Care Plan free essay sample

Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis, because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs, such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that affect sleep patterns. The pain caused by the client’s chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds. 2. Ineffective Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patient’s sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. We will write a custom essay sample on Care Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an adverse effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory functioning in order to treat the effects of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3. Disturbed Sleep Pattern related to excessive noise as evidenced by reports of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and perform ADL’s which is important to a client’s self-esteem and independence. Nursing Care Plan Nursing Diagnosis: Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventionsEvaluation Short-Term Desired Outcomes The client will â€Å"perform appropriate interventions, with or without significant others, to improve and/or maintain acceptable comfort level,† a 5 or less on a 0-10 pain scale, by the end of the day (Ackley Ladwig, 2013). Long-Term Desired Outcomes The client will â€Å"identify strategies, with or without significant others, to improve and/or maintain comfort level† by the time of discharge (Ackley Ladwig, 2013). 1. â€Å"Assess pain intensity level in a client† every hour utilizing a 0-10 pain scale (Ackley Ladwig, 2013). 2. Describe the adverse effects of unrelieved pain† every hour along with each pain assessment until patient verbalizes understanding (Ackley Ladwig, 2013). Teach the client about prescribed medications (oxycodone, for pain), such as how to use it, how often to take it, how much at once, and the desired and adverse effects of it. 4. â€Å"Ask the client to report side effects, such as nausea and pruritus, and to describe appetite, bowel elimination, and ability to rest and sleep† by performing an interview every hour while assessing pain level (Ackley Ladwig, 2013). 1. The first step in pain assessment is to determine if the client can provide self-report† (Ackley Ladwig, 2013). 2. â€Å"Ineffective management of acute pain has the potential for†¦neuronal remodelin, an impact on immune function, and long-lasting physiological, psychological, and emotional distress † (Ackley Ladwig, 2013). 3. â€Å"Instruct the client and family on prescribed medications and therapies that improve comfort† (Ackley Ladwig, 2013). 4. â€Å"Constipation is one of the most common side effects of opioid therapy and can beco me a significant problem in pain management† (Ackley Ladwig, 2013). Short-Term Desired Outcomes The client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of reporting an accurate pain score whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term Desired Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Goal met. Care Plan free essay sample Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis, because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs, such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that affect sleep patterns. The pain caused by the client’s chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds. 2. Ineffective Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patient’s sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. We will write a custom essay sample on Care Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an adverse effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory functioning in order to treat the effects of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3. Disturbed Sleep Pattern related to excessive noise as evidenced by reports of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and perform ADL’s which is important to a client’s self-esteem and independence. Nursing Care Plan Nursing Diagnosis: Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventionsEvaluation Short-Term Desired Outcomes The client will â€Å"perform appropriate interventions, with or without significant others, to improve and/or maintain acceptable comfort level,† a 5 or less on a 0-10 pain scale, by the end of the day (Ackley Ladwig, 2013). Long-Term Desired Outcomes The client will â€Å"identify strategies, with or without significant others, to improve and/or maintain comfort level† by the time of discharge. â€Å"Describe the adverse effects of unrelieved pain† every hour along with each pain assessment until patient verbalizes understanding (Ackley Ladwig, 2013). 3. Teach the client about prescribed medications (oxycodone, for pain), such as how to use it, how often to take it, how much at once, and the desired and adverse effects of it. 4. â€Å"Ask the client to report side effects, such as nausea and pruritus, and to describe appetite, bowel elimination, and ability to rest and sleep† by performing an interview every hour while assessing pain level. †The first step in pain assessment is to determine if the client can provide self-report† (Ackley Ladwig, 2013). 2. â€Å"Ineffective management of acute pain has the potential for†¦neuronal remodelin, an impact on immune function, and long-lasting physiological, psychological, and emotional distress † (Ackley Ladwig, 2013). 3. â€Å"Instruct the client and family on prescribed medications and therapies that improve comfort† (Ackley Ladwig, 2013). 4. â€Å"Constipation is one of the most common side effects of opioid therapy and can become a significant problem in pain management† (Ackley Ladwig, 2013). Short-Term Desired Outcomes The client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of reporting an accurate pain score whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term Desired Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Goal met.

