Essay Level4 Health and Social Care Unit 41

|HEALTH AND SOCIAL CARE | |KNOWLEDGE SPECIFICATION | |Particular Activity Planned to Assess relevant Units (s) : | |Candidate: |Assessor: | |AIVET PHIRI | | |Date of Activity: |Location: | |Units/ |Details |KS | |Element/Pcs | | | | 41-1 |Any information you know that will improve the communication needs of a service user must be recorded | | | |in the communication book and care plan in a shareable and easy to read form, also it is important to | | | |access information on the language preference of the service users, permission should be asked before | | | |accessing such information and the information should be kept confidential.. According to the Human | | | |Right Act 1998 gives everybody the freedom of expression. Everyone has the right to respect for his | | | |private and family life, his home and his correspondence.There shall be no interference by a public | | | |authority with the exercise of this right except such as is in accordance with the law and is | | | |neces sary in a democratic society in the interests of national security, public safety or the economic| | | |well-being of the country, for the prevention of disorder or crime, for the protection of health and | | | |morals, or for the protection of the rights and freedoms of others. † Every individual and key people | | | |has the right to information, freedom of speech, right to life and religion. | | | |Also the Associated essay: Unit 4 M1Discrimination act is an Act to make it unlawful to discriminate against service users on the| | | |language difference . No individual should be discriminated against on any of the following grounds, | | | |race, sex, gender, colour, language, culture, disabilities etc. | | | |Equal opportunity Act gives very individual should be treated equally regardless of their gender, | | | |culture or sex i. e. Nobody should enjoy preferential treatment over the other when it comes to | | | |communication and treatment of language e. g. here a service user has a different language from the | | | |care worker and other service users it is the duty of the manager to employ whom could assist the | | | |staff and the service users to understand them self by interpreting the language, so that the needs of| | | |the service user can be meet. Carer can also learn some words from the service user language as this | | | |also promote good relationship. | | | |The data protect ion act gives individuals the right to see the information recorded about them and | | | |ensures that information should be treated with outmost confidentiality and must not go beyond | | | |authorised boundaries.Therefore records and reports must be treated confidentially, they should be | | | |legibly written, factual, objective, dated, timed, signed, the use of past and present continuous | | | |tense and they should be kept in a safe place for confidentiality. | | | |By having a vivid knowledge about these legislations, as a team leader I am responsible to incorporate| | | |the requirements of these legislations when communicating, recording and reporting with individuals’ | | | |key people and others. | | |When completing Records and Reports | | | |The Data Protection Act 1998 gives people a right to see the information recorded about them | | | |All information recorded about communication needed of service user or ways in which you found more | | | |helpful should be | | | |- Accurate | | | |- Factual | | | |- Clear | | | |- Easy to read | | | |Any information recorded must also keep confidentially. Do not leave confident material lying around | | | |in public areas. Whatever the purpose of the information, it is important that you record it | | | |accurately. It is also important that you pass one any information correctly in the right form and to | | | |the right person . Although information could be pass by telephone ,Fax, Email, post etc.Whatever | | | |means it is passed, it must be kept confidentially and service user consent must be seek before such | | | |information is shared. | | | |Provide active support for the individual:-Active support is giving service users the opportunity of | | | |expressing their independence in whatever they want to do. In this case, I make them do what they are | | | |capable of doing and what they enjoy doing which is in their best interest. It improves their | | | |intellectual skills and energy and it serve as a developmental procedure as well. | | |- Using Positive Body Language;- We can guess the feelings and thoughts that another person has by | | | |looking at their eyes ,face, posture, body movement, and cheerfulness promote good relationship and | | | |ensure service user are able to express their needs. | | | |Active Listening:- Paying attention to what service user makes them feel as an individual and | | | |entourage them to express their view and needs.This could be done by sitting at reasonable distance | | | |to them and look at them in the eye and touch or stroking their hand to show or send messages of care | | | |and affection. | | | |- Give them sufficient time to say and respond to any issue being discussed. | | | |- Maintaining eyes contact also makes the service user feel that we are listening to them. | | | |- Employ interpreter who can interprets the language of the service user. | |41-2b |- Sign language such as flash cards, picture and communication | | | |Recognise the uniqueness of individual and their circumstances:- | | | | | | | |Every individual has got their own style, way of life culture, race, ethnicity and circumstances, | | | |medical and mental status so this has to be put into consideration. Checking the individual care plan | | | |allows you to know their needs and strength on communication. where a service user has a different | | |language from the care worker and other service users it is the duty of the manager to employ whom | | | |could assist the staff and the service users to understand them self by interpreting the language, so | | | |that the needs of the service user can be meet The Equal treatment act:- the principle of equal | | | |treatment in the area of employment, covering disability, religion or belief, sexual orientation and | | | |age.Knowledge of this makes me ensure that I have to put into consideration the uniqueness and | | | |circumstances of individuals when communicating with them. | | | | | | | |Empower individual to take responsibilities ( as far as they are able within the restrictions placed | | | |upon them) and make and communicate their own decisions about their lives actions and risk.Providing | | | |active support also comes into this context which is the ability of giving individuals the opportunity| | | |of expressing their independence in whatever they are capable to do. An example is a case were the | | | |lunch was to be served and an individual couldn’t state his demand clearly and I happened to be in | | | |the unit by then. As the team leader I used sign language in order to make them communicate their | | | |demands.An example of empowering them to take responsibility might be by making them to do their | | | |laundry, escort them for shopping or by setting the dinning tables with my supervision | | | | | | | |How to manage ethical dilemmas and conflicts for individuals, those who us services and | | | |staff/colleagues, about communication, r ecording and reporting. | | |As a team leader in order to manage ethical dilemmas in term of communication recording and reporting,| | | |I just have to be professional in everything I say and write about individuals and to encourage other | | |41-2c |to do so. In this case I can avoid going beyond professional boundaries. In case an ethical conflict | | | |arises in such situation then I have to carry out a professional corrective measure in handling it. | | | |E. g. hen there is a misunderstanding between two individuals I need to calm both individuals down and| | | |separate them then listen to their complains then settle it amicably following equal treatment to make| | | |both involved happy | | | | | | | |How to challenge information, document, systems, structure, and procedure and practice that is | | | |discriminatory, especially to individuals communication and information needs. | | | |Basically in order to challenge information that are discriminatory I do the followings: | | | |I take disciplinary actions.Due to what might have happened by following the disciplinary procedure. | | | |Restructuring:- if the structure is discriminatory, a restructuring strategy will go a long way to | | | |combat the situation. | | | |Training:- This will boost the exposure of the team members and will aid their communication skills. | | | |Re orientation:- it is very important to re orientate members of my team if they are use to a certain| | |41-2d |act that is discriminatory and they have no know ledge about it. | | |Meetings:- this can be held in order to combat discriminatory situations. | | | |Review:- This will also go a long way in yielding positive results. | | | |Making use of legal and organisational procedure:- it is very important to seek legal or supreme | | | |advice during discriminatory situations. | | | |Accurate recoding and reporting: – documentation is quite important as well. It can be referred to | | | |over and over again. | | | | | | |Coded of practice and conduct, and standard and guidance relevant to your own and the role, | | | |responsibilities, accountability and duties of others when communicating recording and reporting | | | | | | | |The code of practice could be referred to as conditions that set the standard for the practice in the | | |41-4 |care setting. The main aim is to guide the team members and their leaders in the practice of their job| | | |and to make the care setting free from abuse discrimination and a couple of other things.It defines | | | |the roles and responsibilities of team member and their employer and also helps in making decisions. | | | |The code of practice for Employers of social care employers sets down the responsibilities of | | | |employers in the regulation of social care workers. | | | |Below are the roles of team leaders under the code of practice that reflects to communication. | | | |You must have given policies and procedures in place to enable social care workers to meet the CQC’s | | | |code of practice for social care workers. | | |You must put into place and implement written policies and procedures to deal with dangerous, | | | |discriminatory or exploitative behaviour and practice. | | | |Strive to establish trust and confidence of service users and carers. | | | |Make sure that you maintain eye contact with the service user when you are talking and avoid staring, | | | |sit where you can be comfortably seen. Don’t sit where someone has to turn in order to look at you. | | |-show by your gesture that you are listening and interested in what people are saying | | |41-5 |- nodding your head will indicate that you are interested and receptive but be careful not to overdo | | | |it and look like a nodding dog | | | |- you can show your caring and concern by using touching to communicate your caring and concern | | | |- be aware of a person’s body language which should tell if he or she finds touch acceptable. | | | | | | | |Recording and reporting | | | |Sometimes there may be the need to pass on information to other colleagues or other health care | | | |professional who contribute to the well-being of service users. Some of the things may need to | | |recorded are | | | |Signs and symptoms indicating a change in the condition of an individual | | | |Signs of a change in the care needs of an individual | | | |Difficulties or conflicts that have risen and actions taking to resolve them | | | |Actions you have taken or notice to promote the communication need of such service user | | | |All information recorded should be | | | |- Clear | | | |- should be factual | | | |- It should be legible | | | | | | | |Current local, UK and European legislation and organisational requirements, procedures and | | | |practice for: | | | |Protecting individuals from harm and abuse: – Pova, Health and safety, CRB, employees health check, | | | |knowledge from training. I have to make sure that all team me mbers go through the CRB check, medical | | |41-6 |status check taking vaccinations against hepatitis’ B or C, vesicular, and MMR before they are being | | | |employed.It is also essential that I ensure the health and safety of the working environment as well | | | |in order to make it free from abuse and accidents. | | | | | | | |Making and dealing with complaints and whistle blowing:-Complaints procedures, This has to do with | | | |the organisational procedure we do have the introduction and application of complaints forms and the| | | |same time whistle blowing procedures as well.For example if an issue arises and I happened to | | | |notify my superior, if she doesn’t take any action it is important for me to report to the regional | | | |manager and if the regional manager doesn’t take any action as well, I am saddled to report to a | | | |governing body which might be CQC with or without disclosing my identity. | | | | | | | |Promoting your organisationà ¢â‚¬â„¢s service and facilities- Quality assurance should be put in place to | | | |promote the organization’s service and facilities e. g. were there is a leakage is the duty of the | | | |manager to call the plumber to fix it as this has to do with health and safety procedures and | | | |maintenance.Health and Safety at Work act 1974- The following are the direct quotes from this | | | |legislation â€Å"It shall be the duty of every employer to ensure as far as reasonable practicable, the | | | |health and safety and welfare of all his employees† | | | |â€Å"it shall be the duty of every employee to take reasonable care of the health and safety of himself | | | |and other people who may be affected by his act or omission at work. | | |It is also mandatory for every employer to ensure that all equipments are checked and serviced from | | | |time to time. | | | | | | | |Managing and processing request for health and care services, and the parameters for accepting o r | | | |rejecting requests