Sales Promotion Technique

Laura Schneider says that marketing is everything that we do to reach and persuade prospects. Marketing consists of the measures we use to reach and persuade our prospects. All of marketing components will cost producers or manufacturers that in turn will influence the retail price of a product. To exploit a potentially lucrative market is not as easy as just opening a room, and playing music. Diligent marketing research will actually be crucial to the success of conducting personal selling. Careful consideration should be given to a number of different factors such as location, demographic detail, and existing competition of the prospective market place. This is done so to conduct marketing campaign effectively, which is a combination of advertising, personal sales, public relations, and sales promotions in a creative and cost-effective way to increase gross sales. 2. Sales Promotion Technique 2. 1. Web-based solution Basically, sales promotions are non-personal promotional activities that intend to have direct impact on sales of a product. Some activities that are in the sales promotion category include media and non-media marketing communication, increase consumers demand, and improve product availability. One of sales techniques that can help a company in maximizing its sales promotion efforts is the MediaVisor. The product is uniquely created to help salesperson of the company in executing and analyzing their interactive sales promotion programs much better (DoubleClick, 2006c). For example, figure 1 shows a company’s online sales promotion that aims at having direct impact to sales. Figure 1 Double Click’s Various Customers Solutions Source: www. oubleclick. com In order to simplify the sales promotion, MediaVisor can help Sprint Nextel in creating an easy-to-use interface, which is designed to reduce the number of clicks required to perform common actions. Therefore, the use of MediaVisor will significantly enhance the effectiveness of sales promotion process (DoubleClick, 2006c). 2. 2. Direct Mail O ne of the greatest marketing tools is direct mail, also known as database marketing. This kind of promotion is so effective since a company deliver information/offering directly to customers or prospects although it has one obvious drawback: high cost. According to one report, direct mail has a high â€Å"cost-per-thousand,† meaning it costs more to send message to a thousand people through direct mail than it does through television. However, this high cost-per-thousand can be offset by a much higher return rate. 2. 3. Personal Selling Another type of marketing tools is personal selling which is oral communication with potential buyers of a product with the intention of making a sale. The personal selling may focus initially on developing a relationship with the potential buyer, but will always ultimately end with an attempt to closing the sale. There are several benefits of conducting personal selling as follows: ? Personal selling is a face-to-face activity; customers therefore obtain a relatively high degree of personal attention ? The sales message can be customized to meet the needs of the customer ? Personal selling is a good way of getting across large amounts of technical or other complex product information ? The face-to-face sales meeting gives the sales force chance to demonstrate the product ? Frequent meetings between sales force and customer provide an opportunity to build good long-term relationships The main disadvantage of personal selling is the cost of employing a sales force and other utilities such as building rental. In addition to the basic pay package, a business needs to provide incentives to achieve sales such as commission and bonus arrangements and the equipment to make sales calls including car, travel and subsistence costs, mobile phone etc. Moreover, conducting personal selling has one limitation: personal selling is not a cost-effective way of reaching a large audience since a sales person can only call on one customer at a time. 2. 4. Cash Rebates/Cash back Selecting one or more target markets then developing a marketing mix (product, price, promotion & distribution) that satisfies the needs of the target market. One of the strategies is to give cash rebates/ cash back as incentives for target market to keep visiting stores By definition, cash back Program is an incentive program that rewards customers for repeatedly shopping at stores. Hence, it generates more revenue from particular selling points. For example, if a company wants to increase the number of sales from online stores, they may present additional discount for customers who purchase online.

