Stress Management Concept

Stress Management Concept Introduction Organizations are increasingly experiencing a challenge arising from the dynamic nature of the environment in which they operate. In order to survive in this environment, it is paramount for these organizations to develop their competitive advantage. One of the ways through which they can achieve this is by integrating the concept of organizational development.Advertising We will write a custom critical writing sample on Stress Management Concept specifically for you for only $16.05 $11/page Learn More Anderson (2011, p.2) defines organizational development as the various organizational Work content Job content The job may not be challenging enough thus making it to be monotonous The tasks may be unpleasant and lacking variety. Working hours Long working hours Unpredictable working hours Job-shift systems may be ineffectively designed Inflexible working schedules Participation and control The employees may not be involved in the decision Lack of promotion prospects Unfair performance appraisal systems Job insecurity. The job may be of low social value Poor remuneration schemes making process. Work Context Career development, remuneration and job status . Interpersonal relationship Lack of support from the supervisors. Lack of a well defined procedure to resolve work problems and complaints. Poor relationship with employees. Home-work interface Conflicting demands between work and home duties. Lack of support in dealing with domestic issues from work. Lack of support for work problems by family members. Organizational culture Poor organizational leadership. Lack of clarity on organizational objectives. Role in the organization Conflicting roles within the same job. Unclear roles Stress management According to Fried (2008, p. 61), stress management entails the various techniques that are used in eliminating feelings of strain. If not well managed, stress may lead into dysfunc tional behavior amongst the employees in addition to poor mental and physical health. For example, stress may result into extreme physical conditions such as heart diseases, high blood pressure, digestive system complications and musculo-skeletal disorders. As a result of stress, the employees’ operational efficiency is significantly reduced. The employees’ ability to make effective decisions and to think logically is also affected. Parker (2007, p. 32) asserts that stress leads into a reduction in the employees’ level of commitment in their duties. Stress in the workplace negatively affects employees productivity and hence the organization’s performance. Over the recent past, organizations in different economic sectors have appreciated the strength of relationship between the well being of their workforce and their productivity. Firms in the public and private sector are increasingly appreciating the costs associated with stress (Weinberg, Sutherland Co oper, 2010, p. 61). Stress management is one of the ways through which they are integrating in an effort to minimize stress. According to Ron (2004, p.1), it is estimated that job stress in the United States costs businesses more than $ 300 billion in their corporate profit annually. This cost arises from increased complaints by customers and clients, a high rate of absenteeism, a rise in legal claims by employees, poor employees’ performance and productivity, and lack of employee commitment. On a daily basis, it is estimated that one million people do not attend work daily in the United State as a result of workplace stress overload (Ron, 2004, p. 1).Advertising Looking for critical writing on psychology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Ashworth (2005, para. 1) In 2005, the rate of unscheduled absenteeism in the US reached its five-year high due to a number of factors amongst them stress. According to Leka, Griffiths and Cox (2003, p. 14), inefficiency in managing job stress tarnishes an organization’s image both internally and externally. Ron (2004, p.1) is of the opinion that stress is a major issue in an organization’s operation. However, it is astonishing to see the rate at which organizational CFOs and CEOs are concerned with attaining the desired profitability. Additionally, firm’s management teams are also concerned with ensuring that the employees are committed in executing their duties. Despite this, most organizations have not implemented strategies aimed at dealing with stress at the workplace. According to Jex and Britt (2008, p.222), one of the most effective methods of dealing with stress related hazards in workplace is through stress management. The best stress management strateg ies that an organization can implement are those that check it from reaching excessive levels. In the 21st century, organizations are increasingly appreciating the importance of being involved in managing work related stress (Kaila, 2005, p.494). The rationale for this trend is that organizations are partially involved in making the employees to be stressed. As a result, they should be actively involved in relieving it. The other rationale is that employees who are less stressed are more effective in their duties. In an effort to manage stress, organizations have implemented two main strategies. These include; Institutional programs Collateral programs Institutional programs These entail the various stress reduction strategies that are established through different organizational mechanisms (Griffin Moorhead, 2011, p. 191). For example, in order to establish work-life balance, organizations should effectively design their jobs. According to Kaila (2005, p.494), working in shifts can be a source of stress to employees. This arises from the fact that the employees will be forced to change their relaxation and sleeping patterns. Therefore, it is paramount for organizations to implement work schedules that contribute to reduction of stress. One of the way through which an organization can achieve this is by integrating flexible-working schedule. This will give employees an opportunity to take care of their non-work activities such as advance their career by going back to school, having time with their family and being involved in recreational activities. Establishing work-life balance can be very beneficial to both employees and the organizations. Stress within an organization can also be reduced by creating a strong organizational culture. One such culture that organizations can integrate entails ensuring that there is a balance between the employees work and non-work activities. For example, a firm’s management team may make it to be a norm that all em ployees should go on vacation or take some time off from work in order to relax. Another institutional mechanism that a firm can consider entails ensuring that there is effective supervision. According to Kaila (2005, p.494), a supervisor can cause employees to be stressed by overloading them with tasks. To avoid this, a firm’s management team should ensure that its employees are assigned manageable and reasonable tasks. Collateral programs These include stress reduction programs that are specifically designed to assisting employees to cope with stress. There are different collateral programs that organizations incorporate in their stress management efforts. Some of these include Health Promotion Programs (HPPs), Employee Wellness Programs (EWPs) and Stress Management Programs. According to Werner and DeSimone (2009, p.362), HPPs and EWPs are composed of various activities that are aimed at improving organizational practices and promoting employee behavior. The core objective is to ensure that the employees are fit and healthy to perform their duties. The HPP and EWP programs are based on the principle that employee wellness does not only entail ensuring that the employees are not sick. However, they are aimed at encouraging employees to adopt lifestyles that contribute towards maximization of their wellbeing. In their health promotion programs, organizations incorporate a holistic approach by educating employees on different issues. The health promotion programs are composed of different dimensions that are aimed at promoting employee wellness. These include emotional, physical, mental, spiritual, communal and social dimensions. According to Kaila (2005, p.494), collateral programs encourage employees to be involved in exercises thus reducing stress indirectly. However, implementation of collateral programs as stress management strategies can be costly. This arises from the fact that organizations will be required to invest in the necessary physical fa cilities. Despite this, Kaila (2005, p.494) asserts that more and more organizations are increasingly exploring this option in their stress management. Studies which have been conducted reveal that fitness and wellbeing programs significantly reduce absenteeism as a result of stress. Additionally, they also help in improving an employee’s mental health and his or her ability to resist stress. Training and development