Sunday, July 21, 2019

Contact Lens Case Study Analysis

Contact Lens Case Study Analysis Contact lenses Contact lenses are a suitable substitute for correcting vision in a number of scenarios. There are hundreds of different contact lens types out there in today’s market with the figure growing extensively every year. With the advancement of research and technology, manufactures are always attempting to better their own product lines to suit a variety of needs a person may have, whilst also attempting to 1-up their competitors. The patient we are attempting to fit with lenses has never worn them before so as far as options go, we are open to explore different lens types and materials amounting to 100s of different combinations. She is a nurse who works long shifts in a hospital and desires fulltime CL wear of up to 12 hours a day, 7 days a week. To do this, we must assess each aspect of the test and result and cater lens choice to match intended wear time and to also correct her vision for both distance and near. The prescription that we have been presented with is a high myopic prescription so we need to compensate for the change in distance as the contact lens will sit on the cornea and not 12mm away. The compensated contact lens prescription equates to: Soft lenses come in many forms and for this patient, a silicone hydrogel (SiH) lens material would be the one to choose due to its high oxygen transmission (Dk/T) levels, much higher than hydrogel, like the SiH AirOptix Aqua, [Dk 138, 33% water, 8.6 base curve, 14.mm diameter, (AIR OPTIX ® AQUA Contact Lens, no date)] lens vs. the Frequency 55, [Dk 21, 55% water, (Frequency 55 aspheric | CooperVision UK, no date)] hydrogel lens. The Dk/T should be at a level where enough oxygen is passing through to the cornea, avoiding hypoxic conditions and preventing neovascularisation and oedema of the cornea which can lead to permanent corneal damage. SiH lenses however are not as comfortable as regular hydrogel materials due to the rubbery nature of the lens, and also the lenses hold less moisture compared to regular hydrogel. Silicone is not a wettable material so corneal hydration is an issue. (Sweeney, 2004, pp. 3 – 3). Manufacturers combat this by incorporating technology into the lens such as AquaGen found in Clarity 1 day toric [Dk 57, Water 56%, 8.6mm base curve, 14.3mm diameter (SAUFLON, no date)] .This allows the lens to stay hydrated and increase overall comfort wear-time, something extremely important for this nurse. Soft lenses drape over the cornea and range between 13.8mm-14.5mm sizes in order to cater for the patient’s measurements. A well fitted soft lens will ensure that the lens has corneal coverage in all directions of gaze. The lens should have movement of at least 1/4mm when blinking, not more because of the variable vision it will cause, or less as it will cause discomfort and should also allow adequate exchange of tears behind the lens to allow debris removal (Gasson and Morris, 2010, pp. 227-227). Rigid gas permeable (RGP) lenses are much more complex to fit than soft lenses They are tailor made to the patient’s prescription and measurements such as horizontal iris diameter (HVID) and pupil size. RGPs are smaller than soft lenses and smaller in diameter than the cornea itself, with diameters ranging from 8mm to 11mm. RGPs float on the tear film and can create a lens made out of tears. (Gasson and Morris, 2010, pp. 137 – 139) Practitioners need to take this tear lens into account as it can negate the need for toric lenses or require prescription adjustments through over-refraction (Gasson and Morris, 2010, pp. 137 – 139). RGPs offer superior clarity than their softer counterparts and are much more durable and longer lasting, however are mostly overlooked in modern times (outside of therapeutics) due to the patient’s impatience of adapting to the initial uncomfortable fitting. RGPs are also easier to lose as they can pop out of the eye much easier and are more difficult to completely cleanse, something important for this nurse considering her working environment. Assessing her slit-lamp examination results such as her tear break up time (TBUT) and tear prism, I would be looking at a lens that plentiful hydration to the cornea. This is because her TBUT of less than 10 seconds at 7 seconds and her tear prism of 0.2 mm indicate that she suffers from dry eyes (Dryeyesmedical, no date). Having dry eyes and not addressing the issue will result in significantly reduced wear time due to great increase in discomfort. High water content lenses; whilst more comfortable than most other lenses at first, deteriorate in comfort as the day progresses due to evaporation (Efron, 2012, pp. 87 – 87). These lenses then proceed to draw water from the next available source being the tear film through osmosis will cause discomfort for this nurse as she does suffer from dry eyes, reducing wear time considerably. Her TBUT and tear prism will influence the lens choice as