Managing People and Organisations Case Study Example | Topics and Well Written Essays - 3250 words

Overseeing People and Organizations - Case Study Example Bug examination shows that ALSTOM political circumstance was weak in 1999 and kept on staying till 2003 until they change their HRM strategies to join the new and old representatives. Among the significant concerns were absence of assets, refreshed innovation and untalented work which they defeat in 2005 by overhauling their approaches and considering social factors on a social premise which picked up clients' trust and prepared their incompetent administrators and representatives so they could move with the 'new' work division. ALSTOM presently ought to believe monetary conditions to be refreshed on a week after week premise as this would furnish the supervisors with the most recent updates to take money related choices in regards to venture and planning control. ALSTOM ought to likewise looked for better approaches to bring down its expenses and increment its plant's proficiency. ALSTOM inadvertently became double assistance business which comprised of a two-overlap unit, the current part and the recently framed segment. This was the fundamental motivation behind why the business began taking part in different clashes. The administration part that was considered 'pointless' in ALSTOM was advanced on 'administrative' post while the 'creation' unit that comprised of the individuals who were considered as the genuine pioneers of the Industry, were converged with the recently shaped staff. Any proposition recommended by the new comers and qualified staff was quickly restricted by the current segment. ... This was the fundamental motivation behind why the business began taking part in different clashes. The administration division that was considered 'futile' in ALSTOM was advanced on 'administrative' post while the 'creation' unit that comprised of the individuals who were considered as the genuine pioneers of the Industry, were converged with the recently shaped staff. Any proposition recommended by the new comers and qualified staff was quickly restricted by the current area. The contentions were not constrained to the individuals alone, supervisors were additionally included. Modern solidarity started to delicate notwithstanding numerous weights; some of them were even fierce which offered ascend to the political association of directors which augmented the likely extent of inner clash and thusly undermined the essential mechanical solidarity. Accordingly there began a virus war in two parts which opposed solidarity essentially as a methods for self-insurance. (Minkin, 1991, p. 8) The development of Uncertainty The presence of 'vulnerability' would in general further strengthen the feeling of there being a political circle unmistakable from the mechanical world which is apparent from the advancement of two particular places, the OEM and the recently risen division the one becoming out of the other appeared to suggest the acknowledgment of two requests and two arrangements of capacities. The entirety of this improved the chance of political and representatives' association pretending such that represents a great part of the nuance and adaptability of the hierarchical relationship. Walter's administration knew about the way that ALSTOM was missing experienced workers; thusly with the development of OEM, ALSTOM recruited proficient representatives. Resoluteness The more joined the association, the better is its structure as far as adaptability. Walter saw the two

Hispanic Immigrants: Victims of Discrimination

Running head: HISPANIC IMMIGRANTS Hispanic Immigrants: Victims of Discrimination Kathleen Juarbe-Gorgas Professor Dettmann October 21, 2010 United States is the place where there is migrants or the place where there is white individuals? In light of the U. S. history when Christopher Columbus finds America, the Europeans start foreigner for better chances. The Native Indians was the proprietor of this land however the European took it over. As a result of the bondage, individuals from different nations came to U. S. to work either willful or automatic. Accordingly in today society we have all the decent variety in ethnicity.However the worker arrive, they have a shared objective accomplish the American dream. Things being what they are, if this nation has been work with outsiders why Americans oppress them? Movement is a significant issue in U. S. since they’re numerous instances of unlawful movement. The general public makes the American dream practically difficult to any wor ker yet particularly to the Hispanics. The Americans contend that the Hispanics worker come here to perpetrate wrongdoings. Assault, hijacking, manslaughters, street pharmacists and burglary are some of normal wrongdoings carry out by Hispanics immigrants.A mainstream felony between illicit foreigners is data fraud. Data fraud is the point at which someone took standardized savings cards, birth testaments, distinguishing proof cards, driver licenses and some other kind of ID that can be abused or misrepresent. Every so often the counter migrants have awful encounters with the illicit outsider that make them oppressed all. (Foundation on victimization migrants, 2009) Also, the counter worker fight that the settler took the Americans works for a less pay.The American feels that Hispanic foreigners are