Importance of a Small Class Size Essay

Wenyan Dong Writing 6 First draft Causes and Effects of Reducing Class Size Improving the quality of education becomes common trend today. People have made many ways to support education. Most of schools reduce the size of class that make more chances for students and teachers to communicate face to face. The reducing of class result from some courses and also makes some effects to teachers and students. The first significant cause is the attention from teachers is not equal to different grade students. Small class had origin in early years. Follow the increasing of population, small size class has become bigger. Recent research reveals that there were 50†60 students in one class, but Just one or two teachers advise class. It means that one teacher Just pay a little patient for each student in presentation, speech, question, and homework. Thus, many teachers pay more attention on students who have prefect grade and ignore students who have a low grade. It is not equal to low grade students because they pay same tuition and fee to school also study hard.. In addition, teachers who teach in a big class have to take a lot of work after class and exhaust them. They have to correct students’ homework for a long time. Also students ask many question after class if they do not understand, however, it exhaust teachers’ energy and patient and they don’t have enough time and disable to answer each question to each students. As a result, student could not get help immediately. Meanwhile, environment in class is important. Teachers could not control teaching environment in big class, because it is difficult to make students keep quiet and concentrate on blackboard whole time. Also students do not have enough personal environments, because it is crowd, usually two students have to share one big desk on big class, hence, there are no room for other hings but book. Due to those causes, it would decrease the quality of education, at the same time, lost a lot of labor cost, also waste time and money of students and parents. Thus, school reducing the size of class. It could make more time for teacher work for each student; furthermore, teacher can communicate with student face to face. In addition, it could make study environment better for students. Consequently, teachers who teach in small class do not need to do many assignments after class, even if they also need to make a correction about students’ homework, but they may have more time to be a tutor and help students who do not nderstand in the class. Meanwhile teacher could focus on the question for each student that would be equal for every student. Moreover, on being assigned to smaller classes, teacher reported that class atmosphere is better, that students could receive more individualized attention and that the teachers have more flexibility to use instructional approaches and assignments. To sum up, reducing the class size is inescapably. It leads to higher achievement of students and make more time improve the quality of education, but also make students and teachers keep touch closely. Therefore, reducing class size is good way for students and teachers.

‘Away’ by Michael Gow

Michael Gow’s play Away is the story of three different Australian families who go on holiday for Christmas in the sixties. By going away each family is hoping to resolve their issues. Although Away is set some time ago the themes and issues explored in the play are still relevant to a modern day audience, even one of a non-Australian background. Shakespearean plays that were written many hundreds of years ago and are still understandable and relevant to people all over the world today. Away is the story of three Australian families who go on holiday during the Christmas of 1968. Roy and Coral (the headmaster and his wife) are becoming increasingly close to breaking up. Their son was killed in the Vietnam War and Coral is still grieving for him. Tom and Meg were in the school’s production of A Midsummer’s Nights Dream. Tom has Leukaemia, and his parents, Harry and Vic, haven’t told him that he is going to die, but Tom has worked it out already. Tom and his family immigrated to Australia form England. They are going on holiday knowing that it could be their last together as a family, and are determined to have a good time. Meg is the same age as Tom and they both like each other. Meg’s parents, Gwen and Jim are going on holiday so Gwen can have a break. Gwen is a rather uptight and stressed person and thinks that to have anything good happen you have to make sacrifices. During each of the three families holidays there is a storm and they coincidently end up on the same beach. Away by Michael Gow is set in suburban Australia in the summer of 1968. However the specific time and place do not make it any less relevant to me. I could still relate to and understand what was happening in the play, even though it is set in a time before I was born. This is very much like Shakespearean plays that were written hundreds of years ago, even today people can still connect with the characters in them. It is interesting to note that Gow begins Away with a Shakespearean play, A Midsummer’s Nights Dream, and then choses to end it with another of Shakespeare’s plays, King Lear. Away, like Shakespearean plays is non-naturalism, a feature of this being the non-changing set. Throughout the production of Away that I saw the set remains the same except for basic props such as suitcases and a table. White sand covered the floor and lights were shone on the sails to show the hanges between scenes for the play. In the play Tom is compared to Chip Rafferty, a well-known Australian actor who died at age 62 in 1971. Younger people of today probably haven’t heard of him, but from watching the play and reading the script can safely assume that he was a famous actor. What makes Away relevant to an audience of today or from a non-Au stralian background are the universal themes present in the play. As long as the audience can connect and empathise with a character or understand a theme in the play then it will be relevant to them. Some of the themes in the play include death/grief/loss, racism, class systems, and relationships. The relationship between Gwen and Meg (mother and daughter) is quite strained during the play. Gwen is portrayed as a very uptight and stressed person, while Meg is in her late teens and has her own ideas about things. During Act Three Gwen and Meg begin arguing over Jim’s missing Christmas presents for everyone. The argument ends with Gwen saying how hard she tries to make things good for Meg, and Meg apologises. I feel that I can connect to Meg, especially in the scene where she is arguing with her mother. After that argument her father, (Jim) asks her why she did it, because he’d asked her not to upset her mother and she did. Meg replies that she couldn’t help herself. I know how she feels. You don’t mean to hurt the person or upset them but you just have to have your say, no matter what the consequences of that may be. I also feel that I can relate to Gwen, Meg’s mother as she reminds me of my own mum. The near constant stressing about everything, and wanting the very best for her daughter is very familiar. The issue of death is also covered in Away. Roy and Coral lost a son in the Vietnam was and Coral is still grieving for him. While Harry and Vic know that there son Tom is going to die from leukaemia. People all over the world, no matter what language they speak, what culture they come from, or which country they live in can understand and empathise with what these families may be feeling. The sense of loss and grief that comes with death is a universal feeling that can make the play relevant to so many people.

Why the citizens of Turkey are against the government Speech or Presentation

Why the citizens of Turkey are against the government - Speech or Presentation Example However, when I saw what was happening to the protestors at the unrestrained hands of the police was shocking and tells me that we are not as free as we would like to think. It is hard to believe that it all started over a bunch of trees. Specifically the trees at the Taksim Square in the historic Gezi Park located in central Istanbul was all that was on the minds of the protestors as they made their way to the park on May 28, 2013 ( Franklin 1). It verifies for me that saying one is a democracy does not necessarily mean that you are living in one. I was going to join them. I am young, healthy, concerned citizen who believes that the trees in this historic environment are worth saving; we do not need another shopping center (Ozdil* 1). I was on my way to the park, when I heard something most people would not expect to hear. The police were firing tear gas and employing fire hoses to forcibly remove the protestors (Tibet). They just washed them away like they were nothing. We as peopl e were nothing in the eyes of law enforcement. They were just an inconvenience. This is not how you gain the trust and confidence of those who hope to lead. When law enforcement physically attacks peaceful protestors you know that hopes of a true democracy are still very far away. The next day more protestors came, until they reached, nearly, 1000 people strong.

Evaluate Submission Assignment Example | Topics and Well Written Essays - 1000 words

Evaluate Submission - Assignment Example The participating students were needed to develop a training prototype. The participants’ aims depend on the outcome of the instructional training; individuals were required to carry out a step by step framework of tasks directed at meeting the objectives and goals of the training (William & Rothwell, 2006). The modified version of the evaluation instrument provides the instructor with an opportunity to evaluate the training materials and the effectiveness of the entire training package by incorporating distinct and measurable outcomes. This method also creates a framework of identifying any flaws in the training program. Consequently, improvements and adjustments to the course curriculum can be implemented based on the results of the training program developed by the participants (Aris, 2000). The failure of participants to effectively provide a framework of the working of the new concepts and theories learnt from the training program would be viewed as a total failure. They should be able to set clear goals and directions as a result of new knowledge earned through the training prototype. Inability on the part of participants to incorporate the steps learnt from the program and be able to achieve desired goals shows the incompetence aspect of the overall framework of the training program. The inability of the participants to put to test and practice what they have gained from the training program is evidence of the flaws present in the training prototype, or the participants may not be able to comprehend the information given to them. The training prototype should be redesigned and the methods used to convey information should be examined and evaluated. Inability on the part of the student to outline some of the theories used in the training program may be as a result of poor reading skills. The training program should ensure participants understand the concepts used and are able to comprehend them. The inability of the students to comprehend the

TD 4 MGT- 412 Employee Benefits Essay Example | Topics and Well Written Essays - 250 words

TD 4 MGT- 412 Employee Benefits - Essay Example Tom Baker & Jonathan Simon combine the ideas of different authors and present them in the form of a book to deal with the changing culture of insurance and organizational responsibility. The commentaries presented in this book discusses the significant changes in insurance including the expansion of the social insurance sector, advanced social security program, then formation of programs such as Medicaid, Medicare, and natural disaster insurance, (Baker & Simon, 2002). The Employee Benefits Law Report (2015), it reveals a serious debate about Obamacare and questioning the functionality of Affordable Care Act. The American Supreme Court determined a case between King v. Burwell, that raised the issue the composition of the terminologies in the body of ACA imply that subsidies payable by the state to cover the cost of health care are only obtainable to those living in the U.S and have formed their healthcare exchanges. The plaintiff’s arguments were that the subsidies should not be given to citizens who have established their medical care exchanges. The concern, in this case, is the millions of Americans would lose medical cover if they lose the right to the subsidies. Mchugh, R. (2015). Employee Benefits Law Report | Reporting on Recent Trends and Developments Affecting Employee Benefits. Employeebenefitslawreport.com. Retrieved 5 April 2015, from

