Ethical Issues in GlaxoSmithKline

GlaxoSmithKline Ethical Lapses Over the last decade, ethical issues affecting quality of GlaxoSmithKline’s products have emerged. These issues occurred because the company failed to follow production procedures. The need to make profit contributed to unethical activities in GlaxoSmithKline. The company has been has been sued for selling Paxil and Avandia even after research results showed that their side effects were serious.Advertising We will write a custom case study sample on Ethical Issues in GlaxoSmithKline specifically for you for only $16.05 $11/page Learn More GlaxoSmithKline released the two drugs to the market without informing its customers of the side effects. Paxil was not suitable for children under the age of 18 but GlaxoSmithKline kept the information. Use of Paxil led to addictive behavior, withdrawal symptoms, birth defects and serious suicidal tendencies. Earlier on, a GlaxoSmithKline physician had enrolled children with no maj or depression or obsessive compulsive disorders for purposes of research (Moynitan Cassels, 2005). Avandia was manufactured and marketed after the company had conducted research and found out that it might be less safe than other competing diabetes drugs. The quality of this drug put serious ethical concern on GlaxoSmithKline (Philpott Baker, 2010). However, the company kept the safety issues from the public to protect the company’s image. Manufacturing procedures have not been entirely followed in the past casting doubt on quality of GlaxoSmithKline products. When the company fails to clean its machines after production of one drug is completed, the next drug will be contamination. This affects quality of the drugs. Most of the drugs manufactured by GlaxoSmithKline in Cidra Plant in Puerto Rico had serious contamination (Harris Wilson, 2010). Furthermore, packaging of some drugs was wrong and posed a serious problem on quality because patients could easily use wrong dosag e. Reasons for Leadership Failure to Prevent Ethical Issues of Integrity Failure GlaxoSmithKline pharmaceutical company has been facing stiff competition for long time. The company’s top management prioritized profit at the expense of health of its customers. For Avandia, safety data were suppressed and the company executives never apologized for their decision in order to protect their economic interests (Philpott Baker, 2010).Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Considering the number of people who require these drugs on their daily basis, the company makes massive profits. If the leadership adheres to ethical deeds, the company will end up making losses. This will not go down well with the shareholders of the company. The management has opted not to prevent these ethical issues from occurring and wait for repercussion of manufacturing drugs with questionable qual ity. Most of the time when the company is faced with such issues, it is just fined and left to continue with its operations as seen in Avandia case (Feeley Kelley, 2010). Measures to Prevent Future Ethical Dilemmas and Reputational Damage To prevent ethical dilemmas and reputational damage, GlaxoSmithKline should put in place extensive measures transform manufacturing operations and leadership style. Through new and progressive management, the company will be able to overcome all possible ethical issues and make profit at the same time (Becker, 2009). The company should have its research team working ahead of competitors. This will ensure that they have enough time to identify side effects of each drug and make changes to mitigate the effect before it is released to the market. This can only be done through sound leadership. Furthermore, such leadership will ensure that all procedures and safety precautions are taken into consideration when drugs are being manufactured. This will e liminate cases of contamination which were seen at Cidra Plant in Puerto Rico. An ethical and sound leader will value health of customers and reputation of the company. As a result, quality, safety, ethics and profit will be given equal consideration when making key decisions in the company (Becker, 2009). References Becker, K. G. (2009). Moral Leadership in Business. Journal of International Business Ethics, 2(1), 254-269. Feeley, J., and Kelley, T. (2010, July 14). Glaxo Said to Pay $460 Million to Settle Avandia Damage Suits. Bloomberg. Web.Advertising We will write a custom case study sample on Ethical Issues in GlaxoSmithKline specifically for you for only $16.05 $11/page Learn More Harris, G., and Wilson, D. (2010, October 26). Glaxo to Pay $750 Million for Sale of Bad Products. The New York Times. Web. Moynihan, R., and Cassels. A.(2005). Selling sickness: How Drug companies are Turning us into Patients. New York: Allen Unwin. Philpott, S., Bak er, R. (2010). Why the Avadia Scandal proves Big Pharma need Stronger Ethycal Standards. Bioethics, 24(8), 16-19. This case study on Ethical Issues in GlaxoSmithKline was written and submitted by user Pierce Drake to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Academic Guide for an Evaluation Essay on The Spatial Order

Academic Guide for an Evaluation Essay on The Spatial Order In this third and final academic guide for an evaluation essay on the spatial order in human visual perception, we explain what an evaluation essay is, how it’s written and things that you should avoid in order to write the perfect essay that’ll leave your professor awestruck. Let’s get to it. We also recommend that you refresh your memory by having a glance at our first guide, 10 facts on the spatial order in human visual perception, that highlighted some interested facts on the topic. We also provided you with topic ideas in the second guide titled 20 topics on the spatial order in human visual perception. A Brief Introduction to the Evaluation Essay An evaluation essay helps demonstrate the (good or bad) quality of a particular object. It can be anything from books, products, program, business, place, services, films etc. While some people think that an evaluation essay includes opinions of the writer, this isn’t true and to the contrary. If an evaluation essay is written properly, it shouldn’t be opinionated. In fact, it should have an unbiased evaluation backed by reason. To make an evaluation essay stand out, you need to establish these three essential components to give a better explanation of a specific object: Criteria Judgment Evidence Contents of Criteria This is the most important part of an evaluation essay. It helps keep your opinions away from the evaluation and introduces the ideal condition of how an object should be. For example, if it’s a movie you are evaluating – the plot, cinematography, action, characters and visual effects, are the components that establish a clear and concise criteria of that movie. Role of Judgment A judgment is what makes an evaluation essay so interesting to read. When you establish a judgment in your essay, you are actually elaborating whether or not the criteria has the standard quality. For example, watching a movie and judging it on behalf of its plot, role of characters etc. is compulsory to top up the evaluation. Finally, the Evidence Once you’ve been judgmental on a particular object, you’ll need evidence to support it. For example, if you have seen a movie and based on your judgment, it is not worth watching, you’ll need to prove it by solid reasoning and evidence. How it’s Written Here is how an evaluation essay is generally written: Choose a topic which you want to evaluate. You must have full knowledge over that particular topic to have a successful evaluation. Write a thesis which defines the overall evaluation – whether it’s positive or negative for the particular object. Focus on specific criterion and then explain it verbosely, then follow it up with your judgment and the variety of evidence to support it. Build your evaluation with several criteria where you argue the value or lack of your particular object and support it with reasons and evidence. Conclude your essay with convincing and persuasive words which should prove your claim to be true. This is how a well-balanced and thorough evaluation essay is custom written. Just make sure every piece of criteria that you’ve written is thorough and your writing sits in perfect harmony with it till the end. It’s highly recommended not to use topics that are broadly used. Use narrowed down topics which are well-supported with evidence, so that your claim remains strong. That’s it! Now you are able to successfully write a stellar evaluation essay on the spatial order in human visual perception, without worrying about getting a mixed reaction from your professor.

Econ Essay Example | Topics and Well Written Essays - 500 words

Econ - Essay Example The current salary distribution formula gives the player 57% of the revenues. Another problem with the system is that the NBA salary cap is a soft cap. A soft cap allows teams with greater resources such as the L.A. Lakers and the N.Y. Knicks the ability to pay go over the cap and pay additional salaries paid by the owners. The small market teams are seeking a hard cap at a much lower salary base. The owners want a 40% reduction is player salaries. A hard cap would force all teams to spend up to the amount of salary cap. The current salary cap is $58 million dollars. The prices of the salaries are determined by the deal that the player’s union and owners negotiate. The prices of the players are negotiated similarly to what occurs in the corporate world when labor unions negotiate worker compensation with the managers of the firm. The NBA has to reach an agreement by the summer of 2011 in order to ensure there is not a lockout of the season. A lockout would have catastrophic ec onomic effects on the NBA. Players would lose their salaries, the owners would incur in operating losses since fixed cost must be paid without any revenues coming in. The television networks would also lose because they would not have a product to offer to the advertisers.

