Tuesday, January 28, 2020

Fedex and UPS Essay Example for Free

Fedex and UPS Essay 1. Accounting Treatments Capital Lease -Lessee Initially, the lessee recognizes the asset under his property, plant and equipment. The amount that should be debited is the Lower of asset’s fair value and present value of minimum lease payments. The present value is determined by discounting minimum lease payments using interest rates implicit in the lease. Also, initial direct cost that the lessee incurs in relation to the lease is added to the cost of recognized asset. On the credit side of the entry should be lease liabilities, which is in fact, some kind of a loan. The lease liabilities should be split into current and noncurrent liabilities as some payments are made within 12 months while others are made after 12 month of the reporting date. Subsequently, there are two things we must take care of. First, we must depreciate the lease asset over the economic life, not over the lease term because that doesn’t necessarily need to be the same. The entry is to debit depreciation expense in profit or loss and credit the accumulated depreciation account. Secondly, we need to allocate the lease liability or minimum lease payments paid to the lessor into two parts; reduction of lease liability and finance charge or interest. IAS 17 requires the finance charge to be allocated so as to produce a constant periodic rate of interest (interest rate implicit in the lease) on the remaining balance sheet liability. (Refer to appendix A for journal entries Capital lease-Lessor The lessor is a finance provider, and therefore records lease receivables as the debit side of the entry. The lease receivable is the net investment in the lease, which is the total of minimum lease payments and unguaranteed residual value. Total of these two figures is gross investment in the lease and we need to discount it to present value using discount rate implicit in the lease and all this must be equal to fair value of the asset plus initial direct cost. The credit side to this entry is simply cash given out by the lessor. Subsequently, we have to split minimum lease payments received from the lessee between reduction of finance lease receivable and finance income similar to what the lessee would do. (Finance income should reflect a constant periodic rate of return on the lessor’s net  investment in the lease.) (Refer to appendix A for journal entries) Operating Lease-Lessee In an operating lease, the lessee does not recognize any asset. The lease payments are recognized as rent expense in profit or loss on a straight-line basis. The journal entries would include a debit to rent expense and credit to cash or accounts payable. (Refer to appendix A for journal entries) Operating -lessor Lease payments received from the lessee are recognized as revenue in profit or loss on a straight-line basis. The lessor keeps the asset on his financial statement and depreciates it in line with its fixed asset accounting policy. (Refer to appendix A for journal entries) Advantages of Operating Lease In an operating lease, the lessee is considered to be renting the equipment and thus the lease payment is recorded as rental expense. No assets or liabilities are recorded on the balance sheet (Off-balance sheet financing). This is beneficial for companies because it will result in a lower asset base, therefore creating a higher ROA. Operating lease will also display more desirable solvency ratios such as lower debt to equity. This off balance sheet method of recording will also produce better debt covenant ratios for the company to show its debt lenders. Moreover, some companies associate management bonuses to certain ratios such as return on capital, which would be more optimal looking if recorded under operating lease. Another major benefit of operating leases is the potential tax benefits. An operating lease may allow the company to deduct payments as operating expenses during the period in which they are paid. If the company purchases equipment, they may be able to deduct the in terest, as well as the cost of the depreciation. 2. Under current Financial Accounting Standards Board regulations, what business arrangements might FedEx have made in order to account for leases as operating leases rather than capital leases? An operating lease is usually coined as anything that is not classified as a finance lease.  Factors that an operating lease may include are: 1. If a lease does not significantly transfer all the risks and rewards, associated with ownership of an asset the lease 2. If the ownership of the asset is more likely to go back to lessor at the end of the term 3. The lessee does not have the option to buy the asset at a cost significantly below the fair value of the asset → ie. a bargain price. The term of the lease is not a major part of the economic life of the lease item. IAS 17 does not explicitly say how much is a major portion however ASPE states that 75% and above is a major portion. 5. If there is little or no risk to the lessee; all major risks are borne by the lessor. An example wo uld be cancellation costs. 6. The leased asset is of common nature; not specialized and can only be used by the lessee. 7. The present value of the total amount of minimum lease payments do not equal or is close to the fair value of the asset leased. Other Additional Criteria can be: 8. Whether fluctuation in fair value at the end of the lease accrue to the lessor 9. If the lessee does not have the option to extend the lease for a secondary period at a â€Å"below the market† price Arrangements FedEx would have to make to disclose the operating lease would include disclosures about: the outstanding payments left for non-cancellable operating leases for the time periods: within one year within two to five years after more than five years the total future minimum sublease income for non-cancellable subleases the lease and sublease payments recognised in income for the period the contingent rent recognised as an expense  the general description of significant leasing arrangements, including contingent rent provisions, renewal or purchase options, and restrictions imposed on dividends, borrowings, or further leasing For operating leases, IAS 17 states that the total lease payments should be incurred as an expense and would appear on the income statement regularly with the amount on a straight-line basis over the entire lease term. Any enticements that the lessee may have received from the lessor to enter into the lease arrangement, must also be divided on a straight line basis to offset the  rental expense. 4. Lease Capitalization on Financial Variable and Ratios Unrecorded Lease Liability and Debt-to-Equity Ratio Based on the ratios and calculations performed there are many incentives for companies to report leases as operating leases rather than capitalize them. It can be concluded that the impact of lease capitalization on the financial statements is far greater for FedEx than UPS, however both companies are reaping benefits from reporting leases as operating leases. Capitalizing leases requires that leases are recorded as assets and liabilities on the balance sheet. The Unrecorded Lease Liability is 98.41% of existing liabilities for FedEx and 8.27% for UPS. Thus, by not capitalizing leases, firms are able to decrease their liabilities and present a more lower debt/equity ratio.The Debt/Equity ratio gives stakeholders an indication of the capital structure of the firm. The ratio for FedEx moves from 0.97 to 2.70, which indicates a more leveraged capital structure. UPS ratio moves from 0.87 to 1.28. The capitalization of leases would not a llow FedEx to maintain a debt-equity ratio below 1, which would change shareholder’s view on the financial flexibility of the firm. If FedEx wishes to maintain a relatively low debt-to-equity ratio on their financial statements it would be unfavourable to capitalize leases. Return on Asset The Return on Assets (ROA) is another key ratio that is affected when leases are capitalized due to the increase in assets that the company owns. When leases are capitalized there is a decrease in ROA for both FedEx and UPS by 1.69% and 0.32%, respectively. This is a relatively significant drop in efficiency and further motivates firms to record leases as operating leases. Interest Coverage Ratio The interest coverage ratio informs stakeholders of a company’s ability to pay back their interest. There is a significant drop of 17.26 in FedEx’s interest-coverage ratio and a drop of 9.2 in UPS’s interest coverage ratio. This means that a certain amount of profit is attributed to the fact that leases are not capitalized. In conclusion, it is clear from the variables and the ratios analyzed why companies prefer to record leases as operating leases rather than capitalize them. Operating leases are kept off the balance sheet and their main impact on the income statement is rent expense since the risks of ownership are not assumed. On the other hand, when leases are capitalized, the present value of payments including interest expense,  is treated as a liability on the balance sheet. These two accounting methods result in ratios to be more favourable for the firm when leases are recorded as operating leases rather than financial leases. 5. New Exposure Draft: A Contract-Based Approach Development of Contract-Based Approach Leasing is a critical activity in business as it is a means of gaining access to assets, obtaining finance and reducing an entity’s exposure to the risks of asset ownership. Some key advantages of leasing assets rather than purchasing assets are 100% financing, flexibility and the tax advantages. Therefore it is crucial that leases are appropriately accounted for and nature and duration of the lease agreement is considered. Current models require lessees and lessors to account for leases as either finance leases or operating leases. A recurring criticism of this approach is that lessees are not required to recognize assets and liabilities arising from operating leases. We can see the benefits of this in the financial statements and ratios of FedEx and UPS, as discussed above. In our opinion capitalizing leases provides stakeholders of a less aggressive view of a company’s financial statements. The contract based approach ensures th at companies recognise the right to use an asset along with the contractual liability on its balance sheet. Recognition and Measurement (Lessee) IASB and FASB are proposing a new approach to lease accounting that ensures entities record assets and liabilities arising from a lease. With this new approach, a lessee would recognize assets and liabilities for leases with a maximum possible term of more than 12 months. Under this contract-based approach, the asset is taken on by the lessee as the right to use to asset and not the asset itself. This a key difference between the contract-based approach and finance leases. When the lease is acquired, the lessee would recognise a lease liability. This would refer to the obligation of the lessee to make recurring lease payments. Additionally, the lessee would recognize a right-of-use asset representing a lessee’s right to use the underlying asset for the lease term. The right-of-use asset would include the initial measurement of the lease liability, any lease payments made at or before commencement date and any initial direct costs incurred by the lessee. The proposal further categorizes the leases into Type A and Type B leases. Type A Lease Recognition Leased assets other  than property (such as equipment and vehicles) would be classified as a Type A lease. However, if the following two conditions are met, the lease would be classified as a Type B: if the lease term is an insignificant portion of the asset’s economic life and if the present value of the lease payments is insignificant relative to their fair value. Initial measurements for a Type A lease would include a right-of-use asset and a lease liability. The lease liability would be measured at the present value of the lease payments, measured at the rate charged by the lessor. If that rate cannot be immediately determined, the lessee uses the incremental borrowing rate. Subsequent measurements would recognize interest expense and the amortization of the right-of-use asset separately on the income statement and balance sheet. This would be accounted for separately from the amortization of the asset. Type B Lease Recognition Leased assets of property (such as land or a building) would be classified as Type B leases. Initial measurements would be parallel to the initial measurements of Type A assets. However, subsequent measurements would recognize a single lease cost. This cost would be a measurement of the interest expense as well as the amortization of the asset. This combined figure would be calculated on a straight-line basis. Effect on Existing Operating Lease Existing operating leases must be appropriately treated based on the a ccounting standards for leases. Leases that were previously reported as operating leases by lessees should be recognised using the new approach at the beginning of the earliest comparative period. The lessee should recognize the lease liability, which is the present value of the remaining lease payments. For Type A leases, a right-of-use asset is measured as a proportion of the lease liability. The proportion is based on the remaining lease term at the time of the earliest comparative period. Additionally, the right-of-use asset recorded should be adjusted for any previously recognised prepaid or accrued lease payments. On the other hand, for Type B leases, a right-of-use asset is measured at an amount that equals the lease liability. The asset is then adjusted for previously recognised prepaid or accrued lease payments.

