Children and Divorces Research Paper Example | Topics and Well Written Essays - 1250 words

Children and Divorces - Research Paper Example As a responsible parent, it commonly perceived to feel unsure of how to provide your children the esteem support throughout the separation or rather divorce period. It may seem to be an uncharted area but one can successfully move through this difficult time. Moreover, this is the time a parent aids their children emerging from it feel rekindled, strong and cared for. Furthermore, there exist numerous ways one can help their children adjust accordingly to divorce. Moreover, humility and reassurance can reduce the cumulative pressure and kids to cope well with the new prospects. Through provision of routines the children can depend on you remind your kids that they may rely on you for stabilization and support. In addition, there should be maintenance of a mutual relationship with the ex whereby you can help your children avoid the constant pressures that emanates from witnessing their parents in a fight or disagreement (Strong, 2010). Thus, such a transitional period cannot lack some extend of hardships though, it can strongly truncate the kids’ pain, stress and worries by making their safety and contentment your mission and priority since it is an obligation by both partners to take unconditional care of their children. Children normally have numerous needs that they anticipate their parents to accomplish. First, they require their parents, both, to get an interest in their livelihood. They expect their parents to express this concern by knowing their status every time, giving the gifts and family treats among other activities such as scribbling letters to them to show love and unconditional care. Moreover, kids anticipate their parents to avoid disagreement and fights that may eventually elicit sadness. They require their parents to easily deliberate and agree on solvable issues that make them quarrel every time they argue. Furthermore, kids anticipate their parents to always treat them and avoid

See work below in description Coursework Example | Topics and Well Written Essays - 750 words

See work below in description - Coursework Example The semiconductor markets are so minute to influence the equilibrium of the industry. It is also revealed that the flow of supply of these semiconductors is not reliable and cannot be predicted. Therefore, it can be termed to be stochastic. Introducing stochastic modeling techniques without backorders to the suppliers, ensures that the management is able to predict the supply patterns of its suppliers (Nagle and Hogan, 2006). This allows the introduction of a Reorder Point within their semiconductor inventory, the Reorder point is a particular level of inventory when reached, demands for replacement of depleted stock. Through such a point Universal management will reduce the stock outs. To effect on this, an automated inventory control technique ascertains the firm not to be faced by stock depletion. It allows automatic stock taking and stock use to establish the Reorder point. These are essential management tactics that the universal management ought to consider. The other alternative that the management ought to consider is to identify one of its key suppliers of the semiconductors and negotiate for a merging deal. The merging in this case is a vertical one. In such a deal, two or more firms having different products, but for a particular finished commodity join together to acquire a firm and reliable supply chain. For instance, semiconductors and engines aid in the manufacture if automobile vehicles. Therefore, this is an opportunity that the universal has to consider to stabilize and solve its supply chain problem. The introduction of the stochastic modeling and an automated inventory process is helpful to the firm since they introduce the reorder point to eliminate stock outs. The automated inventory system allows accuracy and timeliness of stock materials, as well as, to their designated destinations (Nagle and Hogan, 2006). The programming models allow prediction of the stochastic supply patterns, hence, Universal will eliminate