According to Donaldson-Fielder, Lewis and Yarker (2011, p. 67), organizations also use training and development interventions in managing stress. There are two main ways through which organizations use training and development in their stress management. These include technical skills training and stress management skills training. Technical skills training Technical skills training enhances employees’ ability to cope with job requirements. For example, technical skills training contribute towards significant reduction in the amount of effort required to e xecute a task. The resultant effect is that employees experience minimal stress arising from work demands and pressure. Through technical skills training, an employee’s level of confidence in performing his or her duties is improved. To determine the technical skills training that an organization should conduct, a firm may conduct a performance appraisal, stress risk assessment, or a one-on-one conversation with the employees (Leka, Griffiths Cox, 2003, p.3). For example, an employee who may be assigned a new task may be required to make a presentation in front of the organization’s directors. This may cause anxiety to the employee leading into stress. In order to improve the employee’s presentation skills; the organization may enroll him or her to a presentation skills course in an effort to improve his or her confidence level when communicating to the managers (Spiers, 2003, p.84). Additionally, a risk assessment conducted by an engineering firm revealed that employees were reporting work-related stress and a high level of job dissatisfaction. Upon investigation, the firm revealed that the cause of the stress was as a result of the project management systems that the firm was using. The project management team revealed that they had never received training on how to operate the new Information Technology system that the firm had implemented. In order to minimize stress as a result of the new technology, the firm implemented a training program on how to operate the new software (Donald-Fielder, Lewis Yarker, 2011, p. 68). Stress management skills training This is a stress management strategy that is aimed at increasing the employees’ level of awareness on stressors and the importance of their wellbeing. Alternatively, stress management skills training is aimed at teaching employees on how to reduce stress. In their stress management skills training, organizations intend to bridge the gap that existed between the job demands, the employees’ ability to perform the tasks and the resources available. There are three main types of stress management skills training that an organization can implement. These include multimodal, relaxation-based and cognitive behavioral therapy. Multimodal training entails increasing the level of awareness on what stress is, how to identify signs of stress and how they can acquire skills to cope with stress. Relaxation-based training entails educating employees on how to undertake mental and physical relaxation in an effort to deal with the various consequences associated with stress. On the other hand, cognitive behavioral therapy training entails equipping employees with skills that change their perception on the source of stress differently. According to Donaldson-Fielder and Yarker (2011, p.69), these stress management skills training are very effective in reducing stress. However, a recent evaluation conducted on these methods revealed that cognitive behavioral therapy t raining is more effective compared to the other two methods. Support interventions These include the various forms of assistance strategies such as therapy and counseling employees who are suffering from stress. The support interventions targets individuals who have not benefited from stress prevention strategies such as training and development. The support interventions are focused at curing symptoms of stress. Support interventions may also entail medical treatment and coaching employees suffering from stress. Conclusion In order for organization to attain their goals, it is paramount for management teams to ensure that their employees are committed and productive. However, employees are faced with a challenge in executing their duties due to work-related stress. Stress has a negative impact to both the employee and the organization. Therefore, it is important for organizations to incorporate the concept of stress management in order to help them cope with challenging work situat ions. There are different strategies that an organization can integrate in their stress management efforts. To be effective in stress management, it is important for firms to integrate both curative and preventative stress management strategies. Some of the main strategies that a firm can integrate entail institutional programs, collateral programs, training program and support interventions. Institutional programs contribute towards reduction of work-related stress by ensuring that there are effective organizational mechanisms that minimize stress in its structure. Some of the ways through which they attain this is by being effective in designing jobs. Organizations should ensure that they assign employees jobs in according with their abilities and the resources available. It is also important for firm’s management teams to design jobs that are meaningful to their employees. Jobs should be designed in such as way that employees can be able to use their skills in executing th em. This will contribute towards creation of a high level of commitment. It is also critical to ensure that the employees understand their role and responsibilities. When making decisions that affect them, firm’s management teams should give the employees an opportunity to participate. Organizations should also integrate effective work-schedule that ensures a high level of flexibility. The work-schedules incorporated should be in line with the employees’ non-work responsibilities and demands. Such schedules reduce work-related stress by giving employees an opportunity to pursue their personal goals such as advancing their education . Employees intend to advance their career in order to improve their competitiveness in the labor market. Additionally, employees have sufficient time with their family and friends and to engage in recreational activities that improve their wellbeing hence reducing stress. On the other hand, collateral programs aid in improving the employees fitness and wellbeing. Training and development strategies such as technical skills training and stress management skills training enable employees to cope with job pressure and associated stressors. Through technical skills training, an employee is equipped with skills that enable him or her to execute tasks assigned with minimal pressure and effort. On the other hand, stress management skills training equip employees with a high level of awareness regarding skills. Organizations may also integrate support interventions such as counseling and coaching employees who are already suffering from stress. Therefore, to increase the probability of attaining organizational development, it is critical for firm’s management teams to integrate effective stress management. Stress management benefits both an organization and its employees. Reference List Anderson, D., 2011. Organization development; the process of leading  organizational change. Thousand Oaks, California: Sage Publica tions. Ashworth, S., 2005. Low morale, other issues push absences to a five year high. New York: American City Business Journals. Cunningham, J., 2000. The stress management sourcebook. Los Angeles: Lowell House. Daft, R., 2010. Organizational theory and design. Mason, Ohio: South-Western Cengage Learning. Donaldson-Fielder, E., Lewis, R. Yarker, J., 2011. Preventing stress in  organizations: how to develop positive managers. New York: John Wiley and Sons. Fried, R., 2008. Stress management for success in the workplace. Washington: Lulu.com. Griffin, R. Moorehead, G., 2011. Organizational behavior: managing people  and organizations. Mason, OH: South-Western Cengage Learning. Jex, S. Britt, T., 2008. Organizational theory; a scientist-practitioner approach. Hoboken, N.J: John Wiley and Sons. Kaila, H., 2005. Human resource management. Delhi: Kalpaz Publications. Leka, S., Griffiths, A. Cox, T., 2003. Work organization and stress. United Kingdom: Institute of Work, Health and Organization. Palmer, S. Cooper, C., 2010. How to deal with stress. London: Kogan Page. Parker, H., 2007. Stress management. Chandni Chowk, Delhi: Global Media. Ron, B., 2004. Workplace stress sucks $ 300 billion annually from corporate  profits. New York: Technology Marketing Corporation. Spiers, C., 2003. Tolleys managing stress in the workplace. Chicago: Taylor Francis. Weinberg, A., Sutherland, V. Cooper, C., 2010. Organizational stress  management; a strategic approach. New York: Palgrave Macmillan. Werner, J. DeSimone, R., 2009. Human resource development. Mason, OH: South-Western Cengage Learning.

