Sunday, March 8, 2020

Health assessment is an evaluation of the health status of an individual by performing a physical examination after obtaining a health history. The WritePass Journal

Health assessment is an evaluation of the health status of an individual by performing a physical examination after obtaining a health history. Introduction Health assessment is an evaluation of the health status of an individual by performing a physical examination after obtaining a health history. IntroductionCaseVital signsHealth historyPhysical examination  InspectionAuscultationPercussionPalpationDifferent outcome of careConclusionReferencesRelated Introduction Health assessment is an evaluation of the health status of an individual by performing a physical examination after obtaining a health history. (Mosbys Medical Dictionary, 2009) At the followings, I choose abdomen case in health assessment to apply on a client I had been caring in my past clinical practice. To diagnose, monitor, and treat client’s conditions, abdominal assessment skills are essential and it can be anticipate a different outcome of care to this client. Case Here is the case that I choose in my past clinical practice. Mr. Lee, a 26-year-old male, complains of severe abdominal cramping, nausea, vomiting and diarrhea since yesterday. States that he ate dinner yesterday at Eastern and Western restaurant and 5-6 hours later noted cramping, diarrhea and vomiting. Has had a watery, brownish stool about every hour since yesterday. No loner vomiting or crampy. Vital signs When Mr. Lee sent to our ward, I began the physical examination by taking his vital signs. Vital signs provide data that reflect the status of several body systems. After taking his vital signs, I started to ask him some health history, his lifestyle health practices. Health history is an excellent way to begin the assessment process because it lays the groundwork for identifying nursing problems and provide a focus for the physical examination. (Weber Kelley, 2010) Health history The health history that I asked are included present health, past health history, family history, lifestyle and health practices. In present health I asked some questions such as â€Å"Are you experiencing abdominal pain?†Ã¢â‚¬Å"How did the pain begin†Ã¢â‚¬Å"Where is the pain located?†Those questions are want to ascertain the chief complaint. Then I asked something about nutrition, appetite, nausea and vomiting, recent change in eating pattern or foods, recent weight loss or gain. Allergies on food or medications. Past health history that I asked are his previous gastrointestinal problems, such as peptic ulcer, intestinal obstruction or gallbladder disease. History of major illnesses, such as cancer (type), arthritis (specify steroid or aspirin use), kidney disease, cardiac disease, respiratory disease(steroid use), any blood transfusions, DM, hypertension, needle exposure and hepatitis vaccination status. After taking past health history, I asked him something about family health history. â€Å"Is there a history of any of the following diseases or disorders in your family: colon, stomach, pancreatic, liver, kidney or bladder cancer; liver disease?† And the last one that I asked in health history is lifestyle health practices. Asked him about activities of daily living, his abilities for self-care, also asked his psychosocial history, such as cigarette smoking status (number of packs/day and number of years of habit) , alcohol intake(usual amounts and frequency), recent stressful life events.( Mcgough, 2003) After checking Mr. Lee vital signs and his health history, I started to summaries some data that I collected, Mr. Lee had a watery, brownish stool about every hour since yesterday. No longer vomiting or crampy. Denies blood or mucus in stools. States is usually healthy. No chronic illnesses. Denies history of constipation, indigestion, weight changes, or change in appetite. Has not taken any medications. No family history of liver, peptic ulcer, or kidney disease. Smokes one packs/day x 8 years; non-drinker. Denies increased stress or major life changes; states family situation is good; lives with parents and his brother. His vital signs: Bp 116/72, pulse73, respiration18, temperature 37.7 °C. When I finished ask Mr. Lee’s health history and check his vital signs. I found that I am more understood Mr. Lee’s situation so that I can provide some appropriate care for him. However I think I am not doing enough health assessment on this case. To care this case again, I think I will ask Mr. Lee’s health history and check his vital signs, also try to have physical examination on Mr. Lee. Physical examination Physical examination of the abdomen includes all four methods of examination (inspection, auscultation, percussion and palpation). In the abdominal examination, auscultation is done before percussion and palpation because