The importance of health assessment in understanding patients The WritePass Journal

The importance of health assessment in understanding patients The importance of health assessment in understanding patients IntroductionCase scenarioAdvanced nursing health assessmentHealth historyPhysical examinationBody mass indexCOPD assessment testMedical Research Council( MRC) Dyspnoea ScalePhysical examination of ChestInspectionPalpationPercussionAuscultationMental stateConclusionReferenceRelated Introduction As stated by Weilitz Potter (2007), â€Å"Health assessment is the process of gathering, verifying, analyzing, and communicating data about a patient.† (p. 5). This sentence shows that health assessment is essential for fully understanding the situation of a patient. In the following passage, there is a case study to discuss which kind of health assessment can be used in order to provide a better nursing care for a patient. Case scenario Mr Wong, aged 58, arrived at my ward with his wife. He was sweating and coughing. He had a difficulty of breathing and a wheezing sound was heard. After 15 minutes of rest, he felt better. He explained that while he was chasing a bus with his wife, he felt breathlessness and dizzy. He did not recovered after resting for awhile on the street so his wife brought him to the hospital. Mr Wong was a retiree for a year and he was a constructive worker before. He explained that retirement was because of not enough energy for daily work. He had smoked for over 30 years, one and half pack of cigarette per day, and had 5 cans of beer every week. He was obese and had medical history of hypertension for 5 years with own medicine. He was married and lived with his wife in an old building. He was fatigued when climbing up the stairs as well as walking for awhile. Due to the fatigue, he reduced the social activities and stayed most of his time at home. He complaint of not having a good sleep because of night cough (on-and-off for a year) and kept coughing with production of sputum for a year. Besides, he had respiratory track infection more frequently in this year. In recent 2 months, he had poor appetite and lost 8 pounds. During the conversation, Mr Wong usually needed a rest for answering every 3 questions. He looked tired and had deep circles under his eyes. His lip was dry. He was upset about the fatigue and felt useless of himself. He said that his quality of life was affected and lost interest of his previous hobbies. He did not have any social activities in this year nearly. Mr Wong had a low grade fever and blood pressure was around 145/90. His pulse was around 110. He had taken a chest X-ray after admission and the result was pending. He took the test of spirometry and FEV1 was between 40-50%. His 12-lead ECG was normal. 2-liters of oxygen was given through nasal cannula. He always sat up and seldom leaving the bed. Mr Wong was diagnosed with chronic obstructive pulmonary disease (COPD). When Mr Wong arrived, I took vital signs of him as a baseline. His weight as well as height were recorded. Then I took the health history by an interview. The interview was started with the main complaint of Mr Wong. After that I took the past health status. They were medical history, done surgery, medication history, food and drug allergy. The lifestyle and health practice of Mr Wong were also asked. It included different areas. Smoking and drinking must be included as both were the risk factors of COPD. From his diet, hobbies and activity level, I needed those information for discovering the reasons of weight loss and obesity of Mr Wong. I also asked Mr Wong if he had constipation while if he felt breathless during passing stool and bathing. After the interview, I held a physical examination for Mr Wong. There were 2 parts, inspection and auscultation. I measured the respiratory rate and rhythm and observed the shape of his chest and any central or peripheral cyanosis. Auscultation was followed. I recorded the abnormal sounds like wheezing. Advanced nursing health assessment In the case of Mr Wong, a very simple and brief health assessment was done. It was unsatisfied because the health assessment was not completed and informative. The following passage is going to provide more health assessment and methods which can improve the case of Mr Wong. Health history The interview of Mr Wong was too brief. More questions should be asked. First of all, Mr Wong’s family history should be reviewed as COPD can be inherited (CMP Medica, 2007). More information of his blood relatives such as patients, grandparents and children has to be obtained. Nurse can find out any rare illness among the families which may relate to respiratory disease (Barnett, 2006). Secondly, Mr Wong work history should be also assessed. Since he was a constructive worker, he usually exposed to the chemical irritant. The nature and the environment of his work directly regard to COPD. Nurse needs to identify any personal protective equipment he used as well (Weilitz Potter, 2007, p.157). Thirdly, information regarding home conditions is important to establish how Mr Wong coped at home. As he was living in an old building, the building may be without a lift or with many stairs. It is possible for Mr Wong having difficulty to go out or it may be the reason of reducing social activities (Barnett, 2006). Fourthly, nurse has to question Mr Wong’s sleeping pattern as he did not sleep well because of night cough. Nurse should document how many hours he slept and why he could not sleep well. Sleeplessness or limited sleep may lead to tiredness and inability to cope with daily activities. By knowing the cause, doctor and nurse can treat the night cough of Mr Wong to deal with the insomnia. And they can prevent giving treatment with night sedative due to the side effects, which may depress the respiratorycentre(Barnett, 2006). Physical examination The physical examination includes different parts which can give a complete picture of Mr Wong’s condition. They will be introduced one by one, from simple to complicated. Body mass index From the article of Shepherd (2010), it states that â€Å"Nutritional depletion in patients with COPD is common and has negative impact on respiratory and peripheral muscle function.