Wednesday, September 2, 2020

Imogene king Essay Example for Free

Imogene lord Essay As Hall (1965) says; â€Å"To take a gander at and hear self out is regularly excessively troublesome without the assistance of a huge figure (nurturer) who has figured out how to hold up a mirror and sounding board to welcome the behaver to look and hear himself out. On the off chance that he acknowledges the greeting, he will investigate the worries in his demonstrations and as he tunes in to his investigation through the impression of the medical attendant, he may reveal in grouping his troubles, the difficult region, his concern, and in the end the danger which is directing his wild conduct. † Major Concepts The individual human who is 16 years old or more seasoned and past the intense phase of a drawn out sickness is the focal point of nursing care in Hall’s work. The wellspring of vitality and inspiration for recuperating is the individual consideration beneficiary, not the human services supplier. Lobby underscores the significance of the person as novel, fit for development and learning, and requiring a complete individual methodology. Wellbeing can be induced to be a condition of mindfulness with cognizant choice of practices that are ideal for that person. Lobby focuses on the need to enable the individual to investigate the significance of their conduct to recognize and beat issues through creating self-personality and development. The idea of society/condition is managed corresponding to the person. Corridor is credited with building up the idea of Loeb Center since she expected that the medical clinic condition during treatment of intense disease makes a troublesome mental encounter for the evil individual (Bowar-Ferres, 1975). Loeb Center spotlights on giving a domain that is helpful for self-advancement. In such a setting, the focal point of the activity of the medical caretakers is the individual, so any activities taken according to society or condition are to help the person in accomplishing an individual objective. Nursing is distinguished as comprising of support in the consideration, center, and fix parts of patient consideration. Subconcepts The Care Circle It speaks to the sustaining segment of nursing and is elite to nursing. Sustaining includes utilizing the variables that make up the idea of mothering (care and solace of the individual) and accommodate educating learning exercises. The expert medical attendant gives substantial consideration to the patient and enables the patient to finish such essential day by day natural capacities as eating, washing, disposal, and dressing. While giving this consideration, the nurse’s objective is the solace of the patient. Giving consideration to a patient at the fundamental needs level presents the medical caretaker and patient with an open door for closeness. As closeness creates, the patient can share and investigate sentiments with the medical caretaker. The Core Circle It is situated in the sociologies, includes the remedial utilization of self, and is imparted to different individuals from the wellbeing group. The expert medical caretaker, by building up a relational relationship with the patient, can help the patient verbally express emotions in regards to the sickness procedure and its belongings. Through such articulation, the patient can increase self-personality and further create development. The expert medical attendant, by the utilization of intelligent strategy (going about as a mirror to the patient), helps the patient gander at and investigate emotions with respect to their present wellbeing status and related expected changes in way of life. Inspirations are found through the way toward bringing into mindfulness the sentiments being experienced. With this mindfulness, the patient is presently ready to settle on cognizant choices dependent on comprehended and acknowledged sentiments and inspiration. The Cure Circle It is situated in the neurotic and helpful sciences and is imparted to different individuals from the wellbeing group. During this part of nursing care, the attendant is a functioning supporter of the patient. Presumptions The inspiration and vitality essential for recuperating exist inside the patient, instead of in the social insurance group. The three parts of nursing ought not be seen as working freely yet as interrelated. The three viewpoints cooperate, and the circles speaking to them change size, contingent upon the patient’s all out course of progress. Qualities/Weaknesses Qualities: The utilization of the terms care, center, and fix are one of a kind to Hall. Hall’s work has all the earmarks of being totally and basically coherent. Shortcomings: Hall’s work is straightforward in its introduction. Be that as it may, the transparency and adaptability required for its application may not be so straightforward for medical caretakers whose character, instructive readiness, and experience have not readied them to work with negligible structure. This and the deliberate age and sickness prerequisites limit the generalizability. Investigation Lobby forced an age prerequisite for the use of her hypothesis which is 16 years old or more. This restrains the hypothesis since it can't be dismissed that medical caretakers are confronted with pediatric customers once in a while. Despite the fact that Hall restricted her ideas for that age section, the ideas of care, center and fix can even now be applied to each age gathering however once more, none was determined. The main device of remedial correspondence Hall talked about is reflection. By derivation, every single other procedure of helpful correspondence are disposed of. Reflection isn't generally the best strategy to be utilized. The idea of a patient total, for example, having families and networks as the focal point of nursing practice was not handled. It is absolutely on the individual himself. Despite the fact that, the job of the family or the network inside the patient’s condition was unassumingly talked about. In the focal point of nursing care in Hall’s ideas, the individual must pass an intense phase of disease for you to effectively apply her hypothesis. Subsequently, this hypothesis relates just to the individuals who are sick. This shows no nursing contact with sound people, families, or networks, and it refutes the idea of wellbeing upkeep and ailment counteraction.

