Wednesday, January 29, 2020

The Similarities and Differences Between Hemodialysis and Peritoneal Dialysis Essay Example for Free

The Similarities and Differences Between Hemodialysis and Peritoneal Dialysis Essay Many individuals are diagnose with kidney disease each year, and some individuals face a difficult situation concerning the possibility of doing dialysis, and choosing what type of dialysis treatment is right for the individual. Both Hemodialysis and peritoneal dialysis give patients the quality of life. In contrast both procedures are done differently, Hemodialysis patients are dependent, and peritoneal dialysis patients are self-sufficient. In comparison both removes waste from the bloodstream; however, both procedures are beneficial to treat kidney disease. Hemodialysis is a common procedure that removes waste from the bloodstream in patients’ whose kidneys does not function properly. The hemodialysis procedure consist of using a machine called the dialyzer, and the patients’ own veins, which is often called a fistula, to transfer blood back and forth from the dialyzer to the patients’ arm. However; because the fistula takes approximately six weeks to heal, patients often get a Vortex Graft placed, a Vortex Graft is plastic tubing placed inside of the patients’ vein most patients can use their graft in two to three weeks; However; there are some patients who have to start dialysis immediately; therefore, a Tunnel Catheter is placed, a Tunnel Catheter is a long flexible tube surgically inserted in a large vein in the neck, for immediate dialysis use. Patients often do hemodialysis three days a week, every other day. Most patients’ dialysis treatment runs approximately three to five hours each day, depending on what type of access they have. The day of their hemodialysis treatment, patients weigh themselves at the center and prepare to be seated to start their treatment. The dialysis technicians prep the dialyzer before the patients are ready to start dialyzing. The dialysis technicians take the patients’ temperature and blood pressure before the patients are seated. The dialysis technicians cleans the access site and make sure the site is working properly. Dialysis technicians have to follow a certain protocol when putting dialysis patients on for their treatment. Therefore; patients and technicians wear face mask to keep from cross contaminations of blood and germs. More often; dialysis technicians change gloves throughout the treatment session. The technicians’ monitors the patients’ blood pressure throughout the dialysis procedure, because patients run a risk of their blood pressure getting too low; dialysis technician may have to administer saline solution to bring the patients’ blood pressure back up to a normal range. The dialysis technicians log the patients’ blood pressure throughout the dialysis session. Once the patients are done with their dialysis session, the technicians take their temperature, blood pressure, and make sure their blood pressure is at a normal range before letting the patients leave their chair, once blood pressure is at a normal range; patients weigh themselves, and the technicians log it into the computer. Hemodialysis patients rely on their dialysis technicians for their dialysis treatment needs. In addition, hemodialysis patients run into risk associated with taking hemodialysis. One of the most common risks is clotting of the arteries in the arm. Most of the time patients are sent to a nearby hospital to see a vascular surgeon to have to clot removed. Often the clot can be removed, and the patients can return the next day to restart their dialysis treatment; however, there are times when the clot cannot be removed; therefore patients have a temporary tunnel catheter placed. Tunnel catheter is only placed temporarily placed until the surgeon can either fix the clotted arties, or place a new fistula. Tunnel catheter is the primary cause of most infections in hemodialysis patients and is one the primary reason for hospitalization of hemodialysis patients. Hemodialysis patients often drink too much fluid and in result have to pull off more fluid; therefore, their blood pressure may get too low. When hemodialysis pulls off excess fluid it also pulls off potassium, and patients may experience severe cramping. Furthermore, hemodialysis patients follow a diet called â€Å"The Renal Diet;† patients have to eat foods; low in sodium, low in potassium, and low in phosphorus. Most patients on hemodialysis have a fluid restriction, normally; the fluid restriction is about four cups of fluid a day or six cups a fluid a day. Hemodialysis pulls the protein from the patients’ body; therefore patients have to eat a high protein diet. On the contrary, peritoneal dialysis is a common procedure that removes waste from the bloodstream in patients’ whose kidneys does not function properly. The peritoneal dialysis procedure consists of using a fluid called dialysate, and a catheter; the catheter is placed in the abdomen of the kidney dialysis patients. When patients do peritoneal dialysis the dialysate solution is placed in the abdomen of the kidney patients and sits there for up to four hours; the hours the fluid sits is called the dwell time. Once the fluid has sat for a while the kidney dialysis patients exchange the old dialysate solution with new dialysate solution and start the whole process over again. Peritoneal dialysis can be done in two different ways; Automated Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis. Automated Peritoneal Dialysis is done while the kidney dialysis patients are asleep and Continuous Ambulatory Peritoneal Dialysis is done every four hours approximately five times a day for 30 minutes. Patients who do peritoneal dialysis do it in their own home. Before starting peritoneal dialysis patients are properly trained by a nurse for three weeks. Patients must be able to do own treatments once training is over. Peritoneal dialysis can choose what time a day to do their treatments, and what type of peritoneal dialysis treatment they prefer. Patients must order supplies each month and must have adequate amount of space to store supplies. Typically, patients start the day off by taken their blood pressure, temperature, and weight, and log the results. Before patients start a peritoneal dialysis treatment; patients close doors, window, and clean table with disinfectant. Patients’ then gather supplies for treatment, put on a face mask, and clean hands and exit site. Patients then hook themselves up and began exchanging fluid, after done with treatment patients properly dispose of waste and enjoy the rest of their day. In addition, peritoneal dialysis patients run into risk associated with taking peritoneal dialysis. One of the most common risks is an infection called Peritonitis. Peritonitis is an infection of the peritoneum; a peritoneum is the lining of the abdominal that forms a sack. Most of the time patients are given antibiotics to eliminate the infection. Peritoneal dialysis patients can develop a hernia; a hernia is a tear of the wall where an organ sticks out; therefore, patients should not lift heavy objects. Patients may experience bloating, constipation, weight gain, fluid overload, and dry skin associated with peritoneal dialysis. Furthermore, peritoneal dialysis patients follow a diet called â€Å"The Renal Diet;† patients have to eat foods low in sodium, low in phosphorus; however, patient can eat a potassium rich diet, because they dialyze every day. Some patients on peritoneal dialysis have a fluid restriction; however, most patients who do peritoneal dialysis do not have a fluid restriction, because they dialyze every day. Peritoneal dialysis pulls the protein for the patients’ body; therefore patients have to eat a high protein diet. Peritoneal dialysis patients have to eat a low calorie diet, because they get some of their calories from the dextrose found in the dialysate solution. In conclusion, both hemodialysis and peritoneal dialysis are similar in so many ways; for example both dialysis procedures cleanse waste from the bloodstream of patients whose kidneys does not function properly, patients follow the same type of diet, and both treatments have to be done in a clean environment. Hemodialysis use a machine called the dialyzer and the patients’ arteries to transfer blood to and from the machine, and peritoneal dialysis use a fluid called dialysate and transfer fluid through a catheter placed in the patients’ abdomen. Hemodialysis patients rely on their technician for all their dialysis treatments need, and peritoneal dialysis patients basically do all their on treatments. Hemodialysis patients’ schedules are preset, and peritoneal dialysis patients’ schedules are more flexible. In contrast both procedures are done differently, Hemodialysis patients are dependent, and peritoneal dialysis patients are self-sufficient. In comparison both removes waste from the bloodstream; however, both procedures are beneficial to treat kidney disease.