stimulation by pressure on the bowel cal alter bowel motility and heighten bowel sounds. ( Barkauskas, Baumann Darling-Fisher, 2002) First I will help Mr. Lee to relax. It is an important prerequisite to performing a thorough examination of the abdomen. Mr. Lee should have an empty bladder before the examination begins. He needs to be in a comfortable supine position with arms at the sides. To help him to relax the stomach muscles, place a small pillow under the head and ask the client to flex the knees slightly. The examination room should be warm enough so that the client will not shiver. The abdomen must be fully exposed. ( Barkauskas, Baumann Darling-Fisher, 2002) Moreover I need to prepare some equipment. Stethoscope(with bell and diaphragm) to listen to bowel and vascular sounds, Centimeter ruler to measure liver span, Marking pen to mark borders of organs, small pillows to position client. To describe clearly the location of organs and the areas of pain or tenderness, the abdomen can be divided into four quadrants. An imaginary vertical line is drawn from the sternum down to the pubic bone through the umbilicus, and a second line is drawn perpendicular to the first line through the umbilicus. Start the assessment in the RLQ, proceeding in a clockwise direction. Different abdominal quadrant is stand for different organs, such as right upper quadrant stand for duodenum, gallbladder ( Barkauskas, Baumann Darling-Fisher, 2002).   Inspection First for inspection, it means systemic and thorough visual examination of the abdomen. Observe the coloration of the skin. Abdominal skin maybe paler than the general skin tone because this skin is so seldom exposed to the natural elements. Moles and striae (silvery-white lines caused by rapid stretching of the skin) are common findings. A network of fine veins may be seen around the umbilicus and abdomen and gently pinch and release a fold of skin to assess turgor( the skin should return quickly to normal) (Weber Kelley, 2010). The observation of skin lesions or nodules is of particular significance because gastrointestinal alterations are frequently associated with skin changes. Inspection of the abdomen for scars may yield valuable data concerning previous surgery or trauma. The size and shape of scars are best described through the use of a drawing of the abdomen on which the landmarks or quadrants are shown the dimensions are noted in centimeters ( Barkauskas, Baumann Darling-Fisher, 2002). To inspect Mr. Lee’s abdominal contour. Look across the abdomen at eye level from the client’s side, from behind the client’s head, and from the foot of the bed. Measure abdominal girth as indicated. In normal findings abdomen is flat, rounded or scaphoid. Abdomen should be evenly rounded. (Weber Kelley, 2010) Assess abdominal symmetry. Look at the Mr. Lee’s abdomen as he lies in a relaxed supine position. Abdomen is symmetric in normal finding. Inspect abdominal movement when the client breathes. Abdominal respiratory movement may be seen, especially in male clients because men exhibit predominantly abdominal movement with respiration. Observe aortic pulsations and peristaltic waves. The normal findings are that a slight pulsation of the abdominal aorta, which is visible in the epigastrium, extends full length in thin people. Normally peristaltic waves are not seen although they may be visible in very thin people ( Barkauskas, Baumann Darling-Fisher, 2002). Auscultation Secondly, auscultation follows inspection and provides valuable information about gastrointestinal motility and underlying abdominal vessels and organs. (Cox C Stegall M, 2009) Start auscultation, both the stethoscope and the nurse hands should be warm. If they are cold, they may initiate a contraction of the abdominal muscles. To listen to the relatively high-pitched abdominal intestinal sounds, use the diaphragm of the stethoscope, which accentuates the higher-pitched sounds. Use the bell of the stethoscope to listen for low-pitched arterial bruits and venous hums. ( Barkauskas, Baumann Darling-Fisher, 2002) Peristaltic sounds. Normal bowel sounds are high-pitched, gurgling noises that occur approximately every 5 to 15 to 20 seconds or roughly one bowel sound for each breath sound. The frequency of sounds is related to the presence of food in the gastrointestinal tract or to the state of digestion. A silent abdomen indicates the arrest of intestinal motility. Flick the abdominal wall with a finger to stimulate peristalsis. Peristaltic sounds maybe quite irregular, so it is essential to listen for at least 15 minutes before concluding the absence of bowel sounds. ( Barkauskas, Baumann Darling-Fisher, 2002) Auscultate for vascular sounds. Use the bell of the stethoscope to listen for bruits (low-pitched, murmurlike sound) over the abdominal aorta and renal, iliac, and femoral arteries. Furthermore, auscultate for a