Scenario Exam Essay Example | Topics and Well Written Essays - 1500 words

Scenario Exam - Essay Example It is noted that Meredith Parker is a 36 year old woman who is a supervisor in a large department store. She works full time, leaving little time to spend with her two small children aged 4 and 2. Over the last two months, Meredith has lost 10kg and has now begun to experience episodes of right sided pain under her ribs, radiating through to her shoulder blade. These have become more frequent, lasting for several hours with episodes of nausea and vomiting. Following a GP referral and investigations she has been admitted to the ward for a laparoscopic cholecystectomy. She stopped taking the combined oral contraceptive pill one year ago and smokes 15 cigarettes per day. In pre-admission clinic her observations were: BP 140/84 mmHg; pulse rate 74 beats/min and regular; respiratory rate 17 breaths/min; temperature 36.8 o C, oxygen saturation 98%.Her waist circumference is 92cm. It is certain that with Meredith Parker’s case there are numerous foreseeable consequences that she is l ikely to encounter if appropriate professional procedure is not impressed. As clearly highlighted in the history of the patient, she is a smoker. Research indicate that smoking often rob the patient’s body of oxygen and significantly interferes with the body of the patient from recovering properly. As widely cited, there is need to impress exercise prior to any surgical procedure. Arguably, exercising increases the level of fitness of a patient and it also promotes quick recovery. However, this are limited to some period of time before hospital admission. Research suggests that before any surgery, a patient needs to be subjected to various diagnostic tests. These might include chest x-ray, CT Scan, biopsies, bone scan, ventilation studies, bronchoscopy, and perhaps blood work. These constitute the prospective assessment. However, one thing to content with is that these processes have to follow a particular protocol commonly referred to as ABCDEF. Certainly Meredith Parker has to adhere to the ABCDEF process. This way, she would be provided with A- Antibiotics shot/Anaesthetistconsulation, followed by B — Blood tests and Bowel for purposes of monitoring proper urinary output, then C — Consent from the patient in order to get be allowed to conduct a Chest X-ray (CXR). It is after this that Meridith Parker shall receive D — Drug chart, which would concern any previous medication/DVT prophylaxis treatment, she would then undergo E — Echocardiography (ECG) followed by F — Fluid monitoring and Food intake, in which she would be kept on nothing per oral (NPO) for at least 12 hours before surgery. In a rather practical approach to Meredith Parker, it is worth noting that there are various steps towards surgery that involve all these procedures in a very specific way and cover the details of management even in six hours post operatively. The first step is to take a detailed history about the symptoms. This includes presenting c omplaints, history of presenting complaints, social, family, personal and drug history. It is essential that all the associated symptoms should be checked. It is important to note if there has been any change in symptoms or if there is any doubt in diagnosis so that they can be checked again. After that, a detail examination is required. In our patient, we should especially

Customer Service Careers Essay Example for Free

Customer Service Careers Essay What does Customer Service mean to you? Is it simply taking care of your daily customers’ needs? What about the concept that your employees are also your customers? Does that change your outlook on the idea of customer service? This essay will explain the internal customer concepts of human relations. Human relations, in definition, are â€Å"the skill or ability to work effectively through and with other people†. (Lamberton, p.4) As a manager, you need to understand the needs and wants of your employees. You should have an effective training program that is set up with clear guidelines and expectations. Providing feedback during the training and throughout employment is crucial. This allows for open communication between management and employees. Future goals can be discussed and additional training available to aid them on those journeys. Areas of improvement can also be discussed without singling out the negative. Read more:  Customer Service in Leisure and Recreation In human relations it is very important to know the values instilled by the company. It is also important to help the employees â€Å"understand and accept the values of others without compromising their personal integrity†. (Lamberton, p.114) Communication and compromise are vital in any organization. It is not necessary to disregard your values for someone else’s, merely understanding where they are coming from and finding common ground to build on. You’re job in human relations is help bridge those gaps and assist in dealing with those conflicts. â€Å"Something powerful happens when people see themselves as part of healthy, functional community and have a positive experience of that.† (Everett, p.78) Positive attitudes, job satisfaction, high morale, and positive reinforcements are just a few examples of ways to succeed. Involving employees in decisions and setting realistic goals will help to improve  motivation as well. Employees need to feel that they matter as individuals, not just a part of the company. Managers are crucial in developing mutual respect, self-esteem, and solving conflicts. The better your communication skills are the more likely you are to be successful. Also, being able to maintain a positive attitude increases the morale of your internal customers, or employees. References Everett, Melissa (2007) Making a Living While Making a Difference: Conscious Careers for an Era of Interdependence Lamberton, Lowell, Minor, Leslie (2010) Human Relations: Strategies for success

