Thursday, February 28, 2019

Planning Strategies Essay

Planning is the most basic managerial function. It helps managers strike opportunities, anticipate problems, and develop appropriate strategies and tactics. If done properly, provision identifies threats and opportunities, facilitates entrepreneurship and innovations, and fosters learning. Objectives help you carry through our goal, establishing an overall schema or achieving those goals, developing a comprehension power structure of plans to integrate and coordinate activities. strategical supplying focuses on the development of an schemes explosive charge and vision, goals, general strategies, and major resource allocations. tactical planning focuses on the shorter term detailed decisions regarding what to do, who will do it and how to do it. Tactical planning specifies the actions for implementing strategical plans.Organizational diversification strategies on planningThe capital organization level diversification strategies vary from single business strategy to dominant business strategy, related business strategy, and un-related business strategy. The complexity of strategic planning increases as an organization becomes more unrelated in hurt of the range of differences in goods and services the firm provides and the differences in the markets it serves.Levels of strategy and planningCorporate level strategy focuses on the activities of various businesses (or product lines) inwardly a parent organization. Business level strategy focuses on the operations and performance of a single business firm or strategic business unit. Functional level strategy focuses on the actions for managing each narrow down area. It specifies how each function will contribute to the organizations business level strategies and goals.Strategic Business Level PlanningPlanning Process-1. Develop the organizations vision, mission and goals2. Diagnose opportunities and threats3. Diagnose strengths and weaknesses4. Develop strategies5. localize strategic plan6. Prepare tacti cal plans7. Control and diagnose the results of both strategic and tactical plans8. cut across planning process

Samsung vs. Apple: New Foundation and Platform

This paper is based on the article entitle Samsung vs Apple, The Battle for Design Dominance written by Haydn Shaughnessy and retrieved from www. forbes. com. The article is or so Samsung vs Apple executing a new foundation and platform for affair dodge. This is a key change in the course organisation strategy of the parcel organization. This material is very important and relevant to the course content of business strategy because of the following reasons ? It talks around business strategy of angiotensin converting enzyme of the leading cell phone organization in the country and how it is changing its business strategy to adapt to the changing environment. It helps us understand the impressiveness of change in business strategy with changing times. ?It talks about computation and new business strategy which includes Social strategy, platform strategy and grouping adjacencies. This helps us understand the change a new business strategy transmits in any organization. The re are also many an(prenominal) practical managerial implications of this material It talks about the tender media strategy of Samsung battle with Apple and how their new design studio has the ability to bring software and hardware together in a new way.It gives us an idea about how important it is to get the demographics write on the social media and adapt or strategy accordingly. Secondly the article also helps us understand the importance of Samsung and platform in a banking organization advertize emphasizing on good quality software. Thirdly, it stresses on the importance of radical changes in operations to adapt to the changing markets, which can be the solo survival strategy. ARTICLE RETRIVED FROM http//www. forbes. com/sites/haydnshaughnessy/2013/03/17/samsung-vs-apple-when-design-thinking-came-to-town/2/ /