for your organisation. | | | |This has to do with the organisational policy and procedure which relates to other organisations | | | |request in order to provide services.Like inter- care and other organisations that are sending | | | |request in order to supply a couple of products and explaining to them the health and care services | | | |that your organisation provide and you can tell them where to go in order to get such services | | | | | | | |Workplace policies and procedures could be accessed in the following ways: | | | |From computers, file | | | |For example if the information of a client is stored in a computer or another data operating system | | | |and it is pass worded. For me to get access to such information I need to request for the password | | | |from my superior, the regional manager or the head office. | | | | | | |How to access and record information, decisions and judgement about and individual’s communication and| | | |lang uage needs and preference electronically and manually. | | | |Information about an individual could be access manually from the care plans, from the individual, | | | |social service, friends, family of the individual and the GP. It could also be accessed electronically| | | |via telephone, internet, email and fax. Always request for the are plan of an individual before | | | |dealing with them and ask if you are not sure about any of the information, and up date data | | | |electronically by pass wording and keeping the filed in their appropriate place to observe the data | | | |protection | | | | | | | |How different philosophies, principle priorities and code of practice can affect inter agency and | | | |partnership working when communicating, recording and reporting. | | | |In this case the other agency’s method of communication to my organisation might not relate to my | | | |organisations policy and procedure e. g. he social worker wants to speak to the key worker ab out an | | |41-7c |individual, but our own policy might not warrant him to use such procedure because the social worker | | | |might be asking sensitive question that needs professional response. | | | |Difficulty in inter agency relationship can result into misunderstanding, communication barrier, | | | |incorrect information, miss interpretation, loss of information as well. | | | | | | | |An up to date knowledge of literature related to best practice in recording, reporting and developing | | | |and evaluating communication systems and methods. | | |-Attending training and professional development | | | |-Through research | | | |-Being showed by your supervisor and manager as they may have more years of experience and accumulated| | |41-7d |knowledge which they are happy to share with you. | | | |-Through the Internet: following up information on the internet to improve your knowledge. Be wary | | | |about the information you get from the internet make sure that they are from a reputable source such | | | |as a government department, a reputable university or colleges. | | |-working and discussing as a group or team | | | |In order to reflect best practice, it must be signed, dated, timed, factual, readable, and objective. | | | |In this case it has to posses’ professional quality and must be readable as well. | | | | | | | |An up to date knowledge of governments reports, inquires and research relevant to recording, | | |41-7g |reporting and personal, organisational, multi-disciplinary and multi- organisational communications. | | |Updating knowledge and skills by going for more training, making more research, journals, and internet| | | |liaising with governing bodies from time to time, maintenance of constant and very good relationship | | | |with other organisations from time to time. By doing all this, as a team leader I will definitely be | | | |able to update my knowledge and skills in terms of recording, reporting and personal, organisationa l, | | | |multi-disciplinary and multi organisational communication. | | | | | | | | | | |Theories about: | | | |Human growth and development and how it can affect communication abilities | | | |Age is one of the factors that render the immune system weak; this will have adverse effect on service| | | |users. In a situation when the service user gets very old he might not be able to hear clearly, this | | | |will prompt anybody that is speaking to them make some adjustment by raising the tone of their voice | | | |while speaking to them. | | | |It brings blur speech, memory loss, the hormones gets weak, and medical status changes. | |41-7h |Team work motivate the ability to perform a task and further more multidisciplinary team can share | | | |ideas, help each others improves language and your skills and ability to communicate with client | | | |effectively when handing over a shift. | | | | | | | |Communication abilities and skills and their impact on an individual. | | |A serv ice user who comes from a foreign background and doesn’t have English as his foreign language | | | |might lose his self esteem when he sees how other service users are relating to each other. | | | |The impact is that their needs might not be fully met; it might lead to frustration, abuse or bad | | | |practice. | | |41-9 | | | | | | | |Identity, self esteem and self image:- A language difference makes it difficult to reach their | | | |self-esteem or self-image for example if the client does not speak or right effectively it brings | | | |about withdrawal of one skill and ability to work as am group. | | | |This is the way that someone pictures him or herself. Loss of it might lead to isolation of one self | | | |and not being able to communicate his/her demands. | |41-10 | | | | |power relationship and how it can be used and abused when communicating with vulnerable people | | | |For instance, a carer might take a service user for granted due to the service user’s nature of | | | |health. In a case where the service user do forget easily, the carer can decide to give some | | | |information’s which are not professional in the presence of his service user because he knows that he| | | |will forget. | | | |Power can be used positively in terms of communication by encouraging the service user and it can be | | | |used the other way round by swearing and shouting on the service user. | | | | | | |multi-disciplinary and multi-organisational working and communication | | | |I a situation where an abuse have occurred , the staff that was involved face a disciplinary panel and| | | |POVA and other governing bodies within and outside the organisation could be involved. | | |41-11 | | | | |Evidence based research and knowledge based research and benefit of both when recording and | | | |reporting. | | |Making use of legislations and quotations while reporting . It makes them serve as future reference | | | |and legal document. This authentifies the report and makes it meet professional standard. | | | | | | | |Knowledge of physical and mental condition you are most likely to deal with and make judgement on when| | | |managing and processing request for services.From my own point of view there are some physical and | | | |mental conditions of my service user that I can easily decode the cause and know the next line of | | | |action. For example of my service user that his mental status deteriorates drastically I noticed that| | | |might be as a result of his age, I informed my manager, so I had to call the social worker and GP to | | | |come and access him, so his medications was reviewed. At the conclusion of the review. I contact the | | |41-14 |pharmacist to supply. | | | | | | |Health, social emotional, financial, and environmental factors that affects the communication skill | | | |and abilities and well bearing of individuals, families, groups and communities. This could be as a | | | |result of an unsafe working e nvironment this will definitely result into a couple of things within the| | | |working environment because there is no level of security for service users, visitors, staffs, and | | | |those outside the organisation as well. Health factor could be poor facilities for hygiene and other | | | |poor facilities as well which are not helping the people within and outside the organisation. | | | | | | |How different philosophies, principles, priorities and codes of practice can affect inter agency and | | | |partnership communication and working. This can affect inter agency relationships positively or | | | |negatively. Basically inter agency relationships in the context of communication can be of different | | | |medium. The computer can be used for data processing and updating or uploading.Phones can be used | | | |for calls, reporting, enquiry, receiving. The fax machine as well can be used for reporting, | | | |receiving. Internet could be used for research, emails, while the beeper could be used for sending | | | |signals. Different organisations can have policies; principles guiding the use of this medium in | | | |dissemination of information are which might either be to the advantage or disadvantage of the other | | |41-15 |agency that is relating to them. | | | | | | |Physical and mental conditions you are likely to deal with within your work with individual’s | | | |families, carers, groups and communities and their effect on the communication needs of individuals. | | | |Physical-Ageing, sickness, disabilities, memory lose, hearing impairments, lose of sight. Mental- | | | |dementia, depression, stress, dyspraxia, alzelmhers, and the effects can be inappropriate eactions, | | | |stress, anxiety, and frustration. Lastly their needs might not be met perfectly by their community due| | | |to their inability to communicate their requests. | | | | | | | |Specific equipments that will enable individuals with speaking, sight or hearing difficulties and | | | |additional needs or learning difficulties to receive and respond to information and how to access | | | |and use this. | | | |The specific aids used in the care setting to enable individuals with speaking, sight or hearing | | |41-17a |difficulties and additional needs or learning difficulties to meet their communication needs and | | | |preferences are hearing-aids, spectacles (glasses), communicative pictures, makaton, flash cards, | | | |computer audio communication systems, interpreter etc.Not the provision of this alone to individuals | | | |who need them but to encourage them in making use of it as well. | | | | | | | |The types of records and report that you are required to complete within your work role and how to | | | |complete them | | | |Below are the records and reports that I do complete within my work role. | | |The finance register, supervision form, annual appraisal, Criminal Record be rue check, Risk | | | |assessment, Care worker assessment, Reviews, Ca re plans, Minutes of meetings, Daily Logs, Handover,| | | |maintenance records . | | | |In order to state how to complete them, they should be dated, completed, clear enough, comprehensive, | | | |timed, location, witness, subject, and should be objective as well. | | | | | | | | | |41-17b |The different types of data that can be used within records and record and which are best for records | | | |and reports you need to access, complete use and develop-Basically data means information’s. The | | | |different kind of information’s needed in the care setting is of the following categories. | | |Financial: this could be the financial information’s about the home, individual, staffs and financial | | | |relationships with other organisations as well. | | | |Medical: this has to do with the medical information’s about an individual. | | | |Social: anyway in relation to the social status of an individual e. g. Members of his family, his wife| | |41-17c |and children. | | | |Research based: this as to do with information’s received based on the research I have made. | | |Statistical: statistical in the sense of the data base that I do update from time to time. | | | | | | | |Methods of working which facilitates the resolution of the conflicts that you are likely to face | | | |when communicating with individuals and key people. Be attentive, supportive, encourage, and provide | | | |adequate information.When it comes to resolution of conflicts in relation to communication, I have | | | |got to clarify all misunderstanding in a polite and informed manner in order not to cause another | | | |create bad feelings and if I can’t solve the conflict I refer to my manager to get advice or intervene| | |41-17d |to solve the issue at hand | | | | | | | |31.How and where information communication technologies can and should be used for communicating, | | | |recording and reporting | | | |Communication technologies can be used in dif ferent ways to pass information about the service user | | | |and the staff needs during the time of reviewing and updating information about service user this | | | |techno0logy can be use to pass on information to the appropriate people that need to know this | | | |information or needs to be involved in the reviewing of the information. | | | |Some equipment and how they are being used within the setting are stated below:- | | | |Computer:- store data, updating, recording | | | |Phones: – calls, enquiry, reporting. | | |41-17e |Fax: – reporting, receiving. | | |Internet: – Emails, reporting and receiving. | | | |Beeper: – For sending signals. | | | |Pagers:- reporting and receiving, | | | |Projector, Reporting, presentation, training. | | | |All the above equipment could be found within the care setting. The computer, phones. Fax, internet | | |41-17f |can be found in the office while the projector could be found in the training room. | | | | | | | | | | | | | | | | | |41-18 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-19 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-20 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-21 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-23 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-26 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-27 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-29 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |41-31 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

