Writing a literature essay
Thursday, August 27, 2020
Concept of Corporate Strategy-Free-Samples-Myassignmenthelp.com
Questions: 1. Recognize the idea of corporate targets and assess an association with data accessible in the open space. 2. Talk about promoting direction ideas (for example the advertising idea, the selling idea or creation idea). Clarify with models which idea your association follows. 3. What is your association's center advertising methodology? Talk about the qualities and shortcomings of the current promoting methodology and clarify how this system will enable your association to arrive at its corporate goals. Answers: 1.The idea of corporate technique expresses the all around characterized objectives of the organization. This includes the inner systems of the association and the points and goals it has. The majority of the objectives are centered around the time period that the organization has set so as to accomplish the objective. It incorporates the methodologies that ought to be received so as to make progress. The association mulled over in this specific task is the away from of unilever (Care, 2018). Clear scalp and excellence treatment items offers shampoos, conditioners and treatment that sustains the scalp that is the establishment for solid, sound and lovely hair. The organization has acquired an organized corporate system. They are unmistakably expressed and they are plainly referenced in the inward archive of the companys standards. They center around giving the best quality item that keeps up the desires for the clients. They target assembling a practical living ordinary. So as to have an unmistakable vision the organization has received a drawn out procedure of brands that would convey development so as to profit all the partners. They center around advancement of their items (Lockrey, 2015). The organization follows the three showcasing direction ideas. Showcasing idea Item idea Creation idea 2.The organization gives colossal consideration in publicizing the items. This remembers publicizing the items for TV, in papers, in standards and hoardings. This is known as the showcasing idea. Above all the organization focuses in taking criticisms from the client. For instance, the clients are approached to present an input structure on online sites. These activities are rehearsed by the organization. This builds the brand picture of the organization in the market. This empowers the organization to improve their items and set up great notoriety in the market (Lockrey, 2015). The other idea that is rehearsed by the organization is creation idea. The idea uncovers the way that the clients will support items that they can get at moderate rates. The organization keeps up the cost of the items. They further spotlight on the proficiency of the creation. For instance, this is utilized by the organization in two circumstances, right off the bat, when the interest for the items surpasses the expense and besides when the expense of the item is excessively high. The last idea embraced by the organization is the item idea. This idea contains the way that the customers select just for those items that are creative and that have the best quality. The organization keeps up the nature of their items and they deal with development of their items. For instance, the organization has thought of the modified answer for people. They additionally have included nutrium 10 that was the advancement of the organization in the year 2011. It was introduced to the universes biggest skincare authorities at the International Academy of Cosmetic Dermatologys World Congress. This was surely a fruitful advance received by the organization (Kotler, 2015). 3.Core showcasing technique of the association The showcasing technique of the organization can be examined by the PEST examination and te SWOT investigation: Irritation: The political factor for unilever was worldwide and an effective one. There was an annulment of the hair care items utilization charge in the year 2006 which freed all the obstacles from the way from development of the organization. It gave the organization more opportunities to advance the utilization of the items and make value increasingly expandable. The monetary factor in numerous nations has been an advantage for the association. The organization had the option to make gigantic benefit in the spots where the financial condition was very much evolved. It had the option to extend the business in everywhere throughout the world. Clear shampoos intended to catch the dandruff showcase. The organization featured the idea of trust and it wanted to dispatch a progression of trust topic exercises. Celebrated stars embraced the results of the organization. The organization has embraced the most recent innovation for the treatment of dandruff and let the individuals have an unmistakable and slick scalp. The innovative advancement has helped the organization to modify the cleanser as indicated by the scalp of people (Kohli Harich, 2015). SWOT: The quality of the organization is the nature of the items and the assortment of items. The shortcoming is the cost of the items is high. It ought to be to such an extent that everybody can bear the cost of the equivalent. Clear brand concentrates just on hair items. They have the chance to work in some other division like skin treatment. The greatest danger of the organization is the competition it faces. The organization faces intense rivalry in the market (Kanagal, 2015) References Care, P. (2018). Clear. [online] Unilever Australasia. Accessible at: https://www.unilever.com.au/brands/individual consideration/clear.html [Accessed 27 Mar. 2018]. Kanagal, N. B. (2015). Development and item advancement in showcasing strategy.Journal of Management and promoting research,18, 1-25. Kohli, C. S., Harich, K. R. (2015). Making Brand Names: Strategic and International Considerations. InProceedings of the 1996 Multicultural Marketing Conference(pp. 1-2). Springer, Cham. Kotler, P. (2015).Framework for advertising the executives. Pearson Education India. Lockrey, S. (2015). An audit of life cycle based biological promoting system for new item improvement in the authoritative environment.Journal of Cleaner Production,95, 1-15.
