Subway Is the Better Fast Food Restaurant. Free Essays

COM155 Subway Is The Better Fast Food Restaurant. Living in this crazy world that is today, where family dinners consist of whatever fast food restaurant is on the way home from work. According to the Center for Disease Control and Prevention, it is no wonder why 33% of American adults and 17% of American children are obese. We will write a custom essay sample on Subway Is the Better Fast Food Restaurant. or any similar topic only for you Order Now Subway and McDonald’s are the two giants in the fast food world. They have both fans and boycotters. However Subway is a better fast food restaurant than McDonalds, due to Subway’s children’s meals choices, advertising, amount of locations and nutrition. Advertising is the way that companies bring in customers. Advertisements can make mouth water and the consumer crave what the advertisement is offering. Subway has an advertising campaign that offers a â€Å"limited time† deal where the consumer can get a certain type of Foot long sandwich for five dollars. The deals last a month long. At the end of the month the sandwich is switched out and another one is put in its place. McDonald’s has a similar deal. They come out with specialty sandwiches or burgers every few months for example the McRib which is only three inches and cost four dollars. McDonald’s advertises to the younger consumers while Subway advertises to a â€Å"healthier† consumer. Both ways of advertising are far and legal. However no parent wants to deal with their child, which has just seen an ad for a â€Å"Happy Meal†, throwing a temper tantrum because they do not get to have a â€Å"Happy Meal. † Both companies are bringing in consumers in the masses. McDonald’s and Subway have kid’s meals. This is a meal that has a smaller portion meant for a child. The Subway â€Å"Fresh Fit† kid’s meals have a choice of â€Å"mini sandwich† which is three inches, and the child’s choice of a side and a drink. The choices include: chips, apple slices, or a cookie for the side and three different kinds of milk, juice, water, or a small soda for the drink. The calories range for these meals is from 150 to 220 calories per meal with the average meal being 208 calories. McDonald’s â€Å"Happy Meal† comes with a burger, or chicken nuggets, a â€Å"kids† fry, apple slices, and a drink. The drink choices are two different types of milk, juice or soda. The calories range for these meals is from 320 to 430 calories per meal with the average meal being 376 calories. That is almost double the amount of calories than the kid’s meal is at Subway. As a parent, McDonald’s â€Å"Happy Meals† have too many calories and are making today’s kids fatter than ever. The amount of locations and sales are important to any company. Heller (2011) noted that Subway is now the largest fast food company in the world. It has 33,749 locations all over the world, while McDonald’s has 32,737 locations. However by the amount of sales McDonald’s in the largest. McDonald’s has reported that they have 24 billion dollars in sales a year. Subway posts sales reports at 15. 2 billion dollars a year. So why is it that a restaurant that has more location has less reported earnings? The cost of subway’s food is more expensive. When a company buys fresh food versus frozen foods, the earnings go down because the fresh food costs more money. On top of that Subway would rather make a little less profit and get a better product to its consumers that is healthier for them and that cost the same amount of money than a place that is not as nutritious for them, like McDonald’s. The menu options and nutrition are very different at these two places. Subway has choices like sandwiches, salads, and soups as a main course, while McDonald’s has burgers, chicken pieces and salads as a main course. The sides for these two places are similar with things like apples, yogurt and cookies. Nevertheless they can be very different as well with McDonald’s carrying things like fries, ice cream while Subway Choices to carry things like baked chips. As for drinks McDonald’s carries: soda, water, tea, milk, juice, and coffee. Whereas Subway carries soda, water, juice and milk. With all these options the choices are endless, however so are the calories. So let’s look at just the main course. When a consumer orders a meal from Subway they are looking at a range of 230 calories to 600 calories for just the sandwich with an average of 391 per sandwich. At McDonald’s the same consumer ordering a meal is looking at a range of 250 to 800 calories for just the burger with the average of 444 calories per sandwich. Now if this consumer does not just eat a burger or sandwich, which most consumers eat a whole meal, then they are looking at close to 1000 calories per meal at McDonald’s and 600 calories at Subway. Concerning menu options and calories the clear winner is Subway. McDonald’s or Subway is the million dollar question. McDonald’s with its deep fried and frozen foods can do nothing but add more fat to an already obese country. Subway could help Americans out of their obesity problem, with their fresh healthy foods. After all the talk about children’s meals, advertisement, amount of locations and reported sales, and nutrition it is easy to see why Subway it the healthier and smarter fast food choice that more Americans should be making. References page Center for Disease Control and Prevention at www. cdc. gov Overweight and Obesity, Data and Statistices, U. S. Obesity Trends February 27, 2012 Laura Heller, Subway Is Now Bigger Than McDonald’s, March 08, 2011 www. dailyfinance. com How to cite Subway Is the Better Fast Food Restaurant., Essays

Deinstitutionalization of Mental Health Services

Question: Discuss about the Deinstitutionalization of Mental Health Services. Answer: Deinstitutionalization entails replacement of long-stay mental institutions with relatively short-stay ones for persons diagnosed with mental health illnesses. The policy on deinstitutionalization of mental health focuses on trimming the population size in mental health institutions by discharging patients, reducing hospital stays and reducing unwarranted admissions and readmissions. According to Hiday and Moloney (2014), another central focus of deinstitutionalization is a reformation of mental health facilities in order to lower dependence and the feeling of helplessness and other undesirable behavior among patients. Before deinstitutionalization, the role of caregivers and people with lived experience on mental illnesses was not highly regarded. However, with the adoption of the Recovery Framework, the Australian mental health services have since embraced deinstitutionalization (Rosen, 2006). Before the deinstitutionalization practice, it was common and easier to ignore and dismiss people with lived experience of mental illness. However, as the caregivers and patient (themselves) sought a platform to address their own issues; the greater picture began to emerge. It is possible that individuals who possess lived experience on mental health could be having more knowledge and deeper understanding beyond the conventional