Public and Private Behavioral Health Services Coursework

Open and Private Behavioral Health Services - Coursework Example Individuals experiencing mental turmoil need a lot of consideration, management, and specific consideration (Ince, 2010). At the point when individuals with adequate money related assets experience the ill effects of psychological maladjustment, they get individuals or establishments that can take great consideration of their mental needs. Then again, when those without adequate money related assets tumble to this disease the greater part of their time is gone through at home with little consideration and the majority of the occasions they stray in the open on account of the psychological aggravations. Private and open conduct wellbeing specialist organizations are traditionally in a similar business yet with altogether different goals and reasoning of work. The distinction being because of the idea of the condition as portrayed over, the requests that related with it and the impacts of the condition (In, 2014). Open offices objectives are to have individuals experiencing this issue focused on finding support, yet in particular to guarantee that they don't wind up hurting themselves or others in the open spots since they might not have individuals to look out for them all nonstop. Private organizations on the opposite end have a strategic offer fulltime care and their time for the benefit of the patient’s families, who might some way or another need to invest their energy dealing with the patients (Freeth, 2007). These crucial contrasts between these patients social and monetary status, have made the two establishments. This clarifies why the open conduct wellbeing administration offices fall behind the private establishments in arrangement of care for mental scatters. The private establishments are in presence to fill a need, whose eagerness and capacity to pay wins, while the open conduct wellbeing administrations suppliers just exist to contain a danger of intellectually upset people making damage or unpleasantness general society. As indicated by McNeese-Smith (2003), the general

The Cold War and U.S. Diplomacy Essay Example | Topics and Well Written Essays - 1000 words - 2

The Cold War and U.S. Tact - Essay Example 20). All through the residency of John F Kennedy, the atomic weapons contest with the USSR and the Cold War remained his prime concerns. As a president and a legislator the spread of socialism happened to be the purpose of center for John F Kennedy and he thought about the onus of wresting a regulation of socialism as the critical need of the United States of America (Bose, 1998). What were the attributes and consequences of the control procedure shunned by Kennedy? Kennedy accepted that Soviet Union was an intense and relentless foe that sought to spread its influence over the world as a rule and in the Western Hemisphere specifically. In this manner Kennedy laid unequivocal weight on the need to keep up a level of influence against the Soviet Union even at the expense of reducing other remarkable objectives (Bose, 1998, p. 23). On the one side Kennedy’s regulation principle imagined to reduce the military danger presented by the Soviet Union to the partners and the United St ates and on the opposite side it planned to contain the Soviet impact inferable from the political and monetary consequences of a potential spread of the socialist teaching (Bose, 1998)). Along these lines, considering the military and politico-financial prospects characteristic in the extension of Soviet impact, the core of the Kennedy convention was to confine the spread of socialism in nations over the world. ... The one striking topic of Kennedy’s regulation principle was the declaration that as United States had the fortitude and the ability to impact and control occasions at the universal level, in this manner the country must assume a proactive job in really doing as such. Articulate a portion of the universal occasions and emergency circumstances that featured the ramifications of President Kennedy’s control regulation? Regulation precept displayed various political and strategic implications during Kennedy’s residency. Kennedy affirmed the Bay of Pigs attack which included the intrusion of Cuba by a power of CIA prepared Cuban outcasts in 1961 (Higgins, 1987, p. 161). This attack delighted in a functioning consolation and backing from the Kennedy organization (Higgins, 1987). Tragically the whole power of the prepared Cuban outcasts was either murdered or caught and Kennedy freely possessed the obligation regarding the disappointment of this intrusion (Higgins, 1987 ). The Bay of Pigs intrusions outlined the dedication of the Kennedy government to reduce the socialist impact in the Western Hemisphere. The 1961 Berlin Crisis happened to be the last significant politico-military encounter between the USSSR and the US on the European soil that saw a lot of strategic activity with respect to Kennedy organization, couple with the notable control teaching. The Berlin emergency was started by the USSSR as it requested an unlimited withdrawal of the Western powers from the West Berlin (Barnes, 2005, p. 194). This emergency finished with the segment of Berlin and the erection of the Berlin Wall (Barnes, 2005, p. 195). In compatibility of his strategy of regulation, Kennedy reacted to the Berlin Crisis by starting a critical increment

3 Easy Tips For Getting Common Blog Post Ideas

3 Easy Tips For Getting Common Blog Post Ideas Make Money Online Queries? Struggling To Get Traffic To Your Blog? Sign Up On (HBB) Forum Now!3 Easy Tips For Getting Common Blog Post IdeasUpdated On 04/06/2018Author : Palla RamaraoTopic : BloggingShort URL : http://bit.ly/2oznHDU CONNECT WITH HBB ON SOCIAL MEDIA Follow @HellBoundBlogOnce you start Blogging about a topic of interest, you are bound to face a writer’s block. Since it is everybody’s dream to become a niche blogger, you are tempted to write something without giving impetus to quality and standards. Today we will discuss about blog ideas for writers who are into blogging about a niche and face problems of the above order.Most of the time the ideas we get are of intuitive nature, based on which you proceed further to gather more information. One Key Blog Post Idea is enough which can go viral on social networking circles and can bring you lots of revenue. But once you develop a flair for blogging you can easily develop these blog ideas into a plan. Execute this pla n with a purpose and soon you will reap benefits which will give motivation for your passion.So let’s see some blog ideas helpful for writers when they face a writer’s block.1. Readers as ThinkersThis is one of the most effective ways of producing great content. You need not think. Your Readers will think for you. Your readers are constants searching the web for answers and when they find relevant information on your blog, they will be more than happy to provide ideas.But, how can your esteemed readers can give you blog ideas? For example, you can create a poll either on your blog or Social Media page asking readers for their feedback on a particular topic of your blog niche.Based on the answers given, you can write a detailed blog post on the topic which majority of the readers are interested.2. Comments as Blog IdeasThe second way is my personal favorite. If you have over 100+ blog posts and over 1000+ page views on a daily basis, this can bring you the required ideas. The abo ve statistics show that your blog is popular.   So your 1000+ audience would like to leave a comment on your blog post if they like your writing style and information.Reading and Replying to those comments can create a discussion which soon can become a blog idea for your newer post.3. Google AnalyticsEverybody into blogging over than a year, are definite to find this FREE tool very useful. Analytics is a tool from Google which gives reports on traffic usage, keywords, content, demographic and what not. There are also advanced options like advanced segments, custom reporting, advertising reports etc. You can analyze keyword traffic using Google Analytics.READMagento or PrestaShop: Which One Is For You?So coming to getting ideas from Analytics, you can use Traffic Sources Sources Search Organic ideas as a major start. This will give a list of keywords for which you can know the traffic, landing page etc. By knowing the most popular keywords, you can use that keyword as the next ma jor blog post. Just don’t stop there! Continue and research on that keyword using Google Adwords Keyword tool to get some more ideas.If you are a WordPress user there is a simpler way of getting the above data. There is a plugin which can get you blog ideas. Just like your Analytics and Adwords tool, this plugin is one such weapon, which can create a viral post. I always use this plugin data to write some of my new posts and they soon become popular almost all the times.Well, you are asking what that plugin is. It’s called SEO SearchTerms Tagging 2.I am using this plugin on my self-hosted WordPress blog. I’m not sure whether it’s available for other CMS like Joomla, Drupal etc. This plugin actually catches all those terms which your users typed into search engine like Google and display below your blog post. This is good for On Page SEO if you go by the default settings.Using those search terms you can get more blogging ideas for your next article.ALSO SEE: 15+ Uses Of Googl e Analytics You Might Not KnowHmm. The list doesn’t end here. There are some more blog ideas for writers if you are interested in writing unique and quality content. I’ll detail some of those in coming articles. Blog ideas new and fresh are important for writers who want to keep abreast of competition. If you are one of those quality content writers, please comment on the ways you derive your ideas and resist the writer’s block.

