There Is No Such Thing as a Job for Life Essay Example for Free

There Is No Such Thing as a Job for Life Essay This notion seems to pose as a self evident statement, but in reality it has become a common truth a couple of decades ago. Statements such as â€Å"One in three workers remain in a job for less than two years†¦Ã¢â‚¬  (Trapp, 1995) make their way to the public at a constant rate increasing its validity. In the following essay we are going to assess the basic historical changes that have led to an unstable and fluctuating job market while providing the necessary explanation concerning the effects that shape our current situation. Furthermore we are going to examine how globalisation acts as a catalyst to these circumstances. In order to address this issue we have to take into consideration the historical background that has led to this notion. I am going to concentrate on one of the people that made the most important steps on the concept of production relating their work to its current form. I’m going to address the work of F. W. Taylor that was the theorist that put together what Henry Ford, the second persona, put into action through the assembly line. Taylor’s aim was to optimise the production of a product by focusing on two main aspects. The first was to break down the process of production into the smallest possible component, a process known as specialisation, and in advance to limit the time frame that each step needed to completion. This was named by Taylor as a division of labour in time and motion. In order to achieve that Taylor manifested a number of methods, such as the training workers into mastering a simple and specific task so that they didn’t have to put any mental effort into it that would have complicated the process. In order though to control this massive chain of production Taylor had to take into consideration a way to monitor it. That’s where Taylor introduced the principle of management where the working labour that its job was the systematic repetition of a task was supervised by a number of managers that were to compensate for the lack of any mental activity carried out by the rest of the workforce. Taylor’s theoretical contributions were justified my his belief that the one best ethod and best implementation can only be discovered or developed through scientific study and analysis†(Taylor,1964, 131) but his analysis failed to consider the implications that his methods have brought upon the workforce; even though they may have renovated the industrial world its side effect was the creation of a new generation of deskilled and demotivated workers. And as we observe this is not an issue of the past since all the assembly lines still work within the framework that Taylor f irst implemented, from a highly technological product to the simplest household item. This paragraph is going to focus on the problems that appear by the deskilled labour force and how this affects its employability. Deskilling as it’s defined by the Oxford Dictionary is â€Å"†¦the process by which skilled labor within an industry or economy is eliminated by the introduction of technologies operated by semiskilled or unskilled workers. † This elimination raises a number of issues, firstly is the issue of the working satisfaction of the labor force. By stripping the creativity out of the labor force’s job you are creating a level of dissatisfaction. This dissatisfaction is due to the fact that the reward that the workers get by the creativeness that they used to assert is now lost; even if in most cases it has been replaced by a higher payroll this didn’t seem to cover the damage. As Noon and Blyton (1997, 147) put it â€Å"The dehumanising effects can often be seen in the glazed expressions of the young people who serve. Thus you have a new generation of deskilled workers that lacks the confidence to interact with their working place or any working place, a worker that’s alienated who is not only less able to keep up with the increasingly demanding working environment but is less able to mobilize in any other work place. The other issue that arises from this deskilling that exists in the secondary sector is that for a deskilled worker it’s easier to become redundant. This is the case since the semiskilled workers may have gone through a sophisticated and elaborated training but their training only covered the absolutely necessary aspects of their specific task. This may be considered as a form of upskilling but in its essence is just another component making the worker more dependable to his current job in an epoch that the job market is becoming more and more contestable. The rise in the employments market contestability is largely dependable to the role of globalisation and up to a certain extend has played a main role to the instability that is currently present. Financial Times (Stern, 2012) defines globalisation as â€Å"†¦the integration of economies, industries, markets, cultures and policy-making around the world. † Therefore one cannot argue that it has contracted the employment market as well as any other market. This contraction is a result of the â€Å"widening deepening and speeding up of worldwide interconnectedness† (Baldry, 2007, 40) providing chances for people to compete in any market from anywhere in the world. That’s not an issue to the well rounded and highly trained workers, but it raises a number of concerns for the semi-skilled workers that add up to the overwhelming majority of the working population. They are faced with a crisis that not only have not caused but are also unable to confront. They have to compete against people from countries that are less paid and better trained causing the unemployment figures to rise dramatically as the IMF(Slaughter and Swagel, 1997) states here â€Å"there is no doubt that globalisation has coincided with higher unemployment among the less skilled and with widening income inequality. Other than that there are cases of mass shifts in the markets where companies assign projects to foreign countries that were previously based at home. We observe that for example in the telecommunication industry where the telephone helpdesks of British companies get assigned to Indian stated firms that offer a better deal due to the lower wages provided to the Indian workforce; making this abstract, as it is generally perceived, mobilisation of the industry more rigid and more challenging. Coming to an end I can’t avoid emphasizing on the statements vitality and the public concern that this raises. A statement that has never been more accurate than now; and as we observe notions such as Globalisation and Division of labour rooting and becoming embedded to our culture and our society this issue will not only rise but become untreatable. Therefore either some steps have to be made forward or the trust towards the socio-political system will start shaking from its foundations.