Monday, January 20, 2020

Public Service Broadcasting Essay -- essays papers

Public Service Broadcasting From the establishment of the BBC in the late 1920s, British audiences were given the opportunity of taking part in a shared national experience and interest. Since that time, an apparent agreement has existed as to the general aims of broadcasting by the BBC which fell under the heading â€Å"public service broadcasting.† Although the BBC no longer enjoys a broadcasting monopoly, the promise to provide a mix of programming by which audiences may be educated as well as entertained has been emulated by the other terrestrial broadcasters, beginning with ITV in the 1950s. However, recent years have shown a breakdown to this widespread agreement and the term â€Å"public service broadcasting† now seems to exist as more of an amorphous notion than anything with a real concrete description. Perhaps because the term brings with it a number of complexities that serve to hinder the mission of public service broadcasting. How does one determine what someone else should watch? What type of person would be making that decision and does it have the potential to be elitist? Can a single broadcasting entity actually appeal to one mass audience in a society as diverse as Britain’s? And does the concept of this â€Å"national interest† even exist at all? It’s questions like these that bring to mind potential problems with the programs broadcast by the BBC and indicate that there is a lot more imbedded in the concept of public service broadcasting than one might assume. For no matter how no matter how much its traditions purport to reach out to create a cohesion for a mass audience, public service broadcasting can also contribute to a very misrepresentative appearance of British society. One aspect of the television medium that is so unique is its pervasive nature on our lives. For many, it is not only the primary source of entertainment and information, but also of education. Therefore, in a public service sense it is necessary to go beyond merely producing quality programs, even producing quality programs at peak hours that will attract a large audience. Rather, it also involves providing a focus for those activities which are best regarded as a common experience. Whether it be a the Wedding of Charles and Diana, a World Cup Football match, or news of a fateful event, â€Å"television has a unique ability to generate a sense of c... ...s, rather than the audience that own the station. Its centralized monopoly can serve a censoring body and does not allow all voices in society to have a voice, although the BBC deems itself representative of a national institution. For this reason it cannot be justified to have a mass audience pay for a license fee that may not be catering at all to their interests or culture and perhaps the only way to justify the programming of the BBC is by adopting a method of optional subscription fees. As far as it may have developed since the time of its founding, the BBC still remains somewhat stuck to its original ideals which have made it impossible to become that national institution that it claims to be. Bibliography: British Broadcasting Corperation. Our Commitment to You. London: BBC Publications, 1998. Department of National Heritage. The Future of the BBC. London: Department of National Heritage, 1994. Green, Damien. A Better BBC: Public Service Broadcasting in the 90s. London: Center for Policy Studies England, 1991. MacCabe, Colin. The BBC and Public Service Broadcasting. London: Manchester University Press, 1986. Madison, James. Federalist Paper No. 10

