Condi Reflection - 954 Words

Personal Relevance I see the similarities between Condi and me. I grew up influenced by Korean culture and spent years learning Spanish in school. In the military, I am in my fourth career field. These experiences have helped me remain aware of and deal with diverse individuals and the similarities between them. After working in other disciplines, two Christmas’s ago I came back to the Comm world. My first impression was that my new shop had the lowest morale of any I had experienced in my career. They hated coming to work, many wanted to separate, go guard, or just PCS. They thought their leadership underappreciated them and no one cared about them. They felt they had been abused with additional duties and were never recognized†¦show more content†¦Once the BTZ packages were written, all the SNCOs and officers in the squadron got together for the murder board. We tweaked the first Airman’s package spending hours working on wording it just right. It was tough work, but easy to do because there were more bullets and information than we needed. Once that one was finished, we pulled up the second one. That package was not complete. It was missing half the bullets we would need. All of us worked on it, because Chief insisted it needed to be submitted to the Wing. He convinced us that this Airman’s supervisor was deployed and he deserved it. We had fallen into the ethical trap of Loyalty Syndrome, due to our respect for the Chief. We worked on the second package, even calling the Airman who was on leave, to ask for more information. He could not provide anything useful. When we found that he had no volunteer bullets from the past year or more, the Chief directed him to help out in a local soup kitchen the next day. That should have triggered Healthy Skepticism, but I continued work on the BTZ package. Then during the murder board, Chief set up the Airman to lead a Top 3 sponsored highway cleanup that would occur after the package was due. In the end, the Chief worked on the package by himself for a few days, but even he finally realized he had made a wrong decision. We all lacked Healthy Skepticism thatShow MoreRelatedaccounting questions5035 Words   |  21 Pagesa company at   a particular point in time.  Ã‚   The balance sheet lists the assets, liabilities, and equity of the company.   Reflect on your pe rsonal financial situation, can you apply the concepts of the balance sheet?   What did you learn from this reflection? 4) Week One Exercise Assignment Basic Accounting Equations 1. Basic concepts. Jeans Marine Supply specializes in the sale of boating equipment and accessories. Identify the items that follow as an asset (A), liability (L), revenue (R), or expense

Case Study Starbuckss Success - 1571 Words

Overview Of The Firm Starbucks was founded by Gordon Bowker, Jerry Baldwin and Zev Siegl in Seattle, Washington on March 30, 1971. To help build their shop, Seigl went to California to learn from a coffee legend Alfred Peet, his â€Å"approach to coffee beans became the cornerstone for Starbucks s reputation: high-grade arabica beans, roasted to a dark extreme by a trained perfectionist roaster† (Business Insights) After a few years the corporation went public, Starbucks was experiencing rapid growth and success in their industry. In 1993, the chain had 275 stores and 425 in 1994. In addition to their success, they announced a partnership with Pepsi-Cola in 1995 to develop new ready-to-drink coffee beverages; this was the birth of Frappucino†¦show more content†¦Latin America is composed of 23 countries. The most influential country during the early 2000’s was Mexico, followed by Argentina and Brazil. Starbucks took in account the economic changes that Mexico was doing with the help of the World Trade Organization. Starbucks saw potential profit with this possible market penetration. Not only that but shipping of any supplies between the Host Country (Mexico) and the Home Country (United States) was going to be cost effective and fast due to the distance. Challenges and/or Barriers Economic Through out the past 7 years, Mexico’s economy has been slowly improving. When you go to Mexico you can see bigger shopping malls, spas, American food chains, and exclusive restaurants. This is due to an increase of the middle class. Currently in 2016, Mexico’s GDP is $2.1 trillion, this is 2.1% growth compared to last year. This means $17,881 per capita. Mexico has lowered tariff and non-tariff barriers through trade agreements. Oil and gas reserves are owned by the government, but the energy sector is being private. The financial sector has become more competitive and open in spite of the challenging global environment. Banking system remains stable, and foreign participation has grown rapidly due to the growth in their economy Starbucks’ first Latin America location opened in Mexico City (Capital of Mexico), 2002. During this time, Mexico’s economy was going

The Health Condition Dementia Samples for Students- Myassignment

