The Lesser Evil Essays - Social Philosophy, Philosophy Of Life

The Lesser Evil Hathaway, Aaron Period 7 The Lesser Evil Barbara Harrison once said, ?The toughest choices in life are not those between good and evil, but those between the good and the lesser good.? She makes a good point given that those are the only types of choices that we must make. Sadly, there is a third type of decision that we fear the most, the decisions between the bad and the lesser bad. Distinguishing the lesser of two evils is far more difficult than identifying the greater of two goods. Many times we are faced with situations where we are compelled to lie. Lying is wrong, but in many cases is less destructive than telling the truth. Take a police officer, for example, who has just apprehended a known criminal. He's taken away in an ambulance before the officer could finish reading his rights. In court the officer is asked if the criminal was read his rights in full. At this point the officer could either tell the truth and let the criminal get away or lie and have him put behind bars. In this case lying would be wrong, but telling the truth would be even worse. Personal sacrifice is often one of the options when making a hard decision. In these cases we ask ourselves if we are willing to give something up in order to benefit others. At first glance this may seem like a decision between good (charity) and evil (selfishness). At a closer examination, however, we can see that in both cases one or the other party is at a financial loss. Help the starving children in India! Save the rainforest! What is it that makes us compelled to harm our checkbook? Guilt? Perhaps. It's most likely the belief that we can help a world problem by sending our money to a greedy corporation that will keep half of it for itself: a classic no-win situation. What about a decision that really makes us choose between the lesser of two evils? I though you'd never ask. Hypothetical situation: You are staying in a quaint, forest cabin with your family. An earthquake hits in the middle of the night sending tons of snow and ice down onto your cabin. Sadly, a member of your family is terribly wounded when an iron support snaps under the pressure of the snow and becomes lodged in his arm. It's not serious but without antibiotics the wound becomes infected and leads to his death three days later. By this time your family is starving, having eaten the loaf of bread and box of cereal that you brought. You dare not try opening the door since it has buckled inwards from the weight of the snow. You have no idea when help will come. Here's where you must make your decision. Do you let your family starve and not desecrate your family member's body or do you do the unthinkable and hold out a few more days, possibly saving the lives of your family members and yourself? Although extremely unlikely, while possible, this situation invokes the most feared type of decision imaginable. Most people, including myself, would choose not to answer on the basis that it would never happen. It's only natural for us to avoid something that we are absolutely terrified of. Often those decisions that we recall as the hardest decisions in our lives are those that force us to pick among several choices, all with unpleasant outcomes. We need to look past the small everyday decisions in life when deciding what is truly difficult. Although what Barbara Harrison said was true, she forgot to tell us that decisions between the bad and the worse are infinitely more difficult to make.

Companies’ behavior towards changes in the external environment The WritePass Journal

Companies’ behavior towards changes in the external environment Introduction: Companies’ behavior towards changes in the external environment Introduction: Supply and Demand and how do they effect the price and the Market Equilibrium:   Gaining the customer loyalty: Five advantages for making a first time customer a lifetime purchaser (Loyal customer):   Conclusion:   Reference listRelated Introduction: Ash from Iceland’s eyjafjallajokull volcano triggered an unprecedented shutdown of European airspace for six days until the 21st of April 2010, paralyzing many airports and trapping hundreds of thousands of tourists and business travellers. The flight ban was compulsory because ash can turn to molten glass in the high temperatures of an aircrafts turbine and cripple the engine. The safety and   security of travellers was the first priority of the airlines’ companies and accordingly they had to stop all their flights within Europe, which in turn affected the whole tourism’s industry including hotels. BBC, 2010) However, each company had their own point of view on the best actions that can be taken in these types of situations and unique circumstances, depending on some of the business and economical theories and concepts. Nevertheless, to demonstrate and understand these actions Mrs. Judith Piggott’s experience with British airways and a local hotel is used. In this report, these theories will be presented and analyzed; in addition the way that the companies implemented them in this case will be exposed. Supply and Demand and how do they effect the price and the Market Equilibrium:   To understand the local hotel’s attempt, which is lowering their price, the terms supply, demand and Market Equilibrium must be known. Firstly, the term demand means â€Å"the want or desire to possess a good or service with the necessary goods, services, or financial instruments necessary to make a legal transaction for those goods or services† (see appendix 1), and the relationship between price and quantity demanded is an inverse or negative relationship. This means that when price goes up quantity demanded goes down, and when price goes down quantity demanded goes up true for individuals, modules (e.g. Groups of consumers), whole markets. Secondly, the word supply in economics means â€Å"the amount of a product that the firm is able and willing to put on the market over a specified period† (see appendix 1). The market supply is the sum of the supply of all firms at any given price, there is a positive relationship between price and quantity, when price goes up quantity supplied goes up (Tucker, 2008). Finally and the most important term for our case is the Market Equilibrium, where the supply and demand intersect or in another words when the quantity of product supplied equals the quantity of product demanded at any given price (see appendix 2). (Wessels, 2006) Therefore, the Market Equilibrium is the goal for any firm to avoid any surpluses (see appendix 3) or   shortages (see appendix 4). By understanding these concepts we can recognise that the local hote   were concerned that because of the ash clouds, the coming customers’ numbers will be less than usual adding to that the other competitors in the market which will even lower the numbers more, consequently minimising the hotel’s chare from the whole market. Therefore, the hotel had to lower their prices firstly to avoid surpluses of empty rooms, and secondly to compete with the other hotels in the market. Gaining the customer loyalty: The regular company in the UK wastes from 20-40% of its customers each year.   