Case 3.3 Study Example | Topics and Well Written Essays - 250 words

3.3 - Case Study Example When taking history, it is important to record the accurate date of admission in the patient’s medical record. The admission date will help the nurse to calculate to calculate the patient length of stay at discharge or during the death of the patient. Calculating accurate length of stay for the patient will enable the accounting department to calculate the exact cost for patient stay in the hospital. Length of stay (LOS) is a period that covers the duration of a single episode of patient hospitalization. It is measured in days but not hours. It provides the hospital management with information on how quickly patients are being treated and discharged. This can give information on whether patients are being managed properly. To calculate LOS, the patient date of admission and discharge need to be tabulated. LOS is after that computed by subtracting the date of admission from the date of discharge or death. However, patients entering and leaving the hospital on the same day are given an LOS of one day. Proper keeping of records needs to be instituted in the hospital set up as it provides vital information on the patient’s progress. LOS of patient can help the hospital management to know how quickly the patients are being treated and discharged. This will further help to tell if patients are receiving a proper management for their

Assignment 1 Essay Example | Topics and Well Written Essays - 500 words - 2

Assignment 1 - Essay Example Medical professionals must not only be able to diagnose and treat diseases, but they must also be aware of foods and substances that may be attributed to cultural behavior patterns. Diseases may be transmitted through the consumption of cultural-based foods not found in normal mainstream environments. However, this cultural empathy is not always taught within medical training. Professionals rely so much on their medical expertise that the problems with cultural diversity and cultural awareness are not often understood or applied within a medical environment. In the end, this makes the patient the victim of ignorance and restricts the medical professional’s ability to treat the patient. Furthermore, communication is an important component of cultural diversity and awareness. A patient or research subject must be able to communicate what his or her problems are and the researcher must also be able to ask questions and communicate the treatment methods that are going to occur. Medical administrators must also ask family members and friends specific questions regarding medical history which could come into play regarding research issues and practices. All of this communication is necessary for the treatment and compliance within a research-based institute. Therefore, the need for multi-lingual staff members is crucial, especially in areas where diversity may be the main focus or in geographical areas where diverse demographics may be greater than others. Cultural diversity has impeded the quality of research that can be provided and professionals within the field are only now beginning to understand the impact that culture has on behaviors, treatment and communication . The text illustrates a multitude of dimensions that showcase precisely how important of a role that culture can play on everyday lifestyles. For instance, within the Universal and Culty-Specific Psychological Processes, Matsumoto

