Tuesday, December 17, 2019

The Best Practices, Guidelines, And Clinical Pathways For...

Introduction This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement. Best practices Diabetes mellitus (DM) is a pandemic that affects millions of people. The growth rate of unrecognized pre-diabetes in America is expected to rise up to 52% by 2020 (Lorenzo, 2013). As the prevalence of diabetes increases, so will the complications and burden of the disease. One of the leading causes for cardiovascular disease, renal failure, nontraumatic lower limb amputations, stroke, and new cases of blindness is DM (Lorenzo, 2013). In 2002, among adults, there was an estimated 8.7% prevalence of diabetes. However, rather than there being a prevalence of the disease in the population as a whole, it was found more in specific population subgroups, such as the homeless population. There are certain risk factors these subgroups have that are either associated with diabetes or directly cause it. There is never a 100% correlation of development of diabetesShow MoreRelatedNursing Management Of A Patient Who I Have Looked After During My Placement1407 Words   |  6 PagesIn this essay, I aim to evaluate the nursing management of a patient who I have looked after during my placement. The setting is High Dependency Unit and the study is based on single day of my placement. 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Some agencies have guidelines and protocols for treating this disease that limit the degree in which other interestedRead MoreThe Case Analysis Of The And Childress s Principles Of Biomedical Ethics2536 Words   |  11 Pagesmultifactorial, requiring life style changes and numerous medications (Blackburn, Swidrovich, Lemstra, 2013, p. 183 ). One of the most common patient populations to fall within this noncompliant classification is type 2 diabeticspatient with Type 2 diabetes, resulting in high rates of morbidity and mortality (Blackburn, Swidrovich, Lemstra, 2013). As a medical doctor taking care ofProviding care for noncompliant patients can be a real ethical challengepresent ethical challenges as healthcare providers