friction rub over the liver and spleen. Listen over the right and left lower rib cage with the diaphragm of the stethoscope. No friction rub over liver or spleen is present in normal finding. (Weber Kelley, 2010) Percussion In addition, abdominal percussion aids in determining the size and location of abdominal organs. Percussion also aids in the assessment of excessive accumulation of fluid or air in the abdomen. As in auscultation, a systematic approach should be used in percussing all four quadrants. Percussion sounds vary depending on the density of the organ and the underlying structures. Dull sounds are heard over dense structures, like the liver and spleen, and tympanic sounds are heard over air filled structures (Cox C Stegall M, 2009). To determine the size of the liver, begin percussion in the right midclavicular line at a level below the umbilicus. Start percussion over a region of gas-filled bowel and progress upward toward the liver. The first dull percussion note indicates the lower border of the liver. Mark the lower border on the abdomen. The usual liver span is 6 to 12 cm in the midclavicular line and 4 to 8 cm in the midsternal line( Barkauskas, Baumann Darling-Fisher, 2002). Percussion for tympany and dullness. Percussthe spleen. Begin posterior to the left mid-axillary line (MAL)., and percuss downward, noting the change from lung resonance to splenic dullness. (Weber Kelley, 2010). Morever, percussion note of the gastric air bubble is lower-pitched tympany than that of the intestine. Another percussion method used in the abdominal examination is fist percussion, which causes the tissue to vibrate rather than produce sound. Palpation Palpation is the final component in an abdominal assessment and is used to assess the organs of the abdominal cavity, to detect muscle spasm, tumours, fluid and areas of tenderness. It is a sophisticated skill that involves the use of the hands and fingers to gather information about the size, shape, mobility, consistency and tension of abdominal contents through the sense of touch. Touch is considered therapeutic, and is the actuality of ‘laying on of hands’. Palpation of the abdomen is a particularly sensitive matter; therefore, the nurse’s approach should be gentle. (Cox C Stegall M, 2009) Different outcome of care This selected assessment might anticipate a different outcome of care Mr. Lee, it is because it can let me know more information about him and it can find a source of his diseases. After performing an inspection examination on Mr. Lee, he is flat no visible masses, pulsations or peristalsis. Also he has hyperactive bowel sounds in all four quadrants in auscultation. Tympany in all four quadrants on percussion. He has tenderness over epigastric area; slight tenderness in all four quadrants; no masses or organomegaly; negative Murphy and Mcburney’s sign. Finally all health assessment is done; I found that he was suffering from acute gastroenteritis in rule out food poisoning. Sometimes the signs of symptoms in acute gastroenteritis are 10053848-Yim Wing Chi-NURS S305F  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   10 nausea, vomiting, diarrhea, malnutrition and fever (Mingpao, 2011).Compare with physical assessment, if only check Mr. Lee’s history and vital signs, the care that I provide surely is not enough, so that a complete health assessment can help me to find appropriate method to care Mr. Lee and make a professional clinical judgment. After taking all health assessment, I know how to care Mr. Lee. I will maintain adequate fluid intake with appropriate rehydrating solutions. Never rehydrate with water alone because it does not contain adequate amounts of sodium, potassium, and other important nutrients. Take stool sample and blood for culture. Give ice pad when Mr. Lee has fever. (Hong Kong Hospital Authority, 2007) Conclusion All in all, a complete and well health assessment aids in determining the correct diagnosis and devising the treatment plan, it is useful to use in clinical field and it might anticipate a different outcome of care to client after all health assessment is done. References Barkauskas, V.H., Baumann, L.C. Darling-Fisher, C.S. (2002). Health physical assessment (3rd ed.).Arizona: Mosby. Cox, C., Stegall, M.(2009). A step-by-step guide to performing a complete abdominal examination. Gastrointestinal Nursing, 7 (1),10-17. Hospital Authority.(2007). Gastroenteritis〔Brochure〕.Hong Kong:Hong Kong Government press. Mcgough, K. (2003). Home health nursing assessment and care planning.(4th ed.).Arizona: Mosby. Mosbys Medical Dictionary .(2009). Health Assessment. From http://medical-dictionary.thefreedictionary.com/health+assessment. ä ½â€¢Ã¥ ¿â€"Ã¥ â€°(2011Ã¥ ¹ ´3æÅ"ˆ5æâ€" ¥)。å…Æ'æÅ"â€"æ   ¡Ã§Ë†â€ Ã¨â€¦ ¸Ã¨Æ'Æ'炎。《明å   ±Ã£â‚¬â€¹Ã¯ ¼Å'1版。 10053848-Yim Wing Chi-NURS S305F  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   12

