Friday, January 31, 2020

Statement of Purpose to Enter the University Assignment

Statement of Purpose to Enter the University - Assignment Example I expect to acquire knowledgeable concepts, information and tactics to improve my planning and development skills through which I can serve people for the betterment. There is always a room for improvement and I feel that nothing but education can fill the existing gap. By participating in the educational program at the university, I would be able to polish my existing abilities and would learn to use the new concepts in my practical life. This doctorate grabbed my attention when I completed my Masters in the field of Psychology from the same university. I have ever since worked on my skills and have served the community by working in different organizations. I have completed my Bachelors and Masters in the field of psychology and have attained relevant knowledge that can help me to pursue a degree in the doctorate. This course will help me in attaining the understanding of complex patterns of psychology along with new ideas and theories. In today’s era of globalization, it is important that one has firsthand experience in multiculturalism and I have achieved this objective by studying in a multicultural university previously. Ever since I attained the degree of masters I have used my time effectively to explore the world and work with people who are homeless and addicted to drugs. It has helped me to learn the behavioural patterns of different people as the field of psychology teaches us. I expect to acquire kn owledge on the issues related to the field of psychology in all aspects. The political, social, environmental and economic issues are somehow related to the field of psychology and I believe that with the right knowledge I would be able to serve better in my field. Knowing the value of the degree that will be awarded from Carlos Albizu University, I expect to get a reputable post in a well-known organization. The university carries great importance in the educational field and with the experience of the faculty, I think that I would be able to excel in my field.  

Thursday, January 23, 2020

Dual Citizenship In Canada :: essays research papers

Dual Citizenship in Canada Karen and Ross have been married for six years. During these years, each has had to make decisions concerning their careers to accommodate each other. Two companies have now confronted Ross with a career opportunity, those being California Energy Systems and Petrolia Oil. He must decide by September 28 what opportunity to act upon, taking into account the effects it will have on his career, Karen's career, and their marriage. Situational Analysis Both individuals come from traditional families and are career orientated people. Karen believes the women in her life were career women but this is not entirely true. Her father held an executive job that forced continuous movement. Where as her mother held a ‘traditional' position as a school teacher and she was not permitted to have work "interfere with home life and child- rearing responsibilities". On the other hand, Ross had a mother who devoted herself to the well-being of her husband and son. Where as his father was a business man that earned a high income, allowing the family to live in a comfortable home with a luxury lifestyle. Karen and Ross appear to be leading a life that is different from their parents but this is not entirely true. It is noteworthy to mention, that each has a traditional role within the marriage. For example, Ross is responsible for the financial aspects of the home while Karen is responsible for the household chores. At the beginning of the marriage, they attempted to have a "weekend marriage" but this was a great strain and Karen sacrificed her career by finding a job closer to Ross. This demonstrates they are traditional within the marriage, although Karen has an untraditional career. Career Opportunities As both Karen and Ross hold dual citizenship in Canada and the United States, they have frequently discussed the possibility of working in Canada. They concluded the Canadian market is less competitive and offers more options than California. However, Karen considers Canadian culture to be slower than U.S. culture concerning the treatment toward women. In June 1990, a Canadian utility company asked Karen to consider the possibility of joining their company. Upon consideration, Karen became less enthusiastic about the position and decided to decline the offer. Then in mid September, California Randle Corporation offered her a job in the organizational development department. This position would provide an increase in salary, double responsibility, and a great opportunity to learn and advance. The Bank of Ontario also interviewed her for a junior position and told Karen an opportunity might open later in the year. Simultaneously, Ross reluctantly extended his own job search to Ontario.