Impact of Magazines on their Readers Article Example | Topics and Well Written Essays - 3000 words

Impact of Magazines on their Readers - Article Example However what is currently the case has never been like the one which used to be so in the 19th century. The press of modern times relies more on placing the advertisements rather than giving the readers something to read about. In other words, it is more interested in propagating advertisements than the news and reports on which the readers are focused. There is now an aspect of compromise when it comes to putting a news report and the magazine editor thinks of placing an advertisement on the specified place for the report so that he could earn more and bring more revenues for his magazine. This means that the unethical attitudes are pretty much apparent in the whole contexts of press and these need to be adjusted in a manner which could balance the benefits as well as make the news reports and analyzes visible in between the pages of the magazine. The media has always been used as a tool to educate and stimulate the audience's minds. The hype and controversy surrounding the Terri Schiavo euthanasia case is an ideal example of how language can influence the emotions and consciousness of ordinary people. The terminology used and the method of citing opinions basically created the controversy which turned into one of the biggest ethical discussions of our times. Similarly, throughout the Suffragette movement (1920's), the conservatives and the liberals used newspapers/magazines and pamphlets to circulate their views on the right for women to vote. What was primarily a case of simple human rights became a war of words and media manipulation. Constant exhortation of the word "mother" and "life-giver" in the newspaper issued by Christabel Pankhurst, The Suffragette, gave their requests a tinge of blackmail. During the early 1950's, newspapers, magazines and radio had created such an atmosphere of fear and suspicion over the suppose d communist activities taking place within the United States, that Senator Joseph McCarthy's sometimes far-fetched accusation of subversive activities against certain public figures were taken seriously. His ability further, to maneuver public opinion using words like, "Un-American", "subversive" and "unpatriotic" further deepened the masses mistrust, giving him carte blanche to prosecute anybody he considered guilty of communist leanings. During the Civil Rights movement in the 1960's also, the use of periodicals to promote the viewpoints of both the black community and the white was profound. Language played an important part in the struggle for emancipation. The difference though was in the approach of the two great leaders of the African American movement, Martin Luther King Jr. and Malcolm X. Where the former hoped to persuade the government to relent, Malcolm X was more vocal against white people, terming them as 'evil'. This battle of ideas within the Black faction itself cau sed great confusion to the Caucasian community. Supporters of Civil Rights themselves were not overtly sure where to stand on the issue. Moving on, David Gaunlett presented his own 'Ten Things Wrong with the Media Effects Model' in which he suggests that media does not necessarily have any direct effect on the lives of the people to which the media is generally addressed and in the related settings,

Critical Analysis Paper Essay Example | Topics and Well Written Essays - 1250 words

Critical Analysis Paper - Essay Example This show is aired in ABS-CBN, one of the known television channels in the Philippines. This is a comedy show where all characters are children age 5-12 who have all their parents consent to work for the television. The word "Bulilit" in the Philippines means small. This is the reason why just hearing the title, one can get an idea that the casts are children. What makes this different from the normal children channels or show is that, the children, given the script, are made to imitate grownups by wearing corporate and business attire to portray the behavior of a normal working individual in that particular country. It should be understood that doing this research, I have watched at least five episodes, four of which are under my observation. The show on the other hand has been running on Philippine television for more than a year already and since it is highly patronized by kids and the young at heart, it continues its comedy acts through the kids who play a significant role in getting a top rating for the show. Unlike other children's shows, the characters are made to be intelligent as they need to assume the roles of different officials who are well known in the country. At times, they imitate famous politicians, actors or actresses to make fun of them in a mild way. One of the favorite personalities of this show is President Gloria Macapagal herself, the president of the Philippines. So this is the only show that has all the guts to make fun of the President. It has not created any issue for the fact that the kids are the ones doing it. Had it been any serious adult character, kit could have erupted to a big issue already. Going back to the very topic of my paper, there was one episode where four characters were placed in one miniature house. It was a portrait of one family with a mother, a father, and two kids. The goal is for the father to advise his son to study more like his sister. Father: Son, why don't you do your homework now instead of playingcomputer games. Try to be like your sister. Son: What do you mean I should be like my sister So I will be playingBarbie dolls then The focus of the conversation is to tell the audience that the father, having said those words, it has created a different meaning to his son. It appeared like the father wanted his son to be a girl like his sister, which should be the funny part of the script. But that is not the point of my argument. The point there is that boys have the stereotype and are considered as addicted to video games. This, according to Lemish is just one of the findings in her article Gendered Content of Interests. According to her, boys are known to be fond of playing computer games and have the tendency to be technology fanatics. The girls on the other hand, they have their attention focused on reading books and magazines. This is the reason why parents refer to their girls as studious compared to boys because of the mentioned preference. (Boville & Livingstone, page 268). Let me try to illustrate another situation from another episode taken still from "Going Bulilit." In one particular scene, in

