Monday, August 24, 2020

Needs Analysis: The Who, What, When and Where of Training Essay

Needs Analysis: The Who, What, When and Where of Training More or less, (needs) investigation is the arranging we do so as to make sense of what to do. Allison Rossett, 1999 Needs examination is the efficient reason for choices about how to impact execution (Stout, 1995). This is the place everything starts - building up connections, investigating procedures, and characterizing arrangements. The key is to look for the hole between the present circumstance and the ideal circumstance and afterward to center assets where they're generally required. The examination must decide main drivers. For instance, an inquiry regarding why something doesn't or won't work is similarly as basic as what individuals do and don't have the foggiest idea. Needs evaluation at that point is an investigation led to decide the specific idea of an authoritative issue and how it tends to be settled. That needs evaluation turns into the reason for savvy suggestions about guidance and supporting hierarchical techniques, and for enrolling support all through the association. Chiefs are frequently in an over the top rush. They execute an answer which is now and then, yet not generally, the right mediation. This can end up being a costly mistake. The biggest cost for HR programs, by a wide margin, is inferable from the time spent by the members in preparing programs, vocation improvement, and association advancement exercises. In preparing, costs because of lost creation and travel time can be as much as 90-95% of the all out program costs (Gilbert, 1988). There are two different ways to learn of preparing needs. The primary strategy adopts the proactive strategy. An instructional architect goes into the framework and looks for issues or potential issues. The objective is to make the framework increasingly proficient and ... ...nowledge Management Meets Analysis. Preparing and Development, 53, pp. 62-68. Rossett, Allison (1997). That was an incredible class, but†¦ Training and Development, 51(7), pp. 18-24. Rossett, Allison (1995). Needs appraisal. In G.J. Anglin (ed.), Instructional Technology: Past, Present, Future (second version) (pp. 183-196). Englewood, CO: Libraries Unlimited, Inc. Rossett, Allison (1991). At the point when execution and instructional technologists talk: Dialog about effect, change and self-awareness. Australian Journal of Educational Technology, 7(2), pp. 71-80. Rossett, Allison (1989). Evaluate for progress. Preparing and Development, 43(5), pp. 55-59. Steadman, S.V. (1980). Figuring out how to Select a Needs Assessment Strategy. Preparing and Development, 30, pp. 56-61. Heavy, D. (1995). Execution Analysis for Training, Niagra Paper Company, Niagra, WI

Saturday, August 22, 2020

Good Eating essays

Great Eating articles Everybody has heard the maxim for getting healthy, the kind of food you eat is everything, except what does this expression genuinely mean? For one to be healthy, the individual in question needs to put great, nutritious food into their body that provisions them with enduring vitality. Lamentably, corpulence is a pandemic that has cleared over the United States, and the media's interminable focus on the issue has made it a worry for the masses. A few pundits accept that it isn't the duty of the eater. We should propose the inquiry, who is at fault? Do we identify with the working man and poor people who can't bear sound nourishments by setting fault on organizations, do we assume liability for our own wellbeing propensities, or do we let others, for example, the administration take the fault? As a rule, the individual who is really to blame with regards to the subject of heftiness and weight is the eater since the individual in question is the one settling on the cognizant choice of what to eat. Notwithstanding, there are other cases. In some cases there isn't a lot of one can do when they are living check to check in a low-salary network, so they may require some assistance all together Stoutness has even arrived at kids demonstrating that nobody regardless age, nobody is sheltered from this sickness. Other medical issues emerge when one is overweight, for example, diabetes, and, As indicated by the National Institutes of Health, Type 2 diabetes represents at any rate 30 percent of all new youth instances of diabetes in this nation (Zinczenko 154). In his article Don't Blame the Eater, David Zinczenko contends that the inexpensive food industry is adding to the mind-boggling level of adolescence heftiness in the United States. He sees that there are no sound options for kids and adolescents to take, so the main choice they are left with is modest and calorie plagued quick nourishments. The fault is being put on partnerships since inexpensive food benefactors don't know precisely what they are putting... <!