Linguistic imperialism Essay

Linguistic imperialism can be defined as the enforcement or imposition of one language onto another; it tends to be a key tool of the colonialist seeking to mend the ‘backward’ societies that they find, generally to their own purpose. Thus, writers such as Friel and Achebe have sought to rectify the still ever present colonialist perceptions of the west by attacking the use of language in their societies, for example, Hiberno-English in Translations. Furthermore, it is necessary to analyse the form and structure of the primary texts, for instance, how Achebe and Friel both manage to structure their texts in such a way that it gives a distinctly ‘foreign’ aesthetic, whilst still creating a subtly intelligent and critical narrative. Also, it is important to look at the literary techniques and devices that are used within Translations and Things Fall Apart, for example, dramatic irony (e. g. the reference to the potato famine in Translations) or symbols like Mr. Brown in Things Fall Apart, who represent a could-have-been harmonious presence between two vastly different cultures. In addition, it is necessary to contrast and compare the primary texts with secondary texts such as Ngugi wa Thiong’o’s ‘The Language of African Literature’, and analyse how relevant or constructive Things Fall Apart and Translations are in their underlying criticism of linguistic imperialism. Overall, it is a crucial to explore these various threads of investigation to come to an overall conclusion in terms of how Friel and Achebe present the issue of linguistic imperialism and how successful they are. George Steiner, in After Babel, writes that â€Å"Translation exists because men speak different languages† (1998, p. 51). He goes on to question it, by asking â€Å"Why should human beings speak thousands of different, mutually incomprehensible tongues? † (1998, p. 51), that homo sapiens are basically biologically the same; why have we not evolved to speak one common language? Steiner’s study of language and communication concludes that with the death of a language comes the dissolution of cultures and identities: â€Å"Each takes with it a storehouse of consciousness† (1998, p.56). This was of consequential influence to Brian Friel and Translations, notable throughout the play. For instance, the various ways in which Friel portrays translation – the cartographers; Owen’s â€Å"not-completely-correct† translation of Lancey; Maire and Yolland’s romantic tryst and so forth – create the notion that the English language is not compatible with Irish culture. This is an overarching idea that reaches its crescendo with the Donnelly twins, Friel’s representation of the Provision IRA within the play i. e. the violent end of Yolland, inferred by the actions of the Donnelly twins, is an echo of 1980s era conflicts. These conflicts were created by tensions still remaining today, by Protestants and Catholics in Northern Ireland; the Catholics calling for the reunification of Ireland, and Protestants wishing to remain separated – realistically, these tensions would have not necessarily existed had there been no British colonising of Ireland, and Translations has been identified as echoing Friel’s political interest in the matters. The reader or audience of Translations are bound by Friel to a highly complex idea of translation and the place of language in a culture; similarly, we are made aware of this in Things Fall Apart. One of the most accessible passages that exemplify this goes as follows: â€Å"When they had all gathered the white man began to speak to them. He spoke through an interpreter who was an Ibo man, though his dialect was different and harsh to the ears of Mbanta. Many people laughed at his dialect and the way he used words strangely. Instead of saying ‘myself’ he always said ‘my buttocks’. † (Things Fall Apart, p. 136) Subtly, Achebe feeds the reader linguistic perspective alien to most Western culture – that Africa was not, and is not, a land full of savages who cannot communicate as well as the Europeans, and instead a variety of different tongues that is not necessarily exactly recognisable from one clan to another. In regards to Translations, Friel has been left relatively unscathed by those in Ireland who may have felt abandoned by Friel’s artistic decision to employ Hiberno-English as opposed to contemporary Gaelic, whilst both authors have clearly chosen English as a medium to address linguistic imperialism (using the tool of colonialism against the colonialists). Achebe has been highly criticised for writing in English. Ngugi wa Thiong’o criticised African authors who chose English over their native tongue to write in. He asked â€Å"How did we arrive at this acceptance of ‘the fatalistic logic of the unassailable position of English in our literature’, in our culture, and in our politics?†¦ † (1995, p. 287) Thiong’o goes on to say that as the bullet is to physical subjugation, â€Å"language was the means of spiritual subjugation† (1995, p. 287). To understand Thiong’o’s logic, the reader needs to take into context a passage further on in the essay, which refers to his experiences at a colonial school and the use of his mother tongue, Gikuyu: â€Å"Thus one of the most humiliating experiences was to be caught speaking Gikuyu in the vicinity of the school. The culprit was given corporal punishment – three to five strokes of the cane on bare buttocks – or was made to carry a metal plate around the neck with inscriptions such as I AM STUPID or I AM A DONKEY †¦ † (1995, p. 288) Thiong’o is asserting that the use of English was imposed upon many of the African tribes and with it the enforcement of superiority and supposed civilisation†¦ to use Gikuyu was to be made to feel inferior and stupid, and to speak English fluently would be the height of education achievement. A further statement by Thiong’o states â€Å"Literary education was now determined by the dominant language while also reinforcing that dominance. Orature in Kenyan languages stopped. † (1995, p. 288). The loss of such orature and its replacement by the English written word was heavily destructive, according to Thiong’o – he concludes the essay be acknowledging that human society and culture is formed by the interactions and communication of people, that complex systems of ethics and experience, these systems creating one distinctive society from another. If the means of communication that has developed such a community is, like Tobair Vree in Translations â€Å"something is being eroded† (p. 53), or destroyed, then, much like Steiner, that society is lost. To Thiong’o, Achebe’s use of English over his native tongue is, rather than delicate manipulation for the anti-colonialist purpose, actually conducive in destroying that particular culture forever. However, despite Thiong’o’s clear dissatisfaction at Achebe’s use of the English language as a general point, this point could be considered moot. Early on in the essay, Thiong’o quotes Achebe as saying: â€Å"Is it right that a man should abandon his mother tongue for someone else’s? IT looks like a dreadful betrayal and produces a guilty feeling. But for me there is no other choice. I have been given the language and intend to use it. † (1995, p. 285 citing 1975, p. 62) This is evident in the careful construction and consideration of Things Fall Apart. Achebe has written a novel in which the reader could easily imagine themselves around a blazing fire with an elder of a Nigerian clan, with the story being meticulously recited to them. The rhythm of the novel is manipulated in such a way that it becomes less like an English-written novel and more a native piece of orature. For example, Achebe makes good use of drums in the novel, to create the rhythm of the traditional narrative: â€Å"Just then the distant beating of drums began to reach them†¦ the drums beat the unmistakable wrestling dance – quick, light and gay, and it came floating on the wind. † (Things Fall Apart, p. 41) A further use of language to create an ‘African English’ is the utilisation of proverbs, which play a central part in emphasising the Ibo culture, as â€Å"proverbs are the palm-oil with which words are eaten†. In addition, Achebe ‘peppers’ Things Fall Apart with Ibo words – this digression is an act of defiance to the colonists who felt they could just translate Ibo culture (religion, education and so forth). By this, Achebe means to illustrate the barriers of translation, in that there is no suitable word for, as an example, ogbanje, â€Å"one of those wicked children who, when they died, entered their mother’s womb to be born again†. Similarly, Achebe’s conquest to turn the Colonialist’s language back in on itself, Achebe wrote an essay called ‘An Image of Africa: Racism in Conrad’s Heart of Darkness’. Achebe analyses Western views of Africa (such as those of â€Å"that erudite British Historian Regius Professor of Oxford, Hugh Trevor Roper† (Achebe, 1961)) in stinging rhetoric which delivers the idea of that prolific early ‘anti-colonialist’ novelists like Conrad were, maybe unwittingly, racist in themselves. Achebe writes: â€Å"Conrad was born in 1857†¦ it was certainly not his fault that he lived†¦ [in a] time when the reputation of the black man was at a particularly low level. But†¦ there remains still in Conrad’s attitude a residue of antipathy to black people†¦ Certainly, Conrad had a problem with niggers. His inordinate love of that word itself should be of interest to psychoanalysts. Sometimes his fixation on blackness is equally interesting as when he gives us this brief description [of a black person]: A black figure stood up, strong long black legs, waving long black arms†¦ as though we might expect them to†¦ wave white arms! † (Achebe, 1961) In this short except, it is noticeable how Achebe associates Conrad’s conduplicatio of ‘black’ as sinister, and potentially in itself, a form of linguistic imperialism – in this, it is the fact that the word black (and nigger) has previously been held to have negative connotations or was created for a negative purpose, but both create a â€Å"‘reputation of the black man†¦ at a particularly low level† (Achebe, 1961). Achebe also goes on to say that these psychoanalysts who have already written at length about Conrad fail to recognise his attitude to black people, even in discussion over anti-Semitic values, â€Å"which only leads one to surmise that Western psychoanalysts must regard the kind of racism displayed by Conrad as absolutely normal† (Achebe, 1961) and that this same book of â€Å"vulgar fashion prejudices insults from which a section of mankind has suffered untold agonies† (Achebe, 1961) has been â€Å"described by a serious scholar as ‘among the half dozen greatest short novels in the English language† (Achebe, 1961). From this, the audience of this essay can understand that Achebe, in as short a summary as possible, suggests that one of the most famous – or in this case infamous – novellas to be written on the subject of Africa by a European stranger epitomises how the English language has been used as Thiong’o’s subjugation of the soul – even if Conrad’s intentions in writing it were not consciously racist, in trying to purvey a certain message he colonised the African peoples by associating them with pejoratives and otherwise negative descriptors. Friel and Achebe are both influential authors for similar reasons; they attack subversive, modern perceptions of ‘lost’ worlds that have in recent years movements like African National Congress in South Africa and the IRA in Ireland sought to revert nation-states to their ‘natural’, pre-colonial state. In this, they have both similar and not so similar approaches to literature, and have incorporated techniques to manipulate ideas incorporated in their book. For example, both authors make use of particular styles of writing to mimic the native language whilst writing in the colonial language (i.  e. English). In Friel’s case, this is Hiberno-English, which is a form of Irish that retains its Gaelic lexical structure whilst being spoken in English, for instance, when Doalty says to Manus â€Å"Hi, Manus, there’s two bucks down the road there asking for you† (Translations, p. 46) – in strict grammatical terms, Doalty’s syntax does not make sense in proper English, demonstrating inherent intimacy and deitis. Friel is applying the idea of Continual Presence of Gaelic to the English language. This application is also a theatrical device – or conceit – whereby Hugh is usually portrayed with an English accent, as he does not use Hiberno-English. Similarly, Achebe put simply, â€Å"both in vocabulary and sentence structure, he opts for the straightforward instead of the obtuse† (Easthope, 1988) and in doing so imitates traditional Ibo storytelling. Another literary device used by Friel and Achebe in their respective texts is their use of symbolism. In Things Fall Apart, Achebe uses locusts to symbolise the invading colonialists: â€Å"And then the locusts came†¦ the elders said locusts came once in a generation, reappeared every year for seven years and then disappeared for another lifetime. They went back to their caves in a distant land, where they were guarded by a race of stunted men. † (Things Fall Apart, p. 51) The above quote inferences that the locusts are the colonialists, by Achebe carefully alluding to the ‘race of stunted men’ that lives in a ‘distant land’. Achebe goes on: â€Å"Then quite suddenly a shadow fell on the world†¦ At first, a fairly small swarm came. They were harbingers sent to survey the land. And then appeared on the horizon a slowly moving mass like a boundless sheet of black cloud drifting towards Umuofia. † (Things Fall Apart, p. 52) In this, Achebe’s symbolism is clear – those like Mr. Brown and initial missionaries were assigned only to convert those ‘African savages’ into morally correct Christians, and to some extent allowed their cultures to live as congruently as possible. It is only with the materialisation of the District Commissioner who declares the Ibo people to be â€Å"in the dominion of our queen, the most powerful ruler in the world† that this comes to a head. Achebe foreshadows the ‘jumping ship’ of characters like Nwoye, by referencing the consumption of the locusts – such members of the community have consumed the colonialist culture, in all its forms, including language. Unlike Achebe’s extended metaphor of the locusts, Friel uses a passing, but nonetheless poignant, subtle symbolic reference to the potato famine. Bridget proclaims â€Å"†They say that’s the way it snakes in, don’t they? First they smell; and then one morning the stalks are all black and limp† (Translations, p. 18) with Maire exclaiming: â€Å"Sweet smell! Sweet smell! Every year at this time somebody comes back with stories of the sweet smell. Sweet God, did the potatoes ever fail in Baile Beag?†¦ There was never a blight here†¦ but we’re all sniffing about for†¦ a disaster. † (Translations, p. 18) This is symbolic of the rotting Irish culture, and failing language as contextually the potato was the staple foodstuff. The potato famine was not only symbolic, but also highly ironic – when Maire says â€Å"did the potatoes ever fail in Baile Beag? † the audience knows fully well that they would. This device, more specifically referred to as ‘dramatic irony’, is used often by Friel in Translations, and serves to foreshadow eventual destruction too. Another use of it is Hugh’s recital of The Aeneid: â€Å"†¦ Such was – such was the course – such was the course ordained – ordained by fate †¦ What the hell’s wrong with me? Sure I know it back ways, I’ll begin again. Urbs antiqua fuit†¦ † (Translations, pp. 90-91) This is doubly ironic, as on the one hand, Hugh cannot seem to fully remember it – Latin and Greek are often referenced throughout the play by Jimmy Jack and Hugh, both of them themselves being dead languages and cultures. Perhaps in further reference to After Babel by George Steiner, the fact that Hugh cannot remember it is a reflection of Gaelic – even intelligent scholars like him will eventually lose a tongue they have worked so hard to protect. A further projection of irony in Hugh’s recital is the content of Virgil’s The Aeneid. The Aeneid is a parallel between the destruction of Carthage, a city on the North African coast, by the Romans and the destruction of Baile Beag by the English. What is highly ironic about The Aeneid, and almost makes this piece of dramatic irony self-parodying, is that The Aeneid was written in the language of those that destroyed Carthage (the Romans). Again, irony is quite prevalent in Things Fall Apart with the most pertinent example falling, like Translations, at the end of the novel. This is the District Commissioner’s reaction to Okonkwo’s suicide: â€Å"Everyday brought him new material. The story of this man who had killed a messenger and hanged himself would make interesting reading. One could almost write a whole chapter on him. Perhaps not a whole chapter but a reasonable paragraph, at any rate. † (Things Fall Apart, p. 197) This is ironic because after the lengthy and tumultuous tale of Okonkwo and his struggles to not be like his father, the complex hierarchy of elders and the intricacy of Okonkwo and his struggles to not be like his father, the complex hierarchy of elders and the intricacy of their traditions and religion, the District Commissioner feels it can only ‘almost’ be written about in one chapter, and designates to only a paragraph. This is highly representative of the failure of the white man to ‘translate’ the Ibo culture and ability into being a highly complex culture, and instead treats the colonisation of the Ibo people as â€Å"The Pacification of the Primitive Tribes of the Lower Niger† (Things Fall Apart, p. 197). In conclusion, both Achebe and Friel carefully construct stories using literary devices that serve to recreate their personal heritage of a realistic and pitiful community who fall victim to unrepentant imperialism. In this, they have been able to repudiate colonial superiority in particular in regards to language and colonial ideas of ‘progression’. Whilst both portray three dimensional characters in that they are atomistic – for example, in Translations, Hugh’s view of the English is different to Owen’s which is in turn separate from Manus’s – and provides a highly explorative analysis of linguistic imperialism and its effect on individuals and the community. To summarise, all of the text referred to in this essay, in their own ways, are deeply critical of the effects of linguistic imperialism, particularly in the context of colonialism and so-called ‘progression’.