Wednesday, January 15, 2020

Heart Failure Case Study Essay

Your client, Mr. Black, is a 72-year-old man who called his TeleNurse Line from home and, based on the symptoms he described, was advised to go directly to the Emergency Department at his local hospital. His admitting diagnosis is exacerbation of heart failure (HF). His Ht is: 5’9†, Wt. 235 lbs. He states that his usual weight is about 220. Upon admission, his symptoms are: extreme shortness of breath; unable to tolerate lying flat; heavy, aching feeling in his chest; respirations labored @ 32/min.; radial pulse 108 and regular; BP 150/78; color dusky and O2 Sat is 82% on room air; slight diaphoresis; peripheral edema is 3+ pitting, ankle to knee bilaterally and sacral edema is also present. Bilateral BS present with coarse crackles in both lower lobes. He appears frightened and anxious; he states, â€Å"This is the worst it has ever been – please don’t leave me alone.† Past Medical/Social History: Coronary Artery Disease (CAD), hypertension, cor pulmonale, emphysema-moderate stage. He smoked 2 packs per day for 35 years, and quit 5 years ago. Hospitalized 3 times previously for HF; the most recent hospitalization was 6 months ago. He is a retired insurance salesperson; married and lives with his wife in a condominium. Sedentary life-style; plays golf occasionally. He skipped his diuretics over the weekend because he was golfing. 1. Which stage of the NYHA classification system and the ACC/AHA staging system would Mr. B’s symptoms best fit within? Why? I think his NYHA classification would be Class II. He has Coronary Artery disease and ordinary activity causes fatigue for him Mr. B’s ACC/AHA stage is Stage D. He has been hospitalized 3 times previously for HF. 2.Discuss the differences between right and left heart failure, consider the   pathophysiology, physiological progression, and signs and symptoms. Left Sided: -The most common -Results from left ventricular dysfunction. This prevents normal forward blood flow causing blood to back up into the left atrium and pulmonary veins. Increased pulmonary pressure causes fluid leakage from pulmonary capillary bed into the interstitial and then the alveoli -Manifests as pulmonary congestion and edema Right Sided: -occurs when right ventricle fails to contract effectively. -Causes a backup of blood into the right atrium and venous circulation. -Venous congestion in the systemic circulation results in jugular venous distention, hepatomegaly, splenomegaly, vascular congestion of the GI tract, and peripheral edema -May also result from an acute condition such as right ventricular infarction or pulmonary embolism -Core Pulmonale can also cause right sided HF -Its primary cause is Left sided HF. Left sided HF results in pulmonary congestion and increased pressure in the blood vessels of the lungs. Eventually chronic pulmonary hypertension results in right sided hypertrophy and HF 3. Mr. Black’s orders include: a bedside chest x-ray, ECG, echocardiogram, and the following labs: Troponin I, CK-MB, CBC with differential, BNP, Digoxin level, Electrolytes, Mg++, ABG’s, BUN and creatinine. What is the rationale for performing each of these diagnostics tests? How will the findings/information obtained from the tests be useful in managing Mr. Black’s care? Bedside chest x-ray: ECG Troponin I: present in MIs CK-MB: CBC: BNP: High in patients with HF Digoxin: Electrolytes Mg ABG BUN Creatinine: Mr. Black is stabilized and transferred to the Cardiac Telemetry unit with the following orders: Oxygen at 2-4 liters per nasal cannula to keep O2 Sat > 90% Complete bed rest with HOB elevated 60-90 degrees, legs dependent Saline Lock IVFurosemide (Lasix) 80 mg I.V. push Stat I&OFurosemide (Lasix) 80 mg I.V. push every 8 hr. Daily weight Albuterol Inhaler 2 puffs twice per day Pulse oximetry – continuousK-Dur 10 mg. p.o. daily Foley catheterASA 81 mg p.o. daily TelemetryMetoprolol 100 mg p.o. twice daily Diet: 2 Gm Na Lisinopril 10 mg p.o. daily Fluid restriction of 1000 mL/dayHCTZ 50 mg p.o. daily Code status: Full codeDigoxin 0.25 mg p.o. daily; Hold for HR < 60 bpm Lovenox 60mg SQ every 12 hrsDucosate sodium 100 mg p.o. daily 4. Discuss the rationale for each of the orders above Patients with HF typically have oxygenation problems Furosemide is a loop diuretic Daily