Audience Analysis Paper

Table of Contents Introduction Audience Characteristics to consider Communication Channels What to consider when making the presentation How to ensure your message is effective Conclusion References Introduction To make presentations of the quarterly sales information to the company managers, sales people and customers, is a daunting task. It requires consciousness  audience  analysis techniques including analysis of the varied characteristics of the audience, use of appropriate communication channels and effective communication strategies. Audience research is the most  crucial  aspect of any communication campaign. It involves analysis of the  audience  demographic factors, psychographic and emotional factors (O’Hair Kreps, 1990, p. 203).Advertising We will write a custom essay sample on Audience Analysis Paper specifically for you for only $16.05 $11/page Learn More Audience Characteristics to consider Communication should focu s on the distinct characteristics of the people to whom the information is relevant. Making a presentation to an  audience  with managers, the actual sales persons and the intended customers can be extremely difficult. The presenter must organize the information to suit the characters. The presenter needs to  learn  the  audience  characters early enough. Some of the distinguished characteristics of the audience to consider including: Specialization of the target audience.  Sales managers and sales people are most  gifted  specialists in sales matters. The information shared should appeal to their creativity and specialty to be relevant to them. The information shared should include the most current  data  in sales innovation. Include  new  information about the happenings in the sales  field  to attract their attention (Smith Mounter, 2008, p. 29). The managers and sales people will use the information to increase sales. Audience diversity.  Underst anding the identities of the target audience should be a top priority for the presenter. The presentation should take into consideration the variations in gender, age, cultural and religious beliefs, sexual orientation, physical and mental abilities of the audience. None of these issues should be ignored in the presentation. The presenter should be sensitive towards these variations as they offer both opportunities and challenges when communicating. The information presented should meet the diverse variations of the  audience  for it to be relevant. Chances are that the audience will ignore the message if it is not well structured to meet their  class  selection. This calls for a thorough research on the  audience  diversity  prior to making any  communication  presentation (Wood, 2010, p. 5). Presentation should never compromise the diversity of the meeting audience. Interpersonal Imperatives.  This is perhaps the most indispensable of all the congregation chara cteristics. It has to do with the varied needs of the people in the audience. The presentation should meet the  demand  by the managers to maintain control in the sales operations and management. The information shared should single out their  individual  responsibility towards the achievement of sales success. On the other hand, sales people would need to be appreciated. The information should be shared in such a manner as to make the sales people  feel  the  company’s love towards them.Advertising Looking for essay on business communication? Let's see if we can help you! Get your first paper with 15% OFF Learn More Their need for  inspiration  and encouragement should not be omitted in the presentation. At the same time, customers need to feel included in the entire sales process. They are an integral part of the whole process. They should not be ignored in the planning, implementation and evaluation stages of the sales process (Wood, 2010, p . 10-11). All needs should be profiled before. The presentation should  meet  each profiled need. Communication Channels Communication should never be one direction only. Effective communication occurs when there is a  substantial  interaction between the perceived senders and receivers. Feedback is essential in the process of communication (Wood, 2010, p. 17). This calls for selective choice of the most reliable channels to use for correspondence. Oral communication is the most effective  means  because the participants see, listen to and  meet  each other directly. The participants are able to see each other’s natural reactions and body language in real time. Other channels that the presenter can use to  convey  the report include: Editorial publications.  This involves the  design  of information to be sent to media houses for third party endorsements. The sales information can be published in the  company’s  journal  and the newslett er and  transmission  to the customers  far  and wide. This increases the chances of growing the sales revenues of the company. Equipment aided communications. The presenter can use equipments such as the projectors, computers and computer applications such as power point to make  excellent  presentations. Equipments help present information orally given during the presentation. This method is  reasonable, productive and recommendable. What to consider when making the presentation Internal communication is key to the performance of any organization or  company. The responsibility for internal communication lies with all the different stakeholders of the company. The presentation should keep in mind the following: The presentation should point people on the shared. The most  salient  aspect  of the communication should be the impact on people and not the  phenomenon  known as sales. The importance of all the people stakeholders should come out in the present ation. This guarantees continued shopping and  consumption  of the products and services by the customers. It also motivates the sales teams, supervisors, managers and the company shareholders (Smith Mounter, 2008 p. 16).Advertising We will write a custom essay sample on Audience Analysis Paper specifically for you for only $16.05 $11/page Learn More Internal communication is  crucial  to business success.The presentation aims at helping the audiences (participants) get their  role  towards the results projected.  