Tuesday, November 26, 2019

Store Cashier Incentive

Store Cashier Incentive Introduction Entrepreneurs start businesses with a view to make profit. Profits do not happen by themselves except through a process that executes relevant business functions. The place of the employee or staff is essential towards the achievement of the business goals and objectives. This places the question of staff motivation as key to the fulfillment of business objectives. The relationship between motivation and performance is crucial. Staff motivation has to do with the provision of a pleasant working environment for the workers. It involves the creation of relevant work ethics, clarification of responsibilities and documentation of effective performance appraisal and rewarding system.Advertising We will write a custom essay sample on Store Cashier Incentive specifically for you for only $16.05 $11/page Learn More A company will not be able to achieve desired results without motivated staff. Business owners must ensure that employees derive meaning fro m the work they do. This will guarantee their commitment and excellence in performance. The success of the company depends more or less on the passion and concentration of workers. Staff motivation is the key to business excellence (Bruce and Pepitone, 1999). The store must invest in motivation. Purpose does not exist in most of today’s business enterprises. One of the reasons why staff become demoralized has to do with lack of clarity for the purpose within the business. The store cashier has a vital role of ensuring that the customers of the store get satisfied. This means that the cashier must undertake such tasks and activities that ensure excellent customer service and satisfaction. They must also perform those tasks with the utmost excellence. The incentive program should include clarity of work purposes. The incentive program details the activities involved in the fulfillment of work tasks. The purposes for which those tasks become undertaken must be clarified. Purpose will help workers in making the right choices about work activities and find meaning in what they do. The external needs of the cashiers should be met as a means of providing a pleasant working environment. The program should work around dealing with external uncertainties surrounding customer satisfaction – dealing with customer moods, tastes and preferences (Thomas, 2009). The other components to be considered include – creation of a high performance culture environment and rewarding outstanding implementation and performance. The incentive program should address critical work issues – staff satisfaction with job assignment, recognition, management support and understanding. The components of the incentive program should be integrated within the human resource training module. It should be entrenched in the employee team building program. The business monitoring and evaluation matrices should reflect the adopted components of the incentive program. Excellent feedback mechanism systems should be developed to allow continuous interaction between the employees and the human resource managers and business owners. All the components of the individual incentive program can be adopted for implementation at the corporation or store level. The other store or group incentives include developing a model for corporation wide staff motivation.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The store managers should also refine the store’s core values. The store values should focus the cashiers and other employees towards the store purpose. The same store incentives should be channeled creatively through the store managers and during employees team building activities. The store wide incentives should be entrenched within the store policies and implemented by the managers using a relevant store wide structure. Conclusion The priority of sto re owners should be to develop incentives that motivate the staff. This will result in excellent staff performance and customer satisfaction. References Bruce, A., Pepitone, J.S. (1999). Motivating Employees. New York: The McGraw – Hill Companies, Inc. Thomas, K. W. (2009). Intrinsic Motivation at Work: What Really Drives Employee  Engagement. California: Berrett – Koehler Publishers, Inc.

Saturday, November 23, 2019

Astronomy 101 - Early History of Astronomy

Astronomy 101 - Early History of Astronomy Astronomy is humanitys oldest science. People have been looking up, trying to explain what they see in the sky probably since the first human-like cave dwellers existed. Theres a famous scene in the movie 2001: A Space Odyssey, where a hominid named Moonwatcher surveys the sky, taking in the sights and pondering what he sees. Its likely that such beings really did exist, trying to make some sense of the cosmos as they saw it. Prehistoric Astronomy Fast forward about 10,000 years to the time of the first civilizations, and the earliest astronomers who already figured out how to use the sky. In some cultures, they were priests, priestesses, and other elites who studied the movement of celestial bodies to determine rituals, celebrations, and planting cycles. With their ability to observe and even forecast celestial events, these people held great power among their societies. This is because the sky remained a mystery to most people, and in many cases, cultures put their deities in the sky. Anyone who could figure out the mysteries of the sky (and the sacred) had to be pretty important.   However, their observations were not exactly scientific. They were more practical, although somewhat used for ritual purposes. In some civilizations, people assumed that that celestial objects and their motions could foretell their own futures. That belief led to the now-discounted practice of astrology, which is more of an entertainment than anything scientific.   The Greeks Lead the Way The ancient Greeks were among the first to start developing theories about what they saw in the sky. Theres much evidence that early Asian societies also relied on the heavens as a sort of calendar. Certainly, navigators and travelers used the positions of the Sun, Moon, and stars to find their way around the planet.   Observations of the Moon suggested that Earth, too, was round. People also believed that Earth was the center of all creation. When coupled with the philosopher Plato’s assertion that the sphere was the perfect geometrical shape, the Earth-centered view of the universe seemed like a natural fit.   Many other early observers believed the heavens were really a giant crystalline bowl arching over Earth. That view gave way to another idea, expounded by astronomer Eudoxus and philosopher Aristotle in the 4th century BCE. They said the Sun, Moon, and planets hung on a set of nesting, concentric spheres surrounding Earth. Nobody could see them, but something was holding up the celestial objects, and invisible nesting balls were as good an explanation as anything else. Although helpful to ancient people trying to make sense of an unknown universe, this model did not help in properly tracking the motions planets, the Moon, or stars as seen from Earths surface. Still, with few refinements, it remained the predominant scientific view of the universe for another six hundred years. The Ptolemaic Revolution in Astronomy In the Second Century BCE, Claudius Ptolemaeus (Ptolemy), a Roman astronomer working in Egypt, added a curious invention of his own to the geocentric model of nesting crystalline balls.   He said that the planets moved in perfect circles made of something, attached to those perfect spheres. All that stuff   rotated around Earth. He called these little circles epicycles and they were an important (if erroneous) assumption. While it was wrong, his theory could, at least, predict the paths of the planets fairly well. Ptolemys view remained the preferred explanation for another fourteen centuries! The Copernican Revolution That all changed in the 16th century, when  Nicolaus Copernicus, a Polish astronomer tiring of the cumbersome and imprecise nature of the Ptolemaic model, began working on a theory of his own. He thought there had to be a better way to explain the perceived motions of planets and the Moon in the sky. He theorized that the Sun was at the center of the universe and Earth and other planets revolved around it. Seems simple enough, and very logical. However, this idea conflicted with the Holy Roman churchs idea (which was largely based on the perfection of Ptolemys theory). In fact, his idea caused him some trouble. Thats because, in the Churchs view, humanity and its planet were always and only to be considered the center of all things. The Copernican idea demoted Earth to something the Church didnt want to think about. Since it was the Church and had assumed power over all knowledge, it threw its weight around to get his idea discredited.   But, Copernicus persisted. His model of the universe, while still incorrect, did three main things. It explained the prograde and retrograde motions of the planets. It took Earth out of its spot as the center of the universe. And, it expanded the size of the universe. In a geocentric model, the size of the universe is limited so that it can revolve once every 24 hours, or else the stars would get slung off due to centrifugal force. So, maybe the Church did fear more than a demotion of our place in the universe since a deeper understanding of the universe was changing with Copernicuss ideas.   While it was a major step in the right direction, Copernicus’ theories were still quite cumbersome and imprecise. Yet, he paved the way for further scientific understanding. His book, On the Revolutions of the Heavenly Bodies, which was published as he lay on his deathbed, was a key element in the beginning of the Renaissance and the Age of Enlightenment. In those centuries, the scientific nature of astronomy became incredibly important, along with the construction of telescopes to observe the heavens. Those scientists contributed to the rise of astronomy as a specialized science that we know and rely upon today.  Edited by Carolyn Collins Petersen.

