Tuesday, October 29, 2019

RBC Centura Bank Research Proposal Example | Topics and Well Written Essays - 750 words

RBC Centura Bank - Research Proposal Example Culture shares a common viewpoint regarding what constitutes appropriate business and interpersonal relationships and reflects the overall traditions and communications styles acknowledged within the business. At RBC Bank, efficiency and inter-staff respect are at the forefront of culture where expectations for performance begin at the highest levels of the business and trickle down to subordinate staff levels. In this particular organization, the ability to fit in with other employees generally involves being efficient at the job role. Inefficiency leads to an ineffective team and those who do not fit within this cultural norm regarding performance will generally have a difficult time making positive relationship with others. Organizational behavior, closely tied with culture, is the attitudes and actions which take place within the business environment. People in organizations do not work in proverbial vacuums, meaning that they consistently come into contact with others during the course of a regular workday. Organizational behavior are the various interactions between staff members which dictate the overall method by which business is conducted both externally and internally, such as how co-workers interact and how customers/clients are approached. Organizational behavior is the human aspect of how business and the individual interact (Delta Publishing, 2006). At RBC Bank, much like its culture, efficiency and performance are common behavioral characteristics and expectations. Mutual respect is on the forefront of the business’ policies, where all business and associate transactions occur with this premise in mind. All clients and associate workers behave according to high ethical guidelines, s uggesting that the organizational behavior at RBC Bank is one where leadership qualities are valued and developed. Diversity is a common theme at RBC Bank, defined as various differences in

Sunday, October 27, 2019

Reviewing Criticisms Feminist Writers Made Of Criminology Criminology Essay

Reviewing Criticisms Feminist Writers Made Of Criminology Criminology Essay Feminism, according to Mitchell and Oakley (1986:3) suggest that it is easier to define feminism in its absence rather than its presence. Delmar (1986) defines it that, a feminist holds that women suffer discrimination because of their sex, that they have needs which are neglected and unsatisfied, and that the satisfaction of these needs requires a radical change. However, he clearly states that in order distinguish feminists or feminism from the multiplicity of those concerned with women issues, feminism should be defined as a field, even though diverse, but women can make no claim to an exclusive interest in or copyright over problems affecting women. Feminist criminology therefore proceeds from the assertion that women have been highly marginalised and are all too often invisible and when they have been the centre of attention this has not been observed and treated with sympathy. At the heart of feminist criminology, a critique of extant criminology lurks for the reasons below, th e failure to theorise or engage in the empirical study of female offending, the neglect of female victimisation and, particularly, male violence against women and the over concentration on the impact of the criminal justice system on male offenders. Carol Smart (1976) raised two crucial areas of concern. These were; that there was a particular danger of studying women separately from men would cause more marginalisation and this would also lead to the perpetuation of a male dominated criminology and the second one was that, increasing academic attention on female crime could have the unintended and undesirable consequence of increasing public and criminal justice attention on these activities. Smart also argued that, women offenders were not only being treated as criminals but also as having transgressed their gender roles. Edwards (1984:213) said, Female defendants are processed within the criminal justice system in accordance with the crimes which they committed and the extent to which the commission of the act and its nature deviate from appropriate female behaviour. Smart questioned the criminology enterprise and led to a considerable debate on feminism. (Edwards, 1981; Heindensohn, 1985; Rafter and Stanko, 1980; Young, 1996) Pat Carlene (1992) described the idea of feminist criminology as neither desirable nor possible. However, Gelsthorpe and Morris (1990) have said that criminology has been a major constraining rather than creative influence for feminist writers and researchers. Another critique, Cain (1989) argued that courts, victims, lawyers, social workers could be objects of investigation however our explanations must reach beyond and encompass all of them, this in a sense argued that feminist criminology is not possible and it disrupts the other categories of criminology itself. Cains argument was that work in theoretical criminology should question the assumptions of traditional criminology and also examine how gender is constructed by the official bodies, however; she was not purely dismissive of feminist criminology. Carlen (1992) wa s similar sceptically however she was arguing for the potential within feminist scholarships which would help in transcending the limitations of criminology as a discipline. On the other hand, the left realist were critical and said critique is not consistent, that is to say, criticising criminology for its real essentialism in treating crime like a meaningful category yet on the other hand using terms like rape and child sexual abuse yet they may also not be subject to the same criticism. (Mathew and Young, 1992) Feminist criminology criticises theoretical criminology because it was constructed by men and for men. It is argued by Valier (2002) that it does not analytically explain the different patterns in crimes carried out by females. He further points out that most of the theories do not analytically explain patterns of crime by females; these theories will only show what the social scientists are finding out presently which is that they do not seek to explain human behaviour as they claim but only explain understandings of male behaviour. This is not good practice because it has instead created a single theoretical canopy for both women and men even when it is clearly evident that their social realistic are very different. (Valier, 2002) Frances Heidensohn (1987) looked at four different characteristics of many of the female offenders which had been the subject of recent research in the past decades. These characteristics would then be used to carry out analytical research on female criminology and also help understand female offending better. The four characteristics that she looked at included; Economic rationality, women were predominantly involved in property crimes which were motivated by the economic concerns. This was different from what the earlier portrayals of Lombroso and Pollak which understood female criminality to be illustrative of irrationality and the influence of biology. Second characteristic was that of heterogeneity of their offences whereby women commit less crimes as compared to men and are less likely to be recidivists or professional criminals which implies that they contribute less to the crime tariffs and also clarifies that crimes committed by males and females derive from different condit ions like social circumstances, differences in opportunities for both men and women and the socialisation process. The third characteristic is fear and impact of deviant stigma. This is whereby the criminalisation process has a differential impact on men and women. This is because female offending is less extensive than male offending, produces a greater sense of stigmatisation. The last characteristic was that of experience of double deviance and double jeopardy. Double deviance like being dubbed as unlike woman together with the being called a criminal produces double jeopardy. The criminal justice system will punish the crime but also seek to impose controls over women behaviour. (Heidensohn, 2006)

Friday, October 25, 2019

Greek Goddesses Essay -- essays research papers

The Greek Goddesses In Greek mythology the gods and goddesses of Mount Olympus played a major role in everyday life. The Greeks respected them and thought of the gods as all mighty. In Ancient Greece the people honored and believe in the deities. Myths, poems, and epics tell the stories and beliefs referring to the gods and goddesses. Many literary works display the power and jobs of the goddesses. The Greek people lived to please the deities in hope of gaining a better lifestyle. The goddesses of Greece acted as an important part of Greek mythology ( Hamilton 28-35 ).   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Historians placed the goddesses into categories. The first category included the major goddesses of Olympus. The goddesses placed in this category were Hera, Athena, Aphrodite, Hestia, Demeter, and Artemis because most people knew and worshipped them. The people held these six goddesses the most high and with the most respect ( Hamilton 28 ).   Ã‚  Ã‚  Ã‚  Ã‚  Hera, the goddess of the protection of marriage, took care of married women. The sister and also wife of Zeus, the king of the gods, Hera may be the most well known of the goddesses. The Titans of the Ocean along with the Tethys raised Hera ( Hamilton 28 ). Most people knew Ilithyia , Hera’s daughter, for her help of women through childbirth. Hera held the city of Argos sacred along with the peacock and cow. In Roman mythology, the name of Hera was changed to Juno, queen of goddesses ( Pinset 20 ).   Ã‚  Ã‚  Ã‚  Ã‚  Artemis, or Diana in Roman mythology, had the role of Leto and Zeus’s daughter and also twin sister of god Apollo. Known as the goddess of wildlife and hunting, Artemis held all animals sacred, but the deer more then any other. Artemis also held the cypress tree sacred. Not many myths feature this goddess, but she lives on through the years in poems and other works ( Hunt 3 ).   Ã‚  Ã‚  Ã‚  Ã‚  Many myths from the Greeks feature Athena, or Minerva as known to the Romans. Myths say that Athena had a very original birth. Some writers have said that Hephaestus took an ax and shaved her from Zeus’s forehead and therefore she has no mother ( Pinset 22 ). Zeus thought of Athena as his favorite child and she had the privilege of using his weapons. First known as the guardian of the city and ... ... they harmed the Earth in any way that Gaea would smite them. This goddess protected the planet and so played an important role in the Greek beliefs ( Hamilton 64 ).   Ã‚  Ã‚  Ã‚  Ã‚  Hebe, the goddess of youth and wife of Hercules, maintained throughout time an image like that of a child. The Greeks thought of her as playful, sweet, kind, and trusting. Along with Ganymede, Hebe acted as a cupbearer to the Gods of Olympus ( Hunt 2 ).   Ã‚  Ã‚  Ã‚  Ã‚  The portrayal of the goddesses in many myths was that of a beautiful and majestic creature which contained many aspects to her personality. These personalities live on today through stories in the forms of poems, myths, and epic tales. Modern movies, art, and literature help to show these creations of the Greeks in powerful along with interesting ways. The goddesses of Ancient Greece impacted Greek culture in such ways that people today know the goddesses in the same aspect the Greeks did. The Greek goddesses of Mount Olympus will forever live in the literature of Greek writers along with writers of today. The importance of the goddesses to the Greeks will remain high for years to come.