Parenting Model Metaphor Essay Example | Topics and Well Written Essays - 1000 words - 1

Parenting Model Metaphor - Essay Example In a game of chess, to be able to win, a player must move the right piece at the right time. That also happens in parenting. When parents want their children to behave well, they need to send the right message at the right time to them. Children are very sensitive sometimes. Parents might feel a short message or an unexplained order is enough to control their children’s behavior. The children, on the other hand, might think that the short unexplainable message means that they are not needed or that they are not loved. Taking time to help the children understand what happens around them, what is expected from them, and what will happen if they do that is very crucial for parents to make them understand and, more importantly, feel appreciated. (Chapter 12) A game of chess is played step by step. In this game, it is impossible to move all the pieces at the same time without disrupting the rule. At most, in special occasions, the player can only move two pieces in the same turn. This is also true in parenting. Parents-children relationship cannot be built in a day. Their trust is built through simple and continuous daily interactions. Parents, even mothers, cannot expect their children to completely accept them trustfully from the very first day. Children, especially infants, will grow closer and more attached when the parents keep showing their affections through loving and caring contacts like when these parents change their diapers, feed them, comfort them, or talk to them. (Chapter 12) A chess player indeed needs to capture the opponent’s chess king to win the game. However, it doesn’t mean that the player should forget his/her own chess king. He/She must guard the king carefully so that the opponent is unable to capture it. Does this defense also apply in parenting? Yes, it does. Promoting and keeping guard of a secure attachment with their children should be a major goal of all good parents. Parents who are

OD ethics and values, Case Study Example | Topics and Well Written Essays - 1000 words

OD ethics and values, - Case Study Example They are to diagnose all organizational problems and suggest proper solutions to them. When it comes to the case of Northern Country Legal Service, it has been providing OD consultancy service with the help of its director, Julie. One of its various services and functions directed to various clients was intake process, in which the consultant prepares paperwork consisting of legal-related questions in three to six pages. The NCLS staff members ask these questions to clients in order them to be ready to provide proper answers. The intake forms include some relevant information like client demographic data including household income and household size etc. The NCLS is expected to prepare monthly, quarterly and annual statistics in order to help funders measure its performance and thence to grant funding (Anderson, 2011, p. 58). The role of an OD consultant is of a mentor, teacher and knowledge provider as well. He is expected to possess knowledge, wisdom and sensitivity and to advise the client on the basis of his wisdom to implement changes effectively. At NCLS, when Julie returned to office on a working day, there was an important message from one of its clients, Dylan Foundation, demanding last quarter’s statistics. The centre has failed to show more progress in winning cases and this also has been highlighted by the foundation. As an OD consultant, Julie could have prepared the statistics well in advance especially because of that this statistics has been considered as the base for funding to be provided. Though Julie and her co-workers have done jobs well, this could have been well communicated to the clients including Dylan Foundation so that it could have avoided troubles in contacts with clients. The leadership style that has been found in the managerial communication of Dylan Foundation was Exploitative Authoritative. This system of the management style is one of the four systems that Likert (1967) found to

The Great Wall of China Research Paper Example | Topics and Well Written Essays - 250 words

The Great Wall of China - Research Paper Example But what is most interesting is the idea of a wall that would stretch around the Forbidden City and segregate it from all intruders and elevate its position to the â€Å"Heaven† level. At the time of its initial construction, the Wall had been built with stones and tamped dirt but as time passes, the development in construction material which included the use of kilns to manufacture bricks and quarrying have added to its sophistication. Lastly, one of the most important engineering marvels is the use of least number of manpower to construct over 6000 kms of brick walls of different layers and levels. From deep ravines to some of the highest mountains, the Wall has touched them all. Compared to structures of today, the Great Wall still stands out because of its quality, architecture and design. Even though some portions of the Wall have crumbled, its modern equivalents cannot compare to its defensive characteristics and design such as watch towers, barracks, garrison stations, means for signals and trade

ELD Project Assignment Example | Topics and Well Written Essays - 1250 words

ELD Project - Assignment Example Creating the work breakdown structure (WBS) is necessary not only in project planning but also when managing the project costs and scheduling (Schwalbe 198). Basically, the main purpose of WBS is to enable the project manager to group the work deliverables as identified in the project scope. In relation to the ELD project, the following is the work breakdown structure: Precedence Diagramming Method (PDM) is basically a type of network-based scheduling technique whereby each task is being represented by either nodes or boxes; and that each of the identified tasks is being linked by the precedence relationship (Bullen, LeFave and Selig 317). Doing so enables the project manager to effectively present the sequence in each task that needs to be performed. Applicable to the ELD project, the following is the PDM: When it comes to pre-determining the required time to complete the ELD project, the process of conducting the Program Evaluation and Review Technique (PERT) analysis is necessary because it adopts the use of a three-point estimates. Other than trying to depict the presence of interrelated tasks, the PERT diagram can also be used when tracking the pre-identified tasks (DuBrin 203). Gannt charts are useful when it comes to the tracking the schedule or progress of the actual project (Gido and Clements 121). Based on the PERT diagram presented on page 5, the following is the schedule of the ELD project: The estimate activity resource was purposely conducted to determine the rough estimate of available resources and time required to complete certain tasks within the project schedule (Heldman and Mangano 88). Basically, this section aims to determine both human and non-human resources and quantities needed when scheduling the required work activities. As such, the following is the estimate activity resources of the ELD project: Cost management requires the process of controlling the project costs through budgeting. As such, it is

Impression on professionalism in physical therapy core-values self Essay

Impression on professionalism in physical therapy core-values self assessment - Essay Example According to the study conducted under the ‘excellence core value, there were several indicators such as demonstration plus investment in physical therapy, importance of using several material evidence to enhance professional decisions, involvement in collaborative efforts to promote quality health plus education, and others in which the scores were 4 or 5. Under the ‘professional duty’ core value, the author achieved consistency by scoring 4 or 5 levels. The indicators, in this case, included demonstration of beneficence, promotion of physical therapy profession and others. The high rating on these indicators attributes to immense knowledge and experience. The researcher is aware of these indicators and the core values connected to the sample indicators, therefore; he showed consistency of scores. The teller is aware of his professional obligations thus he applies his knowledge of physical therapy to meet these obligations. Under the ‘accountability’ core value, he scored a 3 on the indicator concerning acknowledgement and acceptance of consequences. On the sample indicator of ‘clients requirements above those of therapists’ the score was at level 3. There was the same score for an indicator concerning cultural bias plus gender.   The author scored low under the integrity core value on the indicator entailing the limits of his expertise. Other low scores emanated from indicators of political activism and involvement in social justice matters. The low scores attribute to the knowledge and awareness in those areas.

High Drop Out from School Among Girls in Tanzania Essay Example for Free

High Drop Out from School Among Girls in Tanzania Essay Education enables girls to make their own decisions and to influence their families positively. Education saves and improves the lives of girls and women. It allows them greater control of their lives and provides them with skills to contribute to their societies. UNICEF (2004) report indicates that girls’ education leads to more equitable development, stronger families, better services, better child health and effective participation in governance. Despite the obvious benefits of Education to national development, research findings indicate that girls’ dropout rate from school is higher than that of boys. It observed that Tanzanian girls, for various reasons bordering on religious, cultural, socio-economic and school related factors, are not given a fair chance in the educational sector. In Tanzania, about 7. 3 million children do not go to school, of which 62% are girls (UNICEF 2004). The same UNICEF report indicates that girls’ primary school completion rate is far behind that of boys, at 76% compared with 85% for boys. This gender gap means that millions more girls than boys are dropping out of school each year. This goes to show that the majority of children not in school are girls. Mohammed (2004) equally reported that a girl may be withdrawn from school if a good marriage prospect arises. Early marriage is a sociocultural factor that hinders the girl child’s access to school. Some parents, in an attempt to protect their teenage daughters, give them out to wealthy old friends. Some of these girls who attempt to escape from such forced marriages end up in disaster. Alika and Egbochuku (2009) found that the socio-economic status of the girls imposes considerable constraints upon their continuing stay in school. In fact, they asserted that a girl’s particular socio-economic inheritance may have a direct and important effect on educational attainment. The Problem Education, which is the right of every child, is a mirage in the lives of some Tanzanian girls because some of them are forced into early marriage as from age 12. Poverty has been known to force most parents to withdraw their children from school UNICEF (2004) report indicates that some 121 million children are out of school for various reasons and 65 million of them are girls. With the educational rights of 65 million girls unmet, something should be done to ensure that they complete their education. The same report indicates that Tanzania is one of the 25 developing countries of the world with low enrolment rates for girls, gender gap of more than 10% in primary education and with more than 1 million girls out of school. This is a problem that requires emergency action if the nation is to advance technologically, considering the multiplier and intergenerational benefits derivable in the education of the girl child. It is the aim of this study, therefore, to find out reasons why girls dropout of school in Tanzania and, consequently, based on the findings proffer counselling strategies that could be adopted in order to check the incidence of drop out from school among girls in Tanzania. Research Question  To guide this investigation, one research question will be formulated 1. What are the reasons for high dropping out of school by girls in Tanzania? The descriptive survey design will be adopted for this study. The study sought to determine the reasons for dropping out from school among girls in Tanzania. The population of the study will comprised all girls who dropped out of school and re-enrolled in schools in Tanzania. Four primary schools, four secondary schools and four skill acquisition centres will be used for the study. A stratified random sampling procedure will be adopted in selecting the secondary schools, on the basis of their status i. e. all girls’ schools and all co-educational schools. For the primary schools, the upper primary classes will be used for the study while for the skill acquisition centres, two government skill acquisition centres, one nongovernmental skill centre and one private skill centre will be used for the study. The research instrument used will be a checklist on reasons for dropping out of school.

