Healthy grief Essay Example | Topics and Well Written Essays - 1000 words

Healthy grief - Essay Example For them, grief is either something to be processed individually, or something to be left for God, in a process of unburdening oneself to Him. This essay compares and contrasts three models of grief: Judaism’s cycle of grief, grief from Job in the Bible, and Kubler-Ross’s grief cycle. It also compares it to joy, because grief and joy can be seen as two opposite sides of the same coin of human emotion. These grief models are different in how they define and organize the stages of grief, but they are similar in their final goal, which is to help people to come out of their bereavement and accept their new reality. These different models of grief assert that grief is a natural human response to death, although the religion-based models focus on leaving everything to God’s plans, in order to accept the loss. Kubler-Ross (1969) pioneered the studies on grief and bereavement and her findings led her to accentuate that there are five stages of grief: denial, anger, barg aining, depression and acceptance (Kessler, 2009). They are different responses to loss, and not a linear way of experiencing bereavement (Kessler, 2009). The five stages, denial, anger, bargaining, depression and acceptance, are considered as constituents of a grief model, which help people understand and go through their grieving process. They are tools to help bereaved individuals â€Å"frame and identify† their feelings (Kessler, 2009). ... Kubler-Ross provides five stages that help people deal with their loss. Denial refers to not believing that a loved one has truly died, and people feel shock and numb (Kessler, 2009). Denial is important to grieving, because it is a protective mechanism that allows people to take in only what they can process and accept (Kessler, 2009). Anger is another stage of grieving and it can be directed to anyone or anything, including God, the dead, and the loved one (Kessler, 2009). It is an important emotion that helps uncover underlying feelings (Kessler, 2009). Kubler-Ross (1969) believes that anger reconnects people to the world, because from feeling nothing, they feel something (Kessler, 2009). It affirms that something is lost, and so its loss is fully felt (Kessler, 2009). Bargaining pertains to asking what could be changed or done to get back a loved one (Kessler, 2009). Depression is also a common response to death. Kubler-Ross (1969) asks the bereaved to not even consider this as a mental illness, because it is a fitting reply to a great loss (Kessler, 2009). After one or more of these responses is felt, acceptance can be attained. Acceptance does not refer to feeling that everything is alright, but accepting that a loved one is physically lost. It refers to realizing that the present reality is tolerable and that they must go on with their loves (Kessler, 2009). Judaism’s view of guilt has its cycles too. The first stage covers the death and the funeral, where mourners are relieved from their duties and responsibilities (Mallon, 2008, p.97). The second stage concerns mourning after the funeral, where the family has more time to feel their grief, although friends and other kin can visit and

House of Tata Case Study Example | Topics and Well Written Essays - 2000 words

House of Tata - Case Study Example The license raj along with the dominating factor of the red tapes brought into effect significant amount of impact in regards to the irreparable financial bleeding of the business houses and entities. A lot many barriers also emerged in the business scene because of the tremendous opposition from various political parties. With the opening of the Indian economy, foreign direct investment was allowed to flow into the country. With the removal of various government based restrictions, varying amount of investments by the private and family held organizations was allowed in multiple sectors all over the country. It is of high relevance to highlight that the opening up of the economy in regards to foreign and private investments in various sectors promoted a significant amount of business opportunities. It is of high importance to mention that the diverse range of companies that were held together under the highly efficient leadership of JRD Tata has always moved forward and operated in a decentralized structure in regards to tackling the daily business operations. Because of the power of decentralization promoted by the leader JRD Tata himself, the independent set of companies which are centrally owned by the Tatas focused on capitalizing on the various growth opportunities provided by the opening up of the Indian economy. ... A presence of a single brand would have helped the India’s most popular corporate house to significantly communicate a unified set of value offerings for the company to the markets of India as well as around the world. Talking in regards to the value additions that might have happened in regards to the development of a single corporate brand, it needs to be mentioned that because of the ownership of multiple companies, the Tatas needed a strong and single line of communication that will communicate the brand’s superiority to the others. While in the past, the presence of JRD Tata helped in communicating the values of the group in a central manner, in the recently changing times, a single corporate brand will solve the purpose. Talking in regards to the positives, associated with the formation of a brand, it needs to be highlighted that the single corporate brand based identity will act as a pillar of strength and communication for all the associated companies of the Tat as. Also, it will help in communicating the brand values of the Tatas in the open markets in comparison to other rival brands. Talking in the lines of negativity, it needs to be maintained that the companies will have to stick the code of ethics and values promoted by the entire group. Non failure to address the values promoted will lead to tampering of the entire brand image for the corporate house. 1b. Building of equity interlocks among the Tata companies It is of utmost importance to mention that the Tata group of companies has ownership for multiple companies. Because of the leadership style practiced by JRD Tata, who was credited as the senior most commander of the group before Ratan