Thursday, October 24, 2019

Night World : Daughters of Darkness Chapter 5

Mark was still muttering as he rounded the backcorner of the house. What was he even doinghere? It wasn't easy to get into the garden area fromoutside. He had to bushwhack through the overgrown rhododendron bushes and blackberry canesthat formedadense hedge all around it. And evenwhen he emerged from a tunnel of leathery greenleaves, the scene in front of him didn't immediatelyregister. His momentum kept him going for a fewsteps before his brain caught up. Hey, wait. There'sa girl here. A pretty girl. Anextremelypretty girl. He could seeher clearly by the back porch light. She had hiplength white-blond hair, the color that normally onlypreschoolers have, and it was as fine as a child's hair,too, whipping around her like pale silk when shemoved. She was smallish. Little bones. Her hands and feet were delicate. She was wearing what looked like an oldfashioned nightshirt and dancing to what sounded like a rent-to-own commercial. There was a battereddock radio on the porch steps. There was also a black kitten that took one look at Mark and darted away into the shadows. â€Å"Baaad cred-it,nooo cred-it, dooon't wor-ry,weee'll take you†¦.† the radio warbled. The girl danced with her arms above her head-light as thistledown,Mark thought, staring in astonishment. Really, actu ally that light, and so what if it was a cliche As the commercial ended and a country western song began, she did a twirl and saw him. Shestopped, frozen, arms still above her head, wristscrossed. Her eyes got big and her mouth sagged open. She's scared, Mark thought. Of me. The girl didn't look graceful now; she was scrambling to seize the dock radio, fumbling with it, shaking it. Trying to find an Off switch, Mark realized. Her desperation was contagious. Before he thought, Mark dropped the pruning shears and swooped in to grab the radio from her. He twisted the top dial, cutting the song short. Then he stared at the girl, who stared backwith wide silvery-green eyes. They were both breath ing quickly, as if they'd just disarmed a bomb. â€Å"Hey, I hate country western, too,† Mark said aftera minute, shrugging. He'd never talked to a girl this way before. But then he'd never had a girl look scared of him before. And so scared-he imagined he could see her heartbeating in the pale blue veins beneath the translucent skin of her throat. Then, suddenly, she stopped looking terrified. Shebit her lip and chortled. Then, still grinning, she blinked and sniffed. â€Å"I forgot,† she said, dabbing at the corner of her eye. â€Å"You don't have the same rules we do.† â€Å"Rules about country western music?† Mark hazarded. He liked her voice. It was ordinary, not celestial. It made her seem more human. â€Å"Rules about any music from outside,† she said. â€Å"And any TV, too.† Outside what? Mark thought. He said, â€Å"Uh, hi. I'm Mark Carter.† â€Å"I'm Jade Redfern.† â€Å"You're one of Mrs. Burdock's nieces.† â€Å"Yes. We just came last night. We're going to livehere.† Mark snorted and muttered, â€Å"You have my condolences.† â€Å"Condolences? Why?† Jade cast a darting glance around the garden. â€Å"Because living in Briar Creek is just slightly moreexciting than living in a cemetery.† She gave him a long, fascinated look. â€Å"You've†¦ lived in a cemetery?† He gaveher along look. â€Å"Uh, actually, I just meant it's boring here.† â€Å"Oh.† She thought, then smiled. â€Å"Well, it's interesting to us,† she said. â€Å"It's different from where we come from.† â€Å"And just wheredo you come from?† â€Å"An island. It's sort of near †¦Ã¢â‚¬  She considered. â€Å"The state of Maine. â€Å"‘The state of Maine.†Ã¢â‚¬Ëœ â€Å"Yeah.† â€Å"Does this island have a name?† She stared at him with wide green eyes. â€Å"Well, I can't tell youthat.† â€Å"Uh-okay.† Was, she making fun of him? Butthere was nothing like mockery or sly teasing in her face. She looked mysterious †¦ and innocent. Maybe she had some kind of mental problem. The kids at Dewitt High School would have a field day with that. They weren't very tolerant of differences. â€Å"Look,† he said abruptly. â€Å"If there's ever anything I can do for you-you know, if you ever get in trouble or something-then just tell me. Okay?† She tilted her head sideways. Her eyelashes actually cast shadows in the porch light, but her expression wasn't coy. It was straightforward and assessing,and she was looking him over carefully, as if she needed to figure him out. She took her time doingit. Then she smiled, making little dimples in her cheeks, and Mark's heart jumped unexpectedly. â€Å"Okay,† she said softly. â€Å"Mark. You're not silly, even though you're a boy. You're a good guy, aren'tyou?† â€Å"Well. . .†Mark had never been called upon to be a good guy, not in the TV sense. He wasn't surehow he'd measure up if he were. â€Å"I, um, hope I 0am.† Jade was looking at him steadily. â€Å"You know, I just decided. I'm going to like it here.† She smiledagain, and Mark found it hard to breathe-and then her expression changed. Mark heard it, too. A wild crashing in the overgrown tangle of rhododendrons and blackberrybushes at the back of the garden. It was a weird,frenzied sound, but Jade's reaction was out of all proportion. She had frozen, body tense andtrembling, eyes fixed on the underbrush. She looked terrified. â€Å"Hey.† Mark spoke gently, then touched hershoulder. â€Å"Hey. It's all right. It's probably one of the goats that got loose; goats can jump over any kind of fence.† She was shaking her head. â€Å"Or a deer. When they're relaxed they sound just like people walking.† â€Å"It's not a deer,† she hissed. â€Å"They come down and eat people's gardens a. night. You probably don't have deer roaming aroundwhere you come from-â€Å" â€Å"I can'tsmellanything,† she said in a kind of whispered wail. â€Å"It's that stupid pen. Everything smells like goat. â€Å" She couldn't smell †¦ ? Mark did the only thinghe could think of in response to a statement like that. He put his arms around the girl. â€Å"Everything's okay,† he said softly. He couldn'thelp but notice that she was cool and warm at the same time, supple, wonderfully alive underneath the nightshirt. â€Å"Why don't I take you inside now? You'll be safe there.† â€Å"Leggo,† Jade said ungratefully, squirming. â€Å"I mayhave to fight.† She wriggled out of his arms and faced the bushes again. â€Å"Stay behind me.† Okay, so sheis crazy. I don't care. I think I love her. He stood beside her. â€Å"Look, I'll fight, too. What doyou think it is? Bear, coyote †¦ ?†Ã¢â‚¬ My brother.† â€Å"Your . . .† Dismay pooled in Mark. She'd just stepped over the line of acceptable craziness. â€Å"Oh.† Another thrashing sound from the bushes. It was definitely something big, not a goat. Mark was just wondering vaguely if a Roosevelt elk could have wandered down the hundred or so miles from Waldo Lake, when a scream ripped through the air. A human scream-or, worse,almost human. As it died, there was a wail that was definitely inhumanit started out faint, and then suddenly sounded shrilland dose. Mark was stunned. When the drawn-out wail finally stopped, there was a sobbing, moaning sound, then silence. Mark got his breath and swore. â€Å"What in thewhat wasthat?† â€Å"Shh. Keep still.† Jade was in a half-crouch, eyes on the bushes. â€Å"Jade-Jade, listen. We've got to get inside.† Desperate, he looped an arm around her waist, trying to pick her up. She was light, but she flowed like water out of his arms. Like a cat that doesn't want to bepetted. â€Å"Jade, whatever that thing is, we need agun. â€Å"I don't.† She seemed tobe speaking through herteeth-anyway there was something odd about her diction. She had her back to him and he couldn't see her face, but her hands were clawed. â€Å"Jade,†Mark said urgently. He was scared enoughto run, but he couldn't leave her. He couldn't. No good guy would do that. Too late. The blackberry bushes to the south quivered. Parted. Something was coming through. Mark's heart seemed to freeze solid, but then he found himself moving. Pushing Jade roughly aside. Standing in front of her to face whatever the thing in the dark was. Mary-Lynnette kicked her way through the blackberry canes. Her arms and legs were scratched, and she could feel ripe, bright-black berries squishing against her. She'd probably picked a bad place to get through the hedge, but she hadn't been thinking about that. She'd been thinking about Mark, aboutfinding him as fast as possible and getting away from here. 0Just please let him be here, she thought. Let him be here and be okay and I'll never ask for anything else. She struggled through the last of the canes into thebackyard-and then things happened very fast. The first thing she saw was Mark, and she felt a rush of relief. Then a flash of surprise. Mark was standing in front of a girl, his arms lifted like a basketball guard. As if to protect her from Mary-Lynnette. And then, so quickly that Mary-Lynnette could barely follow the motion, the girl was rushing at her. And Mary-Lynnette was throwing her arms up and Mark was shouting, â€Å"No, that's my sister!† The girl stopped a foot away from Mary-Lynnette.It was the little silvery-haired one, of course. This dose Mary-Lynnette couldsee that she had green eyes and skin so translucent it almost looked like quartz crystal. â€Å"Jade, it's my sister,†.Mark said again, as if anxiousto get this established. â€Å"Her name's Mary-Lynnette.She won't hurt you. Mare, tell her you won't hurther.† Hurt her? Mary-Lynnette didn't know what he wastalking about, and didn't want to. This girl was as weirdly beautiful as the others, and something abouther eyes-hey weren't ordinary green, but almost silvery-made Mary-Lynnette's skin rise ingoose pimples. â€Å"Hello,† Jade said. â€Å"Hello. Okay, Mark, c'mon. We've got to go. Like right now.† She expected him to agree immediately. He wasthe one who hadn't wanted to come, and now herehe was with his most dreaded phobia, a girl. But instead he said, â€Å"Did you hear that yelling? Could you tell where it came from?† â€Å"What yelling? I was inside. Come on.† MaryLynnette took Mark's arm, but since he was as strongas she was, it didn't do any good. â€Å"Maybe I heardsomething. I wasn't paying attention.† She'd been looking desperately around the Victorian living room,babbling out lies about how her family knew where she'd gone tonight and expected her back soon. How her father and stepmother were such good friends of Mrs. Burdock's and how they were just waiting at home to hear about Mrs. B.'s nieces. She still wasn't sure if that was why they'd let her go. But for somereason, Rowan had finally stood up, given MaryLynnette a grave, sweet smile, and opened the front door. â€Å"You know, I bet it was a wolverine,† Mark was saying to Jade excitedly. â€Å"A wolverine that came down from Willamette Forest.† Jade was frowning. â€Å"A wolverine?† She considered. â€Å"Yeah, I guess that could have been it. I've never heard one before.† She looked at MaryLynnette. â€Å"Is that what you think it was?† â€Å"Oh, sure,† Mary-Lynnette said at random. â€Å"Definitely a wolverine.† I should ask where her aunt is, she thought suddenly. It's the perfect opportunity to catch her in a lie. I'll ask and then she'llsay something-anything, but not that her aunt'sgone up north for a little vacation on the coast. And then I'll know. She didn't do it. She simply didn't have the courage. She didn't want to catch anyone in a lie anymore; she just wanted to get out. â€Å"Mark, please †¦Ã¢â‚¬  He looked at her and for the first time seemed tosee how upset she was. â€Å"Uh-okay,† he said. And to Jade: â€Å"Look, why don't you go back inside now?You'll be safe there. And maybe-maybe I could come over again sometime?† Mary-Lynnette was still tugging at him, and now, to her relief, he began to move. Mary-Lynnette headed for the blackberry bushes that she'd trampled coming in. â€Å"Why don't you go through there? It's like apath,† Jadesaid,pointing. Mark immediately swerved, taking Mary-Lynnette with him, and she saw a comfortable gap between two rhododendron bushes at the back of the garden. She would never have seen it unless she knew what to look for. As they reached the hedge, Mark turned to glance behind him. Mary-Lynnette turned, too. From here, Jade was just a dark silhouette againstthe porch light-but her hair, lit from behind, looked like a silver halo. It shimmered around her. MaryLynnette heard Mark draw in his breath. â€Å"You both come back sometime,† Jade said cordially. â€Å"Help us milk the goats like Aunt Opal said. She gave us very strict orders before she went on vacation.† Mary-Lynnette was dumbfounded. She turned back and reeled through the gap, her head spinning. When they got to the road she said, â€Å"Mark, what happened when you got into the garden?† Mark was looking preoccupied. â€Å"What do you mean what happened? Nothing happened.† â€Å"Did you look at the place that was dug up?† â€Å"No,† Mark said shortly. â€Å"Jade was in the gardenwhen I got there. I didn't get a chance to look at anything.† â€Å"Mark †¦ was she there the whole time? Jade?Did she ever go in the house? Or did either of the other girls ever come out?† Mark grunted. â€Å"I don't even know what the othergirls look like. The only one I saw was Jade, and she was there the whole time.† He looked at her darkly. â€Å"You're not still on this Rear Windowthing, are you?† Mary-Lynnette didn't answer. She was trying to gather her scattered thoughts. I don't believe it. Butshe said it. Orders about the goats. Before her aunt went on vacation. But Rowan didn't know about the goats before I told her. I'd swear she didn't know. And I was so sure she was winging it with the vacation business†¦. Okay, maybe I was wrong. But that doesn't mean Rowan was telling the truth. Maybe they didfigure the story out before tonight, and Rowan's just a lousy actress. Or maybe †¦ 0 â€Å"Mark, this is going to sound crazy †¦ but Jade didn't have, like, a cellular phone or anything, did she?† Mark stopped dead and gave Mary-Lynnette a long, slow look that said more dearly than wordswhat he thought of this. â€Å"Mary-Lynnette, what'swrongwith you?† â€Å"Rowan and Kestrel told me that Mrs. B. is on vacation. That she suddenly decidedto take a vacation just when they arrived in town.† â€Å"So? Jade said the same thing.† â€Å"Mark, Mrs. B. has lived there for ten years, and she's nevertaken a vacation. Never. How could shetake one starting the same day her nieces come to live with her?† â€Å"Maybe because they can house-sit for her,† Mark said with devastating logic. It was exactly what Rowanhad said. MaryLynnette had a sudden feeling of paranoia, like someone who realizes that everyone around her is a pod person, all in on the conspiracy. She had been aboutto tell him about the goats, but now she didn't want to. Oh, geta gripon yourself, girl. Even Mark is beinglogical The least you can do isthink about this rationally before you run to Sheriff Akers. The fact is, Mary-Lynnette told herself, brutally honest, that you panicked. You got afeelingaboutthose girls for some reason, and then you forgot logic completely. You didn't get any kind of hard evidence. You ran away. She could hardly go to the sheriff and. say that shewas suspicious because Rowan had creepy feet. There's no evidence at all. Nothing except †¦ She groaned inwardly. â€Å"It all comes down to what's in the garden,† shesaid out loud. Mark, who had been walking beside her in frowning silence, now stopped. â€Å"What?† â€Å"It all comes back to that again,† Mary-Lynnettesaid, her eyes shut. â€Å"I should have just looked at thatdug-up place when I had the chance, even if Jadesaw me. It's the only real evidence there is †¦so I've got to see what's there.† Mark was shaking his head. â€Å"Now, look-â€Å" â€Å"I haveto go back. Not tonight. I'm dead tired. But tomorrow. Mark, I haveto check it out before I go to Sheriff Akers.† Mark exploded. â€Å"Before youwhat?†he shouted, loud enough to raise echoes. â€Å"What are you talking about, going to the sheriff?† Mary-Lynnette stared. She hadn't realized how different Mark's point of view was from hers. Why, she thought, why he's †¦ -240 â€Å"You wanted to check out where Mrs. B. was-so we checked where Mrs. B. was,† Mark said. â€Å"They told us where. And yousawJade. I know she's a little differentit's like you said about Mrs. B.; she's eccentric. But did she look like the kind of personwho could hurt somebody? Well, didshe?† Why, he's in love with her, Mary-Lynnettethought. Or at least seriously in like. Mark likes a girl. Now she was reallyconfused. This could be so good for him-if only the girl weren't crazy. Well, maybe even if the girl wascrazyif it wasn't a homicidal craziness. Either way, Mary-Lynnette couldn't call the police on Mark's new girlfriend unless she had some evidence. I wonder if she likes him, too? she thought. They certainly seemed to be protecting each other when I walked in. â€Å"No, you're right,† she said aloud, glad that she'd had practice lying tonight. â€Å"She doesn't look like thekind of person who could hurt somebody. I'll just let it drop.† With you. And tomorrow night when you thinkI'm starwatching, I'll sneak over there. This time bringing my own shovel. And maybe a big stick to fend off wolverines. â€Å"Do you really think you heard a wolverine over there?† she asked, to change the subject. â€Å"Um †¦maybe.† Mark was slowly losing his scowl. â€Å"It was somethingweird. Something I've never heard before. So you're going to forget all this crazy stuff about Mrs. B., right?† â€Å"Yeah, I am.† I'll be safe, mary-Lynnette was thinking. This time I won't panic, and I'll make sure they don't see me. Besides, if they were going to kill me, they would have done it tonight, wouldn't they? â€Å"Maybe it was Sasquatch we heard yelling,† Marksaid.

