Small Medium Enterprises Implementations

Question: Examine about the Small Medium Enterprises Implementations. Answer: Presentation The reports of the past information mirror that pretty much every size of business substance is executing the bookkeeping programming to keep up a total track of the inside and the outside database. In the structure of the current headline Abusaimeh (2014) mirrors that the dispersion and the turn of events, bookkeeping programming in the Australian market have changed the whole database record framework. The organizations have gotten profoundly subject to the affecting interior procedure of the bookkeeping programming in the Australian market. Yilmaz (2015) made sense of that the Australian elements generally utilize the finance and the bookkeeping programming bundles. The overview, led over the SMEs (Small Medium Enterprises) mirrors the 85% of the associations favor utilizing the bookkeeping programming to keep up an exact base of inward and outer records. In any case, Yilmaz (2015) confirmed that the moderate entrepreneurs and the one with the restricted specialized information are relied upon to proceed with the conventional specialized procedure. In any case, contending the last setting, Parthasarathy and Sharma (2016) attested that the business people select a few experts in the IT (Information Technology) division to remain refreshed with the cutting edge data base. Consequently, the business visionaries educate the control unit to examine on the suitability of the IT programming proposed by the IT individual. By the inputs, the specialized programming is executed inside the inner procedure. Along these lines, the significance of the bookkeeping programming is profoundly perceived by both the preservationist and the advanced business people. The current examination means to decide the adequacy of the bookkeeping programming and the market chiefs working in the particular division. History and the improvement of the bookkeeping programming In the late 1950 and mid 1960, the Mega Corporation has taken the activities of dealing with the information that matched the prerequisites of the administering authority (Yilmaz, 2015). The enterprise has confronted a few issues in taking care of the database in the financially savvy programming. Because of the redundant and overwhelming volume of the money related and bookkeeping information, the database has become the prime contender for the robotization method. IBM built up the underlying programming language by framing an objective database and put away the organized information inside the PCs. Subsequently, the clients experienced less issue with respect to the information openness strategy. As indicated by Abusaimeh (2014), SAP has been created in 1973, which planned the product offerings with the particular techniques to expand the quickness in the database following framework. The premier goal behind executing the product is to have fast access to the database, settling the calculations, arranging the complexities in the database and getting to the database in a successive way. In 1981, Peachtree offered the underlying incorporated office suite, where the word processor and exceed expectations sheet were incorporated. In addition, Intuit has additionally found its first spreadsheet, which the clients find viably valuable to keep up the database. A portion of the spreadsheets were connected with the exceed expectations record, where the clients can apply the information in the spreadsheets and keep a reinforcement of the database inside the Excel sheets. Bookkeeping programming projects advertise size in the Australian district Intuit, MYOB and Xero are significant market pioneers of bookkeeping programming in the Australian market. In the specific induction, Yilmaz (2015) determined that zero has its activity in the worldwide setting, though, MYOB has its activity single in the residential area. The administration of the endeavor has announced to have caught 15% of the offer broadly. The character additionally asserted of having a critical energy of the dynamic working environment with a complete base of 250,000 clients and 10,000 accomplices (Parthasarathy and Sharma, 2016). Figure 1: Xeros showcase cost (Source: www.afr.com, 2016) In the current setting, Wu and Cao (2016) established that offer cost of Xero has shut at $17.75. The cost has reached to the most extreme edge of $25.60 in March 2016. On the other hand, Parthasarathy and Sharma (2016) stated that the Intuit has figured out how to catch 80% of the Australian market with its QuickBooks application. Despite what might be expected, a derivation can be inferred that MYOB has figured out how to expand its offer cost inside the scope of $ 831.7 to $ 833.8million, which mirrors a characteristic value scope of $3 - $4 in the IPO setting (www.afr.com, 2016). The past reports additionally confirm that nearly $250 million of the new companies are utilizing the Xero programming for the database following reason. The market heads in the bookkeeping programming section Xero restrictive figures out how to devour 65% of the Australian piece of the pie in the bookkeeping programming division, though MIYO has caught just 20% of the offers and the forgot about figure is locked in by different ventures (Protogeros et al. 2011). Bookkeeping programming isn't just constrained to the stock following and record the executives reason, yet it has likewise developed to the degree of giving the cloud-based administrations to the organizations with worthwhile administrations (www.businessinsider.com.au, 2016). Intuit has figured out how to catch 80% of the Australian market with its QuickBooks application (Abusaimeh, 2014). Xero is a New Zealand based venture that has transformed into an Australian monster for the bookkeeping programming fragment. It has figured out how to accumulate 400,000 clients everywhere throughout the world and continued with $240 billion of exchanges and 95 million of receipt. Elements that are driving the endeavors to achieve the serious situating Stock administration: The bookkeeping programming bundle frequently encourages the venture with the stock information the board framework. This product keeps the nitty gritty record of the items and the administrations. Beginning from the creation to the dissemination of the item is overseen and put away in the framework. The items like the crude materials, the gear and devices, the deals based records, everything is overseen strongly in the particular framework. Because of its simple usefulness, the product turns out to be anything but difficult to get to (www.afr.com, 2016). Finance the executives The product