buy custom Twin Falls Community Hospital essay

buy custom Twin Falls Community Hospital essay This is a risk analysis of the project by ambulatory surgery center. The purpose of the analysis is to predict the outcome of the project. This will be done by calculating the payback, net present value and internal rate of return of the project. The cash flows for year four and five are shown in the table below. YEAR 4 YEAR 5 Land opportunity cost ($500,000) Building/equipment cost (10,000,000) Net revenues 5,463,635 5,627,544.05 Less: Labor costs 874,181.60 900,407.05 Utilities costs 54,636.35 56,275.44 Supplies 2,185,454 2,251,017.62 Incremental overhead 39,337.76 40,517.89 Net income 2,310,025.29 2,379,326.05 /tr> Plus: Net land salvage value Plus: Net building/equipment salvage value Net cash flow 2,310,025.29 2,379,326.05 The Net Present value of the project NPV= Cash outflow + Cash inflow/ (1+r) Year 1= $2,114,000/1+0.1=1,921,818.18 Year2= $2,177,420/ (1+0.1) ^2=1,799,520.66 Year3=$2,242,743/ (1+0.1) ^3=1,685,006.01 Year4=2,310,025.29/ (1+0.1) ^4=1,577,778.16 Year5=2,379,326.05/ (1+0.1) ^5=1,477,374.28 Total=8,461,497.29 Net Present Value= 15,500,000 - 8,461,497.29=7,038,502.71 The Internal Rate of Return of the project -15,500,000+1,921,818.18/ (1+R) + 1,799,520.66/ (1+R) ^2+1,685,006.01/ (1+R) ^3+1,577,778.16/ (1+R) ^4+1,477,374.28/(1+R)^5=0 IRR= 10% The payback of the project. If the cash flow remains constantly progressive every year, the anticipated payback would be seven years. Overhead costs. The overhead costs, are expenses that a business incurs in the day to day activities. The above cash flow analysis is not of an existent business but rather an analysis of whether the proposed project would be profitable if it was actually established. This being the case, the $10,000 overhead costs cannot be added to this cash flow. Handling of cannibalization. One should first gather backdated cash flow statements of the inpatient surgery unit prior to the opening of the outpatient surgery unit to current cash flow statements of the inpatient surgery unit, which should be compared to the outpatient cash flows (analysis) statements so as to identify the rate of declining inflows in the internal surgery unit to the rise of inflows in the outpatient surgery unit. This will also enable comparison of other details such as the price difference in services offered by the two units in relation to the inflow rates. Such details can enable the analyst to find a solution and recommend appropriate changes in the inpatient surgery ward e.g. reset prices of service, opening hours etc. This would change the handling of cannibalization since one would have to carry out a scenario analysis of a third surgical unit which would trigger a change in all current statements in the inpatient and outpatient cash flow statements as well. Scenario analysis. Scenario=250 DAYS (YEAR)*(1000)* The expected scenario of the project is: 250 DAYS (YEAR)*(1000*20) Salvage price= 5 million at 70% rate an average net income of $5,000,000 per day. NPV= 7,941,176.47 The best case scenario of the project is: 250 days (year) * (1000*25) Salvage price= 7million at 15% rate and average net income of $6,250,000 per day. NPV= 12,434,782.61 The worst case scenario of the project is: 250 DAYS (YEAR)*(1000*15) Salvage price= 3 million at 15% rate and average net income of $3,750,000 per day. NPV= 6,260,869.56 The worst case value helps in assessing the hospitals ability to bear the risk of this investment since; one is able to compare it with the capital and general financial health of the entire project. The new NPV of the project after a three percentage point risk adjustment would be: NPV (3%RISK) =7,038,502.71 * 0.03 NPV=211,155.08 Recommendation The hospital should consider maximizing the inpatient surgery ward first and if the need arises, they should go ahead with the out patient unit but look for better prices of machinery or explore other sources of machinery like leasing. Buy custom Twin Falls Community Hospital essay

