Saturday, August 22, 2020

Management and auditing Article Example | Topics and Well Written Essays - 500 words

The executives and evaluating - Article Example iability of the data that IT framework bolsters and the framework work with the necessary goal to create solid yields (GFS Consulting, 2014). ITGC contains the accompanying control types: Besides, I suggest that the office receive IT Application controls. The application is planned and works naturally in guaranteeing exact and complete preparing of information. They fluctuate with the sort of business and the reason. So also, they are exceptionally basic in guaranteeing the protection and security of data which are transmitted between applications (GFS Consulting, 2014). There are numerous kinds of IT applications and they include: Besides, there is a need to have IT controls and Chief Information Officer (CIO) or Chief Information Security Officer (CISO) who will supervise the precision, security just as the dependability of the frameworks overseeing and revealing the authoritative information. Endeavor Resource Planning System and monetary bookkeeping are coordinated with the inception and approval, handling just as revealing of money related information. Accordingly, they may include Sarbanes-Oxley consistence to alleviate specific monetary hazard that the office may confront (GFS Consulting, 2014). I accept extra IT control of the 22 representatives will profit the association as it will have the option to control access to the hierarchical information. Approval will be fundamental in controlling the work force who are required to get to organization data. Moreover, the organization will have the option to have a robotized framework which identifies and fix issues subsequently limiting human obstruction. Each faculty will have a history on how the person in question utilizes the framework, thus helping in making further suggestions and modifications on the most proficient method to control the office

Friday, August 21, 2020

Sans-Culotte Essays - French Revolution, Clothing, Sans-culottes

Sans-Culotte Essays - French Revolution, Clothing, Sans-culottes Sans-Culotte Force inside the Paris areas of 1792-94 - its social structure, elements, and belief system - .(1) That is what was investigated in the book The Sans-Culotte. Albert Soboul depicts and traces the piece and exercises of the various segments in Paris during Revolutionary France. Soboul depicts the exercises of these areas as a famous development by the individuals of Paris. He clarifies how the individuals of Paris joined to shape diverse sectional congregations with their principle objective being to improve the lives of the center and lower class people in Paris, yet France completely. In The Sans-Culottes, Soboul clarifies in incredible detail the various ways these segments affected law making and attempted to increase equivalent rights for all. Notwithstanding depicting the political action of the sans-culottes and different segments, Soboul likewise clarifies a portion of the military exercises and developments of these segments during the unrest. Soboul's book has consistently b een idea as the principle expert on the segments in Paris, yet in the mid 1980's, an evaluate was composed on The Sans-Culottes and numerous things were seen as amiss with the book. In the basic assessment of Albert Soboul's The Sans-Culottes a full scrutinize of the book happens and numerous issues with the book are brought up. The issues or deficiencies talked about in the basic assessment extend from an absence of depiction of the sans-culottes and different segments in Paris and blunders in clarifying what sort of individuals comprised the participation of the areas, to a need a wide scope of value sources. The two issues in The Sans-Culottes that will be talked about in this article are the absence of value sources and the absence of portrayal of the segments and who established them. The absence of depiction of the segments in Paris is a significant imperfection with the book. The evaluate calls attention to that Soboul protuberances the entirety of the segments of Paris together while depicting them. He neglects to isolate them into precisely what they are: areas. The facts demonstrate that there were developments made to attempt to join all the areas, however this never turns into a reality so qualification between segments ought to be appeared. Soboul makes no qualifications among quartiers' and segments, and between financial geologies and nearby politics.(2) Soboul's history of the segments from June, 1793 to sid-July, 1794 depicted them on a level plane, en masse....(3) This lumping together of the segments drives one to the bogus end that areas were every one of the one element, yet they were not; they were especially seperate. Soboul likewise drives the peruser to inaccurate ends by calling the areas and sans-culottes a famous development. He much of the time offers this expression. Soboul portrays numerous adjustments in the arrangement of the segments that permit the lower class to join the gatherings. A statement utilized by Soboul by Hanriot states, For quite a while, the rich made the laws, it is about time the poor made a few laws themselves and that uniformity should rule between the rich and the poor.'(4) This leads the peruser to accept that everybody was included effectively in the segments and that anybody could become pioneers of a sectional get together, however this was not the situation. The lower class, or plebeians, did next to no aside from what the pioneers let them or advised them to do. As written in the scrutinize: Their [plebeians] pressures were specifically directed into legislative issues by the sans-culotte' leadership.... During the recovery' skirmishes of the spring and summer of 1793 by which sans-culottes' won authority sectionary power, plebeians showed up compellingly in the general congregations - not as atomistic individual voters, yet as gatherings of laborers assembled by their sans-culotte' managers for impermanent muscle when polling forms were to be thrown by clench hands and feet.(5) This statement shows that the lower class, or plebeians, were simply lakes for the sans-culottes. They were allowed to cast a ballot when the pioneers felt the votes cast by the plebeians were important to accomplish triumph. The view one gets from the evaluate is absolutely conflicting to that of Soboul's book. The speculation Soboul utilized while portraying the individuals from the segments can likewise prompt disarray on the perusers part. Soboul over and again portrays individuals as being a piece of a specific exchange,

Tuesday, May 26, 2020

All You Need Is Love The Peace Crops And The Spirit Of...

