The Principle Agent Problem Between Shareholders And Managers Accounting Essay

Economic theory speculates that a house ‘s end is to capitalise on stockholders wealth ; accomplishable with entrepreneurial house since proprietors are directors. However, ownership presents is significantly diluted, with companies owned by big stockholder groups. This causes the separation of ownership and direction which hinders the relationship between stockholders and directors ; where directors replace stockholders involvement with their ain. This may be due to information dissymmetry[ 1 ]where directors have the power to move in conformity to stockholder demands. This is known as the â€Å" bureau job † and is common in modern corporate. Under this theory the relationship is formed through a binding contract whereby principal ‘s ( stockholders ) appoint the agents ( directors ) to put to death services with authorization to do determinations. However such â€Å" contracts † are imperfect as the impracticality to include every action of the agent whose determinations has an impact on their and the principal ‘s benefits. Therefore, self interested behavior arises in administrations as the involvement of both parties diverges, i.e. principal ‘s involvement respects maximization of stockholders wealth ( net income maximization ) whereas agent ‘s involvement lies in ain public-service corporation maximization ( bonuses/promotion ) . Stockholders permit directors to run the house ‘s assets ; ensuing in a struggle of involvement. The cardinal job therefore is to aline the involvements of both parties. Furthermore, principals expect board of managers to establish their determinations on maximizing equity value. However the board of managers expect directors to follow schemes that support their ends. This state of affairs illustrates that stockholders have no direct input into the operation and hence have no power to state directors what to make. This issue arises because of the separation of ownership and control and therefore directors are able to prosecute ends good to them and unfavorable to stockholders. Overall, withdrawal between the two parties increases deficiency of end congruity. The inquiry arises as to why stockholders do non supervise direction? There are three grounds why taking control causes troubles. ( 1 ) Expensive to supervise managerial activities as obtaining information is hard ( 2 ) disgruntled stockholders are unable to present menaces in order to cut down unwanted managerial behavior i.e. engaging an outside member and ( 3 ) dispersed stockholders have an inducement to â€Å" free drive † . Keasy et al 1997 regards the above as economic costs to monitoring. These restrictions pose jobs for stockholder wealth since unwanted managerial actions takes topographic point in the absence of control. Stockholders may present inducement bundles which include net income related fillips, public presentation, publicity inducements and promote employees to purchase portions which increase their rewards, to promote agents to do â€Å" optimum attempt † . Due to the above jobs, states have developed systems which carry out independent monitoring and control of the house in order to aline the overall end. OECD 1999 stated that â€Å" corporate administration construction specifies the distribution of rights and duties among different participants in the corporation, and spells out the regulations and processs for doing determinations on corporate personal businesss. By making this, it besides provides the construction through which the company aims are set, and the agencies of achieving those aims and supervising public presentation. † In UK capital markets play a critical function where portion monetary values advocates public presentation degrees. Management ‘s focal point is to maximise stockholders wealth through the usage of independent board of managers. The fright of coup d'etat commands forces direction to undergo effectual actions. Approximately 50 % of portions are held by institutional investors bespeaking dominant ownership. Cadbury Report 1992 provinces big proportion of stockholder ownership influence company ‘s actions. In 2008 the Financial Reporting council developed the ‘Combined Code ‘ i.e. assorted reports/codes refering ‘good ‘ corporate administration. The most influential is Cadbury Report 1992[ 2 ], was produced as the deficiency of supervising direction activities caused several dirts whereby executives acted in their involvement. Initially, Polly Peck[ 3 ]went into settlement after old ages of false accounting taking to size uping of the fiscal facets and answerability. However after the cozenage of BCCI and Robert Maxwell, they revised the relationship between boards, hearers and stockholders. The concluding study states CEO ‘s and Chairman ‘s of companies should be separated. Jenson 1993[ 4 ]provinces that if functions were common, struggle of involvement would originate. Furthermore, 3 non-executive managers, two of whom should be independent[ 5 ]and an audit commission affecting non-executives should be included. Companies were encouraged to follow these practises alongside â€Å" the codification of best practise † which outlines other countries of concern. However the â€Å" one size fits all † job was recognised by Cadbury doing all companies registered in UK to follow the â€Å" comply or explicate † system. Companies should follow with corporate best practise or have legitimate grounds for