Question: Describethe Health Condition Dementia. Answer: Dementia: Dementia is a group of diseases which causes long duration and steady loss in ability to think and memorize. As a result, there is negative impact on the daily functioning of the person. Most common symptoms associated with dementia are emotional dilemma, difficulty in speech and language and diminished motivation. However, there is no effect on persons consciousness in persons with dementia (Cerejeira et al., 2012). Alzheimer's disease is the most prevalent cause of dementia. Other causes with less prevalence include vascular dementia, Lewy body dementia, frontotemporal dementia, normal pressure hydrocephalus, Parkinson's disease and syphilis. Diagnosis of dementia generally based on the medical history of the patient, cognitive testing comprising of mental state examination, medical imaging and blood testing. There is lack of treatment for dementia. However, cholinesterase inhibitors like donepezil can be beneficial in recovering from mild to moderate dementia. Abundant literature comprising of clinical trials is available for the effectiveness of donepezil in dementia (Rolinski et al., 2012). Cognitive and behavioral interventions can also be useful in improving condition of the patient. Education, emotional support and exercise can be helpful in improving outcomes in terms of activities of daily living. Signs and symptoms of dementia include balance difficulty, tremor, eating problem, speech problem, memory decline, restlessness, visual problem, agitation, anxiety, impulsivity, delusions, loss of appetitie and sleep disorder (Bourgeois and Hickey, 2011; Dorothy et al., 2015; Larson et al., 2013). Prevalance of Dementia: In Australia, 8.8 % people of age 65 and above have dementia. Approximately, 43 % people of age 85 and above has dementia. Approximately, 1 % people below age 60 are associated with dementia. 50 % of the aged people in the Australian Government funded aged care facilities are associated with dementia. In 2013, it was estimated that dementia was the second prominent cause of death in Australia. Death due to dementia was estimated to be 7.4 % of all deaths. Median age of people with death due to dementia was 88 years (AIHW, 2015). In Japan, 21 % people above 65 years of age are associated with dementia. Projected number of people with dementia is estimated to be 42.3 million by 2020 and 81.1 million by 2040 (Prince et al., 2016). Treatment of Dementia: Psychologial therapies, medications and non-medication therapies can be provided to the patient for treatment and management of dementia. Psychological therapies for dementia include music therapy, reminiscence therapy, cognitive reframing, validation therapy and mental exercises. Improvement in the dementia in psychological therapies can be evaluated by using Mini-Mental State Examination (MMSE). In psychological therapies different scales like Cornell Scale for Depression in Dementia (CSDD), Geriatric Depression Scale short form (GDS-SF) and Todai-shiki Observational Rating Scale (TORS) can be used to assess improvement in the patient. Music therapy in the young people would be helpful in memorizing the names. Reminiscence therapy uses history in the written and oral form for improving psychological condition of the patient. Research indicated that reminiscence therapy is useful in improving cognitive function and quality of life of patient. Reminiscence therapy is useful in dement ia of Alzheimer's disease and vascular dementia type (Langa et al., 2014). Cognitive reframing deals with the identification of the unreasonable thoughts and correcting it. From the literature, it is evident that application of cognitive reframing helped in improving memory of the people. In cognitive reframing people should be told that they can improve their memory by changing their opinion about dementia. Validation therapy is based on the acknowledgement of the others opinions, however there is very less evidence available for the implementation of this therapy in dementia. Cognitive training is based on the principle that cognitive capability can be improved by performing exercise by the brain (Lochhead et al., 2016). Medications for dementia cant improve actual disease process, however these can improve cognitive and behavioral symptoms. Acetylcholinesterase inhibitor like donepezil proved useful in different types of dementia like Alzheimer disease, Parkinson's disease and vascular dementia. N-methyl-D-aspartate (NMDA) receptor blocker like memantine also proved useful in dementia. Donepezil and memantine can be used in combination for dementia because their mechanisms of action are different (Alsaeed et al., 2016). Non-medication therapies like occupational therapy, modification in the environment and modification of tasks can be implemented for the management of dementia. Occupational therapy deals with the making safe home and coping behaviors. By this accidents and risk behaviors