Nursing contribution to patient recovery from anaesthesia Essay

Nursing commitment to understanding recuperation from sedation - Essay Example The key target of nursing care during the post-sedative period is consequently fixated on guaranteeing safe recuperation of patients following medical procedure, elevating ideal physical solace to empower speedier mending among the patients, reestablishing homeostasis (Miller, 2010) and finding a way to forestall or potentially limit wounds. Perianesthesia medical attendants are depended with the obligation of guaranteeing that the patient recuperates securely from sedation and are dealt with in the post sedative consideration unit. The patients recouping from sedation are exceptionally powerless against different intricacies. The perioperative medical attendants should thus guarantee to think about the patient's age, sedative specialists, singular medical issues and so forth which may straightforwardly affect the post-usable consideration and offer ascent to complexities, for example, the danger of hypotension, bronchospasm, and so on (Iyer, Levin, and Shea, 2006). The post sedation care is commonly separated into three stages which include: Phase 1: Early recuperation PACU In this stage the patient is moved from the OR (working space) to the Post-sedation Care Unit (PACU) and gave clinical help following the consummation of a surgery (Day, Paul, and Williams, 2009). This stage involves arrangement of concentrated clinical consideration to the patients which is the essential obligation of the anesthesiologist or anesthetist (O'Connell et al., 2010). Stage 2: Self-care stage/Recovery room In this stage the patient is set up for self-care or directed consideration in an all-inclusive consideration setting. The recuperation stage may keep going for a few days relying upon singular conditions of every patient (Day, Paul, and Williams, 2009). Stage 3: Discharge In this stage the patient is set up for release from the medical clinic setting. This stage remembers cautious arranging and dealing with for the piece of the guardians which incorporates guaranteeing that t he patient is completely reestablished to their pre-usable stage before release (Day, Paul, and Williams, 2009). Fig: Patient recuperation from sedation †Recovery stage Source: Day, Paul, and Williams (2009: 501) The key job of attendants in guaranteeing powerful recuperation of patients from sedation is examined in detail in the accompanying area. Job of recuperation nurture in guaranteeing tolerant recuperation from sedation: One of the key prerequisites of guaranteeing successful patient recuperation from sedation is to guarantee that medical attendants have satisfactory information and mindfulness with respect to the patient's degree of sedation since such mindfulness encourages them to design and create fitting security measures (Spry, 2005). The perioperative or post-sedation care is one of the fundamental components of nursing care. The conventional job and extent of recuperation nursing has changed drastically throughout the years with the outcome that the medical caret akers today are required to give top notch care and show propelled nursing aptitudes so as to guarantee tolerant wellbeing and speedier recuperation. As the multifaceted nature of working systems increment, the job of recuperation medical caretakers giving post usable consideration to patients recouping from sedation is turning out to be increasingly testing. The presentation of cutting edge careful innovation and sedative strategies have achieved critical transformations in improving patient fulfillment and moved the job of medical caretakers from guaranteeing customary

Rhetoric in Communication Theory Research Paper

Talk in Communication Theory - Research Paper Example Scholars and speakers have fluctuating expectations for the message in their correspondence and, this decides the proper talk for use. Then again, correspondence speculations are hypotheses that endeavor to give a clarification on why individuals impart the manner in which they do. Talk and correspondence speculations are two firmly related subjects. This paper will in this manner investigate the talk in correspondences speculations. There are different correspondence speculations that characterize the connection between the various gatherings engaged with correspondence. The hypotheses additionally clarify why correspondence happens in specific manners. Correspondence speculations likewise clarify how compelling correspondence can be accomplished by improving the connection between the speaker and the crowd. Subjective discord hypothesis is a significant hypothesis in correspondence. Subjective Dissonance hypothesis expresses that dispute encounters are avoidable. As per the hypothe sis, individuals will in general maintain a strategic distance from data that contentions with their convictions (Lisa, 1975). Along these lines, individuals will maintain a strategic distance from a speaker whose data negates their convictions and information. As a rule, data that contradicts the perspectives on the crowd is educational data. What's more, data planned for convincing the crowd can likewise struggle the perspectives on the crowd. ... Correspondence settlement hypothesis is additionally a significant hypothesis in correspondence. This hypothesis contends that a difference in correspondence style has direct outcomes on inspiration. The hypothesis suggests that individuals will in general change their correspondence style so as to fit the crowd. Despite the fact that the speaker is a significant factor in correspondence, the crowd is of equivalent significance. Compelling correspondence will in this way, rely upon the connection between the two gatherings. The talk in settlement hypothesis targets making a strong domain between the speaker and the crowd. The hypothesis contends that speakers will in general modify their talking styles so as to suit the crowd (Miller, 2005). This suggests a viable speaker ought to have a thought on the correspondence style that the crowd anticipates. Speakers can convince a crowd of people on the off chance that they apply a correspondence style that is adequate between the two gathe rings. Correspondingly, a speaker is equipped for convincing the crowd if the correspondence style utilized match the desires for the crowd. In many correspondences, the crowd is unequipped for deciding the correspondence or their associations with the speaker. Notwithstanding, the speaker can change the correspondence or their relationship with the crowd. Changing the correspondence style to coordinate the crowd desires is a proof of the adaptability that speakers have. As per the settlement, hypothesis speakers or gatherings associated with correspondence regularly will in general alter their correspondence style so as to meet the desires for the crowd (Miller, 2005).. Altering the correspondence style so as to oblige the desires for the crowd is a correspondence strategy. Speakers apply the

Artificial Intelligence :: essays research papers

The scholarly foundations of AI, and the idea of insightful machines, might be found in Greek folklore. Wise antiquities show up in writing from that point forward, with genuine (and fake) mechanical gadgets really exhibiting conduct with some level of knowledge. After current PCs opened up following World War II, it has gotten conceivable to make programs that perform troublesome scholarly errands. Considerably more critically, universally useful strategies and devices have been made that permit comparative assignments to be performed. - - - - - Great Places to Start A Brief History of Artificial Intelligence. By Bruce Buchanan, University Professor Emeritus, University of Pittsburgh. An order of critical occasions throughout the entire existence of AI, arranged for the Introduction to AI class at the University of Pittsburgh. [Note: We have started to clarify his history by giving connects to assets in AI TOPICS and elsewhere.] The Big Picture - A Short History of Robotics and Thinking Machines. Some portion of the showing guide for the Scientific American Frontiers in the study hall arrangement: ROBOTS ALIVE! Computer based intelligence's Greatest Trends and Controversies. Marti A. Hearst and Haym Hirsh, Editors. IEEE Intelligent Systems (January/February 2000). A convenient and interesting assortment of perspectives from AI researchers and experts. (Likewise accessible in pdf.) A Proposal for the Dartmouth Summer Research Project on Artificial Intelligence. J. McCarthy, M. L. Minsky, N. Rochester, and C.E. Shannon. August 31, 1955. "We suggest that a multi month, 10 man investigation of man-made consciousness be completed throughout the mid year of 1956 at Dartmouth College in Hanover, New Hampshire. The examination is to continue based on the guess that each part of learning or some other component of knowledge can on a basic level be so correctly depicted that a machine can be made to mimic it." And this denotes the introduction of the term "artificial intelligence." Additionally observe this meeting with John McCarthy. The good 'ol days. A meeting (accessible in PDF, Quicktime, and Realmedia) with Donald Michie, Professor Emeritus at the University of Edinburgh, and presently a guest at NSW University of Technology. "Interested in AI from 1942, Donald Michie considered, established and coordinated the UK's first AI research center at Edinburgh, and has since been dynamic in AI extends far and wide. ... His discussion will cover the period from 1942, when Alan Turing was an associate at Bletchley Park, up to 1965, when the Edinburgh AI research facility was genuinely propelled. He will cover the hypotheses, the training, the characters and the legislative issues, and on past structure might be required to do as such without going easy.