Team Importance Week 3 Hcs 325

Introduction No management position is easy these days. There are many rules and regulations to follow, as well as many responsibilities that grow more over time. One of the responsibilities as a manager is to improve efficiency of the company and extend customer satisfaction. Not only does this take money, but time, skill, and teamwork. As the manager of a busy call center, the call volume has increased so much that there is an extra $20,000 to spend on improving customer satisfaction and efficiency. How can this be spent wisely to reach these goals? Teamwork is top on the list of importance because without a team, there is no business.Teams provide many things to a health care facility, as well as any other successful business. Teams are used in many different ways in other industries, such as the military, for example. This sets examples for the health care industry as to how teams might be used similarly there compared to somewhere like the government jobs. However, nothing is ea sy like saying the alphabet. In any industry, conflict does arise, and having the knowledge of problem solving is very good to have in order to make an educated decision for the health care organization. GoalsIn the call center, there is an extensive amount of money to be used for improving the quality of care, and customer’s satisfaction. Goals need to be set in order for the $20,000 to be used wisely. Teamwork is the answer to this. To improve quality of the product, and to increase customer satisfaction, everyone has to be able to work together very well to reach the goals of the company. So far because of this teamwork, the call volume has increased immensely. Managers in the call center have a process they follow, called the Five Step Planning process, which enables them to improve teamwork, which solely improves quality and satisfaction.Five Step Planning Process â€Å"At its most basic, planning is decision making†. (Donald J. Lombardi, John R. Schermerhorn, Bri an Kramer; 2007, John Wiley & Sons Inc. ). The five step planning process is used in order to make the best decisions possible when making decisions within an organization, as well as help out with any conflicts that may arise during the process. It is a support system for problem solving and breaks down how to do it with as little conflict as possible. Step one of the process is to identify and define the problem.This is where information is gathered, evaluated, and is deliberated. Doing so defines any problems correctly and can be taken care of efficiently without complications along the way. Step two of the process is to generate and evaluate possible courses of action. In this step, managers â€Å"can begin formulating one or several potential solutions†. (Donald J. Lombardi, John R. Schermerhorn, Brian Kramer; 2007, John Wiley & Sons Inc. ). More information may need to be gathered and analyzed before going to the third step of the process, which is choosing a preferred plan of action.In the third step, a decision is made with selecting a specific course of action. In the fourth step, implement the planned course of action, actions are established and implemented to meet the final goal. Nothing new is able to happen unless action is taken. Managers should have the ability to be able to have the determination and be creative in order to implement the planned course of action. Finally, the fifth and final step of the process is evaluating the results. What happens is the accomplishments with the original objectives are compared to what has been come up with.Both the positive and negative sides should be kept in an open mind, before a final decision is made to stick. Look Outside the box Looking at how other businesses are ran and how the make teamwork better is a way to improve customer satisfaction. Teamwork is used in different ways in other industries, such as the military, for example. They use teamwork to the full extent because in their world, it may mean life or death. Jane Dyer, a veteran, states â€Å"Teamwork is a fundamental lesson in the military. At basic training, you learn about being the member of a unit†.She also states that after you leave that basic training, you are still responsible for your unit and whether or not you like a team member, you will still honor and protect each other. The military is so tightly compact, they are like a family. This sets examples for teamwork in the health care organizations because whether or not you like a team member, that does not mean you cannot help the company you work for succeed along with yourselves. The military’s company is the United States. Should they not work together well, they could die and others lives would then be at stake.It is the same concept with businesses. Should the team not work together well and improve, then one, the company ends up dying, then everyone working loses their jobs. Just because one industry is different than the other, they could very well learn important lessons about team work from each other. Conclusion Industries around the world are very different but also alike in so many ways. The military is a great industry to look at for things like team work, because the health care industries can learn how to improve their quality of care and customer (patient) satisfaction.Having that extra money can benefit the companies when they focus on improving team work alone. Lessons are learned all around. References: Donald J. Lombardi, John R. Schermerhorn, Brian Kramer; 2007, John Wiley & Sons Inc, â€Å"Managerial and Supervisory Planning: Preparing for the Road Ahead†; retrieved from https://ecampus. phoenix. edu/content/eBookLibrary2/content/eReader. aspx Jane Dyer, 2010, â€Å"The military shows the importance of teamwork†; retrieved from http://www. mydd. com/users/jane-dyer/posts/the-military-shows-us-the-importance-of-teamwork

John Berger's Comparison of Fine Art to Commercial Art Essay

John Berger's Comparison of Fine Art to Commercial Art - Essay Example This is because fine art is often esoteric and ultimately meaningless. Art critics might be able to find meaning in certain works of art, but they would be the only ones. The common man would have great difficulty understanding the meaning of a man's urinal used as artwork. On the other hand, commercial art is supposed to be understandable and accessible or, at the very least, evoke powerful emotions. For this reason, commercial art is more successful in conveying messages to mass audiences then is fine art. Discussion John Berger states that abstract art has been adopted by corporate capitalism, which is causing these aesthetics to become emblems of economic power. He says that, through this process of reducing the aesthetics of fine art into something that is used to increase economic power for the entity that uses this art, the lived experience inherent in the art work is eliminated from the image of the art. This results, in his view, in a reduced area of experience, even though it claims to be universal (Berger, 2001, p. 296). This process of commercializing fine art, and the subsequent way that this transformation has robbed the art work of meaning is particularly anathema to Berger, as he feels that art comes from a primitive part of the artist, and that it comes from the lived experience of the artist (Berger, 2001, p. 296). For Berger, drawing and art is about discovery within the artist himself (Berger, 2001, p. 10). The power of the art comes from this lived experience, the faith that this experience can produce the art, and this is typically coupled with a skepticism of the society in which the artist finds oneself (Berger, 2001, p. 297). Thus, in transforming art in commercialism, it robs the art of this lived experience which is the essence, the very heart of the artwork. The meaning of the artwork is dead, at least the meaning that the artist intended, and the meaning is instead transformed into whatever the particular advertisement is attempting to sell. Berger was also highly critical of the fact that paintings have become so commodified. He states that no work of art may survive without becoming a valuable piece of property, and that this spells the death of the painting and sculpture, as â€Å"property, as once it was not, is now inevitably opposed to all other values. People believe in property, but in essence they only believe in the illusion of protection which property gives. All works of fine art, whatever their content, whatever the sensibility of an individual spectator, must now be reckoned as no more than props for the confidence of the world spirit of conservatism† (Berger, 2001, p. 215). Thus, the fact that paintings and sculptures must be commodified to survive in the long term spells the end of the art as we know it, in Berger's eyes. According to Papastergiadis (1993), Berger's issue with the commercialization of art would stem from the fact that Berger contends that art must give meaning to human e xperiences. In particular, art works to increase our understanding of the gap between freedom and alienation in everyday life. He also states that Berger is a combination of a Marxist, in which the art is integrated with the political, thus is an

Terrorism Threat and Business Continuity Essay Example | Topics and Well Written Essays - 3000 words

Terrorism Threat and Business Continuity - Essay Example Business stalled for some time. Many resources were used to re-stabilize the nation and start all over again. However, the main concern from the businessmen all over the globe who are faced with such challenges is whether their businesses will be affected in the event of such acts of terrorism befalling the nation in which they operate. The governments of the world today are tasked with the prerogative of ensuring that they maintain a state of stability in their nations. Billions of money are spent each year towards this effect. And the reason this is done is simple enough; without a state of stability, businesses fail and the economy crumbles. It, therefore, becomes a matter of paramount importance to curb the risk of terrorism if only to protect our own lives as well as sources of our livelihood. There are various ways in which governments of the world today have engaged themselves actively in the act of ensuring that they mitigate the threat posed by terrorists and in the process assure the business people of the guaranteed security for the continuity of their businesses (Crenshaw, 2000, p.405). On the same note, it is important to ensure that the measures are taken to curb terrorism also fall in line with the human rights concerns. People understand that lives could be lost in the process and as such, they ensur e that maximum precaution is taken to align themselves with the concerns of the human rights in a civil or democratic society. To this end, this paper seeks to take an in-depth look into some of these risks and the mitigation measures applied and how they have had an effect on the business continuity as well as on the human rights concerns. It will define what terrorism is, connect it to how it is a threat to business continuity as well as human beings and finally discuss the ways of mitigating this risk. Various scholars have come up with various definitions of terrorism that are all intertwined. Salazar, Rocco and Rio (2007, p. 327) state that terrorism is a deliberate and disastrous attack on key infrastructure in the world.  Ã‚  

