Patient Education Plan

Pamela is 30 years old and a married Filipina with a two-year-old daughter. She was born in the Philippines and came to the United States at age 13. She has a high school diploma and she attended Cal Poly Pomona and received her degree in Electrical Engineering. She works Monday thru Friday at least eight to nine hours a day and still takes work home. When Pamela was 16 years old, she had an appendectomy. She enjoys drinking alcohol every week with her friends during happy hour since she was 21 years old. Otherwise she has no other significant medical istory. Her family history is very significant especially from maternal grandmother and grandfather who passed way with diabetes and paternal grandmother who passed away with lung cancer and paternal grandfather who passed away with brain aneurysm. Her mother currently has high blood pressure and her father has nothing significant going right now. Just about a few days ago Pamela showed symptoms of abdominal pain and projectile vomiting that had her husband worried about her and took her straight to the emergency room. Her pancreatic enzymes were levated, her abdominal ultrasound and CT of the abdomen showed inflammation of her pancreas. She was then admitted for further evaluation. Introduction Pancreatitis is an inflammation of the pancreas. With pancreatitis, the pancreas becomes inflamed, edematous, hemorrhagic, and necrotic. The pancreas is a long, flat gland that is located behind the stomach towards the upper abdomen. The pancreas produces enzymes, which help regulate the way your body digest glucose. Chronic pancreatitis is the progressive destruction of he pancreas as characterized by permanent loss of endocrine and exocrine function. The patient usually has chronic pain. Most studies of the pathophysiology of chronic pancreatitis are performed with patients who drink alcohol as stated by Nair, Lawler & Miller (2007). The signs and symptoms for acute pancreatitis are upper abdominal pain, which could radiate to the back, you would feel worse after eating a meal and there will be nausea and vomiting. There will be tenderness when the abdomen is being touched. The signs and symptoms f chronic pancreatitis is also upper abdominal pain, weight loss, indigestion and oily and foul smelling stool. Complications of pancreatitis include breathing problems that could be due to the oxygen level is low in the blood, diabetes may occur since the pancreas is the organ that produces insulin, infection may occur and have the pancreas be vulnerable of bacteria, acute pancreatitis may lead to kidney failure which could lead to hemodialysis if it is not treated. Malnutrition could be another complication since the pancreas cannot break down the food because a few nzymes are being produced. If the chronic pancreatitis does not get treated and it’s still reoccurring it could lead to pancreatic cancer. Treatment for this disease is hospitalization to stabilize the patient. Having her not consume any food during her stay will help the pancreas recover fully. Once its in control then liquid diet and advancing the diet may be course of treatment. A nutritionist will be involved in her care. IV fluids will help her stay hydrated. Pain is another factor to this disease and pain medications will be prescribed. At discharge some alternative therapy might help alleviate the pain. As mentioned on WebMD Tylenol should be avoided (2011). Exercises, yoga and meditation might be of good help to distract her. It can’t treat what she has but it could keep her comfortable. Age and Development/Educational Need In Erickson’s developmental theory Pamela is a young adult in Erickson’s that is Intimacy and Isolation. As long you have her trust in you, I believe using direct measurement as the approach of her method of learning. Just observing her behavior can help me distinguish hether or not she will be compliant. But during our session I noticed that she is willing and eager to learn and get well soon and she has shown that she is willing to be involved with her treatment. She has verbalized her understanding of what she needs to do once she goes home. Effect on Quality of Life Pamela would have to change her life style as she recovers from being diagnosed with Pancreatitis. She has to realize that whatever she has been doing on a daily basis would have to change. Her drinking of beer during happy hour every week has to stop. She’s not a smoker, hich is great. She has to drink lots of fluids and eat less fat on her diet. She would have to eat more fruits and vegetables, consume more whole grains and water. Perceived Challenges Pamela has always enjoyed her social life in going out with her friends to happy hour every week. Having to let that go might be a little difficult, being that she has always been going out ritually since she was 21 years of age. She is considered to be a very busy person that she uses alcohol to relieve her stress. So having her to give alcohol might be somewhat of a challenge. Eventually, with the support of her family and her husband especially might help her get through this stride. I see a person who is willing and get better not just for herself but for her daughter. Summary Teaching Pamela has been an experience. She showed to be very knowledgeable and very receptive. She asked questions that were relevant to her condition and since she asked shows me that she interested in getting better. She is willing to receive the help that she needs. She has verbalized her understanding and will call her physician if any of the symptoms reoccur.