Essay on Homelessness - 1569 Words

Homelessness is a serious problem in our society. Every night in our nation thousands of people are on the streets. This type of behavior is considered deviant because it does not reflect the norms and values of our society. In many cases the homeless people in our country are treated as total outcasts. Many of these people have severe mental disorders. Some are victims of an economy that has failed them. One may ask how such harsh situations exist in such an advanced society. With all the money and programs created to help people it seems ridiculous that this behavior exists. In a society where people have so much how is it possible that there are still people that have so little. The homeless are humans, no different than anyone else.†¦show more content†¦These things are taken for granted by the people who have them. These seem as necessities for most adults, but even more so for children. Children that do not have homes grow up at risk for diseases that are not a threat to the general part of the nation. Illnesses such as whooping cough or tuberculosis that seem so rare in society are commonly found in homeless shelters. These children have not been given their vaccines over the years and therefore are not allowed to attend school. The homeless children that do attend school are sometimes as far behind as two grade levels. Many of the children are very hungry and tired which makes it almost impossible for them to concentrate. Other children are embarrassed to go to school because the other children know their situation and ridicule them. Sometimes a teacher might even keep away from a child that they believe to be dirty or may be sick. Most of these children are. They do not smell good because they do not take baths. They grow up being outcasts (Connolly, 2000). The National Health Care for the Homeless project showed that children up to twelve years of age that are homeless, are twice as likely to come down with an ear or upper respiratory infection. They are three times as likely to have a gastrointestinal problem and four times as likely to have a skin problem and ten times more likely to have bad teeth. For children thirteen to nineteen thereShow MoreRelatedHomelessness : The Problem Of Homelessness1350 Words   |  6 PagesHomelessness There are many parts to the subject of homelessness, of course people talk about the solutions to it like The Ten Year Plan, then there is the history of it starting from the 1640’s. Also there is discussions about Homeless Shelters and more recently Anti-homeless Legislation. Then there are always the staggering statistics. The homeless is a very one minded topic for most. Most people think that the homeless should be helped, cared for, and educated for success. This is true (at leastRead MoreThe Issue Of Homelessness : Homelessness1438 Words   |  6 Pages Homelessness is a crucial issue that seems to go unnoticed because apparently there’s more important issue than homelessness. When thinking about homelessness what is the first image that appears in your head? Do you picture adults sleeping under bridges? Do you think of the people whose standing on side the bridge begging for money as the cars pass? Or do you think of the other people sitting in front of the s tore asking for money? Is that all you see when you imagine someone being homelessRead MoreHomelessness And Poverty And Homelessness1699 Words   |  7 PagesCenter on Homelessness and Poverty 7) While a portion of today’s society turns a blind eye to the subject of the criminalization of homelessness, an even larger quantity of people are not aware of the situation that is happening in every major city of America. For those living an affluent lifestyle, it can be difficult to discuss the amount of poverty and homelessness that is constantly occurring. The definition and meaning behind the absence of home is also arduous to discuss. While homelessness is commonlyRead MoreThe Problem Of Homelessness And Homelessness Essay1286 Words   |  6 Pagesled to homelessness. These barriers may be a numerous amount of things such as substance abuse, personal trauma, unhealthy relationships, health problems, or unemployment. No matter the barrier, goals need to be set and must be realistic. If the goals seem impossible to reach they will be. Finally, there must be a commitment to following through with the set goals and a realization that this is an ongoing process that will not change overnight. There is a misinformed stigma of homelessness, whichRead MoreThe Prevalence Of Homelessness And Homelessness1699 Words   |  7 PagesThe Prevalence of Homelessness In this textual analysis, I’m going to discuss the prevalence of homelessness in the United States. I’ll be using three songs from popular culture that focus on homelessness. Different artists perform these three songs: Avril Lavigne, Bob Dylan, and Nirvana. I’m going to address the values that people who are homeless may have, according to what each artist conveys through their song lyrics. Throughout the lyrics in each song, it seems like the artists are attemptingRead MoreThe Problem Of Homelessness And Homelessness802 Words   |  4 PagesConclusion Homelessness has been an ongoing problem in the United States and it cannot be decreased until each state comes up with a plan that is affective. However, in order for this to work the economy needs to recover to the point where no one is without a job and is paid a wage that is manageable. The negative stereotypes of judging the homeless needs to be stopped and people need to be educated that homelessness can affect anyone. Although there are many services available to assist the homelessRead MoreThe Problem Of Homelessness And Homelessness1562 Words   |  7 PagesHomelessness We have already past Stone Age and marched towards the modern where we can see fascinating technology and different invention where cancer can be a cured with different medication but homeless still exists and is on the verge of increasing day by day. We can’t imagine ourselves being lost or not knowing where to go or what to do. Spending every day and night either depending on someone else or finding a shelter where you can have a nap. Waking up with the noises of the cars and otherRead MoreHomelessness : The Problem Of Homelessness1584 Words   |  7 PagesHomelessness Awareness At some point in their life, a person has seen or heard of an individual who lives on the streets. The individual who lives on the streets and holds a sign that says they need money for food is consider homeless. Sadly, these individuals are everywhere and the amount of people under this title is slowly increasing. However, in this nation we have the ability to begin decreasing that number. By providing the necessary amount of assistance required to place these individualsRead MoreInvestigation On Homelessness And Homelessness1322 Words   |  6 PagesInvestigation on Homelessness 　 Keileigh Proudfoot 9th October 2016 　 　 　 　 　 　 　 　 Tutor: Mary Valerio Course: NC Social Care Level 5 Contents page Page 1.0 Introduction 1 2.0 Procedure Read MoreThe Homelessness Epidemic Of Homelessness1958 Words   |  8 Pages The Homelessness Epidemic According to the National Alliance to End Homelessness, approximately 564,708 people were homeless on a single night in January of 2015 in the United States (â€Å"The State of Homelessness in 2016†). It is estimated that 250,000 people who suffer from Mental Health illnesses are homeless (Torrey). Providing affordable housing, and access to mental health services for the homeless population are essential components to end the homeless epidemic. Homelessness can be defined

My Community Outreach Program For The Northeast Texas...

A. Introduction: My intention with this narrative is to show that with my extensive experiences in both personal and professional situations it show its equivalency for to the credits applied. This will be demonstrated by extensive background in fulltime ministry, right up to my present job with the Northeast Texas public Health District. Everything I have done right up until this time in my life has been involved with community outreach programs. I have multiple certificates and artifacts that will verify the programs that I have personally designed that demonstrate my ability to build and execute outreach programs. Most of my community outreach experience began when I worked for the local church in Tyler, Texas. Assisting the Senior†¦show more content†¦B. Course: Community Health Field Methods Course Objectives: †¢ Implement neighborhood/rural outreach campaigns. †¢ Conduct informal counseling and educational sessions with individuals, families, and community groups. †¢ Organize community events for purposes of developing community capacity for change. †¢ Describe the elements of community development. †¢ Participate in community based outreach activities to gain a better understanding of organizing community events. †¢ Understand what steps can assist in building commitment in participating individuals. †¢ Describe privacy rights and your responsibility for safeguarding sensitive information. †¢ Recognize and implement techniques to improve organizational skills and time management. C. 1 Statement of Purpose and Format: I will present this presentation in narrative form in the chronological order in which my experience has been obtained. I will begin with my experience working in full-time ministry that allowed me to learn and grow on community outreach. I will start with talking about the â€Å"The Gathering Event† (Document 2 Poster). The next event will be the New Orleans outreach followed by the mission trip to Reynosa, Mexico. The last event will involve my work with the Health Department. C.2 Brief Overview: I am confident that these experience will more than satisfy the requirements for the three credit

Review of ZMET - 2722 Words

Introduction background review of ZMET ZMET strives to create a feeling where consumers identify with the brand to the extent that they feel that this brand is my brand. To obtain this intense and deeply rooted feeling, ZMET decides to target itself to the unconscious. The best case that I can think of is Apples case where, through their unusual success in creating an unprecedented customer loyalty to their brand, Apple is able to sell the most expensive products (far more expensive than their competitors) at hot speed, sometimes even before thy have left the market. This has been the case with both.. Their success is gained from deep insight into customer needs but as evaluation of Apple shows, it is not just external customer insight, e.g. focusing on emotion, but penetrating deep down into eh customer psyche and investigating factors that hook onto eh customer and impel him to purchase that product for life. Apple does this not only targeting itself to the senses but by hitting s deep, elemental need of each and every human. To discover what this need is and to investigate how Apple uses the ZMET method (even thoguh they may be unaware of the fact that they are using this method) was the intent of this essay. Using the qualitative methodology where I will conduct ZMET one-on-one intensive interview, as per the ZMET style, engaging in storytelling with two interviewees and focusing on the explanation of metaphor elicitation as a consumer behavior analysis tool,Show MoreRelatedBrand Image10222 Words   |  41 PagesHow to measure brand image: a reasoned review Luca Cian, Ross Business School, University of Michigan, USA* The aim of this paper is to review the most important tools and methods used to analyse and measure the brand image. Both traditional and innovative measurements have been considered, including attitude scales, Q-Sort, Natural Grouping, Kelly Repertory Grid, Laddering, Benefit Chain, Projective Techniques, Brand Personality, and Brand Narration. Considering the number of tools presented,Read MoreConsumer Research in the Early Stages of New Product Development27148 Words   |  109 PagesCONSUMER RESEARCH FOR OPPORTUNITY IDENTIFICATION IN NPD AIM AND SCOPE OF THESIS 1 1 2 3 7 12 15 15 16 18 26 43 47 CHAPTER 2 CONSUMER RESEARCH IN THE EARLY STAGES OF NEW PRODUCT DEVELOPMENT: A CRITICAL REVIEW OF METHODS AND TECHNIQUES ABSTRACT 2.1 INTRODUCTION 2.2 CATEGORISATION SCHEME 2.3 REVIEW OF METHODS AND TECHNIQUES 2.4 CONCLUSION AND IMPLICATIONS APPENDIX 1 CHAPTER 3 CONSUMER-ORIENTED FUNCTIONAL FOOD DEVELOPMENT: HOW WELL DO FUNCTIONAL DISCIPLINES REFLECT ‘THE VOICE OF THE CONSUMER’? 49Read MoreCustomer Perception Towards Mobile Banking with Special Reference to India2209 Words   |  9 PagesREFERENCE TO INDIA Purpose: The objective of this paper is to study customer perception towards mobile banking and finding important factors in India. Design/Methodology/Approach: The research methodology is largely based on extensive literature review and is based on exploratory research followed by descriptive analysis. The data collected thorough questionnaire, which is based on both open ended and closed ended questions. The questionnaire is based on Likert scale. The data is analyzed throughRead MoreNote on Measuring Brand Awareness, Brand Image, Brand Equity and Brand Value Pierre Chandon3528 Words   |  15 Pagesconsumers to explain why the first elicited associations (e.g., a product attribute) are important for them (thus eliciting the benefits) and then why these benefits are important (thus eliciting terminal values). Zaltman Metaphor Elicitation Techniques: ZMET Given that over 80% of all human communication is nonverbal, this technique uses qualitative methods (e.g., a personal interview) to elicit the metaphors, constructs, and mental models that drive customers’ thinking and behavior (see Zaltman and HigieRead MoreConsumer Behavior Research9154 Words   |  37 Pagesthat represent their â€Å"feelings† about the product category under study. They then organize these clippings into a â€Å"meaningful† collage, which is then explicated with the help of the researcher. c) The Zaltman Metaphor Elicitation Technique (ZMET) relies on visual images to assess consumers’ deep and subconscious thoughts about products, services, and marketing strategies. *****Use Learning Objectives #4 and #7 Here***** Customer Satisfaction Measurement 1. Gauging the levelRead MoreMobile Banking11695 Words   |  47 Pagesindividuals to adopt mobile banking. The findings culled from this research can help banks execute intricate marketing campaigns and customize service options to cater to specific customer segments in the context of electronic banking. 2. Literature Review Literature reveals that abundant research on electronic banking has focused on Internet banking (also called online banking), whereas research focusing on mobile banking is relative little and receives underrated attention [Suorantia Mattila 2004;Read MoreFactors Influencing the Adoption of Mobile Banking49642 Words   |  199 Pagesdone by Yong and Gorman (2002) it was found that there was a nearly 400 percent increase in the level of mobile banking service use within 15 months, as shown in Figure Figure 1.1: use of mobile banking in Korea Source: Journal of Online Information Review, Yong amp; Gorman (2002) The functionality of a mobile banking service increases user’s satisfaction.Furthermore, it creates the value for customers’ banking transaction as a wireless service delivery channel. However, it is a still minority of peopleRead MoreFactors Influencing the Adoption of Mobile Banking49628 Words   |  199 Pagesby Yong and Gorman (2002) it was found that there was a nearly 400 percent increase in the level of mobile banking service use within 15 months, as shown in Figure Figure 1.1: use of mobile banking in Korea Source: Journal of Online Information Review, Yong amp; Gorman (2002) The functionality of a mobile banking service increases user’s satisfaction.Furthermore, it creates the value for customers’ banking transaction as a wireless service delivery channel. However, it is a still minority of

