Health History and Examination Essay Example for Free

Health History and Examination Essay Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Patient is alert, awake and oriented. Denies headaches, head injuries, dizziness, seizures, tremors, migraine, difficulty in speech and swallowing. No history of falls. Patient does mention that he has numbness and tingling of fingers and toes occasionally. Takes Gabapentin 100mg orally three times a day. Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Patient denies neck or head injuries, denies swelling or lumps on neck and head, Denies neck pain or headaches. Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): Patient wears eyeglasses that are with him. Bilateral cataract surgery done in June 2013. Regular vision checks after surgery done in November 2013 and at present he is not on any medications at home. Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications): No complaints of ear pain, infection, surgery tinnitus due to noise, or vertigo noted. Not on any medications. Hard of hearing right ear but does not use a hearing aid. Nose, Mouth, and Throat (discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental care, medications): Denies discharge from nose and throat, denies presence of sores or lesions in the mouth. Denies nose bleeds, bleeding gums, or sore  throat. No known allergies noted. Has upper and lower dentures that patient cleans with Polident tablets daily. History of Tonsillectomy at age 7. Skin, Hair and Nails (skin disease, changes in color, changes in a mole, excessive dryness or moisture, itching, bruising, rash or lesions, recent hair loss, changing nails, environmental hazards/exposures, medications): Patient’s skin color is ethnic. Has some gray hair but no alopecia. Has well groomed nails. Denies skin problems. Particular about usage of moisturizing lotions after bath. Breasts and Axilla (pain or tenderness, lumps, nipple discharge, rash, swelling, trauma or injury to b reast, mammography, breast self-exam, medications): Patient denies any problems with breasts and axilla. Does not perform self-breast examination. Peripheral Vascular and Lymphatic System (leg pain, cramps, skin changes in arms or legs, swelling in legs or ankles, swollen glands, medications): Denies leg pain, cramps or discoloration of arms and legs. Complains of occasional swelling on ankles. Takes Lasix 40 mg orally once a day. Cardiovascular System (chest pain or tightness, SOB, cough, swelling of feet or hands, family history of cardiac disease, tire easily, self-history of heart disease, medications): Denies any chest pain or tightness. Denies shortness of breath or weakness. Complains of occasional cough relieved by Robitussin DM 10ml orally every 6 hours as needed. Patient is hypertensive and had an MI in 2005 but denies any history of Congestive Heart Failure. Family history shows that his father died of heart attack at age 75. Patient had an echocardiogram and stress test done last year as outpatient and per patient results were normal. Patient is taking Aspirin 81mg orally daily, Lopressor 25mg orally daily, and Plav ix 75mg orally daily. Thorax and Lungs (cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, last TB skin test, flu shot, pneumococcal vaccine, chest x-ray, medications): Has occasional cough that could be due to change of climate. Denies shortness of breath or pain with breathing. Denies smoking and no history of lung disease is noted. Immunized for Influenza and Pneumonia on 10/14/2013. Patient was in ER in March for cough and fever and x-ray of the chest showed no abnormalities at that time. Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain;  difficulty with activity of daily living, medications) Denies any symptoms of joint problems and does not take any medications at home. Patient is independent and requires no assistance for activities of daily living. His wife and he take walks on a daily basis for 20 minutes. Gastrointestinal System (change in appetite – increase or loss; difficulty swallowing; foods not tolerated; abdominal pain; nausea or vomiting; frequency of BM; history of GI disease, ulcers, medications) Denies any gastro-intestinal disease, ulcers, or diabetes. Consumes low sodium diet with no added salt three times a day and a bedtime snack. Includes plenty of vegetables and fruits in his diet. No swallowing problems noted. No complaints of nausea, vomiting or diarrhea noted. Patient has daily bowel movement and reports that it is brown in color. Denies use of stool softener or laxative. An Endoscopy and Colonoscopy was done in January 2014 and no abnormalities noted at that time. Genitourinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence, history of urinary disease, pain in flank, groin, supra pubic region or low back) Denies pain or any urinary problems. Patient verbalizes increased frequency of urination due to Lasix. Patient wakes up twice at night to urinate but he is continent of bladder. Per patient no prostate problem noted. Last prostate exam was done in February 2014. Physical Examination (Comprehensive examination of each system. Record findings.) Neurological System (exam of all 12 cranial nerves, motor and sensory assessments): Patient is awake, alert, and oriented with no memory loss. Patient is calm, cooperative and pleasant. Judgment is intact. Patients speaks clearly and in full sentences. No difficulty noted while speaking. No swallowing problems noted. Patient has a steady gait with full strength. Sensations present in all extremities. Complaints of occasional numbness and tingling