This ensures the discussion is more fruitful.  The crucial role played by or that should be played by the staff and the customers should come out when sharing the quarterly sales figures. Expectations and the general guiding principles for each category of the audience should be clarified. How to ensure your message is effective One will never be able to communicate effectively without designing appropriate communication techn iques and strategies. The presenter must ensure that the communication strategy meets three main characteristics: (O’Hair Kreps, 1990, p. 135). It must be  relevant  to the audience under question. The presentation should  answer  the existing needs of the audience and the  company  at  large. Information shared should be edited to suit the purpose of the presentation. This minimizes the problem of  redundancy  in communication. The strategy used should  ensure  audience  comfort. The choice of the environment  should not impede communication. The language and the audience participation  participation methods used should be easy to the audience. The presenter should reduce  audience  fear and anxiety using ice breakers. Lastly, the presentation should be made using  diverse  methodologies. Different communication strategies should be used considering the  audience  types, their communication needs and the overall goals and objectives o f the presentation. The person making the submission should determine whether to use behavioral rehearsals (role playing), bibliotherapy or case study  analysis.  The option which enables more people to participate in the conversation  is more effective. Conclusion Effective  communication  should provide a  chance  for feedback. It should meet all the needs of the  audience  without compromising their salient characteristics. It should  incorporate  well thought of communication channels. It should be relevant. References O’Hair, D. Kreps, G.L. (1990). Applied Communication Theory and Research. New Jersey: Lawrence Erlbaum Associates Inc Publishers.Advertising Looking for essay on business communication? Let's see if we can help you! Get your first paper with 15% OFF Learn More Smith, L. Mounter, P. (2008). Effective Internal Communication. London: Kogan Page Limited. Wood, J.T. (2010). Interpersonal Communication – Every Encounter. Boston: Wordsworth Cengage Learning. This essay on Audience Analysis Paper was written and submitted by user Jamir Bowman to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Origin for the Surname Thompson Genealogy

Origin for the Surname Thompson Genealogy THOMPSON Surname Meaning Origin: Thompson is a patronymic surname meaning son of the man known as Thom, Thomp, Thompkin, or another diminutive form of Thomas (twin). Without the p, the Thomson surname is often of Scottish origin. Surname Origin: English, Scottish Alternate Surname Spellings: THOMSON, THOMASON, THOMASSON, THOMASSIN, THOMESON, TOMPSON, THOMPSEN, TOMASON, THOMS, THOMASSET, TOMPSETT, THOMSETT, TOMSETT, THOMERSON, THOMLINSON, THOMLIN Famous People with the Surname THOMPSON: Fred Thompson - U.S. Senator and television actorAlexander Greek Thomson - Scottish architect (1817-1875)Sir Joseph John (J. J.) Thomson - English physicist who discovered the electron Genealogy Resources for the Surname THOMPSON: 100 Most Common U.S. Surnames Their MeaningsSmith, Johnson, Williams, Jones, Brown... Are you one of the millions of Americans sporting one of these top 100 common last names from the 2000 census? Thompson DNA ProjectDNA testing is making connections between families with Thompson surname variants used in different areas of the world including Thomson, Thomsen, Thomason, Thomazin, Taweson, MacThomas, MacTavish, MacCavish, Macomish, Macomb, McComas, McComb, MacCombie, and reasonable spelling variations. Thompson Family Genealogy ForumSearch this popular genealogy forum for the Thompson surname to find others who might be researching your ancestors, or post your own Thompson query. There are also separate forums for the THOMSON surname and other Thompson variations. FamilySearch - THOMPSON GenealogyFind records, queries, and lineage-linked family trees posted for the Thompson surname and its variations. - References: Surname Meanings OriginsCottle, Basil. Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967.Menk, Lars. A Dictionary of German Jewish Surnames. Avotaynu, 2005.Beider, Alexander. A Dictionary of Jewish Surnames from Galicia. Avotaynu, 2004.Hanks, Patrick and Flavia Hodges. A Dictionary of Surnames. Oxford University Press, 1989.Hanks, Patrick. Dictionary of American Family Names. Oxford University Press, 2003.Smith, Elsdon C. American Surnames. Genealogical Publishing Company, 1997.

