Saturday, August 17, 2019
Aging Healthy and Securely Essay
Abstract Every individual reaches prime of life. Inevitably, we can not escape old age, unless a person dies young. The decision of where to live is one of the most challenging ordeals to cope with as one grows old. As the elderly individual grows old, their time on this earth becomes very valuable, thus, they want to spend their remaining lives securely and healthy. Accordingly, it is of great importance that the government should provide housing options which recognize the value placed upon the latter years of ones’ life. Most importantly, housing programs must be created which answers the need for health care and security as well. One best program that this paper wishes to propose is to put up a housing community which incorporates the two most important needs of an elderly- medical attention and safety. The target population for this program would be those elderly individuals, particularly those in poor health, who can not afford to seek nursing care as well as those who do not have family members whom could attend to their needs. The selection of these elderly individuals whom the housing units will tend will be based on family backgrounds, economic status, financial capacity and other material details collated by an assigned committee. If funded sufficiently, this project will answer the needs for elderly housing and elderly care given the rapid growth in elderly population having the need of integrated services since the costs of isolated services are too high. Statement of Purpose To combat the problems introduced above, the (Name of submitting organization), proposes to have an elderly housing and health care program. As the elderly population continues to grow in number, and accordingly the need for adequate elderly housing services build up, the resources to offer services will drop off (Travis, 2006). Looking for a more effective technique of service delivery is of extreme importance. At the moment, on the other hand, the existing connections between elderly health and housing are weak at best. Seldom can you find a successful yet reasonably priced housing program that incorporates efficient health care for the elderly. In view of that, the most pleasing and most cost-efficient method of aging  aging in place  is not easy to attain, even under the most ideal conditions. Health and housing concerns of an elderly individual are frequently interconnected. To improve an effective method of service delivery, the long-term care system must mirror this interrelationship between health and housing. For this reason, the (Name of submitting organization) will propose to develop a stimulating and competent initiative for elderly housing with health care in the economically distressed neighborhood in Washington. This elderly housing and health care program will provide medical attention to the elderly individuals especially those who are weak or sick and at the same time the housing units will securely roofed them as they spend their precious years. The main objective of this program is to offer housing for the elderly since one of the most depressing problem that Washington now faces is the lack of elderly housing. What is more, this program aims to provide health care that the elderly individuals need. Similarly, the main goal of this program is to increase housing options for the elderly individuals. With this program sufficiently funded, it is expected that the outcome would be to have a health-friendly environment which eventually would lead to healthier and safer elderly individuals. Moreover, elderly individuals who have health problems or are looking for information concerning housing options must be able to get in touch with an on-site resident manager or with other program members on duty and be given the support and care that they need. The elderly housing and health program would surely bring about loads of benefits for the elderly individuals. As a result, problems like untimely death of elderly, increase in mortality rates, widespread of diseases, population congestion, increase in the number of persons with poor health conditions and other dilemmas related to elderly housing and health care would be worked out. Statement of Need            Over and above the unpredictability of aging, one must be concerned with the actuality that the average life expectancy for the elderly is increasing, which results to higher possibility that the elderly these days will have to cope with some sort of chronic health condition. For this reason, one’s ability to keep up the well-being and self-sufficiency while living out one’s abridged life tends to become a very expensive aim. This expense has an unfortunate effect on the majority of the elderly owing to the decreases in income after retirement.            The elderly population is fast expanding while the core tax-paying population is decreasing. As the elderly population increases, and consequently the need for adequate elderly housing services intensify, the resources to offer services will drop off. There 34 million Americans over the age of 65. On average they constitute 10 to 13 percent of each state’s population. Those states with the highest concentration of the elderly are Florida, the northeastern region and the Midwestern corridor. Nevertheless, the number of elderly in Washington becomes alarming as well as its number rapidly increases. In 55 years, the number of people aging 65 years and above will more than double, the number of those 75 and older will triple and the number of people 85 and older will quintuple. The elderly population is projected to multiply twice as much in size to well over 70 million by 2025. The states that will experience the greatest growth in the number of residents over the age of 65 are in the west and south. As a percent of the total state population, states in the west and southwest will experience the greatest increases ( Lawler, 2001). Nearly all seniors own the homes in which they reside. The home-ownership rate for individuals between the age of 62 and 74 is 81.2 percent; between the ages of 75 and 84, it remains high at 76.9 percent. As these homeowners age and their bodies become weaker, the regular maintenance and preservation of a home can become bodily demanding to manage. As the health needs of an aging senior and the repair needs of an aging house increase, both place necessitates on the fixed income of a retiree (Lawler, 2001). The lack of housing for the elderly is one of the most depressing problems Washington DC is facing today. This situation exists because lesser priority is given to this problem. External researches reveal that there may be housing for the elderly like home for the aged yet it does not have the comprehensive health care program. Just the same, health care programs do not provide proper housing needs of the elderly. Hence, the program proposed above incorporates the housing and health care needs of the elderly individuals. In line with this dilemma, the Housing and Urban Development had also been advocating projects which concern elderly housing. The Section 202 program gives capital advances (no interest loans that are forgiven given that affordability requirements are met for 40 years) and Project Rental Assistance Contracts (PRACs) for the construction or extensive rehabilitation and operation of residential projects and other related facilities for the elderly. Housing financed under this program may consist of proper support services for elderly persons who are weak or at risk of being institutionalized. A possible problem that may arise in connection with this project would be the difficulty on selecting potential participants or elderly who will benefit the project. Moreover, not all elderly in need may be facilitated or accepted since the project is just starting out. The number of elderly individuals that could be accommodated will be limited. The Aging Healthy and Securely program aims to solve the problems presented above. The (Name of submitting Organization) wishes to complete the project, financially supported by the government, within the time allotted for the aforementioned project. We expect the fervent involvement or support of the HUD, State Housing Authority, city funds and other related organizations. Procedures Washington is one of the many cities faced with problems on elderly housing. The elderly population rate is overwhelming. Over 33 million people in the United States are now above 65 years of age and by the year 2020 it will increase to about 53 million, or one in every six Americans. To add, a great number of these elderly individuals need nursing care or health care. In spite of the relationship between health and housing, the health concerns of an aging individual are attended to by one agency or set of services while the same individual’s housing concerns are tackled by different sets of nonprofit and/or government organizations. This separation is directly related to the way the housing and health industries were planned and considered and continue to function in distinct markets. While the private sector has created a greater number of models that unite both health and housing services, the public sector has continued to branch out the two. Public subsidies are intended to create either health or housing services but not both. Government-sponsored health programs and housing programs were devised to give off distinct public goods (Burkhardt, 1999). They were formed in isolation, as different line items in local, state and federal governments. Public housing programs and government mortgage subsidies were shaped to increase the number of inexpensive and sufficient housing units. The public system of health services was set up to support general public health and well-being, to offer health care for the very poor and to lessen the possibility of an outbreak or epidemic. The undertakings of public health and housing agencies were not only independent but mutually exclusive. From the information and figures presented at the current time, the future for the elderly individuals appear vague and unclear The need for a healthy, safe and decent reasonably priced housing and related services for the elderly is very critical. This alarming statistics gave the drive to (Name of the submitting Organization) come up with housing community consisting of 40 rooms (ten for offices and 30 for the elderly) which not only shelter these individuals but also provide staff that could attend to their health needs. Approach Driven by the best intentions, the (Name of the submitting Organization) envisions the program to be multifaceted, wide-ranging and innovative. The city has an immense necessity for additional reasonably priced or affordable housing for the elderly. The (Name of the submitting Organization) had identified a strategic location and will put up a 30 units/rooms elderly housing community. The location in which the housing community will be located is one sit which elderly housing has been identified as an essential need. Above and beyond the transitional housing, there will be a wide-ranging medical and social service and housing component involved in the program. Albeit the Washington state has homes for the aged, there is difficulty in looking for an elderly housing which is affordable and provides health care at its best. Most of the new constructed buildings in the city are for market rate units or commercial ones. This will have no effect on the increasing elderly population requiring housing and health assistance. There great numbers of depreciated buildings or deserted residences which if given attention and financed adequately, can be converted into elderly housing units. Target Population/Participants            The target population for the Aging Healthy and Securely program are those elderly individuals who are in need of medical or nursing assistance and who can not afford to stay in expensive elderly housing and health care units. To note worthwhile, the program will house those physically, financially and economically underprivileged elderly individuals with ages of 65 years and above. Elderly individuals with ages 60-64 years may be selected provided their illnesses call for immediate rehabilitation and care. Selection and screening of these elderly will not be very easy for the staff members assigned or the selection group. The selection of those individuals will be based on the family backgrounds, economic status, health records, financial capacity and other details or information material to the program’s criteria collated by an assigned committee. Materials or records from the following may be used to select those elderly individuals that may be housed; community or local agencies like health centers/hospitals for medical records, National Statistics Office for identification and personal records, social service and welfare agencies, public and privately-governed homeless centers, nursing homes, etc.            