Reflective essay: Stroke patient

Reflective essay: Stroke patient ASSIGNMENT FROM MOTHER NA A Reflective Essay on significant patient care event within a multidisciplinary setting. This will be a reflective analysis on a significant event that I have observed and experienced in clinical placements. A reflective model was not used, as it was too restrictive for the event being analysed, critiqued and discussed. My focus on this assignment is on assessment on a stroke patient and prevention of pressure ulcers. This was my first experience to nurse a stroke patient and therefore was very interested to know about the disease and how to make an assessment on patients in this situation. All details that could identify any person, clinical placement or trust have been changed to protect confidentiality, in line with The Nursing and Midwifery Council (NMC) Code of Professional Conduct, Performance and Ethics (2008). Reflection is an active process of witnessing one’s own experience so that we can make an evaluation in order to make a decision. Reflection has its foundations in the discipline off learning and experience in a student (Jasper 2003).Jasper (2003) believes that we learn by doing, and realising what came of what we did. There are so many models of reflection however, these are not meant to use for an inflexible set of questions to be answered but to give a construction on how to go about a problem. While on placement I worked with one of the qualified staff on the ward and looked after a lady aged 84 years. Doris had suffered a stroke which developed to impaired swallowing and speech. She was admitted to the ward due to having an ischemic stroke. A stroke is a disease that affects the arteries leading to and within the brain and categorised as ischemic or haemorrhagic stroke. This occurs when the blood vessel that carries oxygen and nutrients to the brain is either blocked or burst. This results in the brain not getting the oxygen and nutrients that it needs and eventually starts to die (Feigin et al 2003). Because of this patients have a propensity to develop swallowing impairment or speech impairment. Ischemic stroke take place as a result of an impediment within a blood vessel supplying blood to the brain. The original circumstances for this type of obstruction are the development of fatty deposits lining the vessel walls. This condition is called atherosclerosis (Lopez et a l 2006). These fatty deposits can cause two types of obstruction that is cerebral thrombosis or cerebral embolism. In the case of an embolism, a clot breaks loose and enters the blood stream and eventually fails to pass when it reaches smaller brain capillaries. Irregular heartbeats known as atrial fibrillation is another cause for embolism which is likely to form a clot in the heart and later dislodge and travel to the brain (Feigin et al 2003). The National Audit office (2005) report shows that 130,000 of United Kingdom population suffer a Transient ischemic attack (TIA) every year, of which half of the figure the stroke occurs in the people aged above 75yrs, however stroke do happen in all ages (Kwan 2001). Saka et al (2009) explains that the UK economy has to account for  £9 billion per year to cover the costs of stroke related diseases including its management and therefore causing a burden on the economy. Because of the muscle weakness due to a stroke, there’s loose o f control on the bladder sphincter causing incontinence. In addition statistics show that 63% of the population who are hospitalised develop pressure sores over the last 10 years. The figure includes the elderly and patients who have suffered a stroke. Communication was another issue; Doris could not communicate well due to the dysphasia which developed after the stroke and sadly no one in the family or friend had escorted Doris to hospital for health care staff to obtain her past history on admission. Taking a medical history is good practice as it allows health care staff to apply effective assessment which will meet the patient’s needs. It is through effective communication that effective assessment will be implemented. There are other approaches in communication, for example The â€Å"VERA† framework (validation, Emotion, reassure and activity) suggested in a study that it enabled student nurses to counter to elderly patients whose communication and behaviour proved to be difficult. These frameworks give choices to healthcare staff a set of principles to guide them with communication while providing any medical intervention. Childs, Coles and Marjoram (2009) state that the inability to communicate to others cause anxiety and fear. While Happ (2000 cited in Childs et al 2009) think that people who are unable to talk or communicate are â€Å"voiceless† and therefore it increase powerless and isolation in patients. Buckman (2000) emphasised that ‘ effective symptom management is imporsible without effective communication’. . Assessment is a process that involves collecting and organising information and acknowledged as an on-going process associated with the other nursing stages of the nursing process (Thomson and Mathias 2000). Brooker and Waugh (2007) state that decision making and judgement is usually based on information collected. The data is then used to identify the patients nursing problems on the base of need, which hopefully is brought out or recognised assessment (Thompson and Mathias 2000). Timby (2001) identifies two types of assessment a data base assessment and a focus assessment. The data assessment is the initial information about the patients physical, emotional, social and spiritual health, is lengthily and comprehensive. Database information is obtained during the admission interview and on carrying out physical examination. Field and Smith (2008) demonstrate the importance of person-centred assessment and also the need of multi-agency involvement. An observation was made that all t hese areas were met. Although each discipline had achieved assessment in a different way, they are valued for the assessment they will contribute to patient care. Brooker and Waugh (2007) feel that including integrated care pathways in patients care plan is good. This is a single document of which all the multidisciplinary team are able to record their care. To achieve good patient assessment, there is need to collect information from the past medical history and this will allow care to flow with one another. During the ward round a consultant had suggested that an indwelling catheter was to be inserted for easy flow of urine and to prevent the development of pressure sores. It was when the nurse advised that the catheterisation was to be done after all other works has been done on the ward because she had to carry out an aseptic procedure. Whilst on other placement this observation was not done instead catheterisation was carried out as a clean procedure. This prompted me to question, should all health care settings observe catheterisation as an aseptic technique procedure and when do health care staff identify the need of inserting a catheter. This issue has been brought to light by