How To Tell a True War Story Essay Example for Free

How To Tell a True War Story Essay The chapter â€Å"How to Tell a True War Story† tells various stories by different characters, on which the author, Tim O’Brian comments through metafictive statements such as â€Å"a true war story is never moral†. Through this short story within the book, the author offers the opportunity to understand the art of writing about War. The story with the â€Å"baby buffalo† is an excellent example of the sophisticated implementation of O’Brian’s ideas about â€Å"how to tell a true war story†. I will examine each of the author’s instructions with regard to the story and analyze why this story is a â€Å"true war story† according to the author. â€Å"The [author has] told it before -many times, many versions’, but [now tells] what actually happened†. This immediately raises the question, why the author failed to tell the true story before: it might be the case that it was too embarrassing for him to tell. After all a soldier tortured an innocent animal, while the others were watching him without intervening. In this sense O’Brian’s metafictive statement about embarrassment proves to be accurate in this case. Furthermore the fact that Curt Lemon played â€Å"catch with Rat† and â€Å"was dead† instantly after it, indicates emotional detachment of the author and the reader is left with many questions about this single sentence: How did this happen so quickly? Why is the author so emotionally detached from his death? Is it really what happened or is it what seemed to happen? After all if somebody dies in a war, it seems so quick and the factual and emotional truth is hard to separate. It might very well be the case that the description about Lemon’s death is â€Å"skewed† because â€Å"what seems to happen becomes its own happening†: since Lemon died so unexpectedly, the author tells it in a way he â€Å"felt it to happen†. One moment alive another moment dead already. After Rat’s best friend died, he deals with his sorrow and emotional pain by torturing a harmless animal, a baby buffalo. His motivation: â€Å"wasn’t to kill, it was to hurt†. After â€Å"opening a can of C rations† for the buffalo, â€Å"he took careful aim and shot off an ear†. Then â€Å"he shot twice in the flanks†. At the end â€Å"he shot off a tail and shot in the left front knee†. Although this is â€Å"evil and obscene† human behavior, â€Å"nobody said much†. Even the author describes the event emotionally isolated, without â€Å"having a moral or suggesting proper human behavior†. He merely explains what happened, â€Å"without offering abstractions or analysis†. While Rat’s deeds seem to be morally wrong and very cruel’ â€Å"it is hard to extract the meaning†. One really has to â€Å"look under to surface to unravel the deeper meaning†. Seemingly the torture of the animal is unnecessary but it is the only way Rat can deal with the loss of his best friend. He is angry at the whole world for loosing him; after all he is only a â€Å"kid†. The story in this sense is not about war at all: we had no description of the enemy who killed Rat or any combat action. We are left with the sorrow and pain that the war caused. In this sense â€Å"a true war story is never about war. It’s about sunlight†¦love and memory†. All in all it is clear that almost every statement about â€Å"how to tell a true war story† is implemented in this single story.