Reducing the Cost of Healthcare Expenditures

Reducing the Cost of Healthcare Expenditures Abstract The purpose of the research paper is to analyze methods for lowering government spending, including both state and federal levels, on healthcare expenditures. This will be accomplished by analyzing two popular methods. The first method includes reallocation money in programs to help reduce cost. The second method focuses on fixing the person and solving the root of the problem. There are many who favor and resist each argument, each with having valid points. The best option of the two is to be determined by the study of peer reviewed (academic) journals, online articles and various news sources paired along with the opinions of authors, healthcare professionals and doctorate professors. Introduction and Background Federal, state and local levels of government play a crucial role in the literal and figurative health of our economy. If you only consider the three main health insurances provided by the government: Medicaid, Medicare and CHIP you will notice that it takes up twenty five percent of our national budget. With expenditures growing at alarming rates it is imperative that we are able to reduce these cost. Healthcare did not become a major part of the federal pudget until the later part of the progressive era. President Roosevelt really advocated for health insurance policies but most of the planning and organizing was left to the discretion of the state. When the Depression hit, it brought about a change in priorities. Focus was primarily on welfare, social benefits and unemployment. Lack of concern for comprehensive health insurances lead to the creation of private insurances like Blue Cross Blue Shield. The Social Security act was passed but overseas affairs captured the attention of policy makers. As advances in health care, technology and medicine begin to occur prices also began steadily to rise. Which in turn left us in with a very unstable healthcare system. Those who could afford private health insurances were taken care of, the rest of the medical cost of the poor were covered by the federal government, and those who fell in between had to make due. These events lead to President Lyndon B. Johnson signing Medicare and Medicaid into low, allowing comprehensive coverage for millions of Americans. By 1975 Medicaid expenses rounded up to thirteen billion dollar while Medicare accumulated another fifteen billion. Both of these figures were higher than experts predicted. Which in turn has allowed for the programs to go over budget since the early years of their existence. Now our main goal to dramatically reduce the debit that we have accumulated over all these years. There are many ways that this can be done. With the all the advanced technology we have it is possible to keep people healthy for longer periods of times. However it is very expensive for people to seek the care that they need to remain healthy for as long as possible. The goal is to a harmonious balance between bettering the person and cutting cost. Support of Controlling Cost Budgeting is hard, but when the people of a country depend on it, it must be done. There are many approaches and ideas about how to reallocate funds and other resources in order to save money in the healthcare field. Rapidly increasing cost put immense pressure on budgets ultimately affecting the effectiveness of the services that are provided. Many of these options that deal with cutting of money call for standardization across the country and the need for stricter guidelines. One proposal is to cut cost in areas that are not relevant or of necessity. This would accomplished by increasing regulations in hospitals and having them abide by stricter guidelines. With increased regulation hospitals would be encouraged to â€Å"off-peak use of facilities and equipment and to avoid costly cosmetic surgery† (Bloch p.123). This method would limit many practices to only dealing with basic situations. Hospitals and other healthcare providing facilities currently expect to receive a certain amount from the patient and the remaining portion from a health care provider or another party. Therefore practices would not have to deal with complex and expensive issues that cause them to lose money. Their many focus would be on procedures that they are confident they would be reimbursed in. The bottom line in this method is to plain cut anything that provides uncertainty as far as reimbursement is concerned. The second popular option that is â€Å"addressing and labeling the quality of care† (Baucus p.5). There is no doubt that everyone wants the best care that they can possibly receive. The definition of best care differs in different parts of the country. What’s good in the South might be considered mediocre in the West. This solutions proposes that we look at practices across the country and determine which ones are most successful and cost efficient. Then we would require hospitals around the country to go by those procedures. This would allow a universal from state to state and would trim the grey areas of comparison. If all states would adopt this organizational structure â€Å"Medicaid spending would decline by thirty percent. (Baucus p.7). When hospitals, doctor’s offices and insurances are unable to pay their bills the burden eventually falls on the state and the loss takes an unforeseen punch on their budget. With options such as these, there is a smaller chance that these losses will occur. Providing stricter guidelines and addressing the quality of care are options that can make positive impacts on our budget immediately. Without protocols in place doctors are less likely to accept welfare patients because they fear that they will not be repaid. Since 2001 Medicaid spending has increased by thirty- three percent (Wilson p.150), by simply implying these procedures we could offset this trend within three years. Support of Health Promotion Health Promotion is anew area of care that focuses on ones holistic lifestyle and preventive care. Many universities and colleges are offering programs and major in this rapidly growing field. Even insurances are jumping aboard the bandwagon and offering this as a part of some health insurance plans. This method of lowering the deficit offers a more individualized approach with benefits that will be reaped in the long run. Michael O’Donnell, health promotion advocate and editor of Science of Health Promotion, appeared before congress to answer their question if health promotion can help the deficit. His response is as follows â€Å"There are eighty-three studies which show people with unhealthy habits have higher rates of cost, there are an additional fifty studies that show health promotion reduces those cost and promote absenteeism of those habit after going through a program and most importantly there are thirteen studies that show the savings that are produced by this program are greater than the cost themselves.