Lorraine Hansberrys A Raisin In The Sun Essay -- Lorraine Hansberry

A Raisin in the Sun A Raisin in the Sun, by Lorraine Hansberry, illustrates the timeless struggle for the furtherance of family values and morals with extreme clarity. The play follows the life of a small black family’s struggle to keep their dreams from tenants to owners alive. These dreams, and the struggles necessary to reach them, as well as coming to terms with the dreams that are out of reach, are the focus and driving force behind this story of every persons struggle to achieve goals that are not always in tune with societies thoughts or ideas on a persons place in life. The internal difficulties of the family, and the detrimental effects of these problems, are major themes in the play. In the opening scene; a husband, Walter, and wife, Ruth, are seen having a fight over Walter’s dream to become a â€Å"mover and shaker† in the business world by using an incoming insurance check for his mother as a down payment on a potential liquor business. Walter tells his wife, â€Å"I’m trying to talk to you ‘bout myself and all you can say is eat them eggs and go to work.† This is the first sign of Walter’s recurring feelings, that if someone in the family would just listen to him and put forth their trust, his dreams wou ld come to life. Following this argument, Walter goes off to his job as a chauffeur which is the job he so longs to be done away with. As Walter dreams bigger and bigger he seems to leave the smaller things such as his family behind. This movement away from the famil...

The Old Man And The Sea :: essays research papers

The book The Old Man and the Sea by Ernest Hemingway, is about an old man, Santiago, and his genuine fondness of the sea. Every day he travels out to sea to go fishing which is his occupation. For the past eighty-four days the old man has not caught a single fish. On the eighty-fifth day he sails out to sea as usual, and this is the day that changes Santiago's life forever. He hooks an unusually immense marlin, and they have an agonizing battle for several days. Hemingway often compares Santiago with the younger fisherman and describes various particular parts about the beautiful sea. This allows the reader to learn that Santiago especially loves the sea and is unlike the other fisherman. While Santiago is going out to sea on the first morning, Hemingway includes numerous details about the setting. Some of the details are to inform the reader that the old man really enjoys and values the ocean. One way which Hemingway shows this is that Santiago refers to the sea as "la mar," a kind and beautiful yet sometimes cruel feminine creature. Younger fishermen refer to the sea as "el mar," which is masculine. Changing this to be masculine means that they do not feel that the sea has any beauty or significance other than for money. Another way that the author tells that the old man appreciates the ocean is in one of his descriptions in the book. "Most people are heartless about turtles because a turtle's heart will beat for hours after it has been cut up and butchered. But the old man thought, I have such a heart too and my feet and hands are like theirs." Since Santiago has spent so many years of his life at sea he sees the beauty of the sea and the beauty of its creatures. This is also noted in another quotation from the book, "The iridescent bubbles were beautiful. But they were the falsest thing in the sea and the old man loved to see the big sea turtles eating them." Santiago finds pleasure about everything in the sea, even after going a disappointing eighty-four days without a fish. All of these are examples of how much the old man appreciates the sea. Other details Hemingway uses are to show Santiago's loneliness. He creates an image that the ocean is practically the old man's home.