of medical books (Davidson et al. 2005). Their daily encounter with the patient or by being patients (themselves), they understand the situation better that anyone else. As guided in the recovery approach, health facilities started to integrate the recovery tactic into treatment plans and service delivery in grass root areas and grew into a policy later on widespread acceptance of Recovery Framework is an indicator of its commendable contribution to the health services in Australia (Slade et al., 2014). Great enthusiasm and confidence have been shown in mental health service delivery following deinstitutionalization and Recovery Framework. The process creates humble grounds for collaboration and coordination between various department and chief psychiatrists in sharing of research and merging it with newly observed behavior among patients. In addition, the opportunities for collecting new evidence, creating opportunities for leaders and practitioners to exchange information looms large when deinstitutionalization and Recovery Framework are at play (Goldstrom et al., 2006). There is uniqueness that comes with different involvement stakeholders in the management of mental patients. The health caregivers get to learn the unique skills used by family members to give services to their and the kind of response it triggers. People give their loved ones unconditional love and serve them with humility with rebuking them because of their slowed ability to perform basic tasks. In the family members also get to learn how to handle their mentally ill lovely ones (Davidson et al. 2005). Continued consultations among loved ones of the patient, the patients themselves and the mental health practitioners cannot be down played (Anthony, 2000). Judging from the contributions, they have made National Mental Health Recovery Forum over the years, loved of mental health patients are physicians of their kind. They act as the primary physician in preventing frequent and prolonged institutionalization (Le Boutillier et al., 2011). While tackling mental health conditions, a succinct evaluation tool is vital to decipher the unique defiant behavior. In the absence of a suitable assessment technique, it is problematic to design workable interventions appropriate for patients and their loved families. According to Emerson and Einfeld (2011), utilization of semi-structured interview plan can be instrumental in ascertaining the triggers of specific behavior in people and make use of the facts gathered to devise appropriate and useful support plans. FAI is utilizable in triple-dimensional fronts, that is, direct observation, informant approaches and outcomes (Anthony, 2000). While addressing mental health illness, a succinct evaluation tool is essential to deduce the distinctive challenging behaviors. Exclusive of appropriate assessment, it is problematical to design workable interventions apposite for any patient irrespective of the fact whether they are being institutionalized or be treated from short-stay mental health facilities. According to Emerson and Einfeld (2011), use of FAI, which is a semi-structured interview plan, can be instrumental in determining the causes of actual behaviors in patients and make use of the information gathered to propose usable and meaningful support strategies together with family members. Brinkley et al. (2007) notes that FAI should illustrate an authentic behavior, typify possibilities which predict the occurence and non- occurence of the of an action or behavior. The interview enquiries foretell what initiates the behavior and then oitcome or safeguarding undercurrents that are accountable for creating a hypothesis concerning the behavior exhibited. The collection of more data to sustain or disfavor the inference is dominant (Goldstrom et al., 2006). Information required in mental patients case entails their behaviors with regards to their coping mechanisms, regularity of bouts of anger and distress, longevity, and intensity. In addition, prevailing events related to their treatment, medical or physical health aspects, sleep patterns, dietary habits, programed movements, predictability, alternatives, personnel training and the input of other residents as well as the general environment. Careful coordination is essential to ensure that all these happen are enshrined in the Recovery Framework (Davidson et al. 2005). Conclusion, the framework is now alive and well known in the public front; the actual work is getting underway. Keeping the framework continuously operational is the hard part. This can, however, be realized through embedding its core values into daily health service delivery in very facility around Australia. There is a need for the country to take advantage of the impetus gained following the strategic goals aimed at obtaining frequent access to information on how to respond to mental health patients and their familial affiliations. As an approach that acknowledges persons with lived experience as central to any treatment plans meant for mental health care is vital because it has shown that long-term positive impacts can be attained even in points of primary health care delivery. As partners united towards a common goal, there should be enough attention paid to promote the individuals well-being, preventing ill health and meeting the health happen to be very dynamic. Addressing challenging amo ng mental health patient is paramount towards ensuring that deinstitutionalization is not reversed. The concept takes into consideration the factors that are intrinsic and extrinsic, as well as those, are involved in the etiology. References Emerson, E. and Einfeld, S. L. (2011) Challenging Behaviour 3rd Edition, Cambridge University Press, The Edinburgh building, Cambridge, CB2 8RU. UK Brinkley, J., Nations, L., Abramson, R. K., Hall, A., Wright, H. H., Gabriels, R. (2007). Factor analysis of the Aberrant Behavior Checklist in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(10), 19491959 Rosen, A. (2006). The Australian experience of deinstitutionalization: interaction of Australian culture with the development and reform of its mental health services.Acta Psychiatrica Scandinavica,113(s429), 81-89. Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems.World Psychiatry,13(1), 12-20. Anthony, W. A. (2000). A recovery-oriented service system: setting some system level standards.Psychiatric Rehabilitation Journal,24(2), 159. Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance.Psychiatric services,62(12), 1470-1476. Goldstrom, I. D., Campbell, J., Rogers, J. A., Lambert, D. B., Blacklow, B., Henderson, M. J., Manderscheid, R. W. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services.Administration and Policy in Mental Health and Mental Health Services Research,33(1), 92-103. Davidson, L., O'connell, M. J., Tondora, J., Lawless, M., Evans, A. C. (2005). Recovery in serious mental illness: A new wine or just a new bottle?.Professional Psychology: Research and Practice,36(5), 480. Hiday, V. A., Moloney, M. E. (2014). Mental illness and the criminal justice system.The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society.