Elizabeth Cobbs-Hoffman captures the â€Å"we can do better† attitude of 1960’s in her book, All You Need Is Love: The Peace Crops and the Spirit of the 1960’s. Cobbs-Hoffman tells the history of the Peace Corps. She includes details of key players who made the vision of the Peace Crops a reality, the politics behind the organization, and how the volunteers spread American ideals and views of imperialism, by helping lesser developed nations. Cobbs-Hoffman opens the first chapter of her book by introducing John F. Kennedy giving speech to the students of the University of Michigan at Ann Arbor, a speech that would bring about change to the world starting in the 1960’s. Kennedy challenged the students â€Å"to undertake the adventure of a lifetime† in order to bring freedom to places like Africa, Latin America, and Asia on behalf of the United States, to work in foreign service and to help the United States compete as a free country . The vision of t he Peace Corps is one to help the lesser developed countries while educating the American youth of the struggles of the people from these areas; while moving to become like the â€Å"ugly American†, who understands the people of the world and tries to help them achieve a better way of life but also learns from the people of the world in order to come a better Americans . The Peace Corps during the 1960s was program that promoted the following goals: to serve the needs of another country, promote local understanding of America, and to fosterShow MoreRelatedIroquois Confederacy9092 Words   |  37 Pagesthat the beauty of the face was incompatible with the horrendous practice of cannibalism and immediately forsook the practice. He went outside to dispose of the corpse, and when he returned to his lodge he met Deganawidah. The foreigners words of peace and righteousness were so powerful that the man became a loyal disciple and helped spread the message. Deganawidah named his disciple Hiawatha, meaning he who combs, and sent him to confront Todadaho and remove the snakes from the chiefs hairRead MoreNotes18856 Words   |  76 PagesChapter 4 Colonialism and the African Experience Virtually everything that has gone wrong in Africa since the advent of independence has been blamed on the legacies of colonialism. Is that fair? Virtually all colonial powers had â€Å"colonial missions.† What were these missions and why were they apparently such a disaster? Did any good come out of the African â€Å"colonial experience†? Introduction Colonization of Africa by European countries was a monumental milestone in  ­ the developmentRead MoreSRS11105471 Words   |  22 Pagesï » ¿Introduction: The Cross-Cultural Approach Myth: is a story or example believed as true from a religion or culture group (usually an origin story) (The Prophet Mohamad PBUH is true for all Muslims) -myth comes from the greek word â€Å"muthos† which means word: -â€Å"muthos† are not literal words (they are metaphors) -â€Å"logos† are literal words The difference between Myth, Legends, Fairytales   Myth: origin stories Legends: stories that may or may not be believed Fairytales: stories that startsRead MoreSir Vidiadhar Surajprasad Naipaul was born in Chaguanas, Trinidad, on seventeen August 1932, the3000 Words   |  12 Pagestravels.Naipaul has revealed quite thirty books, each of fiction and nonfictional prose, over some fifty years. House for mr Biswas was Naipaul’s fourth novel, and followed 3 slighter, sarcastic works concerning Trinidad’s social and political life. All were revealed by Andrà © Deutsch in London, wherever Naipaul had been living since 1954, once taking a degree in English at Oxford. He had come back to Britain in 1950, fulfilling a long-standing ambition to flee from island. within the fourth kind atRead MoreReligious Unrest in Nigeria9418 Words   |  38 Pages Acknowledgement This term paper could not have been designed and prepared to display and enact all it contain, without the support, advice, agreement and criticisms of many people who by their views and ideas in one way and the other contributed to the progress of the work. Read MoreReconstruction : The Burning Years10732 Words   |  43 PagesNarration]: The following program contains strong language and disturbing thematic content. Listener discretion is advised. (beat) From — — — Productions: RECONSTRUCTION: THE BURNING YEARS. (Music) D.G.: Good evening. My name is Dan Gorman. Like many of you, I didn’t learn much about Reconstruction in high school. I had a wonderful teacher who did much to show the nuances of American history, such as the effects of states’ rights and slavery on the Civil War. Still, my teacher, along with the A.P. examRead Morewisdom,humor and faith19596 Words   |  79 Pagesintoxicating relativity of human things; the strange pleasure that comes of the certainty that there is no certainty.† Milan Kundera, Testaments Betrayed (1995), 9, 32-33. â€Å"When people ask me if theres an afterlife, I answer, ‘If I knew, I would tell you.’† Art Buchwald,  Too Soon to Say Goodbye (2006), 29. ——————————————— â€Å"I can’t imagine a wise old person who can’t laugh.† So said psychologist Erik Erikson, and many wisdom researchers say the same about a wise person of any age.1 But the moreRead MoreRastafarian79520 Words   |  319 Pages(maker) All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must notRead MoreAmerican Holidays11778 Words   |  48 Pagesmajor social event. Clubs everywhere are packed with party-goers who stay out all night and go nuts at midnight. At midnight it is a tradition to make lots of noise. The traditional New Years Ball is dropped every year in Times Square in New York City at 12 o’clock. This event can be seen all over the world on television. Valentine’s Day Saint Valentine’s Day is a day that is set aside to promote the idea of â€Å"love†. It is celebrated on February 14th. People send greeting cards or gifts to lovedRead MoreInfluence of Immigration on the American Culture and Language14362 Words   |  58 Pagesaliens. With the Statue of Liberty greeting Europeans entering Ellis Island, and The Golden Gate Bridge greeting Chinese and other Asians in San Francisco, the U.S. has long since been a refuge of the world, with opportunities abound and freedom for all. Over time, millions around the world have found emigrating to the U.S. as the only alternative to starvation, death, or a life full of hardship and suffering. Most immigrants came, and still come today, for wealth, land, and freedom. With thousands