Zara & Pandora Recommendations

Zara case Zara uses a vertically integrated system (VMS): In this system, wholesalers, retailers and distributors work as a unified system. One channel owns the others. They have a corporate VMS system, because Zara has managed to build a system that is controlled from the headquarters and it allows a quick response to decide and solve problems. Inditex, Zara’s parent company owns most of the resources to design, produce and distribute.Recommendations: Instead of doing everything themselves, Zara could train their managers in the local stores to already make quick decisions than to just send many ideas to the main headquarters in Spain and let them decide what is best. So spread the decision making process among their local stores. Zara’s vertical integration has many advantages, but there is a drawback for Zara as they focus distributing small batch quantities and do not receive any discounts on manufacturing large quantities. PandoraValue Chain Analysis describes the activities that take place in a business and relates them to an analysis of the competitive strength of the business. The activities of a business could be grouped under two headings: Primary Activities – those that are directly concerned with creating and delivering a product. -Inbound logistics: All the raw materials are collected from their distributors and in Pandora’s case these are the songs from musicians. – Operations: is transforming the raw materials into a finished product and service.Pandora’s software gets smarter through the listener’s inputs of likes and dislikes and marks them as unique playlist for that same user. – Outbound logistics: All those activities associated with getting finished goods and services to buyers. Pandora has pushed the music service into a variety of channels, including apps for smart phones and tablets as well as through home entertainment systems such as video game players, DVD players and Internet ra dios. – Marketing & Sales: Essentially an information activity – informing buyers and consumers about products and services (benefits, use, price etc. Pandora informs their listeners firstly through web page, and then music has become more mobile. Pandora has formed strategic partnerships to push their music service into different channels, such as apps for smartphones and tablets, as well as through video game players, DVD players and Internet. Since listening to music goes through the radio, Pandora has also collaborated with new car brands. – Service: All those activities associated with maintaining product performance after the product has been sold. The service plays musical selections of a certain genre based on the user's artist selection.The user then provides positive or negative feedback for songs chosen by the service, which are taken into account when Pandora selects future songs. Recommendation: The client should have more possibilities to have an o pinion on the music instead of likes and dislikes. So after each opinion they have, they get a small questionnaire. Global market The activity of buying or selling goods and services in all the countries of the world, or the value of the goods and services sold. Global marketing is sometimes used to refer to overseas expansion efforts through licensing, franchises, and joint ventures. Zara got stores all over the world.If the designers design new clothes, it will come in all the stores. Zara does most of the things by themselves, like making their own fabric, produce their own clothes and having their own designers. Recommendation Zara could create a joint venture with distributors in the markets such as Asia or the US, to produce the products for them. Support Activities, which whilst they are not directly involved in production, may increase effectiveness or efficiency. Procurement: When the raw material is purchased together with other inputs to create value to the product and su pport the value chain activities.In the case of Pandora the raw materials purchased are the songs from musicians. – Technology development: Includes research and development, process automation, and other technology development to support the value chain activity. For Pandora they have an automated software-driven machine that discerns the types of music and places them in genres. – Human Resource Management Using people as a resource to support the value chain. Young analysist analyze of the music by a professional musician to analyze and decode them in different genres.Young analysts sit together with senior analysts to encode the music and add features to differentiate its service. – Firm Infrastructure Includes activities such as finance, strategic planning and control, general management, etc. Pandora is mostly focused on strategic planning ; control, because they have to critically analyze their songs they get delivered from musicians. This takes a lot of time and need be planned strategically. Strategic planning is then linked to general management. Recommendation: Pandora can hire more junior analyst which can be trained to become senior analyst so that the work is divided.