Friday, February 21, 2020

Physical Resource Operations Assignment Example | Topics and Well Written Essays - 6500 words

Physical Resource Operations - Assignment Example 20 yrs 500 6250 1 yr Rogers 7005 Kitchen Coolers Kitchen 6/6/2004 Jarvis 2300 10 yrs 0 2300 1 yr Rogers 7006 Kitchen Microwave Rec 6/6/2004 Poolman 350 2 yrs -100 350 1 yr Rogers 8001 Pool Rec 4/7/2004 Galliford 18650 20 yrs 200 19000 3 months Mott 8002 Pool Table Rec 4/7/2004 Galliford 3500 5 yrs -500 3000 1 yr Mott 8003 Sports Equipment Rec 4/7/2004 Galliford 1300 2 yrs -500 1300 3 months Mott 8004 Tennis Courts 4/7/2004 Galliford 16000 20 yrs 4000 20000 1 yr Mott Question 2 Outline Purchase Strategy for Heron that is transportable to larger hotels Heron Hotel Purchase Strategy: Determine funding allocations and assets that are available for the department the purchase is to be proposed too by consulting with management team and discussing limitations of the proposed budget as well as liabilities that the purchase may create to ensure that there is a balance between assets, goals and liabilities. It is important that the price of the purchase will not exceed the allocated budget without senior management approval. It is the financial department's responsibility to determine any grants, loans and fiscal liabilities that may be involved with the purchase as well as the value of the assets and services that will be acquired. For the following, develop three alternatives in vendor and resources of the proposed purchase to outline available options. It is held in utmost importance to determine, describe and present the physical characteristics of purchase and the way in which the proposal will assist the facility's goals and the departments that will be involved in the purchase. This will ensure that there is not a difference in purchase traits compared to the needs of the business. List the items involved in the purchase and evaluate the cost as it relates to... It is held in utmost importance to determine, describe and present the physical characteristics of purchase and the way in which the proposal will assist the facility's goals and the departments that will be involved in the purchase. This will ensure that there is not a difference in purchase traits compared to the needs of the business. It is especially important to determine what resources are necessary to utilize the purchase as well as determine any rudimentary costs that will be involved to determine the full cost of the purchase, state these regarding the short and long term costs and the effective outcomes. It is also important in the purchase proposal to determine the long and short term values of the purchase and the holistic effect on the facility by discussing with financial and marketing managers to ensure that it is within the resource budget and determine if any liability will be caused and if that liability can be afforded, but also ensure that it is within business and marketing strategy. Furthering on the discussion with marketing and financial officers, evaluate relationship of purchase to business goals and plans to determine if purchase will enhance or hinder the profitability of the hotel, and if said purchase is feasible within the budget limitations. Define choice of supplier from a minimum of two

Wednesday, February 5, 2020

Virtual Learning Environment Essay Example | Topics and Well Written Essays - 1000 words

Virtual Learning Environment - Essay Example There are various advantages associated with the use of ILT and the VLE as educational learning supporting tools. Accessibility is one such advantage associated with the use of VLE, mainly for students with special needs, and for those of part time and distance learning (Herman, 2004 p120). Since the tools associated with the VLE can be accessed from any point by the students, it allows tutors to address their students through channels such as videos, voice and sounds as well as pictures. Thus, this creates conveniences for students who cannot present themselves to class due to various reasons. Students with special needs who may have difficulties attending to such classes can sit at the convenience of their rooms and access the lesson from there. Better, is the convenience created for the distance-learning students who may not be able to travel to a certain country to access the education program but can easily access it from their mother countries through VLE. Part time students ca n also attend to the lessons at their convenient time, since they may not be able to present themselves during the class time, as they may be occupied with their jobs or other activities (Herman, 2004 p133). VLE is also beneficial to students who are slow learners, since it allows them to repeat the lessons taught later on, at their own pace, so they can understand better. The other advantage associated with VLE is the interactivity it provides the parties involved in the learning process. There is a great deal of interactivity between the students and their teachers, which involves instant feedbacks given to the questions asked by the students to their teachers. The teacher can easily access the progress of the student and thus correct them instantly on the mistakes they make in the process of undertaking their assignment, as there is no time lag between the presentation of the assignment and the marking (Herman, 2004 p125). VLE affords an opportunity for students to undertake thei r learning activities in a self-directed manner, thus allowing them to understand and synthesize all the details in a particular lesson. The other element of interactivity created by VLE is the customization of the learning process and activities, whereby the students learning process are individualized, enhancing their understanding of the content of the lessons taught (Herman, 2004 p118). Since the students are involved in the actual undertaking of the activities as prescribed in the VLE learning guide, they happen to understand the content better. Communication is a great advantage provided by VLE as a learning tool. Such facilities as the bulletin boards as provided by this tool serves to enhance the communication between the student and the tutor. This facility can be utilized as a means of evaluating the sources that the students can refer to regarding the lessons and topic they are learning (Herman, 2004 p130). This facility is an effective communication tool for distance lea rning, by offering real time communication. Communication is also enhanced through group work, which is a vital and relevant part of learning for students. More important is the alerts that this facility allows the students, notifying them when the teacher is available to address their issues (Herman, 2004 p119). Communication is enhanced through a structured program thus affording the students an opportunity to undertake revision throughout the