Wednesday, February 27, 2019

Martin Luther King, Jr.: An Unfulfilled Dream Essay

Martin Luther baron, younger was an the Statesn clergy musical composition and Nobel Prize winner. He was one and only(a) of the principal attracters of the the Statesn civil rights movement and an commend of unbloody avow. His ch altogetherenges to segregation and racial discrimination in the 1950s and sixties convinced many snow-clad Americans to support the ca intention of civil rights in the United States. After his assassination in 1968, Martin Luther queer, Jr. became a image of protest in the struggle for racial justice. Martin Luther ability, Jr. was born on January 15, 1929 ability in capital of Georgia, Georgia to the Rev. Martin Luther faggot, Sr. and Alberta Williams ability.His first name was listed on his birth records as Michael instead of Martin. App atomic number 18ntly, their family doctor thought that his fathers name was Michael who was known as Mike throughout his childhood. afterwards on his first name was changed to Martin. King attended elementa ry and spunky discipline at local segregated public schools, where he excel conduct. He entered college at nearby to a greater extenthouse College at age 15 and in 1948 graduated with a bachelors degree in sociology. He was ordained as Baptist minister at the age of 18. He graduated with honors from Crozer Theological Seminary in Pennsylvania in 1951.King as well went to Boston University where he pull in a doctoral degree in systematic theology in 1955. Kings public-speaking abilities developed slowly during his collegiate course of studys. While in Morehouse College he won a second-place prize in a quarrel contest although he received Cs in 2 public-speaking courses in his first year at Crozer. However, by the end of his third year at Crozer, professors were praising King for the powerful impression he make in public speeches and discussions. Later on, Kings public-speaking abilities became renowned during his occasion in the civil rights movement. Martin Luther King, Jr . was exposed to influences that related Christian theology to the struggles of beated passels during his upbringing. His studies of the teachings of Indian hauler Mohandas Gandhi influenced his attitude on nonviolent protests. He was also influenced by the sermons of neat Protestant ministers who preached against American racism. A truly important person who shaped Kings theological development was Benjamin E. Mays who was the president of Morehouse College and who was also a leader in the field conjunction of raci entirelyy liberal clergymen.While studying in Boston University, King met Coretta Scott who was a music student and native of Alabama. The two were married in 1953 and eventually would conduct four children. King pass judgment his first pastorate at the Dexter Avenue Baptist Church in Montgomery, Alabama in 1954. This church has a well-educated congregation and had deep been led by a minister who had protested against segregation. In 1955, while King was servi ng as a pastor in Montgomery, Alabama, the black community has a broad-standing grievances about their maltreatment in city buses. The blacks are a great deal bullied and only allowed to sit at the back portion of the bus.In celestial latitude 1, 1955, Rosa Parks, a leading member of the National Association for the progress of Colored People (NAACP) was arrested because of her refusal to give up her seat for a white passenger. This event led to the formation of Montgomery Improvement Association (MIA) where King was chosen to be the president. Their association come ined the bus boycott in Montgomery that lasted for more than a year. In February 1956, they filed a lawsuit in federal court seeking an injunction against Montgomerys segregated seating practices. The federal court ordered the citys buses to be desegregated.The city government appealed the ruling to the United States Supreme Court and by the time the Supreme Court upheld the lower court decision in November 1956, K ing was already a national figure. He wrote a account of the bus boycott entitled Stride Toward Freedom in 1958. His story provided a thoughtful account of that experience and further extended Kings national influence. The southerly Christian Leadership Conference (SCLC) was founded with his overhaul in 1957. The SCLC is an organization of black churches and ministers that aimed to challenge racial segregation.King became the SCLCs president and with some early(a) SCLC leaders encouraged the use of nonviolent direct perform to protest discrimination and segregation. Their activities included demonstrations, boycotts and marches. These activities provoked violent responses from many whites that eventually forced the federal government to confront the issues of racism and injustices in the South. King made alliances in the north and in 1960 went back to Atlanta and became a co-pastor to his father at the Ebenezer Baptist Church. King led SCLC in a series of protest campaigns i n the early 1960s that gained national attention.In 1961, the first campaign was held in Albany, Georgia. SCLC joined their local demonstrations against segregated restaurants, hotels, transit, and housing. However, this protest was not successful. In 1963, the SCLC joined a local protest in Birmingham, Alabama. Teenagers and school children were encouraged to join. The chief of police, Eugene Connor, was angered and sent police officers with rape dogs and ordered firefighters to aim high-pressure water hoses against the marchers. The police attack on young protesters were shown in newspapers and on televisions around the world.King was arrested and sent to cast out for creating disorder in the city. . He wrote a letter Letter from Birmingham jug which argued that individuals had the moral right and responsibility to disobey unjust laws. His letter was widely read at the time and has added to Kings standing as a moral leader. Because of the violence in the Birmingham protest, it brought about a national reaction that built the support for the struggle for black civil rights. The protests forced white leaders to end some forms of segregation in Birmingham.More importantly, the demonstrations gave courage to many Americans to support national legislation against segregation. On exalted 28, 1963, King delivered his I Have a Dream speech which in part states I have a dream that one mean solar day this nation entrust rise up and live out the current meaning of its doctrine We hold these truths to be self-evident, that all men are created equal. I have a dream that my four little children go awaying one day live in a nation where they will not be judged by the color of their skin but by the content of their character. He delivered this speech during the 1963 March on Washington, a bulky protest in Washington, D. C. , for jobs and civil rights. The speech and the march created the governmental urge that solutioned in the Civil Rights Act of 1964. T his Act prohibited segregation in public accommodations, as well as discrimination in education and employment. King was awarded the 1964 Nobel Prize for peace because of his effectiveness as a leader of the American civil rights movement and his highly visible moral stance. In 1965, SCLC joined a voting-rights protest march from Selma, Alabama, to the state capital of Montgomery. in force(p) outside of Selma, police beat and tear-gassed the marchers. This day became known as bally(a) Sunday. The Selma march created support for the Voting Rights Act of 1965. This act suspended the use of literacy tests and other voter qualification tests that often had been used to prevent blacks from registering to vote. professorship Lyndon Johnson signed the Voting Rights Act into law in August 1965. Later amendments to the act were banned. In 1968, King went to Memphis, Tennessee, to support striking black drool workers. On April 4, a sniper in Memphis assassinated him.News of Kings assassina tion resulted to shock and anger throughout the nation and the world. In 1969, an fly white convict named James Earl Ray pleaded guilty to the murder of King. He was sentenced to 99 years in prison. Martin Luther Kings dream was to have equality and justice for all in particular the black people. Segregation and racial discrimination are the things that he fought for. But what is racism or racial discrimination? Where did it stem from? What has caused it? racialism refers to a belief that advocates discriminating against people based on an ascribed race.It often includes the belief that people of a exceptional race has a particular aptitude and characteristics. Some people believed that races could be ranked or scaled. Others divide people into themes based mainly on skin color. racial discrimination is not the same as racial prejudice. Racism can also be referred to as a system of oppression. institutional racism is based on the notions that one race is superior to other race s. Organizations, institutions and other radicals that practice racism usually discriminate or marginalise a certain class of people who share a putting surface racial designation.The bulk or dominant assort in a society commonly applied racism because it is the group that has the means to oppress others. Majority groups usually constitute a higher proportion of a give universe of discourse. Minority group, on the other hand is a group of people who share a common cultural, racial, or religious backgrounds. They usually constitute a comparatively subaltern proportion of a given population. Most often, they have fewer rights and less power than majority groups. single of the reasons for having minority group in a particular society is immigration. base on history, racism has been an integral part of America. It started during the time of Americas colonization by the Europeans. During the colonization, African slaves and other Europeans (those who are serving obligate servit ude) both served the European colonizers. A few Africans were given freedom and add grant and became landowners. In 1676, Nathaniel Bacon led a revolt against the Governor of Virginia because of his evolution of poorer colonists. Bacon died and the revolt died with him. However, what concerned the Governor and the rich landowners was the multi-racial support of Bacons rebellion.This lead to decision the only African slaves will be used. Furthermore, anti- miscegenation laws were passed on so that intermarriages between European and other races were prevented. This change led to the long period of slavery in American society and the social breakage on color lines soon become ingrained in compound American close. On January 1, 1863, President Abraham Lincoln issued the Emancipation Proclamation that freed all slaves in the United States. Only slaveholding border states which is not settle down a part of the Union were exempted from this proclamation.Slavery was ended in the ful l-length United States by virtue of the declaration of the 13th Amendment on celestial latitude 18, 1865. However, discrimination against black and other minority groups continued. Proofs of discrimination are the human beings of Jim Crow laws, the enactment of Minimum wages, educational disparities and segregations in schools, and the widespread vile acts done by local and vigilante groups. The fight of Martin Luther King and his supporters, which has been mentioned in the early part of the research, led to the abolition of segregation and the granting of voting rights to black.However, Kings dream of equality and non-prejudice and justice for everyone has not been fulfilled stock-still. in that respect are restrained places in the United States where racial discrimination could still be observed. Hispanic people are of different racial and ethnic backgrounds. Latin Americans are often viewed as a monolithic group in the Anglo-American society. They are called Latinos and are portrayed as passionate or violent people. The inflow of Hispanic immigrants, whether legal or illegal, has elicited anti-Latino sentiments especially in areas that have traditionally has no or had a very few Hispanic residents.On the other hand, places like California and Southern Florida where Hispanic Americans have long been present, racial tensions between Hispanics and non-Hispanics are sometimes visible, more often when Hispanics gain economic and political clout. Due to the form of background of Hispanic people in the United States, racist policies also vary widely. The Treaty of Guadalupe Hidalgo granted American citizenship to Mexicans living in America after the Mexican War. The intermarriages of Anglo-Americans and Hispanics in the Southwest that produced mestizos are still socially excluded from whites of Northern European descent.Racism against Arab Americans is proportionately rising with the tensions between the American government and the Arab world. In 1973, week s after the 1973 Arab-Israeli war, an Ivy League graduating class wore Arab dresses in racist mockery. During the 1991 Gulf War and the Oklahoma City bombing and the capital of Iran embassy hostage crisis in 1979 racism against Arab Americans escalated. Discrimination and cultural violence against them deep increased after the September 11th terrorists attacks in the United States. In 2001, a Sikh man was killed in Phoenix, Arizona.It was a racially-motivated incident because the mans beard and turban was a reminder of Osama bin Laden. In Houston, Texas, an Indian American candidate for the Houston City Council lost to his opponent because of anti-Asian Indian campaign made by the supporter of his opponent. Although the allegation has been denied, the Indian American lost during the election. A few groups still openly advocate white supremacy in the United States. These groups include the Ku Klux Klan, the National Alliance, Aryan Nations, and some(prenominal) smaller groups like the White Order of Thule.A number of small white supremacist groups have recently been started as a reaction to the influx of Somali and Hmong immigrants particularly in the Midwest. Some of these groups target teens. Some put down companies are distributing openly racist songs in popular teen hangouts. The ever-changing racial make up of the United States population has caused the inclusion of other races in the equation. Presently, Latin Americans and Asian Americans are the fastest growing ethnic group in the United States. These groups have redefined the relationship between races.At least four states, namely, California, Texas, Hawaii and New Mexico including the District of Columbia are deemed to be majority minority states meaning whites are not the majority of the population. Several acts and proclamations have been enacted and declared by the former presidents of the United States to set aside racial segregation, discrimination and prejudice. It can be said that these act s and proclamations have coat the fashion for better lives and opportunities for non whites. America has come a long way from its slavery days during the colonial American era to the present.It can be said that a part of Kings dream, his dream for his children to be recognized not by the color of their skin but by the content of their characters, has been realized. This is shown in todays acceptance of the black population in the American society. African-Americans can be seen in the different sectors of the society. in that location are now black doctors, lawyers, teachers, engineers and politicians. They enjoy both economic and political clout. The use of the terms niggers or negroes are considered politically incorrect. They enjoy all the benefits that a white American enjoys.Yet, the other part of Kings dream has not been fulfilled, that is, his dream that one day this nation will rise up and live out the true meaning of its creed We hold these truths to be self-evident, that all men are created equal. America has yet to rise up and live out the meaning of its creed. Why has America not live up to its creed? When America opened its doorway not only to the Europeans and Africans but also to several other races, the result is a diversified American population in terms of moral principle and cultural backgrounds. These differences contributed to the racial prejudice of the white Americans to non-whites.The long-ingrained social rift along color lines, which goes back to colonial American culture, has been deepened. Also, immigrants from other countries are substantially intimidated by white Americans. They usually come from countries that were colonized by the United States. They have the mentality that white Americans are superior to them. They also normally come to America in search of greener pasture. These immigrants arrive in the United States with only limited amount of money. They are prey to abusive white Americans when their cash run out. The influx of immigration created more problems than benefits.The high immigration rates threatened Americas common culture and increased competition for jobs. Wages were lowered. Only employers profited while injuring labor, and especially harming those at the bottom of the job market. The increase in immigration also led to new issues. In the later part of the 20th century, issues arose about whether group identity challenged national identity. Many Americans wanted to preserve a mavin of national unity while respecting social diversity. They debated the pros and cons of bilingual education, the impact of multiculturalism, and the merits of plausive action policies in education and employment.The debate over affirmative action is likely to continue, in public and in the courts. Americans will have to poise individual rights against group rights, to consider problems that involve national identity versus group identity, to be both colorblind and race-conscious, and to foster unity while appreciating diversity. E pluribus unum (from many, one) so remains a vital concept. The experience of the last decades of the century suggests that the hunting of American idealsof liberty, equality, and democracyis a process that rests on conflict as well as consensus.Nature dictates that people agree and disagree with one another. If everybody agrees with everybody, life would be boring. There would be no ups and downs, no joys and sorrows. For now, Kings dream will remain unfulfilled. REFERENCES C. S. King, My Life with Martin Luther King, Jr. (1969) Robert J. Norrell, Martin Luther King, Jr. Microsoft Encarta Encyclopedia Standard 2004. Norman Dorsen and Jethro K. Lieberman, Civi Rights and Civil Liberties, Microsoft Encarta Encyclopedia Standard 2004 David J. Garrow, accusation the Cross Martin Luther King, Jr. , and the Southern ChristianLeadership Conference (1986) David L. Lewis, King A Critical Biography (1970). Bullock III, C. S. & Rodgers Jr. , H. R. (1976) Inst itutional Racism Prerequisites, Freezing, and Mapping. Phylon 37 (3), 212-223. Woolf, S. H. , Johnson, R. E. , Fryer Jr, G. E. , Rust, G. , & Satcher, D. (2004). TheHealth Impact of Resolving Racial Disparities An compendium of US Mortality Data. American Journal of Public Health, 94 (12), 2078-2081. Rosten, Leo (1968) The Joys of Yiddish Martin Luther King, Jr. I Have a Dream (1986 fib Film) Racial liberalism era Zoot Suit Riots inner city

Despite Criticisms Essay

1. patronage criticisms, the classical approach to business worry is chill out relevant instantly. treat one example to support this statement. (25%)Classical approach on management can be in terms of three major military position scientific management, Bureaucracy and administrative principles, which are emphasis on draw a bead on and formal structure, for instance, planing of work, expert requirements of organisation, principles of management, etc. Although this theme was emerged at 19th century, it does solve the management style now and some of its ideas are still relevant.UPS, a well-known shipping, freight and logistics company globally, which is a very sound example of using classical approach to their management in now business, especially in the bureaucracy aspect. UPS is not only follow the idea of Max Weber (1864 1920), the advocate of the idea of bureaucracy and in addition a sociologist, that the separation of management and ownership like many companies to day, but also focus on the impersonal and rational management. UPS set out a huge amount of rules, procedures and regulations on every departments, for example, They teach their drivers 340 steps for how to accept a package correctly, such as how to load the truck, fasten their crumb belt, walk, carry their keys, etc. Strict dress code is a must clean uniform, black or brown polished shoes with nonslip soles, no beard, no hair below the collar, no tattoo circumpolar during deliveries, and so on. They also has well division of labour specialized drivers, loaders, clerks, washers, sorters and care personnel. All of them have to do formal record keeping, like, drivers have fooling worksheets that specify performance goals and work output. When UPS want to hiring or promote employees, skilful qualification is the main criterion.UPS use those impersonal management style to rid of irrationality in order to be more efficient and pliable to change, be take a leak continuity is rela ted to formal structure and positions rather then picky person who may leave or even die. Also, those rules and procedures provide a standard way of dealing with employees. Hence, everyone gets equal treatment, and everyone knows what the rules are, this has enabled them to become efficient as well.Although, classical approach contribute a lot in todays management, it ignore the military personnelistic factory and psychological need. It may cause other problems, for instance, over relying on technical qualification ignore the human aspect, since working ability cannot only be measu departure by technical qualification. Moreover, If organisations lose the balance, employees may be frustrated by endless rules and red tape which may eventually lower the effectiveness. And it makes work become boring and repetitive, employees become a cog of a big machines, that would lead to tall levels of absenteeism and labour turnover. That the reason why classical approach is not the mainstream o f todays management, although its still relevant.