of fingers and toes but denies upon examination. Head and Neck (palpate the skull, inspect the neck, inspect the face, palpate the lymph nodes, palpate the trachea, palpate and auscultate the thyroid gland): Skull and neck are normal on examination. No deformities or hematoma noted. No lymph nodes identified on palpation. Adam’s apple present. Trachea is normal on palpation. Eyes (test visual acuity, visual fields, extra ocular muscle  function, inspect external eye struct ures, inspect anterior eyeball structures, inspect ocular fundus): Patient has eyeglasses with him. Patient is able to open and close his eyelids. Pupil is round and reaction to light is constriction to both eyes. Denies any blurring, watering, or tearing of the eyes. No redness or infection noted. Ears (inspect external structure, otocopic examination, inspect tympanic membrane, test hearing acuity): Hard of hearing right ear with no hearing aid. As per patient the physician had recommended hearing aid for the right ear but patient did not wish to use it. Otoscopic examination revealed normal ear canals and eardrums with minimal amount of earwax. Nose, Mouth, and Throat (Inspect and palpate the nose, palpate the sinus area, inspect the mouth, inspect the throat): Nose, mouth and throat are normal on examination. On palpation no pain noted to sinuses. The upper and lower dentures fit well on the patient and do not become loose while talking or chewing. Skin, Hair and Nails (inspect and palpate skin, temperature, moisture, lesions, inspect and palpate hair, distribution, texture, inspect and palpate nails, contour, color, teach self-examination techniques): No skin break down or rashes or lesions noted on inspection of the skin. Color is normal to ethnicity. Skin is warm, dry an d intact. Mucus membranes are pink and moist. Hair is gray and no alopecia noted. Texture of hair is soft to touch, no split ends noted. Kept short and clean. No ingrown nails or cracked nails noted. Nails are well groomed and pink in color. Patient verbalizes examining the skin and nails everyday while taking a shower. Breasts and Axilla (deferred for purpose of class assignment) Peripheral Vascular and Lymphatic System (inspect arms, symmetry, pulses; inspect legs, venous pattern, varicosities, pulses, color, swelling, lumps): Bilateral upper extremities are warm, symmetrical with bilateral radial pulses 2+. Bilateral lower extremities are warm, symmetrical without any discoloration. No varicose veins noted. Bilateral pedal pulses 2+. A trace of edema is noted on both ankles and feet. Cardiovascular System (inspect and palpate carotid arteries, jugular venous system, precordium heave or lift, apical impulse; auscultate rate and rhythm; identify S1 and S2, any extra heart sounds, murmur): Carotid arteries are normal with pulse 2+. No jugular vein distension noted. Apical pulse is 82 beats per minute, BP of 150/80 mm of Hg. Heart sounds S1 and S2 are on auscultation. No murmur or extra heart sound noted. EKG shows a  Normal Sinus Rhythm. Thorax and Lungs (inspect thoracic cage, symmetry, tactile fremitus, trachea; palpate symmetrical expansion;, percussion of anterior, lateral and posterior, abnormal breathing sounds): Thoracic cage is normal and symmetrical. No abnormality noted on palpation and percussion. Breath sounds are clear and equal on auscultation in all lung fields. Respirations are even, regular and unlabored. Patient has occasional nonproductive cough relieved by cough medicine. Respiratory rate is 18/minute and Oxygen saturation is 99% on room air. Musculoskeletal System (inspect cervical spine for size, contour, swelling, mass, deformity, pain, range of motion; inspect shoulders for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect elbows for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect wrist and hands for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect hips for size, color, contour, swelling, mass, deformi ty, pain, range of motion; inspect knees for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect ankles and feet for size, color, contour, swelling, mass, deformity, pain and range of motion): Cervical spines are normal in size, no pain or deformities noted with full range of motion. Bilateral shoulders are equal in size, no swelling or mass noted. No pain noted on movement of shoulders. Bilateral elbows, wrists and hands are equal in size, with full range of motion and equal in strength. No deformities noted on inspection. Bilateral hips are equal in strength, no swelling or mass noted. No evidence of redness or injury noted. Sacrum is intact. Bilateral lower extremities with full range of motion and equal strength noted. No swelling or deformity noted. Bilateral ankles and feet noted with trace of edema. Gastrointestinal System (contour of abdomen, general symmetry, skin color and condition, pulsation and movement, umbilicus, hair distribution; auscultate bowel sound;, percuss all four quadrants; percuss border of liver; light palpation in all four quadrants– muscle wall, tenderness, enlarged organs, masses, rebound tenderness, CVA tenderness): Abdomen is flat and non-distended. Bowels sounds present in all four quadrants. Abdomen soft and non-tender on palpation. Percussion revealed tympany in all four quadrants. Umbilicus is midline and inverted. Surface of abdomen smooth and even, with homogenous color. No lesions or surgical scars noted. Genitourinary System (deferred for purpose of this  class) FHP Assessment Cognitive-Perceptual Pattern: Patient is alert and oriented, no memory loss. Well educated, and has the