The Cold War An Introduction History Essay

The Cold War An Introduction History Essay The Cold war is a period of sustained political and military duress and unrest between the Western Superpowers, viz. The USA Of America , and its NATO allies , and the  communist world, led by the erstwhile  Soviet Union, its  satellite states and allies 1947 1991. It occurred post the 2nd world war, and was a mixture of religious crusade in favour of one ideology or the other, and of the most ruthless power politics, striking out for advantage or expansion not only in Europe but all over the world.  [1]   The war was cold only in that the USA and USSR never fought each other in a direct military confrontation, but both superpowers threatened each o with  nuclear annihilation  and participated frequently in proxy wars by supporting allied nations in numerous hot wars in places like  Korean,  Vietnam), and  Angola. The Cold War defined both countries foreign policies through the second half of the twentieth century, as Americans and Soviets competed for allies to maintain and widen their respective spheres of influence around the world. Each side viewed the Cold War as a battle between civilizations; in the worldwide clash between American capitalism and Soviet Communism, only one could prevail. For more than forty years, the Soviet-American conflict hung heavy over global affairs, shaping the world with massive  military buildups, a never-ending  nuclear arms race, intensive  espionage, and fierce  technological competition  as each side tried to gain the upper hand in preparation for the thermonuclear hot war  all humans feared would someday come.  [2]   The causes of the Cold War. We can divide the causes of the Cold War into two types of causes viz. The underlying causes and the immediate causes. The Underlying Causes are :- (i) Ideological Causes: The USA and the Soviet Union represent two opposing systems of government. In the USA, the government is elected by free elections i.e. the people can form political parties to voice their political opinions. They also possess the right of assembly, of speech and of the press. In the Soviet Union, the government is formed by the Communist Party. The people do not have the right to form their own political parties. They do not enjoy the right of assembly, of speech and of the press. Since these two systems of government are diametrically opposed to one another, there can be little compromise between the USA and the Soviet Union. (ii) Economic Causes: The USA wanted to encourage free trade throughout the world and the USSR wanted to shield off its own sphere from international commerce. Russia feared that trade with the West would involve the risk of Russia being opened to western influences which would have eroded the strength of the totalitarian regime. These differences led to much ill feeling between the USA and the USSR. Immediate Causes of Cold war: Incipient conflict between the Soviet Union and the United States began at the peace-time conferences. Their conflict was intensified after President Truman declared the Truman Doctrine and launched the Marshall Plan in 1947. (i) Extension of Russian influence in Europe: Even before the end of the Second World War, the Soviet Union had gradually extended its influence in Europe. By 1944, it controlled a large part of Eastern Europe. By 1945, at the Yalta Conference, the Soviet Union obtained the Curzon Line as its new boundary line with Poland and also gained control of the eastern part of Germany. As the war was drawing to a close in May 1945, the Soviet Union quickly consolidated its control of eastern Europe. (ii) The reactions of the United States: Despite the increasing Russian influence in eastern and central Europe, many politicians in the United States were optimistic about the chances of co-operation with the Soviet Union after the war and did not advocate strong resistance against Russian expansion. But from May 1945 onwards, the situation was changed. The U.S. government favoured a policy of strong resistance against Russia. This was because President Roosevelt -who was optimistic, believed that though eastern Europe had fallen under the influence of Russia, Russia would keep its promise made at Yalta by setting up freely elected parliamentary governments in the area and so did not advocate strong resistance against Russian expansion- died on April 12, 1945. He was succeeded by Harry S. Truman who was a complete contrast to Roosevelt. He did not believe the communists. He thought that the communists would not set up democratic governments in Eastern Europe. He also believed that after the Soviet Union had established its control in Eastern Europe, it would continue to extend its influence into Western Europe. Thus President Truman favoured a policy of strong resistance against Russian expansion. The  second reason  was that just before the Potsdam Conference was to take place, the United States had successfully exploded its atomic bomb. President Truman thought that since the United States alone possessed the atomic bomb, it could adopt a stiff attitude towards Russian expansion in Europe. The  third reason  was that President Truman was disgusted at the non-co-operative attitude of the Russians at the Potsdam Conference where Russia was determined to exact heavy reparations from Germany. Russia also accused the British of upholding a reactionary monarchy in Greece and supporting an Italian Fascist regime in Trieste. Stalin also blocked Trumans proposal on the internationalization of all principal waterways. (iii) Poor relations between the United States and the Soviet Union: The deteriorating relations between the Soviet Union  and the United States were reflected in two minor incidents in the year. Land-Lease was abruptly terminated by the United States and the Russian request for American economic aid for the purposes of post-war reconstruction was ignored by the government of the United States.  (During the Second World War, the U.S. supplied much war material to the Allied nations through a Lend and Lease programme. As the Lend and Lease programme was suddenly stopped, the war-ravaged Soviet Union could not obtain American material support to help its post-war economic reconstruction.) The poor relations between the East and West were also reflected in a speech by Churchill. In March 1946, Churchill made a speech at Fulton, Missouri in which he said, From Stettin in the Baltic to Trieste in the Adriatic, an iron curtain has descended across the continent . Behind that line lie all the capitals of the central and eastern Europe all are subject in one form or another to not only to Soviet influence but also to a very high and increasing control from Moscow.  [3]   (iii) End of World War II and events leading up to the Cold War Once the World War II ended, it was obvious that the alliance between USA, Britain, and USSR would end, as there were tension between the west and the east. The USSR joined the allied forces only after Hitler betrayed them. Also, the huge difference in their political and economic ideologies would not let them stay allied for a long time. The events that led to the Cold war are 1) Yalta Conference (February 1945) Held during the war, on the surface, the Yalta conference seemed successful.  Ã‚   At Yalta, the negotiations went very much in Stalins favour, but this was because Roosevelt wanted Russian help in the Pacific, and was prepared to agree to almost anything as long as Stalin agreed to go to war with Japan.   Although the Conference appeared successful, however, behind the scenes, tension was growing, particularly about reparations, and about Poland.  Ã‚     Ã‚   After the conference, Churchill wrote to Roosevelt that The Soviet Union has become a danger to the free world.   And on their return home both he and Roosevelt were criticized for giving away too much to the Soviets: The Potsdam Conference (July 1945) Serious differences arose over the future of Germany and Eastern Europe , and also Truman Revealed to the USSR that it had a powerful new weapon ( the atomic bomb) which kick started the Nuclear Weapons Race that characterized the Cold War. The Truman Doctrine (March 1947) It was the unofficial policy of the US to stop the spread of communism in Europe and other places which conflicted with the USSRs desire to convert other countries to communism. This also led to the Marshall Plan. The Marshall Plan (June 1947) This was about US aid to European countries, with which they ended up forming the NATO alliance. Conclusion Summing up, we can say that the main causes of Cold War are the events that run up to it , such as the Truman Doctrine , The Marshall plan , the Potsdam conference and the Yalta Conference , and the conflicts of the USSRs and USAs political and economic ideologies.

