Monday, February 24, 2020

Improving Patient Flow in Emergency Departments Research Paper

Improving Patient Flow in Emergency Departments - Research Paper Example He added that the increased number of admissions and unscheduled patients has significant impacts on the entire emergency care delivery system. In the throughput phase, there were delays in the operating suites because it is mainly done in specific days of a week. He said that surgical operations are done on Mondays and Tuesdays rather than spreading out the operations throughout the week. It, therefore, means that surgeons and other clinical officers are very busy in some days and free in others. The administrator of Provicence Hospital added that the various problems faced experienced in the output phase include prolonged time of discharge or referral and incomplete treatments. He noted that the incomplete treatments is a common problem in ED because it leads to delayed discharges and referrals and can last for many weeks when patients are instructed to visit the ED again in specific dates (Hall, 2013). Bottlenecks and the metrics used to identify them as well as the challenges of the patient were also identified during the interview. Note that the term ‘bottlenecks’ is the part of the emergency care delivery systems that is obstructed to cause delays and waits. Metrics and the methods used to measure the efficiency of the system (Hall, 2013). Based on Mr. Johnson’s response, the bottlenecks in the emergency care delivery system can be divided into three groups. In the group for inputs, the major bottleneck is the delayed admission and registration of patients due to the fact that clinical care responsibilities are not separated from the paper and information flow. The metrics used to identify this issue involved the measurement of the time taken for patients to be registered. Do they wait for long on the benches? Based on his response, most of the patients admitted to the ED wait for around 40-45minutes before they are treated. In the group addressing the throughput, the main bottleneck identified is the creation of idle time

Saturday, February 8, 2020

Registerd nurse interview analysis Essay Example | Topics and Well Written Essays - 250 words

Registerd nurse interview analysis - Essay Example She said that this was tough when her children were still young because they rarely see each other due to her schedule. Sometimes, she cannot be with them on holidays because of her work. She said that she does not regard patients as difficult. Sometimes they can be demanding and grumpy but as a nurse, she has to understand the situation of the patient that they just want to feel better. The resource person narrated that nursing is not just an eight to five job where you punch in and get paid. It is a profession as well as a vocation because the job affects people’s lives. To be successful in this profession, one has to be genuinely concerned with people. A nurse has to understand that patients are already in pain and the least the nurse can do is to alleviate and make the pain bearable to the patient. Nurses also work long hours and they do not follow the Monday to Friday work routine nor the eight to five schedule. It is because illness do not follow schedule and hospitals are open throughout the year. There are also emergency cases where a nurse has to work

Wednesday, January 29, 2020

Book of Life Essay Example for Free

Book of Life Essay Human Resource Management A Review of Training Methods at Capital One Corporation(choose ur company) Summary 0 Introduction 0 The Training Manager(responsible for delivering training)- talk about training manager and his responsibilities 0 Mode of Training Delivery at Capital One Corporation-I . talk about how training could be delivered to meet the needs of workers 2. Talk about the type of delivering method you think will help the rganisation, either instructor led method or self- placed method and state why u think the method you chose will be beneficial to the other. 0 Identification of Training Needs . Talk about identification of training needs and its importance. 0 Conclusion 0 Recommendations 0 References Personal and Managerial Effectiveness Challenges of workforce diversity in Sony Corporation(choose ur company) Introduction 0 Workforce Diversity (Sony Corporation)- 1 . alk about the company ure using