Saturday, August 22, 2020

Cakewalk

The nineteenth century was brought by an extraordinary rise of music that would change history. In the late 1980’s an adjustment in mood developed in playing piano music. Jazz piano was presented as another well known approach to play the piano quick and shallow. The measures were utilized to sixteen beats simply like European partners in spite of the fact that the music was supposed to be the â€Å"afro-American† rendition of the polka. In this idea the generalization is drawn as â€Å"ragtime† being related with African American people.Based on the beats in the music which delivered a sousa style walk, jazz turned into the song used to play out the cakewalk move. In this article the portrayal of the cake walk is â€Å"an Afro-American move at first dependent on an exquisite, adapted farce of southern white elegant manners†, the move is generalized as being made for one gathering of individuals, and that being African Americans. The principal African Amer ican arranger to deliver jazz music was Tom Turpin which likewise brought along artists to turn into the voice of this melodic type of ragtime.Following the vibe of this music, the cakewalk was constantly performed which at that point opened entryways for different kinds of moves and tunes later known as jazz. The article â€Å"Cake Walk, Shimmy, and the Charleston† the portrayals accentuation how moves performed by African American ladies brought solidarity among white and dark crowds. Artists were alluded to as â€Å"Babylon girls† who communicated a positive manner by which African American ladies were being perceived for their sex and race. They communicated in these melodic structures to show dark opportunity and feel a piece of well known music.The generalization made in this article depended on the sexuality introduced in the cakewalk move by African American ladies. Many depicted them as to be â€Å"sexually straight to the point and stubborn, to be figures of freedom. † as a general rule the African American ladies were only an age expelled from servitude in which they needed to manage generalizations from both from white individuals about their sexuality and dark individuals about dark suppression for decency. Moving just permitted them to commend their opportunity and communicate freely.This time of moving and music in the late 1800’s and mid 1900’s carried European styled music blended in with African American mood to starting the jazz period to come. The image on the sheet music doesn’t show any negative analysis. In the symbolism ladies and men are dressed pleasantly with tall top caps and long dresses. Maybe the ladies are dressed more preservationist than ordinary ladies that dress in shorter dresses. The men show wide and huge lips most likely demonstrating an African American race.

Friday, August 21, 2020

Discuss the Character and Functions of Sandra Essay Example for Free

Talk about the Character and Functions of Sandra Essay Lovely Thing is set in London this is utilized to represent what Sandras character resembles. Sandra Gangle is an extreme working class lady, who lives in a clean gathering level in South London. Sandra is house pleased she enjoys everything in it to be decent looking. A case of this is the hanging containers holding tight the divider outside her home. Sandra likewise takes care of her self we can tell this by the Body Shop items on the floor. Sandra has numerous jobs in this play, which incorporate being mother, neighbor, barmaid, single parent, workingwoman and a sweetheart. Sandra is a survivor as in she is raising a child completely all alone and she needs to pay for everything her self. At the point when I had three pee in my handbag I went ransacking for that kid This Indicates Sandras unwaveringness towards to her child, and the amount she thinks about him and attempts to accommodate him. An elective case of how denied Sandra was that I couldnt manage the cost of a bed This demonstrates anyway much Sandra attempted and ransacked she still couldnt bear the cost of the rudiments. Sandra is likewise extremely harsh, utilizing foul language to affront individuals. A genuine case of Sandras damaging language is the primary expression of the play, which is SLAG. This shows a significant piece of Sandras character and is utilized to lay everything out for the remainder of the story. In spite of the fact that Sandra utilizes foul language she forestalls Jamie utilizing it by saying Language, Jamie! at the point when he reveals to Leah I dont need fuckin elp. This is on the grounds that it is impolite to use to awful language and she needs to bring him up as well as could be expected. Foul language is principally used to add pressure to the story. Sandra character is cruel in the manner that she converses with individuals. This can be exhibited by the manner in which she converses with Leah on a few events Face realities Leah, no bugger needs you and shut up By saying this Sandra is being unseemly and uncaring towards Leahs emotions. Sandra is generally negligent towards Leah. Sandra is likewise brutal in the manner she portrays Steves father We all realize his father cowhides him, Im just having a chuckle. This is utilized to show how inhumane and obtuse Sandra truly is. Steves father was extremely forceful towards him on various events. He punches him for know reason and even tossed him out once for consuming the toast. Once when Steve was tossed out he went round to see Sandra to disclose what had befallen him. The sort of caring individual that Sandra is she took him in. In the wake of tuning in to Steve she revealed to him he could remain the night. At that point said this to Steves father Your little Stevens round at our place today around evening time. Ive each brain to report you. This shows the touchy and caring side that Sandra has. Among all Sandras obligations she attempts her best to screen Jamies progress at school. Sandra ensures this by the expression I will check your schoolwork when I get in. This is to guarantee he is progressing nicely. Sandra is likewise truly temperamental like when she should check Jamies schoolwork she doesnt despite the fact that she guarantees also do as such. Telling Jamie Ooh, Sod that, Im knackered gives a blended impression that she is attempting her best to give cash however is shy of time because of working, and this is the reason she is worn out. Another stunning point is that Sandra is staggeringly judgemental. Reaching pessimistic resolutions without pondering the outcomes and influences that it has on others. Sandra demonstrates her character is judgemental by disclosing to Leah A Leopard never changes its spots and a slapper never changes her pants. An elective case of Sandra being critical is the point at which she reveals to Jamie I need you inside. Shes a terrible impact. Both these statements demonstrate how Sandra rushes to size up somebody. Moreover Sandra is likewise very egotistic and is quick to educate others concerning her accomplishments. Gloating to a gathering of companions revealing to them I won that draping bushel in the south east Thames barmaid at the year grants. Sandra is demonstrating that she is altogether in excess of a normal barmaid the verification of this was winning the honor.

