Organization and Behaviour Essay

Contents 1. Compare and contrast different organisational structures and culture 2. Explain how the relationship between an organisation’s structure and culture can impact on the performance of the business 3. Discuss the factors that influence the individual’s behaviour at work 4. Compare the effectiveness of different leadership styles in different organisations 5. Explain how organisational theory underpins the practice of management 6. Evaluate the different approaches to management used by different organisations 7. Discuss the impact that different leadership styles may have on motivation in organisations in periods of change 8. Compare the application of different motivational theories within the workplace 9. Evaluate the usefulness of a motivation theory for managers 10. Explain the nature of groups and group behaviour within organisations 11. Discuss factors that may promote or inhibit the development of effective teamwork in organisations 12. Evaluate the impact of technology on team functioning within a given organisation P1: Compare and contrast different organisational structures and culture. Organisational structure: There are different types of organisational structures. There is the Functional structure which is based on the activities that people do in the organisation then the Product based structure, when the product determines the structure, the Geographically based structure when the location determines the structure and the last one is the Matrix structure (segregation) which is the combination of functions (activities) and product. Organisational culture: Is the values and behaviours that contribute to the unique social and psychological, Organisational culture is the sum of an organisation past and current experiences, philosophy and values that hold it together and is expressed in its self-image. The organisational structure focuses on the mentality, work ethic and the values of the company’s management and employees. The main factors that influence the structure of an organisation are products, environment, staff, task, culture and management style, size number and type of dept. A culture of innovation, teamwork and partnership means that the company has a firm foundation of relationships and open communication channels on which to build its growth. A major determinant of an organisations structure is its culture. The general nature of culture in terms of both external influences and how things are done as well as common values, belief and attitude will have a significant effect on organisational processes including the design of structure. P2: Based on the scenario given explain how the relationship between an organisation’s structure and culture can impact on the performance of the business. The way the Coca cola company works reflects the many countries and cultures in which it does business. An essential part of the organisation’s structure therefore focuses on ensuring that individual products are given the best possible support in regional markets. Within the company different teams concentrate on particular products and use their specialist knowledge of the brands and consumer needs to support the sales and promotional effort. In some cases a product is developed solely for local consumption and an example of this is the product Lilt, which is only available in Great Britain and Ireland. A structure depends on the organization’s objectives and strategy. In a centralized structure, the top layer of the management has most of the decision making power and has tight control of departments and divisions. In a decentralized structure, the decisions making power is distributed and the departments and divisions have different degrees of independence. A company such Coca-Cola Great Britain is a more centralized structure that has a corporate (Head office) that is responsible for giving the company an overall direction and providing support to the regional structure. P3: Discuss the factors which influence individual behaviour at work. Organisations are made up of their individual members. The individual in a central feature of organisational behaviour whether acting in isolation or as part of a group in response to expectations of the organisation or as a result of the influences of the external environment. Where the needs of the individual and the demands of the organisation as incompatible this can result in frustration and conflict. It is the role of management to integrate the individual and the organisation and to provide a working environment that permits the satisfaction of individual needs as well as the attainment of organisational goals. The first factor to consider is the location. The organisation has to think about how they can improve the environment so that the staff will remain motivated at work. A good location and environment helps to create a positive attitude to staff and customers. Another factor is the amount of working hours. Hours of work are extremely different throughout the industry- some people are happy to work unsocial hours because it fits with their lifestyle or they wish to have time off when everyone is working. On the other hand, the overall amount of hours per week should not go over 40 hours. If staff are working overtime consistently it will not influence them to come into work so it is important that all hours of work is balanced. Safety and security factors must be considered in the workplace, and legislation such as Health and Safety at Work Act 1974 must be adhered to. These regulations particular apply where food is served or where there are chemical hazards, for example in a swimming pool. All these requirements are important. For some organisations a little error in the safety procedures can mean the end of the business including a trial. Companies that organise activity holidays for children, for example Disney Land, Thorpe Park or London Dungeon, must make health and safety a priority. Health and safety is important for both customers and employees. When employees know that they can go about their work in safe environment and work together to ensure their customers are safe then this could also influence them because they will know that they are working in a safe environment. Most Companies organise Christmas parties or social events and outings for staff. These are useful to create a friendship amongst staff and help influence staff to build solid teams within the organisation. Good pay may is also another factor as staff like to see that their hard work has paid off. P4: Compare the effectiveness of the different leadership styles in two or more organisations of your choice. Management in an organisation is about influencing people to behave in positive ways so that the team can achieve its general goal. A good manager must inform, motivate and develop the team as a whole. An autocratic manager makes all the decisions and announces them to the team. This person is the boss and has full control. The main advantage of this kind of leadership is that decisions are made quickly, as no meeting will be held about the decisions made by the leader. The advantages that could motivate staff include: * Where there is a need for urgent action the autocrat will take control * Some team members gain security from being told what to do. The disadvantages are: * Team members may become frustrated at their lack of control * There may not be room for the team to express creativity * There may be over-dependence on the leader. Autocratic management belongs in a traditional hierarchical structure. Democratic management: With democratic management, the decision-making is shared among the team. The advantages include: * Ideas are encouraged from everyone * There is greater involvement and commitment from team members * The team is likely to be supportive of leader * The team is fully informed. The disadvantages include: * Some team members may not be able to cope with being involved in decision-making * The democratic process can take too long * The leader may not agree with the decision of the team * Powerful team member may take over. P5: Explain how organisational theory underpins the practice of management. Organisational theory: Organisational theory represents a young and complex field of study related to the behaviour of organisations and companies. Through particular methods like analysis, generalisations and observation, organisation theory specialists try to determine how companies and organisations will behave in certain situations. (http://www.publicorgtheory.org/organization-theory.html) The way the organisational theory underpins the practice of management is by bringing change to actual behaviour. It can influence the manager’s behaviour which can be observed in the ideas portrayed or conclusions. It is important as it helps give insight to interrelationships between the development of theory, behaviour in organisations and management practice. It also gives an understanding of the development of management thinking. The knowledge of the history helps in the understanding of the nature of management and organisational behaviour. Many of the earlier ideas are of continuing importance to the manager and later ideas in management tend to incorporate early ideas of conclusions. P6 & P7: Using an organisation of your choice evaluate the different approaches to management. Discuss the impact that different leadership styles may have on motivation in organisation in periods of change. The organisation that I will be evaluating is Tesco which is a PLC (Public Limited Company). I will be talking about the different approaches to management. There is a difference between management and leadership. Management is about getting things done. Managers organise human and physical resources to achieve business aims and objectives. Leadership is about influencing, motivating and inspiring people. It is about coaching and developing people, treating them with respect but challenging them. Leaders seek to create strong teams, with people committed to the organisation’s overall goals. The process of managing starts with the target or objective to be achieved. A manager must decide on the appropriate approach for reaching that target. The manager then needs to communicate this approach clearly to his or her team and to allocate tasks to each team member. Task allocation and delegation of responsibility is part of the management function. However, other factors will also have an influence on whether the target is achieved, including the task in hand, the skills of the team and the style of leadership. The style of leadership can vary depending on the task. Some managers allow teams to take charge of their own decision-making for many tasks. Team leaders will set the objectives but empower team members to decide how these objectives are achieved. This has several advantages. It helps to motivate individuals in the team and it draws on the expertise of the members of the team. The leadership style that Tesco store managers sit between autocratic and democratic both th ese styles allow staff to participate to an extent. However the manager has the right to reserve the final decision. Managers who lead using the autocratic leadership style often tend to give clear direction to staff and are good in terms of managing a crisis but this method does not allow team member to be heard and creative. On the other hand a democratic manager will consult with staff before making his final decision this style of leadership helps encourage staff to put forward ideas and increases motivation. Some manager will adopt leadership styles in which are appropriate to the situation. Most managers prefer to take a democratic approach as they feel that staff respond better to this approach. For example when planning a major stock reduction programme at Tesco the store manager may encourage other management within the store to put forward ideas and develop plans as said before this increases team motivation and encourages creativity. Although some mistakes may be made this can be put forward as a learning experience. However as a store manager they may deal with many different situations. Some may be business critical and it is important that the manager is able to respond to these situations in the most appropriate manner. In some situations the manager may need to adapt the leadership approach and exert more authority. Laissez-faire is at the other end of the field from autocratic. A laissez-faire manager takes a ‘hands-off’ approach and trusts teams to take appropriate decisions or actions with broad agreed boundaries. For example, a store manager might leave an experienced departmental manager to develop a budget. This could be because he trusts that the manager has a good knowledge of the needs of the department and of the business. Although each manager will have their own preferred leadership style, the most effective leaders take on a style that is appropriate depending on the situation. They will consider several factors such as: * The task – Is it business critical? Must a decision be made immediately? What will be the potential impact on the business? * The team – Does it have the right skills and resources? Is it used to making decisions? * Tradition – What has been the norm in the past? For example, a manager that uses a more authoritarian style if something needs achieving in a particular way or in a very quick timeframe. Sometimes budgets need to be reduced quickly in order to make cost savings. The store manager will tell departmental managers what needs to be done and by when so that they can then resubmit their budgets in line with expectations. Managers have to be aware of the possible consequences of using the wrong style in a particular situation. For example, a manager will not use a laissez-faire approach with a new member of the team. If the employee is not given proper instruction this could jeopardise the business. In some cases employees could be injured if they don’t use the equipment correctly. In this situation, it is essential to adopt an autocratic style. P8: Compare the application of different motivational theories within the workplace. Theories of motivation Maslow America 1940, Abraham Maslow developed a theory of motivation. The theory is suitable for trying to understand how people are motivated in the workplace. Employers can use it to provide conditions that fulfil people’s needs at the different levels. Maslow’s theory is displayed as a pyramid because employees can only move up the levels once the lower levels are fulfilled. So for example an employee cannot achieve at work (level 4) if they having problems in their personal life or with work colleagues like in (level 3). Similarly, if they have just been made homeless (level) their concern will be finding shelter not performing work, meaning people have to be satisfied with their own needs and their life before even being motivated to do work. Herzberg Herzberg’s theory is also known as the ‘Hygiene’ theory. Herzberg recognized features which make people happy and satisfied with their jobs and those which make them dissatisfied and unhappy he called the ‘satisfiers’ and ‘dissatisfies’. The ‘satisfiers’ are factors which give people continuing motivation and allow them to enjoy their work: * The type of work * Promotion prospects * Having responsibility * Sense of achievement * Personal development * Gaining recognition. The ‘dissatisfies’ or hygiene factors need to be operating well in an organisation but according to Herzberg do not ultimately motivate people. However, if they are unsatisfactory then they do de-motivate people. These are: * Salary * Working conditions * Relationships with others – colleagues and managers * Company policy P9: Evaluate the usefulness of a motivation theory for managers. The motivational theory is useful for managers because of the practical implications it has on individuals lacking in motivation, which in most cases do not have clear goals. Specific performance should systematically be identified and set in order to direct behaviour and maintain motivation. Goals should be set at a challenging but realistic level. Difficult goals lead to higher performances however if goals are set too high a level or regarded as impossible to achieve this can lead to stress and performance will suffer especially over a longer period. It is assumed that complete accurate and timely feedback and knowledge of results is usually associated with high performance. Feedback provides a means of checking progress of goal attainment and forms the basis of any revision of goals. Although goals can be determined either by a superior or by individuals themselves goals set by other people are more likely to be accepted when there is participation. Employee participation in the setting of goals may lead to higher performance P10: Explain the nature of groups and group behaviour within organisations Group work: Good groups achieve synergy; that is, together they can achieve more than the members could individually. More ideas, energy and resources are made as a group because: * The group solves problems and make decisions together * The group focuses on priorities, with everyone working towards the same aim * The group provides a sense of belonging and sense of status * The group provides a support network Not everyone in a group is the same – each person has their own strengths and weaknesses. If each person had the same weaknesses, the group could not work; there needs to be a balance of skills. A method of recognising individuals’ strengths and weaknesses is needed in order to build and effective team. The management expert R. Meredith Belbin has outlined nine team roles necessary for successful team. Belbin’s roles: C hairperson/co-ordinator – the group leader, likely to be relaxed and outgoing person, also likely to be a good communicator. They will build on the strengths of team members and give them encouragement. Plant – the ideas person in the team, a person who is creative in looking for solutions to problems, but not always good at details, and so may make careless mistakes. Shaper – the task leader, who unites ideas and effort. Needs to be dominant and outgoing person in order to make things happen. Monitor/evaluator – the team analyst, who is not so good at ideas but pays attention to detail, therefore keeping the team directed towards its target. Implementer – the organiser of the team, who is able to take the ideas of the plant and shaper and turn them into manageable and realistic tasks, a practical, stable and disciplined person.   Resource investigator – the person who is outgoing and will explore and report on ideas and developments outside the group; this person always has a solution to problems, is sociable and enthusiastic, and good under pressure. Team worker – a very people-oriented person, sensitive to others’ needs. The team worker has good communication skills and will be good at motivating others. A natural mediator, who will deal with any conflict within the team, this person is very good to have around in a crisis. Finisher – a person who sticks to deadlines and likes to get on with things. Will probably be irritated by the more relaxed members of the team. Specialist – this person is single-minded and a self-starter, and provides knowledge and skills in specialist areas. Each of Belbin’s roles acquires a different level of importance according to the objectives of the team and the stage in the team’s life. P11: Discuss factors that may promote or inhibit the development of effective teamwork in organisations. Team development: Formal teams are part of the structure of an organisation and are planned in order to meet that organisation’s objectives. The official team will follow rules and rules and may meet on a fixed schedule and complete administrative procedures. Examples of good practice in travel and tourism include sales teams and marketing teams. Informal teams work within or outside formal teams. They are sometimes based on personal relationships between members rather than on work roles. When you complete group work for assignments, you often choose the colleagues you wish to work with. You choose to work with people you like and ones you know will be as committed as you are to the work. This as an informal team. There are several theories of team structure and development, which will help you to understand the effectiveness of teams. Bruce Tuckman (1965) identified four main stages of team development: Forming – at this stage, team members from their first impressions of each other establish identities. They are sounding each other out and finding out what is expected of them.   Storming – the team members have, by now, become more used to each other. Members are prepared to put forward their ideas forcibly and openly; they are also prepared to disagree and so there may be some conflict and hostility. Norming – the team now begins to establish co-operation. Conflict is controlled, views are exchanged and new standards introduced.   Performing – the team is now working together; it begins to arrive at solutions and achieve objectives. There can also be fifth stage, called ‘adjourning’ or ‘mourning’, where the team has disbanded and the members miss being part of the team. Benefits of team work to colleagues and customers and organisation. The benefit of team work to colleagues is that they get to be confident and have a great self-esteem. Working together makes them communicate well with each other it also makes them makes the right decisions. British Airways staffs respects and trust their teams they all have their clear roles and responsibilities, they support each other in their job, when their team member does not know what they are doing they help one and other out. Their customers are always happy with their service and this gives their company a positive image. British Airways spend a lot of money training their staffs to help their team works together at the end of the day they make a lot of profits. Job roles and lines of responsibility: An organisation chart shows the structure of the company and how the work is divided into different areas. It also shows the lines of responsibility between staff, so that it is apparent who is responsible to whom. An employee studying a chart will find the possible promotion routes. The chart may show a hierarchical structure or line relationship. This is a very traditional structure and shows a chain of command with each person responsible to the person above them. It is sometimes referred to as a pyramid structure. Many organisations today would be depicted in a chart with a flatter structure. There are fewer layers of management, and each manager has a broader span of control. Restructuring of organisations often involves getting rid of middle managers, hence the flattened structure. P12: Evaluate the impact of technology in team functioning within a given organisation.   In this modern day and age the use of IT is very important because of modern technology, and this is also part of some peoples working lives. Same thing is applicable to travel and tourism sector. for most jobs or roles you would IT skills like the uses of databases, spreadsheets and email system and be able to use the word processor as well as skills explicit to a role. For example people working in an airline reservation team will get trained on how to make bookings and reservation systems such as Galileo or Amadeus. In a tourist information centre you would need to be able to access the sites and use the software that provides timetables and local information. Thomas Cook Thomas Cook has an intranet ‘Get in Touch’ facility, to which all staff have access. There is also a dedicated e-mail address for staff to send feedback direct to UK chief executive Manny Fontenla-Novoa. A spokeswoman added: â€Å"we issue an annual staff questionnaire to gain a temperature check on morale and motivation within the company’. Thomas Cook also runs panel sessions – made up of a cross-selection of the business – which are held regularly to provide feedback on new ideas and marketing initiatives. Other internal forms of communication include a quarterly magazine and monthly videos for stores. Electric: Electric communications for internal use include e-mail, which is a popular way for staff to communicate with one other, and intranets. An intranet is a website that has restricted access, usually for employees only. It may hold information that a company wishes to share internally but not externally. Working in a team will also motivate staff to interact and also learn skills off their peers because one person can represent more than one role, as most people have strengths in more than one area. References/Bibliography http://www.publicorgtheory.org/organization-theory.html http://businesscasestudies.co.uk/tesco/developing-appropriate-leadership-styles/management-and-leadership.html#ixzz2HxoCDjYE Management & Organisational behaviour by Laurie J. Mullins (Ninth edition)