Sunday, January 12, 2020

Cross Culture

Introduction: Introduction Communication is the process by which information is transmitted between individuals and/or organizations so that an understanding response results. Simply we can say, Communication is an exchange of facts, ideas, opinions or emotions by two or more person. The transmission of the sender’s ideas to the receiver and the receiver’s feedback or reaction to the sender constitute the communication cycle. SENDERRECEIVER InputOutput [pic] Feedback Brain drain Brain drain Brain drain Fig- 01: Communication Cycle Culture is an idea in the field of management which describes the psychology, attitudes, experiences, beliefs and values (personal and cultural values) of an organization. Culture is a complex concept. In other words, culture is central to what we see, how we make sense of what we see, and how we express ourselves. Objective of the Report: The Primary Objective of this report is to analysis of cross cultural communication in IBM. The report has accumulated information to know about company’s cross cultural communication, to find out its positive and productive communication in their organization and does the work effectively. Methodology: Sources of data: †¢ Secondary Data: All the data and information are collected from secondary sources. Cross-Cultural Communication: The success of a business depends on its ability to communicate. Communication serves as the medium for instruction, assessment, interpersonal relationships, group interactions and all other interaction that takes place in business. With globalization, business is no longer constrained within the boundaries of a single country. Large business organizations have corporate offices in different parts of the world. They need to communicate in order to promote coordination. Also in multinational companies people from different parts of the world are employed. The way an individual communicates, is influenced by his or her culture. Hence in today’s increasing global economy, it is important for managers and employees at all levels to understand, appreciate, and manage the impact of cross-cultural communication in the workplace. As our world grows, expands and becomes increasingly more interconnected by various technological advances, the need for effective communication among various cultures is increasing. People from different backgrounds tend to perceive information differently. Hence, misinterpretation of information can lead to conflict. Cross cultural communication is of great importance through out the world. Though in our country, due to the lack of cultural diversity, cross cultural communication is not treated with that much importance. But still with the advancement of technology we have to interact with businesspeople in faraway countries and for this we need know about effective techniques of cross cultural communication Definition of Cross-Cultural Communication: To understand cross cultural communication first we need to know what culture is. Culture refers to a group or community with which we share common experiences that shape the way we understand the world. Cross-cultural communication looks at how people, from differing cultural backgrounds, endeavor to communicate. It is more frequently referred to as Intercultural communication. (Ramsey, 1999). Culture refers to all the knowledge and values shared by a society. The word culture is often considered in terms of nationality or one's country of origin. Other more specific distinguishing characteristics of culture are region, orientation, socioeconomic status, gender, sexual orientation and preference, age, marital and parental status. Another approach to understanding the concept of culture involves the beliefs, values and norms that exist to guide an individual's behaviors in solving common problems. Culture is the acquired knowledge people use to interpret experience and generate behavior (Porter, 1991). Culture is the shared customs, beliefs, and social structures that make up a society, including languages, rules, myths, family patterns, and political systems. (Boone et al. 1997). Cross cultural communication is a symbolic, interpretive, transactional, contextual processing tool with which people from different cultures create shared meanings (Berko et al. , 1997). When we speak to someone with whom we share little or no cultural bond, it is referred to as cross cultural communication. Our need to communicate across culture can be very beneficial personally and professionally. Within an intercultural setting, nonverbal and verbal communications are both prevalent in emphasizing the differences in cultures. The way we act and the things we say determine whether or not we belong in a certain culture. Nonverbal communication systems provide information about the meaning associated with the use of space, time, touch and gestures. They help to define the boundaries between the members and nonmembers of a culture (Hofstede, 1991). Hence, Cross Cultural Communication is the communication that takes place among people from different cultures. Cross cultural communication does not only mean face to face communication it includes all forms of written and oral communication. History of Cross-Cultural Communication: The need for Cross-Cultural communication was felt with the spread of global commerce. It is very tough to get the specific date when cross-cultural communication started. Initial initiatives in cross-cultural communication were taken in different countries in different time period. One of the pioneers of the computer industry, IBM started cross cultural communication in 1953. It was introduced by the CEO of that time Thomas J. Watson Jnr. According to Thomas it was the policy of IBM to hire talented people regardless of race, color and background. During 1978-83, the Dutch cultural anthropologist Geert Hofstede conducted detailed interviews with hundreds of IBM employees in 53 countries. Through standard statistical analysis of fairly large data sets, he was able to determine patterns of similarities and differences among the replies. In the year 1991, Geert Hofstede undertook the first global studies on how a specific business culture, at the time one of the most widely distributed companies, interacted with the local cultures of some 39 different countries. Another professional development initiative is IBM’s Shade of blues – a more in-depth program for managers who are engaged in cross-cultural business interactions or have multicultural teams. Recent Research on Cross-Cultural Communication: As people from different cultural groups take on the exciting challenge of working together, cultural values sometimes conflict. We can misunderstand each other, and react in ways that can hinder what are otherwise promising partnerships. Oftentimes, we aren't aware that culture is acting upon us. Sometimes, we are not even aware that we have cultural values or assumptions that are different from others. One of the major barriers in business communication is cultural diversity. Many communication researchers are trying to find out new and effective ways to improve cross cultural communication. In many cases patients face problems with both translation difficulties and not being able to see the type clearly. As a result they are sometimes unable to take their prescriptions correctly. Many of the pharmaceuticals around the world have been trying to solve this problem. Recently they have come up with a tool which can print instructions for taking medicine in 11 different languages on the prescription bottle labels. Patients no longer have to depend on translation from a friend or relative to make sure they are taking their prescriptions correctly. The languages include English, Spanish, French, Arabic, Korean, Chinese, Japanese, Hindi, Polish, Russian or Portuguese. The tool is also equipped to print a 20- point type versus the typical smaller type, for those patients who prefer larger printed labels on the bottle labels to easily identify their medicines and how to take them. On July 6, 2005 Mark Nash, an American entrepreneur created a cross-cultural website created especially for non-resident Indians and offshore call center personnel (Nash, 2005). The website www. intro2america. om was designed to provide information about American culture. It was also designed to provide information to call center personnel who speak with Americans on a daily basis as part of their job responsibilities. The site is designed to make the transition to American lifestyle easier and reduce the difficulties & misunderstandings upon first moving to the States. The site provides useful information, which is related specifically to cross-cultural types of issues. Moving from an Asian culture to a Western culture can be challenging. The site was designed for the specific purpose of easing the transition to American way of life, for those who are moving to the United States (See Appendix for the sample of the website). To serve customers from diversified cultures, they have taken a great deal of effort and time to analyze what their customers around the globe want. To achieve this they are trying to understand their customer’s behavior, cultural and spending patterns when they fly with Malaysia Airlines. The airliner has successfully catered to the demands of wide variety global customers around the world. Application in the work place: IBM, the leading business organization in computer sector, has a huge diverse workforce from the very beginning. They have concentration to manage the cross cultural communication among these employees. Here we have selected IBM’s Australia branch to present as an example of cross cultural environment where employees are working together with their cultural differences. IBM has developed their cross-cultural program based on the legal requirements of Anti- Discrimination Act & Racial Discrimination Act and corporate values. IBM’s policies on cultural diversity are based on years of corporate experience. It is a long-held view that by valuing diversity, it uncovers new perspectives, taps different knowledge and experience and generates innovative ideas, suggestions and methods. Three pillars that are in place to make up IBM’s diversity strategy are: †¢ Creating a work/life balance: Their strategy is to find the average working age of general Australians through statistical findings and fix age limit for average Australians. †¢ Advancement of women: They think women should contribute more to the workplace. So, they encourage participation of women. †¢ Integration of people with a disability: IBM authority thinks that they have a social responsibility for physically and mentally disable people. The authority always tries to create some opportunity of employment for those people. IBM’s most effective diversity programs combine ‘push and pull’ strategies. They have made good headway through company-led, top down practices such as formalized training or policies like floating cultural holidays. However, IBM’s progress comes about through the contributions by individuals who are passionate about diversity issue. Aside from IBM’s diversity team within human resources, three other groups within IBM have formally identified roles in the implementation of the company’s overall diversity strategy. These are IBM’s Diversity Council, diversity contact officers and diversity champions. The Diversity Council The main objective of the IBM’s Diversity Council, is to ensure that the contribution of employees from different background is properly encouraged and valued. Its key objectives are to enhance employee awareness, increase management awareness, and encourage the effective use of IBM’s diverse workforce. This is achieved through personal commitment, regular communication, by gaining support for the program from other IBM managers and influencing decision making. Under the guidance of the Diversity Council, a series of cultural diversity employee roundtables have been held to gather more face-to-face feedback and ideas from staff. These meetings have generated many practical ideas for increasing awareness of cultural diversity within IBM. Professional development IBM has a professional development program. The objective of this program is to ensure that the employees within the organization can identify and remove psychological barriers of diverse workforce and communicate effectively. The main focuses of this program are: †¢ Understanding the cultural bias of each team member and their impact on mutualperceptions. †¢ Determine the reasons why certain behaviors and communication styles fail in somecultures. †¢ Identifying approaches to address cultural gaps that could lead to misunderstandings. †¢ Handling issues about team decision-making, giving or receiving feedback and conflict resolution. Findings: IBM, One of the pioneers of the computer industry started cross cultural communication in 1953. †¢ They think women should contribute more to the workplace. So, they encourage participation of women. †¢ IBM authority thinks that they have a social responsibility for physically and mentally disable people. The authority always tries to create some opportunit y of employment for thosepeople. Recommendations: Considering research and the case of IBM, we have some recommendation here which will decrease discrimination and increase production by making the flow of cross-cultural communication fluent. Those recommendations are as follows: ? IBM should compare their policy for cross cultural communication with others, so that they can get some new ideas to implement in their organization. It will help them to update existing policies as well. ? Not only the HR department of IBM, but also all other employees of the organization should be involved in the process of making cross cultural communication easier. It will help the whole organization to become a good team. ? Training and raising awareness can improve mentality of the employees towards others. They will learn to respect and honor others differences. Place people from different cultures as team leaders. If diverse employees get opportunity to work and share success they will be highly motivated. Discrimination will be dissolved from them and the communication process will work freely. ? A good idea can be to focus different segments one after another so that every segment can achieve expected mentality. This process will form unity and emotion among the employees of the organization. Discrimination will be terminated and the total organization will work as one body. ? Each program introduced in the organization should honor the basic values of the organization. Every program should ensure that none of the employees are discriminated in terms of race, national origin or religion. Conclusion: From the above research we have seen that cultural communication plays a vital role for effective communication for companies around the globe. In our country due to the lack of cultural diversity we do not have to face the problems related to intercultural communication. Many of the successful companies having corporate offices have been able to coordinate their activities through out the world through the successful implementation of cross cultural communication. One of the fore runners in this sector is definitely IBM. IBM has independent division to come up with new policies and strategies to improve cross cultural communication in the workplace. Reference: Boone, L. E. , Kurtz, D. L. , & Block, Judy R. (1997). Contemporary Business Communication (2nd ed. ). Upper Saddle River, New Jersey: Prentince-Hall. 67. Ramsey, James (1999). Available: http://encyclopedia. localcolorart. com/encyclopedia/Cross-cultural_communication/ (July, 17 2005). Carbaugh, D, (1990). Cultural Communication and Intercultural Contact. New York: Pergamon Press. 19. Berko, R. , Rosengeld, L. , & Samovar, L. (1997). Connecting: A Culture Sensitive Approach to Intercultural Communication. Fort Worth, Texas: Harcourt Brace. 121. Porter, R. , and Samovar, L. (1991). Communication Between Cultures. Belmont:NTC Publishing Group. 