Furthermore, over and above being in poor health condition, the elderly individuals must have a very low income and neglected by their family members. Only the sickest and the poorest seniors will be selected for the program. All selection works are to be carried out without consideration of an individual’s ethnic group, civilization, race, sex, or sexual orientation, and a statement to this effect will accompany all public service announcements, advertisements, and locally-placed flyers or posters. All selection will be done without bias and prejudice. Work Plan Activities The schedule below shows the various informative, motivational, spiritual and educational activities of the elderly housing and health care program. Morning- Evening Daily Activities * Spiritual Healing (includes praying, sharing or reading of inspirational passages)                        * Personal Hygiene check up (includes medical treatment, bath for the elderly, etc.) * Meal time (serving of food in accordance to the health diet prescribed and suggested by attending doctor and nutritionist respectively) * Leisure/Recreational (includes watching TV, socializing with co-elderly and staff, reading books, strolling, etc.) Deliverables            Aside from the nursing and medical team whom will take care of the elderly, the housing units also observe infrastructure design and housing needs of the elderly. The building includes features like handrails or grab bars, raised lettering or Braille, elevator or stair lift, faucets, or cabinets, special sinks, specially equipped telephones, extra wide doors or hallways, ramps, push bars on doors, flashing lights, special wall sockets or light switches and the like. Sustainability            If funded sufficiently, the elderly health and housing care will tend to a lot of elderly individuals in need. After the construction of the housing units and when the operation is on full blast already, the (Name of submitting organization) will conduct a fund-raising activities every now and then for the maintenance of the housing community. Moreover, the (Name of submitting organization) will continue to seek financial assistance from the government from time to time to meet the program’s financial obligations with the staff members as well as for the maintenance of the units and facilities. Program Activities Elderly individuals will be categorized or leveled when deciding for the room assignments. Those with chronic and contagious diseases must be isolated from the rest. Female elderly must be separated from the male elderly in terms of room occupancy. As to food serving, nutritionists must take into consideration the sickness or health conditions of these elderly. To add, attending doctors/nurses must have seminars on motivational skills every now and then to apply such I their workplace. They should encourage these elderly individuals to manifest their talents. Motivational and recreational activities must be tolerated and accordingly, the (Name of the submitting Organization) can conduct a program presenting these elderly individuals with their skills and talents. This could not only lead to a fund-raising activity but an enjoyable and remarkable activity for the elderly individuals trying to make the most out of their remaining precious years. Evaluation            The (Name of submitting organization)’s housing and health management program will be measured in terms of efficiency and performance by submitting a project report upon the end of the fiscal year. The details, figures and information presented will be accurate, material, timely, consistent and will reflect the program’s outcomes and achievements. Likewise, program’s activities will be evaluated upon the end of the fiscal year. What is more, audited financial statements will also be presented so as to monitor expenses and clearly trace the breakdown of the requested amount or the grant money. Dissemination            The administrator, managers and board of directors as well as the staff members will promptly hold meetings and conferences to voice out problems, discuss concerns and devise plans and actions to further improve the housing and health programs suitable for the elderly and to achieve desired outcomes, objectives and goals. Performance appraisal and evaluation will likewise be conducted every now and then to measure who among the staff carries out his/her duties well and who does not. Qualifications/Personnel The community would be managed by an administrator having 4 managers, 5 department heads, 30 professional caregivers/nurses, 20 clerical and technical staff and 15 maintenance staff. Forty employees would be working full time and the remaining 35 employees would be working part time. Selection of the staff members will be done rigidly since the main aim of the program is to deliver a quality service. Interviews, exams (technical and psychological) and background investigations will be carried out accordingly. Staff members recruited for the elderly housing and health program will be required to work efficiently as a team. Team effort is a main consideration to come up with a friendly working environment.  A lot of the staff will work with the elderly individuals in more than one assignment area and all will be expected to deliver elderly nursing care, therapy and related tasks with the group as well as a traditional elderly training and nursing roles. Each and every one of the staff members will have to spend substantial individual time developing elderly motivational and educational skills and activities or materials. With the purpose of making the team-building process possible, all elderly housing and health care staff members will take part in a one-week seminar/conference consists of workshops and deliberations paying attention on the elderly community, the nursing care provided to elderly, fund-raising activities to be done, the program’s population, and the mission and goals of the project. The (Name of the submitting organization) will seek assistance from local homeless institutions or centers once in a while like (please indicate a name of existing housing institution in the city which caters to the same category). This institution had helped lots of elderly individuals concerning their housing problems. They already developed a lot of activities beneficial for the elderly individuals. This institution had been a recognized center in affordable elderly housing and care management programs. Budget            The grant funds from the Housing and Urban Development will be utilized for the construction of new elderly community (with 30 rooms) building and some will be used for Non-Housing component of the program. The estimated elderly individuals that can be sheltered within a year would total to 200-300. The program’s Administrative cost will be approximately 14 percent of the grant budget. The planning procedure has taken into consideration all realistic and reasonable expenses to be incurred in relation to the implementation of the elderly housing and health care program. The (Name of the submitting organization) has had far-reaching knowledge and experience in overseeing, implementing and directing instruction and medical/nursing or social programs and these expertise and experiences have been already applied to work out both the program and the budget. The (Name of submitting organization) had come up with a comprehensive or thorough program model which takes into consideration all of the measures and decisive factors like salaries, medical/laboratory tools and equipments, medicines, staff uniforms medicines, operational costs, overhead costs, program activities, insurances, and the like. This program model serves as the basis for the cost estimates to be incurred by the elderly and health care program. Some other costs that will be incurred will consist of motivational and recreational activities/programs, therapy and counseling/support services, management development and housing management program. The program is based on long-term goals and foresees to help a lot of elderly individual. Safety and good health will be given emphasis all throughout the program’s existence and all development in the course of the program will be anchored in competence, facility, attention and reliability. Quality service will be the aim of the staff members at all times. Condensed Housing and Urban Development grant cost breakdown is as follows: Housing Component- $100,000.00 Non-Housing Component – $200,000.00 Administrative Cost – $100,000.00 Total Grant Budget – $400,000.00 Administrative costs consist of all of the financial and program reporting guidelines as it should be, accounting and auditing costs, payroll and secretarial work and other standard administrative costs. References Burkhardt, John. (1999). Mobility Needs in a Maturing Society. Coming of Age, Federal Agencies and the Longevity Revolution. Department of Housing and Urban Development. (1999). Housing Our Elders. Washington. Kochera, Andrew. (2001). A Summary of Federal Rental Housing Programs. AARP Public Policy Institute. Lawler, Kathryn. (2001). Aging in Place, Coordinating Housing and Health Care Provision for America’s Growing Elderly Population. Fellowship Program for Emerging Leaders in Community and Economic Development. Washington: Neighborhood Reinvestment Corporation. Smith, Gary, et al. (2000). Understanding Medicaid Home and Community Services: A Primer. Department of Health and Human Services. Soldier, Travis W. Housing options for the Elderly. Retrieved June 19, 2006 from http://www.usd.edu/elderlaw/archives/housing_options_for_the_elderly.htm
Health Care Financial Terms Week One Essay
Controlling is the practice that managers use to ensure that the company plans and goals are being attained. By comparing report to each other areas that are working and succeeding are defined and the areas where problems are occurring can be addressed and corrected (Baker & Baker, 2011). A manager has four different, lets say teams†that report to this manager. Controlling would be when team A, B, C, and D submit the teams’ financial report to the manager. The manager would review all four teams to ensure the teams are meeting the financial goals. So, in this scenario Team A, B, and C is on target and meeting the goals. However, Team D has not met the goals. The manager needs to review the team D’s progress determine where the problem is, such as cutting cost, the resource allocation, operating procedure, or other issues. Without controlling the teams and reviewing progress, other area will suffer. Decision making Decision making is management making informed decisions based on all information that accomplishes the company’s goals (Baker & Baker, 2011). The company is making a decision on purchasing electronic medical records. The financial reports will inform management of the financial status on the company and the amount of money they can budget for the purchase of this the EMR. Organizing Organizing is a term for companies to decide how to use resources for the best outcome for the company (Baker & Baker, 2011). A manager is given a certain amount of revenue and the manager decides where the money is allocated for the department to accomplish the goals set by the company. Planning To succeed, companies need corporate goals. Planning is identifying the goals and resources. Laying out the steps by using the resources to accomplish those goals (Baker & Baker, 2011). A manager has a specific project to install and to perform the primary function of the project. The manager works out a step by step plan from the beginning to the end of implementing the project until the project is complete and accomplishes the goal. Original records When a transaction is recorded into a journal or ledger this becomes the original records (Baker & Baker, 2011). A patient makes a payment of $100. This payment is entered into the patient’s file and payment history. This entry is an original record in the company’s income ledger. Reference: Baker, J. J., & Baker, R. W. (2011). Health Care Finance Basic Tools for Nonfinancial Managers (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers, LLC.
Friday, August 16, 2019
Prelude to Foundation Chapter 13 Heatsink