Tuesday, January 21, 2020

George Orwell’s Animal Farm :: Animal Farm Essays

What is George Orwell’s message in Animal Farm, and how does he use two of the animal characters in the novel to present his political views? In this book George Orwell has tried to put a political view into the story. This political view is that Communist ideas can not work without using excessive power, also that political systems can easily be corrupted by power-hungry people. George Orwell uses animals in this clever allegory to represent humans. Two main characters of ‘Animal Farm’ are Napoleon and Boxer. Napoleon acts like a dictator and leads the farm and animals. He has power over the animals so they have no freedom, so much so, that they can’t rebel against him if they wanted to. Boxer an idealistic follower for Napoleon; he will sacrifice anything for the farm and the other animals. Boxer believes everything that he is told by Napoleon and cannot see that Napoleon is a corrupt leader. As soon as Old Major had died Napoleon took his place as the leader of the Animals, and so he controlled them after the rebellion against humans. At first he was a fair leader and treated the animals kindly, or so they thought. â€Å"The pigs did not actually work, but directed and supervised the others.† This shows that the pigs were lazy and demanding from the beginning when they started to run the farm, and it wasn’t that they grew power-hungry, they already were. The animals started to realise that the pigs were not doing any work. The majority thought there must be an excellent reason for them not doing any work. â€Å"We pigs are the brain-workers. The whole management and organization of the farm depends on us† After hearing this, the animals understood that they were there to do the hard work, but they thought that was because they couldn’t run the farm as well as the pigs. They did not mind lying to the animals and not doing any work while the other animals are. Napoleon knew that there was a chance that the animals might rebel against him so when 9 puppies were born on the farm he took them to train as his bodyguards. â€Å"As soon as they were weaned, Napoleon took them away from their mothers†¦Ã¢â‚¬  After the animals knew what he was doing, even if they did disagree with what he was doing could not do anything about it even if the wanted to either because they were not strong enough or that they were to scared. So this meant that Napoleon could do whatever he wanted to, just like a dictator. The only animal threatening Napoleon’s place in power was Snowball, so

Monday, January 13, 2020

Ode on Melancholy †Commentary Essay

Everyone everywhere feels sadness. Whether it is everyday, or every once in a while, it is a feeling shared by all. In John Keats’ â€Å"Ode on Melancholy†, the poet expresses his views on the emotion and a mood of balance is conveyed with the help of the philosophy of the speaker, the language used and the overall message conveyed. First of all, the perspective that the poet takes when viewing the subject of melancholy creates and supports the balanced atmosphere. The poet is the speaker and he is speaking to someone, everyone, suffering from melancholy. He is informing them about how to deal with their natural feeling. In the first stanza of the poem the poet dissuades the victim of melancholy from ignoring their sadness: do not commit suicide. He is telling the melancholy people how not to treat their melancholy. He mentions that melancholy is so heavy and poisonous that ignoring it will only make it worse; victims have to abandon their negative-ness toward melancholy. In the second stanza, he says that when melancholy strikes, one must embrace it – allow himself to feel it; this is the only way to deal with it. He is presenting possible ways to deal with the melancholy. The third stanza says that melancholy, beauty, pleasure and joy are linked. Only by feeling melancholy, can one feel joy, and vice versa. The poet’s philosophy on melancholy is that only by experiencing it and accepting it can one truly appreciate and recognize joy. This is the solution to the problem of melancholy – this is how one should treat their melancholy. Thus, the poet’s point of view on the issue of melancholies, based on a balance of emotions, helps evoke a mood of equilibrium. Secondly, the language used in the poem also helps bring about a balanced atmosphere. The first stanza begins with â€Å"No, no, go,† low frequency, negative, gloomy sounds that evoke the feeling of melancholy. There are several negative images that follow. There is an allusion to Lethe, the River of Forgetfulness in Greek mythology. Other allusions to Greek mythology are Proserpine or Persephone, goddess of the underworld and Psyche who is commonly associated with the soul. The reference to Persephone reflects how Keats feels about melancholy. Like Persephone’s obligation to spend half the year in the underworld and the other on the face of the earth, melancholy can be seen as partly bad but partly good as well, since without knowing how melancholy feels, one would not know how joy feels. Poisonous plants like wolf’s-bane, nightshade and yew-berries are mentioned – likened to melancholy. At the end of the first stanza, there are low frequency sounds on the words â€Å"anguish of the soul†. This draws out the line and puts emphasis on its meaning. In the second stanza there is a simile, likening melancholy to a cloud that has fallen from the sky – heaven to be precise. Heaven is a positive word, associated with where melancholy comes from in the poem. This juxtaposition of positive and negative images also helps to enforce the point that melancholy and joy are connected. Further evidence of this is the term â€Å"weeping cloud† that implies rain, which is usually associated with dreariness, but in truth it also nourishes – it â€Å"fosters the droop-headed flowers†. The mention of the â€Å"droop-headed† flowers is sad, but the nurturing of them is happy. The mention of the word â€Å"rainbow† in line six of the second stanza adds even more reinforcement to this idea. The word â€Å"rain† has a high frequency sound – a happier sound, whereas the word â€Å"bow† has a lower frequency sound – a gloomier sound. On top of this, a rainbow requires both sun and rain to occur. The phrase â€Å"April shroud† also contains contrasts. â€Å"April† implies spring, life and happiness, whereas â€Å"shroud† implies death. Positive images that flood the senses are featured on lines five to seven. These counterbalance the negative images featured in the first stanza. There is a pun on the word â€Å"morning† in the seventh line – it could also be taken as â€Å"mourning† which is a contrasting word to â€Å"morning†. In the eighth line of the second stanza melancholy is personified. The poet refers to it as â€Å"mistress† and â€Å"her†. The term â€Å"rich anger† is used. It is a paradox, and it enforces the idea of balance. In the last line of the second stanza, the words â€Å"feed deep, deep† are employed. They all contain high frequency sounds, which give off the feeling of energy, which contrasts the melancholy. The term â€Å"peerless eyes† in the last line is a pun since it could mean that no one can match those eyes, or it could also mean that the eyes are unable to perceive. The third stanza continues the personification of melancholy. However, Beauty, Joy, Pleasure and Poison are personified as well. The poet says that Beauty, Melancholy and Joy go hand in hand in hand. The mention of the word â€Å"die† in line one of the third stanza is a negative image. There is an enjambment from line two to line three. The word â€Å"adieu† in line three of the third stanza also proposes a negative image. In line four of the second stanza, the word â€Å"poison† is used in conjunction with the term â€Å"bee-mouth†. The â€Å"bee-mouth† is a delicate image, whereas poison is a cruder one. On the last line of the poem the contrasting term â€Å"cloudy trophies† is used. Hence, the language employed in the poem, the balance of happy and sad, positive and negative helps create and maintain the mood of equality of the poem. Finally the overall message that is conveyed aids with achieving the sense of balance present in the poem. The theme of the poem is that in life everything is balanced, to value joy, one must have encountered sorrow. In order to identify beauty, one must have seen ugliness. This is achieved through the paradox – Keats’ main figure of speech. This idea is reflected in the philosophy of melancholy presented by the poet. Everyone can relate to this since there are a lot of things in everyday life that people take for granted. The idea of karma is based on this. Therefore, the universal message conveyed by the poem revolves around balance, which helps enforce the mood of balance present in the poem. In life it is important to have equal amounts of everything – good and bad. In John Keats’ â€Å"Ode on Melancholy†, an atmosphere of equilibrium is created with the help of the mantra on sorrow of the poet, the language used and the overall message conveyed.

