Elephants as Combatants

The Risk Factors Of An Patient Centered Care - 1289 Words

Subjective Assessment : A variety of factors can cause falls in older individuals, therefore it is important to determine what the risk factors are in order to provide patient-centered care. History of presenting compliant; Fall (s7) ‘Were you attempting to turn a corner?’ -Yes ‘Did you freeze and how often?’ -Yes,it happens when i try to turn a corner or get out of bed. ‘How often did you fell in the past six months?’ -5 times ‘How did you manage to get up?’ - With one assist John reported that he froze when attempting to turn a corner. He also clarified that it was his fifth fall after he froze in the past six months. Only mild injuries such as skin lacerations and bruises were found, however, John showed concerns of sustaining more†¦show more content†¦He also added that the most beneficial intervention besides drugs was Taichi class. However, his knee pain has become a barrier from continuation. Patient reported 4/10 pain in both knees on the visual analogue scale (VAS). The past medical history of PD in John’s case includes intrinsic factors such as age-related decline in visual, vestibular, muscle and cognition function, neural disorder and adverse drug effects.3 Given the progressive nature of the disease, it is important to understand what type of Parkinson’s and what stage John was at as fall risks may increase in later stages. Therefore by asking questions as such help determine if the intrinsic factors led to the recent fall. Environmental factors (e2) ‘Was the ground slippery?’ -No ‘Did the accident happen in a daytime or dark at night?’ - Late afternoon ‘Was the ground uneven?’- No It was believed that the accident happened during late afternoon when John was walking on an even bitumen pavement. Overwhelming environmental hazards including inadequate lighting and slippery uneven surfaces can increase fall risk as it requires greater postural

Marketing Environment of Mcdonalds Essay Example For Students

Marketing Environment of Mcdonalds Essay Mac Donald’s Company 1)Economic Environment Even with current economic condition, M’cDonalds remains optimistic. According to Business Times (2009), â€Å"McDonalds Malaysia expects its delivery service business to jump 40 per cent this year as its new call centre can handle more orders. † They invested over two million ringgit for setting up the new call center. In addition the Managing Director Azmir Jaafar, said the company â€Å"plans to invest 8 million ringgit this year to open between 15 and 20 new restaurants. (2009). 2)Natural Environment Malaysia natural environment is considered good. Base on the report by Department of National Environment Energy and Resources, the Air Pollution Index is the status of good in many areas in the country. In relation to this, McDonald around the world has always been a company which practice to protect the natural and community resources that support and are affected by their activities. McDonalds promotes recycling and energy conservation. Since 1990, they had recycled 2 billion corrugated cardboard purchased more than 3 billion in product made from recycle material s and eliminated several million pounds of packaging†(McDonalds) 3)Legal And Political Environment In Malaysia they are bound with a Syariah Law which states all food served must be Halal. McDonalds is one of the many fast food chain restaurant in Malaysia gained Muslim consumer confident. McDonalds in Malaysia underwent rigorous inspections by Muslim clerics to ensure ritual cleanliness the chain was rewarded with a Halal (clean and acceptable) certificate, indicating the total absence of pork products. )Technological Environment McDonalds has been adopting the use of technology in delivering its fast food to their consumers. The use of telecommunication technology is a good strategy to begin in online service diverse from its brick and mortar concept. As explained above McDonalds had expanded their call centre capability which â€Å"now can handle up to 70,000 calls compared to 20,000 previously,† . In addition, McDonald Malaysia is also working an allowing customer to order a pay online. 5)Social Environment McDonalds also concern about the social environment. McDonald s is dedicated to promoting a balanced and active lifestyle. McDonald s is constantly implementing measures to improve its services quality and value of its products to stay ahead of the rat race in these difficult times. OPPORTUNITY †¢The fast food trend in Malaysia has benefited MCD as they are able to capture more market share and customers. †¢Malaysian would like to eat outside which the increasing of number of women workers. They would like to look convenience place to eat as MCD provide it for them. †¢The technology advance has improved MCD services effeciency as their customer able to order through phone and online. †¢The growing internet users in Malaysia supported for this kind of service – 24 hours services which open a revenue where it for MCD as customers look for quick meal at late night. THREAT †¢The increased of competitors from KFC, Subway, Burger King and etc. has made the c ompetition for market share in Malaysia tighter. Customers have more range of fast food being offered and they would have no brand loyalty with one brand. †¢MCD need to fight back with their promotion and advertisement to gain the customer feeling. They need to spend a large amount of money on it. †¢The health concern has become a main treat for MCD as most customers concern on healthy foods. Fast food is considered unhealthy because of too oily. This will decreased the number of customers to purchased MCD foods