International Trade Research Paper Example | Topics and Well Written Essays - 1250 words

International Trade - Research Paper Example It is worth pondering on the root causes behind the ever increasing global trade. The paper aims at exploring how the trade agreement called NAFTA that the US has entered into with Mexico and Canada has impacted on the domestic industries and the US economy at large. The paper would also explore how the devaluation of the US Dollar against the Chinese Yuan can bring respite to the US manufacturing industries. Suranovic (2010) describes about some important key-reasons that decide about any trade between the nations and they are worth pondering to understand the burgeoning global trade. Resource Advantage Each country is endowed with certain natural resources such as minerals, water, land, fossil fuels, and essential raw materials and accordingly their strength lies in manufacturing those finished goods where such resources are necessary. Obviously, such resource pool will put certain countries in advantage over others. Technological Superiority Technological superiority of one countr y over other in a particular product will facilitate production of better quality goods at lower cost and that superiority puts one country ahead of others in a particular good. If the US produces Boeing aircraft and fighters or other sophisticated warheads then it is because of the technological superiority that the US exerts over others in this field. ... It is a fact that the US has absolute advantage in producing grains as it needs fewer real resources relative to the most of the countries in the world. The availability of huge agricultural land and the use of machines are the major reasons in having absolute advantage in agriculture. The country uses minimal labor per unit area of agricultural land increasing the productivity levels manifold; however, it is essential to note that absolute cost advantage does not determine the production and allocation of labor for producing a good but it is the comparative advantage that gives rise to the production of a particular good in that country. The comparative advantage takes into account the opportunity cost while producing a particular good in that country (Suranovic, 2011). This fundamental reality drives the trade globally and the NAFTA agreement is to be seen in this light. US Trade Balance with NAFTA Partners and the World in the year 1989 and 2009 (In billions of current USD) Source : O’Leary et al, 2012, p13. It is important to note here that there is no appreciable change in balance of trade in agriculture commodity with Mexico and Canada; there is no significant impact on the US labor force involved in agriculture. In all merchandise trade with Mexico and Canada in 2009, imports have increased by almost 45 billion and 11 billion USD respectively but so is the case with world trade which shows negative balance of 500 billion USD. This clearly shows that NAFTA trade has followed the world trend only and nothing specific can be attributed to NAFTA agreement that the US has entered into (O’Leary et al, 2012). Below mentioned table indicates about the employment changes between 1989 and 2008 in the key industries in the US. This

Divorce and the Coase Theorem Essay Example | Topics and Well Written Essays - 250 words

Divorce and the Coase Theorem - Essay Example I would not advocate for a change in the current law. This is for the rationale that alternative arrangement divorce would be time consuming and would even cause or start hateful issues to develop during the arrangements and can ruin friendships. It is also confident for spouses to formulate one of the reasons for divorce essential in ruling. No-fault divorce, on the other hand, accepted that a marriage collapse might not be the cause of one spouses misbehavior. They cut down the divorce procedure and made it more reliable countrywide, hence obviating the necessitaty for distressed couples to cross position lines in look for of simpler break up laws. Ronald Coase is for no fault divorce and he said that, if the amount of a couple’s mesh gains from matrimony, as seen by the couple, is negative, then no conformity on distributing the gains from the marriage can keep them as one. Despite of its merits it is not the best way to divorce because it can cover up serious matrimonial misbehavior and I don’t advocate for

Britain and the Creation of Israel Research Paper