New Step by Step Roadmap for The Odyssey Essay Topics

New Step by Step Roadmap for The Odyssey Essay Topics The Odyssey Essay Topics Cover Up To begin with, you want to outline the important points of your paper. Students need to try to interpret the significance of each word through context clues. Each teacher should choose how to tackle these matters with students. If your teacher requires you to keep away from certain topic then you shouldn't choose them. The Basics of the Odyssey Essay Topics In truth, it appears that her entire part in the epic is solely for Odysseus. The complicated nature of both major characters, Odysseus and Penelope, also has an important role in the Odyssey. We even receive a visual of our favourite character! Each character proved their faithfulness differently, but all of them showed a terrific degree of loyalty. Getting cold-hearted definitely isn't a characteristic of a hero. Of course the gods are scared that should they do not return Odysseus home, he'll return there himself in spite of fate. Homer managed to prove that loyalty by presenting it with many diverse characters. It's possible to compare it to the actual life. My friends are also extremely supportive and knowledge of my struggles, and attempt to aid me in any way they are able to. It's customary for women of the opportunity to be at the house of their father should they want to marry. Woodhouse, also discussing Circe, notes that she's not a god in the identical way as Athene. The Battle Over the Odyssey Essay Topics and How to Win It Odyssey essay can handle the analysis of main characters within this epic poem. Consider what you enjoyed in the epic and that which you'd love to talk about. Homer's poem The Odyssey was made in the very first third of the very first millennium BC, in Ionia. The Odyssey This audio vide o provides a synopsis of the epic. Many of the exact same characters can be seen in both poems. HAL also shows signals of evolution as he starts to demonstrate emotion which he wasn't programmed to have. You're able to choose the Odyssey for a fairy tale (very long and detailed) or attempt to get the deep meaning and learn more regarding the Ancient Greek world. In The Odyssey, loyalty is a significant theme which has an influence on the whole epic novel. Find out whatever you need to learn about the movie from the worlds biggest movie destination. The music increases the imagery that emphasizes how big the universe actually is. When it has to do with the things that I would like to accomplish and the goals I have, I am quite determined to have them done. Today, a great number of them serve as political, religious, and societal leaders. In addition, I have plenty of integrity in regards to how I am. Students who reside in a one-parent house can identify with his dilemmas. The subsequent short excerpt indicates a number of the hospitality. As a consequence, most students complain of a feeling of disconnection from poetry. The characters are reborn, and whenever a new great trait is observed inside them. Although the most important character and bulk of different characters are males, women also play very important function in the Odyssey. You've got an audience who has some background understanding of the book isn't intimately acquainted with the content. The movie connects to individuals at a personal level, which isn't an exception since any bit of art will probably trigger some sort of response, positive or negative. It's significant for the additional research. Just choose your interested area of study or research and get started writing. Choosing The Odyssey Essay Topics Once you have finished with the introductory part, is about time to begin considering how to compose the Odyssey essay body. Students often try to find the Odyssey paper topics on the web, and there's nothing weird about it. Paste a duplicate of the writing prompt on top of your essay. Even when you have read the entire book, it is essential to do a little bit of research. The procedure for writing this portion of the essay demands the total concentration. Or maybe you are teaching a literature class about various classics from all over the world. You ought to search for the high-quality essay examples on the identical topic and have a peek at their introduction so as to compare them and evaluate what type of the beginning sounds more effective.

The Problem of Evil in Our World Essay - 1302 Words

During World War II about 65 million people died, during the famines in British India about 27 million people died, during the fall of the Ming Dynasty about 25 million people died, during the Stalin Dictatorship about 20 million people died (White), during the Boston Marathon Bombing three people died (â€Å"Boston Marathon Terror Attack Fast Facts†), and according to the Central Intelligence Agency out of 100,000 people, 839 die per year (â€Å"The World Factbook†). Have you ever wondered how many of those 829 people are actually murdered, stripped out of their lives? 5.3 out of every 100,000 people are murdered yearly and most of them are innocent people (â€Å"Assault or Homicide†). Even though the world has always strived to enforced justice in†¦show more content†¦During times were evil arises God is placed under great scrutiny. People wonder and people question, some people even end up losing their faith all together. There is a constant doubt in God; if god is omnipotent and good, why is he not stopping evil and defending his creation? Why is he letting evil take over people who are innocent? If God is morally perfect and powerful and even still he is not stopping evil from spreading, does God really exist? It is with that line of questions that people lose their faith with. They lose their trust in God, and his existence. The Holocaust is one if not the most prominent example of the issues with theodicy. The Holocaust was a systematic persecution and murder of approximately 6 million Jews during World War II by the Nazi regime. This persecution was sponsored by Germany and leaded by Adolf Hitler. The ideology behind the attempted extermination of Jews was that Germans believed that they were the superior race and the Jews were not only inferior but they also presented a threat towards the German race. But they did not only persecute Jews, they also went after Gypsies, Poles, Russians, Communists, Socialist, Jehovahâ€℠¢s Witnesses, homosexuals, mentally and physically disabled people, among others. All the people who got incarcerated by the Nazis were brutally abused, starved,Show MoreRelatedThe Existence Of God And The Battle Between Good And Evil1386 Words   |  6 PagesGod and the battle between good and evil has been a topic of much discussion for centuries. Through the philosophical scope, there is a â€Å"Problem of Evil† that challenges the existence an all-powerful God if there is evil in the world. Gottfried Wilhelm Leibniz, was a German philosopher who argued about the topic of the problem of evil. Leibniz argued that (1) evil is not necessary; (2) that there is evil in the world because as humans we are restricted in our knowledge since we are merely made inRead MoreEvil, Moral And Natural Evil1408 Words   |  6 Pagesremove all evils but not able to? Then he must not be all powerful. The Greek philosopher Epicurus stated: is he able but not willing? Then God must not be all good. Is he able and willing? Then why is there evil? Or is God neither? In that case why is there a being called God? These particular questions lead to the problem of evil argument, which is an argument against the existence of God. Evil is all things that are bad in the world. There are two types of evil, moral and natural evil. This includesRead More God And The Problem Of Evil Essay1252 Words   |  6 PagesGod And The Problem Of Evil Everyday it is possible to read a newspaper, or turn on TV or radio news and learn about evil going on in our world. Banks are robbed, cars are stolen, violent murders and rapes are committed. Somewhere in the world the aftershock of an earthquake is being felt. Cancer is killing millions of people each year, while other debilitating conditions continue to affect many with no cure to end their suffering. President Bush said that our country is fighting a war againstRead MoreThe Problem of Evil1648 Words   |  7 PagesThe problem of evil is the notion that, how can an all-good, all-powerful, all-loving God exists when evil seems to exist also. The problem of evil also gives way to the notion that if hell exists then God must be evil for sending anyone there. I believe both of these ideas that God can exist while there is evil and God is not evil for sending anyone to hell. I believe hell exists in light of the idea that God is holy and just. The larger is how anyone can go to heaven . I will try to answer the problemRead MoreThe Problem Of Evil And Moral Evil1093 Words   |  5 Pagesare made to explain the problem of evil and why it exists in our world when God is all-knowing, all-powerful, and all-good. The subject of evil and why it exists is a difficult topic to find an exact answer to, especially when evil is presented in the form of nature. Natural evil and moral evil are two different types of evil that take form and cause suffering to humans. Natural evil is â€Å"events and maladies in nature that bring suffering upon mankind and nature.† Natural evil can be difficult to explainRead MoreEvil : Evil And Evil1300 Words   |  6 PagesIf we are living in a world that was created by a perfect being, why are there imperfect aspects? If this ultimate being or creator (I will say God for purpose of this paper) is fundamentally good and moral, and is even unable to create evil, then how did evil come to be in the life we are living? According to the problem of evil, if there is a God, there is no evil. But because there is evil in the world, the conclusion can be drawn that there is no God (Sober). At first glance, this argument isRead MoreWriting Style Used : Mla912 Words   |  4 PagesHamartiology: The Problem of Evil Hamartiology, also known as the doctrine of sin, has been debated for centuries due to the confusion about the existence of evil in the world God created. This doctrine is more than an explanation for the problem of evil, but it affects our relationship with our all-powerful, all-loving God. The problem of evil, indeed, is an issue that objects to the belief of God s existence. Being the label for a series of problems involving God and evil, evil is seen in manyRead MoreA Bible Study Session At The Emanuel African Methodist Church1408 Words   |  6 Pagesattack, all our nation could do is ask, â€Å"Why?† Why someone so full of hate, would take the lives of innocent people who only wished to gather and worship the Lord. Many Christian also began to ask God why? The victims, as far as we know, were good people. Why would God allow such evil to occur, especially in a church? Better yet, why does God allow any evil to occur? The Problem of Evil is that if an omnipotent, omniscient, and omnibenevolent god exists, then evil does not but evil exist. ThereforeRead MoreThe Problem Of Evil By Robert M. Adams1499 Words   |  6 PagesTHE PROBLEM OF EVIL IN THE WORLD Evil is in the eye of the beholder, sometimes a daily reality. To present the problem of evil you must first know that evil exists. Since God reveals himself as the all-powerful, all knowing and all good, how can the same God allow evil to exist and for bad things to happen to good people? Our suffering, as well as the suffering of others, vividly marks the presence of evil in our world. The majority of us struggle at one time or another in life with why evil happensRead More`` Logical Problem Of Evil `` By Lee Strobel1377 Words   |  6 PagesSeems like each day we turn on our televisions, open up our Internet browsers or turn on our smartphones we’re confronted with some disturbing news of people doing unimaginable acts to each other, to animals, to our planet or horrible things happening to people all across the globe. At some point, possibly even to the non-believers, the questions of a higher power and its existence comes into question as we debate on how or why if Go d is All Powerful, All Knowing, and All Good, how can He allow