273. Payne, C. (2001). Culture and Communication. Available: http://www2. mhc. ab. ca/users/cpayne/portfolio/cultcomm/default. htm (July, 29 2005). Appendix [pic] A sample website dedicated to understanding cross-cultural types of issues. [pic] ———————– Idea Letter, Fax, Phone call, E-mail etc. Idea Cross Culture Introduction: Introduction Communication is the process by which information is transmitted between individuals and/or organizations so that an understanding response results. Simply we can say, Communication is an exchange of facts, ideas, opinions or emotions by two or more person. The transmission of the sender’s ideas to the receiver and the receiver’s feedback or reaction to the sender constitute the communication cycle. SENDERRECEIVER InputOutput [pic] Feedback Brain drain Brain drain Brain drain Fig- 01: Communication Cycle Culture is an idea in the field of management which describes the psychology, attitudes, experiences, beliefs and values (personal and cultural values) of an organization. Culture is a complex concept. In other words, culture is central to what we see, how we make sense of what we see, and how we express ourselves. Objective of the Report: The Primary Objective of this report is to analysis of cross cultural communication in IBM. The report has accumulated information to know about company’s cross cultural communication, to find out its positive and productive communication in their organization and does the work effectively. Methodology: Sources of data: †¢ Secondary Data: All the data and information are collected from secondary sources. Cross-Cultural Communication: The success of a business depends on its ability to communicate. Communication serves as the medium for instruction, assessment, interpersonal relationships, group interactions and all other interaction that takes place in business. With globalization, business is no longer constrained within the boundaries of a single country. Large business organizations have corporate offices in different parts of the world. They need to communicate in order to promote coordination. Also in multinational companies people from different parts of the world are employed. The way an individual communicates, is influenced by his or her culture. Hence in today’s increasing global economy, it is important for managers and employees at all levels to understand, appreciate, and manage the impact of cross-cultural communication in the workplace. As our world grows, expands and becomes increasingly more interconnected by various technological advances, the need for effective communication among various cultures is increasing. People from different backgrounds tend to perceive information differently. Hence, misinterpretation of information can lead to conflict. Cross cultural communication is of great importance through out the world. Though in our country, due to the lack of cultural diversity, cross cultural communication is not treated with that much importance. But still with the advancement of technology we have to interact with businesspeople in faraway countries and for this we need know about effective techniques of cross cultural communication Definition of Cross-Cultural Communication: To understand cross cultural communication first we need to know what culture is. Culture refers to a group or community with which we share common experiences that shape the way we understand the world. Cross-cultural communication looks at how people, from differing cultural backgrounds, endeavor to communicate. It is more frequently referred to as Intercultural communication. (Ramsey, 1999). Culture refers to all the knowledge and values shared by a society. The word culture is often considered in terms of nationality or one's country of origin. Other more specific distinguishing characteristics of culture are region, orientation, socioeconomic status, gender, sexual orientation and preference, age, marital and parental status. Another approach to understanding the concept of culture involves the beliefs, values and norms that exist to guide an individual's behaviors in solving common problems. Culture is the acquired knowledge people use to interpret experience and generate behavior (Porter, 1991). Culture is the shared customs, beliefs, and social structures that make up a society, including languages, rules, myths, family patterns, and political systems. (Boone et al. 1997). Cross cultural communication is a symbolic, interpretive, transactional, contextual processing tool with which people from different cultures create shared meanings (Berko et al. , 1997). When we speak to someone with whom we share little or no cultural bond, it is referred to as cross cultural communication. Our need to communicate across culture can be very beneficial personally and professionally. Within an intercultural setting, nonverbal and verbal communications are both prevalent in emphasizing the differences in cultures. The way we act and the things we say determine whether or not we belong in a certain culture. Nonverbal communication systems provide information about the meaning associated with the use of space, time, touch and gestures. They help to define the boundaries between the members and nonmembers of a culture (Hofstede, 1991). Hence, Cross Cultural Communication is the communication that takes place among people from different cultures. Cross cultural communication does not only mean face to face communication it includes all forms of written and oral communication. History of Cross-Cultural Communication: The need for Cross-Cultural communication was felt with the spread of global commerce. It is very tough to get the specific date when cross-cultural communication started. Initial initiatives in cross-cultural communication were taken in different countries in different time period. One of the pioneers of the computer industry, IBM started cross cultural communication in 1953. It was introduced by the CEO of that time Thomas J. Watson Jnr. According to Thomas it was the policy of IBM to hire talented people regardless of race, color and background. During 1978-83, the Dutch cultural anthropologist Geert Hofstede conducted detailed interviews with hundreds of IBM employees in 53 countries. Through standard statistical analysis of fairly large data sets, he was able to determine patterns of similarities and differences among the replies. In the year 1991, Geert Hofstede undertook the first global studies on how a specific business culture, at the time one of the most widely distributed companies, interacted with the local cultures of some 39 different countries. Another professional development initiative is IBM’s Shade of blues – a more in-depth program for managers who are engaged in cross-cultural business interactions or have multicultural teams. Recent Research on Cross-Cultural Communication: As people from different cultural groups take on the exciting challenge of working together, cultural values sometimes conflict. We can misunderstand each other, and react in ways that can hinder what are otherwise promising partnerships. Oftentimes, we aren't aware that culture is acting upon us. Sometimes, we are not even aware that we have cultural values or assumptions that are different from others. One of the major barriers in business communication is cultural diversity. Many communication researchers are trying to find out new and effective ways to improve cross cultural communication. In many cases patients face problems with both translation difficulties and not being able to see the type clearly. As a result they are sometimes unable to take their prescriptions correctly. Many of the pharmaceuticals around the world have been trying to solve this problem. Recently they have come up with a tool which can print instructions for taking medicine in 11 different languages on the prescription bottle labels. Patients no longer have to depend on translation from a friend or relative to make sure they are taking their prescriptions correctly. The languages include English, Spanish, French, Arabic, Korean, Chinese, Japanese, Hindi, Polish, Russian or Portuguese. The tool is also equipped to print a 20- point type versus the typical smaller type, for those patients who prefer larger printed labels on the bottle labels to easily identify their medicines and how to take them. On July 6, 2005 Mark Nash, an American entrepreneur created a cross-cultural website created especially for non-resident Indians and offshore call center personnel (Nash, 2005). The website www. intro2america. om was designed to provide information about American culture. It was also designed to provide information to call center personnel who speak with Americans on a daily basis as part of their job responsibilities. The site is designed to make the transition to American lifestyle easier and reduce the difficulties & misunderstandings upon first moving to the States. The site provides useful information, which is related specifically to cross-cultural types of issues. Moving from an Asian culture to a Western culture can be challenging. The site was designed for the specific purpose of easing the transition to American way of life, for those who are moving to the United States (See Appendix for the sample of the website). To serve customers from diversified cultures, they have taken a great deal of effort and time to analyze what their customers around the globe want. To achieve this they are trying to understand their customer’s behavior, cultural and spending patterns when they fly with Malaysia Airlines. The airliner has successfully catered to the demands of wide variety global customers around the world. Application in the work place: IBM, the leading business organization in computer sector, has a huge diverse workforce from the very beginning. They have concentration to manage the cross cultural communication among these employees. Here we have selected IBM’s Australia branch to present as an example of cross cultural environment where employees are working together with their cultural differences. IBM has developed their cross-cultural program based on the legal requirements of Anti- Discrimination Act & Racial Discrimination Act and corporate values. IBM’s policies on cultural diversity are based on years of corporate experience. It is a long-held view that by valuing diversity, it uncovers new perspectives, taps different knowledge and experience and generates innovative ideas, suggestions and methods. Three pillars that are in place to make up IBM’s diversity strategy are: †¢ Creating a work/life balance: Their strategy is to find the average working age of general Australians through statistical findings and fix age limit for average Australians. †¢ Advancement of women: They think women should contribute more to the workplace. So, they encourage participation of women. †¢ Integration of people with a disability: IBM authority thinks that they have a social responsibility for physically and mentally disable people. The authority always tries to create some opportunity of employment for those people. IBM’s most effective diversity programs combine ‘push and pull’ strategies. They have made good headway through company-led, top down practices such as formalized training or policies like floating cultural holidays. However, IBM’s progress comes about through the contributions by individuals who are passionate about diversity issue. Aside from IBM’s diversity team within human resources, three other groups within IBM have formally identified roles in the implementation of the company’s overall diversity strategy. These are IBM’s Diversity Council, diversity contact officers and diversity champions. The Diversity Council The main objective of the IBM’s Diversity Council, is to ensure that the contribution of employees from different background is properly encouraged and valued. Its key objectives are to enhance employee awareness, increase management awareness, and encourage the effective use of IBM’s diverse workforce. This is achieved through personal commitment, regular communication, by gaining support for the program from other IBM managers and influencing decision making. Under the guidance of the Diversity Council, a series of cultural diversity employee roundtables have been held to gather more face-to-face feedback and ideas from staff. These meetings have generated many practical ideas for increasing awareness of cultural diversity within IBM. Professional development IBM has a professional development program. The objective of this program is to ensure that the employees within the organization can identify and remove psychological barriers of diverse workforce and communicate effectively. The main focuses of this program are: †¢ Understanding the cultural bias of each team member and their impact on mutualperceptions. †¢ Determine the reasons why certain behaviors and communication styles fail in somecultures. †¢ Identifying approaches to address cultural gaps that could lead to misunderstandings. †¢ Handling issues about team decision-making, giving or receiving feedback and conflict resolution. Findings: IBM, One of the pioneers of the computer industry started cross cultural communication in 1953. †¢ They think women should contribute more to the workplace. So, they encourage participation of women. †¢ IBM authority thinks that they have a social responsibility for physically and mentally disable people. The authority always tries to create some opportunit y of employment for thosepeople. Recommendations: Considering research and the case of IBM, we have some recommendation here which will decrease discrimination and increase production by making the flow of cross-cultural communication fluent. Those recommendations are as follows: ? IBM should compare their policy for cross cultural communication with others, so that they can get some new ideas to implement in their organization. It will help them to update existing policies as well. ? Not only the HR department of IBM, but also all other employees of the organization should be involved in the process of making cross cultural communication easier. It will help the whole organization to become a good team. ? Training and raising awareness can improve mentality of the employees towards others. They will learn to respect and honor others differences. Place people from different cultures as team leaders. If diverse employees get opportunity to work and share success they will be highly motivated. Discrimination will be dissolved from them and the communication process will work freely. ? A good idea can be to focus different segments one after another so that every segment can achieve expected mentality. This process will form unity and emotion among the employees of the organization. Discrimination will be terminated and the total organization will work as one body. ? Each program introduced in the organization should honor the basic values of the organization. Every program should ensure that none of the employees are discriminated in terms of race, national origin or religion. Conclusion: From the above research we have seen that cultural communication plays a vital role for effective communication for companies around the globe. In our country due to the lack of cultural diversity we do not have to face the problems related to intercultural communication. Many of the successful companies having corporate offices have been able to coordinate their activities through out the world through the successful implementation of cross cultural communication. One of the fore runners in this sector is definitely IBM. IBM has independent division to come up with new policies and strategies to improve cross cultural communication in the workplace. Reference: Boone, L. E. , Kurtz, D. L. , & Block, Judy R. (1997). Contemporary Business Communication (2nd ed. ). Upper Saddle River, New Jersey: Prentince-Hall. 67. Ramsey, James (1999). Available: http://encyclopedia. localcolorart. com/encyclopedia/Cross-cultural_communication/ (July, 17 2005). Carbaugh, D, (1990). Cultural Communication and Intercultural Contact. New York: Pergamon Press. 19. Berko, R. , Rosengeld, L. , & Samovar, L. (1997). Connecting: A Culture Sensitive Approach to Intercultural Communication. Fort Worth, Texas: Harcourt Brace. 121. Porter, R. , and Samovar, L. (1991). Communication Between Cultures. Belmont:NTC Publishing Group. 273. Payne, C. (2001). Culture and Communication. Available: http://www2. mhc. ab. ca/users/cpayne/portfolio/cultcomm/default. htm (July, 29 2005). Appendix [pic] A sample website dedicated to understanding cross-cultural types of issues. [pic] ———————– Idea Letter, Fax, Phone call, E-mail etc. Idea