Friday, May 15, 2020

Sherman Alexie Poems Analysis - 917 Words

Alexie Poem Analysis â€Å"The Facebook Sonnet† and â€Å"Grief Calls Us to the Things of This World† are two poems written by Sherman Alexie that share some of the same techniques. However, the two poems are not so alike in many ways. The content of this essay will converse about the themes of the two poems and how techniques are used to illustrate them. The main difference between these two poems is the how Sherman Alexie uses techniques in the two poems. With this in mind, the tone of the two poems will also be analyzed. Sherman Alexie’s techniques he uses in â€Å"Grief Calls Us to the Things of This World† create a sorrowful mood and shows the anger and grief of Alexie towards losing his father. The techniques that Alexie uses in â€Å"The Facebook†¦show more content†¦Ã¢â‚¬Å"Let’s sign up, sign in, and confess / Here at the altar of loneliness.† (13-14) to me these lines seem sarcastic, but certainly makes one think, especially, â€Å"The altar of loneliness† here Alexie is giving Facebook the name â€Å"The altar of loneliness† where many people connect, giving it some sort of paradox and absolutely makes one wonder. Rather than a sarcastic tone in â€Å"The Facebook Sonnet† â€Å"Greif Calls Us to the Things of This World† is more so a feeling sadness. While reading this poem the way Alexie writes it, makes it as though one can also feel what he is feeling during the grief and sorrow of him losing his father. The message that I rec eived from this poem is that never to take advantage of one’s life. Through the two poems â€Å"The Facebook Sonnet† and â€Å"Grief Calls Us to the Things of This World† Alexie demonstrates techniques and expresses epitomes that are extremely different from one another. In â€Å"The Facebook Sonnet† Alexie uses a sarcastic tone and broad detail about what we all know as Facebook, today. This giving Facebook a complete new meaning in which people never think about. On the other hand, in â€Å"Grief Calls Us to the Things of This World† Alexie wants the readers to feel the life in his poem and not only to just observe it. The two poems are completely different from one another, and the way Alexie chooses his words and changes the style of hisShow MoreRelatedAnalysis Of The Poem Reservation Love Song By Sherman Alexie1281 Words   |  6 Pages especially when they fall into a specific era. That’s why poems can be considered to be from the Romantic or Victorian period. When a poem manages to break out of that, it ma kes it memorable and worth noticing. â€Å"Reservation Love Song† by Sherman Alexie does so philosophically, by portraying a realistic side of love, while Mark Strand’s â€Å"Courtship† raises some interesting questions about the relationships between men and women. The poem â€Å"may i feel said he† by e.e. cummings portrays an adult’s loveRead MoreThe Lone Ranger and Tonto Fistfight in Heaven, by Sherman Alexie1475 Words   |  6 PagesIn the short stories â€Å"A Drug Called Tradition,† â€Å"The Approximate Size of My Favorite Tumor,† and â€Å"The Only Traffic Signal on the Reservation Doesn’t Flash Red Anymore† collected in The Lone Ranger and Tonto Fistfight in Heaven, author Sherman Alexie uses humor to reflect the life on the Spokane Reservation. In â€Å"A Drug Called Tradition,† the story starts with a joke by having Thomas sit down inside a refrigerator in response to Junior’s comment as to why the refrigerator is empty. The Indians areRead MoreCritical Analysis of â€Å"I Wandered Lonely as a Cloud† and â€Å"The Facebook Sonnet†879 Words   |  4 PagesCritical Analysis of â€Å"I Wandered Lonely as a Cloud† and â€Å"The Facebook Sonnet† Light and happy or dark and lonely, both â€Å"I Wandered Lonely as a Cloud† and â€Å"The Facebook Sonnet† are similar in that both of their themes describe solitude. Still, William Wordsworth and Sherman Alexie use opposite ideas to take this concept in different lights. While Wordsworth describes an enjoyable evening walking through a meadow and speaks of his contentment thinking of this day when he is alone, Alexie describesRead MorePoem Analysis: Sherman Alexies On the Amtrak From Boston to New York1294 Words   |  5 Pagesï » ¿An Analysis of Sherman Alexies On the Amtrak Sherman Alexies On the Amtrak from Boston to New York City is a free verse poem that gives voice to Native American resentment and contempt. It is composed in a series of quatrains, with the last line of the poem standing alone, symbolizing the poet himself who feels alienated a stranger in his own land, now overrun by an enemy. This paper will examine the poems use of meter, imagery and symbolism, and give an interpretation of Alexies thoughtsRead MoreThe Refugee Blues And Inside Dachau Essay1500 Words   |  6 PagesSubmission: Ethical Witnessing through Poetic Expressions in the â€Å"Refugee Blues† Experiences, emotional events, and imaginations are often condensed into poetic forms of expression. In Refugee Blues and Inside Dachau, W.H. Auden and Sherman Alexie brought to the fore the struggles and conflicts that characterize humanity through the dynamics of political plots and human biases. A refugee is a psychologically or physically displaced person from their conceived home or country either by reason ofRead MoreAn Analysis Of Sherman Alexie s The Powwow At The End Of The World 1383 Words   |  6 Pagesmyself re-reading the poem over and over because I knew there was something important I was missing, especially since forgive is used a lot and the story of the Native Americans didn t end well. I found that the author, Sherman Alexie, is a Spokane Indian. This is his response to the collective group you, which refers to the European settlers mostly but also encompasses other groups who think the Native Americans should forgive the destruction of their land and culture. This poem expresses how forgivenessRead MoreAnalysis Of Alexie s Poem Alexie 2924 Words   |  12 Pages Alexie asks three questions across all of his works: ‘What does it mean to live as an Indian in this time? What does it mean to be an Indian man? Finally, what does it mean to live on an Indian reservation?’† (Basso). Indeed, he does, but does that necessarily imply that he does a good job of it? Certainly, he moves us beyond the many ridiculous stereotypes of Native Americans, that they’re alcoholics and lazy, that they all live on reservations and receive special treatment from the governmentRead MoreSocial Construction Of Aboriginal Peoples2100 Words   |  9 Pages[building students ] capacity for intercultural understanding, empathy, and mutual respect (Truth and Reconciliation Commission of Canada, 7), while simultaneously teaching them how to analyse poetry. More specifically, Dumont s series of beading poems, in her collection The Pemmican E aters, provides an opportunity to engage high school students in a discussion around the significance of cultural practices, while at the same time revisiting the interplay of Canadian histories, both Aboriginal andRead MoreBusiness and Management2600 Words   |  11 Pagesthe modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Barnet, S., Cain, W.E., Burto, W. (2011). Literature for composition: Essays, stories, poems, and plays (9th ed.). New York, NY: Longman. All electronic materials are available on the student website. |Week One: Elements of Literature—Stories