Professional Development

Professional Development leadership in many nations. It is important to learn and understand complex culture for one to be a good leader. I built a habit of learning the Indonesian culture which is very important in my professional development. Many great leaders adopted global cultures to be successful in their regions. The interaction of folk music and Indonesian dance is a reflection of roots of diverse cultures of the world. Each good leader must embrace and develop respect for culture since people do value them therefore respect for culture is respect for people. It is an interactive tool in leadership. If a leader ignores culture he/she ignores the people he/she leads This relies completely on the emphasis people place on the culture. Culture is an in-born trait among people. Professional growth in culture is a wide field thus people find it challenging in the selection of culture to use in their leadership studies. Leadership skills are not universal. The Indonesian culture has enhanced my interpersonal skills hence I can influence people positively with no conflict.

Conflict Management Styles Term Paper Example | Topics and Well Written Essays - 500 words

Conflict Management Styles - Term Paper Example Additionally, this paper explains how conflict management relates to my effectiveness as a leader. An example of a conflict I have handled effectively involved a disagreement between two nurses. The two nurse had different views on how a certain case involving a patient could be handled. As each one of the nurse considered their contribution as superior, a verbal exchange arose. In handling this conflict, I encouraged the two nurses to collaborate in this case. In other words, I advised the two nurses to set their original suggestion regarding how the case would be handled aside and subsequently directed them to work together to decide on a common objective. The results to this approach were positive and in fact led to the overall improvement and advancement of the process of care within the health care institution. This collaboration ensured teamwork, encouraged communication, and hence nurses were overly motivated in their work. If such a conflict would arise for a second time, I would opt for the same approach to conflict management. However, there are ways or steps I would take in a bid to improve my comfort level and skill for managing in the future. One of the steps in engaging in dialogue or discussions with employees. Johansen (2012) brings forward the fact that "Nursing leaders and direct care nurses need to engage in dialogues that address conflict management behavior as a first step in creating a healthy work environment" (p. 52). Effective dialogues ensures conflicts are handled effectively as avoiding them would elevate stress levels among nurses as well as among other stakeholders. Secondly, I would ensure regular trainings and seminars where all employees would be trained on how to effectively manage conflicts within the workplace. Subsequently, it would also be important to identify potential conflict areas and implement strategies that would avert any conflicts from

Religious visit Essay Example | Topics and Well Written Essays - 1750 words

Religious visit - Essay Example I spoke to a few of them and finally decided to visit the Shri Shivdham Hindu Temple in Orlando. The visit has brought about changes in me, in the perception of people and things, in the outlook on life. Shri Shivdham Hindu Temple, located in Orlando, allows visitors at fixed times during the day. I had called up in advance to get the location but fixed appointment for any service is not necessary. However, it was useful to obtain the service timings so that one does not miss out on the service that is performed. The temple is closed to the visitors between 1 and 5pm so I made it a point to reach thereby noon. This temple was established in 2002 and regular Hindi language classes are held in addition to Yoga and meditation classes. The temple regularly invites various swamis and scholars to give discourses on different spiritual subjects. The temple’s address is: 460 O’Berry Hoover Road, Orlando, FL 32825-6908. I also took the directions how to reach there was told to drive west on East Colonial drive (Hwy 50). On crossing the Alafaya trail (Landmarks: Channel 24/ Advance Discount Parts / Big Lots) I was asked to make a left on O’Berry Hoover Road. The Shiv mandir is located at the end of the road on the right side, I was directed. The directions were perfect and surprisingly I found that my attention too was rapt; I did not miss any turn. This itself suggests we have the power and the quality to be attentive if we so desire. Moreover, when we want to do something good, our actions, thoughts and attention are all at their best. On arrival I was nonplussed. As I said I had heard about temples and mandir but I never expected to be greeted by such positive vibrations even before entering the temple area. The entire area reverberates with chanting of hymns of Shiva. The chanting was all in Sanskrit, mostly in the form of mantras and the vibrations touch you. It had a very soothing and comforting effect

Human Resource Paper Assignment Example | Topics and Well Written Essays - 1000 words