Thursday, July 23, 2020

Productivity vs Efficiency and How to Balance Both

Productivity vs Efficiency and How to Balance Both What if I told you that you could strike a balance for your business that enables you to optimize your business to produce large volumes of high quality products from your current resources? Imagine how that would change the columns on your income statement. The good news is that you can achieve that with minimal struggle. The secret lies in two simple words: productivity, and efficiency.Many people are under the impression that productivity is the same thing as efficiency. This is understandable, especially considering the fact that they are two things that every business owner would want to achieve in business.Today, we are going to look at these two words and how you can revolutionize your business using both concepts. However, before we can go too deep into how you can balance these two for maximum effect, let’s take a step back and try to understand what each of these concepts mean. Let’s start with productivity.WHAT IS PRODUCTIVITY?In most industries, productivity is measured by the output in a specific period. For example, if you produce 500 units in a week, and 700 in the next week, you were more productive in the second week than you were in the first one. It’s all about how much you are able to produce.Of course, this depends on your industry. If you are a salesman, your productivity will be measured by the sales volume you are able to generate. For a service provider, productivitywill be measured by the number of clients they are able to serve and so on. You get the picture.We have all had one of those days when we felt totally useless. No matter how much you try, you just can’t seem to get yourself to do any meaningful work. Even if you force yourself to work, the creative juices are just not flowing. You go back home feeling down and worthless.Have you ever had one of those days?Imagine a journalist who spends hours on a story she knows will do wel l, only to have it thrown to the trash by the boss. She would most likely start questioning her competence as a journalist. The result is that she won’t feel the motivation to work on more stories because she is not even sure if she is cut out for the job. A part of her feels that she might spend a lot of time on a piece and still not have it published.What this journalist lacks, is productivity. She’s not able to produce what is expected of her as a journalist.Let’s flip the coin.You wake up early feeling energetic and alive. You have enough time to make your bed, take a nice warm shower and have a healthy breakfast. You get to work 15 minutes early and have time some to get things in order before you start your workday.Everything just seems to work for you and when you are required to do some creative work, ideas seem to flow to you naturally. You end up producing impeccable results that you are proud to be associated with. Somehow, it doesn’t even feel like you struggled to get these good results so you leave the office feeling happy and in control. When you look back at your day, you can see tangible results.On this day, you were productive and with it came many good emotions. More productivity means getting more output.We all want to be productive in our day to day activities. When we are productive, our superiors are happy and we leave with a good sense of achievement. We are therefore happier and more confident in ourselves.Now that we understand what productivity is, let’s take a look at efficiency.WHAT IS EFFICIENCY?While productivity is about the quantity of the results that we are able to produce, efficiency is about the quality. It looks at the production process, how resources were utilized in the production and the quality of the end products of the production process. Simply put, efficiency is about achieving maximum productivity with minimum waste.So if your job involves processing of raw materials, your efficiency will be determined by your output, but also by the resources that you use in the production process.Let’s look at an example. Two salesmen, Dan and Victor work for an insurance company. They both sell life insurance packages but each salesman has a different approach to selling. In April, Victor brought business worth $10,000 but spent $3,000 on travelling. Dan on the other hand, did all his selling on the phone and was able to sell $9,000. His phone bill was $50. When we consider the two salesmen, we find that Victor is less efficient than Dan because although the total volume of sales is higher, he uses more resources thus creating a smaller profit for the company.Victor is more productive because he was able to bring in more, but Dan is more efficient because he used fewer resources.There are several ways that you can increase your efficiencyand still achieve positive results. The first one is seen in the above example. You can decide to reduce your resource utilization. If your method of getting the job done involves large expenses, you can choose to look for a way to get the same work done without having to incur the expense like what Dan did.The other method of increasing efficiency is reducing wastage. For example, if Victor analyzed his method and found that he visited an average of three clients per day, he can plan the visits in a way that allows him to talk to more people every day. For example, he can schedule appointments with all the clients in a specific area, say, a five block radius,on one day to minimize the time wasted getting from one client to the other.This way, although his travel expenses will not go down, he will be able to meet more clients and as a result, he will stand a chance of increasing the volume of business he brings in a month.If you work in a factory where your primary objective is to process raw materials, you can do this by reducing any wastage of raw materials or time during the processing. For example, measures can be taken to reduce sp illages during transport. Another measure that can help is sending operators to another station when their machine breaks down.Let’s now take a look at how you can improve each of these in your business by looking at the factors affecting productivity and efficiency.FACTORS AFFECTING PRODUCTIVITYManagement: It’s a well-known fact that management plays a big role in determining productivity. Good management often leads to good performance. Studies have shown that the training, development and encouragement managers give their employees will determine to a great extent how productive the employees become. Managers should keep their promises to employees and they should focus on encouraging the workforce.Office Design: Studies have shown that there is a direct link between productivity and the design of the office. One study showed that improving