Miniature World free essay sample

I have always loved swimming and more specifically, the ocean. Most of my childhood I spent going to the beach. I have been to many different beaches in California and even one in Oregon. Of all the beaches I have been to, there is one that stands out in my head. I think about it often and long to go there. The Oceanside Pier at Oceanside Beach, in Oceanside Ca. is my favorite place in the whole world, despite the fact that I have only been there a handful of times in my life. Most of the reason I love this beach more than the others has a lot to do with the pier. For anyone who has not had the privilege of visiting the Oceanside Pier, I greatly suggest they go and do it someday. I don’t remember the first time my parents took me to Oceanside Beach, but since then, our family averages about a yearly visit there. We will write a custom essay sample on Miniature World or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If I was asked to sum up what I love most about this beach in one sentence, I would say this: Seeing human beings involving themselves so much with nature makes the world seem peaceful and simple, even for just a moment. Now let me take you on a journey. The few times I have visited the pier I have seen many things. To even get to Oceanside Beach, first go to downtown Oceanside. The beach is pretty hard to miss. Find a parking space. Get out of your car and enter the beach. I’m sure there are many entrances, but the only one I have ever been through is characterized by a huge stage, with bleachers for the audience. I have never seen a show there and the only people I have seen around the bleachers are the local high school boys who use the empty stage to jump off of on their skateboards. By now the smell of saltwater is very strong. There is a light breeze and the sun is warm. To the right of the stage are flights of stairs. Ascending these stairs will take you to a magical place- the Oceanside Pier! At the start of the pier, there are always some types of musicians, whether they are guitarists trying to make a buck for the bus ride to the next city, or a family of advanced violinists who simply wish to spread joy. That is one of my favorite parts of the pier. Being the music lover and fanatic that I am, I can truly appreciate music when I see people playing it, with smiles on their faces, eyes closed and feet tapping, instead of listening to it on a CD and trying to imagine how the artist felt when performing it. The next part of the pier is the pier itself. You know you are on the pier when you look down and see thick, plastic-looking, slabs of wood. These slabs are the basis of the whole pier. Every day, hundreds of people walk on them, dozens of children run on top of them and even a few wheels of various recreational vehicles roll over them. While one should appreciate the slabs, they can get pretty boring to look at. However, if you turn your attention from the ground to t he sides of the pier, the fence part that keeps millions of people from falling into the vicious, rhythmic waves below, there is a lot more to look at. On every piece of wood used to build the fence, there are names, names of individuals and families who donated money to help get the pier built back in†¦Ã¢â‚¬ ¦ Every time I visit the pier, I look at the names, knowing everyone of those people was a part of history. I think only some people can appreciate history like I do and I don’t know why some people do and some people don’t, but that’s just how it is. I do believe though, that it takes a strong belief and gratefulness of history to enjoy most of the pier. These engraved names stretch from the first plank of wood all the way to the very end of the pier. Along the way, there are looking glasses that act as binoculars. These machines cost a quarter for about one minute of looking time, but from them, one can see the ocean and see that it really does stret ch on as far as the eye can see. One can also see the waves and once in a while, seals, dolphins and fish are spotted. At the very end of the pier there is a sit-down restaurant where many tourists and locals alike, stop to eat. The whole pier smells of fish, but it is especially strong at the end of the pier. While all these aspects of the Oceanside Pier are wonderful things, my favorite, perhaps, is what makes these things possible. The Oceanside Pier is open to anyone and everyone who wishes to go there. In my opinion, the best part of the pier is the people who work on it, the people who enjoy it, and the people who involve themselves in it in any way whatsoever. Every day, local high school students rush there after school to bike, hang out with friends or link arms with their boyfriends and go on a slow, calm walk down the pier. Mothers and fathers jog there in the mornings, children play there, argue there, fall there, and get up again. Fishermen spend hours casting their lines over the fencing into the water below, and always pull something up. Biologists, teachers, parents and inquiring people peer into the binoculars, hoping to catch something. Some people stand next to each other and talk while others hold hands and walk. Curious children stand on tip-toes to see what a man has caught in his bucket and jump back in alarm when the fish inside flops. People from all over the world, of all different backg rounds and all different beliefs enjoy the same sunset, together. These people are the people who enjoy the pier. They are there because they want to be and no one has stopped them. To me, the Oceanside Pier illustrates what life is meant to be about- people uniting, working together and not arguing. Every time I visit the pier, it makes me think about the whole world, society, people and the things they do. I look at what’s going on at the pier and I dream of a world just like it. The great Pacific Ocean, the animals, the shellfish stuck on the wooden columns, the cool breeze from far beyond and the warm sun all are a part of the natural world. I think it’s an amazing thing when human beings can involve themselves with nature without totally corrupting what it is. If an alien came straight down from Mars and landed on the Oceanside Pier, he might be able to believe that Earth is a peaceful place. These are the reasons I love the Oceanside Pier. To me, it conveys what life is really about.