keeps up the money related records, yet it involves on the differentiated practical procedure. As indicated by Yilmaz (2015), the HR faculty can keep up the whole seconds of the inner assets and the remuneration division of every one of the representatives. Subsequently, most of the SMEs and the very much created associations are taking the assistance of the bookkeeping programming to have an information precision reinforcement. Difficulties and issues looked by the clients with the bookkeeping programming Bookkeeping programming is exceptionally advantageous for making and executing a strong information the board framework. Directly, it has been discovered that the bookkeeping programming is giving such a large number of issues to the clients. Absence of Security The product designers are a lot of worried about the security of information. It has been seen that the whole little and large specialty unit are right now utilizing bookkeeping programming and tending to switch towards the cloud-based framework (Ciftci, 2010). Henceforth, absence of information security comes before the framework as the firewalls need more capacity to take care of the whole issues. The wasteful assistance of the firewall and alongside wasteful help of the product makes the information security issues. In the assessment of Krishnan and Wang (2014), some bookkeeping programming items are not easy to use and don't allow the clients to utilize the console and mouse. Along these lines, absence of proficiency is the other significant purpose behind giving low security. Feeble Reporting Services The bookkeeping programming arrangement is feeble in helping the clients and different customers while the individuals need to get back the necessary data (Protogeros et al. 2011). In this way, the clients get disturbed as it isn't easy to bring out the information. The other bookkeeping programming doesn't permit the product items to recover the information or import the information according to the need. Proposals to improve the above issues day in and day out Technical backings It is basic to determine the issues of the clients related with bookkeeping programming inside one business day. The bookkeeping programming producing firm would need to employ a group who bolster the customers separated from the business hours (Tankard, 2012). The help group needs to give a contact number to reach the clients for fixing the issues on a quick premise. As indicated by the assessment of Yilmaz (2015), the best help is consistently an eye to eye meeting. In any case, now and again, support through the call could be increasingly proper to make sure about the issues of the customers. This procedure would likewise be useful to improve the client relationship the board of the association. Improve the product equivalence Considering the assessment of Krishnan and Wang (2014), it has been seen that many bookkeeping programming isn't good with the other programming programs. For a model, the product engineer would require improving the information import and fare framework, with the goal that the clients could without much of a stretch recover the necessary information. It has been distinguished that there are numerous projects which can without much of a stretch recover the informational collection according to the necessity (Yilmaz, 2015). Consequently, the designers of bookkeeping programming would need to reproduce the highlights of the product for improving the product equivalence. End The starter examination of the investigation shows that the bookkeeping programming is exceptionally a helpful programming project to deal with the informational index. While directing the examination, history of bookkeeping programming in Australia has been dissected in the exploration. It has been theorized that Xero, Intuit and MYOB are the market chiefs in Australian bookkeeping programming market. These associations have a gigantic turnover for building up a reasonable market position.

Characteristics of tea Essay

The issue of solid ways of life has significantly added to showcasing and is turning into a significant factor of current lives. Today numerous organizations guarantee potential medical advantages from tea drinking. Therefore, large providers focused on the wellbeing familiarity with buyers and have situated their showcasing systems to boost this potential. For example, Tetley has collaborated with St. Ivel and Warburtons to build up a site focused on solid living. In 2002 PG Tips’ bundling has been overhauled to underscore ‘healthy’ attributes of tea. It advises the customer that tea is a cancer prevention agent source. Cell reinforcement in tea, alleged ‘flavonoids’, are as far as anyone knows imperative for a sound eating routine. Then again, specialists from the University Dental Hospital of Manchester have discovered that specific teas [especially home grown tea] may wreck teeth by dissolving lacquer [Published in the Journal of Dentistry and Daily Mail 19/11/2001]. Notwithstanding underscoring medical problems, KJM nourishments will separate by taking advantage of another human need: unwinding and harmony. The pace of life is quickening and these days numerous individuals gripe about extremely quick and feverish ways of life. Individuals in today’s world scarcely have whenever to unwind or be for themselves. Promoting messages should play upon this absence of time and opportunity and underscore on the ‘relaxing ritual’ of preparing tea and getting a charge out of ‘a cuppa’. As per Mintel, customers are progressively ready to pay for items and administrations which furnish them with all the more spare time and which make life simpler. There is a general pattern to be seen: one takes a pay slice back so as to have additional time, or moves into rural areas to live calmer, individuals escape into nature, investigate the universe of ‘Yoga’, participate in ‘Relaxation classes’, do ‘Aromatherapy’, etc. ‘SOUL’ tea consummately fits into this new way of life pattern and its publicizing and bundling will accentuate SOUL’s loosening up character and clarify that diverse mixture times will have various impacts. For instance, the bundling will train to expand mixture time so as to change the typical impacts of tea into emphatically unwinding and calming impacts. This is a specialty the other large brands are not considering at present. The ‘Brand Steering Wheel’ by ‘Icon Brand Navigation Ltd. ‘ according to addendum 4 sums up the ideal impression of SOUL by its objective gatherings. It shows all parts of the brand’s personality and will be utilized in this report as a future-situated situating stage supporting to drive KJM’s promoting and duplicate system.