Cholesterol Research Paper

By: Diana Rivera| | Cholesterol is a fatty, soft substance found in all of your body. The body needs it to work properly such as holding cells together and to also make hormones such as estrogen, testosterone, cortisol, vitamin D, and substances to help you digest foods. They body actually makes most of what it needs in the liver and the rest comes from food you eat such as meats, fish, eggs, butter, and whole milk. Bad cholesterol is considered when too much cholesterol circulates in the blood, it slowly builds up in the inner walls of the arteries which feeds the brain and heart.This can cause plaque when it comes together with other substances making it less flexible and narrowing the artery. If a clot is forms in a narrow artery this can cause a heart attack or stroke. The good cholesterol acts like scavengers in your body by picking up any excessive cholesterol and taking it back to the liver. Having high levels of good cholesterol also prevents you from having heart attack. Whe n blood is collected the test tube is then placed in a centrifuge, which separates the whole blood from the plasma.The blood cell settles at the bottom of the test tube, and the plasma spins to the top, if cholesterol is detected you will see a fatty, thick substance, this test will be considered a qualitative test. There is a variety of factors that can influence blood cholesterol levels which include your diet, weight, exercise, age and gender, diabetes, heredity and certain medications or medical conditions. Cholesterol can’t be dissolved in the blood; they have to be transported to and from the cells by special carriers called lipoprotein.There are two types of lipoprotein one of them is the Low-Density Lipoproteins which are known as the bad cholesterol that a physician will advise you to keep low. When low-density lipoprotein is at a high level it combines with other substances and form plaque in your arteries. This will slow your blood flow to heart, brain, and other o rgans in your body which can cause blood clots. The range for low-density lipoprotein is more than 100 and border risk line is 130 and more than 190.Our body also has high-density lipoprotein which is good cholesterol; our body produces for our protection. They get their name because they are thought to carry excess cholesterol away from arteries to the liver, which the body can eliminate. Those who have higher levels of HDL have fewer problems with cardiovascular disease, while other with lower levels has increased for heart disease. Some things you can do if your HDL is low are aerobic exercise, quit smoking and having a good healthy weight.Triglycerides are a type of lipid found in the bloods which are used as a source of energy after being converted by the liver. They are the end product of digesting and breaking down fats in meals. Triglycerides is developed from fatty acids found in foods and they are transported by the LDL. Normal levels are below 150, levels of 200 are high. Over all maintain a good healthy lifestyle can help you balance your cholesterol and reduce your risk for heart disease or even a stroke. Many people have dealt with having chronic high blood cholesterol levels.