Factors for Early Stage Building-Free-Samples-Myassignmenthelp.com

Questions: 1.You are required to select one group and explain how the factors in the chosen group generally affect accuracy of building cost estimating. 2.Compare and contrast in a table commonly used preliminary estimating techniques including elemental estimating in the construction industry, covering criteria such as description of the method, accuracy levels, level of information required, popularity in the industry and convenience to use. Answers: 1.Early cost estimates The early cost estimates are for the construction projects that are set under the high degree of uncertainty. This is mainly due to the limited forms of the information that are for the accuracy of the cost estimates. Here, there is no variation when it comes from the exact costs and how the cost is incurred for the execution of project. (Al-Zwainy Hadhal, 2016). The estimated amount helps in the proper decision making with the implementation of the cost set at the later time. The importance of the preliminary is mainly due to the reference for the commencement of the project with reference for the next stage. The accuracy cost is important that works on the stages of project development. Factors for early stage building The costs estimation is based on forecasting the project costs and then work on the performance which is related to the amount of information which is for the detailed designing. Here, the pre-construction is for the three important aspects with biasing, consistency and the accuracy of the project estimate. The biasing is also for the average differences that is set in between the real prices and the forecasted ones. Hence, for this, it is important to map with the degree that is for the variations created through the biasing. The estimates are important for the projection and to calculate the success that depend on the precise value of the accuracy of the project estimation cost at different stages. (Akintoye Fitzgerald, 2000). It has been seen that the cost of the construction for the material includes the shipping charges and the taxes which are applicable. The importance is based on the variations and the calculations that are for the construction of the material cost. The const ruction estimates are depending upon the needs that are important to be factored with the current construction cost indices. They are set for the labor wage rate where there are variations based on the place to place patterns. The issues related to the construction site conditions could also lead to the increase in the cost of construction like the poor soil conditions, wetlands and the sensitivity area. The endangered species and the habitat could lead to the increase of the cost with the variations that are not impotent at the time of estimation. The quality and the plan are depending upon the reduced construction time with the proper execution to handle the site depending unpin the delay. Along with this, there are other forms of the regulatory requirements which are important for the costs that are considered for the cost estimates. The insurance requirements with the administering of the different tools and the equipment is important for the proper performance bond and the paym ent bond that is set at the normal costs of the construction projects. Market conditions which affect the factors: Material Price, quality availability For the construction buildings, the management is important for a proper project planning and control. Here, the procurement and the purchase cost is important for the reduced costs. The poor material management can also lead to the large and the avoidable costs that is set at the time of construction. Hence, when the material is purchased early, then it should be tied with the inventory of the materials. The quality is also important for the procurement along with the availability of the material. For this, the activities need to be based on the schedule of the project with the fast track or the tight schedule so that the easy availability of the material is possible. Along with this, the quality is administered with the planning systems and for the master production schedule, inventory records and the product component lists. This helps in ordering the problems and setting the inventory based on the organizational management problems. Here, the inventory is also found to be low when there is a new order which is recommended. Hence, for this, the items are found to be non-standardized or kept in the inventory form. The material procurement and the management is based on easy handling of productivity from 1.92-man hours per unit without a system. (Harrington Johnston, 2016). With the change in economy, there are issues related to the changing material pricing. The price increase is considered to be the natural part which is for working for a particular business. This is related to providing a better associate functioning that relates to handle the offsets with the measurement of the rising insurance costs. The manufactures need to handle the competitors so that there is a proper balance of the quality and the pricing that is used for the construction. The material management is important for the proper setup and controlling the correct quality. This is based on specific formats where there are reasonable costs patterns and the points are related to the representation of the cost of the work and how the improved opportunities are able to work with the improvement in the substantial savings. There is a possibility that the materials deteriorate at the time of storage and get stolen till the time a proper care is taken for the same. Hence, for this, the maj or focus is on the productivity in the construction where the different factors are related to the internal workforce and the factors with the leadership. There are materials and the equipment to take hold of the supervisions with the projects related to the characteristics of security, quality and the other related external factors. 2. Preliminary Estimating Techniques 1. This includes the activity to work on the execution of the task base on a stipulated sum where the technique is mainly to forecast any of the cost incurred for the building or the construction. 2. The control is to make sure of the forecast of the project along with assisting the clients with the financial commitment to the project. There is a possibility to alter the cost with the request from the client. (Taranth, 2016). 3. The method used are unit, cubic and the floor area. 4. The selection is based on the information and the time which is important for the Quantity Surveyor with the total type of cost data. the cost estimate is for the accommodation and to work on the designing with the proper calculation from the sketch designing. (Brook, 2016). 5. The major advantage is the fast and the easy method of the unit method which is used with the easy preparation of the monetary allocations. Here, the cubic method is based on the estimations where the floor area is for the estimations where the client and the architect could work on understanding the concept of the floor area. It is then associated to the concept of the volume method where the cost data is from the previous methods. Elemental estimating 1. This is based on the comparing design alternatives which is important when the client has a budget and want to check for the best economic designing. The estimates are for the secured financing and the presentation for building the potential inventory, financier etc. 2. The elemental cost plan can help in keeping a check on the costs with proper designing stage that is set prior to the preparation of the Bills of Quantities. 3. Here, the major focus is on the elemental cost analysis which is important for the people to involve in the project and show the cost breakdown by the building of the elements. 4. The standards are set to identify and adjust depending upon the cost planning where it is important to keep the budget of the client in mind at the time of designing. Here, the main elements are analyzed with the BOQ items which are closer to the tender value and for the plan of adjustments. 5. The elemental designing is for the establishment of the cost of constructing a project where the analysis is based on the elemental basis of the other similar projects. The detailed advice is set for the designing with the approximate qualities. References Akintoye, A. and Fitzgerald, E., 2000. A survey of current cost estimating practices in the UK.Construction Management Economics,18(2), pp.161-172. Al-Zwainy, F.M.S. and Hadhal, N.T., 2016. Application Artificial Forecasting Techniques in Cost Management.Journal of Engineering,22(8). Brook, M., 2016.Estimating and tendering for construction work. Taylor Francis. Harrington, P. and Johnston, M., 2016. Commercial Building Learning Rates Final Report. Taranath, B.S., 2016.Structural analysis and design of tall buildings: Steel and composite construction. CRC press.

