Effects Of Crisis On Children And Youth Essay - 1741 Words

â€Å"Crisis can be defined as an unexpected occurrence that may have negative consequences, which can lead to uncertainty, instability, and, in many cases, a need for immediate action or response.† (Stein, 2006). Not only can it be unexpected, but it can also be expected. Events such as a family illness that leads to death could be expected but still create trauma. The main point of crisis is not the traumatic event that is occurring, but the impact that it has on an individual(s). In order to understand and respond to crisis, we must have a good understanding of what crisis is and its toll on children and youth. When looking at crisis, we must examine three key factors in order to be efficient in responding and taking appropriate action: They types of crisis encountered, the effects that it has on children and youth, and what ways we can accurately respond to children and youth who might be experiencing a crisis. It is imperative to respond promptly to crisis because it can have a deep impact on a child or youth. To examine how a crisis can impact children or youth, a deeper look at the levels of crisis must be explored first. Crisis can range in type and severity from minor occurrences to extremely profound events that can have an impact nationally and worldwide. Most schools will not encounter crisis on a profound level, but will face crisis of some varying magnitude (Cowan, 2013). Crisis can be categorized into two major types of disaster: human or man-made disasters andShow MoreRelatedEffectiveness Of Psychiatric Programs For Children Essay1325 Words   |  6 Pages Children in crisis are at a higher risk of developing mental health issues due to traumatic experiences. Several interventions are available to reduce the effects of traumatic experiences on children. In this paper, the effectiveness of psychiatric programs for children in crisis will be investigated. It is hypothesized that psychiatric intervention programs are effective in reducing stress reactions in children in crisis but an holistic approached must be adopted to obtain better results. The followingRead MoreCrisis Intervention Essay1506 Words   |  7 PagesCrisis intervention is emergency first aid for mental health (Ehly, 1986). In this paper, I intend to show you a brief overview of what crisis intervention is, describe what school psychologists do and summarize the steps they may use to identify, assess, and intervene with an individual experiencing crisis. What is crisis intervention? Crisis intervention involves three components: 1) the crisis, the perception of an unmanageable situation; 2) the individual or group in crisis; and 3) the helperRead MoreEvaluation Of The Employee Retention Rate At The Greater Minneapolis Crisis Nursery1496 Words   |  6 Pagesyou asked me to give you a detailed report of the employee retention rate at the Greater Minneapolis Crisis Nursery as well as the retention rate at similar organizations across the nation. As you know, the Greater Minneapolis Crisis Nursery’s employee retention has been an on going problem for the Nursery. With the employee turnover rate averaging as a high as 84% in Children’s Services, children coming to the Nursery are in continuously changing hands (Joel Bergstrom, 2011-2016, Employee Report)Read MoreDevelopmental Stages And Theories Of Development861 Words   |  4 Pagesin which adolescents have not yet experienced a crisis and, thus, have had no need to explore meaningful alternative o r make commitments to values or plans for the future. Identity foreclosure refers to the stage in which parents often push commitments on to their adolescents yet the youth have not had the opportunities needed to explore their own perceptions or beliefs. In identity moratorium, the adolescents are currently experiencing a crisis and are actively seeking out their own values andRead MoreMental Health Is Essential For A Person s Overall Health788 Words   |  4 Pagesof disease or infirmity. Child and adolescent mental health problems are at a point of crisis for our nation. The Substance Abuse and Mental Health Services Administration (SAMHSA) has identified that one out of every ten children or adolescents has a serious mental health problem that interferes with daily functioning, and another 10% have mild to moderate problems and fewer than one in five of these children receive the mental health services they need. The costs of failure to prove adequate servicesRead MoreHomel ess Youth : An Unseen Population1042 Words   |  5 PagesHomeless Youth Group Journal Homeless youth are an unseen population. They may go unnoticed because they are forgotten about. They are not easy to identify because they do not have permanent housing. They may stay with friends and move from place to place or couch surf. Numerous homeless youth have left home for countless reasons. They may have nowhere to go, lack familial support, they may have suffered abuse at home, or they might be defiant with the rules at home and want to experience moreRead MoreHealth Outcomes1611 Words   |  7 Pagesand religious involvement. The social and behavioral development of children is directly related to the quality of care provided by their mothers and non-maternal care for those in child care. Studies have suggested that the emotional health of pre-adolescents is related to their parent’s religious practices (The Heritage Foundation, 2011). Children are born into a complex environment which can have negative and positive effects on their health (Rigby ump; Kohler, 2002). Many services such as theRead MoreEmotional Wellness1692 Words   |  7 PagesTrue depression in teens is often difficult to diagnose, because normal teenagers have up and down moods. These moods may go back and forth over a period of hours or days. Sometimes when children or adolescents are asked, they will say that they aren t happy or sad. Health care providers should always ask children or adolescents about symptoms of depression. The health care provider will perform a physical examination and order blood tests to rule out medical causes for the symptoms. The doctor willRead MoreNazi Germany And Its Detrimental Effects On The Social Outcasts967 Words   |  4 Pagesin Germany and its detrimental effects on the social outcasts in Europe, it can be easy to deduce that the Nazi regime was one where Hitler walked in with his officials and took office by force. The truth is that, while the Nazi party is responsible for the atrocities that occurred before and during WWII, they would have not gotten far if it hadn’t been for the cooperation of the German people themselves. Life in the Third Reich provides proof through voting, youth programs and village life thatRead MoreChallenges facing youths today1513 Words   |  7 Pagesï » ¿Challenges Facing the Youth in Today’s Society Most of the problems facing today’s youth are not restricted to any one ethnic or religious group, but affect young people generally. Most discussions on youth have focussed on issues such as drug abuse, crime, violence, sexuality and poverty. In addition to these, today’s youth are afflicted by new challenges. These include: 1. An Identity Crisis: Who am I? 2. Lack of self confidence and low self esteem: I am worthless 3. A sense of hopelessness:

Bladerunner Humanity of Deckard Roy Batty Essay

Roy Batty and Deckard are both able to show us what it means to be human. To what extent do you agree? br brThrough Blade Runner, we see an epic quest filled with meaning and symbolism applicable to the human condition. Replicants are basically human beings, except for the fact that they lack a history. As a consequence of this, perhaps, they also lack proper emotional faculties especially empathy. Empathy is the ability to place oneself in the position of another living being and understand that persons feelings. br brBlade runner promotes that empathy is the defining characteristics for humanity. The replicants, designed not to show any emotion, develop spiritually and emotionally throughout the film. br brThe characters†¦show more content†¦Although this act seemed quite inhuman, the motivation behind it seemed quite believable. He also demonstrates an inhumane role when he kills Tyrell but Tyrell is inhumane to create intelligent beings with such a limited life span displaying greed and manipulation. br brBatty also showed many human emotions as he talked of the horrors he had endured. It was obviously very difficult for him to take these nightmares as they affected him much in the same way it would have affected any human. He also exhibited human qualities when he saved Deckard from falling off the building. br brQuote: Quite an experience to live in fear, isnt it? Thats what its like to live as a slave. br brAt the last moment, Roy saves him by grabbing his wrist with the nail-impaled hand. He draws him up to the roof, and lays him down. br brPris also shows human qualities. Pris was very naive. She seemed to be the least developed of all of the Replicants and therefore was very much a follower. She also had a certain sort of innocence. br brQuote: Then were stupid, and well die! br brShe says this after Batty tells of the deaths of their friends, which show that she is scared and starting to get worried that shell die, she has feelings, and starts to panic. br brTowards the end of the movie it levels it up to see that both Batty and Deckard show us the meaning of what itShow MoreRelated Bladerunner: Humanity Of Deckard Roy Batty Essay examples762 Words   |  4 Pages Roy Batty and Deckard are both able to show us what it means to be human. To what extent do you agree? Through Blade Runner, we see an epic quest filled with meaning and symbolism applicable to the human condition. Replicants are basically human beings, except for the fact that they lack a history. As a consequence of this, perhaps, they also lack proper emotional faculties especially empathy. Empathy is the ability to place oneself in the position of another living being and understand that person’sRead MoreA Study of Bladerunner Essay2089 Words   |  9 PagesA Study of Bladerunner In June of 1982, Warner Brothers released the highly anticipated Harrison Ford film Bladerunner. The film was directed by Ridley Scott, who earlier had a hit with Alien. Both films are science fiction films. The characteristics of the science fiction genre are quite broad. The main things science fiction films have in common are things such as the technology being far superior than today e.g. flying cars and bizarre, otherworldly imagery. HoweverRead MoreEssay Bladerunner1390 Words   |  6 PagesThe film text Bladerunner is rich with confrontational ideas about human nature and technology. Made in 1982 and set in 2019, Ridley Scott the director uses clever cinematography and soundtrack to develop his ideas; successfully illustrating a harsh but feasible future. The most significant and vital theme that Scott incorporates is the theme ‘what does it mean to be human’ best encompassed by the famous phrase ‘I think therefore I am’. The relationship between technology and human nature is alsoRead MoreBladerunner - Humanity and Nature1972 Words   |  8 PagesThe central theme of Bladerunner is the relationship between humanity and nature. More specifically it has a purpose in showing how science can negatively influence this fragile relationship. Set in Los Angeles of 2019 we see the decadence of western society into an inhumane harsh impersonal, technology -dominated realm. The inhabitants who fight for their daily survival are in desperate want for nature, contact with which is denied to them by the unrestricted scientific progress and the consequentRead More Bladerunner - Humanity And Nature Essay1948 Words   |  8 Pages The central theme of Bladerunner is the relationship between humanity and nature. More specifically it has a purpose in showing how science can negatively influence this fragile relationship. Set in Los Angeles of 2019 we see the decadence of western society into an inhumane harsh impersonal, technology-dominated realm. The inhabitants who fight for their daily survival are in desperate want for nature, contact with which is denied to them by the unrestricted scientific progress and the consequentRead MoreComparative Studies of Bladerunner and Frankenstein1157 Words   |  5 Pages Every text is a product of its time. In Mary Shelley’s â€Å"Frankenstein†, she uses the gothic horror genre to explore some of the concerns of her time relating to the use of science and technology and its impact on humanity. Similar concerns are also present in Ridley Scott’s â€Å"Bladerunner†, a futuristic text which combines science fiction and film noir to present a bleak view of a future world overrun by technology and consumerism, but devoid of human emotion. Both these texts offer insights into the