can be avoided. Modification of the environment involves reducing noise, hence dementia person can concentrate more on the given task. Modifying tasks involve proper structuring of the activities, hence, there would be less confusion in the person with dementia (Farina, 2012). Health Professionals: Psychologist should be involved in the management of dementia. Psychologist can provide their services at different settings like homes, residential care facilities, clinics and hospitals. Psychologist perform different tasks like assessment of type of dementia, counseling to patient and family members, assistance to staff, education to patient, family members and staff, guidance to improve daily functions and provision of evidence based dementia management. Prognosis and diagnosis along with future planning and decision making are the most important roles played by the psychologist. Psychologist are well versed with decision making, relevant legislation and skills related to dementia. Psychologist has important role in the treatment of patients with life-long dementia because management of these patients is difficult for the healthcare staff in hospitals and clinics. Psychologist plays important role in diffentiating dementia form other psychological conditions like delirium and dep ression (Moonga and Likupe, 2016; Molinuevo et al., 2013). Nurse can build effective communication and interaction with dementia patient to build trust. This trust can be helpful in accurate assessment of the patient. Nurse can empower dementia people by providing ideal environment for the people with dementia. Nurse should understand behavior of the dementia patient and make them feel more relaxed, safe and sound. Nurse should inform exact condition of patient honestly to patient and family members and provide person centered and family centered care. Patients with dementia may forget to take medications, hence nurse should make sure that patients are consuming medications on the scheduled timings. If patient is not taking medications due to psychological issues, nurse should put this issue in meeting and discussion comprising of nurse, doctor, pharmacist and family members and should take best decision in interest of patient. Nurse also should take care of adequate intake of fluid and nutrition, exercise and use of toilets for dementia pat ients because they may be forget it (Lipton and Marshall, 2012; Rahman, 2017). Financial impact: Dementia condition has significant impact on the financial aspects of family and community. It is reported that 1/3 of the people with job has to quit their job or reduce working hours due to dementia. Approximately 15 % of the people have to sell their personal belongings to earn money for medical and psychological management of dementia. Approximately 50 % people reported that they have to spend their savings for cure of dementia condition. Moreover, in most of the parts of the world dementia care doesnt come under insurance policies and there are no subsidies for the management of dementia (van Vliet et al., 2010). In dementia condition financial burden is also more because improper diagnosis of the condition. In dementia patients multiple psychological factors are involved. Hence, it would be difficult for the doctor to make accurate diagnosis. Inaccurate diagnosis may lead to the wrong treatment to the patients. This leads to the unnecessary and unproductive spending on the deme ntia condition. There is no fixed protocol available for the management of dementia because dementia management may vary from person to person, which may lead to financial burden on family members and community. Dementia can also increase national spending on the management of dementia. There should be allocation of one of the family members for the management of dementia. In such cases, caregiver person cant concentrate on the job or has to leave the job. It has double impact on the financial condition of the family. Family has to spend money on the treatment of dementia and additionally there would less income for the family due to jobless members of the family. Dementia condition mainly occurs in the elderly persons. In general, elderly people are non-earning people and there is more spending on them for dementia treatment. Persons with dementia may be with less movement. It can lead to other complications like obesity, diabetes and hypertension. Treatment of these additional com plications may lead to extra financial burden on family members (MacKinlay and Trevit, 2012; Coope and Richards, 2014). References Quote Dementia is not exclusively a problem of developed world Julie Bishop. (UN News Centre, https://www.un.org/apps/news/story.asp?NewsID=50339#.WQRU79Lytdg) Graph: Age distribution of deaths, by Indigenous status, age and sex, 2009-2013 (AIHW, 2016 https://www.aihw.gov.au/australias-health/2016/population-groups/) References: Alsaeed, D., Jamieson, E., Gul, M.O., and Smith, F.J. (2016). Challenges to optimal medicines use in