Health Care Of The Elderly

Health Care Of The Elderly Geriatrics is the branch of medicine that focuses on health care of the elderly. This is the study of the aging process itself. The term comes from the Greek geron meaning old man and iatros meaning healer. Geriatrics is the branch of medicine dealing with the aged and the problems of the aging.The field of gerontology includes illness prevention and management, health maintenance,and promotion of the quality of life for the aged. The ongoing increase in the number of elder person.The experiences of aging result from interaction of physical,mental,social and cultural factors. Aging as well as the treatment of the elderly, is often determined the way elder person views the process of aging, as well as the manner in which he or she adapts to growing older. A more heterogeneous elderly population than any generation that preceded it can be expected. The majority of elderly seen in the health care setting have been diagnosed with at least 1 chronic condition. Individuals who in the 1970s would not have survived a debelitating illness, such as cancer or a castastrophic health event leki hearth attack, can now life more period of sometimes with a variety of concurrent debilitating conditions. Although age is most consistent and strongest predictor of risk for cancer and for the death from cancer, a mangement of elder cancer patient becomes complex because the choronic conditions, such as osteoarthritis, diabetes, Aging is a broad concept that includes physical changes in peoples bodies over adult life, psychologic changes in their mind and mental capacities, social pyschologic changes in they think and believe, and social changes in how they are viewed, what they expect, and what is expected of them. Aging is constantly evolving concept. Notions that biologic age is more critical than chronologic age when determing health status of the alderly are valid Aging is an individual and extremely variable process. The functional capacity of major body organs varies with advancing age. As one grows older, environmental and lifestyle factors affet the age-related functional changes in body organs GERIATRICS ASSESSMENT CARE MANAGERS A Care Plan is an outcome of a geriatric assessment, and is essentially an action plan for future care. A Care Plan lists all identified problems, suggests specific interventions or actions required and makes specific recommendations regarding resources needed to provide the necessary support services. What is geriatric assessment? A geriatric assessment is a comprehensive evaluation designed to optimize an older persons ability to enjoy good health, improve their overall quality of life, reduce the need for hospitalization and/or institutionalization, and enable them to live independently for as l ong as possible. An assessment consists of the following steps: An examination of the older persons current status in terms of: Their physical, mental, and psycho-social health Their ability to function well and to independently perform the basic activities of daily living such as dressing, bathing meal preparation, medication management, etc. Their living arrangements, their social network, and their access to support services. An identification of current problems or anticipated future problems in any of these areas. The development of a comprehensive Care Plan which addresses all problems identified, suggests specific interventions or actions required, and makes specific recommendations regarding resources needed to provide the necessary support services. The management of a successful linkage between these resources and the older person and that persons family so that provision of the necessary services is assured. An ongoing monitoring of the extent to which this linkage has, or has not, addressed the problems identified, and the modification of the Care Plan as needed. When is a geriatric assessment needed? A request for a geriatric assessment would be appropriate when there are persistent or intermittent symptoms such as: memory loss, confusion, or other signs of possible dementia. DEMENTIA : Global impairment of intellectual function (cognition) interfering with social and occupational activities. Often, what looks like Alzheimers or dementia can be the result of medication interactions or other medical or psychiatric problems. Because of the thoroughness of the geriatric assessment, it is one of the best ways to determine what the actual problem and cause is or is not. Who performs a geriatric assessment? A geriatric assessment can be done in many different settings such as: a hospital, a nursing home, an outpatient clinic, a physicians office or the patients home. It is an assessment that is comprehensive in scope, involving a complete review of the current status of the older person in all of its complex dimensions, and because it is so comprehensive, it can only be successfully conducted by a multi-disciplinary team of experts. This team might include: physicians, ancillary personnel, social workers, physical and/or occupational therapists, dieticians, psychologists, pharmacists, and geriatric nurse practitioners. You can request a referral for a geriatric assessment from a primary care physician. Also, check with any large hospital or university to see whether they have a geriatric assessment unit. Geriatric care managers A geriatric care manager (GCM) is a professional with specialized knowledge and expertise in senior care issues. Ideally, a GCM holds an advanced degree in gerontology, social work, psychology, nursing, or a related health and human services field. Sometimes called case managers, elder care managers, service coordinators or care coordinators, GCMs are individuals who evaluate your situation, identify solutions, and work with you to design a plan for maximizing your elders independence and well being. Geriatric care management usually involves an in-depth assessment, developing a care plan, arranging for services, and following up or monitoring care. While you arent obligated to implement any part of the suggested care plan, geriatric care managers often suggest potential alternatives you might not have considered, due to their experience and familiarity with community resources. They can also make sure your loved one receives the best possible care and any benefits to which they are entitled. Help provided by geriatric care managers Geriatric care managers facilitate the care selection process for family members who live at a distance from their elderly relatives, as well as for those who live nearby but do not know how to tap into the appropriate local services. You can hire a care manager for a single, specific task, such as helping you find a daily caregiver, or to oversee the entire caregiving process. Geriatric care managers can help families or seniors who are: new to elder care or uncomfortable with elder care decision-making; having difficulty with any aspect of elder care; faced with a sudden decision or major change, such as a health crisis or a change of residence; dealing with a complex situation such as a psychiatric, cognitive, health, legal, or social issue. In addition to helping seniors and their families directly, geriatric care managers can act as your informed connection with a range of other professionals who are part of your elder care network, including any of the following service providers: Attorneys or trust officers. A care manager can serve as both elder advocate and intermediary with financial and legal advisors. The GCM is often a good source of referrals if a family needs services from these professionals. Physicians. The GCM is an ideal liaison between doctors and other health professionals, and the elder patient and family members. Social workers. It is useful for hospital and nursing home social workers and discharge planners to know that their senior patient will have someone to coordinate their care and assist them on a long-term basis. Home care companies. The GCM will know local agencies and be able to explain options, costs, and oversight of home care workers. The care manager can also assist in dealing with patients social issues, help link to other community resources, and suggest possible placement options. Residential facilities. The GCM can help identify types of care facilities and assist you in selecting an appropriate one for your situation. The GCM may also be able to streamline the transition into or out of a senior community, for both the elderly resident, family members and staff. Finding a geriatric care manager In addition to the many References and resources available, a good place to start your search for a geriatric care manager is with your family physician. Other sources for referrals include: local hospitals and health maintenance organizations senior or family service organizations senior centers religious affiliations Medicaid offices private care management companies While geriatric care managers are frequently licensed by the state within their respective fields of expertise, there are no state or national regulations for professional care managers per se. For this reason, anyone can use the title case or care manager. Membership in a professional organization and/or certification in care management are good indicators of appropriate background. The National Association of Professional Geriatric Care Managers recognizes the following designations for a Certified Care Manager: CMC, CCM, C-ASWCM and C-SWCM. Each of these requires testing and continuing education. Geriatrics syndroms Dementia, Delirium, Urinary Incontinence, Osteoporosis, Falls/ Gait Disorders, Decubitus Ulcers, Sleep Disorders, Failure to Thrive Organ specific disease/syndrome Ear, Eye, Cardiovascular, Musculoskeletal, Neurological, Communicable Diseases, Respiratory, Oral, Gastrointestinal, Endocrinological, Sexual Dysfunction and Gynecology, Hematology and Oncology, Kidney/Prostate, Skin Diseases Geriatric psychiatry Mood Disorders, Anxiety Disorders, Personality Disorders, Substance Related Disorders, Memory Disorders (non-dementia) Patient care Geriatric Assessment, Hospitalization, Emergency Medical Services, Surgical Procedures, Long-Term Care, Preventive Health Services, Rehabilitation, Pain Management/ Palliative Care Aging Age Distribution/Demography, Basic Sciences, Pharmacology/ Polypharmacy Patient care of the elderly Tips for working with the eldery patient Take time to edudcate the patient and his or her family. Speak lower and closer treat the patient with dignity and respect.Give the patient time to rest between projections and procedures. Avoid adhesive tape: elderly skin thin and fragile. Provide arm blankets in cold examination rooms. Use table pads and hand nails. Always access the patients medical history before contrast media is administered. Patient and family education Educating all patient, especially the elderly ones, about imaging procedures is crucial to obtain their confindence abd compliance. More time with elderly patient may be necessary to accommodate their decreased ability is rapidly process information. The majority of elderly have been diagnosed with at least one chronic illness.They typically arrive at the clinical imaging environment with the natural anxiety because they are like to have lilttle knowledge of the procedure or highly technical modalities employed for their procedure. Moreover, a fear concerning consequences resulting from the examination exacerbates their increased level of anxiety. Taking time to educate patient and their family or signification caregivers in their support system about the procedures makes of a less stressfull experiences and improved patient compliances and satisfaction. Communication Good communication and listening skills create a connection between the radiographer and his or her patient. Older people are unique and should be treated with dignity and respects. Each elderly person is a wealth of cultural and historical knowledge that is turn becomes a learning experiences for the radiographer. If it is a evident that the patient cannot hear or understand the verbal directions. It is appropriate to speak lower and closer. Background noise can be disrupting to an older person and should be eliminated of possible when giving precise instructions. Giving instruction individual gives the elder person time to process a request. An empathetic, warm attitude and approach to the geriatric patient will result in a trusting and compliant patient. Transportation and lifting Balance and coordination of the elderly patient can be affected by normal aging changes. Their anxiety about falling can be diminished by assistance in out of a wheelchair and to and from the examination table. Many elderly patient have decreased height perception resulting from some degree of vision impairment. Hesitition of the elderly person may be due to previous falls. Assiting an older patient when there is need to step up or down throughout the procedure is more than a reassuring gesture. Preventing opportunities for falls is a necessity for the radiographer. The elderly patient will often experiences vertigo and dizziness when going from a recumbent postion to a sitting position. Giving the patient time to test between position will mitigate these disturbing, frightening, and uncomfortable sensations. The use of table handgrips and proper assistance from the radiographer creates a sense of security for the elderly