Action Learning Review Free Essays

The Longwall department is responsible for the majority of coal production at the mine and hence, revenue for the business. The management group in this department consist of five staff members, with the Superintendent as the senior person reporting to the Mine Manager. As Technical Services Manager I am a member of the senior management team for the mine, and a peer to the Mine Manager. We will write a custom essay sample on Action Learning Review or any similar topic only for you Order Now However, I have no direct authority over the Longwall department. Although it is suited to the approach, the Longwall department does not tend to operate effectively as a team. Whilst there is a clear annual performance target set by senior management, there will often be confusion amongst the group when they attend the mine’s planning meetings as to what the specific short term priorities for the department should be and the best way to achieve them. This confusion invariably leads to conflict in these meetings between group members, with individuals attempting to ensure that their specific area of responsibility is not affected by the other’s individual priorities. There has been a high turnover of staff in the past year and the overall performance of the Longwall has been poor, with production results 40% below budget impacting significantly on the profitability of the business. Analysis The Longwall mining process is complex and to be successful requires reciprocal interdependence of tasks (Thompson, 1967). The engineers must work closely with the operations staff in the department through the planning and implementation stages to ensure safe and productive operations with minimal unplanned delays. This requirement of interdependence makes the Longwall process ideally suited to a team approach for management. Although it is a small group comprised of five staff with complementary skills, and a common production target for the year, the Longwall department does not currently satisfy the requirements of Katzenbach and Smith’s (1993) definition of a team. They fail to define short term goals and work processes which would lead to achievement of the annual production target and, in addition, the group does not hold themselves mutually accountable for their performance. The lack of team approach towards these highly interdependent tasks leads to competing short term priorities within the group and results in poor overall performance. One of the key reasons that the Longwall department has failed to come together as a team is a lack of group cohesiveness (Shaw, 1981). The members of the group are heterogeneous (Managing People Organisations, 2006), with different expertise and experience and as a result there is often competition and conflict (Raelin, 1985) with regards to the best approach to various tasks. This is potentially linked to the lack of specific short term goal setting completed within the group as they seek to avoid conflict because they lack the interpersonal skill of conflict resolution (Managing People Organisations, 2006). However, this conflict inevitably occurs when the group attends the mine’s planning meetings, as the individuals promote different priorities and ideas. If the group was more cohesive and co-operative, individuals would not feel threatened by other members and the heterogeneity of the group could be harnessed in a positive way through creative and flexible solutions to problems. For example one of the mining staff may have a different solution to an engineering problem which was not considered by the engineers. The lack of cohesiveness has led to a high turnover of staff over the past year. This means that Tuckman and Jensen’s (1977) life cycle of the group has had to return to the forming stage of the on a number of occasions and this in turn has hindered the development of group norms (norming stage) which would enhance co-operation within the group and is essential to achieve the required performance. This lack of progress through the group life cycle is also linked to the level of competition between heterogeneous group members as they battle for power and influence in the group. The required short term goal setting and work approaches would be more easily achieved by a cohesive group. If the group was able to achieve the latter stages of the life cycle it is likely that group cohesiveness would be high and there would be significantly less staff turnover. The management processes at the mine currently manage individuals rather than teams (Hackman, 1990). This is linked to the Longwall department’s reluctance to embrace mutual accountability for performance and also the reluctance of the Superintendent to effectively lead the group as a team, as discussed below. Remuneration and bonuses are reviewed on the basis of individual performance, with little accountability for performance as part of a team. This leads individuals to â€Å"protect† themselves by making excuses and blaming others for poor performance. It also encourages individuals to focus on the specific tasks and priorities that are linked to their individual performance rather than those best suited to the overall department’s performance, resulting in conflict and a lack of co-operation in the planning and implementation of tasks. On the basis of Thompson’s (2000) model, the Longwall department achieves two out of three essential conditions to be an effective team. The group has the requisite knowledge, skills and ability to complete the required tasks and their motivation to do so is evidenced by the long hours that each individual spends at work focussing on those tasks. However, as mentioned earlier, the group lacks co-ordination strategies such as short term goal setting and work method development which prevents them from developing into a real team. In addition, Thompson’s team effectiveness model also requires an appropriate environment in which the team can operate. As discussed earlier, the design of the team is appropriate however the requisite organisational context and team culture are currently absent. As can be seen from the earlier analysis, the management of the Longwall mining process is well suited to a team approach, provided that the personnel are managed effectively as a team rather than as individuals in a group. On the basis of Katzenbach and Smith’s team performance curve (1992) the Longwall department is currently at the potential team stage. The individuals in the department have a clear annual production target and are all working hard to achieve it, however, they lack specific short term goals, a common working approach and an attitude of mutual accountability. To achieve the desired performance and meet the annual production targets, the team will need to move from the potential team stage to the real team stage. Improvement Planning From my analysis of the Longwall department I have identified three specific improvement opportunities that I would pursue if I was the Mine Manager to move the team from the potential team stage to the real team stage. Firstly I would look to improve the group’s specific competencies essential for effective teamwork through formal training and improve group cohesiveness through team building activities. Secondly I would implement a process to facilitate the setting of short term goals and work methods to achieve them. Finally I would modify the performance management system and remuneration packages for the individuals in the department to reflect a team based approach rather than individual management. However, prior to beginning the improvement processes I would begin calling the department the Longwall team so that they begin to identify themselves as a team rather than a workgroup or department. To improve the group’s task-related and interpersonal competencies, which are important for effective teamwork, I would organise for the group to go off site together for one week of formal training and team building exercises (Managing People Organisations, 2006). This training may need to be ongoing. It is important that the group attends this training together so that they can begin to build mutual trust and respect and develop social capital (Lengnick-Hall and Lengnick-Hall, 2004). It is also essential that the training is held off site to ensure there are no distractions. One possible obstacle to carrying out this training is that taking the whole group offsite at the same time leaves the workforce with a lack of supervision or direction. To overcome this I would arrange the Superintendent of another area of the mine who has significant Longwall experience to cover the absence of Longwall Superintendent. I would also arrange for the mechanical and electrical engineers from the engineering department to provide coverage from an engineering perspective. The success of this training can be measured through an assessment process conducted by the training organisation at the end of the training program to examine the understanding and application of the concepts by the individuals in the group. A questionnaire completed by each member of the group would also be implemented to determine their perception of the applicability and success of the training. To facilitate the group’s setting of short term goals and work methods to achieve them, I would send them off site again for two days with an external facilitator. This forum would also include team building activities to break up the workshop and continue to promote team bonding. They would utilise the task-related competencies gained in the formal training process to develop and document short term goals based on achieving the annual production targets set by senior management. They would also be required to assess the potential obstacles and risks to achieving their short term goals and develop and document contingency plans to overcome those obstacles. It is essential that the team develops the goals together so that they have ownership and commitment to achieving them. They need to ensure that the goals and work methods focus on performance not just togetherness (Katzenbach and Smith, 1992). Again, a potential obstacle to this process is taking the group offsite together leaving the workforce with a lack of supervision and direction. This would be addressed in the same manner as previously for the formal training. A second potential obstacle/risk to this process is the quality of the external facilitator. If this person does not have the appropriate skills to keep the workshop on track and the understanding of the desired outcomes, it is likely that the workshop will not be successful. To overcome this obstacle I would interview potential facilitators and seek references from others who have used them in the past. Once selected, I would ensure that the facilitator is very clear about the purpose of the workshop and the required documented outcomes. To measure the success of this workshop I would review the documented short term goals to ensure that they will allow the team to meet the annual production target and I would also assess the adequacy and relevance of the contingency plans to overcome the identified obstacles and risks. A second measure will be whether or not the group achieves its self developed short term goals over the following weeks. To modify the performance management review system I would change it from an individual performance review by the Superintendent to a 360 degree review process. This review would be based on individual contribution to the team performance as viewed by other members of the team and will provide valuable feedback for individuals. I would also change the remuneration system for the individuals in the team to incorporate a bonus related to Longwall performance as a team measured on the basis of coal produced against targets (Gross 1995). This would encourage the team culture to develop with individuals supporting each other and keeping each other on track rather than pursuing individual priorities. One obstacle to this could be the feeling that some things which could impact Longwall production are out of the management team’s control, such as geological conditions. To overcome this I would document the potential influences on performance which are not controllable by the team and undertake to discount the production targets by a proportional amount to any performance impacts suffered to ensure that the bonus arrangement is not compromised. The measure of the success of this improvement strategy will be the achievement of production targets over the short and long term. References Gross, S. E. 1995, Compensation for teams: how to design and implement team-based reward programs, American Management Association, New York. Hackman, J. R. 1990, Groups that work (and those that don’t), Jossey-Bass, San Francisco. Katzenbach, J. Smith, D. K. 1993, The wisdom of teams: creating the high performance organization, McGraw-Hill, London. Katzenbach, J. Smith, D. 1992, ‘Why teams matter’, extract from The wisdom of teams: creating the high performance organization, in The McKinsey Quarterly, no. 3 of 1992, pp. 3-27. Lengnick-Hall, M. L. Lengnick-Hall, C. A. 2004, ‘HR’s role in building relationship networks’, Academy of Management Review, vol. 17, no. 4, pp. 53-63. Managing People and Organisations, 2006, Unit 5, pp. 1-56, AGSM MBA (Executive) Program. Raelin, J. 1985, The clash of cultures, Harvard Business School Press, Boston. Shaw, M. E. 1981, Group dynamics: the social psychology of small group behaviour, McGraw-Hill, New York Thompson, J. D. 1967, Organizations in action, McGraw-Hill, New York. Thompson, L. 2000, Making the team: a guide for managers, Prentice-Hall, Upper Saddle River. Tuckman, B. Jensen, M. 1977, ‘Stages of small group development’ Group and organisational studies, vol. 2.    How to cite Action Learning Review, Essays