The Twilight Saga 5: Midnight Sun 4. Visions

I went back to school. This was the right thing to do, the most inconspicuous way to behave. By the end of the day, almost all the other students had returned to class, too. Just Tyler and Bella and a few others – who were probably using the accident as a chance to ditch – remained absent. It shouldn't be so hard for me to do the right thing. But, all afternoon, I was gritting my teeth against the urge that had me yearning ditch, too – in order to go find the girl again. Like a stalker. An obsessessed stalker. An obsessessed, vampire stalker. School today was – somehow, impossibly – even more boring than it had seemed just a week ago. Coma-like. It was as if the color had drained from the bricks, the trees, the sky, the faces around me†¦ I stared at the cracks in the walls. There was another right thing I should be doing†¦that I was not. Of course, it was also a wrong thing. It all depended on the perspective from which you viewed it. From the perspective of a Cullen – not just a vampire, but a Cullen, someone who belonged to a family, such a rare state in our world – the right thing to do would have gone something like this: â€Å"I'm surprised to see you in class, Edward. I heard you were involved in that awful accident this morning.† â€Å"Yes, I was, Mr. Banner, but I was the lucky one.† A friendly smile. â€Å"I didn't get hurt at all†¦ I wish I could say the same for Tyler and Bella.† â€Å"How are they?† â€Å"I think Tyler is fine†¦just some superficial scrapes from the windshield glass. I'm not sure about Bella, though.† A worried frown. â€Å"She might have a concussion. I heard she was pretty incoherent for a while – seeing things even. I know the doctors were worried†¦Ã¢â‚¬  That's how it should have gone. That's what I owed my family. â€Å"I'm surprised to see you in class, Edward. I heard you were involved in that awful accident this morning.† â€Å"I wasn't hurt.† No smile. Mr. Banner shifted his weight from foot to foot, uncomfortable. â€Å"Do you have any idea how Tyler Crowley and Bella Swan are? I heard there were some injuries†¦Ã¢â‚¬  I shrugged. â€Å"I wouldn't know.† Mr. Banner cleared his throat. â€Å"Er, right†¦Ã¢â‚¬  he said, my cold stare making his voice sound a bit strained. He walked quickly back to the front of classroom and began his lecture. It was the wrong thing to do. Unless you looked at it from a more obscure point of view. It just seemed so†¦so unchivalrous to slander the girl behind her back, especially when she was proving more trustworthy than I could have dreamed. She hadn't said anything to betray me, despite having good reason to do so. Would I betray her when she had done nothing but keep my secret? I had a nearly identical conversation with Mrs. Goff – just in Spanish rather than in English – and Emmett gave me a long look. I hope you have a good explanation for what happened today. Rose is on the warpath. I rolled my eyes without looking at him. I actually had come up with a perfectly sound explanation. Just suppose I hadn't done anything to stop the van from crushing the girl†¦ I recoiled from that thought. But if she had been hit, if she'd been mangled and bleeding, the red fluid spilling, wasting on the blacktop, the scent of the fresh blood pulsing through the air †¦ I shuddered again, but not just in horror. Part of me shivered in desire. No, I would not have been able to watch her bleed without exposing us all in a much more flagrant and shocking way. It was a perfectly sound excuse†¦but I wouldn't use it. It was too shameful. And I hadn't thought of it until long after the fact, regardless. Look out for Jasper, Emmett went on, oblivious to my reverie. He's not as angry†¦but he's more resolved. I saw what he meant, and for a moment the room swam around me. My rage was so all-consuming that a red haze clouded my vision. I thought I would choke on it. SHEESH, EDWARD! GET A GRIP! Emmett shouted at me in his head. His hand came down on my shoulder, holding me in my seat before I could jump to my feet. He rarely used his full strength – there was rarely a need, for he was so much stronger than any vampire any of us had ever encountered – but he used it now. He gripped my arm, rather than pushing me down. If he'd been pushing, the chair under me would have collapsed. EASY! He ordered. I tried to calm myself, but it was hard. The rage burned in my head. Jasper's not going to do anything until we all talk. I just thought you should know the direction he's headed. I concentrated on relaxing, and I felt Emmett's hand loosen. Try not to make more of a spectacle of yourself. You're in enough trouble as it is. I took a deep breath and Emmett released me. I searched around the room routinely, but our confrontation had been so short and silent that only a few people sitting behind Emmett had even noticed. None of them knew what to make of it, and they shrugged it off. The Cullens were freaks – everyone knew that already. Damn, kid, you're a mess, Emmett added, sympathy in his tone. â€Å"Bite me,† I muttered under my breath, and I heard his low chuckle. Emmett didn't hold grudges, and I probably ought to be more grateful for his easy going nature. But I could see that Jasper's intentions made sense to Emmett, that he was considering how it might be the best course of action. The rage simmered, barely under control. Yes, Emmett was stronger than I was, but he'd yet to beat me in a wrestling match. He claimed that this was because I cheated, but hearing thoughts was just as much a part of who I was as his immense strength was a part of him. We were evenly matched in a fight. A fight? Was that where this was headed? Was I going to fight with my family over a human I barely knew? I thought about that for a moment, thought about the fragile feel of the girl's body in my arms in juxtaposition with Jasper, Rose, and Emmett – supernaturally strong and fast, killing machines by nature†¦ Yes, I would fight for her. Against my family. I shuddered. But it wasn't fair to leave her undefended when I was the one who'd put her in danger. I couldn't win alone, though, not against the three of them, and I wondered who my allies would be. Carlisle, certainly. He would not fight anyone, but he would be wholly against Rose's and Jasper's designs. That might be all I needed. I would see†¦ Esme, doubtful. She would not side against me either, and she would hate to disagree with Carlisle, but she would be for any plan that kept her family intact. Her first priority would not be rightness, but me. If Carlisle was the soul of our family, then Esme was the heart. He gave us a leader who deserved following; she made that following into an act of love. We all loved each other – even under the fury I felt toward Jasper and Rose right now, even planning to fight them to save the girl, I knew that I loved them. Alice†¦I had no idea. It would probably depend on what she saw coming. She would side with the winner, I imagined. So, I would have to do this without help. I wasn't a match for them alone, but I wasn't going to let the girl be hurt because of me. That might mean evasive action†¦ My rage dulled a bit with the sudden, black humor. I could imagine how the girl would react to my kidnapping her. Of course, I rarely guessed her reactions right – but what other reaction could she have besides terror? I wasn't sure how to manage that, though – kidnapping her. I wouldn't be able to stand being close to her for very long. Perhaps I would just deliver her back to her mother. Even that much would be fraught with danger. For her. And also for me, I realized suddenly. If I were to kill her by accident†¦ I wasn't certain exactly how much pain that would cause me, but I knew it would be multifaceted and intense. The time passed quickly while I mulled over all the complications ahead of me: the argument waiting for me at home, the conflict with my family, the lengths I might be forced to go to afterward†¦ Well, I couldn't complain that life outside this school was monotonous any more. The girl had changed that much. Emmett and I walked silently to the car when the bell rang. He was worrying about me, and worrying about Rosalie. He knew whose side he would have to choose in a quarrel, and it bothered him. The others were waiting for us in the car, also silent. We were a very quiet group. Only I could hear the shouting. Idiot! Lunatic! Moron! Jackass! Selfish, irresponsible fool! Rosalie kept up a constant stream of insults at the top of her mental lungs. It made it hard to hear the others, but I ignored her as best I could. Emmett was right about Jasper. He was sure of his course. Alice was troubled, worrying about Jasper, flipping through images of the future. No matter which direction Jasper came at the girl, Alice always saw me there, blocking him. Interesting†¦neither Rosalie nor Emmett was with him in these visions. So Jasper planned to work alone. That would even things up. Jasper was the best, certainly the most experienced fighter among us. My one advantage lay in that I could hear his moves before he made them. I had never fought more than playfully with Emmett or Jasper – just horsing around. I felt sick at the thought of really trying to hurt Jasper†¦ No, not that. Just to block him. That was all. I concentrated on Alice, memorizing Jasper's different avenues of attack. As I did that, her visions shifted, moving further and further away from the Swan's house. I was cutting him off earlier†¦ Stop that, Edward! It can't happen this way. I won't let it. I didn't answer her, I just kept watching. She began searching farther ahead, into the misty, unsure realm of distant possibilities. Everything was shadowy and vague. The entire way home, the charged silence did not lift. I parked in the big garage off the house; Carlisle's Mercedes was there, next to Emmett's big jeep, Rose's M3 and my Vanquish. I was glad Carlisle was already home – this silence would end explosively, and I wanted him there when that happened. We went straight to the dining room. The room was, of course, never used for its intended purpose. But it was furnished with a long oval mahogany table surrounded by chairs – we were scrupulous about having all the correct props in place. Carlisle liked to use it as a conference room. In a group with such strong and disparate personalities, sometimes it was necessary to discuss things in a calm, seated manner. I had a feeling that the setting was not going to help much today. Carlisle sat in his usual seat at the eastern head of the room. Esme was beside him – they held hands on top of the table. Esme's eyes were on me, their golden depths full of concern. Stay. It was her only thought. I wished I could smile at the woman who was truly a mother to me, but I had no reassurances for her now. I sat on Carlisle's other side. Esme reached around him to put her free hand on my shoulder. She had no idea of what was about to start; she was just worrying about me. Carlisle had a better sense of what was coming. His lips were pressed tightly together and his forehead was creased. The expression looked too old for his young face. As everyone else sat, I could see the lines being drawn. Rosalie sat directly across from Carlisle, on the other end of the long table. She glared at me, never looking away. Emmett sat beside her, his face and thoughts both wry. Jasper hesitated, and then went to stand against the wall behind Rosalie. He was decided, regardless of the outcome of this discussion. My teeth locked together. Alice was the last to come in, and her eyes were focused on something far away – the future, still too indistinct for her to make use of it. Without seeming to think about it, she sat next to Esme. She rubbed her forehead as if she had a headache. Jasper twitched uneasily and considered joining her, but he kept his place. I took a deep breath. I had started this – I should speak first. â€Å"I'm sorry,† I said, looking first at Rose, then Jasper and then Emmett. â€Å"I didn't mean to put any of you at risk. It was thoughtless, and I take full responsibility for my hasty action.† Rosalie glared at me balefully. â€Å"What do you mean, take full responsibility'? Are you going to fix it?† â€Å"Not the way you mean,† I said, working to keep my voice even and quiet. â€Å"I'm willing to leave now, if that makes things better.† If I believe that the girl will be safe, if I believe that none of you will touch her, I amended in my head. â€Å"No,† Esme murmured. â€Å"No, Edward.† I patted her hand. â€Å"It's just a few years.† â€Å"Esme's right, though,† Emmett said. â€Å"You can't go anywhere now. That would be the opposite of helpful. We have to know what people are thinking, now more than ever.† â€Å"Alice will catch anything major,† I disagreed. Carlisle shook his head. â€Å"I think Emmett is right, Edward. The girl will be more likely to talk if you disappear. It's all of us leave, or none of us.† â€Å"She won't say anything,† I insisted quickly. Rose was building up to the explosion, and I wanted this fact out there first. â€Å"You don't know her mind,† Carlisle reminded me. â€Å"I know this much. Alice, back me up.† Alice stared up at me wearily. â€Å"I can't see what will happen if we just ignore this.† She glanced at Rose and Jasper. No, she couldn't see that future – not when Rosalie and Jasper were so decided against ignoring the incident. Rosalie's palm smacked down on the table with a loud bang. â€Å"We can't allow the human a chance to say anything. Carlisle, you must see that. Even if we decided to all disappear, it's not safe to leave stories behind us. We live so differently from the rest of our kind – you know there are those who would love an excuse to point fingers. We have to be more careful than anyone else!† â€Å"We've left rumors behind us before,† I reminded her. â€Å"Just rumors and suspicions, Edward. Not eyewitnesses and evidence!† â€Å"Evidence!† I scoffed. But Jasper was nodding, his eyes hard. â€Å"Rose – † Carlisle began. â€Å"Let me finish, Carlisle. It doesn't have to be any big production. The girl hit her head today. So maybe that injury turns out to be more serious that it looked.