patient. A sense of security will result in a compliant and tr usting patient throughtout the imaging procedure. Skin care Acute age-related changes in the skin will cause it to become thin and fragile.The skin becomes more susceptible to bruising, tears, abrasion, and blisters. All health care professional should use caution in turning and holding the elderly patient.Excessive pressure on the skin will cause it to break and tear .Adhesive tape should be avoided because it can be irritating and can easily tear the skin of an older person. The loss of fat and makes it painfull for the elder patient to lie in a hard surface and can increase the possibility developing ulceration. Decubitus ulcers, or pressure sores, are commonly seen in bedridden people or those will decreased mobality.Bony areas such as the heels, angkle, elbow and the lateral hips are frequent side for pressure sores. A decubitus ulcer can develop in 1 to 2 hours. Almost with out exception, table use for imaging procedures are hard surface and cannot be avoided.However the use of table pad can reduce the friction between the hard surface of the table and the patient fragile skin. Sponges,Blankets and the positioning aids will make the procedures much more bearable and comfortable for the elderly patient.Because skin plays a critiscal role in maintaining body temperature, the increasingly thinning process associated with aging skin renders the patient less able to retain normal body heat. Thus the regulation of body temperature of the elderly person varies from that to a younger person. To prevent hypotamia in room where the ambient ier temperature is comfortable for the radiographer, it may be essential to provide blankets for the elderly patient. Contrast administration Because of age related changes in kidney and liver function, only the amount, the type of contrast media is varied when performing radiographic procedures on the elderly patient. The number of functioning nephrons in the kidneys steadily decreases from middle the throughout the life span. Compromised kidney function contributes to the elderly patient being more prone to electrolcyte and fluid imbalance. This can create life-threatening consequences. They are also more suspectible to the effect of dehydration because of diabetes and decreased renal or adrenal function. The decision if type and amount of contrat media used for the geriatric patient usually follow some sprt of routine protocol. Assessment for contrast agent administration accomplished by the imaging technologist must include age and history of liver, kidney or thyroid disease; history of hypersensitivity reactions and previous reaction to medications or contrast agent ; sensitivity to asprin; over the-counter and prescription drug history including acetotaminophen (Tylenol); and history of hypertension. The imaging technologist must be selective in locating an appropriate vein for contrast administration on the elderly patient. They should consider the location and condition of the vein, decrease intergrity of the skin, and the duration of the theraphy.Thin superficial veins, repeatedly used veins,and veins located area where the skin is bruised or scarred should be avoided. Assess the patient for any swallowing impairments, which could lead to difficulties with drinking liquid contrast agents. The patient should be instructed to drink slowly to avoid choking, and an upright position will help prevent aspiration. The Radiographers Role The role of radiographers is no different than that of all other health professionals.The whole person must be treated, not just the manifested symptoms of an illness or injury. Medical imaging and therapeutic procedures reflect the impact of ongoing systemic aging in documentable and visual forms. Adapting procedures to accommodate disablilities and diseases of geriatric patient is a critical responsibility and a challenge based almost exclusively on the radiographers knowledge, abilities and skills. An understanding of the physiology and pathlogy of aging, in addition to an awareness of the social, physiologic, congnitive and economic aspects of aging, are required to meet the need of elderly population. Condition typically associated with elderly patient invariably requires adaptations or modifications of routine imaging procedures. The radiographers must be able to differentiate between age-related changes and disease processes. Production of diagnostic images requiring professio nal decision making to compensate for physiologic changes, while maintaining the campliances,safety and comfort of the patient, is the foundation of the contract between the elderly patient and the radiographers. Radiographic positioning for geriatric patient The preceding discussion and understanding of the physical,cognitive,and physchology effect on aging can help radiographers adapt the positioning challenges of the geriatric patient.In some cases routine examination need to be modified to accommodate the limitation,safety and comfort of the patient.Communicating clear instruction with the patient is important.The following discussion addresses positioning suggestion for various structures. Chest The positioning of choice of the chest radiography is the upright positions, however the elderly patient may not able to stand without assistance for this examination. The tradisional posterioranterior (PA) position as to have the back of hand on hips. This may difficult for someone with ampaired balanced and flexiblelity. The radiographer can allow the patient to wrap his or her arm around the chest stand as a means of support and security. The patient may not able to maintain his or her arms over the head for the lateral projection of the chest.Provide extra security and stability while moving the arms up and forward. When the patient cannot stand, the examination may be done seated in whellchair, but some issue will be effect the radiographic quality. First the radiologist need to be aware that the radiograph is an anterior-posterior (AP) instead of a PA projection, which may make obscure the lung bases, in a sitting position, respiration may be instructed on the importance of a deep inspiration. Positioning of the image receptor for the kyphotic patient should be higher than normal because the shoulder and apices are in a higher position. Radiographic landmark may change with age and the centering may need to be lower if the patient is extremely kyphotic. When positioning the patient for the sitting lateral chest projection.The radiographer should place large sponge behind the patient to lean hind or her forward. CHEST (Portable) Exam Rationale: Cassette size: 35ÃÆ'-43cm Non-grid 72 kVp, 6 mAs AP projection (upright or supine) Spine Radiographic spine examination may be painful for the patient suffering from osteoporosis that is lying on the bucky table. Positioning aids such as radiolucent, sponges, sandbags, and a mattress may be used as long as the quality of the images is not compromised. Performing upright radiographic examination may also be appropriate if a patient can safety tolerate this position. Performing upright radiographic examination may also be appropriate if a patient can safely tolerate this position. The combination of cervical lardosis and thoracic kyphosis can make positioning and visualization of the cervical projection can be done with the patient standing, sitting, or lying supine. The AP projection in the sitting position may not visualize the upper cervical vertebrae because the chin may abscure this anatomy. In the supine position the head may not reach the table and result in magnification. The AP and openmouth projection are difficult to do on a wheelchair. The thoracic and lumbar spines are sites for compression fractures. The use of positioning blocks may be necessary ho help the patient remain in position. For the lateral projection, a lead bloker or shield behind the spine should be used to absorb as much scatter radiation as possible. Pelvis/Hip Osteoarthiritis, osteoprosis and injuries as the result of falls contribute to hip pathologies. A common fracture in the elderly is the femoral neck. An AP projection of the pelvis should be done to examine the hip. If the indication is trauma, the radiographers should not attempt to rotate the limbs. The second view taken should be cross-table lateral of the effected hip. If hip pain is the indication, assist the patient to internal rotation of the legs with use of sandbags if necessary. Upper Extremity Positioning the geriatric patient for projection of the upper extremities can present its own challenges. Often the upper extremities have limited flexiblelity and mobality. A cerebrovascular accident or stroke may cause contractures of the affected limb, Contractures of the affected limb, Contracted limbs cannot be forced into position, and cross-table views may need to be done. The inability of the patient to move his or her limbs should not be interpreted os a lack of cooperation. Supinated is often a problems in patient with constructures, fracture and paralysis. The routine AP and lateral projections can be supported with the use of sponges, sanbags, and blocks to raise and support the extremities being image. The shoulder is also a site of decreased mobality, dislocation, and fratures.The therapist should assess how much movement before the patient can do before attempting to move the arm. The use of finger sponges may also help with the contractures if the finger. Lower extremity The lower extremities may have limited flexibility and mobality. The ability to dorsiflex the ankle may be reduced as a result of neurologi disorder. Imaging on the x-ray table may need to be modified when a patient cannot turn on his or her side. Flexion of the knee may be impaired and require a cross-table lateral projection. If a tangential projection of the pattela, such as the settegast method, is necessary and the patient can turn on his or her side, place the image receptor superior to the knee and direct the central ray perpendicular throught the pattela-femoral joint. Projection of the feet and ankles may be obtained with the patient sititng in the whellchair. The use of positioning sponges and sanbags support and maintain the position of the body part being imaged. Technical Factors. Exposure factors also need to be taken into considerarion when image the geriatric patient. The loss of bone mass, as well as atrophy of tissue, often requires a lower kilovoltage (kVp) to maintain sufficient contrast. kVp also a factor in chest radiographs when there may be a large heart and pleural fluid to penetrate. Patient with emphysema require a reduction in technical factors to prevent overexpose of the lungs fields. Patient assessment can help with the appropriate exposure adjustment. Time may also be a major factor. Geriatric patient may have problems maintaining the positions necessary for the examinations. A short exposure time will help reduce any voluntary and involuntarymotion and breathing. Ensure that the geriatric patient clearly hears and understands the breathing instructions. Conclusion The imaging professional will continue to see a changes in the health care delivery system with the dramatic shift in the population of person older than age 65. This shift in the general population is resulting in an ongoing increase in the number of medical imaging procedures performed on elderly patient. Demographic and social effect on aging determine the way which the eldely adapt to and view the process of aging. An individuals family size and perceptions of aging, economic resources, gender, race, athnicity, social class, and the availability and delivery of health care will affect the quality of the aging experiences. Biological age will be much more critical than chronologic aging when determining the health status of the elderly. Healthier lifestyles and advancement in medical treatment will create a generation of successfully aging adults, which in turn should decrease the negative stereotypes of the elderly person. Attitude of all health care professionals, whether positi ve or negative, will affect the care provided to the growing elderly population. Education about the mental and physiologic alteration associated with aging, along with the cultural, economic, and social influences accompanying aging, enables the radiographers to adapt imaging and therapeutic procedures to the elderly patients disablities resulting from age-related changes. The human body undergoes a multiplicity of physiologic changes and failure in all organ systems.the aging experiences is affected by heredity, lifestyle, choices, physical health, and attitude making it highly individualized. No individuals agign process is predictable and is never exactly the same as that of any other individuals. Radiologic technologist must use their knowledge.abilities and skills to adjust imaging procedures to accommodate for disabilities and disease encountered with geriatric patients. Safety and comfort of the patient is essential in maintaining compliances throughtout imaging procedures. Implementation of skills such as communication, listening, sensitivity, and empathy, all lead patient compliances. Knowledges of age-related changes and disease process will anchance the radiographers ability to provided diagnostic imformation and treatment when providing care that meets the needs if tge increasing elderly patient population. GERIATRICS

