory X, appraisals occur on a regular basis. Promotions also occur on a regular basis.