Saturday, August 22, 2020
Research Technique Essay
Assume your humanism educator has solicited you to do an investigation from vagrancy. Which explore method (review, perception, analyze, existing sources) OK locate the most helpful? How might you utilize that strategy to finish your task? On the off chance that my human science teacher has solicited me to do an investigation from vagrancy, I will pick the perception look into procedure since I think this strategy is the most valuable to me. In definition, perception implies gathering data through direct support as well as by watching a gathering or network drew in, which implies, this is a strategy which specialists watch cautiously the practices of individuals associated with their speculation. In spite of the fact that there are different kinds of observational research procedures (naturalistic perception, member observationâ⬠¦), every one of them has the two qualities and shortcomings. By and by, I accept member perception is the most appropriate technique for the investigation of vagrancy. Right off the bat, this method permits me to pick up data in my own perspective as Iââ¬â¢m the eyewitness and member also. Besides, by utilizing this technique, the subject practices (vagrants) stay normal, thusly, giving the outcomes high legitimacy and unwavering quality. Thirdly, itââ¬â¢s adaptable as I would myself be able to test the speculations and have the option to reclassify conceivable individual originations. Fourthly, by coordinating including the exploration, my outcomes will contain profoundly point by point, top notch data about the homelessnessââ¬â¢s practices. Be that as it may, this strategy additionally has some weakness. To begin with, itââ¬â¢s likely for me to have a cozy relationship with others which may impact the outcomes. Second, itââ¬â¢s very hard for me to be acknowledged in the gathering (possibly Iââ¬â¢m excessively not the same as them). Third, this procedure requires a lot of ability and duty from the scientists. I should be able to fit-in with the individuals being watched and the capacity to convey normally to them without telling them my motivations. At long last, I need to make sure that I have enough cash, time, assets, aptitudes and backing to experience this examination. More insights concerning my examination. In the wake of having completed 3 significant advances (characterizing the issue, exploring the writing, figuring the theory), Iââ¬â¢ll proceed with the fourth step: gathering and examining information by utilizing the perception method (member perception). Iââ¬â¢ll join the destitute networks, which as a rule accumulate to rest in the parks, under the extensions or in the verandas of the private or open housesâ⬠¦Itââ¬â¢d be simpler for me to take part in the event that I can show them without a doubt that Iââ¬â¢m a genuine vagrant (minimal expenditure, no cell phone, have adequate motivation to get destitute, messy clothesâ⬠¦). The length of my stays will be around a half year to 1 year as this time is long enough for me to have a for the most part see about this issue (notwithstanding, it predominantly rely upon the time which the teacher permits me to with the goal that I can restrain/extend the regions looked into). During the time Iââ¬â¢m destitute, Iââ¬â¢ll attempt to pick up the acknowledgment in the gathering concentrated so as to gather the data required without raising close relations or telling them who I am, which will influence the finish of my investigation. At that point, Iââ¬â¢ll tune in to their tales about the motivation behind why they become destitute (obviously I should have a purpose behind myself), watch their believing, their carrying on in life just as their perspectives about their current conditions. In addition, I likewise need to attempt satisfy my examination by finding the responses for these following inquiries: 1. How could they become destitute? (various individuals will have various answers) 2. Do they feel like the legislature is helping them to decrease vagrancy? 3. How has being destitute influenced them? (troubles in all perspectives) 4. What are the primary driver of individuals getting destitute? 5. What should the legislature do to support the vagrants? 6. The connection between being destitute and having social maladies (HIV, syphilisâ⬠¦) 7. Where do the vagrancy rates have the most noteworthy/least rate? What are the distinctions in these territories? These 5 inquiries are the essential data that I need to discover the appropriate responses by asking straightforwardly through typical discussions, by watching, by listeningâ⬠¦ Besides, I want to finish up some other valuable outcomes in order to have a general review to help for my examination thank to the time Iââ¬â¢m being destitute. My decision will incorporate these information: 1. Patterns in vagrancy as of late. 2. Qualities of people encountering vagrancy 3. Reasons for vagrancy 4. Impact of vagrancy. 5. Destitute strategy activities 6. How better places have diverse pace of vagrancy. Reasons? Arrangements (If I can) 7. Viewpoint for the future (arrangements) At last, Iââ¬â¢ll finish the last advance: building up the end base on the information I need to help or rethink the speculation.