Britain and the Creation of Israel - Research Paper Example ‘Dear Lord Rothschild, I have much pleasure in conveying to you on behalf of His Majesty’s Government the following declaration of sympathy with Jewish Zionist Aspirations, which have been submitted to and approved by the cabinet: His Majesty’s Government view with favor the establishment of a national home for the Jewish people, and will use their best endeavors to facilitate the success of this object, it being clearly understood that nothing shall be done which may prejudice the civil and religious rights of existing non-Jewish communities in Palestine or the rights and political status enjoyed by Jews in any other country. I shall be grateful if you bring this declaration to the Knowledge of the Zionist Federation’ (Yapp p. 290). There had been fights in Palestine and at this time the only prudent solution seemed to be the birth of a Jewish state that would accommodate the Jews in Palestine and thereby curb the existing situation where fights were marring the region. The issue about the Jewish State had been facilitated or initiated in 1896 by a Hungary based Jewish Journalist named Theodor Herzl. He had categorically asserted that the only solution to the growing resistance of the Semite speakers which included the Jews was through the establishment of a new sate or what was called the Jewish state. The Jewish people in Palestine were not settled due to the growing anti-Semitism in the Middle East and they felt that they needed a home of their own where they could live peacefully without being influenced and affected by the forces from the other countries. This led to the establishment of the Zionist Organization in 1897 which pressed for the formation or the establishment of a Home for the Jews in Palestine. The steps to attain the Israel State were crippled by the death of Theodor Herzl in 1904 but the people who were left to lead the organization pushed further and there seemed to be hope at the end.  In the first meeting between Weizmann and Balfour in 1906, Balfour proposed that the Jews were to be given the British Protectorate of Uganda as at that time it was under British Rule.

Impact of the Chronic Illness in Patients Lives

Impact of the Chronic Illness in Patients Lives Client Focused Study This assignment will focus on the patients journey and the impact of the chronic illness in their lives. Firstly a rationale for the chosen client and the health deviation will be explained. Secondly, how the deviation has an impact on the patients journey throughout the health care will be highlighted and potential influences of on long term well being of the patient and their family will be explored. Finally, the knowledge gained from the assignment and how it can be helpful in the future practice will be addressed. In accordance with the NMC Code of Professional conduct (2010), the patient chosen for this essay will be named Miss X, to protect her identity and maintain confidentiality. Informed consent will be attached as appendix I. Miss X is a 58 year old patient who had been diagnosed 3 years ago with COPD related to Emphysema. She had been smoking for 40 years and gave up smoking 3 months after her initial diagnosis. She has currently been admitted care to specialised Respiratory ward in a local London hospital, following an exacerbation of COPD. Her current symptoms are chest pain and shortness of breath. The rationale for choosing Miss X for this assignment is because during my placement in the respiratory ward, I found the patient having difficulties to perform physical activities due to the breathlessness. As a result, I developed an interest in learning how breathlessness occurs and its affect on the patients daily life. Further rationale of The Nice guidelines for COPD (2010) reported that COPD is the 5th biggest killer in the U.K. and also Worldwide. In addition, evidence reports that the main cause of developing COPD is due to smoking. The national statistics General Lifestyle Survey (2008) reported that at least 21% of the U.Ks population smoke which means COPD will remain to be endemic in this Country. The annual cost of COPD to the NHS is estimated at more than  £980 million and the figures are rising every year. Beraden (2011) reported that incidence of breathlessness in patients with diagnosed COPD is approximately 65% and 90%. These statistics highlights that it is impo rtant to be aware of the health deviation of COPD such as breathlessness in order to ensure the patient receives a quality of life. Evidently, the pathophyisology of breathlessness caused by emphysema is noted to be a physical development of airflow obstruction and impaired gas