By acknowledging   this issue and its negative influence on the company competitiveness and profitability, a firm must swap from the long accepted market share strategy to a completely different long-term approach   to business, which is building the customer loyalty (Bell and Patterson, 2004). Boosted loyalty can bring cost savings to a firm in at least six areas: Reduced marketing costs (customer gaining or attracting costs require more pounds). Lower switching costs such as contract negotiation and order processing. Reduced customer turnover costs (fewer lost customers to replace). Increased cross-selling success leading to larger share of market. More positive word of mouth and better company image. Reduced collapse costs. Five advantages for making a first time customer a lifetime purchaser (Loyal customer): Sales go up, because the customer is purchasing more from the firm. The firm is strengthening their situation in the marketplace, when clients are buying from them instead of their competitors. Marketing costs decrease when the firm doesn’t have to spend a huge amount of money to attract repeat customers, since they already have them.   In addition, as satisfied customers they tell their friends (Word of mouth marketing) thereby decreasing your need to advertise. Therefore, decreasing marketing costs. Avoiding price competition with competitors, because a loyal customer is less expected to be attracted away to another competitors by a discount of a few pounds. Finally, a satisfied customer is expected to sample the firm’s other product lines thus helping to achieve a larger share of customers. When a firm is spending less to attract new customers, it can afford to pay their staff’s better wages. Better salaries prompt a chain reaction, with huge benefits. If a company is able to maintain good workers, the company’s loyalty both internally and externally improves. Just as customer retaining has a positive influence on profitability, customer defection can have a negative influence.   Defection by a long-term customer (Loyal customer) can cause an intense loss and affect the bottom line faster than defection by a new customer. Both of customer loyalty and satisfaction are two words that go into the Sales Strategic Plan. (Lawfer, 2004). Both of British airways and Thomson’s holidays tried to gain the customer’s loyalty and expand their customers’ base by their actions. For example, British airways paid off their customers the extra nights hotel’s fees, and they did that in a short period of time. Whereas companies such as Ryan air refused to do so. In addition, Thomson holidays were so generous and caring with their customers they paid for the extra nights, food and they even send their cruises to pick their clients and return them home. While, other companies where so mean and untruthful to their clients, they promised to pay for the meals and then retreat and demanded money for them. Which had a negative impact on their customer base. Thus lowered the number of returning customers and that can be seen clearly from Ryan air customer’s feedback. Even though British airways and Thomson holidays lost a huge amount of money on the short run, but they gained their customer’s loy alty and trust. Consequently, expanded their customers’ base, which will recover their losses in the long run (Reichheld, 1996).   Conclusion:   To sum up, the Iceland’s volcanic ash had a strong impact on the airlines industry and   forced the companies to stop all their flight within Europe, which in turn affected the tourism industry as a whole. Companies’ actions towards this incident varied from one   to another, depending on some of the commercial and economical theories and principles. Some of the companies such as British airways and Thomson holidays were   looking more on the future and tried to maintain their customer base and gain their trust, by being helpful and truthful with their clients. On the other hand companies such Rayan air and some of the other holiday’s firms, were dishonest and looked more on the   present and how to avoid losses. Even though British airways and Thomson lost a huge amount of money on the short run, but maintaining their customer base will allow them to cover these losses in the long run.In terms of pricing strategies the local hotel depended on the great u nderstanding of the economical terms supply, demand and Market Equilibrium. They pushed the price down   so they can raise the demand up and achieve the Market   Equilibrium, and in turn avoid   surpluses or shortages in rooms. Moreover, pushing the prices down will able them to compete with other competitors in the market and expand their market share. In my opinion British airways and Thomson holidays made the right strategic decision and approached the right actions, because of the advantages of increasing the loyalty and maintaining loyal customers that I mentioned previously. In addition, I think the local hotel were also successful in their pricing strategies, because if they did not push the prices down there would had been a huge numbers of unequipped   rooms, and their losses would had been even grater. Reference list BBC (2010) Icelandic volcanic ash alert grounds UK flights. April 15, 2010 [online]. Available from: http://news.bbc.co.uk/2/hi/uk_news/8621407.stm [Accessed on April 22, 2011] Bell, C. And Patterson, J. (2004) Customer Loyalty, Guaranteed: Create, Lead, And Sustain Remarkable Customer. Massachusetts: Adams Media Lawfer, M. (2004) Why Customers Come Back: How to Create Lasting Customer Loyalty. New Jersey: The Career Press Reichheld, F. (1996) The loyalty effect: the hidden force behind growth, profits, and lasting value. Massachusetts: Harvard Business School Press Tucker, I. (2008) Macroeconomics for Today. Ohio: Cengage Learning Wessels, W. (2006) Economics. New York: BARRON’S

Proposal Argument - Overcrowded Prisons Essay Example | Topics and Well Written Essays - 1000 words

Proposal Argument - Overcrowded Prisons - Essay Example Any person who finds guilty of committing crime is likely to face consequences of punishment from the legal system of the nation (Darrow, pp. 6-10). The behavior of the person after punishment will change and make the person a better one is under many controversies and quarrels as the studies’ results have shown different findings in each case. For the last few decades, crime and criminal activities has boosted drastically and become one of the serious issues for the entire human race. The criminal acts not only affects the criminals, their families, and victims but has effects largely on the society as whole. The ratio of increase in crime factor is resulting in the increase of prisons as well to accommodate the prisoners (Darrow, pp. 11-13). In order to control and alleviate the facet of crime in a state or nation and to provide security to its citizens, the justice system is existent. As the country is powerful and economically stable, it proves that the justice system is w orking in the right path resulting in the growth of the state. United States of America is one of the countries that are considerably a superpower state with an influential justice