Sunday, January 5, 2020

Merit 2 †Use different sociological perspectives to...

Merit 2 – Use different sociological perspectives to discuss patterns and trends of health and illness in two different social groups. Distinction 1 - Evaluate different sociological explanations for patterns and trends of health and illness in two different social groups. There are many different factors that can increase your chance of becoming ill and dying. The different factors are social class, gender, age and ethnicity. The different social groups I will look at are social class and gender. I am going to look into how these affect health; I will also explain the pattern and trends. I am using gender because it fits in with the sociological perspective feminism and social class fits in with Marxism. Social class is how people†¦show more content†¦People that live in socially deprived areas are more likely to have mental illness, poverty, poor education and low socioeconomic status. This is mainly because of the conditions they have been brought up in and live in; if they lived in better conditions then they probably wouldn’t have health problems like this. The Marxist approach proves that the least deprived individuals are the ruling class and the most deprived individuals are in the working class. In the hierarchy Marxists believe that most of the deprived people shouldn’t have and education and they should be working in factories and other environments like this. Marxist know that the most deprived individuals work in poor conditions that could make them ill, people in the lower class don’t earn as much as a higher class would. This is because they are in the lower class and they live and work in poor conditions so they don’t need to earn as much. Marxists believe that the most deprived people shouldn’t have a good education and the least deprived people need more of an education so they can get into the better jobs. 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Saturday, December 28, 2019