SLP 2 HRM - 403 CULTURAL TRAINING FOR EXPATRIATES OR DO I KISS THE Essay

SLP 2 HRM - 403 CULTURAL TRAINING FOR EXPATRIATES OR DO I KISS THE MINISTER OF COMMERCE, BOW OR SHAKE HER HAND - Essay Example Coca Cola Company has the mandate to train their employees on the culture of communication on their clients so as to propagate the profitability of the company. Normally, most Indians prefer to communicate bad news in an indirect manner. (Rao, 2009) If not keenly scruitinizes, their yes could imply no and vice versa. This is especially true when communicating with a superior or with a client. Expats unfamiliar with indirect communication will often misunderstand their Indian counterparts by failing to read between the lines. The company has endeavored in providing quality information to meet the customer’s needs. Asking open-ended questions, inquiring into the potential problems of a proposal, and actively listening for subtle clues are a few tactics which go a long way in avoiding miscommunication. (Rosi, 2010) Coca Cola Company is a structured company that has different levels of management ranging from the top which has the directors and the C.E.O, the middle level consisting of the H.O.D and the lower level which constitutes of the workers. The company has power distance which involves 13 levels to the production workers. This formal structure has made the workers not to have that close relationship with the top level management. Most of the top managers are much respected. The company has conducted trainings in relation with the Indian culture on how to relate with each other so as to enhance harmony and relationships. This training is an important asset to the company for it enhances the relationship with the customers and therefore the profitability of the company increases. (Anonymous, 2009) The coca cola company is a global company and their policies on employees’ relationship have been harmonized despite the many cultural diversity. However the issue of employees’ relationship is determined by the country. Since the employees of India have a believe in future orientation the company

Visual art Essay Example | Topics and Well Written Essays - 750 words - 2

Visual art - Essay Example However, it is also evident that Spanish cinema has an increasingly international appeal with added creativity and dynamism than at any time in its history. Results released by the Spanish film board shows that Spanish films have grossed more than $143 million in 2013despite funding cuts that have been a result of austerity measures (Dennison 16). This is the best performance ever by the industry, which can be attributed, among other things, to the conscious attempts by the industry to appeal to a global audience base. Some of the best films I have watched in the last year include â€Å"The Impossible† that I believe is the best local Spanish film of all time, which earned an Oscar nomination. â€Å"I Want you† by Fernando Molina and â€Å"Tad, the Lost Explorer† were also local hits that gained international recognition in this period. These films also grossed $50 million, $15 million, and  million locally, while making double the amount globally, indicating a renaissance for the Spanish film industry (Dennison 34). This year has also begun brightly with â€Å"Mama† produced by Guillermo Toro and starring Jessica Chastain, which was also successful in the US, beginning its run in at the top of the box office. However, it is also important to note that these successful films began production over four years ago; mostly because of a decline in government, funding that was widely criticized in the Spanish media. The last year and half have been the most successful for the Spanish film industry according to the Spanish media, especially due to its simultaneous international and local appeal. For example, the four nominees at the GOYA awards this year for best picture, â€Å"Unit 7†, â€Å"The Artist and the Model†, â€Å"The Impossible†, and â€Å"Blancanieves†, were especially appealing to local audience as they tackled the theme of crisis, which has been emblematic of Spain in the last five years (Dennison 34). However, my interest in the Spanish

Re-Thinking Marxs History Theory Essay Example | Topics and Well Written Essays - 500 words

Re-Thinking Marxs History Theory - Essay Example From this study it is clear that  both accounts hold one thing; that social classes are responsible for changes in human history. He also notes that conflict of contradiction is the root of historical change, which is the case in both propositions. In his explanations, there is a striking acceptance that humans are different from other animals because apart from adjusting to their environments, they establish constant relationships with them. According to both accounts, men are in constant bids to transform themselves through production and only do so while associating with others. Such relationships as the ones established between people and their environments become manifest in human relationships.  This study stresses that  there is some form of variation between the two theories, which emanates from the idea of self-consciousness. As much as there is an acknowledgement of the effect of social class, The German Ideology considers production as being the main cause of histori cal transformations. Marx still considers contradictions as the cause of history, but in a different format from the 18th Brumaire. According to German Ideology, true socialism evolved from the continued conflicts within the capitalist economies such as those of France. At that time, France was more economically advanced than Germany, his home country. In the same, Marx considered that all forms of conciseness, which is the basis of revolution, lies in the identity of social class.

Cold War and the Los Angeles area Essay Example | Topics and Well Written Essays - 500 words - 1

Cold War and the Los Angeles area - Essay Example International sports sometimes need political support and this factor is exploited too, which was seen in the Cold war. President Carter concluded that such ban on sports would not create any benefit but on the part of athletes’, their career would be affected. This movement was well attuned to international politics, and the governments had access to the power. Joining of Russia in the Olympic movement politicized the games. Particularly, it is stated that to wage propaganda the U.S. government controlling the Olympic Games carried on this campaign against communism during Cold War. (Hill) The Los Angeles games of 1984 will be remembered greatly, as it showed the execution of super political power and it showed a significant impact on the domestic Olympics of the season. The games displayed the shift of powers from the IOC. Due to the Cold War, the strain between the countries allied with the super powers increased. Both the countries (West Germany and East Germany) were asked to participate as one team but the offer was declined by East Germany. (Rider) Such disagreement of countries allied with super powers continued for a long time and the athletes suffered. These games were sharply politicized on the other hand they were commercial as the taxpayers used it and refused to pay funds and exploited the games by all means. (Hill) The city holds an especial place in the heart of all Americans. It is called the hub of entertainment, leisure, culture films and many more. It contributes to the US economy by drawing in income from the sale of cultural products across the globe. For 40 year Los Angeles had advanced strategic-projects including Bomber projects, space projects, missiles and advance electronic communication. But in the late in 1980s Los Angeles faced sudden reverse in the flow of income. Due to the cold

Compensation Case Study Example | Topics and Well Written Essays - 1000 words

Compensation - Case Study Example Under the skill factor, the cashier scores two points for experience and ability. Under supervisory, the Cashier scores 2 for fiscal and supervisory responsibilities. Under effort, the cashier scores 2 for physical effort and 3 for mental effort. Under working conditions, the cashier scores 2 for each of the categories. Total points scored are 21 out of 30. Job C: Prepared Food Manager The prepared food manger has executive management roles. The Manager is responsible for the prepared food department. Under skill factor, the manager scores 3 for each of the categories thus experience, education and ability. Under responsibility, the manager scores 3 for fiscal responsibility and 3 for supervisory responsibility. Under mental and physical effort, the manger scores 3 and 2 respectively. Under working conditions, the manager scores 2 for each location, hazard and extreme environment categories. Total score is 26 out of 30. Job D: Back Room Shift Supervisor The shift supervisor is respon sible for supervisory functions during shifts. The shift supervisor scores 3 for education and ability and 2 for experience. Under responsibility, the supervisor scores 1 for fiscal responsibility functions and 3 for supervisory function. Similarly, he scores 2 for location, hazard and extreme environment categories respectively. ... The shift supervisor scores 3 for education and ability and 2 for experience. Under responsibility, the supervisor scores 1 for fiscal responsibility function and 3 for supervisory function. Similarly, he scores 2 for location, hazard and extreme environment categories respectively. Total score is 23 out of thirty. Job G: Prepared Food Department Assistant Manger The prepared food assistant manger has management roles. The assistant manger is responsible for the prepared food department. Under skill factor, the manger scores 3 for each of each of the categories of Experience, education and ability. Under responsibility, the manager scores 2 for fiscal responsibility and 3 for supervisory responsibility. Under mental and physical effort, the manger scores 3 and 2 respectively. Under working conditions, the manager scores 2 for each location, hazard and extreme environment categories. Total score is 25 out of 30. Job H: Store Manager The stores manager rotates among stores offering man agerial assistants to the store team leaders. Under skill factor, the store manager scores 3 for experience, education and ability. In responsibility function the manger scores 3 for the both fiscal and supervisory function. Under mental and physical effort, the manager scores 3 and 2 respectively. Under working conditions, the manager scores 3 for each location, 2 for hazard and extreme and 2 for environment categories. Total score is 27 out of 30. Job I: Back room Staff He does cleaning duties at the back room. He scores 1 for education, 2 for ability and 1 for experience. Scores zero for fiscal and supervisory responsibilities. He scores 3 for location, hazard and extreme

International Economics Assignment Example | Topics and Well Written Essays - 1250 words

International Economics - Assignment Example Depreciation increases operation and running costs of an organization, especially if it has a lot of imports or outsourced employees. The real exchange rate between the United States and Europe is given by ÃŽ µ. Consider a scenario in which the nominal exchange rate depreciates by 3%, while the price level in Europe increased by 5% and in the United States, it goes up by 2%. What happens to the real exchange rate? In Munich a bratwurst costs 5 euros, a hot dog costs 4$ at Boston’s Fenway Park. At an exchange rate of 1.05 $ per euro, what is the price of a bratwurst in terms of a hot dog? All else equal, how does this relative price change if the dollar depreciates to 1.25$ per euro? Compared with the initial situation, has a hot dog become more or less expensive relative to a bratwurst? Spain and Germany trade a lot between each other. Germany is running an inflation – low, but inflation – and Spain a deflation. Discuss what is expected to happen with the nominal and the real exchange rates between them. The nominal exchange rates of Germany will decrease while the nominal exchange rates for Spain will increase. This is because an increase in commodity prices will cause an increase in the foreign income that is required to purchase local products. The vice versa is true for Spain where a decrease in the price of commodities will reduce the amount of income earned from foreign countries to buy local products. The real exchange rates of Germany will increase. This is because the real exchange rates appreciate an increase in product prices. On the other hand, the real exchange rates of Spain will decrease. This is because real exchange rates depreciate with an increase in product prices.