system. Despite of having a strong justice system, observations has come into limelight that the proportion of people involved in the criminal activities has increased at an unprecedented rate with the passage of time. The criminals are not restricted to gender and both males and females are largely engaging themselves into such actions and behaviors (Clear, Cole & Reisig, pp. 460-470). According to the statistics of researches, it has come under conclusion that the rates of crime in the U.S. regions have far more than that of countries in the other regions of the world and has materialized in the last few decades. The consequence of the increase in crime, the jails, and prisons are now overfull and congested. The result of overcrowding makes the authority of the prisons to adjust criminals that are in do uble quantity now in the prison cells that came under plan for single. Another consequence of the crime rate raising is that there is a lack of beds for the criminals for which they keep them into the jails that are far away from their home. Increase in transportation cost is an outcome of it, also making delays in the justice as it takes more time to reach for court appearances. In addition, there is a high risk involved that subsequent to the release, the prisoner will not be able to re-incorporate amongst his family members and the society (Pollock, pp. 65-67). The growth of prisoners is creating a negative and unconstructive impact, as jail authorities are carrying out no productive and beneficial work for the inmates that could lead them to be a better person in future. According to the researches that have conducted, it has come under evidence that very little measures have come under performance for the prisoners in educating them and providing them with the employment opport unities (Pollock, pp. 67-71). The prison environments play a vital role and are of great deal of importance in the formation of the inmates’ attitudes. If the prison environm

Analysis of a Media Contested Family, Neighbourhood or Community Essay

Analysis of a Media Contested Family, Neighbourhood or Community - Essay Example Tyler Clementi’s case was handled in an inconclusive manner. The consensus was still not reached as to who what was to be done to the perpetrators in this case, how should the society and the family react and the overall judicial process for bringing people to justice. According to the comments gathered from leading online sources as well as the media covering Tyler Clementi’s case, it can be gathered that it was a case of intolerance from all quarters. The perpetrators identified as Ravi and his friend circle were definitely the major culprits in their sinister acts which lead to the suicide, but equally to blame were Tyler’s parents who failed to treat Clementi’s gender disorder case with care and adequate sensitivity. From all the online commentaries and expert reviews as well as public sentiment the rhetoric can be analysed to be a sentiment that blames the entire system including the judiciary, the academic system, society and family also.

Defining Important Terms (Due 7.12.13) Essay Example | Topics and Well Written Essays - 500 words

Defining Important Terms (Due 7.12.13) - Essay Example Thus over all human resource development programs motivates employees and assists individuals in better decision making through enhanced level of acquired skills and knowledge. The basic purpose of human resource development program is to promote fair and positive working environment for employees. It relies on the fact that the success of any organization is dependent on the growth and development of their employees thus these programs play a vital role in growing their organizations. This actually turns out favorable for both the parties that is employees and the organization (Torraco, & Swanson, 1995). Evaluation is the process of systematic assessment of a matter or an object. It is defined as the systematic acquisition and assessment of information to provide useful feedback about some object (Ferguson, & Reio Jr, 2010). It can also be defined as the process of examining the worth, merit or significance of an object (Boselie, Dietz, & Boon, 2005). It includes analyzing strengths and weaknesses of an object. Proper evaluation is aided by sufficient amount of information regarding the object that is taken into consideration. The reason why evaluation is done varies with the type of objective one has. As evaluation is closely related to one’s objectives because evaluation helps as a tool to manage performance so that the intended target of performance can be achieved. Thus to have effective process of evaluation, it is very necessary to know about one’s objectives. There must be clear understanding about what a firm or an organization wants to achieve, otherwise evaluation process will not take place properly and divergence can be observed in achieving goals which can alienate firms from their vision. Mostly evaluation helps in measurement of performance, providing credibility, understanding equity, improvement of upcoming activities and

Malnutrition Effects on Quality Of Life

Malnutrition Effects on Quality Of Life The focus of this assessment is quality of life and specifically this paper considers how malnutrition affects quality of life of community settings patients. According to the Scottish Governments publication Older people living in community Nutrition needs, barrier and interventions: a literature review, malnutrition is an umbrella term for undernutrition, overnutrition and imbalance diet intake (The Scottish Government, 2009). Malnutrition has previously been described in the various ways (The Scottish Government, 2009). However, for purpose of this assessment the following term will be used as defined by World Health Organisation (WHO) the cellular imbalance between the supply of nutrients and energy and the bodys demand for them to ensure growth, maintenance, and specific functions (see European Nutrition for Health Alliance, 2005). According to Saunders, Smith and Stroud (2010) 2 per cent of the UK population is underweight: Body Mass Index (BMI) is lower than 18.5 kg/m. However, they agreed that patients could be still at risk of malnutrition whatever their BMI is (Saunders, Smith and Stroud, 2010). Malnutrition, as well as other factors, has negative effect on the persons quality of life (The Scottish Government, 2009). In the UK, hospitals admission rate and mortality were greatest in patients with BMI below 20 (kg/m2) (Teo and Wynne, 2001). During nutrition screening survey in the UK various settings it was found that malnutrition doubles risk of mortality in the hospital patients and triples morality in elderly patients in hospitals following discharged (RCN and NPSA, 2009). Care Homes nutrition survey shown that 30 per cent of service users recently admitted to care homes were at risk of malnutrition (RCN and NPSA, 2009). According to Hickson (2006), malnutrition may be secondary to certain health conditions which is increasing risks for patients to become malnourished and those risk factors will be discuss later in this assessment (Hickson, 2006 and Teo and Wynne, 2001). However, European