Monday, June 1, 2020

3 Things to Avoid When Applying to Business School as a Consultant

One of the biggest industry feeders to top MBA programs, year in and year out, is consulting. Consultants often come to business schools with an impressive list of client experiences, analytical skills, and business presence. Now, given the surplus of candidates applying from this applicant pool, application season  can be very competitive. This competitiveness makes it even more important for consultants to avoid the following issues  when applying to MBA programs: 1) They Have No  Clear Need for an MBA A career in consulting presents many opportunities to develop a myriad of skills. Consultants are regularly poached to work with some of the top companies in the world, as well. The challenge sometimes for consultants applying to business school then is properly communicating why they actually  need an MBA. This may come across as a little odd, given that one would assume if you are applying to business school you should  have this detail  mapped out, but sometimes a candidate’s rationale can seem  muddled in their application. In a weird way, business schools want to feel like they are needed by the applicant, and if there is not a clear opportunity to add value to a persons life post-MBA, that can be problematic for a candidate applying from such a competitive applicant pool. 2) Using Too Much â€Å"We† and Not Enough I One of the great advantages of working in consulting is the teamwork-oriented work culture the industry is known for. As MBA programs move increasingly towards a more collaborative approach to learning, the ability to work with others becomes more and more valued. However, given their predominantly team-based work, many consultants struggle to communicate their individual contributions to the greater good of a company. As such, resumes and essays often read as too much â€Å"we† and not enough â€Å"I,† thus making it difficult for the Admissions Committee to discern the true impact the  individual applicant has had during their career. 3) Minimizing Accomplishments Consultants can drive huge impact for clients and their firms on almost every project they work on. This exposure to top companies and major projects on a consistent basis can sometimes make it difficult for consultants to properly contextualize the impact of their work. Avoid minimizing your accomplishments by focusing on your own individual contributions, not just through quantitative numbers  but also through qualitative experiences. Focus on highlighting your most impactful moments while contributing a holistic view of your work to best inform the Admissions Committee of your accomplishments. Follow the tips above to avoid wasting all of the great experience you have developed as a consultant when applying to business school. Applying to business school? Call us at 1-800-925-7737 and speak with an MBA admissions expert today, or take our free MBA Admissions Profile Evaluation  for personalized advice for your unique application situation! As always, be sure to find us on  Facebook,  YouTube,  Google+  and Twitter. Dozie A.  is a Veritas Prep Head Consultant for the Kellogg School of Management at Northwestern University. His specialties include consulting, marketing, and low GPA/GMAT applicants. You can read more articles by him  here.

Saturday, May 16, 2020

The War Was A Short, But Impactful War On The Political...