Friday, August 21, 2020
Twelve Angry Men Plot Essay -- essays research papers
Plot: ââ¬Å"Twelve Angry Menâ⬠is an intriguing and energizing jury-room showdown in which a "open and shut case" gets demanding as twelve outsiders fight for answers. The preliminary includes a nineteen-year-old kid, who is suspect of murdering his dad in a late-night fight with a phenomenal blade. His destiny currently lies in the hands of 12 legal hearers, each with his own assurance to explain the case and uncover reality. As the meeting follows through to its logical end, proof becomes investigated, tempers rise, and the jury room ejects in a yelling fight since one such legal hearer finds sensible questions in the two declarations that were esteemed believable enough to convict. In his battle for an absolution, the singled out member of the jury found that the tribute proof was inconsistent, however the auspicious style wherein both the man and the lady claimed to have seen and heard the respondent were by a wide margin deficient. Upon response to his vo te, the questionable members of the jury promptly started scrutinizing the man, not seeing how he might feel that way. All things considered, the resolute hearer held his ground and the votes were: 11 blameworthy, and 1 not liable, yet the choice must be consistent. Character: First there were those that couldn't think less about the result, at that point there was Davis, the relentless hearer who held a firm grasp onto the chance of sensible uncertainty for the situation. He showed his own quality of brain and took a stab at killing any individual biases for the best po...
Tuesday, May 26, 2020
Essay on How the Electronic Media Influences Politics in...
How the Electronic Media Influences Politics in America The electronic media has much influence on politics in America. On the TV, radio, internet, and press, politics are presented in many different ways and with many different views. The media can be used to influence the people in both positive and negative ways. This paper will outline these influences and state examples in a variety of different platforms. The media has created an impressive increase in literacy among people about politics and political issues. Whether you are watching a presidential debate or listening to the radio on a story about political issues, you will hear a variety of words and terms that, without these forms of media, would beâ⬠¦show more contentâ⬠¦Between the presidential election of 1992 and 1996, there was a higher national voting turnout by 9%. This means that the media has positively influenced the voting statistics. One of the negative effects of the medias influence on the people is creating a difficulty to remain nuetral while reporting political news. When an issue is addressed improperly through the media, it creates confusion and an inability to take a certain side on an issue. For instance, if a news reporter were to make negative references on a certain issue, the people watching will be more influenced to take a negative approach to the issue. This can cause much confusion since a different reporter could take a positive approach and turn the peoples decision that way. Yet another negative way that the media has been known to affect the people is by falsely stating the news. It is hard to believe, but in the election of 19, (im sorry, i forgot the names and dates of this election. its the one where Trueman won, but the newspaper says the other guy won. Please forgive me and just do this sentence by yourself) In this case, the press printed a newspaper reporting that Harry Trueman had lost the election, when in fact he had won. This questioned both the integrety of the press and the confidence of its readers. One last negative influence of the media is when the media overplays a certain issue. This can be related to in a very recentShow MoreRelatedThe Media And Mass Communication Essay1713 Words à |à 7 PagesIntroduction The term media is often represented within popular culture in varying degrees. To a great extent, there seems to be a tendency to interchange media and mass communication. In this regard, it is imperative and perhaps prudent to define media holistically before proceeding further. For purposes of coherence, the definition of media will be categorized into two spheres; traditional media and new media. According to the Electronic Frontier Foundation (2009), traditional media can be defined asRead MoreThe Media s Influence On Democracy1317 Words à |à 6 PagesThe Mediaââ¬â¢s Influence on Democracy Media is an extremely popular tool of communication this most of the world use often. Media has many different forms that makes it easy for people to gain access to it. Media can be seen on used on internet site such as twitter and news websites, on television, radio, and newspapers. The public doesnââ¬â¢t have to look very hard to get in contact with some form of media. Media can be a powerful tool because of the involvement it has when many peopleââ¬â¢s lives. ThisRead MoreMedia And Its Impact On Society Essay1678 Words à |à 7 Pagesââ¬Å"Whoever controls the media, controls the mindâ⬠(Morrison). Today, we have become extremely dependent on technology and always wanted to be entertained by the media. The media does do a good job of getting information, whether true or not, out to the people; however, media has negatively affected many aspects of our society. Whether its degrading our value of those certain aspects or harmfully altering our perspectives, media has t aken a toll on our society. Religion and politics has been the most negativelyRead MoreHow the Media has Influenced Peoples Thoughts on homosexuality1410 Words à |à 6 Pageswritten slants of the media is almost impossible for the common American citizens. Americaââ¬â¢s perceptions of the entire demographic has the capability of significant influence due broadcasts of various sorts. The Lesbian, Gay, Bisexual, and Transgender community, or commonly referred to as LBGT, has been a core group fear, scrutiny, and confusion within the reports of varied mediums of exposure since as early as the 1950s. 