Wednesday, May 6, 2020

A critical analysis of Fahrenheit 451 by Ray Bradbury

The Dreary and Menacing Future of Technological Advancements Ray Bradbury s novel, Fahrenheit 451, published in 1953, depicts a grim and also quite feasible prediction of a futuristic world. In Bradbury s technology-obsessed society, a clear view of the horrific effects that a fixation for mindlessness would have on a civilization shows through his writing. Being carefree is encouraged while people who think outside the box are swiftly and effectively removed. The technology Bradbury s society is designed to keep the people uninformed, which the vast majority of are happily and voluntarily in their ignorant state. There are many details in this novel that suggest that the future of a society obsessed with advanced technology is not†¦show more content†¦The setting of Bradbury s novel is at a time of war; bombs are dropped onto the society that once was home to Montag, Perhaps the bombs were there, and the jets, ten miles, five miles, one mile up, for the merest instance, like a grain thrown over the heavens by a great sowing hand, and the bombs drifting with dreadful swiftness, yet sudden slowness, down upon the morning city they had left behind(158). Undoubtedly, these bombs are a sinister and dangerous progression for technology. Bradbury s society has many reasons to feel threatened by the advancements of its world. However, feeling threatened is impossible for a society that is founded on the principals of apathy. The people are carefree, which is encouraged by the government. How can a society with no worries rise up and rebel? The government obviously has the advantage of manipulation, which is carried out by their technology. Clarisse has an appropriate way of describing the bleakness of a society that doesn t care, I sometimes think drivers don t know what grass is, or flowers, because they never see them slowly, she said. If you showed a driver a green blur, Oh yes! He d say, that s grass! A pink blur! That s a rose garden! (9). The uneasiness Clarisse feels for the way people behave in her time depicts how people do not take the time to enjoy the smaller parts of life because nobody in this society cares. Another machine that provesShow MoreRelatedCritical Analysis Of Fahrenheit 4511266 Words   |  6 PagesTo begin, in Fahrenheit 451, Ray Bradbury incorporated: a censorship aspect inte nded for the book, social commentary, and the social critical analysis which relates to conflicts in our world today. To continue, censorship can be considered a â€Å"threat† to society, for example, Bradbury uses the concept of the overuse of media and how it can affect the world and the people around you. Furthermore, Bradbury’s key focus was to satirize the excessive use of television and the media as a news and entertainmentRead MoreFahrenheit 451 By Ray Bradbury Essay1402 Words   |  6 PagesItmam Azad, Raul Campos, Daniel Flores English I Pre AP Ms. Volkova 22 April 2015 A New Beginning Fahrenheit 451 is a novel by Ray Bradbury, which portrays Bradbury’s prediction of how one day humans will forget the joy of reading. This story takes place in a future dystopian city, where any actions related to books are illegal. The novel’s protagonist, Guy Montag, is a fireman, whose job involves burning books for a living. Throughout the story, the citizens live their mundane lives, which includesRead MoreFahrenheit 451 - Part I Discussion Outline (w/ Analysis and Questions)1089 Words   |  5 Pagesï » ¿FAHRENHEIT 451 PART ONE DISCUSSION I. SYMBOLISM THEMES i. Overview — Part I: â€Å"The Hearth and the Salamander Part One of Fahrenheit 451 is titled â€Å"The Hearth and the Salamander†, referring to the floor of a home’s fireplace – the foundation – and the lizard-like amphibian with a fantastical history. These are two very symbolic things to our protagonist, Guy Montag. A career fireman in a futuristic world where books are forbidden and any sign of uniqueness is a sign of illness. Part oneRead MoreThe Importance of Literature to Humanity1298 Words   |  6 PagesPoliticians or simply people in a higher authority often use rhetoric language to manipulate and brainwash people with lies. In the novel Fahrenheit 451, Ray Bradbury shows the negative effects rhetoric language can have on those with an uneducated imagination and that without literature society produces a world filled with ignorance. The absence of books in Fahrenheit 451 creates darkness within the society. In literature darkness is a symbol of ignorance, evil, falsehood, oblivion, despair and the unknownRead MoreDover Beach and Farenheit 4511461 Words   |  6 Pages2011 Dover Beach and Fahrenheit 451 The classic poem, Dover Beach, written by Matthew Arnold, is a statement about losing faith as a result of enlightenment. In an emotionally charged scene in Ray Bradbury’s novel, Fahrenheit 451, fireman Guy Montag reads the poem aloud to his wife and her friends. Bradbury could have chosen any piece of literature for Montag to read as a means of unveiling his collection of hoarded books and his newfound interest in reading them. Bradbury uses this particularRead MoreAnalysis Of Ray Bradbury s Fahrenheit 451 1815 Words   |  8 PagesRay Bradbury was a well-known author who happened to write several novels, books, and short stories. He was very famous and I have never read anything that he wrote, until I read this book. I wasn’t sure what to expect because I had no idea what it was about and what kind of story it told. Fahrenheit 451 told a breathtaking adventure, was relatable, and it was almost as if I was submerged in this dystopian society, who was forced to live without imagination, books and a sense of wonder. Mr. BradburyRead MoreThe Analysis of Canonical Literature 1134 Words   |  5 Pagesmouths (Milton book X). Milton does this to allow the reader to make the same mistake Adam and Eve made so as to understand why it is important to follow what you stand for, otherwise face problems in the future. As mentioned before, Free Will plays a critical role in literature as depicted in Paradise Lost. Milton compares Free Will to Gods foreknowledge of events that will happen and explains the difference. While God knows what will happen, he only knows this because he is aware of what choices individuals