†(p.559). As Mr Wong had poor appetite and lost 8 pound in 2 months, the body mass index (BMI) should be recorded for follow-up. Nurse has to find out causes of weight loss and deals with those problems efficiently. COPD assessment test COPD assessment test is a simple questionnaire. It is used to measure the impact of COPD on the life of patient, and how this changes overtime. By this test, nurse takes it as a reference to improve the treatment. The test contains 8 questions. They are the frequency of coughing, if he feels any mucus in his chest, if his chest feels tight, if he feels breathless when climbing up hills or stairs, if he is limited doing any activities at home, if he is confident leaving his home despite his lung problem, if he sleeps soundly, if he has lots energy(GlaxoSmithKline, 2009). Medical Research Council( MRC) Dyspnoea Scale Measurement of breathlessness is essential for a COPD patient. The Dyspnoea Scale of MRC allows patients to grade their breathlessness on a scale of 1-5 according to activity carried out. The degree of breathlessness related to activities is from grade1-5 which means from mild to severe. It acts as a baseline and is useful for monitoring purposes for nurses and doctors (Barnett, 2009). Physical examination of Chest Through the process mentioned in above passages, nurse can receive higher proportion of basic information about Mr Wong’ condition. In the coming passages, several techniques which focus on chest are going to introduce. There are 4 physical respiratory examination, inspection, palpation, percussion and auscultation. Although inspection and auscultation were applied in the case of Mr Wong, they were imperfect. Inspection Inspection consists of several parts. For the case of Mr Wong, nurse mainly focus on the inspection of breathing pattern, use of accessory muscles and positioning (Weber Kelley, 2010). Nurse needs to observe the rate, depth and rhythm of respiration. If these factors are abnormal, they represent the increasing workload of breathing. The pattern of respiration should be recorded if there is any special such as tachypnoea, hyperventilation, Cheyne-Strokes respiration, Biot’s respiration†¦etc. It allows the doctor giving particular treatment (Massey Meredith, 2010). Abnormal posture shows the patient may have difficulty in breathing. Mr Wong always sat up or leaned forward because he can better tense the respiratory muscle and contractility (Massey Meredith, 2010). In addition, using of respiratory muscles (trapezius, or shoulder) helps inspiration especially chronic airway obstruction (Weber Kelley, 2010). Nurse should pay more attention and provide suitable nursing care (such as oxygen supply, suction, removing tight clothes†¦etc) when above symptoms occur. Palpation Palpation for tenderness and sensation can determine whether there is inflammation, muscle sore or infection. It can be performed by one or both hands following the sequences. It should be started towards the midline at the level of the left scapula then the nurse moves her hand from left to right. The moving is systematically downward and out to cover the lateral portions of the lungs at the bases. The nurse should compare the finding bilaterally. The nurse can also check if there is mass or tumor (Weber Kelley, 2010). During the palpation, a crackle sensation may be sensed which means crepitus. This sensation is because of air passing through fluid and exudates in the lungs. Fremitus should be assessed. It is a vibration of air movement through the chest wall. It can be increased, decreased or absent which represent different lung problem like consolidation or bronchial obstruction, pulmonary edema, pneumothorax†¦etc (Weber Kelley, 2010). Percussion Percussion has 2 main functions, determining the tone as well as the diaphragmatic excursion. When nurse percusses the chest wall, the sound produced can show whether lung tissue is filled with air, liquid or solid. Same as palpation, a sequence of percussion should be followed. The process is started at the apices of the scapulae then across the top of both shoulders. Next, nurse percusses the intercostals spaces across and down. Finally, she moves from the lateral aspects at the bases of the lung (Weber Kelley, 2010). By comparing the sound of percussed areas, nurse may discover the lung mass or other respiratory problems (Weilitz Potter, 2007). Measuring the diaphragmatic excursion is also important. Emphysema may be a cause of limited diaphragmatic descent. Auscultation For auscultation, breathing sound is not the only element to assess. The voice sound can also be assessed. It is easy that nurse auscultates the chest wall while she asks the patient to repeat pronouncing â€Å"ninety-nine†. This is the way to identify if there is consolidation from pneumonia, atelectasis, or tumor (Weber Kelley, 2010). Mental state For the patient with CODP, they usually reduce the daily activities like Mr Wong did. The patient may not use to the changes of the quality of life( é† «Ã©â„¢ ¢Ã§ ® ¡Ã§ â€ Ã¥ ±â‚¬,2010). Closely observation and listening to the patient are the easiest and useful ways to assess the mental state of the patient. If there is any abnormal, the condition should be recorded and report to the senior nurse. Conclusion In this article, some health assessment tools and techniques are suggested for a CODP patient, Mr Wong. There is no traumatic procedure involved. However, the results of different examination can give large amount of information of the patient’s body condition. And this is essential for the clinical staff to improve the clinical decision making in order to provide better treatments for the patient. Reference Barnett, M. (2009). An overview of assessment and management in COPD. British Journal of Community Nursing, 15(5), 195-201. Retrieved March 12, 2010, from http://web.ebscohost.com.ezproxy.lib.ouhk.edu.hk/ehost/pdfviewer/pdfviewer?hid=104sid=ada13567-52a0-4268-b952-fd290eadc7a3%40sessionmgr104vid=3 Barnett, M. ( 2006). Chronic obstructive pulmonary disease in primary care. United Kingdom: New York John Wiley Sons, Ltd. CMP Medica (2007)。《ç„ ¡Ã¨  ²Ã§Å¡â€žÃ¦ ® ºÃ¦â€°â€¹Ã¥Å¡ ´Ã©Ëœ ²Ã¦â€¦ ¢Ã©Ëœ »Ã¨â€š ºÃ§â€"…》〔å ° Ã¥â€ Å Ã¥ ­ Ã£â‚¬â€¢Ã£â‚¬â€šÃ© ¦â„¢Ã¦ ¸ ¯Ã¯ ¼Å¡CMP Media Pacific Limited。 GlaxoSmithKline. (2009). COPD assessment test. Retrieved March 12, 2010, from catestonline.co.uk/test/index.htm Massey, D, Meredith, T. ( 2010). Respirator assessment 1: Why do it and how to do it?. British Journal of Cardiac Nursing, 5(11), 537-541. Retrieved March 12, 2010, from http://web.ebscohost.com.ezproxy.lib.ouhk.edu.hk/ehost/pdfviewer/pdfviewer?hid=17sid=ada13567-52a0-4268-b952-fd290eadc7a3%40sessionmgr104vid=4 Shepherd, A. ( 2010). The nutritional management of COPD: an overview. British Journal of Nursing, 19(9), 559-562. Retrieved March 12,2010, from http://web.ebscohost.com.ezproxy.lib.ouhk.edu.hk/ehost/pdfviewer/pdfviewer?hid=104sid=ada13567-52a0-4268-b952-fd290eadc7a3%40sessionmgr104vid=3 Weber, J, Kelley, J. (2010). Health assessment in nursing(4th ed.). New York: Lippincott Williams Wilkins Weilitz, P. B., Potter, P. A. (2007). Pocket guide for health assessment(6th ed.).Missouri: Mosby Elservier.