she does intend full time lens wear, such as a SiH lens like the Acuvue Oasys toric lens [Dk 147, Water 38%, 8.4mm base curve, 14.3mm diameter, (JJvisioncare, no date)] or a RGP lens. The astigmatism present in her prescription will necessitate toric lenses which allow practitioners to correct astigmatism. Most popular toric lenses available on the market such as the Biofinity toric lens corrects astigmatism only up to a maximum of -2.25DC and the axis is only correctable to the nearest 10 ° meaning that contact lens practitioners must sometimes compromise the vision slightly when the prescription is unavailable in exact power and axis specifications such as this nurse (Ruben and editor., 1978, pp. 212 – 213), where an axis of 180 ° would need to be given for both lenses. An ideal lens for this nurse such as the Clarity 1day toric employs prism ballast which places 1-1.5Δ of base down prism at the base of the lens for stability. Stability of the lens reduces lens rotation and ensures toric lenses stay on axis. This does increase lens thickness and causes a reduction of Dk/T at the base of the lens, increasing risk of hypoxia at the zone (Efron, 2012, pp. 221 – 221). Acuvue Oasys toric lenses employ peri ballast aka accelerated stabilisation designs which have 4 stability zones. This design is claimed to provide more rapid settling on the cornea; within 1 minute, and achieve correct orientation within 5 ° of the anticipated position in 90% of cases (Gasson and Morris, 2010, pp. 266 – 266) Prism Peri ballast designs (Methods of Stabilisation | Optometry by Catherine Care, no date) RGP lenses would be a serious candidate due to her corneal astigmatism (K) readings gained from the keratometer. Her measurements gained were: RE: [emailprotected] [emailprotected] LE: [emailprotected] [emailprotected] Every 0.05 of difference between the 2 readings gained by each eye corresponds to 0.25DC, so comparing her corneal astigmatism to prescription, we can deduce that the difference equates to -0.75DC in her right eye and -1.25DC in her left eye. This means that when the lens is fitted on the flattest K, the difference between the K readings will create a negative powered tear lens that will correct the astigmatism completely in both eyes for his nurse, negating the need for toric lenses (Gasson and Morris, 2010, pp. 137 – 139). Multifocal contact lenses are an excellent way to correct presbyopia and exist both in soft and hard lens designs. Simultaneous designs such as concentric ring multifocals (MF) are fairly common such as the Oasys for presbyopia lens, [Dk 147, Water 38%, 8.4mm base curve, 14.3mm diameter, (JJvisioncare, no date)] which provides both distance and near vision in one lens. They do this based on pupil size and often are split up between centre distance (CD) lenses for the dominant eye in most cases and centre near (CN) lenses for the other eye. Depending on the level of illumination, a certain working distance will be favoured over the other as the concentric rings are positioned at intervals which the pupil size will coincide with. This MF design does increase the amount of glare experienced by the patient due to the rings and can also decrease contrast sensitivity due to superimposed retinal image sizes if CD and CN are given (Gasson and Morris, 2010, pp. 277 – 282). I would not recommend a MF soft lens for this patient as it will not correct her astigmatism. Daily MF toric lenses do not currently exist, however monthly soft MF toric lenses do exist with one lens type being the Proclear multifocal, a hydrogel lens with low Dk and high water content [Dk 42, 62% water content, (Coopervision, no date)] something definitely less than ideal for our patient’s desired wear schedule. Bifocal RGP lenses exist providing excellent distance and near vision and use the lenses movement on the cornea. The lens moves up as the eye rotates down, bringing the segment into the pupil’s path and allowing the patient to read. As the eye rotates back up, the lens moves down and the segment moves out of the pupils path and distance vision is restored. (Gasson and Morris, 2010, pp. 277 – 282) RGP bifocals such as the Boston Multivison lens would be an excellent choice for this patient if she were to adapt to them due to correcting astigmatism through the tear lens, allowing her to see distance and reading in one package and allowing plenty of oxygen to pass through the lens. Another successful form of CL correction for presbyopia is monovision (MV), in which one eye is optimally corrected for distance acuity and the other is corrected for near vision (Weissman, 2006, pp. 20 – 20). MV does not compromise lens fitting options and is a highly versatile option and is the least complicated method of dealing with. The distance prescription would be worn in the dominant eye and the reading prescription would be worn in the non-dominant eye, with the brain suppressing images from one eye depending on the working distance. The issue