The Importance of Music Essay Example for Free

The Importance of Music Essay Music has infiltrated every aspect of our society and culture during the course of thousands of years. In ancient Greece, music where everywhere from the slums to the palaces, today is no different. Music exists everywhere in our society and culture today and does an excellent job of reflecting it. Looking through the history of music, one can learn a lot since it reflects the time in which it was produced; the hardships of the slaves in early America, the economic success of the 20’s, the worldwide conflicts and peacekeeping movements of the cold war and the difficulties and acceptance of homosexuals in the 80’s. My question is; how does music influence us on a personal and global level? Music is an excellent medium to express oneself due to the wide variety of relevant subject matters available, every person in the world will relate to at least one song one way or the other. Music can help us express how we feel when words are not enough or just won’t come to us, this can be seen in the novel ‘Perks of being a wallflower’ where the protagonist Charlie has a hard time explaining himself to the people around him. He uses music to reflect his feelings, an example of this can be the making of mix tapes that he makes to his friends to convoy a message to them or simply to give them a brief view into his mind. Music means a lot to me and I have developed a very broad musical taste over the years. I listen to music every day and use it to calm down, get hyped, and blow off steam or to simply pass time. In today’s society, music is used to regulate moods, market products and spread messages. Most people come in contact with music every day and each one of us have a unique musical taste; this makes music a billion dollar industry and a huge part of society. Throughout history, music has spread entire cultures around the globe such as punk, hippie and rap. This makes music enormously relevant in the context of globally spread subcultures. Music also reflects nationality and heritage; it can help us understand more about ourselves, our heritage as well as how others live, in different cultures even. Music is an effective and widespread medium to spread ideals and ideas, about the past, present and the future. Music is in the end something that binds us all together as a culture, ever since pre-historic tribes developed proto-instruments and chanting around the campfire, this has been the case. People can come together and share music with each other, completely different individuals can still socialize and interact due to a common musical interest, this is the case in the novel per example.  Music enables us to share and interact on a different level, music has always existed in some form, and I believe it always will. Alicia’s comments: I think Felix did a very well written essay about the importance of music. He shows that he has thought about how the music has evolved through the years and how it affects us. He explains what music means to him and what kind of symbolic importance music have to many people. He also does a comparison to the novel The perks of being a wallflower and explains what kind of importance music have in the novel and for the main character Charlie. To support his thoughts of the importance of music in â€Å"The perks of being a wallflower† even more, he could have given examples from certain situations in the novel. He could have referenced from the novel or written quotes to support his thoughts. To make a comparison I think he should have mentioned another novel or film where music is a central theme.

Is Animal Testing Really Necessary Essay Example for Free

Is Animal Testing Really Necessary Essay Animal testing is a phrase that most people have heard but are perhaps still unsure of exactly what is involved. Whether it is referred to as animal testing, animal experimentation or animal research, it means the experimentation carried out on animals. Experimental animal testing has been one of the highest debated issues for many years. Animal testing is used for numerous products and applications. Everything from toiletries to medications has likely been tested on animals at some point prior to their distribution (Murnaghan). Animal testing can be conducted anywhere from a university to a military defense establishment, wherever there is a need for testing a product. Products to be tested will range from cosmetics to pesticides and anything in-between. Animal testing has been around for over 500 years, since the early 17th century, though testing for cosmetic purposes did not start until the 1930s. Animal testing has been highly debated for many years for whether it is moral, ethical, humane, right, wrong, just, fair, etcetera. Many people stand against animal testing because they feel that it is unfair treatment to animals since animals do not have a say in the matter. On the other side of the argument, people fight for animal testing because it allows for prescription drugs and medicines to be tested. Both sides have their valid points, animal testing can be seen as cruel, especially when there are alternatives that can be used, but also, even with alternatives, testing on animals is still sometimes necessary in order to get the needed results. In a debate between Laurie Pycroft, one of the founders of Pro-Test, and Helen Marston, head of Humane Research Australia, the two go back and forth about animal testing and its potential alternatives. Pycroft starts out the debate by explaining the complexity of the human body and how no investigative tool can â€Å"fully replicate the intricacy of a living organism† (Pycroft). Marston returns fire by talking about why animals are not good models for human medicine. She makes the point that animals are â€Å"anatomically, genetically, and metabolically† different from humans (Pycroft). Pycroft continues to bring up different examples of how using animals for research has helped make medical advances for humans, while Marston seems to continue to revolve around the same idea of there being alternatives, but she does not really expand on any one topic, just that there are alternatives. Thomas Hartung talks about the alternatives to animal testing. One of the things Hartung mentions is an experiment done in 2006, â€Å"when the TeGenero anti-CD28 antibody, after testing safe at 500-times higher concentrations in monkeys, [it still] led to multiple organ failure within hours in six human volunteers† (Hartung). Thus, providing an argument against animal testing because sometimes, even when animal testing provides positive results, it does not mean that the same result will be present when human trials are done. Many people believe that animal testing is only about testing cosmetics or new drug therapies, however, there are many different uses for animal testing, and Timothy Musch et al discuss some of those uses. â€Å"Animal studies play a part in the initial development of candidate drugs, and the development and testing of medical devices and surgical procedures. Even more crucial, animal research informs clinical research by building the foundation of biological knowledge† (Musch et al). There are so many things that the testing of animals can help to improve. Some things, such as the development of insulin, antibiotics, vaccines, and drugs with high mortality rates, are all because of high contribution from animal testing (Murnaghan). On the flip side though, Alison Abbott points out, â€Å"Every time you reach for an eye drop or reapply a lip salve, you do so confident that the chemicals they contain are safe to use. But the toxicology test on which regulators rely to gather this information are stuck in a time warp, and are largely based on wasteful and often poorly predictive animal experiments† (Abbott). Abbott talks about a legislation called REACH (Registration, Evaluation and Authorization of Chemicals) and how it planned to â€Å"make registration mandatory for both future and existing chemicals – even those that have been on the market for decades† (Abbott). As a result of reach, it was expected that millions more animals would be used in order to meet the necessary requirements. 5,000 animals – that is up to how many test subjects could be used for each chemical; if it is a pesticide that number jumps to 12,000. The estimated cost of running these tests on the unregistered (approximately 30,000) chemicals is between â‚ ¬5 billion (US$6 billion) and â‚ ¬10 billion (US$13 billion) (Abbott). In order to test one single chemical for cancer causing potential, it takes five years, involves 400 rats (each of which is treated with the maximum tolerated dose), and more than 50% of the results are positive, even worse, of that 50%, 90% are false positives (Abbott). In looking more at the argumentative side, there are two general views: in favor of animal testing or against animal testing. Many people lean towards being against animal testing because they feel it is cruel, inhumane, and unfair to the animals. Now on the other hand, a lot of people are in favor of animal testing because it helps to test medicines, medical procedures and other necessities. Animals do not have a voice of their own; they need people to speak for them, to fight for them, and to protect them. Many companies, while attempting to verify their products are safe for humans, will perform various tests on animals. Animals are used for testing a wide variety of chemicals and products such as drugs, vaccines, cosmetics, household cleaners, and pesticides. As written by Delmas Luedke, â€Å"Animals are exposed to too much suffering; especially when there are many alternatives to testing on animals† (Animals and Research). If there are alternatives for research, why test on animals? There are new alternatives being created, such as realistic software models. The first realistic software models of human and animal organs are starting to emerge – potentially replacing some of the 50 to 100 million animals used each year for scientific research† (Biever). With different types of software emerging, it is very possible for other software to be produced in future years and animal tests could be completely replaced. When doing medical, cosmetic, or any other type of re search, animals should not be used or abused because it is cruel and harmful to the animals being used for testing. On the opposing side, some people believe that it is okay to harm animals in order to discover cures and generate medicines, although animal testing can lead to antibiotics, vaccines, and other treatments being produced, there are other ways that those same products could be produced – without harming animals. According to Cynthia Pekow, â€Å"Although polls say that most Americans accept that research animals are needed to advance medical science, many people feel squeamish thinking about animals used in experimentation†(â€Å"Animals in Research†). People do not feel squeamish because their medicines are being tested on animals; they are squeamish because animals are being harmed in the process. While good things have come from testing on animals, it is just not worth the pain and torture that they are put through. One reason why testing on animals should be illegal is because it is a cruel and inhumane way to do research, and it is unfair because animals have no voice of their own. Jackie Powder states that, â€Å"It was a furor over the alleged mistreatment of rabbits by a cosmetics giant that set the stage for the creation of the Center for Alternatives to Animal Testing† (Powder). CAAT works with scientists, government regulators, and other advocates to identify alternatives to the use of animals in testing thousands of chemicals. Humans are capable of giving their consent in order to be tested on, while animals are not. Animals have no voice of their own to speak with. They cannot tell anyone when something hurts; they cannot tell anyone when something does not feel right; they cannot tell anyone if they do not want to participate in the testing anymore. A second reason for not testing on animals is because there is no moral reason to test on animals when the results may not even be accurate. There have also been many alternatives that have proven to be more accurate than using animals. â€Å"Using animals is unreliable and inaccurate because of great differences between animals and humans. Non-animal tests take less time to complete, cost only a fraction of what the animal experiments the non-animal tests replace costs, and are not overwhelmed with species diversity that make inferring results difficult or impossible† (Stop the use, ). Virtual models, such as the ones at Insilicomed in Lo Jolla, California, are being created. At Insilicomed they are using a virtual heart to simulate the interaction between the organ and a pacemaker, on behalf of a manufacturer. The device is initially tested in both animals and software to ensure that the models accurately replicating what happens in real life, but subsequent test to refine the properties the pacemaker’s leads are done in software alone† (Biever). With these models being produced, fewer animals will b e used in experiments. Whenever there is a chance to replace animal tests, those chances should be pursued so that fewer animals will be used. On the alternative side of the argument, there are multiple reasons why animal testing is a good thing. For starters, animal testing has helped to create many of the medicines in our world. The kinds of benefits from animal research that researchers have made in understanding and treating diseases would not have been possible without animal research. Many people argue about how it is cruel and inhumane to animals; well would they rather it was humans being tested? Maybe they would like to send their brother or sister in for experimental testing? While animal testing may seem cruel, the hypothetical alternative is even worse. Scientists are attempting to develop worthy alternatives to testing on animals, but some things are not quite as easy to come up with an alternative. Both sides of the argument have very good points, however, despite the fact that it can be seen as cruel and inhumane to the animals (from a person’s perspective), animal testing is, at this point in time, a necessity. There are many drugs and medical procedures that may not be here today if it were not for animal testing. Testing on animals may be inhumane to them, but it is better to be inhumane to an animal than to a human.