Warning Signs of Domestic Abuse

Warning Signs of Domestic Abuse Relationships Violence and Abuse Print Top Warning Signs of Domestic Abuse By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Medically reviewed by Medically reviewed by Steven Gans, MD on May 21, 2019 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on July 17, 2019 Kittisak Jirasittichai / EyeEm / Getty Images More in Relationships Violence and Abuse Spouses & Partners LGBTQ In This Article Table of Contents Expand Physical Emotional Behavioral Changes What Control Looks Like View All Back To Top Some of the signs of domestic abuse, such as physical marks, may be easy to identify. Others may be things you can easily explain away or overlookâ€"say, chalking up a friends skipping out on an activity you once enjoyed together as being due to a simple loss of interest. Domestic abuse affects each person differently, but it impacts everyone both physically and psychologically. Its often an aggregate of related signs of domestic abuse that tip someone off that a person is at risk. Domestic abuse can happen to anyone regardless of their social, educational, or financial status. While red flags arent always proof that someone is being mistreated in this way, they are worth knowing. Many who are abused may try to cover up what is happening to them for a variety of reasons, and it goes without saying that these individuals could benefit from help. Physical Signs of Abuse If someone is being physically abused, they will likely have frequent bruises or physical injuries consistent with being punched, choked, or knocked downâ€"and theyll likely have a weak or inconsistent explanation for these injuries. Some signs of physical abuse include: Black eyesBusted lipsRed or purple marks on the neckSprained wristsBruises on the arms Its also common for someone to try to cover up the physical signs with clothing. For example, you may notice that someone you care about is wearing long sleeves or scarves in the hot summer. Wearing heavier than normal makeup or donning sunglasses inside  are also common signs of domestic abuse. Abuse occurs when one person in a relationship attempts to dominate and control the other person. Usually, the control begins with psychological or emotional abuse, then escalates to physical abuse. When domestic abuse includes physical violence, its termed domestic violence. Emotional Signs of Abuse Domestic abuse, of course, can take a serious emotional toll, creating a sense of helplessness, hopelessness, or despair. Domestic abuse can cause people to believe that they will never escape the control of the abuser. They may also exhibit a  constant state of alertness to the point they never can completely relax. Other emotional signs of abuse include: Low self-esteemExtremely apologetic or meekSeeming fearfulChanges in sleep habits (sleeping too much or not enough)Agitation, anxiety, or constant apprehensionDeveloping a drug or alcohol problemSymptoms of depressionLoss of interest in daily activitiesTalking about or attempting suicide These symptoms, of course, could be due to many other conditions or factors, but they are typical of domestic abuse victims who feel they are trapped in an abusive relationship. Behavioral Changes If you notice that someone who was once outgoing and cheerful has gradually become quiet and withdrawn, it could be a sign of domestic abuse. You may notice that the person: Is reserved and distantDrops out of activities they would usually enjoyCancels appointments or meetings with you at the last minuteIs often late to work or other appointmentsExhibits excessive privacy concerning their personal life or the person with whom theyre in a relationshipBegins isolating themselves by cutting off contacts with friends and family members Exhibitions of Fear People who are being abused may seem anxious or nervous when they are away from the abuser, or they may seem overly anxious to please their partner. If they have children, the children may seem timid, frightened, or extremely well-behaved when the partner is around. Although victims may not talk about the actual abuse, they might refer to the abuser as moody or having a bad temper. They may reveal that the partner is particularly bad-tempered when drinking alcohol. Sometimes, the fear a victim of abuse experiences is so intense they feel paralyzed to make decisions or to even protect themselves or their children. When the fear gets to that point, they will even turn down help offered to them by friends, family, or even professional protective services. What Control Looks Like Domestic abuse is not about violence, its all about control. If you notice that someone seems to be controlled or extremely manipulated in all areas of their life, it could be a sign they are being abused at some level. Here are some examples of control: Asking permission to go anywhere or to meet and socialize with other peopleReferring to their partner as jealous or possessive, or always accusing them of having affairsTheir partner constantly calls or texts them wanting to know where they are, what they are doing, and who they are with. The partner may even follow the victim to check up on them.Having very little money available to them, not having access to a credit card, or having to account for every penny spentNot having access to a vehicle Do You Need Help? If you are experiencing domestic abuse and these signs are all too familiar, know that whats happening to you is not your fault. You are not alone and help is available. Call the National Domestic Violence Hotline at 1-800-799-7233 for assistance. A Word From Verywell Helping someone who is the victim of domestic abuse is a delicate matter. By learning some of the warning signs, you can feel more comfortable offering a sympathetic ear and seizing the opportunity to help a victim of domestic abuse or violence.