The change kaleidoscope

The change kaleidoscope Table of content Introduction Describe the strategic change context in 2002, at the start of the change process at Faslane. You should apply Balogun and hope Hailey’s change Kaleidoscope and discuss your findings. You should also briefly describe the type of change (use Balogun and hope Hailey’s type of changes model). You may additionally use any other relevant academic reading to develop and support your ideas. 1.1 Balogun and hope Hailey’s change Kaleidoscope. 1.2 The kaleidoscope Change Kaleidoscope 1.3 The contextual features of change in Faslane , (Kaleidoscope Model ) 2. Compare and contrast the internal features of the organizational when it was run by the MOD and Royal Navy (Up to 2001) with when it was run by Babcock Marine (2002-2010). You should apply McKinsey’s Seven S framework (do this twice – once for ‘up to 2001’ and once for 2002-2010) and discuss your findings. What, for example, where the most significant differences? You may additionally use any other relevant academic readings to develop and support your ideas. 2.1 McKinsey’s Seven S framework 2.1.1 Importance of McKinseys Seven S structure 2.1.2 McKinsey’s Seven S framework 2.2 Faslane run by the Royal Navy and MOD (up to 2001) 2.3 Falsane run by the Babcock Marine (2002-2010) 3.Critically evaluate the Faslane change using Kotter’s change steps. 4.Would you describe the strategic change process at Faslane as more â€Å"intended† or more â€Å"emergent†? You should use examples from the case and relevant academic reading to support your answer Conclusions Introduction The main aim of this paper is to focus on the strategic changes at Faslane from different perspectives of the Babcock marines and the Ministry of Defense (MOD). The objective is to understand the change and the studies of strategic leadership. Taking into consideration a number of different theories and models to analyze internal and external influences of the organization. In the year 2002 Faslane which was previously managed jointly by the Ministry of Defense and the Royal Navy decided to partner with Babcock Marine, a private sector company. The main aim of such partnering agreement was for the purpose of reducing cost and improving their services. Babcock Marine was given the responsibility to save the cost as well as to improve their operational effectiveness. They were given a target of  £76 million saving within five years. With a significant change Faslane was able to achieve the target and was considered best. Describe the strategic change context in 2002, at the start of the change process at Faslane. You should apply Balogun and hope Hailey’s change Kaleidoscope and discuss your findings. You should also briefly describe the type of change (use Balogun and hope Hailey’s type of changes model). You may additionally use any other relevant academic reading to develop and support your ideas. Balogun and hope Hailey’s change Kaleidoscope Change Kaleidoscope was produced by Hope Hailey Balogun (2002) to be a method for pulling together and arranging the extensive variety of logical highlights and usage choices that require thought amid change. In this sense Change kaleidoscope is even more a model than a strategy, however it is usable instrument for conceptualizing the way of progress. By its plan, the model speaks to an exhaustive system which manages the greater part of the variables that the creators regarded noteworthy by the writing. The kaleidoscope model was utilized interestingly to reflectively investigate a change project embraced in a first pharmaceutical organization. The kaleidoscope contains an external ring which is concerned with the highlights of the change setting that can either empower or oblige change, and an inward ring that contains the menu of usage choices open to change specialists. Comprehension of the context oriented highlights empowers change specialists to judge the fittingness of any methodology for their specific setting. 1.2 The kaleidoscope Change Kaleidoscope The kaleidoscope Change Kaleidoscope theory was developed by Hope Hailey Balogun has three rings: The outer ring relays to the broader strategic adjustment context. The central ring relays to specific contextual issues that need to be considered when expressing a revolution plan. The internal circle gives a set of choices of selections and interferences, design selections obtainable to change. Time -How rapidly is change required? Is the association in emergency or is it concerned with longer-term vital improvement? Scope -What degree of change is needed? Does the change affect the whole organization or only part of it? Preservation -What authoritative resources, attributes and practices need to be kept up and secured amid change? Diversity -Are the diverse staff, expert gatherings and divisions inside the association generally homogeneous or more various as far as qualities, standards and disposition? Capability -What is the level of authoritative, administrative and individual capacity to execute change? Is there a need to enhance this ability before the change methodology can be begun? Capacity -How much asset can orgnaisation INVEST in the proposed change as far as money, individuals and time? Readiness for change How prepared for change are the representatives inside the association? Is it accurate to say that they are both mindful of the requirement for change and roused to convey changes? Power -Where is the force vested inside the association? What amount of scope of carefulness does the unit expecting to change and the change pioneer have? 1.3 The contextual features of change in Faslane , (Kaleidoscope Model ) 2. Compare and contrast the internal features of the organizational when it was run by the MOD and Royal Navy (Up to 2001) with when it was run by Babcock Marine (2002-2010). You should apply McKinsey’s Seven S framework (do this twice – once for ‘up to 2001’ and once for 2002-2010) and discuss your findings. What, for example, where the most significant differences? You may additionally use any other relevant academic readings to develop and support your ideas. 2.1 McKinsey’s Seven S framework The McKinseys Seven S structure grew by well-known business specialist Robert H Waterman Tom Peters in 1980. McKinseys Seven S system is an administration model which incorporate Strategy, Structure, Systems, staff, style and style. McKinseys Seven S structure is habitually utilized as an Organizational examination instrument to quantify and screen changes in the inward state of an association. 2.1.1 Importance of McKinseys Seven S structure †¢ Examine the execution of an organization. †¢To rearrange authoritative change. †¢ To close how best to actualize arranged technique. †¢ Inspect the probable impacts of inevitable changes inside an organ 2.1.2 McKinsey’s Seven S framework Mainly McKinsey’s Seven S framework can be divided in to two major categories, they are hard elements and Soft Elements Strategy – The plan formulated to continue and build competitive benefit over the competition. Over-all, strategy is the one that’s obviously expressed, is long-term, helps to grasp competitive benefit and is reinforced by sturdy vision, mission and values. Structure Strategy signifies the way business divisions and units are planned and contains the data of who is responsible to whom. In other words, structure is the organizational map of the firm. It is also one of the most noticeable and easy to change fundamentals of the framework. Systems – Systems are the methods and actions of the organization, which expose business’ regular happenings and how choices are made. Systems are the zone of the firm that concludes how business is done and it would be the main attention for managers through organizational adjustment. Shared values – Share values can be highlighted as the core of McKinsey’s Seven S framework. Shared values are generating an organization that admirations each and every worker, committed to the environment and constantly attempts for waste elimination and perfection in everything it does. Skills Skills are the capabilities that firm’s workers accomplish very well. They also contain competences and capabilities. During administrative conversion the question often rises of what skills the company will really necessity to strengthen its fresh strategy or different construction. Staff – The general meaning of staff is the employees and their general competences. Staff component is apprehensive with what type or how many workers an organization will require and how they will be employed, educated, encouraged and satisfied. Style Style signifies the way the company is control by top managers and how they intermingle, what movements do they take and their representative value. In addition style is the administration style of company’s leaders. 2.2 Faslane run by the Royal Navy and MOD (up to 2001) 2.3 Falsane run by the Babcock Marine (2002-2010) Critically evaluate the Faslane change using Kotter’s change steps. Establishing a sense of urgency Faslane needed prompt change so Babcock assumed control over the administration framework and continue for change. They need to decrease cost and enhance operation proficiency without influencing administrations to Navy. Creating the guiding coalition They urge staffs to impart thoughts and insight additionally give energy to make own gathering and arrangement for division. They lessens administration layer to 4. Developing a change vision They make focus to attain to 76 million of expense sparing in 5 years period without influencing the administrations gave to the Navy. They help and bolster representatives to embrace the change process. Communicating the vision of buy in Babcock Marine decrease administration layer to 4and make association structure straightforward. They completely bolster representative for change and make a point to accomplish the association objective. Empowering broad based action They decrease political interference and administration layer. They likewise evacuate the trepidation of representatives for change process. Experience workers for change methodology were brought so that other existing representatives of Faslane will embrace change rapidly. Generating short term wins They effectively actualize change in low level and change impression of worker that change methodology is for good. They enhance execution and quality in administrations. They additionally break their 5 years plan and make yearly target which was to attain to 3 million however they had the capacity accomplish 14 million. Never letting up Babcock Marine discover positive change after lessen in worker view of apprehension and administration layer. New administration style was ideal to accomplish the focus of association. Incorporating changes into the culture The new administration and administration for Faslane was accomplishment to meet target. They enhance the quality and administrations for client. Thus, Faslane got opportunity to oversee whole UKs submarine armada. Would you describe the strategic change process at Faslane as more â€Å"intended† or more â€Å"emergent†? You should use examples from the case and relevant academic reading to support your answer Emergent Faslane was in requirement for quick change, so in 2002 they cooperate with Babcock Marine with understanding of acquiring positive change entire association. They have an arrangement to attain to  £76 million of expense sparing in five years of period without influencing the administrations gave to the Navy. Meanwhile for accomplishing their targets they apply distinctive expected and new technique according to needed. Change was not simple for Babcock in light of the fact that at first the client was not to support them. So to change individuals outlook Babcock begin to spurring for change as their acquiring was taking into account the sparing of the expense. Babcock urges to impart new thoughts and insight through entire day exchange. Babcock was knowledgeable about change process they knew the things need to decrease and enhanced in Faslane. They reengineer the structure of an association. By decreasing the administration layer from 7 to 4 they were accomplishment to decrease c ost and enhanced operational adequacy without influencing in nature of administrations. They concentrate on straightforward correspondence through and through level of administration. They decrease around 400 full-time equal posts. From distinctive explanatory apparatuses used to examine for inward and outside change environment make us straightforward the particular change prepare in Faslane. Babcock has admirably utilized their experience and method for change process which make them accomplishment to attain to their target furthermore more than desire CONCLUSION The contextual analysis demonstrated that particularly amid times of progress a trade of expertise is indispensable. This exchange must happen in the middle of new and experienced workers, generalists and experts, et cetera. Likewise, it got to be clear that cost decreases and administration upgrades are conceivable in the meantime. What is required is a reasonable objective (key pioneers obligation), a certain independence for representatives (constrained self-rule is liable to be ineffectual because of long choice making techniques) and the incorporation of every single influenced partner in the change process (clients, workers, nearby group, and so forth if there should be an occurrence of Faslane). Faslane has possessed the capacity to consent to all the five components of Successful and viable key authority. It had the capacity impart associations motivation to all the partners. It was additionally fruitful in keeping up moral standard and overseeing HUMAN RESOURCES. With its great execution, it had the capacity meet its target and had the capacity deal with the whole UK submarines armada. Proof for this administration style being successful can be seen in the choice that Faslane would turn into the home base for atomic submarines as well as for the whole UK submarines armada which means up to 2000 more JOBS. Faslane was extremely intriguing contextual investigation and considered associations MANAGEMENT and by what method can shrewd changes influence everything. Referencing A. Franken, C. Edward, and R. Lambert, ‘Executing Strategic Change’, California Management Review, (2009), pp. 49-71. Lynch, R., (2009) Strategic Management, 5th Edition, Prentice Hall J. Kotter, ‘What leaders really do’, Harvard Business Review, December (2001) Johnson, Gerry, and Kevan Scholes. Exploring Corporate Strategy. London: Prentice Hall Europe, 1999. Print. Johnson, Gerry et al. Integrated Business Applications. Frenchs Forest, N.S.W.: Pearson Australia, 2013. Print. Kotter, and Kotter International. The 8-Step Process for Leading Change Kotter International. Kotter International. N.p., 2015. Web. 3 Apr. 2015. Kotterinternatinal . 2014. The 8-Step Process for Leading Change. [ONLINE] Available at: http://www.kotterinternational.com/the-8-step-process-for-leading-change/. [Accessed 22 April 15]. Ambrosini, VeÃÅ' ronique, Gerry Johnson, and Kevan Scholes. Exploring Techniques Of Analysis And Evaluation In Strategic Management. London: Prentice Hall Europe, 1998. Print. 1