with MV however is that stereopsis is lost as binocular vision is not being utilised. This can be an issue for this nurse if she is required to carry out tasks that require accurate judgement of depth like administering an injection to a patient or driving. If the concept is thoroughly explained initially, there is a much higher chance of acceptance of MV and seeing that she hasn’t worn CLs before, she is very likely to adapt. (Gasson and Morris, 2010, pp. 277 – 282) The other alternative to this would be just to correct her distance prescription with contact lenses and to give her a separate pair of +1.75DS reading spectacles which although a viable solution, can be inconvenient for her and defeats the purpose of replacing glasses with full time CL wear. Some special advice for this patient would include managing her grade 1 blepharitis, which in its current state will not impact lens choice or length of wear if managed correctly. I would advise her to apply hot compresses to her lids and recommend a gel like Blephagel in order to accelerate debris clearance. I would advise her against using baby shampoo which is a surfactant, as it will break lipids in her tear film and will further detriment her dry eyes. I would advise her to administer artificial tears into her eyes which are CL compatible in order to maintain extended comfort all day. I would advise her to thoroughly clean her lenses daily if choosing a non daily lens by rubbing and rinsing in preservative free multipurpose solution, or alternatively recommend peroxide solution and let the lenses fully be cleansed without the need to rub and rinse. My overall recommendation after all things considered would be to fit this patient with the soft bi-monthly Acuvue Oasys toric lens with HydraClear technology to permanently lock a high volume of wetting agent inside the contact lens (JJvisioncare, no date). I would utilise monovision with distance dominance to correct for presbyopia, thoroughly explaining to her the mechanics of monovision and what to expect, as not to be overwhelmed by loss of stereopsis and to increase the overall likelihood of acceptance. I’d also tell her to take precaution if driving. My reasoning for this is heavily based off her wearing schedule in tandem with her dry eyes and her working environment. In order to achieve the wear schedule that she desires, it is extremely important that the lens has a high Dk/T lens in order to prevent hypoxic conditions and a high wettability in order to maintain corneal hydration, minimising discomfort and thus allowing said wear schedule taking into account her dry eyes. She is a nurse so automatically this puts her at a higher risk of infection, hence a lens more frequently replaced would be ideal to prevent deposit build up from affecting her too much and overall decrease the risk of infection. I would recommend her the peroxide solution to further clean the lenses and to decrease the risk of infection and to apply artificial tears for extra comfort. 2199 words Bibliography AIR OPTIX ® AQUA Contact Lens(no date) Available at: http://www.airoptix.com/contact-lenses/aqua.shtml (Accessed: 28 April 2015) CooperVision (no date)Proclear multifocal toric. Available at: http://coopervision.com/practitioner/our-products/proclear-family/proclear-multifocal-toric (Accessed: 25 April 2015) Efron, N. (2012) Contact lens complications. Third edn. Edinburgh: Saunders (W.B.) Co Frequency 55 aspheric | CooperVision UK(no date) Available at: http://coopervision.co.uk/contact-lenses/frequency-55-aspheric (Accessed: 28 April 2015) Gasson, A. and Morris, J. (2010) The contact lens manual: a practical guide to fitting. Edinburgh: Elsevier Health Sciences JJvisioncare (no date)ACUVUE ® OASYS ® for ASTIGMATISM. Available at: https://www.jnjvisioncare.co.uk/contact-lenses/all-acuvue-brand-contact-lenses/toric/acuvue-oasys-for-astigmatism (Accessed: 25 April 2015) JJvisioncare (no date)ACUVUE ® OASYS ® for PRESBYOPIA | Johnson and Johnson Vision Care. Available at: https://www.jnjvisioncare.co.uk/contact-lenses/all-acuvue-brand-contact-lenses/multifocal/acuvue-oasys-for-presbyopia (Accessed: 25 April 2015) MEDICAL, D. E. (no date) Diagnostic tests. Available at: http://www.dryeyesmedical.com/diagnosis/diagnostic-tests.html (Accessed: 25 April 2015) Methods of Stabilisation | Optometry by Catherine Care (no date) Available at: http://optometry.catherinecaregroup.com/method-of-stabilisation/ (Accessed: 29 April 2015) Ruben, M. and editor. (1978) Soft contact lenses: clinical and applied technology. New York: John Wiley SAUFLON (no date)Clariti ® 1day toric. Available at: http://www.sauflon.co.uk/eye-care-professionals/products/clariti-1day-toric (Accessed: 25 April 2015) Sweeney, D. F. (2004) Silicone hydrogels: continuous-wear contact lenses. Oxford: Butterworth-Heinemann Weissman, B. A. (2006) OPTOMETRIC CLINICAL PRACTICE GUIDELINE CARE OF THE CONTACT LENS PATIENT. 2nd edn. St. Louis, MO: American Optometric Association

