Local, national and European economies impact on Vauxhall Motors and JD Wetherspoon Essays

Neighborhood, national and European economies sway on Vauxhall Motors and JD Wetherspoon Essays Nearby, national and European economies sway on Vauxhall Motors and JD Wetherspoon Essay Nearby, national and European economies sway on Vauxhall Motors and JD Wetherspoon Essay In examining how much nearby, national and European economies sway on two differentiating associations inside the UK, Vauxhall Motors and JD Wetherspoon give an intriguing and educational viewpoint to put together this with respect to. An association has customarily been characterized as a gathering of individuals with a typical reason. As indicated by this view, the association is a particular element separate from its condition. This implies if the associations condition changes the associations needs to adjust. So in taking a gander at financial aspects, which is basically an associations domain, you have to comprehend what precisely financial matters are. The truth of the matter is financial aspects influence our day by day lives. Persistently we are being made mindful of nearby, national and universal monetary issues, and ceaselessly we are confronted with financial issues and choices of our own. Fundamentally financial aspects is basically about cash. This is estimated by how much cash individuals are paid, the amount they spend, what it is expenses to purchase different things, how much funds firms win and how much cash there is altogether in the economy. Be that as it may, in spite of the huge number of territories in which our lives are worried about cash, financial aspects is something beyond the investigation of cash. There are numerous regions, for example, the creation and utilization of products, request and flexibly, which influence associations. With this is mine two UK organizations which have been influenced vigorously lately purchase neighborhood, national and European Economies are Vauxhall Motors and JD Wetherspoon. They have been influenced in totally different manners and this report will attempt to show the manners by which these organizations have been influenced. Vauxhall Motors Right off the bat Vauxhall Motors is one of the longest settled engine producers on the planet, and part of the universes biggest organization General Motors. Established in 1903 the organization currently utilizes 7,000 individuals legitimately, and underpins an expected 30,000 further occupations in the UK. It is assessed that roughly 100,000 individuals are utilized all through the whole gracefully chain to help Vauxhalls nearness in the UK from crude material providers to business staff. One significant assembling office, UK parts distribution center and home office are situated in the Luton territory. The subsequent significant assembling office where the Astra is created was opened in Ellesmere Port in 1963, and in 1992 a significant motor office was included, sending out V6 motors and segments all through the world. Most recent Position During 2001 vehicle creation proceeded at both the UK locales. As a feature of Europe-wide rebuilding to stem misfortunes and return GMs European tasks to benefit, 2000 finished with the troublesome declaration that vehicle creation at the Luton plant would stop in 2002. During the time the assembling plant created and executed a procedure for a stately finish of creation, booked for the finish of March 2002. For a gander at its present position please observe supplement A. On a similar site is Vauxhall Powertrain, which produces V6 motors for GM-Fiat Powertrain clients around the globe. With expanded deals volumes in 2001 the organization turned into the main provider of UK-created vehicles to the local market, and Vauxhall likewise brags the largest range UK-made vehicles and vans, including Astra, Astravan Frontera, Vectra and Vivaro. Vauxhalls normal all out work for it was 8,362, barring exactly 500 staff moved to GM Fiat powertrain and buying joint endeavors during 2001. With the plant at Ellesmere Port, Vauxhall is the biggest private boss in Cheshire. Likewise for workers, Vauxhall have improved Family Friendly strategies, offering another industry-driving maternity and paternity advantage program. Retail tasks are given by 507 diversified retailers all through the UK. From taking a gander at Vauxhall current position you can see its primary mean to return to productivity. (See reference section B) JD Wetherspoon JD Wetherspoon then again is a genuinely new organization and has a natural development in process. A 24-year-old law understudy named Tim Martin obtained his first historically speaking bar in North London in December 1979, however he would never have visualized how mainstream his style of activity was to demonstrate. He is said to have been prodded on by the absence of good quality bars in the zone where he was living, he chose to make a move by buying the outlet he drank in, which he named Wetherspoons. His first bar