Thursday, November 21, 2019

Customer Inserts Research Paper Example | Topics and Well Written Essays - 2250 words

Customer Inserts - Research Paper Example The extensive use of this therapy is also a subject of focus within this paper. The paper also tries to categorize this therapy in terms of set models of classifications for treatment of mental illnesses. The various aspects of the therapy which require improvements are covered within the context of the paper. Introduction Schizophrenia can be identified as a chronic mental illness which is characterized by the inability to process thoughts. Individuals suffering from this condition experience various symptoms. These symptoms may include paranoia as a result of mental instability (American Psychiatric Association, 2000 ). The individual gets the impression that others are conspiring against him/her and thus paranoia begins. Other symptoms may include hallucinations, disorganized speech and delusions. Hallucinations come as a result of the individual hearing voices which do not exist. This condition has been associated with a number of factors. Though there exists a small percentage l inked to genetic factors, the condition is immensely associated with substance abuse. The most common drugs associated with this condition include are cannabis and cocaine. Environmental factors like social groups can also be linked to the development of the condition to a small extent. Most of the environmental factors associated though, seem to lead to substance abuse. It is therefore not clear whether there is a direct connection between the environmental factors and schizophrenia. There exist numerous medications which have been used to treat schizophrenia. Being a mental condition, the treatment targets the developed symptoms as there are no viruses or infectious pathogens. The most effective, known methods have been application of first and second generation antipsychotic. These are aimed at getting the individual away from the causative agent. There exist numerous interventions employed commonly in the treatment of this condition. These include cognitive behavioral therapy, s ubstance abuse treatment, family member education, assertive community treatment, training in social skills among others. All these interventions aim at reducing the symptoms displayed by an individual. The intervention Cognitive behavioral therapy is a reality based intervention employed to help people with schizophrenia. It has been extensively used in many cases where symptoms associated with schizophrenia become evident. The king’s college in London developed this intervention. Numerous studies and researches have been undertaken in different parts of the world aiming at providing more information concerning the application of this reality based intervention (Berrios, 1994). This therapy aims at improving cognitive abilities which become drastically reduced by schizophrenia. It targets at restoring the cognitive abilities of an individual suffering from schizophrenia. Supported employment has been profoundly used in the treatment of individuals showing severe symptoms of schizophrenia. Supported employment is part of the cognitive behavioral therapy administered for the treatment of severe mental conditions. Through the use of supported employment, the people with mental illnesses like schizophrenia have been able to maintain competitive employment. The method employed in this study for collecting information was to use individuals with a severe mental condition. Some of the individuals chosen also had to have a history of job failures. They were

Tuesday, November 19, 2019

The Beatles and drugs Essay Example | Topics and Well Written Essays - 2500 words

The Beatles and drugs - Essay Example This change however was not only affecting Britain but the rest of foreign countries in their music and exposing them to new ways of life. It is then argumentative and controversial as to whether the Beatles made positive or negative changes to the lives of Britons in the period. It is in this essay, therefore, that we shall figure out this by focusing on various influences the Beatles had on music and life of the people of Britain. The Beatles are known to have had a great influence in the 1960s, to the British society through a unique music they composed and sang. The existing and growth of rock and roll, for instance, is highly attributed to them as they are the very first band that came up with a musical style. Rock and roll style became quite useful during the years of war, 1939- 1945. Through the Beatles, it called for people to exercise patriotism and reunite with soldiers to make the existing situation better (Gammond & Peter, 1993). One of the singers of these times of war was Vera Lynn, with her songs like: The White Cliffs of Dover and Well Meet Again bringing her to fame in Britain, during the period. The pre-rock and roll era in Britain is, therefore, said to have existed in the 1940s and 50s. Frankie Vaughan and Dickie Valentine were the solo singers who dominated the music industry, with the musical tunes they had borrowed from the Beatles. A big difference is clear between the music of the pre-B eatle era and that of the Beatles onwards. The Pre- Beatle era, for instance, was less modernized and quite unproductive time for music in Britain. Times however became better in the following years where the Beatle band began and consequent ones, as music then began moving to the desired direction. Following the rock and roll era was the rhythm and blues music; which was determined to take over the Beatles, who had already taken the music industry by storm. It was through

Sunday, November 17, 2019

Porter Diamond Essay Example for Free

Porter Diamond Essay Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 1. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e. g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 2. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 3. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 4. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between  management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 5. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 6. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 7. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality  supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 8. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 9. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 10. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 11. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 12. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 13. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 14. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 15. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 16. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are  leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 17. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 18. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 19. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 20. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 21. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 22. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 23. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 24. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies CGE25101 Globalization and Business Tutorial 12 Discussion Question: The Porter’s Diamond Michael Porter put forth a theory in 1990 to explain why some countries are leaders in the production of certain products. His work incorporates certain elements of previous international trade theories but also makes some important new discoveries. He identifies four elements present to varying degrees in every nation that form the basis of national competitiveness. Analyze the current situation of Japan using the four elements of Porter’s national competitive advantage theory. Suggested Answers: 25. Factor conditions Japan possesses relatively weak basic factors but good advanced factors, e.g. availability of high quality scientist and engineers; and advanced rail road and telecommunication infrastructure. 26. Demand conditions High degree of buyer sophistication Strong preference for new product and high demand for quality products and services 27. Related and supporting industries Clusters in manufacturing sector are sustained by abundant and high quality supporting industries. For example, the automobile parts cluster in Ota City and the industrial supply base for construction machinery in Komatsu City. 28. Firm strategy and rivalry Good cooperation in labor-employer relations. Japan has traditionally lifetime employment, which helps to build good relationship between management and employees High intensity of local competition. There are large number of companies in both manufacturing and service sectors, e.g. car manufacturers and IT software companies

Thursday, November 14, 2019

Comparing Tension and Conflict in Things Fall Apart and Clear Light of

Tension and Conflict in Things Fall Apart and Clear Light of Day      Ã‚  Ã‚   How does the tension between traditional and modern views of the world play itself out in Achebe's "Things Fall Apart", and Desai's "Clear Light of Day"?      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     In both Achebe's and Desai's novels, tension and conflict between the new and the old, traditional and modern are the strong undercurrents that move the story and the reader into an unconscious emotional uneasiness.    In both novels, the backdrop and the story are engrossed in a struggle between two worlds, the new and the old fighting out its battles in the characters portrayed within.  Ã‚   Achebe makes his stand in eastern Nigeria while Desai illustrates her point in Old Delhi.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the first part of "Things Fall Apart", Achebe, portrays a traditional African culture, but one on the verge of change.  Ã‚   Early in the novel you can see change is already taking place.   "...in the past a man who broke the peace was dragged on the ground throughout the village until he died.   But after a while this custom was stopped because it spoiled the peace which it was meant to preserve."  Ã‚  Ã‚   But traditions continued on, including ritual killing and banishment of one of the village leaders.   But then things begin to change more rapidly with the coming of the missionaries.   When they gave them the "evil forest" to build their churches on there was no turning back.   Many of the abused and outcast were converted when they saw that these new people prospered in the evil lands. The people started to revolt against their traditional gods.   "Three converts had gone into the village and boasted openly that... ...k after...  Ã‚   But even this simple act has its overtones, "...she has always liked to rule others..."      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In both of these novels the main characters have to be strong to deal with the tides between tradition and modern culture.   Their lives are not easy, but while reading about them, maybe we can make it easier for others to live in our world and understand those who do not wish to make the journey of "progress".   Failing that, maybe we can at least understand our own journey through this jumble we call life.    Works Cited and Consulted    Achebe, Chinua. Things Fall Apart. Portsmouth, New Hampshire: Heinemann Educational Publishers, 1986.    Desai, Anita. The Clear Light of Day London: Penguin, 1990    Taiwo, Oladele. Culture and the Nigerian Novel. New York: St. Martin's Press, 1976.