Weight- water retention Pulse ox- monitor O2 Foley Catheter: monitor output and on bed rest K Dur: ASA Metoprolol: beta blocker that treats high BP Lisinopril: ACE inhibitor for HTN Lovenox: Prevents and treats clots Fluid Restriction: Excess fluid strains the heart Digoxin: Treats rhythmic problems Ducosate: Stool Softener 5. Identify 3 priority nursing diagnoses to include in the nursing care plan for Mr. Black. Excess fluid volume Decreased cardiac output Impaired gas exchange 6. What changes/assessment findings would alert the nurse that Mr. Black’s condition is worsening? Fatigue and dyspnea continue to worsen, weight continues to increase, edema and chest pain worsens, pleural effusion and dysrhythmias begin to develop, hepatomegaly, and renal failure begins to occur Mr. Black responds well to the treatment plan and his acute symptoms resolve within 3 days. His weight returns to 220 lbs. and he is able to perform his ADL’s with minimal SOB and able to sleep comfortably with 2 pillows. Discharge plans are finalized. 7. Which state of the NYHA Classification system and the ACC/AHA staging system Would Mr. Black’s symptoms now fit? NYHA- Class II ACCF/AHA- Stage C 8. Select 2 discharge topics (your choice) to focus on. Discuss what should be included in the discharge teaching plan for Mr. B. (and his wife) for each topic. Activity and rest: exercise training can improve symptoms of HF, however Mr. B needs to understand that he will need lots of rest during and after exercise and that he shouldn’t overexert himself. Teach Mr. B’s wife to monitor his exercise and encourage him to take breaks when needed Drug therapy: Teach Mr. B and his wife the expected action of all his medication and how to recognize drug toxicity. Also teach him and his wife how to take a pulse rate and what range the pulse rate should be in. Teach them the symptoms of hypokalemia and hyperkalemia if diuretics are order. Self BP monitoring may also be appropriate in Mr. B’s situation. Heart Failure New York Heart Association Classification American College of Cardiology/American Heart Association Guidelines Treatment Recommendations Stage A. People at high risk of developing heart failure (HF) but without structural heart disease or symptoms of HF -Treat hypertension, lipid disorders, diabetes. -Encourage patient to stop smoking and to exercise regularly. -Discourage use of alcohol, illicit drugs. -ACE inhibitor if indicated Class I. Patients with cardiac disease without limitations of physical activity. Ordinary physical activity doesn’t cause undue fatigue, palpitations, dyspnea, or anginal pain. Stage B. People who have structural heart disease but no symptoms of HF. -All stage A therapies -ACE inhibitor unless contraindicated -Beta-blocker unless contraindicated Class II. Patients with cardiac disease who have slight limitations of physical activity. They’re comfortable at rest. Ordinary physical activity results in fatigue, palpitations, dyspnea, or anginal pain. Class III. Patients with cardiac disease who have marked limitation of physical activity. They’re comfortable at rest. Less than ordinary physical activity causes fatigue, palpitations, dyspnea, or anginal pain. Stage C. People who have structural heart disease with current or prior  symptoms of heart failure. -All stage A & B therapies -Sodium-restricted diet -Diuretics -Digoxin -Avoid or withdraw antiarrhythmic agents, most calcium channel blockers, and nonsteroidal anti- inflammatory drugs. -Consider aldosterone antagonists, angiotensin receptor blockers, hydralazine, and nitrates. Class IV. Patients with cardiac disease who can’t carry out any physical activity without discomfort. Symptoms of cardiac insufficiency or of the anginal syndrome may be present even at rest. Any physical activity increases discomfort. Stage D. People with refractory heart failure that requires specialized interventions. -All therapies for A, B, and C -Mechanical assist device, such as biventricular pacemaker or left ventricular assist device -Continuous inotropic therapy -Hospice care Caboral, M. & Mitchell J. (2003). New guidelines for heart failure focus on prevention. The Nurse   Practitioner, 28, 22. Evaluation of Edema Four-point scale 1+ to 4+: 1+ – pitting barely detectable 4+ – pitting persistent and deep (1† or 2.54 cm.)