the physical environment in the office could improve productivity by up to 22%. In the same study, 89% of respondents blamed the office e nvironment for their dissatisfaction with their job. Some of the important things to consider about the office environment include the furniture, lighting, temperature and noise.Breaks: If you are the kind of person who sits at your desk in the morning and work non-stop until evening, you are not getting the most out of your time at work. There are numerous studies that show a positive effect on your productivity from taking breaks. So take a break. You will not lose momentum. If anything, that break will help you stay focused for longer hence your performance on the task will be improved.Man Power: To be able to get the best results, then you need to make the best selection. You need to give the job to the right man. Don’t ask a doctor to do an engineer’s work or vice versa. The other important thing is training. You need to ensure that your workforce is properly trained for the job. Finally, you need to ensure that there are enough people to do the work.Technology:  Although t echnology is often seen as a distraction, when properly it will significantly enhance office productivity. However, you need to also make sure that you pick the right tool for the job. You need to check to make sure that the new technology you are buying will integrate with your existing systems.Input Materials: This comes into play where there are raw materials used in the process. As the popular saying goes, garbage in, garbage out. When you don’t monitor the quality of materials going in, you can easily find yourself with too many defects. As a result, you will have fewer usable products from your raw materials.Vision and Strategy: Employees are generally more productive when they are in an environment where they are motivated to succeed. Having a clear vision for the company and a strategy for getting there makes employees feel involved in helping the company succeed and with that they are also inspired to achieve their personal goals. Involving employees in setting company go als will not only motivate them to be more productive, but it will also encourage innovation that will help the company adapt to changes in the markets.Incentives:  When employees feel that the company has made a commitment to making them achieve their goals, they will work harder towards achieving these goals. Think about it. Where are you likely to perform better between a company that offers bonuses when you hit your targets and another one where there are no rewards for good performance? Incentives can be in form of bonuses, promotions or direct involvement in decision making.Employee Evaluations: Regular evaluation of performance is beneficial to both the employees and management. Evaluations should be interactive where the manager gives feedback â€" both positive and negative â€" on the employee’s performance and the employee gets a chance to talk about the lessons learned since the last evaluation and also to suggest improvements that they would like to see moving forward. Taking suggestions alone is not enough. Where possible, you should incorporate these suggestions in the decisions you make as a manager. This will make them feel happy, needed and as a result, they will be more productive.Stress: Stress also affects productivity but on the other side of the scale. If robs you of your concentration hence you are not able to focus on the tasks that you are supposed to be focusing on. When you are distracted, you are not able to make appropriate decisions at the right time and that will be seen in your output.Job Security: This is a very common cause of uncertainty in workers. This uncertainty is a big reason behind the lack of productivity in employees. Put yourself in an employee’s boots. How would you work if you feel that you can be sent home any minute? Chances are that you will not work to your full potential. Most of your time will be spent worrying because you are not sure when you will be sent packing. You will also second guess every decisi on that you make because who knows? It could be the one that causes your boss to send you home. Managers should avoid firings and layoffs unless they are absolutely necessary. If something like a layoff does occur, managers need to meet with the remaining employees and explain the circumstances and also to give them an assurance that no further layoffs are anticipated in the future.Heavy Workloads: Have you ever found yourself with so much to do that you end up doing nothing? If you are like most people, it becomes very difficult to focus and most of the time you find yourself worrying about the work on your to-do list. That is the same thing that will happen to your employees. In addition to reducing their productivity, it will leave them stressed out, demoralized, and also take a toll on their health.Inadequate Resources: When assigning a task to someone, you should ensure that you provide sufficient time and material resources for the task. This will encourage them to perform to the best of their ability and as a result, they will be proud of their achievements.Poor Health Conditions: An employee with deteriorating health condition will not be productive in the workplace. Every time this employee misses work, someone else will have to carry the workload and the end result is worse for everyone. To counteract this, invest in your employees’ health by providing health coverage for them. Investing in gym memberships and other holistic clubs for employees will promote your employees health and that will have positive results on the company’s performance in the long run.Let’s now look at how you can improve efficiency.FACTORS AFFECTING EFFICIENCYWorking Hours: Long working hours with no breaks will quickly wear you down. After a few hours of continuous work, you will find yourself tired and mentally drained and as a result it will be hard to concentrate on your work. That’s where the problems start coming in. Your attention to detail will not be as sharp as it should be and as a result, you will miss details that will cause the quality of the output to drop.Compensation: Highly paid workers who receive their dues in full and on time will usually do a better job than their counterparts who are poorly paid. Workers who are poorly paid won’t feel appreciated by the company and in return, they will not put their hearts into the tasks they are assigned. They will always be grumbling since they will be trying to do only what they have to do. Anything that’s not their responsibility is none of their business so you can’t rely on them.Incentives: Just like it is with productivity, incentives can also encourage employees to work efficiently. This time, instead of rewarding high productivity, you