Apple Case Answer Essay Example for Free

Apple Case Answer Essay Organization Overview; Introduction This case discusses the apples Inc. Apple Inc. is one of the worlds most successful and most recognizable companies, established by Steve Jobs and Steve Wazniak. Over its 30 year existence, the company had seen a lot of changes in the computer industry. During its life it faced many problems like changing of CEOs and shifting in its major strategies which costs lotto the company. But at last it was Steve jobs who saved the company and afterwards it started competing in the market. Steve Jobs Bring new era to Apple Inc. He shifted the strategies to differentiation strategy and launched many products like iMac, iPod, iPhone. On April 4, 2010, Apple Inc. launched the iPod; the companys third major innovation released over the last decade under its iconic CEO Steve Jobs. Apples strategy of shifting its business into non-PC products had thrived so far, driven by the smashing success of the iPod and the iPhone. Yet challenges abounded. Macintosh sales in the worldwide PC market still languished below 5%. Growth in iPod sales was slowing down. IPhone faced increasing competition in the smartphone industry. What would the future hold for the computer giant in a rapidly changing world? How should the company allocate resources between its more traditional offerings (computers) and its newer products (iPods, iPhones, Apple TV, etc.) in order to maintain and improve its market position? Also, how should Apples unique retail strategy be used to support the companys product decisions, and by capitalizing on new and emerging trends thus further maintaining its competitive advantage. * Mission Statement Apple is committed to bringing the best personal computing experience to students, educators, creative professionals and consumers around the world through its innovative hardware, software and Internet offering. * DEEPLIST Analysis: * Demographic Demographic factors highly affect the computer industry. As buyers are of all ages and different genders, also every individual have different choice like the use of iPod, iPhone and iPad is increasing in young generation. Literacy rate is increasing in our country and use of internet and computer in education as well as in homes also increasing. Children and teenagers are more interested in playing games on computers and increasing usage of social website, chatting etc. Information technology playing a vital role in business world due to these virtual organizations, are increasing. So demographic factors is plays important role in the industry. * Economical In the past few years, the industry has been affected by the slow economic and that resulted in low consumer spending. There is no sign of improvement, consumer spending and investment might decrease as well. Discount rate 13.5% from the central bank of Pakistan and it is the highest rate in Pakistan that negatively affecting this industry .Due to weak economic conditions, Pakistan’s educational is encountering large budget deficits. This factor has a negative impact over Apple’s sales in the educational segment. Sales of products that include components obtained from foreign suppliers can be adversely affected by currency exchange rate fluctuations and by international trade regulations. * Social Factors Social Factors also influence the industry as different segments of the society have different buying behavior and income so it affects the overall demand of the computers. The computer and internet usage is growing worldwide and is a good source of opportunities for the computer industry. Customers has become more experienced and computer literate in our country comparing with past. Education has become a prime issue for the new  generation, which is a key factor for the company’s business. * Political and legal Political uncertainties and terrorism activities are directly impacting the overall business of the company. Energy crisis more and more taxes badly affecting the industry. For instance, when government imply 15 % sales tax it becomes difficult for the companies to manage profits. The company has to comply with the environment regulations such as environment safe disposal or recycling. * Technological As computer industry is a technology oriented industry so Technological factor greatly influence the industry as well as Apple Inc. As the technology changes it affects all the production processes, People appreciate more more advances in their systems and are switching over to new information appliances. Technology is evolving at a rapid pace now days. Internet availability and usage is growing and leads to good opportunities for the industry. The traditional desktop and tower systems might become outdated by the entrance of new revolutionary products. New technology demand is increasing by schools and professionals. Problems: * Frequent changes in strategies and top management * Apple Mac, application softwares not easily available * Premium segment; requires heavy R D costs * Operates in Niche market Five forces (porter) that apple applied. Motorola Mobility v. Apple Inc. is one of a series of ongoing lawsuits between technology companies Motorola Mobility and Apple Inc.. In the year before Apple and Samsung began suing each other on most continents, and while Apple and High Tech Computer Corp. (HTC) were already embroiled in a patent fight, Motorola Mobility and Apple started a period of intense patent litigation. The Motorola-Apple patent imbroglio commenced with claims and cross-claims between the companies for patent infringement, and encompassed multiple venues in multiple countries as each party sought friendly forums for litigating its respective claims; the fight also included administrative law rulings as well as United States International Trade Commission (ITC) and European Commission involvement.[1] In April 2012, the controversy centered on whether a FRAND license to a components manufacturer carries over to an equipment manufacturer incorporating the component into equipment, an issue not addressed in the Supreme Courts default analysis using the exhaustion doctrine in Quanta v. LG Electronics.