no different; they’re unlawful and result in these present circumstances nation to carry out wrongdoings. In any case, the Hispanic settlers result in these present circumstances nation to accomplish the American dream. More often than not they move to U. S. to have better open doors in light of the fact that in their nation is inconceivable rise up out of the destitution. The idea of any Hispanic worker is to have a superior activity to give the family, give a superior instruction to their kids and if conceivable compensation the school educational cost. Yet in addition accomplish the greatest test in this nation, the English language.The Hispanic worker has the daring to beat any obstruction and come here without knowing the language, the way of life or in some cases have any family member and start from the base until accomplish the objectives. (Foundation on victimization workers, 2009) The reality of being foreigner is sufficient for segregation at the point to carry out a wrongdoing? An abhor wrongdoing that stunned the Hispanic people group was the manslaughter of Luis Ramirez. An illicit foreigner who lived in Shenandoah, Pennsylvania; he was casualt y of a passing beating from gathering of Caucasian teenagers.Another instance of detest against Latinos happened five months after Ramirez demise in Long Island, NY. Marcelo Lucero was deadly beaten by youngster only for being Latino. (Raul, 2010) Those are instances of the impacts of segregation in the United States society. The detest violations have been practice in every one of the 50 states from individuals who are supremacist. Rather than helping our locale, those violations are making most exceedingly awful. The segregation resembles a hereditary illness that is produce from the bigotry which goes from age to generation.The enemies of settlers accept that the white race is better than some other race. They practice oppression worker. They are rehashing the history when the African-Americans were arraigned on the grounds that they were blacks. The counter migrant has developments, for example, Federation for American Immigration Reform (FAIR) who are against any sort of moveme nt change. Certain way the main dependable of migration issues in United States are the colonizers since they carry the slave from different nations to do the hard work.Instead to be biases and prejudice against the worker and fault on them; the counter outsider should peruse and far reaching the U. S. history to stop the separation. References Background on oppression workers. (2009). Recovered August 30, 2010, from Do Something: www. dosomething. organization National Council of La Raza. (2010). Abhor Flashpoints. Recovered August 30, 2010, from We Can Stop The Hate: www. wecanstopthehate. organization Raul, R. (2010, January 22). Equity gets intense on detest wrongdoings . Recovered October 20, 2010, from EbscoHost: www. ebscohost. com

Guest Entry Engineers Without Borders

Guest Entry Engineers Without Borders Sorry I havent blogged in a while Ive been hosed with the deluge of tests, homework, and projects that inevitably follows CPW. To temporarily satiate your craving for reading about MIT while watching half of my face contemplatively sip coffee at you from my blog header, my tooling buddy Tiffany, a Course I junior with a terrifyingly robust sense of work ethic and a phenomenally operatic RB singing voice, has graciously offered to temper my usual Course VI nerditude by writing about her involvement in international development @ MIT. Enjoy! In the grind of the semester, its easy to forget that there exists an entire world outside of the college campus (hello Boston!). Yet, one of the most rewarding things about MIT is being able to apply the concepts you learn within the classroom to real-time projects that have a significant impact on communities around the world. This past year, I have been serving as project manager for the Engineers Without Borders-MIT Chapter. Engineers Without Borders is a non-profit organization that partners with communities in developing countries to improve their quality of life. One of our projects, for which I am team lead, is Showergy. Showergys premise is this: Imagine not being able to take a shower after a long days work. Now picture that every day. Hundreds of millions of people in the developing world lack access to water and facilities where they can cleanse themselves. Even where there is water, many, especially women, avoid going to communal showers in fear of attack or harassment going there and coming back. To help combat this fear, Showergy delivers all that is needed for the shower experience right to the users doorstep literally. Our cost-effective and easily installable shower system units will be implemented on almost every single plot as part of a franchise business model in conjunction with latrines. This design and model will ensure that community members do not have to walk more than a stones throw away. Our system also involves an innovative drainage and water reuse that prevents further contamination of critical water sources. By providing the means to basic hygiene, Showergy helps reduce the probability for disease and ensures a safe, reliable place for women, children, and senior citizens to wash themselves. Throughout the past few months, our team has designed a basic prototype of our individual shower system unit in MITs famous D-Lab. The “D” in D-Lab stands for “Development through Dialogue, Design, Dissemination”; its goal is to assist students in improving the quality of life in low-income households through development of low-cost technologies. It is extremely common for students taking courses in D-Lab to travel over IAP or sometime during the year to implement the technologies that theyve developed. Anyways, you can actually step into the unit, look up at the showerhead, and take a shower! What does this mean for term life? Its actually a lot of fun. We get to spray each other with water while prototyping our pump mechanism. and be obnoxiously loud when using hammers. Currently, our project is entered into the IDEAS/Global Challenge competition, an annual contest sponsored by the Public Service Center that encourages students to develop or innovate a product â€"it can be anything! that will assist developing communities in tackling some of the largest global problems, like disease, sanitation, and water shortage. The projects dont need to be fancy or complicated â€" in fact, the best solutions to problems of these scale often are and need to be simple. There is an enormous variety of projects that are entered into the competition. The sheer amount of creativity and innovation going on here is through the roof! You can view all the teams here. Since the competition is ongoing, you can vote for five teams that you like the best if you register for an account (insert shameless plug for Showergy). To reiterate, there are incredible resources at MIT if you are interested in international development. Other resources include the Legatum Center for Development and Entrepeneurship, the Sloan Global Entrepreneurship Center, and the MIT International Development Initiative. If you are worried that your choice of major might affect how you can pursue international development, rest assured that no matter what you major in, you can probably apply it in a creative and significant way. Even as a junior, close to the end of my third year here, I am astounded by how easily ideas can happen here and actually become a reality, with some hard work, the right connection, and of course, a bit of luck. So now, I leave you with a question: What are the “big” problems that interest you and how do you envision tackling them? Several of my friends have gotten to travel to places like Nicaragua and Cambodia while involved with D-Lab projects. Sounds pretty fun! Feel free to email Tiffany at tifa(at)mit.edu or get in touch with her team if you have questions!

The Debate Of Global Warming - 894 Words

The Debate of Global Warming Climate change is a hot-button topic in politics, conversation, and education. Both sides of the ongoing debate claim disastrous consequences. On one hand, the view of an economic focus could make the market worse. On the other, the end of life as we know it. This is a comparison essay between Al Gore s documentary a vocal advocate for global warming reform and a film made by deniers. In the film Unstoppable Solar Cycles: Rethinking Global warming. The creators express skepticism towards the cause of global warming. That s to say, they do think that temperature is rising, their skepticism is towards CO2 as the cause. Their main message is that weather changes constantly and ultimately operates in cycles. However, they do admit that this can still cause problems. And they pose the question about how we can best cope with this natural change. Overall, they worry that a focus on CO2 might cause more harm than good, and they encourage consideration of other causes other than an increase in carbon dioxide. The evidence they present for their claim is provided by looking at temperature and CO2 levels from the past 600 years. This showing that the Earth has had global warming and cooling cycles before an increase in man caused CO2. This data showing that temperature increases before CO2, not after. Yet, they do admit that CO2 does have an effect, albeit a small one. The major cause they give is the sun. The sun has magnetic field cycles and that whenShow MoreRelatedThe Debate On Global Warming1087 Words   |  5 PagesGlobal Warming Argumentive Essay Both Al Gore and Daniel Botkin have different arguments on global warming. They are both think very similar on the same topic. Because one part of the argument is serious, and the other one is not so much. But, the point is that both of their stories are pointing out to their views on this issue. But, according to Webster Dictionary, Global Warming is when the increase in the world’s temperature that is to believe to increase by carbon dioxide. Both of the authorsRead MoreDebates On Global Warming658 Words   |  3 Pagesï » ¿I. Global Warming: Fact or Fiction A. Background of the debate on the perceived global warming phenomenon 1. Temperature increase 2. Disparity and the reasons why B. Arguments for the perceived fact of human influence on global warming 1. The greenhouse effect 2. Global disaster C. Arguments that human influence on global warming is fictitious 1. Amount of CO2 2. Natural reasons for global warming One of the most longstanding and most passionately debated topics in the scientificRead MoreThe Debate On Global Warming1239 Words   |  5 Pagescontroversy concerning global warming. The controversy takes the form of public debate that centers on five issues (Mazo 30). The first issue is whether or not global