Natural Law Essay

Natural Law Essay The theory of Natural Law was put forward by Aristotle but championed by Aquinas (1225-74).  Ãƒâ€šÃ‚   It is a deductive theory it starts with basic principles, and from these the right course of action in a particular situation can be deduced.  Ãƒâ€šÃ‚   It is deontological, looking at the intent behind an action and the nature of the act itself, not its outcomes. Traditional natural law is based on value judgements, which emanate from some absolute source e.g. Gods revealed word. However the term natural law lacks a precise definition, and there is very little agreement, even among experts or proponents of natural law theory about its application to specific, complex, moral, or legal issues.  [1]   The unwritten body of universal moral principles that underlie the ethical and legal norms by which human conduct is sometimes evaluated and governed. Natural law is often contrasted with positive law, which consists of the written rules and regulations enacted by government. The term natural law is derived from the Roman term jus naturale. Adherents to natural law philosophy are known as naturalists. The major opponent to legal positivism as a conception of the nature of law goes by the label natural law theory. Natural law theory is probably not the best name for this view its a bit of a historical accident that this view in the philosophy of law came to have this name but it is the traditional label.  [2]  And I will not try to displace it here. Aquinas says that the principles of practical rationality-that is, those principles that tell us how to act reasonably-both are Gods law for our conduct and are knowledgeable by nature, even apart from special divine revelation. So the principles of practical rationality are both law and natural, and hence are natural law. Because Aquinas says that human law must be in accordance with reason and he sometimes says that human law must be in accordance with reason and he sometimes says that human law must be in accordance with natural law. The label is unfortunate because there are some writers who believe that the principles of rati onality or morality place a constraint on legality, but who do not believe that these principles of law rationality or morality are God-given law. These writers are called natural law theorists even though they do not, strictly speaking, believe in natural law. There are important objections to be made to Aquinass theory of natural law. O Connor rightly identifies the main one: Aquinas fails to explain just how the specific moral rules which we need to guide out conduct can be shown to be connected with allegedly self-evident principles.  [3]  But the objection that Aquinass account of natural law purposes an illicit inference from is to ought is quite unjustified. What are the principles of natural law? There is a  set of basic practical principles which indicate the basic forms of human flourishing as goods to be pursued and realized, and which are in one way or another used by everyone who considers what to do, however unsound his conclusions; and a  set of basic methodological requirements of practical reasonableness (itself one of the basic forms of human flourishing) which distinguish sound from unsound practical thinking and which, when all brought to bear, provide the criteria for distinguishing between acts that (always or in particular circumstances) are reasonable-all-things-considered (and not merely relative-to-a-particular purpose) and acts that a reasonable-all-things-considered, i.e. between ways of acting that are morally right or morally wrong-thus enabling one to formulate a  set of general moral standards.  [4]   Naturalists believe that natural law principles are an inherent part of nature and exist regardless of whether government recognizes or enforces them. Naturalists further believe that governments must incorporate natural law principles into their legal systems before justice can be achieved. There are three schools of natural law theory: divine natural law, secular natural law, and historical natural law. Divine natural law represents the system of principles believed to have been revealed or inspired by God or some other supreme and supernatural being. These divine principles are typically reflected by authoritative religious writings such as Scripture. Secular natural law represents the system of principles derived from the physical, biological, and behavioural laws of nature as perceived by the human intellect and elaborated through reason. Historical natural law represents the system of principles that has evolved over time through the slow accretion of custom, tradition, and experience. Each school of natural law influenced the Founding Fathers during the nascent years of U.S. law in the eighteenth century and continue to influence the decision-making process of state and federal courts today. Religious studies are flourishing again. Most scholars were convinced that religion definitely belonged to the past and were of interest only to a tiny group of specialists. Today religious studies are pursued by a host of people in a range of departments. Because of the relevance of cultural issues to the contemporary world, religions have moved from the periphery to the very centre of public and academic concern. Their startling resurgence has given rise to the growing number of studies that explore this phenomenon in fresh, new ways.  [5]  Among the many publications that have appeared recently, I would like to draw attention to a volume edited by Mark C. Taylor, which appeared in 1998. Entitled Critical Terms for Religious Studies.  [6]  It describes the field in terms of 22 notions some of them old acquaintances, others new comers from belief to writing. Each article analyses the theoretical value of one of these notions, examining it in a particular religious tradition s.  [7]  Another volume that appeared recently Guide to the study of Religion  [8]  likewise explores such notions as classifications, comparison, and gender 31 notions in all. Examining the concepts in the two volumes. I was struck by the absence of both history and tradition from each; ironically, only modernity has survived. As it happens, though, the essay on modernity by Gustavo Benavides in Critical Terms is not a bad substitute for the two missing.  [9]   In Ireland at present there is certain unease in an increasingly secular culture in relation to its linkages with religion and the law of god. Quinn has also stated that as natural law drew the judiciary into novel fields, and as secularisation broke down the old conventions revealing deep divisions over first principles, it became harder to credibly assert that there was one right way and that the courts were uniquely positioned to identify it  [10]   Despite the problems associated with a disenchanted secular society, there is also the added problem of ascertaining what natural law actually means. It is submitted that, a feature of most of the judicial references to natural law or natural rights under the Constitution is that they assume that there is a general consensus about the identity of the natural law. However, the concept of natural rights has a variety of meanings  [11]   The use of natural law is problematic because in fact there is no general consensus about the identity of the political, moral, judicial and theological theory being named, and there is no guarantee either that the constitution will in some sense benefit by  relying on such a theory. Hogan and Kelly have also stated that, Judicial invocation of such an un-distilled concept of natural law in the context of review presents the obvious danger that invalidation of legislation passed by the Oireachtas might not always be seen to be based on objective, ascertainable criteria  [12]   The difficulty of interpreting the natural law One of the issues often highlighted by opponents of the use of natural law is that it is ambiguous and consequently very difficult to interpret. Von Prondzynski notes, There is a general aversion among lawyers at having to deal with something they cannot immediately define.  [13]  The difficulties with the use of natural law cannot be denied. It has been argued, there are two entirely different kinds of natural law theories  [14]  , one secular and one based on religion. Murphy also noted that, while the state may be Christian, this does little to help define natural law as Christian groupings fundamentally disagree as to what the divine law actually is.  [15]   However, this difficulty is not insuperable and should not be treated as so. It is clear from the constitution and from judicial decisions such as that of Justice Kenny in the Ryan case, that a Christian type of natural law is advocated rather than a secular natural law theory. The issue of what exactly this means and how it can be applied to complex cases is more difficult to resolve. Von Prondzynski believes that natural law in its legal sense, as seen by the Constitution has nothing whatever to do with the imposition on us all of a concise set of religious rules as propounded by the Churches.  [16]   The difficulties of natural law interpretation could be considerably reduced by the construction of some form of guidelines for the judiciary to use. These would help the judiciary to define the natural law and to interpret it accordingly. It is submitted that the use of natural law by the judiciary in the 1950s and 1960s was less contentious owing to the nature of society that existed at the time. Ireland during this period in history was relatively homogeneous in terms of its core values, and as such doing the right thing was not necessarily perceived as being undemocratic when everyone knew what the right thing was. In Ireland at present there is certain unease in an increasingly secular culture in relation to its linkages with religion and the law of god. Quinn has also stated that as natural law drew the judiciary into novel fields, and as secularisation broke down the old conventions revealing deep divisions over first principles, it became harder to credibly assert that there was one right way and that the courts were uniquely positioned to identify it.  [17]   Despite the problems associated with a disenchanted secular society, there is also the added problem of ascertaining what natural law actually means. It is submitted that, a feature of most of the judicial references to natural law or natural rights under the Constitution is that they assume that there is a general consensus about the identity of the natural law. However, the concept of natural rights has a variety of meanings.  [18]   The use of natural law is problematic because in fact there is no general consensus about the identity of the political, moral, judicial and theological theory being named, and there is no guarantee either that the constitution will in some sense benefit by  relying on such a theory. Hogan and Kelly have also stated that, Judicial invocation of such an un-distilled concept of natural law in the context of review presents the obvious danger that invalidation of legislation passed by the Oireachtas might not always be seen to be based on objective, ascertainable criteria.  [19]   One of the main questions therefore that emerge from the debate regarding the use of natural law is the extent to which natural law can provide guidance to members of the court in deciding constitutional issues. It can be taken for granted that in a parliamentary democracy the judicial review procedure as provided for in the constitution is necessary to defend the rights of individuals. Therefore inevitably the burden of defending the rights of individuals against oppressive legislation falls in part, on members of the court.  [20]  Thus while defending the rights of individuals may be a prerogative of the judiciary, one is forced to ask; Can such a prerogative ever be justified by reference to principles of natural law? And if so can such a right ever be justified in overriding the democratic will of the people? The answer is a clear no! While there is widespread acceptance that the task of judges is to interpret the Constitution, during this process it is necessary for the judiciary to rely on the text, without reliance on sources from outside the four corners of the Constitution. Whether or not the judiciary should supplement the text cuts to the very heart of what it means to have a written Constitution, enforced by an independent judiciary, in a democratic state. As such the apparent death of natural law should not necessarily be seen as a bad thing if it results in more consistent, truly impartial, reasoned judgments from the judiciary. Proponents of natural law often argue that the use of natural law far from being a licence for unlimited government and a roving judiciary, natural rights and natural law arguments are the best defence of liberty and of limited government.  [21]  However despite such sentiments, the decision in Re Information  [22]  , like all previous Article 26  references will not be overturned. What the decision in Re Information makes clear is that natural law cannot be relied upon to invalidate any explicit provision of the Constitution, however it is also suggested that it does not address what residual role natural law plays in the constitutional order.  [23]   It would appear therefore that a deep fissure exists between concepts of popular sovereignty and natural law. When push comes to shove the Irish judiciary have preferred the former to the latter. Therefore the politics of normative choice through the democratic process is open and not bounded by fixed notions of natural law.  [24]   The Future of the Natural Law in Irish Constitutional Jurisprudence: Is Natural Law Dead? The future of natural law in Irish Constitutional jurisprudence is currently far from clear. It would appear from the Supreme Court decisions in recent years that for the foreseeable future natural law will not play a significant role in constitutional jurisprudence.  [25]  While the recent demise of natural law has been described as one of the great tragedies of the bitter debate on abortion  [26]  , it would be wrong to conclude that the Regulation of Information Bill 1995 signalled the death of natural law.  [27]  They suggest that the natural law component remains a significant aid to interpretation,  [28]  although it will remain inferior to the canon of harmonious interpretation. Although not dead, natural laws place in Irish constitutional jurisprudence has been radically altered. The doctrine now has a reduced significance in constitutional interpretation and a future growth in stature remains unforeseeable. Its application has led to many difficulties. Howeve r, the use of natural law is  not without benefits and its diminution and potential evisceration by the judiciary may  prove detrimental. Natural law was invoked over an extended period to protect the  rights of citizens not expressly provided for in the constitution, including the right to  bodily integrity, the right to travel, the right to earn a livelihood, the right to privacy  and the right of access to the courts. It remains to be seen if the Supreme Courts  decision will prevent the recognition of further unremunerated rights. Natural law will remain a significant aid in constitutional interpretation, however it is submitted that it will not be as influential as it has been in the past. In order to be really effective, the natural law must have its first home not in the judiciary, but in the population at large and in a constitutional democracy this means in the populace as represented in legislatures. That legislation and not adjudication should be the primary forum for the application of the natural law seems to have been recognized by no less an authority than St. Thomas Aquinas.  [29]  Here it is noteworthy that the application of natural law by Irish judges has largely been in the context of fundamental rights jurisprudence, for it is precisely when the substantive structures and ethos of community begin to break down that legal issues become primarily issues of rights.  [30]  So here the debate over natural law may ironically be a 178 Catholic Social Science Review function of the secularization process itself and suggests the larger question of the extent to which cultural problems lend themselves to judicial answers. Is it a coincidence that the incr ease in the activity of constitutional courts in the realm of personal rights, an increase which visible on a global scale, is taking place in a time of increasing secularization and cultural dislocation?  [31]   Why is it that the natural law doctrine, despite its flaws and inconsistencies, has had such an influence in the history of European thought? Kelsens answer is that natural law satisfies a deeply-rooted need of the human mind, the need for justification. To justify the subjective value judgements which emerge from the emotional element of his consciousness, man tries to present them as objective principles by transferring to them the dignity of truth, to make them propositions of the same order as statements about reality. Hence he pretends to deduce them from reality, which implies that value is imminent in reality.  [32]  This has a comforting corollary: belief in natural law enables a person to obey a civil law, not because he is compelled to do so by the civil power, but because of the laws intrinsic value. But, as we have learned, at the heart of Kelsonss argument lies the contention that value is not imminent in reality. Natural law nevertheless strikes a chord with a long- lasting and deep-seated need felt by mankind the need for certainty, for the existence of truths that are absolute and unchanging.  [33]   For writers down the ages it has been a quality of natural law that it is eternal and universal. Finnis believes that the principles of natural law hold good, as principles, however extensively they may be overlooked, misapplied or defied and however little they may be recognised. They would hold good just as the mathematical principles of accounting hold good even where, as in medieval banking community, they are unknown and misunderstood.  [34]  