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Despite the number of deaths among reporters media is still prominent in the country. Mexico s mass media is similar to the United States in most ways. In contrast to the U.S., Mexico s government has control and infl uence on the media thatRead MoreEssay on U.S. Influence on Latin Culture989 Words à |à 4 Pagesaffairs of Latin American politics in the beginning of the twentieth century, and since the advent of a U.S. effort towards the modernization of Latin America, influences aimed at empowering communities and bringing about democratic movements among Latin American countries have been accompanied by various forms of exploitation and cultural decimation (Leonard, 1999). Efforts at modernization of Latin America have been carried out partly in opposition to the influence IberoCatholic culture (of Spain)Read MoreThe Media And Its Impact On Society1430 Words à |à 6 PagesThe significant presence of electronic media has gradually led to a crisis for societyââ¬â¢s problems. Though it seems to go unnoticed by most, the way that we are obtaining our information is a mere means of entertainment thanks to the universalization of media and television. Postman discusses the consequences of living in a technologically advanced age by discussing four aspects of society that are most affected: the news, religion, politics, and education. Society has shifted from wordsRead MoreWhy Government Is Necessary, Political System, And The Dangers Of Direct Democracy906 Words à |à 4 Pagespeople; otherwise it is governed by people. Every American citizen has right and obligation to protect their benefit and rights, and to decide their government how to use their power. I agree with representative democracy in America. In the essay, I will explain why government is necessary, which kind of political system is the best to America, Compare and contrast direct democracy to representative democracy, explain what Teledemocracy is, and the Dangers of Direct Democracy. Anarchy period of theRead More`` Texas Congressman And His Supporters `` By Ron Paul1454 Words à |à 6 Pagessee the debates with political candidates, campaigns, and information. Donations or fundraising are held to boost the campaigns. Twitter and other social media has come to play in the political campaign. ââ¬Å"In the U.S. Congress, 80% of our representatives use social media to engage with constituents. That has never been done before and is changing how politicians respond. We even see some votes in Congress made based on their Facebook feedback.â⬠(The Economic) The Internet is like being there in the
Friday, May 15, 2020
Tracking Myth to Geological Reality - 800 Words
Kevin Krajickââ¬â¢s article ââ¬Å"Tracking Myth to Geological Realityâ⬠was published by American Association for the Advancement of Science in 2005. This article examines how many myths can be linked to geological evidence. Geologists have been investigating how ancient geological phenomenon are able to shed light on the origins of many myths. Scientist have even uncovered evidence that may serve as the inspiration for biblical stories. Many are hoping that understanding these myths and the geological phenomenon they depict will reveal important information about natural disasters like: tsunamis, floods and volcanic eruptions. It is hoped that this information will save human lives in the future. With all of these new discoveries it is important toâ⬠¦show more contentâ⬠¦in Krajick 763). These myths have led scientist to believe that the explosion is reoccurring. The Genesis flood store describes a large scale flood that covers all of the mountains and rids the world of man and his wicked flesh. It has been argued that the rising sea level of the Mediterranean, which followed the last deglaciation covered what is now the Bosporus Strait and flowed into the Black Sea around 7,600 years ago. It is thought that this massive flood served as the inspiration for the great flood described in The Book of Genesis. While this evidence is not conclusive it adds a new perspective on flood stories. Atrahasis is a creation and flood story that is much older but it is now reasonable to wonder if this too was not based on an actual flood. Currently, there is no evidence directly linking the myth to actual flooding. However, it was common for the Tigris and Euphrates rivers to flood during the time of this myths creation. It is hoped that by understanding the patterns of these catastrophic environmental events. That lives can be saved in the future. In the case of the previously undiscovered fault line in Seattle, it is hoped that this information will reduce casualties in the event that the fault line slips again. Brian Atwater a paleoseismologist, of the U.S. Geological Survey in Seattle said, ââ¬Å"Myth can sometimesShow MoreRelatedCommon Knowledge : How Companies Thrive by Sharing What They Know56617 Words à |à 227 