offered a decent scope of container molded lagers in a without music condition. Twenty years on, the scope of brews and the nonattendance of any music, structure the twin foundations of the companys bars, along with their throughout the day food and non-smoking territories. In the early stages of the organization, Wetherspoon bars were totally situated in North London. Be that as it may, as the organization developed, it started to open bars across London and in the H ome Counties. Following its fruitful Stock Market floatation in 1992, Wetherspoon started to grow quickly. In 1994 it opened its first bar in the Midlands, The Square Peg in Birmingham, trailed by others in significant urban areas, including Bristol, Liverpool and Manchester. (See informative supplement C) Most recent Position There are currently more than 435 Wetherspoon outlets all through the UK. The organization expects to keep opening new bars for a long time to come. Wetherspoon Chairman Tim Martin stated: in the previous 20 years Wetherspoon has developed from a solitary bar to a national organization. Anyway our promise to agreeable, without music bars offering astounding lager, throughout the day food and five star administration has stayed steady, paying little heed to the size of the organization. Wetherspoon is set to open roughly 80 new Pubs and Lloyds No.1 bars during the following a year as it expands on a record-breaking year. In the money related year finished July 28 2002, the companys turnover and pre-charge benefits were at their most elevated levels ever. An aggregate of 87 outlets opened over the UK in the year, including uncommon quantities of Lloyds bars and Wetherspoon Lodges. (It would be ideal if you see reference section D) Kinds of Organizations There are numerous methods of grouping associations: enormous, medium or little; neighborhood, national or worldwide; essential, auxiliary or tertiary. Anyway with the end goal of this report the most ideal approach to characterize them is either private, open, magnanimous and willful. Both Vauxhall Motors and JD Wetherspoon are Private associations. Vauxhall is a bigger organization than JD Wetherspoon. Vauxhall has universal connections where JD Wetherspoon is UK based. Basically the two organizations offer a support to its clients and would be viewed as enormous organizations. The administration they give is totally different and they dont have any connection, or ideally they shouldnt. The primary concern to recall between the two from that point most recent positions are one is in decay (Vauxhall Motors) and the other is developing quickly (JD Wetherspoon). Associations Purpose, Aims and Objectives Associations need to have points and targets to have the option to concentrate on the reasonable course required for achievement in the cutting edge business world. The point is the all-encompassing objective for the association, which can be separated into a subset of goals to accomplish the point. Business associations points as a rule identify with benefit, piece of the overall industry, return on capital utilized, deals, development, levels of administration and client/client observation. On account of both Vauxhall Motors and JD Wetherspoon this is the same. Vauxhall Motors In 2000 announced that the principle monetary test for Vauxhall was coming back to productivity. Albeit financial execution in 2001 went some approach to turning around the misfortunes saw in 2000, an arrival to productivity remains the abrogating monetary test for the organization. Following the dispatch of a record four new items in 2000, a further four new vehicles were propelled in 2001 (Vivaro, Combo, Corsavan and Astra convertible) helping deals as the year progressed, and with the dispatch of New Vectra in 2002 and broad cost sparing and income building programs set up, Vauxhall plans to equal the initial investment in 2002 and come back to supported productivity in 2003. So utilizing activity and new thoughts is a goal of Vauxhall to return to productivity. Be that as it may, basic Vauxhall have a lot of indistinguishable goals from of some other organization. JD Wetherspoon The association claims and works bars all through the UK. Without the gimmies of benefit, piece of the pie and so forth. The organization plans to give clients great quality food and drink, served by very much prepared and benevolent staff, at sensible costs (See index E). The bars are exclusively structured and magnificently kept up. This has been a supporting point of JD Wetherspoon as they look to such territories of client dedication as a strategy for expanding benefits. A few organizations, particularly bars, have not had this in mine and there isn't sufficient accentuation on client care. JD Wetherspoon is supposed to be constantly dedicated to quality, decision and worth. JD Wetherspoon has taken a basic thought that individuals go to bars for good brew, food and administration, in a perfect and neighborly condition and transformed it into a significant example of overcoming adversity; one which is developing by two new openings every week. JD Wetherspoon is said to give however much back to our kin as could be expected and have probably the best advantage bundles in the business. The other significant point is to proceed with its quick development this is demonstrating the nation with employments. Basic Vauxhall are attempting to hook its way back where as JD Wetherspoon is onwards and upwards with its points and targets. Obligations Associations have a scope of obligations to their partners. Both these associations have numerous obligations. Social During 2001 Vauxhall built up an umbrella social strategy, which sums up various existing approaches into a singl