Battle of Fort Sumter Essay -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Fort Sumter is located in Charleston, South Carolina. The fort is in Charleston’s harbor. The fort was not even complete when war broke out. This was a big turning point for the United States of America. It separated the north from the south and in some cases it separated families. This war would impact how the United States saw slavery. It is the most deadly war that the United States has every seen in its history.   Ã‚  Ã‚  Ã‚  Ã‚  It all began with the secession of South Carolina. After this an understanding was established between the authorities in Washington and the members of Congress from South Carolina. They both agreed that the forts, Fort Moultrie and Fort Sumter, would not be attacked, or seized as an act of war, until proper negotiations for their cession to the state. At the time of this Fort Sumter was in an unfinished state and did not have a garrison. (www.civilwarhome.com/CMHsumter.htm)   Ã‚  Ã‚  Ã‚  Ã‚  Major Anderson thought that the people of Charleston were about t attempt to seize Fort Sumter. He would not stand for this, so since he was commander of all the defenses of the harbor, and without any orders to disagree with him, he said that he could occupy any one of his choice. Since he was being watched he only told his plan to three or four officers that he knew that he could trust. He first removed the women and children with a supply of provisions. They were sent to Fort Johnson on Dec. 26 in vessels. The firing of tree guns at Moultrie was to be the signal for them to be conveyed to Sumter. In the evening the garrison went to Sumter. The people of Charleston knew that the women and children were at Fort Johnson and thought that Anderson would take his troops there. (www.sonofthesouth.net/leefoundation/battlefort-sumter.html)   Ã‚  Ã‚  Ã‚  Ã‚  On March 5, 1861 Abraham Lincoln got a message for Maj. Robert Anderson, who was at Fort Sumter, saying that there was less than a six week supply of food left. On April 8, Lincoln told Gov. Francis Pickens of South Carolina that he was going to try to refurnish the fort. The Confederate government ordered Gen. Beauregard to demand the evacuation of the fort. If it was refused he was to force its evacuation. (www.us-civilwar.com/sumter.htm) Anderson received a letter from Gen. Beauregard telling him to evacuate the fort or h... ...p;The bombardment had lasted thirty-six hours, and over 3,000 shot and shell had been hurled at the fort. The evacuation of the fort took place the following day on April 14, 1861. The fort had been evacuate, not surrendered. Before the evacuation the citizens of Taunton Mass. had voted Maj. Anderson an elegant sword. New York gave him the freedom of the city in a gold box. Finally, on June 6, 1861, the Chamber of Commerce of New York ordered the execution of a series of medals to be presented to Maj. Anderson and to each man of the garrison. (www.sonofthesouth.net/leefoundation/battle-fort-sumter.html)   Ã‚  Ã‚  Ã‚  Ã‚  This is what took place at Fort Sumter and what the men at the fort had to go through. This battle didn’t have many short term effects, but it did have one major long term effect. This battle started the civil war, which was the deadliest war that America has ever had and I hope that it is the last. Sources McPherson, James M.; The Atlas of the Civil War. Macmillan: 15 Columbus Circle New York, NY. 1994. http://www.us-civilar.com/sumter.htm http://www.civilwarhome.com/CHMsumter.htm http://www.sonofthesouth.net/leefoundation/battle-fort-sumter.html

Communities Should Welcome Wal-Mart :: Critical Thinking Essays

Communities Should Welcome Wal-Mart How would you like to be penalized because you do your work too well--for example, for running your business so effectively that it attracts hordes of happy customers? Well, this is what is happening more and more frequently to Wal-Mart. Recently the West Covina, Calif., city council voted to deny the sale of land to developers who were going to build a Wal-Mart store on the site. The council was concerned that the Wal-Mart store would "threaten" other businesses and replace higher paying jobs in the area with lower-paying ones. The banning of Wal-Mart is being considered by the Los Angeles city council and has occurred in some other California cities as well as in other locations around the country. Wal-Mart is one of the most impressive success stories in the history of business. Founded some 50 years ago as a single five and dime store in a small Arkansas town, it has grown into a world-wide behemoth under the leadership of its brilliant founder, the late Sam Walton, and his able successors. It is the largest corporation in America in terms of sales, $245 billion. Wal-Mart has over 4,000 stores worldwide, employs 1.3 million people, and serves 100 million customers per week. It is quite true that Wal-Mart has been successful in outcompeting other stores which sell the same products, such as toys, clothing, and groceries. But how has it been able to do this? By discovering new ways of using computer systems and other technology to better manage its inventory and costs and reap the benefits of economy of scale. Wal-Mart is especially popular among low-income shoppers who cannot afford the prices of the more upscale stores. It has put other stores out of business, but that is the way capitalism works. The automobile replaced the horse and buggy. Sound motion picture replaced the silents. No one has a "right" to business success or a "right" to be protected from competitors through government intervention. One only has a right to try to compete through voluntary trade. In a free economy, companies that offer the best value for the dollar win and the losers invest their money elsewhere. It is also true that Wal-Mart pays lower wages than many unionized stores. But it must offer a market wage or risk its employees going elsewhere, and it deals with employees on a voluntary basis. Those who do not like its terms are free to do business elsewhere.

