Stress coping, social support and quality of live for a patient who Essay

Stress coping, social support and quality of live for a patient who suffered stroke and partner (husband) that had to give up his job to look after his partner - Essay Example Sandra is unable to speak at this time which also means that she cannot work; her husband has to quit work so that he can take care of her. The purpose of this discussion is to design information that can help Sandra and her husband cope with what has happened and insure that they will have a quality of life. According to The Stroke Association (2009), there are many psychological changes that a person can experience after a stroke. Depression is a common result because a person must deal with physical changes that are different from what they experience before the stroke. Many people are not assessed for depression so it is a good idea for Sandra to have an assessment for depression. Fear and anxiety can affect an individuals psychological well-being because they have lost the ability to use part of their body or they have been affected in other ways. In Sandras case, she is unable to speak and she has lost the use of her right side. Sandra will need to adjust to this situation in order to be successful in rehabilitation. Although each stroke is different, because Sandras left side of her brain has been affected, she may experience outbursts of anger or she may find herself crying for no known reason (Stroke Association, Fact Sheet 10, p. 1). These bursts of anger and crying are often linked to their frustration of not being able to take care of themselves for their daily needs (Ryan, 2009, p. 1806). Many stoke victims have a loss of sexual desire, and perceived loss of control or "the relinquishing of defined roles" of their daily routine. (Thompson and Ryan, p. 1807). The family is also affected because initially it is a shock. Most people do not feel that they are going to have any health problems and a stroke happens suddenly and dramatically. Family members may also feel a sense of loss because the person they have known and loved is now different. The doctors cannot really determine how much recovery a person will

Strategic Management of health care organizations Essay

Strategic Management of health care organizations - Essay Example To do this, different processes associated with service delivery like efficient patient flow, wait times and various administrative functions have been addressed. This has led to different implementation strategies like pre-service, point-of-service, and after-service has been devised. All the areas of service are meant to provide the customers with valued services. While pre-service is prior to the encounter, point-of-service (POS) is at the time of the encounter and post-service is after the encounter. Different healthcare organizations have benefited by aligning strategies based on different encounters. The pre-service is devised after determining the customers’ wants and needs. This requires first determining who the customers are, the price acceptable to them, the time and location convenient to them and then developing internal culture that focuses on customers (SDS, n.d.). Customer and competitor descriptions are essential to decide on this service area. The basic premise is – what does the customer want in terms of product, price, place and promotion. A thorough market research is essential for this. This is then followed by market segmentation based on clinical areas, demographics, psychographics and markets defined by growth opportunities. A customer analysis is then done to determine which should be the target market. It also determines what motivates the individual to use health care and what aspects of services offered are really important to the customer. Whether the customer is currently satisfied is determined which helps to improve upon the clinical serv ice. It also determines on what basis the customer chooses one organization over another. Hence the central issue in this service area is determining the right customer and devising the rest of the strategies based on that. For POS the central issues are quality, efficiency, innovation and flexibility. The internal assessment of