focus more on efficiency. For example, rewarding the department with minimum wastes will encourage everyone to try and make the best use of the available resources. You just need to make sure that the method used to determine the department to award is fair and clear enough for everyone to understand.Relationship between employer and employees: There are cases where employers oppress their employees simply because they are in power and nothing can be done to them. In such cases, employees will usually feel that they are too weak to confront the employer. For that reason, the employees might resort to fighting back using other methods that don’t leave them exposed. Most of these methods affect the quality of output hence resources are wasted. For example, a machine operator can loosen a fastener deliberately so that the machine breaks down so that he can be allowed to rest as the machine is being fixed.Competence: Picking the right worker for the job is more beneficial to the employer. This is because the quality will be top-notch and they will usually not need to work under strict supervision. Defective outputs will also be at a minimum. So invest in training your employees and they will thank you with higher efficienc y.Health: Healthy individuals are always more efficient than their counterparts with health problems. If the job environment exposes your employees to hazardous materials, make sure you invest in sufficient protective equipment to show that you are concerned about their well-being. There is nothing scarier than being sent to work on a station where the previous colleague left due to work related illnesses.Technology: Modern technology enables us to achieve much more than what we would have been able to achieve when working using conventional methods. Machines are able to produce a higher quality of output faster when compared to men working using their bare hands. Invest in new technology to save on labor and also to improve the quality of your outputs.Distractions: Every time you are distracted from your work, it can take you up to 15 minutes before your brain can go back to full concentration on the task. This back and forth switching between several tasks overloads your brain and as a result, you will get tired faster. Multitasking can reduce your efficiency by up to 40% so it’s important that you avoid distractions at all costs if your goal is to maximize efficiency.Work floor Layout: Sometimes we lose a lot of time moving back and forth around the work floor. This is time that can be put to good use and help increase out output. With this in mind, it is important to design the work floor in an organized and efficient manner. If it is a factory, the floor should be designed in the systematic flow of processes so that there will be no need to move materials long distances from one machine to the next one.Goals and Targets: Picture this: Employee A goes to work at 9 in the morning and knowing that she will be there until 5 in the evening. She knows her duties, but she doesn’t have specific goals or targets for the day. Employee B on the other hand knows that before the end of the day, she will need to have finished and handed in the report about last wee k’s activity. Which of the two employees will be more efficient? More likely than not, Employee B will achieve more. This is because she is well motivated towards achieving her goal for the day.Encourage employees to ask questions: Somebody once said that prevention is better than cure. It certainly is more efficient to prevent than to cure a problem. In most cases, employees are very reluctant to ask for guidance. Some of them don’t want to appear like they lack specific knowledge and others are just scared. Make sure you hammer the point home that it is okay to ask questions whenever someone is stuck. This will help you avoid costs associated with employees failing after trying to do something they are not conversant with.HOW TO MAXIMIZE BOTH EFFICIENCY AND PRODUCTIVITYSince both these things are beneficial to the business, the million dollar question is whether it is possible to maximize both in the same business. Maximizing efficiency requires deliberate focus on every singl e detail of your work and that will usually eat up more time. As a result, you will not be able to produce as much hence your productivity can be reduced.With this in mind, it is important to strike a balance between the two that works best for your company. Here are some things that you can do strike this balance:Regularly assess your process to make sure that you are using the most effective methods for achieving the various tasks. Where possible, make improvements that will either improve product quality or reduce the turnaround time.Listen to your employees and identify any common obstacles that they encounter as they go about their duties. These common obstacles will be your starting point when looking for a way to improve your process. Instead of only tracking changes in output, you can also track improvements such as time saved on tasks like searching for documents.Identify the most profitable balance between productivity and efficiency and communicate the same to your employ ees. For example, having a quality check after each processing station in the manufacturing process will help identify defects early so no resources are going to be spent processing defective products that will eventually end up in the recycle bin. However, doing this will also cost you valuable time and valuable man hours. You therefore need to make a compromise and pick a few critical stations â€" depending on the length of your manufacturing process â€" where you will do the quality check. This way, you will still identify defects reasonably early without having to pay the full price of doing a quality check per station.Understand your market and build products for them. If your target market is looking for high end products and they are willing to pay a premium for it, then you’ll need to focus more on efficiency and quality. If on the other hand they are looking for the cheapest product, you can cut some corners and focus more on getting more output without incurring a high p roduction cost. An example would be the luxury car market where a lot of attention is paid on the details sometimes to the extent of hand-making most of the components of the car vis-à-vis the other mass produced cars.No matter the line of business that you are in, there will always be a benefit of working more efficiently and striving to improve your productivity. With the current trend, the business that will survive will be the one that makes the most out of the resources that are available to it. So make sure that you carefully analyze your processes and identify ways that you can improve the efficiency of your processes.