[2] In June 2012, appellate judge Richard Posner dismissed the U.S. case with prejudice and the parties appealed the decision a month later. * - Motorola Mobilitys suits In early October 2010, Motorola Mobility filed a complaint with the ITC against Apple alleging patent infringement.[6] The complaint allegations concerned six Motorola patents, and sought remedies of a court-ordered bar on U.S. imports of infringing products, and an injunction prohibiting Apple from importing, marketing and distributing infringing products. The ITC instituted its investigation a month later and Motorola subsequently dropped its patent claims with respect to two of the six patents at issue.[7]Motorola also filed two complaints for patent infringement against Apple in the U.S. District Court for the Northern District of Illinois (Illinois Complaints), and another complaint for patent infringement against Apple in the U.S. District Court for the Southern  District of Florida (Florida Complaint). Both complaints alleged Apple infringed 18 Motorola patents. In November 2010, Motorola voluntarily dismissed the Illinois Complaints, (asserted as counterclaims in the actions brought by Apple on October 29, 2010 in the U.S. District Court for the Western District of Wisconsin). Later that November, Apple also filed counterclaims in the Southern District of Florida, alleging Motorola infringed six Apple patents in manufacturing and selling mobile devices, set-top boxes and digital video recorders.[7]Additionally, in October 2010, Motorola filed a complaint for a declaratory judgment against Apple and NeXT Software, Inc.[8] in the U.S. District Court in Delaware, seeking a ruling that Motorola did not infringe any claim of twelve patents owned by Apple and NeXT. In response, in early December 2010, Apple asserted these twelve patents against Motorola, Inc. and Motorola Mobility, Inc. in the Western District of Wisconsin and moved for a change of venue from Delaware to Wisconsin. Ulti mately, both parties patent assertions were subsequently transferred to the Northern District of Illinois. * - Apples counter-suits In late October 2010, Apple filed two complaints in the Western District of Wisconsin for patent infringement against Motorola, Inc. and Motorola Mobility, Inc..[9] The complaints alleged Motorola infringed six patents and sought money damages and an injunction. In early November 2010, Motorola filed counterclaims against Apple alleging Apple infringed twelve Motorola patents which Motorola originally asserted in the Northern District of Illinois. The Western District of Wisconsin transferred the actions to the Northern District of Illinois and trial was scheduled for June 2012 on six Apple patents and three Motorola Mobility patents. Also in late October 2010, Apple filed a complaint with the ITC for patent infringement against Motorola, Inc. and Motorola Mobility, Inc..[10] Apples complaint alleged Motorola infringed three Apple patents with Motorolas mobile devices offered in the U.S.. Apples complaint sought a court order barring imports of those devices and sought an injunction prohibiting Motorola from engaging in further activities related to the same mobile devices. The ITC began  investigation in late November 2010; in mid-January 2012, the Administrative Law Judge (ALJ) found no violation by Motorola for the three asserted Apple patents; Apple filed a petition to review the ALJs findings but the ALJ ultimately ruled for Motorola and against Apple in mid-March 2012.[11] In mid-March 2011, Apple filed counterclaims against Motorola in the ITC proceeding (which was subsequently removed to the Western District of Wisconsin court), and instituted a new action in the Western District of Wisconsin, Apple Inc. v. Motorola Mobility, Inc., alleging that Motorola breached standards commitments (see Context, below), with counterclaims including equitable estoppel, waiver, breach of contract, violation of Section 2 of the Sherman Antitrust Act, unfair competition and interference with contract. Apple sought declaratory judgments that Motorolas license terms involving standards-essential patents were unreasonable and discriminatory, that Motorola was not entitled to injunctive relief, and that Motorola committed patent misuse.[7] * - Context Components manufacturers and major patent holders such as Motorola and Samsung commit to licensing their standards essential patents to other industry participants through their participation in standard-setting organizations (SSOs), while other industry participants negotiate licenses to use those patents, including manufactures and sellers of smartphones and tablets.[12] North American technology companies treatment in the marketplace of their respective products and mobile operating systems (OSs) spans the spectrum from completely proprietary systems to open-source license systems: Apple and RIM manufacture and sell products that run on only their respective proprietary mobile OSs; Microsoft licenses its proprietary mobile OSs, (Windows Phoneand Windows Mobile), to non-affiliated wireless handset original equipment manufacturers (OEMs); and Google sponsors Android, an open-source mobile OS it distributes free to OEMs.[13] All these OSs provide platforms for software application de velopers as well as for a variety of products and services offered by  competing product manufacturers. Such products in turn rely on, and their patent holders commit to, SSOs rules for both standards essential patents disclosure and reasonable and non-discriminatory licensing (FRAND) grants for compatibility and interoperability of devices.[13] * - Further developments In March and April 2011, Motorola filed patent infringement complaints in the court in Mannheim, Germany, alleging that Apple Retail Germany GmbH, Apple Sales International, and Apple Inc. infringed three of Motorola Mobilitys patents, two of which are standards-essential patents. In December 2011 and February 2012, the court in Mannheim, Germany found that Apple products infringed two of the three Motorola Mobility patents, one standards-essential and one non-essential, and granted injunctions.[7] Between May and December 2011, Apple filed patent infringement suits in Munich, Dà ¼sseldorf and Mannheim, Germany alleging that Motorola infringed Apples utility and design patents. Apple asserted the design patents against Motorolas tablet products. In mid-February 2012, the Munich court found that a Motorola smartphone unlock feature infringed one of the Apple utility patents,[14] and granted an injunction.