Distribution Channel Design

Distribution Channel Design Distribution Channel Design Channel design facilitates the flow of goods from the manufacturer to the end-user. Hutt and Speh (2007) defined that, the link between the manufacturer and the customer is the distribution channel. The purpose of the distribution channel is to distribute the product from manufacturer to the end user to the right time to the right place (Klein and Frazier1990). The channel of distribution is the marketing managers bridge to the market. Channel design creates a competitive advantage that separates market winners from market losers. Stern Weitz (1997) , says the efficient distribution channel design and administration can offer opportunities to develop sustainable competitive advantage in the long term. The channel should achieve all tasks which are necessary to affect a sale and deliver products to the end user. The Tyre Company who is trying to enter into US market is a manufacturer of safety systems for vehicle tyres whose products allow the vehicle to continue to be driven even if the tires burst or are shot out. The main customers for the systems are police forces, security companies, emergency services like ambulance and fire service, armies, trucking companies (Original Equipment Manufacturers ‘OEMs), and even the general public. The organization cannot serve all types of customers through a single distribution channel, so depending on the size of the market, value and the level of usage, the market for safety systems can be divided into three segments. Ø Government Organizations (Ambulance, fire services, armies), Ø Private sector (Original equipment manufacturers like Trucking companies vehicle manufactures), Ø General public For the safety systems manufacturer there are many options to design a distribution channel. In the above figure, channel 1 comes under direct distribution channel where the organizations directly deal with the customers. This distribution channel does not have any intermediaries like distributors, wholesalers, retailers etc. Hutt and Speh (2007) says in, direct distribution channel the manufacturers own sales force deals directly with the customer segments, and the manufacturer has the complete responsibility for performing all the required channel tasks. Channel 2, channel 3 and channel 4 come under indirect distribution channels. Indirect channel distribution uses one or more intermediaries like distributors, retailers, sales representatives etc. Channel distribution for Government sectors customers: The safety systems manufacturer is entering into the U.S market for the first time, so the organization cannot contact the government organizations for selling their products. As the government uses the safety systems for emergency services, they cannot rely on the manufacturers words. So, the manufacturer should approach distributors and collaborate with them for doing business. These distributors can approach the government organizations and explain the products features and advantages. So, the best way to serve government sector customers is to design an indirect distribution channel which consists of distributors as Intermediaries. Corey et al. (1989) says indirect channel distribution is generally found where the markets are fragmented and widely dispersed, low transaction amount prevails and buyers typically purchase a number of items in one transaction. The government sector segment is widely dispersed and the buyers in the segment purchase a number of items in one transaction, indirect approach is recommended for dealing with this segment. The below figure shows the distribution channel design for government sector customers In private sector, the customers (original equipment manufacturers) for safety tyres are few. So, the company can directly approach the original equipment manufacturers that use the safety systems and can directly tie up with the vehicle manufacturers or OEMs. This increases the sales of the safety systems manufacturer. Hutt and Speh (2007), says the direct sales approach is feasible when the customers are large and well defined, the customers insist on direct sales, sales involve extensive negotiations with upper management. Here in this report the manufacturer has to negotiate extensively with the upper management of the OEMs to make them agree to fit the safety systems as the original equipment. Therefore direct distribution channel design is suitable for private sector customers. Distribution channel for general public: General public customers will maximum order 1-4 units per orders and its not so easy for the manufacturer to deal with every individual customer separately. So, the manufacturer should make tie ups with dealers or wholesalers. These dealers or wholesalers create awareness about the product and encourage the general public to buy the safety systems. These distributors or wholesalers intern make tie up with the vehicle repairing sheds and retailers. These vehicle repairing sheds play a vital role in increasing the sales of the safety systems. Therefore indirect channel is recommended for dealing with general public customers. The below figure indicates the distribution channel for dealing with general public. COMMUNICATION PROCESS: Kennaugh (2009), says the