Illegal Immigration Essay -- Immigrants Aliens USA Mexicans

Illegal Immigration   Ã‚  Ã‚  Ã‚  Ã‚  One of the most controversial political issues of today is that of illegal immigrants from Mexico. Illegal immigration into the United States is a problem that should be stopped, as it is unfair to both Americans and to the people of the country from which they illegally immigrated. It is thought that the majority of illegal aliens residing in the U.S. are Mexicans (Anderson 55). Roy Beck clarifies the situation by stating, "The national consensus is that the United States should be a post-mass immigration country has included most leaders of business, religion, labor, academia, and social work." Illegal immigration from Mexico must be stopped by means of different policies and other methods of prevention, because the effects on both Mexico and the United States are predominately unfavorable.   Ã‚  Ã‚  Ã‚  Ã‚  There are multiple policies and means of preventing illegal immigrants from entering the United States. Immigration laws are the back bone of illegal immigration prevention. Proposition 187 is a tough immigration law clamping down on illegal aliens, used in California. It doubled the number of boarder guards, made it harder for legal immigrants to bring their families over, not permitting as much political help and was harder on illegal aliens already here (DiConsiglio 3). NAFTA, officially, hasn’t reduced as much illegal immigration as had been hoped, but, it helped Mexico recover faster from it’s economic crisis in ‘94-’95, which has stopped a larger flood of people, since most immigrants tend to come to the U.S. in times of Mexican economic depression ("Mexico" 2). The major reason Mexicans tend to illegally immigrate is to find jobs. Therefore, elimination of the chance of them getting a job would be a problem. A bill shown to the Ho use, by California would let the employer enter a job applicant’s social security number over the phone to receive confirmation, of a person’s official citizenship (DeMott 31). That would work in conjunction with the need for proper documentation to be shown to employer for current verification of legal citizenship, limiting their job opportunities and thus discouraging them from ever illegally immigrating. The Border Patrol is the most effective and widely used form of prevention. It is an agency of Immigration and Naturalization, that is charged with detecting and preventing illegal passage to the... ...ent crimes, twice as many unemployed, more than twice the welfare dependency, and more than seven times as much crowded housing (Beck77). These statistics are astonishing and represent the essence of the impact of illegal immigration on America. The following statement by Lydia Anderson exemplifies the effects of illegal immigrants and the discourtesy they have for America: Whether they take jobs or burden our social services, however, the continued influx of illegal immigrants promotes disrespect for the law and seriously limits our ability to control out immigration policy.   Ã‚  Ã‚  Ã‚  Ã‚  Illegal immigration from Mexico is a problem and must be stopped using different means of prevention we can avoid any negative repercussions on Mexico and the U.S. It is an economic drain on the U.S. and it is degrading the condition of American society as a whole. Frank Sharry, of the liberal National Immigration Forum has said, "There is virtually a national consensus that illegal immigration is a problem." With this in mind, in a few years, there will be new policies implemented that will virtually wipe out illegal immigration, mainly focused on preventing illegal aliens from acquiring jobs.

