Thursday, August 27, 2020

Government Policies Influence On International Business Essay

Government Policies Influence On International Business - Essay Example The administration sees Free Trade Agreements as a successful method of opening up outside business sectors to the exporters of the U.S. Policymakers and financial specialists accept that Free Trade Agreements won't just lessen exchange hindrances to U.S.A’s sends out yet in addition serve to secure the country’s interests in the Free Trade Agreement accomplice nation. The further decrease of hindrances to exchange and the ensuing making of a straightforward and stable speculation and exchanging condition facilitates the cost weight of U.S organizations to send out items and administrations to exchanging accomplices. Unhindered commerce accompanies the accompanying favorable circumstances to the U.S: †¢ Spreading the estimation of freedom.†¢ Reinforcing the exceptionally major guideline of law.†¢ Facilitating monetary advancement in a portion of the creating nations on the planet, for example, Colombia (Villareal, 2014).The advancement of development and rivalry in organizations in the U.S in the previous decade is likely the best advantage of the Free Trade strategy to the nation. Then again, the dumping issue made by a similar Free Trade Agreements is the most exceedingly terrible of troubles that neighborhood makers face. Favorable position of Free Trade: Promotion of rivalry and advancement Currently, not many individuals in America win a living from resource agribusiness and nearby exchange as that would be excessively expensive as far as budgetary expenses and the time spent. Americans today can get to a large portion of the things that they need, for example, food and garments on the open market effortlessly.

Saturday, August 22, 2020

What Makes The Youth Of Today Follow The Latest Trends Essay Example for Free

What Makes The Youth Of Today Follow The Latest Trends Essay Today’s youth are not so much reliant on their folks for their insight and feelings. They have gotten progressively free over the long haul. There are numerous progressions that they experience and it requires additional push to truly see the entirety of their conduct (Taylor, Carl 2003). In the vast majority of the social issues experienced by today’s youthful grown-ups, the basic factor is the job of guardians and instructive foundations in framing, trim and reinforcing of youngsters and youthful adults’ values. In raising youngsters, Covey (1999, 100) features the significance of being delicate to the propensity of the adolescent to dismiss. As indicated by him, this inclination of adolescents originates from their dread of being dismissed. Their dismissal encounters make them â€Å"pull once more into a sort of shell to shield themselves from being dismissed once more. † This could be irritated by guardians who won't take a gander at what their kids are doing; in any event, denying that there is an issue, rationalizing their youngster, or accusing the school, educators, family, companions, or society. Fixing the child’s issues by surrendering to requests, legitimizing disobedience is only a typical piece of youthfulness. Bargaining the parents’ own qualities just to keep the harmony at home or keep up a facade of agreement isn't a phenomenal arrangement. In the event that and when the most noticeably awful circumstance comes up, the choice to intercede stays with the guardians and not with the adolescent equity framework. However, guardians are regularly at a misfortune on what best to do.