Tuesday, January 7, 2020

Electronic Customer Relationship Management - Free Essay Example

Sample details Pages: 4 Words: 1257 Downloads: 7 Date added: 2017/06/26 Category Management Essay Type Research paper Did you like this example? ELECTRONIC CUSTOMER RELATIONSHIP MANAGEMENT TABLE OF CONTENTS TITLE PAGE NO. Introduction and Declaration of Problem 3 Literature Evaluation 4 Research Goals and Speculation 6 Research Style and Resources of Information 10 Proposed Efforts 08 Conclusions 09 Future Research opportunity and effects 10 List of Sources 11 CHAPTER-I INTRODUCTION E-CRM represents the promotion actions, resources and methods offered over the Online (using technological innovation such as web websites, e-mail, data catch, warehousing, and mining) with a particular aim to find, develop and improve long-term client connections to improve their individual potentialà ¢Ã¢â€š ¬Ã‚ . Specific efficiency benefits of e-CRM may be improved market attention, improved customization of connections, improved client support, improved client dedication, expenses benefits in promotion, improved product sales and improved productivity. The objective of e-CRM meth ods is to improve client support, maintain useful clients and to aid in offering systematic abilities. Companies that follow e-CRM alternatives anticipate to improve their efficiency and make value. Value can be designed in many ways: by decreasing the price of calling clients ; by shifting some liability to the client (e.g., product settings, purchase monitoring, online client details selection, thereby decreasing control and functional costs); by developing e-CRM programs with back-office heritage methods such as manufacturing, fund and provide stores, work-flow can improve and consequently the efficiency of the company, thereby offering price benefits. CHAPTER-II LITERATURE REVIEW Author: (Leboeuf, 1987) Thus, the five best methods to keep client returning are: be efficient, be efficient, be eye-catching, be sensitive and be empathic. Online and e-business are responsible for e in the e-CRM. It is basically about offerring improved value to clients and to do compa ny through electronic programs. Considerably all company are becoming a aspect of whole company. At present new things are possible which are in need of new technological innovation and abilities. Author: Dyche , (2001) Described that e-CRM is mixture or software, components, program and control dedication. e-CRM can be different types like functional, Analytical. Operational e-CRM is given significance to client contact up aspects, which can have connections with clients through phones or characters or e-mails. Thus client contact up aspects is something web angles e-mails, phone, network marketing, fax etc.. It needs technological innovation to procedure clients data. The primary objective here would be to identification and comprehend clients census design of buying etc to make new businesses providing significance to clients. Analytical CRM is a selection of data and is considered as a ongoing process Author: (Rigby et at, 2002). Rosen.K, (2000) Vital and important k ey factor is that e-CRM takes into different types, depending on the objectives of the organizations. It is about organizing in a line company procedure with methods of clients offered returning up of programs. E-CRM is about people, procedure and technological innovation and these are key important to success. Author: Stanton et al. (1994) Traditional meaning of e-CRM according is to consist of mind-set for whole company. Like determining and interpreting the primary objective to everyone in the company and developing a maintainable aggressive benefits. Their research examines how e-CRM increases the conventional meaning of promotion concepts and allowing the organizations to fulfill their inner promotion objectives. CHAPTER-III RESEARCH OBJECTIVES AND HYPOTHESIS The research design that I will be using is both qualitative and quantitative . In order to get a excellent quantity of data and quality data I will be using both the methods. In quantitative technique , I will gather the data from formal mathematical data data files and the available records of the organizations . This data will be in numbers type or in visual type . In qualitative technique , I will be performing organized or unstructured spoken marketing communications in the type of discussions with the