Scott Berkun on Writers’ Laziness

Scott Berkun on Writers’ Laziness Scott Berkun on Writers’ Laziness Hard work is one of the many things that authors and startups have in common. We know we should expect it, and always think ourselves ready to embrace it, but the truth is that we’re constantly looking for a shortcut. With countless get-rich-quick schemes, myths, or even documented success-stories out there, it is easy to lose oneself in the dream and never really pursue it.To break free of the dream, we’ve invited one of the most famous myth-busters out there to share his thoughts with us. Scott Berkun is a bestselling author of 6 books and renowned speaker on creativity and innovation. Scott has a simple message for authors, which we all need to hear: â€Å"stop being lazy†.You spend a lot of time myth-busting. What is the No. 1 myth you come across to do with writing? Why do you think this myth is perpetuated? Everyone believes there’s a way around the work. People are genuinely mystified when they describe a hard part of it, hoping for a cure, and I te ll them, yes, I feel the same thing, the difference is I keep going. You can’t run a marathon without running many miles first. There are tricks here and there but they only help if you do the work, the tricks don’t eliminate the work.We’re all prone to dreams and that’s a good thing if we don’t confuse them with reality. Sadly many of us do. Myths about life will always be popular because people confuse dreams with reality, that having a dream is enough. There is no dream of writing a novel or changing the world that comes about without sacrifices. Many people use dreams just as something to talk about and never something they really want to do.You answer a lot of questions from new writers. Which are the most common things these writers get stuck on? What are the causes of these problems?Laziness. It usually comes down to laziness, which sounds mean but it’s totally true. I’m not that famous and even if I were, there are far easier places to get coaching on writing from than an author. It’s an old field you know, with plenty of courses, books and coaches waiting to be used. Generally it’s the dreaming thing again. People who are serious will ask serious questions. Instead of â€Å"How do I start?†, which is answered by opening a word processor and typing, they ask â€Å"I’ve written a draft and want to make it easy for friends to critique it. Suggestions?† It’s a very different question that starts by explaining the asker has already put some sweat in.You first self-published back in 2011 - light-years away in the self-publishing world - what are the most exciting developments you are looking at right now in this space?It gets better every year. Even now the quality is so good most people can’t tell the difference, especially for digital books. I see many boutique publishes cropping up that are challenging the old models, and treating authors differently, which is fun to see.You recently wrote that many publishers are â€Å"stuck in an antiquated notion of their value†. In five years time, what do you think will the core value of a publisher? The core value remains the same - sell great books to people and help authors make great books. I just hope they’ll take more advantage of modern tools and ideas in what they do. They’re still catching up to social media, still catching up to how to use Facebook, still catching up to blogging. There’s a new generation of editors that are rising in influence and as they do publishers will change with them. What you folks are doing at Reedsy, and other shops like Booktrope, it is fascinating to watch - unlike big publishers you have no legacy to hold you back and can dive in with fresh ideas on how it’s all supposed to work.But many publishers are asleep at how the romance of getting published has changed. The technological advantage is almost entirely gone, or worse, is a liability because they’re stuck on ideas from the 1980s. Anyone can publish a book today and if they are talented they can publish good books faster and cheaper than a publisher can. Every publishing exec should, on their own, self-publish a book and compare with what their company does. They’ll see how easy it is to replicate what publishers do with freelancers. Many still haven’t done this simple exercise and there’s no excuse for it.There is a romantic notion that marketing shouldn’t be a writer’s job. Is there a place for introvert writers in today’s landscape - those who don’t necessarily like to engage with their audience and cultivate their fan base?The romantic notion is mostly an invention as writers and artists throughout history largely had to hustle to survive, or they wrote for reasons other than fame (a notion often unheard of today). Being an introvert doesn’t mean you can’t cultivate a fan bas e. Social media, blogs and mailing lists makes it easy for someone who writes to use writing as their primary way to interact. It doesn’t have to be personal, but if you want more fans you have to give them something to be fans about. If you don’t want to engage your own audience how can you expect to create or maintain one? You’d either need to be wealthy enough to pay someone to do if for you, or incredibly lucky to find a following without it.Follow Scott and Reedsy on Twitter: @berkun and @ReedsyHQDo you agree that struggling authors’ main problem is laziness? What do you do to keep writing and engaging with your audience?

