Comparison of Poems the Magpies and Ozymandias Essay

In the two poems, The Magpies by Denis Glover and Ozymandias by Percy Bysshe Shelley a common theme is that of man’s immortality. In The Magpies this theme is made especially apparent through the comparison of the immortality of Elizabeth and Tom with nature’s ability to remain constant due to its continuous regeneration. Meanwhile, in Ozymandias a king has a statue built however just like him the statue does not survive and is actually left abandoned and forgotten in the desert. This theme of immortality is also shown through a range of techniques such as the structure, choice of language, imagery, movement and sounds. Likewise, this theme is illustrated through the distinctive tone of the author in each poem. The poem The Magpies has a very set structure of six four-line stanzas. In each of these stanzas the last two lines describe the sounds of the magpies, while the first two lines are about Tom and Elizabeth. The second line of each stanza also rhymes with the last line of each; â€Å"The magpies said†. For instance in the first stanza the second line is, â€Å"The bracken made their bed†. This rhyming of the lines about Tom and Elizabeth with â€Å"the magpies said† links the two together and creates the idea of the magpies watching everything Tom and Elizabeth do. Likewise the structure of the last two lines being about the magpies enhances the idea that the magpies are constant and despite the time that has passed, â€Å"the pines grew overhead† the magpies are still there while Tom and Elizabeth’s lives come to an end, â€Å"Elizabeth is dead now† The poem Ozymandias is also written in the format of an iambic pentameter and has an irregular rhyming pattern throughout. The rhyming pattern helps to link the poem together and create a sense of flow and almost lyrical rhythm. For example the first line, â€Å"an antique land,† rhymes with the third line, â€Å"on the sand†. The poem is also not broken into stanzas like The Magpies and is instead presented as a sonnet made up of an octet and a sestet. In the octet the question t hat is posed is, ‘who does the statue in the desert represent?’ as the statue is only described as â€Å"trunkless legs of stone† and a â€Å"shatter’d visage†. In the sestet this question is then answered through the quoting of the words found on the plaque on the statue’s pedestal, â€Å"My name is Ozymandias, king of kings†. The structure of this poem is interesting as in the sixth line the poem reads, â€Å"its sculptor well those passions read† however it is not until the tenth line that the man the statue is of is named. This arrangement of the poem creates the idea that although Ozymandias was the one who commissioned the statue to be built and claims it as his, â€Å"Look on my works†; it is not really his works that have survived but those of a nameless sculptor. In the poem, The Magpies the choice of language is interesting as it is very simple and straight to the point. It also has some contradictions in the features used, for example it states â€Å"Elizabeth is dead now† while when describing Tom’s declining mental state it uses the euphemism â€Å"Old Tom went light in the head†. The use of the onomatopoeia of the magpies calls, â€Å"and Quardle oodle ardle wardle doodle† enhances how irritable the magpie’s calls are and the repetition of this exact same sentence illustrates how the magpies are constant and unchanging. However, the very last refrain of the magpie’s ends with â€Å"the magpies say† which creates the idea that even now and into the future, the magpies will continue to live on the farm that Tom and Elizabeth left so long ago. This is in keeping with the theme of the poem which is man’s mortality as it shows how human lives are limited while nature as a whole is constantly regenerating so can outlast any individual. Unlike The Magpies, the poem Ozymandias uses much more descriptive and poetic language. For instance the country that the traveller is from is described as â€Å"an antique land†. As the reader assumes that the traveller is from the land where the statue stands this metaphor emphasises the id ea that the country has a long, rich history. Likewise, the smashed face of the statue is described as â€Å"a shatter’d visage†. Alliteration is also a language feature that is used regularly throughout this poem. For example the statue is described as having â€Å"a sneer of cold command†. The hard ‘c’ sounds illustrate that Ozymandias was not a kind ruler but one who ruled strongly over his people with very little compassion. In the last two lines of the poem alliteration is also used when describing the physical appearance of the desert such as â€Å"boundless and bare† and â€Å"lone and level†. This use of alliteration emphasises how isolated the statue is and the soft consonant sounds provoke an image of rolling desert plains unbroken by human civilisation. In the poem Ozymandias the use of adjectives to describe the size of the statue, â€Å"vast† and â€Å"colossal†, add to the irony of the piece as despite the statues immense size it is nothing compared to t he magnitude of the desert and regardless of its size it has still been forgotten. This relates to the idea of the mortality of man as although Ozymandias’ statue has survived long after his death his statue does not cause the â€Å"despair† that he hoped it would but instead is now forgotten by most and mocked by the few who have found â€Å"his works†. This also creates an idea of human perception as while Ozymandias saw the statue as threatening, the sculptor saw it as an opportunity to make a mockery of