warming is occurring. The second issue is whether global warming is real and extent it has occurred in the recent decades. The third question relates to the causes of global warming. The fourth question centers on the effects of global warming. The fifth question is whether any action needs to be taken to contain global warming. The author concursRead MoreThe Debate Over Global Warming1499 Words   |  6 PagesThe global warming debate has been at the top of the list for environmentalists increasingly over the last twenty years. The controversy of global warming is either considered due to human activity or natural causes. Although the earth’s climate and temperatures have changed, that does not mean it is humanly caused. Despite the pretense linking the association between man and global warming, which is heavily supported by consensus of scientists, eco-sensitive politicians, and the effort to restrictRead MoreThe Debate over Global Warming1406 Words   |  6 Pagesproduction of this age, our population releases environmentally harmful substances like greenhouse gases into the air every day. In recent decades’ findings, these substances have been found to trap heat in the atmosphere over time, contributing to global warming. To cut these emissions completely would bankrupt the world’s struggling, industry-dependent economy. Knowing that this isn’t a threat that will peak in our life time or even the next generation’s causes political progression to move slowly. IfRead MoreThe Debate Over Global Warming1063 Words   |  5 Pagesclimate change debate has been ongoing for nearly thirty years now, the debate is over t he causation(s) of global warming. Temperatures on earth have increased approximately 2.0 °F since the early 20th century. Levels of greenhouse gases such as carbon dioxide and methane have drastically increased within the atmosphere. Both sides within the debate surrounding global climate change can agree on these points. However; disagree on a number of other possible causations of global warming. Even though thereRead MoreEssay on The Global Warming Debate768 Words   |  4 PagesThe Global Warming Debate We are polluting the atmosphere and with an increasingly wide range of polluting substances and these are due to the fact that there are now so many people and their human activities are altering the chemical compositing of the atmosphere through the buildup of gases. By the end of this article, you will start to wonder about what this is doing to our world. What is global warming? Global warming takes place because human activitiesRead MoreGlobal Warming Debate Essay1241 Words   |  5 Pages In the controversy over whether Global Warming there is two sides in which people can choose either human caused or just Mother Nature doing her thing. Most scientists will tell you that Global Warming is mostly the cause of humans. While there are some who will disagree and say that it is just nature doing what it has done for thousands of years. For most scientists the topic of global warming is one that is caused by us humans. They have many facts data to back this up. Some examples of theseRead MoreThe Debate Over Global Warming Essay1249 Words   |  5 PagesAs the threat posed by global warming continues to mount, there has been much debate over how to stem the rise in global temperatures. Nearly all experts agree that the primary driver of global warming has been human activity. Over the last century and a half, human activity has released immense amounts of carbon dioxide and other greenhouse gases into the atmosphere, altering the Earth’s climate. Yet, although there is a pressing need to reduce our dependence on fossil fuels, it is impossible toRead MoreUnderstanding the Global Warming Debate2393 Words   |  10 Pageschanging tides and atmospheric circulation, affects the global climate (Cunningham Cunningham, 2009, p.205). Scientific studies suggest that all these played a role in past global warming an d cooling periods. At this time there is no debate that the earth is warming. However, there is serious debate over the causes, extent, and consequences of the warming (Easton, 2009, p.156). There is conflict on whether humans are causing a global warming that could be disastrous to humans and all species of

Leadership Style Of Leadership Styles - 934 Words

There is much that is written about leadership; like books on leadership styles, techniques and also biographies of leaders that have inspired people to action. While this is true, there is the everyday leadership and a slightly different outlook to leadership as well. Here are a few of them. 1. There Are Different Kinds of Leaders Among leaders are formal and informal leaders. Formal leaders are elected to their positions like congressmen, senators and office bearers of clubs. Informal leaders on the other hand are those we look up to because of their experience and wisdom. This could be your parents, grandparents or elders in your community. Informal leaders can also be those that are respected because of their expertise and contributions in certain fields such as Albert Einstein in Theoretical Physics and Leonardo de Vinci in Arts. Whether formal or informal, these leaders practice certain styles. This could be a. Lewin s 3 basic leadership styles - autocratic or authoritative: the leader takes decisions without consulting with others - democratic or participative: the leader