people living with dementia and their caregivers: A literature review. International Journal of Pharmacology, 512(2), 396-404. Australian Institute of Health and Welfare (AIHW) , (2015). Dementia. Retrieved from https://www.aihw.gov.au/dementia/ on 27.04.2017. Australian Institute of Health and Welfare (AIHW), (2016). Health of population groups, Retrieved from https://www.aihw.gov.au/australias-health/2016/population-groups/ on 30.04.2017. Bourgeois, M.S., and Hickey, E. (2011). Dementia: From Diagnosis to Management - A Functional Approach. Taylor Francis. Cerejeira, J., Lagarto, L., and Mukaetova-Ladinska, E.B. (2012). Behavioral and psychological symptoms of dementia. Frontiers of Neurology, 3(73). doi:10.3389/fneur.2012.00073. Coope, B., and Richards, F. (2014). ABC of Dementia. John Wiley Sons. Dorothy, F., Forbes, S. C., Blake, C. M., Thiessen, E. J., and Forbes, S. (2015). Exercise programs for people with dementia. The Cochrane Database of Systematic Reviews, (4), CD006489. doi:10.1002/14651858.CD006489. Farina, E. (2012). Dementia: Non-pharmacological Therapies. Nova Science Publishers. Langa, K.M., and Levine, D.A. (2014). The diagnosis and management of mild cognitive impairment: a clinical review. Journal of the American Medical Association, 312(23), 255161. Larson, E.B., Yaffe, K., Langa, K.M. (2013). New insights into the dementia epidemic. The New England Journal of Medicine, 369(24), 22757 Lochhead, J.D., Nelson, M.A., and Maguire, G.A. (2016). The treatment of behavioral disturbances and psychosis associated with dementia. Psychiatria Polska, 50(2), 311-22 Lipton, A.M., and Marshall, C.D. (2012). The Common Sense Guide to Dementia For Clinicians and Caregivers. Springer Science Business Media. MacKinlay, E., and Trevit, C. (2012). Finding Meaning in the Experience of Dementia. Jessica Kingsley Publishers. Moonga, J., and Likupe, G. (2016). A systematic literature review on nurses' and health care support workers' experiences of caring for people with dementia on orthopaedic wards. Journal of Clinical Nursing, 25, (13-14), 1789-804. Molinuevo, J. L., Cummings, J. I., Dubois, B., and Scheltens, P. (2013). Early Diagnosis and Intervention in Predementia Alzheimer's Disease, An Issue of Medical Clinics. Elsevier Health Sciences. Prince, M., Gemma-Claire, A., Malenn, G., Prina, A. M., Emiliano, A., and Yu-Tzu, W. (2016). Recent global trends in the prevalence and incidence of dementia, and survival with dementia. Alzheimer's Research Therapy, 8(23). DOI: 10.1186/s13195-016-0188-8. Rahman, S. (2017). Enhancing Health and Wellbeing for Living with Dementia: Care Homes and Care at Home. Jessica Kingsley Publishers. Rolinski, M., Fox, C., Maidment, I., and McShane, R. (2012). Cholinesterase inhibitors for dementia with Lewy bodies, Parkinson's disease dementia and cognitive impairment in Parkinson's disease. The Cochrane database of systematic reviews, 3, CD006504. doi:10.1002/14651858.CD006504. UN News Centre, https://www.un.org/apps/news/story.asp?NewsID=50339#.WQRU79Lytdg, retrieved on 27.04.2017 van Vliet, D., de Vugt, M.E., Bakker, C., Koopmans, R.T., Verhey, F.R. (2010). Impact of early onset dementia on caregivers: a review. International Journal of Geriatric Psychiatry, 25(11), 1091-100.

English Literature and Composition Essay Example For Students

English Literature and Composition Essay Laughter occurs frequently throughout One Flew Over the Cuckoo’s Nest by Ken Kesey. Not only is laughter used to create a lighter feel throughout parts of the book, but it is an important part of many characters’ development. Through the use of diction, figurative language, and syntax, Kesey illustrates the theme that laughter is the ultimate cure.  Through diction, Kesey is able to demonstrate the healing power laughter has. As the boys go out on the boat, they’re all running frantically around the ship, yet McMurphy is â€Å"just laughing† (Kesey 248). The use of the absolute â€Å"just† helps add significance to the laughter in the scene. By â€Å"just† laughing, McMurphy is demonstrating himself the healing power that laughter has. He isn’t focusing on any problems, of his own or of the other patients, and he’s displaying his personality and identity by laughing. McMurphy’s laughter is just the start of the healing process for all of the boys. McMurphy’s laughter quickly becomes contagious to the boys, and â€Å"Harding is collapsed beside McMurphy and is laughing†¦.and Sefelt and the doctor, and all† (250). The repetition of the word â€Å"and† is extremely significant. As Chief uses the word â€Å"and† to continue adding on to the list of people who are laughing, he is adding people on to a list of the people who are beginning their personal healing process and finding themselves again. With every person that joins in on the laughter, the more effective and powerful the healing power of the laughter is. The immense amounts of laughter boost the boys’ confidence and help bring back their personalities. The laughter â€Å"swell