Monday, January 27, 2020

Models of Assessment for Elderly

Models of Assessment for Elderly Compare two models of assessment, planning, and coordination practice for working with disabled, older people, or a specific group of people. You need to select two models of assessment, planning, and coordination, and ensure that there is sufficient detail in both of your selections to cover all of the required components (assessment, planning, and coordination) Specific groups of people may include but is not limited to: Children and young people with high and complex needs ( uses CYCS definition ) People with autism spectrum disorders ( ASD ) People with cognitive impairments People with dementias People with dual diagnosis of disability and mental health needs People with multiple impairments Or you may wish to select an alternative group of people The models may include may include but not limited to: Strength-based models Social role valorization Rights Entitlements Needs assessment and service coordination Case management Care coordination NEEDS ASSESSMENT SERVICE COORDINATION This is an assessment program which provides comprehensive health needs assessment services and coordination for disabled people, people with mental health issues and old age people. They facilitate and identify support needs of an individual, provide support and services coordination individual needs and taking into the account of the family/whanau or carers. STRENGTHS: The main focus of the needs assessment is to identify the essential help needed by an individual person ensuring that health services utilizing its appropriate resources to improve the health of an individual in its most efficient way. This is the most useful process in classifying what specific needs is appropriate for an individual (people with dementia, children with high complex needs and people with mental issues) because the service coordinator provides detailed discussion and agreement to the individual and people involved in the treatment. Most relevant/specific to the community because it serves and help an individual to become independent as possible. WEAKNESSES: This approach is with time restrictions because the needs assessment may only take up one to two hours depending on the arrangement. The assessment does not warranty that the provision of all services may be rendered based on the individuals need because the commitment and resources can influence supporting needs. This service covers only for those who are eligible under this provision. ASSESSMENT: Needs Assessment Services and Coordination is developed by the Ministry of Health or District Health Board that provide provision of services for disabled people, people with mental health problems and older people who needs support according to their age. Generally they are essential to provide three services for an individual or specific group of people: They assist needs assessment Provide service planning and co-ordination Provide resource distribution within identified budget. PLANNING: Meet the purpose of the Ministry of Health needs assessment services and coordination standards, specification of services and MOH definite standards. Client involvement according to mental capacity. Involvement of family/whanau or carer. Based on individual appropriate behavior. COORDINATION SERVICES: Generally, services offered are personal care, household management, carer support, respite care, residential care and day care services. People aging 65 years of age and above and who are dependent in function and needs assistance with activities of daily living such as: People currently discharged from hospital which require short term support Individual under the care of Mental Health Services People with long term chronic condition People who needs palliative care and support. COMPARISON: PERSPECTIVE: Needs Assessment Services and Coordinator is a designated responsibility that aid proper needs assessment, allocate service coordination and budget governance for people aging 65 and above, and also those people who meet the standards for disability services. This scheme comprises approval process for right of entry to residential care. SUMMARY OF THE EXPECTED OUTCOME: This approach works with people who have identified with support needs such as people with disability, ageing people with high needs and people with mental health issues. NASC provide people support and use resources efficiently. The evaluator conducts comprehensive assessment to an individual including with the family. Thus the primary purpose of the Needs Assessment Service Coordination is to discover what type of need, support or services an individual is eligible in order for them to become independent as possible. CARE COORDINATION Care coordination indicates coordinating and supporting the person’s care and keeping it certain that there is team leader for the needs of that person. Care Coordination for Older People goals is to maintain the health and promote independence of older people residing in the community. Also this emphasizes the support for the old people to live in their residence. This work commence in collaboration with the Aged Adults Services, GP application, Acute DHB, Home and Community Support Services, Aged residential Care Providers. STRENGTHS: This approach covers intensive, timely assessments and reassessments with a minimum every 6 months or even as necessary. Decision making is coordinated across all settings of care and support Care Coordinator with extensive experience is working with aged people with disabilities. This approach is usually member centered care and support team including the family, GP, and caregivers. WEAKNESSES: This approach needs ongoing research for its effectiveness of care. Qualification of the member should be well trained, expert and skilled. Clinicians and specialists rarely exchange information and in non standard way thus an adverse outcome in patient cares. ASSESSMENT: Care Coordination Conducts inclusive primary assessment and re-assessment of an individual age group which identify member goals, needs, carer and services directing to the development of an individual plan of care. Coordination of decision making is required in all settings of care, support and services comprising of behavioral health, work, and social activities. Coordination team works toward meeting the unique needs of an individual or each member Coordinating right to use to community-based health support services