Essay --

The Armenian people are known to have begun around sixth century B.C. The Armenians are ancient people who speak an Indo-European language and have traditionally inhabited the border regions to Armenia, Iran, and Turkey. Armenians lived in Anatolia and West Armenia for about 3,000 years until the 11th century when they were defeated by Central Asian tribal armies. Since then, the Armenians have lived as subjects to several Turkish dynasties (Centuries of Genocide). Armenia was the very first nation to accept Christianity as its state religion. Armenia was an independent kingdom before it was taken over by the Ottoman Empire in the 15th century. The Ottomans created a huge empire going from Eastern Europe to Western Asia and North Africa. Armenians were Christians and Ottoman rulers were Muslim. The Armenian’s were a minority group under the Ottoman Empire and they were often treated unfairly. The Ottoman Empire deprived Armenians of their rights. Armenians had to pay higher taxes than Muslims, they had fewer legal rights and they were not allowed to vote. Even though they faced these challenges, the Armenian’s did very well under Ottoman rule. They were wealthier than the citizens of Turkey and they received a better education. It wasn’t long before Turks began to resent the Armenians. They did not trust them or their loyalty to other Christian governments. The Ottoman Empire began to fall apart in the 1800’s. As the empire disintegrated, Greeks, Serbs and Romanians achieved independence. Only the Armenians and the Arabs of the Middle East remained in the Ottoman Empire which was ruled by Sultan Abdul Hamid (unitedhumanrights.org). They Armenians demanded fairness from Sultan Hamid and wanted security from Kurd... ...problem is that Turkey is an ally to America and recognizing the Armenian genocide would harm relations between US and Turkey (Common Dreams). The United States needs Turkey for the war on terrorism because they have an airbase that the US forces use to get supplies to troops in Iraq. Several Resolutions have been presented to the US Congress over the years to recognize the Armenian Genocide. On May 20, 2013 HR Resolution 227 was introduced by the House of Representatives calling on the President â€Å"to work toward equitable, constructive, stable, and durable Armenian-Turkish relations based upon the Republic of Turkey’s full acknowledgment of the facts and ongoing consequences of the Armenian Genocide, and a fair, just, and comprehensive international resolution of this crime against humanity.† (H. Res. 227). The Bill is currently pending approval by US government.

Alcohol and Drinking - Alcoholism :: Exploratory Essays Research Papers

Alcoholism It was a rainy Wednesday afternoon and little Tommy was struggling to cross the slippery puddle- filled streets. The crossing guard at the corner felt a tug at her leg and it was Tommy waiting to cross. He waited patiently at the corner until traffic seemed to clear. The crossing guard began to lead Tommy across the street when out of nowhere a car sped around the corner and without acknowledging the crossing pedestrians, ended little Tommyà ¾s life. Tommyà ¾s parents were called at work and notified of the horrible accident. Through all the gory details they received the same awful truth that is heard by millions every year, Tommy had been killed by a drunk driver. Alcoholism is an epidemic in America that affects the lives of many. Alcoholism, as a disease, affects the individual, the family, and society as a whole. Families are torn apart, domestic violence occurs, and innocent bystandersà ¾ lives can be changed forever, just like little Tommyà ¾s. Drunk driving is just one of the many issues involving the abuse of alcohol. Alcohol abuse can lead to further drug and substance dependence. On the individual, alcohol damages bodily processes and organs, and affects personality and temperament. An approach to treating this serious illness is group therapy and individual counseling. The severity of the problem and the willingness of the patient will determine the extent of treatment he or she will undergo. Though there are many aspects of alcoholism, a major issue at hand is whether or not alcoholism is a genetically inherited disease. Through research studies and surveys, it is evident that alcoholism is, in fact, genetically inherited. Genetic makeup is not the only factor, however. Environmental influences can foster genes and motivate a person to drink. Many people drink due to a neurological imbalance (which causes a psychological disorder). Others use alcohol as an outlet to their daily stresses. There is even a group of people who become alcoholics with an unknown motive. Alcoholism is a disease with many dimensions. This disorder begins as early as childhood and elevates throughout adolescence to its prime stage in adulthood. The early years are the crucial determination point. If a child grows up with constant exposure to alcohol, they will most likely pattern their behavior after the role model. This is how the whole cycle continues. It is unfortunate that so many Americans a re affected by this disease and they are not even aware of it.