the men bigger and bigger† (250), not only building them up in that moment, but permanently. As the laughter continues, each man on the boat regains his sense of being and who he is as a person. Simply by laughing, the boys re-establish who they are as people, and cure themselves of their loss of identity. The use of figurative language is another technique used to present the theme that laughter is the ultimate cure. As McMurphy laughs, it’s so genuine that he â€Å"spread his laugh out across the water† (250). While his laugh doesn’t actually spread out across the water, it’s so hearty and full that it can’t help but consume the atmosphere. By spreading his laugh out, McMurphy also distributes it out to each of the boys on the boat. His laughter quickly leads to theirs, which becomes their ultimate healing tool. The overwhelming spread of laughter takes over all the boys, and they â€Å"swing a laughter that rang out on the water in ever-widening circles†¦in wave after wave after wave† (250). The powerful spread of their laughter indicates the growth of their individuality. Just as the laughter spreads across the ocean, the regaining of identity spreads across the entire ship, curing all of the boys from their entrapment an inability to be themselves. As Chief laughs, he feels as if he is â€Å"off the boat, blown up off the water†¦high above myself† (250). Chief feeling as if he is lifted above himself represents how he is finally lifted out of the trap of his lost identity. With laughter, he is cured of his confinement to conformity and is able to discover his true self again. Syntax is also used to demonstrate how laughter is an ultimate cure. All of the boys are having a difficult time on the boat at first, and they all ask for help, â€Å"And McMurphy was just laughing† (248). By separating the phrase â€Å"And McMurphy was just laughing†, a larger emphasis is placed on the idea of laughter. By stating that McMurphy was simply laughing, Kesey is demonstrating the idea that laughter is simply an enjoyable moment that requires nothing more than being one’s self. McMurphy standing there laughing is the start of the release for the boys, which leads to their healing later on the boat. .ua90d14c187a013aae1f044a08da27a0b , .ua90d14c187a013aae1f044a08da27a0b .postImageUrl , .ua90d14c187a013aae1f044a08da27a0b .centered-text-area { min-height: 80px; position: relative; } .ua90d14c187a013aae1f044a08da27a0b , .ua90d14c187a013aae1f044a08da27a0b:hover , .ua90d14c187a013aae1f044a08da27a0b:visited , .ua90d14c187a013aae1f044a08da27a0b:active { border:0!important; } .ua90d14c187a013aae1f044a08da27a0b .clearfix:after { content: ""; display: table; clear: both; } .ua90d14c187a013aae1f044a08da27a0b { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ua90d14c187a013aae1f044a08da27a0b:active , .ua90d14c187a013aae1f044a08da27a0b:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ua90d14c187a013aae1f044a08da27a0b .centered-text-area { width: 100%; position: relative ; } .ua90d14c187a013aae1f044a08da27a0b .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ua90d14c187a013aae1f044a08da27a0b .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ua90d14c187a013aae1f044a08da27a0b .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ua90d14c187a013aae1f044a08da27a0b:hover .ctaButton { background-color: #34495E!important; } .ua90d14c187a013aae1f044a08da27a0b .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ua90d14c187a013aae1f044a08da27a0b .ua90d14c187a013aae1f044a08da27a0b-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ua90d14c187a013aae1f044a08da27a0b:after { content: ""; display: block; clear: both; } READ: Dramatic Devices EssayAs chaos escalates, everyone becomes even more frantic, â€Å"While McMurphy laughs† (249). Once again, Kesey separates McMurphy’s laughter from the passage because it is the true factor in the healing of the boys. McMurphy’s laugh is so significant in the healing process for every single boy, and by allowing the concept of McMurphy’s laughter stand alone, it brings more emphasis onto how important of a role his laughter plays in the ultimate curing of the boys. Syntax is also used to describe how McMurphy views his life and how â€Å"he won’t let the pain blot out the humor no more’n he’ll let the hum or blot out the pain† (250). The use of the chiasmus makes it evident that even though McMurphy is suffering just as the other boys are, he won’t let it ruin who he is and what he enjoys in life. The realization by Chief that McMurphy’s laughter is his way of keeping his identity helps Chief and the other boys use laughter to find their own identities, which leads to them being cured of their loss of individuality.  By presenting laughter frequently throughout the novel, Kesey demonstrates the idea that laughter is important to one’s identity. By using various literary techniques such as diction, figurative language, and syntax, the theme that laughter is the ultimate cure becomes widely applicable to the novel.