ability to read, write and understand information. Patient uses eyeglasses for reading and is hard of hearing right ear. Nutritional-Metabolic Pattern: Patient eats a low sodium diet with no added salt three times a day with a bedtime snack. Home cooked food with vegetables and fruits included in the diet are his preferences. The patient or his wife prepares the food. The patient and his wife do the food shopping. Sexuality-Reproductive Pattern: The patient has three children and 5 grandchildren. He is not interested in sexual activities but loves to spend time with his wife. Pattern of Elimination Patient is continent of bladder and bowel. Urinary frequency is increased due to effect of medication (Lasix). Pattern of Activity and Exercise: Patient is independent in activities of daily living. He is not involved in vigorous exercise but walks daily for 20 minutes along with his wife. Pattern of Sleep and Rest: Patient usually sleeps for 6-7 hours at night with an afternoon nap for 30 minutes. Patient wakes up twice at night to urinate but goes right back to sleep with no difficulty. Patient denies use of sleeping pills. Pattern of Self-Perception and Self-Concept: Patient is well dressed and has self-respect and respects others too. He leads a disciplined life with the ability to take care of himself and his wife. He is friendly with his neighbors and is an active participant in church activities Summarize Your Findings (Use format that provides logical progression of assessment.) Situation (reason for seeking care, patient statements): Name: Lawrence Kelly Age/Sex: 72 years/Male Presenting complaints: Increased swelling of ankles and feet, numbness and tingling of fingers and toes, and occasional cough. Background (health and family history, recent observations): History of present complaints: Patient complains of swelling of feet and ankles for 2 weeks with numbness and tingling of fingers and toes. Occasional cough for last one week. Past medical History: Hypertension, MI, Hard of hearing (Right Ear). Medication history: Lasix 40mg orally daily Aspirin 81mg orally daily Plavix 75mg orally daily Lopressor 25mg orally daily Gabapentin 100mg orally three times a day Assessment (assessment of health state or problems, nursing diagnosis): Mr. Lawrence Kelly 72 year old male presented with complaints of swelling of feet and ankles with numbness and tingling of fingers and toes for the past 2 weeks. Occasional cough for the past one week. He is alert, awake and oriented with steady gait. Hard of hearing in the right ear. His vital signs are BP150/80 mm of Hg, Pulse 82, RR 18/minute, and Temp of 98.4. No chest tightness or pain verbalized. Breath sounds are clear and equal in all lung fields. Abdomen soft, non-tender and non-distended. Bowels sounds present in all four quadrants. No difficulty in urination verbalized and color of urine is amber. Trace edema noted on feet and ankles. Pedal pulses is 2+. Nursing Diagnosis: Fluid Volume Excess manifested by edema of feet and ankles. Recommendation (diagnostic evaluation, follow-up care, patient education teaching including health promotion education): Blood tests should be done including Comprehensive Metabolic Panel, Vitamin B12 Level, and BNP. X-ray Chest is recommended to find out if patient has CHF Echocardiogram could be repeated as it was done more than 6 months ago Teach the patient to monitor BP, Pulse, Intake and Output, and Daily Weights. Advise the patient to elevate the lower extremities on pillows to reduce  dependent edema Encourage the patient to read food labels on the sodium content Avoid fried foods, canned and frozen foods (Nanda Nursing Interventions, 2012) Provide information about community services such as Heart Center at Barnabas Health, Phone No. 1-888-724-7123 (Barnabas Health, 2013). References: Barnabas Health. (2013). Barnabas Health Heart Centers. Retrieved from http://www.barnabashealth.org/services/cardiac/index.htmlLifestyle and home remedies. Retrieved from http://www.mayoclinic.com/health/heart-failure/DS00061/DSECTION=lifestyle-and-home-remediesNanda Nursing Interventions. (2012). Nursing Interventions for Fluid Volume Excess. Retrieved from http://nanda-nursinginterventions.blogspot.com/2012/04/nursing-interventions-for-fluid-volume.html

Significants of Gallipoli Film and Documentry Essay Example for Free

Significants of Gallipoli Film and Documentry Essay The documentary Gallipoli by Tolga Ornak and the film of the same name by Peter Weir, are useful resources to stimulate middle school student interest in, and engagement with, the story of Galipoli and its context in Wold War 1. The 2005 documentary Gallipoli by Turkish filmmaker Tolga Ornek is a graphic examination of the disastrous Gallipoli campaign told by both sides. The story is explored through primary resources such as personal diaries and letters. By using exerpts from the diaries and letters of the soldiers living the experience, the documentary allows these young men a voice which reaches through history to tell us of the hopes they had, the betrayal they felt and the misery they suffered. This is not done in grandiose rhetoric but rather with the matter -of -fact simple language of ordinary men writing letters home or writing in their diaries. The documentary focuses on the experiences of ten men (two Turks, three Australians, three New Zealanders and two from Britain) who represent the range of the soldiers present on both sides of the battle. Their stories are illustrated with photographs taken of the actual events by both official war photographers and the soldiers