Issues Faced By Marks And Spencer Commerce Essay

Issues Faced By Marks And Spencer Commerce Essay Supply chain management  (SCM) is the process of managing an interconnected business network in the provision of service packages and products needed by the end customers within the supply chain.  The process of supply chain management spans all storage and movement of the finished goods, work in process inventory, raw material storage and finished goods from the point of origin to the place of consumption. (Buxton, 2009) It mainly involves monitoring, control, execution and design of supply chain objectives with the aim of building net value, competitive infrastructure, synchronizing and leveraging worldwide logistics with respect to the demand and supply thereby measuring performance globally. (Especially in the cases like MS). So there is every chance for of issues to take place in global supply networks. (Briggs, 2002) The suppliers bargaining power is very low in clothing industry especially when it is in retail clothing purchases and buying. The supplier of MS are changed quite often, the best example is that the company have alliance with British suppliers in order to attain high quality but later it decided to outsource it globally, this decision has been taken putting lower costs in consideration but the supplier relationships has raised questions. Now MS is no longer reliant on specific suppliers, so the bargaining power of them has drastically lowered. MS is also purchasing good in bulk which is leading the bargaining power to fall year by year. (Murray, 2013) The biggest single problem at the moment with MS is the logistics, Christmas in 2012 saw unexpectedly bad fall of 3.8% in the sales and Simon Irwin to BBC has claimed it to be the supply chain which is the cause. They are making measures to modernize it but not until 2016 and this is causing many problems with to the suppliers. Pitcher (2009) MS is undertaking a multimillion-pound plan which includes big logistical moves having automated warehouses but this transformation period is causing logistical issues in communicating the demand and forecast of the goods globally. (Foster, 2013) With the steady decrease in the pound value and European debt crisis the suppliers of UK retail giants are facing problems with profits, the currency conversion is one of the issues faced by the suppliers as MS has outsourced its supplier opportunities to other countries leaving the British companies. Moreover MS is proposing amendments to the relationship with its supplier asking them to contribute (600millions) to the revamp and innovative plans but they are missing a fact even they have to identify their core market before doing this. The supplier contributions might be very common in the non-food and food retail industry but the input levels of the suppliers will be escalated suddenly. They are expecting 1.25% retrospective levy in an year turnover. It might be a part of journey among the vendor and suppliers but having a department store format comprising of multiple brands this is raising questions to their brand name. (Mortimer, 2011). Supplier partnership with MS is not very transparent these days as there are different organizations including distinct departments are involved in their supply chain. The expectations and results of MS is creating pressure and more competition among the suppliers thereby decreasing the bargaining power. (Murray, 2013) SCOR model suggest to use a common language for the language of supply chain but MS is solely concentrating on cutting the cost when selecting the suppliers and this is effecting many past suppliers and the brand image of the company. Shifting its base to other countries rather than in UK has decreased the supply visibility of MS so the order batch size is drastically reduced where the suppliers are not able gain bigger margins on the supply to MS. Whitehead (2001) Risk management is an end to end aspect in a supply chain and all the key partners should be involved according to their demand planning and manufacturing capacity but MS during the recession had a tough time to manage financial risks of the suppliers who are in alliance. Many companies like MS are looking to shift more risk on the suppliers, they are ordering only what they need or to fill the shelves of the stores which is now becoming a new set of challenges for the suppliers. Pitcher (2009) They are trying to put the supply chain as thin as possible by taking active role in planning the demand but by limiting the product complexity which comes from the late-stage customizations and inventory-related risks the responsibility is being transformed to the suppliers who are at the end of the chain rather than distributing equally throughout the supply chain. Whitehead (2001) 2. Critically evaluate how large organizations like Marks and Spencer can work with their suppliers to increase the level of understanding and align their supply chain processes? [25 Marks] Developing supplier relationships and level of understanding: In the supply chain, the ability of Marks Spencer in actively responding to the varying needs and demands of customers is determined by the relation the company holds with buyers and suppliers. Marks Spencer has ensured the business growth of suppliers. The critical element in the business development is the trust and relationship between the suppliers and Marks Spencer. (Murray, 2013) Fairness is one of the main elements in supply chain management. (Briggs, 2002) Closely working with limited suppliers pertains to helping them for meeting the business aspirations without costing a lot for other main suppliers. In supply chain management, the starting point is coordinating the business strategy of Marks Spencer with the business plans of suppliers. This provides the direction and structure for all the suppliers. Integrity forms the heart of this process. It is very important for Marks Spencer to ensure that they have dealt with all parties in equitable and fair way such that rela tions will be sustained and there will be opportunities and developments in long term. (Buxton, 2009) Supplier Strategy Many suppliers are being in contact with Marks Spencer. This relation is interdependent as the Marks Spencer organization largely depends on the supplier capabilities in meeting the customer requirements. If the organization has successfully met the customer needs, suppliers can reap the rewards and benefits. Supplier meeting enables everyone in the supply chain to provide clear structure for wide range of products in the early stages. Key issues like which products must be used, which products should be manufactured and released and other technical priorities can be identified. (Buxton, 2009) The potential problems which hinder the business should be identified and solved. Conducting the early meetings reduces the burden on crisis management. (Foster, 2013) In meetings, discussions will also be done on developing previous seasons products such that priorities can be established in coming years. The meetings focus on sales patterns, market and fashion trends, theme boards, and color palette, components involved in various products, and fit and range of products. This will hugely increase the level of understanding. Pitcher (2009) Methods to tackle the issues and maintaining relationship with retailers Functional shifts generally take place when distinct entities in the supply chain partnership vary and it will have a substantial amount of power economically over other entities. Moreover the entities that are powerful will transfer more activities and responsibilities on to a weaker entity and the weaker entities are made to look for ways to cut the distribution or manufacturing costs. So the four key factors that global companies like MS need from their suppliers are electronic data interchange, storage of raw inventory, organization of products and various packaging activities. The retail supply chain should be optimized with the help of cross-entity functions in order to maximize the profits in the entire supply chain. There is also another retailer and supplier partnership initiative namely CPFR (collaborative planning, forecasting, and replenishment). Crum and Palmatier (2004) claimed that focal point to reduce uncertainty must be the demand knowledge of the global retailers. This will help the suppliers and in turn reduces the bullwhip effect. There should not be differences in actual orders and demand information as this will result in suppliers fulfilling orders unnecessarily. To maintain good relations the communication between the global retailers and the suppliers should be more open with trust. (Foster, 2013) Fig 1: Strategy for improvement of SCM in retail sector. Pitcher (2009) The supplier retailer trend of collaboration can be done using the VMI method (vendor managed inventory). Davis (1999) claimed that maintain VMI facilitates cost cutting for both suppliers and retailers thereby increases customer service level. VMI is a method by which vendors hold the responsibility to determine level of retail replenishment and manage the inventory of the retailer. The retailers can meet the customer demand very easily as there will be frequent replenishment according to the demand or distribution facilities. The on shelf availability of the global companies will be increased which results in increase of sales revenue of the retailer. Fig 3: Visibility enhancement in SCM (Suppliers and retailers perspectives). Whitehead (2001) The supplier also benefit as the variability of the demand is transparent. Ultimately the suppliers can be prepared well in advance to avoid logistical issues and transportation costs. Although this method incurs risks because of sharing the sensitive data across the companies it provides good results. A company like MS can implement the VMI as they are direct buyers and direct sellers in the market which makes it easy to distinguish the data shared with various suppliers. (Briggs, 2002) 3. Analyze which supply chain solutions could be employed to answer the variety in consumer demand and associated fluctuation from its customers on the global supply network of Marks and Spencer. [25 Marks] An organization should have a clear understanding about the opportunities and potential threats of their suppliers for taking competitive advantage in the market conditions. Suppliers can be defined as the collection of organizations and individuals who act as the potential sellers of services and products. Market conditions will be influenced by many factors such as changes in the buying patterns, needs, demands and expectations of customers. MS incorporates fashion, food and core products. In an organization manufacturing of various products is determined by changes in the business trends and preference of people. So, organizations have to constantly update their products and release new products for meeting the customer demands. (Buxton, 2009) If the organizational performance is not up to the standards expected by the people, the failure probability will be very high. In Marks Spencer, designing and developing new products has turned out to be one of the toughest challenges. The organization has to identify and analyze the gaps which created failure to sustain and flourish in the tough market conditions. In order to understand and analyze the complex cycle of retail market, decision makers should have entrepreneurial flair, experience and sound judgment. The best example is the UK lingerie market which is  £1.75 billion worth. The Marks Spencer is a market leader which can be indicated by the statistical figures which show that the organization is having a market share of 40%. In order to take competitive advantage, Marks Spencer should have good relation and understanding with their buyers and suppliers. (Murray, 2013) The strategic objectives of Marks Spencer are to develop new products such that they satisfy the customer needs in terms of fit and comfort and are available on demand. The products should be specified clearly such that they can be launched to any manufacturing site and provide maximum benefits. The season strategy meeting of Marks Spencer will be a good opportunity for the suppliers in discussing about their expectations and areas of growth in business. This meeting enables the decision makers of Marks Spencer in providing realistic assessment about where the suppliers have to develop. In this stage, discussions broach many issues regarding how others should be encouraged in taking their products and how the knowledge should be spread. MS supply chain and use of technological recommendations: MS has more supply chain partners all over the world and there is an increase in the supply chain initiatives. So the company should make use of the technology to meet the demand of the customers. Using technology will help MS to cut costs and communicate better. The company can make use of the international information technology to drive its suppliers as it is a unique way of supply chain. The supply chain of MS should also make use of the RFID tags which will help them to pilot the changes in the trend of the sales. With the ability to store more data in a omni-directional way with automatic barcode detection MS can provide error-free visibility, delivery and fulfillment within its supply chain. It will also decrease the labor cost as it does not need human intervention. Hence the response to the demand of the consumer and events which are unanticipated in the supply chain of MS will be expected to be faster than ever before with all these strategies. Fig 4: Meeting customer demand and reduction of time variability (Murray, 2013) Securing growth and meeting the customer demands need truly global Customer and supplier Networks, it is clear that the future of the retail giants depend on the global customers and products that are customized. So the supply chain complexity will grow accordingly and it needs to be managed effectively. (Erog, 2002). 85% of the companies in the world are expecting the supply chain complexity to grow significantly in the next decade. Hence the locations of the customers along with product variants and SKU counts grow, then the manufacturing locations might decline drastically because of outsourcing. Thereafter it is obvious that there will be scarcity in the suppliers where MS could end up not meeting the demand of it customers. So the recommendation is to configure supply chains regionally because the regional supplier will better understand the trend before bundling the goods. They can also make the logistics look better and easy. MS decision to outsource work to the global supplie rs might help them to reduce the cost but on a long term basis the distribution centers might be a supply chain problem if it expands in a faster pace than ever before. (Buxton, 2009) The major supplier for Marks Spencer over the last 50 years is the Coutaulds textiles, one of the large scale textile organizations. Both the organizations share common values and goals. The Courtaulds textiles reap the rewards if the Marks Spencers product range is successful. The textile organization firmly believes that the Marks Spencers demand for excellence and through the organizations support the Courtaulds Textiles has turned out to be one of the prominent companies. Both the organizations ever consider that the people always look for innovation and newness in products. (Briggs, 2002) This stimulated the innovation and interest which directed the market towards scientific and technological development. Following the standards of environment and quality, Coutaulds textiles have become one of the successful textile organizations. On the side MS has earned reputation in meeting the customer demand. Pitcher (2009) 4. Evaluate the role of Quality in enhancing the efficiency and effectiveness of the Marks and Spencer supply chain. [25 Marks] Role of quality: Quality in the context of supply chain has many factors involved in it, so this section brings you a critical understanding of how the quality can enhance the effectiveness of MS supply chain. (Erog, 2002) 4.1 Customer focus The core principle and idea behind quality of MS is customer focus. Quality effort arises from customer needs and end with customer acceptance. In supply chain, customers are classified as sellers, manufacturers, suppliers and users. In supply chain, problems arise due to inadequate communication between members in supply chain. (Buxton, 2009) In the process of bidding, procurement specifications are equivocal and buyers dont dare to argue about them. So as discussed earlier if the communication with the suppliers and customers are of high quality it gives the best edge for MS to enhance their supply chain effectively. 4.2 Leadership Leadership determines the effectiveness in the process of quality management. Leadership should be effective improving the quality effort. In supply chain, leadership is the core enterprise because development strategy is established through it. (Erog, 2002) Core enterprise must be a leading for adequately considering the expectations and needs of members in supply chain, lead the team members and in establishing a holistic target. In parallel, core enterprise must foster more leaders in quality assessment. MS has to consider the target and expectations of the customers by making the availability of goods with high standards. 4.3 Involvement of people The prerequisite in quality management is exertion of creativity and enthusiasm in all the employees. In supply chain, work environment should be excelsior such that employees will be inspired in showing enthusiasm and come up with creative thoughts. (Whitehead, 2001) In the system of supply chain, employees should learn the skills, technologies and principles of quality. In supply chain, the ethos of self-knowledge and self-motion can be fostered. MS Quality Control teams are cross functional and by means of establishing them we can enable the employees to actively participate in supply chain. 4.4 Process management The modern quality view focuses on the process of quality management and not on the traditional quality view. In every step of supply chain, the correlative processes involved are service, selling, inventory, production, logistics and procurement which will be having their own set of independent programs and objectives. (Murray, 2013) Some conflicts exist between suppliers and retailers but the mutual effects between the processes should be identified and managed such that the supply chain operation will be harmonious. Although MS is outsourcing supplier opportunities, if it can maintain the quality standards of the local companies it will have the best ways to improve their efficiency. System management The system approach considers the quality management as holistic system in identifying and managing the sub systems. The mutual promotion and coordinated effect in sub-systems improve the efficiency and validity of targets. In supply chain, enterprise must confirm the relation of mutual dependence in the processes, break the boundaries in members of supply chain and integrate various processes in the system of supply chain. Operational efficiency is denoted by the ability in collocating the resources rationally between sub systems. (Whitehead, 2001) Finally, in the supply chain system which comprises of supply, production, inventory, transport and distribution realizes the quality and policy of target by means of optimal operational mode. This will enhance the efficiency of supply chain process at MS. (Erog, 2002) Continual improvement The focus of modern research quality will be on continual improvement. Enterprise should improve the service quality as well as product quality and reduce the costs such that customer satisfaction is ensured. As the competition is increasing, more burden has been created in the continual improvement of supply chain process. (Erog, 2002) Logistic providers, sellers and suppliers should improve their skills for achieving the harmony and establishing the quality assurance. Core enterprise must use benchmarking for continually improving the performance. Factual approach to decision making The data available should be adequate such that decision making will be effective. Many organizations are using the technologies like POS, EDI, ERP and MRP for making decisions effectively. (Buxton, 2009). Data gathered should be analyzed for decision making. Based on the data analysis, potential problems can be found in the every stage of supply chain. Decisions should be taken accordingly for improving the organizational performance. Most importantly they should speed up the process of warehouse automation upgrades (Due till 2016) because it will affect the supply chain and logistics in a huge way Mutually beneficial supplier relationships As mentioned earlier profits margin cuts and fund requests (1.5% from suppliers) mentioned in section 1 is not good for MS to maintain supply chain quality. The recommendation provided companies work directly with the suppliers of raw materials and ensure that materials are of high quality. (Murray, 2013). Many TQM organizations are working in collaboration with suppliers for increasing the product quality. Organizations are maintaining quality action teams in consulting their major suppliers. Value will be added if there is good relation between suppliers and organization. So if the above strategies are followed in the context of quality then MS can enhance their efficiency with respect to their strong supply chain. References: Alon, (1999), International Franchising Modes of Entry, in Franchising Beyond the Millennium: Learning Lessons From the Past, Society of Franchising 13th Annual Conference. Briggs, A. (2002), St. Michael Marks and Spencer PLC. in International Directory of Company Histories, A. Hast, eds., St. James press, 124-126. Business Week (2008), Marks Sparks Isnt Throwing Off Any, (November 16), 64. Buxton (2009), MS Chief Rejigs Retail Operation, Marketing Week, 22 (12), 6. Crum and Palmatier (2004), Marks and Spencer, in International Retailing, Brenda Sternquist, eds., New York: Fairchild Publications, 159-166. Dow Jones Industrial, Executive Report Marks Spencer PLC, http:mrstg1s.djnr.com/cgibin/DJIntera_binding=get_name=nullsearchText=U.MAR, (Retrieved December 26, 2012). Ethical Trading Initiative (2008) MS: Getting Supplier Buy-In (Online) Available at http://www.ethicaltrade.org/in-action/member-performance/marks-and-spencer-getting-buy-in (Accessed on 09 January 2013) Erog, S. (2002), The Internationalization Process of Franchise Systems: A Conceptual Model, International Marketing Review , 9 (5), 19-30 Foster (2013) Top 25 Third-Party Logistics Providers Extend Their Global Reach (Online) Available at http://www.supplychainbrain.com/content/sponsored-channels/kenco-logistic-services-third-party-logistics/single-article-page/article/top-25-third-party-logistics-providers-extend-their-global-reach/ (Accessed on 10 January 2013) MS (Marks Spencer) Press Releases (1999): www.marks-andspencer.co.uk/corporate/press-releases/19990518.002.html (retrieved 5/27/99).  © MS Annual Report (2008): www.marks-and-spencer.co.ukate/annualreport/Europe(Far-East or America)/main.html (retrieved 10/9/98). Market Guide (2009), Wal-Mart Stores, Inc., (June 5), 1-15. Marketing (2009), MS Doubles Ad Budget in L20m Branding Review, (March 25), 9. McIntyre, Faye S. and Sandra M. Huszagh (1995), Internationalization of Franchising Systems, Journal of International Marketing, 3 (4), 39-56. Murray M (2013) Quality In The Purchasing Process (Online) Available at http://logistics.about.com/od/qualityinthesupplychain/a/Quality-In-The-Purchasing-Process.htm (Accessed on 11 January 2013) Murray M (2013) Quality Inspections In The Supply Chain (Online) Available at http://logistics.about.com/od/strategicsupplychain/a/Quality-Inspections-In-The-Supply-Chain.htm (Accessed on 12 January 2013) Murray M (2013) Total Quality Management (TQM) (Online) Available at http://logistics.about.com/od/qualityinthesupplychain/a/TQM.htm (Accessed on 12 January 2013) Pitcher (2009), Reality Forces UK Retail Giants To Check Out Their Strategic Options, Marketing Week, (January 21), 21-24. Whitehead (2001), International Franchising Marks Spencer: A Case Study, International Journal of Retail Distribution Management, 19 (2), 10-12.