Nurse Led Foot Care Services for Diabetes Patients in Chennai

Questions: 1. Executive summary This outlines your business proposal. This is the first section in your plan but it is the last to be written. It should highlight the most important elements of the plan, which could include why you are proposing the change, what could be the potential benefits for the service user and the organisation and how the outcomes or clinical effectiveness to demonstrate achievement is being planned.2. Background and rationale for the service development. This includes highlighting the potential need for the service. It could also include current practice and resources.3. Who is the service development aimed at? Prevalence and demographic information could be included. Illustrate any important trends and reasons behind them.4. The service change. Here you detail comprehensively what the service will be about, how it will be organised, resources required. How will outcomes be identified/measured to identify achieved objectives? Identify what could be financial or human r esources benefits to the change of service. Relationship of the service in relation to either local, national or international strategic priorities. How does the change (if appropriate), address changing needs in the client population?5. Clinical effectives or Outcome: potential impact of the service: service aim,service change should include.patient feedback or surveya) for the service user/client (e.g. better concordance, empowerment, self-efficacy, improved knowledge)b) for the organisation (e.g. reduce consultation time with GP, reduced hospital admissions, improved patient survey results, improved job satisfaction) 6. Distribution of your plan. Who would you disseminate your business plan to and why. What benefits would there to sharing the plan with the respective individuals ?(benefit patients,nurses,community decrease mortality,morbidity,7. Action plan. It is not included in word count.it should be written in table template formThis could be a listed box of what are the prio rity actions to be taken, when to action and by whom.8. Appendices. It is also included in word count.The SWOT analysis should be one of the appendices9. References. Must be Harvard style Answers: 1. Executive Summary The report presents a business plan for the establishment of a foot care service center for the diabetes patient. The service will be provided by the nurses. The center will be Chennai. Chennai is known as the Health Capital of India. From various reports it is evident that the maximum numbers of patients suffering from diabetes are from Chennai. Diabetes results in various types of health complications. Among the various health complications, diabetes damages the blood vessels which prevent the smooth flow of blood throughout the body. This creates several foot problems among the diabetes patients. Thus it is very essential to take care of the feet. A foot care center will be able to provide right guidance to the patients as they will provide the service scientifically. This will help the patients to overcome their feet related problems. The problem has been discussed in the report. It also provides a guideline of the various services that are provided by the health care center. Typ e 2 diabetes has influenced the individuals with the 40 or more age gathering. In any case it is perceived that there is increment in the quantity of diabetic patients in the age gathering of 20-29 years. Around 15% of the patients experiencing Diabetes have foot issues. The foot issues are consequences of lower appendage removal. More than half of this sickness happens as an aftereffect of diabetes. Diabetes is common among offspring of the age gather over 20 years. The administration will be given to individuals of the age gathering of 20 years or more. Diabetes has been common among the adolescent in India fitting in with the age gathering of 20 to 29 years. From the information of 2012 gave by the International Diabetes Federation, the predominance of diabetes among the grown-ups is in the age gathering of 20 to 79 years. Thus it is important to develop a foot care center for the diabetes patients to reduce the complication related to diabetes. 2. Background for the service Diabetes is a non- communicable disease that constitutes a larger portion of the cost, time and human resources of the health systems of the world. The changes in lifestyle and industrial process there has been increase in the rate of incidence of diabetes and the complications to this disease has also increased. Diabetic foot is considered as the most common complications of this disease. According to a report presented by World Health Organization (WHO) the number of patients suffering from diabetes will increase to 171 million. The increase the number of patients suffering from diabetes will be by 380 million by 2025(Jha, 2015). Diabetes has become an epidemic disorder. Diabetes has significant consequences on the health care providers as well as the community. This problem has to be solved in a serious manner by development of national as well as international strategies by interaction with the health team members. It is necessary to provide health care services to patients and t he families must have knowledge of the ways in which a diabetes patient should be handled. Improving the quality of service by the nurses, the clinical performance can be superior which can lead to effective changes in the client and patient societies. Diabetes has become an epidemic disease in South India (Who.int, 2015). Diabetes is a common disease in Chennai and Bangalore. The major reasons for diabetes in the urban areas are sedentary mode of lifestyle and eating habits (Jha, 2015). Among the various other complications that results from diabetes, different types of foot problems also arises from diabetes. The treatment of diabetic foot is expensive all over the world. Nurses are the health care providers that are actively involved in the prevention of diabetes and its early detection. The diabetes nurses play an educating role in this field for the prevention of diabetic foot, care of foot and prevention from foot injury (Aalaa et al., 2012). In addition to this nurses play an important role for the detection of any kind of change in the sensation of foot or skin by application of appropriate technology. The nurses have to attend special training so that they can apply the latest instructions of diabetic foot on the patients so that they can provide effective service to the patients and promote the health care service to the patients (Aalaa et al., 2012). 