The Genius Of Rubrics Is A Coherent Set Of Criteria

A rubric is a coherent set of criteria for students work that includes descriptions of levels of performance quality on the criteria. Sounds simple enough, right? Unfortunately, this definition of rubric is rarely demonstrated in practice. The Internet, for example, offers many rubrics that do not, in fact, describe performance. I think I know why that might be and will explain that in Chapter 2, but for now let s start with the positive. It should be clear from the definition that rubrics have two major aspects: coherent sets of criteria and descriptions of levels of performance for these criteria. The genius of rubrics is that they are descriptive and not evaluative. Of course, rubrics can be used to evaluate, but the operating principle is you match the performance to the description rather than judge it. Thus rubrics are as good or bad as the criteria selected and the descriptions of the levels of performance under each. Effective rubrics have appropriate criteria and well-written descriptions of performance. Exemplars performance tasks in Math, Science and Writing are designed to improve assessment and instruction while meeting state, national and Common Core standards. Exemplars rubrics and anchor papers provide both teachers and administrators with a way of assessing students problem-solving skills, science-process skills, writing skills and communication skills. To assist our users as well as other interested parties, Exemplars has collected researchShow MoreRelatedMultiple Intelligences Seminar and Workshop14464 Words   |  58 Pagescognitive capacity people are born with. This capacity can be easily measured by short-answer tests. According to Howard Gardner, intelligence is: - The ability to create an effective product or offer a service that is valued in a culture; - A set of skills that make it possible for a person to solve problems in life; - The potential for finding or creating solutions for problems, which involves gathering new knowledge. An educational system based on national standards and efficient, relativelyRead MoreRastafarian79520 Words   |  319 PagesRastas, marijuana, which is illegal in Jamaica, is a sacrament for worship. 6. Rastas regard western society as part of Babylon—a system and a place that is the enemy of the blacks of the world. FOREWORD ix 7. There is still no organized set of doctrines and teachings that constitute Rastafarianism, and no organized Rastafarian church, temple, or worship space exists. 8. There are numerous sects and groupings of Rastafarians, each holding to its own belief system and structure. 9. RastafarianismRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesTransitions †¢ Richard P. Tucker 315 About the Contributors †¢ 343 _ IN TR OD UC TIO N Michael Adas B y any of the customary measures we deploy to demarcate historical epochs, the twentieth century does not appear to be a very coherent unit. The beginnings and ends of what we choose to call centuries are almost invariably years of little significance. But there is little agreement over when the twentieth century c.e. arrived, and there were several points both before the year

Comparing the Reigns of Julian and Constantius Essay

For a ruler to be successful, certain characteristics must be present in that specific person. There are many variances to the cookie-cut emperor, though they all share similar passions. For instance, while one ruler emphasizes trade routes and commercial power for expansion of their legion, another may emphasize war and destruction only to rebuild their own version of their legion in the place that had been won. Although both rulers have very different manners and ideas about how to expand their empire, both have the same wish to be fulfilled. This kind of contradiction of power and reason is very implemented into the storyline of Julian. Between Julian and Constantius, they both attempt to reform the state religion, but are at†¦show more content†¦On the other hand, Julian was Constantius kryptonite. Julian who, at a young age is very submissive and obedient follows the reign of Constantius for his own safety. Struck with fear from the death of his father, Julian ne ver reveals his true beliefs until the proper moment. Sly and witty with his life, Julian makes alliances with other paganistic believers as he ventures into philosophy and sciences, only to suppress his wishes on being any sort of leader. With mentors and friends like that of Oribasius, Libanius, and Priscus, Julian is molded into a very intelligent person; His intelligence with the sciences assist him greatly later on in his persecutions of the Christian faith. Julian is successful at keeping his secrets regarding his true beliefs, which keep him in the good graces of Constantius, ensuring his protection into adulthood. After the death of his brother, Julian was promoted to Caesar due to the necessity of command for the armed forces [pp 184-185]. Being a natural at military command, Julian was able to experience what power can do to a person. With his successes against the Germans, the people who fought under his Caesar-ship revolted at the order of Constantius and forced Ju lian to the seat of Augustus [pp 257-262]. Julian still remained careful in his choices, nearly refusing his newly appointed position at first and still claiming Christian faith, at least until

Critical Review of Dementia Service User’s Experience of Care Free Essays