The Falklands War was a short, but impactful war on the political situation in both Great Britain and Argentina. In 1982, Great Britain was clearly one of the more powerful military nations in the world, having the full support of NATO. Argentina, on the other hand, was not extremely powerful by any means. However, in each of these nations, there was a political motivation for engaging in this seemingly meaningless war. Argentina’s government had been involved in many human rights violations on their own citizens. Lieutenant General Leopoldo Galtieri saw this war as a way to distract from these issues. Great Britain had just recently elected their first female Prime Minister, Margaret Thatcher. Running on a ticket that promoted a strong,†¦show more content†¦He saw the Falkland Islands as the solution to this problem. The Falklands were a group of islands off the coast of Argentina that had been taken by the British in 1833. However, Argentinians continued to see the islands as part of Argentina. These nationalistic feelings towards the islands was an opportunity for Galitieri to distract the people from the crises that were occurring on the mainland. He felt that an invasion of the islands would boost the power of the military government and prevent any possible coups. However, the Argentinians did not think that the British would ever respond to these attacks. Margaret Tatcher was elected Prime Minister of the United Kingdom in 1979. She was the first female Prime Minister of the UK and was known as the â€Å"Iron Lady.† This is because of her tough stances and promotion of her conservative ideologies in her time in parliament. This reputation followed her through her election as Prime Minister. From a foreign policy perspective, Thatcher’s goal was to defend the strength of the UK during the Cold War. For example, despite opposition, she continued to force the UK to boycott the 1980 Moscow Olympics after the Soviet invasion of A fghanistan in 1979. Therefore, when a small nation such as Argentina invaded British-owned islands in 1982, Thatcher would not back down. She saw the Falklands crisis as an opportunity to boost British nationalism ahead of her upcoming 1983 reelection bid. Similarly to Argentina, theShow MoreRelatedLittle Bit ( Mis ) Judged1472 Words   |  6 Pagespresidents. Some terms were too short to evaluate the legacy, and others had many events that led to a mixed legacy. It is always hard to rank the presidents based on the greatest, the most impactful, or even the most overrated. Lyndon B. Johnson, the 36th President of the United States, arguably had an impactful presidency, but he was also a very overrated one. His domestic policy looks good because he addressed the Civil Rights at the right time, but at the same time his War on Poverty left unansweredRead MoreThe History And Current Events Has Never Been Easier Essay1453 Words   |  6 Pageshistorian from the Roman Republic, dedicate d his life to keeping a transcript of Rome’s history. Livy’s noble ambition was an eminently daunting task that was vital for Rome’s legacy. Livy was born in 59 BCE and died in 17 CE. He lived through the reign of Octavian, who was born in 63, became the sole ruler of roman empire in 31, accepted the surname Augustus in 27, and died in 14 CE. Livy was born in Patavium (Modern Padua) and this is shown through his work. It has been noted that Pollio, a fellow historianRead MoreThe Impact On The Middle East1430 Words   |  6 Pagespope had called for a crusade which was in fact the only successful crusade. In this situation, the Byzantine emperor called on the christians to help him in which they did so with lots of vengeance and anger. The Byzantine emperor then commanded them to attack Jerusalem in which they did in 1099 coming out on top. Fortunately they won and ended up having the Muslim Army take back Jerusalem resulting in gaining more power than they had previously. Another event was the Turks entrance beginning in theRead MorePolitical Themes In The Metamorphosis By Steven Berkoff1541 Words   |  7 Pagesas a stimulus was the scene in which Gregor actually transforms from a respected and depended upon son to being an alienated insect who is a burden to his family. In support of these themes, we have created a performance based on the 2008 recession , where thousands of people were affected and economically stable and dependent first world countries fell and transformed into countries where hundreds of thousands of people were made redundant and lost their homes. Within these political themes, the practitionerRead MoreThe Harsh Times Of The 1890 S1559 Words   |  7 Pagesthe authority of the corporate operation, ultimately leading to a shift in New York civil disputes and eventually helping to engulf the unfair working laws that were presented. This will and would lead the change of many civil minds and spark more impactful rebellions down the road. Up to this point a multitude of people were oppressed in many ways, varying from race, to belief(s), and in the work force. The time in which these series of strikes took place were up to the evolutionary pre nineteenRead MoreThe Harsh Times Of The 1890 S1557 Words   |  7 Pagesthe authority of the corporate operation, ultimately leading to a shift in New York civil disputes and eventually helping to engulf the unfair working laws that were presented. This will and would lead the change of many civil minds and spark more impactful rebellions down the road. Up to this point a multitude of people were oppressed in many ways, varying from race, to belief(s), and in the work force. The time in which these series of strikes took place were up to the evolutionary pre-nineteenRead MoreInfluence of Iliad to Heroes in Todays World2063 Words   |  9 Pagesas well, and you see that more and more in today’s world than 20 or 30 years ago. The classical hero is such an amazing thing to study and at any time period, the concepts of the hero in the Iliad influenced the heroes of today’s world in a very impactful way. In today’s world, media has a huge influence on public belief and most households in the United States have at least one television. Now when watching television if you focus on the points of many of the shows on various channels, they allRead MoreThe Expansion Of The United States Essay1918 Words   |  8 Pagesgrowth of industry and expansion of the automobile industry that characterized this time period led the U.S. to comprise a staggering 30% of the world’s total energy consumption, the chief source of which was oil. However, the U.S. only contained 6% of the world’s known oil reserves, so there was no way it could meet it’s own demands through domestic production alone. This created a huge dependency on oil imports from foreign countries, primarily in the Middle East, and gave these countries immenseRead MoreAbraham Lincoln: A Self-Made Man2023 Words   |  9 Pagesbring him down, and rose â€Å"from [these] humble origins in Kentucky, to promin ent positions in legal and political circles of Illinois, and then to the pinnacle of presidency† (Donald n.p.). Within two months of gaining presidency, in contempt of Lincoln’s noble efforts, the American Civil War broke out amongst the country, and Abraham Lincoln, undeterred by the considerable amount of stress he was under, managed to keep together and ultimately strengthen the broken nation (Gienapp). Lincoln boldlyRead MoreCommunist Leaders of the 20th Century5824 Words   |  24 Pagescultural values. Each leader and his followers successfully changed the economic and political structure of their countries as well as influencing the rest of the world for decades to come. Vladimir Lenin – Russian Revolutionary Prologue Vladimir Lenin was a Bolshevik Leader for the 1917 October Revolution, and the first Head of State for the Soviet Union. His contribution to political science, Leninism, was developed from his interpretations on the Marxist theory. After the revolution