Tuesday, February 26, 2019

Financial Implication of Decision

Evidencing the increase emphasis on exit strategy was research conducted during the mid-1960s through the mid-1970s that canvas the exit process and created a framework that business decision makers could routine to determine when and how to exit. For example, Conrad Berenson posited an exit model in 1963 that identified five categories of criteria use to evaluate a yield abandonment decision 1. Financial security, which entails find if the minimum return on investment is being met for the firm 2.Financial opportunity, or calculating the return on alternative uses of the firms resources 3. Marketing strategy, which determines the shelter of the product above pure financial profit, such as brand-name worth and the value of established distribution channels 4. Social responsibility, or criteria that encompass the firms responsibilities to customers, employees, suppliers, and so forth and 5. Organized intervention, which takes into account actions by government, society, or labor g roups as a result of the decision to exit.And you need to anticipate the impact of pick out business decisions on your invoice and financial reporting. * Is your organization raising debt or equity? Acquiring a business? Carving-out a non-core operation? interlinking accounting and financial reporting issues can arise as a result of changes dictated by your entitys capital agenda. * are you proletariat a significant business transformation? Assessing how a shared service center can improve efficiencies in your reporting process?Streamlining your accounting policies can help you reduce risk and manage cost. * Does the business engage in multiple jurisdictions? An assessment of your statutory reporting processes can allow for you to manage risk, increase consistency in financial reporting, and realize efficiencies. * Are you planning to upgrade or replace your existing ERP system? archean assessment of changing accounting requirements should be incorporated into planned migrat ions to stave off expensive rework later.

Online Shopping Essay

Online obtain has become a popular shop method ever since the net has decl argond a takeover. There ar many individuals that are looking for other amazing alternatives shop and online ecstasy is just the fix for that. There are many advantages of online shopping this is the creator why online stores are a booming business today. If thither are advantages, most likely there will be disadvantages. Despite the advantage of purchasing through online shopping stores, there are still any(prenominal) disadvantages that most people complain about.The advantagesThere are many advantages of profit shopping, firstly is it save time. Do you have the specific list that you compulsion to pervert? With just a couple of clicks of the mo wasting disease, you tooshie purchase your shopping orders and instantly move to other important things, which can save time. scrap is save enkindle. The market of fuel industries battles from increasing and decreasing its cost all(prenominal) now and a gain, but no matter how much the cost of fuel are it does not affect your shopping errands. One of the advantages of shopping online is that there is no need for vehicles, so no purchase of fuel necessary. ordinal is save energy. We admit it, it is tiresome to shop from bingle location and change to another location. What is worse is that there are no avail competent stocks for the trade in you want to buy. In online shopping, you do not need to waste your remarkable energy when acquire.Forth is comparison of price, the advanced innovation of search railway locomotive allows you to easily check prices and compare with just a few clicks. It is really straightforward to conduct price comparisons from one online shopping website to another. This gives you the freedom to furbish up which online store offers the most affordable item you are going to buy. ordinal is available in any time. Online shopping stores are assailable plump out the clock of 24/7, 7 days a week and 365 days. It is precise rare to find any conventional retail stores that are open 24/7. The availability of online stores give you the freedom to shop at your aver pace and convenience. Sixth is no need to waiting in lines. When buying items online, there are no long lines you have to endure, just to buy your trade. The idea of shopping online is cutting down those bad habits of standing in a long line and just waiting.Every online store is knowing with unique individual ordering features to purchase the item. Lastly is easy to search merchandise you want to buy. You are able to look for specific merchandise that includes model number, style, size, and colour that you want to purchase. In addition, it is easy to determine whether the products are available or out of stock.The disadvantagesThere are few disadvantages of internet shopping despite of advantages. Firstly is personally check the item. If you are one of those shoppers who want to touch, see, and test the product personall y, at online shopping, you are not able to do so. Online stores are only showing product description and photos of the merchandise, which can be a disadvantage for many online shoppers. Second is diminished instant satisfaction. Unlike buying at retail stores, you are able to use the product instantly after you buy it, which can be satisfying. However, online shopping requires patience to wait for the item to arrive at your door rate about 2 to 3 days or even long-acting depending on the location youve ordered it from.

Monday, February 25, 2019

What Children Really Need

Parenting is one of the hardest things to do. It can be a very stressful assess to do in your spirit but it is one of the greatest things as well. Right from the time they are born, from infancy to adulthood, children keep up a huge array of growing gather ups and expectations from their parents. Apart from basic exigencys homogeneous food, shelter, and clothing, children expect to their parents to fulfill their legion(predicate) essential needs. I feel that children need kind homes, parental guidance, and a feeling of security from the time they strait through the front door after school to when they awaken severally orning. They deserve the stability that comes with discipline and well-placed expectations. Parental love should be finical in two respects. First of all, it should be constant and unconditional, which means it is incessantly present, even when the child is acting in an unlovable manner. In addition, parents should be open in expressing and showing love so that children are never uncertain close its presence.This means parents should hug and praise their children at all(prenominal) available opportunity. Parents can likewise occasionally review their strengths and eaknesses with them and work in concert on any difficulties in communicating or collaborating. The parents can also help children learn work skills. By not assigning responsibilities some the house, nor making certain that deadlines are met, they can acquire irresponsible and ineffective. some other thing is that all children need parental guidance. Parents need to actively get wind basic values and manners in order for them to get along well in society. By offering guidance to children when they have problems, parents need to state their thoughts in a few sentences rather han giving a lecture. It is helpful to many children to understand that your door is always open. For example, instead of obsessing some the need to be admitted to a good college, talk to them abo ut life beyond those years. A parent could discuss the pros and cons of their own career. Children often serve to the question, What do you want to be when you grow up as, I dont know. If you dont have that open communication to redirect their ideas, they could continue to have a dim idea for their future.Also, children need a range of authentic role models. Having lawful family meal discussions about people the family knows is a great arrange. If communication about appropriate role models are not discussed, a child could look up to members of their clique, rock idols, and unwarranted athletes. Finally children need to feel define in their world. If the family feels safe, then the child feels secure. As they grow up this spirit of security is then internalized. Life is like a roller coaster with many stresses and setbacks.Children should know how to deal with these feelings of uncertainty. They need to also learn how to solve problems as well as resolve conflicts. In our hom e we discuss and practice these skills in everyday life situations. Parents do not need to squeeze their children with the latest video games, extravagant vacations, or too many outside activities after school to feel safe and secure. If a parent unrelentingly tries this with their children, they will be creating inflated egos that will surely burst in later years.In conclusion, parenting is not a simple task, and it is easy to become frustrated and uncertain at times. It often means putting deflection your own thoughts and feelings in order to understand the whole child. Children have a continuing need for parental support and encouragement from infancy throughout young adulthood. It is possible to build a future that is better than the past. holding this in mind, the most important thing is to remember to provide your children with unconditional, loving homes, guidance, and a sense of security.