Biography of Attila the Hun

Attila the Hun was the fierce 5th-century leader of the nomadic, barbarian group known as the Huns, who struck fear in the hearts of the Romans as he plundered everything in his path, invaded the Eastern Empire and then crossed the Rhine into Gaul. Occupation:  RulerDates:  We dont know when Attila was born. It could have been around 406 A.D. He ruled from about 433 until his death in 453. Offices and Titles Attila was the king of the Scythian hordes known as the Huns, who frightened those in their paths even with their appearance. For devastating much of Europe — mostly while on horseback shooting javelins, composite bows and arrows, Attila the Hun is also known as the Scourge of God. Jordanes says the following about Attila: His army is said to have numbered five hundred thousand men. He was a man born into the world to shake the nations, the scourge of all lands, who in some way terrified all mankind by the dreadful rumors noised abroad concerning him. He was haughty in his walk, rolling his eyes hither and thither, so that the power of his proud spirit appeared in the movement of his body.The Origin and Deeds of the Goths Military Attila successfully led his forces to invade the Eastern Roman Empire, whose capital was in Constantinople, in 441. In 451, on the Plains of Chà ¢lons (also known as the Catalaunian Plains), which was located in Gaul (modern France), although the exact location is disputed, Attila suffered a setback. Attila was ranged against the Romans and the Germanic Visigoths who were settled in Gaul. This didnt stop him, though; he made progress and was on the verge of sacking Rome when, in 452, Pope Leo I [d. 461]) dissuaded Attila from proceeding. Death The death of Attila was the following year, on his wedding night in 453, supposedly of a nosebleed. There are other explanations, including an assassination plot. With Attilas death, the Huns fade from prominence as a foe of the Romans. Sources We know about Attila through Priscus (5th century), a Roman diplomat and historian, and Jordanes, a 6th-century Gothic historian, and author of the Getica. Biography of Attila the Hun Attila the Hun and his warriors rose from the plains of Scythia, modern-day southern Russia and Kazakhstan, and spread terror across Europe. The citizens of the weakened Roman Empire gazed in fear and disdain upon these uncouth barbarians with tattooed faces and top-knotted hair. The Christianized Romans could not understand how God could allow these pagans to destroy their once-mighty empire; they called Attila the Scourge of God. Attila and his troops conquered vast swaths of Europe, from the straits of Constantinople to Paris, and from northern Italy to islands in the Baltic Sea. Who were the Huns? Who was Attila? The Huns Before Attila The Huns first enter the historical record far to the East of Rome. In fact, their ancestors probably were one of the nomadic peoples of the Mongolian steppe, whom the Chinese called the Xiongnu. The Xiongnu launched such devastating raids into China that they actually motivated the construction of first sections of the Great Wall of China. Around 85 A.D., the resurgent Han Chinese were able to inflict heavy defeats on the Xiongnu, prompting the nomadic raiders to scatter to the west. Some went as far as Scythia, where they were able to conquer a number of less fearsome tribes. Combined, these peoples became the Huns. Uncle Rua Rules the Huns At the time of Attilas birth, c. 406, the Huns were a loosely organized coalition of nomadic herder clans, each with a separate king. In the late 420s, Attilas uncle Rua seized power over all of the Huns and killed the other kings. This political change resulted from the Huns increasing reliance on tribute and mercenary payments from the Romans  and their decreased dependence on pastoralism. Rome paid Ruas Huns to fight for them. He also got 350 lbs of gold in annual tribute from the Eastern Roman Empire based in Constantinople. In this new, gold-based economy, people did not need to follow the herds; thus, power could be centralized. Attila and Bledas Rise to Power Rua died in 434 - history does not record the cause of death. He was succeeded by his nephews, Bleda and Attila. Its not clear why the older brother Bleda was unable to take sole power. Perhaps Attila was stronger or more popular. The brothers tried to extend their empire into Persia in the late 430s, but were defeated by the Sassanids. They sacked Eastern Roman cities at will, and Constantinople bought peace in exchange for an annual tribute of 700 lbs of gold in 435, rising to 1,400 lbs in 442. Meanwhile, the Huns fought as mercenaries in the Western Roman army against the Burgundians (in 436) and the Goths (in 439). The Death of Bleda In 445, Bleda suddenly died. As with Rua, no cause of death is recorded, but Roman sources from that time and modern historians alike believe that Attila probably killed him (or had him killed). As the sole King of the Huns, Attila invaded the Eastern Roman Empire, seizing the Balkans, and threatening earthquake-ravaged Constantinople in 447. The Roman Emperor sued for peace, handing over 6,000 pounds of gold in back-tribute, agreeing to pay 2,100 pounds annually, and returning fugitive Huns who had fled to