primary objective of marketing communications is to create awareness of a business, its products, and its position through customer-facing materials such as brochures, press releases, Web sites, and trade show presentations. Communication helps to spread awareness about products or services that are of some use to consumer and potential buyers. A good marketing communications plan requires an in-depth understanding of target audiences and the processes involved in buying, selling, and communicating. As the safety systems manufacturer has customers in different sectors, it should use different modes of communication for taking the product to the customers. Hutt and Speh (2007), says due to the technical complexity of the business products, the relatively small number of potential buyers, and the extensive negotiation process, the primary communication vehicle in Business to Business marketing is the sales person. As the Companys product in this report is a technical product, the primary communication for this company should through personal ­ selling. Personal selling is the most effective tool for building buyers preferences, convictions, and actions. Apart from personal selling the company can also communicate through sales promotion, advertising, public relations, Bouchers, E-Marketing, workshops, Direct Marketing etc. Advertising is also a most powerful tool of communication. Most of people believe the Media and attract to the media advertising. But media covers mostly general customers and some business customers. So, this can be used only as one of the communication tools for taking the safety systems into market. Aaker (1992), says Brochures are useful for the communication and this is the very cheapest way for communicating to the customers. Communication helps to keep the consumers informed about the new models of products or services that are available in the organisation. To communicate effectively, marketers need to need to understand how communication works .Communication involves the eight elements which are shown in the below figure. 1) Sender: The party sending the message to another party -in this case it is the Tyres Company. 2) Encoding: The process of putting the intended message into symbolic form that will differentiate us from other companies into an advertisement that will convey the intended message (Kotler et al 2008). 3) Message: This set of words, pictures or symbols that the sender transmits in the advertisements. 4) Decoding: The process by which the receiver assigns meaning to the symbols encoding by the sender -a consumer reads the ad and interprets the words and illustrations it contains. 5) Receiver: The party receiving the message sent by the company; the customer or the company that reads the tyres advertising. 6) Response: The reactions of the receiver after being exposed to the message -any of thousands of possible responses, such as the customer is more aware of the attributes of our tyres products. 7) Feedback: The part of the receivers response communicated back to the sender -tyres Company research shows that consumer like and remember the ad or consumers write or call the company praising or criticising the ad or its products. 8) Noise: The unplanned static or distortion during the communication process which result in the receiver getting a different message from the company. This is diagram shows that how message would pass to customers and how they would have respond by taking response and feed back like questionnaire, by filling feedback form, interviews and so forth. Scope for Conflict: Cannel conflict occurs when members of two channels fight for same goal. Organisational growth is badly affected by conflicts. Generally organisation doing business depends upon their Agents, Wholesalers, and Retailers. As long as the organization maintains a good relation with all its channel members the organisation gets good results, if the organisation does not maintain a healthy relations to all its channel members then the organisation sales growth decreases, and conflicts occur (Kogut, 1988). For instance, a premier distributor may be expected to share market analysis data, have an outside force and create account plans maintain specific inventory, and provide a complete service and repair function- in exchange for preferred pricing and product availability. An authorized distributor may be expected to share market analysis data, have a telemarketing operation, and maintain specific inventory. An affiliate distributor may have access to the manufacturers products without being given any special pricing or compensation. When there are too many distributors in a given area, or when one distributor â€Å"cherry-picks† accounts in another distributors territory, there can be price competition and conflict (Erramilli, 1991). Pricing related conflicts are most common in channel conflicts. It is very essential that the manufacturer creates the base for a pricing structure where each member is able to make a profit from the value they bring to the marketing channel process. Each members price must reflect his or her role within the channel (Aaker, 1992). For example, if a retailer is able to purchase directly from the manufacturer at a cost that is equal or less than the cost that their distributor gives them, then the distributor losses his business from the retailer. This is one of the reasons for channel conflict. The other reason for channel conflict is, if the organisation supply tyres to the end customer with help of the wholesaler/distributor and retailers in particular area, and also maintaining good relations with wholesalers and retailers as well. But, that area is very small or there is no need of retailers in that area. Then organisation distributes the tyres directly from wholesaler/distributor to end-user. In