Nutrition for Health Alliance (2005) argued that malnutrition should be classified as independent disease (European Nutrition for Health Alliance, 2005), its due to undernutrition has a negative effect on all organs systems such as muscle-skeleton, cardiovascular, respiratory, gastrointestinal, endocrine systems and in addition, malnutrition has a psychosocial effect (Saunders, Smith and Stroud, 2010). It was found that undernutrition could cause following health conditions: in the healthy individuals and has advance exacerbation effects upon existent illnesses or injuries, reduced psychological wellbeing (increase anxiety, depression apathy, and loss of concentration and self-neglect) (Webb and Copeman, 1996 and Saunders, Smith and Stroud, 2010). According to Morley and Kraenzle (1995), balanced diet in general, is improving cognitive and memory performance in elderly (see Vetta et al, 1999). Chandra (1993) found that undernutrition is depressing organism immune function (see Webb and Copeman, 1996). It could be due to impaired cell-mediated immunity and cytokine, complement and phagocyte function this most commonly could lead to developing bacterial and parasitic infections and poor wounds healing (Saunders, Smith and Stroud, 2010). Malnourished patients have reduced muscle function, loss of cardiac muscle and reduce cardiac output, which results in impact on the renal function (Saunders, Smith and Stroud, 2010). The same individuals have reduced respiratory response to oxygen deficit by poor diaphragmatic and respiratory muscle function (Saunders, Smith and Stroud, 2010), increased risk of hypothermia, increase risk of falls and injuries (Webb and Copeman, 1996). In addition, redaction of fat and muscles mass are more obvious signs of malnutrition (Saunders, Smith and Stroud, 2010). According to Clayton (1991), malnourished elderly clients have a poor prognosis for recovery from following fractured femur, hypothermia, pressure ulceration and other conditions (Clayton, 1991). Fracture risk is high then calcium, magnesium and vitamin D intake is insufficient, during the weight loss bone mass is reducing as well (Saunders, Smith and Stroud, 2010). Early stage of malnutrition leads to loss of digestive enzymes that result in intolerance of lactose. The colon loses its ability to absorb liquid, electrolytes, and secretions of small and large bowels, which results in diarrhoea (Saunders, Smith and Stroud, 2010). According to Saunders, Smith and Stroud (2010), endocrine system is affected in malnourished patience. For example, chronic malnutrition will change the pancreatic exocrine function by reducing the insulin secretion (Saunders, Smith and Stroud, 2010). An author is currently working a nursing and residential care home for elderly patients as well as nursing and social recruitment agency, which is covering biggest part of the North West of England. Being allocated in hospitals and nursing homes the author noticed that patiences nutrition needs are being met well but where are still some areas for improvement. During the study carried out in the large the UK hospitals, it was found that 40 per cent patients admitted to hospitals were malnourished and two-thirds subsequently lost weight during their hospital stay (Teo and Wynne, 2001). During the service users meeting in the care home author working in, carried out in January this year, all 14 service users have stated that they are satisfied with food they are getting. However, two patients are still at risk of malnutrition. They have been referred to the GP for dietician support. The author strongly believes that nursing home is providing adequate food to the service users. Catering manager in the UK hospitals compare to chefs in nursing home have a small budge of  £11 to  £15 per patients a week (Teo and Wynne, 2001). The authors care home spends around  £30 per service user a week. However, in March 2007, Royal College of Nursing (RCN) carried out survey questioning nearly 2200 of their member relating nutrition issues. Survey has revealed that 42 per cent said the food provided for patients were below overage expectancy (RCN, 2011). In various reasons government and health profession organisations are now advising for routing screening of all patients admitted to any healthcare facilities (RCN and NPSA, 2009). In authors opinion, the main priority for addressing this issue is promoting patiences health and wellbeing and cutting financial cost. For example, annual financial cost of treatment malnutrition patience and any associated illnesses in the UK was estimated around 7.3 billion pounds. This figure includes treatment malnourished patience in the hospital setting, round 3.8 billion pounds and long-term care facility such as care home, round 2.6 billion (Elia M., et al., 2005). Causes of Malnutrition The author is currently looking after two service users who are scoring on the MUST. All two patients are elderly from 65 to 80 years old, with different background and health conditions. Patient No 1 is 87 years old female, was diagnosed with Alzheimers Disease, history of Transient Ischemic Attack (TIA), high blood pressure, right wrist fracture and Dysphasia. Current BMI is 19, which was stable after referral to dietician and commencing on oral supplements, than BMI was 17 back in the October 2010. Patient No 2 is 72 years old man, diagnosed with alcohol excess, CA oesophagus, Gout, Heart Failure. Current BMI is 23, which was stably increasing over past months following admission to nursing home, than his BMI was 17. Both patients have a poor appetite at present. Nursing homes staff cannot establish reasons for anorexia and BMI reduction in one patient. There are number of risk factors, which could cause malnutrition among elderly population. However, the most important factor leading to undernutrition is reducing of oral intake (Saunders, Smith and Stroud, 2010). Inadequate dietary intake is depending on various factors (Saunders, Smith and Stroud, 2010), which could be divided into three main categories: medical, social and psychological (Hickson, 2006). Firstly, age related changes such as changing in appetite or sensory (Teo and Wynne, 2001). Working in the care homes author noticed, an appetite is reducing with advanced age. Some people refused or preferred to omit meals, for example, one patient does not take breakfast, then the author asked her why she is not taken breakfast that patient replied that she is not a breakfast person. In addition, during the study carried out in USA it was discovered that elderly population are consumed less energy intake and follow more traditional eating pattern then younger population (Teo and Wynne, 2001). Poor appetite or anorexia is a most common factor leading to malnutrition in both young and old generation (Hickson, 2006). However, during the study commenced by Roberts et al (1994), it was found that ageing seemed to affect the ability to control food intake and weight lost will take longer to re-gains in elderly men compare to young (see Hickson, 2006). In addition, according to work of De Castro (1993), older people are less responsive to stomach contents than younger people, in term of hunger (see Hickson, 2006). Anorexia may occur as process of aging as well as during underlying illnesses (Teo and Wynne, 2001 and Hickson, 2006). Hetherington (1998) argued that changing in taste and smell could lead to loss of appetite through a perceived decline in the pleasantness of food. Loss of taste and smell could be associated with advance age and medications therapy mechanism of these changes are remains unknown (see Hickson, 2006). In authors care environment patients prefer to eat strong flavour and taste meals such as a roast meat with gravy, bacon, fish which are being served with traditional sauces or salt and vinegar to encourage patients to their food. According to Hickson (2006), a few works have been done to find out that improving the flavour of the food can improve diet intake and follow weight increase in hospitals and community healthcare patients (Hickson, 2006). A few patients do not like vegetables, intake of which have being recommended by NHS 5 a day complain based on the WHO (NHS, 2009). Patient No 1 and Patient No 2 do not have own teeth which is reducing ability to chew tender food. For both patients oral problems have not been reported. However, according to Finch et al (1998), National Diet and Nutrition survey, energy consumption was lower in edentate individuals compare to individuals with own teeth (see Hickson, 2006). Dysphasia or swallowing problem is leading concern in reducing dietary intake (Hickson 2006). The author has experienced that often care and catering staff do not understand the different between soft and liquidised diet and which diet should be given to each patients with dysphasia. Moreover, care staff that is responsible for feeding patients, needed assistant, every often do not understand the sings for swallowing problem. This concern has been addressed in the care home that the author is working in by appointed care staff for appropriate training section provided by Liverpool Primary Care Trust (PCT). According to research carried out by Mowe et al (1994), swallowing problem is showing up in 64 per cent of in-patience elderly (see Hickson, 2006). In addition, Gariballa et al (1998) argued that post Cerebrovascular Accident (CVA) patients with Dysphasia had a worse nutrition status then those patients without swallowing problems (see Hickson, 2006). The author strongly believes that malnutrition caused by various factors combined together such as old age and health or mental health problem (Saunders, Smith and Stroud, 2010). In the UK, it was estimated that around 8 per cent of patients with chronic diseases living in the community are malnourished (Teo and Wynne, 2001). According to Hickson (2006), diseases-related malnutrition is usually associated with cancer, physical disabilities, endocrinology disorder and respiratory disease, gastrointestinal disorders, neurological disorders, sources of infection and other psychological factors such as depression and Dementia (Hickson, 2006 and Teo and Wynne, 2001). Medical factors increase the risk of patient to become malnourish through, for example, nausea or vomiting, diarrhoea or constipation, anorexia and malabsorption (Hickson, 2006). Cultural factors or social (Vetta et. al. 1999) and food habits are also playing an important role in developing malnutrition as independent illness (Hickson, 2006). As example, an individual who had a long-term hospital stay or had no nutrition support while in the community would not used to have full nutritional meals. Moreover, individual who has been admitted to the authors care home used to take fast food or sandwiches at all the time while at home, instead of cooked meals. According to Hickson (2006), there are lifestyles and social risk factors for malnutrition in elderly people are lack of knowledge about food, nutrition and cooking, isolation and loneliness, poverty, inability to shop or prepare food (Hickson, 2006). Dementia has a great effect on individuals relationship with food (Alzheimers Society, 2011). Dementia patients or patients with low mental status appeared to lost weight due to reducing self-feeding ability, acute sense of smell and taste that is depending on severalty and progression of disease (Teo and Wynne, 2001). Berkhout et al (1998) has confirmed that weight lost in demented patients is caused by patients ability to feed them rather than by dementia as illness (Hickson, 2006). According to Incalzi et al (1998), study carried out for in-hospitals patients found out that cognition is causing impairment to ability or desire to eat (see Hickson, 2006). Progressive dementia is usually associated with uncontrolled weight lost and changing eating habits (Claggett, 1989 see Hickson, 2006). Nutrition screening and risk assessment In 2007, RCN commenced Nutrition Now campaign, which has a wide response from members of public as well as members of multidisciplinary teams. The RCN Principles for Nutrition and Hydration were published in 2007. That principals aim to help of all health professionals grades to improve nutrition and hydration of patience. This paper is highlighting three principles of nursing care: accountability, responsibility and management to improve the patience nutrition and hydration (RCN 2011). Nutrition screening pathway, nutrition risk assessment are widely used which assist nursing staff to indentify the risk of malnutrition or/dehydration and appropriate actions to be taken. Risk of malnutrition screening should be a routine process in all healthcare settings (RCN and NPSA, 2009). In the authors care home as required all service users are being screened for malnutrition on the admission and once a month or more often if required, using Malnutrition Universal Screening Tool (MUST) as recommended by government bodies and Care Quality Commission (CQC) as registration body. Part of the admission documentation is to collect and record patiences food likes and dislikes. According to Saunders, Smith and Stroud (2010), MUST is reliable and valid screening tool in diagnostic or prediction of malnutrition (Saunders, Smith and Stroud, 2010). However, nutrition assessment was only done for patients who have been referral to their GPs following scoring, weight loss of 1 to 2 per cen t per week, 5 per cent per month or 10 per cent over period of six months (Mitchell, 2003). According to RCN and NPSA (2009), purpose of nutritional assessment is details identification of nutritional status and for special dietary plan to be formulated and implicated (RCN and NPSA, 2009). In the authors care home, dietician or dieticians assistant based on the information provided by staff nurse on duty normally carries out the nutritional assessment. As far as author concerns, nutrition assessment should be done by care home nurses as they are working in close contact with patients and their families on the daily basis, know better persons food likes and dislikes. However, special nutrition trainings are not always available to the nursing home staff. This could lead to complicated nutrition issues not to be addressed as quickly as they should be due to community dieticians waiting time is usually 6 weeks. In the authors nursing home all necessary equipments are