Tuesday, May 5, 2020

Cuba Essay Research Paper CUBA free essay sample

Cuba Essay, Research Paper CUBA A Cuba fue EL lugar que los espanoles llegaron cuando EL feudalismo epoch todavia EL sistema socio economico dominante. Los primero esfuerzos de los espanoles en el piranha no fueron de mucha ganancia, basados en el mercantilismo primitivo del renacimiento. De todas formas Espana empezo el proceso de extension del mercado europeo Al nuevo contiente, pero La mentalidad feudalista limito seriamente la iniciativa y capacidad de los comerciantes y colonizadores que llegaron. Ellos se movieron rapido Al continente en busca del oro Y plata, este exito cego a los espanoles de la potencial riqueza de la fertilidad del Caribe. Los espanoles destruyeron en el Caribe la poblacion nativa, dejando islas vacantes para la explotacion por los rivales de Espana ( Franceses e Ingleses ) . En el Caso de Cuba el suceso economico del monocultivo en el siglo XVlll impidio EL desarrollo de economias mas diversificadas. Donde azucar u otros cultivos fueron mom exitosos se justifico EL monocultivo con l a teoria de ventaja comparativa, la agricultura tropical Se caracterizo por todo lo que fuera con ella, incluida esclavitud, dependencia en inversiones extranjeras y mercados, duenos ausentes, y clase rural trabajadora empobrecida. Espana mantuvo en Sus colonias del Caribe una economia orientada a La subsistencia, en una forma mom feudal que capitalista. La transition del plantio del tabaco Al azucar resulto en menos pero mom grandes plantaciones y el desplazamiento de plantadores y trabajadores que no tenian EL capital necesario parity invertir en la produccion Y procesamiento del azucar. Asi se desarollo en las colonias de Espana lo que paso a llamarse haciendas O plantaciones, simbolizando uno de los sistemas socieconomicos mom grande que Han dominado el oeste desde La edad media.La hacienda estaba dedicada a La agricultura de subsitencia, que contemplaba EL consumo interno. Fue administrada por una familia que vivia en EL lugar. Ideologicamente fue autosuficiente, una unidad economica completa, independiente del resto. Los duenos de estos estados favorecian un sistema politician Y economico descentralizado, con poco compromiso con EL estado cardinal. La hacienda fue tradicional nut muchas formas, incluso L a relacion entre el dueno y la fuerza de trabajo. Trabajadores eran usualmente siervos, a menudo indios en estos estados Agricolas intensivos. En Cuba el dueno criollo mantuvo La institucion feudal, como La encomienda O repartimiento, que mantenia Al Indio O ladino bajo su control. El progreso fue de segunda importancia en estos estados, las cuales tendian a repetir La experiencia economica del pasado en vez de experimentar con nuevas formas. El objetivo fue to preservar los estilos de vida existentes y defenderse en contra de cambios amenazadores. A menudo La falta de capital O deudas, no permitia a los duenos invertir en maquinaria O comprar esclavos, asi que aunque criollos hubieran tenido interes en convertir Sus estados en plantaciones no tuvieron recursos parity lograrlo. La agricultura cubana desde La conquista hour angle sido largamente sostenida en la naturaleza, aunque en el siglo dieciocho exportaba respetables cantidades de tabaco, cafe Y azucar. Durante 1630 hasta EL 16 40 hubo un cambio nut EL cultivo con una inversion de capital en EL azucar que su demanda crecia rapidamente en Europa. La produccion cubana surgio en ascenso Durante EL ultimo tercio del siglo dieciocho acompanada con La rapida importacion de esclavos africanos. Con su ventajosa posicion parity penetrar EL mercado norteamericano, en el siglo diecinueve, Cuba disfruto de una remaracada suba en la exportacion de todos estos productos en la llamada era de oro de la historia economica Cubana, dando prosperidad parity los comerciantes y hacendados de la Isla. El rapido crecimiento del trabajo de esclavos no produjo un inmediato sacudida en Cuba como ocurrio en Haiti o en las Islas Britanicas, de esta manera los comerciantes tomaron ventaja de las dificultades que atormentarian pronto Las Islas Britanicas y Francesas. En La mitad del siglo diecinueve, Cuba seria el productor lider del azucar, en un modelo en el cual estrecharia una cercana relacion dependiente con norteamerica. Mientras tanto, la independencia de Haiti y posteriormente la abolicion de la esclavitud en las Islas Britanicas alteraria significativamente la produccion de azucar en esas islas. Ellos entraron a un largo diminution economico del cual en ciertos aspectos no Se han podido recuperar.Cuba como un caso historico de produccion de azucar ofrece el mejor ejemplo de la evolucion de la sociedad de plantacion en el siglo diecinueve Y veinte, al Haber pasado a crossbeams de una serie de cambios economicos revolucionarios esenciales.. Cuba prospero Y Se diversifico, especialmente desde 1818 hasta EL 1834, cuando Cuba no pudo seguir el ejemplo de Latinoamerica en expulsar de sus tierras al reino espanol. Una combinacion de los beneficios de las politicas economicas liberales espanolas y EL miedo a repetir La insurreccion de esclavos h aitiana explica la lealtad de los criollos cubanos en ese tiempo. En 1850 Cuba pasaria a ser La plantacion economica fuertemente dependiente en trabajadores esclavos parity la exportacion de azucar principalmente parity norteamerica. En 1868 Cuba producia un tercio del azucar mundial. De cualquier manera esta tierra desplazo largos numeros de trabajadores y pequenos agricultores, que cada vez mom constituian una Masa de descontento, llendo hacia La Habana Y otras ciudades disponibles para apoyar un cambio a La soberania espanola. En los siguientes 10 Fatah Revolutionary Council de guerra Cuba fallo en conseguir su independencia pero resulto en la merecida emancipacion de los esclavos en 1886 que distorsiono La produccion Cubana de azucar, exponiendose a nuevos competidores, como la cana de Hawaii y otros nuevos exportadores. El ciclo de dependencia en mercado e inversion de capital Es familiar nut La part. Mientras que EL azucar cubano ofrece el ejemplo mom claro de las posibles con secuencias, menos dramaticos ejemplos abundan en la produccion de banana y otros cultivos. El costo societal del control por extranjeros de las plantaciones ha llevado generalmente a reacciones a nivel nacional Contra los extranjeros. Ironicamente, los cambios sustanciales en salud, salarios, beneficios medicos, y comercio que Han acompanado la sociedad de plantacion Han permitido EL alzamiento en contra del capital extranjero por parte de la clase media Y trabajadora. 310