Tuesday, November 12, 2019

Stroke Care Management and Pressure Ulcer Assessment Tool

Student Number: 21127187 Module: Assessment and Therapeutic Care Management Module Code: AN 602 Assignment Title: A Case study: Stroke Care Management and Pressure Ulcer Assessment Tool Word Count: 3296 Date Submitted: 11th January, 2012 This academic work aims to present a clinical case study of a patient who is diagnosed of cerebrovascular accident (CVA), also called â€Å"stroke†, achieve a deeper understanding of debilitating post-stroke complications using an assessment guide and nursing interventions to the nursing diagnosis of impaired skin integrity.This essay aims to incorporate the utilisation of a pressure ulcer grading assessment tool to establish baseline assessment data and facilitate ongoing wound care management in relation to pressure ulcers (PrUs) as one of long term problems encountered in the care of a stroke patient. A holistic assessment of the patient will be required, identifying activities of daily living to enable the nurse to devise a plan involving the therapeutic team in line with identified nursing diagnoses.Due to limitation on word count, the essay will focus more on the present health status in relation to areas pertinent to PrUs management during the rehabilitation process. For the purpose of this academic work, the patient will be protected by the Nursing and Midwifery Council (NMC) Code of Conduct (2008) by use of a pseudonym, ‘Mr. X’. Mr. X, is an 87 year-old elderly obese patient, with long-term diagnosis of Hypertension (HPN) and Non-Insulin Dependent Diabetes Mellitus (DM), on maintenance medications, who was recently diagnosed of Cerebrovascular Accident (CVA).Mr. X was transferred to a nursing home after the acute hospitalisation for long-term care. Brunner (2008) defines CVA, Ischemic Stroke, or â€Å"Brain Attack† as sudden loss of neurologic functioning resulting from blood flow disruption in cerebral blood vessels. Stroke has two main types, Ischaemic and Hemmorhaegic: the former is caused by an infarct of blood clot in brain artery and accounts for 80 % of all stroke cases; while the latter is caused by bleeding into the brain tissues accounting to 20 % of stroke occurrences (Feigin et al, 2003).Stroke is the third leading cause of death and is a major cause of adult neurological disability which affects approximately 130,000 people a year in the UK (National Audit Office, 2005). Mr. X was diagnosed of having left middle cerebral artery (MCA) infarct 7 months ago resulting to neurological deficits on the contralateral side of the body. The extent of deficits following stroke depends upon the affected cerebral artery and subsequent areas of brain tissue compromised of blood supply by the damaged vessel (Porth, 2007). Upon assessment, Mr.X has right side hemiplegia, contralateral sensory impairment, dysphasia, bowel and bladder incontinence, and an existing Category I PrUs on both heels. The hemiplegia is explained by Brunner (2008) that because motor neurons decussat e, a disturbance of motor control on one side of the body may reflect damage to the motor neurons on the opposite side of the brain. Williams et al (2010) states that following a MCA infarct, there is alteration of the brain’s ability to process and interpret sensory data which results in Mr. X’s sensory impairment.Porth (2007) defines aphasia as a general term with varying degrees of inability to comprehend, integrate, and express language. Porth (2007) further states that a stroke on the MCA territory is the most common aphasia-producing stroke. It is then imperative to understand the pathology of affected areas of the brain to anticipate presence of motor, sensory, and speech deficits where the nurses and entire therapeutic team can intervene. For the purpose of data gathering and assessment, Gordon’s Functional Health Pattern (1987) is utilised as a framework of this essay.The model presents 11 functional health patterns categorized systematically for data c ollection and analysis, and is used as a guide in the development of a comprehensive nursing data base ( Gordon, 2000). The nurses can identify functional patterns as the clients’ strengths and dysfunctional patterns as the nursing diagnoses, which assist the nurse in developing the care plan (Gordon, 1994, 200). The assessment guide is particularly chosen because it gives the nurse a full opportunity to examine not only the physical aspect f human functioning but includes physiological and psychological disturbances experienced by the patient. Nursing diagnoses can then be derived from the wide-range of assessment data collected. The Gordon’s assessment tool is thereby used a framework for ensuring that all aspects of an individual’s patient’s life are considered. However, this essay will only focus on the following health patterns: Cognitive – Perceptual, Nutritional-Metabolic, Activity and Exercise where nursing problems were identified and ther eby require therapeutic care management.The Agency for Healthcare Policy and Research Guideline for Post-Stroke Rehabilitation (AHCPR, 2005) recommends that initial assessment of stroke patients should include a complete history and physical assessment with emphasis on medical co-morbidities, level of consciousness, skin assessment and risk of PrUs, mobility, and bowel and bladder function. Moreover, the following areas of assessment contribute to the development of PrUs: impaired sensory perception or cognition, decreased tissue perfusion, nutrition and hydration status, friction and shear forces, skin moisture, mobility, and continence status (Brunner, 2008; Porth 2007).The specific areas mentioned above will be of greater emphasis due to its contribution to PrU management in post-stroke Mr. X. Based upon history taking, Mr. X has been living with Hypertension (HPN) and DM for 12 years and has been insulin dependent for 5 months now after the occurrence of stroke. Past medical his tory must be taken into essential consideration especially in chronic conditions to ascertain levels of compliance to medical interventions, perception towards illness, and impact on patient’s lives (Crumbie, 2006).Establishment of rapport and consequently gaining trust from the patient thereby enables the nurse to create a good baseline history assessment and attain patient’s cooperation through the entire rehabilitation process. The nursing process first step is assessment which involves collecting data to help identify actual and potential health problems and patient needs. In order to develop appropriate nursing diagnoses, accurate assessments should be made to guarantee allocation of appropriate resources in the planning stage to achieve expected outcomes. Potter and Perry, 2008). It could be suggested that nurses in this stage of nursing process should employ opportunities for holistic assessments and use critical thinking in determining focus areas to be include d in the database. The cephalo-caudal principle of assessment is incorporated as a guide for presenting the health patterns, which sets the Cognitive – Perceptual pattern as the first to be approached highlighting assessments on cognition, perception, sensory, pain, and language.Williams et al (2010) states