Scarlet Letter Essay + :: essays research papers

Throughout life we all will be faced with hypocrites or have the choice to be true to ourselves or to deceive ourselves. Especially as a Christian you may wonder if people look at you as a hypocrite and should also strive to not be one. Of course, the most important part is to be true to yourself because only then may you be true to God and to others. Nathaniel Hawthorne also shows this in The Scarlet Letter through the characters he portrays. In chapter 20, Hawthorne writes, “No man, for any considerable period, can wear one fact to himself and another to the multitude, without finally getting bewildered as to which may be true.'; Hiding the truth from others just confuses life and oneself. Hawthorne often focuses on the point that truth reveals itself. For instance, Hester Prynne was quite aware of the fact that truth will be revealed. She was forced to wear a scarlet “A'; on her bosom, which stood for adultery, for her entire life. Truth was revealed to Hester by the fact that she became pregnant with a child as a result of her sin. Pearl noticed her mother’s scarlet A as a baby and was attracted to it instantly for some reason. Pearl notices the letter as an infant as her “eyes had been caught by the glimmering of the gold embroidery about the letter, and, putting up her hand, she grasped at it…';(98) and Hester feels the “torture inflicted by the intelligent touch of Pearl’s baby hand.'; (98). This seems to suggest that truth was once again revealed to Hester whenever Pearl noticed the scarlet letter and it shows how Pearl seemed to know the significance of the letter as an infant. While Hawthorne shows how truth revealed itself to Hester he shows a different way that truth was revealed to Reverend Arthur Dimmesdale. At the beginning of the novel Dimmesdale seems to be doing a good job of keeping his secret to the whole town who respects him immensely. Although in the first chapter Reverend Dimmesdale argues on Hester’s behalf the town seems to think nothing of this other than that he is trying to not judge her. As the new doctor in town Roger Chillingworth befriends Reverend Dimmesdale. Chillingworth notices a scarlet letter of guilt on the Reverend’s chest and soon begins to take his revenge. The doctor who plays on the Reverend’s guilt increases Dimmesdale’s torment.

Relationship Centered Model of Care in Dementia and the Six Senses Framework Essay