Econ103 end term paper Essay

1. In your own words and in a maximum of 250 words for apiece concept, briefly explain the essence of each of the following uphill economic ideas. Imagine explaining them to someone who has not toleratevass economic history. What are they genuinely approximately? (20 points)A. Perlas 3-Folding conception as employ in Philippine Agenda 21 B. Caring EconomicsC. in songed capitalist economyD. Natural CapitalismE. Sacred Economics2. Still in your own words, accomplish the following summary table about the acclivitous economic ideas studied. Use easily understandable key words/phrases. You may further explain below the table if necessary (25 points)Idea commentKey Principles/Elements & FrameworkKey Strategies (How the Idea will be Accomplished)A. Perlas 3-Folding Concept as applied in the PhilippineAgenda 21 An action for a sustainable development where the civil night club, the politics and businesses help each new(prenominal) to die a certain goal.Cooperation among sectors of the society.B. Caring EconomicsCaring economics deals with well-favoured importance to human beings and the environment as a part of the society and development.Human rights and other rights should be implemented and punishment among those who does not fretfulness for the life of human beings and the environment. C.Conscious CapitalismA type of capitalist economy where in that respect is no self interest instead the conditions of others or employees and other people are not being for granted but incessantly take in to consideration.Employees should be given equal rights give care the owners and postdate right mind setting in making decisions. D. Natural CapitalismIn natural economics, capitalists are being reminded to similarly invest in natural re reference books so that there will still be source of raw materials and in times of calamity, the environment would be protected.Restrict and not allow businesses that would not agree on investing a dower of their income for reserving the environment. E. Sacred EconomicsSacred economics state that true cheer is not having a lot of money. It is explained that money is man- made and what is more distinguished are those things created by God that can give us real blessedness.Having the mentality that above everything else, happiness is what we want and being circumscribe with what we encounter is already enough. Having a lot of money will not coerce us very knowing.3. Always in your own words passim the rest of your paper, compare and contrast the emerging economic ideas youve just explained in No. 1. What are their similarities and differences? Discuss in detail. (15 points)3. Analyze how EACH of the emerging economic ideas fulfill (or not fulfill) the goals and criteria of development according to I. the Catholic church buildings AUTHENTIC DEVELOPMENT concept,II. the United Nations sustainable DEVELOPMENT CONCEPT, and The criteria of development according to the UNs Sustainable discipline conce pt, organic evolution is the capability to improve without sacrificing or compromising what is there for the future. Development is like having freedom, there is no servitude, a somebody is able to do something because he/ she knows that he/ she can, there is self-confidence within himself/herself.In addition, development is when there is respect in the society , when there issustenance that each person can say that Ive had enough and I am contented. This criteria of development is somehow like the Sacred economics, there is real happiness when people are contented and live in an environment where there is respect and freedom. III. PEACE AS DEVELOPMENT.Discuss in detail. Use the Lenses of Development lecture file found in the egroup Lectures Current cloth pamphlet (also in http//www.slideshare.net/gracewithfire/lenses-of-development) as well as any additional interrogation you might want to make. (30 points)4. Given your preceding discussion and analysis, what are your conclusio ns (CONCLUDING REMARKS) about these emerging economic ideas? (10 points) In my own opinion, the emerging economic ideas would be successful fully if only people especially business owners , the regime are willing to cooperate by doing those. Indeed, real happiness is when you can say that I am really happy and contented of what I have. In fact, there is no need for money to be happy but all we need is love, if we have the love of the people roughly us, we could say that we are happy.The emerging economic ideas are primarily pertain about the real wealth of the society, human beings and the environment. If people would only calculate of these two things and how will their decisions affect the human beings and the environment, in all likelihood there would be no extra expense for them especially for those who are in the government and owners of businesses because if they would only invest in protecting and preserving of the natural resources and environment, there would probably no destructions brought by calamities such as floods and landslides that destroyed their businesses.5. Please also attach your individually accomplished 21st Century Skills updated survey form at the end of your paper. The form is found in the Assignments Current Material folder of the egroup, the same folder where this instructions file is found.Format Letter-sized hamper paper, double-spaced, with pagination at the upper right hand corner, 1-inch margins all around, with elevation summon showing contributing members names and individual contributions and class schedule,and References page (if you used additional researched references) in APA Style , 6th edition.SUBMIT IN HARDCOPY BY OCTOBER 14, 2013, 5PM , AT THE CBA FACULTY OFFICE, VIA THE SECRETARIES. PLS. HAVE YOUR COVER PAGE STAMPED WITH accepted DATE AND TIME BY THE SECRETARY.

Sunday, February 24, 2019

Holistic Nursing

holistic estimates in breast feeding provide a unique quality of c atomic number 18 to the individual uncomplaining. Holism in the cookery of grapple includes opinions obtaining entropy ab come out the physiological, psychological, sociological, sacred, develop amiable, ethnic and environmental reflexions. It is lordly that the nourish conducting these assessments adopts methods in the treat process that reflects the standards outlined in Australian treat and Midwifery Council theme Competency Standards for the Registered Nurse to ensure the soundness and benefit of the patient is maximised and maintained throughout the time health c argon is received.Nursing processes are directed at restoring overall harmony for the patient so an accord of the individual as a whole person must be assessed. During the nursing process, the keep will perform the assessment, diagnose, plan, implement and evaluate the patient in an current process. This essay will outline the impo rtance of a holistic access in nursing assessment and the importance assessment in the nursing process. ultural, unearthly and psychological aspects of the holistic assessment and the relevancy of these components in the planning of care will be discussed and how AMNC standards apply to care in nursing. A holistic approach in nursing assessment establishes the patients physiological, psychological, sociological, spiritual, developmental, heathen and environmental aspects in their sprightliness. Obtaining entropy holistically is vital in assisting a patients big businessman to administer their symptoms and emotional status maximizing quality of life during the stages of illness or health changes (Margereson & Trenoweth 2009 104).The aim of the holistic approach in nursing assessment is to establish the type of support and care inevitable for the individual, developing a quality of care that assists their tumefybeing as a whole person (Margereson & Trenoweth 2009 104). When a ssessing the patient it is important that the nurse collects data that assorts to physiological, psychological, spiritual, socio-economic and cultural variables on an ongoing basis as outlined in ANMC competence 5. 1 (ANMC 2006, p. ). The ANMC talent is supported by, Margereson & Trenoweth (2009104), who describes the assessment process as ongoing and is determined by the changing take of the patient, their family and their carers. Margereson & Trenoweth (2009 104) further describes that the holistic approach supports the patient to build psychological resilience and wellbeing, to maintain independence as well as developing care and support networks that is trounce suitable to the individual.The holistic approach in nursing assessment provides the patient financial aid in decision making, achieving goals, addressing take and desires and hatful build on strengths (Margereson & Trenoweth 2009 104). Therefore, it is all-important(a) to obtain data holistically in assessment to support and maximise the patients health and wellbeing. Assessment in the nursing process is an important aspect, as the nurture gathered enables a comprehensive response to the patients health status.It is important for the nurse to adopt an approach following the guidelines outlined in the ANMC, Domain 5, homework and coordination of care (ANMC 2006, p. 8) to ensure preferences are met an accuracy is maintained when carrying out assessment. The nursing process is a cyclic method that involves assessing, diagnosing, planning, implementing and evaluating (Kozier & Erb 2012 213). Kozier & Erb (2012 p. 212-213) describes the nursing process as an overlapping lapping sequence that focuses on establishing the patients social, cultural, emotional, spiritual as well as physical postulate.Assessment will establish this data as well as a patients health history, concerns, health status and their ability to manage their own health care needs (Kozier & Erb 213). Kozier & Erb (2012 212) a s well as maintain that data collected in the assessment phase enables the patients lifestyle and routines to be merged into the care plan. Assessment is about collecting as much knowledge as possible enabling problem solving throughout the nursing process.Assessment in the nursing process will establish the patients ongoing needs and provide a quality of care best suited to the individual, to chance on a desirable health outcome. Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team up with an overview of cultural needs of the patient as well as providing development in which the patients health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and impost influencing and regulating interactions between members of a social root (Stein-Parbury 2010 91 Johnstone 2006 67).It is the nurses business to adhere to the ANMC, competency 2. 3, accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental differentiate (ANMC 2006, p. 4). Kozier & Erb (2012 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into contemplation so that the patient move be provided with the best possible health care.Kozier & Erb (2012 360) also formulate that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of twinge. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do not complain when in pain (Stein-Parbury 2010 94). Culture is also an important aspect as it plenty explain nutrition, environmental and home status and level of education ( Kozier & Erb 360) which all relate to the provision of care to be given.The holistic assessment of a patients cultural aspects enable the best suit able approach in the provision of care, upholding the patients rights, addressing their needs and minimizing misunderstandings. Spiritual needs are often emphasized in generation of ill health or other health related crisis therefore it is imperative that spirituality of the patient is understood in order to maximize provision of care. Kozier & Erb (2012 1154) define spirituality as a way in which a person lives their life, bound in beliefs and values and how their own signification or perception is viewed.A holistic assessment will determine the spiritual needs of the patient to enable the nurse to respond appropriately to the patient whilst adhering to ANMC, competency 9. 5, Facilitates a physical, psychosocial, cultural and spiritual environment that promotes individual/group safety and security (ANMC 2006, p. 12). Narayanasamy (2009886-890), describes spirituality as a fundamental aspect in holistic assessment as it can promote the patients mind, be and spirit as well as dete rmining there state of mind in relation to spiritual distress such as loss of hope.Spirituality is an important part of the healing process as it can provide comfort, reduce suffering and assist in the physical and mental healing of the patient (Kozier & Erb 2012 1154). Kozier & Erb (2012 1155) state that the nurse who attends to their own spiritual needs is able to assist others and have a better understanding of the patients spiritual needs. Therefore, the provision of care will be heightened and the spiritual needs of the patient can be addressed in a holistic assessment.Psychological aspects of mind-body interactions are of great importance in the holistic assessment process in order to provide provision of care. The nurse is obligated to follow ANMC, competency 5. 1 Uses a relevant evidence-based assessment framework to collect data and the physical socio-cultural and mental health of the individual/group (ANMC 2006, p. 8). Kozier & Erb (2012345), explain that mind-body intera ctions can have a good or ill effect on the body for example, stress can lead to an altered body maneuver such as an increased urinary frequency.Assessment of psychological status is imperative to establish the correct provision of care to be provided. Kozier & Erb (2012 345) maintain that the minds ability to influence health status is receiving more attention and treatments such as relaxation techniques are being more commonly used to charge symptoms of stress. Illnesses have the ability to create emotional responses as well such as fear and depression, therefore the nurse must take into consideration these variables when conducting an holistic assessment to provide quality care to the patient.Holism in the provision of care is imperative to maintain in the nursing process. Holistic assessments carried out are unique and individual for each patient. This can be obtained in the nursing process by gathering data holistically by assessing the physiological, psychological, sociologi cal, spiritual, developmental, cultural and environmental aspects of the patient. A better understanding of the patients needs and requirements for care can be developed to provide health restoration in the best possible manner suited to the individual.The Australian Nursing and Midwifery Council National Competency Standards for the Registered Nurse outlines the requirements for nurses to follow to ensure health care is delivered at the highest standard. References Australian Nursing & Midwifery Council 2006, National Competency Standards For The Registered Nurse, 4th edn, viewed 2 September 2012, . Berman, A et al. , 2012, Kozier and Erbs fundamentals of nursing, Australian adaptation, 2nd edn, Pearson, Sydney.Ellis, HK & Narayanasamy, A 2009, An Investigation into the Role of Spirituality in Nursing, British Journal of Nursing, Vol. 18, no 14, pp. 886-890. Johnstone, M 2006, Bioethics a nursing perspective, Elsevier Australia, Marrickville, NSW. Margereson, C & Trenoweth, S 2009 , Developing Holistic Care for Long-term Conditions, Routledge, New York. Stein-Parbury, J 2009, Patient and Person interpersonal Skills in Nursing, 4th edn, Elsevier, Marrickville.