Basic Concepts in Organization free essay sample

When one delves into the principles of compensation in Rational Psychology[2] or what is commonly known as the Philosophy of Man, one gets to understand the very basis of why man tends to associate, or form groups with his fellowman. There are talents or expertise that is possessed by other men which is lacking in a person. Thus, a man by force of necessity identifies himself with another man who has talents which he does not possess. In other words, a person’s act of associating with another man is to compensate for what he lacks himself, thus assuring his survival. Plato said in Absolute Materialism[3] that all persons before they assume physical existence in this world are free-floating pure ideas. He calls this the â€Å"noumena. † By a freakish form of accident the noumena was broken into two and both fell down from the ideal world into earth and are born. We will write a custom essay sample on Basic Concepts in Organization or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Thus, from the time a person is born up to his death, he continually searches for his other half and in the process associating and joining himself with other men in the hope of finding that broken half, and when he finds it, he becomes whole again. The Philippine Constitution of 1987 has recognized this basic need of man to join in a group when it states that: The right of the people, including those employed in the public and private sectors, to form unions, associations, or societies for purposes not contrary to law shall not be abridged. [4] According to Isagani Cruz (1995, p. 225) that the right of the people to associate is especially meaningful because man is by nature gregarious. The expression of opinions and views may be more effectively spread and disseminated if articulated through an organization to which the person belongs than if he were to ventilate them as a mere individual. This buttressed the view that only through membership in an organization, group or association can a person finds fulfillment and wholeness as a human being. With this, it can be said that an organization, together with Mison and Bernabe (2004, p. 79), is a mechanism or structure that enables living things to work effectively together.

The Influences of Traits Essay Example For Students

The Influences of Traits   Essay Every murderer and his story are peculiar and obscure in the mind, with a number of components. It is always a mystery as to the workings of their mind and what compels them to commit such vile acts of violence. In the end, their motives and conscience preceding and after the murder is all that matters. Their reasons for murder may be an account of several different factors, such as the environment and society, their characterization and past, or influences from other people. In Crime and Punishment, by Fyodor Dostoevsky, and The Stranger, by Albert Camus, protagonists Raskolnikov and Meursault commit acts of murder based on separate purposes but entirely motivated by their unique characteristics, and how they affect their mind after the deeds been carried out. We will write a custom essay on The Influences of Traits   specifically for you for only $16.38 $13.9/page Order now In Crime and Punishment, Raskolnikov murders Lizaveta Ivanovna and her sister, Alyona Ivanovna, an old pawnbroker, whom he deems a detested woman and his characterization affects his thoughts after the murder. In the beginning, before the murder, Raskolnikov is indecisive about following through with his plan to kill Alyona and he carries out an experiment as practice and to gain a better understanding on where the money and gold are. This characterizes Raskolnikov as anxious and uncertain, and not fully confident in his own plan and execution of it. However, this hesitation pursues until after the murder of the pawnbroker, where Raskolnikov feels dreadful and uneasy having done this act. He gets jittery and listens to his conscience at times, which tells him a different thing than his heart. For example, on the way to the police station for a summons, the day after the murder, Raskolnikov imagines that he will go in, fall on my knees, and confess everything (97). Also, he debates with himself whether or not to confess it all to the head clerk, Nikodim Fomitch, where he feels the urge to get up at once, and tell him everything that had happened yesterday, and then go with him to his lodgings and show him the things in the hole in the corner (107). Raskolnikovs anxiety and sudden impulses to admit the truth become more visible when he faints at the police station, as soon as the murder of Alyona Ivanovna is mentioned. He remains this way weeks trailing the murder, which further epitomizes his character. Raskolnikovs shock and nervousness impel him to stay attached to the murder. During the days of his illness in pursuit of the murder, he seems to only be interested in that subject each time that it is mentioned. It is noticed by Raskolnikovs doctor, Zossimov as well as Razumihin. He is an indefinite character, in that he wishes to confess his crime and be relieved of it, yet he does not want to face the punishment. This example can be portrayed when Raskolnikov is speaking with Zametov, who works at the police station, at a cafà ¯Ã‚ ¿Ã‚ ½. He drops numerous hints to Zametov, about how he is the murderer of the pawnbroker, however, it is assumed to be false and delusive as a result of his illness and delirium. Another example of Raskolnikovs irresoluteness is at the final moment where he decides to go to the police office and confess to Ilya Petrovitch that he is the actual killer. He leaves the office decided upon leaving it a mystery, when he sees Sonia outside and stares into her eyes and he walks back into the office, revealing the long-kept secret after several different thoughts and instances of confessing, where he declares, It was I killed the old pawnbroker woman and her sister Lizaveta with an axe and robbed them (526). Raskolnikovs consistent desir es to confess the truth after the murder are the result of his characteristics. .u3ac0491627f2fcfef0f742e9b85e2b82 , .u3ac0491627f2fcfef0f742e9b85e2b82 .postImageUrl , .u3ac0491627f2fcfef0f742e9b85e2b82 .centered-text-area { min-height: 80px; position: relative; } .u3ac0491627f2fcfef0f742e9b85e2b82 , .u3ac0491627f2fcfef0f742e9b85e2b82:hover , .u3ac0491627f2fcfef0f742e9b85e2b82:visited , .u3ac0491627f2fcfef0f742e9b85e2b82:active { border:0!important; } .u3ac0491627f2fcfef0f742e9b85e2b82 .clearfix:after { content: ""; display: table; clear: both; } .u3ac0491627f2fcfef0f742e9b85e2b82 { 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; } .u3ac0491627f2fcfef0f742e9b85e2b82:active , .u3ac0491627f2fcfef0f742e9b85e2b82:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3ac0491627f2fcfef0f742e9b85e2b82 .centered-text-area { width: 100%; position: relative ; } .u3ac0491627f2fcfef0f742e9b85e2b82 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3ac0491627f2fcfef0f742e9b85e2b82 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3ac0491627f2fcfef0f742e9b85e2b82 .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; } .u3ac0491627f2fcfef0f742e9b85e2b82:hover .ctaButton { background-color: #34495E!important; } .u3ac0491627f2fcfef0f742e9b85e2b82 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3ac0491627f2fcfef0f742e9b85e2b82 .u3ac0491627f2fcfef0f742e9b85e2b82-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3ac0491627f2fcfef0f742e9b85e2b82:after { content: ""; display: block; clear: both; } READ: Summary of Act 1 EssayIn The Stranger, Meursault kills and Arab at a beach by shooting him once, then four more times, influenced by his individual characteristics. Meursault is generally a carefree soul, who may also be considered emotionless due to the lack of tears he sheds or emotions he reveals at the events approaching the funeral and the latter, itself, in the opening of the novel. At his mothers vigil, Meursault displays a lack of respect, where he thinks to himself, But I hesitated, because I didnt know if I could do it with Maman right there. I thought about it; it didnt matter. I offered the caretaker a cigarette and we smoked (18). He does not show remorse towa rds his deceased mother, contrary to his mothers friends. Also, Meursault focuses on details not relating to his mother, at the funeral; for example, he pays attention to the intense heat and all of the small features of Thomas Pà ¯Ã‚ ¿Ã‚ ½rez such as his slight limp, wrinkly and sweaty skin, the constant taking on and off of his hat and his shortcuts taken to remain caught up with everyone else. This manifests Meursaults indifference to the world around him due to his unique traits. This also pertains to the murder of the Arab, since Meursault did not have a plan or motive to kill him, also lacking a guilty conscience after the murder. The same day following his arrest, Meursault ponders to himself, I had read descriptions like this in books and it all seemed like a game to me (64). He does not realize the situation that he is in, by killing a man, which is mainly a result of his type of character. Another example of Meursaults indifference is his interactions with his current girlfriend, Marie, when she asks him whether he would like to get married to her or not or if he loves her. In response, he says I told her it didnt mean anything but that I didnt think so (35). In response to the marriage proposal, Meursault adds, I said it didnt make any difference to me and that we could if she wanted to (41). This further explains his character and why the murder had been committed . It has been discerned by various people that Meursault is a taciturn and withdrawn person. His unique characteristics partake a major role in the murder of the Arab on a hot day at the beach; given that the murder was not transgressed out of rage or hatred but from the impassive and detached man that he is. Overall, Dostoevsky and Camus deliver murder stories on different levels of understanding and character motives. However, both contain common feature, which is being influenced by their characteristics and the manner in which they act on their conscience when the murders have been done. Although Meursault and Raskolnikov are completely different in character, this is what persuades and prompts their actions and thoughts following the crime. Every person is likely to be instigated by his/her characteristics after any act that he/she commits.

A Rose For Emily Essays

A Rose For Emily Essays A Rose For Emily Essay A Rose For Emily Essay A Rose for Emily, Reader Response Critique Using reader response criticism, the reader can analyze William Faulkners A Rose for Emily through characters, action, and secrets or hidden meanings. The reader can analyze a lot about A Rose for Emily through the characters and make many connections to them and the story. For example, for a period of the story William Faulkner described Emilys appearance as bloated, like a body long submerged in motionless water and of that pallid hue. This appearance made it seem like Emily as already dead so it can be said that she was very depressed. Another character that some people can relate to is Homer. In the story he could be considered the opposite of Emily. Emily being quite and dignified, Homer himself had remarked he liked men, and it was known that he drank with the younger men in the Elks club that he was not a marrying man. He is the complete opposite of Emily who is a refined lady. Some people could see this and know it wouldnt work out because of the type of person Homer is. What is additionally needed for the reader to analyze A Rose for Emily is the action. A decent grasp of the type of person Emily is can be gained based on how she reacted when her father died. Instead of going into depression or getting angry like some people, she denied it. She told them that her father was not dead. She did that for three days, , trying to persuade her to let them dispose of the body. A large quantity of people when faced with something bad want to ignore it and hope it goes away. The towns peoples personality can also be een though their action. During the story a weird smell started to emanate from Emilys house and the people did what you least would expect of them. The first thing someone did was A neighbor, a woman, complained to the mayor, Judge Stevens, eighty years old. This woman went behind Emilys back by complaining to the city instead of telling her. Using reader response criticism, the reader can analyze William Faulkners A Rose for Emily through characters, action, and secrets or hidden meanings. From reading A Rose for Emily, people will better understand how to nalyze people and Judge someone based on their actions and what caused them to do that action. If the reader seriously analyses and connects to the story they will also get a better understanding of how people think and understand hidden meanings behind things in life. A Rose for Emily helps people understand that there are many different people in the world and you must change how you deal with each of these people. Its even more significant that readers can learn from this story and hopefully do better and use what they learned in real life. A Rose For Emily By lizziedurrett