Human Resource Paper - Assignment Example A health care organization must have objectives that guide them in their line of duty. Some of these objectives are strategic and have implications on the human resource management. These objectives are; to promote health and impart health education, to immerse in disease inspection and analysis and to collaborate with governments and administrations around the world to promote health promotional programs. These three objectives have implications on human resource management. Human resource management is concerned with the safety and compensation of manpower among other things. When the objectives of a health care regarding promoting of health and imparting, disease inspection and analysis have been attained, then the expenses incurred by the human resource management to make sure that the staff members are safe are cut down and therefore there will be no expenses on compensation brought about by poor health care. This is because with good health and proper health education then case s of disease and infections are cut down. Health problems cost an organization a lot. Disease inspection and analysis will help in the understanding of the causes and the possible treatments that are to be administered to various diseases and infections. The time and money wasted in trying to cater for the treatment of a worker will be reduced if the diseases they have are known unlike when a company uses its funding to facilitate the treatment of an unknown ailment. The above strategic objectives can only be attained if actions and systems are put in place. Health Systems Executives play a big role in the attainment of set objectives. It comprises of health experts who have come together to offer their advice regarding the various issues that affect the health care organization. The experts are in the various fields that have a co-relation with health matters. It might consist of medical doctors, IT specialists, trainers, sales and marketing experts among other professionals. For i nstance, a Health Systems Organization can have an IT specialist who is an expert in issues dealing with technology. One of the objectives of a health care organization was to inspect and analyze diseases. With the proper technology, this objective can be attained. An effective Health System Executive body will ensure that new technologies are introduced in a health care organization; the work force is enlightened through training and the implementation process starts immediately. With introduction of hi-tech machinery, the organization will be in a position to inspect and analyze diseases and new infections. The objective, to promote health and impart health education can be achieved when the Health System Executive consisting of training personnel who educates the masses concerning matters of health. Those who have been trained will then train others and the cycle continues. This will ensure that people become aware of the health issues and how to handle them. The third objective, to collaborate with governments and administrations to promote health promotional programs can be achieved by the Health

Impact of Directly Observed Treatment on Tuberculosis

Impact of Directly Observed Treatment on Tuberculosis Description of the condition Multidrug-resistant tuberculosis (MDR TB) is defined as Mycobacterium tuberculosis strains with in vitro resistance to at least both isoniazid (INH) and rifampicin (RFP) (Johnston 2009;WHO;WHO 2013). Emergence of this strain since the 1980s has represented a major barrier towards successful TB control (Johnston 2009;WHO 2013). Among the newly diagnosed TB patients in 2012, 3.6% had MDR TB while the percentage was approximately six times higher among those previously treated cases (20.2%) (WHO 2013).In 2012, it was estimated that 450000 incident cases and 170000 mortality cases of MDR TB occurred globally (WHO 2013). Compared with drug-susceptible strains, treatment of MDR TB is much more complex. According to the WHO guidelines, MDR TB treatment regimen requires a minimum duration of 18 months with two treatment phases, the intensive and the continuation phase (WHO). The first six months of treatment is usually considered the intensive phase since a patient needs to receive both oral and injectable drugs (WHO). After this period, the injectable agent is discontinued and patients receive the oral drugs for another 12-18 months (termed as the continuation phase) (WHO). Management of MDR TB is challenging for that patients are normally in advanced stages of disease with thick-walled cavities and chronic lung lesions which are