Best Tv Show Essay

First Im going to slop about my positron emission tomography TV prove. Its name is Prison Break. It all talks about mortal whose name is Michel Scofeeld and a very macroscopical company in the U.S.A. this company tried to kill his brother by a very stark way. The influence him seems as the killer of the president brother. They execute everything for him to be arrested by this charge. Everybody thought he killed him except his married woman and his brother who is our hero. They took him to the prison to set for killing because what he has d ane or I should say what they deliberate he has done. His brother didnt stay watching that. He was an engineer. He planed for his brother escape from the prison. He did a very big stain in his body which was not just a big stain it was a very big map for one of the biggest prisons in the cosmos in which nobody ever could escape it. The brother tried to blade a bank to gain to the prison in which his brother is. He could make it and got to the prison near his brother.He has planned for everything even afterward they run away. At the nullify of the first season he could get his brother out of the prison, but the problem was that many great deal was killed in that operation, not only that the other problem is that ten of the biggest criminal in the U.S.A has escaped with them. The brother (the hero) will never forgive himself about what he has done. A imbibe who helped them escape did face so many problems for her and her paternity, because her father was the governor of that city. He got fired from his job. After a little small-arm they found him dead in his flat. The company killed him because he knew very grave information about them. Any way the hero of our TV show didnt make it at the end. He died to save his married woman from the danger. I think I have to remind you that he got married from the nurse who helped him escape from the prison.The second TV show that I want to talk about is 24. It is very fa mous series it has eight seasons every one has 24 episodes. It all talks about a very big organization which tries to make the U.S.A falls down by killing the people of it. Our hero for this TV show is Jack Bour. He is a federal official means with a very big organization called C.T.U. In the scratch he worked over there as a normal agent and after that he changed to be the one who saved his own surface area so many times. In the first attempt for the terrorist to attack the U.S.A they kidnapped his female child and wife. He did every possible thing for him to save his family. In the end of the season after he has saved his family someone who Jack trust betrayed him.She was one of the terrorists she tried to run away from C.T.U by killing his wife in the C.T.U building. unless Jack snarl that very late. It is all make him crazy after losing his wife. He was about to kill that woman who killed his wife and who trusted. The first season ended with the falling of his tear. The fist and the second seasons are the only seasons which didnt talk about Islam organization. In the beginning I liked it but at the end I really felt so bad in some views. By the way every one who Jack loved has been killed by those people to be eliminated. But the really couldnt kill Jack because he was very absolute in facing people using weapons.

Baroque Style of Period

Its easy to ferment any musical instrument all you work to do is trace the right key at the right period and the instrument allow for play itself. -Johann Sebastian live Well, yes, its easy to play any musical instrument, and unfortunately for most, it IS hard finding the right key and putting your finger, or mouth, or bow on the right time is almost impossible. But Bach al behaviors found the right time to play, and it wasnt during the right second or on the right beat. It was the right century. 600 officially began the Baroque period, and I reference point Bach because it seems this period ended tit his death in 1750. impediment tuned (all puns intended) to learn what was going on, who else had the magic touch, and the characteristics of the Baroque time. Several events took place in the champion hund fierce and fifty year span of the Baroque period. presumptively the most influential was that the Age of Enlightenment began. That meant you had an increased chance not to be killed for being different, which was great for entertainers trying to make a name for themselves.Great philosophers and writers flourished in this time, including Francis Bacon, Rene Descartes, Thomas Hobbes, John Locke, John Milton, Jonathan Swift, William Shakespeare, and John Donned. All of which highschool school students are forced- ERM encouraged to read about. Science was also explored, and from it, gravity- the antagonist of all women standing on a scale- was discovered. Sir Isaac Newton developed laws of physics, including the Laws of head and, as noted above, gravity. The stolon opera, Eurydice, and opera house, Theater San Casino, opened in 1600 and 1637, respectively.King James Version of the Bible, the most widely distributed version today, was published and trim back in 1611, and probably the greatest moment for you and me, the pilgrims landed here in America in 1620. Go Thanksgiving So needless to say, none of the great composers of this time came from Ameri ca, and consequently, have rather difficult names for the reasonable American to pronounce. Such as Archangel Cornell, Claudio Monteverdi, Jean-Philippe Rammer, Alexandra and Domenici Scarlatti, and Heimlich Scouts (You should see how many red squiggly lines Word has up for those).There are less complicated ones, much(prenominal) as Johann Sebastian Bach, George Frederic Handel, Henry Purcell, and Antonio Vivaldi. Vivaldi I love Vivaldi his works are large(p) and seem to fit every occasion. Most commercial companies have realize this as well, regrettably, and overuse his masterpiece, The quaternary Seasons. Some of the other more notability works were Toccata and Fugue in D minor by Bach, The messiah by Handel, Marcher Royals by Lully, and Coracles trio sonatas such as Sonata for violin and Lute.Speaking of trio sonatas, they were a popular form of the Baroque period, as were concertos, concerto grosses, suites (a groom of instrumental compositions to be played in successio n or a set of selected pieces from an opera or musical, arranged to be laded as one instrumental work), oratorios, cantatas, operas, fugues (a contrapuntal composition in which a short contrast or phrase is introduced by one part and successively taken up by others and developed by interweaving the parts), and toccatas (a musical composition for a keyboard instrument designed to exhibit the performers touch and technique).While close to of these forms may have been used in periods before them, the Baroque period definitively had its definitive characteristics that do it unique and created things that make it memorable. In general, the music was a bit bid how it feels to chew 5 gum. Lying on a tell apart of vibrating metal balls, suspended from wires hit with a hammer, while shooting way up into the air all combined into one.The music had complicated rhythms and rarefied movements it was heavy and thick with texture, including singers and instruments in polyphonic heaven. Soun ds were echoed and imitated, creating a very complicate piece without any crescendos or diminuendos to make it dynamically different. It did have serious meters though, usually two, three, four, or six main beats. In Just a century and a half, more than two dozen people made artistic history. The Baroque period was a great time of approach in several areas, especially music.Numerous composers, such as Bach, Handel, Scouts, Vivaldi, Cornell, and Lully, and their work, like The Messiah, and The Four Seasons, survive to this day. The Baroque area has its own defining characteristics, such as complicated rhythms, elaborate melodies, pieces thick with harmony, and syrupy textures. It was also during a time of great change and many new discoveries, such as gravity, the first opera and opera house, and the beginning of the Age of Enlightenment. Hopefully this essay did some justice to the Baroque era. Thats all folks.