themselves. These images of the faces of these men tell the human story of the suffering of both sides. Ornek also utilises reenactments to create dramatic reconstructions of the landings and the battle. Woven throughout the documentary are the historical perspectives given by academic and military experts. The 1981 Australian film Gallipoli, directed by Peter Weir is is focused on several young men from country Western Australia who join the Australian Army to fight in the First World War. They are sent to Turkey, where they take part in the Gallipoli Campaign. During the course of the movie, the young men slowly lose their innocence about the purpose of war. Gallipoli portrays the story through the eyes of these Australian men. It does not give the other sides view. It captures the ideals and character of the Australians who joined up to fight, as well as the conditions they endured on the battlefield. It does, however, modify events for dramatic purposes and contains a number of significant historical inaccuracies. The story , characters and their experiences while based on actual events are entirely fictious. The film and the documentary both explore similar themes. They are both overwhelmingly ‘anti-war focusing on the horror of trench warfare by showing the brutality and suffering of the individuals. Both works examine the loss of innocence and coming of age of the young soldiers and of their country. This is a central motif for Peter Weir’s film and is portrayed through Archy’s drive to go to war prove that he is indeed a man. This is highlighted early in the film when the Uncle reads from Kipling’s The Jungle Book in which he describes Mowgli’s tranformation into a man. Like Archy, Australia the nation is young and eager to prove its worth to and independence from its mother country. Like Archy the nation lost its innocence on on the battlefields of Gallipoli. Both the documentary and the film highlight Australia’s blind devotion to the Empire. The Australia of 1915 was still very much tied to the mother country Great Britian. In Weir’s film this theme is explored through the two main characters in Archy’s ignorant patriotism and Frank’s cynical pragmatism towards the British. In Ornak’s Gallipoli the blind devotion to the empire is explored throught the ANZAC’S tale. Although there were many reasons to enlist the documentary focuses on the larrikin spirit of the Australians and the adventure and pride the ANSACS felt serving their mother country Great Britian. The theme of mateship features heavily in Weir’s Gallipoli. This force that bonds Australians together in times of need is explored through the relationship which develops between Archy and Franky despite their being from different ends of the social spectrum. Yet in the chaos of war they are thrown together and their mateship overcomes the differences of their social backgrounds. Weir also uses the theme of the Australian sporting spirit. This part of the Australian campaign contributes strongly to Franks determination to sign up for the war effort. Competition was promoted to enable young men to be apart off the action â€Å"The greatest game of the all†. The Sport, an integral part of the Australian persona, is effectively linked to war by Weir, indicating that our soldiers are merely playing a mans game where they will have ‘no sporting chance’ — this time, there will be no winners. Orek and Weir convey the sense of betrayal these soldiers felt. Both vehicles highlight the way in which enlisting was sold as the chance to see the world and seek adventure. Weir uses the Trojan horse to highlight how war is often sold as an exciting adventure but this facade is a trap. Ornak’s documentary describes how the turks saw themselves as defending their homeland. The story of Galipoli is told in the film with the full cinematic experience. The leads are all good looking and the beautiful wide shot photography both help to ‘romantisice ‘the war experience. This ‘hollywood’ delivery of the story is very attractive to young audiences who are used to receiving their entertainment in this form. However based on events which took place on the Gallipoli Peninsula in 1915, the characters portrayed in this film are entirely fictitious. While the audience is emotionally involved with the charcters some of the power is lost when students learn that these characters are not real. The film also takes some dramatic licence with some historical facts. Some aspects of the film were inacurate as further research into the Gallipoli campaign I discovered that The Australian War Museum’s website says the minimum age for enlistments during World War I was 18, not 21 as shown in the movie This is not the case with Ornak’s Galipoli. His use of primary resources is a major strength of the film. Combining actual footage, stills and re-enactments with previously unseen letters and diaries of soldiers, Gallipoli allows us to experience the soldiers who suffered the consequence of false orders, bad orders and ill-prepared attacks. This makes a huge impact on the audience and makes it interesting and engaging to watch. Both the film and the documentary are rich resources to support the study for year 9 and 10 students in the frist world war and as apart of the mandatory Australian History course. Both works are suitable to be studies as part of Australian history course as both help students to engage and empathise with those who experienced Galipoli. Weir’s film is an easy introduction while Ornak’s documentary further extends a students understanding of the Galipoli campaign.