Social networks and the internet shrink our understanding of the Essay

Social networks and the internet shrink our understanding of the world. Argue your position on this statement - Essay Example One of the first people who recognized the value of the global connection was Marshall McLuhan, however, he is considered to be the successor of Nicolas Tesla. The last described the world in which we live today precisely- our devices that are portable and with the help of which we not only hear people but can see them any time on any distance (McLuhan 2011).McLuhan predicted that the world will transform into a Global Village in the beginning of the 20th century. The author was speaking about radio but now the term is logically applicable to World Wide Web as it helped to forget about physical distance, time obstacles, and social prejudices. Media has become a nervous system of the planet which has integrated the world really fast. With a click of a mouse a person can find a community of people with similar interests and tastes and join it. Moreover, any event can be broadcast online to the real public. That is why it is possible to talk about world community that reminds Global Vil lage where everyone knows each other. Eventually, such changes can lead to creation of new phenomenon in sociology and culture as the density of the contacts also increases (McLuhan, 1987). World Wide Web has substantially increased the speed of news spread globally: any event in one part of the world becomes known to the Internet users in a second. However, this global involvement into world problems has also increased the responsibility. According to McLuhan, the enhanced "electric speed in bringing all social and political functions together in a sudden implosion has heightened human awareness of responsibility to an intense degree"Â  (McLuhan, 1964). Another discovery of McLuhan was the fact the type of media influences the information and becomes a message itself. So Internet can be regarded as a message as it changes completely the way people understand and perceive things, and the main issue of this message is its speed (McLuhan, 1962). So

HRM case study Example | Topics and Well Written Essays - 250 words

HRM - Case Study Example addition to the communication techniques, a comprehensive HR plan for a proposed M & A strategy should include human resource counseling, establishment and reorganization processes. It may have some financial implications upon the senior management, but it greatly enhances the chances of successful merger and acquisition. To address the consequences, the HR professionals should make the plan and estimate the cost of implementation of these processes and gain senior management’s consent for its approval. 3. To predict and minimize the potentially adverse outcomes, AOL and Netscape should have paid due consideration towards the cultural implications before and after the merger. Before the merger, AOL should have conveyed the possible changes in the nature of work after merger to the workforce. Most likely, the workers would have revealed that the step is not worth taking until AOL brings a major change in its workforce to suit the needs of merger. After the merger, AOL had two options; either to recruit such employees that could also sell high-end wines in addition to the beer, or revert to the old business and retreat from the

Meta-Investigation on The Michael Brown Case Essay Example for Free

Meta-Investigation on The Michael Brown Case Essay Block A. A. Terms problem- The teams are not communicating primarily caused by the J. Edgar Hoover Model, page 37, Detective Terms. [This model does not require identifying the investigative building blocks or rules of investigations and assumes that everyone on the team will know them. It can be argued that this is the main cause of most problems in building cases. Further evidence for this lack of communication was the failure to manage the body(Physical Evidence#5) in a timely manner(Block A-Rules of Investigations) No one in the investigation has really known who has jurisdiction over this case. It went from city to county and then state and no one actually preceded to be the 1st in line of action to step up and say, â€Å"Hey, we have it.† One of the influencers in this case was Al Sharpton, basically bringing in the Feds and making it a civil case of racism. The population of Ferguson is 67% black, which has served as a big influence on this case. Case Label Block 1 There are no actual charges yet for this case, because they are still investigating this case in Ferguson, Missouri. The officer had reasonable doubt to ask Michael Brown to get off the road and to get onto the sidewalk. He had the law on his side if he would have frisked the two young guys and possibly arrest one or both of them. The media and Al Sharpton and other Elites are trying to make this out to be a civil case. It almost seems as if Michael basically committed Copicide. The rule of discretion was followed, it seems. The officer followed through at his own discretion instead of calling for backup. Verbal Evidence Block 2 Michael Brown had no most-serious felony convictions or pending cases. Dorian Johnson, witness to Michael Brown getting shot, has been accused of lying in the past upon several occasions. This makes him to be a bad witness for this case, good for the officer’s case though.

Age of Reason Essay -- Enlightenment

An Age of Reason â€Å"Those who can make you believe absurdities can make you commit atrocities.† This brief quotation was spoken by the famous writer and philosopher Voltaire; I believe it vaguely points out that some people are full of absurd ideas, and for others to follow such nonsense is foolish. The quote is just a taste of Voltaire’s wisdom and knowledge of the world, during the Age of Reason. The Age of Reason or The Enlightenment is defined as a change in not just a way of thinking, but an establishment of values and rational actions. â€Å"Based on Immanuel Kant’s essay â€Å"What is Enlightenment?† it is the freedom to use one's own intelligence (Strathern 63). Enlightenment thinkers believed in the powers of humankind and saw themselves as part of a revolutionary development in history that would replace superstition and tired rituals and corrupt traditions with reason and productive energy. However, intelligence and freedom two words that express what I bel ieve to be the main ideas of the Enlightenment and such ideas were recognized through two significant people Voltaire and Jefferson. To begin, the first figure of the Enlightenment would be Francois Marie Arouet aka: Voltaire. He was born in Paris, and he was known as one of the greatest writers and philosophers for the French. However, the French during his time period did not wish it so, because Voltaire had a passion for philosophical rationalism and this passion was fueled after he was exiled from France and went to England. Previous the exile, he was also locked in the Bastille for insulting a French noble-man. Voltaire was a man of sharp wit and high valued opinions, because of this trait he often got into trouble. However, it was because of this trait and a p... ... was a complex movement, that is recognized in today’s world perspective as the source of our modern secular worldview; form our ideas of religious toleration, individual liberty and free speech to the practices of our representative government, and unregulated profitable development. Works Cited 1. Brians, Paul. The Enlightenment. Washington State University, 2000. Web. 2. Coates, Robert Eyler. Thomas Jefferson on Politics & Government. Jefferson Parish, LA: University of Virginia, 1995. Web. 3. Gray, John. Voltaire: The Great Philosophers. New York: Routledge, 1999. Print. 4. Strathern, Paul. Kant in 90 Minutes. Chicago: Ivan R. Dee, 1996. Print. 5. Staloff, Darren. Hamilton, Adams, Jefferson: The politics of the Enlightenment And The American Founding. New York: Hill and Wang. 2005. Print.