hard for the drugs to penetrate (Orenstein 2009). Also, the longer treatment duration, high out-of-pocket cost, together with the more frequent adverse reactions that are associated with second line drugs are all contribution factors to poor treatment adherence (Bassili 2013;Toczek 2012;Volmink 2007). As a result, treatment success rate of MDR TB was much lower compared to drug sensitive strains. According to the WHO, the pooled treatment success rate of MDR TB patients diagnosed in 2009 was about 48%, whereas it exceeded 85% among non-MDR TB patients (Johnston 2009). Description of the intervention Directly observed treatment (DOT) refers to the use of an appointed agent (a professional health worker, a community volunteer, or a family member) to directly monitor people taking their anti-tuberculosis drugs (Mukherjee 2004). Initially, this concept was proposed as a key component of Directly Observed Therapy, Short Course (DOTS) by the WHO in 1994 to ensure cure of TB (WHO). In addition to the provision of standardized 6-8 months short-course directly observed chemotherapy regimen, other components of DOTS include: political commitment, case detection through quality-assured bacteriology, maintenance of an effective drug supply and management system, and evaluation of performance and impact (WHO). Implementation of DOTS in non-MDR TB treatment demonstrates significant effectiveness, as the strategy has helped to treat 37 million TB cases and cured more than 80% of them by 2007(WHO 2013). However, the standardized short-course chemotherapy is usually not applicable to cases of MD R TB. To improve patients’ adherence to MDR TB treatment, in 2000, WHO and its international partners further developed DOTS-Plus strategy by adding the components of MDR-TB diagnosis, treatment and management into the DOTS (WHO 2008;WHO 2011). In this DOTS-Plus strategy, DOT is highly recommended by the WHO to be delivered to all MDR-TB patients (WHO 2008;WHO 2011). However, treatment of MDR-TB patients requires at least 18 months, therefore, delievering DOT to MDR-TB patients would be more challenge than for drug-suspectible TB patients. There are two types of DOT according to its implementation length. In full DOT, anti-TB drugs were administered under direct observation throughout the treatment duration (including both the intensive and continuation phase) whereas it is directly observed only during the intensive phase for partial DOT (WHO 2008;WHO 2011). Effectiveness of DOT is commonly demonstrated through comparison with SAT, a traditional management modality in which anti-TB drugs were self-administered by patients without any observation (WHO 2008;WHO 2011). Currently, many countries have incorporated full DOT into their national TB control programs (NTPs) according to suggestions from the WHO guidelines (Bassili 2013). However, there are still countries that adopt partial DOT or even self-administrated treatment (SAT) as the management modality in their NTPs. How the intervention might work A better understanding of how DOT improves treatment outcomes of MDR TB could have important management implications. First, knowing the type(s) of DOT provider and location that is associated with a higher treatment success rate could allow one to make evidence-based decisions when designing DOT for MDR TB treatment. Second, studying the influence of other characteristics on successful treatment outcomes of MDR TB could provide a conservative yet more objective conclusion of the effectiveness of DOT. Third, comparing DOT with other strategies for the improvement of treatment adherence could advise policy makers to balance resources between DOT and these other strategies so that treatment could be delivered in a more cost-effective way. Why it is important to do this review Impact of DOT on successful TB treatment has been controversial throughout the years. Previous observational studies suggested that DOT ensured timely adherence management as well as day-to-day monitoring of adverse effects (Orenstein 2009). One meta-analysis revealed that treatment completion rate among pulmonary TB patients could exceed 90% when DOT was implemented throughout the treatment course(Bassili 2013). However, results from a recent meta-analysis of randomized controlled trials showed no significant difference in treatment success rate between DOT and SAT among drug-susceptible TB cases(Mukherjee 2004). Moreover, previous meta-analyses almost exclusively focused on the role of DOT in the treatment of non-MDR TB; little has been examined systematically regarding its role in effective MDR TB treatment.