exchange. Blackler (2007) explains emphysema as a progressive chronic lung disease where the airways are inflamed and the tissue of the lungs and the alveoli are destroyed. The inflammation in the airway obstructs the flow of air in to the alveoli. In addition, the alveoli lose their elasticity and during breathing this loss can lead to the alveoli collapsing and causing breathlessness. The main factor causing these characteristics of Emphysema is Smoking. Mc Cance, (2010) informs that smoking cigarette activates the neutrophils which subsequently release the enzymes protease and anti protease. As a result of the toxins from cigarette smoking, the chemical activity of the protease and anti protease is imbalanced. The author further explains that a balance is required in order to maintain normal lung function and the derangements of this balance may result in increased destruction and inappropriate repair of the lungs. Inappropriate repair of the lungs can lead to the alveoli being eliminated of the pulmonary capillary bed, causing mismatching in ventilation and perfusion. As a result there is less surface area for the gases to exchange causing decrease of the oxygen levels in the blood (Mc Cance, 2010). Thus any mild form of exercise can raise oxygen requirement leaving the patient breathless. This is evident in Miss X whenever she performs any type of physical acti vity. In addition, Damjanov (2006) explains that the destruction in the alveoli and the bronchiole wall also contribute in the reduction of elastic recoil of the airway. This leads to difficulty in expiration as the loss of elastic recoil reduces the volume of air that can be expired . As the air is not effectively exhaled, air trapping occurs causing the chest to expand. Long term air trapping in the lungs causes the chest to have a barrel like appearance. This is because the lungs are over inflated with air and the ribcage mostly remains expanded which gives the chest its barrel shape (Damjanov, 2006). Barrel chest is very noticeable in Miss X. People who smoke do not necessarily develop Emphysema therefore inherited genetics disorders are believed to contribute to the development of this disease. McCance, (2010) explains that emphysema mainly occurs with patients who have Alpha 1- antitrypsin deficiency (A1AD). In A1AD enzymes such as elastase destroys the elastin and the tissue of the airway which again leads to mismatching of perfusion of gas exchange and ventilation. Furthermore, Pryor and Prasad (2009) describes the sensation of breathlessness originates when the sensory system activates within the lungs, chest wall and the respiratory muscles raise awareness of breathing discomfort. However, psychological factors can also be associated with breathlessness. It is regarded as a subjective experience in COPD anxiety act as an trigger when the patient sense discomfort in breathing. Some studies show the following sequence of events; aggravation by anxiety and panic attacks leads to breathlessness and so forth a continuous cycle is created (Robert and Stockley, 2007) The patients journey starts when the patient says so or from diagnosis to the end of life. Three years ago before her diagnosis, Miss X went to see her GP when she started noticing breathlessness whilst performing physical activities. The GP diagnosed Miss X based on her clinical features and other tests; Chest Ct Scan, her Blood test and her spirometry reading which was FEV1/FVC The GP also referred her to Smoking Cessation Clinic along with a prescription of nicotine patches which helped her quit smoking after 5 months of her first screening date. The NICE COPD Guidelines (2010) highlights that Smoking Cessation should be recommended to newly diagnosed patients. As stated by the Department Of Health the government targets to reduce the smoking population further than its current 26%, which was achieved successfully by 2010 (DOH, 2010). Despite the governments efforts, literature reviews shows that not all of the patients fully recover from smoking addiction. The study conducted by Zhou et al (2009) found that out of 2431 patients who managed to quit smoking after Smoking cessation, 80% were reported to relapse after 3 to 18 months. The data may not be reliable enough to completely prove this high number of relapse because not all the subjects observed carried on for the whole duration of the study. Despite the slight drawbacks of the studies, it has helped the government back up for the funding of smoking cessation clinics. Along with the Smoking cessation clinic miss X was also referred