string(148) " have highlighted that living in a sheltered housing environment can be a lonely experience for many patients and this can make them feel isolated\." Title: A 3000 words essay critically reviewing a service user’s journey through their experience of care In this essay I will critically evaluate a resident by the name of Tom Journey with dementia. He suffers from Alzheimer’s dementia and lives in sheltered housing. I will explore issues surrounding nutrition intake, wandering, communication, incontinence and the environment that affect the client, family and staff. We will write a custom essay sample on Critical Review of Dementia Service User’s Experience of Care or any similar topic only for you Order Now I will then look at the assessment process, care planning, implementing and evaluation. I will explore patient safety, intervention and the processes that managers and professionals have to undertake when managing individuals with dementia. These interventions and approaches adopted are vital when planning person centred care. In addition, due to the policy of confidentiality I would not mention the name of the organisation and persons involved. The essay will end with a conclusion and a summary. According to Mathers and Leanardi (2000), â€Å"Dementia is a syndrome caused by a range of illnesses and currently many are incurable, and cause progressive, irreversible brain damage. They include Alzheimer’s disease (the most common cause), vascular disease, frontal lobe dementia and Lewy Body disease. Symptoms of dementia can include memory loss, difficulties with language, judgement, insight and failure to recognise people, disorientation, mood changes, hallucinations, delusions, and the gradual loss of ability to perform all tasks of daily living†,( Mathers and Leanardi, 2000). Mace and Rabin (1999) highlighted that, â€Å"the word dementia originated from two Latin words which mean â€Å"away and mind†. This can indicate a loss of memory inability to function effectively, which can result in mental confusion†. Jack is a seventy year old man with dementia. He lives in sheltered housing. He has four children two sons and two daughters. He was moved from his home into sheltered accommodation after the death of his wife Mary. His condition deteriorated very rapidly and he needed extra support to live at home safely. The family was unable to adequately provide for Jack’s needs, so they decided to re-house him. The family brought Jack with them to view the flat before he was moved in. This allowed Jack the opportunity to meet the staff and get familiar with the new environment. He was brought in by is son and daughter, but his son stayed with him in the guest room for a few days to get him settled and feel comfortable. Jack was showing early signs of dementia as his communication was not clear at times and often his speech was muddled. Furthermore, his memory was poor at first as he kept asking for his wife repeatedly for examples, † where am I†, â€Å"whose house is thisâ₠¬ , and â€Å"why am I here†. Also his nutrition was an issue as he was not eating his meals and often said he was not hungry or he would eat later. He would sometimes say take it away and feed the pigeon. Food would turn up in various places like bins, in drawers and even in his bed. Mace and Rabins (1999) mentioned that eating alone can contribute to or worsen their confusion. Incontinence was also a big concern for staff as he was constantly wet and soiled with faeces. He would choose places not suitable to use for toileting, removing his protective clothing. He was also hiding dirty soiled clothes in inappropriate places. Moreover, getting his personal care done was a big task as he was not cooperative. Beatie et al, (2005) stated that people with dementia do not know that they are not being cooperative with certain basic tasks. This could be related to my client as I observed these issues on many occasions. All these conditions have been highlighted by (Kitwood, 1997). With regard to incontinence, Parker (2000) supported that because of the dying of the brain cells, a person like Jack will not be able to independently identify the message the brain is conveying about the bowel. This problem was identified with Jack. Jack, as supported by Parker (2000) should be encouraged to use the toilet before and after consuming meals and drinks and should also have a regular pad change. Parker 2000 also cited that when any person in a state like that of Jack is constipated or having sluggish bowel movement, they should be offered medication like suppositories and if this does not work they should be supported by observation. When dealing with Jack who does not have mental capacity it is important to observe his actions. When he is in need of toileting he can exhibit the following actions which are non verbal such as pulling down or removing pants, or opening his fly. These actions are likely to suggest that he wants to use the toilet. Mace and Rabins (1999) argued that it can be very difficult for practitioners to achieve appropriate assessments when they are dealing with persons who are living in an independent setting. My assessment highlighted many problems such as personal care, poor memory, poor nutrition intake, urinary incontinence, poor communication and wandering about all the time. However, this was more pronounced in the evenings. Morris and Morris (2010), Kitwood, (1997) and Algage (2006), have highlighted this problem to be â€Å"sundown syndrome†. According to Leblance (2011) he described this as onset of confusion that occurs in late afternoon and night time. Algage (2006) further stated that wandering is a way of communicating in a non verbal form by using action to correspond with others. Moreover Beatie et al, (2005) argued that patients with dementia may not be able to read signs. For example factors like the environment may cause them to be distressed and might put them at risk, (Hodgkinson et al, 2007). Some residents like Jack may have limited communication ability to verbalise what they want to do, so they just show action as a way of communicating. For example, the sign posts, symbols and photographic pictures might not appeal to them because of their limited ability to focus on details, (Hodgkinson et al, 2007). Beatie et al, (2005) and Fox and Wilson (2007) have highlighted that living in a sheltered housing environment can be a lonely experience for many patients and this can make them feel isolated. You read "Critical Review of Dementia Service User’s Experience of Care" in category "Essay examples" More so, Beatie et al, (2005) mentioned that these factors might cause a patient to wander because if they feel lonely and