[7] Five days prior to the Munich court decision, Apple sued Motorola in the U.S . District Court for the Southern District of California.[15] Apples complaint sought a declaratory judgment and injunction based on an alleged breach of contract by Motorola, and alleged that Apple is a third party beneficiary under a patent licensing agreement between Motorola Mobility, Inc. and Qualcomm, Inc., and thus in reliance on that contract. Apple alleged that Motorolas rights under two patents it asserted against Apple in Germany were already exhausted under the licensing agreement and asked the court to enjoin Motorola from prosecuting and enforcing its claims against Apple in Germany. In February 2012, the European Commission, Competition Directorate-General, sent Motorola notice that the Commission received a complaint by Apple on the enforcement of Motorolas standards-essential patents against Apple, allegedly in breach of Motorolas FRAND commitments. Apples complaint sought the Commissions intervention with respect to standards-essential  patents.[7]

Managing nasogastric tube feeding and maintaining nutrition

Managing nasogastric tube feeding and maintaining nutrition Health is defined by WORLD HEALTH ORGANIZATION(WHO) as a state of complete physical, mental and social well being and not merely the absence of any disease or infirmity. Health is a positive quality which emphasizing physical, social, intellectual, emotional and spiritual well-being. Maslows hierarchy theory states that basic human needs are necessary for human survival and health. The most basic or first level include physiological needs such as air, water and food. According to Maslow, the extent to which basic needs are met is a major factor determining persons level of health. Food is anything that can be used by the body to sustain growth and bodily processes and provides energy. Each individual food has its own unique set of nutrients that meet the varying requirements of the human body. This is why it is so important to eat a wide variety of food to ensure that the body gets all the diverse and essential nutrients. Nutrients are the components of food that help to nourish the body. The basic classes of nutrients are carbohydrates, lipids(fat),protein, vitamins, minerals and water. All nutrients, both in kind and amount ,are the cornerstone of good health and provides the cutting edge for prevention of diseases. These nutrients are supplied to the body cells by gastro intestinal system. This is accomplished through the process of ingestion(taking food),digestion(breakdown of food),absorption(transfer of food product into circulation). Good nutritional status refers to the intake of a well balanced diet that supplies all the essential nutrients in right proportion to meet the requirements of the body. Such a person may be said to be receiving optimum nutrition. Optimum nutritional status can be affected by many factors such as inadequate intake of food or consuming food which contains less nutrients, food habits and economic insufficiencies etc. In sickness the ability to eat and drink adequately can get altered. The disease affecting central nervous system, gastrointestinal system and some surgical conditions can alter the patients ability to take the food through the mouth. In these conditions patients are at high risk of under nourishment. There are artificial feeding methods available to keep the risk patients free from under nutrition through enteral and parenteral feeding. When gastro intestinal tract cannot be used for the ingestion, digestion and absorption of nutrients parenteral nutrition may be substituted. Parenteral nutrition refers to the administration of nutrients by a route other than the GI tract(Blood stream). When the gastro intestinal tract is functional but patient cannot be provided with high calorie supplements orally, tube feeding can be provided with nasogastric tube, nasointestinal tube, gastrostomy and jejunostomy. A nasogastric tube is commonly used for short term feeding problems, usually ordered for a patient who has a functional GI tract but unable to take any or enough oral nourishment. Nasogastric tube feeding is a technique of giving food in patients, who are not able to swallow the food through mouth, with the help of a long soft plastic tube which is inserted through the nose via throat directly into the stomach. The history of enteral feeding goes back about 3500 years back to the ancient Greeks Egyptians, who infused nutrient requirement solutions into the rectum to treat various bowel disorders. The ancient Egyptians used reeds and animal bladders to supply patients with a mix of wine, chicken broth and raw eggs. In 1793, an early healer delivered jelly, eggs, milk, sugar and wine to a patient through a hollow whale bone covered with eel skin, which was pushed down the throat to the stomach. In 1800, Philip Phisik, a surgeon from Philadelphia, introduced the use of a stomach tube as a form of stomach pump (Paine, 1934). This was used for poisoned patients for the purpose of washing out their stomach. In the 1930s, nurses training in Australia and the United Kingdom utilized a text entitled Modern Professional Nursing (Scott, c1930). It included discussion of using a tube inserted via the nose into the stomach, apparently for the sole occasional purpose of administering bolus artificial feeding. In addition to nutrition delivery in the 1930s, nasogatric tubes also were used to relieve pressure in the stomach caused by gas and gastrointestinal secretions (decompression). Today nasogastric tube feeding is a very common procedure seen in the medical and surgical units of the hospitals. The tube is made of superior plastics like polyethylene, polyvinyl or polyurethane (Clevenger Rodriguez, 1995).This tube is inserted through the nose or mouth and placed directly into the stomach. The need of tube feeding includes delivery of nutrition, administration of medicines, gastric irrigation, and gastric decompression before and after surgery or intestinal obstruction . Patients with nasogastric tubes currently receive care in a wide variety of