to have annual Influenza vaccination, Pneumococcal vaccination and was encouraged to regular exercise. Miss X is also seen by the community Respiratory Nurse specialist and community nurse on a regular basis for medical checkups. Miss X has had few hospital admissions since her diagnosis due to her exacerbation of COPD. On her recent admission she was brought in by an ambulance as she was not able to breathe due to her breathlessness and chest pain. She was immediately admitted to AE where they diagnosed her with exacerbation of COPD. Miss X was assessed and was stabilised by oxygen therapy and nebulisers in AE. She was then transferred to the Respiratory ward for further investigation and treatment. The ward respiratory doctor requested her for chest X-ray, ECG, Arterial Blood Gases test, blood test, urine dipstick test and sputum culture. The investigation confirmed that she had chest infection. Her oxygen saturation was also maintained by oxygen therapy. Miss X was then started on nebulisers, I.V. antibiotics and for a 7 day course she was on oral prednisolone (Steroids). Jong et al (2007) suggest that oral prednisolone is recommended than I.V prednisolone because there was no difference on treatment and helps reduce patient to be prone to infection. During the stay in the ward Miss X was noticed to be underweight and was referred to the dietician who prescribed her to nutritional drinks and given advice on healthy eating. She was also seen by the Physiotherapist for breathing techniques and mobilising with the breathlessness. As Miss X has had few admissions due to her exacerbation she was also referred to pulmonary rehabilitation after her discharge. The NICE (2010) highlighted that pulmonary rehab illation improves the patients quality of life and therefore, any COPD patient of grade 3 on the MRC scale (Medical Research Council) should be referred to the programme after being discharged. Currently the government suggests that the standard population for rehabilitation up take of the programme should be 230 patients per 100,000 of a normal population in a trust per year. This is a very small number of uptakes in relation to the COPD population; such limitation can create restrictions to access the rehabilitation programme. The deviation can have an impact on the long term well being of Miss X and her Family. COPD is a disease that progress over a long time along with severity of its symptoms. ( 20) confirms that COPD over time results in fatigue, depression, anxiety, reduced exercise tolerance and poor nourishment. Firstly, the effort to maintain normal ventilation, all the energy of the patient is consumed causing tiredness and fatigue restricting the patients ability to perform everyday activities. Miss X interprets her breathlessness has restricted her to perform physical activities and therefore retired from her waitress job at the age of 56. This has led to her being financially dependent on her 22 year old son and government disability financial support. She also relies on her son to help her with household chores as she is not able to perform certain activities by herself such as shopping, cleaning, washing, cooking, paying bills etc. Furthermore, Lahaije et al (2010) proved that COPD patients do eliminate their daily activities due to physiological limitation caused by breathlessness. The study was conducted on 21 COPD patients and ten healthy subjects living in Netherlands. The study measured the performance time for daily living activities; where COPD patients were involved less whereas healthy subjects were higher. The study consisted of only 21 COPD patients and 10 healthy subjects which is a very small sample therefore cannot be generalised. However, the study conducted by Szarm (2010) on a survey of 20693 patients residing in England who were aged between 51- 60 year old were reported to also have an impaired work performance due to breathlessness mostly caused by COPD. The finding from Szram (2010) is more reputable than Lahaije et al (2010) with regards to generalising COPD patients limiting breathlessness as the sample size was much larger Miss x also suffered from urinary incontinence. Literature reveals that patients with COPD do suffer from stress incontinence of urine due to increased abdominal pressure whilst coughing (Tozun et al, 2009). However, some authors forget that inability to reach the toilet in time due to breathlessness could be the factor influencing urinary incontinence in COPD patients. Secondly, the disability caused by Miss Xs breathlessness has also had an impact on her