Friday, May 22, 2020

Similarities and Differences of the Great Depression as...

SIMILARITIES AND DIFFERENCES OF THE GREAT DEPRESSION AS COMPARED TO TODAYS FINANCIAL CRISIS ABSTRACT The financial crisis which the United States is combating today, in many aspects resembles the characteristics and consequences which were the outcome of the Great Depression lasting from the time period 1929 till 1933 (Great Depression). The Great Depression of earlier times and the financial crisis of the current times from 2003-2008 will be studied in depth in the following research work in order to bring out the similarities and differences the United States faced during these two times of financial turmoil. Particular highlighted areas would comprise of government bond rates, Gross Domestic Product rates, Interest rates, money†¦show more content†¦13 and did not revive back until 1954. On the other hand in 2008 Dow fell a record high of 14,280 on Oct. 5, 2007 to a low of 10,267 on Monday, before gaining a little to Friday’s close of 10,325. The stagnant incomes in 1929 observed a 4 percent drop in inflation-adjusted disposable income of agricultural wo rkers whereas the top bracket class observed a steady gain whereas in 2008 (Waggoner J, 2008), inflation-adjusted income for middle-class workers dripped by 1 percent. The concentration of wealth in 1929 was mainly in the hands of stock speculators (Tomkins L M, 2008) whereby the richest 1 percent of Americans owned approximately 40 percent of the country’s wealth. However the current figures reveal that in 2008 the richest 0.1 percent of Americans constitutes only 11.6 percent of the total nation’s income (Calbreath D, 2008). As per the information given by Amity Shale’s in her â€Å"The Forgotten Man: A New History of the Great Depression†, November 1933, figures reveal that unemployment rate had increased to over 23% whereas in the current times it’s just 5%. GOVERNMENT BOND RATES Stocks performed very badly during the Great Depression but on the contrary government bonds did fairly well. During depression Bond prices did rise tremendously as bond yields came down sharply. For example, the prime corporate bond output level fell from 4.59% in September 1929 to 3.99% in May of 1931. By June of 1938Show MoreRelatedCauses Of The Great Depression And The Great Recession2292 Words   |  10 Pagescauses of the Great Depression of the 1930s and consider what similarities and differences can be drawn with the problems from the financial and economic crisis which began in 2008. Introduction 2007-2009 in America has often been described as the worst economic crisis since the Great Depression in 1929. There was lots of debate whether the economy was slipping back to double dip recession but there is considerable evidence that the economic crisis in 2008 is worse than the crisis in 1930s. I willRead MoreThe Generational Gap Of A Generation Diverse Workforce Essay2208 Words   |  9 PagesToday’s workforce has expanded to four separate generations. With such a large generational gap it is imperative to have effective intergenerational communication within organizations. This paper will cover an overview of each generation, similarities and difference, and what contributes to effect communication among the generations. There is much scholarly research on generational communication but it becomes unclear when traits and attributions outside of particular generations skew or seeminglyRead MoreAmerica Is Built On Diversity2267 Words   |  10 Pagesare to be examined i n this paper as a current topic in today’s American panoply: How immigration, the cultural and psychological aspects of Latinos assimilating creates diversity within the family. The negative aspects regarding diversity are generally based on religion, politics, ignorance, jingoism and tribalism. Even considering American exceptionalism, we are human. We tend to segregate ourselves with people of the same financial bracket, belief systems, heritage, and education and areRead MoreEurope Economic Crisis55278 Words   |  222 PagesISSN 0379-0991 Economic Crisis in Europe: Causes, Consequences and Responses EUROPEAN ECONOMY 7|2009 EUROPEAN COMMISSION The European Economy series contains important reports and communications from the Commission to the Council and the Parliament on the economic situation and developments, such as the Economic forecasts, the annual EU economy review and the Public ï ¬ nances in EMU report. Subscription terms are shown on the back cover and details on how to obtain the list of sales agentsRead MoreCompare and Contrast Modern Conservatism and Modern Liberalism2552 Words   |  11 Pagesphilosophical roots† (Guide, pg. 1). These roots date back to the 17th century, extending into the early 20th century. To fully understand American politics, it is a key to understand the dominant ideologies. It is also crucial to analyze the differences and similarities between these two ideologies. This paper will first examine the origins and tenants of classical liberalism, an ideology in which both modern liberalism and modern conservatism evolved. It will later discuss the major principles and tenantsRe ad MoreThe Congo Crisis: an International Perspective Essay example6247 Words   |  25 PagesThe Congo Crisis: An International Perspective There is a need to take advantage of the change that has taken place in the Congo, however tragic that has been in its coming. – Paul Kagame As the third largest country in Africa and blessed with a large endowment of natural resources, the Democratic Republic of Congo possesses great opportunity to develop itself into a successful nation. However, the great abuses of the Congo’s colonial rulers and the lack of central unity across its vastRead MoreBric Analysis Essay11111 Words   |  45 Pagesregional leader in South America. On the basis of its democratic and regional prominence, Brazil has become an effective political entrepreneur at the global level, initiating and participating in multilateral fora as diverse as the trade G20, the financial G20, and now the BRICs club. On issues of style, inclusion, and distributive justice, Brazil reliably sides with the ‘‘South.’ Yet its core public policy instincts ’ embrace familiar ‘‘Northern’’ preferences: liberal, and mixed-capitalist, democracyRead MoreCompare/Contrast the Tax Systems and Tax Expenditure of the U k, Usa and Australia6893 Words   |  28 Pagesfuel, power and children’s car seats. Zero rated supplies include some types of food, books and transport). Goods and services such as insurance, training, loans and some forms of education are exempt from VAT. Once registered, HMRC are owed the difference between output tax (VAT charged to customers) and input tax (VAT charged by the supplier). If input tax turns out to be more than output tax, a refund may be received. Consequences of registering for VAT include: â€Å" - VAT must be submitted to CustomsRead MoreBodie, Kane, Marcus Study Guide Essay40928 Words   |  164 Pagespreserved and hopefully increased in the future. Real assets are differentiated from financial assets, and the major categories of financial assets are defined. The risk/return tradeoff, the concept of efficient markets and current trends in the markets are introduced. The role of financial intermediaries and in particular, investment bankers is discussed, including some of the recent changes due to the financial crisis of 2007-2008. LEARNING OBJECTIVES After studying this chapter, students shouldRead MoreShadow Banking29874 Words   |  120 PagesBank of New York Staff Reports, no. 458 July 2010 JEL classification: G20, G28, G01 Abstract The rapid growth of the market-based financial system since the mid-1980s changed the nature of financial intermediation in the United States profoundly. Within the market-based financial system, â€Å"shadow banks† are particularly important institutions. Shadow banks are financial intermediaries that conduct maturity, credit, and liquidity transformation without access to central bank liquidity or public sector