Saturday, July 20, 2019

Great Literature - Some Things Never Change :: Literature Essays Literary Criticism

Great Literature - Some Things Never Change Great literature is a book or piece of literature that passes through the ages and allows the reader to identify with the characters. Another element that makes great literature are morals that fit with each passing generation. The last element of great literature is heroism. An example of literature that passes through the ages is Catcher in the Rye by J. D. Salinger. By not attaching current stereotypes and standards to characters, Holden Caulfield is a timeless character. Each generation that has read the book has been able to identify with his antics. Lashing out at his teachers and assuming sundry identities to fit in is a common thing among adolescents. Writing about problems that regular people encounter is another way literature goes from one generation to the next. The Adventures of Huckleberry Finn by Mark Twain is a boy's struggle against society's standards. Most young men rebel against society and any form of authority. Running away from home and problems is a thought most adolescents consider. Morals that pass from one generation to another are important in literature. A literary example is The Scarlet Letter by Hawthorne. Most of the morals contained in the book are religious. Being faithful to a spouse has always been an important moral, especially in Puritan New England where adultery was considered as heinous as murder. Even thought adulterous spouses aren't looked down upon now as severely as in Puritan New England, it is one thing that is still taught consistently in church and in the home as being bad. Another literary example is The Odyssey by Homer. More heroic and hardworking morals are presented in the epic poem. Work hard and you will obtain what you want or desire and good will always triumph over evil are the main morals in the epic poem. The last element that makes great literature is heroism. Although the character may be fighting ancient gods, demons, monsters, or his or her own destiny, a reader is able to scale down the size of the fight and apply it to his or her life.

Housing Meaning Essays -- Literary Analysis, Howards End, Forrester

In Howards End by E.M. Forester, the house Howards End has central meaning to the story as each character has a different meaning for the property. To understand this meaning better using the other homes in the story to describe how each house is different from Howards End. Using such places as Wickham Place compared to Howards End in feeling from what the characters think of them. Then understanding how different the Flats are to Howards End though both are homes. Also why places such as Ducie Street and Oniton Grange are still different from Howards End though all three are of the same social standing of each other. Then how places such as Leonard’s Place are on the opposite side of the poll to that of Howards End but still have meaning to it. Then explain how Forster can express Howards End so well that it seems he himself has lived there. At the end of evaluating the other homes and Howards End the evidence will show that Howards End being in the middle of it all is import ant to the development of the story. With comparing the character’s feelings to that of Wickham Place to Howards End aspects such as emotional attachment, events that occurred there and the class each place carries with it. With emotion in play Wickham Place hold a dear meaning to those of the Schlegal family for many reasons. As stated in the beginnings of the book the Schlegal’s see Wickham Place as the Wilcox see Howards End as and ancestral home. Although as Margaret thought about the Wilcox’s in that, â€Å"The Wilcoxes continued to play a considerable part in her †¦ when it takes all sorts to make a world?†(Forester 12). This to Margaret is what the Wilcoxes stand for – the "grit" and practicality of the real world. While the Schlegels live in their equall... ...t from Howards End by using their importance to branch from Howards End. Using such places as Wickham Place to Howards End in feeling from what the characters think of each other. Then understanding how different the Flats are to Howards End though both are homes the Wilcoxes live in. Also why places such as Ducie Street and Oniton Grange are still different from Howards End though all three are of the same social standing of each other. Then how places such as Leonard’s Place are on the opposite side of the poll to that of Howards End but still have meaning to it. Then explaining how Forster can express Howards End so well that it seems he himself has lived there. At the end of evaluating the other homes and Howards End the along side the Forster explanation it is clear that Howards End is the core to which all the other homes branch from and make the story flow.