Friday, August 21, 2020

Free Essays on ANALYSIS OF THE KEY MARKETING ENVIRONMENTAL ISSUES AFFECTING THE UK NEWSPAPER MARKET

Substance TERMS OF REFERENCE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.1 PROCEDURE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..2 FINDING†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 CONCLUSIONS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...4 RECOMMEDATIONS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 1. TERMS OF REFERNCE The news organization the world’s driving distributer of English language papers. The news Corporation is separately run by Rupert Murdoch were it as a few markets over the globe. The New Corporation might want an autonomous and target examination of their paper distributing interests in the UK. 2. PROCEDURE So as to find out the exact showcasing ecological issues influencing the UK paper advertise I embraced the accompanying methods: 1) Analysis of the keys showcasing condition issues utilizing porter’s five powers 2) Analysis of the Newspapers serious position: Analyze competitor’s piece of the overall industry to decide the general intensity of every association in the paper showcase. 3) Environmental needs †network 4) Recommendation 3. FINDINGS The serious condition incorporate those components with which the association comes into wardrobe contact, factors that have a fairly clear and quick effect on its prosperity. The expository system which I’ll be utilizing to dissect the competeitive condition is porter’s five powers which essentially layout the COMPETITIVE RIVALRY, THREAT OF ENTRY, THREAT OF SUBSTITUTES, THE POWER OF BUYER, and THE POWER OF SUPPLIERS. The motivation behind why I am utilizing this systematic structure is to outline gives that are influencing the paper showcase, to empower the News Corporation to build up a ... Free Essays on ANALYSIS OF THE KEY MARKETING ENVIRONMENTAL ISSUES AFFECTING THE UK NEWSPAPER MARKET Free Essays on ANALYSIS OF THE KEY MARKETING ENVIRONMENTAL ISSUES AFFECTING THE UK NEWSPAPER MARKET Substance TERMS OF REFERENCE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.1 PROCEDURE†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..2 FINDING†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...3 CONCLUSIONS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...4 RECOMMEDATIONS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦5 1. TERMS OF REFERNCE The news organization the world’s driving distributer of English language papers. The news Corporation is independently run by Rupert Murdoch were it as a few markets over the globe. The New Corporation might want an autonomous and target investigation of their paper distributing premiums in the UK. 2. PROCEDURE So as to find out the exact promoting ecological issues influencing the UK paper showcase I received the accompanying methodology: 1) Analysis of the keys advertising condition issues utilizing porter’s five powers 2) Analysis of the Newspapers serious position: Analyze competitor’s piece of the overall industry to decide the general intensity of every association in the paper showcase. 3) Environmental needs †network 4) Recommendation 3. FINDINGS The serious condition incorporate those variables with which the association comes into storage room contact, factors that have a somewhat clear and prompt effect on its prosperity. The scientific system which I’ll be utilizing to break down the competeitive condition is porter’s five powers which fundamentally plot the COMPETITIVE RIVALRY, THREAT OF ENTRY, THREAT OF SUBSTITUTES, THE POWER OF BUYER, and THE POWER OF SUPPLIERS. The motivation behind why I am utilizing this systematic structure is to outline gives that are influencing the paper showcase, to empower the News Corporation to build up a ...