Dark Ages of Nursing Essay

During the late middle ages (1000-1500) because of crowding and poor sanitation in the monasteries nurses went into the community. During this era hospitals were built and the number of medical schools increase. Between 1500 and 1860 (A.D.) politics, the Renaissance all affected nursing. As nursing was not valued as an intellectual endeavour it lost much of its economic support and social status at the start of the Renaissance. The deterioration of Catholicism which had supported the monasteries, hospitals, and nursing was led to the climax of its decay by the Protestant Reformation. A widespread movement of suppression of monasteries occurred similar to that in England which was brought about by Henry (VIII) who had used the advantage of Protestantism to free himself from Papal authority. The King used his revolt of the church based on the Roman Catholic Church refusal to sanction his divorce. He destroyed over 600 monasteries during his Protestants revolt. The immediate result of t he monastic dissolution was the hospitals and inns were suddenly snatched away from a public dependent upon them for many centuries. Which caused the poor to be without any principle organized system of relief. An additional effect of the Reformation was the complete withdrawal of medicine from the monastery to the University. Thus medicine found a refuge that was denied to nursing. Medical advancement had been assured while the techniques of nursing remained unchanged in the guardianship of brothers, and nuns who continued practising nursing. The Protestants viewed the woman’s place as being in the home raising children. Industrial class women took in work or went out to work. As nursing was not considered acceptable even to the industrial classes nurses were usually immoral, drunken, illiterate, and/or prostitutes. Nurses were considered to be the lowest level of human society. A decline in the quality of public service for the sick was noticeable towards the end of the mid dle ages. It took about 200 years for the public to recognize the need to pay for quality nursing care to restart vocational desirability. The public first had to separate nursing from domestic service in which it had become deeply entangled. Mismanagement, inadequacy, suffering and deliberate exploitation made things worse. Civil appointees who were men undertook leadership and withheld authority from women – who then lost control over nursing. Matrons were put in charge of secular riff raff who were taken on as nurses. The word â€Å"Sister† was retained to please the public for amongst the rich and poor it had come to be associated with the sympathy and encouragement of the monastic nuns. The latter half of the period between 1500 to 1860 A.D. saw nursing conditions at their worst and has been called the dark period of nursing. New hospitals had been built but quickly became places of horror as unsanitary conditions caused them to be a source of epidemics and disease. Furthermore a taxation upon windows caused windows to be bricked up in places of the poor and hospitals thus removing natural lighting and fresh air thus creating further a situation which bred disease and epidemics. Seldom were opposite sexes and different disease separated. Often hospital beds were shared. Nurses when off duty slept within hearing range of their patients and were still on call. Crowding of wards often made them impossible to clean. Because of the high demands placed upon nursing staff nursing procedures which were limited and simple became even more limited and simple. Cleansing of patients was no longer attempted. Only the usual nursing treatments such as bleeding and purging were ordered. Because of the hard work, long hours, poor pay, and poor food respectable women were not expected to do nursing. The majority of the work consisted of housework, scrubbing and laundry which had hours which varied between 12 to sometimes 48 hours. Character nor training was a consideration in nursing. In 1545 the council of Trent decreed that every community of women should live in strict enclosure. It took over 200 years of resistance for women to overcome this decree. The nursing sisters of France made little or no resistance such that their professional standards deteriorated. During the Renaissance (1500-1850 A.D.) the interests in the arts and sciences increased such that there were many developments in the technologies for and care of the sick. Transition from health care by religious orders where nursing was practised were replaced by hospitals where conditions were dependent upon the economic support of the people requiring care. Even though there were significant advancements in science because nursing was still seen as something that should only be done by those who could not find another way in which to make money the nursing profession did not advance. The dark ages of nursing lasted for three centuries until the mid 2800’s when Florence Nightingale brought about a change. Even though the advancement of medicine did not affect nursing during the Renaissance – in the late 1500’s several groups began nursing during the Renaissance – in the late 1500’s several groups began nursing and tending the sick, poor, and dying. Amongst these groups were St. Francis de Sales, the Order of the Visitation of Mary, St. Vincent DePaul, the Sisters of Charity, Dames de Chari te’, Louise le Gras, Brothers Hospitallers of St. John, Albuquerque, Order of St. Augustine, St. Camillas De Lellis, Jeanne Biscot, and the Nursing Sisters of St. Joseph de La Fleche. Many of these people came from rich and influential families. Thus setting the trend for their peers to become involved in charitable nursing and institutions of nursing. When such institutions of charitable nursing were shown to do well the ruling classes and churches would begin supporting these economically. The views of the well to do upon the nursing care of the sick, mentally ill, elderly, dying and indigent had a strong influence upon the presence and quality or lack of nursing care available during the Medieval Times through the Renaissance.