Literary Analysis Death of a Salesman Essay - 1705 Words

After all the highways, and the trains, and the years, you end up worth more dead than alive, (Miller, 98). This quote was spoken by the main character of the Arthur Miller play Death of a Salesman: Willy Loman. This tragedy takes place in Connecticut during the late 1940s. It is the story of a salesman, Willy Loman, and his family’s struggles with the American Dream, betrayal, and abandonment. Willy Loman is a failing salesman recently demoted to commission and unable to pay his bills. He is married to a woman by the name of Linda and has two sons, Biff and Happy. Throughout this play Willy is plagued incessantly with his and his son’s inability to succeed in life. Willy believes that any â€Å"well-liked† and â€Å"personally attractive†¦show more content†¦Willy is also fired from his long time job. He feels abandoned by his boss and snubbed after all his long years of hard work. Perhaps the most damaging abandonment in Willy’s life i s from that of his sons. All these factors combined attribute to Willy’s feelings that a he is worth more dead than alive. Consequently Willy makes many failed attempts at committing suicide. Ironically he does so many times by inhaling gas through a rubber tube. This is ironic being that gas is used to provide an essential element of comfort he struggles to provide his family. Willy is metaphorically and literally being killed by the gas particles. In the end Willy is successful in his last suicide attempt. He has reached bottom low and feels he is truly worth more to his family dead than alive. Throughout this play, Miller uses Willy’s failed goal of reaching the American Dream to show the effects of abandonment on the ability of Willy to decipher reality from fiction, the toll on his family, and his fragile emotional state. Throughout this play Miller portrays his main character, Willy Loman, as senile, unsuccessful and slightly insane. Willy’s deran ged personality is in part because his father abandoned him at a young age. Willy also feels abandoned by his cherished brother Ben. Ben went off to become a big success and rich. Willy sees this and it helps lead him to feel inadequate as a manShow MoreRelatedDeath of a Salesman Literary Analysis Essay991 Words   |  4 PagesTrent Beebe Beebe 1 Mr. Arena 4th hour AP Lang Comp 12/17/09 Death of a Salesman Essay The story, Death of a Salesman, is a story that has many literary devices that help to make it the deep and riveting story that has become an American classic. The use of symbols in the story adds to the overall effect and theme and also creates a different mood that the reader must infer from it. The symbols not only represent something in the story as literally a symbol, but ofRead MoreLiterary Analysis: Arthur Miller’s â€Å"Death of a Salesman† – A Tragedy?1416 Words   |  6 PagesWhat is man’s focus in life? What is man’s purpose in life? Is it materialism and/or the prospect of how others may view him? Should man put their trust in God’s Word the Bible or leave it up to himself? In â€Å"Death of a Salesman† by Arthur Miller, but is it correct to define this theatric drama as a tragedy. According to Klaas Tindemans, â€Å"Aristotle’s concept of tragedy has been perceived as both a descriptive and a normative concept: a description of a practice as it should be continued† thereforeRead MoreArthur Miller s Death Of A Salesman1027 Words   |  5 PagesAn Analysis of Tragic Heroism of Biff Loman in Death of a Salesman by Arthur Miller This literary study will define the tragic heroism of Biff Loman in Arthur Miller’s play The Death of a Salesman. Biff is initially a victim of Willy’s continual harassment to make more money and find a better career. In this family unit, Biff must endure the unrealistic and fantasy-based elusions of his father in his fanatical pursuit of the American Dream. However, Biff soon learns of Willy’s extra-marital betrayalRead MoreFailure Of The American Dream In The Writings Of F. Scott Fitzgerald, Zora Neale Hurston, And August Wilson1418 Words   |  6 PagesThis literary study will define the failure of the †American Dream† in the writings of F. Scott Fitzgerald, Arthur Miller, Zora Neale Hurston, and August Wilson. Fitzgerald’s account of the Jay Gatsby s rise to fame in the 1920s defines the failure of financial success as part of the American Dream. Gatsby will eventually die due to his excessive greed, which is not unlike the emotional deat h of Willy Loman as he fails to become a successful salesman in Author Miller’s Death of a Salesman. MoreRead MoreWilly Loman, the Modern Hero in Arthur Millers Death of a Salesman1739 Words   |  7 Pagesrelatable; therefore, the audience would become attached to the character, allowing them to feel the hero’s pain or joy. Most importantly, they were able to learn from the characters misjudgments and take something of moral fiber away from the play. A literary term that is similar to morality is known as the tragic flaw. As defined in the book, Literature, an Introduction to Fiction, Poetry, Drama and Writing, on page G30, tragic flaw is the fatal weakness or moral flaw in the protagonist that brings himRead MoreHamartia in Oedipus Rex and Death of a Salesman834 Words   |  3 PagesHamartia in Oedipus Rex and Death of a Salesman Hamartia is defined as a fatal flaw leading to the downfall of a tragic hero. Aristotle defines a tragic hero to be a man â€Å"who is not completely good and just, whose misfortune is brought out not by vice or immorality, but by some error or weakness.† The three key requirements of Aristotle in regards to a tragic hero are; a high social standing, goodness or moral excellence, or error committed by the hero in unawareness or ignorance. Two quality examplesRead MoreDeath of a Salesman Analysis Essay2107 Words   |  9 Pagesfamily; however, there has been much debate over whether or not the American dream is still obtainable in modern society. One piece of American literature that substantiates the fact that the American Dream can not be gotten is Arthur Miller’s Death of a Salesman which describes the tragedy of the average person in America. A number of other writers also draw the inability to capture the American Dream. John Steinbeck demonstrates in his highly a cclaimed novel The Grapes of Wrath how hard economic timesRead MoreQuest For Literary Form : The Greeks Believed That The Tragedy1742 Words   |  7 PagesQuest for literary form The Greeks believed that the tragedy was the greatest form of drama, and Aristotle’s concept of tragedy followed this belief. In the modern times, there has been a change in this view with various authors abandoning the classical form to follow more liberal forms of literacy. (Kennedy Gioia, Pp. 1203) Aristotle s Concept of Tragedy The analysis of Aristotle on tragedy formed the guideline for later poets in the Western civilizationRead MoreDeath Of A Salesman By Arthur Miller1470 Words   |  6 Pagesto American soil to try at a chance of a better life, and in doing so, they too venture on a path to achieving this so commonly understood â€Å"American Dream.† Arthur Miller, a well-known literary writer in America, seems to disagree with this national phenomena, offering a different view in his play Death of a Salesman. In this play, he demonstrates through the life of an average American family, how this so called â€Å"dream† is much more complicated than the world is lead to believe. By using the LomanRead MoreImportance Of Modernism In Modern Theatre1042 Words   |  5 Pagesworking in this style were no longer imitators; they became the real creators and innovators. When discussing modernism, it is important to understand that this philosophical movement had different ref lections in different types of arts. For example, literary modernism declined in the 1930-s, while theatrical modernism was only gaining popularity. Consequently, theatrical modernism is a separate phenomenon in the world of arts with its unique features, history of development, and timeline. Because the