† Rosalie shrugged. â€Å"Every mortal goes to sleep with the chance of never waking up. The others would expect us to clean up after ourselves. Technically, that would make it Edward's job, but this is obviously beyond him. You know I'm capable of control. I would leave no evidence behind me.† â€Å"Yes, Rosalie, we all know how proficient an assassin you are,† I snarled. She hissed at me, furious. â€Å"Edward, please,† Carlisle said. Then he turned to Rosalie. â€Å"Rosalie, I looked the other way in Rochester because I felt that you were owed your justice. The men you killed had wronged you monstrously. This is not the same situation. The Swan girl is an innocent.† â€Å"It's not personal, Carlisle,† Rosalie said through her teeth. â€Å"It's to protect us all.† There was a brief moment of silence while Carlisle thought through his answer. When he nodded, Rosalie's eyes lit up. She should have known better. Even if I hadn't been able to read his thoughts, I could have anticipated his next words. Carlisle never compromised. â€Å"I know you mean well, Rosalie, but†¦I'd like very much for our family to be worth protecting. The occasional†¦accident or lapse in control is a regrettable part of who we are.† It was very like him to include himself in the plural, though he had never had such a lapse himself. â€Å"To murder a blameless child in cold blood is another thing entirely. I believe the risk she presents, whether she speaks her suspicions or not, is nothing to the greater risk. If we make exceptions to protect ourselves, we risk something much more important. We risk losing the essence of who we are.† I controlled my expression very carefully. It wouldn't do at all to grin. Or to applaud, as I wished I could. Rosalie scowled. â€Å"It's just being responsible.† â€Å"It's being callous,† Carlisle corrected gently. â€Å"Every life is precious.† Rosalie sighed heavily and her lower lip pouted out. Emmett patted her shoulder. â€Å"It'll be fine, Rose,† he encouraged in a low voice. â€Å"The question,† Carlisle continued, â€Å"is whether we should move on?† â€Å"No,† Rosalie moaned. â€Å"We just got settled. I don't want to start on my sophomore year in high school again!† â€Å"You could keep your present age, of course,† Carlisle said. â€Å"And have to move again that much sooner?† she countered. Carlisle shrugged. â€Å"I like it here! There's so little sun, we get to be almost normal.† â€Å"Well, we certainly don't have to decide now. We can wait and see if it becomes necessary. Edward seems certain of the Swan girl's silence.† Rosalie snorted. But I was no longer worried about Rose. I could see that she would go along with Carlisle's decision, not matter how infuriated she was with me. Their conversation had moved on to unimportant details. Jasper remained unmoved. I understood why. Before he and Alice had met, he'd lived in a combat zone, a relentless theater of war. He knew the consequences of flouting the rules – he'd seen the grisly aftermath with his own eyes. It said much that he had not tried to calm Rosalie down with his extra faculties, nor did he now try to rile her up. He was holding himself aloof from this discussion – above it. â€Å"Jasper,† I said. He met my gaze, his face expressionless. â€Å"She won't pay for my mistake. I won't allow that.† â€Å"She benefits from it, then? She should have died today, Edward. I would only set that right.† I repeated myself, emphasizing each word. â€Å"I will not allow it.† His eyebrows shot up. He wasn't expecting this – he hadn't imagined that I would act to stop him. He shook his head once. â€Å"I won't let Alice live in danger, even a slight danger. You don't feel about anyone the way I feel about her, Edward, and you haven't lived through what I've lived through, whether you've seen my memories or not. You don't understand.† â€Å"I'm not disputing that, Jasper. But I'm telling you now, I won't allow you to hurt Isabella Swan.† We stared at each other – not glaring, but measuring the opposition. I felt him sample the mood around me, testing my determination. â€Å"Jazz,† Alice said, interrupting us. He held my gaze for a moment more, and then looked at her. â€Å"Don't bother telling me you can protect yourself, Alice. I already know that. I've still got to – † â€Å"That's not what I'm going say,† Alice interrupted. â€Å"I was going to ask you for a favor.† I saw what was on her mind, and my mouth fell open with an audible gasp. I stared at her, shocked, only vaguely aware that everyone besides Alice and Jasper was now eyeing me warily. â€Å"I know you love me. Thanks. But I would really appreciate it if you didn't try to kill Bella. First of all, Edward's serious and I don't want you two fighting. Secondly, she's my friend. At least, she's going to be.† It was clear as glass in her head: Alice, smiling, with her icy white arm around the girl's warm, fragile shoulders. And Bella was smiling, too, her arm around Alice's waist. The vision was rock solid; only the timing of it was unsure. â€Å"But†¦Alice†¦Ã¢â‚¬  Jasper gasped. I couldn't manage to turn my head to see his expression. I couldn't tear myself away from the image in Alice's head in order to hear his. â€Å"I'm going to love her someday, Jazz. I'll be very put out with you if you don't let her be.† I was still locked into Alice's thoughts. I saw the future shimmer as Jasper's resolve floundered in the face of her unexpected request. â€Å"Ah,† she sighed – his indecision had cleared a new future. â€Å"See? Bella's not going to say anything. There's nothing to worry about.† The way she said the girl's name†¦like they were already close confidants†¦ â€Å"Alice,† I choked. â€Å"What†¦does this†¦?† â€Å"I told you there was a change coming. I don't know, Edward.† But she locked her jaw, and I could see that there was more. She was trying not to think about it; she was focusing very hard on Jasper suddenly, though he was too stunned to have progressed much in his decision making. She did this sometimes when she was trying to keep something from me. â€Å"What, Alice? What are you hiding?† I heard Emmett grumble. He always got frustrated when Alice and I had these kinds of conversations. She shook her head, trying to not let me in. â€Å"Is it about the girl?† I demanded. â€Å"Is it about Bella?† She had her teeth gritted in concentration, but when I spoke Bella's name, she slipped. Her slip only lasted the tiniest portion of a second, but that was long enough. â€Å"NO!† I shouted. I heard my chair hit the floor, and only then realized I was on my feet. â€Å"Edward!† Carlisle was on his feet, too, his arm on my shoulder. I was barely aware of him. â€Å"It's solidifying,† Alice whispered. â€Å"Every minute you're more decided. There're really only two ways left for her. It's one or the other, Edward.† I could see what she saw†¦but I could not accept it. â€Å"No,† I said again; there was no volume to my denial. My legs felt hollow, and I had to brace myself against the table. â€Å"Will somebody please let the rest of us in on the mystery?† Emmett complained. â€Å"I have to leave,† I whispered to Alice, ignoring him. â€Å"Edward, we've already been over that,† Emmett said loudly. â€Å"That's the best way to start the girl talking. Besides, if you take off, we won't know for sure if she's talking or not. You have to stay and deal with this.† â€Å"I don't see you going anywhere, Edward,† Alice told me. â€Å"I don't know if you can leave anymore.† Think about it, she added silently. Think about leaving. I saw what she meant. Yes, the idea of never seeing the girl again was†¦painful. But it was also necessary. I couldn't sanction either future I'd apparently condemned her to. I'm not entirely sure of Jasper, Edward, Alice went on. If you leave, if he thinks she's a danger to us†¦ â€Å"I don't hear that,† I contradicted her, still only halfway aware of our audience. Jasper was wavering. He would not do something that would hurt Alice. Not right this moment. Will you risk her life, leave her undefended? â€Å"Why are you doing this to me?† I groaned. My head fell into my hands. I was not Bella's protector. I could not be that. Wasn't Alice's divided future enough proof of that? I love her, too. Or I will. It's not the same, but I want her around for that. â€Å"Love her, too?† I whispered, incredulous. She sighed. You are so blind, Edward. Can't you see where you're headed? Can't you see where you already are? It's more inevitable than the sun rising in the east. See what I see†¦ I shook my head, horrified. â€Å"No.† I tried to shut out the visions she revealed to me. â€Å"I don't have to follow that course. I'll leave. I will change the future.† â€Å"You can try,† she said, her voice skeptical. â€Å"Oh, come on!† Emmett bellowed. â€Å"Pay attention,† Rose hissed at him. â€Å"Alice sees him falling for a human! How classically Edward!† She made a gagging sound. I scarcely heard her. â€Å"What?† Emmett said, startled. Then his booming laugh echoed through the room. â€Å"Is that what's been going on?† He laughed again. â€Å"Tough break, Edward.† I felt his hand on my shoulder, and I shook it off absently. I couldn't pay attention to him. â€Å"Fall for a human?† Esme repeated in a stunned voice. â€Å"For the girl he saved today? Fall in love with her?† â€Å"What do you see, Alice? Exactly,† Jasper demanded. She turned toward him; I continued to stare numbly at the side of her face. â€Å"It all depends on whether he is strong enough or not. Either he'll kill her himself† – she turned to meet my gaze again, glaring – â€Å"which would really irritate me, Edward, not to mention what it would do to you – † she faced Jasper again, â€Å"or she'll be one of us someday.† Someone gasped; I didn't look to see who. â€Å"That's not going to happen!† I was shouting again. â€Å"Either one!† Alice didn't seem to hear me. â€Å"It all depends,† she repeated. â€Å"He may be just strong enough not to kill her – but it will be close. It will take an amazing amount of control,† she mused. â€Å"More even than Carlisle has. He may be just strong enough†¦ The only thing he's not strong enough to do is stay away from her. That's a lost cause.† I couldn't find my voice. No one else seemed to be able to either. The room was still. I stared at Alice, and everyone else stared at me. I could see my own horrified expression from five different viewpoints. After a long moment, Carlisle sighed. â€Å"Well, this†¦complicates things.† â€Å"I'll say,† Emmett agreed. His voice was still close to laughter. Trust Emmett to find the joke in the destruction of my life. â€Å"I suppose the plans remain the same, though,† Carlisle said thoughtfully. â€Å"We'll stay, and watch. Obviously, no one will†¦hurt the girl.† I stiffened. â€Å"No,† Jasper said quietly. â€Å"I can agree to that. If Alice sees only two ways – â€Å" â€Å"No!† My voice was not a shout or a growl or a cry of despair, but some combination of the three. â€Å"No!† I had to leave, to be away from the noise of their thoughts – Rosalie's selfrighteous disgust, Emmett's humor, Carlisle's never ending patience†¦ Worse: Alice's confidence. Jasper's confidence in that confidence. Worst of all: Esme's†¦joy. I stalked out of the room. Esme touched my arm as I passed, but I didn't acknowledge the gesture. I was running before I was out of the house. I cleared the river in one bound, and raced into the forest. The rain was back again, falling so heavily that I was drenched in a few moments. I liked the thick sheet of water – it made a wall between me and the rest of the world. It closed me in, let me be alone. I ran due east, over and through the mountains without breaking my straight course, until I could see the lights of Seattle on the other side of the sound. I stopped before I touched the borders of human civilization. Shut in by the rain, all alone, I finally made myself look at what I had done – at the way I had mutilated the future. First, the vision of Alice and the girl with their arms around each other – the trust and friendship was so obvious it shouted from the image. Bella's wide chocolate eyes were not bewildered in this vision, but still full of secrets – in this moment, they seemed to be happy secrets. She did not flinch away from Alice's cold arm. What did it mean? How much did she know? In that still-life moment from the future, what did she think of me? Then the other image, so much the same, yet now colored by horror. Alice and Bella, their arms still wrapped around each other in trusting friendship. But now there was no difference between those arms – both were white, smooth as marble, hard as steel. Bella's wide eyes were no longer chocolate. The irises were a shocking, vivid crimson. The secrets in them were unfathomable – acceptance or desolation? It was impossible to tell. Her face was cold and immortal. I shuddered. I could not suppress the questions, similar, but different: What did it mean – how had this come about? And what did she think of me now? I could answer that last one. If I forced her into this empty half-life through my weakness and selfishness, surely she would hate me. But there was one more horrifying image – worse than any image I'd ever held inside my head. My own eyes, deep crimson with human blood, the eyes of the monster. Bella's broken body in my arms, ashy white, drained, lifeless. It was so concrete, so clear. I couldn't stand to see this. Could not bear it. I tried to banish it from my mind, tried to see something else, anything else. Tried to see again the expression on her living face that had obstructed my view for the last chapter of my existence. All to no avail. Alice's bleak vision filled my head, and I writhed internally with the agony it caused. Meanwhile, the monster in me was overflowing with glee, jubilant at the likelihood of his success. It sickened me. This could not be allowed. There had to be a way to circumvent the future. I would not let Alice's visions direct me. I could choose a different path. There was always a choice. There had to be.