available such as weight scales and height measures. However, weight scales calibration has not been done which could lead to poor nutrition screening assessment (NPSA). After completing the MUST, the author and colleagues will formulate the personalised care plan for each patient in order to meet nutritional requirements. Nutrition care plan could be based on the information or guidance provided by dietician or other health professions. Treatment According to Hark and Morrison (2003), the nutrition needs of healthy older adults are mainly the same as for middle age adults (Hark and Morrison, 2003). The intake of food containing Calcium, Vitamin D, Folate, Vitamin B12 and B6 should be increased for the elderly population (Hark and Morrison, 2003). Protein intake recommendation is variable from 0.8 g/kg per day in the USA (Mitchell, 2003) to 0.75 g/kg in the UK (McKevith, 2009). However, according to Mitchell (2003), one established nutrition needs recommendation cannot be used for all ages population (Mitchell, 2003). In addition, patients lifestyle, height and weight should be taken in account (Mitchell, 2003). There are number of fundamental support of nutrition available at present such as enteral and parenteral nutrition support (Hark and Morrison, 2003). At this assessment only oral nutrition support (ONS) will be discussed. The aim of the nutrition support is to ensure an individual gets enough energy, proteins, macronutrients and micronutrients to meet patients nutrition requirements (Saunders, Smith and Stroud, 2010). Saunders, Smith and Stroud (2010) argued that provision of regular meals with better nutrition content, wide menu choice and assistant with feeding should be enough to meet nutrition requirement and reduce nutrition risk (Saunders, Smith and Stroud, 2010). Numerous studies show that nutrition support could reverse weight loss, only if underlying health conditions under control (Saunders, Smith and Stroud, 2010). However, not all patients react at the same way (Hickson, 2006). At what reasons care and treatment should take an account of individual needs and preferences (RCN and NPSA, 2009). In practice, knowledge of food preferences and past medical history, following personalised nutrition care plan, serving patients with small meals (Teo and Wynne, 2001) or using a small plate could encourage service user to finish all meal. Currently some of the UKs hospitals commenced to use red tray scheme for serving the meals to patients. A purpose of using red trays is to alert hospital staff that patience with red tray is at nutrition risk and need assistance or supervision with diet intake (Bradley and Rees, 2003 see Davis, 2007). Protection of mealtime scheme is also widely spread across the UK. The purpose of this scheme is to create an environment for hospital patients free from hospital activities and unnecessary disturbance during a mealtime. In addition, this scheme is to assist nursing staff with concentration on the meeting nutrition need of hospital patients (NS, 2007). People with Dementia could loss an ability to use cutlery that could lead to weight loss and malnutrition. Providing those patients with available finger food could improve nutrition status (Alzheimers society, 2011). Teo and Wynne (2001) argued that the possible benefits from using energy supplements in elderly patients have received little or no evaluation in clinical practice (Teo and Wynne, 2001). However, during the study carried out by Volkert et al (1996), it was found that patients consuming food supplement while in-patience and 6 months in community have develop positive nutritional status compare to group of patients without food supplements (see Teo and Wynne, 2001). The author has come across the situation then GP has refused to prescribe food supplement to one of the patience and recommended full fat milk instead. In addition, during controlled trial for six months in patients who have been discharged from hospital and prescribed ONS has no economic benefit. To compare, using ONS in community is costing more than using ONS in hospitals (Elia et al., 2005). However, malnourished patients using could be at risk of re-feeding syndrome, which could results in death (Saunders, Smith and Stroud, 2010). Re-feeding syndrome is associated with water retention leading to fluid overload due to decay of potassium, magnesium, phosphorus and sodium in blood plasma (Mallet, 2002). Saunders, Smith and Stroud (2010) recommended that during re-feeding saviour malnourished patients potassium, phosphate and magnesium should be prescribed and thiamine (for patients with history of alcohol excess) (Saunders, Smith and Stroud, 2010). Conclusion The UK elderly population is rising, currently about 16 per cent of the population is above 65 (Hickson, 2006) and by 2050 over 30 per cent European population will be over 60 which will result in prevalence of malnutrition to rise (European Nutrition for Health Alliance, 2005). Many changing associated with aging have been documented, however, how senescence leads to the health conditions, related to aging, is still unknown (Mitchell, 2003). It was found that ageing is leading to slow reduction of weight and modification in body composition. It is due to declines in bone, muscle mass and body cell mass. Bone mass reduced due to inadequate intake of Calcium and inadequate exposure skin to the sunlight to encourage production of Vitamin D (Sahyoun, 2002). In general, people are gaining weight until they 60th birthday and after gradually reducing weight, usually 10 per cent between 70 and 80 (Mitchell, 2003). Weight loss related to aging and malnutrition should be indentified during initial nutrition assessment. In addition, community healthcare is facing many concerns. Firstly, malnutrition remains under-recognized problem facing patients, their families and health professions (Saunders, Smith and Stroud, 2010). Secondly, according to, Hark and Morrison (2003) argued that there are no single physical or biochemical screening tools could accurate predict the nutrition status in elderly (Hark and Morrison, 2003). Food prices are constantly rising and ONS are costing too much to the local PCT. In the authors opinion, providing service users with good quality food, offer choice of menu and snacks between meals are solution to fight malnutrition. The significant role in education medical students and junior doctors in nutrition has widely recommended (Saunders, Smith and Stroud, 2010). However, inadequate knowledge in nutrition of nursing and care staff could increase risk of malnutrition (Saunders, Smith and Stroud, 2010). In the authors care home nutrition in elderly is not mandatory training for the care staff. Following this assessment, the author will provide relevant care staff with information on the nutrition in elderly service users. This could be achieved through supervision sections and face-to-face talks. Moreover, there it is possible, elderly population and their families should be informed about the latest nutrition recommendations related to their age, lifestyle and health conditions and should encouraged to apply those recommendations to individuals lives (Sahyoun, 2002).