AMARYL, YUGO-†¦ A mathematician who, next to Hari Seldon himself, may be considered most responsible for working out the details of psychohistory. It was he who†¦ †¦ Yet the conditions under which he began life are almost more dramatic than his mathematical accomplishments. Born into the hopeless poverty of the lower classes of Dahl, a sector of ancient Trantor, he might have passed his life in utter obscurity were it not for the fact that Seldon, quite by accident, encountered him in the course of†¦ Encyclopedia Galactica 61. The Emperor of all the Galaxy felt weary-physically weary. His lips ached from the gracious smile he had had to place on his face at careful intervals. His neck was stiff from having inclined his head this way and that in a feigned show of interest. His ears pained from having to listen. His whole body throbbed from having to rise and to sit and to turn and to hold out his hand and to nod. It was merely a state function where one had to meet Mayors and Viceroys and Ministers and their wives or husbands from here and there in Trantor and (worse) from here and there in the Galaxy. There were nearly a thousand present, all in costumes that varied from the ornate to the downright outlandish, and he had had to listen to a babble of different accents made the worse by an effort to speak the Emperor's Galactic as spoken at the Galactic University. Worst of all, the Emperor had had to remember to avoid making commitments of substance, while freely applying the lotion of words without substan ce. All had been recorded, sight and sound-very discreetly-and Eto Demerzel would go over it to see if Cleon, First of that Name, had behaved himself. That, of course, was only the way that the Emperor put it to himself. Demerzel would surely say that he was merely collecting data on any unintentional self-revelation on the pan of the guests. And perhaps he was. Fortunate Demerzel! The Emperor could not leave the Palace and its extensive grounds, while Demerzel could range the Galaxy if he wished. The Emperor was always on display, always accessible, always forced to deal with visitors, from the important to the merely intrusive. Demerzel remained anonymous and never allowed himself to be seen inside the Palace grounds. He remained merely a fearsome name and an invisible (and therefore the more frightening) presence. The Emperor was the Inside Man with all the trappings and emoluments of power. Demerzel was the Outside Man, with nothing evident, not even a formal title, but with his fingers and mind probing everywhere and asking for no reward for his tireless labors but one-the reality of power. It amused the Emperor-in a macabre sort of way-to consider that, at any moment, without warning, with a manufactured excuse or with none at all, he could have Demerzel arrested, imprisoned, exiled, tortured, or executed. After all, in these annoying centuries of constant unrest, the Emperor might have difficulty in exerting his will over the various planets of the Empire, even over the various sectors of Trantor-with their rabble of local executives and legislatures that he was forced to deal with in a maze of interlocking decrees, protocols, commitments, treaties, and general interstellar legalities-but at least his powers remained absolute over the Palace and its grounds. And yet Cleon knew that his dreams of power were useless. Demerzel had served his father and Cleon could not remember a time when he did not turn to Demerzel for everything. It was Demerzel who knew it all, devised it all, did it all. More than that, it was on Demerzel that anything that went wrong could be blamed . The Emperor himself remained above criticism and had nothing to fear-except, of course, palace coups and assassination by his nearest and dearest. It was to prevent this, above all, that he depended upon Demerzel. Emperor Cleon felt a tiny shudder at the thought of trying to do without Demerzel. There had been Emperors who had ruled personally, who had had a series of Chiefs of Staff of no talent, who had had incompetents serving in the post and had kept them-and somehow they had gotten along for a time and after a fashion. But Cleon could not. He needed Demerzel. In fact, now that the thought of assassination had come to him-and, in view of the modern history of the Empire, it was inevitable that it had come to him-he could see that getting rid of Demerzel was quite impossible. It couldn't be done. No matter how cleverly he, Cleon, would attempt to arrange it, Demerzel (he was sure) would anticipate the move somehow, would know it was on its way, and would arrange, with far superior cleverness, a palace coup. Cleon would be dead before Demerzel could possibly be taken away in chains and there would simply be another Emperor that Demerzel would serve-and dominate. Or would Demerzel tire of the game and make himself Emperor? Never! The habit of anonymity was too strong in him. If Demerzel exposed himself to the world, then his powers, his wisdom, his luck (whatever it was) would surely desert him. Cleon was convinced of that. He felt it to be beyond dispute. So while he behaved himself, Cleon was safe. With no ambitions of his own, Demerzel would serve him faithfully. And now here was Demerzel, dressed so severely and simply that it made Cleon uneasily conscious of the useless ornamentation of his robes of state, now thankfully removed with the aid of two valets. Naturally, it would not be until he was alone and in dishabille that Demerzel would glide into view. â€Å"Demerzel,†said the Emperor of all the Galaxy, â€Å"I am tired!†â€Å"State functions are tiring, Sire,†murmured Demerzel. â€Å"Then must I have them every evening?†â€Å"Not every evening, but they are essential. It gratifies others to see you and to be taken note of by you. It helps keep the Empire running smoothly.†â€Å"The Empire used to be kept running smoothly by power,†said the Emperor somberly. â€Å"Now it must be kept running by a smile, a wave of the hand, a murmured word, and a medal or a plaque.†â€Å"If all that keeps the peace, Sire, there is much to be said for it. And your reign proceeds well.†â€Å"You know why-because I have you at my side. My only real gift is that I am aware of your importance.†He looked at Demerzel slyly. â€Å"My son need not be my heir. He is not a talented boy. What if I make you my heir?†Demerzel said freezingly, â€Å"Sire, that is unthinkable. I would not usurp the throne. I would not steal it from your rightful heir. Besides, if I have displeased you, punish me justly. Surely, nothing I have done or could possibly do deserves the punishment of being made Emperor.†Cleon laughed. â€Å"For that true assessment of the value of the Imperial throne, Demerzel, I abandon any thought of punishing you. Come now, let us talk about something. I would sleep, but I am not yet ready for the ceremonies with which they put me to bed. Let us talk.†â€Å"About what, Sire?†â€Å"About anything.-About that mathematician and his psychohistory. I think about him every once in a while, you know. I thought of him at dinner tonight. I wondered: What if a psychohistorical analysis would predict a method for making it possible to be an Emperor without endless ceremony?†â€Å"I somehow think, Sire, that even the cleverest psychohistorian could not manage that.†â€Å"Well, tell me the latest. Is he still hiding among those peculiar baldheads of Mycogen? You promised you would winkle him out of there.†â€Å"So I did, Sire, and I moved in that direction, but I regret that I must say that I failed.†â€Å"Failed?†The Emperor allowed himself to frown. â€Å"I don't like that.†â€Å"Nor I, Sire. I planned to have the mathematician be encouraged to commit some blasphemous act-such acts are easy to commit in Mycogen, especially for an outsider-one that would call for severe punishment. The mathematician would then be forced to appeal to the Emperor and, as a result, we would get him. I planned it at the cost of insignificant concessions on our part-important to Mycogen, totally unimportant to us-and I meant to play no direct role in the arrangement. It was to be handled subtly.†â€Å"I dare say,†said Cleon, â€Å"but it failed. Did the Mayor of Mycogen â€Å"He is called the High Elder, Sire.†â€Å"Do not quibble over titles. Did this High Elder refuse?†â€Å"On the contrary, Sire, he agreed and the mathematician, Seldon, fell into the trap neatly.†â€Å"Well then?†â€Å"He was allowed to leave unharmed.†â€Å"Why?†said Cleon indignantly. â€Å"Of this I am not certain, Sire, but I suspect we were outbid.†â€Å"By whom? By the Mayor of Wye?†â€Å"Possibly, Sire, but I doubt that. I have Wye under constant surveillance. If they had gained the mathematician, I would know it by now.†The Emperor was not merely frowning. He was clearly enraged. â€Å"Demerzel, this is bad. I am greatly displeased. A failure like this makes me wonder if you are perhaps not the man you once were. What measures shall we take against Mycogen for this clear defiance of the Emperor's wishes?†Demerzel bowed low in recognition of the storm unleashed, but he said in steely tones, â€Å"It would be a mistake to move against Mycogen now, Sire. The disruption that would follow would play into the hands of Wye.†â€Å"But we must do something.†â€Å"Perhaps not, Sire. It is not as bad as it may seem.†â€Å"How can it be not as bad as it seems?†â€Å"You'll remember, Sire, that this mathematician was convinced that psychohistory was impractical.†â€Å"Of course I remember that, but that doesn't matter, does it? For our purposes?†â€Å"Perhaps not. But if it were to become practical, it would serve our purposes to an infinitely great extent, Sire. And from what I have been able to find out, the mathematician is now attempting to make psychohistory practical. His blasphemous attempt in Mycogen was, I understand, part of an attempt at solving the problem of psychohistory. In that case, it may pay us, Sire, to leave him to himself. It will serve us better to pick him up when he is closer to his goal or has reached it.†â€Å"Not if Wye gets him first.†â€Å"That, I shall see to it, will not happen.†â€Å"In the same way that you succeeded in winkling the mathematician out of Mycogen just now?†â€Å"I will not make a mistake the next time, Sire,†said Demerzel coldly. The Emperor said, â€Å"Demerzel, you had better not. I will not tolerate another mistake in this respect.†And then he added pettishly, â€Å"I think I shall not sleep tonight after all.†62. Jirad Tisalver of the Dahl Sector was short. The top of his head came up only to Hari Seldon's nose. He did not seem to take that to heart, however. He had handsome, even features, was given to smiling, and sported a thick black mustache and crisply curling black hair. He lived, with his wife and a half-grown daughter, in an apartment of seven small rooms, kept meticulously clean, but almost bare of furnishings. Tisalver said, â€Å"I apologize, Master Seldon and Mistress Venabili, that I cannot give you the luxury to which you must be accustomed, but Dahl is a poor sector and I am not even among the better-off among our people.†â€Å"The more reason,†responded Seldon, â€Å"that we must apologize to you for placing the burden of our presence upon you.†â€Å"No burden, Master Seldon. Master Hummin has arranged to pay us generously for your use of our humble quarters and the credits would be welcome even if you were not-and you are.†Seldon remembered Hummin's parting words when they finally arrived in Dahl. â€Å"Seldon†he had said, â€Å"this is the third place I've arranged as sanctuary. The first two were notoriously beyond the reach of the Imperium, which might well have served to attract their attention; after all, they were logical places for you. This one is different. It is poor, unremarkable, and, as a matter of fact, unsafe in some ways. It is not a natural refuge for you, so that the Emperor and his Chief of Staff may not think to turn their eyes in this direction. Would you mind staying out of trouble this time, then?†â€Å"I will try, Hummin,†said Seldon, a little offended. â€Å"Please be aware that the trouble is not of my seeking. I am trying to learn what may well take me thirty lifetimes to learn if I am to have the slightest chance of organizing psychohistory.†â€Å"I understand,†said Hummin. â€Å"Your efforts at learning brought you to Upperside in Streeling and to the Elders' aerie in Mycogen and to who can guess where in Dahl. As for you, Dr. Venabili, I know you've been trying to take care of Seldon, but you must try harder. Get it fixed in your head that he is the most important person on Trantor-or in the Galaxy, for that matter-and that he must be kept secure at any cost.