Monday, January 27, 2020

McDonalds Business Process Management

McDonalds Business Process Management To achieve the good will from the customers McDonalds has gradually expanded the variety of food and drinks provided from the original offering of burgers, drinks and fries to include breakfast, sandwiches and salad. Furthermore, to being sold as individual items, many of the products are packaged into special offers, listed as Extra value Meals. For example a big Mac is consists on the Big Mac Meal, a drink and a portion of fries one panel exhorts customers to make it large-have large fries and a large soft drink with Extra value meal. To increase the business of the company some special promotion items like ribs and Mexican chicken are also added from time to time. When the customer reaches the front of the queue of the restaurant and asked for his/her food, the counter person employs two selling techniques. The first technique is known as selling up, which involves augmenting the order, by either suggesting a larger portion or an additional item such as a drink. The technique is called suggestive selling. Here an order for a Big Mac and medium fries would be greeted by suggesting to a customer the nearest Extra value Meal alternative that would cost a little more than the original order but give better overall value. Suggestive selling aims to increase as the alternative offered includes additional items, such as drink or fries. The counter person delivered the order in to the till. for the standard items like Big Mac, chicken nuggets, cheeseburger, quarter pounder with cheese, Hamburger, vegetable Deluxe, Quorn premiere, Grilled chicken sandwich, the food would be available in the bins in the production area. The counter person then picks the food in a set sequence like cold drinks, hot drinks, fries, boxed burgers, wrapped burgers etc. McDonalds becomes the successful to achieve the positive impact from the customers because of its food quality, the hygiene standards of its outlets and the speed and style of service. Processes are designed to build in quality and then standardised; company requirements complement and exceed legal minima; training focuses on customer safety; inspections take place at critical points; traceability allows rapid response to problems; and all aspects are continually reviewed with an eye to improvement. These are the marks of excellence. Quality policies also link with others related to the environment and being a good corporate citizen. Training To fulfil the goals and objectives of the company, McDonalds give the first priority on staff training. McDonalds realises that its employees must understand their duties in order to fulfil the goals of the company. To ensure that all employees properly perform their assigned duties, McDonalds invests greatly in their training programme. The Company continue to receive prestigious awards for their leading, edge training. Including the employer of choice Award from the restaurant Business Magazine, new crew member go through a careful orientation process consisting of several videos, followed by several days of direct one-on one training by a trainer. To improve the made for you system, McDonalds presently introduced a strategy known as shift in to over drive and this strategy focuses on helping shift managers work more efficiently. All McDonalds restaurants are required to send at least one manager to participate in the new training programme (Philips, Kenney). This training focuses on the human aspects of made for you, this ensure that the system is being used as design. Since the new system requires perfect work from several people, the entire team must work together for the system to work quickly to provide food to customers. Level of Strategy Corporate: Corporate strategy concerns decisions by the business as a whole in terms of the sectors in which it wishes to compete. At this level, companies decide where to invest or divest in terms of the overall business mix they wish to develop today and in the futur.The corporate strategy of McDonalds is a single business strategy because it deals in the restaurant business. Quality management: McDonalds company integrates different quality management factors in its business process. To ensure quality McDonalds apply different strategies which include speed measurements, the five Ps (People, Product, Price, Place and promotion), employee training etc. The mission of the McDonalds Company consists of delivering operational excellence. At the heart of its effort to increase sales and profits lie policies on food and service quality designed to make the firm stand out from its competitors. While the big McDonalds is not to every ones taste, the company was cited by Fortune as the worlds most well-liked food service company. It aims for zero defects, which are to serve hot, fresh, testy food of good value to customers at every time. Nearly 45 million customers visit to the 28,000 restaurants every day. McDonalds sets exacting requirements for quality and safety. It will only use essentials whose source can be traced and which satisfy all regulations. To verify the supply chain Quality assurance staff carries out audits and site visits in different time. They also cooperate with suppliers to improve the quality of product. For instance, lard was replaced by vegetable oil in buns, fat levels in sauces were cut and saturated fats in the cooking oil were reduced. To circulate its commitment to quality among its 4,000 suppliers, the company introduced the Sweeney award in 1990. Judging takes place every two years. Criteria are based on those used for the Aldrige Award. The 2000 winner, sunny foods (Thailand), supplies chicken products to more than 200 outlets in Hong Kong. Standardisation of the product variety plays the vital role to assure quality of different items. Staff training is simplified by the limited range