Tuesday, May 26, 2020

Forensic Accounting Essay - 1771 Words

Forensic Accounting in Practice: Forensic Accountants: Fraud Busters A forensic accountant is part investigator, part auditor, part attorney, and part accountant (Levanti, T.). Due to the increase in high-profile cases of companies and individuals, forensic accounting is a growing and popular field in the business and forensic subjects. A forensic accountant is someone who is often retained to analyze, interpret, summarize, interviews and present complex financial and business related issues in a manner that is both understandable and properly supported (Zysman, A.). Forensic accountants usually work in a public practice or are employed by insurance companies, banks, police or government agencies. They are to investigate and analyze any†¦show more content†¦Any discussions made between the lawyer and the consultant are protected by attorney work product privilege allowing both parties to freely exchange information without disclosure to the other side. However, if the consultant has been identified as an expert witness, only then is the work product privilege lifted and their work is discoverable to the opposing counsel (Elmore, D.R.). As an authority in the field, the forensic accountant is brought in during the discovery phase of litigation and begins by evaluating the facts of the case and determining whether a claim is valid. After examining the strengths and weaknesses of the case, the consultant can then advise on the most effective way to present these facts at trial. The forensic consultant is also on board to analyze the arguments made by the opposing attorneys and their expert witnesses and verify the amounts claimed (Elmore, D.R.). If the consultant specializes in damage evaluations, they can help determine within reason how much money the claimant is owed under any circumstances. For example, in a civil lawsuit stemming from a car accident, a forensic accountant can be used to assess the likely loss of past and future earnings asked for by the claimant. On the other side of the case, a consultant representing the insurance company can help determineShow MoreRelatedForensics Accounting : Kessler International1612 Words   |  7 Pagesleaders in forensics accounting and investigations. With its headquarters in New York City, the small company was able to grow. This firm is renowned in many countries around the world. Its dedicated accountants and analysists work very hard to catch people suspected of committing crimes involving money. Due to fraud and other forms of dishonest business behavior, Kessler International steps in to investigate. They offer a wide variety of services ranging from Forensic Accounting, Digital Forensics, IntellectualRead MoreForensic Accounting : The Energy Company Enron1765 Words   |  8 Pagesinvolved in one of the biggest corporate accounting scandals of the 21st century. The company had covered up large amounts of debt to make their financial statements look more appealing to investors; consequently, after the fraud was discovered, many people lost their investments and many employees lost their jobs, including the corporation’s CEOs. After the authorities had been alerted that illegal activities were possibly taking place within Enron, forensic accountants were brought in to determineRead MoreForensic Accounting1628 Words   |  7 PagesFORENSIC ACCOUNTING MORE THAN JUST NUMBERS The field of accounting is no longer just for those who enjoy crunching numbers. Preparing financial statements, internal auditing, and tax accounting are only the tip of the iceberg. In today s society of the money hungry, the sue happy, and the financially unfit, a new breed of accountant; the Forensic Accountant has emerged. Although Investigative Accounting has been around for years, it has only recently begun to transform into the scienceRead MoreForensic Accounting7273 Words   |  30 PagesManagerial Auditing Journal Emerald Article: Forensic accounting education: insights from academicians and certified fraud examiner practitioners Zabihollah Rezaee, E. James Burton Article information: To cite this document: Zabihollah Rezaee, E. James Burton, (1997),Forensic accounting education: insights from academicians and certified fraud examiner practitioners, Managerial Auditing Journal, Vol. 12 Iss: 9 pp. 479 - 489 Permanent link to this document: http://dx.doi.org/10.1108/02686909710185206Read MoreForensic Accounting1497 Words   |  6 Pagesprofessors from Rider College interviewed over 150 lawyers, Certified Public Accountants (CPAs) and accounting educators. The study identified sixteen skills needed by forensic accountants. According to the study, the five most important skills are analytical skills, basic accounting skills, problem solving skills, data analysis skills and interviewing skills (McMullen Sanchez, 2010). Forensic accountants need analytical skills because as they review financial reports and other source documentsRead MoreForensic Accounting1945 Words   |  8 Pagesï » ¿Determine the most important five (5) skills that a forensic accountant needs to possess and evaluate the need for each skill. Be sure to include discussion regarding the relationship between the skill and its application to business operations. Style is a fraud. I always felt the Greeks were hiding behind their columns. Fraud in the financial community is consistently hidden in style. Since its beginnings in the great depression, to now, the great recession fraud has undoubtedly takingRead MoreForensic Accounting : A Relatively New Field1554 Words   |  7 PagesIntroduction While accounting has always been widely practiced, forensic accounting is a relatively new field. Forensic accounting is the use of accounting to extract information from financial documents to prove fraud or embezzlement in the court of law. It involves identifying, recording, and extracting financial data while using a variety of direct and indirect analysis methods. In recent years, the profession has gained attention for its role in stopping both terrorists and corporations fromRead MoreForensic Accounting : The Field Of Accounting1585 Words   |  7 PagesThe field of accounting goes deeper than the general business field and requires specialized actions. Accounting is the systematic and comprehensive recording of financial transactions pertaining to a business. This system can contain various steps, procedures, and processes that led you to your final results. Some of these various types of accounting include tax, managerial, financial, governmental, private, and forensic acco unting. So as you can see, even in this extremely specialized field youRead MoreForensic Accounting1872 Words   |  8 PagesAlverez makes Sonya to accept the offer because she needed the money. If Sonya accepts the offer by Carlito Alverez, there are potential that Sonya might against the code of ethics as tax practitioners and could be finalized on her wrong doings. FORENSIC APPROACH âž ¢ THE ENGGAGEMENT PROCESS Fraud investigation engagement process consist of six steps that the investor need to go through. In this case, Sonya Fuentez which is the IRS- enrolled agent, should go through this process before she decideRead MoreForensic Accounting in Practice1443 Words   |  6 Pages Forensic Accounting In Practice Ronald Wimberly-EL Bagher Fardanes, Ph.D, MPA Business 508 May 19,2013 Running Head: Forensic Accounting In Practice Page 2 The five most important skills a forensic accountant should