for aged people living in New Zealand neither short or long term care. PLANNING: Adopt this care strategy that will present well-coordinated, person-oriented and focused on family services towards all settings. Family, friends and other caregivers should be supported and given opportunities to obtain the needed skills, knowledge and ideas to maintain the appropriate care for older adults. This model provides quality care for older adults focusing the whole person requiring an interdisciplinary group with proficiency in senility and gerontology. Provide therapeutic relationship with an individual, family, carer, GP and other people involve in interdisciplinary team. COORDINATION: Care Coordination focused on individuals with certain health issues, hospitalization condition and functional restrictions. Structured approach in dealing with individual with high support needs specifically older people. Consolidation of direct care workers into coordination of care initiates partnership among care providers, clients and the family/whanau. Team-based, interdisciplinary sustain open interactions, an individual feels that they are most supported and value of care develops. COMPARISON: PERSPECTIVE: Quality of life of older people and older adults focuses on the holistic view of an individual, the family, friends and other members of the care team, commencing group expertise in caring an elderly and gerontology emphasizing people who are fragile or have multiple health issues. Care coordination for older people optimizes function and quality of life for all individual keeping them to maintain their independence and dignity. SUMMARY OF EXPECTED OUTCOME: Care Coordination is an intended organization of patient care activities involving two or more participants. This model aids the proper delivery of health care services of an individual needs, support and services. Moreover, older people living in their homes contacted community-based health support services expresses gratification with their level of support. Quality of life of older adult and older people covered with this approach improved. REFERENCES: Lakes District Health Board Needs Assessment Service Coordination by Sue Wilkie (22/05/2014) Retrieved July 31, 2014 from: http://www.lakesdhb.govt.nz/Article.aspx?ID=7609 NASCA Needs Assessment Service Coordination ( 2014 ) no dates no author Retrieved: August 01, 2014 from: http://www.nznasca.co.nz/services/ Ministry of Social Development Care Coordination Center for Older People Retrieved Ministry of Social Development (August 02,2014) from: https://www.msd.govt.nz/what-we-can-do/seniorcitizens/positive-ageing/goals/index.html Elder Workforce Alliance Care Coordination and Older Adults Brief by Eldercare Workforce Alliance (EWA) and National Coalition on Care Coordination Retrieved August 02, 2014 from: http://www.eldercareworkforce.org/research/issue-briefs/research:care-coordination-brief/

Tuesday, January 21, 2020

Pollution Essays -- essays research papers

Pollution, contamination of Earth's environment with materials that interfere with human health, the quality of life, or the natural functioning of ecosystems (living organisms and their physical surroundings). Although some environmental pollution is a result of natural causes such as volcanic eruptions, most is caused by human activities. There are two main categories of polluting materials, or pollutants. Advertisement Biodegradable pollutants are materials, such as sewage, that rapidly decompose by natural processes. These pollutants become a problem when added to the environment faster than they can decompose (see Sewage Disposal). Nondegradable pollutants are materials that either do not decompose or decompose slowly in the natural environment. Once contamination occurs, it is difficult or impossible to remove these pollutants from the environment. Nondegradable compounds such as dichlorodiphenyltrichloroethane (DDT), dioxins, polychlorinated biphenyls (PCBs), and radioactive materials can reach dangerous levels of accumulation as they are passed up the food chain into the bodies of progressively larger animals. For example, molecules of toxic compounds may collect on the surface of aquatic plants without doing much damage to the plants. A small fish that grazes on these plants accumulates a high concentration of the toxin. Larger fish or other carnivores that eat the small fish will accumulate even greater, and possibly life-threatening, concentrations of the compound. This process is known as bioaccumulation. II. Impacts of PollutionPrint section Because humans are at the top of the food chain, they are particularly vulnerable to the effects of nondegradable pollutants. This was clearly illustrated in the 1950s and 1960s when residents living near Minamata Bay, Japan, developed nervous disorders, tremors, and paralysis in a mysterious epidemic. More than 400 people died before authorities discovered that a local industry had released mercury into Minamata Bay. This highly toxic element accumulated in the bodies of local fish and eventually in the bodies of people who consumed the fish. More recently research has revealed that many chemical pollutants, such as DDT and PCBs, mimic sex hormones and interfere with the human body's reproductive and developmental functions. These substances are known as endocrine disrupters. See Occupationa... ...es of excessive noise. Page 1 of 2 See an outline for this article. How to cite this article  © 1993-2001 Microsoft Corporation. All Rights Reserved. Advertisement Related Articles Air Pollution bioindicators of environmental damage More... Books Encarta recommends Search for books about Pollution at BarnesandNoble.com Periodicals Search for periodical articles about Pollution in Electric Library. Free registration required Encarta Training Center Search for courses and materials on Pollution Internet Search from MSN Search News from MSNBC Related Web Sites EPA: US Environmental Protection Agency Noise Pollution Clearinghouse More Details Also on Encarta 10 words you should know Qwest: managed solutions Also on MSN MSN Pets: facts about furry friends Real estate tips from HomeAdvisor Our Partners The Princeton Review Studentloan.com Encarta Reference Library Learn about our award-winning CD and DVD products Please rate Encarta's 1 2 3 4 5 -select a reason- Exactly what I needed Was too technical Didn't provide enough detail Was out of date article on this topic. Poor Excellent Main reason for your rating

