The Written Word Lives On :: essays research papers

The Written Word Lives On Wonderful things contribute to the life of my spirit everyday. With limitless pages bound by a common goal these books keep me ticking. At night while I shudder under my covers Ayne Rand and her John Gault have held me in a stupor for hours on end. Making the cold seem like a fantasy and Gault's hidden valley a physical reality. She has made me standing between my fantasies and I. From the first blessed page of the Cat In the Hat I knew I was finished. My nights of sleep seemed to have no chance. The twisting and turning of the tongue made a game my young mind enjoyed. Books, these windows to the other side, did not pass judgment and became my companions. I take a book with me when I travel so if I know no person at my destination I always have a friend with whom old times are shareable. Family without friends never provided me with enough company. Taking a walk with the dark elf Drizzt through the shadowed halls of his city Menzobaeren inspired confidence in me even in the solitude of a Hawaiian vacation. Calling reading just a hobby then does it injustice. Adventure fits it more appropriately. Books sweep me into the depths of imagination and let me share another persons dream while helping me see mine. Piers Anthony taking me through his spellbinding Juxtaposition opened my mind and revealed his dreams. I have held my grip on the exhilaration that brought me. I never feel as complete as when I visit another book. The ceaseless joy bonding my mind with another realm leads straight into addiction. Finishing a good story is akin withdrawal or the loss of a loved one. Someday a clinic may open in the name of helping readers come back without regret. The regret of the book ending unveils the truth in the saying "parting is such sweet sorrow." I harbor no doubt of the knowledge and abilities books shamelessly impart upon me. I wallow in it at every opportunity. Possessing an open mind navigates me out of the awkward situations in life. When I meet a new person it I feel no difficulty in sharing ideas and making compromise. Reading a variety of stories by a variety of authors contributed this. These authors take a masterpiece and thrown in some dastardly character that even a mother like. I compromise with the fiend for the sake of the whole book. I compromise with a vile teacher for the sake of my education. Sticking with experiences instead of

Kot1 Task2

KOT1 TASK 2 SCENARIO ONE Medicare part A is the hospital insurance and it will pay your mother's hospital bill one hundred percent because she has met the three day minimum hospital stay criteria. That cost will include room and board and services such as lab work, any therapy she may have received during her stay as well as pharmacy. Since your mother also has Medicare part B which is the medical insurance, part B will pay eighty percent of the physician’s services as long as her annual deductable has been paid.Unless your mom has supplemental insurance coverage also known as Medigap insurance, she will be financially responsible for the twenty percent that part B Medicare does not cover. A Medicare supplement referred to as (Medigap) insurance, sold by private insurance companies, can help pay some of the costs that Medicare doesn't cover. Medicare. gov[11/04/12]www. medicare. gov/supplement-other-insurance/medigap/whatsmedigap. htm. A couple of examples of Medigap insurance companies are AARP, Humana, and Agis. You will have to pay the private insurance company a monthly premium for your Medigap policy just as you would any insurance policy.Keep in mind that premium will be in addition to the monthly Part B premium that you pay to Medicare. In order to qualify you must have Medicare part A and B. That maybe something you and your mother may want to look into. Regarding her moving to the skilled nursing facility, the cost will be covered by Medicare one hundred percent the first twenty days. After a hospital stay of at least three days, your mother's stay in a Medicare-certified Skilled Nursing Center can be covered at 100% for the first 20 days. For the next 80 days, if your mother had to stay that long Medicare Part A covers everything except the daily coinsurance.I'm sorry no one informed either of you that your mother got an infection while at the nursing facility. That information should have been disclosed to the both of you. Unfortunately becaus e your mother acquired and infection while at the skilled nursing facility, she had to receive additional care including antibiotics. Medicare will not pay the additional expense and your mother fortunately will not be billed either. This is considered a preventable event. The facility will have to pay the costs of treatment for infection. In 2009 the rules have changed.So for instance, if you are on Medicare and you get a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Paddock, C (2007, Aug 20) Medicare will not pay for hospital mistakes and infections, new rule, Medical News Today, p1. This is unfortunate for the general public because