Wednesday, October 23, 2019

Does the Pursuit of Human Rights Strengthen or Weaken the Structure of International Society?

The concept of human rights can be traced as far as back as the theories of Natural Law which proposed the existence of universal moral standards, and Charter rights such as the Magna Carta. [1] However, they began to rise in importance after the horrors of the Second World War and then towards the end of the Cold War, which gave us many core human rights treaties such as the International Covenant on Civil and Political Rights (ICCPR). 2] Solidarists would claim that this increasing pursuit of human rights strengthens the structure of international society because as the fundamental members of the international community, the rights of individuals should take priority over the rights of states, and that this should be the main purpose of the United Nations. [3] However, even if the rights of individuals should be prioritised, it is crucial to preserve Westphalian principles to maintain international order.This essay will use a realist lens to argue that individuals are best served b y protecting the rights of states, and therefore the integrity of the state should always be maintained. It will demonstrate how this prioritisation of national interests has meant that in fact the pursuit of human rights has neither strengthened nor weakened the structure of international society, but rather has been used as a tool by states to preserve the status quo and maintain their position as the most powerful actors in international relations.It is possible to argue that to a certain extent the pursuit of human rights strengthens the structure of international society, if the structure of international society is taken to mean humans and the ways in which they interact. Solidarists would argue that individuals and not states are the ultimate members of international society and as such their rights should take precedence over norms of statehood like sovereignty and non-intervention. 4] Respecting human rights enables people to have personal security and freedom from violence , as well as freely pursue their social goals, thereby preserving order and strengthening international society. [5] Since the end of the Cold War many human rights treaties have been ratified and these are important because they provide non-state actors and individuals with something to which they can hold states accountable in the face of human rights abuses. 6] These treaties have also been important in creating a ‘human rights culture’, which is significant because it means that states are more pressured by their citizens to preserve and actively promote the preservation of human rights. [7] This was observed in the United States of America (USA) where domestic pressure led to the decision to intervene in Somalia. [8] This serves to strengthen international society because it empowers individuals to have a greater influence on international interactions.Additionally, solidarists would claim that the pursuit of human rights illustrates an underlying universal moralit y. [9] The recognition of this universal morality would help to align the behaviour and interactions of humans across the world, hence strengthening international society itself. However, even if individuals are taken to be the ultimate members of international society, it is states that form the structure of it because they are the means by which international relations occur.Hedley Bull argues that international society would be better served by upholding Westphalian principles because these help preserve order, as the principles of sovereignty and non-intervention prevent states from constantly invading each other and destabilising international society. [10] As individuals have chosen to politically organise themselves into states, the protection of the state should be paramount as the state is the arbiter of rights as well as the defence against foreign belligerence, enabling the preservation of freedom from violence and social security.Therefore, Westphalian principles are cru cial to the structure of international society because they ensure the integrity of the state and thus the protection of the individual. From this point of view it would seem that the pursuit of human rights actually weakens the structure of international society. In theory, important aspects of the human rights regime like humanitarian interventions and the International Criminal Court (ICC) threaten the integrity of states because they compromise Westphalian principles.One of the reasons the USA does not support the ICC is that it could potentially have universal jurisdiction without needing state consent. [11] Human rights treaties impose upon states external standards of justice which assume a universalism to the morality of human rights which cannot be proven to exist, thus compromising their freedom of action. [12] However, although the principle of pursuing human rights weakens the structure of international society, in practise it actually does very little to affect the stat us quo.States continue to be the most powerful actors in international relations and in general the human rights regime has done little to erode their Westphalian rights. States always act in accordance with their own national interests, and power politics are a strong motivating factor in interstate relations. [13] This leads to the widening of the ‘compliance gap’, where states only comply with human rights treaties when there is no reason for non-compliance; however when human rights clash with national security, the interests of the state are always prioritised. 14] States can even use human rights treaties as a shield against international pressure, because once a government ratifies a human rights treaty there is little else foreign actors can do, short of armed intervention. In essence, this allows states to ‘hide domestic human rights practises behind the veil of international law’. [15] Additionally, most of the core human rights treaties like the ICCPR were drafted and ratified during the Cold War. 16] Many states used ratification to gain political legitimacy but didn’t need to actually comply with them, such as the Helsinki Accords which the Soviet Union signed in order to gain political parity with the USA, but never intended to implement. [17]This illustrates the main reason why the pursuit of human rights does not affect the structure of international society – that there are no solid mechanisms for the enforcement of international law and thus no method of combating impunity. 18] Although they can use economic and political pressure, the only real way that states can force an unwilling state into compliance is through humanitarian interventions. Humanitarian interventions have also done little in reality to change the structure of international society as states do not generally engage in them, and when they do they are condemned by the international community. [19] When states intervene for humanitarian causes they still justify the use of force in terms of self-defence, as seen with the Vietnamese intervention in Cambodia, and Tanzania in Uganda. 20] Even when humanitarianism is stated as the primary justification, as with the NATO intervention in Kosovo, national interests always influence the states’ actions. NATO believed if it did not act then any future threats of military force would appear redundant, therefore felt compelled to intervene in Kosovo. [21] This shows that the main motivation was not the plight of the Kosovar people, rather the protection of stability in Europe and the maintenance of NATO credibility.The only case where an intervention would have truly been humanitarian was the crisis in Rwanda, where the lack of a threat to national security discouraged an intervention, leading the West to fall back on the Westphalian principles as an excuse not to expend resources. All of this demonstrates that the pursuit of human rights through humanitarian intervent ions has not affected the structure of international society because states use it to propagate their national interests and ignore it when it does not benefit them, thus preserving the status quo.Therefore in conclusion, while solidarists could argue that the pursuit of human rights strengthens the structure of international society by empowering individuals to pursue a life free from violence, in reality the human rights regime has done little to affect the status quo of international relations. States remain the most powerful actors and do not allow human rights to interfere with their national interests, complying with treaties only when non-compliance is not necessary. 22] There has been no erosion of the sovereignty of states because internationally there are no mechanisms for law enforcement, and so states have freedom to act according to their national interests. [23] Even humanitarian interventions do not affect the current state of Westphalian rights because they are rare, and when they are carried out it is always because it is in the interests of the intervening state to do so.Therefore the integrity of states is maintained because their sovereignty and right to non-intervention is preserved, allowing them to remain dominant in international relations and thus demonstrating that the pursuit of human rights does not weaken or strengthen the structure of international society, rather simply propagates the status quo.