Monday, April 13, 2020

Documentation And Informatics Essay Example

Documentation And Informatics Essay A factual record contains descriptive, objective Information about what a nurse sees, hears, feels, and smells. . An accurate record uses exact measurements, notations concise data, contains only approved abbreviations, uses correct spelling, and Identifies the date and caregiver. C. A complete record contains all appropriate and essential information. D. Current records contain timely entries with immediate documentation of information as it is collected from the patient. E. Organized records communicate information in a logical order. 3. Describe methods for multidisciplinary communication within the health care system Case management model of delivering care incorporates an interdisciplinary approach to documenting patient care and critical pathways are interdisciplinary are plans that include patient problems, key Interventions, and expected outcomes within an established time frame unexpected outcomes, unmet goals, and interventions not specified within the critical pathways time frame are called variances Ex: when a patient develops pulmonary complications after surgery, requiring oxygen therapy and monitoring with pulse geometry. A positive variance occurs when a patient progresses more rapidly than expected (use of Foley catheter is discontinued a day early) 4. Identify common record-keeping forms. (See Section Below: Page 8) Most charts will Include (Extra Notes): Patient Identification and demographic data Informed consent for treatment and procedure Admission data Nursing diagnosis or problems and nursing or interdisciplinary care plan Record of Medical history Medical diagnosis Therapeutic orders Medical and health discipline progress notes Physical assessment findings Diagnostic study results Patient education Summary of operative procedures Discharge plan and summary CHI. 6 Lecture Notes Documentation is anything written or printed on which you rely as record or proof of patient actions and activities Information in the patient record provides a detailed account of the level of quality of care delivered to patients. The quality of care, the standards of regulatory agencies and nursing practice, the reimbursement structure in the healthcare system, and legal guidelines make documentation and reporting extremely important responsibilities of a nurse. We will write a custom essay sample on Documentation And Informatics specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Documentation And Informatics specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Documentation And Informatics specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Whether the transfer of a patient info occurs through verbal reports, written documents, or electronically, you need to follow basic principles to maintain confidentiality of information Confidentiality Nurses are legally and ethically obligated to keep information about patients influential Only staffs that are directly involved in a patients care have legitimate access to records. In most cases, patients are required to give written permission for release of medical information. HIPPO Governs all areas of patient info and management of that information. To eliminate barriers that can delay access to care: providers must notify patients of their privacy policy and make a reasonable effort to obtain written acknowledgement of this notification. Disclosure must be limited to the min necessary EX. If you need a patients home number to reschedule an appointment, access to the deiced record is limited solely to the telephone number. As a nursing student you must abide to the HIPPO standards of confidentiality and compliance and NEVER share information about patients with classmates or look into medical information about other patients. Standards Standards of documentations differ within a healthcare organization. Institutional standards or policies dictate the frequency of documentation. Ex. How often you record a nursing assessment or a patients level of pain. Patients records can be used as evidence in a court of law if standards of care are not met The National Committee of Quality Assurance and The Joint Commission maintain institutional accreditation and minimize liability. Current documentation standard require that all patients admitted to a health care facility have an assessment of physical, psychosocial, environmental, self-care, patient education, knowledge level, and discharge planning. Also, evidence of patient and family teaching and discharge planning. Interdisciplinary Communication within the Healthcare Team Patient care requires effective communication among members of the healthcare information relevant to his or her health care. Reports are given oral, written, or audiotape exchanges of information among caregivers. Common reports given by nurses: change-of-shift reports, telephone reports, hand off reports, and incident reports. Ex. Healthcare provider calls nurses to get a verbal report to receive patients conditions. Laboratory submits a written report for results of diagnostic test and verbally notifies nurse if results are critical. Forms of communication Discharge planning conference: involves all members of all disciplines who meet and discuss patient progress towards discharge goals. Consultations: one reflections caregiver gives formal advice about the care of a patient to another caregiver Ex: a nurse caring for a patent with a chronic wound consults with a wound care specialist Referrals: arrangement for services by another care provider. Purposes of Records Communication Patients records are useful for healthcare team members to communicate patients needs and progress, individual therapies, content of consultations, patient education, and discharge planning. They also allow healthcare team member to know a patient thoroughly, facilitating safe, effective and timely patient-centered decisions. Legal accumulation To limit nursing liability documentation must indicate clearly that a patient received individualized, goal-directed nursing care based on the nursing assessment. Common charting