settings, such as intensive medical and surgical care units, emergency rooms, , general and specialized acute and chronic care areas, extended health care facilities, and home care settings(Susan C Dewit,2006). . The feed provided through the nasogastric tube should be in liquid or semi-liquid form and given in room or body temperature. Blenderized foods from a normal diet or commercial formulas are usually provided. Feedings are administered by gravity drip method or by feeding pump or by intermittent feeding. A maximum amount of 300-400 ml of feed can be provided at a time delivered at an interval of 2-3 hrs depending upon the patients tolerance and physicians advice..A variety of feeds should be provided though nasogastric tube in order to ensure the optimum nutritional status. Caring of the patients receiving nasogastric tube feeding is a major nursing responsibility that entails a number of interventions like delivering feeds, assessing correct placement of the tube, maintaining the tubes patency, ensuring adequate nutrition, securing the tube in place, and meeting patient comfort and other basic needs. The weight of the patient should be checked daily and maintain an accurate intake and output record. Blood glucose level also should monitored at definite intervals. When the patient is in a long term feeding maintaining the nutrition and general health is an important and nurses responsibility. In order to maintain the nutritional status the nurse should calculate patients requirements and select diet accordingly. Emma L(1983) points out enteral feeding is associated with greater risk of complications, around 11.7%.Her study reveals that tube-related complications are common in patients receiving long-term home enteral nutrition. Even though different feeding modalities are available, unfortunately no method of enteral feeding is risk free. aspiration pneumonia, high gastric residuals ,constipation ,diarrhea, abdominal distention, vomiting, regurgitation, erosion of esophageal, nasal and oropharyngeal mucosa and infection are the complications of tube feeding. Initially only nurses were carried out this procedure .However, over years caregivers of the patient are also involved in feeding the patient through the tube. Now the responsibility of feeding the patient through the tube is shared by the caregivers both in hospital and home settings. Since the family members are also involved in feeding patients they should be instructed about feeding, importance of nutritious diet, signs and symptoms and importance of reporting them to the doctor or nurse. Ellet.M L, A. States enteral feeding is desirable because it allows better use of nutrients, is safer, and more cost effective than parenteral nutrition. Tube feeding permits maintenance of tissue metabolism even though patient cannot ingest anything through mouth. The potential advantage of tube feeding includes providing nourishment to the patient prolonging life and enhancing comfort and quality of life(WONG 2002).Current scenario shows enteral tube feeding is a common medical procedure in many of the hospital, long term and home care setting. NEED OF THE STUDY . Managing nasogastric tube feeding and maintaining the nutrition are a nurses responsibility. Initially only nurses were carried out this procedure but over years caregivers of the patient also shared the responsibility of feeding the patient through the tube .Now Family members are participating in feeding the patient through N.G Tube both hospital and home settings. Caregivers involving in feeding is a good aspect of patient care but when they are involved they should be properly trained and educated. But in many settings the caregivers are feeding the patient without proper understanding about it. Researcher also observed the faulty feeding techniques of the caregivers while he was working in the medical and surgical departments. Even though no complications were reported so far, the patients are at high risk of getting complications. STATEMENT A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING ON KNOWLEDGE AND TECHNIQUES OF NASOGASTRIC TUBE FEEDING BY THE CAREGIVERS OF PATIENTS RECEIVING TUBE FEEDING IN A SELECTED HOSPITAL AT ALAPPUZHA,KERALA SPECIFIC OBJECTIVE 1)To assess and compare the level of knowledge regarding nasogastric feeding, between control and experimental group before and after intervention. .2)Assess and compare the degree of technique of nasogastric tube feeding between control and experimental group before and after intervention. 3)To associate the selected demographic variables(age, education, occupation and source of instruction) with knowledge and techniques of feeding among experimental group. AIM OF THE STUDY The aim of the study is to evaluate whether structured teaching about NG tube feeding made any difference in the knowledge and techniques of caregivers in feeding patients through nasogastric tube compared to those who did not receive the structured teaching. HYPOTHESIS There will be a significant difference between experimental and control group of caregivers with regard to the knowledge and technique of nasogastric tube feeding. SUB HYPOTHESIS H1-There will be a significant difference in the mean knowledge score on tube feeding among caregivers of the experimental and control group after the intervention and no significant difference before intervention. H2- There will be a significant difference in the scores of techniques of feeding between the control and experimental group after intervention and no difference before intervention. OPERATIONAL DEFINITION EFFECTIVENESS : In this study effectiveness refers to the knowledge gained by the caregiver as a result of selected aspect of nasogastric tube feeding and the ability to carry out the tube feeding with correct technique. KNOWLEDGE : knowledge refers to ideas, information, factual knowledge held by a person from various sources. In this study knowledge refers to the factual information gained by the participants regarding naogastric tube feeding through the teaching learning experience which is assessed by using structured interview schedule. TECHNIQUE Technique is the way of carrying out an activity step by step and systematically .In this study technique refers to the correct method of carrying out N.G