Wednesday, May 6, 2020

Australian Airline Industry - Essay - 1136 Words

Table of Contents Identify a market for tourism or hospitality services in the Asia Pacific region that is essentially oligopolistic in nature. Analyse the pricing and supply strategies of the key firms operating in this market. Introduction This report explains the theory of oligopoly and discusses how Australia s airline industry provides a solid example of an oligopoly market. It uses case studies of Qantas, Jetstar, Virgin and Tiger airlines to demonstrate how they all need to employ profit-maximising strategies that take into account the likely response to the strategies of other firms. Airline Industry Overview Australia s airline industry can be classified into three broad categories: ï‚ § domestic trunk route airlines†¦show more content†¦In the absence of effective economic regulatory oversight of the industry, it has the potential to evolve into a Qantas monopoly. High capital and set-up costs have traditionally contributed to high entry costs and have increased the market power of the airlines currently holding the top position, impeding competition. Should such circumstances continue to prevail over the longer term, it raises the issue of whether Australia s domestic market is really big enough to sustain competitive supply and whether a lightly regulated oligopoly is still appropriate. http://www.aph.gov.au/library/pubs/rp/2002-03/03rp10.htm Pricing strategy Budget air carriers have revolutionized domestic travel in Australia, making low cost travel a year-round reality for holidaymakers and business travelers alike. Both Jetstar and Virgin blue’s pricing strategy will be analyzed and discussed in this section. Low cost carriers open a totally new product: no frills, no food, no drinks, no spacious seats, no travel agencies bookings, but a very low price (Barbot, 2004). This â€Å"low-cost revolution† (Doganis, 2001) has then greatly affected the full service traditional carriers, they will have to respond this phenomenon progressively. Jetstar and Virgin blue’s pricing strategy is fairly similar. Both airlines are low cost carriers, they reduced the operating cost by cutting off unnecessary service and chargingShow MoreRelatedMalaysian Airlines Case Study962 Words   |  4 PagesAs a part of Crossman Communications, this essay will go into depth about the client, Malaysian Airlines and their recent campaign. Malaysian Airlines founded in 1957, currently flies to 53 different destinations having over 12 000 employees (Malaysian Airlines, 2017). The airline company offers the best way to fly to and from Malaysia flying over 40 000 people everyday (Malaysian Airlines, 2017). The campaign was set to rebuild the trust of Australian and New Zealander flyers due to the multipleRead MoreAid For Airline And Its Impact On The Tourism Industry1473 Words   |  6 PagesAid for Airline? Qantas airlines are an iconic Australian business, which has heavily shaped the tourism industry. However in the 2013-14 financial year, (Qantas, 2014, pg.1) due to falls in revenue, growing competition and high expenses the airline reported a 2.8 billion dollar loss. (Mccrann, 2014) It was then that the company felt it required government support to assist them in getting back on their feet. Commonly referred to as a â€Å"bailout† and in this case more specifically a â€Å"debt guarantee†Read MoreThe Policy Innovation Process Within The Australian Public Services1557 Words   |  7 Pagesquestion aims to identify the major obstacles to the policy innovation process within the Australian public services. In this research, academic theories defines and classified major obstacles to policy innovation in a different context of management. However, the paper identifies some obstacle to policy innovation in Australian public sectors; and how these problems can be removed. Nevertheless, the structure of the essay plan has three parts. The first part will classify the major obstacles to policy innovationRead MorePorters 5 Forces and Hofstedes Cultural Dimension3620 Words   |  15 PagesThe purpose of this report is to determine the suitability of Safety Airlines Ltd. expansion of business into Australia. The Porter’s Five Forces is used as a guideline of the competitive nature of the Australian domestic airline industry. An analysis of the airline industry context in Australia is made where the threats are identified and what strategies are to be employed to determine the competitive advantage for Safety Airlines Ltd. From the analysis, Porter’s Five Forces showed that the threatsRead MoreQantas Strat Mgt2611 Words   |  11 Pages1.0 Introduction The Australian domestic airlines industry operations usually consist of transportation of freight and passengers domestically (IBISWORLD, 2010). The industry has been experiencing slightly negative annual revenue growth of negative 0.4% for the past five years (IBISWorld, 2010). The domestic airlines industry consist of two major players such as Qantas Airways and Virgin Blue, and three minor players such as Regional Express, Skywest and Tiger Airways (IBISWorld, 2010). 2.0 ExternalRead MoreDefending Territory Case Studies Analysis2104 Words   |  9 PagesTerritory Case Studies Analysis Submitted by SEEMAB ALAM (17480932) Table of Contents Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 External Environment Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 General Environment Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 Industry environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..4 The competitive Environment†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.5 Opportunities and threats†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....6 Internal Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 Tangible and Intangible Resources†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 CoreRead MoreThe Impact Of Operations Management Within The Aviation Industry1219 Words   |  5 PagesThis essay will analyse and evaluate how operations management within the aviation industry helps to gain customers and allow airlines and airports to compete. The nature of operational management can be described as the administration business practices to create the highest level of efficiency possible. (Investopedia) The processes can be defined as the transformation of inputs, such as supplies, labour and resources into goods or services at minimum cost, thereby creating value. (Shim and Siegel)Read MoreBusiness Analysis : Qantas And Jetstar Essay2646 Words   |  11 Pagesauditing, marketing planning and corporate strategy : Marketing planning and marketing audit by Qantas would help this airline in getting the information have a better understanding of the demands of the customers, market demand, analysis of competitors in the market, dealers and other forces present in the international market. A formal marketing planning of the Qantas airline will help it in forecasting the market situations that would help it in developing diversified strategies for the futureRead MorePrinciples of Management in Aviation2412 Words   |  10 PagesPrinciples of Management in Aviation Essay Assignment The Macquarie dictionary defines ‘advantage’ as: â€Å"any state, circumstance, opportunity, or means specially favorable to success, interest, or any desired end†, and also defines ‘competition’: â€Å"the rivalry between two or more business enterprises to secure the patronage of prospective buyers.† (Macquarie, 2011) From these definitions, one can infer that a company’s competitive advantages are means of setting itself apart fromRead MoreChange Model2981 Words   |  12 PagesThe aim of this essay is to critically analyse the background of the Qantas and its decision to launch Jetstar on May 2004 that operated around 800 flights a week across network of 14 destinations within Melbourne, Sydney and Brisbane. Secondly, this essay will evaluate how Data Collection Feedback Cycle change model is used to gather major information and to critically analyse it. Thirdly, this essay will critically evaluate the background of Qantas and Virgi n Blue and will also highlight various