Impact Of Training And Development On Employee Performance Commerce Essay

Impact Of Training And Development On Employee Performance Commerce Essay The Impact of Training and Development on Employee Performance based on Customer Satisfaction (A Case Study on Union Bank PLC Nigeria) BACKGROUND OF THE STUDY Training in business organizations differs from one organization and industry to another. Organizations and their HR functions are changing everyday so training functions will have to run differently as organizations expect more evidence that they are contributing to organizational success (Sims 1998). According to Reynolds et al (2004:1) cited in Beardwell and Claydon (2007) training is defined as a set of activities which react to present needs and is focused on the instructor and contrast with learning as a process that focuses on developing individual and organizational potential and building capabilities for the future. Training is also the use of systematic and planned instruction activities to promote learning. It involves the use of formal processes to impart knowledge and help people to acquire the skills necessary for them to perform their jobs satisfactorily (Bass and Vaughan 1966) cited in Armstrong (1966). Training is becoming continuously vital throughout ones career because of technological advancements, overseas expansion and increased diversity (Maurer 2001). In addition, employees are expected to take responsibility for continually updating their skills (Garofano and Salas 2005; Warr and Birdi 1998). Training should be treated with extreme importance because the management of people determines organizational success. Employee performance will improve when managers and employees realize the value of training at work and take steps to implement such training in their organizations (Zaccarelli 1992). Training can also be useful to resolve problems when employees want to learn and when the job knowledge is lacking and inadequate. When these factors are not present, the other management solutions are more appropriate. If the staff members of an organization are not properly trained it will ultimately affect the organization and exceptional performance will not be achieved. For example- a bank that does not train a customer service officer efficiently will not know how to treat customers and the bank would lose the customer to other competitors. Therefore, organizations should invest in training and development because a trained staff will promote efficiency and save both the managers and employees time. STATEMENT OF THE PROBLEM All scientific research is brought on by a received problem which is why I have set out to research on this topic- The Impact of Training and Development on Employee Performance based on Customer Satisfaction (A Case Study on Union Bank PLC Nigeria).The Nigerian banking Industry still faces many big challenges today in the proper training of employees. Training is supposed to be done on a regular basis because of emerging technologies (new banking software), new customer service skills and general awareness about the banking industry such as fraud. Fraud in any form is a veritable threat to the well being of an organization and its implications on the general economy cannot be treated lightly. Therefore this dissertation will look into proper training and development of employees in delivering customer service and how their performance impacts the Nigerian Banking industry. AIM OF THE RESEARCH The aim of this research study is to investigate empirically the importance of training and development of workers in an organization. The study will look at the various activities in the industry that contribute to the development of employees and from there seek to analyze the impact of these activities on how they ensure customer satisfaction, their performance and the organization as a whole. OBJECTIVES OF THE RESEARCH The objective of this study is to examine the impact of training and development on employee performance in the delivery of customer satisfaction with particular reference to Union Bank PLC Nigeria. The objectives are: To explore the relationship that exists between training and development and the performance of employees To determine how training and development increases job knowledge and skills of employees To determine whether training and development will improve the delivery of customer service To determine the positive influence of organizational training and development on improved customer service relationship LITERATURE REVIEW The world in which organizations, managers and human resource professionals operate today would be unrecognizable to their peers 35 years ago (Beardwell and Claydon 2007). Training activities remains a very large part of human resource development practices (Nordhaug 1989). The pace of innovation, development of technology, the turbulence of economic conditions and the professionalization of management and human resource management are just some areas where the escalating and seemingly impossible demands (Kanter, 1989) that face organization have had an enduring impact on the context in which they function today. In other words, the way organization develops people has changed over time. Approaches to learning have shifted as the practice and purpose of training and developing people have grown in importance, broaden in scope and become more sophisticated in method. (Reid, Barrington and Brown, 2004: 9 cited in Beardwell and Claydon 2007). According to Rock (2008), Training is one of the most important investments that you can make in your bank because it is an ongoing process and Staffs will be more knowledgeable and engaged in their jobs. Customers will appreciate these qualities, which would mean more business for banks. He is of the opinion that creating an environment of learning at our banks can make a difference, particularly when it comes to motivating and retaining staff. Latest studies have shown that organizations greatly invest in Human Resource Development interventions so as to keep their employees updated and skilled in order to attain job performance, job satisfaction and job involvement. These skills can be conveyed by providing the necessary technical/non-technical training (Rowold, 2008). According to Emelo (2010), training and development can be useful in an organization, mostly banks. He is of the opinion that training and development would help to provide a chance and broad platform for the development of human resources technical and behavioral skills in an organization. Also, he says it would help in increasing the productivity of the employees that helps the  organization  further to achieve its long-term goal. RESEARCH METHODOLOGY This section covers the research approach and the data collection that would be adopted by this work to attain its objectives. Several research methods could have been implemented to carry out this research, but the best suited and most appropriate method aimed at getting the best possible outcomes will be used. A primary qualitative research method which is questionnaire will be used in order to get the most relevant data to support correct analysis and outcomes. His research method will help