Pagesorganization put to use in another part of the organization. Three Myths Pervading the idea of knowledge sharing are three myths. Perhaps myth is the wrong termmaybe they are just assumptions that seem reasonable at first glance, but when acted on send organizations to a dead end. Many of the organizations I studied started with one or more of these assumptions and then had to make corrections to get back on track. The three myths are (1) build it and they will come, (2) technology can replace face-to-faceRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words à |à 656 Pageswars, Morrow not only compares the two conflicts in detail, but also approaches each war and its linkages from a thoroughly global perspective. This combination of rigorous comparison and breadth allows him to repeatedly challenge longestablished myths, provide alternatives to narrowly conceived interpretations, and offer quite an original take on the most extensively covered conflicts in human history and the decades of unprecedented global violence they framed. Morrowââ¬â¢s contribution here, as
Wednesday, May 6, 2020
Essay about Howard Stern - 1891 Words
nbsp;nbsp;nbsp;nbsp;nbsp;How might one explain Howard Stern? Yes, he is a refreshing change from the typical, politically correct figure, and he provides humor and sex for late night audiences who are growing weary of Leno and Letterman. And while Howard Stern, shock jock turned television host, is more on the same wavelength as a Jerry Springer than a late night comic, Stern has always claimed--like Jerry--that his show is just an act. nbsp;nbsp;nbsp;nbsp;nbsp;The idea that Howard Stern could come close--but not too close--to naked women on his television show, might have created the impression that this was just an act after all. He would say things that any other husband could not get away with, and it was okay, because itâ⬠¦show more contentâ⬠¦Although he has achieved remarkable success for an unremarkable act, he is obviously not happy in his personal life. What Stern continues to do is to integrate his radio persona with real life and in some ways, he cannot separate the two. What most people know about Sterns one big mistake had nothing to do with a lesbian bimbo getting too close, but rather his talking about Alisons miscarriage on the air. That is what most know about Howard Stern. His life has been aired in the film Private Parts and he tells the world how he feels every day. While he is flamboyant, and pushes the envelope, one thing is true. Howard Stern is at least consistent. What does this mean ? While Stern on one hand objectifies women on the show, and then talks about his wife lovingly, that is a contradiction. But he maintains that this act is just that and both parts of that personality co-exist. nbsp;nbsp;nbsp;nbsp;nbsp;Many wonder why the show is still on the air as it is somewhat offensive and really does nothing new, even as the years go by. Ratings had in fact dropped for this successful host, but they soon picked up again. Donovan reported that while Sterns Saturday night show had been in the doldrums, the marital breakup had helped ratings (Donovan 226). But one question remains. What will Stern do now that he is on available again? nbsp;nbsp;nbsp;nbsp;nbsp;That is not an easy one to answer.Show MoreRelated Howard Stern Essay1359 Words à |à 6 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Howard Stern has been labeled as many things, such as offensive, obnoxious, discussing and by the majority of his listeners a genius. He grew up in a suburb of Manhattan in the early sixties. His father, Ben Stern, worked at radio station WHOM where the was the engineer. His father commuted every day about 40 miles to and from work. Howard would spend little time with his father but on occasion he would get to go to work with him. This is what interested Howard to beingRead MoreEssay about Censorship In Radio1334 Words à |à 6 Pagesare. If you are tagged by the FCC anything the broadcaster does or says is monitored and picked over and fined.( Howard stern. King Of All Media.165-166 ) The FCC has been picking on Howard Stern for years, they singled Howard for doing ââ¬Å"trash radioâ⬠. But according to Stern other programs are saying or doing the same if not worse things than he is. Stern tells of when Geraldo said (Stern Miss America. 526-530.) in a show about the Mennendez brothers being molested for doing something wrong. ââ¬Å"Hell,Read MoreEssay on Censorship in Television and Radio3028 Words à |à 13 Pages6, decided to focus our attention on censorship in television and on the radio. We showed most of the attention to the Janet Jackson incident in Super Bowl 38 when looking at television, and for radio, focused on the FCC and disc jockeys like Howard Stern. Here are the television articles as done by three of ou r group members. If there is a single most important event that happened in television that caused major ramifications, it would be the Janet Jacksonââ¬â¢s ââ¬Å"wardrobe malfunctionâ⬠during theRead MoreBusiness Proposal For Sirius Satellite Radio Inc Essay1735 Words à |à 7 Pages(Sirius) According to Radio Ink, the largest deal so far was announced on October 6, 2004 when Sirius announced that it signed a five-year, $100 million agreement with Howard Stern to move his radio show, The Howard Stern Show, to Sirius starting January 9, 2006. This deal gave Sirius exclusive rights to Sternââ¬â¢s radio show but also gave Stern the right to build three full-time programming channels. (Radio Ink) According