Benchmarking With Costa Coffee And Caffe Nero Marketing Essay

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Read instructions Essay Example | Topics and Well Written Essays - 250 words - 5

Read instructions - Essay Example Teachers emerge from a variety of corners in the school day experience. They are solely accountable to the whole fraternity concerning the content of their evaluations. The evaluation tenets consider a continuum of shared language vision in the technique. The basic standards that are critical in the evaluation process are as follows. The first standard revolves around the content knowledge. This standard demands the teacher to possess an in-depth understanding of the subject matter. They must attempt to eke a correlation between the content and life experiences. The second standard touches on teaching and classroom learning. This focuses on the classroom organization, taking care to provide relevant age appropriations and relevant assessment criteria to the learners. The next phase borders on the literacy acknowledgements in the instruction. The instructor must aim to fulfill both oral and written communication to advance their rote technique. The fourth measures the diversity of the classroom fraternity. The curriculum and teaching resources must be sensitive of the varied cultures and racial affiliations of the learners. The last phase touches on the teacher professionalism akin to the appropriate delivery in the class. This tenet also emphasizes the ethical implications of the teacher. Lastly, the evaluation process has different connotations. The teacher can perform an administrative driven self-assessment. A dialogue is also relevant, between the teacher and the assessor. Additionally, observation in the class also takes place twice during the school year. It is impromptu and often, the results form the basis of teacher proficiency determination. Evaluation completion results in step raises for the teachers depending on years of

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The Various Concepts of Factors for the Job Satisfaction - Essay Example Comparing and contrasting the various concepts of factors that contribute to job satisfaction. In my view, the factors of appreciation, support, employee feedback, remuneration, relationship with the manager are all factors which are most essential for an employee to be completely satisfied with his or her job. If an employee is appreciated for his good work and efforts, such an employee will tend to work hard every time and face challenges and overcome them because that employee will know that he will be recognized for his/her efforts. The support that he gets from his seniors and his colleagues at his workplace boosts his courage to work through work problems. Moreover, if the management maintains a routine of reviewing the on job positives and negatives through the employees feedback such employees feel that they are being heard and protected. The salary that the employees are being paid is one major factor that can either completely motivate or demotivate the employees. Steps to improve employee morale and overall job satisfaction: the concept of morale includes both fragments of satisfaction and motivation. Morale is basically the motivation and determination that the employees tend to carry on their jobs with. Employee job satisfaction affects the morale and consequently, the determinants of job satisfaction give in to the forecast of morale within the worker. I would make sure that our company implies the factors of employee appreciation, support, employee feedback, employee remuneration, employee relationship with the manager.

A Review of The Winters Tale by William Shakespeare :: Papers

A Review of The Winter's Tale by William Shakespeare Before I actually saw The Winter's Tale, I was apprehensive about whether I would be able to follow the play or whether I would be confused, as it would be using the Shakespearian language. I also wondered whether and how the Sixth Form and the director had developed the play to try and involve the audience more, as there was a language barrier. The play was going to be performed by the Sixth Form in the school hall, so this gave me a feeling that it would not be a very effective performance as it was performed by amateurs. Also, the fact that it was performed by the Sixth Form meant that I knew some of the actors, so it would be more difficult for me to see those people as the characters they played. While waiting outside for the performance to begin, a 'newspaper boy' came around offering Newspapers saying 'Read all about it, read all about it'. He was in Victorian time costume, which gave me the impression that this performance would be very old-fashioned and, in some ways, not as easy to follow because of this. The fact that he was in costume also made me feel as if we, the audience, were part of the play, and more involved, because we were interacting with a character from the play. The newspaper that the newsboy gave out was also a very effective thing to bridge the language barrier between the characters and us as it gave a basic introduction to what the play was about. According to the newspaper given to us, the play itself had two main plots and a side plot. One plot was set in Sicilia and told of how the Queen had died because of accusations from the King of her having an affair with his old friend the King of Bohemia and how Mamillius, their son, had also died after the King had chosen to ignore the oracle sent from Apollo to say that the Queen was not guilty.