anxious for a long period of time. They might want to find something to engage in. A person with dementia might find it difficult to sit down. For example in my observations I feel that Jack was living in a community where he had friends and family to socialise with and moving to a new place was somehow upsetting for him. Likewise changes might have caused Jack’s more loss of memory and this could be another reason why he failed to adjust to his new surrounding as cited in Mace and Rabins (1999). Moreover, in this sheltered housing there are no facilities like shops and recreational facilities as it is in a secluded area. Knockers (2000) mentioned about daily living activities that could have been useful to a patient with dementia like Jack. In my opinion, this would have given Jack the opportunity to engage with other residents. This would have been a great way of socialising, chatting, enjoyment and given him a purpose in life and most of all engaging his time and stop him from wondering so frequently. According to Cheston and Bender (1999) and Innes et al, (2000) the DCM (Dementia Care Mapping) is a precise framework that is important to assess patients with dementia. The DCM (Dementia Care Mapping) is an observational tool which is used in a professional setting. This tool could have been useful to Jack if he was living in suitable housing that meets his needs (Kitwood 1997, Shels 2007 and Fox and Wilson, 2000), Mace and Rabins (1999) mention that MME (Mini Mental Examination) also known as the â€Å"mini mental† is one of the tools that are used to screen an individual’s mental ability at the onset of dementia. This tool is also known as the performance tool that allows five minutes to perform a set of precise tasks. This entails a maximum score of thirty answers to questions given. â€Å"Some of the questions are, do you know what day it is, date, month and the time, do you know what country you live, and the town. Can you spell the word â€Å"world† backwards, can you write a sentence†. Likewise, In Jack’s case he was assessed using this tool to get a precise answer to see what he can independently do for himself. In addition, Fox and Wilson (2007) argued that the assessment processes should be compiled into a feedback statement. This information should be given at the beginning and end of the assessment. Chester and Bender (2000) mentioned that feedback should be given in both oral and written statement. This is necessary for the patient and their family to adjust and come to terms with their illness, and deal with their emotions. According to Carmody and Forester (2003) the main areas of care planning are assessment, planning, evaluation, implementation and evaluation. Care plans are legal documents which should be reviewed on a regular basis for accuracy. Jack’s care plan contains some important information such as his name, date of birth, address and all information recorded was signed and dated. Likewise, May et al (2003) mentioned that a care plan should be compiled and put together the persons needs and deeds. Jack’s care plan was fully supported and some of the information included was his life history, lifestyle, health, personality, and preferences, present and future wishes. Jack’s capacity, cognitive ability and the stages he was at present were documented. Jack’s care plan contains three columns. The left column was to record Jack’s needs, the middle column gives precise information for cares to comply with, whilst the right column is to record information, sign, date and reviews (May et al, 2003). May et al, (2003) proposed that the enriched care planning was developed from the enriched model of dementia by (Kitwood, 1997). Jack care plan consists of five core areas which are reviewing, profiling, implementation, identifying needs and documenting needs. Jack care plan was fully supported by the carers. In Jack’s case his care plan was reviewed with the social worker, general practitioner, occupational therapist, dietician, warden, care manager and family and myself who is his key worker. This set out clear instructions for staff on how to personalise care for Jack. This includes, monitoring and assessing changes in his toileting, nutritional intake, communication, health and wandering. Four main calls were put in place for his main meals and regular checks to stop him from feeling lonely. Jack care plan was reviewed and implementation of safety devices was put in action to keep Jack safe. This involves the implementing of sensory aids and equipment that will help to keep him safe at all times and especially during the nights. This included a bed sensor and door activator that goes off when he gets out of bed and when he leaves his flat. This equipment was most useful during the nights. Reflective lighting was also put into place. It would come on at a certain time in the evening. The door bell flashing light let him know when someone was entering his flat. Picture coding colour was put on his fridge door and bedroom door to remind him where to go and what to do. Jacks’ family were in complete denial about his condition and they would often get very upset with him. They thought that their dad was trying to get back at them for moving him. One daughter was constantly fussing over him and telling him off. This made it quite difficult for staff and management to get the assessment process started. The other barrier was the staff members that were not able to support Jack’s family appropriately, as they were not trained adequately in dementia care. Jack’s condition deteriorated rapidly and staff was finding it quite difficult to cope with his demanding and stressful behaviour. Jack was given tablets to keep him calm, however, this medication in my observation was too strong for him and often he would sleep for long periods of time. Staff would have to wake him up for meals and before he finished his meals he would be fast asleep. In work places which are independent based, these facilities are not designed to accommodate people with certain forms of dementia and for this reason it took a longer