Change Management in Fast Track Couriers-Free-Samples for Students

Question: Analyse of the Impacts of Managing Change in an Organization. Answer: Introduction This report is based on the case study analysis of Fast Track Couriers Pty. Ltd. Which is a company which delivers couriers and is operational from 15 years in New South Wales. The company mainly delivers couriers of sizes ranging from medium sized to the large ones. The analysis is done based on the problems related to the training that is to be provided to the truck drivers of this courier company. About Fast Track Couriers The employee structure of the company mainly comprises of the General Manager, the Chief Financial Officer, the Accountant, the drivers of the trucks, the team manager in the office, the team members of the office. The communication process of the organization from the management level is done through emails for the head office employees and with the help of newsletters which are printed monthly for the drivers of the trucks. Identifying change goals and impacts The goals of the change management strategy are related to the implementation of GPS or PDA devices in the fleets of the trucks so that the activities of the drivers can be monitored and secondly allotting one person per truck by using lift gates for heavy weights so that the surplus drivers can be used for other trucks. The drivers of the trucks will be impacted the most due to this change, as their activities can be tracked and the organization will also be impacted by the usage of the surplus drivers (Goetsch and Davis 2014). The change will be realised by the organization by the end of the financial year. Identifying change goals in relation to strategic goals of the organization The changes are related to the strategic goals of the organization because the surplus drivers will contribute in the expansion of the business and technological development will help in developing a successful system of distribution management (Langley et al. 2013). Cost benefit analysis required for change implementation The changes are required to fulfil the strategic goals of the organization and in turn increase the profits. The costs related to the change are $1600 for project analyst, $2400 for PDA/GPS trainer and $2400 for the lift gates trainer. Total of $6400 is required. The risks related to the change are that the act negatively towards the change and benefits include the increasing profits for the company. The benefits of the changes are much more feasible as compared to the amount of risks. The changes are feasible for the organization (Becker, Kugeler and Rosemann 2013). Risk analysis of change The risks related to the changes are that the drivers react negatively to any type of change and they do not participate in any type of training and development programs. The trust factor of the organization on the drivers is hurt due to the implementation of changes. The drivers prefer to work only in their two-man team. The drivers need to be motivated by rewards at the end of the change programs by providing them with rewards (Matos Marques Simoes and Esposito 2014). Project plan for change management Stakeholder management The stakeholders of the change management plan are the drivers, the HR manager, the operations or trucking manager and the trainers. The drivers are not committed towards any type of change and the manager also need to motivate them to take part in the change management. The main issue here is the negativity of the main stakeholders, that is, the drivers. The management needs to take initiatives to increase the engagement of the drivers in the activities (Van Der Aalst 2013). Communication plan The audience of the communication plan are the HR managers who are responsible for implementing the change plans, the operations managers who track the activities of the drivers and the drivers. The message will be communicated to the audience with the help of newsletters and emails (By, Burnes and Oswick 2012). Training plan The participants of the training plan are the drivers and the operations managers. The training plan will provide knowledge regarding the implementation and usage of the PDA/GPS devices and operating the heavy lifters. The training will be provided by the GPS and lift trainers during the job itself (Goetsch and Davis 2014). Reporting or measurement strategy The relevant managers who will implement the strategy are the HR managers and the operations managers will track the development of the employees. The information will be submitted to the HR manager, who will prepare the report and submit this is in a monthly basis (Becker, Kugeler and Rosemann 2013). Conclusion From the analysis of the report it can be stated that the changes can prove to be profitable for the company and the drivers as well. The use of the lifts will decrease the chances of injuries of the drivers and the surplus drivers can be used for new trucks purchased by the company References Goetsch, D.L. and Davis, S.B., 2014.Quality management for organizational excellence. Upper Saddle River, NJ: pearson. Langley, A., Smallman, C., Tsoukas, H. and Van de Ven, A.H., 2013. Process studies of change in organization and management: Unveiling temporality, activity, and flow.Academy of Management Journal,56(1), pp.1-13. Becker, J., Kugeler, M. and Rosemann, M. eds., 2013.Process management: a guide for the design of business processes. Springer Science Business Media. Matos Marques Simoes, P. and Esposito, M., 2014. Improving change management: How communication nature influences resistance to change.Journal of Management Development,33(4), pp.324-341. Van Der Aalst, W.M., 2013. Business process management: a comprehensive survey.ISRN Software Engineering,2013. By, R.T., Burnes, B. and Oswick, C., 2012. Change management: Leadership, values and ethics.Journal of Change Management,12(1), pp.1-5.

Burial Of Count Orgaz By El Greco Essays - Toledo, Spain

Burial of Count Orgaz by El Greco This painting is the Burial of Count Orgaz by El Greco (the Geek) his real name Domenikos Theotocopoulos. It hangs on the wall in the vestibule of the church of Santo Tome in Toledo, Spain and was painted in 1586. It is oil on canvas and was made to fit the very wall it hangs today. The painting does have a Round top making it a very odd fit for anywhere but the church for it to hang. The artist used many dark shades Blue and blacks with yellow and red in the items of importance and detail. White was very common. There was only one other color sort of hid in the robe of St Augastine,Green. He put alot of details in the things that he wanted the audience to pay attention to. The cross for example on the middle right, the keys to the gates of heaven held by saint peter on the top left and a nice touch with the priest with the skull on his rob on the bottom right. This is the first completely personal work by the artist. There are no longer any references to Roman or Venetian formulas or motifs. He has succeeded in eliminating any description of space. There is no ground, no horizon, no sky and no perspective. Accordingly, there is no conflict, and a convincing expression of a supernatural space is achieved. The painting has a couple of oddities with the boy pointing to the seal on the St. Stephen's robe but his other hand is sort of contorted. The faces of the people seem to be stuck here and there and don't seem to be natural flowing like a crowd should be in the mist of a vision .We get a glimpse of the artist above St Augustine's Hat as he looks up at his own art. And the boy is his son turns out to be his son. The painting is very clearly divided into two zones, the heavenly above and the terrestrial below, but there is little feeling of duality. The upper and lower zones are brought together compositionally (e.g., by the standing figures, by their varied participation in the earthly and heavenly event, by the torches, cross, etc. The grand circular mandorla-like pattern of the two Saints descended from Heaven echoes the pattern formed by the Virgin and Saint John the Baptist, and the action is given explicit expression. The point of equilibrium is the outstretched hand poised in the void between the two Saints, whence the mortal body descends, and the Soul, in the medieval form of a transparent and naked child, is taken up by the angel to be received in Heaven. The supernatural appearance of the Saints is enhanced by the splendor of color and light of their gold vestments. The powerful cumulative emotion expressed by the group of participants is suffused and sustained through the composit ion by the splendor, variety and vitality of the color and of light. The painting illustrates a popular local legend. In 1312, a certain Don Gonzalo Ruiz, native of Toledo, and Se?or of the town of Orgaz, died (the family received the title of Count, by which he is generally known, only later). He was a pious man who, among other charitable acts, left moneys for the enlargement and adornment of the church of Santo Tome (El Greco's parish church). At his burial, Saint Stephen and Saint Augustine intervened to lay him to rest. The occasion for the commission of the painting for the chapel, in which the Se?or was buried, was the resumption of the tribute payable to the church by the town of Orgaz, which had been withheld for over two centuries. All in all a very interesting piece of art. Though he is kind of a nock off of Michelangelo.

How to Improve Ones Study Skills

How to Improve Ones Study Skills When it comes to excelling at the college/university level, students must focus on developing their study skills. It’s often called the â€Å"great equalizer† – because it guarantees good grades, regardless of one’s intelligence, aptitude or any other skills students have developed in their academic career. But too many students are not taught how to study effectively. For example, students are told note-taking helps them prepare for a test, though few are taught exactly how to do so. It comes down to them learning what works best for them over time. Here are 8  proven study tips to help students prepare for tests:   Study for no longer than an hour at a time without taking a break. Not only does this make better use of one’s time while studying, psychologists have learned that people learn best in short takes. Also, even when someone is not studying, their mind subconsciously works to absorb what they have previously studied, learned or been exposed to.   Separate the study of subjects that are similar in nature. The student can avoid interference and confusion if they, for example, were to study Spanish or history after studying math – and not Chemistry, with includes mathematics.   Avoid studying when tired. This has proven to be counter-productive; the student doesn’t accomplish anything when their brain is not fresh. In this case, when they are tired, physical activity and taking part in recreation is advised.   Memorize actively, not passively. The worst way to memorize is simply reading something over and over again. Instead, the student should use their senses. They can try to visualize the material they’re learning in concrete terms; they can say certain words aloud, listening as they are saying them. They can also use association – or relating the fact to be learned to something personally significant, or find a logical tie-in. Also, use mnemonic devices: ROYGBIV, for the colors of the rainbow.   Study while reading. Follow the OK4R method devised by Dr. Walter Pauk: O = Overview. Read a book or passage’s title, intro and summarizing paragraphs and headings to get a general idea of what’s being discussed; K = Key Ideas. Skim the text for key ideas, usually found in the first sentences of each paragraph; read italics and bold type, bulleted sections, itemizations, pictures, tables; R1 = Read assignments from beginning to end; R2 = Recall. Put aside the text and recall, whether mentally, verbally or in writing, the major points put forth in the text; R3 = Reflect. This helps fix the material in the student’s mind, to cement it there for long-term use, through finding relationships and significance; R4 = Review, but not right away. This comes with studying, either for a short quiz, a test, or exam at a later date.   Decide what to study and for how long. Studying the wrong thing for any period of time is, well, a waste of time.   Do difficult tasks first. To avoid procrastinating on studying for the hardest subjects, it helps to end a study session by focusing on the simpler and more interesting ones.   Use longer time/study periods for organizing relationships and concepts, as well as for outlining and writing papers, if necessary. Use shorter study periods for â€Å"rote† memorization (mechanical or habitual repetition of something to be learned), to review content, and for self-testing one’s knowledge on a given subject. Following these simple steps will ensure a significant boost in your academic performance. Dont try to follow each of them at once, its best to take one step at a time. Pick one technique and work with it until you understand if it works for you and how effective it is. Eventually you will learn to combine these steps and acquiring new information will become a piece of cake for you. Good luck with your studies, and remember should you need any academic assistance, is always happy to help!