Ozymandias’ egocentric personality. In the poem The Magpies by Denis Glover and Ozymandias by Percy Bysshe Shelley a common theme is that of immortality. In both poems this idea is explored through features such as structure and the use of language techniques. The structure of the two poems were different, however each was suited to the authors purpose. For example in The Magpies the author illustrates the theme of human mortality through the comparison of the length of the lives of Elizabeth and Tom with the seemingly endlessness of the presence of the magpies. Meanwhile, in Ozymandias the poem is arranged in a sonnet which allows the author to let the poem flow despite its irregular rhyme pattern. The use of the chosen language techniques in each piece is also necessary for the emphasis of the theme of immortality. For instance in The Magpies the most significant feature is the onomatopoeia of the magpies call. As this refrain is unchanged throughout the poem it illustrates the point that despite man’s best efforts to tame nature it is often possible for a short time as human lives are limited while nature continuously regenerates. In Ozymandias the use of alliteration is essential as it allows for a greater understanding of just how isolated and abandoned the statue is. This in turn creates the idea that although Ozymandias had the statue built to immortalise himself and leave a legacy on earth as he was not the sculptor they are not really his works that remain and are remembered but those of an unnamed artist. Both these poems illustrate how people can spend their time on earth working hard to reach perfection or an ultimate goal but in the end it is often impossible and does not allow them to be any more immortal than the next person. Perhaps then people would do better to accept that their time is restricted and work with these limitations to ensure that their time is not wasted in seeking immortality or creating a useless legacy and instead doing what good they can in the short time that they are given.

A Couple Interview with Darlene and Mike Lumpkin Essay

A marriage is the creation of a new family by bringing together two distinct people from individual and very distinctly different backgrounds. The bringing together of two different people often can cause conflict. Merging families can also create a harmonious relationship of balance and teamwork if both of their differences and similarities compliment each other. After conducting an interview with Darlene and Mike Lumpkin it became very evident that theirs was a seemingly balanced and harmonious relationship. The interview asked questions about how things like their backgrounds, challenges together, boundaries, family interactions, and spirituality have developed into a family and marriage relationship that successfully navigates through life together. The couple walked into the interview with a very happy demeanor, which seemed to set the tone for the remainder of our conversation. Their happiness clearly showed by sitting very close to each other on the couch with their arms aroun d each other. Mike shared jokingly that he felt like he was in a shrink’s office because of the blue couch. His lightheartedness helped keep things comfortable. The interview began by asking them some detailed background information about their individual family upbringing and experiences. Out of respect to their time constraints they were each given a printed out copy of the interview schedule and asked to spend a few minutes answering the individual background questions. They then shared what they deemed relevant from their answers. After some discussion about background section, the interview progressed by going through each of the remaining questions. Mike Lumpkin is a 40-year-old male college graduate who is employed by a real estate company. He has one younger brother and both parents are alive. His father is a pastor, which Mike shared, â€Å"my father has been a huge influence throughout marriage, family and in the way I live.† Mike described the majority of his family upbringing as stable, supportive and privileged. However, he wanted to highlight a particularly challenging time during college when he lost his best friend to suicide. He explained, â€Å"my faith got deeper through this experience because of all of the support of others.† The importance of faith is also reflective in his answers to questions about spending his free time with church and family. Darlene Lumpkin is a 43-year-old college graduate, housewife who has eight siblings. She started by highlighting the distinct differences between her and Mike’s family and upbringing. Her father was divorced five times and was undiagnosed but had a history of Manic Depression. This obviously affected her saying: â€Å"That is the reason I got married at thirty-one.† Additionally she shared, â€Å"Girls like to marry someone like their father and I definitely did not.