non-compliance. Furthermore, the board must offer a full account to stockholders and explain how their practises are consistent with stockholders. It ‘s acceptable merely when stockholders believe good administration has been achieved. Greenbury commission, formed to measure manager ‘s wage bundles and the deficiency of revelation of payments in the one-year studies, commenced over populace ‘s choler sing additions in executive wage. The study added to the Cadbury Code and advised ( 1 ) each board include a wage commission affecting independent non-executives briefing stockholders yearly and ( 2 ) managers should hold LT[ 6 ]public presentation related wage, all disclosed in the one-year histories. Furthermore, advancement should be reviewed every 3 old ages to guarantee companies are runing efficaciously. The Hampel commission[ 7 ]formed in 1998 suggested all old rules should be collaborated into a â€Å" Combined Code † . Furthermore, the president of the boards should move as the ‘leader ‘ , investors should see voting the portion and all wages information including pensions should be disclosed. The Turnbull Committee, created the following twelvemonth, advised that managers should be held accountable for internal fiscal and scrutinizing controls. Several studies have contributed to the Combined Code viz. the Higgs reappraisal sketching the actions of non-executives. More late, after the prostration of Northern Rock and the fiscal crisis that followed, the Walker Review formed a study refering banking sectors. The Financial Reporting Council produced a new Stewardship Code in 2010. Germany ‘s corporate system is chiefly stakeholder oriented and diffuses off from stockholders involvements. The aim is maximizing stakeholder value thereby uncovering several typical differences. First, the banking sector is a major stakeholder. Charkham ( 1994 ) stated that Bankss hold a dominate place in funding and oversing companies for legion grounds. ( 1 ) During 1870 companies were to a great extent reliant on recognition. Banks began offering LT loans to LT clients who tied the companies, obtaining ownership and moving as ‘shareholders ‘ within industrial houses. ( 2 ) Banks hold 25 % of voting capital in big corporations and 28 % of seats on the supervisory boards. ( 3 ) Banks are stockholder representatives, authorised to vote for their portions plus proxy portions[ 8 ], giving farther control. Consequently companies are improbable to face coup d'etats, since Bankss will back up them through fiscal adversities unlike in the UK. Second, â€Å" co-operative † civilization is articulated under the Co-determination Act 1976 whereby workers obtain important functions in the direction procedure ; known as work councils. Work council staff influence concern actions and partake in determination devising procedures. Employees ( elected by work councils ) sit on the supervisory board when a house has more than 2000 employees aboard stockholder representatives. This system reduces work force struggles by bettering communicating channels, addition dickering power of workers through statute laws and eventually right market failures. Overall productiveness degrees addition, with low degrees of work stoppages as better wage and conditions implying â€Å" good industrial dealingss † . Finally, Germany involves a two – tier board compared to UK ‘s one – tier board. It includes a direction board ( Vorstand ) where directors monitor day-to-day operation and behavior of the house. Plus a supervisory board ( Aufsichtsrat ) affecting merely non-executives[ 9 ]who monitor the direction board duties and O.K.ing determinations. Separation of the two increases the consciousness of single duties and helps forestall direction maltreatment. The ruin is holding worker representatives on the supervisory board as they will choose for determinations good for employees instead than company. For illustration shuting down a mill may hold good for the company nevertheless debatable for excess employees, doing it is hard to work in the best involvement of the company. Germany ‘s corporate system lies to a great extent on good industrial dealingss which considers it ‘s company, employees and public. It shows corporations are a societal establishment instead than an economic 1 as it â€Å" does non set fiscal value for stockholders at the top of the list of policy aims †[ 10 ]. Stockholders are seen as one of many stakeholders and non merely a privileged constituency. The Nipponese corporate administration revolves around banking dealingss like Germany along with life clip employment. There are outstanding characteristics including the intercession of authorities and close confederations between authorities and companies. Business and industrial activities are monitored by the Nipponese Ministry of Finance, affecting them in the direction and determination procedure. Nipponese corporate rely on chief Bankss[ 11 ]which are all interlinked with houses, organizing a concentrated ownership ( stockholders ) . Prowse 1992 provinces that persons hold 26.7 % of a house ‘s equity while corporations hold 67.3 % . Unlike western states, Nipponese Bankss can keep equities up to 5 % . The statement is by moving as loaners and stockholders, struggle of involvements of debt suppliers and equity will be eradicated. Furthermore Bankss hold these equities for long periods, constructing a LT â€Å" banking relationship † unlike UK ‘s â€Å" transactional banking † . Furthermore, they