A needs orientated approach to care

This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications A needs orientated approach to care This will be discussed in detail providing evidence of strengths and weaknesses of the model. The nursing process that will be discussed will be APIE which is assess, plan, implement and evaluate. A nursing process is a systematic approach which focuses on each patient as an individual ensuring that the patients holistic needs are taken into consideration. These include physical, social, psychological, cultural and environmental factors. . The nursing process is a problem solving framework for planning and delivering nursing care to patients and their families (Atkinson and Murray 1995). When used collaboratively the nursing model and the nursing process should provide a plan of care that considers the patient holistically rather than just focusing on their medical diagnosis (Moseby’s 2009). It will also discuss an example of a care plan done for a fictional patient and evaluate and discuss how the nursing plan and the nursing process have created a plan of care and how effect ive this was or was not. Care planning is a highly skilled process used in all healthcare settings which aims to ensure that the best possible care is given to each patient. The Nursing and Midwifery council state that care planning is only to be undertaken by qualified staff or by students under supervision. The Department of health (2009) says that â€Å"Personalized care planning is about addressing an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethinic and cultural background and circumstances† with the aim of returning the patient to their previous state before they became ill and were hospitalized considering all of these needs to provide patient centered care. It recognizes that there are other issues in addition to medical needs that can impact on a person’s total health and well being’.It provides a written record accessible to all health professionals where all nursing interventions can be d ocumented. Care planning is extremely important as it enables all staff involved in the care to have access to relevant information about the patients current medical problems and how this affecting them in relation to the 12 activities of living as well as any previous medical history. Barrett et al (2009) state that taking care of an individuals needs is a professional, legal and ethical requirement. There are many different nursing models all of which have strengths and weaknesses and its up to the nurse to choose the right one for individual patient, the model which is used will vary between different speciailties depending on which is more relevant to the patient and their illness and needs. Although a vast majority of hospitals now use pre-printed care plans it is important to remember that not all the questions on them will be relevant to all patients. An example of this would be that activity of breathing may not have any impact on a healthy young adult be would be a major f actor for an elderly man with COPD. There are four stages to the nursing process which are Assess, plan, implement and evaluate (APIE) but Barrett et al state that there should be six stages to include systematic nursing diagnosis and recheck (ASPIRE) as although they are included in the nursing process they are not separate stages and could be overlooked.(Barrett et al 2009). It is important that a nursing process is used and it is set out in a logical order, the way in that the nurse would think this helps minimize omissions or mistakes. Roper, Logan and Tierney model of nursing suggests that there are five interrelated concepts which need to be taken into consideration when planning and implementing care which are activities of living, lifespan, dependence/independence continuum, factors influencing activities of living and individuality in living (Roper, Logan and Tierney 2008). Assessment Assessment is fundamental to gaining all the information required about the patient in order to give the best possible care. â€Å"Assessment is extremely important because it provides the scientific basis for a complete nursing care plan† (Moseby’s 2009). The initial assessment untaken by nurses is to gather information regarding the patients needs but this is only the beginning of assessing as the holistic needs of the patient including physical, physiological, spiritual, social, economic and environmental needs to be taken into consideration in order to deliver appropriate individualized care (Roper, Logan and Tierney 2008). When using the 12 activities of living (ALs) for assessment it gives a list a basic information required but must not just be used as a list as the patient will respond better to questions asked in an informal manner and when just part of the general conversation. RLT (2008) state that although every AL is important some are more important than o ther and this can vary between patients. It is important for nurses to obtain appropriate information through both verbal and non-verbal conversation patients are more likely to give correct information but without jumping to conclusions or putting words into their mouths. ‘Assessment is the cornerstone on which a patients care is planned, implemented and evaluated (RLT 2008). â€Å"Poor or incomplete assessment subsequently leads to poor care planning and implementation of the care plan† (Sutcliffe 1990). Information can be gained from the patient, the patients family and friends as well as any health records (Peate I, 2010) During this process of gathering information it is important to find out what the patient can do as well as what they cant. , McCormack, Manley and Garbett (2004) state that gathering the information requires a certain kind of relationship between the nurse and the patient and nurses need to be able to communicate effectively in order to be able to build this relationship. A full assessment needs to consider how the patient was before they became ill or hospitalized in relation to their medical diagnosis as well as how the patient was dealing with it, how they are now, what is the change or difference if any, do they know what is causing the change, what if anything they are doing about it, do they have any resources now or have they have in the past to deal with the problem (barrett et al). RLT (2008) state that there are 5 factors that influence the 12 activities of living which are biological, psychological, sociocultural, environmental and politicoeconomic, these may not all hav e an effect on each patient but all need to be taken into consideration.The more information gained in the assessment process the easier the other steps will follow. RLT (2008) suggest that assessing is a continuous process and that further information will be obtained through observations and within the course of nursing the patient. At the end of the initial assessment the nurse should to identify the problems that the patient has. There are limitations to using a nursing process which are the 12 als are often used as a list as part of a core care plan and are not always individualized Walsh (1998) argues that the 12 activities of living may just be used as a list which could result in vital information being missed which could be detrimental to the patient. The Nursing and Midwifery Council (NMC 2008) states a nurse is personally and professionally accountable for actions and omissions in practice and any decisions made must always be justifiable. There are many benefits to using a nursing process it is patient centered and enables individualized care for each patient. It also gives patients input into their own care and gives them a greater sense of control it is outcome focused using subjective and objective information which helps and encourages evaluation of the care given. It also minimizes any errors and omissions. When I carried out the assessing stage on mabel I did this using the 12 activities of living as suggested by Roper et al (2008) but this was used too much like a checklist. I didn’t gather enough information in order to be able to do the best plan of care possible for her although I don’t feel this could have been detrimental to the care she received it needed more information than I had. I also found it difficult deciding which information should go where so I endened up repeating information in more than one of the 12 als, Which although this wouldn’t have made a difference to the planning of the care plan there was too much irrelevant information which could mean that it wasn’t read thoroughly just skimmed over as it would take too much time. As I am inexperienced in doing this I realized when writing the care plan that there were many questions that I didn’t ask so there where many parts that could not be filled in. I also didn’t gather e nough objective data for certain parts so I didn’t have any evidence that the care had worked or how effective it had been. This is where Barrett et al (2009) state that there should be a systematic nursing diagnosis where nurses establish a nursing diagnosis rather than just a medical diagnosis. This is where the holistic needs of a patient are taken into consideration. Although nursing diagnosis differs from a medical diagnosis the two do interlink but a nursing diagnosis considers the physical, psychological and spiritual aspects of the medical diagnosis and problems that may arise from these. Another part of the systematic nursing diagnosis is to provide baselines to state where the patients are at at the present time so that a needs statement can be written in conjunction with the patient in terminology that they can understand(Barrett et al 2009). Planning The next stage of the nursing process is planning this is where all the information gained in the assessment part to plan the care of the patient. The planning stage of the process is where achievable goals need to be made through discussion with care givers and the patient or the patients representative. These goals need to contain both subjective goals and objective goals in order for them to be measurable and evaluated. The plan of care is to solve the actual problems the patient has and to prevent potential problems from becoming actual ones. It also aims to help the patient cope with their illness in a positive way and to make them as comfortable and pain free as possible (RLT 2008). Planning needs to be totally individualized and patient centered they need to feel they have a voice and part of the team. The more information gathered in assessment the easier the plan of care will be. The main objective of a nursing plan is to ‘provide the information on which systematic, i ndividualized nursing can be based and individualized nursing can be based and implemented by any nurse’ (RLT 2008). Through a detailed individualized plan of care any nurse caring for a particular patient should be able to see exactly what is required of them as all the information will be recorded in the care plan. The NMC (2008) says that nursing interventions need to be specific for that particular