Vatican Council Ii

Concilium Oecumenicum Vaticanum Secundum (The Vatican Council II) The Second Vatican Council was formally opened by Pope John XXIII on 11 October 1962 and closed under Pope Paul VI on 8 December 1965. Its aim was â€Å"†¦ to throw open the windows of the Catholic Church so that we can see out and the people can see in. † – Pope John XXIII. T The main topics discussed were the Church itself, ecumenism and other religions, relation to the modern world and the liturgy of mass. The Catholic Church recognised the increasing rift between people and their relationship with God and the Church, and created four constitutions which addressed the issue.Dei Verbum (Dogmatic Constitution on Divine Revelation), Lumen Gentium (Dogmatic Constitution on the Church), Gaudium et Spes (Pastoral Constitution on the Church in the Modern World), Sacrosanctum Concilium (Constitution on the Sacred Liturgy). These documents are responses to the external issues and internal issues that impac ted the Church, and are further discussed later. The 1960’s was a huge counter-cultural movement which challenged the traditional codes of behaviour linked to sexuality and interpersonal relationships.With the sexual revolution brought the normalisation of pre-marital sex, the contraception and the pill, homosexuality and later; the legalisation of abortion. There was a rapid evolution of a youth subculture which encouraged experimentation and change, and religious values were disregarded and replaced with hedonistic attitudes. This impacted the Church because the one of the fundamental teachings of the Church is that sexual intercourse is only to express married love and for the procreation of children.The Church opposed abortion and contraception as it goes against their teachings and this caused an uproar from the feminists. Their argument was that they should have â€Å"free choice because it’s my body†. The Church until this time was also a male dominant bo dy, and women began to fight for the right to become a priest and for female altar servers. The advancement of technology also impacted the Church as prior to TV and travelling technology, society had a narrow view of the world, and mainly stuck to their own local community.The Church had played a huge role in their life because of this. But when TV became more popular, people began to spend more time watching TV and learning about things more relevant to their lives, and it became another â€Å"voice† they listened to. With the rise of technology, the â€Å"voice† of the Church became less significant. These were the major social changes which impacted the Church and some changes were made to counter the issues. During this time the Church was also facing internal issues as well as being confronted with social changes.Mass attendance was falling due to a lot of social changes. This included the sexual revolution, the role of women in society and decreased respect for the church as an authority figure. â€Å"The sexual revolution was a development in the modern world which saw the significant loss of power by the values of a morality rooted in the Christian tradition and the rise of permissive societies of attitudes that were accepting of greater sexual freedom and experimentation that spread all over the world. † (Extract from Wikipedia).Falling mass attendance may also have been due to people not being able to understand the mass, as it was in Latin or maybe feeling that the Church was too hierarchal in the way that the laity weren’t allowed to contribute during mass. Another issue was that religious numbers were also falling as many of the religious and priests had left Europe on missions. There was also tension between Protestant Churches and the Catholic Church, as the Church’s main goal was to convert as many people to Catholicism as possible.The role and structure of the Church was also under speculation as many though t the Church needed an â€Å"update† to society, and others believed that the old traditions should not be changed at all, and this caused some conflict within the Church. In order to deal with these internal and external issues, the Vatican Council II created four documents which responded to these matters. The first dogmatic constitution was Dei Verbum which was about Divine Revelation.Divine Revelation can be defined as God’s activity in making himself and his purposes known to mankind through Christ, the prophets and the apostles. Pre Vatican II, the Church taught that only priests could read and interpret scripture. But Council stated â€Å"Easy access to Sacred Scripture should be provided for all the Christian faithful. But since the word of God should be accessible at all times, the Church by her authority and with maternal concern sees to it that suitable and correct translations are made into different languages, especially from the original texts of the sac red ooks. †(Dei Verbum p. 22). This basically meant that anyone could read the bible, but the magisterium alone has been trusted with guiding and teaching the meaning of the scripture with the help of the Holy Spirit. The aim of this change was so that â€Å"Through the reading and study of the sacred books â€Å"the word of God may spread rapidly and be glorified† (Thessalonians. 3:1) and the treasure of revelation, entrusted to the Church, may more and more fill the hearts of men. This change was adopted because the bible was written for everyone and therefore everyone has the chance to learn all about God’s Revelation and his gifts to all people. The second dogmatic constitution is Lumen Gentium which redefined the structure and role of the Church. The church recognises Christ as the head of the body, and as the image of the invisible God, and that all members must be formed in his likeness until Christ is formed in them. It also became more focused on divers ity and pluralism, rather than being a private circle of religious.It said that â€Å"In virtue of this catholicity each part contributes its own gifts to other parts and to the whole Church, so that the whole and each of the parts are strengthened by the common sharing of all things and by the common effort to attain fullness in unity,† (Lumen Gentium p. 13), explaining that the Church is not just about bishops, priests and the pope, but also all the faithful. Priests were described as â€Å"its support and mouthpiece, called to the service of the People of God,† (Willis, M. Lumen Gentium Summary, p. 3), which clarified their vocation as not just preaching the word of God, but also being there to guide and support the community. A dogmatic constitution on the Church was also formed about sacred liturgy. This document revealed the changes made to mass. One of the external issues during the 60’s was falling mass attendance. The youth were rebelling and trying new things and their attitude towards the Church had changed. Before Sacrosanctum Concilium, there were several differences between the traditional mass, and the mass we know today. God who â€Å"wills that all men be saved and come to the knowledge of the truth† (Timothy 2:4).Probably the biggest change was that the language of the mass changed from Latin to vernacular. This meant that the laity could now completely understand what was going on at mass. To promote participation, the people were encourages to take part by means of readings, responses, hymns and giving out communion. The communion rail was withdrawn, and the priest now has his back to the tabernacle to face the people. The document also allowed altar girls. These changes were made so that the Church was more appealing to people, so that they felt more welcome and interested in the Church again.The last dogmatic constitution made was Gaudium et Spes. This document deals with the relevance of the Church and its pla ce it society. It also talks about interaction with other faiths. The Council expresses a desire to engage in conversation with the entire human family so that the Church can cooperate in solving contemporary problems. It addresses this Constitution to Catholics, to all Christians, and to the whole of humanity. The Council sets out to establish a working relationship with the world, claiming â€Å"Christ, to be sure, gave His Church no proper mission in the political, economic or social order.The purpose which He set before her is a religious one. But out of this religious mission itself come a function, a light and an energy which can serve to structure and consolidate the human community according to the divine law. † (Gaudium et Spes p. 11). The Church is desired to assist the whole of humanity to overcome all strife and conflict between nations, and this sense of unity comes from one of its fundamental beliefs that the Church is one with the Holy Spirit. One way this was shown Pope John XXIII invited other Christians outside of the Catholic Church to send observers to the Council.Acceptances came from both the Protestant denominations and Eastern Orthodox churches. The goal of conforming people to Catholicism was no more, instead the Church now preaches Ecumenism. While helping the world and receiving many benefits from it, the Church has a single intention: that God's kingdom may come, and that the salvation of the whole human race may come to pass. â€Å"The Council wished to ponder the many problems and possibilities of the modern world â€Å"in the light of the gospel and of human experience†. Michael Paul Gallagher SJ, Reaching out to the world: Gaudium et Spes). In its final form, Gaudium et Spes encourages a â€Å"new humanism† marked by a greater sense of our responsibility for history. God, so to speak, gives the world into our hands. We are dramatically free and called, with the help of grace, to transform this planet throug h loving service. These responses strengthened the mission of the Church for a contemporary society. The Church acknowledged that there was growing secularism in society, and that growing numbers of people are abandoning religion in practice. Church does not only communicate divine life to men but in some way casts the reflected light of that life over the entire earth, most of all by its healing and elevating impact on the dignity of the person, by the way in which it strengthens the seams of human society and imbues the everyday activity of men with a deeper meaning and importance†, (Gaudium et Spes, p. 40) summarises the mission of the Church in contemporary society; to bring salvation. It was Pope John XXIII who realised that the Church had â€Å"†¦ o throw open the windows of the Catholic Church so that we can see out and the people can see in,† (Pope John XXIII), so that they can understand and come to terms with the always changing society, to reform itself to the needs of the people. Through the four dogmatic constitutions of the Second Vatican Council, the Church was able to renew their relationship with the world, renovate new ways to communicate with the whole of humanity, and achieve its goal of making Church more engaging and relevant to a contemporary society.The Second Vatican Council was the most significant event for the Catholic Church in the 20th century. It had four aims; to impart an ever increasing vigour to the Christian life of the faithful, to adapt more closely to the need of our age those institutions which are subject to change, to foster whatever can promote union among all who believe in Christ and to strengthen whatever can help to call all mankind into the Church’s fold.The four dogmatic constituents; Sacrosanctum Concilium, Gaudium et Spes, Dei Verbum and Lumen Gentium, addressed internal and external issues that impacted the Church, and endeavoured to answer them. Such issues included the sexual revolu tion of the 60’s, the feminist movement, the reformation of the protestant church, and falling mass attendance. The responses strived to improve these circumstances and help to bring people closer to God. The allowance of female altar servers, the changes to liturgy in order to make it more engaging to people and the preaching of ecumenism helped restore elationships between the Church and the faithful, and the Church and other religions. There are still unresolved issues and debates involving the Church, such as contraception and abortion and the request for female priests, and if the Church was to call another Council, these would be the issues discussed. Overall, the Second Vatican Council was successful in making a difference and re-establishing its role in the world today. REFERENCES Pope Paul VI; Dogmatic Constitution on Divine Revelation – Dei Verbum. (n. d. ).Retrieved April  13, 2013, from http://www. vatican. va/archive/hist_councils/ii_vatican_council/docu ments/vat-ii_const_19651118_dei-verbum_en. html Gaudium et spes | Catholic Social Services Australia. (n. d. ). Retrieved April  15, 2013, from http://catholicsocialservices. org. au/Catholic_Social_Teaching/Gaudium_et_spes Pastoral Constitution on the Church in the Modern Word-Gaudium et Spes. (n. d. ). Retrieved April  12, 2013, from http://www. vatican. va/archive/hist_councils/ii_vatican_council/documents/vat-ii_cons_19651207_gaudium-et-spes_en. htmlSexual revolution in 1960s United States – Wikipedia, the free encyclopaedia. (n. d. ). Retrieved  April  13 2013, from http://en. wikipedia. org/wiki/Sexual_revolution_in_1960s_United_States Dale A. Robbins; From the book, â€Å"What People Ask About The Church, What is the mission of the church? (n. d. ). Retrieved  April  13 2013 from http://www. victorious. org/churchbook/chur04. htm Michael Paul Gallagher S; Reaching out to the world: Gaudium et spes | Catholicireland. net. (n. d. ). Retrieved  April  12 2013 from, http://www. catholicireland. net/reaching-out-to-the-world-gaudium-et-spes/