can help gather information first hand from the respondents. Denzin and Lincoln (2005:3) cited in Merriam (2009) explained that qualitative research is a situated activity that locates the observer in the world. In order words, qualitative research is done in a natural setting which allows subjects answer questions the researcher asks. I have employed a case study approach to carry out this research. DATA COLLECTION METHOD A questionnaire will be employed to carry out this case study because I would have the flexibility to ask different respondents different questions while staying within the focus of my research aim. According to Kumar (2005), a questionnaire is a written list of questions whereby respondents record their answers. The answers gotten from the respondents will enable me to understand how certain practices within the organization are employed Questionnaires could be used to acquire data from a large portion of a group. DATA COLLECTION The research and questionnaire will be conducted in Union Bank PLC which is an old generation bank in Nigeria that just started embracing the use of technology. The study reviews the experience of the organizations training and development of the new technologies and being able to satisfy customers more effectively. The sampling strategy that would be used for this research will be the simple random sampling. Agner (2008) describes simple random sampling as the kind of sampling in which every possible sample of size which means every combination of  items from the number in the population is equally likely to be part of the sample.   The sampling frame will focus on the employees who have worked in the bank for over two years and people that have been customers for that long as well. The questionnaires will be closed ended questions focusing on factors within the literature in context. DATA ANALYSIS METHOD The research would make use of a parametric test and will be carefully conducted so as to avoid misinterpretation. The T-test would be used in the analysis of the data because it would help me compare the means of two groups which are the employees and customers. T-test assess whether the means of two groups are statistically different from each other. The research method employed in this exercise is the scientific method as it identifies and defines the problem. RELIABILITY AND VALIDITY Reliability of an instrument refers to the degree to which an instrument consistently measures what it intends to measure. Therefore, a data is reliable if it gives the same result when administered by a different researcher at any given time so if the response of the respondents are consistent, the data is considered reliable. On the other hand, validity means the extent to which an account accurately represents the social phenomena to which it refers (Hammersley 1990: 57 cited in Siverman 2005). This means the degree to which a measuring instrument measures what it is designed to measure. Validity is important because of its role in determining the importance of training and development in the Nigerian banking industry and the questionnaire to be used in this research work has been structured with questions which are relevant to achieve the aims of this research. POTENTIAL RISK The potential is not often reached as returns from questionnaires are usually low which is why a surplus of questionnaires will be used and hopefully enough would be retrieved which would still enable me to run the SPSS. However return rates can be considerably improved if the questionnaire is delivered and responded to on time. LIMITATIONS OF THE RESEARCH The limitations of this study would be majorly resources in the forms of money and time, seeing as there shall be cost incurred in the process of the research. While the time constraint comes into play as the research takes place during 2009-2010 which happens to be my one year degree masters program, hence the workload would be combined with the project. ETHICAL CONSIDERATIONS On the issue of ethics, the participants who will be taking part in the questionnaire will not feel uncomfortable in any way and the information gotten will be treated with confidentiality and anonymity. Cooper and Schindler (2008:34) cited in Saunders, Lewis and Thornhill (2009) define ethics as the norms or standards of behaviour that guide moral choices about our behaviour and our relationships with others. In order words, ethics helps us make moral choices about ourselves and the people around us. Information from banks are very critical, so the major issue would be to be able to protect all the information acquired from questionnaires and use it only for the dissertation. TIME TABLE ACTIVITY MAY  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  JUNE  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   JUL  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  AUG SEPT WEEK 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 Introduction   * Literature review   * Research methodology   * Presentation and findings   * Questionnaires survey   * Discussion of Themes Analyze data   * Recommendation and conclusion *   Print and Bind * Submission * Saunders et al (2009)

College Life :: essays research papers

When I came to Reinhardt College, I had to meet new people. I had to meet new teachers, coaches, and students. One coach who stood out to me is coach Jonathan Lenarz. He is the Reinhardt soccer coach and teaches Reinahardt Orientation and Wellness. There are many things that I can say about Jonathan Lenarz, like he is a careing, understanding, and intelligent person.   Ã‚  Ã‚  Ã‚  Ã‚  Caring is a great way to decribe a coach because he looks out for players on his team and also anyone who is around him. Coach Lenarz is the kind of person who tries to help students in anyway that he can. He is always giving a helping hand. In fact, Coach always tells the guys on the team that if they need someone to talk to they can always go talk to him.   Ã‚  Ã‚  Ã‚  Ã‚  Also, Coach is the kind of person that one can talk to about anything that is going on in one's life. He will not make juddgemants, even if it is something that is pretty bad. After talking to Coach, it seems like he always knows just what to say and when.   Ã‚  Ã‚  Ã‚  Ã‚  The Coach is a very intelligent person. He always knows how to explain directions to everyone. Explaining directions is not always easy, because not everyone understands the first time. For example we have many foriegn players on our team this season and not all of them can speak nor understand English very well.   Ã‚  Ã‚  Ã‚  Ã‚  Another instructer that I have meet since I have been at Reinhardt College is my Western Civilization teacher, Sean Martin. Dr. Martin is very intelligent, but sometimes that can be a great thing and a bad thing.   Ã‚  Ã‚  Ã‚  Ã‚  Dr. Martin is one of the smartest teachers that I have ever had . A student could probably ask him any question about history, and he would know the answer. I believe that it very important for a teacher to know what he is talking about. Then there is another side to being too intelligent. One reason that it is not always a great thing is because a very intelligent teacher can go way to fast for some people.