Manners and Customs of Ancient Greece

As I began reading this book, I found that it is amazing how so many historians whether they may be researching Grecian history or any other country. It seems that they all or the majority has different opinions on their findings. Therefore, it puzzles me to what is fable and what is fact. In many cases, some things are yet to be seen. Even the ancients them selves seem to be uncertain. Even through glimpses of links connecting them with there past. They to argued about what was fact and what was fable. It appears that the country Helene that in imitation of the Romans came to be known as Hellas, we now call India. I found it amazing how the progress of time came through the names of the following. Originally the city Thessaly built by Hellen son of Deucalion; next Phthiotis, Thessaly, all of Greece except of Peloponnesos, sometimes of Macedonia, now thessaly it self sometimes of Epeirous, and then all of Greece was within Aegean, and all these countries were inhabited by Greeks. It would appear that the most annuitant Pelosgia left from the race whose first people occupied that part of Europe. There does seem to be one fact established that the Hellenes were not the first who occupied Greece they came after a number of tribes of the Pelasgion origin. No one really knows there are many arguments about this as well. I found it funny or odd that these discussions would be dismissed when an agreement could be met; however they would easily remove the difficulty by coming to an agreement by inventing a hero or demigod that suited everyone's purpose. So as earlier mentioned, from Hellen they agreed on the name of Hellenes, also Heracleidae came to be known as Heracles and Ionians as Ion; and Pelasgos the son of Zeus. Up to this point, there was little information to guide us, although there was always light poetry that dawned around them. Although historians tell us there were, facts that couldn't be ignored such as the Thoacians being entirely of Pelasgian origin. Also, the Macedonians were plainly of the same stock as with the Thracians. It is obvious that there were many tribes and even different denominations and it seems to me that they all came from or descended from the same race. This brings me to the characteristics of the Greeks. As I have read this too if one would think long, enough about it how even our characteristics of today are not so different from a time long ago. When poetry places them before us, it is profound for the divinity and everything connected with service of religion. Gods and men moved together over the earth cooperated in bringing about events. Although we as a whole worship one God instead of many; history shows us in many ways it has had to take men and God in bringing about events whether it be by what some call faith, and like history books some must have had it proven to them. As for the Greek's keeping up with a constant interchange of beneficence the Gods aiding the mortal repaying his aid with gratitude an example of this was the mortal submitting to the Gods guidance and to be directed. Sometimes as in the case of Odysseus and Athena, the feeling of grace and favor on the one side and of veneration and gratitude on the other was unexpected. Don't we in some since expect the same from our prayers? By that I mean give gratitude to our God and by giving offering each Sunday, isn't this also a way we give gratitude for what God has done for us. I found it amazing as I read how much a like in characteristics we are in the twenty first century to our ancestors who lived so many years ago. Many of us today are very merciful and caring for the poor. The Greeks also had a high respect for their elders. I also found it extremely fascinating that the Greeks had believed that parents held or had no right to any type of higher honor. People who were blessed with children were regarded as instruments by which God had communicated the mysterious and sacred gift of life. These people actually believed the parents were supposed by their children to be forever invested with a high degree of sanctity as ministers and representatives of the creator. Hence, the anxiety experienced to obtain a Father's blessing and the indescribable dread of his curse. A peculiar set of events, the terrible Erin's, all but implacable and unsparing were entrusted with the guardianship of parent's rights. Now, I can't help but think about how the Greeks felt toward friendship almost as if their friendships were more important than the wonderful blessing of parenting. Not that friendship is not extremely important especially true friendship, but nothing is more precious than the gift of being blessed with a child. The Greeks adored friendship between two men. There is no evidence shown in any other country's history or traditions so many examples of this virtue as in those of the Greeks. In Greece, these people felt that when two men became friends it was more important than a marriage between a man and wife. The friendship through their eyes was as one they were completely united as one. They were like twins, what one felt the other felt. Their thoughts were the same. One did not have and independent thought, if one was slashed than the other as well. They had the same opinions. They faced adventures, dangers, absolutely everything together, even death. As peculiar as I personally may find their friendships to be, I find it also peculiar of the configuration and productions. This was considered the most remarkable feature in Greece consisting in great many varieties of forms, which its surface assumes in the territories of the numerous states into which the country was divided. Of these, two resemble each other, whether in physical structure, climate, or production. It is said that the general atmosphere of Greece is mild, but not in every part. Greece is known to be one of the most beautiful places in the world. They have palm trees and the myrtle flourishes in sight of the pine. Greece is known to have tropical birds of beauty that can not be found any other place in the world. Although they do have storms frequently with what we might say is giant sized hail there is also eternal snow. In Macedonia, it is known to be rocky and bold. Speaking about the beauty of Greece and it's surroundings a person can not help but think of Athens and Sprat, which are known to be representatives of Greece when it came to education. I can not help but think of what Apollo once commanded. If the citizen wanted respect and intelligent children, they must put what is most beautiful in the ears of their sons. They bored one of the lobes and inserted a gold earring. Those people who wore a gold earring would become good men and be preservers of the country. Whatever education had to give was also to be given to every citizen. With education mentioned, I must mention of what I read about the children, their birth, as well as the women who gave birth. The care of the children was taken care of even before they were born. The mothers were actually given rules while they were pregnant, although as I read many things women were made to do are what women today choose to do, such as eating certain foods and exercising. Wine was prohibited and only water was the drink allowed by the expecting mother. I for one did not drink wine when I was pregnant either and I still drink a great deal of water. During the period of a woman's pregnancy she was believed to have been watched over and protected by the goddess Eileithyia, who was considered the mother of love. Newborn infants in Greece bathed in cold water. In Sparta, they bathed in wine. In Athens, newborn children were laid on golden amulets in the form of dragons, which were supposed to commemorate Athena's delivery of Erichthonios to the care of the two guardians. Under certain circumstances, instead of joy and gladness, the birth of a child was, as in Thrice, and event of sorrow and misery. It supposedly announced the fact of an approaching enemy. I find it extraordinary that when it came to education the Greeks atlas tried to educate the poor as well as the wealthy in one form or another, but when it came to the birth of the poor woman's child she many times would be driven to despair. Therefore, her hands would be filled with the blood of her child, with many boogies and rejoicing. On the fifth day from birth, a ceremony took place, which was called amphdromia. The child was named usually until about the tenth day, this was because if an infant was going to die they believed it would be within ten days. The child was usually named according to what derived from some circumstance that had been going on around the time of conception or the birth. For example, thus Mariposa, Homer being born away from Apollo attained the name of Halcyon, was inconsolable for the loss of her baby. Of course when we mention children we have to think about what on earth kinds of toys did the children have and what kind of games did they play? I found it interesting that some played with a rattle that was actually made from that of a rattlesnake. Some had little chariots built by their slaves of course these were probably the richer children. Boys when able would pretend they were at war. In Greece as everywhere else education took place in the nursery. At birth a child was furnished with ideas in his mind, as his intelligence would seem to strengthen the five sluices, which let in, as they believed to be all the flood of knowledge, this afterwards overflows his mind. Most education consists of observing the child. A most important part of the education for the boys consisted of physical discipline. Whether it was started by the men for lack of something to do, instead of going to war in a far off place, or as a tribute to the Gods gymnastics played an important role in every boy's education. It was discouraged for a boy or a young man to make a profession of gymnastics, because as a warrior this person could not go very long without water or food. Although they were huge in stature and had enormous strength, they were susceptible to fatal attacks from disease if they departed form their usual habits and regime. It seems that dance also played an important part of gymnastics routine. In Athens, it was a mark of illiberal education to be ignorant of the various forms of dancing. It was considered an absolute necessity by all Greeks to excel in the accomplishment of dance. Whether it was for the preparation for the performance or the learning of the movements to help in battle dace was widely accepted as much as any religious right. The Cretans, the Spartans, the Thessalians, and the Boeotians held this division of gymnastics in particular honor, chiefly with an outlook to war. The Athenians and Ionians most generally contemplated it more as a means of developing the beauty of the form, and conferring ease and elegance on the motion and display Its really becomes clear in this chapter of the book that the Olympic games both winter and summer, track and field, and inside games were started by the ancient Greeks. I never really understood their importance until now, I knew they had a lot to do with the creation of the games, but it seems they covered all the bases. They prepared them selves for war they were fulfilling their duties as citizens and at the same time brought to perfection their strength, their vigor, and their manly beauty. They also knew that a healthy body created a healthy mind and improved learning performance. The healthy body was of great use during the hunt. The chase would often last for hours or days. To herdsman and shepherds, it was an occupation to them. The highly learned and educated often hunted for the fun of the chase, while the poorer population hunted for food and clothing from their kills. Dogs or hounds were often used in the chase or hunt, and many great fables of that time were of fearless dogs that in the presence of their master would even attack a lion. Their use of camouflage and knowledge of traps and snares was used extensively for they were very intense hunters. It seems to me that a lot of their hunting skills came from education and enrichment of their athletic abilities and they were able to use what they had learned in the gymnasium or on the field to track or hunt their game. Last but certainly not least in the education of the young was philosophy and poetry it was even considered a branch of the field sports and was enjoyed rather than studied. They were taken to small amounts of material and would go over and over it to let it sink in rather than to learn large amount of knowledge that they might soon forget. Philosophy in Greece comprehended religion, and to be religious was to act justly, benevolently, mercifully towards men, humbly and reverent toward God. It was necessary to possess knowledge of the whole theory of ethics, since virtue in their opinions was incompatible with ignorance. They believed like I do that if a man is a moral being he is accountable to the laws of God and his country and his duties to that country. And as in all free states (I thought this was a powerful statement) reasoning and persuasion, not blind will and brute force are the instruments of government. As I end this report, I can't end it without giving my feelings about what I have read. In my opinion, I found this book overwhelming at times. Many words as in emotions came to me as I read it.