numerous guidelines and theories that have been published relating to and concerning infection control by the Department of Health. Although it is clear that Doris was vulnerable and likely to develop pressure ulcers, was it really necessary to insert a catheter? All parts of the multidisciplinary team carin g for the patients need to have an understanding of each other’s role, to achieve effective care through collaboration and decision making, but some nurses feel disempowered by more senior staff, for example; doctors; consultants, due to intimidation and hierarchy of roles and so can affect the influence nurses have on the decision making process (Coombs 2003). Nurses may come into conflict when collaboratively making decisions with the multidisciplinary team and patients as their personal and professional values may vary. A study suggests that catheter insertion has a potential off introducing micro-organisms into the bladder (Barford and Coates, 2009). In another study, Pratt et al, (2007) mentions that catheterization should be treated as a skilled aseptic procedure to be carried out by trained and qualified staff in order to reduce infection. Health associated infections are acquired while patients are receiving treatment in a care setting and can prolong hospital stay. These infections include any infection obtained as a result of healthcare whilst in hospital or other healthcare settings and can have an effect on both patients and all aspects of the multidisciplinary team, in addition teamwork means everyone has to be involved in the patient care (Nicholson et al 2010). . The Department of health (2006c) released a broad document which includes the generated acute hospital waste and the community practitioners. What is not known is whether the patient acquired the infection in hospital or not. T he patients’ age matters as infection risk increase in the elderly and young people. Patients whose nutritional status as in the case of Doris affects the ability of the body to fight infection and therefore a broad risk assessment is required (Horton and Parker 2002). Grandies et al., (2003 cited in Field and Smith2008) clarifies that in any assessment, the age, nutrition status, circulatory status, mobility, dependence level and mental awareness are to be taken into account. Patients need to be critically assessed for possibilities of developing pressure sores as the cost is huge to both the organisation looking after the patient and the patient herself. Health care staff needs to identify the existing risk factors already presenting on the patient which may lead to developing pressure sores. Iggulden et al (2009) describes pressure sores as damage to the skin and the underlying tissues caused by shearing, friction and moisture while Bick and Stephen in another study say that physical, and psychological well being including the environment is a factor causing pressure Sores. Mallet and Dougherty (2004) add on to mention that the extent of these ulcers if not properly treated may lead to damage of the involving muscles, tendons and the bone. Skin integrity is important in this situation. Due to illness arterial blood pressure may drop causing obstruction of circulation to the skin and therefore an ulcer will develop. It is clear that Doris was vulnerable and likely to develop pressure ulcers. Pressure ulcers are developed when patients sit or lie in one position for a long time. â€Å"The essence of care toolkit for clinical practice benchmarking has pressure ulcer prevention (department of health 2003). The water low score and Braden (cited in Bergstrom et al 1987) are good toolkits for assessing patients at the risk of pressure sores. However the NICE (2005) guide line instructs nurses not to rely on them alone. Doris’ water low score indicated she was at a risk of developing pressure sores. This was because her mobility and nutrition status were affected after the stroke. There is evidence in study that females are more vulnerable to pressure sores that male. This is because anatomically males are more muscular than females. It is the nurse’s responsibility to ensure patients receive optimal nutrition and good hydration while in hospital. In another study statistics show that 63 % of elderly patients with stroke develop pressure sores due to poor mobility and nutrition in the last 10 years. Doris was at higher risk to develop as she typically lost muscle and subcutaneous tissue due to poor nutrition following her difficulties to swallow, poor nutritional status also makes her more vulnerable. Ongoing assessment at this time is crucial as it will trigger on all the possible barriers of poor nutrition and hydration on patients who require help in feeding and drinking (NHS Choices2010). Nutrition and hydration are important in health but in illness there are certain considerations that have to look into because the body needs nutrients in order to recover mostly in wound healing including preventing infections (Royal collage of Nursing (RCN) 2009). The RCN (2009) clarifies that poor nutrition and hydration is a threat to patients who have suffered stroke as this may cause delayed discharge and other complications like low blood pressure and electrolyte imbalan ce which are likely to cause poor circulation and allow a patient to develop pressure sores. Nutrition and good hydration is fundamental in nursing to promote quick recovery and wound healing. However there are patient’s factor which may affect their nutrition and hydration such as stroke which possibly will reduce their independence to eat freely. According to (Green 2011) by improving patients nutrition and dehydration the patients skin and well being will be promoted and this can be achieved through delegation to healthcare assistants to help with feeding at meal times with nurses ensuring proper meals have been given to patients’ e.g. soft meal, puree, low fat or residue meal which are required for patients with dysphasia or digestive problems in line to prevent pressure sores. All patients are prone to develop pressure sores but the emphasis is on the elderly because basic factors are related to immobility, age and illness .Pressure ulcers are preventable if proper nursing measures are carried out. NICE (2001) guidelines state that all patients likely to develop pressure sores are to be on a pressure relive mattress while in hospital. Therefore a decision was made that Doris needed a pressure relief airflow mattress as her score was high. Evidence based practice is essential in nursing, it has the potential to develop and increase patient care outcomes as it will enable nurses to evaluate and deliver care according to patients needs. The Nursing and Midwifery Council (2008) advocate that nurses should make care of people their first concern. Therefore a broad medical history taking form the patient becomes essential so that an accurate diagnosis can be made for the patient to receive optimal care and treatment (Kale 2001). Nurses have a propensity of commu nicating with patients during intimate intervention and it’s during this time that individuals are likely to