mistakes: writing illegibly or incomplete, failure to record pertinent health or drug information, failure to record nursing actions, failure to record that medications have been given, failure to document discontinued medications. Dress are classifications based on patients medical diagnosis Your documentation clarifies the type of treatment a patient receives and supports reimbursement to the health care agency Education Patients records includes many information such as diagnosis, signs and symptoms of a disease, successful and unsuccessful therapies, diagnostic finding, and patient behavior which is why all nurses should read their patients record. With this information and past experience you can learn to anticipate the type of care required for a patient. Research Nurse researchers often use patients records for research studies Also use to investigate nursing interventions or health problems. Ex. A nurse wants to compare a new method of pain control with a standard pain protocol using two groups of patients. Auditing and Monitoring ETC require quality improvement programs and set standards for the information located in a patients record. Guidelines for Quality Documentation and Reporting Factual Descriptive, objective information about what the nurse sees, hears, feels and smells. Ex: B/P 80/50, patient diaphragmatic, heart rate 102 and regular and the patients pulse rate is elevated 110 beats/min, and the patient reports increased restlessness. Accurate Use of exact measurements establishes accuracy to determine if a patients condition drainage, or edema All entries in medical records must be dated and end with the receivers name or initials and status (ex: J. Woods, RAN). Complete The information within recorded entry or report must be complete, containing appropriate and essential information Use flow sheets or graphic records when documenting routine activities such as daily hygiene care, vital signs, and patient assessment. Describe in greater detail when they are relevant such as when a change in functional ability or status occurs. Current Timely entries are essential ongoing care. Delays in documentation lead to unsafe patient care. Document the following activities or finding at the time of occurrence: ITIL signs, pain assessment, administration of medications and treatments, preps for diagnostic testing, admission, transfer, discharge or death of patient etc. USE MILITARY TIME Organized Communication information in a logical order. It is also effective when notes are concise, clear, and to the point. Ex: an organized entry describes the patients pain, your assessment and interventions, and the patients response. Methods of Documentation Paper and Electronic Health Records Paper records are episode oriented, with a separate record for each patient visit to a health care agency. EMMER (ELECTRONIC MEDICAL RECORD): contains patients data gathered in a healthcare setting at a specific time and place ERR (ELECTRONIC HEALTH RECORD): an electronic record of patient health information generated whenever a patient accesses medical care in any healthcare delivery setting It integrates all pertinent patient information into one record; regardless of the number of times a patient enters a healthcare system. In hospital setting it gathers data and performs checks to support regulatory and accreditation requirements and includes tools to guide and critique medication administration Key advantage for urging: provides a means to compare ongoing clinical data about a patient with original baseline information and maintaining ongoing record of a patients health education. Narrative Documentation (the traditional method) Use of a story like format to document information specific to patient conditions and nursing care. Disadvantages: tend to be repetitious and time consuming Problem Oriented Medical Records Method of documentation that emphasized patients problems. Data are organized by problem or diagnosis. SECTIONS INCLUDE: database, problem list, care plan and progress notes Database: notations all available assessment information pertaining to a patient The foundation for identifying patient problems and planning care Problem list After analysis of data, HECK identify problems and make a single problem list (physiological, psychological, social, cultural, spiritual, developmental, and environmental needs) List the problems in chronological order and when a problem is resolved, record the data and highlight it or draw line through the problem or its number. Care plan Disciplines involved in the patients care develop a care plan or plan of care for each Progress Notes: monitor and record the progress of patients problems. SOAP: Subjective Data (fertilization of the patient) Objective data (that which is measured and observed) Assessment (diagnosis based on the data) Plan (what the caregivers plan to do) or COPIES where Intervention and Evaluation. The nurse numbers each SOAP note and titles it according to the problem on the list Originated from medical records PIE: Problem Intervention Evaluation Nursing origin The narrative does not include assessment information (appears on the flow sheet) Notes are numbered of labeled according to the patients problems. Focus Charting: DARK: Data (problem) Action (intervention) Response (evaluation) Addresses patients concern: signs/symptoms, condition, nursing diagnosis, behavior, significant event or change in patients condition. Incorporates all aspects of the nursing process, highlights a patients concerns, and can be integrated into any clinical setting. Source Records or charts A place in a patients chart that has separate sections for each discipline (I. E. Nursing, medicine, social work, or respiratory data) to record data The method by which source records are organized does not show how information from the disciplines re related or how care is coordinated to meet all of the patients needs Charting by Exception Focuses on documenting deviations from established norms. Reduces documentation time and highlights trends or changes in a patients conditions. Nurses only document significant finding or exceptions to the predefined norms