to Sirius, one cornerstone of their business strategy has been to pursue exclusiveRead MoreSnapple Case Study1025 Words à |à 5 Pagesthat serviced the cold-chain of food services, gas stations and the like. As for the marketing side, Snapple had established a spokesmodel, Wendy Kaufma n, who became the quirky Snapple personality. This lead the brand to sponsor radio programs of Howard Stern and Rush Limbaugh. The Snapple brand became fashionable and unconventional and at the same time natural and real. Snapple became the leading brand of the Alternative beverage category. In 1992, the founders sold control of Snapple to Thomas HRead More Satellite Radio and Howard Stern Essay1070 Words à |à 5 Pages Satellite Radio: Will Howard Sterns move make us change the way we think about radio? Howard Sterns plan to move to satellite radio in January 2006 marks a major turning point for the radio industry. Not only has Stern brought the possibility of subscribing to satellite radio into the minds of the millions in his audience, he has also gotten more people to start thinking and talking about what really distinguishes satellite radio from traditional radio. Satellite radio was first authorizedRead MoreMy Thoughts On The Girl Front Of A Mirror1875 Words à |à 8 PagesThe Howard Stern Show, and theyââ¬â¢re gonna give me test shots, and tell what they think, and recommend me to Playboy! My mind suddenly felt dry and the room grew very small. The words stung the air like tiny sparks. Letter. Howard Stern. Playboy. I tried as hard as I could to understand what it was that she was saying, but my mind couldn t even begin to process it. Then luckily the feminist in me broke free from my mind s temporary stupor. Are you out of you ever loving mind! Howard Stern, youââ¬â¢reRead MoreI Am An Avid Howard Stern Watcher / Listener And Robin Quivers1388 Words à |à 6 Pagesexperience any of the emotional breakdown the book described for days 5-7. Which incidentally I read the book completely. Way to many testamonials in there. I wanted to try this diet because everything else I have tried has failed and I am an avid Howard Stern watcher/listener and Robin Quivers kept bragging about it. I had numerous questions and emailed Dr. Roni and group countless times each time their answers were very vague and not helpful to which I finally said I realize I am not a famous personRead MoreRogerian Argument1389 Words à |à 6 Pagesdrafted straight out of high school. Lebron James, Kobe Bryant, and Dwight Howard are just a few examples. Even though, as of 2006, the NBA eligibility rule states that a player entering the NBA draft must be at least nineteen years old and a year removed from high school, it is still a huge debate in the sports world of whether or not this rule is the right choice. Before the rule was set in place, NBA commissioner David Stern said, ââ¬Å"We have the right to set an age limit in the collective bargainingRead MoreSnapple Case Study1175 Words à |à 5 Pageseasily recognizable to many people: ââ¬Å"Schnappleâ⬠, by Ivan Lendl. When the brand began using Wendy Kaufman, a real person living a real life, as their spokes model the wildfire began nationwide. She made appearances on David Letterman and Oprah, and Howard Stern and Rush Limbaugh became avid supporters of the beverage brand. Place: This aspect of the Four Pââ¬â¢s was particularly important in the Snapple case. The proximity to New York City proved beneficial in the marketing business aspect. Access to a
Tuesday, May 5, 2020
Impact of Chronic Venous Leg Ulcers
Question: Discuss about the Impact of Chronic Venous Leg Ulcers. Answer: Introduction: In the given case study, Mr. Bill Best stays alone as he is divorced and has two adult children who comes to see him once a month over dinner. As he stays alone and comes late from work, he is reluctant to cook at times and consume fast foods. As a result, he has put on weight resulting in a body mass of 120 kgs. He is leading a sedentary lifestyle as there is lack of physical exercise and extended periods of standing as his occupation demands. He smokes 20 cigarettes per day and has a past history of varicose veins. Six months ago, he bumped into equipment while moving things and that resulted in a small wound. Until recently, it has started to ooze pus with unpleasant odor, swelling and no healing. Despite of dressing, there is no healing and the condition has not improved. The leg ulcers are mostly caused by venous insufficiency. The initial assessment of the patient covers the medical history related to deep vein thrombosis or varicose vein treatment and the various physical and psychosocial factors. The various factors like nutrition, physical parameters and psychosocial factors associated with the physical health. The factors like stress, infection, age, nutrition, smoking and obesity affects the wound healing in the patient (ODonnell et al., 2014). Bill Best physical factors like age, overweight condition, intake of fast foods, smoking and malnutrition affects the wound healing. He smokes 20 cigarettes a day, obese due to intake of fast foods, sedentary lifestyle, and old age greatly affects the wound healing process. The healing capacity is determined by the age-related changes in terms of platelet aggregation, delayed infiltration of macrophages, delay in angiogenesis and collagen deposition (Ashby et al., 2014). There is increase in pressure ven ous ulcers in obese patients, influenced by hypovascularity. The friction that is caused due to skin to kin contact in