Doctor patient relationship Essay Example | Topics and Well Written Essays - 1000 words

Doctor patient relationship - Essay Example Carver takes this idea further by looking at the way in which a career limits the communication skills of a person. The minimal style enhances the starkness of loss especially when it is accompanied by a distant doctor. The paper concludes that the intention of both texts is to illuminate the inequality of the doctor/patient relationship although, unlike Carver, Williams resolves this. Carver provides a hint at the answer by the family finding resolution with the baker. 'A Small, Good Thing' and 'The Girl with the Pimply Face' are initially comparable because they share the subject matter of the medical profession and the narrative techniques are superficially quite similar. The primary theme is the sensitivity of patient/doctor relationships. Williams' story focuses on the doctor's humanity; his susceptibility to desire, boredom and irresponsibility, but also his caring response to a family facing several problems. Changeability is a central quality of being human. Everyone is subject to the same whims and desires whether they are a doctor or not. He has the desire to help, gives his work freely, possesses a genuine interest in the family and does not criticise his patients when they cannot pay. On the other hand there are hints that he is nave because he does not realise the family are taking advantage of him. Furthermore his reasons for being interested in the family are ambiguous. His concern possibly stems from his attraction to the girl with acne rather than genuine professional interest. Although his interest in her is professional; he wants to help her acne and her legs, his thoughts reveal there is something about the girl that would be of interest to him whether or not she needed his attention as a doctor,. Conversely Carver treats the medical profession with suspicion, focusing on the gap between doctors and the ordinary family. Where Williams uses similar language for both the doctor and the girl, Carver uses different language. Williams emphasises the willingness of his doctor to step over professional boundaries and help the girl with advice and money whereas Carver's doctors shift the blame of Scotty's death away from themselves, emphasising that there was nothing they could do. Dr. Francis was disinclined to linger with the parents at the end and Ann feels as if he wants her to leave before she is ready. He never crosses over the professional line. Each story uses distinctive narrative methods to expound this theme. Firstly, neither story has an objective narrator. The Williams' story is told by the doctor and the language is colloquial. There is an outstanding lack of conventional grammar. Spoken words mingle with description. For example, 'What's the matter with her I asked.' (79) The effect is two-fold. Firstly it envelops the reader in the doctor's world, inviting sympathy. However it also makes him susceptible to criticism. His language is not medical and his attention darts quickly away from his patient. He is different from the traditional image of a doctor. 'For the moment at least I had lost all interest in the baby.'(80) By having access to the doctor's inner thoughts the reader is privileged to his true opinion of his patients, feelings not expected of a doctor, 'this young kid in charge of the house did something to me that I liked.'(80) On the other hand Carver's technique incorporates the inner

Biological effects of the use of dirty bombs Essay

Biological effects of the use of dirty bombs - Essay Example The purpose of this report is to comprehensively examine these effects by assessing relevant scientific studies, researches and literature. Introduction As stated in the preceding section of the report, the focus of this assessment is directed towards conducting an analysis of the biological effects of the use of dirty bombs that are a type of a radiological dispersal device (RDD) which also incorporates the detonation of conventional explosives. The discussion topics that have been identified as primary and key considerations of this report include 1) an introduction to dirty bombs as a type of RDD 2) examination of the use of dirty bombs by military armies 3) identification of the determinants that govern the extent or degree of biological impact of dirty bomb detonation 4) assessment of an organism’s biological response to the detonation of dirty bombs and 5) the biological effects of the use of dirty bombs. ... he quantity and kinds of physical damage linked with the detonation of a dirty bomb would be comparable to that of an attack which is conducted by devices or bombs that are not radioactive in nature (Horoho 224). While, this statement postulates that the impact or effects of a dirty bomb are similar to that of a conventional bomb, the fundamental distinction in this case is that the detonation of a dirty bomb, as a radiological dispersal device (RDD) would result in the likelihood of victims and rescuers coming into contact with radioactive materials by the means of inhalation or through the embedment of radioactive materials in the injured party (Horoho 224). Thus, Lifshitz understands that the adverse effects of dirty bombs can be categorized on the basis of the direct impact of the explosion and the consequences that the victims may experience as a result of being exposed to radiation (710). The military application of dirty bombs involves their utilization as bunker busters in or der to break through fortified targets or targets that are present in underground compounds. Even though, the detonation of dirty bombs has proven to be effective in this regard the key issue of concern is linked with the harmful dispersal of radiation that is caused by the explosion which has the ability to adversely impact indigenous peoples. According to Lifshitz, the extent of the impact of a dirty bomb explosion on the victims can be viewed on a scale which constitutes of high-level radiation and low-level radiation (710). The impact of high-level radiation comprises of the onset of severe illness and radiation sickness, which emerge in a brief period ranging from days to weeks and can be identified as the cause of victim’s death, in most cases (Lifshitz 710). On the contrary, low