Tuesday, October 22, 2019

Nickle and Dimed Argument essay Essays

Nickle and Dimed Argument essay Essays Nickle and Dimed Argument essay Essay Nickle and Dimed Argument essay Essay Every day, millions of low-wage working class Americans venture forth into a reality of unsubstantial living and work environments, plagued with uncertainty. In Barbara Ehrenreichs novel, Nickel and Dimed On (Not) Getting By In America, she experiences the low-wage working world first hand, writing upon her experiences about many of hardships she faced. She exposes the substandard ways in which these wage- earners work and live, touching on the topics of business practices with negative effects, lack of government aid and criminalization of poor, and middle to upper class isrepresentation of the situations of the poor, utilizing each in an argument stating the socioeconomic environment of America is not feasible in regards to millions upon millions of Americans and how they live. Practices of certain employers do not make it any less difficult for low-wage workers to live, as Ehrenreich shows clearly through her writings on Walmart and The Maids cleaning service, but these practices extend to many other businesses as well. First and foremost is the low-wage these workers are paid, which is incredibly disproportionate to the amount of physical labor low-wage workers are subjected to (Ehrenreich, 72). Ehrenreich also puts on display the pitiful incentives which employers attempt to use as a means to Justify the low-wages their workers are paid, these include continental breakfasts (coffee and donuts), employee discounts, or some other excuse to keep wages low. While working at Walmart, ehrenreich also experienced another practice of large corporations, spreading out right lies and demonizing unions as evil wage stealing monsters, who no longer have much to offer orkers. Here Ehrenreich paints a very clear picture of corporations, greedy, controlling entities that steal the life, energy, and labor of the people they employe. This lead into the idea that management, along with the corporation it supports, is truly more corporate than actually human. Barbara Ehrenreich discusses the managers at both the Hearthside and Jennys, who belittle employees and make them out to be little more than replaceable workhorses, illustrated by Ehrenreichs analysis of the want ads, which do not necessarily reflect open positions, but as she came to nderstand, they simply reflect which employers are looking for replacements and a constant stream of cheap labor. Barbara Ehrenreichs argument that certain practices of employers cause negative effects clearly has weight to it, and comes together with her larger argument concerning the socioeconomic environment of America. Along with touching upon her experiences with Employer practices, Barbara Ehrenreich also utilizes her experience with the lack of government aid she faced, and the criminalization of the poor she was exposed to, in her argument. While searching for inancial and food assistance in Maine, Ehrenreich encounters several hurdles, which many others have likely encountered in their search for aid. A common theme seems to be having to speak to the people on the phone lines who represent the organizations, until they finally relent and either offer another number or some type of assistance, of which Ehrenreich only was able to acquire after spending 70 minutes in driving and calling, along with $2. 80, for $7. 2 worth of food, which came to milk, cereal, a pound of chopped meat, and a can of kidney beans. Not the most utritionally Olverse T TTs, out tney get tne Joo done . DlsaalnTul attltuaes towards aid seekers, criminalization of the poor, anti-begging laws and similar ordinances being passed in large cities, which keep the destitute from sleeping or sitting in public places, though officials boast the ordinances are aimed at all, they are kidding themselves when they believe they do not discriminate. It only appears that the crackdown and criminalization on the poor has increased, a homeless man was arrested in a shelter for being homeless, Barbara states after a friend had told er. Laws against handing out food to those in need in public places have even been put in place. More evidence pointing towards a downward trend in the living statuses of the poor Barbara observed. This criminalization likely stems from another topic that Barbara Ehrenreich covers in her argument against the current environment the poor must face, which is middle to upper class misrepresentation of the poor. Many middle to upper class people have the notion that many of the poor are able to in fact do research about the types of employment available to them, also being ble to drive the long distances and locate charitable agencies which will of course help them very much, but the food assistance offered to the destitute by these organization provides empty calories, from candy, sugary cereals, fatty red meats, and other things that are not fruits, vegetables, or quality ingredients for balanced meals. Ehrenreich notes that though many middle and upper class people look down upon the poor for their assumed substandard diets, but when put in perspective what is there alternative? Those who have tried to supply the destitute with healthier eals have been criminalized as well. As with the case of Barbara Ehrenreichs co- workers, and many other low-wage workers across America, employment is not a magical spell, capable of curing all of lifes woes immediately. It does help by providing some financial support, but low-wage employment is incredibly unpredictable and difficult to live with. Also, Ehrenreich learned later as she experienced the low-wage work environment, that the poor do not have secret tips and tricks for surviving and making it much better for themselves, their life styles ruly are not glamorous in any sense of the word. Barbara Ehrenreichs argument presented in Nickel and Dimed On (Not) Getting By In America covers the current socioeconomic environment in America and how it continues to shape the lives of the low-wage working class, and how it is not feasible in its current state. Covering several topics while melding them together with her own personal experiences, Ehrenreich creates an effective argument calling for better treatment and conditions for low-wage workers in America, possibly all over the world.