Monday, December 9, 2019

Real Estate Industry for Buying and Selling - myassignmenthelp

Question: Discuss about theReal Estate Industry for Buying and Selling. Answer: Real estate refers to the land and property inclusive of the air rights above and underground the land. There are four types of real estate including commercial real estate which encompasses shopping and other commercial centers, residential real estate which comprises of construction and resale homes, industrial real estate which includes all manufacturing buildings and warehouses, and land which comprises of ranches, working farms and vacant land (Amadeo,2017). The real estate industry work involves producing, buying, and selling of property. New buildings and residential homes are constructed. The real estate agents assist people to buy and sell their desired real estate while the sellers agents give guidelines to sellers on the market prices. Buyers agents provide a clear guideline to the potential homeowners on the better deals in the market. To complete agency work, there are legal and ethical requirements attached to property management (Weisleder, 2005). These include the abi lity to communicate with people from different backgrounds and abilities as well as have necessary analytical skills to interpret documents such as a lease, legislation, regulation, and authorization forms. Property sales are required to have the ability to communicate with other people. Have skills necessary to interpret legal forms, have literacy and computing skills as well as the ability to think rationally, and make sound decisions. There are a number of business ownership options as well as services provided by a real estate agency. Among the various forms of business ownership (Ward, 2016), there is corporation which is a business operation that is authorized to act as a single entity and is owned by a board of directors; partnership which is a business operation where two or more people decide to pool their resources together to advance their interests and share profits; and sole trader or proprietorship which is a business entity owned by one person. In addition to property management and sales, the agency provides services such as marketing, sale, and leasing of a range of property types as well as acting as buyers advocacy. A typical organizational structure of an agency can include; an independent agency which acts without supervision from the executive; a franchise group which is authorization from the government or a company to an individual giving them the right to partake a certain task; or a marketin g cooperative consisting of many producers of a similar good working together to sell their products. The roles and responsibilities of agency staff are ensuring that the consumers are protected and are exposed to fair trading, they maintain conducive employment as well as workplace relations fostering equity, provide privacy to their customers, and licensing of real estate. The legislative liabilities and responsibilities include ensuring there are legal measures guarding against discrimination, enhancing consumer protection, and promoting privacy. The NSW office of fair trading upholds integrity to both buyers and consumers as well as providing information on ethical and fair practices. The civil and administrative tribunal is a body that replaced the administrative decisions tribunal of New South Wales and deals with matters of tribunals (Michael, 2014). The rental bond board stores rental bonds paid by a tenant to the landlord for housing occupancy. The real estate institute of New South Wales represents agents, as well as promoting, and responding to members needs. Some legislation in the New South Wales state that bind property sales and management include the common law, equity law, statutory law, and contract law. To maintain up-to-date records of legislation, agencies keep the information in bills, amendment acts and regulations, and consolidated acts. To track amendments, techniques such as the use of margin notes as well as government newsletters. The Estate Agent act is a legislation relating to ethics and professional conduct of estate agents and agents representative. This legislation is aimed at setting expected standards of acting to the agents and representatives when carrying out their everyday activities. Some obligations under this law include: making reasonable inquiries to provide necessary information, act in fair and just manners, complete client work on time and under their jurisdiction, minimize disputes with clients, and have relevant knowledge of laws and legislation (Consumer Affairs Victoria, 2017). There are several strategies in place that implement, monitor and review client service standards. According to Rosier (2013), there are six key steps to quality monitoring. They include: listening to the clients through interactions, adopt all channels necessary for client feedback, involving the clients in day to day activities, help agents improve skills by use of quality monitoring, promote continuous training to agents, and conduct an evaluation to monitor progress. By doing so, Rosier (2013) believes that the agency will remain relevant and competitive in the industry. According to the National Research Council (2005), risks should be identified earlier and plans to mitigate and manage them put in place. Strategies such as viewing past projects, project team participation as well as face to face interactions are essential in identifying risks. Analyzing of the risks can involve methods such as risk screening, impact and probability identification, and Pareto diagrams. Options for minimizing risks include avoiding risk related environments, financing the treatment of the risk, reducing the risk by developing techniques to curb it, and transferring the risk to others. There is various estate agents act in the New South Wales state. According to the Consumer Affairs Victoria (2017), they include; The Act of your state or territory Obligation Maximum penalty for breaching your obligation Section of the Act You must not act as an estate agent unless licensed to do so. 12 months imprisonment or 500 penalty units for individuals and 1000 units for a corporation 12 You must not permit or assist a person who is not licensed to carry on the business of an estate agent. 500 penalty units, permanent or temporary disqualification and cancellation of license 29 You must not publish or authorize the publication of an advertisement that is false or misleading. 25 penalty units 42(4) You must not market a property for sale at a lower price than your estimated selling price (commonly referred to as underquoting) 200 penalty units 47C(2) You must not purchase or indirectly benefit from the purchase of any real estate or business you are engaged to sell 240 penalty units, 2 years imprisonment, or both 55 (1,2) You must keep trust money in a separate and current trust account at an authorized financial institution. 25 penalty units 59 (3) You must not fraudulently use trust money or falsify trust accounts 120 penalty units 59 (1) The table below represents personal skills and knowledge for working in the real estate industry. Skill/knowledge area Rating (1-5) Improvement possible Communication skills (i.e. active listening, building rapport, negotiation skills, communicating with people from different cultures and backgrounds, use of verbal and non-verbal communication such as your own body language, etc.) 4 Involve more people in dialogues to understand them better as well as their desires. Literacy skills (i.e. do you have any issues understanding any documentation, policies, procedures, regulations, and legislation relevant to real estate work, can you fill in forms and other paperwork correctly and without assistance?) 3 Seek further clarification from experts on legislation relating to the real estate industry. Numeracy skills (i.e. are you good at working with numbers do you need any help when it comes to mathematical tasks such as working out budgets, commissions, bond, etc.?) 3 Seek assistant from experts so as to gain more knowledge on working budgets, commissions, and bonds. References Amadeo, K. (2017). Real Estate: What It Is and How It Works. The Balance. Retrieved from https://www.thebalance.com/real-estate-what-it-is-and-how-it-works-3305882 Consumer Affairs Victoria. (2017). Penalties-Estate agents. Retrieved from https://www.consumer.vic.gov.au/licencing-and-registration/estate-agents/penalties Consumer Affairs Victoria. (2017). Professional conduct and obligations-estate agents. Retrieved from https://www.consumer.vic.gov.au/licencing-and-registration/estate-agents/running-your-business/professional-conduct/professional-conduct-and-obligations Michael, P. (2014) Law, and Order beast felled demoted attorney general, Greg Smith. The Australian. News Corp Australia. National Research Council. (2005). The Owners Role in Project Risk Management: Risk Identification and Analysis. National Academics Press. Retrieved from https://www.nap.edu/read/11183/chapter/6 Rosier, S. (2013). Six steps to successful monitoring of your customer service. Retrieved from https://www.mycustomer.com/service/management/six-steps-to-successful-monitoring-of-your-customer-service Ward, S. (2016). Starting a business: Forms of business ownership. The Balance. Retrieved from https://www.thebalance.com/staring-a-business-forms-of-business-ownership-2948118 Weisleder, M (2005). Real Estate Agents, Beware! ECW Press.