Part-Time Job Can Strengthen Your College Application

Part-Time Job Can Strengthen Your College Application When you need to work after school and on weekends, it can be impossible to be involved in many extracurricular activities. Being part of a sports team, marching band, or theater cast simply wont be options for you. The reality for many students is that earning money to support their family or save for college is far more necessary than joining chess club or the swim team. But how does holding a job affect your college applications? After all, selective colleges with holistic admissions are looking for students who have meaningful extracurricular involvement. Thus, students who have to work would seem to be at a significant disadvantage in the college admissions process. The good news is that colleges recognize the importance of having a job. Moreover, they value the personal growth that comes along with work experience. Learn more below. Why Colleges Like Students With Work Experience It can be tempting to wonder how someone who works 15 hours a week at the local department store can measure up to someone who stars on the varsity soccer team or took a leading role in the schools annual theater production. Colleges do, of course, want to enroll athletes, actors, and musicians. But they also want to enroll students who have been good employees. The admissions staff wants to admit a group of students with diverse interests and backgrounds, and work experience is one piece of that equation. Even if your work isnt in any way academic or intellectually challenging, it has a lot of value. Heres why your job looks good on your college application: High school students who successfully hold down a job for a significant period of time have proven that they can manage their time effectively. Its not easy to do well in school while devoting significant hours to work, and effective time management is one of the most important skills that will lead to college success.Students who have jobs have learned to work as part of a team. You cant be selfish as an employee, for success depends upon working well with your colleagues. These collaborative skills translate directly to college success: youll be well prepared to negotiate issues with your roommate, work on group projects, and recognize how your own actions impact others.If youre working to save money for college, youll be highly invested (literally) in your college education. The fact that your hard-earned dollars are going towards your education tells the admissions folks that you are fully committed to your education. College isnt a gift that has been handed to you; rather, it is something that you have worked hard to make happen. That kind of commitment has real value for the college in terms of retention rates, graduation rates, and overall student success. Even a miserable job flipping burgers or washing dishes has value on your application. Youve learned to be responsible, to serve others before yourself, and to make sacrifices to meet your long-term goals. Work experience and maturity tend to go hand-in-hand.Finally, you have a perspective that many college applicants lack. You have experienced first-hand the type of work that millions of people do without a college degree. So unless you were lucky enough to get an intellectually challenging job as a high school student, youll have additional motivation to succeed in college and move on to work that is more personally satisfying. Are Some Jobs Better than Others for College Admissions? Any job - including those at Burger King and the local grocery store - are a plus on your college application. As outlined above, your work experience says a lot about your discipline and potential for college success. That said, some work experiences come with additional benefits. Consider the following: Jobs that provide leadership experience. Colleges want to enroll future leaders, and your job can help show your potential on this front. It often isnt possible for a part-time 18-year-old to be a manager, but some jobs such as being a lifeguard, camp counselor, or academic tutor are leadership positions by definition. In other types of jobs, you might be able to ask your supervisor for leadership opportunities. For example, you might be able to help train new employees or help the company with outreach in the community.Jobs that show  your entrepreneurial ability. Its also impressive if youre entrepreneurial and started your own small business whether making jewelry or mowing lawns. Entrepreneurs tend to be creative and self-motivated, qualities that make for excellent college students.Jobs that provide field-specific experience.  