patient, based on best evidence, measurable and achievable. There are many different criteria for setting goals just one of these is PRODUCT which stands for, Patient centered, recordable, observable and measurable, directive, understandable and clear, credible and time related. This is just meant as a way of helping nurses to set goals (Barrett et al 2009). When planning care a great emphasis needs to be based on the dependence/independence continuum which will have been established in the assessment phase. The care to be given will encourage the patient to get back to as rea sonably possible or as close to where they were on the continuum as they were before they were admitted to hospital. Planning also needs to take into account the resources available to implement the care as they need to ensure that the care they are planning is achievable and will not be compromised by lack of resources or a shortage of nursing staff (Roper et al 2008). When I did a plan of care for mabel it quickly became evident how inexperienced I was. I didn’t gather enough information in the assessing period to be able to do an effective plan of care. I also didn’t know how achievable the goals where as I wasn’t aware of how long they would take to improve or if they where achievable or not, I also found it difficult determine which problems were interrelated and as a result tried to link anxiety in with another problem when in fact it was a problem on its own. I was able to write the needs statements effectively that were not long but on a couple of these the influencing factors were missed out which would be necessary when providing holistic care. Planning care for a patient requires a great deal of knowledge in the chosen specialty which is why it must be carried out by a qualified member of staff or a student under supervision. Implementation Implementation is the next part of the nursing process and where all the goals which were set in the planning stage are put into motion and the goals can start to be achieved through nursing and medical interventions. The main component of the implementation stage is the delivery of the care to the patient. This is done with nursing staff, the multidisciplinary team members involved in the patients care such as doctor, dieticians and physiotherapists and the patient themselves in order for the patient to be able to return to how they were previously before they were admitted to hospital. The plan of care will be specific to the particular patient and will focus on the biopsychosocial aspects of the patient (Marriner 1983).Implementation provides great emphasis on individualized care which is why it is important to establish in the previous phases where they are on the dependence/independence continuum and what they are able to do now and what they were able to do before. Individualis ed care is associated with how the patient did things before such as how the person carries out the ALs and how often they carry these out. An example of this would be when carrying out the AL of personal cleansing and dressing to individualise the care it would be necessary to have determined in the assessing stage how the patient usually did this and how often it wouldn’t be individualized if in the care plan it was stated that they got a shower every morning if at home they only did this once a week. Core care plans may be used in certain situations this can provide a greater level of care as potential problems can be foreseen if related to a certain problem on the other hand it is also important not to standardize care as patients react differently to different illnesses and treatment. (Faulkner A, 2000). The NMC (2008) state that nurses are required to ‘Make the care of people your first concern, treating them as individuals and respecting their dignity’. In order to deal with certain problems or situations people often develop coping strategies which can be either adaptive or maladaptive. Adaptive coping strategies are usually helpful to the patient whereas maladaptive ones could be detrimental to their health such as smoking or drinking, the patient may feel this helps them to deal with a present situation but it is actually causing them harm. Patients need to be discouraged from using maladaptive coping strategies this could be done by introducing them to adaptive coping strategies and encouraging them to change their maladaptive ones into adaptive ones. Diamond (2008) states that there are also legal and ethical issues when it comes to implementing care as consent needs to be gained before any care is implemented and if this is not given the care cannot be given this will obviously have an effect on how effective the care has been when evaluating the care. The Nursing and Midwifery Council (NMC) state in section 3 of the code of c onduct ‘you must obtain consent before you give any treatment or care’ (2002). During the implementation of Mabel I found that although I was able to implement the care effectively I hadn’t recognized all of the nursing interventions needed to provide holistic care and I wasn’t fully aware of timescales of the planned care. I feel I also needed to research further into Mabel’s problems in order to gain the appropriate knowledge to provide the best care available as this would ensure that are the interventions are evidence based and best practice (NMC 2008). Barrett et el (2008) state that this is where recheck should take place which would enable the health care provider to establish how effective the plan of care is before the treatment ends this would enable them to re-evaluate the plan of care while the treatment is still ongoing and adjust the goals accordingly. Evaluation Evaluation is where the care that has been given can be assessed to evaluate the care given and whether it has worked or not. Chalmers (1986) describe that it is an ongoing and continuous process and also occurs at timed points in a formal setting. Roper et al (2000) say that evaluating care also provides a basis for ongoing assessment, planning and evaluation. There are two different parts to evaluation summative evaluation and formative evaluation. Formative evaluation is done with the patient taking into account whether they feel the care given has worked when done with consideration of the dependence/independence continuum information regarding the patients previous place on the dependence/independence continuum can be obtained from the patient, their friends and relatives as well as other health care professionals in the multidisciplinary team involved in the care of the patient. Summative evaluation is when the holistic view of the patient is taken into consideration how they feel about the treatment, whether they felt that the goals were achievable. It so where all the measureable data stated in the baselines and data received after this time are analyzed to show how effective or not the treatment has been. When evaluating care consideration needs to be given to the influencing factors such as biological factors as the bodies physical ability varies according to age the physical ability of an older person is generally less efficient, therefore therefore the plan of care needs to take this into consideration so that when the evaluation takes place it its hoped to have been effective. A nurse needs to evaluate her patient’s status regularly for some patients this will be just once a day but for others it will be much more frequent depending on their illness and healthcare status. RLT (2008) says that evaluation must be individual to the specific patient and not just a standard goal that is related to a specific problem. If goals haven’t been achieved then it is up to the nursing staff to determine why. Maybe the goals set weren’t measureable or achievable. Parsley and Corrigan (1999) say that if goals haven’t been measureable or achievable then new goals need t o be set. It could also be that the nursing interventions were not successful in which case new interventions should be set. Through my evaluation of Mabel it was evident that I did not require all the information to do a comprehensive plan of care. Although I did set baselines which meant I could compare data I wasn’t experienced enough to set goals to the correct timeframe I also didn’t obtain enough measureable information in certain problems to be fully able to assess how effective or ineffective the care had been. Had I had more experience I feel that the evaluation wouldn’t be a problem. Evaluation requires checking and rechecking in order to see the effectiveness of the care delivered. It requires knowledge and expertise to be able to effectively evaluate and amend the goals and interventions set as necessary. The whole care planning process took me a long time and I still was not very good at certain aspects of it. When setting goals a lot of detailed information is required in order for the plan of care to be effective so I can now understand why it is necessary for a trained member of staff to carry out the task. Conclusion This assignment has shown that when used together the nursing process and the nursing model provide a good basis to providing care. It sets out a systematic approach to providing care. Care needs to be set out in a way that both the nurse and the patient know exactly what is happening as well as any other health care professional in the multidisciplinary team providing care for the patient. It has also shown that involving patients in their care enables them to feel they are part of the team and are more likely to help themselves with their care. Reference list Sutcliffe E 1990, Reviewing the process progress. A critical review of literature on the nursing process. Senior Nurse, 10(a), 9-13. Applying the Roper-Logan-Tierney model in practice 2008 Elsevier ltd. Roper N, Logan W, Tierney J (2008) The Roper Logan Tierney model of nursing, Churchill Livingstone:London. Dimond, B. (2008) Legal Aspects of Nursing, 4th ed. Harlow: Pearson Education. Barrett D, Wilson B, Woolands A (2009) Care planning a guide for nurses: Pearson, Essex. Faulkner A (2000) Nursing The reflective approach to adult nursing. Stanley Thornes: Cheltenham. Peate I (2010) Nursing care and the activities of living 2nd ed. Wiley-Blackwell: West Sussex. Yura H, Walsh M (1983) The nursing process: Assessment, Planning, Implementing, Evaluating. Appleton Century: Crofts Norfolk. Cook S (1995) The merits of individualized measures within routine clinical practice. . http://www.dh.gov.uk/en/Healthcare/Longtermconditions/DH_093359(2009) (29/04/11 Alfaro R (2002), Applying the nursing process: Promoting collaborative care 5th ed. Lippincott: London. Moseby’s Medical Dictionary (2009), 8th ed, Elsevier. http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Accountability/[Date Accessed 11/04/2011]. McCormack B, Manley K and Garbett R (2004) Practice Development in Nursing, Blackwell Publishing, Oxford. Atkinson L Murray E, (1995), Clinical guide to care planning, McGraw, Oxford. NMC (2002), The NMC code of professional conduct, Nursing and Midwifery Council Publications