where Medicare will not pay for these costs the costs is shifted. Unpaid costs must be covered by those who do pay so the hospital can continue operating, a process known as cost shifting.Providers inc rease their charges against households and public and private insurers who pay for their own care plus make some contribution for the care of the uninsured population. This increases insurance premiums, making it even more difficult for many households and businesses to afford healthcare coverage. In January 2006, Medicare added access to a prescription medication benefit which is Medicare part D in which your mother is enrolled. Your mothers out of pocket prescription drug costs are calculated on a progressive basis (like federal income tax). She will pay the first $325 which is the Medicare Part D Plan deductible.After the deductible is met, she will pay 25% co-insurance towards all the prescription drug costs up to a total of $2970. For example, let us assume that her total yearly prescription drug expenses are $3000. Therefore, she will pay 25% of the difference between the deductible ($325) and $2970 which is: (2970 – 325)*0. 25 = $661. 25. When the costs total more than $2970, she will be responsible for 100% of the difference between $2970 and $3000 or an additional cost of $30. In this example the total estimated annual cost out of pocket for prescription drug plan with a Medicare Part D should be around: $325 + $661. 5 + $30 = $1016. 25 in addition to the monthly premiums your mother will have to pay for the part D plan. In summary Medicare part A will pay your mothers hospital stay one hundred percent as long as the deductable is met. She will also pay twenty percent of the medical bill as long as her deductable is met. Medicare will pay for rehabilitation services one hundred percent excluding the charges for the care of the urinary tract infection. After the deductible is met, she will pay 25% co-insurance towards all the prescription drug costs up to a total of $2970.

History of Spanking Essay - 1386 Words

Since the birth of the nation Americans have wrestled about the topic of spanking children for discipline. We waver back and forth for a while it is okay and expected that we will discipline the children by using corporal punishment. Then everything changes and for years it is no longer acceptable. It has been the subject of many heated debates and will continue to do so as long as we have parents and as long as they raise children. In the long run we will find out if spanking turned out to be an asset or a liability but for the immediate future it is something America needs to go back to using for guidance purposes. We are seeing more violence in teenagers than ever before, the juvenile crime rate seems to be rising and for the last two†¦show more content†¦Members of the House of Prayer say their brand of corporal punishment is nothing more than an old-fashioned spanking. State officials say the spankings administered to at least two of the children in that church crossed the line (Matrz, 2001).† â€Å"Corporal punishment, the DFCS manual says, is any physical punishment of a child to inflict pain as a deterrent to wrong doing. It may produce transitory pain and potential bruising. If pain and bruising are not excessive or unduly severe and result only in short-term discomfort, this is not considered maltreatment (Matrz, 2001). Where the line is crossed, Liber said, is when the discipline causes injuries to the child. Once physical injury is left (on the child), it constitutes child abuse and we have to intervene, she said (Matrz, 2001).† While courts continue to rule that spanking is okay, and schools are still using it as a measure of punishment in many areas of the county there are millions of Americans who protest the use of corporal punishment as a means to control or teach children lessons. For those who are against spanking they use the argument that it is assault on a child. Any form of hitting even a swat on the butt is an assau lt on a human being and should. â€Å"Most parents feel strongly for or strongly against spanking. Their positions are mainstays of their basic approaches to their children. At my town meetings and presentations, parents often split and oppose one another as they defendShow MoreRelatedSpanking? Never Heard of It Essay882 Words   |  4 PagesProverbs 32:24: â€Å"Those who spare the rod hates his son, but he who loves him is diligent to discipline him.