And Then there were none. :: essays research papers

Two policeman, Sir Thomas Legge and Inspector Maine, discuss the perplexing Indian Island case. They have reconstructed much of what happened on Indian Island from diaries kept by various guests. It is clear to them that the murderer was not Blore, Lombard, or Vera. When they arrived, the police found the chair Vera kicked away to hang herself mysteriously set upright against the wall. We learn that Isaac Morris, who hired Lombard and Blore and bought the island in the name of U. N. Owen, died of an apparent sleeping-pill overdose the night the guests arrived on the island. The police suspect that Morris was murdered. The police know that the people of Sticklehaven were instructed to ignore any distress signals from the island; they were told that everything taking place on the island was part of a game being played by the wealthy owners of the island and their guests. The rest of the epilogue takes the form of a manuscript in a bottle, found by a fisherman and given to the police. It is written by Judge Wargrave, who writes that the manuscript offers the solution to an unsolved crime. He says he was a sadistic child with both a lust for killing and a strong sense of justice. Reading mysteries always satisfied him. He went into law, an appropriate career for him because it allowed him to indulge his zeal for death within the confines of the law. Watching guilty persons squirm become a new pleasure for him. After many years as a judge, he developed the desire to play executioner. He wanted to kill in an extraordinary, theatrical way, while adhering to his own sense of justice. One day, a doctor mentioned to Wargrave the number of murders that must go unpunished, citing a recently deceased woman he felt sure was killed by the married couple who worked as her servants. Because the couple withheld a needed drug in order to kill her, the murder could ne ver be proven. This story inspired Wargrave to plan multiple murders of people who had killed but could not be prosecuted under the law. He thought of the â€Å"Ten Little Indian† rhyme that he loved as a child for its series of inevitable deaths. Wargrave took his time gathering a list of victims, bringing up the topic of unpunished murders in casual conversations and hoping someone would mention a case of which they knew.

One Flew Over The Cuckoos Nest Essay -- essays research papers

One Flew Over The Cuckoo’s Nest The significance of the title can be interpreted in this quote. The story is about a struggle in a psychiatric ward, where many “cuckoos'; reside, “Ting. Tingle, tingle, tremble toes, she’s a good fisherman, catches hens, puts ‘em in pens… wire blier, limber lock, three geese inna flock… one flew east, one flew west, one flew over the cuckoo’s nest… O-U-T spells out… goose swoops down and plucks you out.'; This is where the title comes from, the cuckoo’s nest being the psychiatric ward and McMurphy being the goose who plucks “you'; out. The author of this book is Ken Kesey, also author of Demon Box and Sometimes a Great Notion. Kesey was born in La Junta, Colorado. He graduated from the University of Oregon, and later studied a Stanford. Kesey was head of a group called The Merry Pranksters, who traveled around the country staging happenings. Kesey’s playful attitude is reflected in the main character, McMurphy, who is often pulling pranks in the psychiatric ward. The oppression of society is a big theme in the novel. The narrator (Chief Bromden) often reflects on how the Combine is taking over. The Big Nurse is never happy unless there is complete order in her ward. She often holds group meetings, in which she belittles her patients to where they are merely rabbits, and not men. Often, when a patient would act inflammatory, she would place him in Disturbed. There was always the threat of Electro-shock therapy, and even lobotomy. The only way to get out of the ward was if you gave up your personality and conformed to her rules. Most of the patients who are in the ward were forced there because of the oppression they faced outside of the hospital. Chief Bromden’s father was the chief of his village. The government was trying to push him off his land, and although he tried to maintain his way of life, his people were being bribed, and his wife would work on him too, until all he became was a drunk, inept man. Harding (another patient) comm itted himself because he couldn’t take society’s forefinger pointing at him, whilst millions chanted, “Shame, shame, shame!'; Even at the climax of the novel, McMurphy wasn’t acting on his own. “We could... ...night, have to crawl around on my hands and knees feeling underneath the springs till I find my gobs of gum stuck there. Nobody complains about the fog. I know why, now; as bad as it is, you can slip back I it and fell safe. That’s what McMurphy can’t understand, us wanting to be safe. He keeps trying to drag us out of the fog, out in the open where we’d be easy to get.'; – Chief Bromden commenting on the fog. This quote illustrates the fog, which symbolizes confusion and naivete of the patients. Ignorance is bliss to these people and it’s hard for McMurphy to understand that. “Old Rawler. Cut both his nuts off and bled to death, sitting right on the can in the latrine, half a dozen people with him didn’t know it till he fell off to the floor, dead. What makes people so impatient is what I can’t figure; all the guy had to do was wait.'; – Chief Bromden reflecting on the dead guy. This quote helps set the mood for the novel and many of the patients. They seem to possess a prison-like attitude, with scorn and cynicism. It also shows that the ward is not a nice place to live; kind of depressing.