†â€Å"I will continue to do my best,†said Dors stiffly. â€Å"And as for your host family, they have their peculiarities, but they are essentially good people with whom I have dealt before. Try not to get them in trouble either.†But Tisalver, at least, did not seem to anticipate trouble of any kind from his new tenants and his expressed pleasure at the company he now had-quite apart from the rent credits he would be getting-seemed quite sincere. He had never been outside Dahl and his appetite for tales of distant places was enormous. His wife too, bowing and smiling, would listen and their daughter, with a finger in her mouth, would allow one eye to peep from behind the door. It was usually after dinner, when the entire family assembled, that Seldon and Dors were expected to talk of the outside world. The food was plentiful enough, but it was bland and often tough. So soon after the tangy food of Mycogen, it was all but inedible. The â€Å"table†was a long shelf against one wall and they ate standing up. Gentle questioning by Seldon elicited the fact that this was the usual situation among Dahlites as a whole and was not due to unusual poverty. Of course, Mistress Tisalver explained, there were those with high government jobs in Dahl who were prone to adopt all kinds of effete customs like chairs-she called them â€Å"body shelves†-but this was looked down upon by the solid middle class. Much as they disapproved of unnecessary luxury, though, the Tisalvers loved hearing about it, listening with a virtual storm of tongue-clicking when told of mattresses lifted on legs, of ornate chests and wardrobes, and of a superfluity of tableware. They listened also to a description of Mycogenian customs, while Jirad Tisalver stroked his own hair complacently and made it quite obvious that he would as soon think of emasculation as of depilation. Mistress Tisalver was furious at any mention of female subservience and flatly refused to believe that the Sisters accepted it tranquilly. They seized most, however, on Seldon's. casual reference to the Imperial grounds. When, upon questioning, it turned out that Seldon had actually seen and spoken to the Emperor, a blanket of awe enveloped the family. It took a while before they dared ask questions and Seldon found that he could not satisfy them. He had not, after all, seen much of the grounds and even less of the Palace interior. That disappointed the Tisalvers and they were unremitting in their attempts to elicit more. And, having heard of Seldon's Imperial adventure, they found it hard to believe Dors's assertion that, for her part, she had never been anywhere in the Imperial grounds. Most of all, they rejected Seldon's casual comment that the Emperor had talked and behaved very much as any ordinary human being would. That seemed utterly impossible to the Tisalvers. After three evenings of this, Seldon found himself tiring. He had, at first, welcomed the chance to do nothing for a while (during the day, at least) but view some of the history book-films that Dors recommended. The Tisalvers turned over their book-viewer to their guests during the day with good grace, though the little girl seemed unhappy and was sent over to a neighbor's apartment to use theirs for her homework. â€Å"It doesn't help,†Seldon said restlessly in the security of his room after he had piped in some music to discourage eavesdropping. â€Å"I can see your fascination with history, but it's all endless detail. It's a mountainous heap-no, a Galactic heap-of data in which I can't see the basic organization.†â€Å"I dare say,†said Dors, â€Å"that there must have been a time when human beings saw no organization in the stars in the sky, but eventually they discovered the Galactic structure.†â€Å"And I'm sure that took generations, not weeks. There must have been a time when physics seemed a mass of unrelated observations before the central natural laws were discovered and that took generations.-And what of the Tisalvers?†â€Å"What of them? I think they're being very nice.†â€Å"They're curious.†â€Å"Of course they are. Wouldn't you be if you were in their place?†â€Å"But is it just curiosity? They seem to be ferociously interested in my meeting with the Emperor.†Dors seemed impatient. â€Å"Again†¦ its only natural. Wouldn't you be-if the situation was reversed?†â€Å"It makes me nervous.†â€Å"Hummin brought us here.†â€Å"Yes, but he's not perfect. He brought me to the University and I was maneuvered Upperside. He brought us to Sunmaster Fourteen, who entrapped us. You know he did. Twice bitten, at least once shy. I'm tired of being questioned.†â€Å"Then turn the tables, Hari. Aren't you interested in Dahl?†â€Å"Of course. What do you know about it to begin with?†â€Å"Nothing. It's just one of more than eight hundred sectors and I've only been on Trantor a little over two years.†â€Å"Exactly. And there are twenty-five million other worlds and I've been on this problem only a little over two months.-I tell you. I want to go back to Helicon and take up a study of the mathematics of turbulence, which was my Ph.D. problem, and forget I ever saw-or thought I saw-that turbulence gave an insight into human society.†But that evening he said to Tisalver, â€Å"But you know, Master Tisalver, you've never told me what you do, the nature of your work.†â€Å"Me?†Tisalver placed his fingers on his chest, which was covered by the simple white T-shirt with nothing underneath, which seemed to be the standard male uniform in Dahl. â€Å"Nothing much. I work at the local holovision station in programming. It's very dull, but it's a living.†â€Å"And it's respectable,†said Mistress Tisalver. â€Å"It means he doesn't have to work in the heatsinks.†â€Å"The heatsinks?†said Dors, lifting her light eyebrows and managing to look fascinated. â€Å"Oh well,†said Tisalver, â€Å"that's what Dahl is best known for. It isn't much, but forty billion people on Trantor need energy and we supply a lot of it. We don't get appreciated, but I'd like to see some of the fancy sectors do without it.†Seldon looked confused. â€Å"Doesn't Trantor get its energy from solar power stations in orbit?†â€Å"Some,†said Tisalver, â€Å"and some from nuclear fusion stations out on the islands and some from microfusion motors and some from wind stations Upperside, but half†-he raised a finger in emphasis and his face looked unusually grave-â€Å"half comes from the heatsinks. There are heatsinks in lots of places, but none-none-as rich as those in Dahl. Are you serious that you don't know about the heatsinks? You sit there and stare at me.†Dors said quickly, â€Å"We are Outworlders, you know.†(She had almost said ‘tribespeople,' but had caught herself in time.) â€Å"Especially Dr. Seldon. He's only been on Trantor a couple of months.†â€Å"Really?†said Mistress Tisalver. She was a trifle shorter than her husband, was plump without quite being fat, had her dark hair drawn tightly back into a bun, and possessed rather beautiful dark eyes. Like her husband, she appeared to be in her thirties. (After a period in Mycogen, not actually long in duration but intense, it struck Dors as odd to have a woman enter the conversation at will. How quickly modes and manners establish themselves, she thought, and made a mental note to mention that to Seldon-one more item for his psychohistory.) â€Å"Oh yes,†she said. â€Å"Dr. Seldon is from Helicon.†Mistress Tisalver registered polite ignorance. â€Å"And where might that be?†Dors said, â€Å"Why, it's-†She turned to Seldon. â€Å"Where is it, Hari?†Seldon looked abashed. â€Å"To tell you the truth, I don't think I could locate it very easily on a Galactic model without looking up the coordinates. All I can say is that it's on the other side of the central black hole from Trantor and getting there by hypership is rather a chore.†Mistress Tisalver said, â€Å"I don't think Jirad and I will ever be on a hypership.†â€Å"Someday, Casilia,†said Tisalver cheerfully, â€Å"maybe we will. But tell us about Helicon, Master Seldon.†Seldon shook his head. â€Å"To me that would be dull. Its just a world, like any other. Only Trantor is different from all the rest. There are no heatsinks on Helicon-or probably anywhere else-except Trantor. Tell me about them.†(â€Å"Only Trantor is different from all the rest.†The sentence repeated itself in Seldon's mind and for a moment he grasped at it, and for some reason Dors's hand-on-thigh story suddenly recurred to him, but Tisalver was speaking and it passed out of Seldon's mind as quickly as it had entered.) Tisalver said, â€Å"If you really want to know about heatsinks, I can show you.†He turned to his wife. â€Å"Casilia, would you mind if tomorrow evening I take Master Seldon to the heatsinks.†â€Å"And me,†said Dors quickly. â€Å"And Mistress Venabili?†Mistress Tisalver frowned and said sharply, â€Å"I don't think it would be a good idea. Our visitors would find it dull.†â€Å"I don't think so, Mistress Tisalver,†said Seldon ingratiatingly. â€Å"We would very much like to see the heatsinks. We would be delighted if you would join us too†¦ and your little daughter-if she wants to come.†â€Å"To the heatsinks?†said Mistress Tisalver, stiffening. â€Å"It's no place at all for a decent woman.†Seldon felt embarrassed at his gaffe. â€Å"I meant no harm, Mistress Tisalver.†â€Å"No offense,†said Tisalver. â€Å"Casilia thinks it's beneath us and so it is, but as long as I don't work there, it's no distress merely to visit and show it to guests. But it is uncomfortable and I would never get Casilia to dress properly.†They got up from their crouching positions. Dahlite â€Å"chairs†were merely molded plastic seats on small wheels and they cramped Seldon's knees terribly and seemed to wiggle at his least body movement. The Tisalvers, however, had mastered the art of sitting firmly and rose without trouble and without needing to use their arms for help as Seldon had to. Dors also got up without trouble and Seldon once again marveled at her natural grace. Before they parted to their separate rooms for the night, Seldon said to Dors, â€Å"Are you sure you know nothing about heatsinks? Mistress Tisalver makes them seem unpleasant.†â€Å"They can't be that unpleasant or Tisalver wouldn't suggest taking us on tour. Let's be content to be surprised.†63. Tisalver said, â€Å"You'll need proper clothing.†Mistress Tisalver sniffed markedly in the background. Cautiously, Seldon, thinking of kirtles with vague distress, said, â€Å"What do you mean by proper clothing?†â€Å"Something light, such as I wear. A T-shirt, very short sleeves, loose slacks, loose underpants, foot socks, open sandals. I have it all for you.†â€Å"Good. It doesn't sound bad.†â€Å"As for Mistress Venabili, I have the same. I hope it fits.†The clothes Tisalver supplied each of them (which were his own) fit fine-if a bit snugly. When they were ready, they bade Mistress Tisalver good-bye and she, with a resigned if still disapproving air, watched them from the doorway as they set off. It was early evening and there was an attractive twilight glow above. It was clear that Dahl's lights would soon be winking on. The temperature was mild and there were virtually no vehicles to be seen; everyone was walking. In the distance was the ever-present hum of an Expressway and the occasional glitter of its lights could be easily seen. The Dahlites, Seldon noted, did not seem to be walking toward any particular destination. Rather, there seemed to be a promenade going on, a walking for pleasure. Perhaps, if Dahl was an impoverished sector, as Tisalver had implied, inexpensive entertainment was at a premium and what was as pleasant-and as inexpensive-as an evening stroll? Seldon felt himself easing automatically into the gait of an aimless stroll himself and felt the warmth of friendliness all around him. People greeted each other as they passed and exchanged a few words. Black mustaches of different shape and thickness flashed everywhere and seemed a requisite for the Dahlite male, as ubiquitous as the bald heads of the Mycogenian Brothers. It was an evening rite, a way of making sure that another day had passed safely and that one's friends were still well and happy. And, it soon became apparent, Dors caught every eye. In the twilight glow, the ruddiness of her hair had deepened, but it stood out against the sea of black-haired heads (except for the occasional gray) like a gold coin winking its way across a pile of coal. â€Å"This is very pleasant,†said Seldon. â€Å"It is,†said Tisalver. â€Å"Ordinarily, I'd be walking with my wife and she'd be in her element. There is no one for a kilometer around whom she doesn't know by name, occupation, and interrelationships. I can't do that. Right now, half the people who greet me†¦ I couldn't tell you their names. But, in any case, we mustn't creep along too slowly. We must get to the elevator. It's a busy world on the lower levels.