Sunday, January 19, 2020

Effect of Communication Barriers in Organization

Ladies and Gentleman’s, Today, I want to share with you about ‘Effect of Communication Barriers and how to overcome this barriers’. Good communication is very important. Without communication, there is no way to express our thoughts, ideas and feelings. Since we babies and grew up, we learnt more words and study how to communicate with different people, at different times, in different ways. Studying about communication enables us to be good communicators and brings a ways to a good effective communication. Communications have a many definition. What in important, communication needs a sender and a receiver of the message.No matter how, communication can describes as a process which begins when we have a message that want deliver to other person’s, the person’s received the message, react to it and respond our message. That response may lead us to react and give another message (Elizabeth Tierney, 1998). This message must be conveyed through some med ium to the recipient. It is essential that this message must be understood by the recipient in same terms as intended by the sender. There are three (3) types of effective’s communication that we used every day in our lives (Camp & Satterwhite 2002).First is Oral Communication. Oral Communication is the spoken interaction between two or more of people. It’s used as an instant and immediate to conveying and receiving of information. It’s also builds self-esteem for both the audience and the speaker. It includes individuals conversing with each other, be it direct or telephonic conversation. Speeches, presentations, discussions are all forms of oral communication. These recommended when the communication matter is of temporary kind. Face to face communication (meetings, lectures, conferences, interview, etc. is significant so as to build a rapport an trust. According to Camp & Satterwhite (2002), Oral Communication follow ways by Face to Face conversation, meeting , voice mail messages, tele-confering, oral presentation and lastly is public speaking. All these ways can be good communication and it’s most effective when the sender of a message has a good skill to deliver what they want to said. The second types are a Written Communication. It means a representation of a language in a textual medium through the use of a set of signs or symbol (Wikipedia).Written Communication is the way how we interpreted the feeling by some piece of paper. Written Communication can take place via letters, faxes, memos, e-mail, and reports, minute of meeting and new releases. It provides documentation and proof of the exchange of information. It helps in laying down apparent principles, policies and rules for running of an organization Last and not least, any kind of communication not involve the word, it’s called non verbal communication. This is the last types of communication that we use every day.It is communication of feelings, emotions, alti tudes, and thoughts through body movement, gestures, eye contact, etc. Non verbal can include vocal sounds that are no word such as grunt, sigh, and whimpers. Effective communication plays an important role not only in organization but is equally important in our personal life. Effective communication is important at all the levels in an organization. Effective communication goes a long way in passing the correct and the desired information to the recipient and the work is accomplished without errors in a short span on time.Effective communication also nullifies the chances of misunderstandings, conflict and errors which might crop in cases where the message is not clear. But, in the same time, there has a barriers can distract and prevent person’s from paying full attention to the message. It called as ‘Communication Barriers’. Ok, let’s see what that communication barriers, Barriers Communication is an interference or noise that might interfere when comm unication process happen. When I making the research what kind effect of communication barrier, they have lot of barrier can may distract and prevent the receiver from paying full attention to the message.Therefore, on this day, we will be discussing five (5) communication barrier and how to solve this problem. One of communication barriers is Physical interference. Physical interference is external and outside the control of both the speaker and the receiver. It affects the physical transmission of the message. Example a noise disturbances like loud music, the sound of traffic from a busy road, static coming from loud speaker system, or loud drilling from a nearby. Those kind of physical interference will affect the massage that been transferred from speaker to the listener.Let’s have a test to prove that this. Try to get 20 person sitting in the circle near to a radio and give a sentence to the first person â€Å"She swim at the sea shore and find a sea shell†. I con fident that the word after receive by the last person in the group will only â€Å"She swim.. † and the other word will be lost between the root from one person to another. This is a common thing that happened to us every day because of the surrounding and to avoid this thing happen and we have to overcome the problem first.Try to look at the issues here; the massage was not been transfer correctly because of the sound surrounding the group. At any circumstances, the message might be wrongly be delivered because of the music from the radio itself. Human bodies are connecting to each other and were link to our brain. If the ears are hearing something else other than the message that the delivered, the brain will capture something that similar to the massage or will lost in the transmitting. To solve this problem, we have to make sure that there are no interruption or and activity other than the group itself.In our life, if someone are having a discussion that involve two way c ommunication, we have to make sure that we at the place that no other thing can interrupt the conversation between the group. In a corporate organization, they will always having a meeting in a