psychological state. Numerous studies have proved that the symptoms of COPD can cause patients to be depressed and affect the quality of life. Stage et al (2009) literature review highlights that depression is common in COPD patients and about 40% of the COPD diagnosed suffer from either severe or clinical depression. The literature review also noted that mortality rate was lower in non depressed COPD patient than the depressed. In addition, she feels that she is a burden to her son and feels embarrassed on having sudden panic attacks in public whilst she is out shopping or socialising. Miss X reported that she felt devalued as she experienced being treated differently by others and also feel socially isolated. The qualitative study conducted by Berger et al (2010) confirms that COPD patients do experience stigmatisations which are triggered by self blame related to smoking, being a burden, embarrassment. Stuenkel and Wong (2009) highlight the Goffmans theory of support groups in which the patients shares similar stigma. The support group evidently has helped to feel accepted, gain moral support. The Breathe Easy support group programme Miss X attends every fortnight has helped her to reduce her stigmisation. In light of all this, Miss X does have a positive attitude to cope with her condition. She is aware that her condition is not curable but can be managed if she complies with the treatment. She is adherent to her medication and her treatment plan. Naidoo and Wills (2010) explain that the Health locus of control (HCOL) is divided into two controls; internal where people are in control of their condition and external where people are beyond control of their condition. Miss X falls under the internal HCOL as she controls her condition very well. Lastly, Miss Xs son is very worried about his mother going to have an emergency admission to the hospital again. The patients son is psychologically stressed and fells socially isolated due to financial and household commitments. However, he has been accessing support and advice from the doctors, nurses and special support groups. Moreover, the review of qualitative studies conducted by Spence et al (2008) explored the specific care needed of care givers of patients with COPD. The review confirmed that restricted activities of daily living and emotional distress were identified by the 7 subjects studied. This assignment has helped me to understand the impact COPD has on the patient, family and health care system. The skills and knowledge gained to care for the COPD patient will ensure an evidence based care will be delivered to the patient and the family. In future, whilst nursing a patient with breathlessness I will follow the guidelines as directed by the NICE guidelines as care required. I will also consider the psychological and social state of the patient on planning the care as these are the main aspects of the disease which impact the patients quality of life. To overcome any issues if countered, social issues will be referred to the social services and any psychological issues should be referred to the clinical psychologist. Finally, I have learned that educating patient and the family of services available and the disease itself is the key to aid them cope and comply with the treatment. In conclusion, the assignment overviews a journey of a patient diagnosed with emphysema with the health deviation of breathlessness. The NHS has been providing treatment and therapies to reduce the risk of patients developing emphysema. Literature reviews indicate that breathlessness can contribute to several psychosocial issues in the patients life. Word Count 2499 References List Beraden,K. (2011). Recent advances in the management of breathlessness. Indian Journal Of Palliative Care. 17 (4), 29-32. Szram et al. (2010). Breathlessness and work performance in older adults in Kent. Thorax. 65 (4), 78-79. Stuenkel, D and Wong, V. (2009). Stigma. In: Larsen,P and Lubkin,I Chronic illness: impact and intervention . 7th ed. USA: Jones and Bartlett Publishers. 57. Jong et al . (2007). Oral or IV Prednisolone in the Treatment of COPD Exacerbations* A Randomized, Controlled, Double-blind Study. American College of Chest Physicians. 132 (1), 1741-1747. Tozun et al. (2009). Prevalence of Urinary Incontinence among Women and Its Impact on Quality of Life in a Semirural Area of Western Turkey. Gynecoloicand Obstetric Investigation . 67 (1), 241-249. Berger et al. (2010). The Experience of Stigma in Chronic Obstructive Pulmonary Disease. Western Journal of Nursing Research. X, 1-17. Spence et al. (2008). Active carers: living with chronic obstructive pulmonary disease. International Journal of Pallative Nursing. 