† Ever since biblical times, spanking has been the most dominant, widespread discipline for children. Since many Americans claim Christianity, they follow the Holy Bible. Although spanking is a ritual type of discipline that has been among humans since biblical times and even before Christ, the world has grown and evolved to find other ways of punishment and discipline for their children. ButRead MoreThe Importance Of Parental Spanking Of Children1540 Words   |  7 Pagestheir children because the parental spanking of childr en can be harmful to the behavioral and social development of their children. Parental spanking of children is a violent disciplinary technique where a parent hits childrens behinds with an open hand or object in order to deter childrens behavior in a way the parents may perceive as negative. I grew up in a home where my parents spanked me and my three younger brothers. I have witnessed parental spanking of children practiced first hand. IRead MoreWhen Does Discipline Cross the Line to Child Abuse?1486 Words   |  6 Pageswith emphasis on spanking vs. not spanking and its effects on children. Included are research from statistics, opposing views and arguments, advocates’ and Department of Children and Families’ position. The use of corporal punishment, or spanking, as a form of parental discipline is a controversial topic. Adults who remember being spanking by a parent for misbehaving may carry on this behavior as an acceptable form of punishment for their own children. Others believe spanking to be an outdatedRead MoreThe Spanking Issue: the Ethical Dilemma of Corporal Punishment1526 Words   |  7 PagesThe Spanking Issue: The Ethical Dilemma of Corporal Punishment This issue of corporal punishment is a current issue that many people have on their minds. The issue strikes an emotional chord for many whom were or were not punished by spanking during their own childhoods. The issue generally focuses on the effect that spanking or other discipline methods will have on children. I will specifically be exploring the question: is it ever appropriate to spank a child? The cases for and against the spankingRead MoreSpanking Child Into A Problematic Life?1295 Words   |  6 PagesSpanking your Child into a Problematic Life? In 2014 UNICEF reported that 80% of parents in the world support spanking (Holeman and Wire). Another study conducted in 2012 exposed that 70% of parents that live in America, also, support the use of spanking (Perry). Despite the majority in favor of spanking, there are numerous debates about whether spanking is an effective way to discipline your child or not. In result of the debates, many researchers have conducted studies based solely on the outcomesRead MoreSpanking And Its Negative Effects On Children s Behavior1284 Words   |  6 Pagesreported that 80% of parents in the world support spanking (Holeman and Wire). Another study conducted in 2012 showed that 70% of parents that live in America, also, support the use of spanking (Perry). Despite the majority in favor of spanking, there are numerous debates about whether spanking is an effective way to discipline your child or not. In result of the debates many researchers have conducted studies based solely on the outcomes of s panking. A great number of the studies have concluded thatRead MorePhysical Discipline with Children1100 Words   |  4 PagesSpanking a child is not against the law in most places. However, parents who use it in their homes are being accused of child abuse. The Chicago Tribune published an article that urged readers to report child abuse when they become aware of it. In the article â€Å"Child abuse in plain View† the author describes spanking as a type of abuse that happens behind closed doors (â€Å"Child abuse in plain View†). Like most critics of corporal punishment, the author is trying to link spanking to abuse. The author`sRead More Corporal Punishment in America Essays1222 Words   |  5 Pagesyouthful behavior (Day 83). Spanking is one form of physical or corporal punishment (Epoch 1). The general acceptance, and sometimes support, of corporal punishment as a method of discipline is an aspect of the American culture (Barnett, Miller-Perrin, Perrin 61). Children are abused, in part, because they are unable to defend themselves against stronger and more powerful adults (Barnett, Miller-Perrin, Perrin 61). Researchers only recently have recognized that spanking is used primarily with youngRead MoreDeviance And Formal Deviance Within The Workplace921 Words   |  4 Pagesreports of informal deviance throughout our country. A good example of deviance is the theater shootings. A main theater shooting was the one in Lafayette, Louisiana; July 24, 2015. A man named John Russell Houser, 59, a law school graduate with a history of mental problems, methodically shot eleven people in a Louisiana movie theater. He used a legally purchased handgun from an Alabama pawn shop. He fired off ten rounds, then ran out a side door to his 1995 Lincoln, when he saw a police car in theRead MoreWhat Does A Parent Go About Choosing A Style Of Discipline?918 Words   |  4 Pagesdecision truly lies with the parent. As time moves forward, people from all backgrounds, have come up with new and creative ways of disciplining their children. The most common and familiar styles of discipline to a parent are a time out, a spanking, and taking away privileges. Children by grand design, do not come with instructions. They are unaware of what to do and what is right and wrong. After a while, kids will become interested in how far they can push the limit before mom and or

Good and Evil in Faerie Queen Book 1 - 1976 Words