Monday, December 2, 2019

My Antonia Film Review Essay Example

My Antonia: Film Review Paper My Antonia, a film produced by Victoria Riskin and David Rintels, was released in 1995. It stars Neil Patrick Harris in the lead role. The cinematography and music are handled by Robert Primes and Lori Slomka respectively. Based on a classic literary novel of the same name by Willa Cather, the screenplay is adapted by Victoria Riskin. Directed by Joseph Sargent, the movie stars Jason Robards (Josiah Burden), Eva Marie Saint (Emmaline Burden) and Neil Patrick Harris (Jimmy Burden) in lead character roles. The script of the film manages to retain most key aspects of the original written work. Set in the late nineteenth century Nebraska, the story revolves around the travails of orphan Jimmy Burden, who moves into his grandparents’ (played by Jason Robards and Eva Marie Saint) farm that is located nearby Black Hawk, Nebraska. Young Jimmy is immediately drawn to 15-year neighbor Antonia Shimerda (played by Elina Lowensohn) and they become close friends. Conflict arises when Antonia’s father wants Jimmy to teach her English, whereas Jimmy’s grandfather is concerned about his grandson’s own education. But soon the Shimerda family meets a tragedy and contact with the Burdens is severed as the latter move into town. We will write a custom essay sample on My Antonia: Film Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on My Antonia: Film Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on My Antonia: Film Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer As the ageing grandparents pool their resources into making their grandson a graduate, Antonia renews her contact with Jimmy as she also now lives in town. The subsequent narrative is about the evolution and endurance of their friendship, which lasts for many years, even as Jimmy takes further strides in his academic and professional life. The relationship between Jimmy and Antonia has a romantic basis to it, but neither of them expresses it in overt ways. The intrusion of the beautiful Lena also disrupts the harmony of their relationship. As Jimmy takes greater interest in Lena, he drifts further apart from Antonia. This element of the relationship adds suspense and intrigue to the narrative and keeps audience interest alive throughout. The adaptation to film comes off well, although some of the smaller characters in the novel do not find space in the shorter film format. Yet, the essence of the novel is fully captured through the strong impression that the character of Antonia makes on the audience. Even as the film moves toward the final denouement, the benevolence and kindness of Antonia lingers on the mind of the discerning viewer, standing as a testament to the film’s overall success. For example, even as she realizes that Jimmy is lost to her, Antonia does not cry foul and neglect her duties toward her family. She carries on bravely and reconstructs her life in a manner fitting the circumstances. When Jimmy eventually meets Antonia toward the end of the film, he finds her living a happy married with children. The film ends upon this note of implicit regard and goodwill for each other. As for the performance given by lead actors, excepting for Elina Lowensohn’s stand-out central performance, none of the other actors evince much energy, especially Neil Patrick Harris in the lead role. Even accommodating for the fact that Jimmy Burden is a reserved character in the film, he nowhere nearly capture the emotional turmoil that Cather portrayed so eloquently. One of the larger themes covered by the movie is the disparate treatment meted out to immigrant communities. This is most evident in the ordeals of the Shimerda family in assimilating with the local community in Black Hawk, Nebraska. Willa Cather was a writer of great cultural and social sensitivity. And the film My Antonio successfully captures the thrust and emphasis of her presentation of American social problems. For example, reviewer Tom Wiener correctly notes in his review article that â€Å"The strongest portrayal in the film is the plight of European immigrants and in particular the young women. As Antonia plaintively says, â€Å"Girls like me don’t get chances,† and although she almost blows what she thinks is her best shot, she does land on her feet–no thanks to the self-absorbed Jimmy. A longer film might have given more screen time to the liberated character of Lena Lingard, Antonia’s Swedish friend and Jimmy’s first real lover, to enhance this point. Victoria Riskin’s script is adequate, but it’s forced at times to resort to voiceover narration that spells out what adroitly composed dialogue and more forceful direction might have dramatized.† (Tom Wiener, Rovi) The director Joseph Sargent has to be given a credit for pulling off a fine balancing act. If any faults are to be found, they lay in the technical aspects such as cinematography and background score. Apart from this, only some minor elements of the novel could not properly be translated into the film version, which is a reflection of the low budget that went into production. Moreover, considering that the film was intended for a television audience, the parameters of critical assessment are slightly different for this film. This is one reason why many scenes of intimacy were either cut short or entirely cut-out from the film, making it easy to gain a PG viewer rating and as a result a broader reach. Work Cited: Tom Wiener, Rovi , My Antonia : New York Times Review, New York Times, retrieved from on 25th june, 2011