Fair Labor Standards Act Essay Example

Fair Labor Standards Act Essay Today we are fortunate to have laws to protect us from being forced to work excessive hours without being fairly compensated. We have laws to protect our children from being forced to work at an early age and these laws protect us from working in unsafe and unhealthy conditions. In 1938 our 32nd president Franklin D. Roosevelt was able to have the â€Å"Fair Labor Standards Act† passed and signed into law. This piece of legislation was a land mark in our history. It banned most child labor; it set a minimum hourly wage and set the standard work week. This was the beginning that made employers develop records to keep track of the wages that they paid to their employees and records of the hours the employees were working. The Supreme Court had been one of the major obstacles to wage-hour and child-labor laws. In the 1936 Presidential race wage-hour legislation was a campaign issue and Roosevelt promised to seek some constitutional way of protecting workers. When President Franklin D. Roosevelt won the 1936 election by a landslide he was determined to overcome the obstacles of the Supreme Court’s opposition as soon as possible. Roosevelt and his Secretary of Labor, Frances Perkins tried to make a model for employers of government contractors in all fields, not just construction. But the Federal Government actually encouraged employers to exploit labor because the Government had to award every contract to the lowest bidder. We will write a custom essay sample on Fair Labor Standards Act specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Fair Labor Standards Act specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Fair Labor Standards Act specifically for you FOR ONLY $16.38 $13.9/page Hire Writer President Roosevelt and Frances Perkins continued to try to get congress to pass acts to prohibit the labor of children and set minimum wages and hours. The â€Å"Fair Labor Standard Act† in a draft form was sent to the White House where two trusted legal advisers of the President, and with the Supreme Court in mind, added new provisions to the already lengthy bill. Roosevelt had told his Secretary of Labor, that the length and complexity of the bill caused some of its difficulties with Congress, and asked for it to be shortened. Lawyers tried to simplify the bill but faced the problem that, although legal language makes legislation difficult to understand, bills written in simple English are often difficult for the courts to enforce. Because the wage-hour, child-labor bill had been drafted with the Supreme Court in mind, the bill could only be cut from 40 pages to 10 pages. The bill was voted upon May 24, 1938 and after the House had passed the bill, the Senate-House Conference Committee made more changes to reconcile differences. During the legislative battles over fair labor standards, members of Congress had proposed 72 amendments. Almost every change had exemptions, narrowed coverage, lowered standards, weakened administration, limited investigation, or in some other way worked to weaken the bill. What had survived was approved by the conference committee and passed the House on June 13, 1938 and then the Senate approved it. Congress then sent the bill to the President, and on June 25, 1938, the President signed the Fair Labor Standards Act into law. This affected industries that employed about one-fifth of the US workforce. About 700,000 workers were affected by the wage increase and 13 million more were affected by the hour’s provision. It mostly affected white males, and about 14 percent of women (http://www. u-s-history. com). Children under the age of fourteen were no longer legally allowed to work with some exceptions in the agricultural industries and family businesses. Children under the age of eighteen were banned from working â€Å"hazardous† jobs in mining and some factory jobs. This had greatly reduced the number of children injured by bad working conditions. Children between the ages of 14 and 16 have had additional restrictions on the number of hours they are allowed to work to encourage them to stay in school. During a school day they are only allowed to work three hours and no more than eighteen hours in a school week. Children are not allowed to work before 7a. m. and after 7 p. m. , and from June 1 through Labor Day they are not allowed to work after 9 p. m. The 14 and 15 year old also have addition al restrictions in addition to the â€Å"hazardous† jobs that they may not perform. These jobs include the food service industry such as baking, cooking, working in the freezers and meat coolers, operating food slicers, grinders, choppers and bakery mixers. Fourteen and fifteen year olds are also not to perform jobs that require loading or unloading goods on or off of trucks, railcars or conveyors and they are not to work in connection with maintenance or repair of buildings, equipment or machines. Employers may be assessed civil monetary penalties of up to $11,000 for each employee who is the subject of a violation of the Act’s child labor provisions. A civil monetary penalty of up to $50,000 may be assessed for each child labor violation that causes the death or serious injury of any minor employee, and these assessments may be doubled, up to $100,000 when the violations are determined to be willful or repeated (LindenMeyer, 2004). In the â€Å"Fair Labor Standard Act† the federal minimum wage began at 25 cents per hour in 1938 and it has had over twenty amendments made over the years for increases. The latest rate of $7. 25 per hour was effective on July 24, 2009. In addition to a minimum wage employers must pay the employee’s wages in cash or something that can easily be converted to cash or legal forms of compensation, for example food and lodging. Employers cannot pay their employees with coupons or tokens that can only be used in a store owned by the employer. Discounts that are granted to employees by the employers cannot be used towards meeting the minimum wage requirement. There are a number of employment practices which ‘Fair Labor Standard Act† does not regulate. They are vacation, holiday, severance, or sick pay; meal or rest periods, holidays off, or vacations; premium pay for weekend or holiday work; pay raises or fringe benefits; or a discharge notice, reason for discharge, or immediate payment of final wages to terminated employees. The standard work week in 1938 was reduced to 44 hours per week, and if employees were to work over that they would be paid over time at a rate of their wages plus one-half wages for the additional time worked. By 1940 the standard work week was reduced to 40 hours per week (www. dol. gov/dol/oasam/programs/history/flsa1938. htm). Despite this law in 2006 a class action law suit was brought against Wal-Mart for not paying its employees for their overtime and forcing them to work through their breaks. Wal-Mart lost the law suit and the workers won $78. 4 million (Worth 2008 p 12). In 1961 an amendment was added to the â€Å"Fair Labor Standard Act† called â€Å"enterprise coverage†. It applies to employers whose annual sales total $500,000. 00 or more, or who are engaged in interstate commerce. The courts interpreted that the term interstate commerce to cover companies that regularly use the U. S. mail to send and receive letters to and from other states. The courts included that employees that use company telephones or computers to place or accept interstate business calls or take orders would make the employers subject to the â€Å"Fair Labor Standard Act† (Steingold, 2009). There are also exemptions to the â€Å"Fair Labor Standard Act† where some employees do not qualify for the provisions of overtime or the minimum wage requirements. These employees who are not entitled to it are called â€Å"exempt† employees. Employees that are always entitled to the overtime and the minimum wage pay provisions are â€Å"nonexempt† employees and they are blue-collar employees and first responders. Blue-collar employees include carpenters, electricians, mechanics, plumbers, iron workers, craftsman, operating engineers, construction works, and laborers. First responders are workers that are on the front lines of protecting safety and health. They include police officers, firefighters, medical technicians, ambulance personnel, and hazardous materials workers. Employees that are always exempt and are never entitled to overtime or a minimum wage are employees of seasonal amusement or recreational businesses, employees of newspapers with a circulation of less than 4,000 and newspaper deliver people, and workers of small farms. Some employees are exempt if they meet certain requirements; this is usually because the employees are being paid a salary that compensates them enough for the extra duties and responsibilities that they have. Executive, administrative and professional workers are exempt if they meet the specific guidelines. The requirements for an exempt executive worker are that they must manage other workers as a primary job duty and have at least two full time employees that they are in charge of. They must have the ability to hire, fire, discipline, promote, and demote others or make recommendations about these decisions. The executive worker must earn a salary of at least $455 per week. The requirements for an administrative employee to qualify as exempt are that they must primarily complete their work directly for the business’s management or administration. They must be independent workers and primarily use their own discretion and judgment on their work duties. The administrative employee also must earn a salary of at least $455 per week. The requirements for an exempt professional are that they complete work that requires invention, imagination, originality, or talents in the arts such as music, writing and acting. They may need to be a highly intellectual and have been trained in extensive studies such as law, medicine, theology, accounting, engineering, architecture, teaching, and pharmacy. The must also earn a salary of at least $455 per week. Outside sales people are exempt if they regularly work away from the employers’ office and make sales or obtain orders or contracts for services or facilities. Exempt salespersons are generally paid through commissions and will require little to no supervision to complete their job. The exemption from the minimum wage and overtime pay provisions also applies to computer specialist that receives a salary of at least no less than $455 per week or not less than $27. 63 per hour. The law specifies that computer specialist’s primary duties involve applying systems analysis techniques and procedures. Designing, developing, documenting, analyzing, creating, testing, or modifying computer systems or programs, prototypes and/or machine operating systems. There are a number of employees that are exempt from only the overtime pay requirements. These include taxicab drivers, announcers, news editors, and chief engineers of radio and TV stations that have fewer than 100,000 people located in a town or city (Repa, 2007 and Steingold, 2009). In 1963 an amendment called the â€Å"Equal Pay Act† had been added to equalize the pay scales for men and women who work at an equal skill, effort and responsibility. Congress felt that the differential in pay prevented the maximization of the available labor resources, they wanted to prevent labor disputes, and they did not want an unfair method of competition. They also felt that the wage differentials depressed the wages and the standard of living. Congress also wanted to eliminate stereotypes about the value of work performed by women. Congress exempted several forms of discrimination from the operation of the Equal Pay Act. These exceptions include shift differentials, restrictions on or differences based on the time of day worked, hours of work, and the lifting or moving of heavy objects. The Equal Pay Act also excluded differences based on experience, training or ability, as well as unusual or higher than normal wage rates which employers maintained for valid reasons. The Equal Pay Act allows for unequal pay for equal work only when wages are set pursuant to a seniority system, a merit system, a system which measures earnings by quantity or quality of production, or other factors outside of sex (The Bureau of National Affairs, Inc, 1963 and Landsberg, 2004). In 2004 a class action suit was brought against Wal-Mart were 1. 6 million female associates that worked for Wal-Mart felt that they were discriminated against because they were women. These women tried to advance into higher paying positions but were passed over by men/boys who did not have the experience and knowledge that these women had. More than seventy percent of the Wal-Mart workforce is women, sixty-five percent of the cashier and greeter positions are held by women and only thirty-five percent of the assistant managers for Wal-Mart are women. The female employees of Wal-Mart are paid less than the male workforce for jobs that are of equal skill, effort and responsibility all for keeping prices lower for the consumer (Worth, 2008 p 8-12). The Fair Labor Standard Act requires employers to keep records of wages, hours, and other regulated items by the Department of Labor. Most of the information is generally obtained by employers in ordinary business practice and in compliance with other laws and regulations. Employees that are subject to the minimum wage provisions or both the minimum wage and overtime pay provisions must have employers keep the following records with personal information, including employees name, home address, occupation, sex, and birth date if under 19 years of age, the hour and day when workweek begins and the total hours worked each workday and each workweek. These records also need to indicate the total daily or weekly straight-time earnings and the regular hourly pay rate for any week when overtime is worked and total overtime pay for the workweek. In addition to records for hours worked and paid the records also must include deductions from or additions to wages, total wages paid each pay period and the date of payment and pay period covered. The Records required for exempt employees differ from those for nonexempt workers. Special information is required for employees that work from the home and for employees to where lodging is provided (http://www. ol. gov/dol/whd/regs/compliance/hrg. htm). The constitutionality of the â€Å"Fair Labor Standard Act† was unanimously supported by the Supreme Court it has been altered and amended on at least 43 occasions between 1938 and 2009. Those alterations and amendments have provided and clarified benefits to workers in various employment sections, and made increases to the minimum wage. A s a hardworking American we have a right to be paid fairly for our work. It is unfortunate that many unscrupulous employers attempt to manipulate laws intended to protect workers in order to avoid paying just compensation. When this happens, employees can turn to the legal system to ensure that their rights are protected without being discriminated against or discharged for filing a complaint or participate in any proceeding under the Act. ? Repa, Barbara Kate. â€Å"Your Rights in the Workplace† Consolidated Printers Inc, July 2007 Steingold, Fred S. â€Å"The Employers Legal Handbook† â€Å"Manage you employees workplace effectively†. Delta Printing Solutions, Inc, June 2009 The Bureau of National Affairs, Inc. â€Å"Equal Pay For Equal Work† BNA Incorporated, 1963 Worth, Richard â€Å"Open for Debate Workers’ Rights† Marshall Cavendish Corporation, 2008 Fair Labor Standards Act of 1938. Gale Encyclopedia of U. S. Economic History. 1999. Retrieved from Encyclopedia. com: http://www. encyclopedia. com/doc/1G2-3406400301. html Newman, Roger K. Fair Labor Standards Act (1938). Major Acts of Congress. 2004. Retrieved from Encyclopedia. com: http://www. encyclopedia. com/doc/1G2-3407400107. html LINDENMEYER, KRISTE. National Child Labor Committee. Encyclopedia of Children and Childhood in History and Society. 2004. Retrieved from Encyclopedia. com: http://www. encyclopedia. com/doc/1G2-3402800297. html Grossman, Jonathan. â€Å"Fair Labor Standards Act of 1938: Maximum Struggle for a Minimum Wage† www. dol. gov http://www. dol. gov/dol/topic/discrimination/agedisc. htm http://www. dol. gov/dol/oasam/programs/history/flsa1938. htm http://www. dol. gov/dol/whd/regs/compliance/hrg. htm http://www. u-s-history. com/pages/h1701. html Equal Pay Act of 1963. Major Acts of Congress. Ed. Brian K. Landsberg. Macmillan-Thomson Gale, 2004. eNotes. com. 2006. http://www. enotes. com/major-acts-congress/equal-pay-act