Thesis: Demography and Reproductive Health

Execution OF RH BILL IN THE PHILIPPINES A RESEARCH Chapter 1 Introduction Background of the Study â€Å"Where is the arrangement that perceives the sacredness of family life? Where’s the arrangement to secure the life of the unborn, from origination? Is this bill ethically adequate? †These are a portion of the inquiry that will offer a response as you strived perusing and breaking down this exploration study. What is populace? Populace is all living beings that both have a place with similar animal types and live in the equivalent topographical area.The Webster Dictionary characterized populace as the all out number of people possessing in a nation, city or any locale or territory. Overpopulation is the most significant issue in the Philippines. Numerous individuals experience the ill effects of destitution, yearning and slackness because of certain contentions the legislature can't continue the essential needs of its kin, as the issue concerns the administration despit e everything finding a satisfactory and right populace strategy. The populace strategy in one nation or state planned for controlling the amount, and improving the nature of family life just as dealing with the appropriation of populace in order to improve the network is financial life.Philippines is positioned as the twelfth most thickly populated nation on the planet bargaining around populace of 90 million(as of in 2006). As per some dependable research and archives, the number of inhabitants in the Philippines ceaselessly expanding as it passes by in the succeeding years. To control this issue the House of Representatives of the Republic of the Philippines proposed a bill which recommend to confine the populace birth rate and to adjust the over populace, This bill was perceive to be called as Reproductive Health Bill, which was the principle focal point of the study.The first time the Reproductive Health Bill was proposed was in 1998. During the present fifteenth Congress, the R H Bills recorded are those wrote by (1) House Minority Leader Edcel Lagman of Albay, HB 96; (2) Iloilo Rep. Janet Garin, HB 101, (3) Akbayan Representatives Kaka Bag-ao and Warren Bello; HB 513, (4) Muntinlupa Representative Rodolfo Biazon, HB 1160, (5) Iloilo Representative Augusto Syjuco, HB 1520, (6) Gabriela Rep. Luzviminda Ilagan. In the Senate, Sen.Miriam Defensor Santiago has documented her own variant of the RH charge which, she says, will be a piece of the country’s promise to global agreements. On January 31, 2011, the House of Representatives Committee on Population and Family Relations casted a ballot to merge all House forms of the bill, which is entitled An Act Providing for a Comprehensive Policy on Responsible Parenthood, Reproductive Health and Population Development and for Other Purposes.According to the Senate Policy Brief titled Promoting Reproductive Health, the historical backdrop of conceptive wellbeing in the Philippines goes back to 1967 when pioneer s of 12 nations including the Philippines' Ferdinand Marcos marked the Declaration on Population. The Philippines concurred that the populace issue be considered as the key component for long haul financial turn of events. In this way, the Population Commission (Popcom) was made to push for a lower family size standard and give data and administrations to bring down ripeness rates.The Reproductive Health Bill, fame known as the RH Bill, is a Philippine Bill intending to ensure all inclusive access to strategies and data on contraception and maternal consideration. The bill was become the focal point of a petulant national discussion. House Bill No. 5043, the RH filled in past Congress, required the advancement of both fake and characteristic techniques for family arranging, sex instruction and capable parenthood. This bill showed that the administration would bolster couples who needed to restrict the quantity of their youngsters by utilizing contraceptives.However, there is general understanding about its arrangements on maternal and kid wellbeing, there is extraordinary discussion on its key suggestion that the Filipino citizen and private division will finance and attempt across the board dispersion of family arranging gadgets anti-conception medication pills(BCPs)and