Psychomachia is a literary concept named for a Latin poem by Prudentius. The poem dealt with the inner conflict within ones soul, between virtue and vice, through allegorical representations. This concept of an inner struggle became key to the developing Christian religion, and was refined dramatically in the medieval morality plays. Works such as Everyman, Piers Plowman, and Faust featured protagonists struggling with temptation, literally personified through the seven deadly sins (gluttony, lust, et. al). A variation of this involved the use of a Good Angel and Evil Angel, one to encourage the tormented soul and the other to push the protagonist further along the path to ruination. Edmund Spensers The Faerie Queene delights in its†¦show more content†¦By conquering these regions, in a sense, colonizing them, he brings himself closer to spiritual fulfillment. Settings that represent good rarely find expression in fairyland. Here, light has only one and true source in heaven. In Canto 10, when the holy man, Contemplation, asks why he has been interrupted during his prayers by Mercie and the knight, Mercie responds: What end (quoth she) should cause us take such paine, But that same end, which every living wight Should make his marke, high heaven to attain? Is not from hence the way, that leadest right To that most glorious house, that glistreth bright With burning starres, and everliuing fire...(442-47). Here, Heaven is symbolically described in terms of light: glistreth bright, burning starres, everliuing fire. Heaven is the only setting in The Faerie Queene given such attributes, contrasting that with fairyland in which dark places exist, thus offering evidence of the presence of evil. The spiritual quest on which the Redcrosse Knight has begun can only end until he himself is shed of all sin. When Contemplation reveals to him the city of Jerusalem, which stands in for Heaven, the knight observes that this bright Angels towre quite dims that [tower Panthea in Cleopolis] (Canto 10, 522). The knights recognition in the contrast between Cleopolis, which is the kingdom in which Gloriana, the Faerie Queene, is sovereign, to Heaven becomes the first step in the completion of hisShow MoreRelated Scandinavian Mythologies Essay1222 Words   |  5 PagesFrom three different sources The Faerie Queene, The Mabinogion and Beowulf two concept, one from each Celtic and Scandinavian Mythologies c an be seen. The first concept is from Scandinavian mythology and is that of the idea of redemption or dying well. The second is from Celtic mythology and is the use of the Other or Otherworld. From the two stories, The Faerie Queene and The Mabinogion, what would give the reader the greatest feeling of hope throughout them both would be the idea of comeuppanceRead MoreThe Faerie Queene1444 Words   |  6 PagesUna, the True Church The Faerie Queene is an important romantic epic that more than being just poetry, represents the protestant imagery in terms of kinds of individual virtue , the forces of temptation and human weaknesses to which the greatest of persons can succumb and, of course, the humanist ideals of its time. His author, Edmund Spenser, makes use of biblical and classic allegories to tell his story, that more than have been a religious writing, the poem’s purpose was to educate, to turnRead MorePowerful Women of The Faerie Queene and Paradise Lost Essay1197 Words   |  5 Pages  Ã‚  Ã‚  Ã‚  Ã‚   Two very powerful female figures are presented in Error of The Faerie Queene, and Sin of Paradise Lost. These two characters are quite similar in description, Milton making a clear tribute to Spencers work. Both characters have the same monster qualities, and both posses allegorical names and qualities. Error is by far the most disgustingly described of the two monsters. In Book 1, Canto 1, she is the first obstacle to meet the knight and his party. She represents the consequences of theRead MoreEssay on Role of Women in Edmund Spensers The Faerie Queene2903 Words   |  12 PagesWomen in Edmund Spensers The Faerie Queene      Ã‚     Edmund Spenser in his epic romance, The Faerie Queene, invents and depicts a wide array of female figures.   Some of these women, such as Una and Caelia, are generally shown as faithful, virtuous and overall lovely creatures.   Other feminine characters, such as Errour, Pride, and Duessa are false, lecherous and evil.   This might seem to be the end of Spensers categorization of women; that they are either good or bad.   Yet upon closer examinationRead More Religious Themes of the Sixteenth Century: The Seven Deadly Sins, Death, and Damnation2997 Words   |  12 PagesShakespeare’s Othello, and Edmund Spenser’s Faerie Queen allow for an investigation into the relationship of death and damnation in the sixteenth century. To begin our investigation, we must consider the definition of ‘sin’ in a sixteenth century context, which would be in the form of the seven deadly sins. These seven sins were called the ‘deadly’ or ‘capital’ sins because they ‘merited damnation and had a fatal effect on an individual’s spiritual health.’