Monday, October 21, 2019

Theories of Desire

Theories of Desire Introduction Sophocles wrote the play Antigone in the classic year 442BC. Antigone continues to draw interests and literary debates in the postmodernism era. Chief among the discussions in the play revolves around theories, obsessions and new perspectives of the classic play. It has been observed that, as a point of fact, the play has been an obsession in the 18th century to date. Indeed, scholastic interest and analysis explain the relationship between Antigone and the modern political, controversial and conflict laden times.Advertising We will write a custom research paper sample on Theories of Desire specifically for you for only $16.05 $11/page Learn More Nonetheless, other quarters are of the view that Antigone presents nothing to be thought about in the modern hence dismissing its relevance to modern interests and applications. This paper takes the modern approach in referring to the relevancy of the play by critically giving an insight on the perspect ives of the theories of desire. It is argued that desire in Antigone is greater than the confines of men and laws. Theories of Desire Desire in this context is used to describe the obsession that people have in the society. Obsession takes different shapes in the society because people have different experiences. An attempt to understand Antigone must be backed by modern adaptations of the play by the likes of Jean Cocteau, Bertolt Brecht, Jean Anouilh and Heaney. In the Anouilh’s text, the greatest concern revolves around an attack of the family, youth, lofty, ideals and love and friendship. Contrary to Sophocles play, Anouilh leaves the powerful illustration of the philosophy of the desire for death, foreignness and mixed registers. An analysis of these differences between the modern and classical texts helps to understand the mystery surrounding the philosophy of death in Sophocles’s Antigone. In the classical Antigone, Sophocles clearly illustrates that Antigone as a character is foreign to the land of Thebes as indicated by her words to her father shortly before his death. In the play, her nature of desire is hard to understand and is coupled with her religious concerns. This is different from Anouilh texts that espouse that Antigone choice of death is a motivation by the dullness and lack of passion in life due to loneliness. This life according to Anouilh is one that repeats itself in a cycle explained by boredom from one lack of compelling life cycle to another meaningless in the other. A reference to Anouilh may partly explain the recent happenings of the uprisings in the Muslim and Arab worlds (Sophocles and Johnston, p. 5). By analogy, the ideal held by the toppled governments represents Creon’s actions in some respects. The young and the old in these states represent the Antigone in Anouilh’s text. Years of state neglect to the necessary and basic requirements of the people found desires and insistence to live better liv es embedded in the daily struggle and hearts of the citizens of these countries. Therefore, it is from one basic act of denying the necessary needs required for better lives in the future that finds form in a forceful nature. This is through sacrifice of lives and blood shedding, just like in Antigone.Advertising Looking for research paper on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More According to Sophocles the idea of foreignness shadows Antigone’s actions and desires. Recapping the view of the Muslim and Arab worlds, it is also clear that the citizen’s modern approach to things is extremely foreign to the age old perspectives of the older order. Fueled by the modern use of technology especially, social media, the youth in these countries have the connection of a family with ideals and views that those in power are not privy to and do not even understand. For the old order, it is their home ground reg ister; however, for the new generations, this is their point of action hence particularly foreign to what has already been established. The insistence on religiosity is a constant reminder of the value of belief in what is right and justice to follow. For Antigone, this bordered the belief she had in her traditions and hence her religion. For the youth in these countries, the belief in change for a better life and the need to chart new courses resembles what was in Antigone. However, Anouilh’s text must guide this view in the analysis that the Arab world uprising is not about the choice of death as Creon observes. Therefore, it becomes crucial to note that Anouilh’s text at this juncture departs from the tenets of the Arab life and its consequences to the modern people. It is the desire to right what is wrong in order that the future generations may reap the benefits of the philosophy of death. This is captured by Sophocles in Antigone of which later Creon finds truth in. In this sense then Antigone from Anouilh becomes a stranger to what Sophocles intended. The misrepresentation of Anouilh, thus, allows an understanding of the real impact of tragedy one that is well captured by Sophocles. In the words of Marcel Anouilh’s work lacks the quality needed to explain human drama. According to him, Antigone’s by Sophocles, actions and desires can only be explained by invoking the ideas in religion just like Kierkegaard. Therefore, in this view, Anouilh’s text is a secularization of the actions in the tragedy Antigone (Sophocles and Johnston, p. 15). Sophocles tragedy is a clear emphasis on the absolute contradiction and irreconcilability between Antigone and Creon. Clearly from their perspectives they are both right in a powerful cancellation between the state and kinship. The problem is that they cannot comprehend one anothers moral point of view and power in Sophocles text.Advertising We will write a custom research paper sample on Theories of Desire specifically for you for only $16.05 $11/page Learn More Conflict, as Sophocles espouses appears as a first layer of disharmony through antinomy in that between the two no one is ready to cede ground for the other of which Anouilh fails to indicate just Jean Racine’s text. In these two texts, Antigone’s world is characterized as a doubt between the living and the dead through biological explanations. Creon and Antigone as presented Racine and Antigone indicate that they both had options, but they clearly intended to be antagonistic. On Antigone’s insistence on foreignness and Kierkegaard rendition of the extent of subjectivity, it becomes clear that conflict between the state and the subject is a guaranteed occurrence. The fact lies in the view that taboos and transgressions in the society act in unison to decide the fate of those who uphold them at the expense of the state. Lacking commensurability in the above vi ew again is a source of conflict between the subject and the state based on guilt held by the subject. In this view Antigone, qualifies for both options in Sophocles classic Antigone. By extension, this explains the modern relationship between governments and their subjects. While religion states equality and democracy, just like the flowing waters; a deep surgical analysis reveals that even the most democratic governments have instances of conspicuous treatment just like in Creon’s rule. Thus, Kierkegaard’s observation that deviating from aesthetics is a necessity brings truth home in the case of modernity. This reinforces his assertion that it is the rebirth of modern tragedy. Taking the example of the declaration of emergency situations in any nation, it can be noted that not all subjects behave in a certain way to call for such measures. On the contrary, there are citizens who are good at least in light of the situation while their brothers and sisters are on the w rong side of the law. However, in this case, the good suffer without any attempt to rationalize the boundaries. On the second note, the subject’s desire in favor of her point of view clearly puts the state and the subject on a collision path. A subject has the obligation to follow what the state requires of for effective and efficient governance. In addition, democracy defines that the voice of the majority should be heard. If the subject is not given his or her due demands, then necessary suffering is taken as justice. This is aimed at restoring the state under the invisible power of the subject. Further, this may translate to blood letting by a few who appear not realistic. In the end justice is achieved by the action of a few who deny their lives for a better cause. Therefore, in this desire, politics and what is necessary right governs the occurrence of such tragedy. Suffering can be in the form of death or even exile. In Sophocles Antigone, there is the displacement of t hings from their normal order. In terms of gender and religion, Antigone as a character goes overboard of what is Athenian for her gender. Secondly, Antigone does not represent the state or the kinship and neither the living nor the dead.Advertising Looking for research paper on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More This intermixing of desires lacks from Anouilh’s text. The fact that the play supports Antigone, though an outsider to the happenings; Teireisia, reveals that Sophocles’ view of the state as a static entity should be questioned under the guidance of principles not easily settled on common human understanding (Sophocles and Johnston, p. 39). Antigone’s desire is absent according to Hegel. She represents what is admirable and what is acceptable in excess is too good to live. She represents those who cannot allow the state to carry own its activities without regard to whether right or wrong. This excess leads to Antigone showing that the way to gods who live in such excess. The occurrence of such needs for balance of equality on laws to all things under mankind is explained by this excess. Therefore, Sophocles’ text is a powerful reference to modernity on the will and power of religion, as opposed to the state authority. Antigone in the theory of desire as p resented by Sophocles is finally an examination of the problems of laws, family and state. Antigone’s actions do not support any at either perspectives, and the boundaries that lie between them are the necessary ingredients to tragedy. The customs, the taboos and religion, and gender all play as factors to make desire in any one of these disastrous and dangerous. In essence, Antigone finds fault in what is established, but not written down as any law. This is forms Antigone’s desire to rise above this tragedy. Conclusion In this analysis, therefore, it is worthy to note that the desire in Antigone is greater than the confines of men and laws. It is greater than the state and all its wise men, greater than family obedience, greater than love and the powers operating in the realm of human understanding. Antigone’s desire was thus like a process of justifying freedom in the confines of the society. However, religion should guide this proclamation. Sophocles and Jo hnston C. Ian. Antigone. Arlington, Virginia: Richer Resources Publications, 2007. Print.

Sunday, October 20, 2019

How To Make Copper Acetate from Copper

How To Make Copper Acetate from Copper You can make copper acetate   [Cu(CH3COO)2] from common household materials to use in science projects and to grow natural blue-green crystals. Heres what you do: Materials copper (e.g., copper wire or pennies minted before 1982)hydrogen peroxidewhite vinegar Procedure Mix equal parts vinegar and hydrogen peroxide.Heat the mixture. You can bring it to a boil so that youre certain its hot enough, but once you reach that temperature, you can turn down the heat.Add copper. For a small amount of liquid, try about 5 pennies or a strip of copper wire. If you are using wire, make sure it is uncoated.Initially, the mixture will bubble and become cloudy. The solution will turn blue as copper acetate is produced.Wait for this reaction to proceed. Once the liquid clears up, heat the mixture until all the liquid is gone. Collect the solid, which is copper acetate. Alternatively, you can remove the mixture from heat, place the container in a place where it wont be disturbed, and wait for copper acetate monohydrate [Cu(CH3COO)2.H2O]  crystals to deposit on the copper. Copper Acetate Uses Copper acetate is used as a fungicide, catalyst, oxidizer, and as a blue-green pigment for making paint and other art supplies. The blue-green crystals are easy enough to grow as a beginner crystal-growing project. More Chemicals To Make Make Copper SulfateMake Sodium Acetate (Hot Ice)Make Ammonium Nitrate

Saturday, October 19, 2019

Discuss the palace of Knossos as an architectural embodiment of Minoan Essay

Discuss the palace of Knossos as an architectural embodiment of Minoan cosmology and culture, focusing particularly on the relat - Essay Example The Palaces were built on the Kephala hill where it had easy access to the sea as well as the Cretan interior. The first palace was destroyed in 1700BC but it was rebuilt again. However, the second palace was destroyed by fire in 1350 never to be rebuilt again.1 The area around the palace was transformed into a sacred region with and it was not inhabited. The Palace of Knossos was magnificent and was a symbol of the civilization of the people of Minos. Its construction was massive and no other known architectural piece rivaled it in size during those times. The palace was architectural plans were equally sophisticated and there was remarkable use of luxurious materials. Advance techniques were used in building the Palaces which made them stand out in the entire Crete. The Minoans demonstrated their technological advancements in the design of the Palaces by incorporating features such as light wells, complex drainage and water systems. The Palace of Knossos was built to serve religiou s as well as administrative functions. Hence, its design was elaborate and it comprised of several sections to suit various functionalities. This paper aims to discuss the palace of Knossos as an architectural embodiment of Minoan cosmology and culture. Specifically, the relationship of the palace to nature as topography, orientation and temporality is evaluated. Also, the use of ornament and role of ritual are discussed in detail. Role of Ritual The extensive palaces of Knossos were concerned with practical pleasures and celebrations for the people. The palaces were designed to allow for social interactions and communicated the underlying social ideologies and order. It has been argued that the Palace of Knossos was designed as an architectural expression of the social concepts of the time.2 The West Wing was dedicated to public ceremonies and performances. The elaborate walkways in the West Wing create an impression that this was the focal point of movement. They served as process ion ways leading to the inner parts of the palace. The elevation of the walkways indicates that there was a separation of the performers and the audience. One of the processional ways in the palace, known as the Royal Road, led to a large elevated area that was probably used for the theatrical performances.3 On the south side there was a square paved bastion built against it equipped with a platform. The platform was positioned in such a way that people could actually observe actual performances from there. It is evident that the theatrical area was arranged in such way that it could allow viewing in three levels. Arguably, the Knossos palace architectural environment created social hierarchy which had been translated into spatial order. If the paved bastion was indeed sectioned for the most prominent figures in Minoan society, then the two flights of steps could have functioned, as they stand, for the elite closest to the representatives of the community. However, the hierarchical positioning of people according to status could also function to realign the socio-political fabric of the Neo-palatial period during ceremonies ideological in nature. Hence, the theatrical area could be able to function in two ways depending on the occasion. The architecture of the palace was dynamic making it capable to serve various social functions. The other evidence that the palace of Knossos served as a ritual centre is its interior

Friday, October 18, 2019

Managers Responsibility in Setting Tone and Expectations in Hospital Assignment

Managers Responsibility in Setting Tone and Expectations in Hospital Setting - Assignment Example The paper tells that beyond an iota of doubt, the hospital’s success depends on the level of teamwork and participation invested by various stakeholders. The manager, in consideration of the above fact, needs to awaken to his or her duty as the tone-setter for the team. Considering the team, specifically to include nurses, doctors, administrative staff, lab assistants, support staff and other workers in the hospital setting, the hospital manager has a lot to do in respect of setting expectations and the tone. The manager should realize that his/her weaknesses and faults can easily be magnified within the team. Even though the manager should lead by example, this is no guarantee that their staff will behave positively or that performance will automatically be impressive as a result. However, it must be noted that leading by example increases the chances of having positive results and encouraging positive behavior as noted by Schulz and Johnson. The manager should take time to l isten to other people’s views and abstain from being judgmental. Yet again, he/she should honor their commitments and be interested in his staff members. Furthermore, they should be flexible, calm under pressure, effective in addressing issues, and open-minded and flexible. In addition, they should be respectful to others and work toward increasing productivity and meeting deadlines. Honesty, timeliness, optimism, and integrity should be part of the manager’s delights. The manager should be result oriented, be positively interactive and value meetings and other vital events. By setting the tone in this manner, employees are bound to follow suite, in some cases with a few exceptions. Expectations that the Manager should Communicate Understanding what mangers expect from employees is vital for improved performance, good employee relations and employee success. Saville and Higgins (2010) note that without clear work expectations, employees would waste a lot of effort due to lack of or misplaced priorities, endure a lot of stress and waste a lot of time doing unnecessary chores. They also note that when the manger defines clearly job expectations and communicate this to employees, they get to understand what is expected of them. They also understand the reasons why they are doing the work as directed. Furthermore, they get to understand how work progress and realize at the right time when to ask for assistance. This also helps employees in knowing areas where they need to make improvements (Saville and Higgins, 2010). One of the expectations that a hospital manger should