The Benefits and Dangers of Nuclear Energy Essay

The Benefits and Dangers of Nuclear Energy - Essay Example However, there are plenty of risks associated with the exploitation of nuclear energy. â€Å"What makes decisions on nuclear energy hard is that they do not call for one final apocalyptic choice between the obviously good civilian uses that lead to peace and the obviously bad military alternatives that lead to war† (Wohlstetter, 1968, p.2). This paper analyses the advantages and disadvantages of nuclear energy Advantages of nuclear energy A 1,000 megawatt equivalent (MWe) coal plant with optimal pollution abatement equipment will annually emit into the atmosphere 900 tons of sulfur dioxide, 4,500 tons of nitrous oxide, 1,300 tons of particulates, and 6.5 million tons of carbon dioxide. By contrast, a nuclear plant of 1,000 MWe capacity produces annually some 35 tons of highly radioactive spent fuel (Sovacool, 2007, p.107-108). The above statistics clearly suggest that nuclear energy is more environmental friendly than other energy sources. While majority of the other prominent energy sources are causing huge damages to the environment, nuclear energy is comparatively safe and secure as far as environmental problems are concerned. Rangarajan, (2010) mentioned that â€Å"Reduction in the CO^ emissions is one of the most important benefits in the use of nuclear energy† (Rangarajan, 2010, p.6). ... Carbon emission is not at all a problem for nuclear energy as the technology used to exploit nuclear energy liberates no greenhouse gases. Edelhart, (1976) pointed out that â€Å"In spite of the high construction costs, uranium fuel was so cheap that it kept overall investment on a par with other energy ‘systems† (Edelhart, 1976, p.52). Uranium is abundant in many of the countries and it can be sued effectively as a fuel to operate nuclear power plants. In short, nuclear energy is highly economical compared to other energy sources even though the construction costs of nuclear power plants are slightly expensive. â€Å"The amount of energy generated in a nuclear plant is many times greater than that produced by other conventional means† (Rangarajan, 2010, p.6). Einstein’s famous formula E=MC2 can be used to calculate the energy produced by nuclear power plants. Here E represents energy, M represents mass of the nuclear fuel and C represents the velocity of l ight. Since velocity of light is 3 X 108 m/s, 1 kilo gram of nuclear fuel can generate an energy equivalent to 9 X 1016 Joules. No other energy source can provide such huge amounts of energy as nuclear power plants do. Nuclear fission is the technology used in nuclear power plants. Chain reaction is taking place in nuclear fission process. If not controlled properly, chain reaction can cause explosions. However, we can control chain reactions with the help of suitable materials. According to Sakharov, (1978) â€Å"Nuclear energy is the only economically feasible energy source in the next few decades-of replacing the use of oil†(Sakharov, 1978, p.13). â€Å"It is also not necessary to develop the technology needed for

Research paper_Literature Review Paper Example | Topics and Well Written Essays - 1250 words

Paper_Literature Review - Research Paper Example In giving statistics in support of these facts, Andrade and Evans (2009) discussed that the incoming international students and their guardians or parents contribute up to about USD 14.5 billion every year, towards supporting their living expenses during their stay. One benefit drawn from the inflow of Chinese learners into Canada, which cannot be overlooked, is the fact that they increase cultural diversity at the learning facility and in the classes, which adds value to education and enriches the academic environment (Olivia and Lee, 2006). Yoon and Portman (2004) noted that, despite the wide variety of facts on the advantages that they bring into Canada, Chinese students, like other international learners may face strains during their adjustment within the social fabric and the host environment. These strains emanate from language constraints, cultural differences and social behaviors. Despite the fact that a lot of information is available on the adjustment crisis facing this gro up, Olivia and Lee (2006) note that there is a need to integrate the statistics and the findings. For this reason, this literature review will explore the adjustment issues of these students, exposing the costs and the benefits of international learning at Canada; lastly, future inferences will be developed to demonstrate the outcomes of international learning. ... Unlike social cultural adjustment, which refers to the ability of the learners to fit into the Canadian culture, psychological adjustment will cover emotional well-being also. Andrade and Evans (2009, p. 2) discuss that the Chinese learners at Canadian schools and campuses do not face problems that are unique to them; they also experience the problems experienced by Canadian students. However, Ward et al. (2008, p. 35) noted that, in addition to the problems experienced by their Canadian counterparts, they will also suffer from unique problems that could be traced to cultural differences, potential prejudices and language difficulties among others. For that reason, exploring the adjustment needs of Chinese students in Canada and the world at large can increase the information to facilitate student decision making and can improve the acculturation of the different students groups. Berry (1980) notes that, starting from the 1980s; research studies were commonly focused around the accul turation of international students and acculturative-related stresses, where focus was direction was directed towards the coping approaches adopted by international learners. The studies also entailed reviewing the experiences in adjusting to the different society, from a social point of view (Ward et al., 2008, p. 146). The change shows that there has been a change from viewing Chinese among other international student groups from a clinical to a development-related outlook. For these different reasons, irrespective of the expanding knowledge in the area, the need to synthesize and merge the inferences, as a way of further illuminating the available knowledge is necessary. Kwon, Y. (2009) and Swagler and