involves the people in the decision-making - laissez-faire or delegative: the leader s involvement in decision-making is minimized b. Likert s 4 leadership styles - exploitative authoritative: the leader has a low concern for people and uses such methods as threats and other fear-based methods to achieve conformance - benevolent authoritative: the leader adds concern for people to anShow MoreRelatedLeadership Styles : Leadership Style780 Words   |  4 PagesIntroduction Leadership style is designed according to a pioneer s behaviors, which is enveloped under behaviorist theory. Inside of this class, distinctive examples of leadership behavior are watched and classified as leadership styles. Practicing managers have a tendency to be the most keen on looking into this specific theory in light of the fact that with it leaders can modify their style taking into account the convictions, values, inclinations and society of the association they work for.Read MoreLeadership Styles And Leadership Style1026 Words   |  5 PagesThe fourth subject is the leadership style. As of right now the company is an autocratic style. This means that there is less communication involved. â€Å"In an autocratic leadership style, the person in charge has total authority and control over decision making.† (Leadership Toolbox) The leadership style mainly effects the employees. The reason for this is because with an autocratic leadership, there is less communication. The employees have opinions in the business and they want to share thoseRead MoreLeadership Styles Of Leadership Style1399 Words   |  6 PagesWhat is leadership? Merriam-Webster Online Dictionary defines leadership as â€Å"the power or ability to lead other people†. Although this is simply put, it is also correct. But leadership is much more than the ability to lead. The ability is one piece of the puzzle. Other pieces to consider in leadership are education, attributes, and style, just to name a few. In this assignment, I will focus on leadership style. Specifically, I will discuss my style according to the assessment developed byRead MoreLeadership Style Of Leadership Styles897 Words   |  4 PagesThe last style of leadership is delegative leadership in which the leader delegates tasks to the employees. This leader is abl e to derive satisfaction from allowing the staff to participate in decision making responsibilities (Brody and Nair, 2014, p. 4). These leadership styles are not set in stone and characteristics may overlap into other leaderships styles. The leadership style that would best suit a rural area is participate leadership style. In rural areas agencies and organizations lack resourceRead MoreLeadership Styles And Leadership Style851 Words   |  4 Pageswant to give critical thought to your unique leadership style and foster genuine followership, learn from what’s out there and weave it into something meaningful and authentic.† (Feiner, 2015) For the last two weeks, I have spent time self-analyzing and soul searching to identify the qualities I bring to a leadership role. Many of the core values important to me also align between the participative leadership style and laissez-faire leadership style. These values include working in a team environmentRead MoreThe Leadershi p Style Of Leadership Styles1994 Words   |  8 Pagesthat leadership is a kind of ability or activity which a leader could straight affect and guide their followers to achieve certain objectives in the specific situation (John Calvin Maxwell,2011). The shifting internal elements and increasing external competitions have posed growing demanding to managers’ leadership approaches. However, managers are provided with various personalities or perspectives, accordingly, managers are not accomplishing their aims by using similar styles. The leadership styleRead MoreLeadership Styles : Leadership Style995 Words   |  4 PagesLeaders are expected to use a leadership style, communication skills, and their knowledge of interpersonal and team dynamics to create an appropriate quality of work life for their followers in the workplace. A leadership style is a combination of a leader’s attitude, expertise, character, and values that is exhibited in the leader’s behavior. Each style of leadership reflects a leader’s beliefs about a follower’s capabilities. A follower’s perception of leadership style really matters to them, as theyRead MoreLeadership Styles : Leadership Style979 Words   |  4 Pagestheir own leadership style. In her article, Johnson (n.d.) discusses five leadership styles: Laissez-Faire, autocratic, transactional, transformational and participative. Laissez-Faire has a French origin and it means â€Å"a policy or attitude of letting things take their own course, without interfering† (Oxford dictionaries, 2016). When leaders take total control, such as making all decisions alone and does not ask for the input of the employees, they are using the autocratic leadership style. ThisRead MoreLeadership Style Of Leadership Styles Essay1433 Words   |  6 Pagesprobably feel as if they know enough about leadership to speak on the subject. In many cases, however, this is not truly the case at all. Leadership is a broad concept, and there are several different styles and approaches to consider when studying the topic. It is important to consider these styles and approaches when evaluating the effectiveness, or lack thereof, of any particular form of leadership. With that in mind, this essay will consider the leadership styles of two leaders who are involved in theRead MoreLeadership Styles Of Leadership Style1088 Words   |  5 PagesConsider what leadership or management style speaks most to you. Discuss that particular style, explain why it fits you better than others. Alternatively, consider the leadership or management style fits you least. Explain what is least desirable with that style from your perspective. What leadership or management style speaks most to me? They are a few leadership styles that I venerate. The Transformational Leadership, the Visionary Leadership, and the Charismatic Leadership styles are the most