Problems In A Product Life Cycle Environmental Sciences Essay

Global alteration has an impact on clime, demographical and socio-ecological alteration worldwide, and humanity has an influence on planetary alteration. As a consequence of natural catastrophes, eventually climate arguments came up which drew public attending. These arguments showed that something demands to be done. ( Tan, 2008 ) The industries can seek to bring forth environmentally friendly merchandises, extend the merchandise life rhythm, and make a solution for the end-of-life stage of a merchandise. This chapter demonstrates the job of the merchandise life rhythm and gives an penetration into the transmutation. The industrial revolution set up a additive theoretical account of material watercourses, a system that takes merchandises and throws them off. Toxic stuffs trickle into the nature systems. Furthermore, the waste burning locally generates energy, nevertheless, besides this much more energy is required for new stuff production. ( Hennings, et al. , 2008 ) The whole procedure is named an open-loop supply concatenation. By and large talking, it maps the way from the stuffs to the providers to the terminal consumer. There is no reversal rate from the consumer. There is no return of stuff. The company does non offer any return or recycling system. However, consumers use the merchandise and so at the terminal of the merchandise life rhythm, they throw it off. ( Lebreton, 2007 ) Another possibility is to donate the old apparels to charitable organisations which resell the old apparels to commercial retail merchants in the 3rd universe or in east Europe. In Germany the biggest fabric aggregation is â€Å" Deutsche Rote Kreuz † with 40,000 dozenss collected each twelvemonth. ( Weissinger, 1999 ) In Switzerland there are four large fabric aggregation houses: Texaid, Contex AG, Solitex and Satex. Texaid is the biggest 1 in Switzerland ; it recollects 17,000 dozenss of old fabrics per twelvemonth. The company ‘s grosss go to relief organisations. The gathered fabrics are classified in different quality categories and removed from waste. ( Truninger, 2005 ) The reselling of these apparels ignited a large treatment, as the pattern destroys local concerns which produce traditional apparels. The effects are that the local fabric industry nearby wholly collapsed, and reorganisation is non possible anymore. Some states have imposed import prohibitions. ( W eissinger, 1999 ) This complex job is good documented in the movie â€Å" oburoni wawu – dice Kleider der toten Weissen, † which deals with the inquiry of who needs old apparels and how the concern of old apparels works. The movie shows the way the old apparels take and what happens to them when they arrive in the preset state. ( Strobusch & A ; Terpinc, 1995 ) A farther option is the Climatex Lifecycle. This procedure is an innovation from the endeavor Rohner. Out of old fabrics, they produce felt, which is used to mulch and to cover the vegetable spot. As a consequence, the landfill is less to a great extent loaded and the old fabrics have a concluding responsibility. ( Weissinger, 1999 ) As it can be seen from the illustration of Rohner Textiles, end product went up 30 % and was accompanied by a drastic lessening in cost after they launched the new sustainability scheme. The Rohner illustration shows the positive consequence for a concern if they launch a closed-loop recycling scheme. ( IEHN, n.d. ) There is a new innovation to recycle polyester curtain. Teijin is a recycling company which specializes in polyester recycling. Today the company is a Recycling Network. Under the mark ‘ECOLOG, ‘ are all companies committed to bring forthing fabrics in mono-material polyester. ‘ECOLOG ‘ fabrics can be recycled easy, as there are no assorted fibres and it can be made easy into a new stuff. ( Outdoortrends, n.d. ) The last possibility in fabric recycling is down recycling. This procedure has been done for old ages now because the rate of return of polyester fabrics was really low. In this instance the recycling companies downcyceld the merchandises to knobs. ( Weissinger, 1999 ) To offer recycled merchandises and the usage of recycled stuffs is an environmentally friendly facet of assorted companies. Nowadays the positive environmental impact of merchandises gives a company a competitory border ; it is a must, non merely an option. Companies secure themselves a great hereafter with a strong sustainability scheme. The â€Å" C footmark † of companies is set to diminish, as they are under force per unit area from different stakeholders, like non-governmental organisations, consumers and authorities, to make so. This force per unit area on companies encourages them to cut down their C footmark with different commissariats like green merchandises, sustainable procedures and societal duty plans ( CSR ) . However, good communicating and labeling towards consumers is indispensable, to allow them cognize about the green attempts made by the company. ( Jo, 2010 )Focus on Outdoor IndustryHarmonizing to the study of Luscombe ( 2010 ) , 59 % of participants buy t he purchased point for functional usage and for general every twenty-four hours usage. Merely 3 % bargain it for mundane usage. There is a displacement from utilizing out-of-door merchandises in the athleticss sector towards mundane life usage. The study of EOG shows that quality has the highest impact on the purchasing determination, followed by the trade name name. The 3rd factor impacting the determination is the monetary value. This ranking is for Germany. In Switzerland, the ranking is similar. Quality is the victor, followed by comfort, so the proficient characteristics, and last is the monetary value. Recyclability of the merchandise influences the purchasing determination for 62 % of Germans ; whereas merely 60 % of people are interested in purchasing merchandises made of recycled stuff. In the Swiss study, 67 % are influenced by the recyclability of the merchandise in the purchasing determination and 64 % bargain recycled stuff. ( Luscombe, 2010 ) Nowadays, there is a broad scope of reclaimable stuff. It is possible to recycle polyester, polymeric