Thursday, May 7, 2020

Physician Assisted Suicide - 1249 Words

Death is it our right to decide when? Who has the right to decide when it is our time to go? Should the government, the insurance company, or ourselves decide? Should nature be able to take its course with no interference from humans? For years, physicsians have not been allowed to help patients with suicide. Dr. Jack Kevorkian brought it to the forefront when he was arrested and senteced to over 60 years in prison even though the families of his patients showed their gratitude towards him. Recent laws in Montana, Oregon, and Washington have started the trend of Physican assisted suicide, but the U.S Attorney General’s office, are determined to prevent such laws from passing. In the following pages we will look at the pros and cons of†¦show more content†¦Physician assisted suicide would give them that chance, and die with dignity. Vital organs could be saved allowing you to save someone else’s life. There is long waiting list for all kinds of organs that could save the lives of others. If diseases run their full course those organs could be useless to help someone else. Do we have the right to put the needs of the living ahead of those that are dying? Someone who is dying and truly wants to die, nothing is going to stop that person, whether it is done by Physician assistance or committing suicide by themselves. The elderly have the highest rate of committing suicide, because they see themselves lonely and in pain. Which is less traumatic controlled, compassionate physician assisted suicide in the hospital or coming home to find your loved one dead from a bullet to the head. How about this one, you have been busy with your own life, work, children, your home life; you have not had the chance to go by and check on daddy or momma for a few days. When you finally get around to it you find them dead, and they have been dead for two or three days not a pretty site and you will never get over the guilt of not being there. After reading the pros do you find yourself agreeing with any of them? Do not judge to fast let’s look at the cons of assisted suicide. It goes against the doctor’s Hippocratic Oath. When the doctor receives his degree he takes an oath which says â€Å"First, do no harm†. Assisting in the death of someoneShow MoreRelatedThe Treatment Of Physician Assisted Suicide1025 Words   |  5 Pagesprecious hour will give the loved ones a time to say goodbye just before they die with dignity in physician assisted suicide. Terminally ill patients have the right to end their own lives using physician assisted suicide (PAS) without repercussions of laws and people with opposing opinions. According to an article from CNN.com, there are currently five states in the U.S. where physician-assisted suicide is currently legal. In order to be eligible legally for PAS the patient must have six months orRead MorePhysician Assisted Suicide1418 Words   |  6 Pagesresult in patients giving up on life, physician-assisted suicide should be legalized in all fifty states for terminally ill patients with worsening or unbearable pain. What is physician-assisted suicide? â€Å"Suicide is the act of taking ones own life. In assisted suicide, the means to end a patient’s life is provided to the patient (i.e. medication or a weapon) with knowledge of the patients intention† (American Nurses Association). Physician-assisted suicide is known by many names such as deathRead MorePhysician Assisted Suicide2301 Words   |  10 Pagesend-of-life decisions is â€Å"physician-assisted suicide† (PAS). This method of suicide involves a physician providing a patient, at his or her own request, with a lethal dose of medication, which the patient self-administers. The ethical acceptability and the desirability of legalization of this practice both continue to cause controversy (Raus, Sterckx, Mortier 1). Vaco v. Quill and Washington v. Glucksberg were landmark decisions on the issue of physician-assisted suicide and a supposed ConstitutionalRead MoreThe Ethics Of Physician Assisted Suicide926 Words   |   4 Pagesethics of physician assisted suicide since the late 18th century. According to medicinenet the definition of physician assisted suicide is â€Å"the voluntary termination of one s own life by administrating a lethal substance with the direct assistance of a physician.† This would typically come into play if/when a critically ill patient wants to end their suffering. Confirming with the State-by-State Guide to Physician-Assisted Suicide, 5 states have Paquin 2 Legalized physician assisted suicide. CaliforniaRead MorePhysician Assisted Suicide Essay1214 Words   |  5 Pagesrelentless pain and agony through physician assisted death? Physician-Assisted Suicide PAS is highly contentious because it induces conflict of several moral and ethical questions such as who is the true director of our lives. Is suicide an individual choice and should the highest priority to humans be alleviating pain or do we suffer for a purpose? Is suicide a purely individual choice? Having analyzed and even experience the effects of physician assisted suicide, I promote and fully support itsRead MorePhysician Assisted Suicide Is A Controversial Topic1929 Words   |  8 PagesOne may have heard of suicide, but not physician-assisted suicide. The two are very different in terms of the act of taking one’s own life. For instance, physician-assisted suicide is done with help from another person, usually a physician; where the doctor is willing to assist with e ither the means of how to take one’s own life or the actual act itself. This can either be by prescribing lethal doses of drugs to these patients who want to take their own life or by counseling these patients onRead MorePhysician Assisted Suicide : A Controversial Subject1692 Words   |  7 PagesPhysician-assisted suicide is a controversial subject all around the world. Although it is legal in some countries and states, such as the Netherlands, Luxembourg, Switzerland, Oregon, Montana, Washington, and Vermont it is not yet legal in most (Finlay, 2011). People travel from all around the world to these locations to receive information. Physician-assisted suicide is when terminally ill and mentally capable patients perform the final act themselves after being provided with the required meansRead MoreEssay on Legalizing Physician-Assisted Suicide1871 Words   |  8 PagesPhysician-assisted suicide should be a legal option, if requested, for terminally ill patients. For deca des the question has been asked and a clear answer has yet to surface. It was formed out of a profound commitment to the idea that personal end-of-life decisions should be made solely between a patient and a physician. Can someones life be put into an answer? Shouldnt someones decision in life be just that; their decision? When someone has suffered from a car accident, or battled long enoughRead MoreThe Rights Of Physician Assisted Suicide1347 Words   |  6 PagesThe Right to Die By: Antony Makhlouf Antony Makhlouf PHR 102-006 Contemporary Moral Issues Final Paper The Right to Die Physician-assisted suicide, also known as euthanasia, has been a hot topic as of late. If you do not know what this is, physician-assisted suicide is the taking of ones life. This usually occurs when a patient is in a irreversible state, and must live through a tube. With multiple cases occurring in the past, current and the more to occur the in the future, this looksRead MorePhysician-Assisted Suicide Essay1038 Words   |  5 Pagesof their patients, or to assist them in ending their lives? Many people may believe that physicians would never perform the latter, but in actuality one practice does so. Physician assisted suicide is the intentional ending of one’s life brought on by lethal substances prescribed by a doctor. In the majority of cases, the patient is terminally ill and simply does not desire to live any longer. Their physician provides the medication necessary to end their life. Many supporters aver that this practice