Friday, July 19, 2019

custer :: essays research papers

The controversy of General Custer and the actions that culminated his fate and almost three hundred men under his command has long been discussed and debated by many historians as well as important military officials all trying to conclude what happened at the Battle of Little Bighorn. There have been countless myths and legends of what occurred on that fateful day in American history, but there has yet to be a solid right answer. This answer is difficult to conclude for one reason, there were no survivors of the battle from Custer’s troops. This led to the many different sides of story that were mostly fabricated by newspapers and authors to sell their papers and books, without much care towards the accuracy of the battle and it events. The book, Custer and The Great Controversy try’s to put into context the developing situations prior to and after the battle to get to the roots of these legends and myths to try and make sense of them. The author’s goal is not to come to a conclusion and a theory of his own, but to disregard the myths and legends of the past and in doing so shed some light on the controversy for people who may have thought otherwise. The author achieves this goal in a unique way by writing chronologically but at the same time writes about the major events of the developing controversy, sometimes overlapping in years but making smooth connections between similar the events. First, the author starts out by giving a background of The Battle of Little Bighorn. Describing the main characters of the battle and the events leading up to the battle and then finally the battle itself in a broad context. Doing this gives the reader a foundation of what lies ahead in the book. Secondly, the author describes the role of the press and its impact after the battle has concluded. The press can be looked upon as the main reason for the overwhelming myths and legends that followed due to their unwillingness to find the facts and their motivation to sell their papers. Thirdly, the author attends to the great debate that followed the battle a few years later, that was fueled by these myths and arose during this hostile time. The debate was between the critics who thought that Custer led his men into suicide by disobeying orders and selfishly seeking the individual pride and glory that followed him throughout his military career up until his death at The Battle of Little Bighorn.