Past, Present, and Future Are Simple Tenses

Past, Present, and Future Are Simple Tenses Simple tenses in English are used to make basic statements about habits, events that happened, or what will happen in the future.   Present Simple The present simple is used to express daily routines and habits. Adverbs of frequency such as usually, sometimes, rarely, and so on are often used with the present simple. This tense is often used with the following time expressions including adverbs of frequency: Always, usually, sometimes, etc.Every dayOn Sundays, Tuesdays, etc. Positive Subject present tense object(s) time expression Frank usually takes a bus to work.I cook dinner on Fridays and Saturdays.They play golf on weekends. Negative Subject do/does not (dont/doesnt) verb object(s) time expression They dont often go to Chicago.He doesnt drive to work.You dont usually get up so early. Question (Question Word) do/does subject verb object(s) time expression How often do you play golf?When does she leave for work?Do they understand English? The present simple is also used about facts that are always true. The sun rises in the east.Dinner costs $20.Speaking languages improves your chances to get a job. The present simple can also be used to speak about scheduled events, even if those events are in the future: The train leaves at 6 oclock.It doesnt begin until 8 p.m.The plane lands at 4:30. The present simple is also used in future time clauses to say when something will take place: We will have lunch when they arrive next week.What will you do after he makes his decision?They wont know the answer before she comes next Tuesday. Past Simple The past simple is used to express something that happened at a past point in time. Remember to always use a past time expression, or a clear contextual clue when using the past simple. If you do not indicate when something happened, use the present perfect for unspecified past. This tense is often used with the following time expressions: AgoIn year/monthYesterdayLast week/month/yearWe Positive Subject past tense object(s) time expression I went to the doctors yesterday.She bought a new car last week.They played tennis when they were in high school. Negative Subject did not (didnt) verb object(s) time expression They didnt join us for dinner last week.He didnt attend the meeting.I didnt finish the report two weeks ago. Question (Question Word) did subject verb object(s) time expression When did you buy that pullover?How often did you drive to Los Angeles?Did they study for the test yesterday? Future Simple The future with will is used to make future predictions and promises. Often the precise moment the action will occur is unknown or not defined. The future simple is also used to react to situations that happen at the moment. This tense is often used with the following time expressions: SoonNext month/year/week Positive Subject will verb object(s) time expression The government will increase taxes soon.She will give a presentation next week.They will pay for the course in three weeks.   Negative Subject will not (wont) verb object(s) time expression She wont help us much with the project.I wont help him with that problem.We wont buy that car. Question (Question Word) will subject verb object(s) time expression Why will they reduce taxes?When will this film end?Where will he stay next week?

Poster presention Essay Example | Topics and Well Written Essays - 1000 words

Poster presention - Essay Example On top of these physical manifestations of trauma, psychological symptoms related to possible post traumatic stress disorder (PSTD) may surface. These may be accompanied by chronic pain syndromes, chronic fatigue syndrome, eating disorders and irritable bowels (Springer et al., 2003). The case at hand is about a mother who has fled from her abusive partner because he has been found to have sexually abused her two children. Her older son, aged 9 is by another man, and the younger son, aged 5 is the abusive partner’s own son. It is logical to assume that both boys may have been traumatised by their experience of child abuse. To add insult to injury, the man is requesting for custody for both of them, and their mother is denying it due to obvious reasons. Studies have shown that most often, the abuser is somebody familiar to the child and that the abuse happens in a familiar environment, supposedly safe for the child (Administration for Children and Families, 2004). In this case, the perpetrator is the parent/ parental figure of the child victims, which further heightens the likelihood of trauma. Abused or neglected children develop painful memories of the experience and it can haunt them all their lives. The traumatic experience can even influence the way they behave with others or how they would raise their own children in the future (Anda et al., 2005). Some children may never fully recover from the trauma, resulting in lifelong depression, anxiety, and personality disorders. Shengold (1989) have termed the devastating long-term consequences of child maltreatment as â€Å"soul

The Objective Validity of Certain Moral Values Essay

The Objective Validity of Certain Moral Values - Essay Example A woman, for instance, has right not to be raped. She is the owner of her body, this is the most intimate item that any person can own, and to suffer sexual assaults or violations is reprehensible. Some have argued, based on different cultural values, that a husband ought to be able to rape his wife. A legal arrangement, however, is no moral basis for overcoming the moral right that a woman has to protect her own body from unwanted actions. This situation can be contrasted with certain types of justifiable homicide; to be sure, there are situations where the killing of another human being may be justified in terms of self-defense. There is no such competing moral value, such as the self-preservation of one's life, in the case of rape. It is wrong in all instances. It is objectively wrong because the right to control the sexual use of one's body is a predominant moral right, and any moral standard prohibiting the rape of a woman is objectively valid in all situations. Moreover, there are certain ethnic rights which deserve protection in all situations. An ethnic group, for example, has a moral right not to be targeted for genocide. This is to be distinguished from conflicts or wars in which armed combat results in death.