† With his speech to congress he explained the benefits of health promotion within a matter of five minutes. As we continue to do studies on this area this proof will continue to be produced. The benefits are already showing in the patients who have participated in these programs. One of the first steps in starting a health promotion and holistic care program is â€Å"identifying all of the services the patient might need and is interested in (Guba p. 32). With current insurances plans all part are not utilized. According to most people who are insured they agree that their insurance either provided to much insurance or not enough. Tailoring programs to fit their needs and desires will ultimately save insurances thousands of dollars per insured person a year. Johnson Johnson family company allowed an independent research group to perform a study on the health care benefits and options that it provided to its employees. With their plan employees were encouraged to workout, quit smoking and other habits that were beneficial to their health. As they committed to these task the received a reduction in price of their health care insurance. According to the Harvard Business Review it is â€Å"estimated that wellness programs have cumulatively saved the company $250 million on health care costs over the past decade; from 2002 to 2008, the return was $2.71 for every dollar spent† (Berry). If s basic health promotion plan was able to save a company this much money, imagine the benefits our budget would see in the long run. An Assessment of the Arguments Health promotions and holistic care and reallocation resources both offer promising benefits for our budget however they both contain many flaws. When we consider the first argument, it could also seem as if we are limiting doctor’s discernment in treating their patients. With this option practices would not be reimbursed if they did not follow the protocol verbatim. In the world of medicine many odd and unexplainable miracles happen because doctors use their discretion to fix a situation, there is a real and respectable fear that this would be lost with the cost allocation method. It is a common belief among economist that a â€Å"reduction in medical inflation can be best achieved if regulation is decreased rather than increased† (Bloch p. 120). If this is to be true it would completely deflate the argument advocating for controlled cost. When it comes to health promotion the down fall is the lack of time we have had to study this field. Purposeful and intense researc h in health promotion did begin until the late nineties. While many positives results are starting to reap we are also waiting to see if there is any backlash. Those results will come as my generation continues to growing. Conclusions and Future Recommendations The amount of debit that we have is something that is not to be considered lightly. There is no quick to any problem that will provided long lasting and stable results. With the cost allocation method it seems as if we would be cutting gashing wound, that is in obvious needs of stiches with a band aid. Yes, there would be a quick sigh a relief but the rush would definitely be back before we realized it. Therefore health promotion and holistic care is the best option for our country to cut the deficit. We may not have years of information behind it but what we have been doing hasn’t been working so a new a fresh approach is what we need. For this program to be successful it is imperious that policy makers listen to the concerns and opinions of the professionals with in the health care field. There is a bright and prosperous future with health promotion. The people tend to lose trust with the government when they are forced to do something. If we encourage citizens to perform th ese actives and reward this can catch fire across America. References Baucus, M., Slavin, P. L., Korsmo, J. (2008). Controlling health care costs. Issues In Science Technology, 24(4), 5-9.Retrieved from http://eds.b.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=604a0f71-3dfb-4799-8418-03cf4fab79c3%40sessionmgr115vid=1hid=117 Berry, L., Mirabito, A., Baun, W. (2010). What’s the Hard Return on Employee Wellness Programs? Harvard Business Review. December 2010. Retrieved from https://hbr.org/2010/12/whats-the-hard-return-on-employee-wellness-programs Bloch, H., Pupp, R. (1985). Supply, Demand, and Rising Health-Care Costs.Nursing Economic$,3(2), 119-123. Retrieved from http://eds.b.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=5f565f5a-e3d7-4d26-9322-a8a609ca37e6%40sessionmgr115vid=1hid=117 Guba, Susan C. MD. (2007). Cost-effective, Holistic, Integrative Medicine Program. Oncology Issues: November/December 2007. Retrieved from http://www.accc-cancer.org/oncology_issues/articles/ND07/ND07-New-Perspectives-on-Developing-a-Cost-effective-Holistic-Integrative-Medicine-Program.pdf ODonnell, Michael P. (2001). Special Issue on the Financial Impact of Health Promotion Programs. American Journal of Health Promotion: May/June 2001, Vol. 15, No. 5. Retrieved from http://www.ajhpcontents.org/doi/pdf/10.4278/0890-1171-15.5.v Wilson, J. F. (2009). Will All Health Care Reform Lead Back to Medicaid? Annals Of Internal Medicine, 150(2), 149-151. Retrieved from http://eds.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=679fd1b8-8c75-49a6-ad06-9b8aa4506a80%40sessionmgr4004vid=1hid=4103