Saturday, January 4, 2020

Analysis Of The Book Gig Americans Talk About Their Jobs

In the book GiG Americans Talk About Their Jobs, include 100’s of interviews of different people with different jobs that provide personal achievements, and goals that give these individuals the strive to work. These reasonings of why we should work point out much more than money being the outcome. Each individual interviewee has a different reason for why they work, what makes them strive to work, what makes their job’s worth going to each day. From selected interviews â€Å"Wal-Mart Greeter†, â€Å"Clutter Consultant†, â€Å"Lobbyist†, and â€Å"Orthopedic Surgeon† each represented different reasons of work;the four that stood out most to me included: Self-worth, appreciation from clients, political belief goals, and mental fulfillment. In the â€Å"Wal-Mart Greeter† interview in GiGi, Jim Churchman reason we should work is that working gives us self-worth. Jim states, â€Å"My favorite thing about the job is the fact that I have a job. It’s a lot better than sitting around home, you know?†(4). Jim Churchman’s idea and reasoning for work is inspiring because of the positivity he brings to the table about his job. Churchman could have continued to just be retired playing golf, but he chose to continue working because he knew he was able to, and wanted to continue his life around people rather than just sitting at home. Churchman describes going from pulling freight and stocking to becoming the greeter as,† I thought, I don’t know if I can handle that. I don’t know if I can be effervescent all the time†Show MoreRelatedEmployment Structure in Film and Movie Industry3085 Words   |  13 Pageswhat percentage each sector takes up of the market and argues that if thes e core industries are taking up a high percentage of market share then cultural industries must be on the up. However this tells us nothing about the actual work going on in these industries, the bulk of the jobs in each industry are simply routine. Take for example the cinema which is considered when working out the film industry but in a cinemas building what creativity is actually taking place? Surely selling tickets,Read More65 Successful Harvard Business School Application Essays 2nd Edition 147256 Words   |  190 Pages BUSINESS SCHOOL HARVARD SUCCESSFUL 65 APPLICATION SECOND EDITION E S S AY S APPLICATION BUSINESS SCHOOL HARVARD SUCCESSFUL 65 ECSNS A IYI O N S SE O D ED T With Analysis by the Staff of The Harbus, the Harvard Business School Newspaper ST. MARTIN’S GRIFFIN NEW YORK 65 SUCCESSFUL HARVARD BUSINESS SCHOOL APPLICATION ESSAYS, SECOND EDITION. Copyright  © 2009 byThe Harbus News Corporation. All rights reserved. Printed in the United States of AmericaRead MoreIsys15184 Words   |  61 Pages|For use in the AAT Accounting Qualification | |A to Z Vehicle hire |Assessment book | Time allowed: Four months |AAT Level 4 Diploma in Accounting |QCF qual ref |SCQF qual ref |QCF unit ref |SCQF unit ref | Read MoreMonsanto: Better Living Through Genetic Engineering96204 Words   |  385 Pages441 441 CASE STUDIES A summary of the case analysis I N T R O D U C T I O N Preparing an effective case analysis: The full story Hearing with the aid of implanted technology: The case of Cochlearâ„ ¢ – an Australian C A S E O N E high-technology leader Delta Faucet: Global entrepreneurship in an emerging market C A S E T W O DaimlerChrysler: Corporate governance dynamics in a global company C A S E T H R E E Gunns and the greens: Governance issues in Tasmania C A S E F O U R Succeeding in theRead MoreComment on How Changes in Macro and Market Environment Forces Impact on the Level of Competition in an Industry.18606 Words   |  75 Pages PART 2 Marketing Analysis 3 4 5 6 7 8 The marketing environment Understanding consumer behaviour Understanding organizational buying behaviour Understanding marketing ethics and corporate social responsibility Marketing research and information systems Market segmentation and positioning 72 108 145 180 216 259 CHAPTER â€Å" Change is the only constant. 3 1 2 3 4 5 A. TOFFLER † The marketing environment LEARNING OBJECTIVES After reading this chapter, you should be able to: describeRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 Pagestextbook appear on appropriate page within the text. Microsoft ® and Windows ® are registered trademarks of the Microsoft Corporation in the U.S.A. and other countries. Screen shots and icons reprinted with permission from the Microsoft Corporation. This book is not sponsored or endorsed by or affiliated with the Microsoft Corporation. Copyright  ©2012, 2009, 2005, 2002, 1999 Pearson Education, Inc., publishing as Prentice Hall, One Lake Street, Upper Saddle River, New Jersey 07458. All rights reserved