Psychological Affects of End-of-Life Care Free Essays

As people approach the end of their lives, they with their families and their caregivers, face many tasks and decisions. They may be psychological, spiritual, or medical in nature, but all end-of-life choices and medical decisions have complex psychological components, ramifications, and consequences that have a significant impact on the suffering patients and their caregivers. Hospice is a special healthcare option for patients and families faced with a terminal illness. We will write a custom essay sample on Psychological Affects of End-of-Life Care or any similar topic only for you Order Now At Hospice there’s a multidisciplinary team of physicians, nurses social workers, bereavement counselors and volunteers that work together to address the physical, social, emotional and spiritual needs of each patient and family members (â€Å"Hospice†). The main focus of Hospice is to address the issues that are most important to the patients’ needs or wants at the end of his/her life. The term â€Å"Hospice† comes from medieval times when it referred to a place of shelter and rest for weary or ill travelers on a long journey (Hospice). The name was first applied to specialized care for dying patients by Physician Dame Cicely Saunders, who began her work with the terminally ill in 1948 and eventually went on to create the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London (National). Her lecture, given to medical students, nurses, social workers, and chaplains about the concept of holistic hospice care, included photos of terminally ill cancer patients and their families, showing the dramatic differences before and after the symptom control care. This later resulted in the development of hospice care as you know it today (National). Caregiving is associated with physical, psychological, and financial burdens. Hospice nurses perform many traditional nursing duties such as observing, assessing, and recording symptoms. They still work closely with physicians, administering medications and providing emotional support, although psychologists do not have much of a presence in the hospice movement. Medications that hospice nurses administer and the symptoms they record are not intended to aid a patient in his or her recovery, but rather to make his or her remaining days as comfortable as possible (â€Å"Hospice†). Being a nurse of any kind is very difficult, but dealing every day with a dying patient requires an  extraordinary temperament, one that symbolizes great caring and patience (â€Å"Career†). It can be especially trying on nurses to attend patients who are as young as or younger than the nurse themselves are. Palliative care highlights the total well-being of the patient as well as that of loved ones and caregivers. The caregiver is there to listen, support, encourage, comfort and help the patient. Their goal is to prevent, treat, or eliminate discomfort whenever and, however it appears, never about giving up hope (â€Å"Career†). Every caregiver may be required to provide a variety of care tasks including physical, emotional, and practical. Research shows that families find personal care to be the most physically and emotionally challenging aspect of caregiving. Emotional care involves listening, talking, reading, or playing music (Collins). Providing the kind and loving companionship that patient may need during the end-of-life process. Handling insurance and other legal matters, taking care of financial concerns such as paying bills, coordinating visits with loved ones, friends and hospice staff is all a part of practical care (Collins). Along with discussing and ensuring that all of the patients’ wishes are carried out if also the healthcare power of attorney (â€Å"What†). In 2009; 66 million Americans (3 in 10 U.S. Households) reported at least one person providing unpaid care as a family caregiver (Collins). Under Medicare, hospice is primarily a program of care delivered in a person’s home by a Medicare – approved hospice. Reasonable and necessary medical and support services for the management of a terminal illness are furnished under a plan-of-care established by the beneficiary’s attending physician and the hospice team (Berry13). Hospice care is available under Medicare only if: the patient is approved for Medicare Part A, the patient’s doctor and the hospice medical director certify that the patient is terminally ill with six months or less to live if the disease runs its expected course, the patient signs a statement choosing hospice care instead of standard Medicare benefits for the terminal illness, or the patient receives care from a Medicare-approved hospice program (â€Å"Hospice†). Hospice care can