this regards retailers lose their business. So conflict may occur in between retailers and organisation or in between retailer to distributor. Based on this conflict Retailer may merges with the competitor which in turn effects the organization. Other sources of channel conflict may result from goal incompatibility, poorly defined roles and rights, perceptual differences, and interdependent relationships. All of these factors must be taken into consideration, addressed when necessary, and managed whenever possible (Nygaard, 1994). Relationship Marketing: Relationship marketing is a term introduced by Berry (1983) that puts forward that marketers should move away from transactional marketing and build longer term relationships with their customers, focusing on building trust between buyer and seller so that loyalty develops. Morgan and Hunt, (1994), say Relationship marketing refers to all marketing activities directed toward establishing, developing and maintaining successful relational exchanges. The idea of relationship marketing was developed by Gronroos (1994) whose opinion was that relationship marketing was all about identifying, establishing maintaining, enhancing and, occasionally, terminating relationships with customers. The objective of such relationships, he suggested, is to give mutual benefit through the exchange and fulfilment of promises as well as communication. Relationship Marketing involves organisations gathering information about their customers and then deciding with whom they can develop a dialogue; it allows buyers and sellers to work together in joint problem solving, easing the pressures on the buyer. Rather than employing market share as a measure of marketing success, this approach uses customer retention (Gummesson, 1994). The effectiveness of Business to Business marketing is largely determined by long-term relationships between buyers and sellers (Dion et al., 1995). According to Webster (1992), buyer-seller or customer-supplier interdependence is an integral part of business to business marketing. Over the past 10 or so years, there has been clear evidence to suggest that, in business to business marketing, the nature of buyer-seller interactions has changed from adversarial to relationship building, and, consequently, emphasis has moved away from discrete transactions and towards relational exchanges (Weitz and Jap, 1995). P ressures to meet the demands of global competition, reliance on single-source suppliers, the development and adoption of just-in-time systems, outsourcing and development of ‘partnerships have been cited as some of the main driving forces behind such developments (Metcalf et al, 1992). Over the last 20 years, relationship marketing has been espoused by many in the services and industrial arenas, where it is, perhaps, easier to developer longer term relationships. The acquisition, retention and nurturing of customer relationships is fundamental to an organisation engaging in relationship marketing. Nurturing the customer is a step along the path to invoking loyalty on the part of the customer. Loyalty is one of the objectives of relationship marketing because a loyal customer may be of strategic advantage our Company. In this case, as the manufacturer newly entering into the US market, he has to build the relationship with the channel partners. By building relationship, he can understand the market well. By building relationship all the channel members can work for the common goal and they can solve any problem effectively. References Aaker, D.A., (1992), â€Å"The value of brand equity†, Journal of Business Strategy, Vol.13, pp.27-32. Berry, L.L. (1983), â€Å"Relationship marketing†, in Berry, L.L., Shostack, G.L. and Upah, G.D. (Eds),Emerging Perspectives on Services Marketing, American Marketing Association, Chicago,IL. Corey, E.R., Cespedes, F.V., and Rangan, V.K., (1989). Going to Market: Distribution System for Industrial Products, Harvard University Press, Boston. Dion, P., Easterling, D., and Miller, S.J., (1995). What is really necessary in successful buyer/seller relationships, Industrial Marketing Management, Vol.24. Erramilli, M.K. (1991), â€Å"The experience in foreign market entry behavior of service firms, Journal of International Business Studies, Vol. 21 No.Fall, pp.479-501. Gronroos, C., (1994), â€Å"Quo Vadis marketing? Towards a relationship marketing paradigm†, Journal of Marketing Management, Vol. 10 No. 5. Gummesson, E., (1994). Making relationship marketing operational, International Journal of Service Industry Management, Vol. 5 No.5. Hutt, M.D., and Speh, T.W., (2007). Business Marketing Management: B2B, Thomson, USA. Kogut, B. (1988), Joint ventures: theoretical and empirical perspectives, Strategic Management Journal, Vol. 9 No.4, pp.319-32. Koltler.P, Armstrong.G, Wong.V and Saunder.J., (2008), 5TH Edition, Principles of Marketing. Prentice Hall. Klein, S., and Frazier, G.L., (1990), A transaction cost analysis model of channel integration in international markets, Journal of Marketing Research, Vol. 27 No.2. Metcalf, L.E., Frear, C.R., Krishnan, R., (1992). Buyer seller relationships: an application of the IMP model, European Journal of Marketing, Vol.26, No.2. Morgan, R.M., Hunt, S.D., (1994). The commitment trust theory of relationship marketing, Journal of Marketing, Vol. 58 No.3. Nygaard, A. (1994), The falsification perspective on theories in channel research, Journal of Marketing Channels, Vol. 3 No.4. Stern, L. W. Weitz, B. A.; 1997. The Revolution in distribution: Challenges and Opportunities. Long Range Planning . V. 30. pp. 823 829. Webster, F.E., (1992). Industrial marketing strategy. 3rd ed., Wiley, New York. Weitz, B.A., and Jap, S.D., (1995). Relationship marketing and distribution channels, Journal of the Academy of Marketing Science, Vol.23, No.4.