Communication In Nursing

Communication In Nursing To listen to another person is the most caring act of all. Listening and attending are by far the most important aspects of being a nurse (Burnard 1992). One of the basic elements of nursing is good communication skills with patients. Being unable to communicate well with a patient immediately can destroy the nurse/patient relationship and therefore the patient may not trust the nurse (Anon 2007). The purpose of this essay is to discuss the importance of communication in nursing. Without communication nurses would be unable to provide the correct care, but improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw upon my personal experience from the clinical area to show how well the theory relates to the practical side of nursing and use the process recording sheet for structure and guidance (Appendix i). In accordance with The Nursing and Midwifery Council (2008) Code of Conduct, nurses must respect peoples right to confidentiality. Therefore for the purpose of this essay I have used a pseudonym and the patient discussed is referred to as Carol Brown and any personal or identifiable information has also been altered so as to protect her privacy and dignity which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct. I asked Carol for explicit permission to use our interpersonal relationship in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. Carol was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical ward within a large general hospital. The ward treat a variety of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A young 36 year old female was admitted to the ward, now known as Carol Brown with an increased weight loss due to non-intentional self-neglect probably caused by her chronic condition although could be deep rooted to family relationships (Day and Leahy-Warren 2008). Carol was awaiting heart surgery, replacement hips and replacement knees at major surgical hospital in another area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Carol was in need of pain management, and although it was currently being managed with a variety of powerful painkillers, these proved to have little relief. Carol spent the majority of time in bed due to her severe pain, and due to this she cried out a lo t. I thought that communication would be difficult with Carol as she was mostly in pain but I also believed that she would like someone to talk to but that person would need to be a good listener. It is important to remember that nurses have the duty to provide care holistically, for the whole person, not just for their physical needs but their mental and social needs too (Kenworthy et al. 2002). Carol liked to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy and only the curtains for seclusion. I went into assist her to wash one morning and because of her psoriasis she needed special creams applied routinely. She spoke quietly about her illness and explained her difficulties to me. Her head was bowed and she had difficulty in making eye contact. She talked slowly and quietly and sometimes mumbled, she also appeared quite melancholy at times. Talking about her family, her illness and when she was younger made her sad and she was crying. I think this was cathartic for Carol and it could be that feelings beneath the surface may need uncovered in more detail to enable her to release her emotions (Bulman and Schutz 2008). I felt that Carols ability to communicate was linked to how she felt about herself. She was inclined to judge herself too severely and underestimated her abilities. This self-blame reflect ed her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make eye contact. I was leaning in close to her bedside, touch was not good, her body was too sore. I tried to show empathy towards Carol by giving her time to talk, being patient and listening to her. This was an example of Egans (2007) Soler theory which is a non-verbal listening method that is used commonly in communication. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was keen in developing the therapeutic relationship. According to Arnold and Undermann-Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patients feelings. Being compassionate is similar to being empathetic in a way that it is important to recognise that Carols feelings belong to her and not to me. I was interested in Carols illness, to learn more about her condition and hear about her difficulties. Getting to know your patient helps to promote dignified care (Nicholson et al. 2010). She was very independent and wanted to do as much as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I used active listening to allow to her speak without interrupting. Active listening is not only the act of hearing but of being able to interpretate any underlying meaning (Arnold and Undermann-Boggs (2003). I paid close attention to her facial expressions and body language and Argyle (1988 p.57) suggests facial expressions provide a running commentary on emotional states. I asked Carol open questions about her illness as I thought this would allow me to encourage her to talk and she responded to this well. Open ended questions are used to elicit the clients thoughts and perspectives without influencing the direction of an acceptable respon se (Arnold and Undermann-Boggs 2003 p.241). It also allowed Carol to describe her experiences, feelings and understandings and I felt this approach was appropriate. I wanted to try and distract her from her pain as I found it difficult to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes lit up and she smiled. We finally made eye contact. Carol and myself were exchanging verbal and non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Carol was keen to talk about her taste in music and became very chatty, in fact, she became somewhat excited. I put some cds on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the same taste in music. When the music was playing Carol was in a different world, she was more relaxed. Research has shown that the pain and tension of illnesses such as arthritis can be eased with music therapy (Murcott 2006). I took her hand and held it gently, her eyes were closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and reassuring her. Touch is a form of non-verbal communication and can be a powerful way of communicating (le May 2004). This was an indication that I really did care and that I wanted to help her. Using touch skilfully and thoughtfully can convey that you are able to be with your patient (Benner 2001 p.57). Communication can be therapeutic and the music playing was not a barrier in communications, it was in fact beneficial. Music has the power to tap into our emotions and alleviate tension (Mallon 2000). Therefore, it is argued that effective communication is more than delivering high quality patient-centred care; but it also allows patients to feel involved in their care, which can make a significant difference to their outlook on their treatment (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Carol was a very obstinate person who knew exactly what she needed and yet she desperately wanted to be as independent as possible. I wanted her to allow me in and for her to be comfortable with me. I am glad I eventually gained her trust and we both became more relaxed. Trust is an important element in the nurse/patient relationship and can in fact affect the patient care in practice (Bell and Duffy 2009). In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. Sully and Dallas (2005), suggests that to have an empathetic understanding of our patients needs we must recognise their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Carol for who she was no matter what her circumstances were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. The Royal College of Nursing (2003) suggests that the personal qualities of a nurse should include compassion, respect and a non-judgemental approach. Putting the interaction into perspective, I originally found Carol very demanding, always calling out and constantly pressing the call buzzer. Some staff were very reluctant to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely this was a barrier to communication as some staff did not take the time to listen to what Carol required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). Rogers (2004) used the term unconditional positive regard, this meaning that people can be too judgemental and it is important to disregard how much of a b urden someone thinks a patient with complex needs might be and treat everyone equally. From recording and analysing my interactions I have learned to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are. It was also important to acknowledge Carols point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means taking note of the non-verbal communication as well as the spoken words. It is important to maintain eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such as demented can act as a l anguage barrier. Effective nursing requires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the key points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and maintain their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another key point is that we must be non judgemental no matter what the patients circumstances are. Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is imperative that communication is clear, understandable, appropriate and effective. 2059 words References ANON., 2007. Communication skills (essence of care benchmark). Nursing Times. http://www.nursingtimes.net/whats-new-in-nursing/communication-skills-essence-of-care-benchmark/361127.article (Accessed on 21.07.10). ARNOLD, E., and UNDERMANN-BOGGS, K., 2003. Interpersonal relationships: professional communication skills for nurses. 4th ed. Missouri: Saunders. BELL, E., and DUFFY, A., 2009. A concept analysis of nurse-patient trust. British Journal of Nursing. 18(1), pp. 46-51. BENNER, P., 2001. From novice to expert: excellence and power in clinical nursing practice. New Jersey: Prentice Hall. BLAZER-RILEY, J., 2008. Communication in nursing. 6th ed. Missouri: Elsevier. BULMAN, C., and SCHUTZ, S., 2008. Reflective practice in nursing. 4th ed. Sussex: Blackwell. BURNARD, P., 1992. Counselling: a guide to practice in nursing. Oxford: Butterworth-Heinemann. COLLINS, S., 2009. Good communication helps to build a therapeutic relationship. Nursing Times. 105(24), pp.11-12. DAY, M.R., LEAHY-WARREN, P., (2008). Self-neglect 1: recognising features and risk factors. Nursing Times. 104(24), pp.26-27. EGAN, G., 2007. The skilled helper: a problem management and opportunity development approach to helping. 8th ed. California:Thomson. EWLES, L., and SIMNETT, I., 2005. Promoting health: a practical guide. 5th ed. Edinburgh: Bailliere Tindall. KENWORTHY, N., et al., 2002. Common foundation studies in nursing. 3rd ed. Edinburgh: Churchill Livingstone. KOZIER, B., et al., 2008. Fundamentals of nursing: concepts, process and practice. Essex: Pearson Education. LE MAY, A., 2004. Building rapport through non-verbal communication. Nursing and Residental Care. 6(10), pp. 488-491. MALLON, M., 2000. Healing Sounds. The Scotsman. 12th May, p.9. MURCOTT, T., 2006. Music Therapy. The Times. 18th February, p. 17. NICHOLSON, C. et al., 2010. Everybody matters 1: how getting to know your patients helps to promote dignified care. Nursing Times. 106(20), pp. 12-14. NURSING AND MIDWIFERY COUNCIL, 2008. The NMC code of professional conduct: standards for conduct, performance and ethics. London: NMC. ROGERS, C., 2004. On becoming a person: a therapists view of psychotherapy. London: Constable. ROYAL COLLEGE OF NURSING, 2003. Defining nursing. RCN. http://www.rcn.org.uk/__data/assets/pdf_file/0008/78569/001998.pdf (Accessed on 29.07.10). SILVERMAN, J., et al., 2005. Skills for communicating with patients. 2nd ed. Oxon: Radcliffe publishing. SULLY, P., and DALLAS, J., 2005. Essential communication skills for nursing. Edinburgh: Elsevier. Communication in nursing Communication in nursing To listen to another person is the most caring act of all. Listening and attending are by far the most important aspect of being a nurse (Burnard 1992). One of the basics of good nursing is good communication skills with patients. Being unable to communicate well with a patient immediately can destroy the nurse/patient relationship and therefore the patient may not trust the nurse (Anon 2007). The purpose of this essay is the realise the importance of communication in nursing. Without communication nurses would be unable to provide the correct care, but improving communication is a life-long developmental process (Ewles and Simnett 2005). I will draw on my personal experience from the clinical area to show how well the theory relates to the practical side of nursing and use the process recording sheet for structure and guidance. In accordance with The Nursing and Midwifery Council (2008) Code of Conduct, nurses must respect peoples right to confidentiality. Therefore for the purpose of this essay the patient discussed is referred to as Miss C., and any personal or identifiable information has also been altered so as to protect her privacy and dignity which are also enshrined in the Nursing and Midwifery Council (2008) Code of Conduct.. I asked Miss C. for explicit permission to use our interpersonal relationship in my communications essay and advised her of my obligations on my professional conduct to which I am bound by the Nursing and Midwifery Council (2008), regarding professional, moral and safe practice. Miss C., was in agreement to be involved with my assignment and on no account was her physical care at risk during this interaction. I was nearing the end of my placement in a general medical ward within a large general hospital. The ward had a variety of medical complaints including diabetes, gastrointestinal disorders, stroke and alcohol liver disease. A young 21 year old female was admitted to the ward, now known as Miss C., with an increased weight loss and she was in need of pain management. Miss C., was awaiting heart surgery, replacement hips and replacement knees at major surgical hospital in another area of the country. Her health status was poor as she suffered from rheumatoid arthritis, psoriasis, and had a congenital heart defect. Miss Cs., pain was managed with oramorph, ketamine and fentanyl patches, but these proved to have little relief. Miss C., spent the majority of time in bed due to her severe pain, and due to this she cried out a lot. Her head was bowed and she had difficulty in making eye contact. She talked slowly and quietly and sometimes mumbled, she was also a very sad person. I thought t hat communication would be difficult with Miss C., as she was mostly in pain but I also believed that she would like someone to talk to but that person would need to be a good listener. It is important to remember that nurses have the duty to provide care holistically, for the whole person, not just for their physical needs but their mental and social needs too (Kenworthy et al. 2002). Miss C., liked to be washed in her bed every morning as movement for her was difficult. The bay that she was in was busy with little privacy only the curtains for seclusion. I went into wash her one morning and because of her psoriasis she needed special creams applied religiously. She spoke quietly about her illness and explained her difficulties to me. Talking about her family, her illness and when she was younger made her sad and she was crying. I felt that Miss Cs ability to communicate was linked to how she felt about herself. She was over-critical about herself and underestimated her abilities. This lack of self-confidence reflected her ability to communicate (Ewles and Simnett 2005). She was in so much pain, her head was bowed and she could not make eye contact. I was leaning in close to her bedside, touch was not good, her body was too sore. I tried to show empathy towards Miss C., by giving her time to talk, being patient and listening to her. Was she crying because she was in so much pain or was it because she was recalling happy memories from before she fell ill? I was desperately trying to understand how she may be feeling. According to Arnold and Boggs (2003), empathy is the ability to be sensitive to and communicate understanding of the patients feelings. Being compassionate is similar to being empathetic in a way that it is important to recognise that Miss Cs feelings belong to her and not to me. I was interested in Miss Cs illness, to learn more about her condition and hear about her difficulties. She was very independent and wanted to do as much as she could by herself. Help was minimal and she only asked when she was struggling to re-position her feet. I used active listening to allow to her speak without interrupting but I paid close attention to her facial expressions and body language. Argyle (see Kenworthy et al. 2002) suggests facial expressions provide a running commentary on emotional states. I asked Miss C. open questions about her illness as I thought this would allow me to encourage her to talk. It also allowed Miss C to describe her experiences, feelings and understandings. Open ended questions are used to elicit the client s thoughts and perspectives without influencing the direction of an acceptable response (Arnold and Boggs 2003 p.241). I wanted to try and take her mind off her pain as it was upsetting to see her being so unhappy, so I commented on some magazines that were lying on her table and asked her about her taste in music. This was a good subject, her eyes lit up and she smiled. We finally made eye contact. Using the semiotic school of thought, Miss C and myself were exchanging verbal and non-verbal communication in order to understand each others feelings. According to Kozier (2008) non-verbal communication can include the use of silence, facial expressions, touch and body posture. Miss C was keen to talk about her taste in music and became very chatty, in fact, she became sort of excited. I put some cds on for her to listen to and as I did this she asked me questions about my taste in music. There was now no barriers to our communication as we both shared the same taste in music. When the music was playing Miss C was in a different world, she was more relaxed. I took her hand and held it gently, her eyes w ere closed, she was smiling and she appeared more content. By holding her hand, I felt as though I was comforting and reassuring her. This was an indication that I really did care and that I wanted to help her. Using touch skilfully and thoughtfully can convey that you are able to be with your patient (Benner 2001 p.57). Communication can be therapeutic and the music playing was not a barrier in communications, it was in fact beneficial. Therefore, it is argued that effective communication is more than delivering high quality patient-centred care; but it also allows patients to feel involved in their care, which can make a significant difference to their outlook on their treatment (Collins 2009). Reflecting back I realised that I was really quite worried about the communication difficulties I was facing during my interaction. Miss C., was a very strong willed person who knew exactly what she needed and yet she desperately wanted to be as independent as possible. I wanted her to allow me in and for her to be comfortable with me. I am glad I eventually gained her trust and we both became more relaxed. In fact, the impact that this interaction had on our relationship was that as the days went on we became very good friends and she was very special to me. Sully and Dallas (2005), suggests that to have an empathetic understanding of our patients needs we must recognise their need for comfort and we respond to this compassionately. It was important to be non-judgemental, I accepted Miss C., for who she was no matter what her circumstances were and my main concern was to care for her in a professional and beneficial way and in a manner that she preferred. Putting the interaction int o perspective, I originally found Miss C very demanding, always calling out and constantly pressing the call buzzer. Some staff were very reluctant to go to her because her personal care was very time consuming. It was time consuming but it was because she was in a lot of pain. Surely this was a barrier to communication as some staff did not take the time to listen to what Miss C required and as health promoters, we need to develop skills of effective listening so that we can help people to talk and express their needs and feelings (Ewles and Simnett 2005). From recording and analysing my interactions I have learned to accept people for who they are as each of us have had different experiences throughout life and these experiences make us who we are. It was also important to acknowledge Miss Cs point of view, her emotions and thoughts without judgement as being aware of these helped to appreciate her perspective and needs (Silverman et al. 2005). I have also learned to be a good listener and an active listener. Ewles and Simnett (2005) suggest that this means taking note of the non-verbal communication as well as the spoken words. It is important to maintain eye contact, observe the body language, listen properly and pick up on non-verbal signs as well as verbal signs. The environment is important too, along with being sensitive, honest and compassionate (Anon 2007). Collins (2007) argues that judgemental attitudes can stand in the way of getting to know your patient and that labels attached to individuals such as demented can act as a language barrier. Effective nursing requires us to be assertive, responsible and to help our patients achieve the best possible health status (Balzer Riley 2008). In conclusion, the key points that have been discussed in this essay are that of the importance of communicating in nursing and how nurses can improve their communication skills and maintain their effectiveness. We must provide holistic care for our patients and the goal is to listen to the whole person and provide them with empathetic understanding. Another key point is that we must be non judgemental no matter what the patients circumstances are. Overall communication during this interaction was positive, therapeutic and helped to build a relationship. This essay has shown how personal experience from the clinical area relates the theory to the practical side of nursing and how it is imperative that communication is clear, understandable, appropriate and effective. 1819 words