Friday, December 27, 2019

International Student s Challenge And Adjustment - 839 Words

Overcoming International Student’s Challenge and Adjustment to College A critical look into the experts’ article Ashvarya Jain Northeastern University College of Professional Studies Hsio-Ping Wu, Esther Gaza, and Norma Guzman’s article entitled â€Å"International Student’s Challenge and Adjustment to College† has the implied intention of informing universities in the United States (US) the problems faced by the international students in higher education. The authors have done a fine job providing comprehensive, but overwhelming information of the challenges international students face. The article is explanatory which makes it drawn-out and ho-hum, still the universities and colleges can greatly benefit from the information as it is supported by the authors’ own experiences, researches, surveys and lot of details in the woods of citations. This is anticipated as the authors are ESL Professors at the Texas AM University. The authors are qualified to write about the topic as their profession involves direct contact with international students, which expands article’s purpose to enriching, and not just informing. The article is the secondary source of information, compiling work by various authors such as D. Celleja, W. F. Hull and many more. Moreover, it gives a great insight in the real issues faced by students, even the smaller ones such as feeling left out at parties. The article is published on 15 January 2015 and its presence on theShow MoreRelatedInternational Student Retention Efforts : A Correlational Study1480 Words   |  6 Pages International Student Retention Efforts: A Correlational Study A Research Proposal Submitted to the Department of Graduate Education of Lincoln Memorial University For: EDUC 511 JoAnn M. Russell Fall 2015 Abstract International students attending U.S. colleges and universities bring valuable cultural and educational diversity as well as economic contributions to American campuses and their communities (Andrade, 2006). Internationalization on college campuses encourages culturalRead MoreSocial Support, Stress, And Adaptation Of Immigrants1430 Words   |  6 PagesAbstract This proposed research is designed to handle the primary deficits in knowledge concerning the adaptation of immigrant s students to the U.S. Such problem has been caused by lack of information regarding the impact of immigration on the students who are of different age brackets as well as a lack of the longitudinal information regarding the post –migration adjustments. The primary aim for this study is on the behavioral, emotional as well as the academic adaptation of the immigrants adolescentRead MoreThe Challenges Facing International Students in Higher Education1294 Words   |  6 Pagesof the challenges facing international students in higher education and suggest some possible solutions. Tutor Name: Kinga Maior Student ID Number: 2060494 Date of Submission: Thursday 2nd May 2013 Word Count: 1,004 The number of international students studying in the UK has soared over the past decade due to globalization. Paige (1990) defined International students as those individuals who temporarily lived in the foreign countries and received the education as exchanged students. The mainRead MoreThe Tradition Of Traveling Abroad Knowledge1137 Words   |  5 PagesThere are hundreds of thousands international students go to different countries for study every year. However, most people pay more attention to the advantages of study abroad, and ignore the stress of the international students. As a youth group, the international students have to deal with so many tasks, such as the acquisition of language learning, professional knowledge, research skills and effectively promote the understanding and trust between the international communities. Moreover, the mostRead MoreInternational Students Can Overcome Challenges935 Words   |  4 PagesInternational students face many different challenges when studying abroad. This is due to many factors. First, they are living in a country very far away from their own. The country they are studying at has a very different way of life than theirs. Further more, the laws in that country are much different than the laws in their own country. Due to that they face a lot of problems trying to adapt to this new culture. Me personally as an international student in the US studying at ASU, have facedRead Moreresearch1351 Words   |  6 Pagesnew challenges and that applies to international students who travel abroad in search of better educ ation. The research paper will regard and focus on problems that international students generally face at Australian Universities. The research as a whole will also consider various issues such as adjustment issues, cultural shock, language difficulty, understanding the expectation and grading system e.t.c. The motivation behind the research is to bring various problems faced by international studentsRead MoreThe Common Problems Faced By International Students Essay1388 Words   |  6 PagesThe most common problems faced by international students in UK Feeling Homesick You may feel homesick, as do many students, however for international students it is more difficult to deal with. Students from this country may be able to return home for a visit to help alleviate their homesickness. International students are not able to do this. This means that you may need more support than home students. You may need to talk to someone in confidence about how you are feeling. The counselling serviceRead MoreReentry Is The Process Of Returning1515 Words   |  7 Pagessojourner, the missionary, the tourist, and the student on a study abroad program. The term, reentry, initially stems from the process of returning to Earth from space, and was utilized in reference to the astronaut-training program (Becker, 1961). The majority of reentry literature focuses on cultural repatriates or sojourners, and those who have spent significant time, typically longer than six months, outside of their home environment, and includes students in study abroad programs, Peace Corps volunteersRead MoreQuestions On International Human Resource Management Essay1716 Words   |  7 PagesSubmission of case study Please find completed case study on International Human Resource Management-Padi Cepat on the basis for your reading and action. Sign: Name: Patel Nimisha Paper Title International Human Resource Management Paper Code 95.892(B) Term 1 2015 LecturersRead MoreHigh Level Of Stress And Its Effects On The New Environment1394 Words   |  6 Pagesreference point for widening circles of significant people and places and a means of protecting valued objects†. 1 For a lot of international students, the place that they identify as home is located in a country far from where they are attending classes for the purpose of pursing education. Life in the new surroundings away from home brings many challenges that international students have to encounter such as language barriers, academic demands, different traditions, homesickness, loss of social support