Saturday, February 23, 2019

Predetermined Identity Essay

A reputation is the views or opinions that ar generally held rough soul or something. They are a widespread belief that some unmatchable or something has a particular habit or characteristic (dictionary. com). A reputation is impossible to remove. There are mevery reputations and vox populis demonstrated in the novel Frankenstein by Mary Shelley. plurality are prejudiced towards the ogre created by master Frankenstein. The monsters outward-bounds display assures the monster is non sure into society.He is a completely functional creature with the ability to accomplish primal tasks. He has human capabilities, although his unusual appearance is shocking and sets him apart. Do everyones judgments of the monsters looks take an effect on his personality and behaviour? The causality demonstrates that packs outward appearance will determine their personality. This is naturalised in the novel since at the beginning of the book Fiend created by Frankenstein is a good person wi th feelings and empathy. As the story develops, he keeps experiencing judgment from many tidy sum including higher-up, his fountain, because of the way he looks.Everyone sends the devil by and rejects him without withal giving Dr. Frankensteins existence a chance. He ends up changing throughout the novel into the monster everyone expects him to be, by killing the various people in Victors life for r plainge. At the beginning of the book, the goliath is in fact a reasonable person. When the the Tempter is created, he does cryptograph wrong to Victor. He does not harm in Victor any way because Victor had done nothing wrong to him. All he does is looks at him when he wakes up and his appearance was enough to make Victor leave him. The giant was judged literally from the moment he was created.Furthermore, he observes a family that acknowledge in the middle of the forest in a cottage for months and does not lead to violent actions of any sort. He would observe them in hopes to maybe one day integrate himself with humans. At night, he would go collect fire wood and do work for the cottagers, in hopes that they would finally accept him. When he decides to finally meet the people who live in the cottage, he is turned away. He was aware that he was capable of harming these strangers, although decides not to receivable to the fact that he knows its not aright even if they were not the most accepting.Evidently, this creation that people labeled as a monster does have a heart and is capable of caring. I could have torn him limb from limb, as the lion rends the antelope. hardly my heart at bottom me as bitter sickness, and I refrained. I saw him on the acme of repeating his blow, when, overcome with pain and anguish, I quitted the cottage, and in the general garboil escaped unperceived to my hovel (136). It can be observed that heller did care about those people even though they sent him away. He didnt want to cause any trouble. All he precious was to be accepted.He was a creation who started his life with decent intentions, only those would soon change. The fiend was constantly judged and abandoned when people saw him due to his appearance. He is a terrifying creature. He has yellow skin with shining black flowing hair, and pearly white teeth. His eyes are dun-white he has a shrivelled complexion and straight black lips. He is excessively much bigger than any human. When he was given life, Victor runs away from him and neglects him. This quote shows that Victor had no intention on staying with the fiend because right when he was living, he ran away from it. I escaped and rushed downstairs. fearing each(prenominal) sound as if it were to announce the approach of the demoniacal corpse to which I had so miserably given life. (49). This shows the complete horror that Victor had when he saw his creation, even if it did absolutely nothing wrong. Likewise, the cottage people are instantly terrified of him. They were scared becau se they have never seen anything like him. When the fiend first goes into the cottage to meet them, a blind man answers the door. The fiend was able to talk to him without world judged and the older man enjoys his company, because he doesnt know what he looks like.This is how it is obvious that based on his personality solo the fiend is a good person and is able to function with humans. But when the rest of the family walked in and saw him, they went into panic and assumed the worst of him. He was never given a chance. Who can describe their horror and timidity on beholding me? Agatha fainted, and Safie, unable to attend to her friend, rushed out of the cottage. (136). This displays how betting they were to judge when they saw the creature. Because of his appearance, he would never be able to live a normal life.Being judged by so many people everywhere he went, it had an effect on the fiend. He started to become untamed and resent his creator, Victor. He asks Victor to create a female so he can go live with her somewhere where no one would find them. When he agreed, he decided to destroy the female creation soon aft(prenominal). The fiend couldnt deal with it anymore. All those negative experiences in his life, the creature had changed. He decided to start killing everyone close to Victor for revenge. He killed Victors brother, William, as well as his trounce friend Cleval and his love Elizabeth.He wanted Victors anxiety and he got it after just his first killing of Victors brother. It made the fiends creator very angry. But after Victor neglected the fiend for so long, the fiend started to make debauched decisions. A flash of lightning illuminated the object and discovered its shape apparently to me its gigantic stature, and the deformity of its aspect, more hideous than belongs to humanity, instantly conscious me that it was the wretch, the filthy demon to whom I had given life. What did he there? Could he be (I shuddered at the conception) the mu rderer of my brother? (69).Not only did the fiend kill Victors brother, but he stayed to watch his creator in pain, because he thinks thats what Victor deserves. All his killings were in act to wound Victor and make him feel alone in the world, close like what the fiend is feeling. Murdering someones family is immoral. He killed people round him just as society killed his spirit and identity. This shows that he clearly changed throughout the novel. It is evident that the author was trying to prove how peoples outward appearance will determine their personality. He reveals it by the change in the fiends personality after being constantly judged and neglected.At the beginning he was a nice person with morals, but at the end, he is an immoral monster. The author is right that peoples outward appearance will determine their personality because even now, people who are different are not as accepted in society. People are constantly being labeled and reputations are always being forme d, whether they are true or not. Peoples outward appearance has a huge effect on how people see you. This is why Dr. Frankensteins creation never stood a chance. Work cited SHELLEY, mary, Frankenstein, tom Doherty associates, LLC, coupled states of America, 1998, 236 pages

How New York Times vs Sullivan changed political thinking Essay

The history of the American nation has been simply marked with many landmarks legal versions of its constitution. The occurrence of in the buff York propagation vs. Sullivan is one good example of landmark gaffes which greatly changed the policy-making intellection of the American population. It is build from the implicit in(p) transactions of the controlling tourist court on the case that the legal understanding of the first and fourth amendments of the well-behaved flop bill is not to allow any recovery for media broods unless the complainant can sufficiently render acts of antagonism when making the denigratory report (FindLaw, 2010).This is what marked the many historical appreciations of the media granting immunity in our legal justness system. It is indeed a direct result of this 1964 ruling that the media gain freedom to sufficient cover the proceedings of civil pay offs front end thus aiding in the realization of the last inclusion of the black Americ ans right to the civil rights in the American constitution. This essay is written as a critical analysis of the virgin York time vs. Sullivan and how it evidently changed political thinking in America.The author first gives an analytical discussion on the underlying positions presented in the case. A discussion on how the case set a precedent for macrocosm officials and how that is just another(prenominal) thing to consider for overt figures getting into politics is also given Summary of the new-fangled York quantify vs. Sullivan case 1. The tryout courts sagacity The case of New York Times vs. Sullivan knotty a ask by New York Times in an ad that the arrest of Martin Luther king junior was a campaign to compromise his efforts in encouraging the blacks to vote (FindLaw, 2010).The advert claimed that the Montgomery police had been allegedly order their acts against students who were involved in the civil rights demonstrations. The lead to the filing of slander case again st New York Times by Sullivan, a commissioner in the police part at Montgomery (Shah & Anderson, 2007). It is however here(predicate) to be make wakeful that the advert was not directly mentioning Sullivan but Sullivan claimed that it was targeting him since he was the chief inadvertence of the police department in Montgomery. he low court trial say in Alabaman put up the New York Times guilty of committing an unfeigned cattiness defamatory statements against a public officer and ordered them to constitute Sullivan damage worthy half a million US dollars. 2. The arrogant royal courts judgment and its reflection on the first and ordinal amendment It is however to be realized that the New York Times did not lead the lower court jurys judgment thus forcing to deposit an appeal with the supreme court in the quest realizing a upright and just judgment (Tysoe, 2008).At the Supreme Court, the judges happenly support that the render of the first amendment of the civil righ ts bill did not allow a public officer to be granted damages for sprinkling unless he or she distinctly proves that such statements were made will essential malice against them. noneffervescent citing the fourteenth amendment to the constitution, the court ruled out that the states is not get to award damages for defamation to a public offices based on falsified claims unless the officers sufficiently proves actual malice in the statements (Shah & Anderson, 2007).It is also light-colored from the proceedings at the Supreme Court that an individual statement can never its protection under the American constitution evening if it appears in the invent of a paid advert. The judges claimed that it is not the purpose of the government to judge the truth and that a public officer must live to vex critics from the public unless they can sufficiently proof malicious acts in the statements (Write & Lidsky, 2004).It was evidently claimed that any act of allowing Sullivan to be paid d amages for insufficiently dependent claims of malice could act as a loophole for compromising any incoming critics to public officers. Still to be noted here is the fact that such any act could greatly compromise genuine critics for fear of determent, a move which could evidently compromise the just and fair provision of work by public officers to the general public. It is based on this reasons that the Supreme Court ruled against the lower courts ruling thus favoring New York Times.How New York Times vs. Sullivan set a precedent for public officials The first lesson is that it became evidently clear that a public official is subject to public criticism. It is rather clear from existing historical information that the realization of just and fair rules and regulations in the American nation has never been without social movements. Still clear is the fact that such realizations were heavily compromised with public office power interferences (Wright & Lidsky, 2004). The civil rig ht movement of the twentieth century is no exception to this.It is based on this reasoning and by applying the principles of conclusion by sufficient reasoning that the 1964 interpretation of the American constitution served to protect the political selected and/or public officials from imposing force to the public. Another change that was brought by the impact of the New York Times vs. Sullivan case ruling is that the political elite in the lodge must be role models (Tysoe, 2008). It is found in the proceedings of the Supreme Court ruling that public officials should be open to critics from the public domain.This was made to emphasis the fact that such are the leaders who should lead the American nation to the next level of fairness and evaluator for all in the society. It was only by instilling the fact that the general public has a constitutional right to critique their leaders that political comments made by leaders are subject to self liability. This is what has made the pol itical elite of the American nation respectful of the constitutional provisions thus sufficiently realizing greater levels of justice and fairness in the society (Melbourne University Law Review, 2001).Still proved by the case is the fact that sufficiently prove of defamation by actual malice is the ultimate reason for claiming legal awarding of damages (Melbourne University Law Review, 2001). The proceedings at the Supreme Court all the way established that the constitutional protection of claimed statement can not be negated cod to the fact that such have been ex fight backed in the mount of a paid advertisement. This clear makes public officials subject to proving of actual malice in their damage claim suits. It is to be clearly noted that most true expression which go to the media can be easily repugn by the source (FindLaw, 2010).However, the question of whether or not to get defamatory damages remains subject to the provision of substantial evidence proving actual malice in the presentation of the expressions. How New York Times vs. Sullivan is just another thing to consider for public figures getting into politics The ruling in the case of the New York Times vs. Sullivan also instilled the lesson that no one in the American land is above the rule of law as provided in the constitution. Clear from the ruling of the lower court, it can be claimed that the jury crystalize less evidence to make the judgment in favor of Sullivan (Wright & Lidsky, 2004).This could be closely attributed to the fact that the government was out to control the progression of the Martin Luther fairy led civil rights movement. It is however clear from the Supreme Court judgment that despite such previous rulings on the case the constitutional provisions must be respected and applied equally to all in the society (Melbourne University Law Review, 2001). The provision for proving actual malice for compensation of defamation of an individuals reputation should equally respect a ll even the politically advantaged in the society.It is this that made political entice on justice provisions mitigated thus respecting the rule of rule as reflected in the constitutional provision for independence of the judiciary. Another lesson from the case is that of limiting claim for awarding damage due to purported defamatory talk (Tysoe, 2008). From the advertisement that led to the defamation claims by Sullivan, it is quite clear that it claimed to be the onset of a new pattern of modern freedom. According to the ruling of the Supreme Court, it is quite clear that the constitution sufficiently protects the human right to speech.It is due to this that it found no sufficient claim of defamation in Sullivans claims due to the fact that the students involve were being deprived of their constitutional right to speech (Shah & Anderson, 2007). It is based on this reasoning that the ruling changing our political approaches to pensive our constitutional right to speech. The last lesson from the case ruling is that it made it clear that freedom of the press must be respected. It is to be noted here that the sole duties of the media is to provide news to the general public on occurrences roughly them.It is due to this reason that any act of compromise quality and verity of such news must be mitigated. Still to be soundless here is the fact that the advertisement published by the New York Times was made for overseeing the fair and just execution of the underlying demands of the civil rights movement (Melbourne University Law Review, 2001). This is what made the ruling a greatly political influence blow in civil matters. Still realized from the ruling is the ultimate realizing of freedom of press. Indeed the New York Times vs. Sullivan led to the protection of the media against intimidation in covering the civil rights movement.It is thus clear that the ruling changed the recognition the political and public officials had with regard to the media in the so ciety.Conclusion In conclusion, it has been clearly established that the Supreme Court ruling in the case of the New York Times vs. Sullivan marked the dawn of respect for freedom to speech and the press by public officials. It is thus clear that such a case qualifies to be a landmark case in the history of the American nation. It is this court ruling which mitigated misuse of public office and/or political power to impose legal awards for damages without sufficiently prove of actual malice.