Environmental Law Essay Example | Topics and Well Written Essays - 3500 words - 1

Environmental Law - Essay Example Concerning the marine environment, in recent years, several projects and political actions at national and international level have been advanced in order to reduce the effects of water pollution. Preserving and improving the marine environment requires the achievement of a good ecological status of waters, without which the aquatic ecosystem and the human activities of marine coastal zones could be strongly at risk. This is the proposal of EU Water Framework Directive (2000/60/EC) which represents a major advance in European policy with the concepts of classes of water quality and water management. Irrespective of this it is found that European water is still polluted. This paper aims at assessing the effectiveness of EC law on water quality and pollution. The UK’s membership of the EC has had important consequences for the UK with regard to improvements in water quality and the regulation of water pollution. The European Commission has been very active in drawing up a series of water-related directives which, when passed by the European Parliament, must then be transposed into national law. ... actual or intended use of the relevant waters (quality objective of receiving waters) The EC has had, and continues to have, a major impact on water quality and waterpollution control in the UK. Over the last three decades, EC has passed a range ofdirectives designed to prevent discharges of pollutants into the aquatic environment and also to establish quality standards for waters which are used for drinking, bathingand fishing. Often, the EC adopts a 'framework directive' to set up a specific controlregime and then, over time, supplements this with 'daughter directives' which setlimits for the presence of chemical substances in different types of waters (that is,drinking, bathing and fishing). Member States are given a set period of time totranspose the relevant EC directive into national law and achieve actual compliancewith the specific provisions of the directive. EC legislation on water pollution The legislation on water pollution is probably the most highly developed branch ofEC environmental law and most certainly has the longest history. Approximately 30directives concern water. The directives adopt two main approaches to pollutioncontrol: (1) the imposition of limits or restrictions upon the emission or discharge ofparticular pollutants into the water media; and (2) the establishment of quality standards for particular designated types of water.The outcome of this dual approach has been a somewhat peacemeal body of law. The directives on water pollution share several common features: The use of dual lists described as 'I' and 'G'3 which require member states to setwater standards which do not fall below 'I' limit and which should aim to achieve'G' standards.A

Empowerment and Goal Setting Essay Example | Topics and Well Written Essays - 500 words

Empowerment and Goal Setting - Essay Example It is management's responsibility to create an environment in which that knowledge is brought out and used for the benefit of the people and the organisation. An employee's ability to solve problems, make decisions and take actions based on those decisions, management has often encouraged the first two but has failed to allow the third. (Holbeche 2004, p.60). Three organisations utilising the empowerment process are Delphi Packard (Delphi), Virgin Mobile and Ritz Carlton Hotels, all three organisations are applying the process differently and with differing results. Delphi is applying empowerment as stated in the Holbeche quote from a management perspective, the lead engineer responsible for the day to day engineering management of the Ford Transit Project, has been empowered to request overtime for contractors and permanent staff. The necessity for it and the amount of time required needs to be agreed by senior management. The lead engineer also has the responsibility for giving appraisals and assigning staff responsibilities. All of which merely removes some of the repetitive tasks from the HR department. In opposition the junior staff at Delphi have been given more empowerment as an engineer can act on his decision to make changes to the system without the need to consult the lead engineer.

Journal 6 Coursework Example | Topics and Well Written Essays - 250 words

Journal 6 - Coursework Example Critical to note is the use of grammar. Every aspect of the written work has to ensure that the grammar is above board and can make sense in the context for which it is used. Punctuation marks form the biggest building block when writing in English. Virtually every sentence has to be effected with a punctuation mark. Some sentences would either have more meaning when punctuation is used. Consequently, a sentence that has no punctuations or is not well punctuated could lose meaning completely (Hopper et al., 56). English language is very dynamic and diverse with writing styles and formats being introduced every single day. One therefore needs to undertake in reading and learning the writing skills as appropriate. In this manner, one ids able to improve on the writing procedures and the critical issues that are basically involved in producing an English paper. Writing in English is not very difficult, but requires constant practice and reading many books with simple English. Through this, one is able to improve from time to time with respect of writing in proper English (Hopper et al.,

Grid connected solar electronics Essay Example | Topics and Well Written Essays - 1750 words

Grid connected solar electronics - Essay Example Most of energy on earth that sustains life is the energy from the sun, which is sunlight. It is through this energy that photosynthesis occurs, that is food for the plants. The plant is after its maturity food for the human beings mostly and some animals that are not carnivorous (Chitode, 50). We have very many electronics at home all that use power and most of them cannot operate without power except for those which can store power for some time to be used when there is no power. It is therefore very important to ensure that those electronics are safe, not from thugs but from too much power fluctuation that can shot circuit them (Chitode, 208). The power system is therefore can be controlled so as to avoid such damages. The electricians use what we call circuit breakers. This controls the amount of power that can be used and when it exceeds the power goes off. This way the electronics will not be at risk (Chitode, 40). A power factor correction can also be installed, since it the connection between the running power and the actual amount of power being used, the power factor correction will show whether there is too much power being used and therefore correct it. It minimizes the chances of power fluctuation. Green building is therefore as it is being encouraged, using as less energy as possible. This is where solar energy comes in (Chitode, 50). A source of power that is natural and free. The only thing one needs is solar panels that are used to convert sunlight energy into electricity power. The solar panel contains the solar cells and solar photovoltaic. The solar cells and the solar photovoltaic convert sunlight energy into electricity energy for usage since one cannot use it directly. The energy is renewable, and that is the most advantageous use of it (Chitode, 96). There are very many types of materials that contain the solar photovoltaic found in the solar cells. This makes it even cheaper and can almost be

SAUDIZATION AND THE SAUDI ARABIAN KINGDOM DEVELOPMENT Essay

SAUDIZATION AND THE SAUDI ARABIAN KINGDOM DEVELOPMENT - Essay Example Saudization was an initiative from Saudi Government to encourage the participation and employment of Saudi Nationals in the private sector of the country. This was started during 2006 which were started in order to ensure that local Saudis get jobs in private sector. Government made the condition that if private sector companies do not hire the locals, they will fail to get the government contracts. Initially government set the level of 75% wherein 75% of the employees will be locals however, in actuality, the figures are relatively low. Human resource development (HRD), according to Harbisson and Myers (1964, cited in Abdulai, 2000), is the process of increasing the knowledge, skills and the capacities of all people in society. Therefore, when there is an increase in the level of skills possessed by individuals, an economy will invariably benefit and develop faster. In case of Saudization, this is more critical because it requires a completely new and strategic approach towards HRM in order to ensure that the locals are engaged and employed by the local firms in order to upgrade their skills and reduce the dependence of country on foreign workers. This essay will discuss as to how the process of Saudization can help to create jobs and support the national economy of Saudi Arabia, a country in the Middle East. Also, the issue and its relationship to the development of the economy will be discussed, as well as challenges that may be faced. Recommendations will therefore be made based on the research findings. Saudi Arabia and its Economy The Kingdom of Saudi Arabia has a centrally planned economy. It’s an oil-based economy with steady government control over major economic activities. The country owns 25% of the world’s confirmed petroleum reserves and ranks as the world’s largest petroleum exporter (OPEC, 2009). The petroleum sector of the Saudi economy accounts for roughly 75% of budget revenues, 45% of the gross domestic product (GDP), an d 90% of export earnings. Approximately 4 million foreign workers play an important role in the oil and service sectors, contributing to the Saudi economy (Gianos & Lusignan, 2003). In the earlier years, discussions were focused on the extent to which Saudi Arabia is prepared to increase market admittance for foreign goods and services and the length of time to become fully compliant with World Trade Organization (WTO) obligations. In April 2000, therefore, the government established the Saudi Arabian General Investment Authority to encourage foreign direct investment in Saudi Arabia, and as of November 2005, Saudi Arabia was formally permitted to join the WTO (Al-Asmari, 2008). The Saudi Arabian economy is flooded with family businesses which constitute the backbone of the economy. According to Davis et al. (1997) the family organisations constitute 90% of the trading activities in the Gulf region and 95% of the total organizations in the country. This percentage is relatively high because in other regions of the world, the percentage is between 65% and 80% (Davis et al., 1997). Also, according to the Saudi Arabian Monetary Agency (SAMA) (2006), the overall number of such family organizations is estimated to have reached

Movie comparison paper Essay Example | Topics and Well Written Essays - 750 words