Friday, May 15, 2020

The Meaning Behind West African Kente Cloth

Kente is a brightly colored, banded material and is the most widely known cloth produced in Africa. Although kente cloth is now identified with the Akan people in West Africa, and particularly the Asante Kingdom, the term originates from the neighboring Fante. Kente cloth is closely related to Adinkra cloth, which has symbols stenciled into cloth and is associated with mourning.​ History Kente cloth is made from thin strips about four cm thick woven together on narrow looms - typically by men. The strips are interlaced to form a fabric which is usually worn wrapped around the shoulders and waist like a toga - the garment is also known as kente. Women wear two shorter lengths to form a skirt and bodice. Originally made from white cotton with some indigo patterning, kente cloth evolved when silk arrived with Portuguese traders in the seventeenth century. Fabric samples were pulled apart for the silken thread, which was then woven into the kente cloth. Later, when skeins of silk became available, more sophisticated patterns were created - although the extortionate cost of the silk meant they were only available to Akan royalty. Mythology and Meaning Kente has its own mythology - claiming the original cloth was taken from the web of a spider - and related superstitions - such as no work can be started or completed on a Friday and that mistakes require an offering to be made to the loom. In kente cloth colors are significant: Blue means loveGreen means growth and energyYellow (gold) means wealth and royaltyRed means violence and anger,White means goodness or victoryGrey means shameBlack means death (or old age) Royalty Even today, when a new design is created, it must first be offered to the royal house. If the king declines to take the pattern, it can be sold to the public. Designs worn by Asante royalty may not be worn by others. Pan-African Diaspora As one of the prominent symbols of African arts and culture, Kente cloth has been embraced by the broader African diaspora (which means people of African descent wherever they might live.) Kente cloth is particularly popular in the United States among African-Americans and can be found on all types of clothing, accessories, and objects. These designs replicate registered Kente designs, but are often mass-produced outside of Ghana with no recognition or payment going to the Akan craftsmen and designers, which Boatema Boateng has argued represents a significant loss of income to Ghana. Sources Boateng, Boatema, The Copyright Thing Doesnt Work Here: Adinkra and Kente Cloth and Intellectual Property in Ghana. University of Minnesota Press, 2011.Smith, Shea Clark. Kente Cloth Motifs, African Arts, vol. 9, no. 1 (Oct. 1975): 36-39.

Wednesday, May 6, 2020

Jane Austen s Pride And Prejudice - 1231 Words

Why is it that people set such high standards when it comes to falling in love? Throughout the history of mankind, world culture has made love out to be mysterious, complex, difficult, and undefinable. Finding the right soul mate is simple when there are mutual feelings involved; it is difficult to have a compatible relationship when one person expects something out of the other. Problems may transpire in a relationship when one concerns over things like: where the other stands in society and their financial stability. In the novel Pride and Prejudice, Jane Austen states that the desire for better social connections interferes with the workings of love through the relationship between Darcy and Elizabeth to criticize the social class†¦show more content†¦This source about Pride and Prejudice, demonstrates the struggle of women during the time period of the story; the struggle they have finding a husband with all around, good values. Throughout this time period, depending on where a woman s family stood in society, it was very important and sometimes difficult to find the right man. In Pride and Prejudice, Mr. and Mrs. Bennett have five daughters to marry off, and the only standard they seem to have for any of them is to marry above their circumstances. The novel depicts a social world highly stratified and laden with class struggle and pretension. The theme of class is related to reputation, in that both reflect the strictly regimented nature of life for the middle and upper classes in Regency England. In this novel, the lines of class are strictly drawn. While the Bennett s, who are middle class, may socialize with the upper class Bingley s and Darcy s, they are clearly their social inferiors and are treated as such. Eventually Darcy began showing signs of interest in Elizabeth Bennett after the several times of running into each other. This was beneficial for the Bennett family and their economic situation. This quote depicts the social class change Elizabeth went through by marrying Darcy, Elizabeth, the daughter of an aristocratic gentleman and middle class woman, rises by marriage into one of the wealthiest aristocratic families in England ( ). Most