be provided by an agency or organization that is primarily engaged in furnishing services to terminally ill individuals and their families. To receive Medicare payment, the agency or organization must be approved by Medicare to provide hospice services (Berry15). Approval for hospice is required even if the agency or  organization is already approved by Medicare to provide other kinds of health services. Medicare pays the hospice directly at specified rates depending on the type of care given each day. The hospice can charge five percent of the reasonable cost, up to a maximum of five dollars, for each prescription for outpatient drugs or biological for pain relief and symptom management related to the terminal illness (Collins). When Medicare beneficiaries choose hospice care, they give up the right to standard Medicare benefits only for treatment of the terminal illness. If the patient, who must have Part A in order to use the Medicare hospice benefit, also has Medicare Part B, he or she can use all appropriate Medicare Part A and Part B benefits for the treatment of health problems unrelated to the terminal illness. When standard benefits are used, the patient is responsible for Medicare’s deductible and coinsurance amounts (Berry 14). All services required for treatment of the terminal illness must be provided by or through the hospice. If not through the hospice then Medicare will not pay for treatment for the terminal illness which is not for symptom management and pain control. If you receive care given by another healthcare provider that was not arranged by the patients’ hospice or if the patient is receiving duplicate care Medicare will no longer fund in the patients’ healthcare (Berry14). When a patient is expected to live six months or less is when hospice is referred. Although many hospice patients have cancer as their primary diagnosis, hospice provides care to patients of all ages who are dealing with any potentially life-limiting illness, including Alzheimer’s, congestive heart failure, chronic obstructive pulmonary disease (COPD), dementia, and emphysema. Once the patient has been diagnosed and chooses hospice care, this can generally take place at home or as in-patient care. Hospice neither prolongs life nor hastens death, but controls pain and discomfort allowing a person to live as fully and comfortably as possible during life’s final journey (â€Å"Career†). Pain control is one of the central goals of hospice care. Every person facing a serious illness hopes for as little pain as possible. Fortunately, with advances in modern medicine, physical suffering can now be almost entirely manages, and in some cases eliminated. From the legal standpoint, the federal guidelines regulating hospice require the hospice to make every reasonable effort to assure that the patient’s pain is controlled (Berry3). Most state laws governing hospice  also make pain control a primary and required component of hospice care. The hospice Interdisciplinary Team and the hospice Registered Nurse case manager are focused on making sure the patient is comfortable. The Attending Physician who orders all medications should be focused on the same goal, and in many cases does see to it that the patient is kept comfortable. Unfortunately, for varying reasons, some physicians may not order the needed medications to adequately control the patient’s pain (Berry4). In these cases, the hospice staff must intervene to protect the patient and make sure the patient gets what is needed to control pain. The hospice Medical Director, being a physician, has the authority to give medical orders and can intervene to provide the patient with the needed medications. In fact, the hospice Medical Director is required by law to make sure the patient’s medical needs are met; these needs include medication for pain (Berry4). When dealing with patients and families in hospice care, the psychological and social needs of both patients and family members must be met in order to improve the quality of life throughout the dying process. Many caregivers and loved ones feel overwhelmed by the fact that end-of-life may be near for someone they love; you have to have realization that the patient is not going to get any better despite your best care. It may bring feelings of frustration, anger, sadness, grief and loss to the family of the patient (â€Å"What†). Ignoring feelings of depression, anxiety, confusion or delirium can be harmful†¦ Expressing can be freeing. 48 children and spousal caregivers of hospice patients and 36 controls were evaluated shortly before deaths of their loved ones and again at 2, 7, and 13 months after their deaths. All subjects were administered the Hamilton Raitina Scale for depression, symptom innovatory and the Texas Revised instrument of Grief (Dutton 30). Caring for a loved one who is nearing death can be important time of growth for caregivers. Experience can bring a deep sense of joy and satisfaction in having helped to make a loved one’s last days happier, and more peaceful. Studies indicate that the majority of patients would like their spiritual issues addressed. Spirituality has to do with respecting the inherent value and dignity of all patients. It is very important for the patients’ beliefs to be known to healthcare workers so the patient is not disrespected in any way by the healthcare worker (Karnes2). Patients tend to become more