and process development, including the provision of computer controlled cooking facilities. To ensure cooking regularity Chicken Mc Nuggets are shaped into uniform sizes from breast and thigh meat. Like all meat chicken are traceable, in this case to their grandparents. Their food and water, medication and litter are also traceable to source. Fish products use cod whose origins can be matched to the vessel and day of catch. Boning is a matter great concern and 23 checks occur during fish product manufacture. Mc Donalds prefers to use free range eggs in the United Kingdom. Food quality and safety policies are closely linked to concerns for the environment. Pressed to improve its wasteful practices in food packaging and serving, the company works on reducing its use of materials and energy. Operations, purchasing and training policies all include a strong theme of waste reduction including distribution in reusable containers, using recyclable packaging and installing heating and lighting controls. Quality management tools and techniques to improve operations The quality of the services and products provided by a business is an important concern to the company and its customers. While the cost of quality calamities can be high in themselves, customers confidence in the level of quality will have a significant impact on a companys overall prosperity in terms of future levels of demand and the long term success of the business. Employees of McDonalds are well trained to prepare and present meals according to very specific procedures that are strictly enforced. For eg., a ten-minute holding time for sandwiches ensures maximum quality and freshness to each customer. McDonalds even designs our restaurants to meet the ultimate in hygiene specifications , including hand-washing procedures. Likewise, staffs of McDonalds are also trained to maintain the right procedures, food quality and safety, especially in the preparation and handling of raw and cooked products. Four key points for the quality management of McDonalds are given below: Meet customer requirements: The core of quality conformance Error-free work: Only on standard to aim for- to be right first time every time. Manage by prevention: Adopting a proactive approach to managing quality leads to prevention rather than the detection of faulty work. Measure by the cost of quality: The key measure is the cost of doing business doing things right the first time reduces costs in the task of meeting customers needs and expectations. Measuring performance of operations system McDonalds claims that the quality of its products has indeed improved, waiting times in the restaurants have an average of 2 to 3 minutes per order, slow lane performance in the cut-throat fast-food business. McDonalds is also trying to improve its image and reputation through involvement and sustained investment in projects like sports coaching and its commitment to social responsibility. In the case of operations strategy McDonalds Company take a resources view. McDonalds work in almost every significant economy of the world, but maintain practically the same format for operations. Numbers of McDonalds restaurant in UK are growing rapidly.McDonalds drives 80 percent of its revenues from eight countries like UK, Japan, Canada, France,Germany, Brazil, US and Australia.Technological, Structural and Financial resources are the best market positions which help for sustainable competitive advantages. The Company started to focus on its greatest advantages after 2003. The given graph show s the rate of McDonalds restaurant growth in the UK. McDonalds is famous for its lean operations to provide capacity, tight portion control and fast service. But the drive to reduce cost is not only limited to its core tasks. By analysing electricity costs on a half-hourly basis, reviewing this provision and pro activity seeking alternative suppliers, McDonalds has cut  £14 million from its  £18 million electricity bill for England and Wales. A separate deal for Scotland has lead to saving of more than 30 percent (www.mcdonalds.com).McDonalds 600-plus suppliers are independent Companies with whom long-term relationships have been developed. This strategy is intended to improve McDonalds ability to focus its efforts on its core business- restaurant operations. Most suppliers operate on a cost-plus basis. To discuss the needs of suppliers McDonalds often holds seminars and conferences Conclusion McDonalds posses good information about market and knows a great deal about the common attributes of its most valued customers. There is high rate of franchising in fast food industry, so this sector is supposed to be one of the most challenging sectors to operate in. McDonalds is trying to get good will from the customers by providing hot, fresh and testy fast food of good value to customers on every occasion. McDonalds uses four terms for their operational missions which are quality, cleanliness, service and value.Mc Donalds take a resources view of their operations strategy. They work in almost every significant economy of the world, but maintain virtually the same format for operatons. McDonalds has expanded to become one of the worlds best known brands, with leading share of the branded quick service restaurant industry. Recommendations From the above study and conclusion, I would like to suggest some recommendations for the improvement and to increase the business of McDonalds Company. Most of the staffs working in the McDonalds company are under 21 years of age The waiting time for customers is 90 seconds which is targeted by McDonalds Company, but many people are waiting for long time in the queue for their meals in busy time, so McDonalds should do the management in it. For the internal improvement of the Company, McDonalds should collect external information from its customers to find out good performance and weakness of the Company.