Anticipating and enhancing the health and wellbeing of the older person with dementia in hg HWOP02 A1 Alzheimer’s Scotland (2014) estimate that there are 88,000 people in Scotland with dementia and two thirds of these people live in the community with support from family carers. Therefore, providing sensitive and appropriate support for people with dementia and their carers is one major challenge facing the health care system in supporting quality care. Firstly, this assignment provides a definition of dementia, then identifies Relationship Centred Care (RCC) and the six senses framework. Furthermore this assignment discusses the development of relationship centred care and it’s relevance to dementia. Extending on this, my assignment will cover the use of the senses framework by Nolen et al. (2001) to develop relationship centred care. My assignment will then discuss what the individual six senses mean to the individual with dementia, as well as their family and carers when developing  RCC. The second and final section of my assignment will use a case study to discuss the application of the relationship centred care model using the three senses of; purpose, continuity and security recognised within the six sense framework for a person with dementia who has family support at home. To be able to put this assignment in context, an understanding of dementia is needed in order to define what Relationship Centred Care (RCC) and the senses framework means to individuals diagnosed with dementia. Dementia is defined by the Department of Health as a ‘syndrome which may be caused by a number of illnesses in which there is a progressive decline in multiple areas of functioning, including decline in memory, reasoning, communication skills and the ability to carry out daily activities’ (2009 pg.15). Alzheimer Scotland (2011) have developed ten warning signs of the disease, these include symptoms such as; memory loss which disrupts daily life, challenges in planning, difficulty completing familiar tasks and confusion over time and place. It is therefore not surprising dementia can severally affect quality of life and relationships. Due to dementias progressive nature, a person with dementia gradually loses the ability to act autonomously and must therefore rely on the decisions and support of others, primarily their relatives when living at home (Hughes et al. 2001). Beach and Inui (2006) suggests that RCC can simply be defined as care in which all participants appreciate the importance of their relationship with one another. Nolan et al. (2001) Senses framework identifies the subjective and perceptual dimensions related to caring relationships. Within this Nolan et al. (2001) incorporates the interpersonal and intrapersonal elements of giving and receiving care to ensure the highest quality. The framework is centred on six themes which all individuals involved in RCC should experience, this includes; security, belonging, continuity, purpose, achievement and significance. Over the past decade, there has been much written about the notion of patient centred care, however, it has been argued for some time that care giving can only be understood within the context of relationship (Nolan et al. 2004). The national dementia strategy (Department of Health 2009) identifies providing person centred care as one of the key standards of living well with dem entia. Kitwood (1993) changed the focus of care for people experiencing dementia from a biomedical approach to an approach he labelled ‘person centred care’. For an  individual with dementia person centred care is characterised by the need to value people with dementia, to treat them as individuals, to view the world from their perspective and to create a positive environment (Brooker 2004). Sheard (2004) review on health services found that often services consider the needs of people with dementia and their carers separately. Kitwood’s (1997) approach offers all health care professionals a way to care for an individual with dementia, however it does not take into consideration the importance of the interaction among people as the foundation of any therapeutic or healing activity in health care. Post (2001) supports this statement and suggests that living with dementia is not about quality of life but rather about quality of lives. Wadensten and Carlsson (2003) suggestion that the most common models of nursing dementia patients provide little more than guidance on how to work positively with older adults. Sheard (2004) therefore called for a development of an approach where an individual with dementia is seen within the context of important and significant relationships. Nolan et al. (2004) therefore argues that RCC is one of the most comprehensive ways of doing this in order to promote a more holistic vision of health care to include; social, economic, environmental and culture into care practice. RCC was developed by the Pew-Fetzer Task Force (1994) who examined how relationships formed between patient and practitioner, practitioner and community and practitioners and practitioners. Pew-Fetzer task force (1994) argued that although the patient centred care model promotes personhood it is not inclusive enough to embrace the relationships formed during illness. To establish RCC, Pew-Fetzer (1994) united the biomedical with the psychosocial element of care to conceptualise health care and recognise that the nature and the quality of relationships is necessary to broaden the health care delivery system. Beech and Unui (2006) Founded four principles of successful RCC, these included; relationships in health care should include the personhood of the individuals, that affect and emotion are important components of relationships in health care, that all healthcare relationships occur in context of reciprocal influence, and finally that RCC should have moral foundation This in relevance to dementia care is important, as often the family play a pivotal role in the care of an individual with dementia with support from many different health professionals. However many researchers  have found that little is known about how to develop and sustain such relationships in a health care environment (Dewar and Nolan 2013). Nolan et al. (1999) considered ho w positive relationships can be created and sustained and developed the ‘senses framework’. Nolan et al. (2001) suggests that individuality certainly shouldn’t be ignored in dementia care, but rather that for most people relationships are crucial in determining quality care. This framework comprises of the six senses; security, continuity, belonging, purpose, achievement and significance. The fundamental premise of Nolan et al. (2001) vision of relationship centred care, is that these senses need to be experienced by all groups involved in order to deliver good care based on relationships. Arksey et al. (2004) in his systematic review concluded that trusting and supportive relationships with staff are essential in dementia care, where good relationships are supported by communication with staff to draw on carers’ expertise and views of what is best for the person with dementia. Due to a lack of time to establish RCC Baillie et al. (2012) suggests that the senses framework in dementia care is very difficult to achieve in an acute ward, where the turnover of patients is often very high. The 8 pillar model of community support (Alzheimer Scotland 2012) provides a case example of how ‘supportive relationships’ form and develop into dement ia care triads. RCC in dementia care provides a complementary philosophy of care, uniting the biomedical approach with the psychosocial of health care, recognising that the nature and quality of relationships are central to the health and care of individual and can be achieved when all participants appreciate the importance of their relationship with each other (Beach and Unui 2006). The senses framework recognises six senses which should be experienced during RCC, three of these are; security, belonging and continuity. Nolan et al. (2004) suggests that continuity creates a subjective sense of security and belonging for older people with dementia. To a person with dementia a sense of security, belonging and continuity is essential in RCC and often involves open negotiation of the service they would like with attention to the physiological and psychological needs with the same support worker (Nolan et al. 2008). Alzheimer’s Scotland (2011) five pillar model of post diagnostic support suggests that individuals with newly diagnosed dementia who receive personalised and flexible support, which is delivered proactively and  sensitively over the course of a year by a skilled and well-trained person will feel these senses. Froggatt et al. (2006) in relation to the need for information developed a welcome booklet for care homes to capture what was special about the care home environment and what was available to residents and their careers. This resulted in a perceptual sense of security for carers and individuals, as they felt they knew something about the environment and the staff working there. When looking at a sense of security, belonging and continuity from a health professional’s view, it is suggested that it involves having a positive experience working with an individual with dementia, being free from physical threat, rebuke or censure and to have secure conditions of employment and their emotional demands recognised (Nolan et al. 2008). Many studies have looked into health professionals and stress in providing dementia care, it is suggested that many people leave the profession due to lack of security and continuity (Dupluis et al. 2014). Through education about the senses Nolan et al. (2004) found that in training staff in effective management of dementia care, the greatest reward comes from witnessing carers and nurses realise that compassionate communication is at the heart of supporting RRC. Hobbs (2009) suggests that workshops and role-play establish ‘steps’ that enable people to meaningfully connect with their environment, feel more supported via discussion groups and ultimately creates a sense of belonging amongst staff. For family and carers, these senses mean being confident in the knowledge that they are providing good care without detriment to their own personal wellbeing and ensures the standard of care is maintained to a high standard. Olsson et al. (2012) study recognised that relatives of people with dementia often struggle to create a situation of security in daily life for themselves and the individual with dementia. Flynn and Mulcahy (2013) suggest that to do this, family and carers need support not only in meeting their physical needs but also their emotional and social needs. The Alzheimer’s Scotland (2012) 8 pillar model of community support recognises that security and continuity can be achieved through personal support, environment aids and the use of health professional’s knowledge in dementia care. Through using Nolan et al. (2001) senses framework a sense of purpose achievement and significance can be created for carers, people with dementia and staff supporting RCC. For people with dementia these senses can be  achieved through purposeful activity, to work towards therapeutic goals and valuing the person’s wellbeing (Barker and Board 2012). A workshop by Nolan et al. (2004) suggests that that these senses highlight the important aspects of care, which are often taken for granted in a care home. For a support worker achieving these senses means they can improve car e for the individual by having direction and a clear set of goals and to feel that their expert opinion matters. In Brown et al. (2012) study they found that the sense of significance can be fulfilled through staff taking an interest in the individual. For instance Brown et al. (2013) study found that when staff got the family and individual in care involved in creating memory boxes, participants felt a sense of perceptual significance, through reminders of who the person is. This also helped to initiate more meaningful conversations and acted as a reminder for the individuals about their life achievements. Nolan et al. (2008) model suggests that for the family carers the sense of purpose achievement and significance can be achieved through, maintaining their dignity and wellbeing through support of their emotional needs such as recognising the time and effort they have committed to the individual with dementia. Often a carer can feel that their best isn’t good enough (Dupluis et al. 2014). Family relationships may already have become strained with the sufferer hiding their memory proble ms. These are often already strained because all of the participants are adjusting to living with dementia (Steeman et al. 2006). However through a RCC approach Nolan et al. (2008) suggests that family carers can feel achievement and significance through support from health professionals to establish their needs in the care process. Alzheimer’s Scotland (2012) suggests that family carers often need to communicate their concerns with a trained professional to overcome any hurdles they face and seek