grendelbeo Epic of Beowulf Essay - Beowulf from Grendels Perspective :: Epic Beowulf essays

Beowulf from Grendel's Perspective One night, as Grendel was sleeping soundly in his home in the swamplands, he was suddenly awakened by the sound of music. The music angered Grendel because he had been up late the night before entertaining his monster friends and was in need of his beauty rest. So he headed out the front door and headed to see what the commotion is all about. ] Upon arrival at the mead hall, Grendel notices the door is much to small for him to enter through it easily. This does not make him happy because it happens everywhere he goes in the little human towns. So he squeezes his shoulders through the small opening and manages to ask the man at the nearest table what was going on. The man, being exhausted from his own celebrations, was to tired to even notice the beast standing over him. Monsters of Grendel's type are not used to be ignored and see it as disrespectful and so do not like to be ignored. Which is why Grendel pulled his head from the doorway and reached his claw in to snatch up unsuspecting man. Everyone else in the room was too busy to even notice the man being lifted from his place behind his drink. With the first man out of the way, Grendel decided to try a different approach. Again, scrunching himself down partway through the door, Grendel looked for someone to tell him what was going on. He cleared his throat an d said with a rough, gravelly voice, "Excuse me!" No one noticed. So he said it louder, "Excuse me!" A few heads turned. After a number of astonished gasps, more turned to see. Detecting he was now the center of attention, Grendel asked what they were all doing making so much noise so late at night. The men only stared at him. So he asked more simply and slowly, not knowing if they were intelligent or not, "What are you doing?" The only response this time was an echoed "Get him!" This surprised Grendel because they seemed to say it in unison. He jumped slightly and hit his head on the doorway. He stood up and rubbed his head and knocked over a horse and its cart with his foot.

Descriptive statistic Essay

Table 1 shows the descriptive statistics about the 74 models of automobiles released in the year 1978, these include the automobiles’ price, mileage, repair record, headroom, trunk space, weight, length, turn circle, displacement and the gear ratio with its corresponding results. In terms of automobiles’ price, it ranges to $3,291.00 up to $15,906.00 for the period of the said year. Its average price is $6,165.26 with a standard deviation of $2,949.50. It can be seen that prices are not close by to one another. With regards to mileage, the majority of the automobiles runs 41 miles for every gallon of gasoline, while the least runs only for 12 miles. The mean of mileage has resulted to 21.30 mpg, with a standard deviation of 5.79 mpg. As to the variable repair record it can be seen that only 69 were observed out of the 74 automobiles. The highest occurrence of repairs made is five times, whereas the least occurs only one time. The average repair recorded is 3.41 times wh ile its standard deviation is only .98. It is also seen the data about the portion of automobiles’ headroom in inches. The automobile recorded with the largest headroom has 5 inches size however the smallest only got 1.5 inches. Further, the average headroom is 2.99 inches, changing at a standard deviation of .85. Respectively, the trunk of automobiles is given measured in cubic feet. The largest trunk noted has a 23 cu. ft. of space, on the other hand the least has a size of 5 cu. ft. The mean size of the trunk got a 13.76 cu. ft. having a standard deviation of 4.28 cu. ft. The automobiles’ weight resulted with the heaviest model got a 4,840 lbs. while the lightest among them weighs 1,760 lbs. The average weight of automobiles recorded is 3.019.46 lbs. A standard deviation of 777.19. While the measurement of automobiles’ length got a longest and shortest measure of 233 inches and 142 inches, respectively. The average length of the automobiles is 187.93 inches with a standard deviation of 22.27 inches. The highest measure of turn circles gathered is 51 ft. while, the lowest gathered measure is 31 ft. The average measurement of turn circles is 39.65 ft. varying at a standard deviation of 4.40 ft. As to the measurement of the displacement, the highest got a size of 425 cu. in. and the least got a size of 79 cu. in. The average measurement is 197.30 cu. in. and a standard  deviation of 91.84 in.cu. The gear ratio shows a result that its average/mean is 3.01. It ranges to 2.19 up to 3.89 with a standard deviation of .46.