meeting room so that everyone can concentrate to the thing that they discuss and came up with a best solution or result. A second barrier of communication is a Lack of Enthusiasm, Subject Knowledge, Language and Emotion. Many of us are quick feel hopeless and turn away from a situation.This is one of the problems that lead to communication barriers. Do you really believe your organization is better than the competition’s Do you look as confident manager as you say you are? If you don’t have knowledge about your organization, it’s problem to your organization. Why I say so, this is because when you’re don’t have knowledge and experiences, it can hamper to the overall working of an organization. So, to solve this problem, we as a manager must show some enthusi asm like begin paying attention to the types of expressions we use.When everything we do with a smile, a serious or negative message will not happen. Languages play an important role in a joint communication in an organization. When we do a dealing with other country, we must have a requires skill to understand the language of their country. Example this language barrier is, when a country like Malaysia trade with Japan, the problem occurs when the communication dealing. This is because, Japan use their language as a intermediate language. So Malaysian must learn their language to communicate with them other than English to facilitate a transaction.Emotions are obstacles to any communication. If there are negative feelings that arise in the mind of a person, all communications will be interrupted. In an organization, we, as a manager should play an important role in a good relationship with all employees. We must be ready to solve problems that occur between subordinates not with a heavy heart side even with a sense of rational. On my knowledge and experiences, each organization provides performance evaluation for each employee. Every manager must needs to put forward their views on the performance of employees.Problem to this situation is, when manager used their emotion to this views on the performance of employee like dishonesty, jealousy, and other negative feelings, it will affect the progress of performance subordinate staff. These things should not happen in to organization. So, all manager here, please don’t use your emotion when evaluating the performance on your subordinates. The third problem of communication is a Semantic Barrier. Semantic barriers are the misunderstandings meaning of word and can occurs the barrier of communication. Someone can interpret the meaning with their experienced.It’s related between word, signs & phrases. It’s is the most difficulties in communication arise because the same word or symbol means diffe rent things to different individuals. Example of Semantic Barriers is like Connotation and Fluency. Connotation is a commonly understood subjective cultural or emotional association that some word or phrase carries, in addition to the word’s or phrase’s explicit or literal meaning, which is its denotation (Wikipedia). They have a two (2) distinct sense. First is a ‘What must we know in order to determine the reference of an expression’ and secondly an idea to we suggested for implemented.For all knowledge, a sentence can convey entirely different meanings depending on the emphasis on words and the tone of voice for example, the statement, â€Å"I didn't SAY you were stupid† has six different meanings, depending on which word is emphasized like ‘I didn’t say YOU were stupid’ and ‘I didn’t say you were STUPID’. Some point to all remember is when we are angry or excited, our speech tends to become more rapid and higher pitched, when we are bored or feeling down, our speech tends to slow and take on a monotone quality and when we are feeling defensive, our speech is often abrupt.Fluency is the ability to read text accurately and quickly. Most people around us do not fully master the skill to speaks and read with confident. This weakness makes one’s self look weak in any communication with co-workers and managers. Fluency is very important to all of us. Why I say it is important? These is because, it shows that someone is knowledgeable in a particular field, say with utmost confidence and this will make the people around respect for ourselves. The fourth problem is a Physiological Interference. Health problems are one of the causes of the outbreak of the communication barrier.Headache, hearing loss, blindness, lack of focus, and suffer from short term memory lost due to physiological challenges on the part of the speaker or the receiver. When this happens, the speakers or the receiver will not take note of the things that will be presented by the speaker. Conditions such as headaches, blindness, lack of memory, hearing loss occurs in every person around us. Is my own example, if we have a headache, blindness, pain throughout the body, we will automatically fully concentrate on the pain and if someone started chatting, we like to take cognizance of and did not focus on it.If someone who was hearing-impaired, it is the biggest problem faced to communicate with people around. As speakers, if we want to deliver a thing of message, we must say with a loud tone clearly so that the receiver understands the meaning that we want delivered. For the blindness eyes, this will also affect the delivery of on-screen if any speakers make presentation using power point slides. This resulted in someone's difficult to concentrate on a slide that is displayed. Therefore, health is very important in a relationship communication.We will be constantly emphasize that our personal health symptoms such as headaches, fatigue, dim eyes, aching body is not the case because when it is in our bodies, all the important things will not be able to fully focus especially if are performing their duties in place work. Last and not least, is a lack of written and spoken in English. This is the one problem that happen in all of us expecially who doesn’t know how to communicate in English. In an organization, English is the main language. Less of reading book in English also be