3. Target Customers Nearly 80% of the people suffering from diabetes come from low and middle income countries. The major regions in the world affected by diabetes are Asia and eastern Pacific regions. The largest number of adults suffering from diabetes is from China (around 9% of the population) followed by India (8% of the population). However the Government is unaware of the current prevalence of diabetes. There will be future rise of the disease which will lead to further complications. There must be implementation of new strategies and policies for the prevention and management of the disease (Who.int, 2015). According to the data provided by the International Diabetes Federation (2013), approximately 50 % of the populations suffering from diabetes live in the three countries China, India and USA. The major reasons behind diabetes are unhealthy eating habits; physical inactivity along with inherent genetic attributes has resulted in the increase in diabetes. The complications related to diabetes have resulted in the increase in complications which has contributed to the overall morbidity and mortality rate. The highest prevalence of diabetes is in Ernakulum in Kerala (19.5%) and the lowest prevalence of diabetes is in the Kashmir Valley (6.1%) (Better Health Channel, 2015). Diabetes is prevalent in the rural as well as the urban areas. But diabetes has been growing at a faster rate in the urban areas than in the rural population. The increase in prevalence of diabetes is evident from the studies that have been performed in Chennai city in South India. It shows that the increase in Diabetes from 1989 to 2006 is 8.3 % to 18.6% (India, Tandon and Raizada, 2015); (Better Health Channel, 2015). Type 2 diabetes has affected the people belonging to the 40 plus age group. However it is noticed that there is increase in the number of diabetic patients in the age group of 20-29 years. About 15% of the patients suffering from Diabetes have foot problems. The foot problems are results of lower limb amputation. More than 50% of this disease occurs as a result of diabetes (Nytimes.com, 2015). Diabetes is prevalent among children of the age group above 20 years. The service will be provided to people of the age group of 20 years and above. Diabetes has been prevalent among the youth in India belonging to the age group of 20 to 29 years. From the data of 2012 provided by the International Diabetes Federation, the prevalence of diabetes among the adults is in the age group of 20 to 79 years (International Diabetes Federation, 2015). The nurse led foot care service centre will be established for the age group of people more than 20 years of age. It has been seen that in urban as well as in the rural areas, diabetes is seen to be a common disease among the people of the age group of 20 to 29 years (International Diabetes Federation, 2015). The major reasons for diabetes at such an early age are the sedentary lifestyle and bad eating habits. The target audience of the organization will be people of this age group. 4. The service Change The diabetes foot care service centre will be developed in Chennai named Diabetes Foot care Centre (Hamid, 2012). There is high prevalence of diabetes in the urban population in South India. An oral glucose tolerance test was performed which showed that out of the 678 people suffering from diabetes (346 men and 332 women), 21% of diabetes was prevalent among people who were above the age of 40 years. The peak prevalence of diabetes was seen among the age group of 55 to 64 years (Ramachandran et al., 1988). Thus the service center will be developed in Chennai (The Times of India, 2015). The objectives of the service care center will be as follows 1. To create medical practice that will exceed the expectations of the patients.2. To form a health care practice that will be able to provide complete foot care to the diabetes patients.3. To increase the number of patients in the foot care centre by 20% each year by providing superior performance and generating positive word of mouth.4. To develop a comprehensive website that will include online booking capability. It will also contain information about the various ranges of services provided by the service care centre. Time bound - The organization will start its operation within one year. It will start its establishment once the business plan is sanctioned. Services Diabetes Foot care center will have an efficient team of experienced nurses. There will be 25 nurses in the Foot care center. There will be three doctors attending the patients. The nurse will work under the guidelines of the doctors. Since the people suffering from diabetes are vulnerable to nerve and vascular damage. It results in poor circulation and poor healing of the ulcers of the foot. This results in high rate of amputation among the patients. The procedures to be followed in the service center are as outlined below. The center will have a website that will contain information about their various services. It is designed to provide primary care to the patients counseled by the health care providers (Kerr, 2012). Identification of the high risky diabetic foot by conducting various tests. Diagnosis of the foot problems. Starting the intervention as early as possible to prevent further deterioration which can lead to damage of the nerves. The nurses will provide proper foot care advice to the patients after the service has been provided. The entire procedure of foot care to the patients will comprise of the following steps- A pocket card will be provided to the patients for quick reference for preventing the foot problems. The pocket card will consist of a disposable monofilament which is used for sensory testing. A visual foot inspection will be conducted. The patients have to fill a reproducible form for the annual foot examination. The patients will be provided with prescription forms and therapeutic foot ware will be advised to the patients. There will be additional tools in the foot care center that will facilitate visual and comprehensive foot exams. After the entire procedure has been completed in the care center, the patients will be provided with education materials for taking care at home (Ndep.nih.gov, 2015). Cost of the service The cost of providing the foot care service to the patients will depend on the severity of the disease suffered by the patients. Chiropody is a service provided to the patients to prevent amputation (Nhscareers.nhs.uk, 2015). The nurses will be trained to provide the treatment to calluses, corns and ulcers of the diabetic foot (Ontariochiropodist.com, 2015). The treatment will also comprise of pedicure services like trimming of the nails. The clinic will provide chiropody at a reasonable rate of Rs 2500 per session. The duration for each session is three hours. At the end of the session the patients will be advised to use proper foot wear so that the reoccurrence of the disease can be prevented (Nhs.uk, 2015). Training of the employees The nurses will be trained by the Doctors specialized in the field of providing treatment to the diabetic patients (Aalaa et al., 2012); (Nawccb.org, 2015). The nurses will be provided a three months training prior to the inauguration of the foot care center (cafcn.ca/education, 2015). The center will be able to avoid any kind of negligence of treatment to the patients (Nursingtimes.net, 2015). The nurses will be treated in the following aspects 1. Examination of the foot Symptoms of neuropathy (conditions in which the nerves will be affected) will be checked by the nurses (Medical News Today, 2014) ; (Mayoclinic.org, 2015). The nurses will also check for infection development. Necrosis is done at the clinic for this purpose (Mayoclinic.org, 2015) ; (Healthline, 2015).2. Use of equipments 3. The