Puerto Rico in a Historical and Cultural Context :: History Historical Puerto rican Essays

Puerto Rico in a Historical and Cultural Context By tracing the roots of Puerto Rican development from the Spanish invasion to today, one can see the influence of the dominant power in the interaction between different races of Puerto Rico, effecting how they viewed each other, and themselves. Isabel’s family, which is composed of Spanish and Corsican immigrants, reflects the attitudes that helped form Puerto Rican racial divisions. While she speaks from the point of view of a member of the upper class, there is a great deal of history behind the attitudes that influence the House on the Lagoon that she only lightly touches upon. Although Puerto Rican society has been racially mixed, issues such as class, imperialism, and outside prejudices have created a split between the different races. Although Isabel’s record of her family’s background begins much later, the roots of racial division in Puerto Rico started with the Spanish invasion of the island. Before the Spanish invasion in the 1500’s, Puerto Rico was populated by the native population known as the Taino. Once Puerto Rico was invaded by Spain, the Taino were marginalized by the Spaniards, thus creating the first racial conflict. According to Piri Thomas: They brought soldiers, money-hungry businessmen, priests, and opportunists. who burned with the fever only gold could cure. They brutally reduced the native population to near extinction by means of slavery, cruelty, and murderous extermination. Men, women, and children were set to work digging for the yellow metal, the precious gold. (Thomas) This shows that the first stage in race relation was motivated by the dominance of the invaders over the invaded. In this way, segregation in the early years of Puerto Rican development under Spanish rule was based on the fact that the Spanish population exploited the island’s people and resources, setting up a situation where the native population was marginalized. In other words, the marginalization of the native population was rooted in the economic desires of Spain. This created both a racial and class segregation, for the upper class Spaniards had control over the island, while the native population was forced to flee or be forced to work for the invaders. The Spanish occupation of Puerto Rico also brought another aspect of race relations to the island. Unable to utilize the native population to their liking, they brought African slaves to work for them. This added to the racial mixture on the island.

Three Qualities to Succeed.

Everyone have dreams, expectations and goals. Some people dream of being famous singers or actors. Other people want to become doctors, nurses, pilots, teachers o something else, the thing is to succeed, to reach their goals. So what do people need to attain their goals? They need to work hard, to take risks, and they need to have attitude and qualities. There are three qualities necessary for success: passion, perseverance and discipline. Successful people are passionate about what they do, they love what the do and they enjoy at the same time, they feel happy and complete because it’s something that they want to do to being satisfied and meet their expectations. They are creative and hard workers, they try to be original thinking in some many ways to do it as well as they can. It’s important to love what they do to do it well and become a successful person. People should have perseverance to reach their goals, they need practice to improve their abilities, sometimes people feel insecure about what they do, so they might practice to do it better. They should keep going and confront the problems, if something is going wrong just keep trying and face the oppositions. Stay focused on their goals even if some one thinks that they must try to do something else, people need to be persistent enough to stay focused on what they want, they need to be patient and persistent if they want to reach their goals. To succeed people need to be discipline, being responsible of what they do, when they make a mistake they need to be able to fix it. They need to study for attain their goals as much as they can to obtain tools and show confidence about what they are doing. It’s not enough to want to succeed, also people need to wok hard with discipline to meet their goals. People who want to succeed should have perseverance, they need to be discipline to know which way is better to follow their dreams, and the most important quality is the passion. If people enjoy and love what they do, they are going to reach the success.

Sonnet 116 Review

marriage†¦ impediments (1-2): T. G. Tucker explains that the first two lines are a â€Å"manifest allusion to the words of the Marriage Service: ‘If any of you know cause or just impediment why these two persons should not be joined together in holy matrimony'; cf. Much Ado 4. 1. 12. ‘If either of you know any inward impediment why you should not be conjoined. ‘ Where minds are true – in possessing love in the real sense dwelt upon in the following lines – there can be no ‘impediments' through change of circumstances, outward appearance, or temporary lapses in conduct. † (Tucker, 192). ends with the remover to remove (4): i. e. , deviates (â€Å"bends†) to alter its course (â€Å"remove†) with the departure of the lover. ever-fixed mark (5): i. e. , a lighthouse (mark = sea-mark). Compare Othello (5. 2. 305-7): Be not afraid, though you do see me weapon'd; Here is my journey's end, here is my butt, And very sea-mark of m y utmost sail. the star to every wandering bark (7): i. e. , the star that guides every lost ship (guiding star = Polaris). Shakespeare again mentions Polaris (also known as â€Å"the north star†) in Much Ado About Nothing (2. 1. 222) and Julius Caesar (3. 1. 65).Whose worth's unknown, although his height be taken (8): The subject here is still the north star. The star's true value can never truly be calculated, although its height can be measured. Love's not Time's fool (9): i. e. , love is not at the mercy of Time. Within his bending sickle's compass come (10): i. e. , physical beauty falls within the range (â€Å"compass†) of Time's curved blade. Note the comparison of Time to the Grim Reaper, the scythe-wielding personification of death. edge of doom (12): i. e. , Doomsday. Compare 1 Henry IV (4. 1. 141): Come, let us take a muster speedily: Doomsday is near; die all, die merrily.

The Effects of Animal Cruelty and Abandonment

The American Society for the Prevention of Cruelty to Animals, also known as the ASPIC, is another organization that serves to decrease animal abuse and enforce arrest towards careless pet owners. Among these organizations, People for the Ethical Treatment of Animals, PETA Is responsible for creating awareness and putting an end to animal cruelty. There are other ways an animal can be a victim of animal cruelty, without actually being harmed. Animal Hoarding, a practice of animal lovers, is ironically another related topic of animal cruelty.In some views, this is an attempt o save the animal, but many other views differ, saying this solution will only cause problems. Even though there are lots of organizations that help prevent animal cruelty and abandonment, there is still more that can be done.Animals should be loved and cherish, Instead of Ignored and neglected, How can this world wide crawls be solved? When animals are abandoned, they naturally begin to reproduce thousands of off spring, and because of this, baby animals roam and start to reproduce at an alarming rate. It has been estimated that more than 50 million cats and dogs live in happy homes in the US.On the contrary, over 50 million cats and dogs have been reported as neglected and abused. People are no longer willing to adopt animals. The population of animals and decreasing interest of owning pets has led to a huge number of animal overpopulation each year. Animal World Network explains that â€Å"For every human born, 7 puppies and kittens are born†¦ One female cat and her offspring can produce 420,000 cats in 7 years†¦ One female dog and her offspring can produce 67,000 puppies in 6 years. † One half of abandoned animals are taken into shelters and the other half are in the streets.About 61% of dogs and 75% f cats are bought to shelters and are killed because people do not adopt these animals In time. Due to the lack of education, shelter, financial and other resources, cats and dogs are first on the list to be housed In a shelter of the shortest amount of time and first on the list of animals to kill. The Humane Society is a worldwide organization supported by 11 million Americans which was founded in 1954. It is one of the best protection agencies for animals all over the world, raising over a million of dollars in order to create awareness to citizens.The mission of the Humane Society of he United States, HUGS Is to celebrate all breeds of animals and also to confront cruel TTY. HUGS states Tanat teen are â€Å"America's mainstream Torte gallant cruelty exploitation and neglect†. They confront these issues and provide animals with rescue facilities and clinics for them to get washed, fed and neutered. They are involved in and responsible for organizing meetings, marches, and forums in order to educate society about animal rescue and animal investigations.HUGS holds advertising campaigns to promote adoption for animals so that the nation knows wha t's going on and how they can help. HUGS partner with other associations to trench the message of their organization and create stronger ties with organization with similar missions. One program known as, â€Å"Humane Wildlife Services†, in the D. C metro area help homeowners and businesses with stopping violence towards animals. The Humane Wildlife Services help maintain valid solutions for problems concerning violent neighbors.HUGS strives to stop cruelty targeting â€Å"practices of dog fighting and cook fighting; abusive puppy mills†¦ Farming in†¦ Confinements of animal in crates and cages†¦ † HUGS does its best to protect all animals and they will continue this mission in confronting animal cruelty on a whole. Another organization that also helps stop animal cruelty is The American Society for the prevention of cruelty to animals known worldwide as the ASPIC. The ASPIC was established in North America in 1866 and still today they are here doing the best that they can offer.The This organization believes that animals should be treated fairly and has healthy environments. The ASPIC are the pioneers of all animal humane organizations, they continue to maintain legal authority to take charge in investigations and arrest criminals that treat animals poorly. The ASPIC claims that it is their mission to â€Å"provide local and national leadership†¦ Raring for pet parents and pets, providing positive outcomes for at – risk animals and serving victims of animal cruelty'.In other words, â€Å"animal cruelty is†¦ A serious issue†¦ N law enforcement and mental†. It is very important that people become involved and work to supply quick responses to these acts of criminal behavior. There is an organization like the Humane Society and ASPIC – People for the Ethical Treatment of Animals, (PETA) is also involved in solving issues on animal cruelty. There was a lady named, â€Å"Ingrain E. Newsier, an autho r and co-founder of People for the Ethical Treatment of Animals, who put together essays y people who took the initiative and helped create change. She started PETA in 1980 in her Washington, D. C. Basement to offer people simple vegetarian options and alternatives to products from companies that used animals in research.The nonprofit has grown to 2. 5 million supporters -? the largest animal-rights organization in the world -? and has created a global shift in awareness about the plight of animals†. Petal's focus is primarily on animals suffering on farms, clothing trade areas, laboratories, and in industries around the world. To create aware of their cause, PETA works through education. Meetings are held around the world to raise awareness to many people.They visit schools to educate children and adults about their organization. They also work with â€Å"cruelty investigations, research, animal rescue, legislation, special events, and celebrity involvement, and protest camp aigns†. PETA exclaims that animals have a Voice' too and all they want is some love to be given towards them. PETA strives to encourage people to take action because it is up to us to make a change. A dichotomous act animal lovers experience is that of animal hoarding. How can animals be negatively affected by people that love to be care for needy animals?I Nils Issue NAS Eden Known to affect as many as u. Animal annually. An extreme case reported there over 800 pets living in one home. When there is see an elderly woman lady, for example, living with 15-20 pets, a problem arises because it is harmful toward those animals, being bunched up together. The are many reasons why animal hoarding is practiced by many people. One of the reasons is that a person experienced a traumatic situation, which induced stress, b living conditions, and tough health problems. A person is then in denial of their owe problems and they in turn look to have large amount of animals to conceal their ow e rife in their lives.Many animals are affected; not Just cats or dogs. Animals such a chickens, snakes, ferrets, birds, goats, rabbits, lizards and many more are affected b animal hoarding. Animal Legal Fund, an organization fighting to protect the lives of animals says that, â€Å"In terms of the number of animals affected and the degree and duration of their suffering, hoarding is the number one animal cruelty crisis facing companion animals in communities throughout the country. † These animals are living bunched up together with no proper equipment to sustain a healthy environment, the start to suffer from unsanitary conditions.In effect, these animals â€Å"are sick, dying and poorly socialized†. LADY listed ways to decrease the amount of animal hoarding in the world. The first strategy is the use of civil action in stopping animal hoarders and documents these cases as acts of cruelty towards animals. The second strategy is to stop animal hoarding by taxing the h oarder that is doing the crimes, instead of the local taxpayer. When animals are rescued from homes, bundles of them are confiscated and this makes it hard for local agencies and organizations to feed and comfort these animals, because there is not enough none.A majority of the time, money is taxed to the average working person when they had nothing to do with it. LADY suggested that the money should come from the hoarders instead of hard working citizens.. The final strategy, which falls in line wit the first strategy, would be that laws are applied very seriously to situations like HTH There will be sentencing given towards animal hoarders that try to repeat criminal acts. LADY is working hard to stop animal cruelty in society. First time offenders of animal hoarding will be prosecuted according to LADY First Strike and You're Out La.In this essay, many sources were stated to inform readers about animal abandonment and cruelty. Many organizations and facilities are doing everythin g possible to decrease violence towards animals around the world. Has the world ma an improvement? Can society clap for them because of a Job â€Å"well done† ? NO! I choose this topic because this is a worldwide issue and it should be discussed moor to make change in the future. Animals throughout the world will continue to experience these situations for a long time, but it is so much that people can do. Animals will still be neglected, mistreated and devalued as living, breathing ratters.This worldwide issue needs to stop and it is up to the people to take a stand. Communities have to be willing to give animals Voices' and help them survive We may have thousands of organizations around the world trying very hard to stop animal cruelty but people need to take initiative in their surroundings; people must realize the criminal act and severity of animal abandonment and its reproductions. Slowly many organizations along with individual communities are creating awareness around animal cruelty, however, somewhere in each community there is a lonely animal roaming ten streets omen snouts report tans to Nell ten Animal.

