Wednesday, May 6, 2020
My Favourite Pet Free Essays
My new pet is a dog. They are so loving, caring and a true friend. My little dog, Jingle, is a living example of what love is all about and he is my little treasure and holds a special place in my heart. We will write a custom essay sample on My Favourite Pet or any similar topic only for you Order Now Where in this world could you find a friend who is more faithful and pure of heart? I always know that when I get home, I have a friend waiting there for me. After a long day, it is always nice to be greeted by my trusting friend with the wagging tail. His little eyes seem to sparkle like a diamond and his loving ways can soothe a weary heart. A dogââ¬â¢s love is unselfish, pure, and so true. No finer friend could a person have than the love of a little dog. Little Jingle gives me great joy as he is an inspiration to me as he brings a smile to my face and a song to my heart. In the spring and summer when the weather is nice, we go for long walks and smell the flowers and the leaves along the woodlandââ¬â¢s edge. He is a gentle little dog with a loud bark, though his bark is worse than his bite. Jingleââ¬â¢s love is as radiant as the summer sun and as pure as the morning dew. He is my ray of sunshine, even on a cloudy day as he puts my mind at ease. My little Jingle teaches me to be patient and to care. As his little eyes show me the true meaning of love and of what is important in life. In this hectic world of stress and strain, it is nice to have loyal and trusting friend who would give their life for you, if need be. How to cite My Favourite Pet, Papers
Saturday, May 2, 2020
Good sales experience/Bad sales experience free essay sample
Unpleasant sales/customer service experience description and facts: I remember a Friday afternoon my husband and I trying to get an electronics representative at Wal-Mart that, we were waiting on someone that can actually speak some technology, and when we finally got an employee to assists us, he got the area nodding his head like anticipating that he was not doing anything at all, I explained was I was looking for and I gave him the details, he seemed to be tired and answer me in monosyllabs. After all the struggle he showed us something similar but not hat we were looking for, we asked more questions and the sales representative got frustrated and told us to look for it at another retailer. We return home with a sour flavor in the throat after that experience. Very pleasant sales/customer service experience description and facts: A great customer service experience was at Sawgrass Mall I stopped by an small business promoting hair products the girl greeted me within a minute and she approached me with an smile, introduced herself and started to ask questions about my hair and hat I do to take care of it. We will write a custom essay sample on Good sales experience/Bad sales experience or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page After few minutes we were engaged in an information exchange about hair products and gadgets. Long story short I ended up spending almost $ 400 at that store Just because the sales person asked the right questions and recommended the right products, no regrets products were great and appropriate to my hairstyle and lifestyle as well. Comments; When it comes to bad customer services experience the one that I described above it is how employees are not well trained in sales, and thats why they are not willing to hare treat customers in the way customers can consider the visit a good experience. Customers that are mistreated usually dont come back and spread the word of what it feels like to be a customer at the establishment, and maximize the factors contributing to a bad experience. Unsatisfied customers most likely they will explain the problem to several people, and word of mouth is very bad advertising. I realized that poor training and low salaries in the sales/customer service field leads to: The erson I dealt with was unpleasant. My problem took too long to resolve The problem was never resolved When the proper training and options in place, sales/services pros can deliver more experiences like a customers will describe as ideal. Identifying factors involved in a good sales/customer service experience: The problem was resolved quickly (She sold me a lot of products) The person who helped me was pleasant and very knoeledgeable. The person asked the right questions in one interaction, there was o passing around to multiple people. The outcome was what I was not expecting because I Just got attracted to a display showing some hair ironing tools. I have been working in the sales and customer service field for more than 10 years and Im always encouraging my crew to go above and beyond expectations to give excellent customer service and based on that maintain they sales level really high. I will continue educating myself to teach others the same tools that I have been granted through training and experience.