nurses will be trained to use the various equipments like the Biothesiometry for the detection of the sensory loss in the patients (DAVIS et al., 2015) ; (Whyde, 2015) ; (Range et al., 2015).4. The nurses will be trained to use Doppler for the detection of the decrease in circulation of blood (Webmd.com, 2015); (Imd.gov.in, 2015) ; (Mayoclinic.org, 2015).Measurement of Foot pressure distribution will identify the areas in which the callus and corn in the foot are prone to develop. The nurses will be trained for proper measurement of these areas (Thibodeaux, 2015).1. Apart from the technical aspect, the nurses will be trained with sp ecial skills to provide good hospitality to the patients (Dr. Mohan's Diabetes Specialities Centre | Diabetes Care in Chennai, 2015). Fund arrangement for the establishment of the foot care center The fund required for starting the foot care center for the diabetes patients will be Rs 5, 00,000. The distribution of the funding system will be as follows Fund Arrangement Amount ( Rs) Donation by Charitable organization Rs 1,00,000 Loan from Bank Rs 4,00,00 Measurement of the outcomes The foot care service center will be set up in Chennai since Chennai is one of the most diabetes prone areas in the country. The service will bring positive change in the patients. The service care center can determine the changes provided by the service by the increase in the number of patients each month. This will achieved by generation of positive word of mouth by the patients. The number of booking for the service will increase. The patients will can do the booking online. Good service will increase the number of bookings and the profitability of the company will increase. 5. Clinical effectiveness Aim of the service The service provided by Diabetes foot care center aims at reducing the foot problems of the diabetic patients. This can be achieved by providing service to the patients at an early age of onset of the disease. Prolonged suffering from diabetes can make the foot related problems more complex. Thus the service care center aims at raising the awareness among the general public of the importance of taking proper foot care. The inception of various critical diseases can be prevented. The objectives of the organization will be fulfilled if it can bring positive change in the patients. The organization will improve its service by taking regular feedback from the customers visiting the health care center. This will help to identify the fallacies in the treatment which can be improved in future. a) Outcome of the service for the clients The outcome of the treatment can be known by direct response from the patients. This can be done by the foot care center by providing them a feedback form at the end of each treatment. The feedback form will identify the strengths and weakness of the treatment. The direct response from the patients is crucial for the organization. Positive feedback will generate goodwill and increase the number of customers of the organization (Aldrich and McGraw, 2011). Negative feedback will help to identify the fallacies which can be improved further (Small Business - Chron.com, 2015). The service will make the clients knowledgeable of the various ways in which they can take adequate care of their foot. There will be increase in awareness among the patients about the adverse effects of diabetes. They will attend the foot care center on a regular basis. This will be beneficial for their health in the long run (How To Be Your Own Management Guru, 2015). b) Outcome of the service for the organization The organization can grow in the future by providing good service to the patients. This can be achieved by having a good team of nurses and doctors who will be responsible for providing good service to the patients. This will improve the good will of the organization. It will generate positive word of mouth which will be increase the number of bookings from the patients. The clients have to fill a feedback form at the end of the treatment. This will help the organization to ascertain the positive and negative feedback about the organization. The results from the survey will help to identify whether the procedure of the treatment is not helpful for the patients or the nurses are not trained well. This will help the organization to improve its performance. The job satisfaction of the employees will improve by gaining positive feedback from the clients. Their interest in the job will increase. In order to improve their service further, the doctor and the nurse will increase the consulta tion time. This will help them to identify the problems of the patients minutely and they will be able to provide services that will be effective. The admissions at the service care centre will increase. This will increase the profitability of the organization. It will be able to hire more employees to provide service to more patients. 6. Distribution of the plan The organization can perform its distribution activities by making contacts with various hospitals in Chennai. Chennai is known for providing best health care service to the patients in India. They can visit the health care centers so that the doctors from the health care centers can recommend about their patients to take treatment from the foot care service center. In this way the popularity about the foot care center will increase at an early stage. Chennai is known as the health capital of India (Indiahealthvisit.com, 2015). Thus the foot care center will get enough patients from the various hospitals in Chennai (The Times of India, 2015). The doctors of the foot care center can contact with their colleagues from various clinics to send the diabetic patients to their foot care center. At the initial stage the organization will be able to gain popularity by contacts. But the foot care center has to provide good service to the patients in order to run their business in the long run. This can be achieved by collaborative effort from the doctor and the nurses. Positive word of mouth is an effective strategy to grow business. 7. Action Plan Conclusion It is important for the diabetes patients to take proper care of their feet. Amputation is a major problem faced by the diabetes patients. Chennai has one of the most diabetes affected people in India. Diabetes Foot care center will be able to treat the patients effectively. 