IUDs, as the administration consistent to spread data on their utilization through all human services communities. Privately owned businesses and people in general and private rudimentary and optional educational system will be required to partake in this data and item spread as a method of controlling the number of inhabitants in the Philippines.This Bill is exceptionally disputable, as it is being restricted by concerned residents, particularly the professional life, star family, and ace God gatherings, paying little heed to doctrine of religion. The RCC or Roman Catholic Church communicates the resistance against the bill on numerous checks, most particularly the profession and circulation of family arranging gadgets which are abortifacient to prepared eggs; they execute the youthful incipient organisms, who as such are individuals similarly deserving of regard, making the bill illegal and ethically incorrect.To show how on a very basic level disruptive the issue is, two amazing foundation in the Philippines wind up in conflict, as the bill is bolstered by the organization of the Philippine president Benigno Aquino III and effectively restricted by Roman Catholic Church. The investigation needs to educate the perusers about reality behind the execution of RH Bill. The analysts need to underscore the issue of the developing populace in the Philippines, as the administration makes their progression to battle this issue and how are the networks effectively mindful with respect to this issue.The goal of this investigation are to have the option to know the favorable position and inconveniences of sanctioning of RH Bill, the results behind its arrangements and proposition, It’s effect on the Philippine economy, and analysis of concerned Filipino resident, will it be a powerful answer for battle the overpopulation. This examination study was shaped not to be inclination in the two gatherings being contend. We build this investigation just to give extra data and to know the assessment of the lion's share originating from the voice of customary individuals, experts and strict gatherings. Calculated FrameworkThe two unique speculations which incorporates the issue of usage of RH bill in the nation as it is being pits into ground-breaking divisions against one another †church from one viewpoint (hypothesis of Existentialism)- and then again, an all around supported organization the administration (hypothesis of Communism). Socialism is a sociopolitical development that focuses on an uncouth and stateless society organized upon normal responsibility for methods for creation, free access to articles of utilization, and the finish of pay work and private property in the methods for creation and genuine estate.It is a particular phase of verifiable advancement that definitely rises up out of the improvement of the profitable powers that prompts an excess of material riches, taking into consideration conveyance dependent on need and social relations dependent on unreservedly related people. This hypothesis was step by step proposed by Karl Marx and received by various nations. The Reproductive Health Bill, prevalently known as the RH Bill, is a Philippine bill planning to ensure all inclusive access to strategies and data on contraception and maternal consideration. The bill has become the focal point of a combative national ebate. The socialist nations are the initial ones who actualize the law since they accept that riches will be feasible in territories where there has less populace. The state possesses and controls the organizations and it is simple for them to ‘steal' cash in the event that they have the control. L ess populace makes the state business to give little spending plan to the individuals since they give the fundamental needs of their kin. They have accepted that a lot number of individuals is difficult to control due to these reasons: 1. the state needs to give enormous spending plan to the essential needs of its kin. 2.There will be an inclination that the cash they can get from the state business will diminish in light of the fact that they have to adjust the financial plan. 3. The individuals will become danger to the state because of the uprisings assuming an ever increasing number of individuals become mindful that the state is not, at this point fit to give their requirements. 