Music and Memory in D. H. Lawrence’s Piano Essay -- Literature

D. H. Lawrence’s poetry is said to often be of â€Å"great biographical interest† (Encyclopedia Britannica), and his poem â€Å"Piano,† written in 1918, eight years after the death of his mother, illustrates his attachment to his mother through the device of an unwilling memory evoked when he hears a woman singing. Though Lawrence’s relationship with his mother is said to have been â€Å"an intensely—often labeled abnormally—close relationship† (Pearson and Watson), it is also said that it was she who encouraged him to obtain an education and to write. His mother was a teacher, and according to Norton, it is her â€Å"delicacy and refinement† that he â€Å"allied† himself with rather than his less educated, coarse coal miner father (2248). It is she whom he sided with in the conflict-ridden relationship he witnessed between his parents. According to Wart, â€Å"Piano† expresses Lawrence’s personal response when a â€Å"song stirs memories of childhood and his mother,† involuntary as these memories may be. However, though it may be true that we should never assume that the speaker of a poem is, indeed, the poet, according to Semansky, â€Å"Lawrence's work invites us to, as he has always woven autobiographical material into his writing.† Lawrence’s â€Å"Piano† may thus be considered to be the recounting of unwanted and involuntary emotional memory brought about as a response to music. â€Å"Piano† begins by describing a setting conducive to reflection and remembrance, â€Å"Softly, in the dusk, a woman is singing to me† (Line 1). Intimacy is implied in the setting: â€Å"the dusk,† the singing being â€Å"soft† and seemingly personally directed to one individual all lend themselves to an aura of intimacy. This encounter draws Lawrence back through the â€Å"vista of years† (Line 2). In fact,... ..., 1900 to Present. New York: Facts On File, Inc., 2009. Bloom's Literary Reference Online. Facts On File, Inc. http://www.fofweb.com/activelink2.asp?ItemID=WE54&SID=5&iPin= CBPNP235&SingleRecord=True (accessed April 4, 2012). Rexroth, Kenneth. "Introduction." D.H. Lawrence: Selected Poems. New Directions, 1947. 1-23. Rpt. in Literature Resource Center. Detroit: Gale, 2012. Literature Resource Center. Web. 2 Apr. 2012. Saunders, Clifford. "Critical Essay on 'Piano'." Poetry for Students. Vol. 6. Detroit: Gale Group, 1999. Literature Resource Center. Web. 2 Apr. 2012. Semansky, Chris. "Critical Essay on 'Piano'." Poetry for Students. Vol. 6. Detroit: Gale Group, 1999. Literature Resource Center. Web. 2 Apr. 2012. Wart, Alice Van. "Critical Essay on 'Piano'." Poetry for Students. Vol. 6. Detroit: Gale Group, 1999. Literature Resource Center. Web. 2 Apr. 2012.