speak freely which is why Doris’s mode of communication has to be identified through the speech and language team in order to support her. The need for nurses to know their patients better and understand their problems and specific needs becomes fundamental. Nurses may come into conflict when collaboratively making decisions with the multidisciplinary team and patients as their personal and professional values may vary if proper history was not taken. Lloyd and Craig (2007) suggest that although history taking is the cornerstone of assessment in patients, nurses are sometimes not at ease with taking patients history. History taking is not focused on identifying patients’ signs and symptoms of the illness but to involve the whole person in a holistic way which will help the health care staff to plan and evaluate patients’ care (Department of Health 2001). There is need for nurses to develop their history taking skills as this will allow them to acknowledge social, medical psychological and biographical domains of the patient. Fischer (1995) feels that doctors â€Å"make a history â€Å"instead of â€Å"take history† this process becomes complete when both patient and doctor are both satisfied on the causative problem. However Gask and Usher wood (2002) in the article emphasises that successful history taking is based on skilled and patient -centred communication that a therapeutic relationship will begin betw een nurse and patient. It is through this therapeutic relationship between the patient and the nurse that they will work together to make a collaborative decision and address the problem. Therefore health care staff must act as a patient advocate to protect and respect their dignity. Palliative care is in any illness which is progressive and incurable, therefore there is need for the multidisciplinary team to work together and provide a high- quality end of life stroke care. Although there is evidence that Doris is likely to develop pressure sores catheterisation could not be a solution at this point. The department of health (2003) aim to reduce the risks of health associated infection and indwelling catheters are among the common cause of invasive medical devices used in health care settings and, consequently, are a frequent cause of Health Care Associated Infections. Other than affecting patients, HCAI is also having negative burden on the National Health Service (NHS). Patients like Doris are more prone to infection due to that the body mechanism to fight infection is already compromised. Catheter acquire infection can be very distressful to patients and prolong hospital stay. The possibility of Doris going into palliative care is obvious and therefore there is need to plan for it in her care plan or discharge plan. In this reflection it is noticed on admission that Doris is alone. Loneliness has an impact on elderly people. In a campaign to end loneliness research shows that many people have no peers or friends. It is through the general practitioners and district nurses that support to these people can be offered, all decisions made in the multidisciplinary context have to involve the patients’ family (NHSQIS and the University of Glasgow 2010). All parts of the multidisciplinary team caring for the patients need to have an understanding of each other’s role, in order to make a collaborative decision. In conclusion, while reflecting and making recommendations for different ways of approach on situation in practice, holistic assessment followed by full history taking to allow care to flow should be a priority followed by improving nutrition and hydration in very ill patients. Cauterisation could be a last option in order to prevent pressure sores as there other options to do this. The risks that patients who are immune compromise may be exposed to other infections and how it can be avoided needs to be addressed and it is a constant effort, but is fundamental by all areas of the multidisciplinary team, organisations to reduce rates of infection more and to continue at a lower rate. To improve patient safety and continuum care it is necessary for health care professionals to reflect on nutrition and hydration status of the patient to promote good skin integrity and prevent pressure sores. For reflection to occur, health care professionals need to be aware of the implications that pre ssure sores can have on patients and the importance of education from policies and to comply with relevant procedures.

The Organizational Structure

For one to comprehend the role of a project manager they must first understand the Organizational structure (pecking order) of the general contracting firm. A flow chart, has beenprovided as a representative example of a company whose size and annual dollar volumecontrols the employment structure and position of the project manager in their role. To controlthe operation of support staff required for general administration of the business, and with the growing demand to service the field operation, the head of the company needs to exercise overall management with the freedom from the direct demands of project operations. To accomplish this the head employs the project manager, the overseer of the project, to organize and implement project continuity. Under the direct control of the project manager is the project superintendent, project engineer, administrative assistant and accounting clerk, with increased or decreased staffing for larger or smaller projects (or when significant time constraints exist). Also working for the project manager, reporting directly to the superintendent are trades foreman and subcontractor field ersonnel. This grouping of workers perform the specific and specialty trade work for the project. The project manager has the dubious task of overseeing the subcontracts and the scope of work for each trade of a particular project. This rounds off the field reporting element of the The office related responsibilities add another tier of responsibility for the project manager to manage. Each of these employees share the responsibility of reporting information ccurately and as the project manager formats. The administrative assistant provides the clerical support and assistantship needed to maintain the many meeting minutes and logs with the project manager who is solely dependent upon for success. Where the project manager is the primary cost manager for their respective projects, the financial support needed by the project manager in payment to subcontractors and suppliers keeps the project moving smoothly. Accurate record keeping helps the project manager to project reasonably accurate profit margin The project manager also has responsibilities to control the processes that support the construction such as purchasing, receiving and warehousing of the project materials to be incorporated into the project. This function, may become the responsibility of the project superintendent for the successful purchase of the materials. Under each scenario, the project manager retains the responsibility for inventory and product controls

Cultural Encounters Cultural Encounter, Anthropology And...