Monday, January 13, 2020

Organizational Chart Essay

The company I worked for in the past was FORE Properties. This was a chain or apartment communities that were all purchased and built by the owner and run by the property managers, assistant property managers, and the leasing team. The â€Å"chain of command† went as follows. This is my knowledge to the best of my ability. New positions may have been added or I was never aware of their presence. There are many different reasons why I did not enjoy working for this company. None of them have anything to do with the organization structure. For one, I accepted the position as leasing consultant when I was 3 months pregnant. After working for the company for a few months, I was told that my appearance was unsatisfactory. I was wearing clothes from Motherhood Maternity and looked better than most employees. They were referring to my face because I had severe acne due to the stress of the pregnancy and the job. They were also referring to my hair because it had recently been cut short. My regional actually told me I looked sick. I had extreme fits of morning sickness throughout the whole pregnancy, so looking sick came with the territory. My job was actually threatened several times due to my â€Å"appearance.† Another reason I did not enjoy working for this company is because on one occasion, I was in the shower, getting ready for my regularly scheduled weekend work day, which I hated because I could not spend time with my family, and I slipped in the shower. I was immediately rushed to the ER because being pregnant and falling is a serious issue. I contacted my manager as soon as I could to let her know that I could not physically make it in the office that day and she wrote me up because I contacted her AFTER the office should have been open. I explained that there is nothing I could  have done differently and that my child’s life was in danger. I refused to sign the write up to admit that I was guilty of anything because I wasn’t. The main reason I did not like the job was because the product I was trying to sell was disgusting. For starters, the apartments are income restricted. You have to make a certain amount of money to live there, so it is pointed toward a lower margin. The apartments themselves were never cleaned, stunk like cigarettes, and had multiple different kinds of linoleum and carpet throughout a single apartment. My manager could have paid to have each apartment looking amazing, but instead kept her budget low so she would receive a bonus for not going over budget. I mentioned this several times to my regional, and even had her come and view our apartments, but we were told to lease them anyways. I tried to explain that no one would want to live in an apartment like this. I myself come from the ghetto of South Austin Texas and have lived in some DISGUSTING apartments, but I would not chose to live in these apartments if you paid me. They still put a sense of urgency on us to get the apartments leased and began threatening our jobs. The whole situation was horrible and I am glad I got out of it when I did. I was even told to constantly walk up to the third floor to clean cockroaches out of the breezeways when I was 9 months pregnant. One time I was even told that I would be standing on the corner in a clown suit with a sign that points to the apartments to get traffic in. Being 9 months pregnant, not fitting into the costume and it being 110 degrees outside, I put my foot down and contacted HR and explained what I was being told to do. I was protected from the dressing like a clown, but still expected to walk up and down three flights of stairs in high heels and about to deliver a baby. If I was the regional, the manager, or even the owner, I would invest more time and money into making the property look amazing, inside and out. I would be sure that each and every employee is treated as fair as possible. I would never expect anyone to do anything that they could not physically do. I think the more you push someone to do something, the more stressed out they become and the less they provide you with good work. In conclusion, working for a company has its up’s and down’s. It is up to each level of the structure to make the best of each situation that they are dealt. If they see something that is not right, they need to take charge and handle the situation immediately. I wish that in several instances, my  assistant manager had spoken up for me and handled the situation instead of keeping quite out of fear of losing her job as well. REFERENCES Green, Sarah. Personal Experience, (2010). Working as a leasing consultant for FORE properties. Bateman, T. S., & Snell, S. A. (2011). Management: Leading & collaborating in a competitive world (9th ed.). New York, NY: McGraw-Hill Irwin.