Tuesday, May 5, 2020

Reflection and Reflective Practice †Free Samples to Students

Question: Discuss about the Reflection and Reflective Practice. Answer: Introduction A male patient, 80 years of age presented to his general practitioner with a persistent cough. The practitioner suspected symptoms of the chronic obstructive pulmonary disease or early congestive cardiac failure (CCF). The chest X-ray of the patient was done and it has shown a COPD, right-sided consolidation and pneumonia on the right side of the lung. The Computed tomography scan of the chest was done to ascertain how much consolidation is there, exacerbation of COPD and small lesions in lungs. Adequacy- according to PIER mnemonic the adequacy of film can be asses:- Position- Typically, PA and lateral view. Inspiration- good inspiratory effect with 10 to 12 ribs. Exposure the exposure is adequate to demonstrate both soft and bony tissues.The thoracic spine can be through the heart show, indicating that penetration is sufficient.The only artifact present is from the L marker, which is overlying the distal end of the right clavicle; this could potentially be obstructing bony lesion located behind it. Rotation- there is some degree of rotation. The PA view of the chest shows the medial end of the clavicle is not equidistant to the thoracic spinous processes. On the lateral view, ribs are not superimposed. These positional errors do not make images un-diagnostic. Bones and soft tissues bony structure appears normal on PA chest. There is some osteophyte lipping seen on the anterior aspects of the vertebrate of a thoracic spine. Thoracic discs appeared narrowed (Jones, 2011) Diaphagram The right diaphragm is raised, with large gas bubble (bowel and or stomach) seen inferiorly to it. The left costophrenic and cardiophrenic angles appear sharp Effusion- The right costrophrenic angle is slightly blunted suggesting small pleural effusion. There is small right basal effusion. Hilum The cardiothoracic ratio is towards the upper limit. The hilum appears normal. There are two masses located within the right lung, the larger mass is shown in mid to upper zone abutting the right hilum, and the second, smaller mass, which is round in shape, is shown in the middle zone of the lung. The trachea is deviated to the right due to the presence of the mid-upper zone mass lesion. The right hilum is difficult to assess due to the presence of the right-sided mass Clinical History The patient was experiencing persistent cough. The chest X-ray of the patient was performed The chest X-Ray reports have shown that patient is suffering from COPD. A routine chest series was performed, which included both Postero-anterior views and left lateral view. COPD includes emphysema and chronic bronchitis. Emphysema causes shortness of breath due to abnormal enlargement of terminal bronchioles that block air flow. Chronic bronchitis is inflammation of bronchioles. Patient suffering from COPD have blunted costophrenic angles which are caused due to pleural effusions. COPD results in flattering of diaphragm and narrowing of tracheal tubes. Chest X-ray of COPD Patient demonstrates abnormal images only in 16 % of cases which is limited mainly to signs of pulmonary congestion or inflammatory infiltrate. Due to these reasons chest, X-Ray is not recommended on daily routines other than cases of massive pleural effusions, pulmonary edema, pneumothorax and suspected pneumonia. The ben efits of chest X-ray are no radiation remains in the patient body which decreases the chances of cancer, they have no side effect in the diagnosis, it is inexpensive and widely available in nursing homes, physician offices and other locations which makes it convenient for both physician and patient. Limitations of Chest X-Ray are normal chest X-Ray does not find out pulmonary problems. In some cases, airway interstitial and pulmonary vascular disease cannot be detected by X-Ray (Luppi, Begh Roversi, 2012) There is large left bronchitis. ar and anteromedial left upper lobe soft tissue mass which is approximately 11 cm in length and around 6 cm transverse diameter and 6 cm AP diameter. There is second rounded mass measuring 4 cm diameter in left mid zone. There are small right pleural effusion and mild elevation of right hemidiaphragm. There is small nodules or rolled atelectasis in the right lower lobe. The right lung seems normal and there is no right pleural fluid. No pleural calcifications or plaques is noticed. The cardiac size is normal. The superior mediastinum and trachea are shifted to the right of midline. There is no obvious tracheal narrowing. No obvious ribs destruction is seen. No thoracic crush fractures are seen. Chest X-Ray has shown that there is hilar and pulmonary masses. There is small pleural effusion. These findings may indicate a sign of malignancies. Additional CT chest/Abdo/pelvis is done to further evaluate these masses within the chest and to determine whether one of these masses are metastatic or primary or if both are metastatic tumors. A CT scan of chest/Abdo/pelvis with intravenous contrast was performed which has shown that larger superior lesion is a primary malignancy. The patient has large retroperitoneal nodes in the right upper abdomen. After CT scan results, biopsy of patient lung lesions has been done to determine the grade of masses in the left lung. The biopsy samples of large, para-hilar regions have shown small- cell lung carcinoma. The patient was referred to an oncologist and his chemotherapy was started. After completing three courses of chemotherapy the CT scan was again performed. The CT scan has shown that the growth of lung masses has not stopped. Chest X-Ray or chest film is a chest radiograph used to diagnose diseases affecting the chest and its nearby structures. They are most commonly used the radiological procedure. Chest X-Ray is the most common film used in medicine for diagnosis. They are difficult to interpret. The benefits of chest X-ray are no radiation remains in the patient body which decreases the chances of cancer, they have no side effect in the diagnosis, it is inexpensive and widely available in nursing homes, physician offices and other locations which makes it convenient for both physician and patient. Chest X-ray of COPD Patient demonstrates abnormal images only in 16 % of cases which is limited mainly to signs of pulmonary congestion or inflammatory