Tuesday, May 5, 2020

Surgical Trauma Unit for Bega Valley Hospital- myassignmenthelp

Question: Discuss about theSurgical Trauma Unit for Bega Valley Private Hospital. Answer: Healthcare providers have many models of reflection to choose from (Maas, Stocchetti and Bullock, 2008, pp. 728). My most preferable model of reflection is Gibbs reflective model. It promotes proactive thinking and development which in turn promotes autonomous clinical practice (Ekebergh, 2007, pp. 332). I have always been an autonomous thinker and anything that makes my work easier. Classroom instruction and lectures alone may not foster autonomous, and professionalism in healthcare practice (Finlay, 2008, pp. 15-57; Maas, Stocchetti and Bullock, 2008, pp. 728); however, with some experience (through internships), feedbacks and utilization of the Gibbs reflective model, students can gain superior reflective abilities vital in dispensing impeccable healthcare services. To complete one of my elective units, I was designated a one-month placement in the Trauma Unit at Bega Valley Private Hospital. This facility is among the busiest and largest medical providers in Australia. It is also famous for using up-to-date technologies (McCarthy and Murphy (2008, pp. 307-309 Maas, Stocchetti and Bullock, 2008, pp. 728). It is well equipped to offer emergency healthcare services for traumatic injury patients. The facility provided an incredible opportunity for me to put into test Gibbs reflective model teachings on autonomous thinking in healthcare practice. Before I embarked in piecing together this management journal, I started making small but meaningful entries with dates and corresponding observations. These observations were accompanied by my thoughts regarding the issues at hand and how they related to various other incidences taking place at Bega Valley Private Hospital. I then revisited each observation twice at later dates during which I made addition notes after reading materials with similar information. To make sense of the situation, I read my notes alongside Gibbs reflective model as described by Wilding (2008, pp. 34-7) and Maas, Stocchetti and Bullock (2008, pp. 728). March 2017 During the second half of placement period, I began to reflect on the goals. In the course of contemplating on this essential know-how within my medical education, I purpose to pinpoint the themes that made it possible for me to gain the right skill sets, both in the professionally and individual fronts and offer further descriptions how this understanding will guide my future practice as a healthcare practitioner. I am intent to illustrate the experience that gained during my day to day endeavors as a healthcare provider in the Trauma department as encouraged by Bulman and Schutz, eds. (2013, pp. 27-30). Further descriptions will be provided to offer insight into the nurses in the Trauma team in Bega Valley Private Hospital and other facilities with similar capacities with regards to collaboration with other departments as guided by Torsvik and Hedlund (2008, pp. 389). I make considerations with regards influence that culture and political environments pose on the delivery of healthcare services in Australia, predominantly in regions where this is explicitly distinct from what I have witnessed in the USA. In addition, I will investigate how my personal interpretations on moral issues concerning the management of patients were put to the test in the course of the entire placement period and my ability to obtain a more profound comprehension of these issues by interacting with my peers and seniors. The reflective approach has opted to use anchored on Gibbs reflective model. The reflective cycle constitutes four steps and entails recounting an experience, ruminating on happening observed, hypothesizing the experience while using both current knowledge and more inquiry, and ultimately deliberating how the knowledge I have obtained can be put into use in future practice (Staun, Bergstrm and Wadensten, 2010, pp. 635 Maas, Stocchetti and Bullock, 2008, pp. 728). There is a rationale as to why I have used Gibbs reflective model as the suitable approach for pondering on and learning from gained skills during placement. Candid insights can be gained from an article authored by Sawatzky et al. in 2009 titled Teaching excellence in nursing education: a caring framework.' The book was authored by Sawatzky in collaboration with team of professionals and published in the Journal of Professional Nursing. The authors elucidate that the Gibbs reflective model on which his model is anchored, experience blossoms from the blend of gripping and transforming knowledge. In applying this to my placement experience, the statement accentuates both on the significance of acquiring knowledge by observing and partaking as well as through analyzing such experiences into progress skills to be harnessed during my future medical practice (Sawatzky et al., 2009, pp. 260 Maas, Stocchetti and Bullock, 2008, pp. 728). Reviews Just like in many areas of nursing practice, constant assessment of trauma care is vital to characterize areas in need of improvement and develop stratagems for effecting mandatory amendments (Moon, 2013, pp. 120; Chong, 2009, pp. 111). Following the institution of a country-wide trauma system in Australia, a lot of modifications have been made to advance healthcare services and minimalize