14 (8), Stage et al. (2006). Depression in COPD- Management and quality of life considerations. International Journal of COPD. 1 (3), 315-320. Department of Health. Consultation on a Strategy for Services for COPD in England. London: Department of Health, 2010. British Thoracic Society. Burden of Lung Disease 2006. National Institute for Health and Clinical Excellence. Chronic obstructive pulmonary disease (update). (Clinical guideline 101.) 2010. http://guidance.nice.org.uk/CG101. Last Accessed 20/02/2011 Office for National Statistics. (2010). 12. General Lifestyle Survey 2008: Smoking and drinking among adults,. Available: http://www.statistics.gov.uk/downloads/theme_compendia/GLF08/GLFSmokingDrinkingAmongAdults2008.pdf. Last accessed 20th Feb National Institute for Health and Clinical Excellence. (2006). Pulmonary Rehabilitation service for patients with COPD. Available: http://www.nice.org.uk/usingguidance/commissioningguides/pulmonaryrehabilitationserviceforpatientswithcopd/pulmonaryrehabilitationservicecopd.jsp. Last accessed 20th Feb 2011. McCance et al (2010). Pathophysiology, The Biologic Basis for Disease in Adults and Children. 6th ed. Missouri: ELSEVIER. 1286-1289. Nursing Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives NMC, London Blackler et al (2007). Managing Chronic Obstructive Pulmonary Disease. England: John Wiley and Sons LTD. 1-12. Damanjov Pryor,J and Prasad,S (2008). Physiotherapy for respiratory and cardiac problems:. 4th ed. UK: Elsevier. 227- 228. Mahler,D. (2007). The Physiology of breathelessness. In: Robert,A and Stockley,I Chronic obstructive pulmonary disease. Oxford: Blackwell Zhou et al . (2009). Attempts to quit smoking and relapse: Factors associated with success or failure from the ATTEMPT cohort study . Addictive Behaviors. 34 (4), 365-373. Naidoo and Wills

Essays --

ISP ESSAY Danielle Cheung If you are wondering what is The Secret by Rhonda Byrne is all about, I am going to sum up with three words; nothing is impossible, even though it takes time to manifest desires and thoughts, we should believe and have faith towards what we have asked for. Based on the law of attraction and having positive thinking, as well as following the Creative Process and feeling happy on what we are doing, claims that we can create life-changing results. The great secret of life - Law of Attraction, the most powerful law in the universe. We should learn how to use it in order to pursuit the things that we wished to happen. In addition, we should think positive in order to attract positive feeling. According to the Law of Attraction, likes attract likes, meaning that if we are basically positive in attitude, and positively in chasing our dreams, we will attract and create or situations that conform to our positive expectations. If we think positive, fantastic miracle is then going to happen so soon. Our thoughts are magnetic, and they have frequency. Why said so? We never know our minds are composed of the thoughts we think. These thoughts are like magnetic currents. If we think positively about some event, we will attract positive results. If we harbor negative thoughts, the law of attraction occurs and negativity is drawn to our life. In general, thoughts become things. We should make it absolutely clear in our minds what we want. Law of Attraction is everywhere, it will help us attracts like thoughts. Besides, having things to be nothing-is-impossible, we have to focus on things that we want but not on those we do not want. The Secret will help us manifest the things that we are thinking of.... ...g’ said by Bob Doyle, a scientist, inventor and a philosopher. To sum up, our thoughts and feelings create our life. So, nothing is impossible by learning how to master our feelings by summon them through persistent thoughts. Emotions are valuable tools that instantly tell us what we are thinking. ‘Impossible’; the word itself said ‘I’m possible’; whatever we have chosen is right. The power is all ours. Learn the most powerful theory the Law of Attraction, use it well to become our habit. Be optimistic in everything we do, also learn to use the Creative Process to attract what we want. Let go difficulties from the past, as we are the only one who can create the life we deserve. Our dreams do in fact come true, if we know the Secret. We are in the midst of glorious era. As long as we let go of limiting thoughts, we can experience humanity in every area of creation.