amide and polyurethane. There are two different recycling methods: stuff recycling and chemical recycling. The undermentioned four possibilities are often used in the industry. ( ISOPA, 2001 ) PET-Recycling ( Material recycling ) PET-Recycling became more widespread, as the environmental considerations gain importance. PET bottles have a really short life rhythm, and moreover they are made of rough oil, which causes environmental jobs, as most PET bottles are destined for landfills. As a consequence, a recycling procedure to recycle the valuable primary resources is a perfect thought. The recycling procedure is non really hard with PET bottles. The stuff to be recycled is ‘polyethylene terephthalate ‘ . ( Evans, 2010 ) A short recycling procedure description: Colored bottles need to be sorted out. Just crystalline bottles can be used for this procedure. The selected PET bottles have to be cleaned and dried and crushed. These crushed pieces will be heated. Through this warming procedure, the crushed pieces are melted and a crimping machine gives the ensuing polyester narrations their texture. The polyester narrations need to dried. The quality control has to be passed. ( Evans, 2010 ) This procedure can be performed one time. If there is a jacket made out of this PET recycled narration, the used jacket, which is non functional any longer, ends in a landfill. Nevertheless, some natural stuff has already been saved thanks to PET recycling. In the following paragraph are some illustrations about the measure of PET bottles needed to do certain points. ( Heimann, 2010 ) â€Å" With 20 PET bottles, a ski jacket can be produced. A jumper needs about 63 PET bottles and a sleeping bag is made of 83 PET bottles. † These are facts found on the bright hub home page ( Evans, 2010 ) . There is besides a negative facet to PET recycling. Since PET can merely be recycled one time, 360A ° recycling is non possible. On the other manus, PET recycling is cheaper than polyester recycling, which is explained in the following point. ( Heimann, 2010 ) Polyester Recycling ( chemical recycling ) A Nipponese company has developed the first polyester recycling system named ECO CIRCLE. This is a closed-loop recycling for polyester points. Old polyester merchandises, which are made out of 100 % polyester, can be chemically converted into new polyester natural stuff. ( Teijin, 2009 ) Products which are reclaimable in this manner have the undermentioned label on them: Figure 6: ECO CIRCLE Logo ( Beginning: hypertext transfer protocol: //www.ecocircle.jp/en/index.htm ) Fleece coats are easy to recycle as they are 100 % polyester. Other coats are frequently a combination of different stuffs. The status for recycling is that the merchandise has 100 % screening truth. The polyester recycling procedure is similar to PET-recycling, but there are some differences as this is a type of chemical recycling. Collected polyester merchandises are broken down into little pieces. Granulated stuff is made. The colouring is removed from the pellets. This procedure requires high energy and important clip. Through chemical intervention, new polyester natural stuff is created. New â€Å" Eco Circle † fibres are created to bring forth reclaimable merchandises. ( Teijin-Fibers, n.d. ) There are different merchandises made by this closed-loop recycling procedure: underwear, T-shirts, jackets, baseball mitts and so on. Swany produced the first closed-loop reclaimable baseball mitt. The list would ne'er stop, as there is an limitless possibility to bring forth pro-ducts with 100 % polyester. ( Teijin, 2009 ) This procedure is criticized, as the fibres are produced utilizing crude oil. Critics say that these fibres should non be produced any longer given the turning trouble with crude oil supplies. However the outdoor industry is acute on utilizing polyester fibres, as this fabric is high quality and stopping points long clip. Figure 7: CO2 Reduction There is less ecological harm with this recycling procedure than with the production of new fibres, as per an analysis conducted by the Suedwind Institute ( n. d. ) . This fact is besides apparent in this Figures 10. 77 % less CO2 is released utilizing the recycling procedure than is released bring forthing new natural stuff from crude oil. ( Beginning: hypertext transfer protocol: //www.patagonia.com/pdf/en_US/common_threads_whitepaper.pdf ) This closed-loop polyester recycling reduces the dependence on rough oil, produces less pollution as there is less godforsaken burning and progresses the reuse of old polyester apparels. ( Patagonia, 2009 ) Nylon/Polyamide Recycling ( chemical recycling ) Old fishing cyberspace and rugs can be used for nylon recycling. This recycling procedure is similar to the polyester recycling, but polyamide recycling is more cost- and time-intensive, as the procedure is more sophisticated. The recycled narrations are largely, but non wholly, used for back packs or for bags. The quality is non affected by the recycling procedure. ( Klattermusen, n.d ) The statute law in some states will perchance forbid the disposal of rugs in landfills. With this action, the client will be forced to recycle old rug, but this statute law has non yet passed. However there is a committedness by different companies which supply industrial rugs to take part in a nylon recycling plan. Furthermore there are different roll uping points for old rug in each state. ( Greener-Industry, n.d. ) There are some illustrations of companies which already offer a recycling plan: Klattermusen Since March 2009 Klattermusen offers a new recycling and recovery system, â€Å" rECOver. † Each point which is reclaimable has a sedimentation of one, five, 10 or 20 Euros. If the client brings these merchandises back to the shop, they get the sedimentation back. Each merchandise has an note of the sum of the sedimentation. Another portion of the plan is that used and patched merchandises are donated to a public trust. This recycling plan consists of the following reclaimable stuffs: nylon, polyester, polypropene and metal. It is one of the lone outdoor companies which recycles nylon and polypropene, as it is hard to retrieve these two substances