are involved with the internal direction by obtaining seats on the board of managers. They actively contribute in the determination procedure and act as insurance companies for companies come ining fiscal troubles i.e. bankruptcy or coup d'etats. Like Germany, Bankss form LT contracts with companies based on fiscal services and supervising and act as represent atives for other stockholders through proxy ballots. One major differentiation in Japan is the Keiretsu system. Companies form close confederations chiefly between Bankss, concerns and the authorities, by working towards each other success. The function of the authorities became of import when they intervened in 1990s as Japan suffered a recession. The authorities wanted to reconstruct the economic system through its policies and ordinances by bettering the corporate administration to excite growing and investing. Germany and Japan both work toward the involvement of the company and workers as a collective. However Japan ‘s board construction is different as all members consist of former employees excepting â€Å" outside † managers apart from bank functionaries. The boards have more members than UK and Germany as some companies have over 60 managers. This proves really effectual as no domination of managers occur. Harmonizing to Allen and Gale ( 2000 ) , concentrating on stakeholders instead than entirely on stockholders, societies resources are being used expeditiously as employees, providers and clients are taken into history. This enhances productiveness, therefore bring forthing higher net incomes, profiting the house and stockholders. Since 1990 the UK have implemented many policies reforming the direction and administration of companies. These scope from codifications, studies, ordinance and statute laws ; but how effectual are they? To guarantee company involvements are aligned with stockholders, UK has imposed assorted commissions to supervise the effectivity. For illustration, audit commissions review audits yearly and overlook fiscal relationships between companies and hearers. Nomination commissions administer human resources and programs future managers. Compensation commissions examine direction actions and day-to-day operations. Furthermore the being of institutional investors has its advantages as puting in houses they have incentive and motive to supervise them. This leads to high public presentation degrees which reduces bureau costs. However, companies practise ST[ 12 ]net income maximization without LT be aftering doing companies underperform, therefore investors sell their portions and â€Å" issue † instead than â€Å" voice † their discontent ( occurs chiefly in Germany ) . Overall UK ‘s attack in supervising company involvement is effectual as companies have bulk of bing stock holders through the demand of commissions. The ‘Code of best pattern ‘ gives stockholders assurance that companies are runing with high degrees of transparence during determination devising procedures. From this, the â€Å" comply or explicate † system was created, whereby some freedom is left for companies to do effectual determinations. The additions from this is that ( 1 ) directors and stockholders follow the LT involvement of both the company and proprietors ( 2 ) distinguishes the civilization barrier single houses face since there are different degrees, size and ownership of companies, whereas codification of best pattern instils â€Å" one size fits all † regulation. Furthermore, codifications are more effectual than ordinances as companies can turn whereas implementing rigorous internal controls companies are limited to processs. Furthermore, codifications tackle more ‘softer ‘ jobs associating to best practise compared to ordinances i.e. preparation and back uping managers in th eir function. The Cadbury Report reflects the above whereby â€Å" The effectivity with which boards discharge their duties determines Britain ‘s competitiveness place. They must be free to drive their companies frontward, but exercising that freedom within a model of effectual answerability. This is the kernel of any system of good corporate administration. † For this system to work efficaciously stockholders require full revelation to ease them in their determinations and holding rights when dissatisfied. Consequently companies must unwrap information in their one-year studies saying how they have applied the combined codification and giving stockholders voting rights to dispatch managers. All these demands are set out under the company jurisprudence doing the system successful since it was adopted in EC[ 13 ]and included in the EUD[ 14 ]in 2006 ; sketching same rules. Empirical grounds show that UK has drawn near to the construct of ‘good ‘ corporate administration. Harmonizing to the FTSE ISS Corporate Governance Index and Governance Metrics International Reports, the UK has the highest mean administration score out of all the states. Furthermore 94 %[ 15 ]of UK pension Fundss considered corporate criterions in the UK has developed exceptionally. The undermentioned reforms revolve about two primary issues ( 1 ) deficiency of separation of direction and control and ( 2 ) quandary faced by non-executive managers in footings of monitoring. Accordingly UK ‘s current reforms indicated the demand for independent non-executive managers to understate struggles otherwise present. However, the disadvantage sing this independency is, there is less incentive to pass a