Chinese Foreign Policy Essay

Specific portfolio. (See â€Å"Collective Leadership.†) To ensure Party control, the top-ranked members of the PSC serve concurrently as the heads of other parts of the political system. The top ranked PSC member, Party General Secretary Hu Jintao, for example, serves concurrently as head of the military, in his capacity as head of Chairman of the Central Military Commission, and as the head of State, in his capacity as State President. The second-ranked PSC member, Wu Bangguo, serves as Chairman of the National People’s Congress (NPC), while the third-ranked PSC member, Wen Jiabao, serves as Premier of the State Council, and the fourth-ranked member, Jia Qinglin, heads the Chinese People’s Political Consultative Conference (CPPCC) and oversees the Party’s relations with non-Communist groups. Portfolios for other PSC members include the propaganda system; management of the Party bureaucracy and Hong Kong and Macau; finance and economics; Party discipline; and the internal security system. 32 PSC members also head Party â€Å"Leading Small Groups† (LSGs) for their policy areas. LSGs are secretive bodies intended to facilitate cross-agency coordination in implementation of Politburo Standing Committee decisions. The National Security Leading Small Group and the Foreign Affairs Leading Small Group, for example, are both headed by Party General Secretary Hu Jintao. The next highest decision-making body is the full Politburo, which, with the suspension of the disgraced former Chongqing Party Secretary, Bo Xilai, now comprises 24 officials. In addition to the nine members of the PSC, Politburo members include the heads of major departments of the Party bureaucracy, the two highest ranking officers in the Chinese military, State Council Vice Premiers, a State Councilor, and Party leaders from important cities and provinces. The current Politburo has only one female member. Because of its relatively unwieldy size and the geographic diversity of its members, the full Politburo is not involved in day-to-day decision-making. In 2011, it met eight times, with its meetings often focused on a single major policy area or on preparations for major national meetings. According to the Party’s constitution, the PSC and Politburo derive their power from the Central Committee, whose full and alternate members together â€Å"elect† the Politburo, Politburo Standing Committee, and Party General Secretary, and â€Å"decide† on the composition of the Party’s Central Military Commission.34 In practice, incumbent top officials provide a list of nominees to the Central Committee, which ratifies the leadership’s nominees.35 The current nearly 400-member Central Committee (including alternates) is made up of leaders from the provinces (41.5%), central ministries (22.6%), the military (17.5 %), central Party organizations (5.9%), and stateowned enterprises, educational institutions, â€Å"mass organizations† such as the Communist Youth League, and other constituencies (12.4%). The National People’s Congress (NPC) The third major political institution in China is the National People’s Congress (NPC), China’s unicameral national legislature. According to Article 57 of China’s constitution, the NPC is â€Å"the highest organ of state power.† The Constitution tasks the NPC with overseeing the Presidency, the State Council, the State Central Military Commission, the Supreme People’s Court, and China’s national level public prosecutor’s office, the Supreme People’s Procuratorate. In practice, however, the NPC’s powers are severely limited, and the entire entity operates under the leadership of the Communist Party. The public theater of the NPC’s work is centered around its ten-day-long annual full session, held every March and attended by all of the NPC’s nearly 3,000 deputies. The next full session, in March 2013, will mark the start of a new five-year Congress, and is expected to approve a major leadership transition, including a new President and Premier, and new Vice Premiers and State Councilors. At the annual full sessions, NPC deputies almost always vote to approve the reports, laws, and candidates put before them, usually by overwhelming margins, leading many observers to describe the NPC as a â€Å"rubber stamp† parliament. NPC delegates do occasionally push back, however. At the March 2012 session of the NPC, for example, a record 20% of deputies withheld their support from the Ministry of Finance’s budget report, reportedly in protest over the Ministry’s longstanding refusal to accept any NPC suggestions for revisions to the budget.47 (Unlike the U.S. Congress, the National People’s Congress does not pass spending bills. Rather, at the annual full session each year, it votes to approve the budget presented by the Minister of Finance.) The NPC also makes revisions to the Premier’s annual report on the work of the government, the State’s most important policy document. Out of the public eye, individual committees and the Standing Committee exercise more meaningful influence. They shape legislation and can exercise a degree of oversight over government entities through â€Å"inspection† visits and committee reports. The power of individual NPC deputies to exercise oversight is largely restricted to the right to submit â€Å"proposals† advocating for reforms or demanding better implementation of laws or regulations, to which officials are required to respond in writing. Because the annual full session of the congress is so brief, much of the NPC’s work is undertaken by its approximately 175-member Standing Committee, which meets about half a dozen times a year.48 Other important NPC bodies include nine specialized committees and a legislative affairs work committee, all of which review and revise draft legislation before sending it to the Standing Committee or the full Congress for action. Like the State Council, the NPC has a Party organization embedded within it. The NPC’s chairman serves on the Politburo Standing Committee and is currently the Party’s number-two ranked official. NPC deputies are not directly elected. The Communist Party draws up lists of nominees, based in part on potential nominees’ perceived loyalty to the Party. Thirty-five electoral units, most of them provincial-level People’s Congresses, then vote upon the Party’s nominees. The process is modestly competitive in that the Party nominates 20% to 50% more candidates than available positions and those with the most votes are elected to serve as NPC deputies. NPC election rules stipulate quotas for the representation of ethnic minority groups, the military, women, and other groups, including the Party itself. Because China rejects any separation of powers, the President, Premier, and other top leaders are all NPC deputies. 49 Deputies serve for five-year terms. The NPC is the uppermost layer of a nation-wide system of People’s Congresses. These congresses are loosely linked together in process and function. Only deputies for the lowest level of People’s Congresses are directly elected. Traditionally, even at the lowest level, candidate lists are controlled by the Party, and elections are uncontested. Since 2011, however, China has seen a wave of independent candidates contesting elections for People’s Congresses in city districts and townships. Most such candidates have faced forms of official harassment, including intrusive surveillance, extra-legal detention, intimidation of their supporters, and election irregularities designed to keep them from appearing on ballots, but some have succeeded in being elected to office. Corruption Corruption in China is widespread and takes many forms, from lavish gifts and expensive meals bestowed on officials by those seeking favors, to bribes explicitly offered in exchange for permits and approvals, to embezzlement of state funds, exemption of friends and relatives from enforcement of laws and regulations, and the appointment of relatives to lucrative jobs in stateowned companies. A 2011 report released by China’s Central Bank estimated that from the mid- 1990s to 2008, corrupt officials who fled overseas took with them $120 billion in stolen funds.28 The CCP uses its Central Discipline Inspection Commission (CDIC) to police its own ranks for corruption, an arrangement fraught with conflicts of interest. As noted above, the Party metes out its own punishments for wrongdoing by its members, and has sole discretion about whether to hand members over to the state judiciary for investigation and possible prosecution. (See â€Å"Weak Rule of Law and Ineffective Policy Implementation and Enforcement.†) Critics charge that CDIC investigations are frequently politically motivated, even if they uncover real wrongdoing. Officials who keep on the right side of their superiors and colleagues may engage in large-scale corruption, while other officials may be investigated for lesser infractions because they have fallen afoul of powerful officials.