Movie comparison paper - Essay Example The pandemic has led to creation of many motion pictures among them, Precious (Based on the Novel â€Å"Push† by Sapphire), Longtime Companion, Love! Valour! Compassion!, Dallas Buyers Club and Parting Glances. Nonetheless, the main aim of this paper is draft a comparison between the movies The Normal Heart and Philadelphia. Well a clear similarity is that both the movies are inclined to Hiv and Aids pandemic. Both of the movies are based on an element reality and true stories. The Normal Heart is a recollection of another play that was later put into books, An Enemy of the People by Henrik Ibsen. Ibsens play takes after a doctor who finds that the neighborhood wellbeing spa, whereupon the towns economy depends, may have polluted water in its bath. The specialist regularly stands up, distributed his discoveries in the nearby daily paper, yet the forces that be closed him down, demolishing his notoriety, marking him, every the title, an adversary of the individuals. While Ibsens play has comic components that exhibit its incongruity, The Normal Heart is an unfortunately genuine undertaking, and in the years since its first generation and the late history it performs (the early AIDS cases in New York, the establishing of GMHC and Kramers consequent expelling), its stayed excruciating. Not at all like An E nemy of the People, an anecdotal story that closures with the ruin of the genial specialist, The Normal Heart is completely genuine, and the occasions that happen after the curtain, falls toward the end of the second demonstration just demonstrate that Larry Kramer was correct the whole time. Philadelphia wasnt simply made in Philadelphia; the film was likewise made with the populace of Philadelphia. Around 50 additional items in the film had HIV, some with unmistakable indications of the infection. Makers made it a point to utilize individuals with AIDS due to the challenges they regularly confronted landing

Case Study Analysis- Planet Starbucks Essay Example | Topics and Well Written Essays - 1500 words

Case Study Analysis- Planet Starbucks - Essay Example Starbucks was initially formed with the motto of selling good coffee with a unique flavor that a regular coffee brand wouldn’t offer. After the company was listed in the National Association of Securities Dealers Automated Quotation (NASDAQ), the growth of the company accelerated and it opened 16,680 stores across the globe. High priced brews, Moccachinos, Cappuccinos, Lattes and frappes have awakened the senses of 50 million customers approximately worldwide. Starbucks was formed initially in the year 1971 in Seattle (Burks 2009, 1). In the year 2013, the sales of global Starbucks stores grew by 8 percent and the expansion of the stores grew by 12 percent with revenue of $2.78 billion (Fontevecchia 2013). The company generated huge revenue from China and Asia Pacific region and earned a major part of the share in the coffee industry. Starbucks is one of the most coveted brands in the coffee industry and has a highly developed copyright, logo, brand and trademarks. In the year 2010, the company’s profit margin had hit hard during recession but the company immediately regained profits by 12.7 percent in the year 2012. Brand Power: In Australia, the brand is strongly associated with customer loyalty and innovative capabilities. The Company has maintained strong revenues, earnings per share, operating income and comparable store sales. Brand promise is crucial for Starbucks and the company has been using high quality beans. It has been observed that the customers prefer having Arabica over Robusta beans and accounts for 75 percent of the worldwide production (Burks 2009, 07). Starbucks uses high quality Arabica beans for serving the customers for their satisfaction purposes. European Coffee Houses: The Australian customers prefer cafà © chain similar to European coffee houses. The European Coffee houses were traditional and had an old charm to it and a warm atmosphere. Starbuck

Health Promotion Plan on Substance Abuse Assignment

Health Promotion Plan on Substance Abuse - Assignment Example The selected population stratum for this teaching program is teenage school students within the age limit of 13-14 years. This segment is particularly selected because researches have shown that substance abuse usually begins in early teenage life due to various factors and not only affects the quality of present life by causing physical and mental distress but also leads to alcoholism and drug addiction later. Literature Review Alcoholism and drug addiction is an increasing problem in adolescents these days. Various researches conducted have shown an increasing trend in the consumption of sentence abuse. Where there are various factors identified for this increased pattern of consumption, one of them was found to be unsupervised teenage life in which substance abuse leads to addiction in later part of life. According to researches conducted by Changalwa et al. (2012), Bahr and Hoffman (2012) and, Peckham and Morgan-Lopez (2007), there is a direct link between parenting styles and su bstance abuse in teenagers and adolescents. Teenagers with unhealthy or strained bonding with their parents and guardians tend to develop inclination towards substance abuse during their teenage life which leads to addiction in future. ... ces of them drinking excessively later in life.† Hence, children with their parents having authoritative parenting style tend to develop healthy personalities since this parenting style is a combination of love, independence and supervision allowing children to make decisions (shunning rebellion resulting substance abuse) but with necessary guidance (which allows teenagers to be aware of what is harmful for them and do not give them over-independence). Therefore, child’s desires are well-respected but with necessary controls imposed. According to American Academy of Child and Adolescent Psychiatry (2011), â€Å"The most commonly used illegal drugs are marijuana (pot), stimulants (cocaine, crack, and speed), LSD, PCP, opiates, heroin, and designer drugs (Ecstasy).   The use of illegal drugs is increasing, especially among young teens.   The average age of first marijuana use is 14, and alcohol use can start before age 12.   The use of marijuana and alcohol in high school has become common†. It is important to note that drugs and alcohol are not easily accessible commodities. Therefore, for teenagers to have access to them means getting involved in criminal activities or being present in an environment which is harmful for their cognitive growth. According to researches of Baumrind (1991) and Njenga (2005), environment and inheritance are the two decisive factors which instigate substance abuse in teenagers. For an environment, current family setup, daily settings including academic setup and playgrounds, cultural forces and peer pressure are the basic elements which have direct impact on the teenagers and adolescents. On the other hand, hereditary traits also play a vital role in inducing substance abuse even if the environment is healthy enough. Various researches