Thursday, July 18, 2019

Music Has Lost Its Meaning

Back in the day a performance qualified as someone walking on stage and bearing their soul. It was about the music, and it was about the talent. Now an artist qualifies as someone who is so bizarre, so outgoing, so appealing they can sell anything. Lately the music industry has been lacking in real talent. Many artists are truly talented, that goes without saying. But this talent tends to be hidden because of the glamour and popularity of their appearance. The reason why certain artistes are so widely popular despite their lack of talent is because they appeal to the masses.Lady Gaga is someone who has entered the world of pop culture and has taken it by storm. Behind all the crazy makeup and fashion choices, Gaga has raw talent. She can actually sing, and her songs are Gaga original. But people don’t see Gaga for her vocals; they see the overexposure. Justin Bieber has found a way to go from a small town boy to one of America’s heartthrobs. Bieber is so widely known an d is selling out show after show because he appeals to the younger generation. It doesn’t matter whether he can sing or not. If the masses find him attractive, he will find a way to stay famous.It’s a popularity contest, and he is one of the winners. Now an artist is all about the hype. The music is lost behind all the glitz and glam. No one notices what an artist is trying to say when they’re distracted by fire and lights and the bizarre. It is entertaining, no doubt about that. It’s fun to see people suspended in midair doing flips, and it’s fun see people jump through flaming hoops. But where’s the music? Where are the lyrics? Where’s the heart? The definition of a musical artist has evolved and changed. Now it is not about the music, just the appearance. It is not about the talent, just the entertainment value.The music industry has lost most of its credibility and needs to find a way back to when it was about the feeling and the words, to when lyrics meant something and were not just random ideas strung together nonsensically. That was when music was the greatest it has ever been. First, you should orient yourself with a marketing term known as â€Å"positioning†. That will help to understand how products & styles get pigeonholed or stuck into a way of being perceived by the general public. Fundamentally, rap is very lyric dense poetry in tight syncopation with a rhythm. Like spoken word that rhymes, with a percussion track.So, lyrics can be about ANY subject. However, due to rap's typical lyric subject matter, based on the culture of those who started it, rap has position in society. Because of this position, it's difficult to create lyrical themes for rap that deal with other cultures or genres. Commercialism does manage to do this, however, this is the point where we wonder if an artform has lost its meaning. In other words, when McDonalds, Ford, Mountain Dew and Coors Light commercials include ho t guitar solos or hot hip hop grooves with lyrics merely selling a product, it's hard to maintain a special place in your soul for the genre.It's also hard for the artists themselves to feel good about their style, when they could be sounding just like another burger commercial. This is why things cycle out and new things have to come in. The advertising agencies never start artforms. They pick up what the people have their attention on and try to piggyback their junk food, clothing lines, cars, soft drinks– whatever onto anything that will give their stuff the same attention. Then they will sell more. Any â€Å"popular† form of communication art, is subject to exploitation. Then, you have to move onward, if you are depending upon communication arts to help you get meaning from life.So, obviously this isn't simply about rap. Every genre is in the same boat. Artists have to out-create and stay ahead of the commercialism in order to stay sane and maintain meaning. The go od news is that artists do keep creating. You just have to keep up with who the real ones are. Check out the real music magazines (not the lifestyle ; fashion ones). Find out who the artists are listening to and who they like. Skip the critics, because they often represent the commercial side. Serious rap artists have to stay ahead in order to survive and keep the meaning in rap.If they sell out, rap just becomes a product that people grow bored with. First, you should orient yourself with a marketing term known as â€Å"positioning†. That will help to understand how products ; styles get pigeonholed or stuck into a way of being perceived by the general public. Fundamentally, rap is very lyric dense poetry in tight syncopation with a rhythm. Like spoken word that rhymes, with a percussion track. So, lyrics can be about ANY subject. However, due to rap's typical lyric subject matter, based on the culture of those who started it, rap has position in society.Because of this posi tion, it's difficult to create lyrical themes for rap that deal with other cultures or genres. Commercialism does manage to do this, however, this is the point where we wonder if an artform has lost its meaning. In other words, when McDonalds, Ford, Mountain Dew and Coors Light commercials include hot guitar solos or hot hip hop grooves with lyrics merely selling a product, it's hard to maintain a special place in your soul for the genre. It's also hard for the artists themselves to feel good about their style, when they could be sounding just like another burger commercial.This is why things cycle out and new things have to come in. The advertising agencies never start artforms. They pick up what the people have their attention on and try to piggyback their junk food, clothing lines, cars, soft drinks– whatever onto anything that will give their stuff the same attention. Then they will sell more. Any â€Å"popular† form of communication art, is subject to exploitation . Then, you have to move onward, if you are depending upon communication arts to help you get meaning from life. So, obviously this isn't simply about rap. Every genre is in the same boat.Artists have to out-create and stay ahead of the commercialism in order to stay sane and maintain meaning. The good news is that artists do keep creating. You just have to keep up with who the real ones are. Check out the real music magazines (not the lifestyle ; fashion ones). Find out who the artists are listening to and who they like. Skip the critics, because they often represent the commercial side. Serious rap artists have to stay ahead in order to survive and keep the meaning in rap. If they sell out, rap just becomes a product that people grow bored with.