death in trauma patients (Gimenez, 2008, pp. 520). Great efforts have gone to lessening of trauma deaths in Australia in the last ten years (Dawley, Loch and Bindrich, 2007, pp. 61-65 Timmins and Dunne, 2009, pp. 331 McPeake, 2012, pp. 855). The 2013 National surveys conducted by the Australian National Center for Trauma and Emergency Medicine Research recaps the answers of the ITR in the last decade (Ixer, 2009, pp. 513). It reveals that more in the course of this timeframe; nearly half of all trauma victims in Australia was because of fall related injuries, one-quarter as a result of road traffic injuries, about 6% through violent crimes, while the remaining 4% had injuries related to burns (Dub and Ducharme, 2015, pp. 91). The report focuses on the extent of provision of trauma healthcare in Australia, affirming that one every three individuals will be hospitalized as a result of injury while one in thirty will be receive treatment for severe injury at least once in a life time (Maas, Stocchetti and Bullock, 2008, pp. 728). It notes further that over the last decade, statistics indicate considerable decline of 20% in deaths related to severely and gravely injure (Torsvik and Hedlund, 2008, pp.390). This assignment also ascribes this degeneration principally to the effectiveness of the Australian trauma procedure and those developments made early this decade (Maas, Stocchetti and Bullock, 2008, pp. 728). Case Study On my second week working as a member of the Trauma team, a male patient aged twenty-three was admitted. He had a tear in his axillary artery and a fracture on his humerus due to a collision involving motor vehicles. He was one of a Palestinian group of men originating from Bankwest working illegally in Australia. For this reason, they were being pursued by law officers when the collision occurred. Despite being an illegal immigrant, he was given proper medical care and treatment as soon as he was admitted to the hospital. My supervising consult raised some concerns after visiting the Palestinian patient who had been admitted to the Trauma teams ward. He normally performs round check of patients to gauge their progress and recovery after surgery. The supervisor claimed that the patient might not obtain maximum health care and follow-up after his release from the Australian Hospital. He claimed that, despite the fact that all patients are entitled to emergency care in the hospital, this particular Palestinian immigrant is not supposed to get any non-emergency medical treatment in Australia Healthcare Institutions since he is among a group of people who do not pay for the Australia Health Insurance. To address this challenge, my supervisor claimed that the patient ought to obtain required permission that will enable him to re-enter the Australia territory to receive a follow-up healthcare by the Australia hospital. However, the patient could also be able to receive further treatments form Palestinian hea lth institutions though they are less advanced compared to the health services in Australia. Due to my curiosity, I decided to do research that evening to understand how an individual is entitled to treatment as far as the Australia healthcare system is concerned. In my study, I found out that every Australia resident is entitled to a healthcare insurance by the National Health Insurance Law, through a mandatory payment of monthly subscriptions made by individuals who have eighteen years and above. These payments are made to the National Insurance Institute (Torsvik and Hedlund, 2008, pp. 390 Maas, Stocchetti and Bullock, 2008, pp. 729). Additionally, each resident must be a registered member by one of the Nations four Health Maintenance Organizations that offer similar standardized health baskets concerning the law. My analysis of this case opened my eyes and enabled me to appreciate the importance of being political impartial as a healthcare professional. The impartiality will help to keep political matters at bay when serving the patients as recommended by Torsvik and Hedlund (2008, pp. 390). Despite the fact that politics have an impact on these professionals as well as the lives of their patients, it is important for a doctor or any other healthcare practitioner to provide the best health care to all patients irrespective of their circumstances, political or any other. My time working in the Trauma department made me identify and learn from many critical decisions that doctors and other healthcare officials ought to make daily regarding their patients. Moreover, I became aware of possible ethical, medical and legal consequences that can arise due to such decisions. Normally, there exists no clear nor a correct solution as far as the management of a patients health is concerned, in many cases, the doctor ought to make a decision based on the best interests of the patient and their knowledge, and according to the existing law. In another instance, the Trauma team had to make such decisions in assistance of senior doctors who were specialized in the Cardiac Intensive Care Unit. A decision had to be made regarding the stabilization of the cervical spine of a male patient aged nineteen seriously injured in an accident. When the patient was previously admitted to the hospital, his neck was restrained using a collar due to a possibility of a significant injury of the cervical spine. Additionally, a CT scan was