Operations Management Coursework on Night Club Events - 1

Operations Management on Night Club Events - Coursework Example Chances that the super power would diminish in the next decades are clearly high. The best positioned countries to challenge America’s prominence are found in East Asia and globally by China. (Abdelnour, Wesley & Herman pg57) It is believed that if Chinas economic growth continues consistently the next two decades just in the same pace as the last two decades, then it would surpass and rival the United States of America in terms of Gross Domestic Product (GDP) .GDP is not measured in terms of dollar but in terms of purchasing power parity. Even if Chinas economic status does not does not reach the Americas standards, it is notable that the growth has created a fundamental political inspiration in the entire East Asia. The economic clout extends East Asia affecting both great powers and the developing countries due to enthusiasm for raw materials and competitive prices for low cost goods. China is resolute in climbing the technological ladder, a clear indication that it might affect United States of America economically. Already China is regarded as the most dominant military powerhouse in the entire East Asia thereby making significant strides creating excellence in the armed forces. The tense relationship between USA and Russia has been fuelled by Americans interest in Crimea with regard to the sanctions that have been attached to Russia recently by President Barrack Obama of the United States. Several banks have been blacklisted by the US government following the Russian infiltrations in Ukraine. Majority of Russian businessmen in the United States who have close links with Vladimir Putin have been expelled from the country. President Obama has also come with strategies to tame some parts of the Russian economy comprising both the oil and gas industries which form a bunch of Russians export. (Abdelnour, Wesley & Herman pg29) According to President Barack Obama, the action would interfere with the

IT MANAGEMENT Assignment Example | Topics and Well Written Essays - 1000 words

IT MANAGEMENT - Assignment Example Then launched it on the internet in August that year, to judge the response from the people for such a technology in which they can let the whole world know what they are doing in their lives by simply sending micro-blogs. The Twitter technology is also equipped with the concept of receiving tweets on mobile phones in form of messages. Arthur (2008) states that Twitter is often called the â€Å"SMS of the Internet† and the character limit of twitter is also chosen in accordance with that of the SMS. McIntyre (2009a) states that since Twitter can be used by PCs and mobile devices both and it offers a very small blog message of maximum 140 characters, due to this advantage it has become one of the biggest mediums globally for sharing real-time data. The size of the messages have also decreased the problem of information overload on the Web. Payne (2008) states that the technology that was used to handle messages from 2007 to 2008 was of a Ruby persistent queue server called Starling. Venners (2009) states that in 2009, they changed the technology and started using software written in Scala. Twitter has been one of the most successful social networking services and has gained its name among the top league including Facebook, video sharing platform of YouTube etc. McIntyre (2009a) states that according to a research by Wall Street Journal; Twitter has had an increase from 2 million users to 32 million users since last year only. There have been some internet measurements services stating that the figures are continuing to grow from 50% to 100% month after month. With such a huge and increasing market; Twitter and other businesses have a great future lined up. McIntyre (2009d) states that consumer feedback plays an important role to any organization in improving their products. Companies spend a great deal of their resources in market research and collecting consumer feedback.

The Meaning of Torture Porn Essay Example for Free

The Meaning of Torture Porn Essay Stephen King once wrote, in his seminal book on horror, Danse Macabre, â€Å"I recognize terror as the finest emotion and so I will try to terrorize the reader. But if I find that I cannot terrify, I will try to horrify, and if I find that I cannot horrify, I’ll go for the gross-out. I’m not proud† (Kaye 3). From the sequence of horror movies that have flooded the market over the past couple of years, it’s obvious that many of the filmmakers behind him aren’t too proud either. Horror cinema seems like it has become an ocean of gore, and the current trend has even gotten its own name: torture porn. The term â€Å"torture porn† has little to do with real pornography. There is virtually no sexual activity involved, although the victims are usually nude or partially nude. Torture is defined by Dictionary.com as â€Å"the act of inflicting excruciating pain, as punishment or revenge, as a means of getting a confession or information, or for sheer cruelty†. It expresses the idea that its viewers are intensely aroused by the sight of human bodies – usually young and quite often female that are getting torn into bloody chunks in the most awful ways imaginable (Williams 1). The next part of the term, porn, has nothing do to with what is going on onscreen and when placed alongside torture, has nothing to do with the definition of either word. Porn is a shortened form of pornography, which Dictionary.com defines principally as â€Å"†¦sexually explicit pictures, writings, or other material whose primary purpose is to cause sexual arousal.† Seeing a naked body onscreen isn’t extremely explicit or sexually arousing in many situations, especially if the nude is being hacked to pieces by a fictional serial killer with a prop knife. In short, the characters in most well-known torture porn films are not usually developed enough to make us feel much sympathy for them; they’re simply, men and women, set up to be sliced apart. â€Å"There’s a definite distinction between being grossed out and being terrified and I think many filmmakers have lost sight of that†, says Ryan Rotten, managing editor of the horror Web Site ShockTilYouDrop.com (Kaye 3). According to Rafe Telsch, an assistant editor of Cinema Blend website: Almost everyone I know goes to the movies for similar reasons. We go to the movies because they entertain us. In the movies exists a world where the good guys win, hope prevails, and love conquers all. Movies make us feel better about ourselves and the world we live in and sometimes offer that aphorism of wisdom we need to make it through rough times. A horror movie primarily serves to scare or horrify, to haunt someone long after they’ve watched, or terrify them while they are watching it. However, in recent years, sadly, we are mostly seeing gore, more females, or should I say â€Å"hotties†, being tortured for most of the film, beaten, tied up, faces cut off, limbs cut off, legs caught in some kind of traps – and for what? The films serve little or no purpose in storytelling or character development. This is not horror, it does not scare or leave you scared to turn the light off, and the films end usually in an easily predicted way. Our generation is past desensitization after watching countless disgusting mutilations slowly destroy the human bodies onscreen. So, do torture porn movies really serve any purpose, other than to gross the audience out and put them off their food? I personally cannot reason why movie audiences would find this recently popular sub-genre interesting. Instead of promoting the good in mankind, these movies promote the worst possible traits of the human race. In the real world, we take people who kidnap, torture, mutilate, maim, and kill innocent people and lock them away, even putting some to death. Nowadays, a group of filmmakers want to recreate that same concept in a fictional environment, glorifying sick behavior to sell tickets. Even worse, people are buying those tickets, maintaining the strength of these kinds of films and ensuring more to come. To be clear, my problem is not with the horror genre as a whole. A lot of horror exemplifies the idea of good versus evil with good eventually saving the day (not always, but frequently). I’ve been a horror fan almost since I could watch movies, which is somewhere around the age of 6. I remember the times when I visited my grandparents with my younger brother during the summer, and we couldn’t wait until 10 o’clock to see a horror movie, since our parents stayed in the city. Our grandparents would always go to bed early, and we knew that on weekends, starting from 10 o’clock most of the channels would show some type of a horror movie. Usually, my brother would ask me to shut off the TV and go to bed as soon as the best part of the movie began (by which I mean the scariest part), but I stayed, even though I had my eyes covered with a pillow for the majority of the movie. As I got older, I no longer needed the pillow. Most of the American movie-going society is familiar with the Saw films initiated in 2003 by James Wan and Leign Whannell, and with Eli Roth’s two Hostel films (released in 2005 and 2007), which represent the most lucrative horror films of the 21st century and serve as the most prominent examples of torture porn (Sharrett 32). So, when Saw 5 came out in 2008 and my friends dragged me into theater to watch it, I was shocked and sat in astonishment as Jigsaw’s victims were tortured. Jigsaw, the main antagonist of the series, places his victims in death traps that can only be stopped by the murder of another person. That night I left the theater wondering why anyone would ever want to watch torture in a movie when there’s enough of it in the real world. I understand that for some of us horror movies allow us to confront our fears in a safe setting, but it’s a huge difference thinking about that when you’re watching someone torture another human being, in all of its ugliness, on-screen than when you’re watching the nightly news. If we can gain positive lessons about life from the movies, then what kind of moralistic values are torture porn movies instilling in our culture? As Rafe Telsch asked, â€Å"Are we cultivating a crop of sadistic killers by allowing these kinds of movies to be made and shown?†(1).What is even more disturbing about torture films is that while I was watching My Bloody Valentine (2009) in the cinema, people seemed to take great delight in laughing or cheering when an innocent character was injured or murdered. This, again, shows how horror films are moving away from what they originally stood for: the ultimate triumph of good over the worst evils in humanity. Additionally we, as an audience, aren’t supposed to be cheering for the â€Å"bad guys†, we’re supposed to want the heroic characters to overcome the evil and survive the horrors. By now most of you have probably heard about the controversy surrounding Captivity billboards as part of the film’s outdoor ad campaign in Los Angeles and New York. Captivity is a â€Å"torture porn† film starring Elisha Cuthbert. The depicted four panels with the headlines â€Å"Abduction, Confinement, Torture, Termination† along with the appropriate modern horror florescent lighting color scheme and scary visuals (Brodesser –Arkner 13). This film outdoor campaign outraged some residents in the Los Angeles area. â€Å"Parents went nuts†, said Courtney Solomon, a partner at After Dark Films, a company that has a multi-picture deal with Lionsgate and that were responsible for marketing the film (13). Los Angeles Times columnist Steve Lopez wrote, â€Å"I felt like I needed to take a shower just from having been within a hundred feet of it (Brodesser-Arkner 13).† And that’s only two adults expressing their feelings about the billboard. I have never seen Captivity, but based on the pictures I can easily imagine why parents would be concerned while driving with their kids on the highway and seeing this picture.