infiltrate (Weiss, 1995). In this case, the patient is 80 years old having a persistent cough. The practitioner suspected symptoms similar to chronic obstructive pulmonary disease and a chest X-Ray was done. Chest X-ray has shown that there is small pleural effusion, left bronchitis, left hilar and pulmonary masses, costrophrenic angles are blunted and there is a zone of consolidation in lower ribs. Left hilar and pulmonary masses may indicate the sign of primary and metastatic malignancies. CT scan of lungs is performed to check the lesions in lungs. CT scan helps to diagnose the cause of shortness of breath, unexplained cough, chest pain, lesions, and small nodules in lungs. CT scanning is fast, noninvasive and painless. It is a standard for demonstrating pulmonary adenopathy. CT scan is very useful in detecting small lesions and area close to the diaphragm. CT scan identified larger superior lesion is a primary malignancy. A biopsy is performed after detecting lung lesions. The biopsy samples of large, par a-hilar regions have shown that patient is having lung carcinoma (Brenner, 2012). Small cell lung carcinoma (SCLC) is a type of cancer in which malignant cells form in the tissue of the lung. Small cell lung carcinoma is a type of lung cancer in which cancer cells get deposited in tissues of lung.it is also called oat cell cancer. Sign and symptoms may result from paraneoplastic phenomena, compression of thoracic structures and distant metastases. The common symptoms of small-cell lung carcinoma are dyspnea, shortness of breath and persistent or worsening of a cough.The symptoms of SCLC involves compression of the oesophagus that leads to dysphagia, laryngeal nerves compression results in hoarseness, head, and neck superficial nerves get distended and superior vena cava compression results in facial edema. Th brain metastases or bone metastases may result in neurological defects or pain or personality change. The physical examination of SCLC patient may identify pneumonia, signs of chronic obstructive disease, supraclavicular lymphadenopathy, lobar collapse and pleural effusion. ("Small cell lung cancer", 1987). According to Australian government statistics 2013, lung can cer is 5th most commonly diagnosed cancer .in 2014 it was the leading cause of death due to cancer. In 2014 there were approximately 8,200 death from lung and which may increase to 9,000 in 2017 ("Lung cancer statistics | Lung cancer", 2017). The protocol which is followed to determine cancer includes physical examination, history, and routine laboratory tests. Conventional radiography uses X-Ray to visualize internal body parts .it evaluates abdomen, chest, spine, and abdomen. The X-ray consists produced electromagnetic radiation by passing high voltage in terminals of the vacuum tube. The energy of X-ray can be modulated by changing the voltage and current. The shadows after X-ray can be detected by using fluoroscopic systems or combinations of photographic films. The common technique used to visualize X-rays is to expose a single image on fluorescent screens which converts it into visible light. Density, the thickness of different tissues produce different levels of X-Ray attenua tion. Lungs full of air appear black in color, calcified tissues such as bone appear white in color and soft tissues are of intermediate characteristics. In conventional radiography, four densities which can be soft tissue, air, calcified tissue, and fat can be determined. In case of normal chest, X-Ray mediastinal surface and heart appear clear with respect to black lungs (Medina Blackmore, 2007). However, in case of consolidation more light is absorbed by lungs in chest X-Ray results in loss of outlines of the adjacent structure. There are various contrast agents used when natural contrast is not present in X-Ray. It is divided into positive contrast and negative contrast. Positive contrast is of high radiodensity such as barium and iodine while negative contrast is of low density such as air and carbon dioxide. To demonstrate structural abnormalities or derive functional information positive contrast is used. The positive contrast agents are water soluble which can form soluble compounds with lower toxicity. These agents can be either ionizing or nonionizing. In negative contrast, it is used as a double contrast to image colon, stomach, and colon (Dodd, 2007). The various radiographic techniques are patient positioning. Inpatient positioning radiographs are taken using standard projections. Conventionally standard projections define according to the directions of X-Ray beams. The final projections are those that line in sagittal axis with the X-Ray beam. The lateral view is taken parallel to the coronal axis. In case of posterior-anterior view chest radiograph is taken against anterior chest while in anterior-posterior vie the X-Ray is taken against the posterior chest. A radiograph is a two-dimensional image, a three-dimensional structural image is recommended in minimum two planes for small lesions. The respiration phase is important in chest radiography, conventional inspiration shows lung field well as compare to expiratory view it shows pneumothorax. Various techniques can be used to improve the quality of chest radiography. A grid is used to improve image quality by filtering the obliquely scattered radiation. Restriction of the X-Ra y beam to the area of interest helps to improve image quality and helps to reduce the dose of X-Rays. Computed tomography is highly efficient and prevents overexposure. It produces a higher proportion of diagnostic radiographs thus minimising radiation dose. Radiation dosage affects the person health (Chawla, 2015). X-Ray causes ionization of tissues which harmfully affect physiochemical properties of tissues. These effects are directly related to exposure. Approximately 87% of exposure to radiation is naturally while remaining is due to X-Rays. The radiation dose of X-Ray is varied from country to country. To minimize exposure to radiation, radiation to medical personnel and patient must be minimised. The radiation must keep reasonably low. Special considerations must be taken while performing X-Ray of abdomen and pelvis of women especially childbearing age women. The fetus is more susceptible to X-Ray radiation which may cause mutations (Hollingworth Jarvik, 2007). The diagnosis must be made based on evidence-based radiology. Evidence-based