8. References Aalaa, M., Malazy, O., Sanjari, M., Peimani, M. and Mohajeri-Tehrani, M. (2012). Nurses role in diabetic foot prevention and care; a review. Journal of Diabetes Metabolic Disorders, 11(1), p.24. Aalaa, M., Malazy, O., Sanjari, M., Peimani, M. and Mohajeri-Tehrani, M. (2012). Nurses role in diabetic foot prevention and care; a review. Journal of Diabetes Metabolic Disorders, 11(1), p.24. Aldrich, J. and McGraw, K. (2011). Improving public opinion surveys. Princeton, N.J.: Princeton University Press. Better Health Channel, (2015). Diabetes - foot care - Better Health Channel. [online] Available at: https://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Diabetes_and_feet [Accessed 16 Jan. 2015]. cafcn.ca/education, (2015). Canadian Association of Foot care Nurses. [online] Available at: https://www.cafcn.ca/education.html [Accessed 17 Jan. 2015]. DAVIS, E., JONES, T., WALSH, P. and BYRNE, G. (2015). The Use of Biothesiometry to Detect Neuropathy in Children and Adolescents With IDDM. [online] care.diabetesjournals.org. Available at: https://care.diabetesjournals.org/content/20/9/1448.full.pdf [Accessed 17 Jan. 2015]. Dr. Mohan's Diabetes Specialities Centre | Diabetes Care in Chennai, (2015). Diabetic Foot Care | Diabetic Foot | Reflexology. [online] Available at: https://drmohansdiabetes.com/patient-care/foot-clinic [Accessed 17 Jan. 2015]. Hamid, Z. (2012). The medical capitals place in history. [online] The Hindu. Available at: https://www.thehindu.com/news/cities/chennai/article3796305.ece [Accessed 17 Jan. 2015]. Healthline, (2015). Peripheral Neuropathy. [online] Available at: https://www.healthline.com/health/peripheral-neuropathy#Overview1 [Accessed 17 Jan. 2015]. How To Be Your Own Management Guru. (2015). pp.100-200. Imd.gov.in, (2015). Doppler Radar Products. [online] Available at: https://www.imd.gov.in/section/dwr/dynamic/dwr.htm [Accessed 17 Jan. 2015]. India, T., Tandon, N. and Raizada, N. (2015). The burden of diabetes in India - Introduction to diabetes mellitus - Diapedia, The Living Textbook of Diabetes. [online] Diapedia.org. Available at: https://www.diapedia.org/introduction-to-diabetes-mellitus/the-burden-of-diabetes-in-india [Accessed 16 Jan. 2015]. Indiahealthvisit.com, (2015). :: India Health Visit ::. [online] Available at: https://www.indiahealthvisit.com/chennai-health-capital.htm [Accessed 17 Jan. 2015]. International Diabetes Federation, (2015). India. [online] Available at: https://www.idf.org/membership/sea/india [Accessed 16 Jan. 2015]. Jha, D. (2015). South India worst hit by diabetes - The Times of India. [online] The Times of India. Available at: https://timesofindia.indiatimes.com/india/South-India-worst-hit-by-diabetes/articleshow/18175487.cms [Accessed 16 Jan. 2015]. Kerr, M. (2012). Foot Care for People with Diabetes: The Economic Case for Change. [online] diabetes.org.uk. Available at: https://www.diabetes.org.uk/Documents/nhs-diabetes/footcare/footcare-for-people-with-diabetes.pdf [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Diabetic neuropathy Symptoms - Diseases and Conditions - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/basics/symptoms/con-20033336 [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Doppler ultrasound: What is it used for? - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/doppler-ultrasound/expert-answers/faq-20058452 [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Peripheral neuropathy Symptoms - Diseases and Conditions - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/diseases-conditions/peripheral-neuropathy/basics/symptoms/con-20019948 [Accessed 17 Jan. 2015]. Medical News Today, (2014). What are the signs and symptoms of neuropathy?. [online] Available at: https://www.medicalnewstoday.com/articles/239561.php [Accessed 17 Jan. 2015]. Nawccb.org, (2015). Diabetic Wound Certification Program. [online] Available at: https://www.nawccb.org/dwc-certification [Accessed 17 Jan. 2015]. Ndep.nih.gov, (2015). Feet Can Last a Lifetime: A Health Care Provider's Guide to Preventing Diabetes Foot Problems. [online] Available at: https://ndep.nih.gov/publications/publicationdetail.aspx?pubid=116 [Accessed 17 Jan. 2015]. Nhs.uk, (2015). Podiatrists, chiropodists and foot problems - Live Well - NHS Choices. [online] Available at: https://www.nhs.uk/Livewell/foothealth/Pages/Foot-problems-podiatrist.aspx [Accessed 17 Jan. 2015]. Nhscareers.nhs.uk, (2015). Chiropodist/podiatrist - NHS Careers. [online] Available at: https://www.nhscareers.nhs.uk/explore-by-career/allied-health-professions/careers-in-the-allied-health-professions/chiropodistpodiatrist/ [Accessed 17 Jan. 2015]. Nursingtimes.net, (2015). Diabetic Foot Problems - Online Nurse Training Course from Nursing Times Learning. [online] Available at: https://www.nursingtimes.net/online-nurse-training-courses/diabetic-foot-problems/ [Accessed 17 Jan. 2015]. Nytimes.com, (2015). Type 2 DiabetesComplications - Type 2 Diabetes Health Information - NY Times Health. [online] Available at: https://www.nytimes.com/health/guides/disease/type-2-diabetes/complications.html [Accessed 16 Jan. 2015]. Ontariochiropodist.com, (2015). What is Chiropody?. [online] Available at: https://www.ontariochiropodist.com/pg_1.asp?CategoryID=0ArticleID=1 [Accessed 17 Jan. 2015]. Ramachandran, A., Jali, M., Mohan, V., Snehalatha, C. and Viswanathan, M. (1988). High prevalence of diabetes in an urban population in south India. BMJ, 297(6648), pp.587-590. Range, P., Coverage, N., Us, C. and Equipment, B. (2015). Biothesiometer Equipment - Biothesiometer Vibrotest Equipment, Biothesiometry Equipment, Digital Biothesiometer Vibrometer and Digital Biothesiometer Manufacturer Exporter from Chennai, India. [online] Diabeticneuropathy.co.in. Available at: https://www.diabeticneuropathy.co.in/biothesiometer-equipment.html [Accessed 17 Jan. 2015]. Small Business - Chron.com, (2015). Advantages Disadvantages of Customer Feedback Surveys. [online] Available at: https://smallbusiness.chron.com/advantages-amp-disadvantages-customer-feedback-surveys-40864.html [Accessed 17 Jan. 2015]. The Times of India, (2015). Chennai High: City gets most foreign tourists - The Times of India. [online] Available at: https://timesofindia.indiatimes.com/city/chennai/-Chennai-High-City-gets-most-foreign-tourists-/articleshow/6442393.cms?referral=PM [Accessed 17 Jan. 2015]. The Times of India, (2015). Chennai's medical history unveiled - The Times of India. [online] Available at: https://timesofindia.indiatimes.com/city/chennai/Chennais-medical-history-unveiled/articleshow/9705916.cms?referral=PM [Accessed 17 Jan. 2015]. Thibodeaux, W. (2015). How to Set Up a Diabetic Clinic. [online] Small Business - Chron.com. Available at: https://smallbusiness.chron.com/set-up-diabetic-clinic-15764.html [Accessed 17 Jan. 2015]. Webmd.com, (2015). Doppler Ultrasound. [online] Available at: https://www.webmd.com/dvt/doppler-ultrasound [Accessed 17 Jan. 2015]. Who.int, (2015). WHO | Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey. [online] Available at: https://www.who.int/bulletin/volumes/92/3/13-128371/en/ [Accessed 16 Jan. 2015]. Whyde, w. (2015). BIOTHESIOMETER USA|Threshold Vibration Measurement|Bio-Medical Instruments Co.. [online] Biothesiometer.com. Available at: https://www.biothesiometer.com/ [Accessed 17 Jan. 2015]. 9. Appendix SWOT analysis Strengths The foot care center will be located in one of the most populated urban place in The organization will get adequate patients from the various hospitals of Chennai. Weakness At the initial stage gaining confidence of the clients will be a problem. There are many diabetes care centers in Chennai which will be a problem. Opportunities Chennai is known as the Health Capital of India. Chennai is one of the highest diabetic prone areas in India. Thus it is a good location for the foot care center. Threats There are many foot care centers in Chennai for diabetes patients. Immense competition is a major threat. There are less health care professionals in the organization. This creates stress among the nurses.