Tube feeding with the proper application of scientific principles of tube feeding STRUCTURED TEACHING Structured teaching refers to planned events, series of studies lectures with a view to improve knowledge. In this study it refers to a formal instruction which is preplanned with definite, objectives, contents, teaching, learning experience and AV aids to impart essential knowledge on tube feeding and how to give feeding safely to the patients. CAREGIVERS Caregivers are the relatives of the patients who stay with the patient most of the time and participates in patient care including feeding patients through nasal tube and assume responsibilities in the patient care activities NASOGASTRIC TUBE FEEDING Naogastric tube feeding is a method of giving nourishment to patients who were not able to swallow the food through mouth by the help of along soft plastic tube which is inserted through the nose via throat directly into the stomach ASSUMPTIONS N.G Tube feeding is a very prevalent and common procedure in both inpatient and home settings. Patients relatives are also participating in feeding the patient. The relatives are carrying out the procedure with or without adequate knowledge, training, and supervision regarding nasogastric tube feeding and hence this leads to a lot of negative effects on the relative-dependent patient. LIMITATION The study is conducted in only one hospital. So the result cannot be generalized. Because of the restrictions from the hospital and due to limitations owing to age parameters, the sample may not be a representative one. For an education programme to be effective, continuous follow-up is essential. But in this instance, due to limited time availability, it may not be possible. DELIMITTION The study is delimited to, Three observations. Only one hospital. An age group of 20-60yrs. SCOPE OF STUDY Through this study the researcher can determine the knowledge and techniques of the caregivers about nasogastric tube feeding by assessing the awareness of tube feeding in different aspects. Areas of less knowledge can be focused. The understanding about the proper knowledge and technique of tube feeding will help them to provide feeding by using correct techniques , avoid potential complications and promote patients safety. These findings will help the health care providers to give necessary attention to provide adequate training to the relatives of the patients who need to feed through nasogastric tube both in home and hospital settings. RESEARCH FRAMEWORK A frame work is the building block of a theory, describing mental image of a phenomena which can be abstract or concrete. A theory is a set of interrelated concepts, adapted for a scientific purpose, definitions and propositions, that present a systematic view of phenomena by specifying relations among variables with the purpose of explaining predicting the phenomena (Kerlinger 1986). A conceptual framework provides structural foundation to the research study which provides rationale for predictions about relationship among the variables in the study. Conceptual framework forms the base for observations, definitions of concepts, research design, interpretation etc. Conceptual framework gives meaning to the problem and study findings by summarizing existing knowledge in field of inquiry and identifying linkage between concepts. For this study the Conceptual framework followed is nursing process model based on Dorothy.E.jhonsons behavioural system theory(1980).The study focus on assessing the effectiveness of providing structured teaching programme on the knowledge and techniques of nasogastric tube feeding among the caregivers of the patient. According to Jhonson, nursing views the individual as a set of interconnected or independent parts functioning as an integrated whole. Humans seek experiences that may disturb balance and require behavior modifications to re-establish balance. The behavioral system are essential and reflect adaptations that are successful. Jhonson identified seven sub systems. The sub systems are affiliative,aggressive,dependency,eliminative,ingestive,restorative and sexual. These sub systems carryout special function for the system as a whole. Disturbances in any subsystem usually affects the other. The steps of the nursing process is incorporated with Dorothy Jhonsons behavioural system model. Nursing process is a deliberate activity where the practice of nursing is performed in a systematic order. Dorothy Jhonson presents a three step nursing process. The steps are entitled nursing diagnosis which is parallel to the assessment and diagnostic phase ,the second step nursing goal equals the implement ation and third step is evaluation. This study focuses on the caregivers of the patient and the dependency subsystems. Assessment Assessment is the process of collecting data regarding each sub-system. In this study assessment was done in the dependency subsystem. Data on the demographic characteristics of the caregivers(age, sex, education, occupation, experience in feeding, instructions and source of instructions received on tube feeding) were collected. The knowledge of caregivers regarding various aspect of nasogastric tube feeding were assessed by an interview schedule and an observational Check list was used to assess the technique of feeding. Diagnosis Through assessment of the subsystem problems are identified and diagnosed which provide the basis for intervention. In this study the datas were collected through observational Check list and interview schedule was analyzed and the diagnosis was made on knowledge and technique of caregivers and categorized into excellent, good, average and poor. Nursing goals(planning) After diagnosis is made the goal is to maintain or restore the dependency subsystem balance and stability through planning interventions. In this study the goal was to improve the caregivers level of knowledge and technique of tube feeding. Intervention Nursing activity as an external regulatory force assists the person to regain equilibrium. Based on diagnosis, nursing actions can be planned in terms of teaching or providing resources needed. In this study the nursing activity was a structured teaching including demonstration on different aspects of tube feeding. Evaluation Evaluation refers