[1] Listed, the seven deadly sins are prideRead MoreMorgan Le Fay5287 Words   |  22 Pageswritings of the Vulgate and Malory. She is depicted as an evil and lusty enchantress who tricks her brother, good King Arthur, into an incestuous relationship with her, resulting in the unnatural birth of their son, Mordred. She tricks Arthur’s wizard, Merlin, into divulging his magical secrets to her, then disposes of him inside the trunk of a tree, or a crystal cave. She sows the seeds of discontent with gossip against Lancelot and Queen Guinevere, steals the magical sword, Excalibur with it’s healingRead MoreElizabe than Era11072 Words   |  45 PagesThe Elizabethan Age is the time period associated with the reign of Queen Elizabeth I (1558–1603) and is often considered to be a golden age in English history. It was an age considered to be the height of the English Renaissance, and saw the full flowering of English literature and English poetry. In Elizabethan theater, William Shakespeare, among others, composed and staged plays in a variety of settings that broke away from Englands past style of plays. It was an age of expansion and exploration

Alzheimer s An Irreversible Progressive Brain Disease

Alzheimer’s Kimberley Malone May 4, 2015 Outline: †¢ Alzheimer’s is an irreversible progressive brain disease †¢ Alzheimer’s slowly destroys memory, thinking skills, and the ability to carry out simple daily tasks †¢ Most symptoms appear at age 65 †¢ 5 million Americans 65 and older may have Alzheimer’s disease †¢ Alzheimer’s is the most common form of dementia among elderly people †¢ The disease itself is named after Dr. Alois Alzheimer’s o In 1906 he noticed brain tissue in women changing and dying of an usual mental illness o The symptoms included memory loss, language problems, and unpredictable behavior o After she died Dr. Alzheimer’s found various abnormal clumps in her brain (amyloid plaques) and tangled†¦show more content†¦Ã¢â‚¬ ¢ Moderate Alzheimer’s Symptoms: o Damage occurs in area of the brain that controls language, reasoning, sensory, processing, and curious thought o Problems recognizing family and friends o Unable to learn new things †¢ Sever Alzheimer’s Symptoms: o Plaques and tangles have spread throughout entire brain and brain tissue has completely shrunk o Severe Alzheimer’s patients cannot communicate with others and need full time care o Near the end, person may be bed ridden as the body shuts down †¢ What causes Alzheimer’s o Etiology is not fully understood o It is clear that is develops from a complex sequence of events that happen in the brain over a long span of time o It is likely a mix of environmental, genetic, and lifestyle factors o All of these factors may differ from person to person o A great mystery is why Alzheimer’s affects older adults †¢ Genetics o Early onset Alzheimer’s is a rare form of the disease itself o Occurs in people age 30-60 o Represent less than 5

When Your COB Is My EOD free essay sample

This paper will analyze my work place as my learning environment by COB analysis. As mentioned above, several criteria or strengths contribute to my learning in the clinical practice area. For newly joined nurses, an orientation program was organized in the ward. The program includes orientation to the ward routines and physical layout Of the ward. The program helped to allay my anxiety and fear at the new work environment. It also afforded me a fuller image of what would be my job and obligation in the clinical practice area. There is a discussion room in my ward, equipped with arioso reading materials and reference guides related to my work, such as work description file and drug dilution formula. Computers with internet access were placed in discussion room and nurses counter. The computers were installed with a secured hospital information system that gives much information for learning. Besides, my computer skills were enhanced too. Furthermore, I was kept abreast and exposed to learn around the latest technology equipments used in practice in my ward. However, to gain proper learning support, I faced some challenges as well. In my unit, the ratio of qualified mentors to the junior staffs is not satisfied. While, available senior staff nurses have lack of interest involving in junior nurses training and assessment mainly because their heavy workload due to shortage of staff. At times, it is difficult to learn bedside patient care skills due to lack Of supervision and guidance from mentor. Apart from that, the overcrowded practice area in my unit limits the quality and quantity of formal and bedside teaching by the mentor. In big groups, it is difficult to visualize any procedure demonstrated by the mentor, as my concentration was compromised. Furthermore, restricts hands on of a procedure as I to moment for limited learning opportunities with other learners. Wide range of patients cared in my unit. I was given opportunities to rehearse new skills on real patients with a mentors supervision and guidance. Active participation helped me to develop self-motivation to learn further. I was given protected time by mentor to take queries and clear my doubts. I