sufficient sum of clip commanding company issues because they have no direct relationship with the company. In add-on, uncertainties on how much cognition they get besides poses a job. One possible polar solution that could be incorporated into UK administration is increasing the frequence and continuance of board meetings. Company information is really wide and complex particularly associating to LT fiscal public presentations, competitory place and organizational construction. Therefore it is critical that managers assign more clip to measure the information and deem upon past determinations and events. It is recommended that managers meet on a monthly footing for continual supervising and let managers to turn to all countries and inquire specific inquiries that affect the hereafter of the company. There are issues environing this proposal for illustration, readying, nevertheless the more frequent the meetings the less clip needed to fix as oppose to the clip needed for meetings held every one-fourth. Furthermore, meetings should non be limited to a clip agenda but instead should last until all facets are covered. This method is really flexible for illustration m eetings could last more than one twenty-four hours when a company is in a hard state of affairs. The advantage is that sentiments will be shared more openly and allows non-executive managers to be more involved ; this should be carried when discoursing the long term corporate scheme. Another solution is changing the composing of the board. In the ‘Combined Code ‘ subdivision A.3.2 it pronounces that â€Å" at least half the board, excepting the Chairman, should consist non-executive managers determined by the board to be independent † . This does non stipulate the maximal figure of seats in entire. Therefore it is advisable that the fewer managers, the more likely that each manager can play a dynamic and imperative function. The recommended figure should dwell of eight to ten managers in entire. This is so that there is adequate assortment and sufficient array of point of views. When there are more than ten or twelve members on the board, there will be a â€Å" free rider † job where some manager ‘s will halt preparing for meetings and rely on the work of others ensuing in subjects non being discussed in deepness. Finally UK should see adding a supervisory board like Germany and Japan as this will let wider diverseness among the determination devising procedures. Furthermore it will cut down maltreatments from dominate managers since there is changeless alteration of direction public presentation. Overall UK should discontinue to better bing constabularies and the challenge lies in maintaining UK ‘s corporate administration an plus instead than a liability for companies.

Objections Arising from Evil in the World Essay

The word evil is a word which can be used very loosely, usually used to describe something we think to be morally wrong, something that when in inflicted on a person causes pain and suffering. However, if an ‘evil’ act is committed by someone who has been in all other aspects good, does this act make this person ‘evil’? There are many different situations where evil acts could be done all with different circumstances and consequences. For example; at Auschwitz, so many guards were involved in the slaughter of massive amounts of Jews but it seems unlikely that all of them were evil. The actions may be considered evil but they were normalised by the sense of responsibility felt by the guards. In their eyes, they were carrying out a duty so the question of whether they are to be labelled evil is indefinite. There are two recognised categories which evil can fall under: Moral evil and Natural evil. Richard Swimburne, a modern day philosopher describes moral evil as ‘including all evil caused deliberately by humans doing what they ought not to do, and also the evil constituted by such deliberate acts or negligent failure’. It is the result of a human action which is morally wrong, such as murder or war. Natural evil is the result of apparent malfunctioning in the natural world, it is according to John Hick ‘the evil that originates independently of human actions. It is in disease, in bacilli, in earthquakes, in storms, and in droughts.’ The fact that evil, or suffering is an undeniable factor in our lives presents an array of problems in today’s world where there is a strong belief by many of a higher power which should in theory, be able to eradicate it from the world or in fact never have let it come to exist in the first place. For believers in the God of Classical Theism, this ‘problem of evil’ as it is often referred to, creates a serious dilemma. Moral evil is an easier problem to tackle for a theist than that of Natural evil, as it can be said that it occurs from the misuse of freewill, but they are still faced with justifying the existence of Natural evil. If God created the world from nothing, then there is nothing beyond His control so for whatever reason, God must be the creator of evil and suffering. A theist can sometimes be faced with justifying both types of evil as natural evils like tsunamis and hurricanes are often the cause of people committing moral evils like looting. The problem is not easily justifiable and is illustrated in ‘The Inconsistent Triad’, which states the points: God is omnipotent and omniscient (A), God is all-loving (B), and evil exists (C). These three statements cannot all be true so it would seem that one of them is false, but since we know evil and suffering exist the inconsistency must lie in one of the other 2 points. The conclusions drawn from this are that either God is not omnipotent and cannot stop evil from existing, or that God is not all-loving and chooses not to stop evil existing, or that in fact God does not exist. This can be used as an argument for the non-existence of God. A quote from Swimburne on the Problem of Evil, ‘There is a problem about why God allows evil, and if the theist doesn’t have (in a cool moment) a satisfactory answer to it, then his belief in God is less than rational and there is no reason why the atheist should share it.’ An example of the problem being used in this way is in Hume’s combat of Thomas Aquinas’ Design Argument (Summa Thelogica) where he labels the Problem of Evil as ‘The Rock of Atheism’. However, whilst being a problem for theists in that it challenges the nature of God, it also poses problems in other ways. It presents itself as a philosophical problem as it compels the believer to accept conflicting claims that are logically impossible to reconcile. It is also a diverse problem; evil manifests itself in many different ways, demanding separate explanations. The problem of evil has proved itself to be a challenging problem, as it is not just going to disappear, evil and suffering are objective realities which are almost impossible to deny. B) Unpack two theodicies and analyse which how successful these are As I said, the justification of God’s allowance for the existence of evil is not easy, but there are many theodicies which have developed that provide strong arguments. A theodicy is a theory that justifies why God allows evil without qualifying the attributes of the God of Classical Theism. Two of which are those of Augustine and Irenaeus. Augustine’s theodicy has had considerable influence over many scholars since it was developed and attempts to provide justification for both moral and natural evil. According to Augustine, the perfect God created a flawless world where evil and suffering did not exist, and that God is not responsible for the existence of evil as it is not a substance, but in fact a deprivation of good. He uses an analogy of blindness to illustrate his meaning, as blindness itself is not an entity but an absence of sight. Augustine claims that evil comes from angels and humans who have deliberately turned against God and abused his gift of freewill. He states that evil is necessary in a created world as only the uncreated creator can be perfect, his creations are susceptible to change. Augustine’s idea on the existence of Natural evil is that it exists as a punishment for the Original Sin, which we are all guilty of as we were all seminally present in Adam at the time it was committed. Natural evil punishes us for the destruction of the natural order by human action. For these reasons God is right not to intervene and the fact that he does save some through Christ emphasises His mercy. God would be justified in sending everyone to hell for being guilty of the Original Sin, the fact that some go to heaven shows God’s goodness. Augustine’s theodicy has some substantial strengths, as is proved by its popularity. Brian Davies is an example of a scholar who supports his claim that evil is only a deprivation of good rather than having a proper existence, he said it is ‘a gap between what there is and what there ought to be’. To criticise would be to say that God should have created more than he did which doesn’t make sense; how is anyone to know how much more should have been created. Augustine’s views on evil being a product of freewill have also been upheld. Despite it’s strengths, Augustine’s theodicy has many holes in it to be addressed, it contains logical, scientific, and moral difficulties. Augustine’s concept of Hell comes under scrutiny; Hell is part of God’s design of the universe, so it was created before the world’s flaws began to appear, which means that God must have anticipated and accepted that the world would go wrong. F.D.E Schleiermacher expresses his logical contradiction to Augustine’s views on the origin of evil and a perfect world going wrong, Schleiermacher informs us that whether evil is a deprivation or not it is still real and it is therefore logically impossible for it to just come out of nothing. This means that evil must be connected to God and he either never created the world perfect or he made it so it was able to falter. Another logical difficulty of this theodicy comes of the capacity to do evil in a ‘perfect’ world and disobey God, as in a perfect world no knowledge of good and evil should exist. The knowledge of them could only come from God. Scientific difficulties stem from the modern world’s concept of evolution; the idea of a perfect world being damaged by humans does not allow for evolution. Moreover, Augustine refers to the Garden of Eden in his theodicy, and this paradise is hard to accept on the basis of evolution. A final difficulty lies with the concept of us all being seminally present in Adam’s loins, this is biologically impossible so we cannot all be responsible for the Original Sin. From comparing the strengths with the criticisms we can see that Augustine’s theodicy ultimately fails. The theodicy of Irenaeus is another which provides a formidable answer to the question of why God allows evil’s existence. As said by Irenaeus, Gods aim when creating the world