Sample Statement of Purpose

I introduce myself as a student of the undergraduate program in Computer Science and Engineering at CVR College of Engineering affiliated to Jawaharlal Nehru Technological University (Hyderabad). I use this opportunity to elucidate my career objectives and give in quintessence of my educational background. My Educational Background and academic achievements: Since my school days, I have been interested in Mathematics and physical sciences. My scholastic record has been meritorious right through school and higher secondary education. With my propensity towards Mathematics and physics, I chose Mathematics-Physics-Chemistry as my group for post-secondary education. I was placed in the top 3% of nearly 200,000 enthusiastic students in the entrance examination for Engineering. This performance helped me in getting admission in to CVR College of Engineering, one of the top institutions for engineering in Andhra Pradesh, India. My fascination for engineering was from an early stage though not a conscious one. There have been doers because there have been dreamers, in our dreams we see not what is, but what can be. It is with such dreams and visions that today we stand at the milestone of success. The sweeping changes in the Technological world and Computers have made the role of computer science engineer a really indispensable one. It has been my deepest desire to be a part of this rapidly burgeoning community. My strong penchant towards programming languages like C which was taught in our high school and also the versatility of the Computers and my basic interest in the field of programming motivated me to take Computer Science and Engineering as my major in undergraduate program. My years as an undergraduate student have influenced me the most. Academically I have matured a lot during this period. It was here that I understood the need to put theory into practice and most importantly to innovate in face of immense hurdles. During the course of study, my encounters with Software engineering, Software testing methodologies and Software Project Management have been extremely enlightening. The joy of learning these subjects under excellent professors is unsurpassable. My inclination towards graduate studies gained foot during my second year of under graduation, during which many of the people told me about the opportunities we have by doing masters and the research programs offered by the universities. Why to Pursue M. S.? Excellence in any sphere of life can be achieved through determination, hard work, perseverance and dedication. Yet, lack of in-depth knowledge of the subject leaves the conceptual skills incomplete. The nature of undergraduate courses does not offer scope for individual expression and rapidly advancing technology necessitates mastery of particular area. It is in this contest I would like to pursue a course that not only supplements the knowledge that I possess but also provides a strong foundation to my research oriented study. In my graduate program my goal is to expand my mental horizons, detailed understanding of latest tools and technologies adopted by engineering, with the time. I also want to learn technical, managerial as well as behavioral aspects of the field to work in higher positions. I strongly feel that master’s program will inculcate a strong quality assurance and testing component in my knowledge, so as to raise the level of excellence in my work. I came to know that an academic experience is must-to-have component for growth in global field of software engineering, as well as to make a mark in professional career. From use of sophisticated tools to advanced theories, MS teaches me all that I need to know to enhance my academic experience and qualification. Why Software Engineering? In my undergraduate studies, I have benefited from the breadth of Jawaharlal Nehru Technological University’s syllabi content that has given me a comprehensive exposure to the core areas of Computer Science and a strong conceptual understanding of the same. In these three and half years of study, I have strived to maintain an approach of expending independent effort in all my endeavors. Learning by myself and sharing my knowledge with others has been most worthwhile, when comprehending a concept. My interest in Software Engineering arouse when I was in my second year of under graduation. I believe that Software Engineering is the application of disciplined, systematic approach to the operation, development and maintenance of software. The discipline of software engineering that increased my interest towards this field is it covers tools, knowledge and methods to define software requirements and to perform computer programming, software design, user interface design, software maintenance tasks and software testing . As Software engineering encompasses the knowledge from different fields like computer engineering, computer science, mathematics, testing methodologies, quality management, project management etc I came to a conclusion that career in software engineering can be very rewarding as there is demand for software engineers across the industries. Why your University? The selection of the right university by the candidate is as important as the selection of the right candidate by the university. Having to choose a university that is suitable to my ambition is a major decision, one which can’t be taken in haste. To achieve my objectives, I feel that the choice of University is of critical importance. Information from faculty here at the college, my seniors and perusal of the University web-site, I have inferred that your University provides excellent research activities and balanced academic program which is conducive to my study. I feel that I can realize my aspirations that I have nurtured along. As a part of your family of students, I have to imbibe the best of what you offer, extend the breadth of knowledge. In conclusion, I hope that I will be given chance to realize my objectives by granting admission in your esteemed and distinguished University. I am confident that with my academic standards and strong motivation, zeal, positive attitude and with the aid of your graduate program, I will be able to make a significant contribution to the research endeavors at the University. I take this opportunity to request for suitable financial assistance from the department and college.