company workers . I will be performing these discussions with all the organizations to be able to get a excellent quantity of qualitative data. CHAPTER-IV RESEARCH DESIGN and SOURCES of DATA The research design that I will be using is both quantitative and qualitative . to get the best possible outcome so that I can take a excellent outcome. I will be using both the methods. In quantitative technique , I will gather the data from formal mathematical data data files and the available records of the organizations . This data will be in numbers type or in visual type . In qualitative technique , I will be performing organized or unstructured spoken marketing comm unications in the type of discussions with the company workers . I will be performing these discussions with all the organizations to be able to get a excellent quantity of qualitative data. SAMPLE AND SAMPLE SIZE Select the respondents in which way thatà ¢Ã¢â€š ¬Ã¢â€ž ¢s show the balance mix of various demographic factors (like, age, Gender, marital status, education level, employment) Sample size 150. Sampling Technique-Random Sampling LISTING OF CHAPTERS CHAPTER NO. TITLE. Chapter-I Introduction Chapter-II Literary works Review Chapter-III Research Goals and Hypothesis Chapter-IV Research Style and Resources of data PROPOSED CONTRIBUTIONS This research efforts to analyze and evaluate results of e-CRM system execution in the Chinese Financial market. The research is separated into two primary segments. The first area is based on a qualitative strategy to figure out e-CRM execution in Chinese financial institutions. The second area uses a quant itative strategy to figure out the connections between e-CRM execution and results from the clients viewpoint. The participation of these studies can be found in the fact that nearly e-CRM carrying out are done in the back-office look, which cannot be straight seen or identified by the clients, so a new develop known as à ¢Ã¢â€š ¬Ã…“e-CRM Support attributeà ¢Ã¢â€š ¬Ã‚  was presented in these studies to be able to allow the statistic of e-CRM results from the clients viewpoints. From the 13 constructs that have been gathered from the literature, the exploratory aspect analysis was conducted and the results revealed that the results of e-CRM execution from the clients viewpoint can be arranged into three aspects. The first one is the facts aspect, the second one is comfort and the third one is interaction route aspect. Moreover, the T-test was also applied to analyze the variations in e-CRM results from the clients viewpoints between the clients of the financial institutions that applied e-CRM and those that did not. CONCLUSION Due to effective E-CRM , purchase objective can be obtained easily. When we improve the reviews , up-stream actions will run successfully meanwhile down-stream actions will go forward without any blockage . Through this venture research the company will save a large quantity of expenses from purchase and also the connections will be combined through this . Also there will be an enhancement in client service. By this action we will know where we take a position and we can make our company so excellent as formerly ità ¢Ã¢â€š ¬Ã¢â€ž ¢s very helpfull. FUTURE RESEARCH SCOPE AND IMPLICATIONS The opportunity of this research venture subject is very extensive and strong as e-crm is something that a company has to always deal with .The strategy of this venture is very innovative and will help to comprehend as to how organizations can improve their mistakes and decrease the overall price of the company. As E-CRM performs a v ery essential aspect in the company so it also impacts the income that is produced by the company. The effects of this venture are: à ¢Ã¢â€š ¬Ã‚ ¢During the meeting I will check out only 4 organizations which will restrict my research. If it is possible organizations will be more better and hence more information. à ¢Ã¢â€š ¬Ã‚ ¢Before the research is conducted I have some preconditioned concepts and therefore most likely the research will be impacted by them. LIST OF REFERENCES à ¢Ã¢â€š ¬Ã‚ ¢Available company records and mathematical data à ¢Ã¢â€š ¬Ã‚ ¢WWW.ACADEMIA .EDU à ¢Ã¢â€š ¬Ã‚ ¢Book :CRM , P.K.Datta , 1ST Version ,July 2009 à ¢Ã¢â€š ¬Ã‚ ¢Available company records and mathematical data 1 Don’t waste time! Our writers will create an original "Electronic Customer Relationship Management" essay for you Create order