was to make humans in his likeness, but to do this, humans could not be made perfect but had to develop through free will. It was therefore necessary for God to give us free will and therefore necessary to give us the potential to turn against him. If he didn’t enable this, we could never attain God’s likeness as according to Ireneaus it requires willing co-operation. The natural order had to be designed in a way where humans could cause harm, which they did resulting in suffering, but God still cannot compromise our freedom by removing evil. Ireneaus claims that the evil and suffering will eventually be overcome and everyone will attain God’s likeness and reside in Heaven. This justifies temporary evil, which if complying with Ireneaus’ thought enables the understanding of good. Many philosophers have added to Ireneaus’ theodicy including John Hick (who claims that good developed from free will is better than ready-made goodness), and Peter Vardy who used an analogy of a king to illustrate this – where a king falls in love with a peasant girl but rather than imposing his power on her and forcing him to marry her, he wins her over. They both believe that without development our goodness would be without value, we would be automatons. According to this theodicy, humans had to be created imperfect to be able to go against God, and they had to be created at a distance from God so they could decide for themselves to believe in him. If we were sure he was there, there would be no free will, John Hick called this the ‘epistemic distance’. If God wasn’t separated from humans we would know he was real and would live a good, moral life because we would know that it is in our best interests, it wouldn’t be real goodness. Humans also couldn’t be created in a paradise or else qualities such as courage would not be attainable and there would be no development as good and evil would be indistinguishable. The theodicy justifies natural evil as it makes the world well adapted to ‘soul making’ (John Hick). The Modern Additions to this theodicy claim that heaven is the eventual goal for everyone for three reasons; a future in heaven is the only justification for the suffering of the world. Secondly, if life were to end in death God’s purpose would be unfulfilled since we would not be reaching our goal of becoming God’s likeness. Lastly, nobody can be overlooked as evil acts are carried out in different circumstances for different people. For example, someone who was abused while being raised is much more likely to be abusive as an adult, it is something they are used to and have become desensitised to. There are solid criticisms of Irenaeus’ theodicy as well as Augustine’s: For example, everyone going to heaven defies religious texts as well as making it pointless to live a moral life, why bother if you are going to heaven anyway? It also takes away the incentive to develop into God’s likeness which Irenaeus regarded of utmost importance. Another critique is of the level of suffering needed to make the world adapted for ‘soul making, e.g. Was the Holocaust really necessary? Finally, it can be said that love can never be expressed through suffering, supported by D.Z Philips who said it is not justifiable to hurt someone to help them. To conclude, neither of these theodicies can be considered perfect by any means, but Ireneaus is the stronger of the two. Where Augustine fails to provide room for belief in evolution, Ireneaus manages it and while Augustine cannot provide a logical explanation for the origin of evil, Irenaeus provides a stable reason for it. It is also popular, like Augustine’s for its views on free will.

A health intervention plan Essay Example | Topics and Well Written Essays - 1000 words

A health intervention plan - Essay Example Such a plan is also aimed at improving the health and quality of life of the community. This is done by setting up ways of preventing and treating diseases, attending to physical and mental conditions, surveillance of these conditions and lastly through the promotion of healthy behaviors (Anderson & McFarlane, 2010). Implementing a community health intervention plans is a difficult and labor intensive process that requires dedication and resources from all the stakeholders in order to ensure success. The process is tedious and involves a variety of issues. First of all the implementers must have a clear goal or purpose why they want to undertake the exercise, and the community they want to involve in such a plan. They must identify the health problem that exists and what they want to achieve by setting up the intervention plan. The implementers need this, as it will help them to communicate to the community why such an intervention is needed and why their participation is of great im portance. The next thing in the process is to have knowledge of the community in terms of its economic conditions, political setup, norms and values, demographic information, history, and their previous reactions to such plans. For the implementation process to succeed the implementers also need understand the community’s perceptions of the people conducting the exercise. At this stage of the process it is important to establish relationships, work on trust, and engage with both the formal and the informal leaders of the community. The process also requires the participation of the community organizations in mobilizing leaders and the community to ensure the success of the process. It is known