Social Networking Practices and Interactions Essay

Social Networking Practices and Interactions - Essay Example The paper tells that social sites to have a contrast with the real lives that people lead. The likes and interests often posted on social sites are only meant to give people social status but are different from the reality; thus firms will be targeting virtual people who will eventually not consume the products. People fall into various social classes, and the way in which one person lives is not the manner in which the next person will live. But in social media due to the imminent influence, people always strive to fit in certain social classes just to stay in touch with the current trends in the world. For instance, if a new fashion line of designer clothes is released and someone posts a photo wearing that clothes his/her followers will always be influenced by purchasing the same cloth to be at a bar with the current trend. Social media is emerging to be essential in business as it is perceived to be the marketing platform that takes heed of the needs of consumers. The 21st centur y is characterized by massive technological advancements that have led to the emergence of new methods in which people interact. Previously people were limited to telephone calls or at least sending emails and thus was a preserve of a few individuals with the internet connection. Today, virtually every locality inhabited by people has internet signal and thus people are accessing the World Wide Web from anywhere. With a technological improvement in mobile gadgets such as smartphones, tablets, iPads and even microcomputers, many people have gained access to the internet connection. This has revolutionized the modern era of information processing, and dissemination has become almost instant. Online presence in social sites like Facebook, Twitter, Instagram, WhatsApp has been soaring by each day now running into hundreds of million subscribers, thus creating a new niche of consumers for businesses with an online presence.

HRMT19020 - Managing Organisational Change Assignment

HRMT19020 - Managing Organisational Change - Assignment Example Employees resist change because of the comfort they derive from the known and the fear of the unknown that accompanies such change. Anxiety on the effects of change on the employee’s performance, position, relationship with other employees and a number of job related factors (Hede and Bovey, 2001a). True value food processing company through its senior manager has indicated their desire to change the operational mode and the conditions upon employment. According to Chan Baker, the company plans to introduce multi-skilling for its employees especially the non-salaried employees to improve the company’s profitability and efficiency. Multi-skilling is the development of a single employee by training him/her on different areas of operations within an organization. An organization that adopts multi-skilling practice gives preference to employees who have a wide range of skills or knowledge that can enable them work in different. Multi-skilled employees are a big asset to an organization as they increase productivity, efficiency and innovation in an organization. This approach also reduces the need for the organization to employee more people, which is cost ineffective, and generally unproductive (Hede and Bovey, 2001b). ... The section managers in the organisation are also expected to show some level of resistance to the plans of the senior manager. This report highlights some of the approaches that Mr Baker can adopt to ensure that he counters such cases of resistance adequately without interfering with the operations of the processor. It finally provides detailed consultancy advice on how best Mr Baker can manage this important organisational initiative and reaps great results from the changes. Each approach provided will be explained using relevant examples, which can be safely applied to the situation at hand. Background information and case study Implementing this program at true value food processing company will obviously generate resistance from s number of employees. Such resistance to this kind of change will retard any progress towards implementing this policy. As a custom across many countries and economies across the world, employees focus in one area of expertise and perfect their skills i n such areas. It is rare to find a graduate who can operate a bakery, make the dough and be able to service the machines at the same time. Multi-skilled employees are however required to be able to address different tasks as need may arise even those that outside their professions. Employees who are already working with true value processing plant will therefore resist any attempt to employ others who are considered as multi-skilled. This is because most of them fear they may lose their positions because of redundancy in the organization. Multi-skilled employees increase the levels of redundancy and they can be used as a viable reason to lay off some members of the