Stewardship Essay Example | Topics and Well Written Essays - 750 words

Stewardship - Essay Example We should submit our wills to God because He is the one who created us and sent to this world to live and perform all activities with righteousness and justice. He helps us in all fields of our lives. â€Å"There is no one like the God of Jeshurun, who rides across the heavens to help you and on the clouds in his majesty† (Deuteronomy 33:26, New International Version). God asks us to love humanity and to be thankful to Him for His blessings. Being stewards, we should fulfill His expectations and should love His all creatures including the environment around us. â€Å"The despoiling of the environment as nothing less than the degradation of God's gracious gift of creation† (Evangelical Lutheran Church in America [ELCA], n.d.). form this statement, it is clear that God wants us to take care of the environment that he has created for us. He does not want us to spoil anything because everything around us has some role to play either for our benefit or for the environment. T herefore, God has said that the act of despoiling the environment is same as degrading the whole creation. Another thing evident from the readings is that God wants justice from us in whatever we do. â€Å"Justice is rooted in the character of God† (Oxford, 1990). ... Justice for all is also one of the main requirements and a perfect example of stewardship. â€Å"Commitment to justice is intrinsic to Christian faith† (Anonymous, 1982). Moreover, economic production also relates to stewardship, as God wants us to create new things and get benefits. The implication of the working definition of stewardship for decision-making process is that people should obey the instructions of God while making any kind of decision whether for their personal matters or for any one else. God wants us to recognize our responsibilities and fulfill them. For example, we need to do justice in everything we do. Decision-making requires a careful analysis of issues. If we are at some position where our decisions put a direct impact on the lives of others, we need to look at the issues very carefully because our decision will be going to affect many other people. Not only in such scenarios, we also need to do justice even for little issues because it is the order of our creator. Being stewards, we need to fulfill the expectations of our Lord in order live a peaceful life. God does not demand from us any such act that can make our lives difficult. He loves us, he has created us, and he wants us to live our lives in accordance with His rules and instructions. If we talk about the ramifications of the working definition of stewardship for the business management practices, we can say that stewardship demands commitment, dedication, and honesty in business related practices. God wants us to do business under a legal framework. In any company, employees and managers perform the business related practices within their respective areas of

Company Innovation Process Case Study Example | Topics and Well Written Essays - 1000 words

Company Innovation Process - Case Study Example Motorola Inc has always strived to be a company which, to a great extent, succeeded in bringing these new products steadily and quickly to the market. Motorola has global customer sectors which trust the company for its innovative attempts to bring out the best of software enhanced wireless phones, two way radios and Internet access products. Lately, due to the cut throat competition in the industry, Motorola, for some reasons, has been pushed back to reconsider and strengthen the innovation process of the organization to keep up the consistency of its performance as a world class producers of electronic communication devices. Analyzing the situation as the president of Motorola the need of an aggressive innovation process is strikingly inevitable. The development step in the existing process seems to be inadequate for today's need of the industry to deliver timely results in the existing and growing market. Developing, in fact, could be bringing the idea in the paper defined comprehensively into a solid reality. Though, the regular innovation process in Motorola involves five steps such as inventing, developing, diffusing, integrating and monitoring. The ideas that are worth developing into a successful commercialization seem to be the failure in the innovation process. ... dically increase the chances of success for any manufacturer and thus, the best performance will depend significantly on a defined innovation process (Griffin 429-458). So the successful innovation will require a series of tasks and decision points. Developing is a significant step once the idea is conceived; there is an essential task of turning this idea into a profitable concept. An Idea will only be thought in the mind or expressed; this most of the time comes out of a creative mind representing a new product, service or remedy. The first in the series of developing would be creating a visible concept of this idea comprehensively written down on the paper. It gives a solid foundation on which the further development becomes viable. All the economical financial and schedule factors will clearly be evident with a close analysis of this concept. This concept development will function as a criterion to guide the entire work force and crew to developing true value for the customers. Setting up Development Team and Project Timeline Second phase on the developing step could be to set up the team formidable in the given situations. The first step on this would be determining project specifications on cost time and deliverables. Then, it would be the adequate technological training for the work force, as the major challenge in developing an innovative concept could be the number of trained technologically skilled personals. The product specification session will be of creating an operation conditions for the concept to become physical and live. One must utilize here the ability, knowledge, experience and talent of not only the project managers but also, as much as possible, of every individual in the unit, to the maximum. This exploitation of human talent would be

Econamy report Essay Example | Topics and Well Written Essays - 3000 words

Econamy report - Essay Example The lack of coordination and differences in structure has caused some expensive problems over the years. Therefore a need arises for an organization which can improve this coordination between these partnerships. As mentioned this is a complex task of bringing two very different systems together in an efficient manner (Quiggin, 1996). That is why it is imperative that such an organization should be a PPP itself, so it could understand the delicacies of issues arising from such partnerships. Partnership UK is such an organization which has the sole purpose of making these PPP more successful. Being a PPP itself it can better understand the issues involved in Private Public partnerships. Private public partnerships have been given many names over the years and similarly their functions have varied across geography and time. These ventures can be called PPP or P3 etc. In essence private public partnerships are joint venture between government organizations and private bodies. These bodies are funded jointly by these two sectors. Usually these joint ventures take shapes of contracts between private parties and public sector organizations (Quiggin, 1996). Private parties provide services for the public sector and assume substantial financial operational and technical risk for the project. These contracts can be many forms, shapes and sizes. In some contracts service costs are not borne by the government and users are liable to pay for service use (Quiggin, 1996). In other agreements the government is liable to provide most or all of the cost being spent on a project. In other PPP projects private sectors makes the initial capital investment but the government or public sector is bound by contract to purchase services from the private sector. Another notable aspect of these projects is grants or subsidies given by the public sector to the private sector. These can be one time grants where a lump-sum amount is paid

Sales and ethics Essay Example | Topics and Well Written Essays - 250 words

Sales and ethics - Essay Example Ethics in sales entail earning the trust of customers through disclosing all information pertaining to the goods and services. The trust should be based on honesty, commitment and credibility of the product information. Some of the unethical sales advertisements or promotions include wild claims that are misleading or unsubstantiated claims on the product suitability and benefits to the consumer (Pride and Ferrell 105). Ethics in sales require marketers to disclose the safety of the product information, the reasons for change in the ingredients, the additional benefits of the product and reasons for price differentiation (Pride and Ferrell 105). The sales person should ensure products are distributed in channels that offer maximum customer value and reduce the price of the goods. The marketer should provide channels that customers can use to make complaints on defective products and mechanisms of dealing with customer dissatisfaction (Pride and Ferrell 106). The marketers should also promote practices that safeguard the customer right to choice, and that are compliant to existing legal framework such as the duty to safeguard customer confidentiality and privacy of information. The economic price should reflect the beneficial use of the product and the costs of producing and offering the product for sale (Pride and Ferrell 106). Ethics comprise of the values that guide an individual in differentiating what is wrong or right. Ethics in sales requires marketers to desist from engaging in activities that are morally wrong and that may cause harm to the consumer such as misleading advertising, and unfair pricing. The marketers should also comply with the legal framework on consumer confidentiality and privacy and ensures that customers attain value for their use of the product or

Cultural Practices in Yanomamo Culture Research Paper

Cultural Practices in Yanomamo Culture - Research Paper Example This tribe did not have any contact with the outside world until the 1950s before which they lived in complete isolation. They were able to adapt themselves to their environment through means of cultural adaptation by following their cultural standards and practices (Trachoma among the Yanomami, Web). The Yanomamo tribe consists of hunters and horticulturists who frequently move to new areas when the soil becomes exhausted. More than half of the Yanomami live within the Amazon forest while some live along the major rivers. Similar to their living conditions, the Yanomamo also follow different rituals and beliefs. Their religious beliefs are also based on the principles of animism. They believe that the forests entail a spiritual existence along with its other uses of food and plants etc (Yanomamo, Varying Adaptations of Foraging Horticulturalists, Web). One of the main cultural practices followed by the Yanomami is Polygny which is the most common form of polygamy. Polygny is a practice in which a man has more than one wife at the same time. In the Yanomamo society, arranged marriages are common and the marriage is often based on survival and other economic factors. The men are given a higher position or role and the women are treated as servants and properties of other members of the society. The female members of this community are not allowed to participate in most of the activities but the preparation is done by the females themselves.

Basic Social Sciences Research Methods Essay Example | Topics and Well Written Essays - 1500 words

Basic Social Sciences Research Methods - Essay Example Usually, your research depends upon what information you need to collect in order to make further decisions or to validate a previously taken decision. Obviously, in conducting research there are shortfalls too. The depth and breadth of the information are important variables. The more you get into the breadth of the information, the lesser you are able to penetrate into the depth. This might not happen if you have numerous resources to carry out the research. For those who are starting on research and are relatively new on these horizons, they can use a combination of research methods to help themselves in getting the right mix of breadth and depth of information that they require. There are five basic types of research methods used in the contemporary world today. They are primarily qualitative, descriptive, co-relational, casual-competitive and experimental research. Qualitative research is sometimes called ‘ethnographic’ research. It involves the collection of data a nd information in a natural setting so that valuable insight is gained on the variables of interest and how these variables affect the outcome. This research studies numerous variables over a vast period of time. Time and resources are spent to understand how and why things are the way they are, how and why they became the way they are, and what is the underlying meaning of all of them. The basic advantage is that qualitative researchers don’t want to control or lead anything. Instead, they focus on understanding the impact of the variables on the outcomes in the natural environment.

Response to Kant and Singer Essay Example | Topics and Well Written Essays - 1250 words

Response to Kant and Singer - Essay Example Unlike other non-human animals that readily adopt to their surroundings, humans often change their surrounding in order to make it more comfortable. As such, humans have sophisticated social and intellectual setup and therefore steers the relationship with other animals. The two scholars thus explain that humans must appreciate the role and position of the other animals thus developing a natural ecosystem for the other animals to prosper on their own. Kent explains the need for the liberation of animals as a fundamental social feature that he likens to the many other liberal movements throughout the history of humans. By likening the need for animal liberation to the liberation of blacks in the United States, the renowned philosopher strives to develop a mental image of the issue and its importance. Animal rights are specific entitlements that humans accord animals in order to foster their lives and place in the society. The scholar explains that the current society experiences intense animal-human conflicts most of which result in the loss of ether human or animal lives (Kant 54). He explains that the case should not remain this way since the ecosystem can accommodate both the animals and the humans. He therefore calls for responsive relationship between animals and humans thus ensuring that each group enjoys its life to the fullest. Peter Singer shares the ideas of Immanuel Kant who calls for the liberation of animals. Kant believes that treating animals humanely enhances the human-animal interactions thus minimizing the risks associated with such relationships. This implies Singer would appreciate and call for the implementation of Kant’s hypothesis. In the article, Kant argues that only those who exhibit rationality have moral worth. Rationality refers to a degree of levelheadedness that enables an individual to weigh his actions thus make appropriate decisions, those that do not show disregard to the social values.