Heart Attack Essay

The heart is a large, hollow organ made of muscle that has four chambers: 2 upper chambers and 2 lower chambers. The upper chambers take in blood, while the lower chambers pump out blood through your whole body. A network of arteries and veins help to carry the blood throughout your body. Your heartbeat is controlled by an internal electrical system that sends signals from the right upper chamber to the left upper chamber, and then down to the lower chambers. Sometimes the heart can develop problems that prevent it from working properly. One example is a heart attack, which you suffered. This pamphlet will explain the factors that led to the heart attack, and what changes you can make in your lifestyle to prevent another heart attack. One factor that can cause a heart attack is high blood pressure. This condition occurs because of fatty substances building up in your arteries. As more fat builds up, the artery gets blocked, reducing the blood that can flow through it. This reduced blood flow causes the heart to not get enough oxygen, causing the heart attack to occur. A second factor is cholesterol. There is good cholesterol and bad cholesterol. When you have a very high level of bad cholesterol in your blood, it leads to a build up of plaque in your arteries. This build up can lead to blockage and hardening of your arteries. A third factor is smoking. Smoking increases the rate of your heartbeat, causes your blood vessels to become too narrow, and can lead to high blood pressure. The carbon monoxide inhaled while smoking reduces the oxygen in the blood. All these things make the heart work harder to pump blood through the body. The factors leading to your heart attack, artery blockage and fat accumulation, were corrected. The blocked artery was opened up through the insertion of a balloon, which expanded the artery to allow for easier blood flow. As for the fat accumulation, that can be reduced through changes in your diet. These diet changes can be discussed with your doctor during your next visit. The ultimate goal is to reduce the chance of another heart attack.

9 Easy Steps to Make More Money At Work

9 Easy Steps to Make More Money At Work We can’t all be hedge fund managers and zillionaires. But there are a few very practical strategies that can help you maximize your assets. 1. Location Location LocationDon’t just flock to L.A., Chicago, Boston, or New York because they’re there (and so big and shiny). Use a resource like Zillow.com to check for metro areas with a better bang for your buck- cities like Dallas, Atlanta, and Indianapolis, where housing costs are a much lower percentage of your income. A lot of these cities are up-and-coming and great places to live.2. Be proactiveDon’t wait six months or a year for your first performance review to ask for that raise. Most companies make their budgets at the end of their fiscal year; if you can, start the conversation before that window closes.3. Give it a NumberLet your boss know what you want before you explain why you’ve earned it. And set a range; you’ll appear flexible; and you never know, you might end up with the big numb er.4. Go RogueExecutives who switch jobs can end up with an up to 15% pay bump, compared with your typical 3% raise. Make that kind of upward move at the age of 40, and you can make a 9% difference in your lifetime income.5. RebrandYou’re not the same employee you were when you were fresh out of college with your first resume. Tailor your current resume to your current goals, and drop whatever positions are no longer relevant to your career.6. DigitizeWhy look for other opportunities when the Internet can do it for you? Keep up on LinkedIn, Poachable, and Poacht, and sex up your profile with keywords pertinent to the job you want. This will attract prospective employers without your even having to go looking for them!7. Climb HigherEven if you’re late in your career, aim to make it up just one more rung on the ladder. It can make all the difference in cumulative earnings, not to mention the ego boost of conquering another level of the game.8. Go LateralNo more free run gs on your ladder? No worries. Hop to the adjoining one if opportunities are short. Just make sure not to burn any bridges- and keep your boss sweet in case you ever need a glowing reference.9. Have a Back-Up PlanYou never know when everything is going to come crashing down around you. Prepare for the worst and you’ll never get caught with your pants down. Have an idea for a small business or a freelance project? Keep it in your back pocket for emergencies and never lose a chance to earn.9 Ways to Make More Money at Work