Daredevil Stunts at Niagara Falls :: essays research papers

Annie Edson Taylor a widowed school teacher from Michigan made history on October 24, 1901 being the first person to take the daring plunge over the picturesque yet treacherous Niagara Falls. Various people have taken on Niagara Falls and all it’s furry from trapeze artist to barrel jumper all seeking a degree of fulfillment, at what cost? That is the risk these daredevils are willing to take. While there were many daredevil acts before Mrs Taylor’s bold accomplishment, none quite so renowned, for no one had previously endeavored to drive themselves over the falls. Though Carlisle Graham had announced a few months prior he would journey down Horseshoe Falls he did not go forth with his plans. Annie was strapped into a Kentucky oak barrel that was held together by seven steal rings and packed with padding, the barrel was 34 inches in diameter through the middle and four and a half feet long. The lid was screwed shut and Annie was towed out by a small boat to the mainstream and released at 4:05 pm, several news people were on hand, ready to deliver Annie’s fate to the world. The barrel streamed toward the Canadian side and over the Horseshoe Falls. Mrs Taylor was in the barrel for 17 minutes after her frightening tumble down Niagara Falls, until it was close enough to the Canadian shores to be hauled in. The top of the barrel was cut away. Annie emerged s cratched and bruised, very stunned but satisfied, quoted to have said â€Å"No one ought ever do that again.† She did try to cash in on her accomplishment, for it is documented that it was one of her motives for such a precarious act, however she was far from victorious. In lieu of money, for 10 years she held the honor of being the only person to ever go over the falls. She died a pauper twenty years later, at the still disputed age of 83. Not unlike Annie Taylor numerous people tried a variety of different stunts seeking fame and fortune for there dare devilish ways, many paying with their lives. One of the most notorious people to take to the tight rope was Jean Francois Gravelot or better known as â€Å"The Great Blondin†, he was branded as the most bold and entertaining daredevil of all time, he was infatuated with crossing over Niagara Falls. Daredevil Stunts at Niagara Falls :: essays research papers Annie Edson Taylor a widowed school teacher from Michigan made history on October 24, 1901 being the first person to take the daring plunge over the picturesque yet treacherous Niagara Falls. Various people have taken on Niagara Falls and all it’s furry from trapeze artist to barrel jumper all seeking a degree of fulfillment, at what cost? That is the risk these daredevils are willing to take. While there were many daredevil acts before Mrs Taylor’s bold accomplishment, none quite so renowned, for no one had previously endeavored to drive themselves over the falls. Though Carlisle Graham had announced a few months prior he would journey down Horseshoe Falls he did not go forth with his plans. Annie was strapped into a Kentucky oak barrel that was held together by seven steal rings and packed with padding, the barrel was 34 inches in diameter through the middle and four and a half feet long. The lid was screwed shut and Annie was towed out by a small boat to the mainstream and released at 4:05 pm, several news people were on hand, ready to deliver Annie’s fate to the world. The barrel streamed toward the Canadian side and over the Horseshoe Falls. Mrs Taylor was in the barrel for 17 minutes after her frightening tumble down Niagara Falls, until it was close enough to the Canadian shores to be hauled in. The top of the barrel was cut away. Annie emerged s cratched and bruised, very stunned but satisfied, quoted to have said â€Å"No one ought ever do that again.† She did try to cash in on her accomplishment, for it is documented that it was one of her motives for such a precarious act, however she was far from victorious. In lieu of money, for 10 years she held the honor of being the only person to ever go over the falls. She died a pauper twenty years later, at the still disputed age of 83. Not unlike Annie Taylor numerous people tried a variety of different stunts seeking fame and fortune for there dare devilish ways, many paying with their lives. One of the most notorious people to take to the tight rope was Jean Francois Gravelot or better known as â€Å"The Great Blondin†, he was branded as the most bold and entertaining daredevil of all time, he was infatuated with crossing over Niagara Falls.