to reassessment the subsystem which is identified as problematic for balance previously. In this study the investigator compared knowledge and technique of experimental group with control group by using criteria and evaluated the effectiveness of the intervention. Figure-1 High lights the conceptual framework on modified nursing process based on Dorothy.E.Jhonsons behavioural system model Implementation Evaluation No changes seen in the level of knowledge and technique. Patients at high risk of getting complications -Caregivers demonstrate improved levels of knowledge and techniques of feeding. -patient less risk of getting complications Control group -No teaching programmes. experimental group -A Structured teaching regarding ding different aspects of tube feeding and demonstration of the technique of tube feeding Assessment Diagnosis goal FIGURE 1. MODIFIED NURSING PROCESS BASED ON DOROTHY JHONSONS BEHAVIOURAL SYSTEM MODEL(1980) Improve the caregivers level of knowledge and technique of tube feeding Level of knowledge and techniques of tube feeding -excellent -good -average -poor Caregivers demographic variables -Age -Sex -Education -Occupation -Experience in feeding -instruction and supervision received -source of instruction -attitude -Lack of seriousness -Fear and anxiety

Freudian Analysis of Marigolds Essay -- Marigolds

Freudian Analysis of Marigolds  Ã‚   Most of the time there is a moment in life where one realizes they have lost all innocence and gained some compassion.   â€Å"Marigolds† shows how one young girl transferred from a child to young adult through her life experiences.   Throughout this story another young, but at the same time old in her prime, lady’s experiences are revealed:   the author’s.   In this short story, â€Å"Marigolds,† Eugenia Collier’s subconscious is unmasked through symbolism, diction, and Lizabeth’s actions. In the beginning, the author explains how this young girl, Lizabeth, lived in the culturally deprived neighborhood during the depression.   Lizabeth is at the age where she is just beginning to become a young woman and is almost ready to give up her childish ways.   Through this time period she was confused and could not quite understand what was happening to her.   In the end she rips Miss Lottie’s marigolds among the ugly place in which she lived.   The marigolds were the only things that make the place a bit beautiful to the eye.   In this scene the marigolds represent the only hope the people had for themselves in this time of depression.   This could reveal how the author has experienced a loss of hope in times of need.   In her explanation of how Lizabeth had torn up the flowers and destroyed all hope in that time of depression, might explain that she has also destroyed hope in a time of pain and grief.   Later she writes, â€Å"And I too have planted ma rigolds.†Ã‚   This could mean she has learned from her experiences and that she has finally found hope and always tries to seek the good within the bad and the ugly.   On another note, it could mean she just wants to act out on something, but she can’t, so she writes about her... ...her and even her mother because she says â€Å"†¦nor did I notice my mother’s absence, for she always worked until well into the evening.†Ã‚   Since she had Lizabeth go to her brother instead of her parents, it may have described the way she dealt with her problems.   Not wanting to go to her parents for help.   As one can see, the actions of Lizabeth can tell a lot about the author. Finally, the impact of harsh times during the depression affected Eugenia Collier considerably.   Through that experience she did grow up and made a realization that may have taken others a very long time to conceive.   I did learn more about the author just by reading what she had to say through â€Å"Marigolds.†Ã‚   The symbolism, diction, and Lizabeth’s actions and reactions to things helped to reveal her subconscious and could make one aware of the difficulties and hardships during this era.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  

Defining Good Advice :: Definition Essays

Defining Good Advice What is good advice? As Rosymar stated, "Good advice is general, specific, and a helpful idea that could transmit confidence and security, usually, we get it from someone we trust." Good advice, to me, is some help in life that comes from a person that the advisee trusts. Advice is good when it is given thoughtfully to a person. It has to be from the heart, not just said for the sake of being said. Generally, good advice has to come from experience. I can't tell a friend that I understand a situation if I have never experienced it myself. Although, the advisor won't know everything about anything, with the advisors' experience, reliable advice should be given. I have found and observed that the best advice is given from someone that knows what it feels like to be in the same position. Otherwise, the advisor is just guessing as to what the right way to solve the problem. How does good advice work? Good advice is only found useful if it relates to the situation. Take road signs for example. A "watch for moose" sign wouldn't be placed in the middle of Los Angles. It is not right because (I am assuming) there aren't enough moose in Los Angles that people need to be careful while driving. The advice may be used later on in life, though, just as long as it applies. It also works when it is not forced on the advisee. The final result from the pressure is the advisee feeling rotten for the way he/she handled the situation. The only way the advisee will learn from the experience is if he/she decides which part if any to be used them selves. Advice doesn't work if it is not truthful. The advisee would not be asking the advisor for advice if a truthful, helpful, and understanding response wasn't expected. If the advisee respects the advisor enough to ask for help, the advisor should respect the advisee enough to give honest advice. I agree with the notion that good advice and good writing are connected. Language can be written or spoken, so I think that it is language and good advice that are connected. The language influences the way that a person interprets the message. If the advice is truthful and doesn't 'beat around the bush' it is more effective.