Events Provision in Birmingham

This assignment will identify the range of events being promoted in the city of Birmingham, it will also classify whether the events are organised by the public, private or voluntary sector. There will also be an overview of the visitor's perception of the city and event and finally it will analyse the local resident's attitudes towards the event. The six events which will be analysed are the MPH Show '06, which is a motor event hosted by Jeremy Clarkson. Mitchell and Webb Live, which is a comedy sketch show. The BBL Cup Final. The Survivor Series Tour, which is a sports entertainment event. Mela 2006 and the final event is Little Britain Live. Theorists such as Allen 2002 state that an event is defined as a significant gathering or activity that takes place often in a social setting. (J. Allen 2002) The first event, which will be analysed, is the MPH Show '06. The event was in operation between 26-29 October 2006 at the NEC Birmingham. The MPH Show's web page describes the event, as â€Å"a 75 minute theatre show in an explosive combination of car chases, outrageous stunts, incredible driving and world debuts. A personal look at the finest selection of the most stylish, rare and expensive cars in our galleried exhibitions – its motoring heaven!† (www.mphshow.co.uk) This event can be categorised under the mega events typology group. The reason for this is that the event has the potential to attract over one million visitors. A further reason that this event can attract a vast amount of large visitors is that well-known motoring expert Jeremy Clarkson is hosting it. Due to the motor show being taken away from Birmingham, The MPH Show can be its ideal replacement and generate a high level of economic and tourism impact into Birmingham. Theorist such as Getz 1997 states, â€Å"Mega events, by way of their size or significance are those that yield extraordinarily high levels of tourism, media coverage or economic impact for the host community and destinations.† (Getz 1997) There could be arguments suggesting that it can be put under the special events typology. The reason for that being that the event is a one off event and is an event, which comes under persons social activities such as football and music. The second event that will be analysed is Mitchell & Webb Live, which will take place at the Birmingham Hippodrome on 5th November. The event brings comedian duo David Mitchell and Robert Webb to the Hippodrome as part of their live tour. This event can be categorised under the special events typology group. Getz states, â€Å"A special event is a one time or infrequently occurring event outside the normal programme or activities of the sponsoring or organising body.† (Getz 1997- lecture hand out) The third event that will be analysed is the Survivor Series Tour, which is organised by sports entertainment company WWE. The event will be held on 12th November 2006 at the NEC. This event can be categorised into the special events group. The reason for this is that it is part of a person's social interest and it is place where they can go with family and friends to the event. Getz 1997 states, â€Å"To the customer or guest, a special event is an opportunity for leisure, social or cultural experience outside the normal range of choices or beyond everyday experience.† (Getz 1997) The fourth event, which will be analysed, is Little Britain Live, which will be held in The NIA. According to the NEC group website, â€Å"David Walliams and Matt Lucas have extended their phenomenal Little Britain Birmingham tour dates with a 14th night at The NIA on Saturday 9 December.† (www.necgroup.co.uk) This event can be categorised in to the special events typology category, due to this event being a social interest event. The fifth event, which will evaluated is the BBL Cup Final that will be held in The NIA. The BBL Cup Final is the basketball tournament finals that will come to a climax in Birmingham. Also in the event are the women's basketball tournament finals. This type of event can be categorised under the hallmark typology. The reason for this is that it is a one off event. Theorist such as Ritchie 1984 defines a hallmark event as â€Å"A major one-time or recurring event of limited duration, developed primarily to enhance the awareness appeal and profitability of a tourist destination in the short or long term.† (Ritchie 1984) The final event is The Asian Mela 2006, which is to be held between 17-19 November 2006 at the NEC. The Asian Mela is an event targeted at the Asian community by holding an event that has Asian fashion, entertainment and many more experiences. This type of event can categorised in to the special events typology group. A special event recognises a unique moment in time with ceremony and ritual to satisfy specific needs. The reason for this being is that it relates to the cultural aspects of the Asian community and also can be an event that brings together people from different backgrounds to celebrate Asian lifestyles and how it has made an impact in today's British society. The second part of this assignment will identify whether the events have been organised by private, public or voluntary sectors. The Mph Show was organised by the fuel company shell. Shell is considered a global group that produces oil, fuel and other types of energy sources. The company is considered part of the private sector. Theorist such as Fardon state, â€Å"The private sector compromises of businesses which are directly or indirectly in private ownership.† (Fardon 2000) The Mitchell & Webb Live event is being presented at the Birmingham Hippodrome. The Hippodrome is a theatre, which is a charity run theatre. The charity ‘The Friends of The Hippodrome' is an organisation, which counts on donations from corporations such as Lloyds TSB and even donations from the public. The Survivor Series event, which is an event run by the sports entertainment company WWE. The company is a private limited company that runs live events mainly in the United States, but also tours the rest of the world. The Little Britain Live event, which is being shown at the NIA. The event is by the NIA group, which is linked with the city council. This sector can be put in the public sector, as it is part of the district council. The BBL Cup Final is an annual event, which is to be held at the NIA, is being organised by the British Basketball League Association. This is part of the public sector. Websites such as www.whatsis.techtarget.com have given a definition to the public sector, which states, â€Å"The public sector overlaps with the private sector in producing or providing certain goods and services. The extent of this overlap varies from country to country, state to state, province to province, and city to city.