Television Broadcast News: Credible information or Merely Entertainment?

In today’s journalistic world it is sometimes difficult to decipher between news broadcasts rendered as credible information as opposed to merely entertainment. It is safe to say that the media does have a responsibility in reporting the news truthfully and with honesty. As we begin to look more closely on the role of the News Media, local and national, we will find many interesting facets of the broadcasts to be analyzed. It is also expected that the media deliver news that is detailed, informative and credible.Unfortunately the content of the information sometimes broadcasts has other insignificant focuses such as, news regarding celebrities, entertainment (especially here in Los Angeles so close to Hollywood) and other tragic but unnecessary news. The content seems at times unimportant, weak, and falsely dramatic rather than a factual honest and necessary report of important occurrences local, national and international. At times the news seems more like a dramatic soap ope ra rather than news. Competion and monetary gain seems to drive the media to serve information that can be sometimes manipulated or sometimes just simply inappropriate.Another facet of the news media is the status of female anchors and reporters on network and local newscasts, which will be examined in this paper. It is important to note that the media has been known to be a field influenced by gender, racial and ethnic biases. These important topics will also be examined. It seems that the News Media is not very particular in choosing quality journalism these days. Some exceptions do exist although it seems that shows which function as informative shows are merely just entertainment and tabloid-like journalism.Such shows include, â€Å"Entertainment tonight†, â€Å"The E channel† programs, â€Å"Inside Edition†, and â€Å"Access Hollywood† to name a few. Even reality shows like â€Å"Cops† which are credible and reflect real life experiences are p ackaged for entertainment and sensationalist viewing. Also, when analyzing the role of local and national television broadcast news we still need to view the content of these programs with a grain of salt. News broadcasters are more influenced by events that will cause an immediate impact and sensational effect on the viewers than actual, credible and significant news. It is common for news broadcasters to begin the news  with such broadcasts covering such events as a â€Å"Wild Pursuit† or freeway car chase.Or, other such glamorized topics may include the arrest of famous actors or musicians whom have committed crimes. The O. J. Simpson case was a perfect example of such media frenzy or, the famous pop musician George Michaels being arrested for masturbating in the Beverly Hills Park restroom. How can the media choose to cover such insignificant events when the local areas, the nation or the international community has so many other important social, economical, political and humanitarian problems and events that are hardly addressed.Also, when we pursue to analyze the credibility of broadcasters, how are we sure that the information given to us is factual? Are we to believe everything that CNN reports is untainted and free of excessive nonfactual events and information? It would be justified to question the source of reported events and news stories. There has been so many times in which different views and different versions of the same story have been reported by varying news channels. Therefore it is sometimes difficult to decipher between fact or fiction and credible information or merely entertainment.It is also interesting to note that the media tries to maintain an air of social and political correctness when it comes to choosing its journalists although certain biases still due exists in the journalistic field. It is only in recent times that the news media has decided to hire more ethnically diverse journalists. Also in a field that had bee n mostly dominated by men, in recent times we have seen the hiring of more female anchors, reporters and journalists. Sometimes broadcasters use attractive journalists to gain the interest of the viewers.One of the most important TV news personalities of the last 40 years has been the famous Barbara Walters. She is one of the first women to gain acceptability and credibility from television news viewers. Also Christian Amanpour remains the first female TV broadcaster in our history who commands the same kind of respect as the long line of father figures that started with Murrow and continues with Rather, Brokaw and Jennings. Women journalists such as Walters and Amanpour have gained respect and stardom through many years of hard work and struggle through journalism.Nowadays, historic news stories have become the journalistic fast track to celebrity. And this happens so routinely that the search for the new media stars automatically built into coverage of the events themselves. Withi n hours of the attack on the World Trade Center, you could already hear people in the media world asking, â€Å"Who’s going to be made by this one? † Such celebrity came to female anchorwoman Ashleigh Banfield, a 33-year-old Canadian-born journalist when on September 11, Banfield covered groundzero in New York for MSNBC.Standing firm as she became coated with ash, network executives were so dazzled by her on-camera savvy that, although she had almost as little international knowledge as our president, they jetted her off to Pakistan, where she began anchoring the week-nightly news show â€Å"Region in Conflict. † Since then, she seems to have been everywhere for the cable channels covering a variety of important news stories and issues. A similar story occurred when Andrea Thompson made headlines when she recently revealed that she was quitting ABC’s â€Å"N. Y. P.  D Blue† to do a three-month tryout at the CBS affiliate in Albuquerque, N. M. to become a TV anchorwoman.Shortly after Andrea Thompson was hired by the CNN as an anchor. The 39-year-old actress and model has said that she believes her skills as an actress are transferable to TV news, even though she does not have any background in journalism. Although it’s not a matter of acting the news, it’s hard to fake a journalism background if you do not have one. Again this proves how today’s news media functions more as entertainment than credible responsible journalism.Some may say that it does not take any journalism skill to read a news script, and most stations want an appealing person, so why not have a pretty person reading a copy of the news? Personally I believe that this is unfair to other journalists male or female who have pursued a career studying and experiencing modern journalism. It is unfair to hire â€Å"sexy† or â€Å"sexual –attractive† journalists to report the news when the most important factor is the conten t and truthfulness of the news itself. It may be appropriate to flaunt ones sexuality in the fictional soap opera or fictional TV show arena, but not in the modern journalistic forum.Gender and sexuality should not be a factor. It would be hopeful to expect the News Media to cover more events with greater importance and significance to all people rather than to use journalism as a form of entertainment for the masses. Furthermore, it seems to me that the actual event and truth in media shouldn’t be tainted by such factors such as gender, ethnicity, age or how one presents him or herself physically, the events and news topics covered should speak for themselves, not the other way around.

Symptoms And Treatments Of Chagas Disease - 1093 Words

Chagas disease occurs in two stages. The severity and course of infection might be different in people infected at different times in life and in different ways. The first stage is the acute stage, which is characterized by the presence of chagomas. This stage lasts for the first few weeks or months of infection. It usually goes unnoticed because it is either asymptomatic, or the infected only exhibit signs/symptoms that are not entirely unique to the disease. This includes headaches, rash (chagomas), loss of appetite, fever, fatigue, body aches. The signs on physical examination may include mild hepatomegaly or splenomegaly and swollen glands. The most recognized marker of acute Chagas disease is called Romana’s sign, which refers to the swelling of the eyelids on the side of the face nearest the initial infection area (CDC, 2013). Even if these symptoms do occur, they usually fade away on their own, which is why the infection usually persists. If left untreated and/or unnot iced, the infected will end up in the chronic stage of the disease. In this stage, the infection may continue to remain silent for decades, or even throughout the entire life. 30% of infected in this stage will develop cardiac complications (cardiomyopathy, heart failure, cardiac arrest) or intestinal complications (megaesophagus, megacolon) (CDC, 2013). For most patients who develop a cardiac complication, it is too late and there is no treatment besides symptomatic. Chagas disease can be diagnosed byShow MoreRelatedDr. Alvarez, A Banana Plantation Worker s Mysterious Ailment1638 Words   |  7 PagesAdrian through his journey of the mysterious disease, diagnosis, and alternative treatment. The doctor diagnosis Adrian with the Chagas disease, which is endemic to Costa Rica and Central South America. The doctor suggests that Adrian should get admitted to a hospital for treatment however; Adrian refuses because he is an illegal immigrant in Costa Rica. 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