time for Jack’s needs to be reassessed. Jack’s needs were finally met and then he was admitted to a dementia unit where he was housed, (Carmody and Foster, 2003, Jacques and Jackson, 2000). These factors can become a barrier for professional when implementing care for people living with dementia, (Jacques and Jackson, 2000). In Jack’s case he could have benefitted from the evaluation tool to stimulate communication between staff and himself. This would have prompted his alertness and encouraged communication at meal times as observed by Shiels (2007). With reference to evaluation this process is necessary to get a direct result of Jack’s illness. This will establish how far his condition has deteriorated and the extent of his impairment and functioning. Moreover, this will identify other health problems, so that the necessary treatment and planning can be put in place to address his needs, (Mace and Rabin 1999). Jack had to undertake this evaluation and many tests such as CBC (Complete blood count) which includes a blood chemistry test, checking the liver and kidney for signs of diabetes, vitamin B12 and thyroid level . The VDRL check for syphilis and LP (lumbar puncture) investigates the central nervous system. EEC (electroencephagram) measures the brain activities. CT scans, MRI scans, PET scans, SPECT scans which are all important tests can identify the presence of a stroke. Jack was also given a neuropsychological test or the cortical test where they test his memory for writing and reasoning ability, and coordination (Mace and Rabin 1999). A psychiatric and psychosocial evaluation was also conducted by way of interviews with Jack’s family and his friend. This was vital to planning and development of care and this was also supported by a family evaluation to assess and to address their emotional, financial and physical needs, (Carmody and Forster 2003). Jack‘s condition has deteriorated even further and he has started leaving the premises through the back door. There is sensory equipment which is now in place in order to monitor his movements. Jack sometimes presses the button and it raises an alarm with the central control office. The control room staff will then contact the staff on duty to go and attend to Jack and see whether there is anything he needs. In most cases when the staff gets there, Jack will be trying to leave the premises not properly dressed. Examples being dressed in his pyjamas and bed room slippers, wearing a vest without his shirt or wearing his trouser inside out. When the staff try to get Jack to return to his flat he becomes very aggressive, shouting and hitting the staff and refusing to go back. The police on many occasions are called to search for him. AGASE (2006) indicated that wandering is associated with risk factors of getting lost and falls. As highlighted by Hodgkinson et al ( 2007) â€Å"gridlines placed on front door exits, door handles, panic button bars might be an effective way to addresses Jack’s wandering and reduce the risk of escaping†. Carmody and Forster (2003) suggest that a person like Jack can benefit from ADL (Activities of Daily Living) as this will help test his functioning abilities and performance. With regards to communication and Jack’s outburst Phillips and Penhale (1996) argued that some people with dementia like Jack might have poor memory, limited communication ability with others. Jack is unaware of his aggression towards staff. This is not done intentionally as his brain cells are dying. Jack is unaware that he is causing harm to any one as he is simply trying to communicate. Jack will be trying to say why are these people stopping or preventing me from going to see my friends. In my observation Jack was finding it difficult to say the right word, as he was not able to understand what is being said to him. Carmody and Forster (2003) Fox and Wilson (2000) highlighted that the person who is undertaking a communication assessment needs to be a good listener and a competently trained professional. This person needs to have experiences of in dealing with different cases of dementia and know the differences between the different types. Fox and Wilson (2000) mentioned that a person with counselling skills might be able to address the needs of a person with dementia more efficiently. In my opinion, these skills are important when working with customers with dementia. In Jack’s case this would have been more beneficial if staff dealing with him had appropriate counselling skills. They would have been in a position to understand how to communicate with Jack as to achieve effective results. In the long run Jack was finding it more difficult to cope with every day activities. He had suffered a relapse and his condition deteriorated very rapidly and he needed more specialist care. He was not coping well and his health and safety was at risk. Jack needs were reassessed and he was no longer capable to live independently any more. Management and social worker were in the process of getting him relocated when he suffered a fall. He was taken to hospital and then he was moved into a residential home that cares for people with dementia. In conclusion, the government acknowledges dementia as a growing problem and has put strategies in place to care for people with dementia. To address Jack’s needs appropriately his care should be person centred. Jack was moved to a new home and this might have contributed to his wandering. His new setting was secluded and he had no friends to communicate or socialise with. This factor could have led to further confusion and made him feel lonely and even depressed. Although Jack was fully supported by the planning, assessment, implementing and evaluation process, his needs were slow to be addressed by the family and this posed as a barrier to Jack getting the care he required. However, the assessment procedure and progress for independent living have to be organised by many professionals. It appears in Jack’s case it was not recognised and dealt with appropriately at times. For example, the process to get a person assessed for dementia in independent housing took a long time. There were other issues and barriers that Jack faced on his journey, even though the government had put these strategies in place to address the needs of people with dementia. In order to address Jack’s needs and that of other people with dementia the professionals need to adapt a person centred approach. Staff needs to be competently trained in dementia care so that they can support family and friends when a person is diagnosed with dementia. Reference Algase,D. L. (2006) What’s new about wandering? An assessment of recent studies 226 -234 [Available at: www. reo. beds. ac. uk]. (Accessed: 3/10/ 2011). Beatie,E. R. A. Song, J. And LaGore, S. (2005) A comparison of wandering behaviour in nursing homes and assisted living facilities, Research and theory for nursing practice Vol 19 No. 2. 