Monday, March 23, 2020
National spending for long
The number of the Americans who need long-term care is nearly 10 million. Long-term care refers to the aids given to those people incapacitated by poor health, disability, or old-age among other provisions. Such people demand special assistance for them to perform basic and routine activities in their daily lives.Advertising We will write a custom essay sample on National spending for long-term care specifically for you for only $16.05 $11/page Learn More These incorporate bathing, movements, preparation of meals, and medical therapies among others. It is evident that most of such people attain free assistance from friends, families, and other dedicated relatives. Nonetheless, the government (both state and federal) has established various programs meant to provide the alleged long-term care. There is a considerable spending for specialized long-term care services. These incorporate nursing services, domestic care, and supported living services. It is cr ucial to consider such factors in the context of healthcare provisions. Long-term care is expensive for individuals with extensive needs. As at 2006, the annual cost for a private room in a nursing home neared US$70,900. Concurrently, the pay per hour for a home health averaged US$25. This indicates how such services have become expensive in the American context. These figures translate to $36,500 and $33,300 base rates annually for a four hour home care and private room services respectively. Precisely, the country spent US$194 on long-term care with the nursing home care registering a considerable portion. Medicaid is one of the prominent financiers of the long-term care. As at 2004, it accounted for nearly 49% of the total funding. Medicaid cares for poor individuals who meet up the eligibility standards. Each state is obligated to govern its own Medicaid programs; however, funding emanates from both the federal and state governments. Each state expects Medicaid to provide nursin g home care as well as home health care for the eligible individuals. These incorporate medical provisions and therapy services. Nevertheless, any state might include personal care in its Medicaid programs. Additionally, all states presently provide home and community-based services in a program that promotes services to a specific and limited number of residents. DRA (an act) allows states to finance home as well as community-based services. Concurrently, the Medicaid spending on non-institutional care is growing tremendously. Conversely, Medicare program is intentioned to provide health indemnity/cover to individuals aged 65 and above as well as people with disabilities in this context.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More In 2004, Medicare funded 19% of national long-term care expenses. Medicare is not designated to fund long-term care services; nonetheless, it grants minimal pay to the mentioned services. In a skilled nursing facility, Medicare pays fully for the initial 20 days and partially in the subsequent 80 days. Additionally, it also funds home health care for homebound individuals demanding amateur professional nursing and therapy services. Nearly 19% ($37 billion) of the total cost of the long-term care expenditures was funded by ââ¬ËOut-of-Pocket Spendingââ¬â¢ in 2004. Families of individuals with long-term care needs assume crucial roles in this context. This is true since most of these needy individuals (nearly 83% in 2000) attained their aids in community-based settings where family members contributed significantly. Private insurance institutions equally funded 7% (US$9 billion) of the total cost. Private insurance sector also finances minimal amount of nursing and home care services. In 2002, insurers paid around US$1.4 billion on claims. Other sources (private/public) registered nearly 6% of the total in 2004. On policy issues, it is crucial to agree that numerous individuals needing long-term care have no insurance indemnities due to poverty. Nonetheless, Medicaid and other organs spend considerably on institutional care compared to home/community-based cares. This essay on National spending for long-term care was written and submitted by user Emmitt B. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Friday, March 6, 2020
The Influences That Parents Have On Their Children essays
The Influences That Parents Have On Their Children essays The Influences That Parents Have On Their Children Influence is a word that can explain many things in todays world. Influence explains why people do the things they do. A childs influence on how he/she perceives life will stay with them for the rest of his/her life. But a more important question to ask is where does that influence come. Does it come from the parents of that child or does it come from that childs peer group. Although children are influenced from the outside world, ultimately a child learns right from wrong, good from bad, love and caring from their parents. I hope to prove to you, the reader, that influence, does in fact, come from the parents more than what people think. First, we must talk about the influence that comes genetically. The parents DNA already have influenced a child from birth. The child can be shy, outgoing, perceptive, or absent-minded, but those characteristics will be shown later in the childs lifetime. If you look at a family, you can tell what types of characteristics the children have. Then you can ask the parents who in their family have those same traits. I am sure that the parents can think of someone in their family, if not them self, to answer that question. What about the influence a child receives after birth, if any, from their parents. Right after birth takes place, the mother typically shows the child love by holding the baby, kissing it, singing it to bed, etc. Showing a child love from the day the child is born and continuously throughout childhood, will have a better positive effect on the child later in their own life. Judith Rich Harris, in her book The Nurture Assumption: Why Children Turn Out the Way They Do; Parents Matter Less The You Think and Peers Matter More believes that the love a parent gives has no effect on the child later in life. So far, to this day, studies show that if a parent show love and support towards ...