that post-stroke damage to the brain can result to cognitive and sensory impairment which often includes a decrease in thinking, effective decision-making, memory, and perception. Mr. X’s assessment of this health pattern reveals communication difficulty between patient and healthcare team. If communication problems arise, nurses conduct referrals to the Speech and Language Therapy (SLT) who diagnoses presence of aphasia. However, the type of aphasia has not been established yet since Mr.X has been reportedly uncooperative to therapies. It could be suggested however, that basing on research, the Frenchay Aphasia Screening test (Enderby et al, 1987) can be utilised b y the SLT to administer a quick language measure. Another recommendation is the participation of nurses in an interview (Inpatient Functional Communication Interview, McCooey et al, 2004) by the SLT to describe how Mr. X communicate at bedside to help the SLT diagnose communication problems, if any.The limitation on data gathering and assessment process can be compromised at this stage because of problems on communication between the nurse and the patient. It could be suggested that a referral to a speech pathologist can be made to evaluate the patient’s speech, language and ability to understand by testing verbal expression, writing ability, reading, and understanding of verbal expression (Barker, 2002). A nursing diagnosis identified is Impaired verbal communication related to effects of dysphasia.It may be suggested that nurses should provide patients with aphasia a constant way of communicating, through hand gesture, tone of voice, facial expressions and verify responses with family members when warranted ( Holland et al, 2003). It may also be necessary to talk slow, clear, in simple terms and render the patient ample time to understand the information given (Barker, 2002). Family members of aphasic stroke survivors may also experience difficulty in various roles of care giving since the patient cannot communicate effectively (Christensen and Anderson, 1989; Draper and Brocklehurst, 2007).Therefore, it is also necessary to include the family, caregivers, and the nurses at bedside during therapies to maximise nursing care (Intercollegiate Stroke Working Party, 2008). Mr. X’s perception of pain is assessed periodically at varying times of a day to ensure pain relief. Mr. X cannot verbalise pain, but most of the time shows facial grimaces while pointing to right shoulder and hand where pain are felt. Brunner (2008) says that as many as 70 % of stroke patients suffer severe shoulder pain that prevents patients to perform balance and perform self- care activities.Mr. X upon physical assessment has painful shoulder, swelling and stiffness on right hand, defined by Brunner (2008) as shoulder-hand syndrome which causes a frozen shoulder and subcutaneous tissue atrophy, and is always painful. However, according to Edwards & Charlton (2002), it cannot be a cause of pain if managed correctly with appropriate limb support. In this regard, pain assessments should always be subjective and be backed up with objective data gathered. Nursing diagnosis identified is Chronic pain related to immobility secondary to disease process (Heath, 2008).Mr. X has been prescribed with pain relief, Piroxicam gel onto pain areas three times a day and Tramadol tab daily. Piroxicam Gel is a non-steroidal anti-inflammatory drug that inhibits the enzyme prostaglandin thereby reducing pain and swelling whereas Tramadol is an Opiod analgesic (British National Formulary, 2010). Moreover, Mr. X has been receiving Amitryptiline HCl to help in the management of post-stroke pain but it causes cognitive problems and sedation (Brunner, 2008) thereby requiring safety nursing measures.However, non-pharmacological nursing interventions should be employed first hand before medical interventions. Brunner (2008) suggests elevation of the hand and arm to prevent edema. National stroke guidelines recommend any patient whose range of motion at a joint is reduced should undergo passive stretching of all affected joints on a daily basis, and furthermore, taught to carers (Carter & Edwards, 2002) provided that pain relief is achieved at all times.Referrals to physical therapy or occupational therapy are suggested to evaluate physical debilitations relating to functional mobility to promote pre-morbid independence and subsequently enhance quality of life (Barker, 2011). The second health pattern to be presented is Nutritional – Metabolic. Stroke can present a wide range of deficits which can affect ability to eat and predispose a post-stroke patien t from malnutrition (Williams et al. , 2010).It is supported by Shelton and Reding (2001) who integrates associated weakness and sensory loss on arm and face more than the leg in patients who has had occlusion of the MCA. Barker (2002) states that nearly one third of stroke survivors have dysphagia and chewing difficulties which prompts nurses strategies to liaise aspiration risk with SLT and nutritionist or dietitian. Special diet and caloric calculations may also be needed for Mr. X due to daily insulin management, not to mention daily blood glucose monitoring.Waterlow (1985) emphasizes that those with eating difficulties are likely to eat less, thereby slowly predisposing to poor nutritional intake, so efforts should be directed at creating good balanced diet, is well-presented, and if possible, assistive devices are provided such as adapted cutlery for ease in eating, plate guards, non-slip pads and beakers for drinking. Monitoring of nutritional deterioration of post stroke pat ients is essential during rehabilitation phase thereby giving attention to nutritional intake, weight, gastrointestinal function, and general health condition (NICE, 2005).Weekly weighing has been advocated and utilization of nutritional screening tools that are validated and reliable are recommended by NICE (2005). Review of systems provides skin assessment in nutritional metabolic health pattern which revealed presence of pressure ulcer on heels. The European Pressure Ulcer Advisory Panel (EPUAP) and National Pressure Ulcer Advisory Panel (NPUAP) (2009, p7) defines, ‘ A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence , as a result of pressure, or pressure in combination with shear’.Waterlow (1996) emphasizes that excessive weight increases pressure on a bony area thinly covered by tissue such as the sacrum, heels, and trochanters. Pressure ulcers (PrUs) on the heel is a very common site of PrUs, ranking second fro m the sacrum (Bennett & Lee,1985; Hunter et al, 1985; Wong & Stotts, 2003) and is often painful (Black, 2005). Krueger (2006) in her study, stated that 25% of heel PrUs are related to diabetic neuropathy and peripheral arterial occlusive disease.PrU classification systems describe how severe the tissue damage is through progressive numbers or categories (Dealey, 2009). Given that all professionals utilize same system, logic dictates that all PrUs will be objectively assessed, however, Ousey (2005) debates that many grading systems available are rather subjective in nature giving professionals varying assessment interpretations. Grading systems assists healthcare professionals