Saturday, January 11, 2020

Learning and Development Essay

Strategic activities in organization or at work places are approaches to human resource management that provide a framework to support long term business goals and outcomes, these approaches vary in relation to the business activities itself. Schwab (1980) noted that the growing body of strategic research can be seen in two interrelated ways which are the substantive and measurement streams. The substantive stream refers to studies which emphasizes on the physiology or character of a theoretical relationship between independent and dependent variables while the measurement stream focuses on the outcome of the correlation between the underlying theoretical concept and operationalization itself (Venkatraman and Grant 1986). This academic article tries to look at more of the measurement stream in relation to training, learning and development based on previous academic articles and my own general understanding of how truly these strategic these concepts are or not. Learning training and development are human resource development activities and over time, two factors have influenced these concepts towards being part of the evolutional role of the formulating business strategy which are the centrality of information technology to business success and the sustainable competitive advantage offered by work force expertise (Swanson and Terraco 1995) Critical business issues from new marketing strategies to innovations in production technology are based on, among other factors, the performance capabilities of those expected to use these new work systems, this means that employee expertise itself has been expanded through effective programs of employee development. Therefore activities of human resource development in the work place such as learning training and development have truly been strategic by maintaining the pace with the increasingly sophisticated information and production technologies that continue to diffuse throughout vital industries of the world (swanson and terraco1994). The conceptualization of strategic human resource management as a management system which matches business concerns with human resource activities (Beer et al 1984;miles and snow 1984) have been referred to as a high performance work system(HPWS)(Bercker et al 1196) which is characterized by provision of employee development and training activities in with the business strategy(Aurthur 1994: Huselid 1995; Jackson and Schuler 1995;MacDuffie 1995) for example,selction, development and rewards involves the internal combination of procedures across the hr function. This shows the degree of emphases placed on the link between human resource activities and business need in relation to strategy (Baird and Meshoulam 1988; Lengnick-Hall and Lengnick-Hall 1988; Fisher 1989; Boxall 1992; Mabey and Iles 1993; Schuler 1992).  Successful internal integration of HR activities results in organizational benefits (Becker et al. 1996). This essay of mine attempts to show the link among learning train ing and development as a strategy to organization. Learning and development as an approach of strategy stands for how an organization make sure that the present and future learning and development activities support the achievements of its goals by improving skills and capabilities of individuals and teams.. it should be business directed, this means that it should be designed to help the attainment of business goals by promoting human capital management(Armstrong 2009). Learning can be defined as a means by which a person acquire and develop new knowledge, skills, capabilities, behaviors and attitudes† Armstrong 2011 pg 664. Honey and Mumford noted explained learning happens when people show that they know they didn’t prior to the time they are now. The enhancement of capabilities previously had which leads to skills, knowledge and attitudes through a continual process that tends to prepare people for more responsibities in the future is the act of learning. Estherby-smith et al (2000) agreed to the fact that there is a debate whether learning should be defined as change in cognition or behaviors, thus showing that researchers would agree with defining learning as a change in organizations knowledge and is a fuction of experience. Learning and development as a strategy is concerned with creating a learning culture that will encourage learning and will provide a basis for planning and implementing learning activities and programmes(Armstrong 2011) this means that for an organization to use the concept of learning as a strategy is has to imbibe the learning culture which is one that learning that is practiced from top management, line managers and employees generally as an essential way of doing things in the firm which they commit to and continuously done. A learning organization was deined by senge(1990) as one where people learn together, where collective aspiration is set free, where there is nuturinng of expansive pattern of thinking and they continuously enlarge their capabilities to create outcomes they truly desire. I have previously mentioned development with learning because both of the them are related when one think about it generally but would like to define it now in the next paragraph. i would be explaining learning and developments together as being strategic. Development can be defined as concerned withensuring that a perons ability and potential are grown and raised in the process of learning experiences or through self directed learning. Development is the end product of true learning which can be seen through changes in outcome of pre and post learning activities i. e the change from the present state of understanding and capabilitiy to a new and higher level of knowledge, skills and abilities. These processes of learning and developments wouldnot take place not to now talk of being strategic without individuals in the organization, this means that individual members are the organism through which organizational learning and development take place. The knowledge embedded in that or those individuals have to be reposited to other people in the firm to gain competitive advantage which is the whole reason for the strategy in itself which are affected by the following factors explained by Argote(2011). Firstly, the experience of the organization affects the organizational learning,this done not by characterizing experience at a gross level , but taking a fine grained approach to describing or noting its elements along with various dimensions( Argote et al 2002). the purpose of taking this approach is to be be able to tell when experience is positive or negative in relation to the processes and outcomes in order to be able to explain relationships amongst the types of experience and to design the learning experience in order to be strategic about the learning. Secondly is the process of organizational learning itself, which is conceived as having three processes: creating, retaining and transferring knowledge. Not much research has been done on creation unlike knowledge retention and transfer. Empirical research over at least the last twenty years that there would be significant difference innovative capabilities of a firm and its knowledge through it transfers within the firm (easterby et all 2008) this is key to the success of the ensuring of the strategy of the firm. This depends on characteristics of the individual that has the knowledge, recipient, attributes of the knowledge and the knowledge transfer process itself as an mportant factor to developing learning capabilities which lead to competitive advantage of the firm (Grant 1996) Another factor is the that could lad to learning being a succes is thr stratetic management it self,peopke whoput these learning and development strategy into place itself. Dynamic capabilities which is an example of strategic management are impotant concepts in relation to organisational learning and its sub process. ‘a greater understanding of how dynamic capabilities develop through organizational learning is needed† Argate 2011 pg Contextuality is also another factor that affects learning which is characterized by the situation and envitonment in which the company finds it self. Oragnisational learniong can do well in an environment which its stability varies with time or turbulent (herdberg 981) little inducement of learning occurs in an environment that’s stable while in a too turbulent environment, the organisation would not be able to interpret environmental responses(bierly and hamalainen 1995) if care is not taken,learning under ambiguity may occur which march and olsen 1975 defined as a situation where the environment is unanalysable and the learning cyle still continues and percieved as an interpretation or meaning. â€Å" Knowledge capabilities are at the heart of the effectiveness of organizations. Since the market and competitive environment of all companies is rapidly changing, the value of existing capabilities will quickly decay, resulting in a lack of competitiveness. It is imperative for organizations to focus on developing their knowledge capabilities on an ongoing basis, or they will face extinction. Organizational development must be centered on the continual enhancement of knowledge capabilities, as the foundation of organizational effectiveness in all fields† Dawson 2000. Armstrong(2009) identified the following elements needed for learning and development to be really strategic and they go follows: it should make a major contribution to the successful attainment of the organizations objective and investments: it should be integrated with and support the achievement of business and human resource strategies: it should be designed un such a way that it would achieve improvement in corporate functional and maximum development in skills and knowledge of people in the organization; equal opportunity for everyone in the organization to develop their skills and knowledge while attaining personal development through the framework of individual and self directed learning but still maintain the primary knowledge of knowing that this is dependent on the employee themselves who be guided and supported by their manager as necessary with the members of the hr department.