and every bit good as dearly-won. ( Klattermusen, n.d. ) Goretex In 1993 Gore launched a undertaking named â€Å" Gore Balance Project, † which received the European Outdoor Award for Innovation. It was the first possibility to recycle in the dress industry. The purpose of this plan was to recycle fabric laminate, but the clients were non ready at that clip to take part in the undertaking. As a consequence of the low engagement degrees, Gore had to halt this recycling undertaking. Gore company coined the term â€Å" balanced-project. † Old Goretex-coats will be deconstructed into their belongingss and reused. ( Gore, 2007 ) VAUDE /Sympatex This company is a rival to Goretex. They invented a 100 % reclaimable membrane which is made of O, C and H. These constituents are easy reclaimable, like PET bottles. Additionally there is no fluorcarbon used, and they have the bluesign standard enfranchisement. The bluesign strandard will be explained in Chapter 3.5.2. VAUDE is the official spouse of Sympatex. They produced a new out-of-door aggregation under the slogan â€Å" Reduce, Re-use, Recycle. † The aggregation is high quality, therefore long-lasting, and it made of 100 % reclaimable polyester. Fjallraven In 2012 the first reclaimable coats will be sold. ( Fjalleraven, 2010 ) The company has three different constituents in their recycling plan, â€Å" ECOSHELL. † First, fluorocarbon is non used any longer in the coats. This chemical substance was used in the membrane for impregnation. It is a really effectual substance, but on the other manus it has several negative effects. One point is the substance is found in the nutrient concatenation, secondly, the decomposition clip is over 30 old ages and last but non least it is really hard to recycle. That ‘s why they now use a new substance which is natural. It is a new process invented by Rudolfgroup. The name of the new substance is BIONIC. Second the company is cognizant of the planetary heating, which is besides affected through the recycling plan. â€Å" That ‘s why they support an environmentally friendly aureate criterion undertaking, they have non-polluting energy production every bit good they cut down the depen dence on fossil fuels † ( Fjalleraven, n. d. ) . Last but non least, they employ the â€Å" Eco Circle † recycling system for polyester. The combination of all three points are indispensable to the company, as all influence the environment. ( Fjalleraven, n. vitamin D. ) Figure 8: Recycling Program of Patagonia Patagonia Inc. ( Beginning: hypertext transfer protocol: //www.patagonia.com/web/eu/popup/common_threads/index.jsp ) In 1993 Patagonia produced SynchillaA ® jackets from sodium carbonate bottles. In 2005 the â€Å" Common Threads Garment Recycling Program † was launched. This take-back plan collects old polyester merchandises to recycle into new narration. Customers have two different possibilities to take part in the recycling plan of Patagonia. One would be to return the points to the shop – frequently they have a box there – and the 2nd possibility is to direct it straight by station to Patagonia. They collect all the garments and direct them by ship to Japan, where the recycling procedure happens. ( Patagonia, n. d. ) â€Å" Wear it out ; drop it off ; we recycle it ; it lives onaˆÂ ¦ † is the claim of Patagonia ‘s recycling system, as it can be seen in Figure 11.Recycling CompaniesTeijin The whole company has different sections. The biggest portion is the scope of man-made fibres. Teijin is the lone company that provides a recycling plan in polyester. These recycled polyester fibres can be used for fabrics in the car, outdoor and dress industries. â€Å" Eco Circle † was launched in 2002. This recycling plan is environmentally friendly. Nowadays 200 companies are involved in â€Å" Eco Circle. † The tendency is that different states such as the U.S. , China, Europe and Japan have a higher environmental consciousness than all immature clients, which increases the reclaimable market. ( Shrestha, 2009 ) Polartec This company produces utmost conditions protection fabrics, insularity beds and lightweight wicking base beds. Polartec is used in many countries, like the Marine Corps, Navy, Army and Air Force, every bit good as in the out-of-door industry. Thankss to coaction with companies which offer recycled narration, the recycled merchandise line has risen from less than 1 % to over 30 % in over four old ages. This fact leads besides to a decrease in emanation and energy ingestion. Since 2010 they have partnered with Unifi, as they produce ‘Repreve ‘ narration which is made out of recycled PET bottles. Polartec is confident that with this partnership the recycled merchandise line will turn steadily. ( Polartec, 2010 ) Unifi It is a company which produces multi-filament polyester and nylon textured narrations. These man-made fibres are non merely produced from natural stuff but besides from PET. This fibre is on the market with the name ‘Repreve. ‘ They produce polyester fibres every bit good as nylon fibres. The nylon fibres are made out of consumer fibre waste, whereas the polyester fibres are made out of both consumer fibre waste and consumer plastic waste like PET-bottles. In a lb of ‘Repreve ‘ narration, there are 27 processed PET bottles. These sustainable and recycled fibres are chiefly used by the dress industry, but they are besides used in the furniture and auto industries. A partnership between Polartec and Unifi shows the tendency in the outdoor industry to utilize ecological narration. ( Repreve, 2008 )Recycling Ecologically Worthwhile?The contention environing recycling is large. On the cyberspace there are different forums where this issue is being discussed. In thi s chapter merely some statements out of assorted web logs, web sites and interviews held at the OutDoor Freidrichshafen will be highlighted. Maverick ( n.d. ) is convinced that presents planetary heating, natural instability and H2O deficits are scare tactics. This fact, that the universe is stoping, needs to be stopped, through recycling. This is a crutch, because people who recylcle believe they are profiting the environment, but the recycling procedure itself consumes a batch of energy