If you have a strong sense of what you want to study - whether it be medicine, business, chemistry, art, English, or any other major - work experien ce in that field will play well with the admissions folks. As an example, a lot of students want to go into medicine because of the attractive salary, not because of any love of the sciences or the profession. An applicant who has actually worked in a hospital and gained first-hand experience will be a much more informed and compelling applicant. Similarly, a future computer science major who has worked in tech support will be able to craft a  well-informed and convincing application. Internships. As a high school student with a thin resumà © and no relevant work experience, you may find it impossible to get a job in your area of study. An internship, however, may be a an option. Many internships are unpaid, but they are nevertheless valuable. Those hours you spend working at a publishing house, law firm, or chemistry lab can open doors to future opportunities, and they give you first-hand knowledge of an academic field (something that most college applicants wont have). If unpaid work isnt an option for you, try a compromise: 10 hours a week in a paid job and 5 hours a week as an intern. Is It Okay to Have No Extracurricular Activities? If youre filling out the Common Application, the good news is that work (paid) and internship are both categories listed under activities. Thus, working a job means your extracurricular activity section on the application wont be blank. For other schools, however, you may find that extracurricular activities and work experiences are entirely separate sections of the application. The reality is that even if you have a job, you probably also have extracurricular activities. If you think about the wide range of activities that count as extracurricular, youll probably discover that you have several items you can list in that section of the application. Its also important to realize that your inability to participate in after-school activities doesnt preclude you from extracurricular involvement. Many activities - band, student government, National Honor Society - take place largely during the school day. Others, such as involvement at church or summer volunteer work, can often be scheduled around work commitments. A Final Word About Work and College Applications Holding a job doesnt have to weaken your college application. In fact, you can leverage your work experience to strengthen your application. Experiences at work can provide excellent material for your college application essay, and if youve maintained a strong academic record, colleges will be impressed by the discipline required to balance work and school. You should still try to have other extracurricular activities, but there is nothing wrong with using your job to demonstrate that you are a well-rounded, mature, and responsible applicant.

How Triple Constraint Impacts Projects Term Paper

How Triple Constraint Impacts Projects - Term Paper Example Scope (Quality): refers to the requirements and functionality that are discussed and thus set in the requirements phase with the client. Any changes in the scope in the later stages of the project cause a diverse effect on the project since the resources are assigned as per the needs of the discussed scope of the project. The outcome of the project can be judged by the scope of the project. Cost (resources): The cost of the project is estimated with respect to the man-hours that will be spent on the project, number of resources that will be assigned on it and the cost of the materials that will be used in the project. Time (schedule): The total time period of any project is analyzed in the smallest detail. The components are analyzed with respect to the different tasks that might be needed to complete it and the amount of time that might be needed for those tasks. The accumulation of the duration of the different components tasks amounts to the total time required for project completion. It is the job of the project manager to manage these triple constraints in the project so that the needs of the clients are fulfilled in the most appropriate manner. Some of these constraints might be compromised in order to deliver the other constraint. These are good measures of the success of any project since these three elements are the most vital and quantifiable aspects. These are also good indicators for a successful project because they can fit any project of any kind. Jessica (2008) stated an example regarding the triple constraints; some clients signed a boat contract with a boat manufacturing company. The company takes a year to make the boat but these clients want the boat to be delivered within 9 months with a budget of $100,000. The time (schedule) of the project is fixed since the clients want the boat to be delivered