was welcomed in the multidisciplinary team clinical case discussion and sent to health workshops that gave me new knowledge. Besides that, my unit nurse manger promotes learning opportunities by organizing continues nursing education (CNN) classes every Friday. The talk would be given by mentors or other allied science practitioners with various topics. Indirectly, CNN classes helped me to gain new knowledge and fulfill the mandatory CAP points requirements for nursing practice registration annually. Lack of communication due to inferior superiority complexes is identified as a potential barrier to effective interpersonal relationship between working peers. Junior nurses often scolded and treated as scapegoats for any faults in the practice area. This, unhealthy social climate create stress, embarrassment and unhappiness which indirectly inhibit learning. Another barrier encountered was lack of nurse recruitment by the organization. Insufficient staff energy is pulled along the heavy workload so experienced staff rarely has time for teaching. Sparingly, organization rarely fund for mentors courses for eligible staffs. Consequently, clinical career pathways for nurses become restricted. The conclusion is, my practice area as a learning environment helped me to achieve the required learning outcomes and competencies, although some area of improvement needed in sorting out the barriers and challenges. ACTIVITY 2 Professional development gave an identity to my profession as a mentor in reactive. My professional development goal, coaches me to build my career pathway. However, areas for developments still exist for my better professional practice. As a professional in practice, my experience in coronary care nursing for the past 5 years with 2 years coronary care post-basic qualification facilitated continuous learning and contributed in my professional development. Besides, Im well-trained to conduct basic life support classes with my team for junior doctors and nurses in my unit. Indeed, I work in an international recognized organization, where I needed good mastery in English language. Therefore, I need to attend English classes to improve my English proficiency to converse among the other various groups of professional practitioners from other country. Apart from that, as a learner, I am open- minded to learn from colleagues and accept constructive criticism and feedback from them while learning and sharing information. At practice area, I always look for new challenges and self-motivated to learn further in order to be knowledgeable. I use a reflective diary to monitor own learning and development. Undoubtedly, have crucial time to survive a busy shift and maintain balance between work and learning. Perhaps, need to improve my time management and develop planning skills. With good time management, tasks at work can be done effectively in a timely manner which in turn leads to less frustration and stress. Sparingly, I can have more time for learning. Meanwhile, as a mentor in practice, I am non-judgmental in accepting junior nurses as a developing professional person. At practice area, support and encourage my minute by offering guidance and knowledge. Moreover, to be a good role model, I demonstrated commitment to my job and facilitate formal and informal learning. Eventually, I need to improve my entering skills by enrolling into updated mentoring course which covers effective teaching supervision, assessment and leadership skills. Developing competencies in these areas are important as it will enhance my professional development as a mentor. In conclusion, continuous professional development (CAP) is needed to broaden my knowledge and skill competencies. I need to attend continuous nursing education classes, conferences and workshops to keep abreast with current professional nursing practice. Besides that, to manage academic and knowledge development, enrollment for undergraduate studies and reading educational urinals is essential for my (CAP). ACTIVITY 3 According to Wong and Lee (2000,), quality nursing education takes place in clinical settings in order produce competent nurse. After analyzing my practice area as a learning environment, will reflect upon three areas for improvements. Had chosen Gibbs (1988) model of reflection to structure my essay. The model was created by Professor Graham Gibbs and has 6 reflective stages, consist of description, feelings, evaluation, analysis, conclusion and action plan. Learning experience and reflective process enhances learning (Wong Lee, 2000). I started my profession as a nurse in a coronary care ward. Post orientation week, due to limited mentor in my unit, I was tagged with one senior staff nurse (USN). She was nursing a post myocardial infarction patient with pulmonary artery catheter. The way she conversed with me showed that she assumed I have been thought everything by mentor during ward orientation and bedside teaching. As both of us about to start working a senior physician came for round. The physician ordered the USN to trace the patients blood results. While she