I.S.U journal Kite runner Essay Example for Free

I.S.U journal Kite runner Essay Plot (important action only): The kite runner is about the life of a young boy named Amir. Amir lives in a lavish house in the richest district of Kabul, in Afghanistan. Amir has everything he could ever want except the loving attention and acceptance of his father, Baba. In their house, they have two Hazara servants. Ali and his son Hassan who are part of the minority ethnicity at the time. Hassan grew up with Amir in the same house and he was much more than just a best friend. Baba treated Hassan equally to Amir, as if they were brothers. Each year it was a tradition for the Afghan community to have a festival of kites where there would be a single victor to arise amongst hundreds. Amir was a great kite flyer and Hassan was the best kite runner there was. This year, Amir won the tournament and his dad was really proud of him. Amir was really happy to finally have some loving attention from his father. Hassan promised to run the last kite defeated for Amir. He did not return immediately so Amir went looking for him. Amir saw Hassan cornered by Assef, a bully, and two of his friends. Amir then watched Hassan take a brutal beating just to keep the blue kite for him. Amir watched him get beaten and did nothing. The relationship between Amir and Hassan has never been the same after that day. Amir felt that either he or Hassan must leave and so he puts his birthday gift under Hassan’s pillow. Later, Hassan admits that he stole them and Ali says they must leave. Baba pleads with him to stay, but Ali refuses. Years after Hassan and Ali left, the Roussi army attacked, forcing Baba and 18 year old Amir to flee the country to California. The states provided a whole new life for Baba and especially Amir. Amir attends high school and college to pursue his dream; to become a famous writer. Amir is haunted every day by the thought of Hassan getting beaten and him not reacting, pretending as if he were never there. In California, Baba finds an Afghan community in which he is quite popular already. He spends a lot of time at a flea market where there are many other Afghans too. Amir spots a young afghan lady, Soraya, at the flea market which he cannot keep his eyes off. When Amir’s father becomes ill with cancer, Amir asks Soraya to marry him. Very shortly after they get married, Baba dies. Soraya and Amir then try to have kids but fail to and it is then when Amir receives a call from a man he has not heard of in a very long time. Rahim Khan tells Amir of the death of Hassan and his wife. Amir is devastated by the news. Rahim also tells Amir that their son is now in an orphanage. Rahim tells Amir that finding Hassan’s son is his chance to redeem his sin. Amir then goes to Afghanistan to find Hassan’s son. With many obstacles, including a one on one fight to the death with Assef, the bully who bullied him and Hassan at a young age, Amir comes out of Afghanistan with Hassan’s son. He comes back to California with many injuries. Sohrab, Hassan’s son, goes to school and lives a new life in America. Hassan and his wife officially adopt him and provide him a life full of potential. The novel ends with Amir teaching Sohrab how to fly a kite, as he battles a kite and defeats it. Characters: Amir: Amir is the narrator and protagonist of the novel. He is a Pashtun boy, who evolves throughout the book to become an adult. He is also a great writer and storyteller. As readers we feel much compassion for him. His father is a wealthy man by Afghan standards, and so Amir grows up always having what he wants. He has everything he could wish for except the loving attention of his father. He does not feel a deep emotional connection with Baba and this causes Amir to feel a strong jealousy towards anyone receiving his father’s affection. Amir thinks Baba wishes he was more like him. Amir is often jealous of the way Baba treats Hassan. He notices that Hassan is much more like his father than he is. Amir is a conflicted character who struggles between the logical and emotional sides of his being. Throughout the novel, he struggles to make connections with his father. His obsession and guilty conscience, along with his adult perspective looking back at childhood events make him a good storyteller. Amir seems to be a mix of Hassan’s personality and Assef’s personality making him in the middle of good and bad. He then gets the chance to fight Assef one on one to the death which was like facing the bad side of himself. Baba: Baba is Amir’s father. Later in the novel we find out that he is also Hassan’s father. He is considered a hero and a leader in Kabul and he is always doing things for others. He always seems to expect more from Amir. Baba has excellent morals and philosophies on life that he tries to teach Amir over time. He was even willing to sacrifice himself to keep the Russian guard from raping the women travelling with them. By doing so, Amir later understands that doing what is right is better than saving yourself. Baba felt guilty through his whole life for not being able to acknowledge Hassan as his son. For this reason, he tries to redeem his guilt by providing good actions to everyone around him. He even built an orphanage. His emotions are very well hidden by his outer appearance. In the end, he is very proud of Amir. He dies happily because he was able to build the relationship he had always wanted with at least one of his sons. We also find out that Amir and Baba both shared a never-ending feeling of guilt inside of them for different reasons. Hassan: Hassan is Amir’s playmate and servant. He is a Hazara and we find out late in the novel that he is Amir’s half-brother. Hassan epitomizes the perfect servant who is not only loyal to his master, but also forgiving and good-natured. Even after he’s been betrayed, Hassan lies for Amir and he still considers him as a friend. Hassan grows up in the same place as Amir but has a different purpose. He is a servant and so he prepares Amir for school every morning by preparing his breakfast and books. He also does all the chores during the day while Amir is at school getting an education. Hassan later gets married and has a son. He dies late in the novel. Hassan represents all that is good and kind. Assef: Assef is the antagonist of the novel. Assef does not see Hazaras as equal to Pashtuns. Near the beginning of the novel, he beats Hassan violently. At the end of the novel, he fights Amir one on one to the death until Sohrab shot him in the eye. He is a villain who ends up joining the Taliban. Assef represents all that is evil and cruel. Personal reaction to the novel: The kite runner was an amazing novel. I personally loved it. I finished the book in less than a week because I simply could not stop reading it after I first opened the book. I felt a lot of strong emotions when reading this book. When Hassan was beaten violently and Amir just stood there and watched, I was really scared for Hassan. The picture was very vivid in my mind and I felt terrible for Hassan. I also felt sad for Amir because he only finds out in the end that he and his dad were much more alike than they both thought. When Baba is already dead, Amir finds out the truth about him and how they both share an endless guilt. I also really liked this novel because I got to learn a bit about Afghanistan since it was the main setting of the novel. Out of all the books that students have to read in English class throughout the years, this is one of the few that are really good. I actually really enjoyed reading this book, unlike many books read in the past years. I would strongly suggest to keep teaching this book to future students. Author’s style and voice: The kite runner written by Khaled Hosseini uses the narrative writing style. The author places himself as Amir and narrates you the story. The author also uses a lot of accurate descriptions to give the readers a vivid image of a setting, character or object. Since it is Amir narrating the story, he tells it from the viewpoint of an adult looking back across his life. It is a personal narration in an informal, conversational style, similar to dialogue rather than a self-consciously literary style of writing. Amir’s voice is pretty consistent throughout most of the novel. However, the vocabulary and diction develop as he moves from talking about his childhood years to talking about his adult years. At the beginning of the book, when he narrates his childhood life, he tends to use childlike language such as he never told on me1. When he gets older, the vocabulary and diction used to narrate are more advanced since Amir has evolved not only physically, but intellectually as well. The author’s voice or Amir’s voice also changes at times of stress or anxiety. After his fight with Assef, the sentence structure becomes very hesitant and broken to reflect the severe temporary damage of Amir’s mind. Themes: Redemption: Redemption is searched by two important characters through the novel. Baba and Amir are both seeking redemption for two different reasons. Baba had sex with his servant and this resulted in having a Hazara boy. Because Hassan was a Hazara, he could not publically announce that he was his son and so he kept it a secret during his whole life. The fact that he could not acknowledge Hassan as his son made him feel very guilty and he never stopped striving to redeem himself. Baba even built an orphanage to help redeem himself according to Rahim Khan. Amir is also searching for redemption ever since he saw Hassan take a beating without reacting at all. Redemption is what brings Amir to Afghanistan which is a big event in this story. Forgiveness: Hassan’s actions demonstrate that he did forgive Amir’s betrayal. Amir pretty much spends the entire novel to learn about the nature of forgiveness. Baba’s actions of redemption are an attempt to gain public forgiveness for what he has not even publically admitted to have done. When Amir finally discovers Baba’s big secret from Rahim’s letter, he ends up forgiving his father. Forgiveness plays an important role in the story. Immigrant experience: In this book, we get to know how hard it can be for immigrants to leave their homeland and to successfully arrive to their destination. Baba and Amir are among many Afghans who struggle to leave. There are plenty of calculated risks and uncertainties in the next passages for immigrants. Many immigrants die before they even reach their new homes. In addition to the difficulties of their lives in a new country, the immigrants also have to accept what or who they have left behind. When arriving to a new country, immigrants also try to maintain their traditions and some semblance of their own culture, which can be hard. Baba loses his status once they arrive in America and still has his old prejudices. Soraya and her mother also demonstrate the difficult role women have balancing the expectations of an old world culture with the new world in which they are living. Sohrab quickly adapts to his new country and has a life full of potential waiting for him. Symbols: The pomegranate tree: While Amir and Hassan are both young and carefree, they carve their names in the tree and it bears fruit. Therefore, the tree symbolizes their relationship. Much later when Hassan is dead and Amir is filled with guilt, the tree just like Amir’s memories still exists but no longer bears fruit. The tree not only symbolizes a unifying force between Amir and Hassan but also serves as a source of division. When Amir wanted Hassan to hit him with the pomegranate fruit in order to inflict physical pain as a punishment to lessen his guilt instead, Hassan breaks the fruit over his own head to prove his loyalty. The tree brings back vivid memories when Amir returns to Afghanistan. Kites and the blue kite: Kites and everything associated with them are undoubtedly the most important symbols in this novel. This blue kite is even more important because it symbolizes a chance for Amir to obtain Baba’s attention. Amir thought that the only way he’d earn his father’s attention would be to win the kite flying tournament. This blue kite is the last kite competing against Amir’s during the tournament. As he cuts the last kite’s string, Hassan runs off to fetch the kite for Amir. The blue kite also symbolizes Hassan’s loyalty. Amir wanted to show all the kids at school that he won the tournament and got to keep the last remaining kite that he faced one on one. He mostly wanted to show this kite to his father. As the novel continues, the kite becomes a symbol of betrayal which leads Amir to the will of finding redemption. Hassan sacrificed him just to bring kite back to Amir as he said he would. Hassan took a beating to keep the kite and Amir watched it happen without reacting. Amir feels guilt ever since this moment until the very end of the novel, where Amir is running a kite for Hassan’s son. At the end, the kites symbolizes happiness, freedom and peace at last. Scars: Hassan has a split lip since he was a child, and it is one of the features Amir refers to the most when describing him. The split in his lip symbolizes Hassan’s status in the society. It signifies poverty and minority as an ethnicity which is one major thing that differentiates him from Amir, because it indicates that his family do not have the money to fix his lip. Baba eventually pays a surgeon to repair Hassan’s lip as a birthday gift, signifying his secret fatherly love for Hassan. Later in the novel, Assef splits Amir’s lip in his one on one duel with Amir. Amir is left with a permanent scar very similar to Hassan’s. This scar on Amir symbolizes the fact that Amir has become like Hassan not only physically, but mentally too in the sense that he has learnt to stand up for what is right. Bibliographical information: Hosseini, Khaled. The Kite Runner. New York: Riverhead Books, (2003) I got a 4+ on this journal , so it should do you some good 🙂