African Imperialism Essays

African Imperialism Essays African Imperialism Essay African Imperialism Essay Prior to 1880, European rule in the African continent had mostly been restricted to the coast, extending a short distance inland along major rivers due to their economic interests being primarily limited to the slave trade. The start of the 1880’s saw massive increase of European nations seeking territory in Africa. Europeans seeking rights to land, resources, and trading routes in Africa had to compete with other nations, corporations, and African natives. In order to gain these rights from the native people, Europeans would make unfair treaties and contracts with African tribes that took advantage of their, land, resources, and people. The title of the source, â€Å"Controlling Africa-The Standard Treaty† implies that this contract was used as a standard operating procedure by the Royal Niger Company to control the land, resources, and people of African tribes. The language and formality of the document is very biased towards the Royal Niger Company and it mentions that the Royal Niger Company will pay native land owners for the land they require, so I would conclude that the Royal Niger Company was operated by Europeans. In return for ceding the power to mine, farm, and build on their land tribes received protection, payment to landowners, and a set payment to the Chiefs. Tribe leaders were probably not educated well enough to understand exactly what they were signing away in this contract and therefore likely did not receive any of these promises from the Royal Niger Company or were possibly lied to about the terms and conditions of the contract. European Imperialism occurred for many reasons, one being the desire for territories. The more territory you controlled the more power and prestige your country had. Exploration was another reason for European Imperialism. Wealthy sponsors who wanted details of markets, goods, and resources renewed interest in exploration by funding expeditions whose purpose was to create and report records of said details. Control of trade routes fueled the scramble for Africa and competition among European countries. Africa was a direct route to India which made the Europeans countries want African territory even more because of India’s silks and spices. The Suez Canal on the eastern coast of Egypt is the fastest route to India. The Suez Canal was very important to Britain. After capturing the Suez Canal from the French, guarding the canal became a critical part of Britain’s foreign policy. The British needed to drive out the threat of other Europeans in Africa to maintain control of India, and they did so efficiently. They quickly gained control of both the major sea routes to India and then focused on the rest of the continent. Whether the British were trying to further public support or prevent another nation from becoming a threat, all British actions in Africa were directly or indirectly linked to India. The British were motivated by their desire to become powerful, and they skillfully combined enterprise and conquest to create an empire centered on the wealth of India. The struggle of difference between the white Europeans and the native Africans was a major factor in the impact of imperialism on Africa. The European explorers â€Å"seldom had men of their own race with them, and they often found their African hosts strange and unpredictable, and feared their hostility. † 1 The Europeans felt like they had to gain control over the African people in order to maintain power. This sometimes had positive effects such as the introduction of modern transportation such as railroads. They also shared their knowledge of nutrition and medicine which increased the health and life span of the Africans. According to Chamberlain’s book, â€Å"The Scramble for Africa†, imperialism was good for Africa because it brought the African natives’ lives up to the standards of western civilization. 2 This is true in some aspects however, I believe the social relationships of the natives and their cultural traditions were negatively altered causing them to change their way of life solely because the European’s ethnocentric way of thinking. Their controlling of the indigenous people had many other negative impacts on Africa because of how the Europeans treated the Africans as inferiors and sometimes even harshly with no ethnic or cultural respect. Railroad companies and miners used local populations as a source of labor for dangerous jobs where the indigenous people worked in harsh conditions, sometimes risking their lives, for little pay. The scramble for Africa started in 1870 and by 1890 most of Africa was under European rule with only Ethiopia and Liberia remaining independent. European Imperialism most likely caused the tribal warfare that occurred later in Africa. The Standard Treaty of Controlling Africa reflects the imperialistic rush that occurred in the late 19th century. Europe wanted African land for power, wealth, and control. The Royal Niger Company was significant in that it helped Britain gain control of many African countries. The competition between European countries drove this scramble for Africa and affected the world for generations to come.

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