Farming Problems Essays - Farm, Land Management, Rural Culture

Farming Problems The complexion of farming is changing radically. The land cannot support as many farm families as it did in an earlier time. Small farms are being consolidated into larger ones. General farms, with several kinds of crops and a barnyard of farm animals, are yielding to specialty farms that concentrate on a single major crop. Family farms are declining; corporate farms are increasing. Efficiency is growing. Crops are changing. Techniques are improving. Just as the train, tractor, truck, and airplane changed farm life in the past, the computer and robotics are expected to change farm life in the future (AOL, 1997). And the outcome of this is that during the early 1980's and continuing, the farmer's source of income is indeed being stripped from him. What was once the only means of survival for these farmers, has now become distant memory. Farming techniques are undergoing tremendous changes. Farming will surely become more efficient throughout the world. It will also become more scientific and, in the process perhaps lose some of its romance. People who formerly lived on farms and have fond memories of their rural childhood will barely recognize the new farms. For farmers of the future, it will not be enough to know how to drive a tractor and plow a straight furrow. Farmers must change with the industry, as it becomes increasingly more sophisticated. The farmer must become more of a specialist to compete in the marketplace. This is a reason why many of today's farm families are on a decline; that is, that today's farmers are not able to purchase the latest machinery or equipment, for they have to be cautious about where they put their money. The 1980's sometimes referred to as the "farm crisis" decade of the 1980's, while the 1970's were referred to as the "boom years". It was in this time period that farms expanded in size and farm numbers dropped. But in the 1980's, two unusual things happened. First, older farmers seemed to stay in farming longer. Some who might have retired didn't want to sell their land in a depressed market, unless forced by a lender. Second, some middle aged farm families with children who might succeed them quit, or discourage their children from pursuing a farming career. Other younger farmers who had recently borrowed to start farming or to expand their businesses were caught in the interest rate squeeze and forced out of business (Looker 1996, pp9). This fed the decline of family farms, for children, who grew up on farms, did not wish to take upon a career as a farmer, but venture into the city looking for better work and wages, effects that the farm life couldn't give. The decline of the family farm has been heralded for decades, as growing numbers of people moved from the country top the city, and then to the suburbs. According to an article in the USA Today, a 32-year-old dairy farmer from Fort Plain, N.Y., says " You can get an 8 to 5 job, make a good living and still have (spare) time, and in the dairy business, there are huge cycles in prices. Just about the time you've caught up from a down cycle, another one comes along". This illustrates why young people are leaving the farm in search for better living conditions and money. Both the farmers and the academic experts talk about the key role of money in the decline of the family farm. " The evolution towards larger farms and more sophisticated equipment puts the initial investment far out of reach for most young people". "It's not a small business anymore", says John Scott, farm management and land economics professor at the University of Illinois-Champaign. "And because farming is risky dependant on the weather, at the mercy of crop and livestock diseases and victim of wild price swings-banks are unwilling to lend money to finance startup operations, especially after the disastrous defaults of the late 1970's and early 1980's, when high interest rate plowed under many farms and left lender without uncorrectable debts". (USA Today) This shows us how hard it is for farmers to receive credit, to keep the operation of a farm working. And without this credit, many farmers face the inevitable, that is, closing and selling their farmland. Farmers, however, do receive aid from the Government, to help them with competing prices. According to an article in the Philadelphia Tribune, it says that if "the Congressional Budget Reconciliation Act now awaiting presidential action is enacted, the historical American farm family will

Diets Dont Help to Lose Weight

Diets Dont Help to Lose Weight There’s More to Losing Weight Than Eating Less Change Your Lifestyle! Ask any thin adult on the street if they diet. Go ahead – we’ll wait. †¦ They don’t diet, we told you so. They don’t follow gluten-free diets, diets without bread, or sugar-free diets either. Thin people don’t fast and skip meals and eat like birds. Thin people eat, actually, rather wholesomely and, well, quite a bit. What can help a person lose weight is exercising, eating healthily and mindfully. These are the keys to losing weight – not dieting on the newest celebrity-backed nutrition trends. It comes down to one’s lifestyle, discipline and foresight, and making the right decisions about what their body does, as well as good decisions about what they put in their body. Dieting doesn’t work. Lifestyle changes help lose weight. Exercise a lot! What helps a person, any person, lose weight is exercise – and rigorous exercise. This is jogging or walking briskly for 30 minutes three to five times a week. This is hitting the weight room for an hour three to four times a week. A person needs to move their body because the majority of us life sedentary lives – mostly because of our jobs, which require computers. Rigorous exercise every other day improves one’s metabolism, the chemical processes that occur within a living organism in order to maintain life; the breakdown of complex substances and the consequent production of energy and waste matter. A person with a strong metabolism is generally thin and can consume a great deal of food – they burn it off quickly, the burn many of the unwanted calories they consume in a given day. That’s why exercise is important: it increases the metabolic rate in a person’s body, which makes losing weight easier and more attainable. Diets don’t he lp lose weight; exercise does. Diets may help some folks lose weight – but you can actually lose weight by eating more. That’s right. Diets like Weight Watchers do more harm than good. They require the dieter to eat pre-packaged food that lacks in nutrition and substance. People don’t need that to be healthy and thin. People, to be healthy and thin, need to eat a well-balanced diet – with lots of greens, fruits and proteins, which is what a person’s body needs to function and person at its optimal level. Moderation is good for losing weight, instead of over-eating to the point of discomfort. Foods like cucumbers, leafy greens and berries provide a person energy, but also contain vitamins and minerals