Ego Psychology Essay Example | Topics and Well Written Essays - 500 words

Ego Psychology - Essay Example Expert counseling and bringing these memories to the fore from the sub conscious by hypnosis can make the disorder disappear in such patients. Freud developed his ideas about the unconscious and psychoanalysis on the basis of these ideas and concluded that interpretation leads to change and healing. Initially Freud theorized about a physiological basis for psychogenic processes (www.alliant.edu) but eventually abandoned that theory keeping the belief that psychological activity was based on biological drives. These drives are â€Å"instinctive processes that energize the mind and impel it to activity†. The psychodynamic theories evolved with early presumptions which were later rejected and modified by Freud ultimately to give certain accepted models of psychoanalytical theories (www.alliant.edu). One such model, the ‘Topographic Model’ is divided into three categories viz. ‘Affect Trauma, Topographical and Structural Models’. The Structural Model was proposed by Freud in 1923 (www.alliant.edu). According to this model, there are three processes involved in the mind i.e. the id, ego and the superego. ID is the entire psychic apparatus at the time of birth of an individual. Eventually ID is replaced by the ego and the superego with the chronological development of the individual. The ID still remains after the development of ego/superego, as the psychic representative of the ‘drives’ which operate by the ‘pleasure principle’ and have no connection to the world outside. ID is driven by the feeling of receiving total and immediate gr atification and avoiding pain. The infant, according to Freud is the prime example of ID as its prime focus is gratification of immediate needs such as hunger and defecation. ID is further sub divided into two processes; ‘reflex actions’ such as blinking and ‘primary process thought’ such as the ‘baby imagining the mother’s nipple’ (www.alliant.edu). As early as at the age of one

SAM 451 UNIT 5 Assignment Example | Topics and Well Written Essays - 250 words

SAM 451 UNIT 5 - Assignment Example lso indicates that the cholera occurrences have also been directly hampering tourism in Cuba, which contributed around 2.5 billion to the US economy in 2011 (Orsi, â€Å"US issues advisory for Cuba over cholera cases†). As the report directly indicates the interrelation between cholera cases and tourism development of the Cuban economy, it can be referred as creative statistics. Another statistical report, published in the article titled, â€Å"ACT: Third of high school grads not college ready†, postulates increasing trend of high school graduate students deciphering their unwillingness to go to college. According to the latest survey, it was found that 31% of the students in the US are not ready to go to college, mainly owing to their educational lacunas of learning and applying at the college level. The article further reported that this decline in students’ willingness to go to college, may in future expand the gap between students’ perceptions and abilities with that of the projected job statistics (Elliott, â€Å"ACT: Third of high school grads not college ready†). Hence, imbalances in the US society might be caused owing to fluctuations in the job market, as a consequence of students’ unwillingness to pursue college level studies. This also addresses a creative field of economic development, and thus can be affirmed as a creative statistics illustration. Elliott, Philip. ACT: Third of high school grads not college ready. The Associated Press, 2013. Web. 24 May 2013.

Healthcare law is not in truth mainly about the rights of patients nor Essay

Healthcare law is not in truth mainly about the rights of patients nor the duties of professionals. The main dynamic forces shaping modern healthcare law are economic rather than jurisprudential. Discuss - Essay Example However, recently, it has been brought to the attention of some concerned parties how much economic factors affect healthcare legislation in the UK. They allege that healthcare legislation is now being determined, not by patient rights, but by economic elements. This paper will discuss how healthcare law is not in truth mainly about the rights of patients nor the duties of professionals; it will discuss how the main dynamic forces shaping modern healthcare laws are economic rather than jurisprudential. Healthcare laws are passed with the primary objective of protecting and advocating for the rights of the patient. In the healthcare sector, the patient is the vulnerable party; his condition often makes him a party susceptible to the whims of the healthcare system and the healthcare professionals. In order to neutralize this situation, healthcare laws are in place. These regulations cover rights such as informed consent, right to refuse treatment, right to confidentiality of medical information and such other similar rights. The right to informed consent has been discussed throughout the course as the right of the patient to be properly notified and clarified about the medical procedures that will be undertaken on his person. The risks of these procedures should be properly narrated to the patient in his language. The medical professional informing the patient should ensure that the patient has understood the medical procedures and all that these entail and imply. The right to refus e treatment in essence is about the patient’s choice and his right to refuse medical attention or to refuse medical procedures to be undertaken on his person. The right to confidentiality of medical information is about the right of the patient to be secure in the knowledge that what he reveals to the medical professional in confidence will be kept that way by the

Problems in Defining Poverty

Problems in Defining Poverty Title: Relief of poverty is widely perceived to be the central aim of the social security system. With poverty itself being such a complex phenomenon, it is hardly surprising that differing approaches have been adopted to its definition and measurement. (Neville Harris: Social Security and Society in Harris: Social Security Law in Context p.41) Discuss. Introduction Poverty is indeed a complex concept and phenomenon, and its definition is the subject of considerable academic and social polemic. It is certainly true that there is  no single, universally accepted definition of poverty. In point of fact multifarious definitions of poverty are available in the United Kingdom and from many multilateral and international organisations. One relatively uncontroversial observation that can be made is that modern definitions of poverty have evolved away from conceptions grounded on a paucity of the physical necessities of life and concentrate more on relative and social notions of the state. The Definition of Measurement of Poverty: Competing Perspectives Given the United Kingdom’s membership of the European Union and the sovereignty of EU law among its 25 Member States comprising around 460 million citizens it is submitted that as good a place as any to start is the EU definition of poverty. Throughout the 1990s the definition endorsed by the EU was: â€Å"an income of less than half the EU average†[1] This figure was  £150 a week in 1993, and by this objective definition, around 50 million citizens were deemed to be living in poverty in the EU in 1993. However, in recent years the EU has expanded to embrace a number of central and eastern European states which are significantly poorer than its more established western European Member States and partly as a consequence the EU definition of poverty has changed to the following: ‘Persons, families and groups of persons whose resources (material, cultural and social) are so limited as to exclude them from the minimum acceptable way of life in the Member State to which they belong’.[2] This is clearly a more relative measure of poverty, acknowledging that poverty should not merely be measured on financial criteria but that the practical exclusion of those individuals and groups living in poverty from normal patterns of living, activities and customs should also be taken into account. There is therefore an important distinction between absolute and relative concepts of poverty. Absolute poverty relates to a state in which individuals do not possess the items necessary for the sustenance of life, including shelter, clothing and food. In work published at the turn of the last century Rowntree stipulated that a so-called â€Å"poverty line† should be set on the basis of minimum needs.[3] Whereas in 1995 the United Nations Copenhagen Declaration[4] defined absolute poverty in the following terms: â€Å"a condition characterised by severe deprivation of basic human needs, including food, safe drinking water, sanitation facilities, health, shelter, education and information. It depends not only on income but also on access to social services. On the other hand, relative poverty is typically defined as the inability of an individual to engage and participate fully in cultural social and economic terms in the society in which they live. In simple terms relative poverty is therefore based on a comparison between poor individuals and other more fortunate members of society. Townsend has adopted this definition of poverty, stating that it constitutes: the absence or inadequacy of those diets, amenities, standards, services and activities which are common or customary in society.[5] In the United Kingdom poverty is measured in a variety of different ways and by different programmes.. These include: the National Plan on Social Exclusion[6], which was implemented after agreement at the 2000 Lisbon summit of the European Council to address poverty and social exclusion; the Households Below Average Income[7] statistical analysis, which applies a threshold of 60% of median income as a proxy to draw the poverty line; and the Opportunity For All[8] monitoring and review programme, which concentrates on assessing progress towards a fairer and more inclusive society. The United Kingdom Department of Work and Pensions[9] is engaged in an ongoing review of the formula and strategy it employs to measure income poverty. The current thinking is that the best approach would be a tripartite assessment centred on absolute low income, relative low income and material deprivation and low income combined.[10] A great many commentators in the field of sociology have criticised the notion of an absolute definition of poverty.[11] It has been argued that to adopt a general or global definition would be to fail to take account of the crucial socio-economic differentials that distinguish local communities, regions, and nation states. It is submitted that there is little doubt that relative definitions of poverty are now supported by the majority of sociologists.. Two arguments are typically invoked to support this line. First, it is contended that poverty is not a fixed concept but one that can only be properly comprehended and defined in the general socio-economic environment of the particular society in which individuals live. This means that an individual will be classed as in poverty by reference only to the living standards of those around him or her. However, this may be a pregnable position, given that by implication the â€Å"poor† in any given society may be defined by the â€Å"rich† and this may result in anomalies. It may be incongruous or inappropriate (in particular in the context of global poverty) to contend that a family that does not possess two cars, a DVD player, satellite TV and a computer with internet access should necessarily be defined as â€Å"in poverty† merely because those possessions are norms within the favoured society in question. Second, relative poverty is deemed an appropriate measure because individual societies possess a distinct and unique set of cultural norms and values. Arguably this contention is stronger because it seems appropriate that any definition poverty should take account of the sets of expectations, freedoms and choices that individuals have in the society of which they are a member. Cultural aspects of relative poverty focus on the ideal that all members of a society should be capable of sharing in the goods and services available and fundamental to that society and both engaging with and fully participating in the salient institutions of that society. On this basis, whereas the lack of a telephone might not be seen as putting an Ethiopian family into poverty, an old age pensioner living by herself in the United Kingdom might be deemed to be living in poverty if she does not possess such an instrument which is fundamental to life in our society. In the influential and authoritative study Poverty in the United Kingdom, Townsend argued: â€Å"Poverty can be defined objectively and applied consistently only in terms of the concept of relative deprivation†¦ Individuals, families and groups in the  population can be said to be in poverty when they lack the resources to obtain the type of diet, participate in the activities and have the living conditions and  amenities which are customary, or at least widely encouraged or approved, in the societies to which they belong. Their resources are so seriously below those commanded by the average individual or family that they are, in effect, excluded from ordinary living patterns, customs or activities.†[12] It appears therefore that the relativist approach is in the ascendancy, although this means that there can be no such thing as a clear poverty line, but rather a series of lines drawn in different contexts for different reasons. Concluding Comments In conclusion it is submitted that poverty, however it is ultimately defined or measured, is an inevitable by-product of the capitalist society in which we live, and which now proliferates in the Western World. Capitalism depends on a division between â€Å"haves† and â€Å"have nots† and however poverty is measured or defined it is most unlikely that it will ever be eradicated, given that the profit-motive which drives the commercial motor of society is dependent on its existence as a baseline for endeavour. In particular, if a relative concept of poverty because entrenched and sovereign, we will never rid ourselves of the state, because some faction of society will always be disadvantaged in comparison to the most favoured. The first part of the title to this work states that: â€Å"Relief of poverty is widely perceived to be the central aim of the social security system†¦Ã¢â‚¬ . This is probably true but the relief offered is largely analgesic only, providing basic painkilling for the symptoms of poverty but not directly addressing the root causes of poverty itself. The second part of the title to this work states: â€Å"With poverty itself being such a complex phenomenon, it is hardly surprising that differing approaches have been adopted to its definition and measurement. This is also true and can be explained by the fact that so many different agencies and policies, regional, national and international, are directed at tackling poverty for different reasons, from different perspectives and with different objectives..[13] Given the vast disparity that exists within society on a global but even on the national stage, it is hard to envisage a workable all-encompassing definition of poverty that would do justice to every context and every disadvantaged individual.. Consequently, it is likely and probably desirable that multiple definitions of poverty will continue to co-exist for the foreseeable future. BIBLIOGRAPHY Tiscali Reference Encyclopaedia: http://www.tiscali.co.uk/reference/encyclopaedia/hutchinson/m0021818.html Rowntree BS, â€Å"Poverty: A Study of Town Life†, (1901) Longman. United Nations, 1995, The Copenhagen Declaration and Programme of Action, UN. Townsend P., Poverty in the United Kingdom, (1979) Penguin. Department of Work and Pensions, National Plan on Social Exclusion: http://www.dwp..gov.uk/publications/dwp/2003/nap/ Department of Work and Pensions, Households Below Average Income: http://www.dwp..gov.uk/asd/hbai.asp Department of Work and Pensions, Opportunity For All: http://www.dwp.gov.uk/ofa/ Veit-Wilson, J (1987), Consensual Approaches to Poverty Lines and Social Security, Journal of Social Policy, 16(2), pp.183-211 Muffels, R, Berghman J and Dirven, H (1992), A Multi-Method Approach to Monitor the Evolution of Poverty, Journal of European Social Policy, 2(3), pp.193-213. 1 [1] http://www.tiscali.co.uk/reference/encyclopaedia/hutchinson/m0021818.html. [2] See: http://www.childreninwales.org.uk/2157.html. [3] Rowntree BS, â€Å"Poverty: A Study of Town Life†, (1901) Longman. [4] United Nations, 1995, The Copenhagen Declaration and Programme of Action, UN. [5] Townsend P., Poverty in the United Kingdom, (1979) Penguin. [6] See: http://www.dwp.gov.uk/publications/dwp/2003/nap/ [7] See: http://www.dwp.gov.uk/asd/hbai.asp. [8] See: http://www.dwp.gov.uk/ofa/. [9] See: http://www.dwp.gov.uk/. [10] It is proposed that each of the measurements should be on a before housing cost basis. [11] See inter alia: Veit-Wilson, J (1987), Consensual Approaches to Poverty Lines and Social Security. Journal of Social Policy, 16(2), pp.183-211. [12] Townsend P., Poverty in the United Kingdom, 1979, p31 [13] See for an insightful commentary and analysis: Muffels, R, Berghman J and Dirven, H (1992), A Multi-Method Approach to Monitor the Evolution of Poverty, Journal of European Social Policy, 2(3), pp.193-213.