Constantinople. These refugee Huns were probably the sons or nephews of the kings killed by Rua. Attila had them impaled. Romans Try to Assassinate Attila In 449, Constantinople sent an imperial ambassador, Maximinus, supposedly to negotiate with Attila over the creation of a buffer zone between Hunnic and Roman lands, and the return of more refugee Huns. The months-long preparation and journey were recorded by Priscus, an historian who went along. When the gift-laden train of Romans reached Attilas lands, they were rudely rebuffed. The ambassador (and Priscus) did not realize that Vigilas, their interpreter, had actually been sent to assassinate Attila, in collusion with Attilas counselor Edeco. After Edeco revealed the whole plot, Attila sent the Romans home in disgrace. Honorias Proposal A year after Attilas not-so-close brush with death, in 450, the Roman princess Honoria sent him a note and a ring. Honoria, the sister of Emperor Valentinian III, had been promised in marriage to a man she didnt like. She wrote and asked Attila to rescue her. Attila interpreted this as a marriage proposal  and happily accepted. Honorias dowry included half of the provinces in the Western Roman Empire, a very nice prize. The Roman Emperor refused to accept this arrangement, of course, so Attila gathered his army and set out to claim his newest wife. The Huns quickly overran much of modern-day France and Germany. Battle of the Catalaunian Fields The Huns sweep through Gaul was halted at the Catalaunian Fieds, in northeastern France. There, Attilas army ran up against the forces of his former friend and ally, the Roman General Aetius, along with some Alans and Visigoths. Unsettled by ill omens, the Huns waited until almost dusk to attack, and got the worse of the fighting. However, the Romans and their allies withdrew the next day. The battle was not conclusive, but it has been painted as Attilas Waterloo. Some historians even have claimed that Christian Europe might have been extinguished forever if Attila had won that day! The Huns went home to regroup. Attilas Invasion of Italy - The Pope Intervenes (?) Although he was defeated in France, Attila remained dedicated to marrying Honoria and acquiring her dowry. In 452, the Huns invaded Italy, which was weakened by a two-year long famine and epidemics of disease. They quickly captured fortified cities including Padua and Milan. However, the Huns were dissuaded from attacking Rome itself by the lack of food provisions available, and by the rampant disease all around them. Pope Leo later claimed to have met Attila and persuaded him to turn back, but its doubtful that this ever really happened. Nonetheless, the story added to the prestige of the early Catholic Church. Attilas Mysterious Death After his return from Italy, Attila married a teenaged girl named Ildiko. The marriage took place in 453  and was celebrated with a grand feast and plenty of alcohol. After dinner, the new couple retired to the wedding chamber for the night. Attila did not show up the next morning, so his nervous servants opened the chamber door. The king was dead on the floor (some accounts say covered with blood), and his bride was huddled in a corner in a state of shock. Some historians theorize that Ildiko murdered her new husband, but that seems unlikely. He may have suffered a hemorrhage, or he could have died of alcohol poisoning from the wedding night revels. Attilas Empire Falls After Attilas death, his three sons divided up the empire (reverting, in a way, to the pre-Uncle Rua political structure). The sons fought over which would be the high king. Eldest brother Ellac prevailed, but meanwhile, the Huns subject tribes broke free from the empire one by one. Only a year after Attilas death, the Goths defeated the Huns at the Battle of Nedao, driving them out of Pannonia (now western Hungary). Ellac was killed in battle, and Attilas second son Dengizich became the high king. Dengizich was determined to return the Hunnic Empire to the glory days. In 469, he sent a demand to Constantinople that the Eastern Roman Empire pay tribute to the Huns again. His younger brother Ernakh refused to get involved in this venture  and took his people out of Dengizichs alliance. The Romans refused Dengizichs demand. Dengizik attacked, and his army was crushed by Byzantine troops under General Anagestes. Dengizik was killed, along with the majority of his people. The remnants of Dengiziks clan joined Ernakhs people  and were absorbed by the Bulgars, ancestors of todays Bulgarians. Just 16 years after Attilas death, the Huns ceased to exist. The Legacy of Attila the Hun Attila is often portrayed as a cruel, bloodthirsty and barbaric ruler, but its important to remember that our accounts of him come from his enemies, the Eastern Romans. The historian Priscus, who went on the fateful embassy to Attilas court, also noted that Attila was wise, merciful, and humble. Priscus was amazed that the Hunnic king used simple wooden table implements, while his courtiers and guests ate and drank from silver and gold dishes. He did not kill the Romans who came to assassinate him, sending them home in disgrace instead. It is safe to say that Attila the Hun was a much more complex person than his modern reputation reveals.