was away, was standing at bedside and he ordered me to print the cardiac output wedge erasure report from the cardiac monitor. I got panic as not sure how to print it. There was another nurse at the cubicle, I quickly approached her for help. Well, thought she would come and help me, instead she just told me rudely to press the wedge report button on the monitor. I did exactly what she told me, but the report could not be printed as out of paper. The worst part, I dint even know how to replace the paper also. While the physician was scolding me for the delay, my tagging USN came and save the situation. Felt extremely miserable after scolded by the physician in front of the patient ND other colleagues. I was also embarrassed and upset by my inability to print the report and replace the finished paper. I was also upset with the other nurse for her rude response instead of helping me or just answer me with a courtesy. The experience left me very distressed and felt not included in the ward. Poor relationship in practice area may lead to unhealthy emotion that inhibits learning (Spawning Uses, 2013). Eventually, although it was a bad experience, felt more determined to learn at my practice area. Besides, after sharing my feelings about the experience with my colleagues, legalized they have gone through similar experiences too. From that moment, became a positive thinker and fixed in my mind, the same humiliating experience should not happen again. Later, I found appropriate time and approached my tagging USN. I explained to her that during orientation, basic exposure only was given about the cardiac monitor. Printing out cardiac output wedge pressure report was totally new for me at that time. Then, the USN taught me overall about the cardiac monitor. Besides, I had the opportunity to hands on the monitor and took down notes in my pocketbook for future reference. I have analyzed my workplace is a learning environment and there are some areas for improvements. During orientation week initially, the mentor in charge of new nurses, held some bedside cardiac monitor teaching. I recalled. There were about 10 new nurses in my group. The place was overcrowded, due to only one mentor available for teaching as some of other mentors attended conference and attached with management task. Some of us had difficulty visualizing her demo session and competed with each others to hands on which effected our learning. According to Beck et al. , (2002), practice by doing is more effective in learning. USN should be encouraged to join mentors or proprietorship course by offering incentives (Jackson, 2001 ) to overcome shortness of mentor at practice area. If more mentors were available, big group Of learners can be spilt into smaller groups to avoid overcrowded bedside teaching. Conducive environment is important in clinical learning (Wong and Lee, 2000). Furthermore, according to Gill and Decree (2003), effective bedside teaching takes place through observation, understanding and practicing. Added, question and answer session between mentor and learner would be enhanced. Besides, poor immunization skills at practice area effect on good interpersonal relationship among working peers. Thus, team work will not take place. Essential communication skills are deemed to be listening and attending, empathy, information giving and support in the context of a therapeutic relationship (Grant and Bach, 2009, peg. 3). Wong and Lee (2000) also highlighted negative nurse-related incidents between other colleagues is related to non- conducive learning environment. Practicing nurses should be scheduled to attend communication skills course and assessed periodically by nurse managers. Good interpersonal relationship, communication and us port at practice area promotes a conducive environment for learning (Spawning and Uses, 201 3). Landed, according t o Wong and Lee (2000), good role-modeling contributed to professional development of nurses. However, the experience motivated me to learn every single procedure in my practice area. Took the challenge to practice different tasks to gain confident to practice competently. Realized more attention should have been given during bedside teaching although it was challenging to learn in overcrowded placement. Besides I felt that I had developed interpersonal relationship with y tagging USN and gained new knowledge after approaching her personally. Undoubtedly, will build my interpersonal relationship with my entire ward members as we will work as a team. In order to that will enroll in a communication skills course to handle allied healthcare professionals professionally. Besides that, I will continue learning at my practice area, regardless all the negative emotions and people who can affect my learning. To keep abreast with current practice at my practice area, will do self- directed learning by revising on my clinical practice guidelines, work descriptions and ward policies. In conclusion, Gibbs model of reflection was simple and easy to use. It helped me in self-improvement and promoted learning from experience.