Tuesday, February 18, 2020
Affects of Combat PTSD on Sexual Intimacy Research Paper
Affects of Combat PTSD on Sexual Intimacy - Research Paper Example The ââ¬Å"suffering in silenceâ⬠can never be studied and seen in the limelight until a pure study based on survey and facts is carried out. The main intention of the article is to have a deep insight into the problems many couples have to face because of the physical and emotional injuries of the home coming, apparently safe yet internally and emotionally damaged soldiers. The article will be compare and contrast two main studies in which different cases of à ââ¬Ëposttraumatic stress disorder (PTSD) hit soldiersââ¬â¢ are discussed with studied facts and figures; then the results will be deduced based on the contextual analysis of the real time happenings and events. First source The first source is titled as ââ¬Å"Sexual Functioning in War Veterans with Posttraumatic Stress Disorderâ⬠authored by Vesna Anticevic and Dolores Britvic published in August 2008, in Croatian medical journal, which is an open literary journal which invites the medics and health experts from all over the world to write experts reports and articles on diverse health related issues and their solutions. Croatian medical journal is fully indexed and reviewed by CC/CM, Index Medicus/MEDLINE, Biosis, Excerpta Medica and ExtraMED (Hrcak, 2011). The addressed article focuses on studying the posttraumatic stress disorder (PTSD) in the war veterans that have come from different war zones. The goal of the study is to find out the ratio of the posttraumatic stress disorder (PTSD) among the soldiers who stay away from their wives for a extended period of time and then return home after suffering many war injuries, emotional damages and brutal live imagery in their experiences in the war field. The method of study was observatory; one in which primarily a group of 101 war veterans with PTSD participated. The other group was 55 control volunteers which were healthy in the perspective of sexual functioning and mental stability receiving outpatient health care in different facultie s. The two groups were studied and observed under different supervisory committees of doctors and the observed results were documented later on (NCBI, 2008). During the study, different health determinants and variables were analyzed in order to deduce the results; for example the rate of masturbation, sexual inter-course, ratio of premature ejaculation, erectile dysfunctional problems, antidepressant intakes, sexual fantasies, sexual activities and mental participation of soldiers and volunteers in sex were analyzed and recorded. Based on close observation and keen analysis of the two groups, the results depicted that war veterans with posttraumatic stress disorder had erectile dysfunction problems along with sexual inactivity and hypoactive sexual desires. On the other hand, these problems were present in a much depleted way in the control group which was of healthy control volunteers. Second Source The second article is titled as ââ¬Å"DoD studies intimacy issues among combat ve tsâ⬠which focuses on the sexual activity problems with the war veterans. The intent of the report is to highlight the fact that the life of the soldiers who have come home safely after serving in the war zone is not always that easy as it might look apparently. The report illustrates the real story of different couples and how they have been facing different problems in bed and intimacy in the post war scenario. Many soldiers
Monday, February 3, 2020
Marketing Plan Essay Example | Topics and Well Written Essays - 3000 words - 3
Marketing Plan - Essay Example General Motors (GM) is a USA based organization that started its business 100 years back in 1908. It is 18th largest business corporate entity in the world having assembly plants in more than 30 countries across the globe. It has sales network of cars and trucks in around 140 countries. It provides direct employment to over 200,000 personnel. Whereas, a majority of people are indirectly associated with its dealers and GMAC, which provides insurance and financial services to the suppliers, distributors, private and commercial customers of General Motors. It is operational in North America, Asia-Pacific, Europe, Latin America, Africa and Middle East. The major European countries where General Motors has strong sales network are Britain, Germany, Italy, Belgium, Luxembourg, Netherlands, Poland, Russia, Turkey, France, Spain and Ukraine. Chevrolet, Cadillac, GM Daewoo, Buick, ââ¬Å"Opel, Vauxhall and Saab (Europe), Saturn, Hummer, Pontiac, Wuling and Holden are among the major brands th at Company is offering to its clients. In Europe, GM has been offering Saab in Sweden, whereas it offers Opel and Vauxhall brands in France, Germany, Italy, Great Britain and others. As far as GMââ¬â¢s strategic situation is concerned, it must be highlighted that GM previously planned to sell its European Operations in 2009 after huge losses it incurred due to uncertain business conditions but then rejected the offers of some buyers or corporations such as ââ¬ËMagnaââ¬â¢ that were interested in purchasing General Motors majority stake. Since then the company has performed relatively better (Companyââ¬â¢s report, 2009) As revealed by the managers at General Motors, the automobile manufacturer has a vision to produce top quality premium products for its different market segments all across the world. The company has a mission to sustain its market share by constant innovation and development and to get the most out of available business opportunities in home
Sunday, January 26, 2020
Communication Strategies for Therapeutic Relationships