English Writing Courses Online Free but with Pitfalls

English Writing Courses Online Free but with Pitfalls English Writing Courses Online: Free but with Pitfalls If Ã'Æ'Ð ¾u are intÐ µrÐ µÃ'•ted Ã'â€"n the wrÃ'â€"ting career, Ã'â€"t Ã' Ã °n bÐ µ useful to check out a Ã'•Ð µlÐ µÃ' tÃ'â€"Ð ¾n Ð ¾f Ð ¾nlÃ'â€"nÐ µ wrÃ'â€"tÃ'â€"ng Ã' Ã ¾urÃ'•Ð µÃ'• with thÐ µ Ð °Ã'â€"m of Ã' hÐ ¾Ã ¾Ã'•Ã'â€"ng a program that allows Ã'Æ'Ð ¾u tÐ ¾ bÐ ¾Ã ¾Ã'•t Ã'Æ'Ð ¾ur Ã'•kÃ'â€"llÃ'• Ð °nd knÐ ¾wlÐ µdgÐ µ. TÐ ¾ take uÃ'€ employment Ð °Ã'• a professional wrÃ'â€"tÐ µr, you do nÐ ¾t necessarily nÐ µÃ µd tÐ ¾ have Ã'•tudÃ'â€"Ð µd EnglÃ'â€"Ã'•h at a hÃ'â€"ghÐ µr level, in fÐ °Ã' t, mÐ °nÃ'Æ' Ð ¾f tÐ ¾dÐ °Ã'Æ'Ã'• mÐ ¾Ã'•t wÐ µll knÐ ¾wn wrÃ'â€"tÐ µrÃ'• Ð °nd jÐ ¾urnÐ °lÃ'â€"Ã'•tÃ'• nÐ µvÐ µr set fÐ ¾Ã ¾t Ã'â€"nÃ'•Ã'â€"dÐ µ a Ã' Ã ¾llÐ µgÐ µ Ð ¾r unÃ'â€"vÐ µrÃ'•Ã'â€"tÃ'Æ'.   OnlÃ'â€"nÐ µ classes Ð ¾bvÃ'â€"Ð ¾uÃ'•lÃ'Æ' hÐ °vÐ µ a numbÐ µr Ð ¾f Ã'â€"nhÐ µrÐ µnt benefits. FÐ ¾r Ã'â€"nÃ'•tÐ °nÃ' Ã µ, you will bÐ µ able tÐ ¾ study at a tÃ'â€"mÐ µ of Ã'Æ'Ð ¾ur choosing, as Ã'â€"t Ã'â€"Ã'• often more productive tÐ ¾ lÐ µÃ °rn and Ã'•tudÃ'Æ' from the comfort Ð ¾f your Ð ¾wn hÐ ¾mÐ µ, and uÃ'•uÐ °llÃ'Æ' a Ã'€rÐ ¾grÐ °m Ã' Ã ¾nduÃ' tÐ µd over thÐ µ nÐ µt wÐ ¾uld Ã'â€"nÃ' ur lÐ µÃ'•Ã'• Ð ¾f Ð °n expense than thÐ ¾Ã'•Ð µ run at brÃ'â€"Ã' kÃ'• and mÐ ¾rtÐ °r Ã'â€"nÃ'•tÃ'â€"tutÃ'â€"Ð ¾nÃ'•.   There are not many, if any, worthy English writing courses online free. InÃ'•tÐ µÃ °d Ð ¾f using a search engine tÐ ¾ rÐ °ndÐ ¾mlÃ'Æ' lÐ ¾Ã' Ã °tÐ µ Ð °n Ð °Ã'•Ã'•Ð ¾rtmÐ µnt of courses, Ã'•Ð µÃ °rÃ' h specialist wrÃ'â€"tÃ'â€"ng wÐ µbÃ'•Ã'â€"tÐ µÃ'• and fÐ ¾rumÃ'• for Ã'â€"nfÐ ¾rmÐ °tÃ'â€"Ð ¾n Ð ¾n quÐ °lÃ'â€"tÃ'Æ' programs. OnÃ' Ã µ Ã'Æ'Ð ¾u have mÐ °dÐ µ a note of a dÐ ¾zÐ µn or Ã'•Ð ¾ Ã'€Ð ¾Ã'•Ã'•Ã'â€"blÐ µ Ð ¾Ã'€tÃ'â€"Ð ¾nÃ'•, Ã'Æ'Ð ¾u should thÐ µn carefully gÐ ¾ Ð ¾vÐ µr thÐ µ Ã' Ã ¾urÃ'•Ð µ description Ð °nd Ã'•Ã'Æ'llÐ °buÃ'• Ð ¾f Ð µÃ °Ã' h Ã'•Ð ¾ that Ã'Æ'Ð ¾u can identify whÃ'â€"Ã' h Ã'€rÐ ¾grÐ °mÃ'• Ð °rÐ µ to Ã'Æ'Ð ¾ur lÃ'â€"kÃ'â€"ng. If thÐ µ Ã'€rÐ ¾grÐ °m dÐ ¾Ã µÃ'• nÐ ¾t Ã' Ã ¾vÐ µr thÐ µ tÐ ¾Ã'€Ã'â€"Ã' Ã'• thÐ °t Ã'Æ'Ð ¾u wÐ °nt, do nÐ ¾t waste your tÃ'â€"mÐ µ by signing uÃ'€, there will bÐ µ Ã'€lÐ µntÃ'Æ' Ð ¾f others thÐ °t mÐ °Ã'Æ' be mÐ ¾rÐ µ Ã'•uÃ'â€"tÐ °blÐ µ.   There are some obvious disadvantages studying online such as: No Personal Contact If you are having a problem understanding an assignment you will have to contact your lecturer online. Teacher – Student interaction can be important. No Peer Pressure When you are in a group of fellow students, friends, there is always a lot of discussion about â€Å"How’s your assignment going?† That aspect will be missing as you have to have self discipline to complete and hand in your work. Easy to ‘Miss’ Class If you are not in the ‘atmosphere’ of a college or learning institution, it’s pretty easy to not turn on your computer to attend a lecture. Home or work distractions can be used as an excuse to skip classes. Less Group Discussions and Bouncing Ideas Online study is a lonely gig. You might be able to join a forum of fellow students, but generally speaking, you are left to your own devices to research topics set by the lecturer. No Formal Certification or Qualification Some online courses are far too easy. Not all of them set exams. It’s more a project, an essay, an assignment that is required. The online course provider’s name is not generally well known, so a degree from that institution might be looked at suspiciously.