Eve white vs Real eve

Simmer was diagnosed with multiple personality disorder. She was one of the first cases doctors had ever come across. With being such a special case, Chris was asked if she would be interested in having a movie made about her life. Chris and her family decided to peruse the movie, but not to use her real name. The directors of the film decided to give her the name of Eve White. However, there were parts of the movie that did not happen In real life or were twisted In the making of The Three Faces of Eve.Having a disorder Like Chris was diagnosed with Is not only hard to the patient, but also hard for friends and family. In Chris' life she had a loving husband and two children. Eve was In a bad relationship where she did not love her husband and a young daughter, Bonnie who she adored. When Eve White turned Into Eve Black, a rollicking young woman with a sly grin, she would physically harm Bonnie and would be extremely mean to her the little girl. Eve Black strangled Bonnie one day an d happened to Chris' eldest daughter as well when a different personality came out.Chris' children say that none of their mother's personalities ever hurt them, but they defiantly had their favorites, which they got across in the movie. Bonnie enjoyed when Cane's personality came out because she was kind and playful with her. In the movie Jane finds a man who she falls in love with, but does not feel as if she could marry him because she has more than one personality. They ended up getting married which was a true story from Chris' life.However, in the movie they did not put in that they did not tell anyone about her disorder because her new husband Don and their children would have to move because the neighbors would not wanting her to live by them because she is â€Å"crazy. † The Faces of Eve was based off of Chris' life, but Chris had 22 personalities instead of Just three. In the movie when both Eves' leave the body for good she is having a flashback to when her grandmot her had died. Eve is screaming about how her mother made her kiss the casket when she did not want too.Chris was furious that they put the blame on her mother in the movie when it was really her neighbor who made her do it. This flashback happened the day that the Eves' left her body for good and Jane stayed and she was cured for the rest of her life. This was a complete lie. Chris was cured for a little bit, but after a few months she realized the blackouts were coming back and more personalities were forming. For 44 years of Chris' life she had 22 different personalities who had control of her life.Chris Simmer has a book she wrote, I am Eve, and a movie, Three Faces of Eve all about her life and her Journey through her disorder. Chris and Eve were essentially the same person, but come across differently In the movie and her real life story. Chris' life was much more difficult than It made It seem In the movie. Chris shared her story, not for the money, but to spread the word for others out there who are dealing with the same disorder to let them know that they are not alone. She also shared her runner to let others know what she went through because she was one of the first cases to be diagnosed.Eve white vs.. Real eve By marshland were parts of the movie that did not happen in real life or were twisted in the making of The Three Faces of Eve. Having a disorder like Chris was diagnosed with is not loving husband and two children. Eve was in a bad relationship where she did not turned into Eve Black, a rollicking young woman with a sly grin, she would physically same person, but come across differently in the movie and her real life story. Chris' life was much more difficult than it made it seem in the movie. Chris shared her

Short paper Assignment Example | Topics and Well Written Essays - 750 words - 1

Short paper - Assignment Example jugation of indigent and stigmatized women is connected to gender and class correlations, that of Third World women is connected in addition to race interrelations and frequently imperialism (Ramusack 30-35). During the 19th century, as millions of Britons left for the New Worlds, grate and home were actually shifted from the centre of the empire to its very periphery. In the film Out of Africa, it explores how such demographic changes affected the means in which the British citizens both promoted and destabilized the idea of the domestic woman (Antoinette 60-97). Though the ideal of the domestic woman was surely affected by these mass shifts, in the film the explanation of her becomes constricted and unfeasible, for she must not only be a goddess, but she must in addition be English hero is ordained for a happy ending, she either get married to an English angel-wife who must be brought with him to the New World. This patter appears to support the allegedly corresponding ideologies of domesticity and imperialism. London, according to imperialist doctrine, was the virtuous epicenter of a domineering empire whose mission was to civilize the rest of the world. In the film, Karen Blixen is the angel who offers the ethical foundation of a consecrated to such scheme than English soil. Nevertheless the films reveal much ambivalence towards this domestic idyllic. She is often seen as the colonial and indigenous woman; they are also seen as foils for the English angels since there were much more interesting and gorgeous. But the domestic and imperiali st principles themselves discarded. Coming to Kenya, Karen Blixen shows that female expatriates were dreadfully required in the colonies; consequently, a woman’s responsibility was to leave England. Better still her womanly responsibility told her to stay a pure goddess beside an English hearthside. The domestic dogma, then since of its firm alliance with nationalism, appears to have been more in dispute with

Replacing Core Banking for ADIB Dissertation Example | Topics and Well Written Essays - 13000 words

Replacing Core Banking for ADIB - Dissertation Example This has been done in the dissertation through a focus on competitive advantage and knowledge management tools, which may be used in order to understand the needs of a globally changing environment within which the banking industry thrives today. The SOA, on the basis of the model put forth, can undergo further research so as to be revolutionized as a more need sensitive solution to various core banking needs. Apart from this, there is a vast scope for research into greater employee motivation as well as consumer satisfaction, both of which can come to herald banks as brands in themselves. As a service oriented field, the banking sector and the ADIB bank in particular can benefit greatly from such research. Literature Review This chapter reviews the literature that is being used as regards Core Banking Solutions. In order to do this, the researcher has made use of the previously available work also known as secondary research on the subject along the following technicalities: Relevance to subject Logical flow of information In context of research methodology and overall problem of the dissertation. To begin with, it is imperative to understand the meaning and importance of a literature review to any dissertation. A piece of research is incomplete without adherence to the work previously conducted on the subject. A researcher cannot move forward or find a fitting basis for research unless he or she regards the work of scholars who have dabbled in the field previously. Yet, in today's age of information and knowledge, it may be seen that it has become more important than ever to keep an eye on including literature that pertains directly to the analysis and findings of the subject... This chapter reviews the literature that is being used as regards Core Banking Solutions. In order to do this, the researcher has made use of the previously available work also known as secondary research on the subject along the following technicalities: - Relevance to subject - Logical flow of information - In context of research methodology and overall problem of the dissertation. To begin with, it is imperative to understand the meaning and importance of a literature review to any dissertation. A piece of research is incomplete without adherence to the work previously conducted on the subject. A researcher cannot move forward or find a fitting basis for research unless he or she regards the work of scholars who have dabbled in the field previously. Yet, in today’s age of information and knowledge, it may be seen that it has become more important than ever to keep an eye on including literature that pertains directly to the analysis and findings of the subject at hand. This is where a review of the literature comes in as it helps the researcher look at the use of literature gathered in a critical manner. According to Cooper (1988) "a literature review uses as its database reports of primary or original scholarship, and does not report new primary scholarship itself. The primary reports used in the literature may be verbal, but in the vast majority of ca ses reports are written documents. The types of scholarship may be empirical, theoretical, critical/analytic, or methodological in nature."