†They were on the elevator going down when Dors said, â€Å"I presume, Master Tisalver, that the heatsinks are places where the internal heat of Trantor is being used to produce steam that will turn turbines and produce electricity.†â€Å"Oh, no. Highly efficient large-scale thermopiles produce electricity directly. Don't ask me the details, please. I'm just a holovision programmer. In fact, don't ask anyone the details down there. The whole thing is one big black box. It works, but no one knows how.†â€Å"What if something goes wrong?†â€Å"It doesn't usually, but if it does, some expert comes over from somewhere. Someone who understands computers. The whole thing is highly computerized, of course.†The elevator came to a halt and they stepped out. A blast of heat struck them. â€Å"It's hot,†said Seldon quite unnecessarily. â€Å"Yes, it is,†said Tisalver. â€Å"That's what makes Dahl so valuable as an energy source. The magma layer is nearer the surface here than it is anywhere else in the world. So you have to work in the heat.†â€Å"How about air-conditioning?†said Dors. â€Å"There is air-conditioning, but it's a matter of expense. We ventilate and dehumidify and cool, but if we go too far, then we're using up too much energy and the whole process becomes too expensive.†Tisalver stopped at a door at which he signaled. It opened to a blast of cooler air and he muttered, â€Å"We ought to be able to get someone to help show us around and he'll control the remarks that Mistress Venabili will otherwise be the victim of†¦ at least from the men.†â€Å"Remarks won't embarrass me,†said Dors. â€Å"They will embarrass me,†said Tisalver. A young man walked out of the office and introduced himself as Hano Linder. He resembled Tisalver quite closely, but Seldon decided that until he got used to the almost universal shortness, swarthiness, black hair, and luxuriant mustaches, he would not be able to see individual differences easily. Lindor said, â€Å"I'll be glad to show you around for what there is to see. It's not one of your spectaculars, you know.†He addressed them all, but his eyes were fixed on Dors. He said, â€Å"It's not going to be comfortable. I suggest we remove our shirts.†â€Å"It's nice and cool in here,†said Seldon. â€Å"Of course, but that's because we're executives. Rank has its privileges. Out there we can't maintain air-conditioning at this level. That's why they get paid more than I do. In fact, those are the best-paying jobs in Dahl, which is the only reason we get people to work down here. Even so, it's getting harder to get heatsinkers all the time.†He took a deep breath. â€Å"Okay, out into the soup.†He removed his own shirt and tucked it into his waistband. Tisalver did the same and Seldon followed suit. Linder glanced at Dors and said, â€Å"For your own comfort, Mistress, but it's not compulsory.†â€Å"That's all right,†said Dors and removed her shirt. Her brassiere was white, unpadded, and showed considerable cleavage. â€Å"Mistress,†said Lindor, â€Å"That's not-†He thought a moment, then shrugged and said, â€Å"All right. We'll get by.†At first, Seldon was aware only of computers and machinery, huge pipes, flickering lights, and flashing screens. The overall light was comparatively dim, though individual sections of machinery were illuminated. Seldon looked up into the almost-darkness. He said, â€Å"Why isn't it better lit?†â€Å"It's lit well enough†¦ where it should be,†said Lindor. His voice was well modulated and he spoke quickly, but a little harshly. â€Å"Overall illumination is kept low for psychological reasons. Too bright is translated, in the mind, into heat. Complaints go up when we turn up the lights, even when the temperature is made to go down.†Dors said, â€Å"It seems to be well computerized. I should think the operations could be turned over to computers altogether. This sort of environment is made for artificial intelligence.†â€Å"Perfectly right,†said Lindor, â€Å"but neither can we take a chance on any failures. We need people on the spot if anything goes wrong. A malfunctioning computer can raise problems up to two thousand kilometers away.†â€Å"So can human error. Isn't that so?†said Seldon. â€Å"Oh. yes, but with both people and computers on the job, computer error can be more quickly tracked down and corrected by people and, conversely, human error can be more quickly corrected by computers. What it amounts to is that nothing serious can happen unless human error and computer error take place simultaneously. And that hardly ever happens.†â€Å"Hardly ever, but not never, eh?†said Seldon. â€Å"Almost never, but not never. Computers aren't what they used to be and neither are people.†â€Å"That's the way it always seems,†said Seldon, laughing slightly. â€Å"No, no. I'm not talking memory. I'm not talking good old days. I'm talking statistics.†At this, Seldon recalled Hummin talking of the degeneration of the times. â€Å"See what I mean?†said Lindor, his voice dropping. â€Å"There's a bunch of people, at the C-3 level from the looks of them, drinking. Not one of them is at his or her post.†â€Å"What are they drinking?†asked Dors. â€Å"Special fluids for replacing electrolyte loss. Fruit juice.†â€Å"You can't blame them, can you?†said Dors indignantly. â€Å"In this dry heat, you would have to drink.†â€Å"Do you know how long a skilled C-3 can spin out a drink? And there's nothing to be done about it either. If we give them five-minute breaks for drinks and stagger them so they don't all congregate in a group, you simply stir up a rebellion.†They were approaching the group now. There were men and women (Dahl seemed to be a more or less amphisexual society) and both sexes were shirtless. The women wore devices that might be called brassieres, but they were strictly functional. They served to lift the breasts in order to improve ventilation and limit perspiration, but covered nothing. Dors said in an aside to Seldon, â€Å"That makes sense, Hari. I'm soaking wet there.†â€Å"Take off your brassiere, then,†said Seldon. â€Å"I won't lift a finger to stop you.†â€Å"Somehow,†said Dors, â€Å"I guessed you wouldn't.†She left her brassiere where it was. They were approaching the congregation of people-about a dozen of them. Dors said, â€Å"If any of them make rude remarks, I shall survive.†â€Å"Thank you,†said Lindor. â€Å"I cannot promise they won't.-But I'll have to introduce you. If they get the idea that you two are inspectors and in my company, they'll become unruly. Inspectors are supposed to poke around on their own without anyone from management overseeing them.†He held up his arms. â€Å"Heatsinkers, I have two introductions to make. We have visitors from outside-two Outworlders, two scholars. They've got worlds running short on energy and they've come here to see how we do it here in Dahl. They think they may learn something.†â€Å"They'll learn how to sweat!†shouted a heatsinker and there was raucous laughter. â€Å"She's got a sweaty chest right now,†shouted a woman, â€Å"covering up like that.†Dors shouted back, â€Å"I'd take it off, but mine can't compete with yours.†The laughter turned good-natured. But one young man stepped forward, staring at Seldon with intense deep-set eyes, his face set into a humorless mask. He said, â€Å"I know you. You're the mathematician.†He ran forward, inspecting Seldon's face with eager solemnity. Automatically, Dors stepped in front of Seldon and Lindor stepped in front of her, shouting, â€Å"Back, heatsinker. Mind your manners.†Seldon said, â€Å"Wait! Let him talk to me. Why is everyone piling in front of me?†Lindor said in a low voice, â€Å"If any of them get close, you'll find they don't smell like hothouse flowers.†â€Å"I'll endure it,†said Seldon brusquely. â€Å"Young man, what is it you want?†â€Å"My name is Amaryl. Yugo Amaryl. I've seen you on holovision.†â€Å"You might have, but what about it?†â€Å"I don't remember your name.†â€Å"You don't have to.†â€Å"You talked about something called psychohistory.†â€Å"You don't know how I wish I hadn't.†â€Å"What?†â€Å"Nothing. What is it you want?†â€Å"I want to talk to you. Just for a little while. Now.†Seldon looked at Lindor, who shook his head firmly. â€Å"Not while he's on his shift.†â€Å"When does your shift begin, Mr. Amaryl?†asked Seldon. â€Å"Sixteen hundred.†â€Å"Can you see me tomorrow at fourteen hundred?†â€Å"Sure. Where?†Seldon turned to Tisalver. Would you permit me to see him in your place?†Tisalver looked very unhappy. â€Å"Its not necessary. He's just a heatsinker.†Seldon said, â€Å"He recognized my face. He knows something about me. He can't be just an anything. I'll see him in my room.†And then, as Tisalver's face didn't soften, he added, â€Å"My room, for which rent is being paid. And you'll be at work, out of the apartment.†Tisalver said in a low voice, â€Å"It's not me, Master Seldon. It's my wife, Casilia. She won't stand for it.†â€Å"I'll talk to her,†said Seldon grimly. â€Å"She'll have to.†64. Casilia Tisalver opened her eyes wide. â€Å"A heatsinker? Not in my apartment.†â€Å"Why not? Besides, he'll be coming to my room,†said Seldon. â€Å"At fourteen hundred.†â€Å"I won't have it,†said Mistress Tisalver. â€Å"This is what comes of going down to the heatsinks. Jirad was a fool.†â€Å"Not at all, Mistress Tisalver. We went at my request and I was fascinated. I must see this young man, since that is necessary to my scholarly work.†â€Å"I'm sorry if it is, but I won't have it.†Dors Venabili raised her hand. â€Å"Hari, let me take care of this. Mistress Tisalver, if Dr. Seldon must see someone in his room this afternoon, the additional person naturally means additional rent. We understand that. For today, then, the rent on Dr. Seldon's room will be doubled.†Mistress Tisalver thought about it. â€Å"Well, that's decent of you, but it's not only the credits. There's the neighbors to think of. A sweaty, smelly heatsinker-â€Å" â€Å"I doubt that he'll be sweaty and smelly at fourteen hundred, Mistress Tisalver, but let me go on. Since Dr. Seldon must see him, then if he can't see him here, he'll have to see him elsewhere, but we can't run here and there. That would be too inconvenient. Therefore, what we will have to do is to get a room elsewhere. It won't be easy and we don't want to do it, but we will have to. So we will pay the rent through today and leave and of course we will have to explain to Master Hummin why we have had to change the arrangements that he so kindly made for us.†â€Å"Wait.†Mistress Tisalver's face became a study of calculation. â€Å"We wouldn't like to disoblige Master Hummin†¦ or you two. How long would this creature have to stay?†â€Å"He's coming at fourteen hundred. He must be at work at sixteen hundred. He will be here for less than two hours, perhaps considerably less. We will meet him outside, the two of us, and bring him to Dr. Seldon's room. Any neighbors who see us will think he is an Outworlder friend of ours.†Mistress Tisalver nodded her head. â€Å"Then let it be as you say. Double rent for Master Seldon's room for today and the heatsinker will visit just this one time.†â€Å"Just this one time,†said Dors. But later, when Seldon and Dors were sitting in her room, Dors said, â€Å"Why do you have to see him, Hari? Is interviewing a heatsinker important to psychohistory too?†Seldon thought he detected a small edge of sarcasm in her voice and he said tartly, â€Å"I don't have to base everything on this huge project of mine, in which I have very little faith anyway. I am also a human being with human curiosities. We were down in the heatsinks for hours and you saw what the working people there were like. They were obviously uneducated. They were low-level individuals-no play on words intended-and yet here was one who recognized me. He must have seen me on holovision on the occasion of the Decennial Convention and he remembered the word ‘psychohistory.' He strikes me as unusual-as out of place somehow-and I would like to talk to him.†â€Å"Because it pleases your vanity to have become known even to heatsinkers in Dahl?†â€Å"Well†¦ perhaps. But it also piques my curiosity.†â€Å"And how do you know he hasn't been briefed and intends to lead you into trouble as has happened before.†Seldon winced. â€Å"I won't let him run his fingers through my hair. In any case, we're more nearly prepared now, aren't we? And I'm sure you'll be with me. I mean, you let me go Upperside alone, you let me go with Raindrop Forty-Three to the microfarms alone, and you're not going to do that again, are you?†â€Å"You can be absolutely sure I won't,†said Dors. â€Å"Well then, I'll talk to the young man and you can watch out for traps. I have every faith in you.