Zero-Based Budget for Local Passenger Transport - myassignmenthelp

Question: Discuss about theZero-Based Budget for Local Passenger Transport. Answer: Zero-based budgeting (ZBB) is a technique of accounting where all expenditures must be accounted for every new budget year. The procedure of zero-based budgeting beginnings from a "zero base," and each role in a company is examined for its requirements and expenses. Budgets are then made with all elements in mind for the new budget year, with no thought on whether it is higher or lower than the previous one. Instead of thoughtlessly enhancing the budget by a particular amount and covering the expenses added, the organization can recognize a circumstance where it can choose to manufacture the required part on its own or purchase is from the outside dealer for the final goods. Thus, zero-based budgeting purposes to detect and validate expenses.This paper will discuss the concept of adding 15-20% to a zero-based budget to protect against unforeseen expenditures in depth; this is having extra cash in the budget in case anything goes wrong. It will look at the pros and cons of this concep t (Lubis, Siregar, Fauzi, 2014). The concept of business adding to their zero-based budget a 15-20% increment is done for various reasons. It is done mostly as a way of cushioning it if it goes into crisis during the budget year. When the company decides to take this route, it can end up facing various positives and negatives as a result. The advantages of this concept include, The company will be able to shelter any additional costs they may not have foreseen while doing the budget for that year. Hence they will not have to scramble to find ways to cover the costs as you have the extra money at hand (Callaghan, Hawke, Mignerey, 2014). Another advantage is that when preparing this budget, it will not be as time-consuming as making the zero-based budget as it will not have to go into in-depth details. The extra 15 to 20 % will cover any additional expenses that may come up. Thus this will be easier to understand and have less paperwork while preparing it (Achim, 2014). This concept will also have disadvantages. Some of them include; one is that with a zero-based budget, every cost and expenditure is kept track of and can be justified, but with this extra money it might not be the case anymore. When there is extra money, the funds might get lost and not be explained where it was spent, and as many companies expect money to be spent when budgeted for they will not scrutinize this.Thus it will lead to the establishment of a dangerous culture of embezzlement and corruption (Callaghan, Hawke, Mignerey, 2014). Another disadvantage is that when a department does not use up its budget, it will have it reduced in the next year. Thus they will be wasteful in their spending to avoid this from happening. Another one is that it will lead to departmental managers being lax on reducing expenditure and costs because they have the extra money in the budget to fall back on in case of anything (Chan, 2008). In conclusion, The concept of having a 15 to 20 % increase on a zero-based budget is a reasonable deviation from incremental and zero-based budgeting as it covers most concerns about both of them. Thus, it is the best way for a company to budget. It has both pros and cons, but the advantages far outweigh the negatives. All in all, this is a good budgeting concept. References Achim, S. (2014). Zero-based budget vs. incremental budget in local passenger transport services. Revista de management ?i inginerie economic?,13(1), 77-88. Callaghan, S., Hawke, K., Mignerey, C. (2014). Five myths (and realities) about zero-based budgeting.McKinsey Company, 2, 58-62. Chan, G. R. (2008). Aligning collections budget with program priorities: A modified zero-based approach.Library Collections, Acquisitions, and Technical Services,32(1), 46-52. Lubis, A., Siregar, H. S., Fauzi, S. (2014). A Study on the Different Applications Of Performance-Based Budget And Zero-Based Budget On Regional Task Force Units In North Sumatra.International Journal of Management Sciences and Business Research,3(10) 10-16.