that for such a program to be successful the community must play the integral part in all spheres of the program. In the process of implementing the program, it is of great importance to let the people own the process rather than forcing ideas on them. This will make it easier for the i mplementers of the project to accomplish the task successfully (Katz, 2010). The implementers then move to another stage of identifying and mobilizing the community’s assets such as skills and experiences of individuals, developing capacities and resources such as materials and economic power. These are used for continuously to implement decisions and to initiate actions. Here training in leadership, meetings and discussions will be of great importance with experts who will deal with a variety of issues (Anderson & McFarlane, 2010). The last part of the process is to engage the people full in the intervention program by initiating actions and interventions to the community. These should be flexible and enough to help the community in solving their changing needs. As the community participates in these activities, they experience a high level of behavior change. The implementation process requires commitment from the organization and other stakeholders to ensure its success. T he commitment will come from continuous training and offering of technical assistance to emerging problems (Katz, 2010). The community nurse plays a variety of roles in such health intervention plan. He/she acts as a leader by guiding the community in coming up with ways of improving the health of the community. He/she identifies the problems that require interventions and proposes ways to address them. He/she will also act as an advocate for good health to the community by arguing on behalf of the community so that they get the best health care services available. Another role is to construct caring such that they create caring environments by assessing, controlling, correcting and

Innate and Adaptive Immunity Assignment Example | Topics and Well Written Essays - 1250 words

Innate and Adaptive Immunity - Assignment Example   IgG antibodies appear after a longer period and then remain in the bloodstream permanently, providing protection against re-infection (New Jersey Department of Health, 2011). In view of this, quarantine should be imposed on the patient if the IgM antibodies are present. This would mean that this is a case of the first infection. Otherwise, the patient should not be quarantined. IgG antibodies can be present in blood because of vaccination (Lab Tests Online, 2012). Question 2 A secondary infection occurs when a pathogen attacks an organism whose immune system is weak due to an earlier infection. Secondary responses result from the stimulation of B cells. The clonal expansion theory has three key areas: specificity, memory, and tolerance. Specificity comes about since the production of antigen-specific antibody is in response to triggering of antigen-reactive clones. Memory is because subsequent responses to an antigen are stronger than the initial one. Tolerance is because of the destruction of self-reactive B and T cells. When an antigen with multiple epitopes gains enters the body, different clones of B cells recognize and produce antibodies against the different epitopes. The pathogens have antigens on their surface. Antibody response to protein antigen actively involves T cells and B cells. Since CD4 T lymphocytes stimulate B cells, they are known as helper T cells. Cytotoxic T cells kill other cells that virus-infected, allografts or cancer cells. Helper T cells secrete cytokines. Cytokines provide amplification mechanism by proliferation and differentiation (stimulation of B cell clonal expansion). They also determine the type of antibodies produced (Sridhar, 2012). Question 3 Human immunodeficiency virus (HIV) attacks a protein, CD4, on helper T cells of the immune system and associated with it. These cells are the immune system’s main infection-fighting cells. T helper cells are necessary for the activation of B-cells and cytotoxic T-cell immu ne responses. During this time, the body cannot make antibodies properly. Destruction of infected cells cannot occur without helper T-cells. Production of antibodies occurs in an effort to fight the virus. An HIV blood test is one that detects HIV antibodies. The body produces antibodies in response to HIV antigen. Therefore, in as much as the virus is destroying the helper T cells, the body continues to produce antibodies to fight the virus. These are the antibodies detected in an HIV antibody test. A negative result on a blood test means that either the person is not infected or that one is infected, but production of antibodies has not occurred. This is because, after the initial infection, it takes time for the body to produce antibodies. Seroconversion is the process of conversion from antibody negative to antibody positive blood (Melbourne Sexual Health Centre, 2007). Question 4 Innate immunity exists prior to antigenic exposure while adaptive immunity develops in response to antigen exposure. For adaptive immunity, resistance develops with repeated exposure to antigen, but for innate immunity, repeated exposure has no effect on resistance. Innate immunity is not specific to any antigen. The adaptive response, on the other hand, is antigenic specific. This means the ability to respond in a quickly during re-exposure to a pathogen (University of Arizona, 2008).  