Quals Direct Knowledge Task Essay Example for Free

Quals Direct Knowledge Task Essay 1.1 Define the following types of abuse: • Physical abuse is defined as the use of physical force that may result in bodily injury Sexual abuse is any sort of non-consensual contact Emotional/Psychological abuse is a form of abuse characterized by a person subjecting or exposing another to behavior that may result in psychological trauma. Playing mind games, shouting and threatening behavior. Financial abuse telling you what you can and connot buy or requiring you to share or take control of your bank account and with holding monies from you. Institutional abuse is the mistreatment, neglect or inadequate care and support of adults in groups. Self neglect is failure of one adult to take care of himself or herself. Neglect by others ignoring the persons medical or physical care needs, Deliberate and unnecessary deprivation of a resource to the service user. Your assessor is happy with your answer to the above question. Good answer 1.2 Identify the signs/or symptoms associated with each type of abuse. physical abuse bruises withfound in different states of healing, small clusters indicating finger marks, friction burns from carpets, injuries inconsistent with explanation, reluctance to seek medical help Sexual abuse bruises and bleeding round the rectal and vaginal areas, stained or torn underclothes or night wear, love bites, overt sexual behavior or language not previously used or conversely fear of any type of physical contact.  Emotion/psychological abuse symptoms of stress, on set of bed wetting, anxiety, tearfulness, low self esteem, unexplained paranoia and lack of eye contact. Financial abuse suddenly unable to pay bills or purchase necessities, unexplained withdrawals from saving Institutional abuse lack of privacy around toileting and bathing, lack of giving a choice of food, bedtime, clothing Self neglect lack of attention to personal care needs, rashes, pressure sores, dirty clothing and or wet, weight loss. Neglect by others lack of attention given to personal care needs, failure to ensure privacy and dignity, dirty clothes, rashes, being left alone for long periods of time. Your assessor is happy with your answer to the above question. 1.3 Describe factors that may contribute to an individual being more vulnerable to abuse factors may include if the individual has a mental disability such as dementia or not having the mental capacity. If the individual is secluded or isolated or vulnerable there could be factors for the abuser which could include the abuser having lack of training, also abusing their power. Sometimes personal issues have a part to play which could include the carer/abuser being stressed or having a history of abuse and continuing the cycle. The factors include if one has low self esteem or self worth. if they have had abuse before, nobody to protect them, and the mentally ill. Other factors could be they may not be aware of their rights, may not be able to express themselves clearly. their home may unsuitable with no aids or adaptations to help give appropriate care. Your assessor is happy with your answer to the above question. Outcome 2 know how to respond to suspected or alleged abuse 2.1 Explain the actions to take if there are suspicions that an individual is being abused. Always report suspected or alleged abuse to the appropriate person(s), record the facts on appropriate paperwork, listen do not judge, stay calm and collected, do not tamper with any evidence. Appropriate persons to report suspected or alleged abuse would be to my manager first of all, police, social workers, family(if family is not the abuser) and possibly their doctor. Your assessor is happy with your answer to the above question. Who would be the appropriate person to report to? well answered 2.2 Explain the actions to take if an individual alleges that they are being abused Always establish what it is that has occured and report any suspicions to the appropriate manager. Reassuring the individual at all times take every allegation seriously. Always date the paperwork and have it signed by any witness (if any). take photos of any evidence if possible. Speak clearly and precise and avoid any leading questions. Your assessor is happy with your answer to the above question. 2.3 Identify ways to ensure that evidence of abuse is preserved Always record facts immediately dated and signed (by any witnesses also), report any evidence immediately to line manager, do not tamper with any evidence. Taking Photos if possible, and try avoiding any leading questions that may make them think alternatively to the situation. Your assessor is happy with your answer to the above question. What other steps might you take to preserve the evidence? You have mentioned some ways in the previous question could you ple those points and a few others you can think of. Outcome 3 Understand the national and local context of safeguarding and protection from abuse 3.1 Identify national policies and local systems that relates to safeguarding and protection from abuse National policies safeguarding vulnerable groups act 2006, the vetting and barring scheme run by the Independent Safeguarding Authority (ISA), Criminal Records Bureau, Human rights act 1998. Local Systems Safeguarding Adults Boards, Safeguarding policies and procedures for vulnerable adults. Data Protection Act 1998 Care standards Act 2000 Health and social care act 2008 The Equality Act 2010 No secrets, Department of Health 2000 Your assessor is happy with your answer to the above question. Amanda I can clearly see you get this question however The Police and CQC are not national polices or or local systems. This facts question fully http://www.ageuk.org.uk/Documents/EN-GB/Factsheets/FS78_Safeguarding_older_people_from_abuse_fcs.pdf?eps 3.2 Explain the roles of different agencies in safeguarding and protecting individuals from abuse The police their role is to safeguard vulnerable adults, investigate all reports of vulnerable adult abuse and protect and  uphold the rights of vulnerable adults. The CQC to monitor and provide guidance on what all health and social care providers must do to safeguard vulnerable adults from abuse, the safeguarding policies, procedures and systems developed are in place to prevent vulnerable adults from being abused. Social services Their role is to build managing safeguarding risks and benefits in care planning, review care plans, identify and respond to any concerns, lead and support enquiries in in the events of any abuse or neglect. Clinicians Report incidents of abuse neglect or undignified treatment, follow up referrals, consult patients taking responsibility for ongoing care, lead and support enquiries where there is need for clinical input. Health care provider Show leadership and routinely monitor activity, meet the required service quality standards, train staff in safeguarding procedures, investigate and respond effectively, take disciplinary action against staff who have abused or neglected people in their care. Social care and health commissioners Build safeguarding into commissioning strategies and service contracts, review and monitor services regulary, intervenewhere services fall below fundamental standards or abuse is taking place. Your assessor is happy with your answer to the above question. This leaflet will help you answer this question fully http://www.pasauk.org.uk/upload/public/featurebox/Safeguarding%20Adults.%20Roles%20and%20responsibilities%20in%20hea 3.3 Identify reports into serious failures to protect individuals from abuse A report about Orchid View care home in West Sussex that failed to ensure that the vulnerable adults were adequately protected from risks, including the risks of unsafe practice by its own staff. it was revealed that residents at Orchid View care home in Copthorne, west Sussex, were given  wrong doses of medication, left soiled and unattended because of a lack of staff and suffered because of serious failures in the homes management. There was institutional abuse throughout the home which lead to the deaths of 5 residents. After an investigation the CQC found it had failed to meet eight of it essential quality and safety standards. The inquest heard that Jean Halfpenny, 77, was given an overdose of blood-thinning drug warfarin while at Orchid View, Which had failed to monitor and administer her medication properly. One of the staff at the care home said she was asked to shred forms after Halfpenny had been admitted to hospital for bleeding. The coroner heard that the Orchid View manager Meera Reed, looked at the medication administration record (MAR) brought into the office by a nurse and said We cant send her to hospital wit those. they will shut us down. Five people were arrested, including some on suspicion of manslaughter by gross negligence in relation to Halfpennys death, but insufficient evidence existed to support a prosecution and the case was passed to a coroner. Your assessor is happy with your answer to the above question. Some good research has gonr into the answer for this question 3.4 Identify sources of information and advice about own role in safeguarding and protecting individuals from abuse My manager, colleagues My companies policies and procedures Local authority services department like social services The internet Care Quality Commission Books Independent Safeguarding Authority health and social care act 2015 Your assessor is happy with your answer to the above question. The 2015 Care Act perhaps? well answered Amanda Outcome 4 Understand ways to reduce the likelihood of abuse 4.1 Explain how the likelihood of abuse may be reduced by: • Working with person centred values • Encouraging ac choice and rights Person centred values include the individuality of the person, the rights of the individual, choice, privacy, independence, dignity, and the individual being respected. If person centred values are taken into consideration when supporting an individual there is less likely to be abuse as all the staff will be working in the same way. If a person is considered to have a say in what he or she wants and is at the centre of any decision, it will be more unlikely that there is abuse. I always put the service users i work with at the centre of any decision about them and they are an active partner in their own care. service user decide what to do, shower, wash or bath, what clothes they want to wear and are treated with dignity, respect, confidentiality and are able to make their own choices. Active participation is a way of working that recognises an individuals right to participate in the activities and relationships of everyday life as independently as possible. So if the individual participates actively in their daily activities, then the risk of abuse is low. For example I would prompt the service user to pick out what clothes they would like to wear, what meals they would like and encourage them to take part in preparing and cooking the meal the way they like it. Individuals are supported to make their choices in anything they want, like food or drink, what to wear, whether they want a bath, shower,, or wash. No individual will choose something that will hurt them self therefore abuse is reduced to the minimum. Individuals rights are promoted throughout the service, service user have the right to as they wish to do and if its what they want as long as it is not dangerous, a risk assesment will then be done to stop any abuse happening. I ensure that i promote service users rights and choices by allowing them to make their own choices and support them to have the same rights of anyone else. Your assessor is happy with your answer to the above question. Excellent answer 4 .2 Explain the importance of an accessible complaints procedure for reducing the likelihood of abuse The complaints procedure gives the complainant the right to be heard and supported to make their views known. an accessible complaints procedure is understandable and easy to use. It sets out clearly how to make a complaint, the steps that will be taken when the complaint is looked into. An accessible complaints procedure resolves complaints more quickly as the complainant feels that they are being listened to and their complaint is is taken seriously. Making sure that abuse will not be tolerated in any form and encourages the complainant to not accept this. If a staff member is being abused, it would be reported to the line manager as an informal grievance, employees should aim to resolve most grievences informally with their line manager and are therefor encouraged to discuss all matters openly as they occur. If the grievance cannot be settled informally then it should be raised through the formal procedure of a grievance. Formal Grievance should be raised with their line manager or next level of management if grievance is related to the line manager, in writing, at the earliest time. the manager will organise a meeting within 5 working days, Employees will be allowed to explain their complaint,and suggest a way it should be settled. meeting could be ajourned if the manager feels they need further advice. the manager will give full consideration to the complaint and confirm the outcome in writing. Your assessor is happy with your answer to the above question. You have looked at this question from the perspective of the client. How about the staff who may be getting abused please include colleagues in this answer Outcome 5 Know how to recognise and report unsafe practices 5.1 Describe unsafe practices that may affect the well being of individuals Unsanitary conditions can spread infection as cross-contamination can occur and can affect the well being of the individual and others. examples of these unsanity conditions can be dirty kitchen work surfaces and equipment, improper hand washing, not covering hair when cooking can pose a risk, as can not reporting faulty equipment when working or not, having cleaning materials can also be unsafe. Not having risk assessments in place when a service user hurts themselves, Staff not checking when service user is ill or unsteady on their feet. Staff not recording in the care plan any issues if a services is unwell or unable to support themselves as much, not monitoring their wellbeing. Other unsafe practice that can amount to abuse is leaving a service user on the toilet too long, ignoring or not listening to them.  Marks on the body not taken seriously and not listening to complaints can put them at more danger, harm and risk of abuse. staff that are untrained or have out of date training, unsanitary uniforms can spread infection to clients and other colleagues, Management giving their colleague/s a large work load, making them exhausted and having a lack of concentration. Your assessor is happy with your answer to the above question. You have looked at this question from the perspective of the client. How about the staff who may be getting abused please include colleagues in this answer 5.2 Explain the actions to take if unsafe practices have been identified If I identify unsafe practice then I must follow the whistle blowing procedure and report to the appropriate person. I will report to my manager immediately or if it involves my manager then I would report it to another appropriate person. I will monitor all unsafe practices and make sure that I record and report in full all the evidence, then I will talk to my manager as I am aware all unsafe practices are dangerous that could cause harm. Your assessor is happy with your answer to the above question. 5.3 Describe the action to take if suspected abuse or unsafe practices have been reported but nothing has been done If suspected abuse or unsafe practices have been reported but nothing has been done in response or if it has to do with my manager then I would report it to the next level or manager. Then I would report to the social worker and safeguarding team and to the care quality commission and even the police depending on the response i get. Your assessor is happy with your answer to the above question.