Anne Sullivan Macy :: essays research papers

Teacher Anne Sullivan Macy By: Helen Keller Year of Publication: 1955 Anne Sullivan Macy Anne Sullivan Macy was born on April 4, 1866 in Feeding Hills, Massachusetts. Her parents were poor Irish immigrants. Anne had trouble with her eyes her whole life. When Anne was eight years old her mother died and two years later her father left. Anne’s younger sister went to live with relatives and Anne and her younger brother Jimmie were sent to the State Infirmary, the almshouse at Tewksbury. They were sent there because Anne was too blind to be useful and Jimmie was lame with a tubercular hip. Jimmie died a few months later and Anne stayed there for four years. In October of 1880, when Anne was 14, she went to Perkins Institution and learned to read Braille. While she was there she had an operation on her eyes which allowed her to read normally for a limited amount of time. She stayed at Perkins for six years and graduated valedictorian of her class. Anne Sullivan Macy arrived in Tuscumbia, Alabama to be Helen Keller’s teacher on March 3, 1887. She began spelling into Helen’s hand and after about a month Helen â€Å"made contact with reality†. When Helen was older she went to Radcliffe College. Anne â€Å"read† her all the texts that were not available in Braille. This eventually caused Anne to completely lose her sight. A year after Helen graduated from Radcliffe, Anne married John Macy, but their marriage soon broke up because Anne was too dedicated to Helen. Anne’s vision began to deteriorate to the point that she could no longer be sure where she was going in unfamiliar places. She wasn’t well and they didn’t have a lot of money. In early 1913 they went on the lecture circuit. It didn’t take very long before Anne became very sick and they realized that they couldn’t do it alone. Helen decided to accept a pension that she had previously declined from Andrew Carnegie. When Anne was well they went on the road again, but this time Helen’s mother was with them. After this tour they met Miss Polly Thomson who became their secretary. They continued to lecture until 1916 when Helen became so obsessed by the war in Europe that the only thing she could talk about was peace. Soon after, Anne got very ill with a cough that was misdiagnosed as Tuberculosis. She was rushed off to Lake Placid and then went to Puerto Rico where she got the rest that she needed.

Patient Falls and Medication Errors Essay

Issue/Problem of Interest Falls are the second most common adverse event within health care institutions following medication errors, and an estimated 30% of hospital-based falls result in serious injury. The severity of this problem led the Joint Commission to make reducing the risk of patient injuries from falls a national patient safety goal for hospitals in 2009 (AHRQ, 2006). Falls are a leading cause of hospital-acquired injury and frequently prolong and complicate hospital stays and result in poor quality of life, increased costs, and unanticipated admissions to long-term care facilities. Changes in health care financing in the 1990s were accompanied by a variety of cost-cutting measures in hospitals across the United States. Common cost-cutting strategies included reducing the total number of nursing hours per patient day and reducing the percentage of hours supplied by registered nurses (RNs), the most highly paid group. The reduction in staffing led to widespread concern that patient care in acute care settings would suffer. In response to concerns about staffing and quality of care, the American Nurses Association (ANA) launched the Patient Safety and Nursing Quality Initiatives in 1994 to address the impact of health care restructuring on patient care and nursing. To facilitate the initiative, ANA established the National Database of Nursing Quality Indicators (NDNQI) in 1997, with two goals: (1) to develop a database that would support empirical monitoring of the impact of nurse staffing on patient safety and quality of care across the nation, and (2) to provide individual hospitals with a quality improvement tool that includes national comparisons of nurse staffing and patient outcomes with similar hospitals (Hart and Davis, 2010). Selection Rationale Patient falls impact hospitals both financially and in regulatory body status. In 2005, in response to disturbing and widely cited findings by the Institute of Medicine about the prevalence of life-threatening conditions acquired by patients in U.S. hospitals, Congress authorized the Centers for Medicare and Medicaid Services (CMS) to implement payment changes designed to encourage the prevention of such conditions. Under an amendment to the Social Security Act that was enacted on January 1, 2007, the secretary of  Health and Human Services was required to identify at least two hospital-acquired conditions by October 1, 2007, that were high-cost, high-volume, or both; that resulted in the assignment of a case to a higher-paying diagnosis-related group (DRG) when they were present as a secondary diagnosis; and that could reasonably be prevented through the application of evidence-based guidelines (New England Journal of Medicine, 2009). The CMS worked collaboratively with the Centers for Disease Control and Prevention (CDC) and on October 1, 2008, enacted new payment provisions: Medicare will no longer reimburse hospitals for a higher-paying DRG when one of eight selected hospital-acquired conditions develops during the hospital stay. The CMS heralded this move as an effort to align financial incentives with the quality of care, thereby promoting both quality and efficiency. Hospital falls and trauma were included as one of the eight conditions that, the CMS argues, â€Å"should not occur after admission to the hospital.† Three to 20% of inpatients fall at least once during their hospital stay; these falls result in injuries, increased lengths of stay, malpractice lawsuits, and more than $4,000 in excess charges per hospitalization. Thus, hospital falls represent a major patient-safety problem and may complicate a patient’s care and treatment (New England Journal of Medicine, 2009). Target Population The target population chosen consists of patients admitted to the medical and surgical floors at two large teaching hospitals. The first hospital is a 1,000 bed not-for-profit teaching hospital located in Dallas, Texas with an average daily census of 917. This organization consists of 12 medical and surgical floors with a total bed capacity of 428. Each floor consists of the nurse manager, registered nurses, certified nursing assistants, and unit secretaries. Patients most frequently cared for on the medical floors at this facility consist of those suffering from exacerbation of chronic obstructive pulmonary disease (COPD), pneumonia, diabetes mellitus (DM), cerebral vascular accident (CVA), and sepsis. Patients most frequently cared for on the surgical floors consist of those healing from orthopedic injury and/or surgery, gastric bypass surgery, abdominal explorative surgery, neurovascular surgery, post kidney and liver transplant patients, and those patients recovering from gynecol ogical operations. The population of patients being cared for at this hospital comprise mostly of patients 55  years and older. Of the 428 patients being cared for on a daily basis at this organization, 15% of these patients require total assistance, 25% require extensive assistance, and 50% require limited assistance. The second hospital system, NorthShore University HealthSystem (NSUHS), is a comprehensive, fully integrated, not-for-profit health care system that serves the greater North Shore and Northern Illinois communities. NSUHS includes four hospitals with 795 configured beds with a total of medical/surgical configured beds at 495. The average medical and surgical daily census is 103.9. The medical/surgical occupancy is 62% of staffed beds on 19 units. Each unit consists of a clinical nurse manager, registered nurses, patient care technicians, and unit concierges. The top medical DRG’s include congestive heart failure (CHF), pneumonia, respiratory, acute myocardial infarction (AMI), and CVA. The top surgical admissions include orthopedic joint replacement, general surgery, and spinal surgery. The average age of patients being cared for in this system is 68.5 years. Of the 495 patients being cared for on the medical and surgical units, at least 50% require total assistance and 50% require limited assistance. Significance Patient falls in the hospital setting are common and may lead to negative outcomes such as injuries, prolonged hospitalization, and legal responsibility. Falls can also have serious effects on a person’s ability to function as a productive member of their family, community, or society. These occurrences have long been documented as a significant, and potentially avoidable, type of undesirable patient event (Steven, 2004). Patient falls are the second most common cause of harm in hospitals and are the leading category of reported incidents in hospitals affecting approximately three to 20% of patients during their hospitalization (Sutton &ump; Wallace, 2005). The frequency of patient falls, as recorded in the literature, ranges from 25% to 89% of all hospital adverse incidents, depending on the patient population studied (Hitcho, 2004). The rates vary from 1.9 up to 18.4 falls per 1,000 patient days depending on organization type, and according to a study by the National Council on Aging, 30% of these incidences result in serious injury (Stevens, 2004). Another  significant consequence of falls is that they are expensive and contribute to the increasing health care expenditure. An estimate of the average DRG payment for injuries sustained by a patient falling is $25, 643 (Hart, Chen, Rashidee, and Sanjaya, 2009). This is significant in that with the developing atmosphere of pay-for-performance, initiated by CMS, hospitals now have a major monetary stake in reducing the number of fall-related injuries. The CDC estimates that the cost of fall injuries will exceed $23 billion within the next few years (Tzeng, 2008).