Culture encounters â€Å"Art simply consists of Different points of view† Cultural Encounters focuses on the study of cultural identities interpreting human social costumes, religious practices and symbolic objects of arts such as, statues, masks and bronze plaques as essential part of the human cultural identity. {1}Ethnography is a method of Anthropology which is â€Å"a branch of natural sciences concerned with the study of mankind through a close analysis of human society and through comparison between cultures over time†. cultural encounters can take the shape of clashes or at least opposition between groups in one society, but it have often taken the form of war or conquest and submission as the British conquest of Benin (1897) or as diplomacy and trade, organized exchange of ideas, politics, goods and commodities i.e. the Portuguese trade agreement with Benin in the fifteenth century. the relationship between cultural encounter, Anthropology and art, explores not only how art cont ributed in encounters between Africa and Europe, but more how the study of encounters brings into question the vary in the use and category of art between two different cultures such as, Benin vs. Portuguese then Benin against European. 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Abortion Essay - 600 Words

According to Webster’s dictionary, abortion is the termination of pregnancy after, accompanied by resulting in, or closely followed by death of the embryo or fetus. I believe that abortion should be illegal. Our world today is full of unsolved, devising and controversial issues. Most of them relate to our morals, ethics, and religion, thus creating a very strong ‘Yes’ and ‘No’. If you were to come to any kind of conclusion on abortion, there would still be a downside to it, and that is primarily why the world cannot agree on this sensitive and emotional issue. nbsp;nbsp;nbsp;nbsp;nbsp;Make no mistake-that from the moment of conception, a new human life has been created. Only those who allow their emotional passion to override their†¦show more content†¦If you really feel that you are not ready to be a parent then you could at least give the baby up for adoption, and make the baby’s life and the family adopting the baby life a lot happier. 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Organization and Management - 1109 Words

Why did SNOP fall out of favor with the healthcare field? SNOP is the Systematized Nomenclature of Pathology. Published by the American College of Pathologists, it has been â€Å"useful in classifying pathological specimens† (McWay, 2008). Although SNOP was commonly used in pathology departments, it has gradually lost favor because focus was placed on standardized nomenclatures by accrediting agencies (McWay, 2008). 2. What are the four approaches taken by HIM professionals to address the complexities brought on by the introduction of PPS and DRGs? 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Widely-used, but essentially administration-oriented system, such as ICD, have been mandated by government agencies and /or payor organizations but capture clinical data at an insufficient level of detail to support clinical needs that lie outside the limited range of activities they were designed to support. Coding systems can lose clinical information. It can be difficult to compare clinical coding systems. Interoperability is a significant problem. Content, structure, completeness, detail, cross-mapping, taxonomy, definitions, clarity vary between existing vocabularies. -Why did SNOP fall out of favor with the healthcare field? 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Frostbite Chapter 14 Free Essays

string(70) " taken back to when I too had experienced that same kind of euphoria\." FOURTEEN TWO GUYS I’D NEVER MET before were squaring off against each other. They looked to be in their twenties, and neither noticed me. The one who’d bumped into me shoved the other one hard, forcing him to stagger back considerably. We will write a custom essay sample on Frostbite Chapter 14 or any similar topic only for you Order Now â€Å"You’re afraid!† yelled the guy by me. He had on green swimming trunks, and his black hair was slicked back with water. â€Å"You’re all afraid. You just want to hole up in your mansions and let the guardians do your dirty work. What are you going to do when they’re all dead? Who’ll protect you then?† The other guy wiped the blood off his face with the back of his hand. I suddenly recognized him- thanks to his blond highlights. He was the royal who’d yelled at Tasha about wanting to lead Moroi to battle. She’d called him Andrew. He tried to land a hit and failed; his technique was all wrong. â€Å"This is the safest way. Listen to that Strigoi-lover, and we’ll all be dead. She’s trying to kill our whole race off!† â€Å"She’s trying to save us!† â€Å"She’s trying to get us to use black magic!† The â€Å"Strigoi-lover† had to be Tasha. The non-royal guy was the first person outside of my little circle whom I’d ever heard speak in her favor. I wondered how many others out there shared his view. He punched Andrew again, and my base instincts- or maybe the punch- made me leap into action. I sprang forward and wedged myself between them. I was still dizzy and a bit unsteady. If they hadn’t been standing so close, I probably would have fallen over. They both hesitated, clearly caught off guard. â€Å"Get out of here,† snapped Andrew. Being male and Moroi, they had greater height and weight than I, but I was probably stronger than either one alone. Hoping I could make the most of that, I grabbed each of them by the arm, pulled them toward me, and then shoved them away as hard as I could. They staggered, not having expected my strength. I staggered a little too. The non-royal glared and took a step toward me. I was counting on the fact that he’d be old-fashioned and not hit a girl. â€Å"What are you doing?† he exclaimed. Several people had gathered and were watching excitedly. I returned his glare. â€Å"I’m trying to stop you guys from being any more idiotic than you already are! You want to help? Stop fighting each other! Ripping each other’s heads off isn’t going to save the Moroi unless you’re trying to thin stupidity out of the gene pool.† I pointed at Andrew. â€Å"Tasha Ozera is not trying to kill everyone off. She’s trying to get you to stop being a victim.† I turned to the other guy. â€Å"And as for you, you’ve got a long ways to go if you think this is the way to get your point across. Magic- especially offensive magic- takes a lot of self-control, and so far, you aren’t impressing me with yours. I have more than you do, and if you knew me at all, you’d know how crazy that is.