The Americanization of Canada Essay -- American Culture Canadian Cultu

â€Å"Former Canadian Prime Minister Pierre Trudeau once compared liking next to the United States to sleeping with an elephant. He said, ‘You cannot help but be aware of its every movement.’†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  http://www.pbs.org/pioneerliving/segments/Americanization.htm The issue of American culture and its globalization has raised a lot of controversy. â€Å"The era of globalization† is becoming the preferred term to describe the current times. The term Americanization has been around for years. It was first used when the United States was being heavily immigrated into. The new Americans began to enjoy the freedoms associate with our country and gradually began to act less like a foreigner and more like a real American. Today we are able to witness an essence of American culture almost everywhere around the world by what we call cultural icons of our times. Sneakers, blue jeans, burgers, Hollywood blockbusters are only a few. To many, globalization is synonymous with Nike, Levi's and MTV. In fact, the most visible sign of globalization seems to be the spread of American burgers and cola to nearly every country on earth. It crowns the United States the king of pop culture. Globalization does more than allow businesses to operate in countries all around the globe. In addition to global commerce, globalization allows for social activism, journalists, academics, and many others to work on a global stage. According to Keith Porter, a co-host and executive producer of a nationally syndicated radio program on world affairs globalization can be both a good and bad thing. He quotes, Thomas Friedman in saying â€Å"Globalization can be incredibly empowering and incredibly coercive. It can democratize opportunity and democratize panic. It makes the whales bigger and the minnows stronger. It leaves you behind faster and faster, and it catches up to you faster and faster. While it is homogenizing cultures, it is also enabling people to share their unique individuality farther and wider." Without the role of globalization it is not possible to speak of a term called American dominant culture. The dramatic effect of globalization has and will be strengthening this term. People around the world have become less like themselves and more like each other. The most common name that puts this in front of our eyes is McDonald’s. When a McDonald’s restaurant opens in a f... ...ogies that have made transcontinental communications possible has ensured that the world slightly conform and make very different cultures mesh into various ones that more resemble each other. As communication techonolgy continues to become better and more powerful it will be interesting to see the changes that it will lead to. Perhaps in ten years college students will no longer be writing about the topics of globalization and Americanization. Instead they will write about the time when cultures were so very different from each other. Works Cited Cantor, Paul A. Gilligan Unbound: Pop Culture in the Age of Globalization, Rowman and Littlefield Thussu, Daya Kishan. "International Communication: Continuity and Change" Hodder Arnold Publishing Sources Cited http://www.pbs.org/pioneerliving/segments/Americanization.htm http://www.encyclopedia.com/searchpool.asp?target=@DOCTITLE%20Americanization http://globalization.about.com/gi/dynamic/offsite.htm? http://www.usemb.nl/051800.htm http://www.infocan.gc.ca/facts/index_e.html http://www.tv.cbc.ca/national/pgminfo/border/filmfact.html http://www.rice.edu/projects/topics/globalization/movies-germany.htm

Data Collection Plan Essay

Abstract Postoperative Pulmonary complications (PPC) such as atelectasis, impaired gas exchange, pneumonia and acute respiratory failure (ARF) are not uncommon in patients undergoing major surgery and are a leading cause of increased patient morbidity, mortality and increased length of hospital stay (Yoder, Sharma, Hollingsworth, Talavera, & Rice, 2013). Healthcare professionals are now expected to give patients verifiably effective treatments by implementing current evidence based practice (EBP). In order to do so, interventions to prevent PPCs must be investigated. The aim of this study was to evaluate the effectiveness of adding incentive spirometry (IS) to traditional postoperative chest physiotherapy (CPT) and respiratory care. Eighty patients between 30 and 50 year old who had undergone surgery participated in the study. Patients were divided into two groups: the intervention group where IS was used in addition to the traditional CPT, and the control group which included only traditiona l CPT. The results obtained in the investigation indicated that there were significant differences between both groups at the end of the study in terms of PPCs and hospital length of stay (LOS). Conclusion: Addition of IS to postoperative care helped in controlling PPCs. Keywords: postoperative pulmonary complication, incentive spirometer, chest physiotherapy, length of Stay Research Question In postsurgical patients, how does using incentive spirometer, compared to not using incentive spirometer, affect incidence of PPCs and hospital LOS? Hypothesis Because the risk for developing PPCs is not well studied specific numbers of occurrences are difficult to predict. However, it was hypothesized that patients who incorporated IS as part of their postoperative care would have a clinically significant decrease in the occurrence of PPCs and hospital LOS compared to those who did not incorporate IS into their postoperative care. Data Collection A quasi-experimental control trial was conducted from February 1, 2014 to May 31, 2014. The lead researcher, Adrienne Hinson, collected the data personally. During the four month study, eighty patients ranging in age from 30 to 50 years old who were undergoing surgery where the abdomen or chest was opened were selected randomly from the General Surgery Department at McLeod Regional Medical Center in Florence, SC. On sampling days, patients meeting the criteria were numbered chronologically based on their surgery time. For eighty consecutive business days, one of the patients was chosen randomly using a random numbers table created on Microsoft Excel. Patients who had recently been diagnosed with or treated for acute pulmonary complications, those who could not be instructed or supervised to assure appropriate use of the IS, and patients whose cooperation or comprehension was lacking were excluded from the study. All appropriate procedures were used to safeguard the rights of study participants. The study was externally reviewed by the hospital’s institutional review board before data collection began. Patients received verbal and written explanations of the study purpose and data collection procedures and after indicating willingness to participate in the study, voluntary informed consent was obtained (See Appendix A). Information included within the informed consent included participant status; participants were told which postoperative activities were routine, and which activities were being evaluated. Participants were informed that the data collected about them would be used for research purposes. The overall goals of the research, to evaluate to addition of IS to postoperative care, was described to patients. Participants were informed about which types of data would be collected, what procedures they would undergo, and how they were selected. The time frame of the commitment was defined as beginning on post-op day one and lasting until their follow up  visit after discharge. Information regarding funding was available to participants. All participants were educated on potential risks and benefits of participation. Finally, patients were assured that their privacy would be protected at all times and that they would be allowed to withdraw from the study at any point during their hospital stay (Polit & Beck, 2012). The patients were deliberately placed into one of two experimental groups. Deliberate placement reduces confounding by ensuring the two groups were comparable when age, sex, smoking history, type of surgery and post-operative analgesia were compared. The control group consisted of 40 patients who underwent routine chest physiotherapy (CPT) postoperatively, as recommended by the Clinical Practice Guidelines set forth by The Agency for Healthcare Research Quality (2011). A physiotherapist supervised and assisted the treatment twice a day in the first two postoperative days and once a day from the third to the tenth days. During any session, the patients performed three to five deep breaths interspersed with periods of quiet breathing followed by two or three coughs or huffs with support from a pillow at least 10 times over a 15 minutes period. Additional techniques such as positioning and chest wall percussion were applied if breathing and coughing exercises alone were not effective in clearing excessive or retained pulmonary secretions. Patients were instructed to perform coughing and deep breathing exercises independently every hour while awake. The treatment group consisted of the remaining 40 patients who also followed the same Clinical Practice Guidelines but also received breathing exercise training with IS (Voldyne Volumetric manufactured by Sherwood Medical Company U.S.A.) In addition to the routine chest physiotherapy up to the tenth postoperative day. Application of breathing training with incentive spirometry was applied for five minutes, five times a day (El-Marakby et al., 2013). Monitoring began immediately postoperatively and continued until discharge. Hospital LOS was documented for each patient, along with whether or not the patient developed a PPC within 10 days of surgery. The researcher rounded on each hospitalized patient daily to ensure compliance and to update discharges and PPC diagnoses. In order to determine LOS, participant observation was used as a tool to collect data. LOS was calculated by subtracting day of admission from day of discharge. Date of admission was the date of surgery for all participants. Date of discharge was determined  by the surgical teams, who were blinded to the study and therefore measures are not likely to be influenced by reactivity (Polit & Beck, 2012). PPCs were defined as any pulmonary abnormality that produced identifiable disease or dysfunction, was clinically significant, and adversely affected the postoperative clinical course (Hayden, Mayer, & Stoller, 1995). Patients were monitored daily for 10 days for the diagnosis of a PPC. Given this definition, PPCs documented included atelectasis, pneumonia, acute respiratory failure, and exacerbation of COPD. Along with physical assessment and past history, biophysiological measures were used as data collection tools to aid in the diagnosis of PPCs (See Appendix C). Equipment and lab analysis were readily available and tests for biophysiological measures were completed by the appropriate staff at McLeod Regional Medical Center. Ordering tests and the interpretation of results was fulfilled solely by the healthcare providers as deemed necessary. The researchers were not responsible for diagnosing PPCs, but rather the observation and recording of data. Biophysiological measures for diagnosing acute respiratory failure include a low level of oxygen; a pulse oximetry falling below 80% saturation on room air or when arterial blood gas shows PaO2.