Active Listening in 4 Steps Essay Example for Free

Active Listening in 4 Steps Essay Active listening in 4 steps: The best managers make the best listeners Managers spend a good part of their workday listening to other people. But bear in mind, there’s a big difference between â€Å"passive† and â€Å"active† listening. Effective listening includes a four-step process to ensure understanding: 1. Listen to the total message.  2. Prove your understanding by using nonverbal signals. 3. Use open-ended probes. 4. Paraphrase what you hear. Motivating employees through realistic deadlines: 4 dos and donts Without deadlines, employees flounder. They can’t be aware of the urgency or priorities of a project unless their supervisors tell them. Following are four tips on motivating employees by setting realistic deadlines: 1. Do be specific  Name the target day and time. And mean what you say. If you ask for completion â€Å"next week,† don’t complain on Friday that you really needed it on Wednesday. 2. Do clarify priorities Let people know if this assignment takes precedence over any other projects they’re working on now. Avoid the old, favorite deadline â€Å"ASAP,† which usually translates in an employee’s mind as â€Å"whenever it gets done.† 3. Don’t set false deadlines  Setting a deadline earlier than necessary (because you don’t trust your employees to meet the real deadline) creates more problems than it solves. Your staff will soon learn that’s how you operate and will assume there’s always air in the schedule. As a result, they’ll always miss that first deadline, just as you knew they would. 4. Do establish an update schedule  The best-laid plans can go astray, and so can deadlines. You’ll minimize the chance of this occurring by setting up a progress report schedule when you assign the project. This is especially important for long-term projects. Motivating employees to do their best each day: 6 office communication techniques Here are six tips for motivating employees to stay on task and work together toward the common goal, according to a report by OnPoint Consulting: 1. Clarify, clarify, clarify.  2. Establish clear expectations. 3. Don’t micromanage your entrepreneurial-minded employees. But do monitor them. 4. Encourage employees to share bad news with you. 5. Solve problems quickly, but not too quickly. 6. Encourage informal and spontaneous interaction. Managing employee retention: Listen for subtle whispers of employee turnover Most good employees don’t stand up one day and quit out of the blue. They send off subtle hints that, if you’re listening, you can act on before the good employee walks out the door. That’s why it’s important to listen to statements like these that can act as an â€Å"advance warning system† for employee turnover: * This job isn’t what I thought it would be. Rather than exploring what the employee was originally told or trying to defend miscommunication, focus on the present. Ask, â€Å"How do you want your job to be?† * I’m at a plateau. I can’t grow here. Consider that a plea for job stimulation. Provide the employee with new responsibilities, cross-training opportunities or exposure to influential mentors. * I don’t get any feedback. Most employees crave regular input from their supervisors. Don’t leave them in the dark. Plan regular sessions to discuss ongoing projects and performance. * This place has too much politics. While you may not be able to eliminate all dissension and politics in the organization, you can level with the employee. If someone makes this complaint, address rumors head-on, a nd don’t play favorites. Maintaining workplace productivity: 7 common employee gripes (and how to silence them) A recent study says that 40% of managers in the United States are considered â€Å"bad bosses† by their employees. Yet most managers assume that their relationships with their employees are running smoothly. Obviously, some of those bosses are wrong †¦ and that can create major problems for workplace productivity. A Gallup Poll says organizations are 50% less productive—and 44% less profitable—when serious boss-employee conflicts exist. Employee retention strategies: 8 little things managers can do to retain the best When good employees leave for greener pastures, it makes a manager’s job much more difficult. Managers can prevent this syndrome by doing what they can to make their own pasture the greenest. While compensation helps, it’s not always cash that makes pastures greener. When salaries are equal with the marketplace, other factors take priority. Here are eight easy-to-plant â€Å"seeds† that help keep employees growing and content, according to a KEYGroup report: 1. Keep them engaged. Consider ways to provide opportunities for employees to improve on their skills or learn new skills they can use in their jobs. 2. Give praise where praise is due. Recognizing a job well done isn’t an expensive proposition, but it will mean the world to your employee. 3. Be aware of employees’ changing needs. By recognizing their changing needs, you show sensitivity to what’s going on in their lives. This builds loyalty and helps bring stability to their personal lives, which means they can focus better at work. 4. Realize that great employees thrive under great leaders. Employees won’t leave for greener pastures unless you drive them. The buck starts and stops with their leaders. 5. Conduct regular â€Å"stay† interviews. Rather than exit interviews, use regular â€Å"stay† interviews to provide an opportunity to compliment high performers on their work and inspire them to do more. 6. Create an environment where people can do their best work. By allowing employees to develop and implement their own ideas, you’ll keep them passionate about their work. 7. Create an environment of trust. Employees are happier and work harder when they trust their leaders. They decide which leaders they can trust based on how their fellow employees, company vendors and customers are treated. 8. Rid your pasture of weeds. The weeds are those poor performers and negative employees who stifle the good attitudes and high performance of their co-workers. The bottom line: Striving to keep employees happy and engaged is not just a â€Å"nice† thing to do — it’s the only way to maximize workplace productivity. Thoughtful employee retention strategies are useful not just for retaining people to avoid the high cost of recruitment. Engaged employees are creative, productive, motivated and brimming with good ideas