Wednesday, December 18, 2019

Assisted Suicide Essay - 1534 Words

A large percent of terminally ill patients ponder their impending death, no matter the diagnosis. Mental illness or degenerative disabilities are the majority of the cases involved in ‘assisted-suicide,’ which is the process of ending their life with help from another person. Assisted suicide, despite the chronic or degenerative illness, has caused great controversy. The debate arises when the question about whether or not the practice should be legalized is asked. Some say that every person has a God given right to do what they want with their bodies, when they want to do it. Others say that palliative staffs should be focusing on studying better ways to eliminate pain and make the process of passing on easier and more endurable.†¦show more content†¦Physicians and doctors deem requests for death made by people who are ‘not mentally adept’ not rational, well thought-out decisions. As Mr. Buchanan includes in his article, Waiting Around to Die, â₠¬Å"†¦We want to limit suicide to those who are unarguably rational†¦Ã¢â‚¬  (Buchanan, 2). This calls for the medical staff to go to the next of kin; a mother, a father, a brother, a sister, anyone who can be held accountable for the person with a disability. But no one can say that another person should decide the fate of someone else. If a doctor cannot do it, certainly no one else should be deciding. Lest the actual patient grants the permission to someone else to decide, none other than the patient himself should be deciding the fate of said person. At that point, the permission would not even be taken seriously because of the person’s lack of ‘adeptness’. One also has to take into account that the elderly are included in this labeled group. Quite contrary to belief, a study established that end-of-life issues, such as terminal illnesses and autonomy loss, â€Å"did not turn out to be the common causes of real-life suicide among the elderly† (Buchanan, 30). When the decision about whether the patient is to die to end suffering or not is put into the hands of another human being, the right to choose to die is not being handled correctly. The idea that is being expressedShow MoreRelatedA Brief Note On Assisted Suicide And Suicide1062 Words   |  5 PagesAfter researching assisted suicide I have more questions than when I started. The definition of assisted suicide is very factual: suicide facilitated by another person, especially a physician, who organized the logistics of the suicide, as by providing the necessary quantities of a poison (The definition of assisted suicide 2016). After much research I have learned that assisted suicide is an option one has to make depending on their moral standards, will to live, and how they want to die ratherRead More Euthanasia Essay - Assisted Suicide1579 Words   |  7 PagesAssisted Suicide/Euthanasia      Ã‚   Remarkably, few have noticed that frail, elderly and terminally ill people oppose assisted suicide more than other Americans. The assisted-suicide agenda is moving forward chiefly with vocal support from the young, the able-bodied and the affluent, who may even think that their parents and grandparents share their enthusiasm. They are wrong.    Thus the assisted suicide agenda appears as a victory not for freedom, but for discrimination. At its heartRead MoreDoctor Assisted Suicide And Suicide1585 Words   |  7 PagesDoctor assisted suicide is a topic that has recently become a much larger debated issue than before. A timeline put together by Michael Manning and Ian Dowbigging shows that prior to Christianity, doctor assisted suicide was something that was tolerated, and was not heavily questioned (2). Yet, in the 13th century, Thomas Aquinas had made a statement about suicide as well as doctor assisted suicide, and his words shaped the Catholic teaching on suicide into what they teach today. Beginning in theRead MorePhysician Assisted Suicide Should Be Legal1578 Words   |  7 PagesOne of the alternative options is Physician-Assisted Suicide; defined as the voluntary termination of one’s own life by administration of a lethal substance with the direct or indirect assistance of a physician (â€Å"Physician-assi sted†¦Ã¢â‚¬ ). In layman’s terms it means that a physician administers medications to the patients to use on their own terms, and it’s entirely up to the patient whether or not to ingest the medication. I know Physician-Assisted Suicide is a practical solution to terminally ill patients’Read MoreEssay Problems with Euthanasia and Assisted Suicide1262 Words   |  6 PagesEuthanasia Problems      Ã‚  Doctors do err on cancer patients survival times, so how can they say when the time is ripe for assisted suicide. A study in the July 1 issue of Cancer, the journal of the American Cancer Society, finds that doctors are often wrong in predicting how long terminally ill cancer patients will live. After studying the accuracy of doctors predictions regarding 233 patients with end-of-life cancer, the researchers found most doctors had a tendency to overestimate survivalRead MorePhysician Assisted Suicide Essay1214 Words   |  5 Pagesrelentless pain and agony through physician assisted death? Physician-Assisted Suicide PAS is highly contentious because it induces conflict of several moral and ethical questions such as who is the true director of our lives. Is suicide an individual choice and should the highest priority to humans be alleviating pain or do we suffer for a purpose? Is suicide a purely individual choice? Having analyzed and even experience the effects of physician assisted suicide, I promote and fully support its legalityRead MorePhysician’s Assisted Suicide1063 Words   |  5 Pagesthe question may arise as to whether or not third parties should be allowed to intentionally end the life of the patient or help the patient commit suicide. Physician’s assisted suicide should be a legal option for terminally ill patients all throughout the United States. Currently in the US there are three states that have physician assisted suicide laws in place. Oregon was the first state to pass a law allowing physicians to help end the lives of the terminally ill. This law was called the 1997Read MoreThe Legalization of Assisted Suicide1291 Words   |  5 PagesAssisted Suicide has through out history caused controversy among our society. There are two sides to this issue, one that passionately supports it, and those who religiously disagree. I believe that assisted suicide should become legal for several reasons. Assisted suicide gives individuals the right to end their suffering when they personally feel that their time has come to die. Assisted suicide should become legal because if one can decide to put an animal out of its misery, why shouldn’t thatRead MoreThe Choice Of Assisted Suicide1314 Words   |  6 Pag esthe law so patients are allowed to lawfully receive assistance to peacefully pass away. The acceptability to acquire â€Å"assisted suicide† has been designed into five factors. It is the combination of a patient’s age, curability of illness, degree of suffering, mental status, and extent of patients requests for the procedure. Moreover, no discussion on assisted suicide is complete without looking into the experience of Oregon, which was the first state in the U.S. to pass the Death with DignityRead MoreEuthanasia and Assisted Suicide1645 Words   |  7 PagesEuthanasia and physician-assisted suicide are actions at the core of what it means to be human - the moral and ethical actions that make us who we are, or who we ought to be. Euthanasia, a subject known in the twenty-first century, is subject to many discussions about ethical permissibility, which date back to as far as ancient Greece and Rome. It was not until the Hippocratic School removed the practice of euthanasia and assisted suicide from medical practice. Euthanasia in itself raise s many