Walmart Essay -- essays research papers

By exploiting core competencies firms can develop value creating strategies which are superior to their competitors. Wal-Mart are experts at using there core competencies to become superior to their competitors. There are three resources which allow a company to create a core competency. Tangible resources consist of assets that can be seen, financial resources (borrowing capacity), physical resources, organizational structure and technology. Wal-Mart is a huge and very powerful company and therefore uses its ability of lending to become a core competency. Intangible resources are characterized by human resources, resource for innovation, and reputation. This category is where Wal-Mart excels against all its competitors. Knowledge, training and corporate culture possessed by employees may be one of the most significant sources of core competencies and competitive advantages throughout the business world. This is due to being very hard to copy or substitute for. Brand equity consists of brand name and maintaining brand equity. Wal-Mart are masters at using this resource as an advantage over their competitor are Wal-Marts emphasis is on its image of everyday low prices and high quality goods when marketing. Wal-Mart uses many different channels when marketing itself. It uses television, radio, monthly circulars, weekly newspapers and many more channels. Each one of these channels can be used in an unique way to emphasize Wal-Mart’s position of selling quality products at low prices. Radio usually grabs the audience’s attention by promoting products which are experiencing high demand. Both of these channels are made stronger by the use of newspapers adverts and monthly circulars. In these marketing channels deeply discounted items are highlighted to the potential competitors and these items help lure the customers into the stores. The idea of having â€Å"quality for less† is a good marketing plan because it gets people into the store. It also offers a competitive advantage over the competitors because they can not financially match Wal-Mart prices. This is due to Wal-Mar t having better use of financial resources, technology and physical resources. By censoring some products Wal-Mart are trying to market themselves as a company with good values. They use this to attract families. Unfortunately this plan has negative and positive effects. A negative effect is the ef... ...eakness have been stated as an air of complacency or a loss of presentation and marketing in the stores. As a most firms grow they encounter problems with staying in the right direction. Wal-Mart must address this problem to continue to grow. Price deflation has been poorly by Wal-Mart and other retailers. â€Å"aiming to obtain sales increases, companies have bought more merchandise units of products that are experiencing price deflation, without allowing for the inelasticity of demand for most basic products† (lll). Basically this has reduced in markdowns which have resulted in reduced sales and gross margins. IFE Matrix The Internal factor Evaluation (IFE) matrix is used to summarize and evaluate the major strengths and weaknesses in the functional area of business. It also provides a basis for identifying and evaluating relationships between these areas. A weight is assigned to each factor with 0.0 being unimportant and 1.0 being all important. A rating is then assigned with 1 being minor weakness and 4 being a strength. Both of these are then multiplied together to get a weighted score. The closer the overall weighted score is to 4 the stronger the firm is. The average is 2.5.