reassurance. Carers need to be recognised as individuals with their own needs. In taking on the identity of a carer, a person often risks losing aspects of what it meant to be themselves (Ter Meulen and Wright 2012). Alzheimer’s Scotland (2012) also recognise the importance of family carers and work with the family to incorporate their needs such as seeking respite or creating a package of care for the individual with dementia so that the family member can take time out for themselves. The Senses framework often reminds health professionals involved in the RCC about the family carers as well as the  in dividual in creating good care. Ben is a 75 year old retired engineer, living with his 70 year old wife, Mary. They live in Perth, Scotland, in a semidetached house, purchased when they were first married 60 years ago. Ben received diagnosis of mild Alzheimer’s a month ago, after being referred to a neurologist by his GP. On a mini mental examination he scored 22/30. Being diagnosed was a fraught time, for Ben and his wife. Ben and Mary have two children and four grandchildren who all live close by, but are not aware of his diagnosis. Over the past year Mary had become concerned about Ben as his mood appeared to become low and his anxiety increased. She also noticed that his short term memory and ability to perform daily activities had declined. Ben has difficulty performing household tasks, such as preparing meals, which he had previously enjoyed doing. On several occasions he has left dinner on the cooker and forgot all about it, leaving it to burn. Mary feels scared to leave Ben alone because of this so very rarely leaves the house. Mary used to enjoy going to choir practice in the evening, however, with Bens decline in cognitive function she hasn’t felt able to do this. Mary is a retired receptionist who at present has no significant medical conditions and describes herself as Ben’s only carer. Mary also feels that their relationship isn’t as close as it used to be. Ben avoids answering questions or talking to her, and often loses his tempter when he doesn’t understand. Ben used to be a keen motorist and often entered his prize winning beetle into many vintage car shows with his old work colleagues. Since his diagnosis, he has been told not to drive and has neglected his car. He is still able to perform basic activities of daily living, such as personal hygiene and dressing, and with prompting from Mary do instrumental activates like emptying the dishwasher. Ben has become increasingly worried about what will happen to himself and Mary as his condition deteriorates, however, wishes to stay at home as long as possible. Ben is also worried about legal and financial affairs. Ben’s only past medical history is osteoarthritis which he takes regular painkillers for. For his newly diagnosed Alzheimer’s, his GP has also prescribed three acetylcholinesterase (AChE) inhibitors Donepezil, Galantamine and Rivastigmine. Ben presently feels uncertain about the future for him and his wife. Ben has an appointment with a dementia  practice co-ordinator in a couple days and is keen to seek advice and help for them both. Nolan et al. (2001) suggests that security for Ben can be achieved through RCC. In Ben’s case, security is recognising his physiological and psychological needs and to feel safe from harm and pain (Ryan et al. 2008). From the case study, some of the issues Ben and his wife are experiencing, in being able to develop a sense of security are; fear of diagnosis, finical worries, safety at home and the future. For Ben, becoming aware that something is wrong, has affected his sense of security with in his relationship with Mary and friends. His relationships have declined because of his insecurity. It is not uncommon for someone newly diagnosed with dementia to feel fear, depression, disbelief and uncertainty which in turn puts stress on their interpersonal relationships (Pratt and Wilkinson 2001). Social interaction can be used in the transitional phase involved in coping with dementia to support all individuals involved in care and friends, often peer support groups, can improve wellbeing (Steeman et al. 2006). Interactions with professional caregivers such a dementia care support workers can often build a relationship where education about dementia can be given and discussions had to make Ben and Marys opinions heard. The information should help individuals to understand what is happening and how disease changes can be modified so they can live a fulfilled life (Olsson et al. 2012). However, it is suggested by Young (2002) that health professionals may silence the person with dementia and the carer. Therefore the use the 5 pillar model can prove beneficial in structuring care around everyone’s needs (Alzheimer Scotland 2011). Advice can be given on how to create security in the home to ensure Ben’s safety and about sorting out finical and legal affairs whilst Ben is still able to do to so. A lasting power of attorney enables Ben to nominate Mary as his attorney. This means when Ben is no longer able to make decisions for himself about his health care or finances, Mary will be able to act on his behalf. This ensures security for Ben and Mary through ensuring the right choices are made for Ben and that Mary still has a home (Ouldred and Bryant 2008). In this case study, Mary is concerned about Ben’s security in their own home, as he regularly leaves the cooker on. Georges et al. (2008) conducted a large survey, which found relatives of people with dementia often spend 10 hours or more a day caregiving. However, it is acknowledged  by Wimo et al. (2002) that a great deal of a relative’s time has been reported to concern supervision/surveillance. Olsson et al. (2011) study suggests that technology could be used in managing daily life. For instance, smoke detectors could be installed to make Mary aware sooner of fire and ensure Ben’s safety when cooking. Also home improvements could be made to help Ben as his condition progresses, such as good lighting to prevent falls and the use of clocks and calendars as a reminder of time and date. Enhancing security can often be linked to continuity in RCC, which can be used to ensure everyone’s wellbeing. Continuity, as described by the six senses, recognises the person with dementia as an individual and offers a chance for family to maintain shared pursuits with constant care, whilst maintaining a positive experience of work for health care professionals. In this case study, Ben is worried about future care. The support needs of Ben and Mary will become evident through discussion. These range from concerns about maintaining their home, continuing to live on their own, or w anting to continue to do the things that they enjoy (Cook et al. 2012). Through discussion of care, all individuals involved in Ben’s care can put a plan in place to support these needs. The care plan should enable constant and stable staffing which allows RCC to form thorough knowledge of each other (Cook et al. 2012). Continuity of Ben’s care should recognise his medical history of osteoarthritis and offer ways to manage his pain (Buffum and Haberfelde 2007). As Ben’s Alzheimer’s progresses, he may not be able to communicate his pain as effectively, this is when pain assessment tools such as the abbey pain scale could be used to ensure he gets adequate pain relief (Buffum and Haberfelde 2007). It may be necessary to educate Mary on these tools so she feels able to asses Ben’s pain and give competent care. Despite Ben’s diagnosis, his daily routine should maintained where possible to promote personhood. This for professional carers means respecting Ben and Mary’s daily routine and home environment. At pre sent Mary feels she can cope at home with Ben, so enforcing home care services at this point may disempower Mary. Support services should be made easily available to Mary when required (Ouldred and Byrant 2008). It is suggested by Van De Steen (2012) that mental health care is particularly well served by continuity of management and co-ordinating health services. Continuity of health professionals involved in Ben’s care means Ben and Mary do not have to  repeat themselves over and over again and a health professional who knows Ben can easily recognise any changes. There are many tools a health professional could use to assess the effect that Ben’s Alzheimer’s is having on him and his care needs, including tools such as the care needs assessment package (Cameron and O’neil 2005). This assessment helps to establish goals for everyone involved in care, especially the health care assistant as they can prioritise needs and create continuity. Mary wants to ensure that Ben is well cared for weather it be by her or another carer, therefore her involvement in the decision ab out where Ben is cared for and how, is crucial in creating a sense of continuity. RCC can support Ben, Mary and his carers in feeling a sense of purpose (Nolan et al. 2004). In this case study, Ben and Mary’s social lives have both been affected by his dementia, they have also yet to establish a relationship with a health care professional. Ben can be supported in many ways to engage in purposeful activity, including the pursuit of his hobbies. In most localities, there are community-based services that can support people to maintain their independence and fulfil their aspirations (Cook et al. 2012). However Cook et al. (2012) often states that there is a lack of information on support in the community. Alzheimer Scotland (2013) funds local Dementia Advisors, who support people with dementia, their partners, families and carers within the local community to access services. The support workers are highly trained to work with each person at home, to support a purposeful relationship where goals can be met. The support worker can suggest local community groups which have been created to offer a dementia friendly place for people like Ben and Mary to meet up for a chat. Support workers also attend this event and it is a chance to really get to know the people involved in care outside of the home. Dementia often affects the sense of purpose for all individuals involved in care (Nolan et al. 2001). Alzheimer Scotland (2013) offers a wide range of welcoming community activities across Scotland, such as singing groups, football memories groups, walking groups, cinema groups and much more. If Mary wishes, she can arrange for a personal assistant to come to the house to be with Ben so she could go to choir practice. Whilst the personal assistant is with Ben, he can be supported to do the things he likes to, like clean his car and take part in meaningful conversation about his interests. The most important support an informal carer can have  regarding the feeling of purpose, is the recognition that they are partners in the care of the dependent person (Ter Meulen and Wright 2012). Driving is closely associated with an adult’s personal identity and self-perceived role in family and society. An individual’s inability to drive can therefore affect their sense of purpose (Alder 2007). Taking the car keys away from Ben is a life-changing event, both for him and Mary that crystallises the devastating impact of the diagnosis. However, through support, Ben can still be encouraged to pursue his love of vintage cars via car rallies and show visits. This can be done in a number of ways using RCC, a carer could support this for example or family members, who are educated about Ben’s needs, could enjoy pursing such events as a family outing, providing a sense of purpose in fulfilling Ben’s personhood. In conclusion, as the number of people with dementia is on the increase, the provision of sensitive and appropriate support for all individuals involved in caring for people with dementia, is needed. This assignment identified the RCC model and the six senses framework in relation to dementia care. Making connections with the senses that are often involved in everyday activity for all individuals involved in care, to promote RCC. This assignment also concluded t hat recognition of the six senses; security, continuity, belonging, purpose, achievement and significance, reflect the varying dimensions necessary for quality dementia care. The senses framework captures the subjective and perceptual dimensions of caring relationships in order to create tailored and seamless care. When using RCC and the senses framework model in a case study, it allowed a biographical approach of care planning structured through ensuring the six senses are met. A greater understanding of the person with dementia can be achieved through using the six senses accurately. However if the future of care is going to change from patient centred care to RCC, more education on the subject is needed. Reference list ADLER, G., 2007. Intervention approaches to driving and dementia. Health & social work, 32(1), pp. 75-79. ALZHIEMER SCOTLAND, September 2011, 2011 – last update, The five pillar model of post-diagnostic support [Homepage of Alzheimer Scotland], [Online]. Available: http://www.alzscot.org/assets/0001/1226/Getting_post_diagnostic_support_right View as multi-pages