Sunday, January 19, 2020

L.A.R.P. (Live Action Role Playing game) :: essays research papers

Larp   Ã‚  Ã‚  Ã‚  Ã‚  Yo jimbo is a friend of mine. His company, Dreamscape, had had a huge effect on my life. It has changed my life in many ways. I have made many new friends, discovered my love of role playing, and adopted an over all different life style.   Ã‚  Ã‚  Ã‚  Ã‚  Dreamscape is a Fantasy L.A.R.P. (Live Action Role Playing game) or Larp. Dreamscape runs an event once a month, at Fountain Blue state park in Mandeville La., where people come from all over La. And even the Mississippi area to play. At an event choose a race to play out of the preset races. I personally play a lizard man. You are required to where makeup and prosthetics to make your self look as much like your race as you can. Then you choose a class, which is like a job. You can buy skills off certain charts depending on your class. The skills you buy help determine what your character knows and is capable of in the game. Combat is done with foam weapons so that no one gets hurt, and spells are represented by a packet of bird seed which is thrown at the target of your spell.   Ã‚  Ã‚  Ã‚  Ã‚  jimbo is now sole owner of Dreamscape, head of plot, (the developer of the over all story line) and the highest level player character in the game. He spends much of his time making rule calls and playing NPCs (None Player Characters) to further the story line.   Ã‚  Ã‚  Ã‚  Ã‚  Dreamscape has had a major impact upon my life. The first time I went was January of 2004. I was one of the only lizard men in the game. That quickly got m a reputation amongst the other people who played. I began to learn peoples names and got invited to other things that they were doing, between the monthly events. I discovered I loved to role-play. Before Larp I believed that I just loved to play video games and the reason I even tried Larp was because it sounded a lot like one of my favorite games. I quickly realized that it wasn’t as much a love of video games as it was a love of being able to make a personality in my head and play that character as if I were them. L.A.R.P. (Live Action Role Playing game) :: essays research papers Larp   Ã‚  Ã‚  Ã‚  Ã‚  Yo jimbo is a friend of mine. His company, Dreamscape, had had a huge effect on my life. It has changed my life in many ways. I have made many new friends, discovered my love of role playing, and adopted an over all different life style.   Ã‚  Ã‚  Ã‚  Ã‚  Dreamscape is a Fantasy L.A.R.P. (Live Action Role Playing game) or Larp. Dreamscape runs an event once a month, at Fountain Blue state park in Mandeville La., where people come from all over La. And even the Mississippi area to play. At an event choose a race to play out of the preset races. I personally play a lizard man. You are required to where makeup and prosthetics to make your self look as much like your race as you can. Then you choose a class, which is like a job. You can buy skills off certain charts depending on your class. The skills you buy help determine what your character knows and is capable of in the game. Combat is done with foam weapons so that no one gets hurt, and spells are represented by a packet of bird seed which is thrown at the target of your spell.   Ã‚  Ã‚  Ã‚  Ã‚  jimbo is now sole owner of Dreamscape, head of plot, (the developer of the over all story line) and the highest level player character in the game. He spends much of his time making rule calls and playing NPCs (None Player Characters) to further the story line.   Ã‚  Ã‚  Ã‚  Ã‚  Dreamscape has had a major impact upon my life. The first time I went was January of 2004. I was one of the only lizard men in the game. That quickly got m a reputation amongst the other people who played. I began to learn peoples names and got invited to other things that they were doing, between the monthly events. I discovered I loved to role-play. Before Larp I believed that I just loved to play video games and the reason I even tried Larp was because it sounded a lot like one of my favorite games. I quickly realized that it wasn’t as much a love of video games as it was a love of being able to make a personality in my head and play that character as if I were them.