The Nursing Care Management Case Study Example | Topics and Well Written Essays - 3500 words

The Nursing Care Management - Case Study Example When she is stressed, anxious, or having manifestations of manic depression despite having regular medications, extra support from a community nurse is available on the grounds of deterioration of her mental health. In this work, the care of Pat will be analyzed on the basis of the theoretical framework of nursing process where the role of learning disability nurses would be examined as far as clinical governance, ethical issues, and evidence from current research are concerned. This would also include critical analysis of emerging issues and implications on professional practice when it is delivering a care that is person-centred along or in collaboration including therapeutic interventions that are suggested by evidence from research. The planned care would then be critically analyzed and evaluated based on the principles of clinical governance and research evidence. Finally, everything should culminate into learning as far as learning disability nursing is considered. Theoretical framework to provide structure: This is the story of a young woman with learning disability, where her clinical situation has been complicated by detection and diagnosis mental health disorder such as manic depression and other medical disorder. This is a complex process due to her limited vocabulary and insights, and skill deficits. Therefore, the nursing assessment process that would lead ultimately to a care plan would need to include details of her skills and abilities, nature and pattern of behaviour in a diverse range of environments, relationships and understanding of her own emotions and of other people around her. To be able to implement these in practice, a theoretical framework is very necessary. These theoretical frameworks for practice have been derived from nursing theories.... This paper approves that medical history indicating stressors of long-term illness of complex partial seizures, mental illness of manic depression, medications against mental illness and seizures, and learning disabilities. A combination of these would lead to emotional disabilities. Conditions such as these can isolate individual who feels disconnected from others, resulting in difficulty relating in social situations. Presence of visual or hearing impairments are to be noted since presence of these in her case may lead to a situation where she may find communication barriers are increased, social interaction is affected, and interventions need to be designed to promote involvement with others in positive ways. This report makes a conclusion that the nursing care management must take care of the need to establish therapeutic relationship using positive regard for the person, active-listening and providing safe environment for self-disclosure. Client who is having difficulty interacting in social situations needs to feel comfortable and accepted before she is willing to talk about self and concerns. Client needs to learn social skills, because she has never learned the elements of interacting with others in social settings. Role-playing one-on-one is less threatening and can help individual identify with another and practice new social skills. Having client to participate in a controlled group environment, for example Pat and Jim, provides opportunities to try out different behaviours in a built-in social setting where members can make friends and provide mutual advice and comfort. Positive reinforcement for improvement in social behaviours and interactions should be provided since this enco urages continuation of desired behaviours/efforts for change.

Korea and australia hofstede cultural differences Essay

Korea and australia hofstede cultural differences - Essay Example The Hofstede Report refers to the groundbreaking work of Geert Hofstede, whose studies into different nations has revealed a common consensus of five cultural dimensions according to which different countries can be compared. The truth is that over time, these dimensions have evolved according to the historical traditions, geographic boundaries, national perspectives and anything else that forms the cultural character of a people or country[1]. Differences in the Two Cultures, Recommendations and Analysis 1. Power Distance: Australians are used to a lower power distance between individuals than Koreans. Dassan Ltd. would therefore do well to cultivate an attitude of self respect and equality among people in its managers prior to sending them to Australia. This is a big mind shift from Korea, where the traditions demand respect from someone at a higher social or work position [2]. 2. Uncertainty Avoidance: Both Australians and South Koreans are used to a low level of uncertainty avoid ance. But whereas listening to a statement made by management would be enough for its validity among most Australians, the Koreans would prefer that this be committed to writing in the form of policy before it is accepted in their hearts and minds [3]. 3.

Henrik Ibsens A Dolls House Assignment Example | Topics and Well Written Essays - 500 words

Henrik Ibsens A Dolls House - Assignment Example However, there is no direct reference to A Doll's House in the obituary material. In the Wikipedia entry, only one statement directly refers to the play. However, these two last sources could still be useful as relevant, though indirect materials to aid a student doing a research paper on A Doll's House to shed light on how influences and Ibsen's life background contributed to his writing of the particular play in study. According to the Britannica article on Henrik Ibsen, the "proper voice" of the Norwegian playwright came with the writing of A Doll's House in 1879 (par. 10). In the succeeding three paragraphs of the article, the characters, the plot, the technique used by Ibsen as well as the reaction of audiences towards the play are discussed (par. 11-13). Paragraph 11 tells about the characters and the plot of the play - Torvald Helmer and his wife Nora, with their three children and how a secret of Nora would unravel that would pave the way for revealing the true character of the people in the play.