How far is “The Strange Case of Dr. Jekyll and Mr. Hyde” by Robert Louis Stevenson just a horror story? Essay

The story was written by Robert Louis Stevenson and was first published in 1886. The story originated from a dream he had and upon wakening, immediately wrote it down. The story is set in Victorian London and the focus of the tale is whether evil is more powerful than good. The Victorians were obsessed with the supernatural and light triumphant over dark, good over evil. The main character is a doctor of science whose experiments are dangerous and who tampers with human life. Otherwise he leads a normal life and has friends and other acquaintances. Those nearest to him however suspect an evil deed including murder and are afraid he is involved. The truths are revealed at the end of the story. The story starts with ordinary Victorian life, of two businessmen out for a walk having a conversation. From normal everyday living the story leads into murders and then finally the death of Dr. Jekyll. The story slowly builds a picture of their lives and their doubts as the story progresses about something evil at work. No one can understand what is happening and why there is a connection between Dr. Jekyll and Mr. Hyde until Dr. Jekyll reveals the true story at the end of the book to Dr. Lanyon. Mr. Hyde was difficult to describe, Mr. Enfield describes him as `deformed and extraordinary looking, but cannot be described`. After the death of Sir Danvers Carew, the maid said he `was particularly small and wicked looking`. This crime of murder was described `with singular ferocity` – Carew was clubbed by a cane and then trampled underfoot by Mr. Hyde under which his victim’s bones were shattered. The victim still kept his purse and gold watch suggesting he was not murdered for money. Robert Louis Stevenson said that Mr. Hyde was `deformed and extraordinary looking, but cannot be described`. Extraordinary means going beyond what is usual, regular, or customary; specifically : of, relating to, or having the nature of a proceeding or action not normally required by law or not prescribed for the regular administration of law -compare ORDINARY of or relating to a financial transaction that is not expected to be repeated. The word `deformed` is to spoil the natural form of; misshape: a body that had been deformed by disease or to spoil the beauty or appearance of; disfigure. Describe means to give an account of in speech or writing or to convey an idea or impression of; characterize: She described her childhood as a time of wonder and discovery. So even though Mr. Hyde is being described as deformed and extraordinary he is still indescribable. When you describe something, you use a lot of words and sentences to express it. But the only description of Mr. Hyde using two words; deformed and extraordinary. Later on in the novel, Mr Hyde was then described as `particularly small and wicked looking` by the maid. She is still describing him, but completely different type of description as Mr. Enfield. I say this because `deformed and extraordinary looking, but cannot be described` can mean many things, it is not making a direct insult to Mr. Hyde. You can interpret and define that description as many deferent things. However the maid’s description of him was `particularly small and wicked looking` which is very specific and rude. I say this because if you are quite a small person you would be described as small and if you were a wicked person you would be described as wicked. So the maid has chosen meaningful and specific words to describe Mr. Hyde. She also says that he is `wicked looking` which might mean that he is not wicked to her knowledge but he looks like a wicked person; she is judging him before she had met him. Slightly before that Mr. Utterson said `Is this Mr. Hyde a person of small stature`. This whole sentence is taking about Mr. Hyde’s height. I say this because stature means the natural height of a human or animal in an upright position and Mr. Hyde is called a small stature. Many times in the novel people have talked about Mr. Hyde’s height, this is because Mr. Hyde is Dr, Jekyll’s evil side. Dr. Jekyll has never exposed his evil side before. So it’s like a person the same age as Dr. Jekyll but has not had long to develop a normal body. Mr. Hyde after a long time would eventually be a normal figure once again if he was exposed to life for a longer time. The word stature can also mean an achieved level; status. This could be implying that Mr. Hyde’s achieved level is small or nothing which would no be not standard level of anyone else. So if Mr. Hyde’s achieved level is low or small that means that Dr. Jekyll’s achieved level would be t he complete opposite and at a above average level. The description from the crime scene after the murder of Sir Danvers Carew was described `with singular ferocity`. This means that the crime is one of a one person attack that was ferocious. Singular is being only one; individual or being the only one of a kind and Mr. Hyde was. The word ferocity immediately sounds like fear or fierce, it means the state or quality of being ferocious; fierceness. In just two words the whole scene becomes clear who did it and how it was done. Meanwhile Dr. Jekyll is looking incredibly unwell and fearful. He is acting strangely and appears to know more about Mr. Hyde but is not revealing too much about him. Mr. Utterson walks past Dr. Jekyll’s house and Dr. Jekyll looks out of the window saying he feels low and then disappears with a look of terror and despair. Mr. Poole, Dr. Jekyll’s servant visits Mr. Utterson to tell him of the strange happenings in the house, his master’s disappearance and hearing him cry day and night. Before Dr. Lanyon died, Mr. Hyde visited him and drank a mixture of tincture and powders. Dr. Lanyon was disbelieving and wanted to see what would happen. Dr. Lanyon was in deep shock seeing Mr. Hyde transform into Dr. Jekyll and was sickened. He could not sleep and `the deadliest terror sits by him day and night`. He felt that he would defiantly die. In chapter five Mr. Utterson asked Dr. Jekyll for the letter that Sir Danvers Carew had wrote and Dr Jekyll simply said `I burned it, before I thought what I was about. But it bore no postmark. The note was handed in`. This means that because the envelope did not have a stamp on it Dr Jekyll immediately destroyed a very important letter from Sir Danvers Carew. This is saying that Dr. Jekyll is a much of an organised and very hard to fool type of person and something as simple a no stamp on a letter leads the reason to the death of Sir Danvers Carew a more of a mystery than if the letter was read. Mr Utterson is also very clever and quite like Dr. Jekyll in that trying to fool him is an impossible task. A conversion, for example about two similar letters is spotted by Mr. Utterson, `And by all accounts a very odd writer. Is that from Dr. Jekyll, sir? I thought I knew the writing, anything private, Mr. Utterson? It is only an invitation to dinner, why, do you want to see it? One moment, thank you, sir; it’s a very interesting autograph. Why did you compare them, Guest? Well, sir, there’s a rather singular resemblance; the two hands are in many points identical: only differently sloped`. This is saying that the two styles of handwriting are the same but from completely different people. Mr Utterson being no fool listened to the clerk who was telling him about the two different styles of writing and took it into account. Dr. Jekyll soon becomes depressed and losses the confidence in himself. I say this because Dr. Jekyll said `I am very low, Utterson, very low. It will not last long, thank God`. Dr. Jekyll knows that the fresh air will do him some good but prefers to lie down indoors. If someone else was ill, like Mr. Utterson, Dr. Jekyll would be saying the same thing that Mr. Utterson was telling Dr. Jekyll. It is interesting the way Dr. Jekyll uses the word `low` rather than ill or sick. The word `low` means to let, bring, or move down to a lower level or to reduce in value, degree, or quality or to weaken; undermine: lower one’s energy or to reduce in standing or respect. Leading up to chapter eight is a strange unfolding of a monster that has murdered and disappears, no one knows much of him but he is someone connected to Dr. Jekyll. All the characters understand something evil is taking place but they cannot or do not want to connect the evil of Mr. Hyde and Dr. Jekyll. It is not until chapter eight that Dr. Jekyll has to reveal the true horror story. Mr. Utterson does not suspect any foul play but when Mr. Poole tells him because he has noticed some foul play, Mr. Utterson is slightly alarmed. `I think there’s been foul play`. Then Mr. Utterson replies with `Foul play`! What foul play? What does the man mean`? Then Mr. Poole says `I daren’t say, sir but will you come along with me and see for yourself`. The idea of a scientist experimenting with such dangerous drugs is bizarre. In the modern day century drugs would not be used on humans unless they had undergone vigorous testing. Who would endanger life in the 19th century by using such experiments? Over a hundred years ago illness and death would occur by taking untested drugs. London is described in Victorian horror stories as nearly always fog bound, which it was through pollution. Sinister blocks of buildings, black winter mornings, London hummed solemnly, all descriptions of poorly hit London, which was very creepy and spooky. Dr. Jekyll and Mr. Hyde is not a terrifying horror story but merely stating the facts of a scientist’s experiment that becomes dangerous. Until the killing of Sir Danvers, Mr. Hyde was just described as many evil things by the way he looked and behaved, not by his actions as no one had proof he was evil. The morality of the tale is that the Victorian’s belief of good and evil does not always triumph and that practising un-harmful scientific experiments can result in playing God and are best left alone. Dr. Jekyll was forced to lead a double life hiding himself away with his experiments as he would not have been accepted in Victorian society as a scientist with such evil ideas.