Saturday, January 11, 2020

I Owe It All to You

Winds flew in every direction. With a tremendous wrath, with a sounding of voices creeping through my window as they embraced me in my sleep. Giving me the shivers to run through my spine. Waking me up! From such a sweet, sweet! Dream. It was a cold and terrifying day as I dressed myself with that old blue jacket of mine, frightened in panic and stress. For my first day of school for the cold and windy fall. I drove off to school with a big question mark on my face. Whether I would make it on time to pick my automotive class or would I sit there in dislike with a sour face on my soul, on the dislike of my classes. On my way to school I approached a fragment of the road where it looked like a horrifying most traumatic accident had happen leaving swirls of tire marks! Pieces of glass! And plastic on the floor, stained with the blood of a poor soul. As I slowly drove by the scene I could not of helped but to notice that my car was acting up. I had gotten a flat from the broken glass on the road. Like if the odds were against me, in a desperate cry for help. I cried for compassion and strength, but most importantly for my automotive class. Pulling over to fix the flat on my car, the cold and windy day fought against me making me take longer than I expect it. Causing my chances of an on time arrival at school to vanish into thin air. I got to school and entered the big red doors to the office asking for my automotive class. To my luck I was left with a sour face on my soul. It had been taken!. Left with no option but to choose the last class remaining. The seventh choice on my list Art 101. As I entered the colorful room of art I was in for the surprise of my life. Where my world would turn in an unparallel universe filled of positive influence, encouragement, persuasiveness and the most awesome job on the face of the planet. It began with a special teacher name Mr. Salas the top influential person in my career. He influenced my life in such a way that never did I had to look any were else. My first day I stepped into his colorful full of life classroom. He noticed my big sour face sitting in the far back corner of the class with a pencil and blank piece of paper. He then walked up to me and said â€Å"If you only knew what worlds await you with that pencil and paper in your hand† he left me with a question in my mind as to what he had meant by that and what was so great in his world that I did not know. Curious to know I asked him what was so intriguing that it had him hooked. With a smile on his face he gently but most kindly and confident he answered, â€Å"Art is the most intense mode of individualism that the world has known†. If you can understand this then you will be free. As the day ended it hit me in the head like a rock thrown by a baseball pitcher. B-O-O-M† I finally understood what it meant. From that moment forth I was a changed man, I considered myself to be the luckiest man to have fallen in that class by chance. My perspective towards life changed in the blink of an eye and I knew what had to be done. I then went to him and said to him, â€Å"I’m free now†. He slowly turned and looked at me wi th a spark in his eye and yield â€Å"G-R-E-A-T†, â€Å"Now we can proceed† he said. From that day on I knew I was in debt with him. Thinking of how some stranger managed to influence my life, my thoughts. Molding me into a new man filled with an encouragement to fulfill my new dreams. As the months passed by Mr. Salas became the second person to my mother who I greatly loved, to encourage my life. He was always there with something positive to say and a hand full of answers to all my artistic problems. As our professional most friendly relationship grew. So did my progress in the art profession. He would show me the strategies and methods to an artist mind. Sculpting me! Piece by piece like if he himself was the great Michelangelo. As the days continued so did the routine and that same man walking through that door with a Hawaiian shirt he loved so much. He would walk up to me every morning and look at my work and no matter how big I had messed up his words were always the same. Filled with encouragement and excitement towards new progress. He would start being persuasive as he seen that my progress was incompatibly high. He realized that my skills were rapidly getting better by the day. Not wasting a moment of the day he would persuade me to do better. He had finally brought out on me the true potential that once was hidden deep inside me. He would make me each day practice more and more, he would call it liberation of the soul. To all I knew It felt like persuasion to do more, but that was just my opinion. He always new how to better me, pushing me to think bigger and deeper to create work of art like no other before. Till one day he entered that room.. With a bigger smile than ever before. In his hand he held a sheet of paper, he walked straight to me and said, â€Å"Guess what? †, â€Å"WHAT!? † I said. â€Å"You have been signed up to compete in an art contest! †. I did not know what to say as I felt plain as a sheet of paper and hot like the beating sun. Not knowing what to answer I smiled and said â€Å"WOW REALLY? . I had finally gotten a grip of my self and was most exited but nervous and pressured at the same time. I then entered the contest and to my biggest surprise I had won first prize. As the years passed by his persuasion was finally over, as he had finish his masterpiece. Thanking him for all the time and work he had dedicated to me. Turning me into the greatest artist i n the country ready to go out and began my solo career. As I searched for my new life as an artist. I began to create some art work to send to the biggest firms of art in the world. I felt sluggish and scared as my great art teacher was not by my side on this one. I called him over an evening night for dinner as we discussed some ideas for the projects I would send to the art firms. He then drastically described what had been the most radical stupendous idea of all time. His idea was filled of crazy ideas and lots of colors I then later that week began to work on this idea he had given me, I started to shape it and color it and twisted as I worked on it more and more I couldn’t help but to not look at it. It was perfect, I sent it in to my first choice firm and within the next day I was called upon to report myself for work. As my body felt like gravity had just came upon it, I rapidly stood up and screamed with excitement at my four walls in my small little house. I was finally a big time artist like Mr. Salas wanted me to be. He was always there for me through the good and the bad never gave up on me. Always pushing me to do better encouraging me when I most needed. If it wasn’t for that first day of school when he said to me that phrase that influenced my life, I would not be the great artist I am today. On my fist day on the job I told everybody at work how I had gotten there. Everybody was amazed at the story giving me six words and only six to say to this great man. The next day I woke up early in the morning it was a bright and warm day. The birds outside sang like never before like the angels themselves were singing. As I drove down the beautiful road full of life blowing through. I arrived at Mr. Salas house. That old yellow house In the one I spent many of my free time practicing my technique. I walked to the door and knocked on it three times. A minute ater the foot steps of someone walking towards me were heard, my heart rushed with excitement and adrenaline at the same time. When the door was finally open their stood the man that never one instant doubt it me. Holding his favorite coffee mug in one hand and in the other his all time favorite newspaper, looking at me with a smile on his face. I stood their blank as I could not of helped but to run the story in my mind of the first day I met this man. When I finally came back to reality all that came out of my mouth were them six magical words, â€Å"I OWE IT ALL TO YOU! †.

Friday, January 3, 2020

Scholarship Of Teaching And Learning ( Sotl ) Project Plan

MA#3 Scholarship of Teaching and Learning (SoTL) Project Plan A researcher has to choose a topic of interest to investigate and the topic usually determines what type of design to use conduct research. The two designs (quantitative and qualitative) that researchers will choose from depends on the research questions and hypothesis. In most cases the designs will contain some of the same elements but, the data and the results will differ in the end. This paper will examine quantitative, qualitative and mixed methods research design of the two articles. Quantitative Research Approach: Research Questions. This study will not include hypotheses but, there will be research questions addressed in the study. The questions consist of the following: RQ 1: Why is texting leading students to become less coherent writers? RQ 2: What do effective writing skills allow learners to do? RQ 3: Why is it important to be able to write well? Explanation of Research Approach and Alignment with Problem. Writing is one of the main sources of communication today. Throughout the years writing has changed drastically because many students are choosing to text and write the same way. Teachers are expressing their concerns about the lack of students writing skills. Many individuals feel texting has a negative impact on learners. Researchers argue that text messaging throw mechanics of writing out the door (Klages Clark, 2009). Today, text messaging is a must have for many individuals