Operational management Case Study Example | Topics and Well Written Essays - 500 words

Operational management - Case Study Example In the work of Barnes (2008) operations management entails proper use of the available resources to make effective and quality production successful. McDonalds embraced the operations management strategy, validating the reason for its success in the market. First, Hill (n.d.) argues that McDonalds has spent a great deal of their energy on product planning. This is inclusive of coming up with products that are friendly to the clients in terms of cost and attractiveness. In the case of McDonalds, a lot of clients have indicated their passion for the chicken nuggets by the restaurant (Hill, n.d.). With the schedule manager on board, McDonalds is able to plan a sales chart, which allows production at any given time. The clients, therefore, return as they yearn for more from McDonalds and are rarely disappointed by the organization. New products are constantly added on the menu as seen in Hill’s (n.d.) work since the client’s preferences constantly change. The menu is inclusive of all foods and drinks for all weathers even the cold season (Hill, n.d.). McDonalds is keen to plan a way forward to deal with its high demand. Hill (n.d.) clearly indicates how McDonalds deals with the volume of production and how to deal with the demand of the clients. Planning the capacity in this case has led to the organization deal with the demand variations both on long and short term basis. Hill (n.d.) emphasizes that the McDonald’s managers are quick to respond to the peak hours of the business, for instance lunchtimes, Friday evenings and weekends in the Eastborough restaurant. With adequate stock of ingredients, McDonalds is able to maintain its large clientele base. In the McDonalds world, layout design has been of essence in making the organization a success. Hill (n.d.) quickly explains the arrangement of the organization that allows effective working, service provision, welcoming the clients, administration and

Business Finance assignment Research Paper Example | Topics and Well Written Essays - 1750 words

Business Finance assignment - Research Paper Example The investor in question believed that smaller firms are less risky compared to larger firms. It is always important to diversify portfolios in order to spread the idea of the risks. Comparing with the 2011 beta or 1.08, the above beta of 1.06 seems to provide a good measure of how the stock movers relative to the broader Australian market index. The function of beta is to measure the risk of stock in relation to the overall market. From the above calculations, it is evident that the selected portfolios are less risky and have diversified the possible risks. On this basis, it is therefore true to say that the investor is likely to have very little loss and fear of risks associated with portfolios. The beta calculated from the investment portfolios is a clear indication of how the portfolio has diversified risks as well as low risk compared to the Australian Market index in 2011. The financial investment was very successful providing additional profit or income of approximately $7,110. In addition to the income received from the portfolio, there is no doubt that the risks associated with the same are too low. For instance, the beta obtained for the overall portfolio clearly indicates that the selected investment portfolios have widespread risks besides being lower than the 2011 Australian Market index beta. When portfolios have spread risks as well as low risks then it is advisable to engage in the investment. The above case scenario is a good example of investment portfolio, which was not only of viable income in terms of increased revenue or income but also given the fact that there were low risks involved, which in any case were widely spread across different firms from different industries and sizes. Indeed, the investment portfolio was a successful

Thursday, October 17, 2019

Book Review Essay Example | Topics and Well Written Essays - 750 words - 6

Book Review - Essay Example One such example is of Texas which is under the territory of United States of America. It is analyzed that around 3.8 million people living in Texas were below the poverty line specified by the government in 2006. And if the previous records are analyzed it can be said that the rate of poverty is going to increase further in the recent years. The book that this essay would analyze is Poverty and Discrimination by Kevin Lang an economist. Poverty and discrimination are two broad topics which are usually not portrayed correct and are not supported enough by the evidence given. However in the book Poverty and Discrimination by Kevin Lang he explains using the broad points on both poverty and discrimination. The books gives many researches and analysis which help the readers to understand what the topics of discrimination and poverty are to this world. He further examines the level of poverty prevailing in this world with the help of his methods and tells how these two subjects are being handled by different governments of this world. Poverty in this world is created by several reasons and in this book Kevin Lang puts out several of these reasons which cause poverty. The determinants of poverty particularly in the United States are emphasized with reference to the discrimination taking place in the States. He particularly points out discrimination amongst black taking place in the United States of America and how it cau ses poverty amongst the different races. He also provides an overview about labor market and how the labor market discriminates between these different races. Here he particularly points out at the education level that the black receive and the level which the whites receive. The vast difference in both these classes causes discrimination to occur. The book gives out policies which have been implemented all over the world regarding poverty and discrimination. And he further analyzes these policies in regard to

Globalization and Environment Essay Example | Topics and Well Written Essays - 3250 words

Globalization and Environment - Essay Example The culture, trade, business, ethics and conduct of one group in one part of the world can influence others may or may not be of same nation. It is irrespective of the time and space and language bindings as these communications are in terms of trade, social internet forums. The process of globalization is therefore, an amalgamation of interaction and integration among different groups of people, various organizations and governments of different nations. This communication is supported by information technology (What is globalization). The interaction not only influences people and their welfare in terms of civilization, traditions, political structure, financial growth and affluences but also affects the environment as a whole (What is globalization). Gradually globalization has defined its terminologies in all aspects of human civilization by making the countries formulate to the policies for open economies both, domestically and internationally (What is globalization). With the implementation of free market economic systems, path is paved for mounting their own industrious potentials and creating multitude openings for international trade and investment. This served as an opportunity for the foreign markets, factories, production and marketing measures with people belonging to different parts of the world (What is globalization). These ... 2. Political Interaction 3. Information and Information Technology (IT) 4. Culture These are the various magnitudes of globalization affecting the natural, local, national and finally the global environment. It directly influences human development (Panayotou, 2000). An outline is drawn to study the globalization and the environment encompassing economic proportions of trade, investment and capital flows (Panayotou, 2000). It is evident that regardless of its mounting strength, the side-effects of globalization and economic trends are inadequately understood as these effects are not straight but are indirect. The growing concern for the environment and its protection has given least emphasis on the prevalence of inexorable globalization (Ehrenfeld, 2003). Globalization is multiplying with such a rapid pace that its consequences are being experienced by the smallest and secluded communities and natural areas may it be a developed or an undeveloped nation. It is evident that despite its insightful impact on the environment, globalization is going to have its say (Ehrenfeld, 2003). The present article therefore signifies the impact of globalization on the environment as a whole may it be natural, social, local, national and lastly global. Globalization has tremendously affected world in various different aspects 1. Industrial- it has provided the surface to the production market with an enhanced access to a wide variety of foreign products and therefore globalization has increased large number of customers for itself. This has helped in the movement of goods and materials between and within the national boundaries. 2. Financial- Globalization has opened the way to procure external financing opportunities to the

Wednesday, October 16, 2019

Book Review Essay Example | Topics and Well Written Essays - 750 words - 6

Book Review - Essay Example One such example is of Texas which is under the territory of United States of America. It is analyzed that around 3.8 million people living in Texas were below the poverty line specified by the government in 2006. And if the previous records are analyzed it can be said that the rate of poverty is going to increase further in the recent years. The book that this essay would analyze is Poverty and Discrimination by Kevin Lang an economist. Poverty and discrimination are two broad topics which are usually not portrayed correct and are not supported enough by the evidence given. However in the book Poverty and Discrimination by Kevin Lang he explains using the broad points on both poverty and discrimination. The books gives many researches and analysis which help the readers to understand what the topics of discrimination and poverty are to this world. He further examines the level of poverty prevailing in this world with the help of his methods and tells how these two subjects are being handled by different governments of this world. Poverty in this world is created by several reasons and in this book Kevin Lang puts out several of these reasons which cause poverty. The determinants of poverty particularly in the United States are emphasized with reference to the discrimination taking place in the States. He particularly points out discrimination amongst black taking place in the United States of America and how it cau ses poverty amongst the different races. He also provides an overview about labor market and how the labor market discriminates between these different races. Here he particularly points out at the education level that the black receive and the level which the whites receive. The vast difference in both these classes causes discrimination to occur. The book gives out policies which have been implemented all over the world regarding poverty and discrimination. And he further analyzes these policies in regard to

Tuesday, October 15, 2019

Self-introduction Personal Statement Example | Topics and Well Written Essays - 500 words

Self-introduction - Personal Statement Example Although I spent much more time than other people in studying, I could not achieve high scores. Fortunately two years ago I chose to continue my education in the U.S., and it was here where my ideas and thoughts about studying changed significantly. First, I realized that as a teenager, studying at school could not be taken for granted. There are many overage students who go back to school after they have already been working in society. Many reasons can be attributed to this phenomenon, but I would say that for most it would be due to financial problems in the family. The fact that some of these people sacrificed their careers in order to receive more education shows how important it is for teenagers to be studying at school. Hence, I must cherish my time studying because I dont want to have to go back and redo it later on. Second, in comparing teaching methods between my home country and the U.S., I would say that here the college professors explored my interest in learning more and made learning fun. Now, although I feel like I have achieved success in college, I believe I must keep stepping forward in my specific field because I understand that knowledge is the most precious property in my life. In view of values, knowledge creates wealth. Therefore, I must prepare well for my future now so that I can reap the benefits once I have finished my education and look to enter the workforce. In the era of the knowledge economy, it is becoming increasingly hard for people to progress without having knowledge. It must be said that no knowledge is worthless because you never know when it will become useful later on. Under the ethos, values, and rights in the United States, I believe that I am more adept to study here instead of my home country. This is because the United States provides many opportunities to students to pursue and fulfill their dreams, something which cannot be applied to every student in my home country. Therefore, I set my