Polite Society Gone with the Wind in A Good Man is Hard to Find :: A Good Man is Hard to Find

Polite Society Gone with the Wind in A Good Man is Hard to Find A Good Man is Hard to Find is consistent with Mary Flannery O'Connor's view that contemporary society was drastically changing for the worse. O'Connor's obvious displeasure with society at the time has often been attributed to her Catholic religion, her studies in the social science field, and the fact that the celebrated lifestyles of the elite southern whites were "Gone with the Wind." Evidence of society's "demise" is woven into the story, and presented through an interesting generation gap. The grandmother is representative of godliness and Christianity which O'Connor apparently believed to be more prevalent in the "glamorous" Old South: The old woman settled herself comfortably, removing her white cotton gloves and putting them up with her purse on the shelf in front of the back window. The children's mother still had on slacks and still had her head tied up in a green kerchief but the grandmother had on a navy blue straw sailor hat with a bunch of white violets on the brim and a navy blue dress with a small white dot in the print. Her collar and cuffs were white organdy trimmed with lace, and at her neckline she had pinned a purple spray of cloth violets containing a sachet. In case of an accident, anyone seeing her dead on the highway would know at once she was a lady. (2148) The parents pay little attention to the grandmother and when they do, they are often quite rude. The unruly children are representative of the breakdown of respect, and discipline, and are consequently a forecast of future generations. The Misfit represents evil. At one point the Misfit likens himself to Christ, in that they both were punished for crimes they did not commit. Christ accepted death for the sins of all people, however, and not only did the Misfit not do that, but he also killed other innocent people. Near the end of the ordeal, the grandmother recognizes the shirt the Misfit has put on as her son's shirt.