Experience Essay Example | Topics and Well Written Essays - 750 words

Experience - Essay Example In the case of the aforementioned interview, the former governor was talking in a general term, speaking about his ideas based on his political views and affiliation. On the first question of Cavuto about the senators who fled to Illinois to block the Wisconsin controversial bill, the governor answered in a general term embracing to his opinion what America should do. He encouraged America to stand with Walker, the governor of Wisconsin and to stand with the state where this controversy is being ironed out. This statement of Pawlenty not only depicts generalization of views but also mirrors an interpersonal barrier presenting the political ideas of the interviewee. He showed the tendency of thinking that his listeners have the same beliefs as he did by seemingly assuming that standing with the Wisconsin governor is the answer to restructuring the government. Static evaluation is evident in the words of Pawlenty about president Obama when he was asked if the Republicans might be recon sidering him to be unbeatable when the issue about the 2012 election was brought out. The governor stated that he thinks Obama is not unbeatable which could have been a good answer because he was just simply stating his opinion which is undeniably possible. However, his next sentence made it all wrong saying, ‘I think he should be beaten’, showing his desire for Barack Obama. This gives the message to the listener or viewer that his emotions are strong enough against the president for him to say those words especially the ones that came after that. ‘I think he’s not done a very good job as president and he doesn’t deserve re-election’ are the personal views of the governor which show static evaluation. He has expressed a statement which is biased and quite judgmental, revealing his discernment to be a general truth and unchangeable. ‘Let’s not just talk about cutting†¦ but let’s talk about growth as well and we’ ve got a president who understands none of that’ are the final statements of the governor in his interview. This statement again, shows judgments that are static, speaking about a president who is nearing the end of his term. Rephrasing the announcement of the governor, I think it would be better to say, ‘I think he (Obama) could be beaten’ rather than using the word should because it expresses a strong personal feeling against the president making the speaker look like he is against him. As a listener, these words are understood as pretty much affected by the interviewee’s emotions and political background and beliefs, supporting the governor of Wisconsin and criticizing the president who earlier expressed his disapproval over the Wisconsin union rights controversy saying governor Walker is going beyond what he is supposed to do. The governor could improve his verbal communication skills if he takes time to think for a moment before giving his answers and avoid being carried away by his political views and emotions. Reference â€Å"Your World Cavuto.†

Strategy Essay Example | Topics and Well Written Essays - 4000 words

Strategy - Essay Example It has 760 stores in UK and 30 countries around the world. (Annual Report) M&S profits peaked in 1998 when it crossed the  £ 1 billion mark that year. It was the highest achieved by a UK retail chain. From then until 2002 it was downhill. In 2004 a new CEO Rose took over the reins and M&S slowly but surely got back to making higher profits every year since, although they are still far from the billion pounds they made in 1998. (see Appendix 1) Several major factors affected profits, the barometer of public support and financial performance. Rivals had switched to source their products from abroad at cheaper prices while M&S continued with the costly UK suppliers. As a result margins came under pressure, sales became stagnant and profits plummeted. From a high of a billion pounds in 1998, the profits fell to a low of 145 million in 2001. M&S were forced to curtail their dependence on UK suppliers and resort to other means for sustenance. (see Appendix 1) The second factor was the company policy not to accept credit cards. This had become a universal phenomenon and denial was luring younger and more mobile customers away to other rival outlets that offered this facility. The third factor was that M&S had abandoned its high street image and had gone for low end products like rivals were doing and it suffered an image loss. It was earlier known for quality of its products and it was no longer a leader in that segment. This forced a serious rethinking in the boardroom and let to a total revamp in both control and strategy of the company. A new post of Chairman as well as a new one for a CEO, as against a combined post, were created and have since seen the company’s fortune turn around. M&S, chastened by the serious erosion in customer loyalty and profits decided to revert to its roots. In the first stage they went back to exploit their core competencies. M&S started off with introduction of a new range of classical clothing for women and it was reported

Theories of Formation, Maintenance and Breakdown of Relationships Essay Example for Free