†65. Amaryl arrived a few minutes before 1400, looking warily about. His hair was neat and his thick mustache was combed and turned up slightly at the edges. His T-shirt was startlingly white. He did smell, but it was a fruity odor that undoubtedly came from the slightly overenthusiastic use of scent. He had a bag with him. Seldon, who had been waiting outside for him, seized one elbow lightly, while Dors seized the other, and they moved rapidly into the elevator. Having reached the correct level, they passed through the apartment into Seldon's room. Amaryl said in a low hangdog voice, â€Å"Nobody home, huh?†â€Å"Everyone's busy,†said Seldon neutrally. He indicated the only chair in the room, a pad directly on the floor. â€Å"No,†said Amaryl. â€Å"I don't need that. One of you two use it.†He squatted on the floor with a graceful downward motion. Dors imitated the movement, sitting on the edge of Seldon's floor-based mattress, but Seldon dropped down rather clumsily, having to make use of his hands and unable, quite, to find a comfortable position for his legs. Seldon said, â€Å"Well, young man, why do you want to see me?†â€Å"Because you're a mathematician. You're the first mathematician I ever saw-close up-so I could touch him, you know.†â€Å"Mathematicians feel like anyone else.†â€Å"Not to me, Dr†¦ Dr†¦ Seldon?†â€Å"That's my name.†Amaryl looked pleased. â€Å"I finally remembered.-You see, I want to be a mathematician too.†â€Å"Very good. What's stopping you?†Amaryl suddenly frowned. â€Å"Are you serious?†â€Å"I presume something is stopping you. Yes, I'm serious.†â€Å"What's stopping me is I'm a Dahlite, a heatsinker on Dahl. I don't have the money to get an education and I can't get the credits to get an education. A real education, I mean. All they taught me was to read and cipher and use a computer and then I knew enough to be a heatsinker. But I wanted more. So I taught myself.†â€Å"In some ways, that's the best kind of teaching. How did you do that?†â€Å"I knew a librarian. She was willing to help me. She was a very nice woman and she showed me how to use computers for learning mathematics. And she set up a software system that would connect me with other libraries. I'd come on my days off and on mornings after my shift. Sometimes she'd lock me in her private room so I wouldn't be bothered by people coming in or she would let me in when the library was closed. She didn't know mathematics herself, but she helped me all she could. She was oldish, a widow lady. Maybe she thought of me as a kind of son or something. She didn't have children of her own.†(Maybe, thought Seldon briefly, there was some other emotion involved too, but he put the thought away. None of his business.) â€Å"I liked number theory,†said Amaryl. â€Å"I worked some things out from what I learned from the computer and from the book-films it used to teach me mathematics. I came up with some new things that weren't in the book-films.†Seldon raised his eyebrows. â€Å"That's interesting. Like what?†â€Å"I've brought some of them to you. I've never showed them to anyone. The people around me-†He shrugged. â€Å"They'd either laugh or be annoyed. Once I tried to tell a girl I knew, but she just said I was weird and wouldn't see me anymore. Is it all right for me to show them to you?†â€Å"Quite all right. Believe me.†Seldon held out his hand and after a brief hesitation, Amaryl handed him the bag he was carrying. For a long time, Seldon looked over Amaryl's papers. The work was naive in the extreme, but he allowed no smile to cross his face. He followed the demonstrations, not one of which was new, of course-or even nearly new-or of any importance. But that didn't matter. Seldon looked up. â€Å"Did you do all of this yourself?†Amaryl, looking more than half-frightened, nodded his head. Seldon extracted several sheets. â€Å"What made you think of this?†His finger ran down a line of mathematical reasoning. Amaryl looked it over, frowned, and thought about it. Then he explained his line of thinking. Seldon listened and said, â€Å"Did you ever read a book by Anat Bigell?†â€Å"On number theory?†â€Å"The title was Mathematical Deduction. It wasn't about number theory, particularly.†Amaryl shook his head. â€Å"I never heard of him. I'm sorry.†â€Å"He worked out this theorem of yours three hundred years ago.' Amaryl looked stricken. â€Å"I didn't know that.†â€Å"I'm sure you didn't. You did it more cleverly, though. It's not rigorous, but-â€Å" â€Å"What do you mean, ‘rigorous'?†â€Å"It doesn't matter.†Seldon put the papers back together in a sheaf, restored it to the bag, and said, â€Å"Make several copies of all this. Take one copy, have it dated by an official computer, and place it under computerized seal. My friend here, Mistress Venabili, can get you into Streeling University without tuition on some sort of scholarship. You'll have to start at the beginning and take courses in other subjects than mathematics, but-â€Å" By now Amaryl had caught his breath. â€Å"Into Streeling University? They won't take me.†â€Å"Why not? Dors, you can arrange it, can't you?†â€Å"I'm sure I can.†â€Å"No, you can't,†said Amaryl hotly. â€Å"They won't take me. I'm from Dahl.†â€Å"Well?†â€Å"They won't take people from Dahl.†Seldon looked at Dors. â€Å"What's he talking about?†Dors shook her head. â€Å"I really don't know.†Amaryl said, â€Å"You're an Outworlder, Mistress. How long have you been at Streeling?†â€Å"A little over two years, Mr. Amaryl.†â€Å"Have you ever seen Dahlites there-short, curly black hair, big mustaches?†â€Å"There are students with all kinds of appearances.†â€Å"But no Dahlites. Look again the next time you're there.†â€Å"Why not?†said Seldon. â€Å"They don't like us. We look different. They don't like our mustaches.†â€Å"You can shave your-†but Seldon's voice died under the other's furious glance. â€Å"Never. Why should I? My mustache is my manhood.†â€Å"You shave your beard. That's your manhood too.†â€Å"To my people it is the mustache.†Seldon looked at Dors again and murmured, â€Å"Bald heads, mustaches†¦ madness.†â€Å"What?†said Amaryl angrily. â€Å"Nothing. Tell me what else they don't like about Dahlites.†â€Å"They make up things not to like. They say we smell. They say we're dirty. They say we steal. They say we're violent. They say we're dumb.†â€Å"Why do they say all this?†â€Å"Because its easy to say it and it makes them feel good. Sure, if we work in the heatsinks, we get dirty and smelly. If we're poor and held down, some of us steal and get violent. But that isn't the way it is with all of us. How about those tall yellow-hairs in the Imperial Sector who think they own the Galaxy-no, they do own the Galaxy. Don't they ever get violent? Don't they steal sometimes? If they did my job, they'd smell the way I do. If they had to live the way I have to, they'd get dirty too.†â€Å"Who denies that there are people of all kinds in all places?†said Seldon. â€Å"No one argues the matter! They just take it for granted. Master Seldon, I've got to get away from Trantor. I have no chance on Trantor, no way of earning credits, no way of getting an education, no way of becoming a mathematician, no way of becoming any thing but what they say I am†¦ a worthless nothing.†This last was said in frustration-and desperation. Seldon tried to be reasonable. â€Å"The person I'm renting this room from is a Dahlite. He has a clean job. He's educated.†â€Å"Oh sure,†said Amaryl passionately. â€Å"There are some. They let a few do it so that they can say it can be done. And those few can live nicely as long as they stay in Dahl. Let them go outside and they'll see how they're treated. And while they're in here they make themselves feel good by treating the rest of us like dirt. That makes them yellow-hairs in their own eyes. What did this nice person you're renting this room from say when you told him you were bringing in a heatsinker? What did he say I would be like? They're gone now†¦ wouldn't be in the same place with me.†Seldon moistened his lips. â€Å"I won't forget you. I'll see to it that you'll get off Trantor and into my own University in Helicon-once I'm back there myself.†â€Å"Do you promise that? Your word of honor? Even though I'm a Dahlite?†â€Å"The fact that you're a Dahlite is unimportant to me. The fact that you are already a mathematician is! But I still can't quite grasp what you're telling me. I find it impossible to believe that there would be such unreasoning feeling against harmless people.†Amaryl said bitterly, â€Å"That's because you've never had any occasion to interest yourself in such things. It can all pass right under your nose and you wouldn't smell a thing because it doesn't affect you. †Dors said, â€Å"Mr. Amaryl, Dr. Seldon is a mathematician like you and his head can sometimes be in the clouds. You must understand that. I am a historian, however. I know that it isn't unusual to have one group of people look down upon another group. There are peculiar and almost ritualistic hatreds that have no rational justification and that can have their serious historical influence. It's too bad.†Amaryl said, â€Å"Saying something is ‘too bad' is easy. You say you disapprove, which makes you a nice person, and then you can go about your own business and not be interested anymore. It's a lot worse than ‘too bad.' It's against everything decent and natural. We're all of us the same, yellow-hairs and black-hairs, tall and short, Easterners, Westerners, Southerners, and Outworlders. We're all of us, you and I and even the Emperor, descended from the people of Earth, aren't we?†â€Å"Descended from what?†asked Seldon. He turned to look at Dors, his eyes wide. â€Å"From the people of Earth!†shouted Amaryl. â€Å"The one planet on which human beings originated.†â€Å"One planet? Just one planet?†â€Å"The only planet. Sure. Earth.†â€Å"When you say Earth, you mean Aurora, don't you?†â€Å"Aurora? What's that?-I mean Earth. Have you never heard of Earth?†â€Å"No,†said Seldon. â€Å"Actually not.†â€Å"It's a mythical world,†began Dors, â€Å"that-â€Å" â€Å"It's not mythical. It was a real planet.†Seldon sighed. â€Å"I've heard this all before. Well, let's go through it again. Is there a Dahlite book that tells of Earth?†â€Å"What?†â€Å"Some computer software, then?†â€Å"I don't know what you're talking about.†â€Å"Young man, where did you hear about Earth?†â€Å"My dad told me. Everyone knows about it.†â€Å"Is there anyone who knows about it especially? Did they teach you about it in school?†â€Å"They never said a word about it there.†â€Å"Then how do people know about it?†Amaryl shrugged his shoulders with an air of being uselessly badgered over nothing. â€Å"Everyone just does. If you want stories about it, there's Mother Rittah. I haven't heard that she's died yet.†â€Å"Your mother? Wouldn't you know-â€Å" â€Å"She's not my mother. That's just what they call her. Mother Rittah. She's an old woman. She lives in Billibotton. Or used to.†â€Å"Where's that?†â€Å"Down in that direction,†said Amaryl, gesturing vaguely. â€Å"How do I get there?†â€Å"Get there? You don't want to get there. You'd never come back.†â€Å"Why not?†â€Å"Believe me. You don't want to go there.†â€Å"But I'd like to see Mother Rittah.†Amaryl shook his head. â€Å"Can you use a knife?†â€Å"For what purpose? What kind of knife?†â€Å"A cutting knife. Like this.†Amaryl reached down to the belt that held his pants tight about his waist. A section of it came away and from one end there flashed out a knife blade, thin, gleaming, and deadly. Dors's hand immediately came down hard upon his right wrist. Amaryl laughed. â€Å"I wasn't planning to use it. I was just showing it to you.†He put the knife back in his belt. â€Å"You need one in self-defense and if you don't have one or if you have one but don't know how to use it, you'll never get out of Billibotton alive. Anyway†-he suddenly grew very grave and intent-â€Å"are you really serious, Master Seldon, about helping me get to Helicon?†â€Å"Entirely serious. That's a promise. Write down your name and where you can be reached by hypercomputer. You have a code, I suppose.†â€Å"My shift in the heatsinks has one. Will that do?†â€Å"Yes.†â€Å"Well then,†said Amaryl, looking up earnestly at Seldon, â€Å"this means I have my whole future riding on you, Master Seldon, so please don't go to Billibotton. I can't afford to lose you now.†He turned beseeching eyes on Dors and said softly, â€Å"Mistress Venabili, if he'll listen to you, don't let him go. Please.â€
Thursday, August 15, 2019
Professional Nursing Philosophy Essay