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Media studies - Essay Example It shall aim at the way the newspapers are written edited and made. Research proposal Review of the prior newspapers I endeavored the reviewing of the earlier newspapers so as to have the prior knowledge of the news papers. The review is aimed at establishing the exploration degree in the field of research. It is now vivid that after the analysis of the other newspapers, I realized that this field has been explored thoroughly but I will conduct a research or the other reasons that I will mention later. After conducting the prior review, I realized that the main problems likely to occur during the actual study. The problems that occurred There were power shortcuts There were no cooperative respondents. There was a lot of the work There were several researchers in the site. Schedule 7.00-7.30: The troop left to the media house. 8.00-8.30: The troop arrived in the news room and introduced to the attendants 9.00: The troop started the study and answering the questions. 10.00-10.30: The t roop went for the breakfast in the canteen within the compound. 10.30-1.00: The team proceeded and conducted the actual study. 1.00-4.00: After the lunch hour, the troop proceeded and conducted the study. ... I have an aim to promote the newspaper publishing press by informing the companies the essence of advertising through the newspaper. I will also encourage the upcoming generations people like the students the essence of studying the journalism so as to promote this newspaper sector. Buy establishing the exact figure of the company that advertises its products through the news papers, I will deliver the information to the relevant companies and prospective consumers of the companies. Then the information that is delivered shall be used by the customers to gauge when to find the products, where to find it and who supplies the product. Similarly, the associated companies shall serve to find the potential customers through the newspapers and also know when to meet them. A successful research shall help to establish the major challenges that are usually faced by the editors. This is because, by getting to know what the editors are bored largely with, we shall try to solve the situation. I f it is the idea of the modern printing devises or any thing else, stands a chance to be solved. In this case, solving means that working on it and getting him better ways. This is through writing the report to the willing people who can help donate the cash to bring out the change. The report is also written to the central government to help solve the problem (Greene, 2005). This research shall only help to gauge out net requirements t to meet the position of editing. This is because; I have to stimulate most of the upcoming minds and students to pursue the related courses so as to become the editors of the newspapers. This is because; editing is one of the fields of study that should be thoroughly pursued by most people (Basu, 2010). My research is also aimed at establishing

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Classical Era Reflection Paper - Assignment Example As the theories discussed herein have been widely used worldwide and through a number of decades, it could be said that it is an established material we can rely on when it comes to managing, great or small agencies. Furthermore, the loopholes of the theories have been determined, helping every manager to anticipate difficulties with solutions on hand instead of being taken aback with unexpected problems that could result from the strategies a manager engages with. Management was not born yesterday. Even during the olden times, management already existed and brought about successes like the construction of the Egyptian pyramids, the Great Wall of China and even on great wars. However, when it comes to the written concepts of these ancient successes, there were not found one, leaving the earlier managers groping in the dark for help as they faced problems and issues that seemed to have no solution. Some managers nevertheless refused to stay in the dark and struggle in their fate. Systematic management was introduced in the 1900s to meet the needs of managers as they face the demands of laborers and consumers. Although management was improved, the theory did not give a satisfactory solution to both managers and laborers (Russell & Taylor, 2006). This flaw in systematic management led to the birth of Scientific Management aiming to patch the loopholes of its predecessor. Frederick Taylor proposed the analysis of work methods which eventually came to be popularly known as scientific management making him the father of the science (Daft, 2002). He established four basic principles namely; scientific management, scientific selection of workers, scientific education and development of workers and unity and camaraderie among workers and managers (Bateman & Zeithaml, 1990). With the positive impact of Taylor’s philosophies on productions, his contemporaries rose to further improve the established principles. Among them was Henry L. Gantt

Criminal Justice Assignment Example | Topics and Well Written Essays - 500 words - 11

Criminal Justice - Assignment Example Another principle is that of unanimous consensus, which relates to the event that jurists come to terms with the rulings make public by a judge. For this case, they all consider the ruling as fair and one that bases on their constitution. Such a principle is called Ijima in the Arabic language and faces heated debate from contemporary scholars. Another principle is that of analogy, which means using reasoning and logic in relation to an established law, but in response to a new situation. An example of such is the fact that the law prohibits Muslims from drinking alcohol, which may apply to other forms of alcoholic drinks such as wine and whiskey. The same law also applies urf, which means customs, for which the jurists attach value to the preservation of customs known to the majority of the people. The jurists will, therefore, make their rulings basing on methods that will exalt the traditions of the religion as well as the cultures of the people. The rulings made also depend on the principle of individual reasoning, which gives the judges a chance of making decisions out of their reasoning. The chapter discusses the international criminal court that has its headquarters in The Hague. The court is a formulation of the Rome statute and deals with cases of crimes committed against humanity. The court is one of the few existent institutions that ensure that there is an observation of human rights by laying pressure on the leaders around the world to observe the respect for many. For instance, the court’s foundation was one of the efforts that the world made towards ending of the Second World War as well as the activities of mass killing of people. (Schmalleger 34). The development of cybercrime is one of the advancements in technology that have made crime a modernized activity. For instance, there are many types of such crimes, which range from fraud to terrorism and other types of criminal activities.  