Communication Strategies for Therapeutic Relationships This reflective essay aims to refresh critique and develop existing knowledge and understanding of communication techniques and how these transferable skills and approaches can build therapeutic relationships with a patient that lies within the scope of professional boundaries. This essay identifies in a role play video clip the different approaches to building therapeutic relationships and traces the barriers that prevent the nurses from engaging in such a relationship. In addition to the above, it offers an analysis of both vignettes critically reflecting on their therapeutic skills and approaches. It will draw in on my own personal experience from clinical practice and the skills developed with the assistance of Bortons reflective model. It is indispensable that nurses caring for children, adolescents, adults and their families develop and maintain effective communication techniques as it makes it central to the provision of compassionate, trusting and collaborative therapeutic relationships. Reflecting and critiquing can be viewed as an in-depth examination reviewing an experience so each stage can be described, explored, assessed and be accordingly used to inform and change future practice. Evaluating the main communication skills and approaches to building therapeutic relationships identified in the video, it is clear to distinguish between who is a good nurse and who is not. The nurses in the video should serve as client advocates and as part of an interdisciplinary team whose members may have different ideas about priorities of care. The techniques used by the first nurse were poor and her approach created a stressful relationship between nurse and patient. In the beginning, the nurse doesnt offer any form of re cognition which is easy to criticize as acknowledging the patient and indicating awareness of change would have shown that the nurse saw Mrs. Miller as an individual. Giving information such as Hello, My name is can build trust which is key in later on forming a therapeutic relationship and building a better rapport. Mrs. Miller was really uncomfortable as she was left unattended too all night. The nurse exhibited non- accepting gestures such as rolling her eyes and not maintaining eye contact. Non-accepting gestures can create barriers between nurse and patient as it can imply to them that the nurse does not have a genuine interest in their requests and make them feel like the nurse is rejecting not only their communication but also themselves. If she had expressed an accepting gesture towards Mrs. Miller it would have conveyed that the nurse recognised and empathised with her whilst simultaneously following the train of thought. Examples of this include head nodding, eye contact, and non-judgemental facial expressions. A critical component in therapeutic nursing is active listening. The nurse does not fulfill this useful technique as she and the patient seem to continuously talk over each other. When actively listening, a nurse can hear and understand what the patient is saying, which more impo rtantly allows for the proper interpretation and translation of what the patients expressing. Silence can enable this as it allows for the patient to focus on the issues that are of most importance and it encourages the person to put thoughts and feeling into words only if the nurse is listening passively and attentively. A client and nurse relationship can be characterised as a partnership where both work together to improve the patient health status and fulfil purposeful objectives where they agree about the nature of the problem, develop and implement a plan designed to reach the objectives which in this case is a comfort and pain relief. Reflecting on the dos and donts in the video, the nurse shouldnt have procrastinated the patients reasonable request. As a nurse, she didnt offer herself to help or seem interested in what the person thought. A positive outcome in developing their relationship could have occurred if she had offered her full attention, interest, and desire to understand, without demanding anything from Mrs. Miller, leaving the offer unconditional. When Mrs. Miller expressed I didnt sleep all night and I kept buzzing the buzzer and the nurse would not come in, the nurse didnt refrain from showing a negative response as she immediately crossed her arms and said, Well youre not the on ly patient I have today. This is a very defensive and judgemental gesture. Research shows that being defensive prevents the patient from expressing their true concerns and it is a failure in considering the patients feelings whilst also making them feel as if they need to defend a position, all while the nurse is just protecting herself from weakness. A therapeutic connection between the nurse and Mrs. Miller in the first vignette did not form as the development of their relationship for the nurse proved a challenge and it seemed she does not have the skills to cope with difficult reactions from her patients. Each experience linking nurse and patient whether short or extended is an opportunity for healing. Evaluating the second episode for different therapeutic techniques and communication barriers, it was straightforward to highlight the experiences and interactions that enhanced the development of this nurse and Mrs. Millers relationship. In the beginning of the vignette, the nurse acknowledged the patient by giving recognition i.e. Mrs. Miller, you were resting. I didnt want to disturb you. You can see that respect for this nurse is crucial to the care and quality of a patients experience, where each component of the person is recognised and valued. Almost immediately the nurse sits down offering