Monday, October 14, 2019

Integrated Occupational Therapy Practice Case Study

Integrated Occupational Therapy Practice Case Study Introduction This report will focus on the occupational therapy (OT) process for Meera (Appendix A), a 56-year-old woman with a left cerebral vascular accident (CVA). Stroke is the death of brain cells due to the lack of oxygen (Bartels et al. 2016).It can either present as haemorrhagic or ischaemic in nature. Risk factors of CVA include hypertension and hypercholesterolemia which Meera has. Stroke may lead to neurological, psychological, speech and musculoskeletal complications. Meeras symptoms of right hemiplegia, right sided neglect and speech difficulties can be attributed to the occlusion of her left middle cerebral artery (Mtui et al. 2016). A multidisciplinary inpatient stroke rehabilitation unit was involved with Meeras post-stroke rehabilitation. Stroke patients who underwent treatment inpatient stroke care were found to have improved independence (Stroke Unit Trialists Collaboration 2013). Treatment was aimed at managing vital problems through restorative and compensatory approaches in order to prepare her for discharge (Edmans 2010). Thus, this service was most appropriate for Meera due to her recent onset of stroke. The OT process was guided by recommendations from the College of Occupational Therapist, National Institute for Health and Care Excellence (NICE)(2013) and Intercollegiate Stroke Working Party (ISWP)(2016)(Edmans 2010). Assessments and Problems Identified An initial assessment was gathered through an interview using the Kawa Model. It portrays a persons life as a river and various objects such as rocks, river banks and driftwood depict circumstances experienced by a person (Teoh and Iwama 2015). Younger stroke patients such as Meera may require services which cater particularly to their needs which most stroke units were found not to do so (ISWP 2016). As Kawa focuses on the view of the client, it allows the therapist to know what is important to Meera in order to formulate priorities for intervention. The assessment is shown below: Life flow and priorities (river) Past Medical History: Hypertension Hypercholesterolemia Roles and Occupations: Independent in self-care Proud Stay at home mother Took charge of matters at home such as: Cleaning Shopping Gardening Laundry Enjoys cooking for family Present Medical History: Stroke Roles and Occupations: Patient Needs assistance in most self-care tasks Loss of previous role and not engaging in occupations meaningful to her Future Meera felt afraid and pointless to talk about the future, worrying that she may have another stroke if she engaged in activity. Obstacle and Challenges (rocks) Occupational performance challenges: Right hemiplegia with increased spasticity in right arm and leg, causing difficulty in: Sitting Coordination of movement Tasks that require her hands due to being right handed Unable to feel sensations on right hand Feels she cannot remember things as easily and may not know the time and place she is at Right sided neglect with visual agnosia, resulting in difficulty : washing right side awareness of people approaching from affected side interacting with others Expressive dysphagia hinders communication with others. Feeling low mostly Feels useless Embarrassed that people are taking care of her Fatigues easily Concerns Family unable to function as she is unable to manage the household A burden to family, especially her husband who needs to manage the household together with the pressure at work now that she is in hospital Childrens studies and social life may be affected as they may be concerned about Meera and visiting her in hospital may affect their daily life Physical and Social Environment (river banks) Physical (Home) 3 room semi-detached Bathroom, toilet and bedroom on the upper storey Kitchen, combined living and dining room on ground floor Nearest bus stop and convenience store 10 minutes walk away Social Close knit family Meera usually supports family members as they will confide her during difficulties Looks forward to dinner every day where family will gather together Family is most vital source of support for Meera Frequent interaction with neighbours and will help each other with chores if needed Occasionally communicates with extended family overseas on phone Personal resources (driftwood) Personality Hardworking Afraid of trying new things Kind and caring Responsible With information from the initial assessment, the problem list was formulated in a client-centred manner (ISWP 2016). Stroke survivors felt more engaged in the therapeutic process when their perspectives were taken into account (Peoples et al. 2011). Interventions were based on Meeras perceived problems in order to increase her motivation in therapy which she lacked. However the Kawa model only shows the problems perceived by Meera but not the therapists views. In order to gather a clinical and therapeutic point of view, standardized assessments were conducted as well. The table below depicts the various assessment conducted, reasons for use, limitations and results. Assessment Reasons for use and limitations Results Assessment of Motor and Process Skills (AMPS) (Fisher and Jones 2010) AMPS evaluates motor and processing skills of clients through observation of appropriate tasks (Fisher and Jones 2010). Self-care, specifically showering, dressing and cooking tasks which was important to Meera, were used to assess. This allowed the OT to break the tasks down and acknowledge the challenges Meera faced in order to formulate an appropriate intervention. AMPS was found to be valid, reliable and standardized among cultures but results has to be computer generated in order to be valid which may make the process tedious (Fisher and Jones 2010). Less than 1 for both motor (Moderate increase in physical effort) and process (Moderate inefficiency and disorganization) skills. Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) (Itzkovich et al. 2000) LOTCA evaluates the orientation, visual and spatial perception, visual-motor organization and thinking operations through the use of various activities included in the kit (Itzkovich et al. 2000). This allowed the OT to assess Meeras right sided neglect and to discover any underlying cognitive deficits. The LOTCA is reliable and valid for use in people with stroke but needed to be conducted in more than one sitting as assessments were long and tedious for Meera who experience fatigue (Katz et al. 2000). Meera was able to sequence tasks but was unable to complete tasks involving her right field of vision. She needed prompts to complete orientation tasks. Activities involving memory were also a challenge for her. Rivermead Motor Assessment (RMA) (Lincoln and Leadbitter 1979) The RMA consists of tests evaluating the gross, leg, trunk and arm function of a stroke patient (Lincoln and Leadbitter 1979). This was conducted together with the physiotherapist. The RMA allowed the team to know which movements Meera had difficulties in order to formulate appropriate interventions. This assessment was found to be reliable and valid but due to being strenuous and long, it had to be conducted in a few sessions due to Meera showing signs of fatigue (Kurtais 2009) Meera was not independent in transfers and mobility, she required assistance of one for transfers and used a wheelchair for mobility. She also had minimum trunk and leg control at her affected side and require assistance for movement. However, she is able to hold objects using her affected arm but cannot reach for an object far away due to scapular instability. Â  From these assessments, 3 problems Meera faced, in order of significance was developed: 1. Loss of independence in self-care affected Meera the most. From the assessments conducted, it was found that challenges in motor, cognition and perception affected her performance in self-care. Managing self-care would focus on these domains as well (NICE 2013). It was hoped that Meera would be more engaged in therapy by focusing on an issue she perceived as critical. This was evidenced by a study where patients were more motivated and engaged more in interventions when treatment was catered to their perceived needs (Combs et al. 2010). This would also help Meera to elevate her mood as low involvement in self-care was found to be a factor for post-stroke depression (Jiang et al. 2014). The psychologist in the team would be managing Meeras low mood as well (ISWP 2016). By working with Meera on her self-care would also remove some burden from Sanjay, who was assumed to be her main carer when she is discharged from hospital. 2. Problems with visual perception, specifically right side neglect and agnosia, were targeted as it was found to have an influence on self-care (Barker-Collo et. al 2010). This would help Meera in performing self-care tasks. Her visual deficits also affected her social life and transfers. Managing her perceptual problems would allow her to interact more with other patients in the ward which could provide her with social support. 3. Meeras motor challenges, specifically right side weakness and spasticity were addressed as it was one of the major challenges faced during self-care. It was hoped that through the management of motor deficits, Meera would increase her engagement in occupations. This would also have a positive effect for Meera in future as it was shown that physical function affected quality of life in stroke patients (Ellis et al. 2013). Motor challenges faced by Meera would be managed in conjunction with the physiotherapist (ISWP 2016). Skills in managing motor challenges can also be transferred to other aspects such as cooking and reinstating her role as a homemaker. Treatment Plan Client Aims: Meera wants to be more engaged in her personal care. Therapist Aims: To increase Meeras engagement in her self-care tasks. To manage Meeras right sided neglect and agnosia. To manage Meeras weakness and spasticity in her right arm, leg and trunk. Objectives: Meera should be able take charge of her own shower and dressing every morning for an hour, with assistance of one, in 4 weeks. Meera should be able to independently identify items required on her right field of vision for washing and dressing every morning in 4 weeks. Meera should be able to go from lying to sitting, and pivot transfer from bed to wheelchair as well as from wheelchair to shower chair, every morning with assistance of one in 4 weeks. Intervention Washing and dressing assessment was conducted through the use of AMPS. This allowed the OT to formulate an appropriate wash and dress plan for multi-disciplinary use through identified difficulties in motor and processing skills (Fisher and Jones 2010). Using a meaningful occupation as a basis for intervention was beneficial for Meera. This can be supported by a study where occupation based intervention was shown to be critical in improving occupational performance (Wolf et al. 2015). The intensity of the intervention would be higher than the recommended minimum frequency of 45 minutes, 5 days a week as it was included in Meeras daily routine (NICE 2013). The washing and dressing plan was adapted from Salisbury District Hospitals (2013) assessment form. The OT conducted the first session in order to teach Meera the relevant compensatory and visual scanning skills. Other sessions could be conducted by other staff with guidance from the plan. A further review after every few days would also be required in accordance to recommendations (ISWP 2016). Washing and dressing plan for Meera Transfers Bed Mobility: Meera is able to roll to her right side independently. She requires assistance from lying to sitting. Bed to wheelchair: Require assistance of one for pivot transfer Standing: Require assistance of one and grab rail in the bathroom Wheelchair to shower chair: Require assistance of one for pivot transfer Allow Meera to navigate to bathroom Washing Notes: Require the use of a shower chair in the shower Allow Meera to initiate and sequence task independently Only give Meera assistance when she asks for it Place items necessary for shower on Meeras right side If Meera seems to be searching for something, prompt her to look for it by turning her head Encourage use of right hand to wash herself Meera may require assistance to release her grip on objects Provide assistance if Meera feel fatigue Upper body: Meera is able to wash her right side independently Meera require assistance to wash above her elbows on her left side Assistance may be needed to wash hair and back thoroughly Lower Body: Meera should be able to wash