4. It is anything but difficult to ‘brainwash' the whole country when it has just hardly any individuals. Great market analysts differ that populace is conversely corresponding to development. They accept that the populace is straightforwardly corresponding to development in light of the fact that the monetary movement is high in zones where populace is very dense.Another hypothesis which speaks to the side of Roman Catholic Church with respect to about their solid resistance concerning the bill was the hypothesis of existentialism were they get the possibility of significance of the life of the unborn. Existentialism is a term applied to crafted by various logicians since the nineteenth century who, regardless of huge contrasts in their positions, for the most part centered around the state of human presence, and a person's feelings, activities, duties, and musings, or the significance or motivation behind life.Existential scholars regularly centered more around what is abstract, for example, convictions and religion, or human states, sentiments, and feelings, for example, opportunity, torment, blame, and lament, instead of examining target information, language, or science. The mid nineteenth century logician Soren Kierkegaard is viewed as the dad of existentialism. He kep t up that the individual is exclusively answerable for giving their own life meaning and for carrying on with that life energetically and genuinely, regardless of numerous existential snags and interruptions including despair, anxiety, foolishness, distance, and boredom.Subsequent existentialist logicians hold the accentuation on the individual, yet contrast, in fluctuating degrees, on how one accomplishes and what comprises a satisfying life, what deterrents must be survived, and what outer and inside elements are included, including the potential results of the presence or non-presence of God. Numerous existentialists have additionally respected customary orderly

Better Questions

Better Questions What’s a closely held belief you haven’t questioned lately? Whens the last time you changed your mind? Why are you clinging to blind certainty? Want to change something? Change often starts with a question. Holding onto a precious belief? Question it. Want a better answer? Ask a better question. Who? What? When? Where? Why? How? Who is the person you want to become? What is truly important? When will you let go? Where do you want to be? Why do you give so much meaning to (blank)? How will you define your own success? Better questions lead to better answers, and those answers allow us to more confidently traverse the path we’re on, or change our minds and find a new path. Either way we win. A longer version of this essay was published in Volume 3 of our side project, Minimalism Life. Subscribe to The Minimalists via email.

Exchange Systems, Trade Networks, and Archaeology

An exchange system or trade network can be defined as any manner in which consumers connect with producers. Regional exchange studies in archaeology describe the networks that people used to gain, barter for, purchase, or otherwise obtain raw material, goods, services and ideas from the producers or sources, and to move those goods across the landscape. The purpose of exchange systems can be to fulfill both basic and luxury needs. Archaeologists identify networks of exchange by using a variety of analytical techniques on material culture, and by identifying raw material quarries and manufacturing techniques for specific types of artifacts. Exchange systems have been a focus of archaeological research since the mid-19th century  when chemical analyses were first used to identify the distribution of metal artifacts from central Europe. One pioneer study is that of archaeologist Anna Shepard who during the 1930s and 40s used the presence of mineral inclusions in pottery sherds to provide evidence for a widespread trade and exchange network throughout the southwestern United States. Economic Anthropology The underpinnings of the exchange systems research were strongly influenced by Karl Polyani in the 1940s and 50s. Polyani, an economic anthropologist, described three types of trading exchange: reciprocity, redistribution, and market exchange. Reciprocity and redistribution, said Polyani, are methods that are embedded in long-range relationships that imply trust and confidence: markets, on the other hand, are self-regulating and disembedded from trust relationships between producers and consumers. Reciprocity is a behavioral system of trade, which is based on the more or less equal sharing of goods and services. Reciprocity could be defined simply as you scratch my back, Ill scratch yours: you do something for me, Ill reciprocate by doing something for you. Ill watch your cows, youll provide my family with milk.Redistribution involves a collection point from which goods are apportioned out. In a typical redistribution system, a village chief collects a percentage of the produce in a village, and provides it to members of the group based on need, gifts, feasting: any one of a number of etiquette rules that have been established in a given society.Market exchange involves an organized institution, in which goods producers congregate at specified locations at specified times. Either barter or money exchange is involved ​in order to allow consumers to obtain required goods and services from purveyors. Polyani himself argued that markets may or may not be integrated within c ommunity networks. Identifying Exchange Networks Anthropologists can go into a community and determine the existing exchange networks by talking to the local residents and observing