and causes sometimes more pollution than natural stuffs, harmonizing to Maverick. Maverick ( n.d. ) describes the crutch as follows: â€Å" In a mode similar to medieval Christians purchasing indulgences from priests to be forgiven for their wickednesss without really making anything, recycling may be something we believe to be right and effectual merely because we ‘ve been told it is. † The consequence should be, that people reuse merchandises and alter their consumer behaviour. ( Maverick, n.d. ) Furthermore, a web log from May ( 2007 ) describes the PET recycling as an unuseful pattern. First of wholly, a batch of C is emitted anyhow, as the bottles need to be shipped to China and the new apparels back. Second the apparels made out of the old PET bottels are non recycable any longer and will stop in a landfill. The apparels are at that place for over 24,000 old ages until they are smoldered. About the transportation cost, Heimann ( personal communicating, July 17, 2010 ) comments that presents, Europeans are so addicted to Asia and to America, that the ships are geting anyhow. These ships have to return to the state of beginning, and it makes no pots to make so without lading. ( Heimann, 2010 ) The company Teijin conducted a research survey about the energy ingestion in a closed-loop recycling system with polyester. The consequence indicates that with the resources saved, energy and CO2 emanation is besides reduced. This computation is made by mensurating the CO2 emanation and energy needed for the recycling procedure, every bit good as that emitted and needed by the production with natural stuffs. To have new polyester, rough oil is needed. To bore rough oil, far more energy is needed than the sum recycling requires. The consequences are shown in the figures below. Figure 9: Decrease of CO2 Emission thanks to Recycling ( Beginning: Leaflet Teijin, Japan † ECOCIRCLE † ) The laminitis of the â€Å" Red, White and Green † Blog, Jennifer Grayson, is convinced about the positive facets of the recycling procedure. In 2005, recycling saved an one-year norm usage of energy of 9 million families. This has a direct impact on planetary heating. There is another positive point which concerns employment. The recycling and remanufacturing sectors account for about one million occupations. ( Grayson, 2009 ) The outdoor industry has been criticized for the environmental harm the concern causes, every bit good as for the bad on the job conditions. However the industry has made an attempt to antagonize these negative facets by cut downing their C footmark and by using societal policies every bit good as back uping environmentally friendly undertakings. Some illustrations of eco-conscious methods to accomplish betterment are shown. ( Jo, 2010 ) 1. CSR Corporate societal duty ( CSR ) is an of import manner for a company to demo its duty towards the societal and ecological environment. A competitory border is received by utilizing CSR as a scheme to separate between trade names. ( Jo, 2010 ) 2. Life Cycle Analysis The entire impact on environment has to be understood if the company is interested in bring forthing green merchandises. This impact can be analyzed thanks to the cost construction. This is possible through analysing the life rhythm of a merchandise. All has to be considered, the natural stuff, fabrication, the distribution, every bit good as the usage of the merchandise and last but non least, its disposal. With each measure of the procedure, costs are associated. ( Ciambrone, 1997 ) A cost illustration is shown by Ciambrone ( 1997, pp.1 ) : Design costs Stocking/handling costs User/operating costs Disposal costs Fabrication costs Shipping/transportation costs Reuse/recycle costs Compliance/licensing costs Reducing the cost besides reduces the environmental impact. A company should seek to cut down the life rhythm costs of their merchandises. ( Ciambrone, 1997 ) 3. Ecological Footprint It is a mensurating tool to sort merchandises and services, a company, an organisation, industry sectors, single life styles, vicinities, metropoliss, parts or states. In an LCA, the ecological footmark is ever calculated. What impact a merchandise or a company has on the environment and on the society will be measured. An analysis of the merchandise or the company will be done. There are different standards, such as recyclability, emanation used to bring forth the merchandise and resources used. All factors are evaluated and a computation shows the consequence. The thought behind this is that clients have the possibility to compare the merchandises or companies based on their environmental friendliness. ( Global-Footprint-Network, 2010 ) Goverments and consumers play a active function in forcing frontward the demand for an ecological footmark. ( Jo, 2010 ) 4. Bluesign Certificate To cut down the environmental footmark of the fabric industry, the bluesign criterion was created. Each fabric and yarn maker can use for the certification, but to measure up, it needs to run into the high criterion defined by bluesign. Each company is analyzed exactly. The points evaluated by bluesign ( 2010 ) are the undermentioned: Resources productiveness Consumerism Sewage H2O Discharged air Job safety ( p. 24 ) Retailers and clients can acquire a good orientation about assorted companies thanks to this alone criterion from bluesign. ( bluesign, 2010 ) In the hereafter, companies have to take the duty for cut downing their C footmark. Additionally if the credibleness has to be steady, companies have to be crystalline with their sustainability steps. ( Jo, 2010 )DrumheadFrom the recycling position, a rethinking is besides taking topographic point. Closed-loop supply concatenation are needed in all industries. The open-loop supply concatenation does non hold a long life any longer. The best scenario would be if merchandises are used and reused until the merchandise loses its map, at which point it should be recycled. This manner, the merchandise does non complete as waste at the end-of-life stage but has a possibility to last in another merchandise ( downcycling ) or as the same merchandise ( upcycling ) . These procedures help to protect the environment.