her genitals and front upper thighs independently Assist Meera in standing with the grab rail with one person supporting at all times Another person will assist Meera in cleaning her bottom and her rear upper thigh Encourage Meera to wash her lower thighs but prevent her from falling from the shower chair Assist in cleaning the rest of the lower thighs Dressing Upper Body: Encourage Meera to put on the bra independently using the one arm method. Allow Meera to use the one hand method to wear her t-shirt. Prompt her by reminding her of the steps if she is struggling Lower Body: Meera requires assistance to put on her trousers while assisted in standing. Both the restorative and adaptive approach was used to guide the intervention. Restorative approach is grounded upon neuroplasticity where relearning takes place when new neural connections form in the brain during constant exposure to various stimulus (Gillen 2016). By practising various movements of her affected side during self-care, Meera should have a reduction in her impairments. This is supported by a study where patients who went through functional motor relearning therapy were found to have improved balance and performance in self-care (Chan et al. 2006). The compensatory approach is where tasks are modified to be easier for the clients to achieve (Edmans 2010). Even though this approach has been criticized for hindering motor recovery in people with stroke, it is still appropriate for Meera (Jones 2017). The compensatory method of using the one hand dressing method served as a feedback mechanism which could improve motivation as supported by Popovic et al. (2014). This would thus encourage Meera to engage in therapy. Risk Management Plan Meera might be fatigue and may not be able to do some of the tasks required. The staff in charge will assist when required and allow Meera to rest when needed. Due to the intimate nature of a wash and dress, Meera might feel embarrassed and down during the process. In order to preserve her dignity, sensitive areas would be covered whenever necessary and observation would be subtle. Environmental hazards would be checked before commencing any transfers or wash and dress in order to prevent falls. Relapse prevention In the hospital setting, encouragement for frequent engagement in occupation and usage of relevant motor and cognitive skills would prevent Meeras occupational performance from deteriorating (Brainin et al. 2015; Ullberg et al. 2015). According to NICE (2013), long-term health and social support should include education on symptoms and dysfunction relating to stroke, services available and participation in meaningful occupation. As such, Meera and her family would be briefed on these strategies. Outcome Measures Evaluation of treatment outcomes is important to conclude if the intervention was successful and used to change the treatment plan according (Mew and Ivey 2010). The outcomes were evaluated by using goals and comparing standardized assessment at baseline and outcome. Firstly, intervention was evaluated through the achievement of goals. Goal achievement was linked to client satisfaction and a significant client-centred outcome (Custer et al. 2013). Meera was able to achieve the objectives as expected. Secondly, the AMPS was conducted again, using the task of showering and dressing (Fisher and Jones 2010). Meera scored higher in these tasks but still required some assistance in achieving them. Thirdly, Meera improved on the LOTCA tasks which involved visual scanning, little to no improvement was seen on the orientation and memory tasks (Itzkovich et al. 2000). Lastly, the RMA was conducted again (Lincoln and Leadbitter 1979). Meera improved in the trunk, leg and upper limb function but there were still signs of weakness and instability involved. Further plans Other domains of concern would be managed as according to initial assessment and outcome measures. Further interventions would include management of cognitive function such as memory and orientation through cooking. Including Meera in a social group such as breakfast club in the ward would be beneficial to her as well (Venna et al. 2014). To prepare for discharge, Meera would be referred to the Early Supported Discharge team. The team would help Meera and her family by introducing appropriate adaptations at home and relevant education on stroke (ISWP 2016). A smooth transition from hospital to home was found to improve patients function in activities of daily living and service satisfaction (Fearon et al. 2012). This would thus be beneficial for both Meera and her family. References Bartels MN, Duffy CA and Beland HE (2016) Pathophysiology, Medical Management, and Acute Rehabilitation of Stroke Survivors IN: Gillen G (ed) Stroke Rehabilitation: A Function-Based Approach (4th Edition). Missouri: Elsevier 2-45 Brainin M, Tuomilehto J, Heiss WD, Bornstein NM, Bath PMW, Teuschi Y, Richard E, Guekht A and Quinn T (2015) Post-stroke cognitive decline: an update and perspectives for clinical research. European Journal of Neurology 22(2):299-e16 Chan DYL, Chan CCH and Au DKS (2006) Motor relearning programme for stroke patients: A randomized controlled trial. Clinical Rehabilitation 30(3):191-200 Combs SA, Kelly SP, Barton R, Ivaska M and Nowak K (2010) Effects of an intensive, task-specific rehabilitation program for individuals with chronic stroke: A case series. Disability and Rehabilitation 32(8):669-678 Custer MG, Huebner RA, Freudenberger L, Nichols LR (2013) Client-chosen goals in occupational therapy: Strategy and instrument pilot. Occupational Therapy in Health Care 27(1):58-70 Edmans J (ed) (2010) Occupational Therapy and Stroke (2nd Edition). Chichester: Wiley-Blackwell Ellis C, Grubaugh AL and Egede LE (2013) Factors associated with SF-12 physical and mental health quality of life scores in adults with stroke. Journal of Stroke and Cerebrovascular Diseases 22(4):309-317 Fearon P, Langhorne P and Early Supported Discharge Trailists (2012) Services for reducing duration of hospital care for acute stroke patients. Cochrane Database of Systematic Reviews 7: CD000443 Fisher AG and Jones KB (2010) Assessment of Motor and Process Skills Vol. 1: Development, Standardization and Administration Manual (7th Edition). Fort Collins: Three Star Press Gillen G (2016) Stroke Rehabilitation: A Functional-Based Approach (4th Edition). Missouri: Elsevier Intercollegiate Stroke Working Party (2016) National Clinical Guideline for Stroke. Royal College of Physicians. Available from: https://www.strokeaudit.org/SupportFiles/Documents/Guidelines/2016-National-Clinical-Guideline-for-Stroke-5t-(1).aspx [Accessed 28 March 2016] Itzkovich M, Averbuch S, Elazar B and Katz N (2000) Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) Battery (2nd Edition). New Jersey: Maddak Inc. Jiang XG, Lin Y and Li YS (2014) Correlative study on risk factor of depression among acute stroke patients. European Review for Medical and Pharmacological Sciences 18(9):1315-1323 Jones TA (2017) Motor compensation and its effects on neural reorganization after stroke. Nature Reviews Neuroscience doi:10.1038. Available from: https://www.nature.com/nrn/journal/vaop/ncurrent/pdf/nrn.2017.26.pdf [Accessed 28 March 2017] Katz N, Hartman-Maeir A, Ring H and Soroker N (2000) Relationships of cognitive performance and daily function of clients following right hemisphere stroke: Predictive and ecological validity of the LOTCA battery. Occupation, Participation and Health 20(1):3-17 Kurtais Y, Kucukdeveci A, Elhan A, Yilmaz A, Kalli T, Tur BS and Tennant A (2009) Psychometric properties of the Rivermead Motor Assessment: Its utility in stroke. Journal of Rehabilitation Medicine 41(13):1055-1061 Lincoln N and Leadbitter D (1979) Assessment of motor function in stroke patients. Physiotherapy 65(2): 48-51 Mew M and Ivey J (2010) The Occupational Therapy Process IN: Edmans J (ed) Occupational Therapy and Stroke (2nd Edition). Chichester: Wiley-Blackwell 49-63 Mtui M, Gruener G and Docker P (2016) Fitzgeralds Clinical Neuroanatomy and Neuroscience (7th Edition). Philadelphia: Elsevier National Institute for Health and Care Excellence (2013) Stroke Rehabilitation in Adults. Available from: https://www.nice.org.uk/guidance/cg162/resources/stroke-rehabilitation-in-adults-35109688408261 [Accessed 28 March 2016] Peoples H, Satink T and Steultjens (2011) Stroke surviors experiences of rehabilitation: A systematic review of qualitative studies. Scandinavian Journal of Occupational Therapy 18(3):163-171 Popovic MD, Kostic MD, Rodic SZ and Konstantinovic LM (2014) Feedback-mediated upper extremities exercise: Increasing patient motivation in poststroke rehabilitation. BioMed Research International 2014(2014): Article ID 520374. Available from: https://www.hindawi.com/journals/bmri/2014/520374/ [Accessed 28 March 2017] Salisbury District Hospital (2013) Occupational Therapy Washing and Dressing Assessment. Salisbury NHS Foundation Trust. Available from: http://www.icid.salisbury.nhs.uk/ClinicalManagement/RecordsAndForms/Documents/12e3053a7be542cabff277c26634947aAcuteOTWashDressAssv1007091.doc [Accessed 28 March 2017] Stroke Unit Trialists Collaboration (2013). Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews 9:CD000197 Toeh JY and Iwama MK (2015) The Kawa Model Made Easy: A Guide to Applying the Kawa Model in Occupational Therapy Practice (2nd Edition). Available from: http://www.kawamodel.com/download/KawaMadeEasy2015.pdf [Accessed 28 March 2017] Ullberg T, Zia E, Petersson J and Norrving B (2015) Changes in functional outcome over the first year after stroke: An observational study from the Swedish Stroke Register. Stroke 46(2):389-394 Venna VR, Xu Y, Doran SJ, Patrizz A and McCullough LD (2014) Social interaction plays a critical role in neurogenesis and recovery after stroke. Translational Psychiatry 4(1):e351 Appendix A Meera CVA Meera is a 56-year-old woman who was recently admitted with a left Cerebral Vascular Accident affecting the middle cerebral artery. She has a history of hypertension and hypercholesterolemia. She was admitted via A E after being found by her husband. Her husband reports that she felt unwell and made her way upstairs to have a lie down. He went out to walk the dog and on his return found her on the floor in the bathroom. Meera presents with a right hemiplegia with increased spasticity in her right arm and leg. As a result, she has difficult with sitting balance and co-ordinating her movements in order to engage in activities such as washing and dressing. Meera also presents with right sided neglect, which results in her failing to identify objects on her right side, difficulty washing her right side and responding to others who approach her from her right. She has difficulty in articulating in a meaningful way to get her needs met and is very tearful. The Occupational Therapist under took an initial assessment with Meera, the report is detailed below. Initial assessment summary Meera appears low in mood and is reluctant to talk about the future. She is worried that she may have another stroke and consequently is reluctant to engage in activity. Meera is embarrassed that she needs help in personal activities of daily living and is reluctant to talk about activities that she finds difficult. Family Meera is married to Sanjay, a 58-year-old man who works as a plumber. They have two children, Anni aged 18 years who has just completed her A levels and will be attending a local university in one months time, and Sam aged 17 who is at secondary school. Social situation The family live in a privately owned three bedroomed semi-detached property in a small town. Sanjay describes Meera as a stay at home mum who prides herself on her family and her cookery skills. Posture Meera has a right- sided hemiplegia; her scapular is unstable and she finds it difficult to flex her arm above 90 degrees. Elbow extension is uncontrolled and there is stiffness in her forearm making supination difficult. She is able to grasp objects but finds release very difficult. Sensory assessment Meera has poor deep and light sensation in her right hand, which has a profound effect on a range of performance areas. Cognition and perception Meera has a right sided neglect which interfers with washing and dressing, and transfers. She also has difficulty socialising with other patients on the ward due to to this. Meera has some cognitive impairment which presents as poor memory and disorientation. These features are more prominent at the end of the day when Meera is tired. Mobility Meera currently uses a wheelchair but can manage a controlled transfer with one person assisting.