Kolcaba’s Theory of Comfort Essay

Within the context of theory illustrates a demanding yet creative shaping of plans, structured requirements, and prediction of a provisional, determined, and systematic sight of phenomena (Chinn, 2011). Nursing theory is a crucial function within the nursing practice. Theories afford nurses with the distinctive facets that are in encompassed within patient care and the nursing profession. Clarification of practice governance, and expectations are also integrated within contextual framework of nursing theory. It bestows various manners to acquire data, examine and study, and foresee the practice of nursing and the outcomes of patient care (Parker, 2010). Kolcaba’s middle range theory of comfort captivated my interest because my impression of comfort curtails that of positive patient outcomes. Comfort is not solitary to just physical ailments, but emotional and psychological measures in addition. Throughout my experiences and years as bedside registered nurse, I can attest that patient requests stem largely from the factor of being made comfortable. As stated above, this not only embraces physical comfort, but something unassuming as a comforting touch or positive attitude to render the positive outcome and a content patient. Absorbing how theory influences practice has been an impediment that I have recently overcame. I was unmindful that certain situations and decision making were reinforced through the use of theory. Examination of the importance of nursing theories, more in depth review of Kolcaba’s theory of comfort, and theory of comfort in nursing practice, education, and research will be reviewed further. Importance of Nursing Theories Separately from the governance of practice and foundation for the practice of nursing, theories furthermore propounds opportunities for nurses in the sense of practical application. Measurable changes and enrichment of the profession occur when nursing theories are incorporated into practice. The benefits of having a defined frame of theory in nursing produces superior patient care, heightened professional repute for nurses, progressed interaction among nurses, and direction for exploration of the practice and education. Theories also illustrate the quality of the nursing profession, and serves as a reservoir of knowledge with the examination of the essential requirements of patients and necessary interventions. In addition, specialized rationales are provided. Succeeding medical doctors orders are not exclusively to the context of nursing care. Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011). Kolcaba’s Theory of Comfort The origination of Kolcaba’s theory of comfort stemmed was first established in the 1900’s. Founder, Katherine Kolcaba, concluded that for a positive patient outcome to accomplished, comfort is a crucial obligation. Katherine organized a representation for exploring, analyzing, and gauging the care of the patient. Historically, she believed that the product of the profession of nursing is comfort. According to Kolcaba (2010), comfort is achieved in a few diverse ways to include transcendence, relief, and ease. Transcendence represents the aptitude to overcome the lack of comfort sensed by patients through their awareness to cease. Patients are able to rise above their challenges. For example, a post-operative below the knee amputee patient may experience great physical pain from the surgery as well as psychological trauma from the intervention. Pushing forward to regain strength and independence would be an instance of transcendence. Relief constitutes any ordered analgesic medication that can be given to the patient or  non-pharmacologic interventions such as distraction or repositioning. This structure of comfort is experienced as relief. Anxiety reducing measures such as anxiolytics or inducing expression through conversation or other forms of communication can be facilitated. These actions can be constituted as placing the patient at ease. In my day to day professional practice experiences, I come across different situations where comfort may be the only measure to take in a particular patients care. Pharmacological therapy interventions are important for adequate relief, but non-pharmacological interventions are just as imperative. A simple caring touch and tone conditions the patient to an enhanced state. This particular theory affords nurses a better comprehension and obligation to comfort in the practice setting. Nurse are the forefront of healthcare. We have the ability to promptly identify the demands the needs of the patient. Kolcaba’s theory of comfort conforms into the nursing metaparadigm with relation to the three concepts presented: transcendence, relief, and ease. There is a clear consensus about the concepts which includes health, nursing, person, and environment of the metaparadigm. Kolcaba elaborated on the four various experience backgrounds that comfort is achieved. These include environmental, physical, social, and psychospiritual (Kolcaba, 2010). Theory of comfort in nursing practice, education, and research Kolcaba’s theory of comfort guides research in assorted ways. It challenges the nurse to examine the correlation among holistic interventions and different comfort measures. It also imposes a contention between comfort and â€Å"health seeking behaviors†. If the product is positive, than it enhances future endeavors and postulates additional motivators to provide comfort. Institutional outcomes are also examined (Koehn, 2000). References Chinn, P.L., & Kramer, M.K. (2011). Integrated theory and knowledge of development in nursing (8th ed.). St. Louis, MO: Mosby/Elsevier Koehn, M. (2000) Alternative and complementary therapies for labor and birth: an application of Kolcaba’s theory of holistic comfort. Holistic Nursing Practice. 15(1):66-77 Kolcaba, K. (1992). Holistic comfort: Operationalizing the constructs as a nurse-sensitiveOutcome. Advances in Nursing Science, 15(1), 1-10, p. 6. Kolcaba, K. (1994) A theory of holistic comfort for nursing. Journal of Advanced Nursing 19: 1178-1184 Kolcaba, K. & DiMarco, M.A. (2005) Comfort theory and its application to pediatric nursing. Pediatric Nursing, 31(3), 187-194 Parker, M.E., & Smith, M.C. (2010), Nursing theories and nursing practice (3rd ed.) Philadelphia, P.A.: F.A. Davis Company Powers, B.A., & Knapp, T.R. (2011). Dictionary of nursing theory and research (4th ed.). York: Springer Publisher Company