Introduction After seventeen years in the nursing profession I realize each day is a learning experience. As my experiences evolve so do some of my beliefs and values. However, I believe nursing at its core has fundamentals that are unwavering. The essence of nursing: Caring, empathy, honesty, trust, communication, and respect have transcended all theories. What follows will be a discussion of how I was called to nursing and my vision for my future in the nursing profession. I will also discuss my beliefs and values and how they relate to patients, families, and health care providers. Choice of Nursing I was called to nursing. I always had a desire to care for others, to comfort, and to listen. As a child I spent summers with my grandmother who was also a nurse. I would watch her show honor in the way she wore her uniform. Before she left for work she made sure her uniform was clean and pressed. She proudly wore her nursing cap. I was able to visit the patients as she made her rounds. As I observed her care I witnessed the understanding, the compassion, and the commitment of a professional nurse. To my surprise and from my experiences my grandmother planted a seed of a nurse’s integrity, honor and loyalty to the care of others. When I was sixteen years old and in the tenth grade I became pregnant. I dropped out of high school but was determined not to be a statistic. Before my daughter was born I completed my GED and three months after her birth I start taking classes at the community college. I knew I had more to offer. I had always been an active part of the community a nd had an interest in helping others. The career counselor at the community college suggested that I attend nursing school. My grandmother agreed and informed me of a nursing rule. A nurse cannot leave the profession until she finds another nurse to take her place. Five years, two children and one divorce later I finished nursing school. I truly believe it was a calling or I never would have finished. Nursing continues to call me seventeen years later. It calls me to learn more, to do better, and to encourage others. Nursing has now called me back to further my education and obtain my BSN and MSN in the next phase of my career. Essence of Nursing The core of nursing should be more than a career or a means to monetary gain. Nursing at its core is caring, empathy, honesty, trust, communication and respect. I believe the fundamental core of nursing is caring. If you cannot give of yourself to others you are missing the essence of nursing. â€Å"In 2003 the ANA stated that an essential feature of professional nursing is the provision of a caring relationship that facilitates health and healing†(as cited in Meyer & Lavin, 2005, para. 1). Another fundamental core of nursing is respect. The nurse must have respect for the patient and their beliefs. Without this basic respect there will remain a lack of trust on the patient’s part to divulge necessary information that can facilitate their recovery. Listening encompasses both verbal and nonverbal communication between the patient and nurse. Developing a relationship based on trust helps foster communication between the patient and nurse. Listening helps identify issues that can hinder the accomplishment of goals that have been set for the patient’s recovery. Jean Watson’s Caring Theory is comprised of ten carative factors that can foster a caring relationship between the patient and the nurse. According to Chantal Cara (A Pragmatic View, Introduction, para. 2) â€Å"upholding Watson’s caring theory not only allows the nurse to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization†. The politics of nursing can adversely affect the core of nursing. Hospital politics can affect the lives of patients, families, staff, and the community at large. Hospital politics affect intra-departmental relationships and staffing ratios. The quality of the relationships and communication skills can affect the perception of the hospital as a whole. Witnessing negative relationships and poor communication skills may cause the community, patients, families, and other staff to feel nursing is unqualified or uncaring. These perceptions once perpetuated are difficult to change. Beliefs and Values I believe patients have the right to decide what happens to their bodies; however, many are still under informed due to lack of education. In Texas, a large number of first generation Mexican immigrants have not been afforded a complete education in their home country. Although educational opportunities are improving census data indicated that Mexican â€Å"males got 8.8 years of education in 2010 while females got 8.5 years†(2010 Census data, 2011, para. 1). However, in some indigenous areas of Mexico the education level is as low as 2.5 years (2010 Census data, 2011, para. 4). â€Å"To improve informed consent comprehension, federal agencies such as the FDA, Office for Human Research Protection, and National Cancer Institute (NCI) recommend 6th to 8th grade reading level consent forms†(Hochhauser, 2007). There is a disparity in the recommendation of these agencies and the consents they produce for their own clients. Hochhauser stated,†agencies should follow t heir own advice †¦ but five NCI documents averaged a grade 14 reading level†. Families share an important role in health promotion and decision making. A patient’s cultural beliefs and values can greatly affect the family’s perception of the health care system and the individual roles family members assume in a time of illness. In the Gypsy culture hospitals are feared and avoided whenever possible. â€Å"Most Gypsies will go to a hospital only if they are in serious danger of dying or if they view the situation as a crisis†(Sutherland, 1992, p.278). â€Å"For Gypsies, illness is not just the concern of the individual, it is a problem of broader social importance. Families coming together when someone is ill is one of the strongest values in Gypsy culture†(Sutherland, 1992, p.277). Hispanic immigrants may be reluctant to seek medical attention because of their immigrant status. â€Å"They may be afraid of the clinical staff and may consider them members of a government agency such as INS†(Poma, 1983, p. 945). Among Hisp anics, the support provided by the extended family is very important. In 1986 Reinert stated â€Å"important decisions are made by the entire family. Family decisions may supersede decisions made by the health care provider†(as cited in Gordon, 1994, pp. 309-310). I believe health care providers have become overly specialized and no longer treat patients holistically. The movement toward Advance Practice Nurses as primary health care providers will alleviate this problem and the patient will be treated in a more holistic approach. Many nurses begin their professions as staff nurses in the hospital setting. Following Watson’s carative theory we strive to help the patient meet their physical, emotional, and spiritual needs. â€Å"The nurse guided by Watson’s work has responsibility for creating and maintain an environment supporting human caring while recognizing and providing for patients’ primary human requirements†(Chitty & Black, 2007). As I reviewed my own health I realized I was not a good steward for the nursing profession. I have educated my patients about diet modification and exercise regimens. I have advised them to keep regular doctor appointments and receive annual physicals. I was not following my own advice. I began to account for my nutritional intake and workout every morning before work. I received an annual physical to assess my lab values and discuss with my health care provider a plan of care. I believe as a nurse I should be my best and I am willing to except whatever my best is at forty-one years old. Vision for the Future My goal is to complete my BSN by the end of 2013. I am a staff nurse in PACU within the Perioperative Services Department of our hospital. My responsibilities include direct patient care, relief charge, staffing, and conflict resolution. Within two years, I plan to receive certification in my specialty through ASPAN and pursuing my MSN degree. My hospital is growing and the Perioperative Services Department is under expansion and will double in size and patient capacity over the next three years. In my profession I see potential for growth that will include my future goals. I love to precept new nurses and students, encourage others, monitor quality indicators, and formulate policies and procedures. Within five years, I would like to have completed my MSN degree as a Clinical Nurse Leader and working in a permanent preceptor position for Perioperative Services. In ten years I hope to have found my niche in my profession. I would like to be molding the future of nursing even if it is one nurse at a time. I plan on working as a nurse as long as my body allows. Summary My strengths are my determination, ability to adapt to changing situations easily, love of learning and organizational skills. The support I have received from family and friends has been paramount in allowing me to succeed in my endeavors. The support and encouragement I have received from my peers has heightened my determination to complete my degree. Stress will be the greatest limiting factor in attaining my goals. Balancing school, work, family, and friends is always a challenge. It will be important for me to prioritize my activities and manage my time wisely over the coming year. I look forward to these challenges as I pursue my BSN degree. References 2010 Census data show a significant improvement in Mexican education. (2011). Retrieved November 16, 2012, from http://geo-mexico.com/?p=4048 Cara, C. A pragmatic view of Jean Watson’s caring theory [PDF document]. Retrieved November 15, 2012 from Lecture Notes Online Web site: http://www.humancaring.org/conted/Pragmatic%20View.pdf Chitty, K.K., & Black, B.P. (Eds.). (2007). Chapter 13: Nursing theory: The basis for professional nursing. Professional Nursing: Concepts and Challenges (pp.328-348). Philadelphia: Elsevier. Gordon, S.M. (1994). Hispanic cultural beliefs and folk remedies. Journal of Holistic Nursing. 12(3), 307-322. doi:10.1177/089801019401200308 Hochhauser, M. (2007). Consent forms: No easy read. Applied Clinical Trials, 16(5), 74. Retrieved November 17, 2012 from http://libproxy.uta.edu:5745/ehost/pdfviewer/pdfviewer?sid=dd795158-f393-4eb8-b67b-8a1cc3b595fd%40sessionmgr104&vid=4&hid=121 Meyer, G., & Lavin, M.A. (2005). Vigilance: The essence of nursing. OJIN: The Online Journal of Issues in Nursing, 10(1). doi:10.3912/OJIN.Vol10No03PPT01 Poma, P.A. (1983). Hispanic cultural influences on medical practice. Journal of The National Medical Association. 75(10), 941-946. Retrieved November 17, 2012 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2561612/pdf/jnma00233-0029.pdf Sutherland, A. (1992, Sept.) Cross-cultural medicine: Gypsies and health care. The Western Journal of Medicine. 157(3), 276-280. Retrieved November 17, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1011276/pdf/westjmed00085-0066.pdf
Wednesday, August 14, 2019
Data Tracking Sheet