An Introduction to Literary Nonfiction

An Introduction to Literary Nonfiction Literary nonfiction is a type of prose that employs the literary techniques usually associated with fiction or poetry to report on persons, places, and events in the real world without altering facts. The genre of literary nonfiction, also known as creative nonfiction, is broad enough to include travel writing, nature writing, science writing, sports writing, biography, autobiography, memoir,interviews, and familiar and personal essays. Literary nonfiction is alive and well, but it is not without its critics. Examples Here are several examples of literary nonfiction from noted authors: The Cries of London, by Joseph AddisonDeath of a Soldier, by Louisa May AlcottA Glorious Resurrection, by Frederick DouglassThe San Francisco Earthquake, by Jack LondonThe Watercress Girl, by Henry Mayhew Observations The word literary masks all kinds of ideological concerns, all kinds of values, and is finally more a way of looking at a text, a way of reading...than an inherent property of a text.(Chris Anderson, Introduction: Literary Nonfiction and Composition in Literary Nonfiction: Theory, Criticism, Pedagogy)Fictional Devices in Literary NonfictionOne of the profound changes to have affected serious writing in recent years has been the spread of fiction and poetry techniques into literary nonfiction: the show, don’t tell requirement, the emphasis on concrete sensory detail and avoidance of abstraction, the use of recurrent imagery as symbolic motif, the taste for the present tense, even the employment of unreliable narrators. There has always been some crossover between the genres. I am no genre purist, and welcome the cross-pollination, and have dialogue scenes in my own personal essays (as did Addison and Steele). But it is one thing to accept using dialogue scenes or lyrical imager y in a personal narrative, and quite another to insist that every part of that narrative be rendered in scenes or concrete sensory descriptions. A previous workshop teacher had told one of my students, Creative non-fiction is the application of fictional devices to memory. With such narrow formulae, indifferent to nonfictions full range of options, is it any wonder that students have started to shy away from making analytical distinctions or writing reflective commentary?(Phillip Lopate, To Show and to Tell: The Craft of Literary Nonfiction) Practical Nonfiction vs. Literary NonfictionPractical nonfiction is designed to communicate information in circumstances where the quality of the writing is not considered as important as the content. Practical nonfiction appears mainly in popular magazines, newspaper Sunday supplements, feature articles, and in self-help and how-to books...Literary nonfiction puts emphasis on the precise and skilled use of words and tone, and the assumption that the reader is as intelligent as the writer. While information is included, insight about that information, presented with some originality, may predominate. Sometimes the subject of literary nonfiction may not at the onset be of great interest to the reader, but the character of the writing may lure the reader into that subject.Literary nonfiction appears in books, in some general magazines such as The New Yorker, Harpers, the Atlantic, Commentary, the New York Review of Books, in many so-called little or small-circulation magazines, in a fe w newspapers regularly and in some other newspapers from time to time, occasionally in a Sunday supplement, and in book review media.(Sol Stein, Stein on Writing: A Master Editor of Some of the Most Successful Writers of Our Century Shares His Craft Techniques and Strategies) Literary Nonfiction in the English DepartmentIt might be the case that composition studies...needs the category of literary nonfiction to assert its place in the hierarchy of discourse comprising the modern English department. As English departments became increasingly centered on the interpretation of texts, it became increasingly important for compositionists to identify texts of their own.(Douglas Hesse, The Recent Rise of Literary Nonfiction: A Cautionary Assay in Composition Theory for the Postmodern Classroom)Whether critics are arguing about contemporary American nonfiction for historical or theoretical purposes, one of the primary (overt and usually stated) aims is to persuade other critics to take literary nonfiction seriously- to grant it the status of poetry, drama, and fiction.(Mark Christopher Allister, Refiguring the Map of Sorrow: Nature Writing and Autobiography)

Common Mistakes in Grammar to Be Careful About

Common Mistakes in Grammar to Be Careful About Common Mistakes in Grammar to be Careful about in Writing 1.  Ã‚   You’re vs. Your Beginning with the basics is important. Notably, this is a mistake in grammar that students and academics should not be making while at the undergraduate educational level. Nevertheless, also some of the advanced writers of essays are remorseful of this error of grammar, only because they fail to go through their work again. The following is the difference between ‘you’re’ and ‘your’: You’re simply a shortened verse of the word you are Yours happens to be a possessive pronoun If a person is ever having difficulties to choose the word to use between the two, lengthen the compressed you’re. For instance, ‘you’re a garden is lovely,’ is not correct since it implies you are a garden is lovely. 2.  Ã‚   Their vs. There This is an error in grammar that ought to have been cleared out at auxiliary school. The standard itself is usually seen, so this incident seems most normally as an error. There can be utilized from various perspectives: as a source of perspective to a place we should go there, or as a pronoun there is no way. ‘Their’ is a plural possessive pronoun, as in their cakes or their sentiments. In this way, in case youre discussing more than one individual and something they have, utilize their unfailingly. 3.  Ã‚   Tenses Tenses are a typical grammatical mix-up in papers paying little mind to the dimension of study. When in doubt, in case youre referencing a persons feeling (whos as yet alive) ensure you utilize the current state for example Fleming says as opposed to Fleming said, as the last make their perspectives sound increasingly dated. A few students additionally will, in general, compose the prologue to their exposition later on tense for example in this exposition I will†¦ instead of in this article, I am going to†¦ which makes the paper sound progressively certain and self-assured. 4.  Ã‚   Hypothetical Circumstances While examining speculative circumstances, which you much of the time do when advancing hypotheses and sentiments in college expositions, dependably utilize the words were and would. Even though somewhat more progressed than our past precedents, this is as yet a typical misstep that could antagonistically influence the meaningfulness of your article. Beyonce and Gwen Stefani have done everything they can to enable us to recollect this essential guideline with their melodies If I was a rich young lady – inaccurate, and On the off chance that I was a kid – right. 5.  Ã‚   Parallel Lists For coherence, things in a rundown ought to dependably be in the parallel frame, which implies every section in the rundown is organized similarly. For instance: He was content with his sprinting, shooting, and his spilling – Incorrect He was content with his sprinting, shooting, and spilling – Correct He was content with his sprinting, his shooting, and his spilling – Correct

3 questions to answer Essay Example | Topics and Well Written Essays - 1500 words

3 questions to answer - Essay Example Foreign direct investments and trades were encouraged under the â€Å"open door policy† to ensure rapid economic growth of the country (Zhao 114). During the Mao era, China tried to achieve its economic objectives under ideological and conservative foreign policies. However, the failure of â€Å"Great Leap Forward† and â€Å"Cultural Revolution† caused the deaths of millions of people and significantly crippled the Chinese economy and brought the country on the verge of failure in terms of political and socio-economic aspects (Solomon 60-97). By adopting the â€Å"Great Leap Forward† policy in the late 1950s, Mao tried to promote China’s industrialization by emphasizing on the development of domestic â€Å"backyard† steel manufacturing factories. Besides steel, other industries were particularly ignored. As traditional peasants were forced to work in factories instead of fields, most of the country’s crops were spoiled due to the lack of harvesting. Consequently, a great famine gripped the country from 1959 to 1961. According to official reports, over 45 million of people were died from starvation during the â€Å"three bitter years† (Southerland). During Mao’s 2nd disastrous policy, i.e., â€Å"Cultural Revolution†, enormous number of scientists, intellectuals, teachers, artists, and others, who were considered as a threat to the Communist ideology, were tortured, harassed, imprisoned, or executed under the name of social and political persecution. Mao’s oppressive ideological policies and self-isolation from global platform descended the country into chaos and lawlessness (Southerland). Historically, China had a troublesome relationship with its neighbors due to territory and border issues. India, Japan, and Soviet Union were the biggest competitors and threats to China and its objective of becoming an Asian powerhouse. In order to protect its sovereignty and national security, developing a strong military and overall,