Quality Management Assignment - The assignment is based on the Eurocab Essay

Quality Management Assignment - The assignment is based on the Eurocab case study and appendices attached. Study the case and an - Essay Example One way of achieving both efficiency and effectiveness is through quality management which can be done using the total quality management (TQM) model. TQM is an organisational culture devoted to customer satisfaction through an integrated system of tools, techniques and training aimed at the continuous improvement of the products and services offered (Kotler & Armstrong, 2004). As such, this essay seeks to carry out a critique of EuroCab’s current approach to quality and how this compares with Crosby's fourteen point plans. The analysis will highlight the aspects of the plan being implemented as well as outline the points missed. The second part of the essay will look at the extent to which the six sigma methodology can be implemented within the organisation. 1. EuroCab is one of the leading European manufacturers of customised metal cabinets of various sizes and designs. These are sold to different customers to contain, support and securely protect electrical and electronic c ontrol systems from damage. However, the operations of this organisation are geared towards productivity and there are quality concerns since some of the products manufactured do not conform to the expected standards. Quality of a product or service is based on the judgement by the individual or organisation of a particular product with regards to benefits, value or satisfaction that can be derived from using it (Kotler & Armstrong, 2004). Organisations that are concerned about their viability should prioritise the aspect of quality in order to gain a competitive advantage. As noted, the aspect of quality is of concern to Eurocab and this section of the essay seeks to critique the company's current approach to quality and how this compares with Crosby's fourteen point plan. Philip B Crosby is a quality guru and is known for the concepts of â€Å"Quality is Free† and â€Å"Zero Defects. There are four absolutes of quality in his quality improvement process which are: Quality is conformance to requirements, the system of quality is prevention, the performance standard is zero defect and the measurement of quality is the price of non-conformance. Details of quality gurus can be viewed at the Department of Trade and Industry’s website at . His model is comprised of fourteen steps and these are going to be used to analyse the company’s current approach to quality. He suggests that the first step is that management should be committed to a formalised quality policy but in this case, it seems there is no such coordination between the management and the other members of the organisation in other departments. The management is primarily concerned with productivity while at the same time quality related issues are neglected. The blame for any faulty cab is given to the Quality, Manufacturing as well as the Electrical assembly departments. The management does not make follow up on its quality policies to ensure that that there is conformity in the o perations of the organisation as a whole to satisfy the quality needs of the customers as well as the company. The second aspect of Cosby’s 14 steps is the formation of a management level quality improvement team (QIT) with responsibility for quality improvement process planning and administration. As such, it can be noted that EuroCab has

Should gay marriage be legalize Essay Example | Topics and Well Written Essays - 750 words