Free Essays on Shaya Rebellion-a Much Better Documentation

Shay’s Rebellion: A Much Better Documentation Authors each use their own unique narration and documentation when writing a book about a piece of history, such as Celia a Slave or Shays’ Rebellion. Melton McLaurin, the author of Celia a Slave, uses much more guesswork and â€Å"he-said she-said† documentation rather than actual sound facts. However, David Szatmary, author of Shays’ Rebellion, uses much more first hand, factual information. Melton’s Celia a Slave is not at times very factual and leaves room for questioning. Yet Szatmary writes a piece of literature that uses actual facts and times to convince the reader that his book is completely legitimate. Celia a Slave probably very closely portrays what actually may have happened to Celia. He used the information he did gather and put it all together and wrote a very close account of her story. However, he uses many assumptions and questionable documentation in this book. In chapter two he states â€Å"Precisely what occurred†¦after Newsom entered the cabin is unclear†¦It is reasonable to assume†¦Ã¢â‚¬  There is no need to go any further. Melton states himself that exactly what occurred is unclear, yet it is reasonable to assume. That is the key word, assume. He is not always writing sound accounts but yet makes assumptions. It isn’t clear what happened when he entered her cabin, and yes, one can assume based on their own feelings if put in that situation, how Celia felt, but there is no room for conjectures and guesses when writing a nonfiction piece about a part of history. He then goes on to say â€Å"What Celia, a slave, felt at that moment is n ot recorded, but she would have understood that the boy was inhaling his grandfather’s remains even as he cleaned the ashes from the fireplace†¦Ã¢â‚¬  Once again, what Celia felt is not really recorded, Melton just makes just makes a guess at her feelings. This proves that Celia a Slave was written from a biased sta... Free Essays on Shay'a Rebellion-a Much Better Documentation Free Essays on Shay'a Rebellion-a Much Better Documentation Shay’s Rebellion: A Much Better Documentation Authors each use their own unique narration and documentation when writing a book about a piece of history, such as Celia a Slave or Shays’ Rebellion. Melton McLaurin, the author of Celia a Slave, uses much more guesswork and â€Å"he-said she-said† documentation rather than actual sound facts. However, David Szatmary, author of Shays’ Rebellion, uses much more first hand, factual information. Melton’s Celia a Slave is not at times very factual and leaves room for questioning. Yet Szatmary writes a piece of literature that uses actual facts and times to convince the reader that his book is completely legitimate. Celia a Slave probably very closely portrays what actually may have happened to Celia. He used the information he did gather and put it all together and wrote a very close account of her story. However, he uses many assumptions and questionable documentation in this book. In chapter two he states â€Å"Precisely what occurred†¦after Newsom entered the cabin is unclear†¦It is reasonable to assume†¦Ã¢â‚¬  There is no need to go any further. Melton states himself that exactly what occurred is unclear, yet it is reasonable to assume. That is the key word, assume. He is not always writing sound accounts but yet makes assumptions. It isn’t clear what happened when he entered her cabin, and yes, one can assume based on their own feelings if put in that situation, how Celia felt, but there is no room for conjectures and guesses when writing a nonfiction piece about a part of history. He then goes on to say â€Å"What Celia, a slave, felt at that moment is n ot recorded, but she would have understood that the boy was inhaling his grandfather’s remains even as he cleaned the ashes from the fireplace†¦Ã¢â‚¬  Once again, what Celia felt is not really recorded, Melton just makes just makes a guess at her feelings. This proves that Celia a Slave was written from a biased sta...