† The two guys stared at me, stunned. I was apparently more effective than a taser. Well, at least for several seconds I was. Because once the shock of my words wore off, they went at each other again. I got caught in the crossfire and shoved away, nearly falling in the process. Suddenly, from behind me, Mason came to my defense. He punched the first guy he could- the non-royal. The guy flew backward, falling into one of the pools with a splash. I yelped, remembering my earlier fear about skull-cracking, but a moment later, he found his feet and rubbed water out of his eyes. I grabbed Mason’s arm, trying to hold him back, but he shrugged me off and went after Andrew. He shoved Andrew hard, pushing him into several Moroi- andrew’s friends, I suspected- who seemed to be trying to break up the fight. The guy in the pool climbed out, fury written all over his face, and made moves toward Andrew. This time, both Mason and I blocked his way. He glared at all of us. â€Å"Don’t,† I warned him. The guy clenched his fists and looked as though he might try to take us on. But we were intimidating, and he didn’t appear to have an entourage of friends here like Andrew- who was shouting obscenities and being led away- did. With a few muttered threats, the non-royal backed off. As soon as he was gone, I turned on Mason. â€Å"Are you out of your mind?† â€Å"Huh?† he asked. â€Å"Jumping into the middle of that!† â€Å"You jumped in too,† he said. I started to argue, then realized he was right. â€Å"It’s different,† I grumbled. He leaned forward. â€Å"Are you drunk?† â€Å"No. Of course not. I’m just trying to keep you from doing something stupid. Just because you have delusions of being able to kill a Strigoi doesn’t mean you have to take it out on everyone else.† â€Å"Delusions?† he asked stiffly. I started to feel kind of nauseous just then. My head spinning, I continued toward the side room, hoping I didn’t stumble. But when I reached it, I saw that it wasn’t some kind of dessert or drink room after all. Well, at least not in the way I’d been thinking. It was a feeder room. Several humans reclined on satin-covered chaise lounges with Moroi by their sides. Jasmine incense burned in the air. Stunned, I watched with an eerie fascination as a blond Moroi guy leaned forward and bit into the neck of a very pretty redhead. All of these feeders were exceptionally good-looking, I realized just then. Like actresses or models. Only the best for royalty. The guy drank long and deep, and the girl closed her eyes and parted her lips, an expression of pure bliss on her face as Moroi endorphins flooded into her bloodstream. I shivered, taken back to when I too had experienced that same kind of euphoria. You read "Frostbite Chapter 14" in category "Essay examples" In my alcohol-hazed mind, the whole thing suddenly seemed startlingly erotic. In fact, I almost felt intrusive- like I was watching people have sex. When the Moroi finished and licked the last of the blood away, he brushed his lips against her cheek in a soft kiss. â€Å"Want to volunteer?† Light fingertips brushed my neck, and I jumped. I turned around and saw Adrian’s green eyes and knowing smirk. â€Å"Don’t do that,† I told him, knocking his hand away. â€Å"Then what are you doing in here?† he asked. I gestured around me. â€Å"I’m lost.† He peered at me. â€Å"Are you drunk?† â€Å"No. Of course not†¦but †¦Ã¢â‚¬  The nausea had settled a little, but I still didn’t feel right. â€Å"I think I should sit down.† He took my arm. â€Å"Well, don’t do it in here. Someone might get the wrong idea. Let’s go somewhere quiet.† He steered me off into a different room, and I looked around with interest. It was a massage area. Several Moroi lay back on tables and were getting back and foot massages from hotel staff. The oil they used smelled like rosemary and lavender. Under any other circumstances, a massage would have sounded great, but lying on my stomach seemed like the worst idea just now. I sat down on the carpeted floor, leaning back against the wall. Adrian walked away and returned with a glass of water. Sitting down as well, he handed it to me. â€Å"Drink this. It’ll help.† â€Å"I told you, I’m not drunk,† I mumbled. But I downed the water anyway. â€Å"Uh-huh.† He smiled at me. â€Å"You did nice work with that fight. Who was the other guy that helped you?† â€Å"My boyfriend,† I said. â€Å"Sort of.† â€Å"Mia was right. You do have a lot of guys in your life.† â€Å"It’s not like that.† â€Å"Okay.† He was still smiling. â€Å"Where’s Vasilisa? I figured she’d be attached to you.† â€Å"She’s with her boyfriend.† I studied him. â€Å"What’s with the tone? Jealous? You want him for yourself?† â€Å"God, no. I just don’t like him.† â€Å"Does he treat her badly?† he asked. â€Å"No,† I admitted. â€Å"He adores her. He’s just kind of a jerk.† Adrian was clearly enjoying this. â€Å"Ah, you are jealous. Does she spend more time with him than you?† I ignored that. â€Å"Why do you keep asking about her? Are you interested in her?† He laughed. â€Å"Rest easy, I’m not interested in her in the same way I am you.† â€Å"But you are interested.† â€Å"I just want to talk to her.† He left to fetch me more water. â€Å"Feeling better?† he asked, handing the glass to me. It was crystal and intricately carved. It seemed too fancy for plain water. â€Å"Yeah †¦ I didn’t think those drinks were that strong.† â€Å"That’s the beauty of them,† he chuckled. â€Å"And speaking of beauty †¦ that’s a great color on you.† I shifted. I might not have been showing as much skin as those other girls, but I was showing more than I really wanted to with Adrian. Or was I? There was something weird about him. His arrogant manner annoyed me†¦but I still liked being around him. Maybe the smartass in me recognized a kindred spirit. Somewhere in the back of my drunken mind, a light clicked on. But I couldn’t quite get to it. I drank more water. â€Å"You haven’t had a cigarette in, like, ten minutes,† I pointed out, wanting to change the subject. He made a face. â€Å"No smoking in here.† â€Å"I’m sure you’ve made up for it in punch.† His smile returned. â€Å"Well, some of us can hold our liquor. You aren’t going to be sick, are you?† I still felt tipsy but no longer nauseous. â€Å"No.† â€Å"Good.† I thought back to when I’d dreamed about him. It had been just a dream, but it had stuck with me, particularly the talk about me being surrounded in darkness. I wanted to ask him about it†¦ even though I knew it was stupid. It had been my dream, not his. â€Å"Adrian†¦Ã¢â‚¬  He turned his green eyes on me. â€Å"Yes, darling?† I couldn’t bring myself to ask. â€Å"Never mind.† He started to retort, then tilted his head toward the door. â€Å"Ah, here she comes.