Night Owls vs. Morning Larks Essay Essays

Night Owls vs. Morning Larks Essay Essays Night Owls vs. Morning Larks Essay Paper Night Owls vs. Morning Larks Essay Paper â€Å"Who gets up early? Farmers. bakers. physicians. Who stays up tardily? Muggers. street girls. cat burglars. † ( 63 ) . Anne Fadiman describes a human’s position on being a forenoon individual. or as she refers to it â€Å"a forenoon lark† . verses a dark individual or â€Å"a dark owl† . So how would you sort yourself ; a forenoon lark. a dark bird of Minerva or are you a small of both? When reading the article. â€Å"Night Owl† by Anne Fadiman. I found that she provides her ain positions utilizing scientific research about dark people and forenoon people. the effects of being a dark individual has on her. and describes a contrast between a forenoon individual and a dark individual through the usage of literary devices. Our society stereotypes dark owls as people that are out to harm others. to be arch. and/or people who are lazy because they sleep the twenty-four hours off. Although being a forenoon lark has its benefits. being a dark bird of Minerva has its benefits every bit good. Fadiman’s observations on dark bird of Minervas are positive. particularly since she is awake when the bulk of the universe around her is fast asleep. The â€Å"night owl† regimen seems to complement Fadiman because it serves as a clip for her creativeness to flux and it seems to flux for many others every bit good. She claims â€Å"I am non to the full alive until the sundowns. † Her kiping during the daylight does non reflect on her ability to carry through her day-to-day undertakings expeditiously. I believe that when you begin your twenty-four hours when the people around you are fast asleep you see the universe in another visible radiation. Fadiman goes on to depict the alterations to switch work by stating. â€Å"it is easier to portion a given district when no everyone is out and approximately at one time. † ( 63 ) . which I can understand. Not everyone can efficaciously be working on the same agenda at the same time. since the terminal consequence would most probably be an escalated unemployment rate for that peculiar country. On the other manus being a forenoon individual you are able to harvest the benefits of waking up with the bulk of the population. Anne’s hubby. George. is â€Å"a house truster in prehending the twenty-four hours while it is still fresh† ( 63 ) . I believe this to be true every bit good. you can carry through so much more during the daylight. Daylight provides many wellness benefits for worlds such as Vitamin D. which is absorbed from the Sun and keeps us healthy. It besides gives us a clean slate every forenoon when we wake. Some struggles can and make originate when you are in a relationship affecting people with opposite sleep rhythms. Fadiman explains â€Å"when we turn off the visible radiation at 11:30-too late for him. excessively early for me-George falls immediately asleep. while I. mocked by the bird that sleeps above my caput. arrange and rearrange the pillows. seeking for the elusive cool sides. † ( 62 ) . Issues that are introduced for those people in relationships with different slumber and work forms can include attending at recreational and/or societal activities and general slumber wonts. Throughout Anne Fadiman’s piece. she makes good usage of literary devices. such as imagination and symbolism. to put the tone for her audience. She writes the piece as informational but still manages to mai ntain it friendly. Immediately in the first paragraph she writes about holding birds carved in on each side of the caput stations of her and her husband’s bed. â€Å"On George’s side there is a meadowlark. brown of back. yellow of chest. with a black thoracic V as trig and sporty as the cervix of a tennis sweater† ( 62 ) Fadiman describes the alone characteristics of the lark that sits above her hubbies resting caput. She paints a bright graphic image of the lark for her readers in which she refers to the lark throughout her piece. Further in the authorship she besides describes a journey she had taken with a friend in New Zealand. Fadiman writes a description of her position from inside her collapsible shelter. â€Å"†¦inside which a radiance candle lantern makes your boggy boots and moist wool socks look as if they were painted by Georges de La Tour. †¦Ã¢â‚¬  ( 64 ) . The symbolism used in Night Owl is the construct of bird of Minerva and larks being used to depict a dark individual and a forenoon individual and is used throughout the full article. â€Å"Night Owl† was a well-written piece and introduced a subject that is non frequently discussed but affects about everyone. She captured readers. including myself. with her usage of colourful vivacious imagination and logical information that can be applied to her audience’s existent life state of affairss. We are society that positions dark as a menace and daytime as the premier clip to carry through undertakings. With articles such as â€Å"Night Owl† people may recognize the chances that await the dark. The alteration to switch work in my sentiment will merely go on to increase and better the preconceived impressions of dark bird of Minerva.