identify the severity of PrUs and serve as a baseline for care plans. However, careful clinical judgement by the nurse s essential in ensuring that the classification systems are used only as a guide, professional skills in assessment are needed to ascertain objective assessment data. In conclusion, grading sys tems serve as valuable tools to determine pressure sore severity in clinical practice, audit, and research ( Beeckman, 2007). Moreover, consistency in the use of classification system will enable the professionals to define progress of healing, allow evaluation of goals of treatment, and revise plans as deemed necessary.Based on the European Pressure Ulcer Advisory Panel (EPUAP) and National Pressure Ulcer Advisory Panel (NPUAP) (2009) Pressure Ulcer Classification System, Mr. X has a Category I PrU and is defined as an area of intact skin with non-blanchable redness of a localized area, usually on a bony prominence, which may present as painful, warm, and edematous. The NPUAP and EPUAP classification system was designed to provide commonality in the definition and grading / categorization / staging of pressure ulcer, which is applicable in international settings.It has four categories, Category I to IV, each defining level of skin injury and adding physiologic descriptions, which i s recommended by NICE (2005). Terms such as unclassified or unstageable and deep tissue injury (DTI) which are classified as category IV is discussed separately in the new guideline (NPUAP and EPUAP, 2009). Ousley (2005) stated that Surrey system of classifying PrUs is the simplest tool available, presenting same four levels in plain terms, however, warns professionals of its relative subjectivity due to its simplicity.The EPUAP (2007) grading system is almost similar to NPUAP (2007), describing four grades, each is described in detail. However, according to a study done by Beeckman (2007), the EPUAP system of classification has a low inter-rater reliability because of complex details in the definition, leading to a low commonality of professionals identifying the categories of PrUs, jeopardising audit of prevalence rates and affectivity of wound management.The Torrance grading system involves five stages, each stage described simply and is easy to use, however it was not widely uti lised because of its number of categories (Ousey, 2005), which may impose confusion against four categories, rather than achieving consensus. Healey (1995) in her study, revealed that Surrey, Torrance, and Stirling systems do not have a high level of reliability. Similarly, the Stirling Pressure Sore Severity scale (SPSSS) tool is argued by Healey (1995) to have the lowest reliability rate because of its most complex subscales under each category.There are four stages starting from 0 where there is no evidence of pressure ulcer, then each category has subsections, describing the level of skin injury, wound bed, and presence of infection parameters (Ousley, 2005). However, Waterlow (1996) in her work on pressure sore prevention established the use of SPSSS as the standard classification system to be implemented because she argues that specialists and researchers need to define pressure ulcers in greater depth whereas the other systems’ relative simplicity is regarded as weakne ss in lieu of its use on clinical audit.In this regard, the NPUAP and EPUAP guideline is considered useful because it provides evidence-based assessment as it is proven to be an effective and reliable tool in every healthcare setting. This will enable the healthcare team to improve the care required for pressure ulcer due to a common baseline assessment of the ulcer, thereby requiring a specified care management depending on its stage. Nurses can then devise a care plan based on ulcer grading, identify appropriate treatment, allocate care resources, implement the plan, and do continual evaluation of the care plan with its goal directed at wound healing.However, to achieve this level of patient assessment and care, every nurse should possess the necessary knowledge and skills which can be achieved through continuing education and trainings in pressure risk assessment and PrUs management, an interdisciplinary collaboration ( NICE, 2005). Nursing diagnosis identified is Impaired skin i ntegrity related to immobility and decreased sensory perception secondary to disease process (Heath, 2009). Nursing management employed were repositioning Mr.X every 2 hours avoiding positioning on pressure area (EPUAP and NPUAP, 2009) and taking weight off the mattress by placing a pillow or a folded blanket under entire length of the leg and not under the Achilles tendon to protect the knee as well (Waterlow, 1996; NPUAP and EPUAP, 2009, Langermo et al, 2008). There are marketed devices for heel protection but needs constant care giver assessment since these devices are found to not keep the heels off the bed better than pillows do (Tymec et al, 1997).Relieving the pressure off the heels is often all that is needed to recover the tissues in category I Heel PrUs (Langemo et al, 2008) and if offloaded continuously hastens recovery time (Black, 2005). Periods of frustration and depression are sporadically experienced by 40 % of stroke patients throughout the recovery process or as a new phase in the trajectory of a chronic illness and is often underdiagnosed (Barker, 2002).Ideally, a psychiatrist or a clinical psychologist diagnoses depression, but according to Intercollegiate stroke Working Party (2008) a healthcare professional with mental health training can diagnose using a clinical interview. It can also be suggested to use brief screening tools to identify patients at risk of depression such as the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983) or the Geriatric Depression Scale GDS ( Yesavage et al, 1982) which are validated tools to assess mood in stroke populations (Williams et al, 2010). Amitryptiline HCl, a Tricyclic antidepressant (BNF, 2010) is prescribed for Mr.X, and is taken daily. Duncan (2005) sets the prevention of stroke recurrence as the highest priorities in stroke rehabilitation and is therefore the responsibility of the nurse to understand stroke risk factors and apply contemporary evidence based lifestyle changes after pr oper training (Lawrence et al, 2011). Barker (2002) reports that stroke survivors have 30% probability of recurring stroke within a year and 50% can suffer fatal strokes in 5 years. It could then be suggested that a Stroke Risk Screening Tool (Barker, 2002) be utilised to decrease risk of death and evaluate risk factors of Mr.X such as HPN which is managed at present with antihypertensives, DM managed with Insulin injections, Hypercholesterolemia managed with Antilipidemics, advancing age, obesity, and diet. Therefore, an important aspect of nursing care is health education whereby nurses promote lifestyle change and supportive behavioral approach towards long-term health modification. In conclusion, nurses’ role in the care of post-stroke patient is multi-faceted, one that requires interprofessional linkage and deep understanding of contemporary evidence based interventions to address issues.DH (2007) further suggests that post stroke patients and their carers should receive support from varying range of services made available locally. Most importantly, though nursing interventions are standardized as guidelines, it could be suggested that it may not be all applicable in every patient interaction and care should be individualized as needed (Landers & McCarthy, 2007). Therefore, it is of prime importance for nurses to understand that healthcare decisions are based from patient’s individual choices derived from rational decision-making and the objective and rofessional advice of every member of the therapeutic team. Reference List Agency for Health Care Policy and Research. (1992) Pressure ulcers in adults: prediction and prevention. Clinical practice guideline no. 3. AHCPR, Public Health Service, US Department of Health and Human Services. Rockville, MD: US Department of Health and Human Services. Barker, E. (2002) Neuroscience nursing: a spectrum of care. 2nd ed. Missouri. Mosby. Beeckman, D. , and Schoonhoven, L. (2007). EPUAP classification s ystem for pressure ulcers: european reliability study. Journal of Advance Nursing. 