the processes: but archaeologists must work from what David Clarke once called indirect traces in bad samples. Pioneers in the archaeological study of exchange systems include Colin Renfrew, who argued that it was important to study trade because the institution of a trade network is a causal factor for cultural change. Archaeological evidence for the movement of goods across the landscape has been identified by a series of technological innovations, building from Anna Shepards research. In general, sourcing artifacts—identifying where a particular raw material came from—involves a series of laboratory tests on artifacts which are then compared to known similar materials. Chemical analysis techniques used to identify raw material sources include Neutron Activation Analysis (NAA), X-ray fluorescence (XRF) and various spectrographic methods, among a wide and growing number of laboratory techniques. In addition to identifying the source or quarry where raw materials were obtained, chemical analysis can also identify similarities in pottery types or other sorts of finished goods, thus determining whether the finished goods were created locally or brought in from a distant location. Using a variety of methods, archaeologists can identify whether a pot that looks as if it were made in a different town is truly an import, or rather a locally made copy. Markets and Distribution Systems Market locations, both prehistorically and historically, are often located in public plazas or town squares, open spaces shared by a community and common to nearly every society on the planet. Such markets often rotate: market day in a given community may be every Tuesday and in a neighboring community every Wednesday. Archaeological evidence of such use of communal plazas is difficult to ascertain  because typically plazas are cleaned and used for a wide variety of purposes. Itinerant traders such as the pochteca of Mesoamerica have been identified archaeologically through iconography on written documents and monuments such as stele  as well as by the types of artifacts left in burials (grave goods). Caravan routes have been identified in numerous places archaeologically, most famously as part of the Silk Road connecting Asia and Europe. Archaeological evidence seems to suggest that trade networks were much of the driving force behind the construction of roads, whether wheeled vehicles were available or not. Diffusion of Ideas Exchange systems are also the way ideas and innovations are communicated across the landscape. But thats a whole other article. Sources Colburn CS. 2008. Exotica and the  Ã¢â‚¬â€¹Early Minoan Elite: Eastern Imports in Prepalatial Crete. American Journal of Archaeology 112(2):203-224.Gemici K. 2008. Karl Polanyi and the antinomies of embeddedness. Socio-Economic Review 6(1):5-33.Renfrew C. 1977. Alternative models for exchange and spatial distribution. In. In: Earle TK, and Ericson JE, editors. Exchange Systems In Prehistory. New York: Academic Press. p 71-90.Shortland A, Rogers N, and Eremin K. 2007. Trace element discriminants between Egyptian and Mesopotamian Late Bronze Age glasses. Journal of Archaeological Science 34(5):781-789.

10 Facts About Pirates and What They Do

TransitionTheoryAfafIbrahimMelesis Free Essays

My goal was to help hem stay as independent as possible so they could remain in their own living environment as well as reduce hospitalizing and improve outcomes for the company worked for. Started to incorporate some of the concepts used in the Transition Theory but more specifically the work of Mary Anally and Janet Van Cleave who developed the Transitional Care Model from the University of Pennsylvania. By implementing the role of a transitional care nurse, I was able to support my patient’s with tools and information they needed to help them stay healthy enough to remain in their own home. We will write a custom essay sample on TransitionTheoryAfafIbrahimMelesis or any similar topic only for you Order Now FAA Abraham Miles is a reorient nurse sociologist, educator, theorist, and researcher that began her nursing career in her native Egypt in the sass’s (Alligator, 2014). FAA Miles first developed Transition Theory while working on her doctorate in the mid sass’s and further developed it over the next three decades while working as a nurse educator and researcher. She conceptualized the idea of Transition Theory as it applies to nursing practice while working on her idea of role supplementation. Her theory is described as having four types of transition- developmental, situational, health/illness, and organizational Mà ªlà ©es, Sawyer, Im, Hollering-Messiahs, Schumacher, 2000, p. 17). FAA Miles Transitions Theory is used as its theoretical basis for the University of Pennsylvania center call Transitions and Health, directed by Mary Anally (Alligator, 2014). Was first introduced to transitional care at a nursing conference attended to seek ways to improve outcomes for our chronically ill older patients and to keep them at