Environmental scanning Essay

â€Å"How can you govern a country which has 245 varieties of cheese? † Charles de Gaulle. This is a term that Francis Aguilar a professor at the University of Harvard came up with in the mid 1960’s to explain the actions of collecting information and watching and monitoring competitor companies and analyzing the external markets. According to Mafrica and Mason (2004), an environmental scan is part of strategic analysis process that has components of both external and internal elements. It is also good to note that all these components and elements interrelate. Basically organizations and companies use environmental scans to project on the future directions, objectives, and both long term and short term trends that will influence the organizations performance. Environmental scans are usually used in product development, market research and competition analysis as a company is planning, expanding or thinking of diversifying its operations portfolio. The below diagram shows the interrelation of the environmental scan to the SWOT analysis of an organization. b. What elements comprise an environmental scan? The elements of an environmental scan include both internal analysis and external analysis which culminate in a SWOT analysis of the organization. Both internal and external analysis are interrelated. In most of the situations organizations take environmental scans to only involve the external analysis (Albright, 2004). But for it to be comprehensive and conclusive enough it has to involve both internal and external analysis. Internal analysis includes an analysis of the internal structures of the company, its policies and operations, employees and abilities while External analysis includes concepts such as the macro economic environment of the area in which the company operates. This includes the government, legislation policies, technology, socio-cultural trends, and shareholders. c. What are eight (8) current socio – cultural trends in the United States that are transforming North America and the rest of the world today? The eight socio-cultural trends in the United states that are transforming North America and the rest of the world today include the following:- Religious affiliations and militant religious movements Consumerism, Environmentalism, Diet and nutrition Housing Social movements, roles of government, family, and collectivism. Materialism Demographics like population size, ethnic origins, education levels, income levels. d. What four (4) questions should the scan answer? The scan should be able to answer trends or projection towards changes in consumerism, which will help an organization in diversifying its products and get to know spending habits of the target market and population (Wheelen & Hunger, 2008). Environmentalism which will help the organization to formulate its public relations policy more so as regards corporate social responsibility, social movements and roles of government, family and collectivism which influences public opinion and public habits, and Demographics that help establish incomes and disposable incomes of the populations, projected population growth, education levels and backgrounds of the target area of expansion or of operation that will help an organization to redefine its operations and strategies. Bibliography Albright. K. (2004, May/June). Environmental scanning: Radar for success. Information Management Journal, 3(38), 38-44. Mafrica. L. & Mason. M. (2003, January). From scan to plan. Association Management, article 14 of 270. Wheelen. T. L. & Hunger. J. D. (2008). Strategic management and business policy (11th Ed. ). Upper Saddle River, NJ: Prentice Hall.

Factors Affecting Patients With Chronic Idiopathic Neck Pain

1. Title: â€Å"Does the number of visits of mobilizations influence the MCID* on pain improvement in patients with chronic idiopathic neck pain- A cross-sectional study?† *MCID= Minimum clinically important difference 2. The specific aim of this cross-sectional study is to reduce cost and improve pain outcome in patients with chronic idiopathic neck pain (CINP). To do this, the study will examine whether the number of visits of mobilization (hypothesis) affect the MCID on pain reduction for patients to begin exercising. In addition, the study will also identify which patients are likely to respond or not to mobilization based on their conditioned pain modulation (CPM) profile? (research questions). These findings could potentially cut costs†¦show more content†¦- Providing 1 session of joint mobilization has been shown to immediately improve the impaired CPM in those with knee osteoarthritis (Courtney et al., 2016) compared to placebo. - Some patients with chronic pain related to knee osteoarthritis have impaired CPM while others do not (Courtney et al 2016) - However, because Courtney et al did not apply joint mobilization to those whose CPM is not impaired, it is unclear if joint mobilization is or is not effective in changing pain in those with normal functioning CPM - More importantly, it is not clear whether the positive results Courtney et al 2016 achieved in chronic pain related to knee osteoarthritis carries over to patients with CINP. 4. Scope of the problem - The high cost of CINP may be related to the fact that these patients typically seek on average 5 providers over 21 visits every year and receive largely ineffective treatments (Carlesso et al., 2014). - Heat, NSAID, exercise, cold and spinal manipulation/mobilization are the