60 (6), 682-691. Bennett L, & Lee, BY. 1985) Pressure vs. shear in pressure sore causation:Chronic ulcers of the skin. New York. McGraw Hill. Black, J. (2005) Treating heel pressure ulcers. Nursing. 35:68. British national formulary. (2010) British national formulary:March 2010. London. BMJ group. BNF. org Carter, P. & Edwards, S. (2002) General principles of treatment. Neurological Physiotherapy: A problem solving approach. 2nd ed. Edinburgh. Churchill Livingstone. Christensen, JM. and Anderson, JD. (1989) Spouse adjustment to stroke:aphasic vs. non-aphasic partners. Journal of Communication Disorder. 22 (4), 225-231. Crumbie, A. 2007) Assessment and management of the patient with chronic health problems : Watson;s clinical nursing and related sciences. 7th ed. Edinburgh. Dealey, C. (2009) Skin care and pressure ulcers. Advances in Skin and Wound Care. 22 (9), 421-428. Department of health (2007) The national stroke strategy for England. Department of health. [online]. Available from:http://www. stroke. org. uk/campaigns/stroke_policy/the_national_stroke. html [14 November, 2011] Draper, P. and Brocklehurst, H. (2007) The impact of stroke on the well-being of the patient’s spouse: an exploratory study. Journal of Clinical Nursing. 6 (2), 264-271. Duncan, P. , Zorowitz, R. , Bates, B. , Choi, J. , Glasberg,J. , Graham, G. , Katz, R. , Lamberty,K. , and Reker,D. (2005) Management of adult stroke rehabilitation care:a clinical practice guideline [online]. American heart association. Available from: http://stroke. ahajournals. org/content/36/9/e100. full. [Accessed 12 October 2011]. Edwards, S. & Charlton, PT. (2002) Splinting and the use of orthoses in the management of patients with neurological disorders. Neurological Physiotherapy: A problem solving approach. 2nd ed. Edinburgh. Churchill Livingstone. Enderby, P. , Wood, V. , and Wade, D. 1987) Frenchay Aphasia Screening Test. NFER-Nelson. Windsor. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. , (2009) Pressure ulcer prevention: quick reference guide [online]. Available from: www. eupap. org [Accessed 20 November 2011]. Feigin, V. , Lawes, C. , Benett, D. , Anderson, C. (2003) Stroke Epidemiology: a review of population-based studies of incidence, prevalence, and case fatality in the late 20th century. The Lancet Neurology. 2 (1) 45-53. Gordon, M. (1994). Nursing diagnosis: Process and application. 3rd ed. St. Louis: Mosby. Gordon, M. (2000). Manual of nursing diagnosis: 1995-1996.St. Louis: Mosby. Healey, F. (1995) The reliability and utility of pressure sore grading. Journal of Tissue Viability, 5 (40), 111-114. Heath, H. (2002) Potter and perry’s foundation in nursing theory and practice. London. Elsevier science limited. Heather, H. (2009) North American nursing diagnosis association international nursing diagnoses. Oxford. Wiley-blackwell. Holland, K. , Jenkins, J. , Solomon, J. and Whittam, S. (2003) Applying the roper logan Tierney model in practice. London. Elsevier limited. Hunter, SM. , Langemo, DK. , and Olson, B. (1995) The effectiveness of skin care protocols for pressure ulcers.Journal of Rehabilitation Nursing. 20 (2), 50-55. Intercollegiate Stroke Working Party. (2008) National clinical guideline for stroke. 3rd edition. London. Royal college of physicians. Kelly, J. (1994) The aetiology of pressure sores. Journal of tissue and viability. 4(3), 77 Krueger RA. (2006) Pressure relieving support surfaces: a randomized evaluation. Poster presented at the 9th European Pressure Ulcer Advisory Panel Conference. Berlin, Germany. Landers, M. and Mc Carthy, G. (2007) Person-centred nursing practice with older people in Ireland. Nursing Science Quarterly. 20 (1), 78-84. Langemo, D. , Thompson, P. Hunter, S. , Hnason, D. , Anderson, J. (2008) Heel pressure ulcers:stand guard. Advances in Skin and Wound Care. 21 (6), 282-292. Lawr ence, M. , Fraser, H. , Woods, C. , and McCall, J. (2011) Secondary prevention of stroke and transient ischemic attack. Nursing Standard. 26 (9), 41-46. Maklebust, J and Magnan, MA (1994) Risk factors associated with having a pressure ulcer: a secondary data analysis. Advances in Skin and Wound Care. 7 (27), 31-34. Maklebust, J and Magnan, MA (2005) Preventing heel pressure ulcers in immobilized patients. Advances in Skin and Wound Care. 18 (1), 22 McCooey, R. , Worrall, L. , Toffoko,D. Code, C. , and Hickson, L. (2004) Inpatient functional communication interview. Singular publishing. National audit office (2005). Reducing brain damage – faster access to better stroke care. The stationary office. London. National institute for health and clinical excellence (2005) CG29 Pressure ulcer development:quick management guide [online]. Available from: http://publications. nice. org. uk/pressure-ulcers-cg29/guidance [Accessed 26 October 2011]. National pressure ulcer advisory panel ( NPUAP). (2007). Pressure Ulcer Definition and Stages. NPUAP. Available from: www. npuap. org [Accessed: 16th December 2011).Nursing and Midwifery Council. (2008). The code Standards of conduct, performance and ethics for nurses and midwives. London. Nursing and midwifery council. Ousey, K. (2005) Pressure area care. Oxford. Blackwell. Porth,C. (2007) Essentials of pathophysiology:concepts of altered mental states. 2nd ed. London. Lippincott Williams & wilkins. Shelton, FN. and Reading, MJ. (2001) Effect of lesion location on upper limb motor recovery after stroke. Stroke. 32 (1), 107-112. Smeltzer,S. , Bare, B. , Hinkle, J. , and Cheezer, K. (2008) Brunner & suddarth’s textbook of medical-surgical nursing. 11th ed. London.Lippincott williams & wilkins. Tymec AC, Pieper B, Vollman K. (1997) A comparison of two pressure-relieving devices on the prevention of heel pressure ulcers. Advances in Skin and Wound Care. 10(1), 39-44. Waterlow, J. (1996) Pressure sore prevention manual. Taunton, Somerset Williams, J. , Perry,L. and Watkins, C. (2010) Acute stroke nursing. Chichester. Wiley-blackwell. Wong, VK. , Stotts, NA. (2003) Physiology and prevention of heel ulcers: the state of science. Journal of Wound Ostomy and Continence Nursing. 30 ( ), 191-198. Yesavage, JA. , Brink, TL. , Rose, TL. , Lum, O. , Huang, V. (1982) Development