jakia business class Essays (588 words) - Pat, Free Essays

jakia business class Essays (588 words) - Pat, Free Essays Jakia Brown Bus 3100 Dr. April Anderson 17 March 2018 Exercise 7-6 Since Jackson has still not complied, it is most likely very frustrated at this situation. Ted not complying is interfering with work schedule and ability to focus on certain provided or assigned tasks. I would follow up with one last email before trying something else. I would watch my tone, because it may become harsh the more frustrated I become, specifically tell Jackson what it is the organization need for him to do. I should follow up with a final or reminder email to Jackson before further actions are taken. I would make sure to have an affirmative yet friendly tone or action in this last email. It is important to specifically tell Jackson what it is I expect or want from him or what I need him to do. I would Make the email clear and transparent and make sure to aim on one main issue at a time. I'd end by explaining why I'm making this request and asking for a response by a certain date. End off the email asking for specific act ion and a deadline to respond to this email. Exercise 7-7 When your company is at fault, always apologize. There are six steps to creating a message. The first step is acknowledging the complaint, and then sympathizing with the customer. After these two steps comes, taking personal responsibility for the incident and your plan for resolution. Finally repairing the relationship and following up to ensure the response was handled correctly. The best thing to do I think is admitting responsibility and maybe doing something to help them get new potential clients to replace the one they lost. If it is your fault the best thing to do to save the relationship is to own up to it and try to smooth things over. Exercise 7-8 I w ould write the letter but be real and truthful. I would say that I haven't worked with them in years, but I remember them being a pleasure to work with. It would be the honest and it might be helpful for the ex-employee. I would handle the situation by looking up the employee's old file and seeing if they had any awards or recommendations in their file. I w ould know the employee was good , but maybe I made a note of it , and that could help me remember the employee better and more of what they did for me that I w as most impressed with. If that did not work, I would try honesty. I would admit that I can't remember any specific details about the job that this employee preformed , but what I can do is give a detailed list of what the employee had to do , and I recall th ey did an admirable job each day they worked for me . I would also apologize to the person reading it and say that this employee worked for me many years ago and I am having trouble remembering details, but I know that the company would not be sorry for hiring this employee and that this employee was one of the best investments that that company ever made. This would be the best thing that I could do given the lack of information or data in remembering the employee. It would be hopeful that I could give a brighten recommendation letter to the best of my ability.