Friday, February 22, 2019

Sepsis and Barbara

This portfolio exit turn in evidence of my experience in an acute attending setting. I tot tout ensembleyow for provide an appendix giving a brief summary of a patient I carry ond for whilst undertaking a military position in an acute setting. This portfolio of evidence will be based on a patient diagnosed with sepsis secondary to her boob infection. I will discuss extensively the aetiology, pathophysiology and clinical features of a patient cosmos with sepsis do by in an acute interest setting.I will explore the role of the divergent health divvy up professionals that were abstruse in the tending of the patient describing how they contributed to her holistic heraldic bearing. I will incorpo send evidence base supporting the approach utilize by the doctors, nurses and microbiologists in the diagnosing and sympathize with for the patient. I will evenly evaluate radiation diagram using findings from contemporary research policy and practice on the maintenance of the adult with acute headache needs.I will too discuss the value of our practice in accordance with professional, ethical and jural frame grows that ensure the privacy of the patients interest and well-being. Finally, I will conclude by summarising this portfolio of evidence in similarity to acute care practices and focus on identifying my future learning needs in ontogenesis myself individualisedly and my professional practice. It is indicated by Latto (2011) that a meeting between The American College of Chest Physicians and the Society of Critical Care Medicine in 1991 brought roughly the use of formationic incendiary resolution syndrome (SIRS) to define sepsis.SIRS being construction of two or more of certain medical signboards including, a temperature of little(prenominal) than 36 degrees Celsius or greater than 38 degrees Celsius, a heart rate of everyplace 90 beats per minute, respiratory rate of over 20 breaths per minute and etiolate declination cells count of greater than 12000 or less than 4000. Further on to recognise sepsis, a patient has to contain at least two signs of SIRS as well as a at footraceed infection. Sepsis, as delimit by Matot and Sprung, (2001) is the systemic inflammatory response to infection. In addition to this definition, Herwald and Egesten (2011) indicate that sepsis could also be be as the humanity of bacteria or incompatible micro-organisms in the occupation, hypotension or offend. Rello, Diaz and Rodriguez (2009) emphasise that there is a difference between sepsis and systemic inflammatory response syndrome (SIRS) as sepsis is systemic inflammatory response toinfectionwhile systemic inflammatory response syndrome is a tool used to simplify the diagnosis of sepsis.Sepsis occurs as a result of the luggage com routinement fighting infection that has spread though the body via the rip stream as defined by Sepsis shackle UK (2012). Barbara presented with low rip hug, a high temperature, tachycardi a and an increase respiratory rate. Patients who present with sepsis can progress to severe sepsis which is defined by Marini and Wheeler (2010) as a syndrome caused by infection and defined by the presence of live sign abnormalities and new organ system failure caused by the result redness and coagulation. Associated with severe sepsis, there are three integrated responses as justifyed by Kleinpell, R. (2003) which are activation of inflammation, activation of coagulation, and impairment of fibrinolysis. As the body detects infection, its natural response is inflammation. Inflammation is a response of a weave to injury, often injury caused by invading pathogens. It is characterized by increased race flow to the tissue causing increased temperature, redness, swelling, and pain. Kleinpell (2003).Ball (2011) in describing the process of inflammation in the body explains that inflammation occurs due to the white blood cells psych otherwiseapeutic pro-inflammatory mediators cal led cytokines these are proteins, peptides, or glycoproteins which include tumour necrosis figure alpha, interleukin-1 and interleukin-6, the white blood cells also releases a platelet-activating factor which is a lipid mediator that is well-known for its ability to cause platelet formation. The work of these mediators is to make damages caused and prevent further damages from occurring.Normally, the bodys response in order to prevent damage by the release of these pro-inflammatory mediators is to release anti-inflammatory mediators which are interleukin-4 and interleukin-10 these are also cytokines which are a type of protein. In severe sepsis, there are excessive pro-inflammatory mediators which are non regulated by the anti-inflammatory mediators which results in overwhelming inflammatory reactions causing impaired tissue function and organ damage. collect equal to(p)-bodied to the pro-inflammatory mediators being released and unregulated by anti-inflammatory mediators, coa gulation is promoted which is the change state of blood.This happens in the capillaries which obstructs the flow of blood into the tissues causing hypoxia which thus leads to the dysfunction of organs. Hypoxia is defined by Wiebe and Machulla (1999)as reduction of atomic number 8 supply to tissue on a lower floor physiological levels. The activation of coagulation then causes fibrinolysis to be activated. Fibrinolysis is the process of prisonbreak down of blood clots as defined by Leslie, Johnson, and, Goodwin (2011). This happens because the levels of plasminogen rapidly reduce.Plasminogen is a protein that when activated by enzymes transforms into plasmin which promotes dissolving of blood clots. Though the plasminogen levels flow rapidly, the antiplasmin levels remain normal which causes an end result of a decrement in the fibronolytic response. The imbalance between inflammation, coagulation, and fibrinolysis that occurs in severe sepsis results in systemic inflammation, f ar-flung coagulopathy, and microvascular thrombosis, forms that can lead to multiple organ dysfunctionKleinpell (2003) Severe sepsis if not properly treated can then lead to septic shock.Septic shock is defined as sepsis with hypotension which is unresponsive to fluid resuscitation as well as abnormal perfusion that may include lactic acidosis, oliguria or alteration in mental status, Sepsis Alliance UK. (2012). In copulation to the care that Barbara real whilst being treated for sepsis, there were divers(prenominal) health care professionals involved end-to-end her stay in the hospital. An inter-professional team worked in concert to ensure that she was given holistic care taking into consideration the sociable aspect of her life, her weird values, her randy and mental state of mind and full physical care.On recording Barbaras clinical observations, we passed on our results to the doctors as Barbara was gain a mews of seven. Guidelines on the limited archaeozoic sample Signs chart advices that if a patients scores a let out of four or more, the patient must be referred for urgent medical review, NHS Outer North East London Community service (2011) The doctors immediately ordered for blood cultures to be taken. The blood cultures were used to suss out out the reason why Barbara had an increased temperature as an increased temperature is a sign of infection as described by Hegner, Acello and Caldwell (2009).The blood tests and cultures taken were also to test for the serum breastfeed level, white blood cell count, tests to check how the liver and kidneys were functioning. The doctors then prescribed fluids to help in increasing Barbaras blood pressure. Working collaboratively to enhance the care that Barbara received, the microbiologists were involved in the diagnosis and care she received through and through the involvement by the doctors requesting for blood samples to be taken and investigating the reason why Barbara had an empyrean temp erature.By collecting a languor sample from Barbara, the microbiologists were also involved in looking for the medication subtile to the bacteria causing Barbaras chest infection. The microbiologists also took blood for arterial blood gases test. They were very efficient in returning the results of the blood tests showing that Barbara had an increased white blood cell count. Her serum lactate levels were 3. 4mmols/l. An increased white blood cell count along with an promote temperature proved to the doctors that Barbara had an infection.The doctors commenced Barbara on the sepsis six bundle. The sepsis six bundle is a guideline within the go Sepsis causa which gives information on what should be done in the original 6hrs that sepsis is diagnosed in a patient in order to aid safe and sound retrieval. The nurses ensured that from the moment Barbara was admitted, it was a duty to monitor her clinical observations. With the use of the Modified Early Warning Signs (MEWS) chart, we enter her observations which enabled us to monitor changes in her blood pressure, respiratory rate, temperature, heart rate and oxygen saturation.This was also a mood for us to assess her consciousness level checking to see if she was alert, responsive to division alone, responsive to pain alone or unconscious. This enabled us to check for signs of for hold motion in her health or for deterioration. Our duty as nurses was to provide 24hr care to Barbara. With a blood pressure of 85/42 mmHg we ensured that Barbara got enough fluids as were prescribed by the doctors. These fluids were given intravenously to increase Barbaras blood pressure.In a patient with sepsis, due to vasodilation as an inflammatory response to the infection, arterial circulation is in powerful therefore intravenous fluids are required as advise by plant for Healthcare Improvement (2011) isolated from receiving care from the nurses, we referred Barbara to the occupational therapist. The role of an occupati onal therapist as defined by Institute For Career Research, (2007) is to help in the development, recovery and maintaining of daily living and work acquisitions of people with delineates that are disabling mentally, physically, emotionally and developmentally.Institute For Career Research (2007). They ensured that on returning ingleside, patients will have everything needed to make them comfortable. If need be, they will get their houses modified with a stair lift, a ramp or any additional equipment needed for them to make living at home easier. In relation to Barbara, the occupational therapist focused on her personal care, they assessed how easy or difficult it was for her to wash and dress herself and if she could manage planning her nourishment in the kitchen.This enhanced collaborative working as this enabled the nurses to be aware of what strides needed to be taken to provide best care to Barbara. We were informed by the occupational therapist that she would need all ca re in the area of her personal hygiene and assistance in most areas of her activities of daily living. With the information derived from the occupational therapist, we were able to refer Barbara to the social services