and writes a progress note only when the standardized statement on the form is not met Assumption: all standards are met unless otherwise documented. Case management plan and critical pathways (described above) Common Record Keeping Forms Admission Nursing History Forms: nurses complete a history form when a patient is admitted too nursing unit. Guides the Nurse through a complete assessment to identify relevant nursing diagnoses or problems Flow Sheets and Graphic Records: allow you to quickly and easily enter assessment data about a patient (including vitals signs, routine repetitive care such as hygiene measures, ambulation, meals, weights and safety and restraint checks. Provide current patient information that is accessible to all HECK Helps team members quickly see patient trends over time and decrease time spent on writing narrative notes. Patient Care Summary or Carded: computerized systems that provide information in the form of a patient care marry that is often printed for each patient during each shift. Carded: a portable flip over file or notebook that is kept at the nurses station Includes an activity and treatment section and a nursing care plan section that organizes information for quick references. Eliminates the need for repeated referral to the chart for routine information A Carded is a written form that contains basic client information. A Carded contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client. Based on the institutional standards of nursing standards of nursing practice, are preprinted, established guidelines used to care for patients who have similar health problems. Useful when conducting quality improvement audits. Discharge Summary Form Interdisciplinary discharge planning ensures that a patient leaves the hospital in a timely manner with the necessary resources. Discharge documentation includes medications, diets, community resources, follow-up care, and who to contact in case of an emergency or for questions. Acuity records Not part of a patients medical record. They are used for determining the hours of care and the staff required for a given group of patients. Home care documentation Documentation in the home care system is different from other areas I nursing Home care documentation systems provide the entire HOC with information needed to enhance teamwork. Documentation is both the quality of control and the Justification for reimbursement from Medicare, Medicaid, or private insurance companies. Nurses must document all of their services for payment (ex. Direct skilled care, patient instructions, skilled observations, and evaluation visits) Long Term Health Care The Centers for Medicare and Medicaid Services guidelines requires careful documentation for appropriate reimbursement in long term care agencies. The Resident Assessment Instrument/Minimal Data Set provides standardized protocols for assessment and care planning and a min data set to promote quality improvement within facilities. Reporting Hand off Reporting Happens anytime one healthcare provider transfers care of a patient to another healthcare provider. Purpose is to provide better continuity and individualized care for patients. Ex. Change-of-shift and transfer reports Information during apt. Anodal can be given face to face, in writing, or verbally such as over the telephone or via audio-recording Report elements do not include: normal findings or routine information retrievable from other sources or derogatory or inappropriate comments about a apt. Or family. Telephone Reports and Order Telephone Reports: make a telephone report when significant events or changes in a apt. Condition have occurred. Needs to be clear, accurate, and concise information. Use SABA: Standardizes telephone communication of significant events or changes in patients and is a communication strategy designed to improve apt. Safety Document EVERY phone call you make to a health care provider and use the read back method when receiving information or critical test results. Telephone and Verbal Order Telephone Orders: occurs when a healthcare provider gives an order over the phone to a RAN Verbal Order: involves the healthcare provider giving orders to a nurse while they are standing near each other. Usually occur at night during emergencies (cause medical errors) Nurse: writes down the complete order or enters it into the computer as it is being given. Then reads back and waits for confirmation from the person who gave the order that it is correct Healthcare Provider: later verifies the TO or VOW by legally signing it within a set time. Incident or Occurrence Reports Any event that is not consistent with the routine operation of a health care unit or systems and unit operations that provide Justification for changes in policies and procedures or for in-services seminars. DO NOT mention the incidence report in patients medical record Instead you document an objective description of what happened, what you observed, and the follow-up actions taken in the patients deiced record. Health Informatics Application of computer and information science for managing health-related data Focused on the patient and the process of care and the goal is to enhance the quality and efficiency of care provided. Becoming a priority as health care facilities adopt EMMER/HER Nursing Informatics (See Slides 20-24 in Power point) Facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in decision-making in all roles and settings. Clinical Information Systems CICS: Include monitoring systems (devices that automatically monitor and record metric measurements (vital signs, oxygen saturation, cardiac index, and stroke volume)) order entry systems, and laboratory, radiology, and pharmacy systems in critical care and specialty areas. Electronically sends measurements directly to the nursing documentation system Computerized provider order entry A process by which a health care provider directly enters orders for patient care into the hospital information system Reduces transcription errors. Potentially speeds up the implementation of ordered diagnostic tests and treatments which improves staff productivity and saves money