The Art of Writing Poetry

The Art of Writing Poetry Anyone who has attempted to write poetry knows that the process can either be rewarding or excruciating, depending on ones reason for writing. Writing a poem for an assignment, especially for those who do not consider themselves poets, can seem like a dreadful task. However, with a few simple tricks and general knowledge of what makes words become poetry, writing a poem can be easier than you ever anticipated- possibly even enjoyable!There are a few simple exercises you can do to write a poem quickly, meeting all of the standards usually assessed by teachers when grading a poetry assignment. Teachers generally look for two things: 1.) That youve followed the assignment guidelines concerning the type of poem, rhyme scheme, meter, etc.; and 2.) That youve been creative in your writing and word choice, using visual language and unique approaches.First, lets discuss assignment guidelines. Just as there are over thirty different types of poems (sonnet, quatrain, couplet, haiku and elegy t o name a few), there are practically limitless ways in which these formats can be manipulated and changed to produce different effects. Be sure to ask your teacher the guidelines on the forms of poetry chosen for an assignment, and if those requirements are set in stone if you find the urge to circumvent them during the creative process. Simply put: you need to know how much creative license your teacher will give you when he or she is grading your paper. For example, if the poem is especially unique or creative, will issues such as hard rhyme vs. soft rhyme be an issue? Or, if the poem relies heavily on visual language and word choice (which most should), will points be deducted if the meter is not what is traditionally expected within, say, an Elizabethan Sonnet form.As for what is generally expected regarding creativity in writing poetry, keep these ideas in mind: poetry that is thought-provoking, strange, controversial, or otherwise unsafe tends to seem more creative. For exampl e, if you choose cyborg love as a topic for a romantically inclined poem, youll most likely be given a better response from your reviewer. Youve taken a step toward the enigmatic, and walked out on a limb in your writing attempt- two traits many poetry teachers and English professors tend to revere. A million poems have been written about the love between a man and a woman; doing something different automatically sets your poem apart from writing that is considered mediocre.The creativity you use should be most focused, however, on your word choice. The topic of a poem is generally shadowed by the words. A poets words are his or her power, and should be the most careful consideration of the poem itself. With this in mind, one of the best resources any poet (or student being forced into writing a poem) could have is a thesaurus. Most word processing programs come with a built-in thesaurus, and websites abound with free thesaurus and synonym-finder tools. These resources come in most handy when you are attempting to make your poem seem more poetic.Take for example the following assignment: Write a free verse poem about love. The student, in consideration of the first suggestion, picks the topic of cyborg love, and writes the poem with a sci-fi slant. A first draft might read like this:In dark corners of the room,On an operating table lies your heart- Cold and unbeating beneath my handsAnd waiting for my touchTo find life.Okay- the topic lends a certain mystery to the poem, and immediately there is an analogous relationship drawn between this science fiction element and real, human love. Such multiple layers of meaning are one of those things that professors look for when grading your work. So what is the next step? Pay attention to your words by finding more intriguing synonyms. Remember, the connotation of words is important in writing, especially in poetry. Another word choice might offer better connotation to draw more depth from your writing.In dim corners o f the room,An operating table exposes your heart- Distant and dead beneath my handsAnd paused for my touch,To find existence.While these changes might not be monumental, they are enough to pull an air of mystery into the poem, making it more visually and aurally appealing to the reader. This exercise can go as far as you want to take it, as you use words that might be completely obscure or easily taken out of context. For example, changing touch to probing in the above example creates a more sexual connotation to the verse, and this one simple change brings an entirely new level of meaning in your poem.If your teacher allows it, using nontraditional words and rhythms can be one of the easiest ways to make your poem more creative. As an example, some writers choose to break a line into two in an unexpected place:Her voice called from the darkness, wishing unspoken things with unspoken words.Keep in mind while writing that poetry is intensely personal, and as one reader might adore on e poets style, another might loathe it. If you are writing for a grade, the most logical conclusion might be to find out what style your teacher enjoys (e.g., modern, traditional, free verse, stream-of-consciousness) and seek to emulate it. Your own experimentation in writing can happen as often as youd like after youve passed the class.

Marketing Questions Case Study Example | Topics and Well Written Essays - 750 words

Marketing Questions - Case Study Example The organization must ensure that is operates as efficiently as possible, so that shareholders benefit and so that it can continue to contribute a large percentage of profits to RED. Maintaining a strong position in the market helps ensure shareholders will profit and helps ensure that it can contribute greatly to the RED program. The ethical component of corporate social responsibility involves GAP behaving in a manner that is socially acceptable. The organization must also respect the social norms of those in which in interacts. This involves recognizing moral norms of the target segments it serves. It must also respect the norms of the families and individuals in Africa for which the program is aimed, without judgment about how AIDS is contracted or why it is so prevalent. The philanthropic component focuses on improving the quality of life, through support of education, the arts or through community projects that enhance a community’s quality of life. Contributing profits to improve the health of families in Ghana and other regions in Africa leads to stronger and more productive communities and families. Cause-marketing events increase the organization’s exposure, through various forms of media. ... Consumers today are increasingly becoming interested in what organizations are doing for the environment. A partnership with Product RED does improve GAP’s image, as young adults and teens today are more concerned with philanthropic activity and giving back, than older generations. As the largest market segment or the segment most interested in GAP products, it is important to appeal to this segment on many levels, not just with trendy products. Some of the RED products, such as the LOVE t-shirt, appear more trendy, because they offer a message and contribute to a worthy cause. The types of technology that have contributed to media coverage of the Product RED marketing campaign are the internet, social networking sites, the Apple iPod and the personal computer. The internet is used to promote RED products for Product RED partners, like GAP. The iPod and personal computer are offered in the red color, which helps promote the cause. Social networking sites allow consumers to sha re information about the cause and RED products they like. MTV MTV has had to address cultural differences in its global expansion. What U.S. viewers find humorous may not be considered funny by viewers in Japan or in South America. To overcome this, MTV has partnered with local or regional broadcast organizations, to tailor programming to the specific culture of the audience. It has reformatted those programs that are more easily adapted to various cultures, such as cartoons. In some global markets, it has combined American music styles with those of the local culture, to make viewing more appealing. MTV’s global market entry strategy is to partner with local broadcasting companies, to bring viewers shows and entertainment that are culturally

Discuss some of the social and ethical issues raised by living life Essay

Discuss some of the social and ethical issues raised by living life online, especially with regard to personal responsibility and individual rights - Essay Example Also part of the social responsibility of a person living life online is the users right to post pictures and videos of himself or most importantly, of others by tagging them. This is a tool that should not be used lightly as it could be used to harm the social reputation of other people in an instant. (Boyd, Why Youth (Heart) Social Networking Sites...†) It is this particular part of online life that has caused a wave of cyberbullying cases through the irresponsible use of social media profiles and photo tagging opportunities. Due to the egalitarian method by which people interact online, the activity should have promoted camaraderie and greater fairness. Instead, the social networking lifestyle has caused an even greater divide among the public users due to the anonymity of the service.Social networking or online life is not a place where one can expect to develop ethics and virtues such as honesty, openness, and patience. Characteristics which in the real world, help mold th e social consciousness and ethical responsibilty within a person. (Markula Center For Applied Ethics, â€Å"Unavoidable Ethical Questions About Social Networking). All of these instant gratification tools offered by social networking has reduced people and their online interaction to an avatar and a few strokes on the keyboard, thus producing a new generation of highly irresponsible and inconsiderate youth. This is because social networks allow them to act irresponsibly without having to fear repercussions socially because of the difficulty in proving such acts. Ethics is not a consideration because the networking sites do not make them responsible for their actions. It remains an unsupervised world where anything can happen. It is if you prefer to call it, the new wild west waiting to be tamed and brought to a new age of social and ethical