carried out the way it is usually done in many trauma cases as a first-line imaging method (Maas, Stocchetti and Bullock, 2008, pp. 7231). The first CT scan never showed any signs of spinal cord injury. However, the immobilization collar of the cervical spine was left intact until further steps are taken to ascertain the absence of spinal cord damage. Through further consultation with the doctors, I was made aware that the collar is not removed until an MRI scan has been conducted on the patient to accurately assess possible soft tissue disruptions as well as those of neural elements of the spine. I also learned that another option is for the patient to be conscious to be able to communicate to the doctors if there was numbness or any pain that could be the cause for concern. After about three weeks of admission, it was evident that none of the reassuring measures was ever going to be a possibly realistic. The patient remained in a critical condition, unconscious and connected to several medical machines that were working together to keep him alive. According to analysis, the risk of moving the injured patient to the MRI scanner could be catastrophic and far much worse than the potential benefits (Maas, Stocchetti and Bullock, 2008, pp. 729). Nevertheless, the patient had started developing a far-reaching ulceration of his chin an d upper neck as result of an uninterrupted pressure of the cervical spine collar on his skin. The concerned team made me aware of the devastating dilemma that they were locked into. They had an option of removing the cervical spine collar and risked intensifying any damage that could have occurred on the spinal cord, or they could decide to leave the cervical spine collar unaltered that could, in turn, continue to cause adverse necrosis and ulceration of the patients skin. Two Trauma team consultants together with a consultant of the Cardiac Intensive Care Unit were debating on possible potential harms and expected benefits that surround the possibilities that they faced. In a unanimous decision, they claimed that it was in the best interests of the patient to remove the cervical spine collar. This situation made realize the importance of collaboration among healthcare professionals especially those who are directly involved in a patients care. The collaboration makes it possible to deduce the best decision when faced with dilemmas about their treatments (Maas, Stocchetti and Bullock, 2008, pp. 729). It makes it possible for a majority decision to be reached that is in the best interest of the patients compared to a decision made by one individual that can lead to the fate of a patient. By considering how the doctors managed this case, I learned of the legal considerations that ought to be looked into before and after making such a decision concerning a patients care. When such decisions are made, it is important that an accurate record is kept concerning the reasons that made the doctors decide to remove the cervical spine collar. The report also must justify how the doctors believed that such a decision was in the best interests of the patient. Additionally, documentation on the details of the personnel who made the decision must be kept. In this case, it was essential to explain that the decision made by the doctors was not made due to negligence but through a thorough analysis and consideration of the best patient management options (Maas, Stocchetti and Bullock, 2008, pp. 729). This documentation was to be used in the future if there is any legal investigation or query to explain why such a decision was made. It could be used to justify the decision of the doct ors as far as the patients health is concerned. When I decided to for my elective placement in Australia, I was far much aware that key obstacle that could affect my leaning would be the language used. I speak not more than a few words of Hebrew, a language that most hospital staff uses. Despite the fact that the hospital staff was happy to share in English, it was not enough since they spoke in Hebrew when addressing each other most of the time. Fortunately, my supervising consultant and Trauma department director was fluent in English. He kept updating me on what was being discussed and what was happening all time. In spite of being unable to understand the conversations between the doctors, patients and their relatives, I was still able to learn the skills that were used when communicating with the patients. All through my placement period in the Trauma department, I have unilaterally learned that the discussions that are done between the doctors and the relatives of the patients involve the breaking distressing and very serious news concerning the health of the patient. One incident that stood out during my placement there was a certain conversation between the consultant of the Trauma team and the parents of the male patient aged eighteen who had suffered several critical injuries when the car he was driving overturned (Maas, Stocchetti and Bullock, 2008, pp. 730). Beforehand, the consultant confided in me that he would be informing the patients parents that the surgery was performed successfully, however, their son remained in a critical condition with little probability of recovery and sur vival. Being aware of my inability to understand most conversations, I drew my attention vividly to the non-verbal communication methods used by