Friday, January 3, 2020

Hiv And The First Human Immunodeficiency Virus - 1010 Words

HIV Vaccines Strategies The first Human Immunodeficiency Virus (HIV) showed up decades ago, as far as we know. However, there could have been many more infections over the years that were either recorded as unknown cases or got called with a different disease name. Nevertheless, humans have been trying to understand how this tricky virus work and what strategies they can use to prevent or cure the virus. Since it can mutate and adapts so quickly, finding a cure or an antivirus is a challenging task. Therefore, this paper will discuss some of the strategies that are being used to develop a vaccine against this virus, including: strategies that can be done before a person is infected, strategies for immediately after infection, and complete cures. First of all, to develop a vaccine for this virus, scientists took multiple approaches. One of these approaches is to find a way to prevent new HIV infections from happening in the first place. An example of this is the concept of evaluating the bivalent Env (gp120) protein by targeting T-cell responses. This was by introducing strong CTL responses. Although this study, which is called VAX004/VAX004, had some failures and was suspected to increase acquisition among the participants in their study. However, this was of the first studies to induce HIV-specific T cell responses. Although the solution didn’t reduce HIV acquisition among the 75% who received it, the vaccine did in fact impact the virus strains. The final result was thatShow MoreRelatedThe First Case Of Hiv ( Human Immunodeficiency Virus )1508 Words   |  7 Pagesscientific advances, which have stood out among the rest. The first case of HIV (Human immunodeficiency virus) was detected in the United States in 1981, and by 1983, it had been documented in South Africa. Starting with only a few cases here and there, it eventually became the largest epidemic of modern history, affecting millions of people around the world. Today it is expected that around thirty seven to forty million people are living with HIV. HIV is a sexually transmitted disease. It is a part of theRead MoreHuman Immunodeficiency Virus And Acquired Immune Deficiency Syndrome1477 Words   |  6 PagesHuman Immunodeficiency Virus and Acquired Immune Deficiency Syndrome In 1981, the first cases in the United States of Acquired Immune Deficiency Syndrome (AIDS) developed in Los Angeles and New York (Fraser, Burd, Liebson, Lipschik, Peterson, 2008). The illness presented itself among several homosexual males who developed rare opportunistic infections such as Pneumocystis carinii pneumonia and Kaposi’s sarcoma (Sharp Hahn, 2011). At the time, medical professionals deemed the infections to beRead MoreCommunicable Disease934 Words   |  4 Pagesestimates that 1.1 million Americans are living with HIV and nearly one in five of those are not aware that they are infected (Centers for Disease Control and Prevention). Human Immunodeficiency Virus (HIV) is the virus that causes AIDS (acquired immunodeficiency syndrome). Human Immunodeficiency Virus (HIV) is an infection that slowly destroys the immune system, which makes it difficult for the body to fight off infections. Human Immunodeficiency Virus (HIV) is a communicable disease transmitted throughRead MoreModern Day Methods Of Contracting1113 Words   |  5 Pagesthe SIV virus from these non-human primates is discussed as well. As a result of these transmissions, the human immunodeficiency virus is brought to life. In this paper, this virus and its journey throughout history will be explained. Also, HIV and the different subfields this virus can be classified in are discussed throughout the research. As well as the where this virus was contracted, about the time when, and how it was possible. Also, the modern day methods of contracting this virus are listedRead MoreAIDS/HIV Its Effects on Popular Culture Essay1194 Words   |  5 Pagesinno cent health care worker. Some people may sadly consider their lives extinguished upon contraction of the in-curable virus, others will not let the infection rule their lives. However, the infection is no long-er considered a death sentence in contrast to what many may believe. Many people are igno-rant of the virus and continue to believe what was shared many years ago. What is HIV/AIDS, and what is its history? What is its effects on the body? How can it be, not cured, but treated? Who is atRead MoreThe Human Immunodeficiency Virus ( Hiv ) Essay1396 Words   |  6 Pages The human immunodeficiency virus (HIV) affects the human wellbeing by attacking the body’s immune system which is the natural defense system in the human body to resist infections. When the immune system is being compromised, the body becomes less capable of fighting diseases, allowing the body to become more susceptible to infections. Different from other viruses that the body can get rid of, HIV will remain in the body for life (Wright and Carnes, 2016). HIV works by attacking the CD4Read MoreHiv And Human Immunodeficiency Virus Essay1208 Words   |  5 PagesHIV has been a pandemic that has affected the world relentlessly for many years in a never-ending circle. HIV, or Human Immunodeficiency Virus, is the virus that is spread through certain bodily fluids and can lead to AIDS (Acquired Immunodeficiency Syndrome). HIV attacks the immune system by destroying CD4+ T cells, which leaves the person infected with HIV vulnerable to other infections, diseases, and other complications.1 Once this virus is acquired, the human can never fully rid itself of thisRead MoreHuman Immunodeficiency Virus Type 21523 Words   |  7 PagesHuman Immunodeficiency Virus Type 2 HIV-II Discovered and Isolated In 1985, serological evidence was presented which suggested a virus closely related to simian T-lymphotropic virus type III (STLV-III) infected a man in Senegal West Africa (Barin, M’Boup, Denis 1985). At that time, Senegal, West Africa was a region where AIDS and AIDS-related diseases had been observed (Barin, M’Boup, Denis 1985). The results of the serological evidence suggested that certain healthy Senegalese people were exposedRead MoreMovie Analysis : Forrest Gump 829 Words   |  4 Pagessome kind virus. And the doctor don’t, they don’t know what it is. And there isn’t anything they can do it. (Movie Quotes Database, 2014) Although the director did not tell the audience what Jenny affected, whereas according to the timeline of this movie we can infer that Jenny was dead in 1982, and the doctors did not know what the disease is. This virus could be HIV probably. Until today, the HIV continues to be hazardous virus and no effective treatment to cure. The best way to remedy HIV are earlyRead MoreThe Origin of HIV/AIDS Essay803 Words   |  4 PagesHuman Immunodeficiency Virus (HIV) was once considered a taboo disease that made its appearance in the United States around the late 1970s. Little was known about the virus and it was originally thought to just be found in the gay male community. As more and more research has been done people now understand the virus and realize that it affects men and women as well as all races, ages, and sexual orientation. It is believed that HIV is a mutated form of the Simian Immunodeficiency Virus (SIV) that