Ethnographic film Essay Example | Topics and Well Written Essays - 1000 words

Ethnographic film - Essay Example There has no actual date that states the origin of this film. The initial instances of these films were the footages that projectionists and film makers took during their travels. They took footages of distant cultures in the places they visited. Colonizers also used them to educate the countries they colonized during their travels. They viewed them later during the journey or after returning home. Some argue that they begum in 1895 when Lumiere shown his film named ‘Arrival of Train’. During that time, the travelling agents also shown their clips during their travel. However, the anthropologist disagrees that this inspired the production of ethnographic films. They claim that the people who acted this film did not have acting experience and non-western. The cultures of this people had no exposure to the modern world and lived in the non-urban area. These factors disregard that these films originated during that time. After the First World War museums and universities st arted using ethnological films in their anthropological teachings. Commercial producers such as Paul Fejos trained anthropologists on how to use filming tools during their researches. They also collaborated with institutions and museums to produce high quality movies (Beate 67). Robert J Flaherty produced and shown his film â€Å"Nanook of the North’ in 1920. The film consisted of documentaries and stage crafts. He intended to naturalistically to portray people who lived in the arctic regions. He did not have any anthropology background but the subjects in his movie interacted with him well. People saw his pictures portray the unknown Eskimo way of life real. This made him the godfather of ethnological films together with his previous films he had recorded. Later in Gregory and Mead released their film ‘Hunter’. It documented the complex rituals that take place in New Guinea. This became the most viewed ethnographic films in different American institutions. Othe r ethnographic films that followed: Napoleon Chagnon, The story of a Kung Woman and The Feast. Marcel, Dieterlen and Rouch flourished production of ethnographic films in France. Discovery of 16mm cameras and light tape-recorders led to evolution of Visual anthropology. Then followed enhancement of filming techniques in visual anthropology by Rouch. Then Robert and Karl introduced editing and filming as a serious research technique. Then ‘Dead Birds’, a film produced later combined all these enhancements during its filming and production. In 1970’s, Judith and MacDougall started to produce ethnographic films with subtitles. Later different production techniques such as reflex ion and experimental montages become introduced in filming of ethnographic films by Minh-Ha. These summarize a brief history of how ethnographic films evolved in the world. There have been conflicts between the filmmakers and the archaeologist. Archaeologists argue that the ethnological films they produce do not satisfy the required criteria. Lack of scientific knowledge among the filmmakers contributes to this problem. They further argue that the filmmakers only primarily concerned with meeting documentary film conventions. This makes them not to meet the convention of ethnological films. These conventions require their images and sound tracks to be anthropological in nature. The film makers depend on verbal or written words to make their films anthropological. This again makes them fail to meet the conve

The death of rock and roll Essay Example | Topics and Well Written Essays - 500 words

The death of rock and roll - Essay Example There emerged a merger of secular and gospel themes coupled with a greater emphasis on vocalists. Soul music became a major commercial force and soon more attention was directed to it. Music is business beyond just passion. One needed to be where business is, this made more musicians levitate towards Soul. As more business was realized in the Soul genre more attention was given to it with little on rock and this commercial drive was critical in the decline of rock and roll.In my own experience, a similar commercial appropriation of a youth movement has happened in the recent past. This was in the genre of hip-hop music where there was an emergence of a subgenre, Crunk music also referred to as Krunk or pranksters. This genre originated from Memphis in the early 1990s and was to gain popularity in early 2000. It is an up-tempo and more club-oriented subgenre of hip-hop that is characterized by shouting vocals and heavy baseline. This subgenre immensely gained a commercial appropriatio n which would then attract more artists in the sector. More TV commercials, Radio adverts, and Film promos preferred the use of crunk in early 2000. This promoted this subgenre of Hip-hop attracting, even more, artists in the industry due to the heavy commerce it attracted. Clubs played crunch, public service vehicles and radio stations were all about crunk suggesting more business in this genre. For this period the genre of hip-hop faced a decline. Crunk was very popular in between 2001 and 2004.

Importance of Research Essay Example for Free

Importance of Research Essay Jean Piaget is a trailblazer whose focus was on children’s cognitive development. He lay the foundation by naming four stages sensorimotor, preoperational, concrete operational, and formal operational. Each stage builds upon the other, coinciding with biological development of the brain. Although some of his theories were deemed inaccurate, they paved the way and gave direction for upcoming psychologists who were able to build upon his work by disproving some of his theories simply to develop their own. Just as Jean Piaget, several scientists have theorized on many other parts of psychology, but all with general advantages. They provide us with a better understanding of ourselves, they provide us with a better understanding of others, and they provide us with methods to prevent and/or treat mental illnesses. At times it seems as though we do not know ourselves at all. We question our behaviors and feelings. Psychologically understanding these behaviors helps us to understand that we are probably not alone in our feelings. Also, by having a full understanding of self, psychologically, we can learn how to respond to certain feelings and emotions and how to wean ourselves off of them. In the same way that we can further understand ourselves in the study of this field we can apply reverse psychology to understand others. Being able to do so enhances people’s skills and work skills by enabling you to question possibilities and to address them as needed. This makes for more effective communication skills expanding beyond personal life and into the workforce. Lastly, research/experiments in psychology help to treat and prevent mental illnesses. Scientists have discovered biosocial, cognitive, and psychosocial facts that influence mental illnesses. Case studies allow these illnesses to be identified. By knowing what triggers them, scientists can make the general public aware of those that are most influential and can advise of help if at all needed. Factors are considered, tested, and named. Research further helps us to recognize early symptoms or onsets. In conclusion, effective research/experiments play a large role in today’s society. It helps to influence several work fields such as law enforcement in which psychologists profile criminals to help catch them. In major corporations, psychology is used to screen potential candidates or present employees and even as a part of advertising, appealing to consumer’s wants and needs. Even schools use the influence of psychology to enrich student’s learning experiences via group assignments or to enhance athlete’s performances via pep rallies. You see, Psychology is an inevitable part of everyday life. Effective research and experiments help us to better understand our behaviors, thoughts, and emotions enabling us great communication skills and a better well-being.