† She explained that all of her brothers had also been diagnosed or un-diagnosed with Manic Depression and or substance abuse issues. She expressed that although she is very close to her family that it is fractured. At twenty she lost her stepfather to a sudden, unexpected heart attack. During mid-twenties her fractured family influenced a bout with depression where she sought the help of a counselor. However, her answers on the sheet that she was given, indicated that her current outlook on life as very positive because of her relationship to Mike and their children. Mike and Darlene’s relationship started while working for the same company, the couple met at a training event. Sha ring about how they met brought up a point of tension. There was a hesitancy to share that Mike was living with another women when they first started dating. Darlene discovered this and there relationship was on and off. The tension in the room was awkward for a brief moment but did not last because Mike then expressed that although it started rough and that they came from very different backgrounds, they were supposed to be together. After two to three years, the couple was married. Two years later they had Grace, currently age nine, and then Seth age seven. There explanation of deciding when to have kids was, â€Å"We tried a dog, and it didn’t work so we thought we would try kids.† One key observation made surrounding this set of questions about their relationship was that although their backgrounds were different, their personalities really complimented each other to guide them through life’s challenges. Although throughout the interview the couple seemed very happy talking about their marriage relationship, they did express some times in life, that in spite of being a challenge helped them grow closer. One such time occurred while working for the same company as store managers, their stores were down the street from each other causing them to be in direct competition. Additionally when Mike was laid off, Darlene found it difficult to interact with colleagues. Their families being brought together presented some of the greatest challenges, especially when they took in Darlene’s brother, who has battled an alcohol addiction. When an incidence occurred of him drinking at home while watching their children, they dealt with some confrontational stress. More recently another incidence happened when Darlene’s other brother attacked her personally. Mike and him got into some arguments but she chalked it up to his substance abuse and depression, saying, â€Å"All this drinking and addiction stuff has caused stress because Mike was not used to it.† Considering how difficult some of the challenges were early on in their marriage, they did not seem to outweigh the strengths. Darlene said: â€Å"The biggest thing is Mike and I talk, weather it is comfortable or uncomfortable†¦ you know the important things that need to be talked about.† Proper communication is vital to the success of a healthy long lasting marriage. Mike with Darlene agreed saying: â€Å"To sum it up we compliment each others’ strengths and weaknesses well.† Darlene wanted to also share that, â€Å"We both have a really good sense of humor, we can laugh at each other.† She shared that this was how they got through the difficult family situations. Their solid communication, humor, and complimenting personalities, were obvious strengths to their relationship. Frequently during the interview they both expressed that their children dictate much of how they are guided as a married couple and as a family. Family became even more of a priority because Darlene quit her very successful upper-management job in order to spend more time with their children. Mike expressed the importance of this, â€Å"What it comes down to is her and I are responsible for this family we brought into this world.† The only negative aspect of their relationship, specifically as in relation to boundaries was that they both agreed that marital intimacy had suffered. According to them this was one area of their marriage that could use some growth. Although not always the case it is reported as being a common problem for married couples to have decreased intimacy as a result of children. They both agreed that a way to combat this was being more intentional about the time they did have as a couple such as dates and anniversaries. Regardless of how much it was agreed that this was an area with a need for growth in their marriage, their boundaries seemed to be very healthy and clearly defined by their family as a whole. A reoccurring theme throughout the interview with Mike and Darlene was how much their spirituality influenced their marriage and family. Faith became particularly helpful during the difficulties with their families coming together. Mike: â€Å"I don’t know that we would have been as strong, I don’t know that we could have got through our situations without faith.† They have intentionally included their Christian faith throughout their relationship as a foundation for how their family operates and leans in times of life challenges. A lot of how their family is guided is by their faith and membership to a United Methodist Church. Both shared that they enjoyed spending a great majority of their free time volunteering in church activities. Mike, â€Å"Faith for us has been huge.† When asked why they felt this was relevant, they expressed that their children are cared for, nurtured, and supported in this environment. Darlene, â€Å"Our kids love church, I feel like it has become a family or support for us, we get more back from it then we put in.† They seemed to share about their relationship to their church as if it were an extended family that could be leaned on for support when needed but would allow for others to lean on them too if need be. Darlene and Mike are a truly amazing couple. A marriage that seems so balanced in spite of the many life challenges, and personality differences that they encounter. Although they would not admit so, their marriage is a perfect blend of two complimentary individuals. Having clearly defined family boundaries, complimenting each other’s strengths and weaknesses, while being guided by and supported in Christian faith, they continue to navigate through life together.