Wednesday, May 6, 2020

Renal System Study Guide Free Essays

Renal System Study Guide Med/Surg I Major Functions of Kidney: Regulation of Homeostasis -Filters blood regulates contents (water content blood volume) -Maintain acid-base balance -Control fluid electrolytes -Excrete metabolic waste products -Control BP (renin-angiotensin-aldosterone) Urinary System Structure: Kidneys (produce urine), Ureters (transport urine to bladder), Bladder (stores urine), Urethra (conduct urine outside body) *Nephron- working unit of kidney *Kidneys receive 25% of cardiac output= approx. 1 Liter GRF= 125ml/min increases at night Renal Hormones: ADH- works in DISTAL CONVOLUTED TUBULE Aldosterone- made in ADRENAL CORTEX ANP- inhibits secretion of renin-angiotensin-aldosterone water absorption by kidney tubules Erythropoietin- stimulates marrow to make more RBC’s Renin- made released in JUXTAGLOMERULAR APPARATUS RENIN-ANGIOTENSIN-ALDOSTERONE decreased renal perfusion= low BP ;JGA releases renin ;Liver releases angiotensin I ;Lungs convert angio I to angiotensin II ; Increase in BP due to VASOCONSTRICTION, myocardial contractility, VOLUME INCREASE becase ALDOSTERONE is released by ADRENAL CORTEX ;Aldosterone causes sodium water to be REABSORPTION potassium excretion **** This stops once BP is normal because it is a NEGATIVE feedback system Lab Tests/Diagnostics: Creatnine- 0. 6-1. We will write a custom essay sample on Renal System Study Guide or any similar topic only for you Order Now 2 End product of muscle protein metabolism -reflects GFR, renal disease is the only condition to increase creatnine level (not effected by hydration status) BUN- 8-16 measures amount of urea (byproduct of protein metabolism in liver) -factors affecting BUN: hydration/ urine flow, hypoperfusion, metabolic rate, drugs, diet Elevated BUN with normal creatnine= DEHYDRATION/Volume depletion/low perfusion -Elevated BUN Creatnine= RENAL FAILURE/Dysfunction Specific Gravity- 1. 003-1. 030 measures ability of kidneys to concentrate urine -increased spec. grav = (more concentrated urine) dehydration, low perfusion, too much ADH -decreased sep. grav = (less concentrated urine) too much fluid, diabetes insipidus, or inability of kidneys to concentrate urine Creatnine Clearance- evaluates how well kidneys remove creatnine from blood -best estimate for GFR renal threshold of glucose = blood glucose level of at least 180 before it spills over in urine *bacturia- males 10,00 colonies, females 100 ,00 colonies of bacteria Renal Calculi/stones: Causes: dehydration, infection, change in urine pH, obstruction, diet, immobilization, metabolic factors S/S: CVA (Costal-vertebral angle) pain, N, abdominal distention, fever, chills, hematuria, pyruria DX: KUB, US, Urine cx, stone analysis, serum calcium phosphorus to detect hormonal problems TX: hydration/push fluids, abx, toradol (relaxes ureters), diuretics NSG: strain urine, stone analysis, push fluids 3-4L/day, teach diet s/s of obstruction Acute Poststreptococcal Glomerulonephritis – bil. inflammation of glomeruli Causes: Strep infection, impetigo S/S: edema, azotemia, hematuria, oliguria, fatigue, HTN, na retention DX: elevated ASO (antistreptolysin-O titer), elevated electrolyte, BUN, Creatnine, KUB-bil kidney enlargement TX: relief of symptoms, bedrest, fluid sodium restrictions, abx, daily BUN creatnine, diet- high calories, low protein sodium potassium fluids. Acute Pyelonephritis sudden bacterial inflammation of kidney risk factors: urinary stasis, inablility to empty bladder (BPH/enlarged prostate), obstruction, sex, pregnancy, DM S/S: urinary freq. urgency, dysuria, hematuria, elevated temp, chills, flank pain, anorexia, malaise UA: show pyuria, hematuria, low spec. gravity, alkaline pH, proteinuria, gycosuria, kentonuria TX: abx, analgesic, reculture urine 1 week after abx complete NSG: antipyretics, increase fluids, monitor for fever Nephrotic syndrome -clinical manifestations caused by protein wasting secondary to diffuse glomerular damage usually after stress to immune system s/s: proteinuria, low albumin, edema, hyperlipidemia, hypovolemia nsg: low protein high calorie diet, i/o’s, sodium fluid restriction, weights, treat underlying cause Renal Failure Prerenal- obstructs flow to kidneys ex: CV disease, hypovolemia, peripheral vasodilation, severe vasoconstriction Intrarenal- poisions kidney tissue x: acute glomerular nephritis, pyelonephritis, sickle cells, lupus Postrenal- bladder obstruction, treteral obstruction S/S of Acute Renal Failure: anorexia, uremic breath, oliguria, n/v/d -elevated BUN/creatnine K+ -low pH, Bicarb, Hgb Hct Tx: reestablish effective renal function, high calorie diet, diet low in protein sodium potassium, restrict fluid, vitamin supplements, MONITOR FOR HYPERKALEMIA NSG: i/o’s, monitor electrolytes, h, vitals, check for pericarditis, small frequent meals BPH (Benig n Prostatic Hyperplasia) prostatic growth that may block urethra -blockage can cause UTI’s, delayed urinary emptying detrusor muscles weakends results in urinary retention– pt unable to urinate can cause uremia, bladder rupture peritonitis TURP (Transurethral Resection of Prostate) -surgery that uses a resectoscope to go in urethra clip out portions of prostate -continous bladder irrigation to prevent clots nsg: keep penis clean. never remove foley, Kegel exercises How to cite Renal System Study Guide, Essay examples