home instead of being admitted in the hospital or nursing home. Often times a patient who is chronically ill is admitted to the hospital over multiple episodes of care for an exacerbation of an illness along with other commodities. Once the patient is stable, they are discharged to home with a plan of care that does not reflect their needs, goals, learning style, or literacy level (Anally Van Cleave, 2010, p. 459). Usually nobody is involved in developing the discharge plan from his family or in the teaching of new medications prescribed. There may even be possible dietary changes that need to be made by the patient. I am sure the hospital does an exceptional job managing their acute medical episode but they do not have time to address the â€Å"root cause† of their multiple, recent hospitalizing (Anally Van Cleave, 2010, p. 459). Most patient’s do not understand what was discussed with them while inpatient. They just want to go home and will say they understand just to be able to do just that. They may not have the means to get to the pharmacy to get their new medications or they may not be able to afford the new medication. There are so many variables that can occur and that is why a transitional nurse may be beneficial. According to Anally Van Cleave, the Transitional Care Model (ETC) provides comprehensive discharge planning and home follow-up care for chronically ill, high risk older adults admitted to the hospital for common deiced conditions. A transitional care nurse, who is usually master-prepared, follows patients from the hospital to their homes, providing evidence-based services aimed to meet the patient and family goals, improve health outcomes, and stop usual patterns of going to the emergency room for non- emergent needs (Anally Van Cleave, 201 0, p. 60). The transitional care nurse focuses on increasing the patient and family ability to manage the frequent transitions in health that characterize chronic illness trajectory (Anally Van Cleave, 2010). In relation of person, transition theory takes into inconsideration that all people are unique and will interpret their transition in different ways. The nurse must be able to assess how the patient perceives their change and develop thera peutics geared toward their perception, assessing for feedback along the way (Chick Miles, 1986). This can be achieved by using the Transitional Care Model as a guideline. The home care agency worked for decided that I would follow our patients with a diagnosis of congestive heart failure and/or chronic obstructive pulmonary disorder with commodities and Medicare was their primary insurance. My role as the ruinations care nurse was to be the primary coordinator of care to assure that there was continuity of care throughout the next thirty days (episode of care) and readmission would be avoided. When a patient of ours was admitted to the hospital, I would visit the patient to do an in-hospital assessment and speak to the discharge planner to let them know what my role was once the patient was discharged. Once the patient was home, I would make home visits every week for the first two weeks and then follow- up phone calls the third and fourth week. Also was available by phone if they needed me anytime in between. My first home visit consisted of helping them fill out a personal health record which included current medications, medical conditions, emergency contacts and so forth. This is when I would discover if they really understood what medications they were supposed to be taking and if they knew the reason why they were taking it for. Most patients had no clue why they were taking medicine for what medical condition or they were not taking the medication as prescribed by their physician because they did not think it was that important or they could not afford it. Sometimes the patient was taking the same medication but the deicing was labeled differently from different pharmacies. Ad the time to explain what each medication was and what it was used for. Was also able to resolve any medication discrepancy from the discharge instructions for the patient. We would call the physician’s office together so it gave them a sense of well-being and gave them control of their own health which is a positive outcome according to Melanie’s transition theory. The second home visit usually consisted of education regarding their diagnosis and which â€Å"re d flags† to be aware of pertaining to their illnesses. Socioeconomic status, education bevel, and cultural beliefs all affect potential health related outcomes (Mà ªlà ©es et 2000). It is important as a nurse to be mindful of how to present information in a way that the patient will understand and be willing to make the changes needed to remain a healthful person. Emphasis on early identification of â€Å"red flags† and how the patient and/or family responds to the symptoms is a way to achieve positive outcomes and avoid readmission (Anally Van Cleave, 201 0, p. 461). Contact is made via a telephone call instead