Plot Of The Kite Runner Novel - Free Essay Example

Sample details Pages: 5 Words: 1374 Downloads: 10 Date added: 2019/06/24 Category Literature Essay Level High school Tags: The Kite Runner Essay Did you like this example? Amir remembers an event that had happened twenty-six years ago when he was a little boy in Afghanistan. Before this event took place, Amir lived in a beautiful house in Kabul with his Baba (which means father), their servant Ali and his son Hassan. Rahim Khan, Babars close friend, was often at their house too. Don’t waste time! Our writers will create an original "Plot Of The Kite Runner Novel" essay for you Create order Amirrs mother died after giving birth to him and a year later Hassanrs mother left home after giving birth to him. Ali and Hassan were both Hazaras which is another ethnicity in Afghanistan. One day Afghanistanrs king was overthrown and from that day on everything changed. Amir and Hassan were best friends, the only difference was that Amirrs father was rich and people respected him, but Hassan was their servant and a Hazara. Amir and Hassan were outside playing around when they bumped into Assef, Wali, and Kamal. Assef makes fun of Amir for hanging out with a Hazara and tries to beat him up and thatrs when Hassan hits Assef in the face using his slingshot. That same winter, Amir and Hassan participated in the kite running tournament. This is a competition where boys cover their strings in glass and battle to see who can sever the string of the opposing kite. When a kite loses, the boys chase and retrieve it. This was the year that Amir had finally won. Hassan had taken off to look for the losing kite. Amir, filled with joy, ran to find Hassan and when he did Amir completely changed. When he found Hassan, Assef was raping him. Amir had no clue what to do and he was too afraid to save Hassan, so he ran home. When Hassan comes home with the kite Amir pretended like he didnt see anything. After that, things between Hassan and Amir were never the same. Amir felt very guilty and decided that one of them had to leave. Amir took some money and a watch, puts it under Hassanrs pillow, and tells Baba th at he stole it. Since Hassan is a servant and knew that no matter what he will lose, he admitted that he did steal the money and watch. Baba forgives Hassan, but Ali said he couldnt live in house anymore and they moved away. Baba was really upset and begged them not to move away. Baba cried for the first time and this really concerned Amir. The story moves on to March 1981. Kabul was invaded by the Soviets and became a war zone. This is when Amir and Baba packed their bags, left the house without telling anyone, but Rahim Khan, and escaped from Afghanistan. Their journey to Pakistan was horrible. They were stuck in the back of trucks, lack of food and water, bad smell, and had lots of trouble getting through military checkpoints. After two years of living and Pakistan, Baba and Amir move to Fremont, California. Amir finished high school and goes to college and Baba got a job at the gas station. On Sundays Amir and Baba would go to the Flea Market to sell things and make some money. One day Baba found an old friend, General Taheri, at the market. General Taheri had a daughter named Soraya and Amir had fallen in love with her. He never had the guts to go talk to her because in the Afghan culture it looks b ad. Finally, one day Amir gathered the courage and went to talk to Soraya. As they were talking General Taheri caught them and told Amir that there is a more formal way to do things. A while later they find out that Baba is diagnosed with lung cancer and he doesnt have much time left. Amir asks Baba if he could get General Taherirs consent to marry Soraya and Taheri accepts the proposal. Due to Babars health, they had the wedding sooner than usual. A month later Baba dies. While Amir works on his writing, they try to have a baby but find out that they cant. Pretty soon Amir receives a call from Rahim Khan. Rahim Khan states that he is very sick and needs to meet Amir as soon as possible in Pakistan. Amir leaves for Pakistan in a week. Rahim Khan talks about how after they drove the Soviets out of Kabul everything got worse because now the Taliban rule by violence. Rahim said that after they had left Afghanistan, he was getting very lonely and wasnt able to take care of the house, so he went to find Hassan. He persuaded Hassan and his wife Farzana to come back to Kabul and live with him. Soon Hassanrs mother, Sanaubar, had come back and asked him to forgive her a nd eventually he did. Sanaubar delivered Hassanrs son Sohrab. Sanaubar never left Sohrab alone. She always made clothes for him and played with him but when he was four years old, Sanaubar died. Rahim Khan also got very sick and left for Pakistan to get medical treatment leaving Hassan and his family alone. One day Rahim Khan received a call from a neighbor in Kabul saying that the Taliban found out there was a Hazara family living in a nice big house. Hassan tried to tell them that he is just a servant and the owner is coming soon but they killed him and Farzana and sent Sohrab to an orphanage. Rahim Khan told Amir that there is a couple in Pakistan who can take care of Sohrob and he wants Amir to go to Kabul and find him. He also told Amir that Hassan is actually Babars son, Amirrs half brother. Amir was very shocked and didnt know what to do. He was also very mad because his whole life was a lie. Finally, he agreed to go find Sohrob. When Amir goes to Afghanistan he is very sad and surprised. He said that he feels like a tourist in his own country. He finds the orphanage where Sohrab was but when he got there the director told him that the Taliban took Sohrab a month earlier. They told him that he will find the Taliban at the soccer game which was being held the next day. When Amir went to the game, he set up a meeting with the official through one of the guards. The day of their meeting Amir tells the official that he is looking for Sohrab. When they brought Sohrab in the official said Whatever happened to old Babalu, anyway? (Babalu is what everyone used to call Ali because he suffered from partial paralysis of his face and walked with a limp caused by polio.) Amir was shocked. The taliban official was Assef. Assef beats Amir with his brass knuckles. He broke Amirrs ribs and split his lips. Sohrab comes in front of Assef with his slingshot, just like Hassan. When Assef tried to hit Hassan, he shot him in the eye and escaped with Amir. While Amir was recovering in a hospital in Pakistan he finds out that Rahim Khan died. He also found out that Rahim Khan lied and there was never really a couple wanted to take care of Sohrab. Amir thought for a while and asked Sohrab to move with him to America. After a few days, Sohrab agrees. When Amir recovered he went to Islamabad. Amir tried all he can but the adoption officials said that because they cannot prove that Sohrabrs parents are actually dead it will be impossible to get him out of the country. Amir tells Sohrab that he might have to go back to the orphanage. When Amir tells Soraya she told him that she found a way to bring Sohrab to America. When Amir went to tell him, he found that Sohrab tried to kill himself. Luckily Sohrab was unsuccessful in trying to commit suicide but after that day he never spoke, even when they brought him to California. For Sawl-e-Nau, the Afghan New Yearrs Day, all the Afghans had a gathering at the park. They had a kite running tournament and Amir bought one and convinced Sohrab to fly it with him. Using Hassanrs tricks they won. That was the day that Sohrab finally smiled and Amir runs to get the losing kite for Sohrab.