ulceration predisposes obese people to impaired wound healing (Nherera et al., 2016). There is delay in wound healing due to smoking as there is increase in complications such as wound rupture, infection, wound necrosis, leakage and decrease in wounds tensile strength. The carbon dioxide, nicotine and hydrogen cyanide that is emitted by smoke affects the wound healing process. Most importantly, nutrition is an important factor that greatly affects the wound healing process. The carbohydrate, energy, protein, vitamin, fat and mineral metabolism overall affects the healing process in terms of energy supply, capillary formation, collage synthesis and being the building blocks for tissue repair and wound healing (Norman et al., 2016). The psychosocial factors also affect the wound healing process. The conditions like stress, depression and other behavioral factors also affect the healing process. Bill is worried that his ulcer will not heal and he is concerned that he will not be able to work in the future. In addition, he is divorced, stays alone and there is no one to take care of himself. This also contributed to his wound healing as there is no one to take care of himself. Stress and anxiety has direct implication on the wound repair process as it promotes adoption of behaviors that damages health (Ylnen et al., 2014). Wound Assessment The TIME framework is an assessment and practical tool that is used to assess and manage patients with the wounds. It is a way to treat the whole patient and not just the wound. The TIME framework stands for Tissue Management, Infection and Inflammation control, Moisture imbalance and Wound edge advancement. It greatly identifies the barriers to wound healing and implement a plan of care to remove the barriers and promote efficient wound healing (Dolibog et al., 2014). The tissue characteristics play an important role in the wound healing process. When the tissue is deficient or non-viable, the wound healing is delayed. It also focuses on infection, necrosis, slough and eschar also describes non-viable tissue (Green et al., 2014). In venous leg ulcers, the hypertension in the venous leg ulcer causes red blood cells leakage from the capillaries and its breakdown causes hyper pigmentation like tissue staining. There is yellow slough which is an adherent fibrous material from fibrin, proteins and fibrinogen, red granulation tissue and black necrotic tissue. There is moist, slough- yellow, fibrinous and loose tissue that is approximately 10%. Moreover, there is necrotic tissue that is thick, black and dead cells that are dehydrated approximately 50%. There is 40% granulated tissue that is healthy tissue, red in color indicating adequate flow of blood (Ousey, Rogers Rippon, 2016). Infection or Inflammation Control The presence of infection in the wound causes pain and great discomfort for the patient. There is a presence of bacterial infection due to critical colonization to infection. The emphasis is given on bacterial burden, although host resistance plays an important role in fighting bacterial infection (Greatrex?White Moxey, 2015). The behavioral factors like smoking and poor nutrition determine the hosts resistance to wound healing. In the given case study, Bills wound has no signs of bacterial contamination or infection, though, there is minimal serous exudate. There is no biofilm formation and no rolling of the wound edges. There is no presence of redness or swelling in the surrounding skin. The assessment of the pain, odor and pyrexia needs to be assessed. The condition of the surrounding skin plays an important role in venous leg ulcers. The vulnerable skin is an important measure in assessing the condition of the surrounding skin as it can react with the excess exudate and cause ex coriation, maceration irritant dermatitis. The creation of moisture balance is an important parameter in the wound healing process. The exudate is produced in response of the body to tissue damage and the exudate amount produced greatly depends on the tissues pressure gradient. A normal wound healing would produce moisture to promote proliferation of cells and devitalized tissue removal. Over hydration or moisture imbalance may result in drying out of the wound or causes maceration. The exudate production is increased when there is dilation of blood vessels during the wound healing cycle. As there is minimal exudate in the wound, it will facilitate migration of cells and promotion of wound healing process (Powers et al., 2016). The migration of the epidermal margins of the wound across the bed of the wound, consideration is required for the review of the T, I, M phases. The epithelialization is the final stage of wound healing that involves division of the cells, migration and epidermal cells maturation from the margins of the wound across the open wound. The epidermis of the skin that surrounds the venous leg ulcers that is thicker than the normal skin that is highly keratinized. When the thickened, proliferative tissue is not removed from the wound, there is no epithelialization of the wound (Fletcher CertEd, 2017). The surrounding skin is intact and healthy after the assessment of Bests wound. The edges of the wound is not rolled or raised which promotes wound healing in Bill. The potential issue that is related to the wound is the delay in the healing process is the pressure ulcers that mediate shear tearing or friction of the tissue surrounding the wound that causes obstruction of the blood. The type of wound is the venous leg