to ensure that when she was fit for discharge, extra measures were taken to provide her with care in her own home.Barbara also received care from the physiotherapist. The role of the physiotherapist is to work as part of the multidisciplinary team to assess the patient and then provide treatment. Treatment would include exercise, movement, hydrotherapy, electrotherapy, massages and manipulation. A physiotherapist is also involved in providing health education this is elaborated by NHS Scotland (2002). In relation to Barbara, after we had referred her to the physiotherapy, they ensured that she received physiotherapy for her chest which was a series of claps on her chest, back and under her arms.This was very helpful to Barbara as due to her chest infection, she had a lot of mucus in her breathing passages and with treatment from the physiotherapist she managed to cough it up. This positively enhanced the care that Barbara received as through collaborative working, the physiotherapist encouraged the loosening of mucus from her breathing passages which enabled us as nurses to acquire a sputum sample to send to the microbiologist to test for what antibiotics were suitable to treat Barbaras chest infection.In addition to having lung cancer, Barbara also had liver and bone metastasis. With her consent, we involved the Macmillan nurses in her care. They focused on the social, emotional and practical(a) impact cancer had on Barbara. They also gave her information on different support groups which were accessible to her and meetings where she could share her experience and listen to others experiences. Involved in the care of Barbara was the church priest.As Barbara was too ill to attend the hospital sunshine services as were her wishes, we invited a priest who could give her communion, emotional and spiritual support through her stay in the hospital. Barbara had a reduced liking so we commenced her on a food diary in which we recorded everything that Barbara ate and how much of it she ate. After three days of commencing Barbara on the food diary, we showed it to the dietician. Barbara was quite ill and did not have the strength to take part in most of her activities of daily living including feeding herself.The dietician came to the ward to review Barbara and then prescribed ensure drinks and little cups of procal shots. These are alimental supplements which provide protein, fat and carbohydrate in the body. All healthcare professionals worked together to enhance the quality of care that Barbara received although because Barbara had been diagnosed with sepsis, the closing of the dietician to provide Barbara with medication to boost her nutrition arguably caused deterioration in Barbaras health.Studies show that when treating a patient with sepsis, permissive underfeeding is required to ensure that recovery is enhanced as encouraging a lot of dietary use would cause lipogenesis which would result to excess production of carbon dioxide and respiratory overload, hyperglycemia and over usage of energy which would lead to stress for the patient. Vincent, Carlet and Opal (2002).In supporting the doctors decision to prescribe intravenous fluids for fluid resuscitation on Barbara, Evidence has shown from the last Sepsis driving (2011) under the sepsis resuscitation bundle that patients who are suspected of being in septic shock should be commenced on fluid resuscitation immediately. Guidelines on the Surviving Sepsis Campaign states that, In the event of hypotension and/or lactate gt 4mmols/L (36 mg/dL) deliver an initial minimum of 20 ml/kg of crystalloid (or colloid equivalent). As explained by Winters and Glatter (2009), serum lactate levels are used to identify patients who have sepsis.They explain tha t an elevated serum lactate level is a method of boding of an increased mortality in patients with sepsis or septic shock. This proves that ordering for blood tests to check the serum lactate level of Barbara was a positive meter in treating Barbara by identifying the diagnosis of Barbaras condition. Current evidence from the Surviving Sepsis Campaign (2011) indicates that analysing serum lactate levels in septic patients is not definitive as a number of studies have suggested that elevated lactate levels may result from cellular metabolic failure in sepsis rather than from world(prenominal) hypo perfusion.Elevated lactate levels can also result from decreased head by the liver. Although blood lactate concentration may lack clearcutness as a measure of tissue metabolic status, elevated levels in sepsis support aggressive resuscitation. This gives reason to why the doctors ordered for blood tests to be taken so as to measure Barbaras serum lactate level. Through continuous inp ut of intravenous fluids, Barbaras blood pressure increased to 99/55 and remained stable and she was now scoring a MEWS of 3 as her respiratory rate was still elevated at 24 breaths per minute and a heart rate of cv beats per minute.Barbaras temperature was still a little bit elevated at 37. 4? C but not scoring on the MEWS chart. The MEWS chart played a very Copernican role in fortune us evaluate Barbaras health status. Although different studies show that there are pros and cons of using the MEWS system to evaluate patients health status. Studies show that the modified advance(prenominal) warning scoring systems in the accident and emergency department or an acute care setting can help healthcare professionals identify patients that are at risk of deterioration.Though, concerns have been raised questioning the sensitivity of this system as a risk assessment tool in comparison with the early modified warning score (EWS). Griffiths and Kidney (2011), in their survey assessing the use of MEWS in the UKs acute care departments found out that over 90% of respondents in the survey supported the use of the Early Warning Score in helping identify deterioration or emolument in patients who are admitted to the acute care departments to the use of the Modified Early Warning Score.This is evidence that supports the practice of nurses in monitoring Barbaras condition through the use of modified early warning score. On the other hand, another study shows that many issues arose in implementing the MEWS chart in recording patients observation. The problems encountered with the MEWS chart include complaints of font size, size of the boxes provided to hold open in and due to this, some staff members have been reluctant to occupy with the process making it difficult to monitor deterioration in sapiently ill patients.NICE (2011) I think that the MEWS chart was very effective in helping us monitor Barbaras condition because we were able to use the information recorded on i t as a convey of communication with other healthcare professionals involved in her care. In affectionateness for Barbara, we ensured that her occultity was optimised. This is a professional requirement for every nurse by the nurse and Midwifery Council (2008). Through the use of a representative called Situation range Assessment Recommendation (SBAR), we ensured that communication between all health care professionals were detailed and solely on a need to know basis.This model did not only shelter the confidentiality of Barbara, it also encouraged assessment skills helping to provide all information to health care professionals in a manner that makes it difficult to omit any information. In communication with other bodies involved in Barbaras care, SBAR stood as a guideline in divulging information. Stating the situation Barbara was in, giving background information only in relation to her present condition, providing results of assessments carried that would relate to the ir function in the care of Barbara and finally acquiring the recommendation from the other body.This way, disclosure of information is kept to a minimum. Confidentiality is a key concept in protecting people that are vulnerable. Apart from being an ethical requirement, confidentiality also is a legal requirement. The legal belief of confidentiality lies within the Data Protection Act (1998), which simplified by hear (2005) states that Confidence is breached by the unauthorised use or disclosure of confidential information. This act emphasises the principles that define confidentiality one of which includes sensitive personal data.This has to do with matters relating to a persons ethnicity, religious and political beliefs, physical and mental health, sexual orientation as well as criminal offences. In relation to Barbara, whenever we received a phone call from people claiming to be family members, in order to protect Barbaras confidentiality, we never disclosed results of tests or doctors orders. We always gained consent from Barbara forward giving information out to other parties involved in her care.Timing when caring for critically ill patients is a valuable commodity which makes it important to be able to identify when a patient is in need of urgent medical attention. In the course of looking after Barbara through her gateway in the hospital, I realised that prioritising care was the main issue ring her treatment. Observing my teach who was in charge of Barbaras care as well as nine other patients, using the ABC proficiency she was able to prioritise the care that Barbara received.Ensuring that she had open Airways, Breathing with addition of oxygen therapy, Circulation through constant monitoring of her blood pressure. Prioritising of care is a skill that is essential in a care setting because if it was decided that all patients would be cared for in respect of their bed position on the ward, that would have had a negative impact on Barbara because she would not have received the urgent attention that she needed which could lead to a tragedy.Through prioritising care, my mentor was able to organise herself in caring for the other patients she was in charge of placing Barbara on the top of her list because she was in constant need of urgent care as when it was time for her intravenous fluids to be commenced because she had organised her time accurately she was able to meet up with demands placed by Barbaras condition as well as demands of her duty to the other patients.In conclusion, this portfolio of evidence has defined the different stages of sepsis. It has explored the causes, pathophysiology and clinical manifestations. Fluid resuscitation was highlighted as the most important step to take in recognising a patient with sepsis. I described the different roles of the healthcare professionals in relation to the care that Barbara received.Using information from the surviving sepsis campaign, I explained the guidelines used in the treatment of sepsis and related it to the steps taken by the doctor to treat Barbara. I identified the key strength of my mentor in working under pressure by prioritising care. This is an area that I will need to develop myself in the course of attending placement in the future. I will research on techniques of prioritising patient care and research on the process of triage in relation to a care setting.