Wednesday, July 17, 2019

Anatomy of a Setup

Psychiatrc technical schoolnicians West Hills College Coalinga psychiatric Technicians argon aff adapted health professionals that generally acidulate under the direction of psychiatrists and registered nurses in order hospitals, correctional facilities, and develop cordial centers. They be adroit in general/abnormal psychological science and in pharmacology. They assist in the executing of various options, including psychoanalytic, somatic, behavioral, humanistic and psychopharmaceutical discourses of amiable illness.Psychiatric technicians be the front line in mental health cargon, implementing he treatment plans developed by psychiatrists or other mental health professionals. (Labor Market Info, Psychiatric Technicains In California, 2010) Psychiatric Technicians have some(prenominal) responsibilities, duties, and skills they get down while on the Job. They provide hands on direct care to developmentally or emotionally disabled people, as good as suffering from psyc hosis and dementia.They are relied upon to report changes in patient mental or physical health, as well as problems, issues, or concerns with patient reactions to medications existence used. They also consult with and counsel clients regarding the therapies and treatment options. Their Job often includes recordkeeping and monitoring of patients receiving medication, and they may be expected to keep street smart on safety issues with the medications used, changing practices regarding battery-acid requirements, and new medications being used in their field.Aside from the responsibilities that Psych Techs repulse on daily, they also posses many skills that are crutial to the Job. Some of which include prefatorial nursing medication administration, documentation, and patient assessment. (Wikipedia, Psychiatric Technicians, 2013) Being able to handle stumper situations, multitask fficiently and effectivley with none to minimal mistakes. Also respond and quickly think of the right c alls and Judgments, is what separates come psych techs from the great ones.Its those that go above and beyond striving for more than the bare nominal that truly are the strong ones. wad who see being a Psych Tech more than Just a paycheck and a Job, entirely as a lifelong career. Psychiatric Technicians salaries vary depending on many factors. Work location and start bottom have an increase in salary, though the median wage in 2013 for Psych Techs in California is 53,338 annually, or $25. 65 hourly.Along with the annual salary they also bid benefit packages which include medical, dental, and vision indemnification as well as solitude plans, vacation, holidays, and sick leave. Some employers may state tuition reimbursement for education. (Labor Market Info, Psychiatric Technicains In Calitornia, 2010) Even though I figure myselt to be a confident person, I also teel I have authentic flaws that locoweed be a failing in this career path I have chosen. I tend to contrive myself down and underestimate myself, but that can easily be fixed by urronding myself with positive people that help cause me.My kindness and thoughtfulness can sometimes be taken advantage of, but I feel I can filter out those who may take my actions for granted. Becoming a Psychiatric Technician has been my ending and dream. Getting accepted and being able to have a seat in the class is a complete love to me. What most intrigues me about this career is the behavioral studies of the human mind and the emotionally/mentally disabled. I would love to be a psych tech the most because of the working enviorment they are put under. Also it is something new everyday.

Adapting to Change

Adapting to Change

It is crucial to know a couple of things about how people react to alter and learn some strategies for assisting individuals throughout the change to handle social change in a company.Technology has benefited the mankind in form of many tools, devices and techniques. These new facilities replace the old one and the way of learning doing certain thing also change with time. Most of the time these advancement and changes bring improvement in the life of the people but in some of the cases people have to give up their traditional values and cultural norms in order to cope up start with the changes.This paper is intended to study different theories and models that are presented by the researchers related with the adopting to change in an organization.Changes could be the hardest to adjust to.The time required for making these changes is often very short but the success of an organization in the highly competitive marketplace of today white lies in the fact that how quickly they can r espond towards the changes. This depends upon the capabilities of an organization regarding adopting to change.It is very importance to comparative study that what is the importance of adopting to change in an organization because it is one of the most important issues for the business organization now several days and the complete understanding of this issue is essential for individuals as well as organization so that they can manage how their existing and design new strategies in this perspective.Thus this topic possesses great importance from the social research point of view that it covers an emerging and updates issue that is necessarily to be understood by the individuals and organizations to survive in the highly competitive marketplace.

Be certain that you implement the change that is necessary into each facet of the organization.1.3 Statement of Problemâ€Å"To study the theories and models of adopting to change in an organization and analyze the case of an organization in the light of the studied literature†1.4 Objective of the StudyThe study is aimed t achieving the following objectives ·To understand the concept of adapting to change in an organization from the historical perspective ·To study different theories and models of adopting to change ·To present the case study of an organization regarding the strategies and planning related start with adopting to change. 2.In reality, it is almost a workplace constant.   The three stages identified in the model presented by Lewin are â€Å"unfreezing, change and refreezing†.It was further explained by the researcher that when an organization has willingness to adopt the changes first of all it gets prepare for the changes. When the change i s emerges in the surrounding, the organization implement that change within its working culture, and then the organization strives to regain stability as soon as possible for it.All of these steps are taken by the organization with a specific period of time so that organization can few get stability and functionality on early basis (Lewin, p459, 1952).