DOWN SYNDROME Essays - Chromosomal Abnormalities, Cytogenetics

DOWN SYNDROME Essays - Chromosomal Abnormalities, Cytogenetics DOWN SYNDROME By; Theodore Kirk INTRODUCTION In every cell in the human body there is a nucleus, where genetic material is stored in genes. Genes carry the codes responsible for all our inherited traits and are grouped along rod-like structures called chromosomes. Typically, the nucleus of each cell contains 23 pairs of chromosomes, half of which are inherited from each parent. Down syndrome occurs when an individual has a full or partial extra copy of chromosome 21. The cause of the extra full or partial chromosome is still unknown. Maternal age is the only factor that has been linked to an increased chance of having a baby with Down syndrome resulting from nondisjunction or mosaicism. However, due to higher birth rates in younger, 80% of children with Down syndrome are born to women under 35 years of age. In my research paper I will be taking a closer look at the genetic disorders cause and effect. What is Down syndrome? Overview Down syndrome is a chromosomal condition that is associated with intellectual disability, a characteristic facial appearance, and weak muscle tone in infancy. All affected individuals experience cognitive delays, but the intellectual disability is usually mild to moderate. Case in point: I had a set of fraternal twins (boy/girl), and my son was Down syndrome and so this is why this subject is of great importance to me. Babies that are born with this genetic disorder may have a variety of birth defects. About half of all affected children are born with heart defect. Such as the case with my son, he was born with two holds in his heart and also suffered with digest abnormalities. Children with Down syndrome have increased risk of developing several medical conditions. These include gastro esophageal reflux, which is a backflow of acidic stomach contents into the esophagus, and celiac disease, which is an intolerance of a wheat protein called gluten. About 15% of children with Down syndrome have an underactive thyroid gland. The thyroid gland is a butterfly-shaped organ in the lower neck that produces hormones. Individuals with Down syndrome also have an increased risk of hearing and vision problems. Additionally, a small percentage of children with Down syndrome develop cancer of blood-forming cells (leukemia). Delayed development and behavioral problems are often reported in children with Down syndrome. Affected individuals speech and language develop later and more slowly than in children without Down syndrome, and affected individual speech may be more difficult to understand. Behavioral issues can include attention problems, obsessive/compulsive behavior, and stubbornness or tantrums. A small percentage of people with Down syndrome are also diagnosed with developmental conditions called autism spectrum disorders, which affect communication and social interaction. People with Down syndrome often experience a gradual decline in thinking ability (cognition) as they age, usually starting around age 50. Down syndrome is also associated with an increase risk of developing Alzheimer disease, a brain disorder that result in a gradual loss of memory, judgment, and ability to function. Cause for Down syndrome In 1959, the French physician Jerome Jejune identified Down syndrome as a chromosomal condition. Instead of the usual 46 chromosomes present in each cell, Lejeune observed 47 in the cells of individuals with Down syndrome. It was later determined that an extra partial or whole copy of chromosome 21 resulted in the characteristics associated with Down syndrome. In the year 2000, an international team of scientists successfully identified and catalogued each of the approximately 329 genes on chromosome 21. This accomplishment opened the door to great advances in Down syndrome research. There are three types of Down syndrome: trisomy 21 (nondisjunction), translocation and mosaicism. My research focus will be on trisomy 21, because this one was my sons condition and it accounts for 95% of cases. TRISOMY 21 (NONDISJUNCTION) Down syndrome is usually caused by an error in cell division called nondisjunction. Nondisjunction results in early embryo with three copies of chromosome 21 instead of the usual two. Prior to or at conception, a pair of 21st chromosomes in either the sperm or egg fails to separate. As the embryo develops, the extra chromosome is replicated in every cell of the body. DOWN SYNDROME DIAGNOSED There are two categories of tests for Down syndrome that can be performed before a baby is born: screening tests and diagnostic tests.

Rapid Response to Deteriorating Adult Patient Essay

Rapid Response to Deteriorating Adult Patient - Essay Example From this essay it is clear that  the development of a comprehensive program for the identification and detection of primary causal and contributory factors for the observed adult patient deterioration is imperative for the reduction of mortality rates associated with deterioration of acutely unwell patients. Although studies indicate the occurrence of patient deterioration at any duration of patient illness, identification of pathophysiological factors related to patient deterioration and subsequently mitigation measures may prevent the culmination of patient state to death.  Ã‚  This study outlines that the fundamental remedial measures for the deterioration of adult patients should be focused on the development,assessment, and implementation of effective medical care and practices that would offer optimal care to acutely unwell patients. This present essay is aimed at the identification, development and improvement of health care delivery to acutely unwell patients to prevent the occurrence of patient's health deteriorates through implementation of a rapid response deterioration adult patient program.  Deterioration of adult patients has been associated with the occurrence of physiological abnormalities in patients that are recognizable by medical professionals. Deterioration of adult patients has often been preceded with observable pathophysiological factors which could range from changes in patient vital signs, deterioration of consciousness and oxygenation in the case of patients suffering from cardiorespiratory arrest.

Global Economic Environment and Marketing Essay - 2

Global Economic Environment and Marketing - Essay Example The changes that have taken place in the world economy have led to the replacement of the traditional trade methods by capital movements. It can be observed that the global economy has given the local economies only a subordinate role in the market operations (Kotler et al., 2012). Economic systems have changed from what was traditionally known to new systems, which have taken into consideration the areas that are affected by globalization. The areas considered in modern economic systems include governance in various countries operating in the global market, capital and trade flows, hierarchy of command in terms of transport and communication, services funded through taxes and many others (Masterton &Pickton, 2004).The field of marketing in the global economy has experienced dynamic changes as well. Therefore, companies operating in the global economy should put into consideration these aspects and employ changes that fit the requirement of marketing in the modem global economy. The report will focus on McDonald, which is a multinational corporation operating in the fast food industry and supplying millions of customers across the world. (Solomon, 2009). The Macdonald Company has established its branches in almost all countries of the world. In this regard, the company experiences varied economic challenges and opportunities in different countries. With the current world economic state, the developing countries are struggling to better their economic status (Drummond et al., 2003).. In this case, the McDonald company experiences reduced economic gains in the developing countries compared to the developed nations. Another challenge that faces MacDonald Company in the global economy is the stiff competition in the developed economies. In this regard, it can be witnessed that operating in the international markets requires outstanding skills and knowledge since it involves dealing with high-level risk. Essentially, operating in a