Early Stage Of Dementia

Early Stage Of Dementia Dementia is a common disease in the geriatric population but can also be noticed in any stage of adulthood. In a study issued by European researchers, it is estimated that about 35 million people have dementia worldwide. It is called a syndrome because it involves a serious of signs and symptoms. It is a non-specific clinical syndrome caused by a wide variety of diseases or injuries that affect the brain. Due to alarming increase of number of dementia cases in elderly people, need for extensive research on appropriate care for the elderly dementia patients arises. Nursing home is considered as embodied institution mean to provide constant care. In order to study if the nursing home is the most appropriate care environment for older person diagnosed with dementia, an extensive literature search was performed in accordance to Oxford Brookes style. 10 articles were obtained as a result of extensive literature search after incorporating inclusion and exclusion criterion arising due to the personal need. The results are categorised in to four main themes which are as follows: The facilities and care available at a nursing home. Is multidisciplinary approach essential? Care received in nursing home vs. home care. Impact of elderly people joining nursing home at an early stage. Importance of nursing home in elderly patients in the early stage of dementia After applying CASP tool to all the articles, Careful analysis was done to draw the discussion. Basing on the discussion, nursing home is considered as the most appropriate care environment for elderly patient diagnosed with dementia. Recommendations are proposed on the basis of conclusions and implications of my research in the future are mentioned. INTRODUCTION: Dementia: Dementia is defined as a medical condition which is characterised by loss of cognitive ability which is caused either due to normal aging or any kind of sudden impairment (Berrios, 1987). It is also described as non specific illness causing set of symptoms affecting memory, language, attention and problem solving regions of the cognitive region of the brain (Calleo and Stanley, 2008). Dementia could be either static, caused due to injury of the brain affecting the cognitive area or progressive (slowly progressive and rapidly progressive) resulting in damage of the brain. Although the disease is seen commonly in elderly patients, it occurs at every stage of adulthood (Berrios, 1987).During initial stages of dementia; all the higher mental functions are affected leading to confusion, forgetfulness leading to gradual progression (Gleason, 2003). In aged people, the experience of dementia is worse due to pain and ill health. These symptoms lead to problems associated with ambulation, mood swings, depression, disturbances in sleep pattern, decreased appetite and slowness in activity (Gleason, 2003). Caring People suffering from dementia: During the initial symptoms, the patient is taken care by the family members and relatives. They ensure the patient that the process is normal with aging which makes their lifestyle a bit easy (Algase, 1996). A person suffering from dementia is shifted to a nursing home due to unavoidable circumstances like absence of carers, hectic life schedule and excessive progression of disease, expensive treatment (Weinberger et al., 1993). Nursing home is defined as a place of residence for patients needing continuous support. Nursing home is chosen in many circumstances as mentioned by Weinberger and coworkers. According to him, the need of skilled nursing care, physical intervention and close understanding of the patient play an important role. Along with continuous care, patients in countries like Ireland, United Kingdom and Wales also receive assistance from physical, occupational, speech therapists, social workers, psychiatrists, psychologists to look after the necessities (Kristine et al., 2002). Emergency management is also provided as an essential part of treatment which forms an added advantage. The most important responsibility of the nursing home is elderly care which provides the patients with all the basic services like assistance in living, day care and long term care (Kristine et al., 2002). The Nursing home acts as a caring unit for many dementia patients at various stages of dementia. The quality of nursing home varies and is most important variable in determining efficiency (Kristine et al., 2002).The qualification, knowledge and responsibility of the carers or staff in charge and presence of physicians to monitor health condition of the patient play an important role (Kristine et al., 2002). Although efficiency of care is expected, there are many disadvantages associated with the nursing homes. The patient initially shows signs of disagreement to shift to a nursing home but may agree when explained. The chances of forgetfulness in these issues are also more which could cause agitation after joining (Algase, 1996). The initial adjustment of the patient towards the new atmosphere may create more confusion and deteriorate the health condition which is a major drawback (Steele et al, 1990). The cost of the nursing home and nursing staff is unaffordable by many of the patients which worsen the situation (Kristine et al., 2002). The extent of care and the support of family members play a vital part in influencing treatment. In particular situations like impaired mobility and disability or in cases where elder people are declared as mentally and physically incompetent, care in the nursing home remains as the best factor to increase longetivity of the patients (Steele et al, 199 0). The purpose of this paper is to review various national, International scientific journals and articles which seek to address on Appropriate care of elderly patients diagnosed with early stage of dementia. The intention of the present paper is to provide a suitable answer to the research question; Is the nursing home an appropriate environment for an older adult diagnosed with early stage dementia? To answer the question extensive study on literature search and study was performed. The literature review covered numerous journals, policies, and papers which examined the issues on care provided to the elderly patients in early stage of dementia. The reviews include thorough analysis of elderly dementia patients, forms of care available to them and to examine the best suitable care to improve the health condition of these patients. The present research will evaluate available data on nursing home as perfect environment for caring these kinds of patients. The review elaborates on the exp ectations of the patients and relatives towards care and the attempt of health professionals to live up to the expectations of them. The review also highlights the difference between care obtained in the home and a typical nursing home. It throws light on advantages and disadvantages of care given in nursing homes and these factors are considered later to draw conclusions on the most appropriate environment to care for elderly dementia patients. OBJECTIVE: The objective of the research paper is to investigate the literature on qualitative, quantitative and mixed experimental approaches on proper care of elderly patients. These inferences would form the basis for understanding if the nursing home is the most appropriate place for caring dementia patients. METHODOLOGY: In order to concentrate on the objectives of the study, extensive literature exploration was performed. A  literature review  is a body of text that aims to review the critical points of current knowledge including substantive findings as well as theoretical and methodological contributions to a particular topic (Aveyard, 2007). Literature review was considered as a best source of research methodology because of time constraint and lack of ethical considerations to perform primary research. Literature review focuses on primary research done in various clinical circumstances. The other advantage is possibility of comparative study among various qualitative, quantitative and mixed primary researches across the world (Aveyard, 2007). During my study on the available literature, various situations experienced by dementia patients in nursing homes were studied. Ideas about circumstances experienced by the elderly patients in nursing homes were identified. Some of the papers focus on style of practice in nursing home and some of them focus on the attitude of patients towards nursing care. There were many controversies identified according to different perspectives of authors. Through these studies, an idea about the best suitable place of care for elderly patients at early stage of dementia could be conveyed. Research process: The process of research involved organized and vigilant consideration of literature suitable for my research work. The PICO model to formulate a question as suggested by Johnson and Fineout (2005) and by Stone 2002 cited in Gerrish and Lacey, 2010 is shown in the appendix 1 of the present research work. The model gives a simpler representation of the present research work. The four main terms which were used as a part of my literature search included dementia, elderly patients, quality care and nursing home. While using these terms care was taken to use them in combination rather than using singularly which would widen the research area of expertise. The list of search terms and the keyword identification table as suggested by Aveyard and Sharp (2009) is given in the appendix 2a and 2b respectively of the present investigation report. While considering the term dementia, early stage was emphasised in particular to refine my search. In addition to early stage, another term, elderly patients were also used to avoid searching among all the age groups. The term used for search looked like presented below: Dementia OR Alzheimer* OR memory loss and early stage The Boolean operator and was used in between these terms to ensure that research of literature included these three words in combination. In cases of excluding Boolean operator, the research resulted in articles including primary research of dementia at all stages among all age groups. The other important search term was concerned with the age of the patient which was mainly confined to elderly patients. The parameters used included Boolean operator and. The phrase was as follows: Older person OR Elderly OR older adult The other term used in conjugation in the research term included quality care. As quality care is considered as a wide term, a Boolean operator or and truncation symbol, star *was used to enable thorough research without exclusion of any important article or journal. The term entered was presented as below: Quality care * or appropriate care* or concern or caring* or wellbeing or well-being The use of Boolean operator and truncation symbol ensured non omission of important articles containing synonyms or differently presented words. The final term used in literature search was nursing home. Since my research focuses to study the most appropriate care environment for elderly dementia patients at early stage, this final term was used separately. The terms used in comparison included: Nursing home and care home* or residence* In this particular context, nursing home and care home are considered in comparison with residence of the patient. To enable the results to be confined to single term, the Boolean operator, or was used. The operator and was used to search results including both, nursing homes and care homes. The truncation symbol star was used to include articles with words displayed in alternative formats. The final research phrase for search looked as displayed below: Dementia OR Alzheimer* OR memory loss and early stage AND Older person OR Elderly OR older adult AND Quality care * or appropriate care* or concern or caring* or wellbeing or well-being AND Nursing home and care home* or residence* The immediate course of action was to use these terms in appropriate databases, I was guided by the university library manuals of the Oxford Brookes to consider CINAHL, BRITISH NURSING INDEX and MEDLINE as most relevant databases for search. CINAHL deals mainly in Nursing and health care in North America and Europe (Oxford Brookes University, 2009). British Nursing Index includes journals and articles based on care and community health pertaining to nursing and midwifery (Oxford Brookes University, 2009). Medline (Pubmed) is a collection of articles on medicine and nursing compiled by the intervention of National Library of Medicine USA (Oxford Brookes University, 2009). When the entire research phrase was posed in CINAHL, it retrieved 332 articles. When the same research phrase was typed in MEDLINE, it retrieved 75 articles. Further refinement was done in the search by using limiters 20000101-20101231 and retrieved 57 and 54 articles respectively. Inclusion and exclusion criteria were used in particular to include time constraint which enabled to select most recent articles in the present decade. This included articles beginning from 2000 to present. Another inclusion criterion was the place which restricted the search results to the investigation done in the UK. The inclusion and exclusion criteria yielded 55 and 29 articles in CINAHL and MEDLINE respectively (The database searches and hits are shown in the appendix as suggested by Oxford Brookes University, 2011). To analyse the best suitable material to carry forward my research, four main principles as suggested by Aveyard (2007) were used, which included electronic searching, searching reference lists, hand searching of relevant journals and contacting authors directly. Out of all the suggested principles, the first three types were used as analytical tools in deciding best suitable literature. While choosing the primary research material, utmost care was taken to read through the abstract, findings and research methodology involved. This criterion was used for including or excluding the article for my research purpose. For some of the searches, hand searching was also used to obtain certain useful information on statistics in UK (shown in appendix 4). Due to time constraint in the research work, contacting health care professionals and conducting appropriate interviews could not be performed. As a result of the research methodology, 10 articles were found relevant to the context being investigated. The findings of the papers were thoroughly studied in order to answer the research question. Nursing home was considered to be an ideal place to take care of an elderly dementia patient in initial stage of the disorder. Critiquing my research methodology: There were many criticisms noticed following my research methodology. The main criticisms observed included the following: Inability to access all the journals in the databases as it required paid registration. Most of the websites which have excellent articles require a payment. I managed collect as many as articles I wanted to do answer this research question by login on Athens. It was beyond my finances to fund for all the articles. Lack of time to contact primary health care professionals to incorporate their views as a part of my research work. Lack of time to go through all the publications of