Importance Of Work Life Balance

Importance Of Work Life Balance It`s the idea that a persons life outside of work is as important as their working life`s and that the time a person spends working should be balanced by time spent doing things such as spending time with friends and family, keeping fit, doing hobbies, traveling etc. Work life balance is the state of equilibrium between an individuals work and personal life. Work life balance is achieved when an individual combination of work, family commitments and his personal life in an effective and efficiently way. If a worker is spending more time on work, he earned money but he unable to give quality time to his family and would also be neglected from his community. If a worker is working too little work, then he could not be able to provide his family a decent standard of living. A single individual work-life balance varies overtime. Work life balance for an individual worker is different from a single parent or a parent with school going children. Importance of work-life balance: The idea of WLB does bring attention to the fact that being a salve is detrimental to a persons physical and mental well-being; socializing, physical activity, and being with friends and family are all activities that contribute to being happier and healthier. Adopting WLB practices, the organization can also give a sense of social responsibility that organization is not only concerned with the profits earning activities but they are also concerned with the non-business activities like taking care of families of the workers. MERITS Spent more time with family. Healthier life Productivity increased Clear thinking. Better judgments. Enjoyment of work. Better social relationships. Broader perspective. Less stress DEMERITS Slower career advancement. Lower financial rewards. Moving out of the mainstream. Reduction in responsibility How important for employees and employers: All around the world, many companies realized that there is a connection between the work life balance and the impact it may have on their business. Much business believed on the theory that their employers must devote their work time to their work alone. Employees were not allowed to leave the work due to unexpected emergencies because many employers believed that their employees were hired only for work. As the world is changing, many employers become more flexible to balance the life situation with their employees. The most common problem for the employees is that they worked too much. They spent many hours in the office to complete their activities. For this reason a negative atmosphere may be created in the company. To combat that negative atmosphere or attitude there are many employers who are beginning to educate themselves and their employees on work-life balance. Employees who manage to balance their work with their life activity are more likely to be happy. This increased happiness can create positive work environments. Employers know that friendly work environments mean better results and better results often translate into profits. Developing Work-life balance is not only beneficial to employers. Employees, their family and friends can all from benefit from a positive work-life balance. Once a balance between life and work has been established a working parent may be able to spend more time with family. Benefit not Just for Those with Families: Many organization brought work-life balance in the workplace considering the families of employees, but work-life balance is not just for individuals with family. It is true that the employees who benefit the most from a work life balance policy are those with families; however, others do as well. When work-life balance incorporated in to the business structure it must applies to all employees not certain one. This means that everyone, including unmarried individuals or those without children, can reap the benefits of WLB. Many employers offer work alternatives to their employees to create positive work environment. All of these alternatives are likely to decrease the amount of time that an employee has to spend in the workplace when they already have prior engagements. Some of the alternatives are flexible hours, working at home, or job sharing. There are many individual who have multiple hobbies. A hobby is an activity to participate during your free time. Some of the activities are stamp collecting, photography, writing, reading story books, playing sports and other outdoor activities. Since work-life balance reduces the amount of time you are giving to your job, so an employee can utilize his/her time for doing such activity. There are many individuals who (when not working) volunteer in or around their local community. Volunteering is most commonly done at not profit charities, play groups, schools, and homeless shelters. Having a healthy balance between work and life is what enables many employees to volunteer during their traditional work hours. Impact of working long hours: Working eight hours is considered to be as the standard time for employees in many areas of the world. But an employee often works for more than eight hours a day because employer requires it. Regardless of the reason for doing so; it has been proven that long hours can have a negative impact on an employee and their family. Some health issues are associated with working long hours. Stress is more likely to occur when you are working long hours more than the standard. It has been known a sleep deprivation that is cause by stress. Individuals who suffer from a lack of sleep and a large amount of stress are likely to have a weak immune system. In order to prevent from these employees need to get a proper amount of rest and relaxation. The most important affects of working long hours is the amount of time you spend with your family. Your relationship with your family is depending of how much time you spend with them. It is not uncommon for tension to be present in a household where one or more of the home occupants are working long hours. Stress is more likely to occur when a household hold more than one duty and give extra time to her outside work. When an employee has regularly been putting in long hours at their workplace it is often difficult to stop. It is not uncommon for a worker to fear asking their employer for a reduction in hours in fear of losting their job. So If a job was accepted on the terms that workdays would be longer than most traditional ones it may be difficult for you to find a solution to your long lasting hours. If you agreed to the work arrangement your only alternative may be finding an organization that values the balance between working and life. How work-life balance should be implemented in the workplace: Earning profits is not the only goal that the organization is looking for. Nowadays getting employees loyalty is another important challenge that organization want to achieve to success in the business. In order to do that employer should satisfy their employees. This satisfaction is most often obtained by coming to the realization that all employees have a life outside of work that is just as important, if less, than their career. Pleasing every employee is a difficult task but most of the successful organization accomplished that task by incorporating work-life balance into their organization. One research indicated that employees are satisfied when the policies of work life balance are in accordance to their needs. Some of the individuals needs are sick leaves, lunch breaks, vacations leaves, pleasant amount of time with family and friends etc. Therefore there is a need for the organizations to develop a work-life policy that respects customer, individual and organizational needs. Same set of WLB facilities available at the organizations will help the management of the organizations to retain their employees with higher satisfaction levels. One important fact that organization should clearly defined the concept of work life balance to the employees so that they can balance their life. Some major policies of WLB all over the world: Long hours and overworked employees is the main problem in the organization. So in order to prevent that there are certain policies (flexible work practice) developed by the organization:- Hiring two employees to fill one job; this practices known as job sharing. Job sharing means works by dividing work time vacations, benefits, and pay between two workers. It is now becoming standard practice for an employer to offer their employees flexible hours. Working hours are predetermined during the hiring process and employees are allowed to pick hours that they work each week. Working at home is another alternative work arrangement that enables more employees to be at home with their family. Provided medical leave programs to employees. This program enables the employee to take time off from work if they or one of their family members becomes injured or ill. Provided vacation leaves for some period of time if employees feel that they are not giving proper time to their families. For parents the most popular way that work-life balance is brought into the workplace is through onsite childcare. It is located at the same building which allows parents to visit whenever they want to. Provide part time work arrangement for those who want to work for fewer hours. Affects of flexible work practice: Studies have indicated that introducing flexible work practices has a number of advantages for employers, such as an improved ability to attract existing employees as well as people not currently in the workforce. Research has shown the provision of flexible work practices (that help workers achieve work-life balance) positively impact Recruitment and selection Reduced stress and working environment Job satisfaction employee morale Labour turnover Motivation and productivity Absenteeism Return on training investment and staff loyalty Finding organization that values Work-Life Balance: There are number of things that an employee must take into account before seeking an organization where he wants to work. Employee should determine before joining the organization that whether they value the work-life balance or not. The two most common ways to gather information on a particular organization is before you being the application process or during the interview. While interviewing there are many individual who may ask an employer if they believe in the balance of work and life. This is a best way to get an answer to your questions, but it should also work to your demerits. Some employers, especially those who have not adopted the popular WLB theory, are likely to feel that you will not be a good job candidate. If you really want to know about the employer feeling on work-life balance then asks him directly in the middle or end of the interview. This shall make it appear as if that is not the only reason why you are seeking employment with them. In addition, to sharing t he same values, most of companies want to hear that you have faith in their products being sold or services being offered. To determine if a company you are interested in applying to shares this concept you can ask about family medical leave, job sharing, alternative work arrangements, and onsite childcare. Each features are typically found in a workplace that values life and family just as much as it does work. LITERATURE REVIEW: Employee work satisfaction and work life balance in Pakistani perspective As the wave of globalization captured the Pakistani markets the job became more demanding and the working hours also increases. The fast pace economical development in the country has demanded more efforts from its employees. Now organizations in Pakistan are paying off good salary packages, compensation and benefits but the nature of the work is more demanding. The work related stress, work pressure, long working hours leads to job dissatisfaction which is one of the main hinder in the factors related to work/family interferences The researchers made their efforts to highlight the issues of job satisfaction and work life balance in one of the developing countries, Pakistan. From the Pakistan perspective the researchers identified that the employee is said to be satisfied from his/her work when he/she feels comfort while working in the organization. Whereas work life balance means that an employee is comfortably accomplishing his/her work and non work responsibilities. Nadeem and Abbas (2009) tested a relationship of work life conflict and job satisfaction in a sample of Pakistani employees and revealed a negative relationship of the variables and suggested that the supportive management can be a medicine to minimize the conflict and enhance satisfaction among employees. However, the correlation of workload is positive and insignificant which shows that workload does not affect the job satisfaction of the employees in Pakistan. One of the researchers while examining the impact of rewards and recognition on job satisfaction and motivation of in a sample of Pakistani sample employees defines employee work satisfaction (job satisfaction) as a pleasurable positive emotional state as a result of work appraisal from ones job experiences (Gruneberg, 1979; Danish Usman, 2010). Malik, Zaheer, Khan and Ahmad, (2010) examined a relationship of work life balance/ work life conflict and job satisfaction in a sample of MBBS doctors in Pakistan and revealed no significant effect of work life balance on job satisfaction. Another research (ijcrb.webs.com) examines the relationship of employee work satisfaction and work life balance practices in Pakistan. A sample of 450 are gathered via stratified sampling from the two big organization operating in Pakistan i.e Pakistan telecommunication limited (PTCL) and Habib bank limited (HBL) . The results of this study show no significant difference with respect to employee work satisfaction and work life balance at all the management levels .Moreover, the result of regression analysis poses a strong positive relationship between the variables which means employee satisfaction has a strong impact on work life balance. The data which collected in this study clearly indicated that HBL provide more work-life facilities than the PTCL by ensuring better education facilities, child facilities, social support, flexi time facilities and more sick and education leaves. It means that HBL has the policies related to their people that support the concept of work-life balanc e. After going through several studies it is obvious that the term work life balance has been defined in different by different authors. Survey: We conduct a survey of Pakistan Steel Mills to identify that whether organization has HR policies in respect of work life balance and whether it is rightly implemented in the workplace. We taken interview of Mr. Iftikahr A. Barakzai , General Manager (MTC and human recourse department) and ask questions about HR polices related to work life balance that exist in Pak Steel Mills. We also distribute questionnaire to 40 employees of different department. HR Polices in respect of WLB: Weekly hours: No employee shall be allowed or required to work in a mills for more than forty-five hours in any week. Provided that an employee worker in mills engaged in work which for technical reasons must be continuous throughout the day may work for forty-eight hours in any week. Weekly holiday: No employee worker shall be allowed or required to work in a mills on a Saturday and Sunday. Compensatory holidays: Every employee should be allowed for a compensatory holidays, If worker works on Saturday and Sunday. Daily hours: Technical worker shall not be allowed or required to work in a mills for more than 12 hours in any day. Non-technical worker shall not be allowed or required to work in a mills for more than 9 hours in any day. Intervals for rest: The periods of work of employee workers in mills during each day shall be fixed either Each non-technical worker gets 45 min. launch and namaz break and two 15 min. tea break. Each technical worker gets two 45 min. launch and namaz break and two 15 min. tea break. Annual holidays: Every worker who has completed a period of twelve months continuous service in mills shall be allowed, during the subsequent period of twelve months holidays for a period of thirty three consecutive days, inclusive of the day or days, if any, on which he is entitled to a holiday. Casual leave: Every employee shall be entitled to casual leave with full pay for twenty days in a year. Sick leave: Every employee shall be entitled to ten days sick leave on pay in a year. Gazetted holidays: Every employee should get leave of 14 aug, 23 march, 25dec, 1 may, 9 nov, 11 sep, 5 feb. Festival Holidays: Every employee shall be allowed holidays with pay on all days declared by the federal Government to be festival holidays, e.g. (EID-UL-AZHA). Transportation facility: All employees shall be facilitating with free transportation. Health programs: Each worker can get free medical facilities and also for his or her family. Questionnaire: We distribute questionnaire to 40 employees to different department to determine the work life balance affect on employee satisfaction. Our findings are; Apply Correlation: Interpretation: After applying correlation analysis in spss and considering work life balance as our objective variable we determined that there is no significant relation between Work-life balance and job satisfaction, working hours working days. It means that job satisfaction have no affect on the work life balance. Conclusion: The results of the current study are based on the sample of 40 employees of different department of Pakistan steel mills. The result shows no significant relation are found in employee job satisfaction and work life balance. The study that we conducted in steel mills also determine that organization has certain policies which support individual to balance their life but there is no separate policy related to work life balance that exist in the organization and it is not properly defined to the employees. So there is needed to develop the concept of separate work life balance policies that will help the organization to retain the employees within the organization with higher job satisfaction level. The studies conducted so far in Pakistani organizational environment are unable to highlight the work life balance and work life balance practices in concrete terms except for some big organization like unilever,PG who has a separate well defined policies related to work life balance. So there is needed to make this concept clearly examine its effect on other human and organizational factors.