Tuesday, December 10, 2019

Cholecystitis Treatment and Management †Free Samples to Students

Question: Discuss about the Cholecystitis Treatment and Management. Answer: Introduction Gallstonesareminimally sized stones which are made from cholesterol and are subsequently deposited in the gall bladder. Although gallstones do not often have any symptoms that present physically, they can however, cause periodic pain (referred to as biliary colic) or can develop into a more advanced form referred to as acute cholecystitis (NHS, 2015). The latter form of infection is potentially serious and requires for a person to visit a hospital immediately they experience painful discomfort. Acute cholecystitis is normally treated with antibiotics and intravenous fluids. The main symptoms include sudden pain that is experienced in the right hand side of the abdomen and which spreads slowly to the right shoulder. The sharp pain is more centralized in the affected tender part of the abdomen and taking deep breathes only worsens the pain (NHS, 2015). Unlike other abdominal pain types, acute cholecystitis pain continues persistently for several hours before residing. Some people experience the pain with other symptoms including: high fever; vomiting and nausea; sweating; appetite loss; jaundice; and an abdominal bulge. The causes can be categorized into two: calculous and acalculuous. Calculous is the most common yet less serious of the two types and accounts for approximately 95% of all incidences of cholecystitis. It occurs when the gallbladder's main opening known as the cystic duct, is blocked by biliary sludge or gallstones. Biliary sludge comprises of a mix of bile, salt crystals, and cholesterol pellets. This blockage results in build up of bile in the gall bladder which in turn results in pressure build up causing the gall bladder to become inflammed. 1 in every 5 inflammed bladders often ends up with a bacterial infection (NHS, 2015). Acalculous cholecystitis is more serious but not as prevalent as the calculuous type. It often develops as a serious illness complication, injury, or infection to the gallbladder that causes it to be damaged. It may result from an accidental damage to the gallbladder during a surgical procedure, blood poisoning, burns, AIDS, or severe malnutrition (NHS, 2015) The patient presented at the healthcare center was a 49 year old male accompanied by his 12 year old daughter. The patient had cholecystitis and complained of having an acute abdominal pain in his RUQ and which had gone on for two days. He also had a high body fever, was nauseated as well as vomiting. The handover notes indicated that his HR was 126, temperature was peaked at 38.8 and his BP was at a low of 100/45; his RUQ experienced severe pain and vomiting hade continued for two hours. The notes also indicated that the patient had a dry mucous membrane, pale skin, and that he was thirsty. The shoulder tip pain was recorded at a score of 7/10. The patient had a pale mucous membrane which is a sign of severe dehydration. He also requested for water (Modic, 2013). Extrinsic shoulder pain could be as a result of diaphragmatic pain which is a direct consequence of a subphrenic abscess or gallbladder disease (Patient, 2016). Kasim came with his 12 year old daughter which probably infers that she is the one who takes care of him during times of sickness and when he reports for hospital checkups. In the event that the patient needs to be admitted, this will pose a problem as the daughter cannot sign patient consent forms and neither will she be in position to go back home by herself when her father gets admitted. Plans will need to be made to accommodate the situation Pain in the Right Upper Quadrant Right upper quadrant (RUQ) pain is one that manifests locally on the abdomen's right hand side subcostal region. The pain often radiates superiorly and spreads over to the anterior hemithorax on the right side, followed by medial spread to the epigastrium, inferolaterallly toward the lower quadrant or flank on the right side, and then postterolaterally toward the hemithorax posterior right side (Chandra, 2016). The acute pain can develop over a number of days or hours or can be subacute to chronic, which develops over a period of a few months or weeks. The pain quality varies from a dull ache to a sharp pain which is colic or continuous as well as being intermittent. At times the pain may commence as colic and advance to a persistent and continuous pain. The visceral area lies over the hepato-biliary system and any infection of these causes pain in the RUQ. Other organs in the visceral area include the pancreas head, the duodenum, the colon hepatic flexure, and the right kidney upper pole,. A differential diagnosis should be done to rule out any other infection when treating for RUQ. The most common etiologies for RUQ include biliary tree (this is acute bacterial infection cholangitis, or choledocholithiasis); gall bladder (acute cholecystitis or cholelithiasis); or liver (acute hepatitis caused by alcohol or viral infection) The patient's heart rate was 126 and the BP was 100/45. When a person's body is dehydrated, the blood circulation is restricted within the vessels. This causes buildup within the blood stream which causes the heart to pump blood faster in an attempt to flush out the accumulated wastes. This forced pumping of blood is manifested in symptoms which include: low blood pressure and high heart rates as was observed in the patient. In addition, the patient has dry mucous membrane and was thirsty. Gallstones develop when crystal like particles form in the bile and can range in size from minute to golf ball size. Gallstones cause irritation, pressure, and infection of the gall bladder. The gall bladder walls become thick making it harder to function efficiently. Additionally, cholecystitis can result from CBD drainage system infection; blockage of the CBD; excess deposits of cholesterol in the gallbladder due to rapid weight loss or pregnancy; pancreatic or liver tumours; gallbladder tumours; and diabetes that causes decreased blood flow to the gallbladder (Healthline, 2015) Chronic cholecystitis occurs after frequent and prolonged attack episodes. According to the Cleveland Clinic(2014) the risk of developing cholecystitis increases when a person reaches the age of 40 years. In addition, people who are obese are also prone to becoming infected. Rapid weight gain or loss is also linked to the disease formation. In the case scenario, the patient presented with symptoms of cholecystitis which included cholangitis as symptomized by a high fever and vomiting, hypotension, and in some cases confusion (Medicinenet, 2016) Patient assessment and intervention The patient's history as well as a physical exam forms the basis of diagnosis. Murphy's sign has been found to give a 95% accuracy report for persons presenting with temporary respiratory arrest or pain on the right subcostal deep palpitations, a pointer for acute cholecystitis. The patient will go through a few lab tests including complete CBC, liver function tests, amylase, and lipase. An x-ray f the abdomen will also be necessary for determining the exact cause of the RUQ. An ultrasound will detect presence of gallstones while a CT scan will show any delineation of organ structures. The results from these tests will be sufficient to diagnose presence of gallstones as well as show and other infections in the visceral organs (Mayo, 2015). Besides the high heart beat rate, the high temperature/fever, and low blood pressure, that the patient is recorded to have, the tests for dehydration will also include checking for presence of sweat. The skin will also be assessed for elasticity. As dehydration intensifies in the body, the skin turgor decreases even as the water content in the body is lost through the skin. The amount of sweat will be checked in the armpit as it is one of the two areas that tend to normally have moisture. The nurse will not check for sweat in the patient's groin (the other area for sweat testing) simply because the patient, based on the nurse's perception, will perceive the process to be culturally inappropriate. The mouth and nasal cavity will also be examined and so too will the tongue, to determine their level of moisture (Wedro, 2015) Normal bodily functions for a healthy adult include: a heart rate of between 60-100bpm (Pulse Vital, 2017); blood pressure levels at 120/80mmHg (Mayo, 2017); body temperature of 36.5 to 37.2 degrees Celsius (WebMD, 2016) Conclusion Treatment interventions for cholecystitis depend on the condition's severity as well as the absence or presence of complications. For cases where there are no complications, the patient can be treated at the ER and discharged on the same day while in complicated cases; the patient may require undergoing surgical procedure to correct the anomaly. For unstable patients, it may be appropriate to use percutaneous drainage transhepatic cholecystostomy. Infection is managed by administering antibiotics. A definitive therapy will include drainage device placement or cholecystectomy, hence, it will be necessary to consult a surgeon. In addition, a gastroenterologist will need to be consulted in the need arises for an endoscopic retrograde cholangiopancreatography (ERCP) in the case of choledocholithiasis (Bloom, 2016). Severe dehydration requires for the patient to be admitted in the hospital where isotonic saline will be administered as well as monitor for hyponametric and hypernametric states. The patient was vomiting and hence he will not b able to tolerate oral rehydration therapy which means that admission to the hospital will be necessary for intravenous fluid or nasogastric therapy (Schols, De Groot, Van Der Cammen,2009). The 12 year old daughter will need to be assisted to get back home by either calling for any one of her relatives to come and pick her up. In case there is no close relative, the social service department at the hospital will be tasked with her placement until such time when her father will be discharged from the hospital. References Bloom, A(2016). CholecystitisTreatment Management. (Retrieved on 1st May, 2017). https://emedicine.medscape.com/article/171886-treatment Chandra, R (2016). Right-upper quadrant abdominal pain. (Retrieved on 1st May, 2017). from Clinical Advisor. https://www.clinicaladvisor.com/hospital-medicine/right-upper-quadrant-abdominal-pain/article/601167/ Cleveland Clinic (2014). Gallstones. (Retrieved on 1st May, 2017). https://my.clevelandclinic.org/health/articles/gallstones Healthline, (2015). What is chronic cholecystitis? (Retrieved on 1st May, 2017). https://www.healthline.com/health/chronic-cholecystitis#overview1 Mayo Clinic (2017). High Blood Pressure (hypertension). (Retrieved on 1st May, 2017). https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/blood-pressure/art-20050982 MedicineNet (2016). Gall Bladder Pain. (Retrieved on 1st May, 2017). https://www.medicinenet.com/gallbladder_pain_gall_bladder_pain/page4.htm Modric, J. (2013). Dehydration Symptoms and Signs. (Retrieved on 1st May, 2017). https://www.ehealthstar.com/dehydration/symptoms-and-signs NHS (2015) Acute cholecystitis. (Retrieved on 1st May 2017). https://www.nhs.uk/conditions/Cholecystitis-acute/Pages/Introduction.aspx#Symptoms Patient (2016). Shoulder Pain. (Retrieved on 1st May, 2017). https://patient.info/doctor/shoulder-pain-pro Pulse Vital (2017). Adult: Heart rate 126 or resting heart rate 126 - good or bad? Adult: Heart rate 126 or resting heart rate 126 - good or bad? (Retrieved on 1st May, 2017). https://pulsevital.com/heartrate/126/adult/ Schols, J. M., De Groot, C. P., Van Der Cammen, T. J., Olde Rikkert, M. G. (2009). Preventing and treating dehydration in the elderly during periods of illness and warm weather.The journal of nutrition, health aging,13(2), 150-157. WebMd (2016). Body Temperature. (Retrieved on 1st May, 2017). https://www.webmd.com/first-aid/body-temperature#1 Wedro, B (2016). Dehydration. (Retrieved on 1st May, 2017). https://www.medicinenet.com/dehydration/page5.htm