a journal which resulted in referring to recent publications. Lack of much information in the title which would enable me to take appropriate decision regarding the content of article which resulted in reading the abstract in order to include article for research. Thus the major constraints of the present research article were identified to be cost and time. However, the freely available data obtained within the specified time were sufficient to draw conclusions to address the research question. For the entire 10 articles, critical appraisal skills programme, CASP (2006) tools were applied to draw the most relevant themes. The main themes identified are: The facilities and care available at a nursing home. Is multidisciplinary approach essential? Care received in nursing home vs. home care. Impact of elderly people joining nursing home at an early stage. Importance of nursing home in elderly patients in the early stage of dementia. RESULTS: The findings of the literature were categorized into main themes which made it easier to draw conclusions. The section depicts the investigation done in the 10 articles grouped together in accordance with the theme. Theme 1: The facilities and care available at a nursing home. Is multidisciplinary approach essential? Author, Year, Location Title Method/Study Results Comments 1. J. Cohen Mansfield and A.Parpura- Gill (2008). International Journal of Geriatric Psychiatry. Practice Style in the nursing home: Dimensions for assessment and quality improvement The investigation examined the operation style of the nursing home in terms of two main components which are the staff and institutional components. The four domains which served as tool to test the staff conduct included knowledge, proficiency of practice style, flexibility and individual care and communication. The three domains used to test the conduct of institution include support of staff, availability of resources and administration of policies. As a result of the investigation, key features of institutional factors and staff were studied and monitored. Based upon the need and demand, the features requiring change and improvement were noted to ensure quality of care. The investigation emphasises on the practice styles of the staff in a nursing home with respect to care provided. The research journal gives an insight of vivid styles of care provided within a nursing home which ensures quality of care. It focuses on the knowledge, communication, flexibility and understanding of the staff in taking appropriate care in elderly persons It also gives a note on changing style of practice to cope up with increasing demand. 2. E.Finemma et al., 2005. International Journal of Geriatric Psychiatry. The effect of integrated emotion-oriented care versus usual care on elderly persons with dementia in the nursing home and on nursing assistants: a randomized clinical trial The investigation is based on randomised clinical trial of two groups of elderly dementia patients, measuring the effects at baseline after specific period of time. The study involved 146 numbers of elderly dementia patients and 99 numbers of nursing staff. The study was performed in 16 psycho geriatric wards located in 14 nursing homes located in the Netherlands. The primary research studied the difference between the usual care and Integrated emotion-oriented care. The nursing assistants were tested on the basis of care given. Positive effects were reportedly noticed in patients experiencing mild to moderate dementia in terms of portraying emotional balance and positive self image. Results also showed that training nursing staff resulted in less stress reactions increasing quality and patience. The investigation revealed that emotion based care showed increase performance in early stage dementia patients when compared to normal usual care. However, It did not show any eye catching increase in quality with regard to people suffering from severe dementia. The study also focuses in reduction of stress in well trained nursing staff. 3. D. Challis et al., 2000. Journal article from Age and Ageing. Dependency in older people recently admitted to care homes. The investigation was based on the study conducted among 308 elderly people aged over 65 in one of the nursing care home located in North west England. The study was conducted within two weeks of admission for people intending to continue treatment for long term. Barthel score and Crichton royal behaviour rating scale were used to analyse the dependency rates. On the basis of Barthel rating scale and Crichton royal behaviour rating scale, 50% of the population were showed to be measured in the low dependency scale (13-20).Out of them, 31% in case of nursing home and 71% in case of residential care homes. On the whole, dementia patients are not assessed primarily before admission into the nursing home. Studies revealed that there was lack of pre admission assessment and diagnosis before joining patients. This study throws light on lack of communication about the pre assessment and diagnostic information about the patients to the health care and nursing staff. Effective targeting of institutionalised resources is focussed with high importance. 4. Leontjevas et al., 2009. American Journal of Alzheimers Disease Other Dementias Apathy and Depressive Mood Symptoms in Early onset dementia. As a part of epidemiological study, patients were studied for symptoms of apathy and depressive mood in early onset of dementia. Studies were performed in 63 nursing homes. MADRS, NPI and MMSE scales were used to detect rate of depression and MDS-RAI and GDS were used to detect severity of dementia. Studies revealed that depressive mood disorders and apathy are not observed severely in cases of patients suffering from early onset dementia .The results noted were accounted as 14% in ADL, 13% in GDS and 9% in MMSE. The investigation reveals that the symptoms of mood depression and apathy are seen extensively in patients suffering with early onset of dementia when compared to elderly patients revealing the severity of aggression. Theme 2: Quality of care received in nursing home vs. home care. Author, Year, Location Title Method/Study Results COMMENTS 1. Ehrlich et al., 2006. Home health care management and practice Caring for the Frail Elderly in the Home: A Multidisciplinary Approach The study depends upon short portable mental status questionnaire proposed by Pfeiffer in 1975 to identify dementia in geriatric population. The test confines to recall and memory of short term and long term orientation. Additionally, evidence based practice is applied to screen patients with the disease. The screening methodology enabled identification of patients suffering with dementia. Interdisciplinary approach is applied to propose a model for caring elderly people in home atmosphere. The primary research article focussed on the major disorders affecting the elderly person which forms the basis of joining a nursing home for care. The interdisciplinary approach gives an idea about caring older patient from the most necessary syndromes to enable ease of treatment in the house without intervention of nursing home. 2. Milke et al., 2006. Journal of Applied Gerontology Meeting the Needs in Continuing Care of Facility-Based Residents Diagnosed With Dementia: Comparison of Ratings by Families, Direct Care Staff, and Other Staff The data was collected by sampling method in five different places including Edmonton, Alberta, Canada, Pennsylvania and New York. A total of 184 elderly residents diagnosed with dementia and 197 nursing staff participated in the study. Suitably tailored questionnaires were distributed across the five sites among non direct care staff, family group, direct care group, licensed practical nurses. The results of the investigation provided the comparison of care between families, direct caregivers, and other staff and volunteers. It also gave an idea about extent of care needed by the residents by each class. The results provide comparison of care in nursing home and the care in the patients own house. The research work emphasizes on individual care provided by various groups like families, friends, licensed medical nurses, volunteers and other professional care givers. It gives a relation of trust and cooperation between the patient and care givers. It focuses on various negative aspects of care in the patients house created due to stress, pressure and miscommunication. The article gives insight on the advantages of care provided by professional care givers over the family members in terms of knowledge, patience and quality. Theme 3: Impact of elderly people joining nursing home at an early stage. Author, Year, Location Title Method/Study Results COMMENTS Connor et al., 1991. Papers from British Medical Journal Does early intervention reduce the number of elderly people with Dementia admitted to institutions for long term care? The investigation utilised seven general practice areas located in Cambridge in the form of controlled clinical trials. 2885 subjects aged over 75 diagnosed with dementia were involved. 159 subjects in the group were diagnosed with initial stage dementia, 86 of them required extra support and 73 of the subjects had access to usual services and acted as control. The research revealed that there was no direct contribution of early intervention to long term admission of patients in the nursing home. 9 out of 14 subjects who were living at home without support joined nursing home due to the extended facilities available. The investigation focussed on screening procedures of dementia to identify level of severity of the disorder in the patients. In certain patients, the severity is high requiring instant admission into nursing home and in some cases, support by family members would be sufficient. Evidences also record that early intervention of dementia would decrease the risk of severity in the disease. Theme 4: Importance of nursing home in elderly patients in the early stage of dementia. Author, Year, Location Title Method/Study Results COMMENTS 1. Voyer et al., 2005 Clinical effectiveness in nursing 2. Dettmore et al., 2009 Geriatric nursing Characteristics of institutionalized older patients with delirium newly admitted to an acute care hospital Aggression in Persons with Dementia: Use of Nursing Theory to Guide Clinical Practice The investigation involves cross sectional secondary analysis study of old patients in nursing homes and other health care units. Confusion assessment method was used to test patients with delirium upon their admission. The research work utilizes Need-driven Dementia- compromised Behavior (NDB) model to explain aggression in the individuals undergoing constant core in a nursing home. In the total of 104 patients suffering from cognitive impairment, 68% people were recorded to possess delirium. The MMSE scale was used to screen patients to test the presence of delirium. The major symptoms which were observed in all the patients were bowel incontinence, illness. The most uncommon symptom observed was hearing impairment which occurred rarely. Clinical management algorithm was framed in accordance with the NDB model to study the behavior of aggressive patients and frame a theory to take care of the patients in aggressive moods and to avoid repetition of the syndrome. The research emphasizes on the importance of nursing homes in providing care and offer screening of the disorder. The severity of cognitive impairment doesnt influence the preventive nursing interventions. Independent of the level of impairment, nursing care portrays important feature in improving the quality of patients requiring close care. The patients suffering with dementia undergo frequent episodes of aggressive beahvior making care by professional care givers difficult. The paper focusses on the proposal of clinical management algorithm which is based on ndb model to manage certain aggressive episodes of the patient. 3. Holliday-Welsch et al., 2009 Geriatric nursing Massage in the Management of Agitation in Nursing Home Residents with Cognitive Impairment The study was performed using subjects who are susceptible to agitation and aggrieve mood by nursing staff. The susceptible patients were selected by the use of minimum data set (MDS) report. The data collection was done during 3 days considered as base line, then the intervention followed up to another 6 days continued by follow up for the next few days. it was observed that Subjects agitation was lower during the intervention of massage Than at baseline and remains still low at follow-up. Wandering, verbally agitated, physically agitated and care resistance were proved to be decreased upon intervention of massage. In this study, the five aspects of agitation which are wandering, verbal agitation, physical agitation, abusiveness, socially inappropriate agitation, disruptive aggressiveness. At each of the observation, agitation was scored for five times. Massage is one of the non pharmacological interventions in these patients suffering from agitation. This could be used as an effective tool by nursing staff in eliciting quality care DISCUSSION: All the themes identified in the research play a suitable role in delivering the conclusion to provide a suitable answer for my research question. The themes are arranged sequentially to ultimately conclude upon appropriate care for elderly dementia patients at early stage of the disorder. Each of the 10 articles selected, carries an important examination which forms the basis for future implications in the nursing staff. The first theme based in my results is facilities and care available in nursing homes using a multidisciplinary approach. This particular theme identifies the importance of nursing home as an institutionalised care centre to exhibit support and care to all kinds of dementia patients. The study proposed by J. Cohen Mansfield and A.Parpura- Gill (2008) suggests the nomenclature involved in nursing homes including the care provided by the nursing staff. The paper focuses on the improvement of these facilities to improvise style of nursing home which ultimately determines the quality. He regards flexibility, knowledge, communication as an essential factor for influencing care by nursing professionals. Along with characteristics of the staff, he also focuses on certain institutional factors which serve as tool of improvement (Beck et al., 1999). The most important institutional factors include timing of care, alternatives of care, resident and family involvement (Porras, 1987; Kanter, 199 3). The frame work which is important for a nursing home is changed regularly on the basis of organizational and staffs needs to ensure implementing better system for staff especially in case of dementia, where there is a need of care specialist to monitor a group of care providers (Noelker and Harel, 2001). The investigation based by on the study of e. Finnema et al., 2005 portrays the role of emotion oriented care in the patients suffering from mild to moderate dementia in nursing homes. He describes the role of emotional oriented care in influencing body adaptation and balance of the dementia patient seen in early stages (Finnema et al., 2000). General health condition was also proved to improve especially in c