that burn fat – such as B vitamins: niacin – and provide a lot of fiber. Fiber is a dietary material containing substances such as cellulose, lignin, and pectin, that are resistant to the action of digestive enzymes. Foods with fiber keep digestion on track, delivering waste via bowel movements. This, in turn, maintains a person’s waste. People need protein, too. It helps build muscles and also prevents a person from cravings, as the protein takes longer to digest. People, to lead healthy, fit lives, need to exercise and eat nutritiously. Eat Not Less But Mindfully! To lose weight, people must eat mindfully and with a plan. Eating well takes planning – research, grocery lists, discipline, and sacrifice – and it’s not necessarily cheap either. But the majority of fruits and veggies are sold relatively cheap in markets and grocery stores. Though meats are a bit more expensive to purchase in quality. Nonetheless, there are many alternatives to meat as one’s only source of protein. In any rate, a person – for their metabolism to kick in full gear, to burn calories early in the day – should eat a big, wholesome breakfast every day, lots of protein, fruit, and grains; perhaps a snack later, dark chocolate or a piece of fruit. Secondly, a moderate lunch, not as large as breakfast – but still with protein and veggies or fruit, maybe a little bread. For dinner, a French dinner: moderate-sized portions, perhaps more veggies than protein. This basically illustrates a pyramid, with the bottom, the widest port ion representing breakfast. But it takes preparation, foresight, and diligence to eat like this – so you lose maximum weight. In conclusion, don’t diet; it doesn’t work. Lifestyle changes help lose weight. Exercising vigorously each week, eating healthily and mindfully – these are the keys to losing weight. Just look at an Olympic athlete. They don’t diet. They burn thousands of calories training each day – but yet they eat like kings. Thin people don’t live by Kate Moss’s famous quote, â€Å"Nothing tastes as good as skinny feels.†

Development of a Dispatch System for Fire Brigade Essay

Development of a Dispatch System for Fire Brigade - Essay Example Moving on, the application design should have the same data formatting as the platform on which it runs. Issues specific to fire fighting dispatch systems A global dispatch software solution for fire brigade needs to consider several aspects. For instance, it needs to incorporate mobile computing, which will enable actual fire brigadiers to access the same incident information as is available to operators. Additionally, mobile computing should allow for automatically updating incident activity logs and status reports through a secure source. It is critical to reduce response time rates to the minimum in life-death situations such as fire hazards (Walz, Krumperman and Zigmon 245). Moreover, an element of interoperability should be introduced in the global version of dispatch system. It is integral for a global dispatch software solution to offer data-sharing capabilities amongst multiple agencies across widespread jurisdictions. The introduction of interoperability will be beneficial in a variety of ways. For instance, it will help in improving situational knowledge, incident planning, and greatly reduce response time rate (Brennan and Krohmer 80). This will also improve the extensive interface facilities in the overall despatch software. Lastly, the global fire brigade despatch system should contain reporting and analytical capabilities. This will allow public safety organizations all over the globe to more effectively manage the plethora of valuable information generated daily. This aspect should be specifically tailored in consideration of the requirements of local fire brigades in order to aid in more effective decision-making. Changes in the software development process of the company For developing successful international software, aspects that... This essay stresses that system information will be crucial in the success of a globalized dispatch fire brigade system. This is because system information contained in processes make up an application, system information files, or system servers. The sharing factor will allow fire brigades globally to fulfill their reporting and analytical responsibilities. Moreover, the operating system of this internationalized dispatch software should support universal coordinated time. Graphical terms and symbols used for denoting particular system components need to be localized to aid understanding. The internationalized software should also disallow inputting prohibited or problematic characters in naming files or directories. data exchange should be modified to facilitate the transfer of information across globe as quickly as possible. This will aid in identifying the nearest fire brigade to the accident scene and simultaneously equip those fire fighters with the same information as the loca l operator. This paper makes a conclusion that the development of internationalized software for fire brigades will enable response teams to identify easily the geographical locations of the accidents, nearest response vehicles by providing first responders with the same incident information as dispatchers. Thus, this software will not only escalate the performance of response teams, but also more importantly, save more lives and properties all around the globe.

Disrupted Occupations Assignment Example | Topics and Well Written Essays - 250 words

Disrupted Occupations - Assignment Example Most elderly people are accustomed to the spatial orientation of buildings, corridors, and transport systems like outdoor pavements. Most elderly residents of nursing homes have limited mobility. In addition, the warmth of friendships and companionships of fellow residents within a nursing home give meaning to the lives of elderly clients under nursing care. Physical movements, social interactions, and mental composures of nursing home residents are defined within the realms of their built environment. Any attempt to re-design the built environment will significantly impact on the lives of accustomed nursing home residents. For example, renewing concrete pavements may make them slippery, thus endangering the physical health of residents. Re-painting social interaction halls will with distinct paints affect the aesthetic appearance and fragrance of a local interaction space. In addition, building a new room for each resident instead of allowing residents to share rooms will severely a ffect the psychological well-being of residents, specifically when they are separated from their roommates. Consequently, re-designing a nursing home will invariably necessitate a re-establishment of a sense of being for the affected residents. Residents will have to; find new friends, learn to accept new fragrances and appearances of painted spaces, and adjust their mobility in order to avoid slippage on the new pavements. Such re-orientation of one’s sense of place and being is of a particular interest in current occupational therapy research.