Total Hospital Information System Hospital Selayng

1. 0 Hospital Information System (HIS) – Overview 1. 1 Definition Hospital Information System (HIS) is an integrated information system which spans through the organization crafted to manage clinical, administrative, financial and operational functions of a hospital. HIS strives to achieve the most effective support for patient care and administration through various different electronic data processing and analyzing tools (Ismail, et al. , 2010). HIS serves as a platform to provide the required information to each level of the management at the correct time, in the correct form, and in the correct place, contributing towards improved decision making. HIS plays a pivitol role in planning, initiating, organizing and controlling the operations of the subsystems of the hospital and thus equips an organization with synergy and integrity required for it to function. More importantly, HIS also enhances patient care and comfort by offering personalized suggestions for care and enables a hospital to move from retrospective to a concurrent review quality (Ismail, et al. 2010). 1. 2 Global Trend in Hospital Information System (HIS) In early 2009, the market value of Hospital Information Systems (HIS) market was $7. 8 billion worldwide and this figure has been predicted to leap to an alarming $18 billion by 2016. The boom is primarily driven by governments’ dynamic motives and hospitals continually trying to increase workflow effi ciency Hence, hospitals are confident that embracing HIS will result in increased efficiency and reduced medical errors, which later translates into uplifting the quality of care provided to patients (Global Data, 2010). Growing evidence has demonstrated that the current systems fail to deliver adequately safe, high standard, efficient and economical healthcare. This can be curbed through computerization, with electronic medical record (EMR) as the fundamental component. This has resulted in clinicians and healthcare organizations around the globe scrutinizing into adopting more EMR technologies in their respective hospitals. France, UK, US, Canada, Finland, Denmark, Australia, New Zealand and several other countries have proposed plans to construct a fully intergrated computer-based hospital infrastructures with the electronic medical record systems laying the cement work. In the Asia-Pacific region alone, umpteen successful HIS implementations have taken place in various hospitals such as in Japan, South Korea, Singapore and Malaysia (Global Data, 2010). 1. 3 The Malaysian Outlook The federal government had adopted a national-level strategy to create a paradigm shift in the nation’s healthcare system. The Federal Government aims to revamp the healthcare system so as to produce a county of healthy individuals and communities through the adoption of information technology (IT). Major projects which has been undertaken include Multimedia Super Corridor Telehealth Project and MSC Telehealth Blueprint (1997) (Malaysianmedicine, 2004). Dr. H. M. Goh, secretary of both Malaysian Health Informatics Association and Asia-Pacific Association for Medical Informatics mentioned that it is impossible to provide good, safe and efficient healthcare ignoring IT, thus the the cost of healthcare would rise. He also stated that without computerisation, we won’t be able to retrieve timely information. ( Malaysianmedicine, 2004). Following this, Malaysia has witnessed several significant developments in the health care sector. One such eminent development is the establishment of total hospital information systems in Selayang Hospital (Malaysianmedicine, 2004). 2. Overview of organization – Selayang Hospital 2. 1 Brief History Located along the Kepong Selayang road of Gombak District, Selayang Hospital is a 960-bedded hospital which has been in operation since 1996. Selayang Hospital (SH) is the pioneer in being the paperless and filmless hospital in Malaysia. Though classified as a government hospital, it has sophistication of a luxury private medical center with a leading-edge on technology. The need for this ultra-modern hospital came about as Hospital Kuala Lumpur (KLH) was already bursting to its limits with its overworked staffs. Organized and accurate documentation and archiving was impossible with mislaid or missing patients' records. This had resulted on KLH being entangled in legal matters. Increasing number of patients expressed their displeasure and quality of patient care was deteriorating. These circumstances surged MOH to come up with SH project with proper incorporation of HIS (Yook, 1999) 2. 2 Clinical services at Selayang Hospital Among the services offered at Selayang Hospital are Gastroenterology, Hepatobiliary, Cardiology, Nephrology, Urology, Hand and Micro and Surgery. All the rest are categorised under secondary services, outpatient services and supportive services. The core business of Selayang hospital is providing a exclusive tertiary referral services to patients across Malaysia and a broader range of clinical services to customers who rely on Selayang Hospital as their regional or local hospitals. High quality specialist services in a large number of other fields is also a highlighted aspect of this hospital (Yook, 1999). 2. 3 Vision The Selayang Hospital project was designed by the Ministry of Health (MOH) in accordance with the Malaysia’s Vision of 2020, where the country would become a developed the country's Vision for Health was formulated proposed a national health policy. Besides, it was particularly mentioned in the Seventh Malaysian that there will thirty three paperless public hospitals launched in Malaysia. More specifically, eight of these hospitals will be using Total Hospital Information System (T. H. I. S), Selayang Hospital being one of them (Yook, 1999). 2. 4 Mission The mission of Selayang Hospital is to be a role model for Malaysian hospital, in using innovative, dynamic and cost effective technology and delivering a friendly, caring, compassionate and humanistic service. This wiIl be achieved through teamwork in partnership with the community to provide quality care to the satisfaction of our customers (Yook, 1999). 2. 5 Organizational Structure Patients at Selayang Hospital are of top priority so the structure is designed to maximize patients/customers' satisfaction with emphasis on staff efficiency. The Board of Directors (BOD) with the assistance of Total Hospital Information System and a Medical Advisory Board committee oversees the hospital overall operation. There are five distinct divisions in the hospital administration. The total medical and non-medical staffs amounts to 1090 people. The BOD is accountable to the State Health Directors (Image could not be retrieved) (Yook, 1999). 3. 0 Total Hospital Information System (THIS) in Selayang Hospital Selayang Hospital, the pioneer paperless and filmless hospital in Malaysia, uses Total Hospital Information System (THIS) for its fundamental operation. THIS combines aspects of clinical, administrative and financial management, enabling continual data flow between separate areas (Ismail, et al. , 2010). THIS would aid in meeting the objective of enhancing productivity, effectiveness, efficiency, quality and safety. THIS facilitates communication between care providers through sharing of information, enables automation of work processes, integration and interfacing with other components of HIS in addition to providing clinical decision support and maintaining a permanent record as a medico-legal requirement (Abdollah, 2011). For the incorporation and functionality of THIS, Selayang Hospital had opted to vendor solutions like Cerner for electronic medical record, Seimens for radiology department, Spacelabs for critical care unit, Oracle for materials management, finance and administration and Microsoft Office for internet and intranet usage (Li, 2010). Figure 1 depicts the system architecture as well as the technology partners that associate to Selayang Hospital (Abdollah, 2011). Figure 1 : Information Technology System Support and Technology Partners in Selayang Hospital (Abdollah, 2011). Figure 2 illustrates the structure of THIS in Hospital Selayang. Selayang Hospital incorporates clinical, administrative as well as financial processes as their total hospital information system within their hospital operations. There are various information system being deployed to cater specific needs and wants of patients and care providers as described in the following sections (Abdollah, 2011). Figure 2: Structure of Total Hospital Information System in Hospital Selayang (Abdollah, 2011) 3. 1 Types of Hospital Information System 3. 1. 1 Electronic Medical Record (EMR) Clinical Information System (CIS) is thought of as the system that mediates direct patient care. Within it, also lies the mechanical framework for capturing, storing and displaying the data generated by all clinical care activities. A defined portion of patient-specific collected from disparate sources by care-providers working in the various clinical services is put together as the Electronic Medical Record (EMR). EMR essentially provides for the recording of the following groups of data: a. profile of the patient b. information gathered regarding the patient’s illness, allergies and health status c. ctivities performed on the patient d. events that occurred (planned and unplanned) e. results or findings emanating from these activities and events (numeric, text or images) f. communications between care providers i. e. instructions, opinions, referrals and advice g. decisions and plans both immediate and long term (diagnosis, treatment plan) This consolidation is essential for the availabililty of future data for tracking puposes which in turn governs clinical management and patient data mining, in addition to report generating (Abdollah, 2011). EMR largely benefits government and health care providers. The need and requirement to document is both professional and legal as documentation enables care providers to communicate with each other thus facilitating continuity of patient care. Thus, in the form of the EMR, documentation satisfies the legal requirement of maintaining a record of events. It is accessible from multiple access points and units within the hospital and selective access outside the hospital. This largely reduces the time taken to retrieve medical records. Hence, the time taken to retrieve patient records are reduced. This would pave the way for increased productivity and quality of care. In the mean time, it would contribute towards better knowledge in clinical practices. Besides that, administrative benefits include easier report generation, better organization of clinical information, enhanced claiming and ordering processes, reduced billing timings which translates into providing better service to patients. Futhermore, THIS improved clinical decision making and disease management, patient education in addition to better documentation, increased time allocated per patient, and rejuvenated perception of care and quality of a healthcare institute. The incorporation of DSS into drug management, result generation and disease management are essential in good clinical practise. On the other hand, for researchers and policy makers can utilize EMR to device long term strategies for towards development country’s health care and proper allocation of resources (Haslina and Sharifah 2005). The workflow process such as the improvement of data inputting by avoiding duplications of data’s, reduction is transcriptions costs as well as improved communication is also benefited by Selayang Hospital due to the successful implementation of EMR (Erstad, 2003). Hence, in a nutshell, implementation of EMR such as improved decision making, disease management enhanced records and has made it possible to eliminate the use of papers for medical records. As a result, medical records become more trustworthy and easily comprehendable. Figure 3 : Electronic Medical record system . Source : http://level8systems. com/page. php? 3 3. 1. 2 Patient Management System (PMS) This system encompasses Patient Registration, Client-Resource Management and Charging, Billing and Payment system. For example, during patient registration, a identification number unique to that particular person is issued. This would act as the Medical Record (index) Number (MRN). It allows data regarding a single patient to be kept in a single record, shared between systems and used for subsequent visits and encounters without the need for repeated data acquisition and entry of static data. Staff job assignment is be part of the Client Resource Management System. It should enable all categories of staff to be allocated to work areas, rooms, wards, cubicles, beds, machines etc. according to dates and work shifts. Care providers need to sign in to confirm that they are available. The system should allow for constant updating of staff assignment. The Patient Tracking facility through PMS would also provide real-time status display and reports on attendances, location of patients, status of service provision and discharges Next, The Charging-Billing System would be able to calculate charges based on factors according to policies set by the hospital. It would be able to charge differently based on the service delivery such such outpatient service, emergency service and Inpatient service in addition to scrutinization by financial class. Figure 4 illustrates a typical Patient Management System software which stores and updates patient records. Hence, PMS enables patient’s records to be compiled and accessed in an organised manner. Besides that, subsequent processes like patient administration, clinical support tools and generating reports also is made easy. In addition, it also enables quicker diagnosis with proper relevant treatments available (Netripples, n. d. ). Figure 4: Typical Patient Management System. Source http://hpathy. com/software/hompath-classic8. asp 3. 1. Picture Archiving and Communication System (PACS) Pictures Archiving & Communication System (PACS) is majorly used in medical imaging unit. X-ray, echocardiogram, ultrasound machines capture digital images of a patient’s clinical condition. These images are sent to appropriate destinations using this system. It can be imagined as a pipeline network which carries water, which in this case are the images. Every laboratory at Selayang Hos pital is equipped with a high-end resolution computer screen to view these images captured from the machines. This service is provided by Siemens in Selayang Hospital. With the help of PACS, images are viewed on screens rather than the conventional x-ray images which are as bulky as a spreadout newspaper. More importantly, PACS reduces the radiation exposure in both patients and care providers. This leads to a healthier working environment; better image distribution; timeless retrieving of data and images; image quality improvement as well as easier handling of images Dr. Zaharah (n. d. ). Thus it can be understood that PACS is not a stand alone system but a subsidiary support system of Radiology Information System (RIS) described in next section. 3. 1. 