Hand Wash Essay Example | Topics and Well Written Essays - 2000 words

Hand Wash - Essay Example In a review article11 Semmelweis observed that mortality rate from puerperal fever was high (16%) before May 1847 in a clinic where doctors and student doctors provided care to women in labour despite washing hands with soap and water before entering the obstetric clinic† (Mukwato et al. n.d.). Semmelweis (1847) assume that the elevated rates of puerperal flu and infection were caused by the â€Å"cadaverous† element, spread from the autopsy room to the obstetric region via the hands of student and from the doctors. In May 1847, Semmelweis confirmed through that doctors and students rub their hands in lime mixture (which is also chlorinated) prior to each bodily examination. As a result the death rate in that clinic had a drop from 16% to 3.06% in the remaining 7 months of 1847. â€Å"Heynes et al [19] offered a widely accepted definition of compliance within health care settings [20]. According to this definition, compliance is the extent to which certain behaviour (fo r example, following physician's orders or implementing healthier lifestyles) is in accordance with the physicians' instructions or health care advice. Compliance can be influenced or controlled by a variety of factors like culture, economic and social factors, self-efficacy, and lack of knowledge or means† (Efstathiou et al. 2012). Katowa P. Mukwato, 1C.M.   in his report, states that the analysed that mortality rate is inferior to burns infectivity was low in wards that were located on the top floor.... In May 1847, Semmelweis confirmed through that doctors and students rub their hands in lime mixture (which is also chlorinated) prior to each bodily examination. As a result the death rate in that clinic had a drop from 16% to 3.06% in the remaining 7 months of 1847. â€Å"Heynes et al [19] offered a widely accepted definition of compliance within health care settings [20]. According to this definition, compliance is the extent to which certain behaviour (for example, following physician's orders or implementing healthier lifestyles) is in accordance with the physicians' instructions or health care advice. Compliance can be influenced or controlled by a variety of factors like culture, economic and social factors, self-efficacy, and lack of knowledge or means† (Efstathiou et al. 2012). Katowa P. Mukwato, 1C.M. in his report, states that the analysed that mortality rate is inferior to burns infectivity was low in wards that were located on the top floor most likely due to minim um actions and good exposure to air. These statements highlight the significance of variable traffic flow and movement pattern as a component of disease prevention. Assessment of traffic and action patterns in a ward helps in diminishing the number of microorganisms there in the environment, as the amount of microorganisms in a selected area tends to be associated to the number of people present and the various activities carried out. â€Å"A worrying trend in hospitals is the emergence of antibiotic-resistant organisms which can survive on the hands of health care workers. Many, if not most, hospital-acquired infections continue to be spread by direct

WK4 assignment Essay Example | Topics and Well Written Essays - 1000 words

WK4 assignment - Essay Example The article explores all of the above mentioned technologies in great detail wherein the author takes care to cover all the possible dangers that these high-end technologies may be attached to. The style of writing is argumentative wherein at first it seems that the writer is dead against the rise of scientific advancement beyond what it is today because of his foresight that , the very technology that humans invent may be the primary reasons for human extinction in the coming centuries; however, as one diligently reads through the entire work, it becomes relatively clear that the article also embraces a certain extent of muted optimism, wherein the writer balances out his arguments with greater trust and hope based on ethical principles. This article is not merely based on the personal thoughts and arguments of the writer alone, the entire context takes into account ideas, words and thoughts of other well known scientists and researchers related to scientific fields and presents a f ew excerpts from books written by eminent authors on similar context. The article is a well thought out piece where each and every argument that has been neatly presented holds great value. Bill Joy has reasons to fear the power that man is now creating and his strong pessimism against the developing technologies is not without base. He first discusses about the robotic technology. In his article he presents an excerpt (the New Luddite Challenge) from a book written by Theodore Kaczynski which surfaces the fact that humans will create machines to make their tasks easier and to completely enable them to work independently sans human supervision, the robots will be enabled with the power to think and make decisions. The idea being that you should be able to give the robot a goal, a mission, and the robot should be able to take actions based on the mission and whatever information becomes available (Gupta, 2010), and the results of these actions are believed to be better than those of humans. Joy fears that humans would ultimately become so dependent on these machines that the very existence of human form will become questionable without the life support of robots. The case may reach such an extreme that exterminating the machines would just mean suicide for the human race. Reading Han Morovec’s book Robot: Mere Machine to Transcendent Mind, Joy’s pessimism is enhanced because this book too believes in the fact that the human race would fade as a repercussion to vigorous competition among robotic industries. In fact even Darwin’s principle of survival holds true here. In the eyes of Bill Joy, the advancement in the field of genetic engineering is another major reason for his pessimistic attitude. The immense power that a genetic engineer beholds in manipulating microorganisms and using them to alter the DNA makeup of anything that catches his fancy may fall in the wrong hands. Good things in the wrong hands can never be good, because the powe r maybe exploited to only cause harm and his fears are not completely untrue because emerging bio-terror is a major concern today. â€Å"It will soon be possible to synthesize the genome for smallpox; preventing access to samples will then no longer be a protection† (Caplan & Magnus, 2002) and once again a bio-terror maybe initiated and the case maybe the same with all other diseases. His third and last pessimistic view is about nanotechnology, the science of manipulating atoms, the basic constituent of life which when used in a controlled manner could solve all major problems ailing humans ranging from curing diseases to low cost of technologies. But, obviously something this powerful can be used as a destructive weapon too.

The secret life of walter mitty Essay Example for Free

The secret life of walter mitty Essay The Secret Life of Walter Mitty The Secret Life of Walter Mitty is a story about an individual that constantly seems to be caught up in numerous daydreams and thoughts that have nothing to do with everyday matters. James Thurber treats Mittys actions very entertaining, and at the same time his humor catches our attention to the need of communication and the importance of human relationships. In marriage relationships is critical that we know how to communicate. Imagination is the human power that shapes artistic xpression; it enables a writers work to become an expression of meaning in our world, allow readers to engage in identifying with what the writers work has to say about things that matter (Clugston, 2010). Imagination is your sensation, and your ability to picture and dream about settings, people, or places in your mind. In this particular story The Secret Life of Water Mitty, imagination played a huge role and mainly showed the importance for communication in marital relationships. Mr. Mitty is a character who fills his mind with crazy fantasies, in which he always play the uper hero role, save lives, and makes sound decisions. Mr. Mitty uses the daydreams of exciting adventure to escape from his boring life with his wife. She is so boring to the point she is afraid to drive over the speed limit. Thurbers amusing depictions of Walter Mittys issues allow people to connect with the person in our lives who constantly daydream and once again live with everyday matters. Mrs. Mitty is Walters controlling wife. She is always harassing him about putting on his gloves while driving, buying overshoes, and to slow down. In the story Walters wife was ondering why he didnt put in his shoes. At this moment in time he was getting aggravated. Even though in this story it may seem his wife his somewhat dominating. Walter is lacking the ability and rejects the responsibility of being an adult. Honestly in this short story she prevents any type of accidents and helps Mr. Mitty focus on everyday lite in general. M tty is a daydreamer who constantly imagines himselt as a big hero with his fantasies as commander in the navy, a surgeon, accused witness, bomber pilot, and a victim of a firing squad. Walter is married to a woman ho actually treats him like a child than a husband. This is due to his childish ways and the crazy fantasies rather than live a normal life in the real world. He is continuously getting scolded by parking lot attendants, policeman, and his wife for his sidetracked behavior. James Thurber characterizes this man whose wife who basically controls him, who lives and daydreams all the time has became an ineffectual and lazy male fgure in American culture. The Secret Life of Walter Mitty tells a story of an older man who goes on numerous trips into town with his harassing wife, Mrs. Mitty. Mr. Mitty is very incompetent with many things; hes an absent minded driver, and he cant fix simple mechanical issues, and has a horrible memory. While Walter goes through a day of ordinary tasks and errands, he escapes into a series of romantic fantasies, each spurred on by some mundane reality. As he drives his car, he imagines he is commanding a Navvy hydroplane through a terrible storm (1). When he rides past a hospital, he imagines he is a world-famous surgeon saving a VIPs life. When he hears a newsboy shouting about a trial, he imagines he is crack shot being interrogated in the courtroom. As he waits for his wife to finish at the hairdressers, Walter sees pictures of German plane and imagines he is a British pilot willing to sacrifice his life for his country. Lastly, as Mitty waits outside against a wall for his wife to buy something in a drugstore, he fantasizes that he is a bold and brave man about to be shot by a firing squad. The story ends with the inscrutable Walter Mitty awaiting this romantic death. reveals a marriage in which his wife is dominating, controlling, mean, bossy, and efinitely wears the pants Walter is a humble, passive, and will not say anything to his wife about how he actually feels. A point of view that stood out to me the most was how James Thurber, gives the impression that Mrs. Mitty is a sexist individual. Its a strong possibility that he is saying all women are bossy and unloving at times. Form: Third Person Omnscient The Secret of Walter Mitty is told by an uninvolved third person narrator. In the story they are Just following Walter Mitty on his everyday duties and see only what he ctually sees or continue to do. Even though the point of view is in third person, Walterss character widens the influence in the narration. Plot: The short story deals with a vague and mild-mannered man who drives into Waterbury, Connecticut with his wife for their regular weekly shopping and his wifes visit to the beauty parlor. During this time he has five heroic daydream episodes. The first is as a pilot ofa U. S. Navvy flying boat in a storm, then he is a magnificent surgeon performing a one-of-a-kind surgery, then as a deadly assassin testifying in a ourtroom, and then as a Royal Air Force pilot volunteering for a daring, secret suicide mission to bomb an ammunition dump.