The policy and implications of the British Government’s

The Olympic spirit is undoubtedly the most universal celebration of global unity ever achieved and the continuation of the same will always be an integral part of international cooperation and globalization. In this regard it is an honor for any city in this world to host the Olympic Games since doing so bestows several opportunities for such a city and its dwellers. The Olympic movement has had to involve in many ways depending on its leadership in a bid to make it more integral, independent and reach a wider audience than before (Constantine, 2000).This changes has necessitate the need to adopt modern and innovative practices to the organization and running of Olympic affairs in order to cater for the monetary and logistical obligations of the management committees and to be able to organize superior games n broadcast them to a world audience. The IOC presidency of Samarech saw the international committee acquire rights to sell broadcasting rights to media companies in a bid to mak e the IOC financially independent. Furthermore, they developed an Olympic brand that could be sold to companies who would use it as an exclusive tool to market their products.This brand becomes one of the biggest revenue earners for the Olympic committee since acquiring the rights to use the brand is an extremely expensive affair. The IOC is responsible for choosing the host city for the Olympic Games and therefore enjoys immense power since an interested city has to convince the committee that it is capable of hosting the games and upholding the standards that are vital for the success of the mammoth games. These have led to unethical conduct of some bidding committees who have tried to influence the award of this honor by offering bribes to committee members.The idea of having the Olympic Games held in the U K is not new. Several bids have been put forward in past years by the city of Birmingham and Manchester without much success since the Olympic committee saw it as a lack of co mmitment on the U K authorities and interpreted their bids as not being serious enough. However, there has been a change of attitude amidst various stake holders who have been seeking an avenue of effecting a growth in elite sportsmanship by ensuring that elite English athletes are given forums to compete and excel and consequently earn U K respect in the sports arena.Some concern has existed in the inability of the U K to be among the very top medal earners in the Olympic Games and efforts have picked up momentum to correct this deficit. It was therefore clear that drastic measures will have to be taken in order to draw the necessary attention which hopefully would translate to more attention on sports funding and a significant progress in the success of U K athletes (Gibson & Booth, 2009)The momentum to host the Olympic 2012 games was not easy to build due to a lack of commitment on the part of the central government. There were questions as to the viability of London to host the games due to several factors that many saw as a stumbling block to the success of the games. However, there was general consensus among the various ranks of private groups in all sectors that the competitiveness of London as one of the major and important cities in world arena was under threat by emerging powers.Others felt that the U K governments have continuously failed to give priorities to games in a nation plagued by obesity and idle youths. Therefore, several groups of people and the media played a significant role in forcing the government to concede to be the guarantor against the total cost of hosting the games. On July 6 2005 the president of the Olympic committee announced that the 2012 games would be hosted by London acting as the climax of a process that had taken over 7 years to become reality (B O A, 2009).The bid committee popularly known as the BOA initiated in the early days a massive PR campaign that sought to gain the approval of the government and fuel public s upport for the bid in the hope that doing so would give them the necessary edge to beat the other competitors. The team used a strategy of persuading all involved of the diverse benefits that were to be reaped following the success of the beads among them public exposure, improved transportation, employment and housing improvements.The success of the commonwealth games in Manchester acted as a booster for the team since it showed the commitment and ability of the country to host large games events. And thus the effort of this committee, the government and several other contributors led to the successful biding and the process of building the necessary facilities to host the games is underway. Hosting the Olympic Games poses serious challenges to any country due to the great infrastructural and logistical needs of the project.The games are expected to cost nearly 9 billion pounds for the building of the Olympic village and the upgrading of other vital sectors including upgrading of e xisting venues and the road and rail system. There is a worry that the games might cost the tax payers more money since it is expected that the current budget might not be sufficient to cater for all the requirements. Another challenge is the transport system which is below standard and there will be a need to improve it and expand it if the games are to go on smoothly (Briginshaw, 2006).Another challenge is the need to provide the venues and management committees with modern technology in order co ordinate the games effectively. Lastly is the problem of the Olympic legacy and how the various equipments and facilities will be put to use after the games. There are those who feel that most of the venues and assisting facilities in the Olympic village will be converted into schools and technical institutes for games development for the benefit of London youths.Furthermore, this is estimated to create over three thousand permanent jobs for the local people. Most importantly it is hoped that the Olympic Games will increase the level of sports participation in the U K including for those who are disabled (Rose, 2009). Bibliography B O A 2009, London 2012 Olympic Bid – An Eight Year Journey, Viewed 8 May 2009, . Briginshaw, D 2006, An Olympic Challenge, International Railway Journal, Viewed 8 May 2009, < http://74. 125. 113. 132/search?q=cache:zVQ6EWubIj8J:library. kmi. re. kr/BibAttfile/0000050180200607. pdf+challenge+of+london+as+an+olympic+venue&cd=19&hl=en&ct=clnk&gl=ke&client=firefox>. Constantine, S 2000, History of the Olympic Games, Seaburn Publishing, New York. Gibson, O & Booth, R 2009, Halfway to the opening ceremony, London 2012's progress report, Guardian, Viewed 8 May 2009, . Rose, E 2009, Disability Sports, London 2012, Viewed 8 May 8 2009, < http://www. london2012. com/>.