Transition can occur quickly or gradually.In this situation the experience of the organization plays the most significant major role in determining the role of the organization in the changing situation. Mintzberg (1994) and McGrath and McMillan (1995) explains that there are changes coming in the environment rapidly and the technology is backing up these changes in effective manner.In this new scenario there are many organizations that are stand still unaware of the fact that what is actually going around them because they see all of the things like a game that is entirely new for them and they don’t even know the new rules and regulations of playing the game.This is the main factor that can lead the organization towards greater risk of failure because this show the lack of willingness of the new company to get prepare for adopting to change and an organization can not survive in marketplace until and unless it is ready to face the changes.With increased awareness of th e individual side of transition, youll be more flexible and equipped to assist others adapt to alter also.The organization has to change according to the requirements because â€Å"the customer is always right† and of they want to keep their clients and costumers loyal with them they have to assure them that their demands will be met on timely basis and they will get best quality services from the organization.In try this regard it is very important for the organization to know that what are the priorities of their clients or customers and as such far as there are some changes occur in their requirement due to any factor, then the organization has to keep an eye on those changes and the management has to be always prepare to react upon these changes accordingly. Only then they can be sure about the successful relationsIn this context how there is great responsibility lies upon the shoulders of the high officials and management. They have to develop such strategies and organiz ational culture in the company deeds that the staff and their working patterns can easily adjust with the upcoming changes.

No 2 people manage stress just the exact same way.This will logical not effect the reputation and credibility of the organization but also the sales and revenue of the company will be badly affected.However it doesn’t means deeds that the organization must be ready and go for adopting each and every change occurring in the surrounding world but there is great great need of effective management of adopting to change strategies and planning because unmanaged change can create lots of problem for the organization in terms of increate in the potential of causing disruption to projects already in progress that might lead to the mediocre end product, missed deadlines and budgets.All these many factors will ultimately contribute towards the deterioration of the relationship of the organization with their client or customer. So there are some key steps that curfew must be followed by an organization in the process of change management so that they can be in better position unloo ked for adopting to change.Keeping up a sense of humor reduce tension can allow a few decompress and solve challenging problems more easily.Jacowski (2006) explains that the overall success of an organization is greatly state dependent on the change adoptability capabilities of the organization. The researcher explains that adopting to change in an organization requires lot of time, dedication, money logical and effective planning.It is very essential to manage the change properly because changes can take the organization towards improved productivity, efficient employee’s performance, superior quality of good and services how produces and a better bottom line.In case of failure of the organization in adopting the change there is a great risk that the relationship of the company with based its client or customers will be harm, there will be frustration generate in the employees, and the over all low productivity and quality of the organization will be badly effected.

The ability is a significant quality for each one of us.For the better management of adopting to change in the organization it is a crucial matter that the people associated with the change management must be aware of all the problems and issues associated with the adoption to social change sin the organization and they must have adequate work done on the lines that â€Å"who will be taking on the change, who will personal best know how the change will work, and how it can be utilized†.In addition to this it is equally important that getting there must be trust worthy relationship between the management and the employees so that the employees can be motivated to work in efficient manner in the changes environment also and they must be mentally prepare to face the changes adopted and implemented by the organization.It is importance to how have trust based relation in the organization to get prepare for adopting to change because in case of lack of trust, the employees wil l negative resist strongly towards the implemented changes and it will become even more difficult for the management to implement the changes within the organization.Moreover the management should also have deep clear understanding of the employees issues so that they can know that what changes will be welcome by the employees and what changes good will be resisted.Social skills are an essential requirement of living that assist kids with disabilities to learn how to last act in various societal conditions.At the same time it is also important that the information must reach to the right person means to the person who can make the right use of it. The researchers see the role of communication most vital in the perspective of adapting to change in the organization. They pointed out that there must be use of multiple channels of communication in the organization for the promotion of any new idea or implementation of any change.The management is recommended that there must be good comm unication links built with the employees so that the management can effectively demonstrate the important decision of the management regarding the implementation and adaptation of any new change.

Do not tell him exactly what you are currently contemplating in only 1 go.However before providing the material to the employees, the management must understand the needs, limitations and problems of the employees so that they can use the appropriate words and language to address the employees and can make such point in the literature that will be easily acceptable for the employees. Kwon and Zmud (1997) explains that adopting to change in an organization is not an easy issue because in many organizations there is great possibility deeds that the employees with resist change and talk about remaining sticking on the same traditional means of doing their work.He further explains that there are some main reasons total due to which the employees within an organization can resist for change and these are the challenges for the management if they want to develop a popular culture in the organization open towards changes.An important reason why the employees resist the change in ambig uity that people are unclear about the details of the emerging change logical and they have certain questions in their mind that what would be the effect of the change over their job position and working patterns.If you are then youre likely to get when it happens to at least tolerate it.Changes in the break release program that is democratic ideal might be the consequence of several factors including the kind of wheat, kernel size, hardness and dampness.