Monday, April 27, 2020

Selfish Ambition (Frankenstein) Essays - English-language Films

Selfish Ambition (Frankenstein) Selfish Ambition? The question ?What makes us who we are has perplexed many scholars, scientists, and theorists over the years. This is a question that we still may have not found an answer to. There are theories that people are born ?good?, ?evil?, and as ?blank slates?, but it is hard to prove any of these theories consistently. There have been countless cases of people who have grown up in ?good? homes with loving parents, yet their destiny was to inflict destruction on others. On the other hand, there have been just as many cases of people who grew up on the streets without the guidance of a parental figure, but they chose to make a bad situation into a good one by growing up to do something worthwhile for mankind. For this reason, it is nearly impossible to determine what makes a human being choose the way he/she behaves. Mary Shelley (1797-1851) published a novel in 1818 to voice her opinions about determining personality and the consequences and repercussions of alienation. Shelley uses the ide as of Jean-Jacques Rousseau to make her point. Rousseau proposed the idea that man is essentially good in the beginning of life, but civilization and education can corrupt and warp a human mind and soul. In Mary Shelley's Frankenstein; or, The Modern Prometheus (hereafter referred to as Frankenstein), Victor Frankenstein's creature with human characteristics shows us that people are born with loving, caring, and moral feelings, but the creature demonstrates how the influence of society can change one's outlook of others and life itself by his reactions to adversity at ?birth?, and his actions after being alienated and rejected by humans several times. In the first chapters of the book, Shelley describes a scientist who was obsessed with doing something great for mankind. Victor Frankenstein, an educated man of science, was completely involved with his work, which happened to be the creation of another living being with human qualities. Once Victor's work was finally completed, he realized that he had created a ?monster?, and he was terrified. Mary Shelley, supporting Rousseau's theory, definitely believed that people are born essentially with good intentions and feelings, and she shows this from the first few moments of the creature's life. When Victor was lying terrified in his bed, the creature came in and ?One hand was stretched out? (Shelley 40) towards Victor. Victor, in his petrified state, thought that the creature was trying to detain him, but in fact, the creature was reaching out to Victor as to offer friendship. Shelley continues to show how the creature was a tender, caring being for quite a while. After Victor rejected the affection and friendship offered him by his creation, completely abandoning him, the creature left Victor and went out into the world. He soon discovered that the world would not be a friendly place. Persecution, alienation, and affliction would eventually drive the creature into doing terrible things. Sir Walter Scott, a famous Scottish novelist, said: This monster, who was at first...but a harmless monster, becomes ferocious and malignant, in consequence of finding all his approaches to human society repelled with injurious violence and offensive marks of disgust. (Scott 617) The first person who had seen the creature, other than Victor, ?Shrieked loudly? (Shelley 83) when he looked upon his ugly and massive frame. This was a reaction the creature got used to, and he decided he would be better off to stay out of the paths of humans. When he found the hovel near the cottage he watched over for many months, the creature still was a loving, gentile being, despite the few nasty run-ins with humans. His sincitivity showed when he marveled at nature, and cried at some of the depressing stories from ancient civilizations. His tender and caring heart showed when he looked over the family, gathered firewood for them, and cleared snow from the path for them during the winter months.. He had educated himself through this time, and he was trying to get up the courage to show himself to the family that he loved. All of the creature's actions throughout the time watching over the De Lacy's shows his pure heart and good intentions. We are