the doctor that comprises of body language, tonal variations, and facial expressions. The doctor used to speak kindly and calmly to the patients parents. He also leaned towards them throughout and at times paused to allow the parents to absorb the message and to ask questions if need be. Despite many patients relatives waiting to hear the news, the consultant only took the patients parent into a private room for the discussion. This was better than breaking the devastating message to such a crowd in the hospital corridor. In the entire course of my medical training, I have always deliberated how problematic it can be a nurse to choose the correct words to give bad news to patients as well as their kin. Nonetheless, observing this discussion made me aware quite openly in the manner in which things are said that can be just as vital as the words use d. In the conversation, I notice that emphasis on the need of finding a quiet, secluded place to carry out such a discussion with a patients kin and friends in so that they feel as relaxed and calm as achievable (Bowyer et al., 2010, pp. 462). I am yet to be in a state of having to break bad news such clientele myself, but I believe I am poised enough to conduct having learned a considerable deal during the placement period about the imperative qualities that I would have to take into consideration before the time comes. In similar circumstances that are bound to occur throughout my future nursing career, I will purpose to a similar an equal level of compassion, serenity, and professionalism to that I witnesses among the consulting Trauma team in the occasion discussed. Conclusions My one-month placement in an Australia Trauma Department was valuable in the development of my expert skills as well as my perception of a wide array of legal and moral concerns associated with the practice of nursing. I am confident that the incident has equipped me any possible, demanding circumstances concerning patient management that I will come across in my work as a nursing practitioner. I also learned some essential abilities for handling such situations. I am certain that the skills I have obtained related to nursing services needed in a hospital Trauma team as well as therapy of trauma injuries. These skills are very vital in my future academic undertaking as well as clinical duties. I was exceedingly fortunate to be engaged by the facility and to belong in such as wonderful medical team that was excited to tutor me and responds all of my inquiries during sessions. I extend my gratitude to this incredible enlightening prospect as look forward the skills gained to work. With this in mind, I walk tall towards the future of my nursing career knowing that I will deliver my absolute best in healthcare delivery. References Bowyer, M.W., Hanson, J.L., Pimentel, E.A., Flanagan, A.K., Rawn, L.M., Rizzo, A.G., Ritter, E.M. and Lopreiato, J.O., 2010. Teaching breaking bad news using mixed reality simulation.Journal of Surgical Research,159(1), pp.462-467. Bulman, C. and Schutz, S. eds., 2013.Reflective practice in nursing. John Wiley Sons. Chong, M.C., 2009. Is reflective practice a useful task for student nurses?.Asian Nursing Research,3(3), pp.111-120. Dawley, K., Loch, J. and Bindrich, I., 2007. The nursefamily partnership.AJN The American Journal of Nursing,107(11), pp.60-67. Dub, V. and Ducharme, F., 2015. Nursing reflective practice: An empirical literature review.Journal of Nursing Education and Practice,5(7), p.91. Ekebergh, M., 2007. Lifeworld?based reflection and learning: a contribution to the reflective practice in nursing and nursing education.Reflective practice,8(3), pp.331-343. Finlay, L., 2008. Reflecting on reflective practice.PBPL paper,52, pp.1-27. Gimenez, J., 2008. Beyond the academic essay: Discipline-specific writing in nursing and midwifery.Journal of English for Academic Purposes,7(3), pp.151-164. Ixer, G., 2009. There's no such thing as reflection.The British Journal of Social Work,29(4), pp.513-527. Maas, A.I., Stocchetti, N. and Bullock, R., 2008. Moderate and severe traumatic brain injury in adults.The Lancet Neurology,7(8), pp.728-741 McCarthy, B. and Murphy, S., 2008. Assessing undergraduate nursing students in clinical practice: do preceptors use assessment strategies?.Nurse Education Today,28(3), pp.301-313. McPeake, J., 2012. Holistic rehabilitation from intensive care: lessons from America.International Practice Development Journal,2(2). Moon, J.A., 2013.Reflection in learning and professional development: Theory and practice. Routledge. Sawatzky, J.A.V., Enns, C.L., Ashcroft, T.J., Davis, P.L. and Harder, B.N., 2009. Teaching excellence in nursing education: a caring framework.Journal of Professional Nursing,25(5), pp.260-266. Staun, M., Bergstrm, B. and Wadensten, B., 2010. Evaluation of a PBL strategy in clinical supervision of nursing students: Patient-centred training in student-dedicated treatment rooms.Nurse Education Today,30(7), pp.631-637. Timmins, F. and Dunne, P.J., 2009. An exploration of the current use and benefit of nursing student portfolios.Nurse Education Today,29(3), pp.330-341. Torsvik, M. and Hedlund, M., 2008. Cultural encounters in reflective dialogue about nursing care: a qualitative study.Journal of Advanced Nursing,63(4), pp.389-396. Wilding, P.M., 2008. Reflective practice: a learning tool for student nurses.British Journal of Nursing,17(11).