Theories of Formation, Maintenance and Breakdown of Relationships Essay The reward/ need satisfaction model (Byrne and Clore 1970) is a good example of how relationships are formed. It is based on the behavioural model which is influenced by both operant and classical conditioning where we form relationships due to direct or indirect rewards. These could be money, status, companionship, sex etc. However this theory is limited as it doesn’t take into account that participants in relationships are often concerned with equity. For example Hays (1985) found that in student friendships that rewarding someone and being rewarded oneself were valued equally. Also, not all relationships can be explained by this model as it suggests that all relationships are one sided in reward giving and that people don’t do things unless they thought they’d get e reward. This doesn’t explain why relationships continue even when they become satisfactory. The reward/ need satisfaction model is likewise culturally bias; the theory is relevant to Western cultures. Many Collectivist cultures, usually in the East, show little concern for the receipt of reinforcement. Maintenance of relationships can be explained through the Social Exchange Theory (Thibault and Kelley 1959). This is an economic theory which suggests that people maximise the possible rewards in a relationship whilst minimising their costs; specifically attraction. It also suggests that commitment to a relationship is dependent on profitability of the outcome – a cost-benefit ratio. It is the outcome of this which determines the attraction to one another. The theory also argues that if your partner has a ‘high cost’ then they have to counter balance that with lots of rewards. A strength of this theory is that it helps to explain why marital dissatisfaction doesn’t necessarily predict divorce. However it fails to explain what can cause initially successful marriages to breakdown. It also suggests that all people are selfish and that they would walk out of a relationship that has become unrewarding. That however does not explain cases of domestic violence. This theory is again culturally bias; it is based on Western cultures so it assumes that people can pick and choose their partners. It doesn’t take into account arranged marriages. Walster et al (1978), suggested the Equity theory in maintaining relationships. This theory suggests that relationships are maintained by a kind of economic balance to ensure equality between the two partners. This is achieved by matching the giving and receiving between the two partners. If there is an imbalance between them, then this is resolved by either adjusting the levels of giving and receiving, or comparing the relationships to somebody else’s to evaluate whether it is worth staying in the relationship or not. A supporting study was conducted by Hatfield et al (1979), who found that the happiest newly-weds were those that perceived an equitable relationship; those that were over or under benefited had lower satisfaction. However, Hatfield also said that equity was more important for females than males. This theory however is culturally bias; it was researched in a Western society. In some cultures relationships aren’t assessed on their economic validity, so this theory cannot be generalised. This theory also suffers from beta bias- there is no comparison between males and females, so it assumes that males and females have an identical attitude to relationships when they may actually look for different things in terms of relationship maintenance. Rollie and Duck (2006) have the most substantial model of relationship breakdown. It is a phase model that describes six stages of relationship breakdown. These start from the initial breakdown, intra -psychic process, dyadic process, social process, grace dressing process to the resurrection process; where at the end a person is supposed to redefine themselves and look for a new partner. The breakdown process- one or both of the partners becomes unhappy with the relationship- ‘I can’t stand this anymore’. Intra-psychic- the individual begins to over exaggerate the irritating the other one does and focus on the bad times- ‘I’d be justified in leaving’. The dyadic process- the unhappy partner confronts the other one and they bargain and negotiate terms- ‘I mean it, I want to leave’. Social process- both partners tell their friends and family who take sides to either support the relationship or the breakup- ‘it’s now inevitable’. The grave dressing process and resurrection process is where the relationship dies and decide what they want in future relationships- ‘time to get a new life’, ‘what I learned and how things will be different’. However this model doesn’t explain how couples stay together despite having misgivings about the relationship; as breakdown isn’t necessarily inevitable. The model also assumes that all relationships go through these specific stages which ignore individual differences; not all individuals discuss problems in their relationship. Some people may ignore their problems or end the relationship there and then. This theory is culturally bias as some Eastern cultures frown upon divorce so a married couple would stay married and therefore be stuck at the social process perhaps and not get the chance to move on. A strength of this theory though is that it addresses both cognitive and behavioural aspects which include people’s feelings. This theory is also reductionist compared to the holistic view on relationship breakdown. It ignores the fact that past experiences with relationships could have an impact on the stage of dissolution in relationships, or the prevention of the dissolution of a relationship. Although the theory does have good practical applications; if the reasons for relationship breakdown according to this theory are true, then confronting relationship issues with counselling, for example, to solve problems should be effective. Research into the area of relationship breakdown is considered as socially sensitive. Therefore great care must be taken when researching participants to avoid causing unnecessary distress.