181-196 [Available at: www. breo. beds. ac. uk]. (Accessed: 3/10/2011). Carmody, S. Forster, S. (2003) Nursing older people; a guide to practice in care home. Oxion Radcliff Publishing. Cheston. R. Bender, M. (1999) Understanding dementia: the man with the worried eyes, London. Jessica Kingsley. Fox, M. And Wilson, L. 2000) The centred advocacy for people with dementia, The journal of dementia care Vol 15 No 2. Jacques, A. And Jackson, G. (2000) Understanding dementia, 3rd edn, London, Churchhill Livingston. Hodgkinson, B. Koch, S. Nay R. And Lewis, M. (2007) Managing the wandering behaviour of people in a aged care facility 407-436 [Available at: www. breo. beds. ac. uk]. (Accessed: 3/10/2011). Inness, A. Capstick, A. And Surr, C. (2000)Mapping out framework, The Journal of dementiacare, Vol. 15 Kitwood, T (1997) Dementia reconsidered; The person comes first, Buckingham. Open University Press. Knockers, S. (2007) Capturing the magic of everyday activities, The journal of dementia care. Vol 15 No2 Leblanc, G. J. (2011) staying afloat in a sea of forgetfulness; common sense care giving, Bloomington Xlibris. Parker, T. (2000) Incontinence of faeces: the final frontier? Journal of dementiacare V0L. 8 No2 Phillips, J. and Penhale, B. (1996) Reviewing Care Management for Older People, London. Jessica Kingsley Publishers May, H. Edwards, P. And Brooker , D. (2009) Enriched care planning for people with dementia , London. Jessica Kingsley How to cite Critical Review of Dementia Service User’s Experience of Care, Essay examples

Kelly Clarkson - My December free essay sample

Kelly Clarkson My December, 4/5 stars The former American Idol winners third CD is not without controversy. Before its release, record label mogul Clive Davis publicly denounced support of My December, reportedly offering Clarkson an extra million dollars to record new songs. The reason behind Daviss griping is evident: Clarksons new CD severely lacks the catchy pop tunes that dominated her previous chart-topping records. Instead of appealing to the sugary tween market, My December echoes the raw, angry tones of Alanis Morrisettes classic album Jagged Little Pill. While most of the songs are not as radio-friendly as the girl-power beats from her last albums, My December is by no means a flop. On the contrary, Clarkson fans will likely mark it as their favourite of all her releases. Clarksons expressive vocals shine when paired with an edgy rock beat, ranging from raspy shouts to coy, honeyed whispers. We will write a custom essay sample on Kelly Clarkson My December or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Yet it is sometimes My Decembers powerful lyrics that take centre-stage. Clarkson penned the entire album, taking from her own experiences with a cheating boyfriend. Clarkson rips angry passages from her diary for the albums first single, ‘Never Again. â€Å"Never again will I touch you. Never again will I kiss you. Never again will I love you. Never!† she bellows, the depth in her voice hinting at a deep anguish beneath her rage. She later reveals a softer persona in ‘Be Still. â€Å"Foolish one with the smile, you dont have to be brave. Ill gladly climb your walls, if youll meet me halfway,† she sings during one of the albums rare, tender moments. The record itself is a bit of an oddity. Clarksons pop-star status hinders her creditability on rock stations, yet My December is too raw for pop and soft-rock radio. While the record is worthy of praise, it does take a few listens to appreciate Clarksons new, mature style. Whether the public has an attention span long enough to allow My December to grow on them, however, is another matter. Highlights of My December include: ‘Never Again: ‘Never Again puts into song the deep anger felt over a cheating lover. The first single off My December, it debuted at no. 8 on the Billboard Top 100, but received little radio airtime. While not immediately catchy, soon youll find yourself humming and jumping along to the songs heavy rock beat. ‘Sober: The tranquil, almost hypnotic quality of ‘Sober is a significant but welcome change from My Decembers heavy sound. The second release from My December, ‘Sober received virtually no airplay and quickly exited the charts. This is unsurprising, given the songs unusual rhythmic sound. It is a beautiful song, however, and impeccably embodies the essence of quiet December night. ‘Be Still: One of the albums few romantic songs, Clarkson whispers to her lover: â€Å"Be still, I already know.† Yet like the rest of her album, the song is bittersweet, as Kelly sings of a crumbling relationship. Her beautiful voice is fully displayed on this track, gently echoing the clear notes of a bell. ‘Yeah: One of the records standout tracks, ‘Yeah should have been a single. Its catchy, tongue-in-cheek chorus compares to Clarksons Breakaway hit ‘Since You Been Gone, yet with a less over-produced sound. Chivas (hidden track): ‘Chivas is an unlisted track that plays one minute and 25 seconds after My Decembers last song, ‘Irvine. An acoustic song about drowning ones sorrows after a breakup, ‘Chivas is humourous and light-hearted. When Clarkson proudly proclaims to her audience: Its hard not to look, I know. Im amaz-zing-ingg, who are we to argue?