Terms :: essays research papers

Mesh, Bus, Ring, and Star are all types of a topology. Each of these types of topology is used for specific network’s but some networks can uses any combination of the four. A mesh topology has each station connected to the others. This network is more difficult to set up but provides a great deal of performance and reliability. In a Mesh network if a segment of the network is broken, then the packet being sent will find an alternate route to its destination. Mesh are used in Wide Area Networks (WANs) where reliability is important, this is used were the network is small. A bus network has a single cable that is the backbone of the system. Ethernet bus networks are relatively easy to install and do not require much cabling. Bus networks work best with a limited number of devices because if a cable fails the entire network effectively becomes unusable. Ring topologies, all the devices on the network are connected to a common cable, which loops from device to device. Ring netwo rks are implement in SONET and FDDI rings. Ring networks are very fast and simple network, however if any part of the ring goes down, the entire network is down. Star topology, each device has its own cable connecting the device to a common hub. The hub that is the central connection point of the network. A failure of a cable will only take down one device in the network and not the entire network but if the hub goes down the entire network is down. Star networks are easy to implement and extend, even in large networks, and failure of a non-central device will not have major effects on the functionality of the network. This is way many companies use Star networks. Topologies remain an important part of network design. With the understanding of each type of topology, any one can design and build their own netwok Ethernet, Token Ring, FDDI, and wireless are all types of protocol. These are a set of rules that govern the communication between devices on the network. Ethernet is a protocol is the mostly widely used. The devices listen to the cable before sending anything through the network. Ethernet uses a bus or star topology and data transfer rates of 10 Mbps (10Base-T Ethernet), 100 Base-T (Fast Ethernet) and 1 gigabit (Gigabit Ethernet). Token Ring, all devices are connected in a ring or star topology where one bit or token is passing scheme, this to prevent the collision of data between two devices that want to send messages at the same time.

Misconception of Religion

Ryan Wood Alicia Alexander Eng. 131 2, November 2010 Misconception of Religion in â€Å"The Gospel According to Mark† and â€Å"A Very Old Man with Enormous Wings. † In the two short stories both authors, Jorge Luis Borges in â€Å"The Gospel According to Mark† and Gabriel Garcia Marquez in â€Å"A Very Old Man with Enormous Wings† use religion as examples on how different individuals use and believe in it. As we read the story’s we will see how religion is sometimes misconceived and misinterpreted by people so they can benefit in their own personal lives, and personal well-being.In the stories both characters are seemed to be looked at as maybe something they are not. This will lead us to the misconception and misunderstanding that people have on religion and beliefs. In the short story â€Å"The Gospel According to Mark† the main character Baltasar Espinosa is seemed to be looked at like a God by a family that does not know much about relig ion or the Bible. The Gutres are a small family that seems to be looking for a religious figure they can believe in since they do not understand religious beliefs. In â€Å"A Very Old Man with Enormous Wings† Pelayo and his wife Elisenda find an old man with wings in front of their house.They believe he could be an angel and decide to lock him inside a chicken coup. They believe he could be there for their sick child but at first there not quite sure. As the two stories evolve we will see how both families use Baltasar Espinosa, and the Old Man to gain advantages in their own lives. In Marquez story, â€Å"A Very Old Man with Enormous Wings† we see an example of how Elisenda starts using the Old Man to reap personal benefits. The narrator says, â€Å"Elisenda, her spine all twisted from sweeping up so much marketplace trash, then got the idea of fencing in the yard and charging five cents admission to see the angel† (354).As we read Borges story, â€Å"The Gosp el According to Mark† the narrator says, â€Å"The next day began like all the others, except that the father spoke to Espinosa to ask whether Christ had allowed himself to be killed in order to save all mankind† (347). Later we find out that the family decides to crucify Espinosa because they might believe him to be a spiritual character and it could benefit the family in some way. They also find out that something has happened between Espinosa and the daughter. In both stories there seems to be a religious character there to help both families in some sort of way.In â€Å"The Gospel According to Mark† the family seems like they take to Espinosa and follow him and learn from him. Where in â€Å"A Very Old Man with Enormous Wings† the family is not sure of him and decides not to take the Old Man in and learn his reasons for being there. â€Å"Pelayo watched over him all afternoon from the kitchen, armed with his bailiff’s club, and before going to bed he dragged him out of the mud and locked him up with the hens in the wire chicken coop† (353). Instead of trying to figure out why he was there, they were more afraid of him and worried about what he could be.In Borges story, â€Å"The Gospel according to Mark† the narrator says, â€Å"The move brought Espinosa and the Gutres closer, and they began to eat together in the large dining room† (345). As both stories evolve we see some contrast in the two families even though religion is a constant topic. Both stories have similar meaning to them, but both authors use religion and religious beliefs in different ways. As the two stories come to an end we see that both families lose their perception on what they were focusing on throughout the stories.In â€Å"A Gospel According to Mark† the family decides to kill the religious figure that has been teaching them the Gospel. This has irony because the Bible strictly talks about death and murder, even though th e family seems upset about what Espinosa has done to the daughter. The narrator says, â€Å"There was no roof on the shed; they had torn down the roof beams to build the Cross† (348). In â€Å"A Very Old Man with Enormous Wings† Elisenda is relieved more than happy when she sees the Old Man fly away.This has irony as well because they used him to make money and benefit in their own life. After they used him, she feels happy that he is gone and is no longer a nuisance. The narrator states, â€Å"Elisenda let out a sigh of relief, for herself and him, when she saw him pass over the last houses, holding himself up in some way with the risky flapping of a senile vulture† (357). The conclusion to the stories is religion can be used positively or negatively depending on who the person is and what their intentions are.