Sleep Study: Using a Data Tracking Sheet Tyeshia L. Watkins Argosy University/Atlanta LASA 1 Data Tracking Sheet Data A Fill out this form every morning for 3 days. Day1 Oct. 26, 20122 Oct. 27, 20123 Oct. 28, 2012Average scores/Amounts What did you do during the 30 minutes before bed? (Routine, brushed teeth, etc†¦) 1. Read 2. Brushed Teeth 3. Ironed Clothes 4. Prayed 5. Cleansed Face1. Studied 2. Brushed Teeth 3. Ironed Malachi’s school uniforms 4. Prayed 1. Social network surfing 2.Watched cartoons with Malachi. 3. Prayed 4. Cleansed Face 5. Brushed Teeth What time did you go to bed last night? 10:35 p. m. 10:46 p. m. 8:30 p. m. How long did it take to fall asleep? 15 mins. 15 mins. 10 mins. 40 mins. Did you wake up during your sleep? How many times? How long? Yes, once. 3 hrs. NoNo Did you get out of bed? YesNoNo What time did you get up? 10:40 a. m. 6:15 a. m. 6:15 a. m. How much total sleep did you get? 12 hrs. 7 hrs. 10 hrs. 29 hrs. Rate your restfulness on a scale of 1-10 (1 = no restfulness) (10 = fully rested) 107926Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc†¦)It was cold not too warm. Quiet OutsideBusy Day (12 hr. work shift, Malachi’s football practice, Gym, and visited mom for a few hrs. ) Other comments you want to track or make note of Data B Fill out this form every morning for 3 days after reading, researching, and practicing breathing technique. This needs to include using the breathing technique after entering bed, being quiet, in the dark, with the breathing technique done at least 10 times. Day1 Oct. 29, 20122 Oct. 30, 20123Oct 31, 2012Average scores/Amounts What did you do during the 30 minutes before bed? (Routine, brushed teeth, etc†¦) 1. Brushed Teeth 2. Prayed 3. Taken Cold & Cough Medication 4. Drank A Cup Of Tea 1. Cleansed Face 2. Brushed Teeth 3. Prayed 4. Studied 5. Taken Cold & Cough Medication 6. Drank A Cup Of Tea1. Cleansed Face 2. Brushed Teeth 3. Pr ayed 4. Studied 5. Taken Cold & Cough Medication 6. Drank A Cup Of Tea What time did you go to bed last night? 7:35 p. m. 7:15 p. m. 8:45 p. m. How long did it take to fall asleep? 6 mins. 7 mins. 8 mins. 21 mins. Did you wake up during your sleep?How many times? How long? NoNoNo Did you get out of bed? NoNoNo What time did you get up? 3:15 a. m. 3:15 a. m. 3:15 a. m. How much total sleep did you get? 8 hrs. 7 hrs. 6 hrs. 21 hrs. Rate your restfulness on a scale of 1-10 (1 = no restfulness) (10 = fully rested) 44412 Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc†¦) Other comments you want to track or make note of The first day that I had a cold, it made my night a little restless. I could hardly breathe because, my noiseMy body was hot, and then it would be cold. Introduction to BreathingBreath is the key to health and wellness, a function we can learn to regulate and develop in order to improve our physical, mental and spiritual wel l-being. Breathing has direct connections to emotional states and moods – observe someone who is angry, afraid or otherwise upset, and you will see a person breathing rapidly, shallowly, noisily and irregularly. Our breathing patterns mimic our life patterns and we can develop unhealthy breathing habits without being aware of it. The change in breathing patterns changes your state of mind and reduces the mental disturbances. Thoughts become clearer and your understanding of yourself is enhanced.As your mind becomes more fully absorbed in the observation of the breathing process, the character of the breath tends to change involuntarily. Sleep problems also exist when you have established stressors that make you sleep intolerable and reluctant to enjoy. There are instances when your body is restless but, your mind is tired which leads to sleep deprivation. In this paper the researcher will describe the experience of a sleep study on a patient who suffered from a common cold. T he acknowledgment of the differential state between normal breathing vs. alternative nostril breathing.Whether or not the alternative nostril breathing technique was beneficial to the patient in question. A credible research of natural versus medical remedies for sleep. Why some people might be skeptical of this technique. Summary of Results Was the hypothesis that alternative nostril breathing works as a natural sleep aid was supported through the study? During the sleep study of the patient, the researcher observed that in the data gathered from the Data A section, the researcher noticed that the patient had 30 hours of sleep, in between the night however, the patient was awaken one night for at least 15 mins.In Data B the patient fell asleep in 40 mins (average mean). During Data A the patient scored their restfulness as 7 and above which indicates that the patient received adequate enough sleep that was suitable for the patient. In the Data B section, which involved the alternat ive nostril breathing technique the client presented several changes that indicated that there were stressors that impacted this area of observation. Stressors are defined as, a stimulus event that places a demand on an organism for some kind of adaptive response (Gerrig, 2009, p. 89). During the alternative nostril breathing technique the patient complained of difficulty breathing due to a common cold that prevented the patient from having restful nights. The researcher noticed that the patient had 21 hours of sleep, in between the night however, the patient was not awake on any of the 3 nights In Data B the patient fell asleep in 21 mins (average mean). During Data B the patient scored their restlessness as 7 and below which indicates that the patient did not receive adequate enough sleep that was suitable for the atient. The patient indicated that the alternative nostril breathing technique was not beneficial and in fact was not successful to encourage restful nights. The hypothe sis of the alternative nostril breathing works as a natural sleep aid if there are no biological stressors involved. Biological Perspective *include things like how alternative nostril breathing works as a natural sleep aid, what biological systems might be involved, and how it might help from a biological perspective. Do these claims make sense biologically?Is there scientific or biological evidence that could support this technique? Why would this method work biologically? The alternative nostril breathing technique works as a natural sleep aid Cultural and Ethical Implications *include things like research of natural versus medical remedies for sleep. Make sure to address how such remedies apply to various clients and the strengths and weaknesses of both types of remedies. Why might some people have a cultural struggle with using a technique like this? What are some differences between Western medicine and Eastern medicine?Scientific Perspective What scientific methods used are u sed in various studies, etc†¦? What are the stages of applying the scientific method? The perspective in many non-Western cultures indicate bio psychosocial model of health. The Navajo concept of hozho (pronounced whoazo) means harmony, peace of mind, goodness, ideal family relationships, beauty in arts and crafts, and health of body and spirit. Illness is seen as the outcome of any disharmony, caused by evil introduced through violation of taboos, witchcraft, overindulgence, or bad dreams.Traditional healing ceremonies seek to banish illness and restore health, not only through the medicine of the shaman but also through the combined efforts of all family members, who work together with the ill person to reachieve a state of hozho (Gerrig, 2009, p. 403). Modern Western scientific thinking has relied almost exclusively on a biomedical model that has a dualistic conception of body and mind. According to this model, medicine treats the physical body as separate from the psyche; t he mind is mportant only for emotions and beliefs and has little to do with the reality of the body. Summary In this paper the researcher will describe the experience of a sleep study on a patient who suffered from a common cold. The acknowledgment of the differential state between normal breathing vs. alternative nostril breathing. Whether or not the alternative nostril breathing technique was beneficial to the patient in question. A credible research of natural versus medical remedies for sleep. Why some people might be skeptical of this technique.The perspective in many non-Western cultures indicate bio psychosocial model of health. Modern Western scientific thinking has relied almost exclusively on a biomedical model that has a dualistic conception of body and mind. The hypothesis of the alternative nostril breathing works as a natural sleep aid if there are no biological stressors involved. Reference Gerrig (2009). Psychology and Life [18] (Vital Source Bookshelf), Retrieved fr om http://digitalbookshelf. argosy. edu/books/0558302572/id/ch12lev1sec02
Tuesday, August 13, 2019
Marketing Strategy for Business ''Express Star'' Essay
Marketing Strategy for Business ''Express Star'' - Essay Example The company is looking for ways to use the brand value of MNA and gain trust held within the market it serves (Andereck, 2005). At present the company is setting up a new business arm completely different from the present business units. It has decided to open up a new recruiting agency by the name Star Employment Service. Other than that there are plans to build new revenue streams, which will either complement the existing media products or will lead to new business opportunities away from the traditional business model (Abratt et al. 2011). The present research paper endeavors to produce a rough sketch of the marketing strategy that Express & Star can follow. The current strategy of Express & Star and its applicability, benefits are discussed in the present business environment. Then a detailed external and internal analysis is produced to reflect the best strategic option available to Express & Star. The choice of the most suitable strategy is explained with justification, and th en followed up with subsequent implementation. It is finished off with the inclusion of the control systems to keep the changes within the desired level. Integration of the marketing problem-solving modes and marketing management support system There are more than 5 different types of marketing management models in the market. Some of the marketing management models have core statistical application and controlling techniques. There are vast differences in the marketing management models like in Marketing Information System, the main idea is to support the marketing management team with critical marketing information processed and filtered by applying statistical techniques. There is another type of model which is called the Marketing Decision Support System (Wierenga and Bruggen, 1997). The marketing decision support system helps to derive different strategic decisions using statistical concepts combined with strategic concepts and ideas. Again there is another different set of too l called the Marketing Management Support System. The marketing management support system helps to achieve a different set of benefits which are completely different than the other marketing management techniques discussed above. The different marketing management techniques have unique set of benefits and applications which distinguished them from each other. Although one thing that must be noted is that all the different kinds of marketing management techniques have more or less the same origin. The origin of the different marketing concepts lies in the marketing problem solving modes, which is short formed as the ORAC framework (Wierenga and Bruggen, 1997). The ORAC framework includes the optimizing option, reasoning option, analogizing option and the creating option. It is important that there is proper correlation between the ORAC framework and the marketing management support system. The following diagram gives an indication of the correlation between the marketing management support system and the ORAC framework Source: (Wierenga and Bruggen, 1997) The diagram indicates the relationship between the MPMS and the MMSS. Optimizing leads to development of the marketing model estimation, reasoning leads to MKIS, MDSS, MNN and MKBS. Analogizing leads to the development of MCBR and MNN. Creating leads to the d
Monday, August 12, 2019
Persuasive Paper---The E-Sport professionals players should be Essay
Persuasive Paper---The E-Sport professionals players should be accepted and acknowledged authenticly by the public - Essay Example They involve use of computers and in most cases, the use of the internet. Players in these games are referred to as the e-sport professionals. However, over the years, the game has not been recognized as an authentic occupation or career like other games like football do. This paper explores the benefits that can be drawn from e-sport, such as earning of revenues, better health and better productivity of the player that warranty the reason for it been made a career. An e-sport game is conducted in a similar way like an athletic sporting event; the players are guided by a set of rules and regulations that guide them, the actions are commentated by a sportscaster just like other games, they have an audience and they have a referee who officiates the game. However, these games only require only one commentator unlike other games. E-sports can be dated back to 1980s when gaming tournaments would be conducted in arcades. In the 1990s, the video game competitions started been held in large auditoriums. Between the years 2000 and 2013, e-sports became even more popular as a competition game. Over the years, the sport has become very popular, especially with the rise of access to the internet, as it enables players to be able to compete in the game remotely and the game can be broadcasted online. The rise of the e-sport game has also witnessed the rise of professional video game players and provided platforms where they can participate at international levels in the game for cash prizes. They are commonly sponsored by technology companies though they generate a lot of money from selling tickets and online viewing subscriptions. E-Sport generally involves numerous genres of video games. The most common real-time strategy (RTS) games include Dota, Starcraft 2 and the League of Legends. Popular first-person shooters games include Half Life and Call of Duty: Modern Warfare. Other games played in e-sports competitions
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