most common treatments received (Goode et al., 2010). - Only exercise and spinal manipulation/mobilization, however, have good evidence for effectiveness based on multiple systematic reviews and meta-analyses. - In fact, current practice guidelines suggest combining exercise and spinal mobilization for better pain and functional outcomes than mobilization or exercise alone. - To prevent long term disabilityShow MoreRelatedSymptoms And Treatment Of Neuropathic Pain3655 Words   |  15 PagesPain is a complex, unpleasant, and disruptive sensation. The day-to-day pain people experience from a paper cut or a flu shot results from the activation of nociceptive receptors at the site of tissue injury, which is known as nociceptive pain. Some individuals also have experience with a different type of pain, one that is chronic, intractable, disabling, and it arises â€Å"as a direct consequence of a lesion or disease affecting the somatosensory system† (Treede, 2008). This form of pain is neuropathicRead MoreCase Study 15: Endocarditis Essay5879 Words   |  24 Pagesstenosis, moderate aortic insuffi - ciency, chronic valvular vegetations, and moderate left atrial enlargement. Two years ago J.F. received an 18-month course of parenteral nutrition (PN) for malnutrition caused by idiopathic, relentless nausea and vomiting (N/V). She has also had coronary artery disease (CAD) for several years, and 2 years ago suffered an acute anterior wall myocardial infarction (MI). In addition, she has a history of chronic joint pain. Now, after being home for only a week,Read MoreHeart Failure : A Clinical Syndrome Characterized By Structural Or Functional Impairment Of Ventricular8006 Words   |  33 Pagessymptoms - Hypertension and lipid disorders to be controlled - Obesity, diabetes mellitus, tobacco use, and known cardiotoxic agents, should be controlled or avoided o Stage B - Structural heart disease without signs and symptoms of heart failure - In patients with a history of myocardial infarction and reduced ejection fraction - Preventive medications o Stage C - Structural heart disease with prior or current symptoms of heart failure - Nonpharmacological and pharmacological interventions o StageD -Read MoreNU 545 Unit 2 Essay10921 Words   |  44 Pageswillis) compensates for reduced blood flow from any ! ! ! ! one of the major contributors. 6. What is the gate control theory of pain? - (Pg. 485 ) This theory provides the first cohesive explanation for the emerging complexities of pain phenomena like chronic pain. The gate control theory proposed by Melzack and Wall in 1965, states pain transmission is modulated by a balance of impulses transmitted to the spinal cord by large A delta and small C fibers. The theory goes on toRead MoreSocm Study Guide Essay30404 Words   |  122 Pagescompletion. * Negative feedback opposes stimuli, positive feedback reinforces stimuli Use anatomical terms to describe body sections, body regions, and relative positions. Body regions- - Cephalon (head) - axillia (armpit) - Cervicis (neck) - Brachium (arm) - Thoracis (chest) - Ante Brachium (forearm) - Abdomen - Manus (hand) - Pelvis - Thigh - Loin (lower back) - leg (anterior) - Buttock - Calf - Pubis (anterior pelvis) - Pes (foot) - Groin Read MoreAdrenal Gland9709 Words   |  39 PagesSteroid-producing adrenal tumours and hyperplasias of the zona fasciculata result in excess cortisol production and are the cause for adrenal Cushing s syndrome. 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Interview Analysis - 1505 Words

Geoff is a little bit different than the other two that I interviewed. While both of the previous people worked for international corporations that had executives and a board of directors, Geoff works for a pizza franchise. While it does have half a dozen stores throughout South Florida, it is simply not at the same scale as these previous companies. However, it is interesting to note that he complains of similar issues as the other two. Namely – lack of planning. Geoff does not have higher than a high school education. In fact, he dropped out of high school at 16 and ended up getting his G.E.D at the age of 19. After getting his GED, he started working at various restaurants as a waiter, delivery driver, and eventually he got into†¦show more content†¦When I asked Geoff about what kind of difficulties he faces at work he said that he has a problem finding good people. Because he cannot afford to pay very much, good employees often leave for better jobs whenever they find them. He doesn’t hold the employees personally responsible but it is difficult to keep training new people constantly. Also, it’s difficult to keep people happy because the hours are inconsistent. Sometimes there is a lot of movement at the restaurant so he needs at least 8 people working at once. Sometimes it is slow and he doesn’t need more than 4. It doesn’t make sense to pay 8 people when you have can make due with 4, but the employees complain about not getting consistent hours. Another complaint that Geoff had was that he had to do a lot of different jobs around the restaurant. When it is busy for example, if there needs to be an extra person bussing, he has to take care of that. If there needs to be another person making pizzas, he does it. He called himself the â€Å"support role of the operation.† I found this interesting because the other two people I interviewed had no issue with this because they had specific people for each job. 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