Should gay marriage be legalize - Essay Example I support the legalization of gay marriages because of their similarity to heterosexual marriages, are determined by uncontrollable biological forces, and have existed in human societies through the course of time. Gay marriages are founded on nearly the same kind of principles that underpin heterosexual marriages. These marriages manifest the characteristics of company, support, and love, which are also fundamental in heterosexual marriages. Gay marriages resemble normal marriages and only differ due to the involvement of people of the same sex. According to those who hold on this opinion, marriage is supposed to help people to adjust to the realities of life and enjoy the company of each other (Baird and Stuart 50). Gay couples usually insist that they are happy in the company of each other and that they would not wish or aspire for any other alternative. Regarding the issue of having children, supporters of gay marriages insist that children are not fundamental to the success of a marriage. They contend that children could be adopted if the gay couples really need them in their marriage. The bonds that hold gay marriages are determined by uncontrollable biological factors. ... They contend they comprise of a minority group in the society and must be protected by the normal laws that safeguard the rights of the minority. American Civil Liberties Union (ACLU) argues that opposing or outlawing their marriages is an infringement on gay people’s rights and liberties (Stockland and James 13). The society must, therefore, learn to tolerate them and treat them as part of the social system. Gay marriages have existed from historical periods to the current age. They existed during the current centuries and the old world accommodated them within their own structures (Eskridge and Spedale 143). Their argument is that gay relationships and gay marriages are a reality of life and must be accommodated in any society. According to them, the ancient world accommodated gay relationships because the societies at that time could draw a line between individual rights and social realities. They argue that the society has not had any problems resulting from gay relationsh ips. Statistics indicate that about 9 million Americans fall within the category of gay, lesbian, or other orientations that do not conform to conventional morality (Wardle 97). Support for the legalization of gay marriages is because the high statistics of gay people shows that their existence in the society is a fact that cannot be wished away. As such, their rights must be safeguarded and respected by the dominant heterosexual population. However, those who oppose the legalization of gay marriages argue that these marriages have the capacity of eroding the social fabric. They argue that human actions and behavior must be guided by the nature. Naturally, marriages should only be allowed between men and women. Those who

Current Issues in United States History Essay Example for Free

Current Issues in United States History Essay The article, Mentoring Experiences of Women in Graduate Education: Factors that Matter, focuses on women’s relational approaches which are affected by their gender socialization. The said article studies the various subjective experiences a woman encounters when teaching, counseling and mentoring. It also explores the different aspects that contribute to these experiences exclusive to women in graduate school, the costs and benefits of these relationships for women, and the women’s role models in the familial and professional areas. The article takes on a feminist approach as it differentiates the traditional male to male mentoring relationships from that of the women’s. It asserts that in the male to male relationships, there is an acceptance of patriarchal and hierarchal organization. On the contrary, the women employ a more relational approach, which gives value to the emotional factor involved in the female relationships. But presently, the prevailing standard employed by mentoring environments is that of a traditional patriarchal environment. It can therefore be said that women in mentoring fields are currently in struggle with the prevailing norms. The article undertook a study which aimed to investigate factors that affect women’s mentoring gender socialization. The study yielded seven key topics which suggest that female undergraduate students and their faculty members share same views about their respective mentoring experiences as well as views in the mentoring field. They all commonly voiced their desire for an empowering relationship. This, according to the surveyed collegiate students and teachers, is illustrated by the kind assistance, â€Å"CURRENT ISSUES IN UNITED STATES HISTORY† PAGE #2 inspiration, faith, pride, cooperative hand, and personal growth they gain from these student-teacher relationships. Also, the study explores the sense of obligation that both sides feel for each other, the overall mentor’s investment in the student-teacher relationship (personal/emotional, professional development, time/availability, and financial investment), the factors that affect the growth of their relationship towards each other, and their capacity to balance of their own personal and professional life, experiences in the male mentoring domain, and peer mentoring. The study’s results depict the multi-dimensionality of the women mentors’ needs in order to be successful in their personal and professional mentoring careers. The study also showed that these needs did not alter when compared with the past researches on the same subject. Also, this study suggests that women, in general, have corresponding views (and at the same time) distinct desires to their mentoring relationships in contrast to the more traditional, patriarchal setting typified by the male to male mentoring conditions. Generally speaking, the study only focused on the mentoring experiences’ good points. Unfortunately, it did not include the hardships that women encounter with regards to their being women. It did not tackle the prejudice that women are subjected to in the patriarchal education system. If only the study explored that particular downside, the study would be so much useful and practical. But all in all, the study would indeed be important for reflection on our current educational system with regards to the women in a male dominated field. REFERENCE Rayle A. D. , Bordes V. , Zapata A. , Arrendondo P. , Rutter M. , Howard C. (2006, May). Mentoring Experiences of Women in Graduate Education: Factors that Matter. Current Issues in Education [On-line], 9(6). http://cie. ed. asu. edu/volume9/number6/