of a home visit for the third and fourth consultation. This is the time hat would answer any remaining medication questions, discuss the outcomes of their recent follow-up appointment with either their primary care physician or specialist, help them make an appointment with their physicians if they have not already done so, and reinforce when or if the patient would need to seek medical treatment. Often times, the patient and or family felt comfortable with their health goals because they were a part of making them which made them feel more accountable. Even though would not be following up with them on a regular basis they knew they could contact me and I would help them in any way I could. While in my role as the transitional care nurse, felt I made a difference in the company by improving outcomes and patient satisfaction. It was very rewarding to be a part of the patients health experience but in a different way than I was before. I witnessed a transition or change in the patients attitude towards their health because they were made to be a part of the process not just a person with an illness who did not know anything. Unfortunately, due to zero reimbursement from insurance companies, the transitional care nurse position was eliminated. The Transitional Care Model is a good concept but more research deeds to be done so insurance companies can see the value in such a program. Ms. Melanie’s Transition Theory has been applied to many different nursing research projects that apply to distinct populations undergoing change (Alligator, 2014). Through the nursing research that is being performed at the university of Pennsylvania where Ms. How to cite TransitionTheoryAfafIbrahimMelesis, Papers

Rogerian Argument Final Essay Example For Students

Rogerian Argument Final Essay For some time now the question of whether or not handguns should be legal to all citizens has haunted our society. Is it morally right for anyone to carry a gun and shoot it when they feel it to be necessary? Doesnt the second amendment still hold true today? These question are ones that have been thrown back and forth between pro and anti gun users for some time and will probably continue for some time longer. There are people who say handguns in the home can only cause unneeded accidents. There have been several incidents where a child in the household has mistaken a gun for a toy and has injured themself or others. Also there have been occasions where careless gun owners have left their guns loaded and someone was shoot accidentally. Studies show that four people die each day because of accidental gun fire. Anti-gun users have pointed out the fact that states who have relaxed their gun laws have had an increase in homicides. Also the fact that more people have died from criminal use of guns than people in the civil war. Some feel it is extremely easy for just about anyone to get access to a handgun. The laws in some states dont require a waiting period , several forms of identification, or even a back round check. Anti-gun users feel that if handguns are illegal it may not be impossible for criminals to obtain them but it would be much more difficult. If that were true some believe there will be a drastic decrease in gang violence and armed robbery. The ultimate argument pro-gun users have is the second amendment which states an individuals right to keep and bear arms. They feel it is there right to be able to own a gun to protect themselves from those who want to cause harm. If guns were outlawed and criminals were still finding a way to access a gun the common citizen would be helpless against them. Pro-gunners are aware of the many accidental deaths caused by the misuse of guns, however the fact remains that a numerous amount of people are killed each day by careless drivers. They are aware that accidental deaths can be caused by a variety of different things, so should they give up there right to own a gun to protect them if the need arises. Individuals that support the second amendment stand by the fact that it is better to have a gun and not need it then to need a gun and not have it. The question of whether or not guns should be legal is quite a difficult one to make. There may be a way to find an agreeable middle point. Perhaps the laws pertaining to acquiring a handgun could be changed to be more strict on who they give permits to carry a gun to. Getting a permit could require a full background check and several forms of identification. A waiting period of one to three weeks can be required and inforced. This could cut down on the fact that in some states anyone can walk into a gun shop and give a fake name and walk out with a gun that day. Another way to compromise would be to completely limit guns to shooting ranges and hunting grounds. That way those who feel the compulsion to use guns can be restrained to a location where less accidents can occur. It is possible to lessen the number of accidental deaths caused by guns without banning them completely. .