† â€Å"Who- â€Å" Lissa stepped into the room, eyes scanning around. When she spotted us, I saw relief break over her. I couldn’t feel it, though. Intoxicants like alcohol numbed the bond. It was another reason I shouldn’t have taken such a stupid chance tonight. â€Å"There you are,† she said, kneeling beside me. Glancing at Adrian, she gave him a nod. â€Å"Hey.† â€Å"Hey yourself, cousin,† he returned, using the family terms royals sometimes used around each other. â€Å"You okay?† Lissa asked me. â€Å"When I saw how drunk you were, I thought you might have fallen in somewhere and drowned.† â€Å"I’m not- † I gave up trying to deny it. â€Å"I’m fine.† Adrian’s usual expression had turned serious as he studied Lissa. It again reminded me of the dream. â€Å"How’d you find her?† Lissa gave him a puzzled look. â€Å"I, um, checked all the rooms.† â€Å"Oh.† He looked disappointed. â€Å"I thought you might have used your bond.† Both she and I stared. â€Å"How do you know about that?† I demanded. Only a few people at school knew about it. Adrian had spoken about it as casually as he might have my hair color. â€Å"Hey, I can’t reveal all my secrets, can I?† he asked mysteriously. â€Å"And besides, there’s a certain way you two act around each other †¦ it’s hard to explain. It’s pretty cool†¦ all the old myths are true.† Lissa regarded him warily. â€Å"The bond only works one way. Rose can sense what I’m feeling and thinking, but I can’t do it back to her.† â€Å"Ah.† We sat in silence a few moments, and I drank more water. Adrian spoke again. â€Å"What’d you specialize in anyway, cousin?† She looked embarrassed. We both knew it was important to keep her spirit powers secret from others who might abuse her healing, but her cover story of not having specialized always bothered her. â€Å"I haven’t,† she said. â€Å"Do they think you’re going to? Late bloomer?† â€Å"No.† â€Å"You’re probably higher in the other elements, though, right? Just not strong enough to really master any?† He reached out to pat her shoulder in an exaggerated show of comfort. â€Å"Yeah, how’d you- â€Å" The instant his fingers touched her, she gasped. It was as though a bolt of lightning had struck her. The strangest look crossed her face. Even drunk, I felt the flood of joy that came pouring through the bond. She stared at Adrian in wonder. His eyes were locked onto hers too. I didn’t understand why they were looking at each other like that, but it bothered me. â€Å"Hey,† I said. â€Å"Stop that. I told you, she has a boyfriend.† â€Å"I know,† he said, still watching her. A small smile turned his lips. â€Å"We need to have a chat someday, cousin.† â€Å"Yes,† she agreed. â€Å"Hey.† I was more confused than ever. â€Å"You have a boyfriend. And there he is.† She blinked back to reality. All three of us turned toward the doorway. Christian and the others stood there. I suddenly had a flashback to when they’d found me with Adrian’s arm around me. This wasn’t much better. Lissa and I were sitting on either side of him, very close. She sprang up, looking mildly guilty. Christian was regarding her curiously. â€Å"We’re getting ready to leave,† he said. â€Å"Okay,† she told him. She looked down at me. â€Å"Ready?† I nodded and started to clamber to my feet. Adrian caught my arm as I did and helped me up. He smiled at Lissa. â€Å"Nice talking to you.† To me, he murmured very quietly, â€Å"Don’t worry. I told you, I’m not interested in her in that way. She doesn’t look as good in a bathing suit. Probably not as good out of one either.† I pulled my arm away. â€Å"Well, you’ll never find out.† â€Å"It’s okay,† he said. â€Å"I have a good imagination.† I joined the others, and we headed back toward the main part of the lodge. Mason gave me as strange a look as Christian had given Lissa and stayed away from me, walking toward the front with Eddie. To my surprise and discomfort, I found myself walking beside Mia. She looked miserable. â€Å"I†¦ I’m really sorry about what happened,† I said finally. â€Å"You don’t have to act like you care, Rose.† â€Å"No, no. I mean it. It’s horrible†¦I’m so sorry.† She wouldn’t look at me. â€Å"Is†¦that is, are you going to see your dad soon?† â€Å"Whenever they have the memorial,† she said stiffly. â€Å"Oh.† I didn’t know what else to say and gave up, instead turning my attention to the stairs as we climbed back up to the lodge’s main level. Unexpectedly, Mia was the one who continued the conversation. â€Å"I watched you break up that fight †¦Ã¢â‚¬  she said slowly. â€Å"You mentioned offensive magic. Like you knew about it.† Oh. Great. She was going to make a play at blackmail†¦or was she? At the moment, she seemed almost civil. â€Å"I was just guessing,† I said. No way was I going to bust Tasha and Christian. â€Å"I don’t really know that much. Just stories I’ve heard.† â€Å"Oh.† Her face fell. â€Å"What kind of stories?† â€Å"Um, well†¦Ã¢â‚¬ I tried to think of something neither too vague nor too specific. â€Å"Like I told those guys†¦the concentration thing is big. Because if you’re in a battle with Strigoi, all sorts of things can distract you. So you’ve got to keep control.† That was actually a basic guardian rule, but it must have been new to Mia. Her eyes widened with eagerness. â€Å"What else? What kind of spells do people use?† I shook my head. â€Å"I don’t know. I don’t really even know how spells work, and like I said, these are just†¦stories I’ve heard. My guess is you just find ways to use your element as a weapon. Like †¦ fire users really have an advantage because fire’ll kill Strigoi, so it’s easy for them. And air users can suffocate people.† I’d actually experienced that last one vicariously through Lissa. It had been horrible. Mia’s eyes grew wider still. â€Å"What about a water user?† she asked. â€Å"How could water hurt a Strigoi?† I paused. â€Å"I, uh, never heard any stories about water users. Sorry.† â€Å"Do you have any ideas, though? Ways that, like, someone like me could learn to fight?† Ah. So that’s what this was about. It actually wasn’t all that crazy. I remembered how excited she’d looked at the meeting when Tasha had talked about attacking Strigoi. Mia wanted to take revenge on the Strigoi for her mother’s death. No wonder she and Mason had been getting along so well. â€Å"Mia,† I said gently, catching hold of the door to let her pass. We were almost at the lobby now. â€Å"I know how you must want to †¦ do something. But I think you’re better off just sort of letting yourself, um, grieve.† She reddened, and suddenly, I was seeing the normal and angry Mia. â€Å"Don’t talk down to me,† she said. â€Å"Hey, I’m not. I’m serious. I’m just saying you shouldn’t do anything rash while you’re still upset. Besides †¦Ã¢â‚¬  I bit off my words. She narrowed her eyes. â€Å"What?† Screw it. She needed to know. â€Å"Well, I don’t really know what good a water user would be against a Strigoi. It’s probably the least useful element to use on one of them.† Outrage filled her features. â€Å"You’re a real bitch, you know that?