Saturday, November 9, 2019

Employment status Essay

Background of the Study Decades have marked the beginning of a fast changing world. Fast growing economies have rapidly increased the number of students attending college in recent years. Now the pool of unemployment graduates is rising to worrying levels. Of particular concern is the difficulty in finding a job due to the increasing demands of employers, growing competence of job seekers and the growth of the number of qualified job applicants. According to many accounts, graduates are finding it difficult to secure a job and those who find work is often too confined to wage positions. In 2014, the annual employment rate was estimated at 93.2 percent and the annual unemployment rate falls from 7.3 percent 6.8 percent as more people were employed in the services and industry sectors. The annual rate was based on the results of the quarterly Labor Force Survey (LFS) conducted in January, April, July and October of the year 2014. Education plays an important role in determining employment status of an individual. It is one of the investments that need to be recovered in due time. Historically, those who have made this investment have received substantial economic benefit. Moreover, education is an important factor that contributes to nation’s growth. Tertiary education gain from universities and colleges especially has its paramount roles in developing the society. Universities and colleges nowadays offer many courses for students that may suit their specializations and skills as individuals. In the Philippines, one university in the Ilocos Region aims to produce graduates of any courses who are competitive locally and globally. The Pangasinan State University operates in nine campuses producing thousands of competent graduates, many of whom excelled in various fields such as agriculture, education, health, engineering and fisheries to name a few. In the field of health, one of the courses offered in Pangasinan State  University Lingayen Campus is the Bachelor of Science in Nutrition and Dietetics program. The said course is designed to adequately equipped the students with the fundamental knowledge, attitudes and skills in food, nutrition, dietetics, management and allied fields in order to prepare them for entry level professional responsibilities in education, communication, food and nutrition, research, clinical dietetics, food service industries, wellness programs and public health/community nutrition. Moreover, the Nutrition and Dietetics education is responsive to Philippine society and takes into account its needs, resources and potentials. According to Bernal et.al in their research entitled â€Å"The Trend in the Employment Status of Bachelor of Science in Nutrition and Dietetics Graduates S.Y. 2001-2010: A Basis for Curriculum Development†, there was a decline in the number of employed graduates for batches 2001 to 2002. However, the trend rose from batches 2002 to 2006. After which, the trend declined again for batches 2006 to 2008 and at its peak in 2010. The results also showed that the nature of employment of most BSND graduates were not related to their course and most of them were not hired on a permanent status. The present study entitled â€Å"Employment Status of Bachelor of Science in Nutrition and Dietetics Graduates in Pangasinan State University, Lingayen Campus, S.Y 2010-2014† will provide feedback to the Nutrition and Dietetics and Livelihood Education Department regarding the performance of BS Nutrition and Dietetics graduates. Statement of the Problem This study will determine the employment status of the Bachelor of Science in Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus, Lingayen, Pangasinan from batches 2010-2014. Specifically, it will seek to answer the following questions: 1. What is the profile of the Bachelor of Science in Nutrition and Dietetics graduates from the batches 2010-2014 in terms of the following: 1.1 Age; 1.2 Gender; 1.3 Civil status; 1.4 Year graduated; 1.5 Eligibility; and 1.6 Additional course(s) taken 2. What is the employment status of the BSND graduates 2.1Employed a.Type of employment b.Nature of employment c.Present monthly salary d.No. of month/ years before graduates were employed e.No. of institution/ agencies applied before finally employed 2.2 Self employed a. Kind of business b. Monthly income c. Year the business started 2.3 Unemployed a. No. of months/years of being unemployed 3. What are the problems encountered by BSND graduates in finding employment? 4. What recommendations can be proposed to help solve the problems of the BS ND graduates in terms of employment? Significance of the Study This study is significant to the following: Nutrition and Dietetics and Livelihood Education Department. This will help them determine the strength and weaknesses of the Nutrition and Dietetics program. It will also determine what specific areas should be focused in order to make the program more responsive towards the needs of the global market. For teachers, this will serve as a guide on how they will improve their skills, strategies and principles in teaching for more effective learning of the students. Incoming College Students. This study will help them decide on what course to take in college upon knowing the employment opportunities and status of the graduates of BS Nutrition and Dietetics. BS Nutrition and Dietetics Students. This will help them realize whether the knowledge and skills developed in the program would be useful to them in their future careers. It will also encourage them to appreciate and pursue the course that they ventured. Graduates of BS Nutrition and Dietetics. This  will provide them insights about the status of the employment of graduates of BS Nutrition and Dietetics. It will also inspire them to make initiatives on how to further enrich their knowledge and skills in the field to make them competitive in the global market. Scope and Delimitation of the Study This study will focus on the employment status of BS Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus from batches 2010-2014. The respondents of the study will be limited to the BS Nutrition and Dietetics graduates of Pangasinan State University, Lingayen Campus of the years 2010-2014. It will not include the graduates from the other years and other universities and colleges offering the same program. Definitions of Terms To make the study more comprehensive, the following terms are hereby defined. Age. The amount of time during which a thing has existed  Bachelors Degree. Rank given by a college or university to one who has completed a prescribed course in the arts or sciences. Bachelor of Science in Nutrition and Dietetics. A four year course offered at Pangasinan State University, Lingayen Campus, Lingayen, Pangasinan. Civil Status. Refers to the standing and condition of the respondent’s whether single, married, separated, widowed or divorced. Eligibility. .It refers to whether the BSND graduates are board passers or not. Employment Status. Refers to the standing or condition of the graduates of BSND with regards to their employment. It includes whether they are employed, self-employed and unemployed. Employed. Refers to the graduates doing job for which they are paid a fixed wage or salary as means of livelihood. Self-Employed. One who make use of his skill to earn a living without aid of an employment. Unemployed. Refers to an individual who finished a Bachelor Degree of any of the private or public institutions and who has no permanent or stable job. Franchise. It is a business system in which private entrepreneurs purchase the rights to open and run a location of a larger company. Gender. Is the range of characteristics pertaining to, and differentiating between, masculinity and femininity. Graduates. A holder of an academic degree or diploma. Limited liability. It is where a person’s financial liability is limited to a fix sum, most commonly the value of a person’s investment in a company or partnership. Nature of Appointment. It refers to an individual who is employed whether they are permanent, temporary and casual. Casual. It is the nature of appointment of position wherein the worker is only given 1-6 months working duration. Permanent. It is the nature of appointment of position wherein the worker or employee has security of tenure. This applies to private or public office or school Temporary. It is the nature of appointment of position wherein the worker is given longer working duration but not yet a permanent appointment. Nature of Employment. This refers to the nature of employment of the graduates whether it is course related job or not course related. Course-Related. This refers to the jobs that are related to the finished degree course of the graduates. Not Course-Related. This refers to the jobs that are not related to the finished degree course of the graduates. Partnership. It is a single business where two or more people share ownership. Personal Profile. This pertains to age, gender and civil status of the graduates. Problem. It is any difficulties encountered in applying for an employment of BSND graduates. Pre-testing. It is the administration of data collection instrument with a small set of respondents to identify problems and to find possible solutions before the actual administration of data collection instrument with the actual total number of respondents. Unemployment Rate. It is a measure of the prevalence of unemployment and it is calculated as a percentage by dividing the number of unemployed individuals by all individuals currently in the labor force. Salary. It refers to the monetary taken from the respondents from their work or their living. High Income. It is the salary income above thirty thousand pesos. Low Income. It is the salary income below fifteen thousand pesos. Middle Income. It is the salary income between fifteen thousand pesos and thirty thousand pesos. Slovin’s formula. It allows a researcher to sample the population with a desired degree of accuracy. It gives the researcher an idea of how large his sample size needs to be to ensure a reasonable accuracy of results. Sole-proprietorship. It is a type of business entity that is owned and run by one natural person and in which there is no legal distinction between the owner and the business. Stratified random sampling. A method of sampling that involves the division of a  population into smaller groups known as strata. In stratified random sampling, the strata are formed based on members’ shared attributes or characteristics. A random sample from each stratum is taken in a number proportional to the stratum’s size when compared to the population. These subsets of the strata are then pooled to form a random sample.