Communication And Stakeholder Issues In Requirement Engineering Information Technology Essay

Communication And Stakeholder Issues In Requirement Engineering Information Technology Essay Requirements Engineering starts with requirements elicitation. Requirements elicitation is a process of discovering, obtaining and expanding requirements for adopting a computer-based system. Requirements Elicitation process is challenged by different factors. After our research, we found poor communication and stakeholder issues are the most common factors which results the blockage of users needs. It is one of the most critical issues in RE which causes the delay and failure of the software projects. [1] Unsurprisingly, effective communication is very hard to achieve and is a repeating problem in the elicitation of requirements [2]. There are several reasons for less effective communication (i.e. different time zones, cultural differences, lack of awareness etc.) Wahab Hussain (Author) MS. Software Engineering (Reg. # 1071112) Shaheed Zulfiqar Ali Bhutto Inst. of Science Tech. Karachi, Pakistan [emailprotected] The two major sections discussed in this research paper are: Communication issues in Requirements Engineering Section 4 Stakeholder issues in Requirements Engineering Section 5 Later in Section 5, Conclusion is presented. Why Requirements Gathering We gather requirements to cut down the risk of common mistakes that grow from the lack of communication or understanding. We can discover real requirements if requirements gathering activity is approached in an organized way (we know who the stakeholders are likely to be and what kind of questions we need to ask from them). [3] Developing software and constructing building sounds similar. Lets take an example of constructing hotel instead of developing software. Dont you think that before starting foundation, you should have the complete design and architecture of the hotel that how its interior and exterior looks like after completion? Of course you would. In the same way in developing software, you gather requirements before the start of the project and looks into the architecture (i.e. ERD, class diagram, state diagrams, component diagrams etc) in more detail. While building a hotel, you go into several inspections to make sure the work carrying forward in the right direction or not (like we have inspections in software projects to ensure the requirements). [4] The other similarities between developing software and constructing hotel in terms of roles as listed in Table 1: Developing Software Constructing Hotel Project Manager Contractor/Builder Resources Developers SQA/Test Engineering Technical Writers Resources Electrician Carpenter Painter Plumber Problem Formulation: Communication between the system analyst and stakeholders can be described in term of communication between two parties as shown in Figure 1. [1] Four components are involved in this type of communication as shown in Table 2. [1] Communication issues in Requirement Engineering As discussed in previous sections that the major cause for the project failure is the lack of effective communication. Mostly errors in the software system are due to poor communication. There are several reasons; sometimes the customer is unable to communicate the proper application knowledge to the analyst, sometimes development is done on Ad hoc basis due to unavailability of requirement document, sometimes requirement document is too long that no one can be able to read it completely. These all causes conflicts, confusions, false impressions and inconsistency in work. The main communication issues faced in Requirements Engineering are as follows: Problems within User The within roadblock is basically the individual culture limitation. It relates the behavioral boundaries within the individual users. In within problems, user fails as an information receiver, information processor and problem solver. [5] Problems Between Users The between roadblock is basically the organizational culture concerns with the interaction between customer and analyst. Every organizational culture is different from other organization (i.e. nature of work, organization hierarchy, management style and terminologies used within the organization) so confliction possibly will grow because business analyst perhaps may not familiar with the hierarchy of the organization and their operations. [5] Problems Among the users The among roadblock is basically the national culture limitations. In large complex system, people with different cultural backgrounds are involved having different languages, difference in attitudes and judgments and priorities. Problems occur when different users express their needs that are incompatible or invalid or conflicts either in contents or priority and they want a reviewer for resolution. [5] Requirement conflicts increases when several users present the same information in different and inconsistent manner. It is the demanding situation for the development organization to resolve such issues. [5] One Way Communication Channels In one way communication, we used to express information within the development team and with different stakeholders. In this way, the channel of communication sounds effective because all knowledge is shared but it results expensive and time consuming to support wide range of communication between professions. As per research, it looks that requirement specification document is the only way of communication between the development team and stakeholder. [6] The Notations War It is often difficult for the customer and development team to understand each other terms/notations (i.e. Business analysts and software engineers prefer to talk about the system in terms of it procedures and data structures, end users prefer to talk about the system in terms of its general behavior and functionality of software system). This causes the unfamiliarity of various people with various notations. For example, a customer must not want to learn formal specification language, but the programmer may require these to obtain an appropriate level of detail. [6] Organizational Barriers Requirement Engineering activities and software design activities are carried out separately. Each activity is discussed and presented by different sets of people. Requirement Engineering meetings include business analyst, developers SQA engineers and end uses. While in design review activity, end users are not included. Only development team is limited in design review activity because no one from outside organization is allowed to attend this activity. [6] Informal Communication Informal communication is usually used when face to face conversation is required with a friend. It is based on common interests and combined relations creating channels through which information is collected easily. Informal communication channels can be destroyed by rivals who can discourage the joint action which affect the normal flow of information. Telephonic conversations are also a part of informal communication but it is the least used method in exchanging information between the two professions. Such informal communication proved to be expensive and results time consuming discussions and meetings. [6] Nevertheless, there is no specific support for informal communication for software projects in the early phase of Requirement Engineering because in many cases business analysts and customers meet for the first time. [6] Traceability Problem Requirements Traceability is critical for all phases of SDLC to help concluding requirements and justify changes. The research shows that traceability problem is very serious in the later stages of RE (i.e. requirements review) when late requirements are brought in the project life cycle. Now it is necessary to re-establish communication with team mates in order to avoid conflicts with newly introduced requirements with existing one. This is very challenging and difficult because by this time business analyst may have halted or may have started working on any other project while programmers moved to later phases of the project. [6] Communication challenges representing through Quadrant Model in RE Refer Figure 2 which shows communication challenges taken from Davis et al. [14] Quadrant (a) correspond common knowledge between analyst and user. Quadrant (b) correspond knowledge that the user has but the analyst does not. It looks that there is unique business model of the user business. Quadrant (c) correspond that the analyst has the knowledge but user does not yet. The analyst would be looking for to teach the user. Quadrant (d) correspond new knowledge that will be produced from the interaction between analyst and user. It looks that analyst asks questions and tries to dig more information from the user. [14] Stakeholder issues in Requirement Engineering Stakeholder plays the most important role in the acceptance of a software product. After having research, we found there are different observations of who the stakeholders are? [11] Stakeholders are individuals or organizations who affect or are affected by the software product. In other words, a stakeholder is a person who has a power to develop requirements. Identifying the stakeholders and getting them involved in the Requirements Engineering process helps to make complete set of requirements early in the software development life cycle. [7] The stakeholders can be categorized in three main parts which are: [7] The acquirers of the software product (who are customers and users/end-users) The suppliers of the software product (includes individuals or teams that develop the software product or part of the organization who are business analysts, designers, developers, testers, documentation writers, project managers and technical support) Other stakeholders (there are also other stakeholders who are interested in requirements are: Legal or contract management, Manufacturing or product release management, Sales and Marketing, Upper management and Government or regulator agencies) Table 3 summarizes the different ambitions and interests to different stakeholders in a RE process. [8] Stakeholder Ambitions and Interests Requirements Engineer Wants a tool that makes their job easier, more satisfying and more productive. Customer/User Wants usable system, with fewer errors. Project/Process Manager Wants to deliver on time with the right specification quality Quality Manager Wants to ensure that the delivered system specification is error-free. Senior Management Wants to see a return on investment and increased productivity. Requirements from all stakeholders are important; we can not ignore the requirement of any stakeholder but we can prioritize them. There are many stakeholder issues in Requirement Engineering which cause the project failure: [9] Stakeholders dont know what they really want. Stakeholders convey requirements in their own terms. Requirements may conflict in case of different stakeholders. Organisational and political factors may effect the system requirements. The main stakeholder issues faced in Requirement Engineering are as follows: The Yes, But Syndrome The Yes, But syndrome is simply human nature and the users ability to experience the software. The Yes, But syndrome is the frustrating and the most occurring problem in all of application development. It is observed in users reactions for every piece of software developed. As per research, there are two immediate and different reactions when the users look the software functionality for the first time which are: [3] Wow, this is so cool; we can really use this, what a neat job, and so on. Yes, but, hmmmm, now that I see it, what about this . . . ? Wouldnt it be nice if . . . ? Whatever happened to . . . ? The Undiscovered Ruins Syndrome In Undiscovered Ruins syndrome, the more you find, the more you realize still remain. It seems that the search for requirements is similar to a search for undiscovered ruins. No one feels confident as he/she has done with all the requirements or not, and possibly you never will. Without a doubt, development teams always struggle to determine when they are in requirements elicitation process; the requirements which are available are enough; whether they have found all the requirements or when have they found at least enough? [3] The User and the Developer Syndrome Communication gap grows between the developer and the stakeholder. In many cases, developers and stakeholders are from different parts of world, may have different backgrounds and objectives and may even speak different languages. [3] The problems are: [3] Users do not know what they want, or they know what they want but they are unable to express to developers. Analysts think they understand user problems better than users do. Users have trust to themselves. They know what they want, and when functionality is handed over to them, they claim what they said they wanted? The Living with the Sins of your Predecessors Syndrome Stakeholder and developers remember what happened in the past. Issues appear every time after the end of release. And then the development team and stakeholders sit together and ensuring trust with each other and make sure that existing issues will not arise in next release. The team prioritize the requirements and cut down the features which are less important. Try to build trust slowly. But after sometime, there is a huge pressure from stakeholder that he wants i.e. XYZ features in upcoming release. And from here the problem starts, the release delivered consist unclear requirements and short of expectations. [10] Introduced new stakeholders during analysis Requirements change during the analysis process is very common. After requirements gathering, analysis phase starts. During analysis, new stakeholders may be introduced which results the change in the business environment. Other challenges concerning stakeholders There are some very common challenges. These challenges are faced by those stakeholders who are technically weak. The problems are: [12] Users dont have a clear vision of their requirements. Different vision of the system under development [13]. Users are not very capable to participate in reviews. Communication with users is slow. Users dont understand the development process. Users dont know about present technology. Users are not wise in the ways of the world/unsophisticated. Too honest to promise more than he could deliver. Different involvements of stakeholders. For example, some stakeholders are allowed to make decisions and others arent [13]. Conclusion: The focus of this research paper was to find out the communication and stakeholder problems in requirement engineering. After having literature review and research, we have identified the most important communication and stakeholder problems faced in RE. It is found that lack of understandability is the root cause of all other problems, and poor communication is the first step towards project failure. These problems are significant important because they are related to stakeholders and stakeholders have various other limitations while expressing their needs. Beyond all these issues, there are also applicable solutions presented to get over these problems.