Anachronisms in A Knights Tale

Anachronisms in A Knights Tale There are several anachronistic factors portrayed in the 2001 film A Knights Tale, and these elements are specifically crafted to help allow the viewer to relate to a subject that lays outside of their area of expertise, in this case the middle ages. By blending the use of modern music, and modern clothing items, with historical references and names of that time period, the director Brian Helgeland, is providing the audience a way to relate to a subject matter that they may be unfamiliar with. The Merriam Webster Online dictionary defines Anachronism as: an error in chronology; especially a chronological misplacing of persons, events, objects, or customs in regard to each other. A person or a thing that is chronologically out of place; especially:   one from a former age that is incongruous in the present. the state or condition of being chronologically out of place Anachronism in storytelling is not a new phenomenon. The earliest forms of dramatic entertainment in the Middle Ages was the staging of religious narrative as public plays. These performances also relied on such anachronism to help the audiences to understand a time far removed from their own.   The roles of characters from religious plays were modelled after the roles members of the audience could relate to, to make the story easier for the audience to accept. The same can be said of the film A Knights Tale, which uses modern day elements, blended with a romanticised version of medieval history, to enhance the audiences familiarity with the period portrayed. In medieval times a sport arose. Embraced by noble and peasant alike though only noble knights could compete. The sport was jousting. For one of these knights, an over-the-hill former champion, it was the end. But for his peasant squire William, it was merely the beginning. (A Knights Tale chapter 1) The jousting arena as portrayed in one of the first action scenes of the film, is shown in a fairly historically accurate manner, from the design of the raised throne area for the local nobility, to the dirt and plain wooden benches for the peasants. The trappings of heraldic devices, the horses armor, or barding, and the lances and other tournament equipment are quite authentic in appearance; only the use of Queens We Will Rock You seems out of place. But the inclusion of this type of music, and that song in particular are quite intentional. That same piece of music can be heard used today, in a similar setting. In a modern hockey arena or football stadium, you can see different groups of people, seated on benches, with painted faces, cheering wildly for their chosen team. These people are separated into different areas, some with a better view of the activities than others, and this music is quite often played to help raise the anticipation of the fans, and to increase their enjoym ent of the games. This lends an air of familiarity to the scene in the movie. Jousting tournaments, much like modern sporting events today, provided a sense of community and belonging that could be enjoyed by all, peasants and nobility alike.   The use of Queens We Will Rock You helps demonstrates the excitement and extravagance of the tournament scene, and reminds us how much this new sport is like our own NHL, WWF or Football industries. (Cetiner-Oktem, 2009, p.50). The anachronistic terminology used in describing the final jousting tournament in London as the World Championship also helps forge a link to our modern times, making the events seem more familiar and allowing the viewer to willingly suspend his disbelief. The anachronism of modern clothes follows a similar logic in allowing the audience to relate to the film. From the style of Jocelyns transparent blouse, the use of a modern day hat, overcoats with deep v neck lines, or a black and white outfit that has a more modern look to it, these clothing choices are far more relatable to a modern audience than the chemise, underskirt, overskirt, bustle, corset, and heavy fabric over dress of a noblewomans closest. The clothing of the women is not the only anachronistic wardrobe in the film. Williams character also wears fitted and shaped pants, very similar in design to modern dress pants, and his dress tunic for the feast is cut much more in the style of a modern overcoat, rather than the traditional tunic he would have worn in the middle ages. These style cues make the characters, and the settings seem more like our own, thus allowing us to adapt to the historical setting of the movie a little easier. These anachronisms not only bridge the gap between periods, but create a deep sense of familiarity for the audience. There are many historically appropriate names and places referenced in the film, including the character of Geoffrey Chaucer. By incorporating a person of historical significance, the film gains some added credibility as a period piece, but the fictional character is portrayed in a manner that makes it easier for the audience to accept and understand the character. As Chaucer speaks to the crowds as Williams herald, he uses a style of speech and tone of voice that is instantly recognizable to many modern viewers. The verbal build-up of Williams character, the accounting of all his attributes, and his past battle accomplishments, are all very reminiscent of the style and mannerisms of famous fight announcer Bruce Buffer, whom many viewers in the audience would know from Professional boxing and UFC fights. As Cetiner-Oktem states in the essay Dreaming the Middle Ages, Chaucer is not a part of American culture. Thus, this encounter may also be read as bridging the infant American cultur e, embodied in William, to the well-established English culture, embodied in Chaucer. (Cetiner-Oktem, 2009, p.50) Another historical name that is used in the film is that of Williams noble alter ego; Ulrich von Liechtenstein from Gelderland. As we have learned in our course studies, Sir Ulrich was a real knight from the thirteenth century, who also followed the ideals of courtly love and chivalry, and wrote of his many adventures. (McKenzie, 2017) The plot device that Lady Jocelyn uses to get William to prove his love to her in the film also has some historical bearing. It was originally contrived by Chrà ©tien de Troyes in his story Lancelot or The Knight of the Cart in the twelfth century. In it Guinevere tells Lancelot to do his worst, and lose in a tournament, only to change her mind midway, and tell Lancelot to do the best he can, in order to prove his love for her. All of these historical embellishments all help to provide some credibility to the time period the film is set i n, and may even provoke the audience to look further into the actual truth of the history portrayed, as it did in my case. I feel that although this film is a neo-medievalist telling of a story, all of the modern and historical elements, from the historical names and places, to the modern elements of music and fashion are combined together with some artistry and grace to create a compelling tale that the audience can easily relate too, while providing escapist fantasy. The film still provides an enjoyable portrayal of medieval times, and provides enough historical facets to be thought provoking. References Anachronism. (N.D.) in Merriam-Websters Online Dictionary. Retrieved March 4, 2017, from https://www.merriam-webster.com/dictionary/anachronism Black, T. (Producer), Helgeland, B. (Producer), Van Rellim, T. (Producer) Helgeland, B. (Director). (2001) A Knights Tale [Motion picture]. United States: Columbia Pictures. Cetiner-Oktem, Z. (2009). Dreaming the Middle Ages: American Neomedievalism in A Knights Tale and Timeline. Interactions, (1), 43. McKenzie, A. (2017). Week 6: Neo-medievalism in Film: Chivalry Fountains: Knightly Chivalry and the Arthurian Tradition. [Online course slides] Retrieved on March 4, 2017, from https://conestoga.desire2learn.com/d2l/le/content/145142/viewContent/3017348/View McKenzie, A. (2017). Week 6: Neo-medievalism in Film: Chivalry Fountains: The Chivalric Code of Honour. [Online course slides] Retrieved on March 4, 2017, from https://conestoga.desire2learn.com/d2l/le/content/145142/viewContent/3017347/View