† By evaluating this statement and relating it to events, the public sector needs sum form of assistance from the private sector such as funds and sponsorship. It can be an advantage for both private and public sectors, as the private sector organisation is getting good recognition by giving a helping hand to the public sector organisation. The Asian Mela event is presented by the Asian television station Zee and events firm Clarion Events. Both companies are part of the private sector. This part of the assignment will explain the impact that the actual events provision of the city has on visitor perceptions. When discussing event impacts there are various elements that need to be considered. These elements are as follows, social/cultural, economics, political and developmental. The social/cultural implications are to bring increased community spirit and bring people from different cultures to unify and enjoy the events. In today's world, there are many negative issues surrounding different cultures. It is vital that there are events that can bring people from different backgrounds and faiths so that they can enjoy them without any fear or scepticism. The economic side of the impact is that it can help with the cities revenue, resulting in the city bringing more events and even construct new buildings to present the events. As Birmingham is one of the United Kingdoms visited places with hot spots such as The Bull Ring and The Mail Box for shopping and leisure and recreational areas like Star City and AMC. Which ever type of event is happening in Birmingham there is high possibility of tourists staying over the local hotels and bed and breakfasts, which also is a plus for the local businesses as well as the city. The political element is that increases the cities national reputation and improves its profile. The developmental and environmental elements of having events in Birmingham are that it can have effects such as urban regeneration. This can have a positive outcome on the less funded areas of the city. With the money generated from these events, by giving the lesser funded area's resources to rejuvenate the area by constructing community centres for young people who have broken backgrounds to learn new skills and make more of their lives. When considering these types of impacts for the events chosen for this assignment. The MPH Show will bring in many visitors who have an interest for exotic and concept cars, these are also known as ‘petrol heads'. The main target market for this event will be 18-30 mainly male. The economic side of the event will be a benefit as it is running for three days, this is a bonus for hotels as there will be visitors from outside of Birmingham who may want to go to the show, whilst site seeing and going to local businesses. The political element will be affected, as Birmingham was once home to the motor show. By having this type of event with a well-known host such as Jeremy Clarkson may not replace the revenue and the publicity that the city used to get from the motor show, but it will be a stepping-stone to bringing in similar types of events to the city. The BBL Cup Final will target mainly basketball fans from different ages. Although basketball is not one of England's favourite sports, a minority can be targeted effectively. The economic element will bring in the minority of basketball fans through as much advertising there can be. This can also be a positive for accommodation businesses. Whether or not the NIA is going to remain being the host of the tournaments finals, it will be a positive for the city council, which can attract other indoor sports events. The Survivor Series event will be targeting mainly young males aged 16 and over. However, there has been an increase in female attendances to the sports entertainment events. Although the company is originated in the United States, the business does have strong relations within the UK. This can bring in tourists from outer Birmingham and even out of England. This resulting in massive revenue for hotels and other local businesses. The Mitchell and Webb Live and Little Britain Live events will both have similar type of element results. The target for these events are going to be varied as the events are based on shows from television, this is a positive because it can attract young and older generations. Economically it will be good for the city as these events are apart of a long tour, generating revenue for local businesses. This will raise the profile of the city by having well known comedy gigs and even make aware of other comedy performances to add the city to their tours in the near future. The Asian Mela event will target mainly the Asian community and even target other cultures, as it is known that different cultures are adapting Asian fashion in to their lifestyles. This will be a good event for local businesses, as the event will attract tourists from other regions. Regarding the political element, this is an event that will be popular as the more it goes grows with the community, there will be more ideas for events for other cultures. By attracting the non Asian community to the event, it can bring a unity to the general public and let the people know that there is room for understanding to the cultures and not the dark cloud that hangs around the Asian community as misinterpreted in today's media. The final part of this assignment will consider local residents attitudes to the events within their city. When events such as the MPH Show come into Birmingham, resident's attitudes are going to be stereotypical. They may assume that the event may attract a group of hooligans and maybe concerned that there will be a riot of some sort. The residents will more likely welcome the sporting events the BBL Cup Final and the Survivor Series Tour, as they are events the whole family can go and watch. The basketball final's tournament is something in which the local residents can be proud that their city is part of. This can result in pride in association with the city. It can also be a positive for locals because it is bringing in tourists and even be welcomed by shops and other business. The comedy events Little Britain Live and Mitchell & Webb Live will be welcomed, as both events are family friendly and are based on television shows that are well known. Birmingham is known for being a cultured city, with evidence being backed up by Birmingham City Councils webpage which provides statistics in the form of charts. One way of showing this is by holding an event targeted for its Asian community, The Asian Mela. As Birmingham has a high percentage of Asians as one of its many ethnic groups, the Asian community will welcome the event. By holding this event, it can even attract other people from different ethnic groups and be welcomed by everyone. A family event for al to enjoy the community will be proud to have it in their city. In conclusion a city such as Birmingham will welcome it. The main factor is that it can hold majority of events within its venues such as the NEC, the NIA and the Symphony Hall. Bringing in more events will increase tourism and revenue for the city. This is a plus as the money generated from the events can go on to bring in more opportunities for people with different interests and backgrounds. Making the city a hotspot for events.