† â€Å"I’m just telling you the truth.† â€Å"Well, let me tell you the truth. You’re a total idiot when it comes to guys.† I thought about Dimitri. She wasn’t entirely off base. â€Å"Mason’s great,† she continued. â€Å"One of the nicest guys I know- and you don’t even notice! He’d do anything for you, and you were off throwing yourself at Adrian Ivashkov.† Her words surprised me. Could Mia have a crush on Mason? And while I certainly hadn’t been throwing myself at Adrian, I could see how it might have looked that way. And even if it weren’t true, that wouldn’t have stopped Mason from feeling hurt and betrayed. â€Å"You’re right,† I said. Mia stared at me, so astonished I’d agreed with her that she didn’t say anything else for the rest of the walk. We reached the part of the lodge that split off into different wings for guys and girls. I grabbed a hold of Mason’s arm as the others walked off. â€Å"Hang on,† I told him. I badly needed to reassure him about Adrian, but a tiny part of me wondered if I was doing it because I actually wanted Mason or because I just liked the idea of him wanting me and selfishly didn’t want to lose that. He stopped and looked at me. His face was wary. â€Å"I wanted to tell you I’m sorry. I shouldn’t have yelled at you after the fight- I know you were just trying to help. And with Adrian†¦nothing happened. I mean it.† â€Å"It didn’t look that way,† Mason said. But the anger on his face had faded. â€Å"I know, but believe me, it’s all him. He’s got some kind of stupid crush on me.† My tone must have been convincing because Mason smiled. â€Å"Well. Hard not to.† â€Å"I’m not interested in him,† I continued. â€Å"Or anyone else.† It was a small lie, but I didn’t think it mattered just then. I was going to be over Dimitri soon, and Mia had been right about Mason. He was wonderful and sweet and cute. I would be an idiot not to pursue this †¦ right? My hand was still on his arm, and I pulled him toward me. He didn’t need much more of a signal. He leaned down and kissed me, and in the process, I found myself pressed up against the wall- very much like with Dimitri in the practice room. Of course, it felt nothing like how it had with Dimitri, but it was still nice in its way. I put my arms around Mason and started to pull him closer. â€Å"We could go †¦ somewhere,† I said. He pushed back and laughed. â€Å"Not when you’re drunk.† â€Å"I’m not†¦ that†¦ drunk anymore,† I said, trying to pull him back. Giving me a small kiss on the lips, he stepped back. â€Å"Drunk enough. Look, this isn’t easy, believe me. But if you still want me tomorrow- when you’re sober- then we’ll talk.† He leaned down and kissed me again. I tried to wrap my arms around him, but he broke away once more. â€Å"Easy there, girl,† he teased, backing toward his hallway. I glared at him, but he only laughed and turned around. As he walked away, my glare faded, and I headed back to my room with a smile on my face. How to cite Frostbite Chapter 14, Essay examples

Innovation and Sustainable Managementâ€Free Samples for Students

Question: Discuss About the Innovation and Sustainable Management? Answer: Introduction: The rapid growth of the global warming and environmental pollution has led the whole world to face a deadly consequence. According to many reports, the pollution level of Australia has grown since past few years up to 4.9%. Plastic is considered as one of the major villains of environmental pollution. The harmful chemicals that radiate from plastic are harmful for the environment and can cause various health hazards (Rowland et al., 2013). Edible Water Balls concept has risen in last few years. This is considered as a solution to protect the environment from the harmful effect of plastic bottles (Hollensen, 2015). This is one of the innovative business ideas of modern days. Ashley is one of the beverage companies of Australia that has taken initiative to promote the concept of Australia among the Australian citizen. The below mentioned article has concentrated on the business idea of Edible Water Balls. It has enlightened various aspects of the business plan of Edible Water Balls. Organizational Plan: Vision: The vision of the Edible Water Balls business is to protect the world from the harmful effect of plastic bottle. Protect the atmosphere from the effect of global warming (Mongkol, 2014). Global warming is increasing day by day. Plastic is highly responsible for global warming. In order to protect the environment as well as the human lives to meet an awful consequence, the promotion of Edible Water Balls is highly required. Objectives: The objective of the business idea is to run the business organization of Edible Water Balls successfully. Another major objective of the organization is to promote the idea of Edible Water Balls to the every corner of the world. Earning huge profit by expanding the business of Edible Water Balls is one of the primary objectives. Increase the consumption rate of the Edible Water Balls in next five years up to 25% is one of the major goals for the organization. Put a strong footprint in the beverage industry and meet the expectation level of the consumers is another major objective of the organization. Marketing Plan: Marketing plays crucial role in the success of every business idea. It helps the organization to promote its product among the potential consumers and earn desired target. The organizational management must make an appropriate product marketing plan and must include Porters five forces, market segmentation, target market, four Ps of marketing in their marketing plan (Adeigbe et al., 2015). Porters five Force: Fig: Porters Five Forces Created by: Author Threat of New Entrants: There is always a threat of new entries. The rise of various beverage companies is giving threat to Ashley and Edible Water Balls. Threat of Substitute: There are many substitutes of Edible Water Balls, such as- cold drink, mineral water and other beverages. It is one of the major threats of the organization. Bargaining Power of Suppliers: People have become very much concerned about their health and food habits. Eventually it has become important for every food and beverage organization to use high quality ingredients to produce their products. This has risen the bargaining power of the raw material suppliers. Bargaining power of Consumers: Consumers are the key element of every business organization. They preserve the power to influence the growth of every business organization (E. Dobbs, 2014). They do not prefer to compromise on the product quality while they are paying price. Rival Companies: There is always a threat of rival companies for every business organization. There are many beverage companies of Australia that are giving tough competition