ulcer or varicose ulcers as the wound is due to improper functioning of the venous valves in the leg called the leg ulcers. According to Royal District Nursing Service (RDNS), the nursing expertise is recognized by wound management. The nursing interventions include type of dressings that reflects the long term promotion of health strategies by focusing on the nutrition of the patient. The trained nurses should assess the pain management with efficient decision making in the management of the wound and promote healing. The effective leg ulcer management also includes clinical expertise that greatly requires proper education and training of the nurses in wound management (Sandy-Hodgetts et al., 2016). Section three: Management plan elements Wound product 1. Type of product 2. Mode of action 3. Rationale Sorbsan 1. Calcium salt of alginic acid, used as loose rope packaging 2. Absorbing action to remove exudates in the wound Iodosorb 1. Iodine products, cadexomer dressing 2. Broad spectrum antimicrobial action Desloughing action Biatain 1. conformable polyurethane foam dressing 2. absorption action Provides extra adhesion for extra fragile skin Mesorb 1. absorbent dressing 2. absorbs large amounts of exudate It prevents contamination of wound from external environment and serves as a secondary absorbent Aquacel Ag 1. silver impregnated dressing 2. antimicrobial in nature Cover acute wounds from antimicrobial infection In patient-centered approach, Bills physical and psychosocial elements to be addressed. For the ulcer healing, Bills nutritional needs in terms of calorie intake, interventions to weight loss and control of smoking would promote fast recovery and healing of the wound (Gillespie et al., 2015). Moreover, the venous leg ulcers deteriorate the quality of life in the patient, so proper support is required for Bill that promotes normal wound healing in him. As Bill is alone, he should be provided with proper care and support that would help in the proper healing of the wound. His psychosocial needs should also be assessed as he is stressed and anxious about his leg and is worried about his future ability to go to work. As Bill is alone, he needs additional support from the general practitioner and the nutritionist in order to reduce his weight and look into his diet so that he does not intake fast foods. He should be provided with a caregiver who would take care of him and assess his wound healing process also. He should be under the supervision of a general practitioner who would assess his healing process from time to time. Proper administration of dressing, proper medication and diet, treatment for associated symptoms is also required for Bill (Whitlock et al., 2014). References Ashby, R. L., Gabe, R., Ali, S., Adderley, U., Bland, J. M., Cullum, N. A., ... Stubbs, N. C. (2014). Clinical and cost-effectiveness of compression hosiery versus compression bandages in treatment of venous leg ulcers (Venous leg Ulcer Study IV, VenUS IV): a randomised controlled trial.The Lancet,383(9920), 871-879. Dolibog, P., Franek, A., Taradaj, J., Dolibog, P., Blaszczak, E., Polak, A., ... Kolanko, M. (2014). A comparative clinical study on five types of compression therapy in patients with venous leg ulcers.Int J Med Sci,11(1), 34-43. Fletcher, J., CertEd, P. G. (2017). Best Practice-Choosing an appropriate antibacterial dressing.Caring,6, 00. Gillespie, B. M., Kang, E., Roberts, S., Lin, F., Morley, N., Finigan, T., ... Chaboyer, W. (2015). Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review.Journal of multidisciplinary healthcare,8, 473. Greatrex?White, S., Moxey, H. (2015). Wound assessment tools and nurses' needs: an evaluation study.International wound journal,12(3), 293-301. Green, J., Jester, R., McKinley, R., Pooler, A. (2014). The impact of chronic venous leg ulcers: a systematic review.Journal of wound care,23(12), 601-612. Nherera, L. M., Woodmansey, E., Trueman, P., Gibbons, G. W. (2016). Estimating the Clinical Outcomes and Cost Differences Between Standard Care With and Without Cadexomer Iodine in the Management of Chronic Venous Leg Ulcers Using a Markov Model.OSTOMY WOUND MANAGEMENT,62(6), 26-40. Norman, G., Westby, M. J., Stubbs, N., Dumville, J. C., Cullum, N. (2016). A'test and treat'strategy for elevated wound protease activity for healing in venous leg ulcers.The Cochrane Library. ODonnell, T. F., Passman, M. A., Marston, W. A., Ennis, W. J., Dalsing, M., Kistner, R. L., ... Stoughton, J. (2014). Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum.J Vasc Surg,60(2 Suppl), 3S-59S. Ousey, K., Rogers, A. A., Rippon, M. (2016). Hydro-responsive wound dressings simplify TIME wound management framework.British Journal of Community Nursing. Powers, J. G., Higham, C., Broussard, K., Phillips, T. J. (2016). Wound healing and treating wounds: Chronic wound care and management.Journal of the American Academy of Dermatology,74(4), 607-625. Sandy-Hodgetts, K., Leslie, G. D., Lewin, G., Hendrie, D., Carville, K. (2016). Surgical wound dehiscence in an Australian community nursing service: time and cost to healing.Journal of Wound Care,25(7), 377-383. Whitlock, E., Morcom, J., Spurling, G., Janamian, T., Ryan, S. (2014). Wound care costs in general practice: a cross-sectional study.Australian family physician,43(3), 143. Ylnen, M., Stolt, M., Leino?Kilpi, H., Suhonen, R. (2014). Nurses' knowledge about venous leg ulcer care: a literature review.International nursing review,61(2), 194-202.
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