Relationship Between Poverty and Employment

Relationship Between Poverty and Employment The social problem I have chosen to focus on is poverty, but specifically the lack of access to adequate employment and the obstacles people living in poverty might encounter. For this particular social issue, I have decided to compare and contrast the United States with Australia. Taking a closer look at this problem, I am going to focus on the more specific issues pertaining to this concern, which include, the lack of access impoverished individuals in rural or remote communities face when it comes to employment, as well as the difficulties individuals living in urban communities encounter. Some of these obstacles consist of, limited access to needed transportation, lack of sufficient means to acquire or obtain access to technology, such as computers and the internet; lack of essential hygiene necessities and other resources, such as the proper attire required for employment, and most people living in poverty lack the essential skills and knowledge needed for adequate employment. T hese problems are faced by impoverished people living in both the United States and Australia, because generally speaking and for comparison purposes, they are similar when it comes to their development, economy, industrial level and social problems. Even though these two countries are very well developed, poverty continues to be an issue, especially when dealing with employment, unemployment or lack of adequate employment. Due to the disadvantages mentioned above, people continue to remain in poverty and at a social disadvantage, because their social mobility is hindered. The social problem I chose, problems individuals living in poverty face when trying to find adequate employment, is a big problem in todays society because of the lack of employment and financial hardships that are occurring. Finding employment is a particular problem for impoverished people because individuals living in poverty typically lack access to living essentials such as clean water, food, housing, health care and education; these essentials are also the necessities when trying to get employed. I chose this social problem because, for employment purposes, individuals need access to a computer with internet and a printer, proper attire, necessary hygiene items, transportation and skills, however, people living in poverty lack most or all of these things. In our societys mind, we think individuals who do not have a job and who are living in poverty as just lazy or that it is their fault, however, in this paper I am going to discuss the problems they face and the reason why gett ing a job is not so easy for them. Also, this problem is not just affecting Americans; it is affecting individuals all over the world. There are many countries that have populations living in poverty and have different social/economic classes like the United States has, however, I think this problem is different in developing countries compared to developed countries or countries that have adequate economic resources. For my purposes, I wanted to compare this social problem between countries that were similar, so I chose to research this problem in the United States and Australia and find the similarities and differences between the two. I think there countries are comparable because they are of similar economic standing and they are a developed nation, and like the United States, they have individuals who are living in poverty along with other inhabitants who are doing financially well. This social problem of poor lacking access to employment in the United States has been going on all throughout history, but I believe has gotten worse after the economy began to decline. For my purposes, I am interested in the lack of access to resources that are essential to getting a job, when getting a job means improving their current situation in an honest way. They kind of poverty I am referring to is relative poverty, which is where someone lack resources that many people take for granted (S201 lecture 1/18/11). This problem affects any individual living in poverty regardless if they live in cities or away from the city. In World War II, populations and jobs moved away from the city and into the suburbs, which resulted in job loss for individuals living in the city and causing them to become poor (S201 lecture 1/20/11). This action had major implications that are still taking place today, where people cannot afford housing, which is a huge part to getting a job because employe rs need a permanent address for employees, and as learned in class, approximately 500,000 people are homeless on any given day (S201 lecture 1/20/11). Also, if they cannot afford a place to live, chances are they cannot afford a vehicle and they have access to public transportation at a relatively low cost, however, as mentioned the majority of decent jobs are in the suburbs, which is not typically serviced by public transportation. Public transportation also is not always reliable, which could result in them being late to work and getting fired because of it. These problems were encountered by Barbara Ehrenreich in Nickel and Dimed, where she had a difficult time finding and affording a place to stay and she relied heavily on her car. Another resource people in poverty lack is access to computers. When applying for a job, employers require a resume, references and sometimes a cover letter, which all need to be typed and printed or emailed, which cannot be done without a computer an d a printer. Also, some jobs only post openings online and some require an applicant to fill out an application online, which requires a computer and internet access. Without these resources, individuals cannot even get past the first step when applying for a job. There are public libraries which are available to everyone, however, an individual would need a way to get there, money to print or copy documents, and computer access is sometimes limited to 30 minutes, which is not enough time to complete everything. Individuals living in poverty lack many employment resources, one of these things is proper attire for a job interview. Interviewers are looking for someone who dresses well and is presentable, some require business professional or business casual, this type of clothing is expensive and not something an impoverished individual can afford, so here is just another employment element that stops them from getting employed. To go along with proper clothing, employers want someone who is clean and does not smell, which is a difficult thing to do when individuals do not have adequate water access and cannot afford the basics such as soap and tooth paste. In Nickel and Dimed, Ehrenreich experienced these problems first hand when she had to buy clothing or had to wear worn out clothing to work or for an interview; sometimes she could not afford to wash her clothes, so she wore dirty, smelly clothes to work. When it comes to education, chances are that people living in poverty did not receive adequate education and also lack some basic employment skills (S201 lecture 1/25/11). Most employers require a high school diploma or GED, and without that it is impossible to get a good job. Another component is having some essential skills, which include good communication and experience working on computers and with computer programs, which poor people lack because they have not had much professional interaction and as mentioned earlier, they lack access to computers, th erefore they do not have the required computer experience that well-paying jobs are looking for. This problem is not only an issue in America, it is an issue other places, a relatively comparable place is Australia. In Australia, poverty has always been around just like in the United States, and it has been increasing, which results in more people living in poverty and lacking access to resources that are needed for employment. During the 1990s, poverty increased from 11.3% to 13.0%, which then resulted in 60% of poor Australian families relying on government assistance as their main income in 2000, an increase from 46% in 1990 (Harding, 2002). There is not a set standard for how to measure poverty or a poverty line, but in 2000 when researching individuals who make 50% of the average household income, there were 3,274,000 individuals, 17.5%, living in poverty (The Bare Necessities, p.66). The key cause of poverty in Australia is unemployment, where from the 1990s to 2000, the unemployment rate increased which then led to an increase in the number of individuals living in poverty (Harding, 2002). In Australia, just like in the United States, lack of opportunities or resources such as shelter, ed ucation, transportation and housing is included in the definition of poverty; when individuals lack these resources, it hinders their ability for employment (Brokensha). A more specific definition of poverty is participation poverty, which involves lacking resources to participate in economic and social life or is defined by the inability to access certain resources that result in the inability to attain a decent level of wellbeing; an example of this is not having appropriate transportation (The Bare Necessities, p.40). Also like the U.S., Australia has been going through a recession, where the economy was weak along with the job market, resulting in an increased unemployment (The Bare Necessities, p.13). All areas in Australia are affected by poverty, but unemployment and poverty are more present in major cities because there are low employment opportunities for multiple reasons, one of them being businesses in the cities have shut down or relocated; housing in the slums of the ci ties is cheaper, so poor people tend to live in these areas, which causes them to lack access to adequate employment opportunities (The Bare Necessities, p.107). Individuals living in rural communities are also majorly affected by unemployment and poverty because they also lack access to the necessary resources for employment, for example, not being in walking distance of a lot of community services and not having some form of transportation (Brokensha). Also affecting their opportunities is low education levels, which is a continuous cycle because, often individuals whose families could not afford to send them to school lack the education levels to get a decent job, therefore they are unable to afford to send their children to school (Poverty and its Causes p.2). Like the U.S., Australia has government programs that provide assistance to low-income/poor individuals, but the majority of these programs are for children living in poverty, which excludes individuals without children th at live in poverty (Brokensha). These government assistance programs have improved over the last few years, but the main assistance program used to combat poverty, social security, provides payments that are lower than the poverty benchmark and the groups who face the highest probability of living in poverty, receive the lowest payments (The Bare Necessities). When comparing the U.S. and Australia, we can see that there are quite a few similarities, but there are some differences as well. A similarity between the United States and Australia in reference to the social problem of poor lacking access to employment resources was, they both went through a recession which lead to an increase in unemployment, resulting in an increase in poverty. I think they share this because countries do business together and when the economy takes a turn in one country, it affects other countries. In both places, the government is involved in this issue, by providing assistance to individuals who need it, but people in both places still lack the resources needed to obtain a job, like access to technology and transportation. They might share this because they are both well developed countries and to be well developed, government needs to be somewhat involved but they cannot solve everything. Another similarity in both countries is poverty mostly affects the inner cities, which is a consequence of job relocation/shutdown. I think this is so because as mentioned, both countries went through a change in industrialization, which affected business stability and location. With these similarities there are also differences, one of them being the poverty percentages; in the U.S. the poverty rate is 24%, in Australia it is 19% (The Bare Necessities, p.10). These percentages arent really that far apart and I think this is because both countries are well developed but have both went through economic changes that affected the people; this difference could be associated with economic situation in the countries before economic events. Another difference is how the poverty line is determined; in the U.S. it is determined by the standard of living and the lack of goods and services that mainstream society tends to take for granted, which is constantly being evaluated (Poverty in the United States). In Australia, there are different methods for determining this, but there is no agreed upon measure. Although the definitions vary, I think it is hard to define what poverty is because th ere are so many variables which make it hard to determine and pinpoint, so I think this difference just comes from different approaches to poverty. Another definition variance is in the U.S., when an individual lacks resources or access to resources need to better their lives is referred to as relative poverty; in Australia, this is referred to as participation poverty. These definitions are basically the same, just with different terms. I think they both have a term for this because individuals that lack the ability to improve their lives do not fit into the typical definition of poverty, but they do lack resources needed for employment and that are typically taken for granted. As mentioned earlier, cities are the areas mostly affected by poverty, but rural communities are also affected; in the U.S., minorities, who have migrated here, tend to live in cities and in Australia, indigenous people tend to live in rural areas. This difference could be from groups not wanting to mix with other groups. Another difference was post World War II, when jobs in America moved from the cities to the suburbs, which left a lot of people at a disadvantage, and after the war in Australia, there was an economic boom, which some of the poor did not take advantage of (Poverty in Australia). Throughout this paper I have explained the problems people living in poverty face when trying to find a job and getting hired, where they lack housing, education, technology, transportation, clothing and hygienic necessities. This problem affects people in the U.S. and in Australia, so this is not an isolated issue. With this information, it can be determined that people in poverty have little social mobility because they lack resources needed to better their lives. This is clearly a social problem that has been around a long time and has no signs of disappearing.