4 Radiology Information System (RIS) The Radiology Information System (RIS) is a system, which enables care providers who to capture, store and distribute images by interacting with the machines that produce these images and also the clinicians who request for the images. The Radiology Information System (RIS) is a system, consists of the following major functional areas: 01. Ordering of examination 02. Scheduling of appointments for examination 03. Creation of work lists 04. Tracking of examination and reporting status of cases 05. Image Tracking and Management 06. Clinical Result Reporting, 07. Storage and retrieval of reports To summarise, RIS which belongs to the radiology department, is a huge database which can be used to perform x-ray imaging, echocardiograms, computerized axial tomography (CAT) scans, positive emission tomography scans (PET) and magnetic resonance imaging (MRI) tests when necessary ( Dr Zaharah , n. . ). The RIS creates and schedules the patient order for an image study. The RIS allocates a unique accession number to the order, sends a message to the PACS and the imaging modality to maintain accuracy in patient demographic details (Figure 5). Figure 5: Integration of RIS and PACS in acquiring and processing of images Source:http://www. pukkaj. info/NewsArchive2007/SendingradiotherapyimagestoPACS/tabid/1111/language/en-GB/Default. aspx) In a fully functional THIS system, RIS must be a high degree of integration between with EMR, PACS and PACS. In this sense PACS is a sub-set of RIS. Radiology images are considered as part of each patient`s EMR. Images need to be treated just like other patient data. Images as data are managed by Picture Archiving and Communications System (PACS). RIS is also linked with scheduling system to schedule appointments for patients. Figure 6 shows the schematic representation of functions and relationship between RIS, PACS and EMR (Abdollah, 2011). Figure 6: Schematic representation of functions and relationships between RIS, PACS and EMR (Abdollah, 2011). 3. 1. Pharmacy Information System (PhIS) Pharmacy Information System (PhIS) operates in the pharmacy department for numerous activities which includes clinical screening, inventory management, prescription tracking etc. PhIS are elaborate computer systems that were structured to meet the needs and wants of a pharmacy division to function effectively and efficiently. Pharmacists will be able to overlook how medications are used in a hospital usi ng insights from this system (Biohealthmatics, 2010). Clinical screening is one of the most important usage of PhIS. Drug interactions, allergies and all plausible drug-related disorders can be monitored using the assistance of PhIS. When a prescription is issued, the system checks for all possible interactions between all the drugs prescribed together to a patient at one time or with any particular food, reported allergies to the drug, and even if the sufficient and appropriate dosage has been given based on the individual’s body mass index (BMI), age, and other physiological factors. Instant alerts and warning messages are displayed if adverse drug interaction is detected (Biohealthmatics, 2010). Inventory Management is a another major component of the PhIS. Pharmacists need to know the drugs available, usage pattern and balance of stock. This inventory can be separate from or be a part of the Procurement and Storage Information System of the hospital’s integrated Management Information System. Continuous inventory monitoring is an essential requirement of a pharmacy in order to ensure that drugs never goes out of stock. Besides, multiple dispensing locations and manual inventory keeping is not only tedious but can also lead to inaccuracy in inventory management (Biohealthmatics, 2010). In addition, prescription management for both in patients and outpatients is also a vital segment of PIS. For instance, when the issued prescription arrives to the pharmacy, the orders are checked and matched against available drugs in the pharmacy and then dispensed accordingly to respective patients. More interestingly, prescriptions that passes through the system that can track the physician prescribing the drug, date of prescription, to whom was it prescribed and when was it was dispensed. Automated label printing which bears directions on how medication should be followed is also possible (Biohealthmatics, 2010). Besides, patient drug profiling can also be achieved through PIS. These are patient profiles and holds particulars of their present and previous medications history, known allergies, family history and other parameters. These profiles are also during clinical screening. A physican who prescribes a particular drug to a patient would be able to instantly see the patient’s profile and decide on whether or not this drug is appropriate (Biohealthmatics, 2010). Figure 7 shows a typical pharmacy information system modal provided by Siemens. This includes relevant information such as patient name, name of the drug, route of administration, dosage and frequency of administration. PIS works hand-in-hand with EMR to detect contraindications due to drug allergy, streamlines workflow in addition to assisting billing and charging in administrative and financial system. Figure 7: Pharmacy information system modal by Siemens Source:http://www. medical. siemens. com/siemens/en_US/rg_marcom_FBAs/files/presskits/SiemensMAC. pg 3. 1. 6 Laboratory Information System (LIS) Laboratory Information System (LIS) manages all the laboratory faculties which includes clinical chemistry, parisitology, hematology, immunology and microbiology in terms of receiving orders, performing tests and producing results. It also provides modules for sending laboratory trials order to the appliances through its multiple instrument interfaces so that the results can then be anal ysed instantly and a reports can be generated. Patient management is an important aspect of LIS. Patient particulars such as the date of admission, consulting doctor, and respective reference number would be maintained by this system. Data pertaining to the patient’s samples including the consulting doctor, corresponding department, specimen type, method of collection and the technician-in-charge of the collection can also be monitored (Nationmaster Encylopedia, n. d. ). In summary, LIS is used for processing and storage of information generated by medical laboratories. EMR, PMS as well as order management system are customized in order to allow interferences between LIS which supports in-patient as well as out-patient services. Moreover, the system produces barcode sample labels which are therefore used for acknowledgment of test samples. In Selayang Hospital, there are around 150 barcodes readers that are being widely used daily (Abdollah, 2011). 4. 0 Impact of Total Information System (THIS) 4. 1 Benefits of Total Hospital Information System (THIS) Total Hospital Information System (THIS) is an enterprise-wide system which spans the organisaton, designed to enhance clinical outcomes, operational efficiency and to improve financial management for healthcare industry. THIS serves as a secured and dependable meticulously integrated system that allows hospital officials to record, store and selectively disseminate clinical and other patient related information to appropriate entities (Netripples, n. d. ). T. H. I. S. provides effective solutions to hospitals which plan on reducing the administrative burden and clinical transactions, in addition to providing compassionate services to their patients. On a typical day in Hospital Selayang, the inpatient admissions reach 150/day whereas outpatient visits would reach upto 1000/day amounting to 250GB of patient records. T. H. I. S has enabled effective management of such high flow of patients, data storage, processing and retrieval. Figure 8 illustrates the daily usage of T. H. I. S shows the heavy reliance and interdependance between Selayang Hospital and the information systems. Figure 8: Daily Utilization of T. H. I. S (Abdollah, 2011). With the presence of THIS, most of the patient care demands can be met because it computerizes the process of collecting, arranging, filing and retrieving patient information. Furthermore, world class patient care can be provided by the hospital when equipped with good decision support system from THIS. Additionally, T. H. I. S. benefits in various other methods such as comprehensive patient record keeping, much lesser paperwork, quicker information sharing means between various departments, more flexible organization, reliable and timely information and adequate inventory management. A user satisfaction survey conducted in 2003 among staffs of Selayang Hospital revealed that T. H. I. S was appreciated and well received among nurses and doctors followed by allied staffs and clerks as depicted in Figure 9. (Abdollah, 2011) Figure 9: User satisfaction survey 2003 (Abdollah, 2011). Productivity wise, Selayang Hospital has evidently shown higher productivity after the successful implementation of Total Hospital Information System (T. H. I. S. ). As Selayang Hospital had incorporated T. H. I. S. from the start of its operation, studies analysing the effectiveness of T. H. I. S. before and after implementation is not possible. However, a comparative study comparing T. H. I. S. n Selayang Hospital with a traditional government hospital, Hospital Klang is currently being carried out. Few early findings from this study shows implementation of T. H. I. S. has managed to reduced time taken for admission by 40%, patient stay by 10% and discharge processes by a remarkable 70%. Qualitative benefits of this system highlighted in this study include easy availability of data, bett er patient record management and improved workflow (Abdollah, 2011). The ability of Pharmacy Information System (PIS) to keep track of the entire drugs inventory within the hospital is commendable. The PIS head manager is also able to make orders when an alert is raised on a particular drug. This therefore ensures proper inventory management and that all drugs are always in stock. In addition to the privileges that pharmacies’ will get through the implementation of T. H. I. S, doctors of the hospitals are also able to reap off its benefits as well. For the clinicians, EMR and PMS aid in clinical management of patients. A medical officer no longer requires the doctor-in-charge to be physically present but still can receive consults from him/her utilizing EMR and PMS. All these systems has indeed helped Selayang Hospital to manage the hospital effectively with efficient decision making. Moreover, T. H. I. S. aids hospital administrators whereby it significantly improves operational control. Lastly, in addition to enhancing patient care, T. H. I. S also increases the profitability of the respective organization. In summary, there are a number of direct benefits of THIS in hospitals. The most important advantage of this system is the ability to meet patients’ demands in a timely manner owing to the automation involved in data collection. Other uses include great reduction in paperwork and more efficient patient particular collection and management. Considering the unwavering benefits from implementation of Total Hospital Information System, it will soon become a necessity in terms of hospital management. 4. 2 Ethical Concerns The number and the magnitude of challenges faced by healthcare organizations are unprecedented. Selayang hospital is no different. Increasing financial bruden, rising public an payer expectations and increasing number of consolidations have placed these hospitals under immense stress. Heavy usage of information systems have provided record-keeping which is otherwise impossible. However, this leads to rapid and easy access to medical records raising issues of privacy against expediency (Boyle, 2001). In Selayang Hospital, these issues are handled with utmost priority. Patients’ privacy and confidentiality is protected through several measures. Only authorised users are allowed to access these information. Authorised users who are found to be misusing their access would be tracked in audit trails and stringent disciplinary actions would be taken against them. Therefore, patients are assured of their personal data protection (Abdollah, 2011). 4. 3 Drawbacks and challenges of Total Hospital Information System (THIS) Like any other information system implementation, in T. H. I. S. , users’ resistance to change is one of the major concerns. This is largely related to individual acceptance of IT application particularly by doctors and nurses. Though this is now not an issue in Selayang Hospital, failures in HIS has been repeated reported over the years. Unrealistic goals, complex user-interface, lack of clarity on the functionality required and lack of sensitivity to the local systems were some of the key reasons contributing towards failure of THIS in many fledgling hospitals (Cassels, 1995). The developing countries face even deeper problems such as inadequate electricity supply, lack of proper infrastructure, unsustainable funding, and the inadequate educational levels of the hospital staffs who are likely to be the primary users of the system rather than doctors in these countries. Other concerns include slow response time, absence of easy login-procedures, and tedious data entry (Chandrasekhar and Ghosh, 2001). Selayang Hospital though comparatively better in IT receptiveness, initial reluctance was present. Even today, reluctance to change and accept an IT application especially the EMR system in a conventional society still persists. Appropriate strategies like IT training and incentives need to be deviced to make both patients and hospital officials more receptive towards these systems (Haslina and Sharifah 2005). 5. 0 Future Plans Following these victorious execution of T. H. I. S, Selayang Hospital is currently looking a step ahead into developing a entirely automated Pharmacy Information System (PIS) with Decision Support System (DSS). Besides, management is also emphasizing on improving reporting and data analysis, enhance clinical documentation module with decision support and introduce mobile computing function to facilitate better hospital management (Abdollah, 2011). 6. 0 Conclusion It is beyond doubt that T. H. I. S has been the backbone in assisting hospital administration to ensure Selayang Hospital runs smoothly. However, without the staunch commitment from top management, physicians and other users and adequate number of IT professionals, this success would have remained as a dream. Thus, information systems only when coupled with good recipience would prove beneficial. 7. 0 References Abdollah, 2011. Hospital Information System in Selayang. [Booklet] September 2011 ed. Selayang Hospital Information Technology Department. Biohealthmatics, 2010. Pharmacy Information System, [online] retrieved from http://www. biohealthmatics. com/technologies/his/pis. aspx [accessed on the 2nd October, 2011] Boyle, P. 2001. Organizations ethics and healthcare: principles, cases and practical solutions. San Francisco: Jossey-Bass. Cassels, A. ,1995. Health sector reform: key issues in less developed countries, Journal of International Development [online] retrieved from http://www. ncbi. nlm. nih. gov/pubmed/12290761/ [accessed on the 3rd October, 2011] Chandrasekhar, C. P. and Ghosh, J. , 2001. Information an d communication technologies and health in low income countries: the potential and the constraints, Bulletin of the World Health Organization, Vol. 79, No. 9, [online] retrieved from

Discrimination Against Women in the United States Essay

All around the world people are being discriminated; some are discriminated because of their race, while others are because of their gender, such as women. In today world, it is no different than it was 10,000 years ago. Women are still sold into prostitution, forced to marry someone they don’t love, have no right for abortion or birth control, have little or no access to education, and have to fully rely on men. This is not fair at all, women should have right’s, they didn’t before here in the United States, but now they do (even though it still exists here). If women can have right’s here in the United States they should be able to else ware. In all discrimination against women is unfair, and unjust, because here in the U.S it is†¦show more content†¦In fact they probably can’t get a job at all. You might be thinking that the men just work harder, but in fact this happens even when women work harder than the man. 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