Thursday, November 7, 2019

The Negro Motorist Green Book Aided Black Travelers During Segregation

The Negro Motorist Green Book Aided Black Travelers During Segregation The Negro Motorist Green Book was a paperback guide published for black motorists traveling in the United States  in an era when they might be denied service or even find themselves threatened  in many locations. The creator of the guide, Harlem resident Victor H.  Green, began producing the book in the 1930s as a part-time project, but growing demand for its information made it an enduring business. By the 1940s the Green Book, as it was known by its loyal readers, was being sold at newsstands, at  Esso gas stations, and also by mail order. Publication of the Green Book continued into the 1960s, when it was hoped legislation prompted by the Civil Rights Movement would finally make it unnecessary. Copies of the original books are  valuable collectors items today, and facsimile editions are sold via the internet. A number of editions have been digitized and placed online as libraries and museums have come to appreciate them as noteworthy artifacts of Americas past. Origin of the Green Book According to 1956 edition of the Green Book, which contained a brief essay on the publications history, the idea first came to Victor H. Green sometime in 1932. Green, from his own experience and those of friends, knew of painful embarrassments suffered which ruined a vacation or business trip. That was a genteel way of expressing the obvious. Driving while black in 1930s America could be worse than uncomfortable; it could be dangerous. In the Jim Crow era, many restaurants would not allow black patrons. The same was true of hotels, and non-white travelers might be forced to sleep by the side of the road. Even filling stations might discriminate, so black travelers could find themselves running out of fuel while on a trip. In some parts of the country, the phenomenon of sundown towns, localities where black travelers were warned not to spend the night, persisted well into the 20th century. Even in places that did not blatantly proclaim bigoted attitudes, black motorists could be intimidated by locals  or harassed  by the police. Green, whose day job was working for the Post Office in Harlem, decided to compile a reliable listing of establishments African American motorists could stop and not be treated as second-class citizens. He began collecting information, and in 1936 he published the first edition of what he titled The Negro Motorist Green Book. The first edition of The Negro Motorist Green Book sold for 25 cents and was intended for a local audience. It featured advertisements for establishments that welcomed African American patrons and were within a days drive of New York City. The introduction to each annual edition of the Green Book requested that readers write in with ideas and suggestions. That request drew responses, and alerted Green to the idea that his book would be useful far beyond New York City. At the time of the first wave of the Great Migration, black Americans might be traveling to visit relatives in distant states. In time the Green Book began covering more territory, and eventually the listings included much of the country. Victor H. Greens company eventually sold about 20,000 copies of the book each year. What the Reader Saw The books were utilitarian, resembling  a small phone book that could be kept handy in an automobiles glove compartment. By the 1950s dozens of pages of listings were organized by state and then by town. The tone of the books tended to be  upbeat and cheerful, giving an optimistic look at what black travelers may encounter on the open road. The  intended audience, of course, would be all too familiar with discrimination or dangers they might encounter and did not need to have it stated explicitly. In a typical example, the book would  have listed one or two hotels (or tourist homes) that accepted black travelers, and perhaps a restaurant that did not discriminate. The sparse listings might appear unimpressive to a reader today. But to someone traveling through an unfamiliar part of the country and seeking accommodations, that basic information could be extraordinarily useful. In the 1948 edition the editors expressed their wish that the Green Book would one day be obsolete: There will be a day sometime in the near future when this guide will not have to be published. That when we as a race will have equal opportunities and privileges in the United States. It will be a great day for us to suspend this publication for then we can go wherever we please, and without embarrassment. But until that time comes we shall continue to publish this information for your convenience each year. The books continued to add more listings with each edition, and beginning in 1952 the title was changed to The Negro Travelers Green Book. The last edition was published in 1967. Legacy of the Green Book The Green Book was a valuable coping mechanism. It made life easier, it may have even saved lives,  and theres no doubt it was deeply appreciated by many travelers over many years. Yet, as a simple paperback book, it tended not to attract attention. Its importance was overlooked for many years. That has changed.   In recent years researchers have sought out the locations mentioned in the Green Books listings. Elderly people who recall their families using the books have provided accounts of its usefulness. A playwright, Calvin Alexander Ramsey, plans to release a documentary film on the Green Book. In 2011 Ramsey published a childrens book, Ruth and the Green Book, which tells the story of an African American family driving from Chicago to visit relatives in Alabama. After being refused the keys to the restroom of a gas station, the mother of the family explains the unjust laws to her young daughter, Ruth. The family encounters an attendant at an Esso station who sells them a copy of the Green Book, and using the book makes their journey much more pleasant. (Standard Oils gas stations, known as Esso, were known for not discriminating and helped promote the Green Book.) The New York Public Library has a collection of scanned Green Books which can be read online. As the books eventually went out of date and would be  discarded, original editions tend to be rare. In 2015, a copy of the 1941 edition of the  Green Book was placed for sale at Swann Auction Galleries and sold for $22,500. According to an article in the New York Times, the buyer was the Smithsonians National Museum of African American History and Culture.

Tuesday, November 5, 2019

How to Ace Your Econometrics Test

How to Ace Your Econometrics Test Econometrics is the most difficult course for economics majors. These tips should help you triumph over your econometrics test. If you can ace Econometrics, you can pass any Economics course. Difficulty: Easy Time Required: As Little Time As Possible Heres How Find out the material covered on the test! Econometrics tests tend to be either mainly theory or mainly computational. Each one should be studied differently.Find out if youll be allowed to have a formula sheet for the exam. Will one be provided for you, or will you be able to bring your own cheat sheet of econometric and statistical formulas?DO NOT wait until the night before to create an econometrics cheat sheet. Create it as youre studying, and use it when youre solving practice problems, so youll be very familiar with your sheet.Have a legible and organized econometrics cheat sheet. On a stressful test, you dont want to be searching for a term or trying to decipher the writing. This is critical for tests with time limits.Make songs to help you remember definitions. Its silly, but it works! [sings] Correlation is covariance over the product of their deviations. I make little drum beats with my thumb (seriously).MOST IMPORTANT: If assigned practice problems, DO THEM! Most econometr ics test questions are quite similar to suggested questions. Students score at least 20% better by doing them in my experience. Try to get old econometrics exams from exam banks, libraries, or former students. These are particularly useful if the same economics professor has taught the course for many years.Talk to former students of the course. Theyll know the examination style of the professor and may be able to provide useful tips. Find out if his tests are from the book or from the lectures.Try to make your study environment as similar as possible to the econometrics test situation. If you drink coffee while studying see if you can have a coffee in the exam room or have some right before.If your test is in the morning, study in the morning if possible. Being comfortable with a situation will prevent you from panicking and forgetting what youve learned.Try to figure out what questions the professor could ask, then answer them. Youd be surprised how often your guesses are correct. There are only so many different econometrics questions.DO NOT pull an all nighter and cheat yourself out of sleep. The extra ho urs of sleep will help you more than a couple hours of cramming. You need all your strength to slay the econometrics demon! Dont study the hour before the test. It never works and it will just get you nervous. Do what you can to stay relaxed. I find playing a video game helps me, but find something that works for you.When you get the test, read all the questions first, and answer the one you think is easiest immediately. That will put you in a positive frame of mind for the other questions.Dont spend too much time on one question. Feel free to skip a part of a question and go on to something else. Ive seen too many good students unnecessarily run out of time. Tips Sometimes it will seem impossible to find a piece of information you need, but you can do it if youre a little creative. If you need to get the standard error, you can do it if you know the t-stat.Wear layered clothing because you never know how hot or cold the room will be. I usually wear a sweater with a t-shirt under it, so I can take the sweater off if the room is warm.Dont program formulas into your calculator if youre not allowed to. We often notice and its not worth getting kicked out of school for. Cheat is common in econometrics, so profs watch for it.The time you spend on a question should be proportional to the percentage of marks it is worth. Dont spend a lot of time on small questions!Dont get too upset with yourself if you dont do well. Sometimes it just isnt your day. Hall of Fame pitcher Nolan Ryan lost 294 games, so dont worry if you lose a test on occasion. What You Need pencileraserpenscalculator (if allowed)cheat sheet (if allowed)a confident attitude

Sunday, November 3, 2019

Dance in Primitive cultures Essay Example | Topics and Well Written Essays - 500 words - 1

Dance in Primitive cultures - Essay Example Such forces are also said to have promoted fertility, controlled weather, and led to success in warfare. As a result, the forces had a say in tribal well-being and human survival. Originally, man used dance to implore god on various occasions that were crucial in life (West Virginia University 20). Moreover, it is also thought that dance in these cultures begun as a gesture. This was used as a form of communication. Afterward, there was use of gestures such as facial expressions and combination of a guttural sound and action to reinforce an ideal (West Virginia University 20). As a result, dance was used as a means of telling stories or passing information. However, in this era, there was lack of proper speech. As a result, man was forced to use recognizable gesture. For success, man was forced to supplement movements with the cries of animals and other natural sounds. On the other hand, there was inspiration to the primitive dance. The most significant source of inspiration was the birds and animals (West Virginia University 21). Primitive man was knowledgeable of living things that surrounded him as he interacted with them. Man fought with living things or survival, hunted for food and clothing and managed to know their character (West Virginia University 21). Primitive people also had an animist religion; they thought animals had souls and were similar to man. The perception was linked to natural phenomenon that surrounded man such the sun and death. Primitive man also has an opportunity to dance with animals. Man insects and some animals perform ritualized movement patterns that appear almost similar to man conception of dance. Hence, the dance-like movements of animals inspired the dance of primitive man. On the other hand, dance played a significant role in the primitive society. One of such role was in religion. In the performance of rituals, ancient man simpler imitative movements became changed