to Edible Water Balls, such as- Coca Cola Amatil, and a2 Milk. Market Segmentation: Market segmentation consists of five key components, such as- demographic, geographic, geo-demographic, psychographic and behavioral. Geographic: The climate of Australia is hot. A wide part of Australia is desert (Williams et al., 2015). Due to this geographical position the market demand of the edible water will be influenced. Target Market: It is important for every business organization to identify the target market before marketing any product. They must identify their potential consumers; it will be helpful for the organization to design their marketing plan accordingly. The target market of Ashley for their product Edible Water Balls is the working people who stay out of their house most of the time and the school and college students as they often consume various cold drinks and mineral water to beat the heat (Elenkov, 2014). Competitors: The growth of the various beverage companies has given a tough competition to the edible Water Balls. Two major competitors of Ashley are Coca Cola Amatil, and a2 Milk. These two companies are giving tough competition to Ashley (Pollard et al., 2016). Strategies: Coca Cola Amatil and a2 Milk are known for their innovative and unique style of promotion. They incorporate all efficient strategies to draw the attention of large number of consumers. These two beverage company use new media and traditional media both to increase the profit margin (Melo, 2014). Product: The product of the Ashley is Edible Water Balls. It is a unique product that can protect the environment from the negative impact of global warming. Price: The price of Edible Water Balls is reasonable for everyone, so people from all income groups can easily afford it. Each water ball costs $31. Due to this lucrative price people from all parts of the society will be willing to avail it. Place: To promote Edible Water Balls the business organization must use all the forms of new media. It will be helpful for organizational management to draw the attention of large number of consumers. It is evident in recent time people prefer internet and several social networking sites to stay updated with the current news. It will help the organizational management to reach to the maximum consumers to promote their products (Huang Sarigll, 2014). The organizational management can conduct various promotional events in various offices, schools, colleges and other public places like shopping malls, hospitals. It will help the organization to grab the attention of its potential consumers. Promotion: To promote the use of edible water balls, the organizational management of Ashley must make their promotional events more attractive. They can conduct various social awareness campaigns to aware people about the harmful effect of plastic bottles, where they can promote edible water balls. During promotional events in the public places the organizational management can provide one free water ball to all the audience. In digital advertisement the organization can use any renowned celebrity. The organization will be able to influence potential consumers to purchase the water balls as a substitute of mineral water and cold drink by this procedure. Financial Plan: Ashley must fix a reasonable budget for production and marketing purpose. They must consider their budget while planning for any product. It plays crucial role in the development of the every business organization. The organizational management of Ashley must use quality products to produce the water balls at the same time they must understand the fact that they cannot exceed the product price (Stuart, 2015). It will exploit their buyers which can be harmful for the growth of the organization. It may decrease the sales rate as well as the profit margin of the organization. They must make their price chart in such a manner that they can make profit after providing quality product in an affordable price to their loyal consumers (Nikolov, 2016). Conclusion: As per the previous discussion it can be stated that Edible Water Balls can become an efficient substitute of Mineral waters and other beverages. It can be helpful to protect environment from the effect of global warming as well. Ashley has taken a notable initiative to promote the concept and put a strong footprint in the beverage industry. It must incorporate effective marketing and financial plan and must be clear about organizational objective to earn desired target. Reference: Adeigbe, R. T., Baldwin, S., Gallion, K., Grier, S., Ramirez, A. G. (2015). Food and beverage marketing to Latinos: a systematic literature review.Health Education Behavior,42(5), 569-582. Dobbs, M. (2014). Guidelines for applying Porter's five forces framework: a set of industry analysis templates.Competitiveness Review,24(1), 32-45. Elenkov, D. (2014). Experiential Exercise with Multinational Student Teams: Researching Together a Multinational Corporation and Developing Jointly a Strategic Marketing Plan for IT Using Blackboard.Developments in Business Simulation and Experiential Learning,41. Hollensen, S. (2015).Marketing management: A relationship approach. Pearson Education. Huang, R., Sarigll, E. (2014). How brand awareness relates to market outcome, brand equity, and the marketing mix. InFashion Branding and Consumer Behaviors(pp. 113-132). Springer New York. Melo, M. T. D. M. P. (2014).Marketing plan: How to benefit from the European population ageing and attract the affluent senior segment to choose Lisbon as a tourism destination?(Doctoral dissertation). Mongkol, K. (2014). Integrated Marketing Communication to Increase Brand Equity: The Case of a Thai Beverage Company.International Journal of Trade, Economics and Finance,5(5), 445. Nikolov, I. E. (2016). Marketing plan of Hotel-restaurante Vias Viejas. Pollard, C. M., Meng, X., Hendrie, G. A., Hendrie, D., Sullivan, D., Pratt, I. S., ... Scott, J. A. (2016). Obesity, socio?demographic and attitudinal factors associated with sugar?sweetened beverage consumption: Australian evidence.Australian and New Zealand journal of public health,40(1), 71-77. Rowland, B., Toumbourou, J. W., Osborn, A., Smith, R., Hall, J. K., Kremer, P., ... Leslie, E. (2013). A clustered randomised trial examining the effect of social marketing and community mobilisation on the age of uptake and levels of alcohol consumption by Australian adolescents.BMJ open,3(1), e002423. Stuart, A. (2015). A Social Marketing Plan for the Arkansas Miracle League. Williams, A. N., Veth, P., Steffen, W., Ulm, S., Turney, C. S., Reeves, J. M., ... Smith, M. (2015). A continental narrative: Human settlement patterns and Australian climate change over the last 35,000 years.Quaternary Science Reviews,123, 91-112.