herself and giving her presence, interest, and desire to understand. The nurse actively listens to Mrs. Miller and indicates an accepting response without inserting her own values or judgements. Listening is a difficult skill as it requires you to eliminate any external noise and focus your at tention on all the verbal and non-verbal messages. Mrs. Miller states how she has a biopsy procedure to get done and the nurse effectively plays the role of a functioning resource person by making the information available to her which increased her knowledge of the biopsy procedure and prepared her for what to expect, i.e. They will put you to sleep with anaesthesia. This seemed to enhance the wholeness and wellbeing of Mrs. Miller and facilitate in building trust between nurse and patient. Feeling as if she has someone to confide in, Mrs. Miller described an experience she had with a nurse on the night shift as rude and awful and when she would come in, she would just stick her head in and leave. The nurse passively listens, a skill which involves being present non-verbally, maintaining eye contact whilst head nodding and then she actively listens by reflecting and directing questions back to Mrs. Miller by restating what she had said so you felt like you werent cared for?. This a pproach conveys to Mrs. Miller that the nurse has listened and understood what the clients basic message was whilst also allowing for her to get a clearer idea of what she has said. After Mrs. Miller revealed her ordeal in the hospital during the night, the nurse showed compassion towards her by placing her hand on hers and expressed her sincerest apologies, I am so sorry that happened to you. A critical component of therapeutic nursing and communication is the act of touch. The laying on of hands and touch can demonstrate care and empathy but it is also central to the idea of healing. The nurses use of various therapeutic and communication approaches to help Mrs. Miller express her ideas and feelings in a way that demonstrates respect and acceptance enabled the development of a therapeutic relationship between nurse and patient, which was solely influenced in a positive way by their interactions. It is easy to say that from the video even brief encounters like this one can be therapeutic. Patients can act out when stressed about upcoming procedures or if they are in pain but it requires a mature and patient nurse to transfer their skills and knowledge with the therapeutic use of ones self to respond in healing ways in less than ideal situations. My clinical nursing practice experience in Parklands care home provided me with the opportunity to work with real patients, experience a nursing home environment which I may now pursue once I have earned my degree and it offered me the chance to learn how to work with fellow nurses and other members of the healthcare team, but most importantly it presented me with numerous moments to deliver individualised and holistic care by the use of therapeutic touch. Below there will be subheadings based on Bortons 1970s Reflective framework, where I have critically reviewed on how I developed the use of therapeutic touch in my placement. What? : What I have learned is that there is a required need for other alternatives to pharmacological therapy among older adults with dementia due to their harmful side effects. The therapeutic use of touch offers a non-pharmacological treatment which can decrease behavioural symptoms such as restlessness. What surprised me was how the use of touch can provide a healing effect and make the residents feel my caring nature and what I hoped for at Parklands was for the residents to believe that I took into consideration all of their needs. So what? : So, the important message I have gained an understanding in during my experience is that touch is a nursing intervention and so, what I have learned is that residents were more responsive to a good listener, touch and a reassuring word as it communicated to them that I cared, especially as the therapeutic use of touch affectionately transmits warmth. So, what I need to know more about is that with touch there has to be acceptability and that may vary from person to person as I have to take into consideration their culture and background. Experience in completing more clinical practices will develop my self-awareness. Before I used to believe touch was an invasion of privacy and could be interpreted wrongly as sexual to the resident. So, the ideas of what I had previously thought about touch have changed as it can facilitate comfort and healing. Now what? : Now what I can do with my new perception is connect with my patients by offering myself with a simple application of touch which portrays a genuine interest. Experience will be beneficial as I will be enhancing my self-awareness and knowledge base around the use of therapeutic touch and this will give me confidence when interacting with members of a multidisciplinary team and patients themselves. Reviewing both vignettes showed how each experience we have with our patients can be healing and helpful but also harmful and unfeeling. Mastering the skills required for developing a therapeutic relationship is a lifelong process assisted by reflection which can be viewed as an impersonal scrutiny and valued judgement of your work or anothers using an objective approach which is to highlight you or your colleagues strengths and weaknesses. When engaging a therapeutic relationship and effectively using the different approaches and techniques such as touch, active listening, and recognition you can help your patient achieve harmony, peace of mind, body, and spirit.
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