radiology is defined as a decision that must be based on the integration of clinical information from most appropriate image test available on the basis of patients expectations, physicians experience, and best available evidence.Evidence-based radiology is based on five principles formulation of the question, efficient literature search, critical analysis of literature, application of search results and evaluation with respect to patients value and physician experience and evaluates the results available from the best diagnostic image. In diagnostic imaging, evidence-based radiology has received more attention(Hollingworth Jarvik, 2007). The principles of evidence-based radiology help to promote proper use of resources, efficiently use of resources and benefits patients. Formulating a question in radiology is very important, it involves the majority of questions related to the superiority of diagnostic ima ging over another related to specific pathology. The well-structured questions consist of Define patient, group of patients and their problem, intervention which is to be evaluated such as in this case Chest X-Ray and CT scan of the chest, comparison of the test result with the standard if any and evaluation of final result. After formulating a questioning look for best possible evidence, as the enormous volume of literature and books are available Haynes proposed a model of pyramid evidence which has six levels. The hierarchy of six level Haynes model includes studies- synopsis of studies - syntheses -synopsis of syntheses - summaries - systems. According to this model, the literature which appears in higher levels is considered scientifically better than lower levels. After formulating a question and finding best literature next is critically evaluate the literature. In critical evaluation the comparison between standard reference and test being evaluated. The procedure which used commonly is to use standard reference test on all patient regardless of test results evaluation. The staistical analysis is the major problems experienced by most clinicians. It is important to consider the scope of test which must be according to the patient problem (Smith, 2008). Test avilability, its risks and cost must be considered . Once the major question for clinical evidence is found next is a clinical experience which is applied to patient values and prefrences. Before the results of test apply to patient, assessment of diagnostic test reproducibility must be done, assessment of available alternatives, calculation of the probability that patient has the disease before a diagnostic test or performing the test and consideration of pros and cons of diagnostic test was done or performed. The last step is an evaluation of the results. Evaluate efficiency and effectiveness of diagnostic test or imaging performed as the tests performed in local and specialized labs varies, there fore they need to be evaluated. The specific resources available for evidence-based radiology includes books, journal articles, websites, workshops and conferences (Lilford, 1997). Treatment options available for SCLC patients is based on stage, histology, general health, and comorbidities of the patient. The treatment for cancer may depend on the stage and general health. Surgery and chemotherapy are an available treatment for SCLC. Most commonly chemotherapy is used. Use of surgery for SCLC is rare. Radiotherapy can be used to treat StageI- Stage III of SCLC. Currently, there is no screening test available on routinely in Australia. Computed tomography is used to screen the patient suffering from lung cancer. Limited stage SCLC can be treated with concurrently using of chemotherapy and radiation therapy combination. In the advanced stage of lung cancer, palliative treatment is used to assess and manage pain, nausea and spreading of cancer. Prognosis of individual health will depend on their stage and type of cancer, age, and their general health. For patients who do not tolerate the combination of chemotherapy and radiation therapy, sequential therapy is give n to them (Srensen, 2009). The majority of patients treated with chemotherapy alone has higher locally relapse rate. In comparison, thoracic radiation therapy has very low local relapse rate. Combination of thoracic radiation therapy and chemotherapy has higher control on the overall disease. In patients with LD-SCLC thoracic radiation therapy in combination with chemotherapy is considered to be standard treatment. After initial treatment, chest radiation helps to reduce chances of cancer relapsing in the chest. Chest radiation is given after chemotherapy has been completed especially in those patients which have large tumors. The thoracic radiation must be given to a patient who has lymph node involvement in cancer. (End, 2006). References Brenner, D. (2012). Radiation and Chest CT Scans. Chest, 142(3), 549-550. Chawla, H. (2015). Diagnostic Utility of Conventional Radiography in Head Injury. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. Dodd, J. (2007). Evidence-based Practice in Radiology: Steps 3 and 4Appraise and Apply Diagnostic Radiology Literature. Radiology, 242(2), 342-354. The end, A. (2006). Diagnosis and treatment of lung cancer Non-small cell lung cancer, small cell lung cancer, and carcinoids. European Surgery, 38(1), 45-53Evidence-Based Imaging: Optimizing Imaging in Patient Care. (2008). Radiology, 247(2), 344-345. Hollingworth, W., Jarvik, J. (2007). Technology Assessment in Radiology: Putting the Evidence in Evidence-based Radiology. Radiology, 244(1), 31-38. Jones, C. (2011). Interpreting chest X-rays. Radiography, 17(2), 175. Lilford, R. (1997). Evidence-based medicine, preference-based practice, and clinical decision analysis. Evidence-Based Healthcare, 1(2), 23-24. Lung cancer statistics | Lung cancer. (2017). Lung-cancer.canceraustralia.gov.au. Retrieved 27 September 2017, from https://lung-cancer.canceraustralia.gov.au/statistics Medina, L., Blackmore, C. (2007). Evidence-based Radiology: Review and Dissemination. Radiology, 244(2), 331-336. Small cell lung cancer. (1987). Lung Cancer, 3(2), 103. Smith, T. (2008). Evidence-based medical imaging (EBMI). Radiography, 14(3), 233-237. Srensen, J. (2009). 36IN EUROPEAN TREATMENT GUIDELINES: SMALL CELL LUNG CANCER (SCLC). Lung Cancer, 64, S20 Weiss, W. (1995). Chest X-ray Screening for Lung Cancer. Chest, 108(6), 1770.