spiritually connected during end-of-life care because they are  nearing the end of their journey. Families are impacted emotionally and spiritually and will be grieving the loss of their lived one whereas their journey is beginning (Karnes6). When a loved one dies, mourning is an essential step in the healing process for those suffering the pain and confusion of loss (Karnes8). Counselors work with clients to validate the experience of grief, find the strength and coping skills, and eventually regain a sense of hope (Karnes7). While grief is very personal, there are many common experiences that accompany the death of a loved one. Talking with a counselor helps clients learn more about the natural process of grief and identify areas of strength and support, as well as areas of potential growth (Collins). Grief support group sessions provide the opportunity for people to meet others who are experiencing similar losses. Grief that accompanies the death of a loved one often comes in waves-and sometimes those waves arrive in the days and weeks that follow. At other times, it may be months-or even years- before the reality of the loss sinks in (Karnes11). Family members may also be grieving over the fact that financial issues may accompany them after their loved one passes. There is always help for any patient or family member in need. After learning more about Hospice and the care that they provide it’s more of a â€Å"safe haven† and a place of comfort for you or your loved ones that are passing. Many others would personally choose hospice as their end-of-life care. How to cite Psychological Affects of End-of-Life Care, Essays

Schizo Essay Example For Students

Schizo Essay I am writing this paper to clear up any misunderstandings about this disease. I want everyone to know what it is truly about. Because of the wide spread misunderstanding of this disease, I feel that it is not getting the true attention it deserves. People do not understand how frustrating, disappointing, and seemingly hopeless this illness can become. During my research I found out that many more people have Schizophrenia than most would like to admit. In fact, one percent of our entire population suffers from this disease. That is over 2 million people. The only good news is that this disease has a low rate of genetic inheritance. If one of your parents has this disease you would only have a 10 percent chance of getting it yourself. And only a one percent chance if you have no known sufferers in your family. Schizophrenia is a disease that takes over your brain. It distorts your reality and turns life into a confusing daily journey. The newest theory is that children are born with i t. During their childhood and early teen years schizophrenics go through a latency stage where the disease is not apparent. The first occurrence of this disease may transpire in their late teens or early twenties. This may be as simple as any shocking change in behavior. Schizophrenia emerges at different times in men and women. It can becomevisible as early as 17 in males, while it appears in their late twenties and early thirties for females. The classic symptoms include delusions, hallucinations, false reality experiences, social isolation, unusual speech or behavior, and disorganization of thoughts of speech. They may become preoccupied with their fictitious world. The hallucinations deal with your taste, smell, sight, sound, and visual senses. During these hallucinations they hare voices in their head. These voices may be telling them to perform certain activities, talk to the person they are hearing, or even may be warning them of a future dangerous situation. There can be seven different voices all talking at once, thus causing the patient to become confused. Because people with Schizophrenia cannot grasp the cause of what is affecting them, they do not believe they are sick. This causes problems with doctors who are trying to give them treatment. Because the patient is oblivious to the disease, they are unwilling to so much as accept treatment. Surprisingly there is not a sure fire way of curing schizophrenia at the moment, but doctors are working hard to find one. According to the American Psychological Association Monitor, there have been great advances in medicine for schizophrenia. Doctors believethat ten to twenty percent of those with schizophrenia can recover. Other studies have shown a percentage recovery rate of 68 percent. These numbers are based on a program best known as Psychosocial Rehabilitation. This program is practiced in over 4,000 centers across the country. According to Ruth Hughes, PhD, only one in ten of the people who need psychosocial care for schizophrenia is getting it. However, the National Institutes of Health states that nearly a quarter of all mental illness costs combined are connected to schizophrenia. The Institute also reports that the total costs of Schizophrenia treatment reaches 30 billion to 65 billion dollars each year! It makes you wonder where all that money is going!After all of my work I am more upset than ever about the way schizophrenia is viewed, and the way people with it are treated. Around 2.5 million Americans suffer from this disease, yet none of them are getting the treatment they so desperately need. I hope this paper has cleared up a few questions about schizophrenia. I only with there was a way to get the word out to more people.