KFC Marketing Plan Essay

KFC formally known as Kentucky Fried Chicken is the world biggest and most popular chicken-based restaurant chain, headquartered in Louisville, Kentucky in the United State. It is originally founded by Colonel Harland Sander in 1952. Throughout its rapid growth it has now over 150,000 stores available nationwide in 105 countries boosting 59 years of history of success and innovation. In Malaysia, the first KFC restaurant was open in 1973 on Jalan Tunkul Abdul Rahman, and today there are more than 500 outlets throughout Malaysia and are still counting (KFC, 2011). 2.0 KFC Current Concept and Practice Malaysia’s KFC restaurant is an organization that runs and managed by Malaysian which practices self service concept in it business. Customer need to serve themselves when doing purchasing. Besides that, it also practices on the concept of Halal food. Halal food is food that conforms to Islamic Law or Shariah, it regulates that food consumed must be hygienic, not harmful to health, free from any forbidden parts of animals’ origin and anything regarded as filth under the Islamic law (KFC, 2011). 3.0 KFC Marketing Mix (7P’s) Marketing mix strategy is choosing and implementing the best course of action to meet the organization goal and gain competitive edge. The 7ps of marketing mix is one of the most popular used marketing concepts by marketing professional. It composes of product and service, price, place, promotion, people, process, and physical evidence (Behera, 2008). 3.1 Product and service Product is the tangible product or service offered to customer to provide customer satisfaction. No matter the product is tangible or intangible, it must provide the right feature and value to customer that include aspect such as appearance, function, and packaging (Anon., 2010). KFC are well known for his signature pressure-fried chicken pieces made with the original recipe. KFC primarily sell chicken in form of pieces, and salads (Wisnudewobroto, 2011). Although the main focus product is fried chicken, but KFC also developed a wide range of product offering variety choices to customer. It includes of burgers, signature Kentucky Nuggets, and wraps with a wide range of side dishes and dessert to pair with (KFC, 2011). 3.2 Price Price is the amount of money customer pay for a product (Anon., 2012). The price offered must be reasonable and competitive, and most importantly is to entail profit. The pricing tactics include not only the price list but it also comprise of on-going discount, offers and promotions (Behera, 2008). KFC products are priced high but not high overly, and their target customers are middle class people. However, to compete with other fast food restaurant KFC trickle down product price for selected item during mealtime to attract lower middle class customer to penetrate both sides of the markets (Wisnudewobroto, 2011). Promotions such as KFC a.m., Lunch Treats and, dinner treats are the current promotion available at KFC (KFC 2012). 3.3 Place Place refers to the location, and distribution channel whereby the product is reachable and can be purchased by the target customer and how the product reaches the location (Behera, M., 2008). KFC has over 500 outlets nationwide, and are generally in easy reached, nearby location. Besides dine in option, KFC also provide home delivery service up to customer doorstep and drive through counter offering convenience and different alternatives to customer, however these services are only available at selected area with fixed menu. In the same time KFC also developed the â€Å"Meals on Wheels†, a catering service for all sort of functions and occasion which can be done at any place (KFC, 2011). 3.4 Promotion Promotion includes various ways in selling and communication in spreading information to target customer of what the organization has to offer. Promotion tactics comprises of advertisement, public relation and sales promotion. A successful promotion strategy will be able to draw customer attention to be aware of the product and affect customer behavior (Behera, 2008). The distribution channel of KFC is quite varieties such as television advertisement, internet, and templates. Lately, KFC have come out with a range of attractive promotion item, KFC Cracker Sandwich, Lunch Treats, Zinger Double Down, Pokkits, and Bargain Bucket are examples (KFC, 2011). 3.5 People People refer to the individual that involve in the sales of product, such as attendant who deliver the service, promoter and product salesperson. Therefore these people are the important element for the organization. Adequate product knowledge training is essential to these people (Behera, M., 2008). KFC’s front-line staff always dressed neatly and appropriately. All staff is provided with appropriate standard working uniforms and is required put it on while on duty (KFC, 2012). Besides that, KFC also provide great serve training to employees. The front line staffs are nice and friendly, staffs greet every walk in customer with a smiley faces, and prompt in servicing customer (Mohammad, 2007). 3.6 Process The process in marketing mix is especially relevant to the service industry. It is the procedure of delivering service to customer, and the behavior of the person who serve. It is critical to customer satisfaction, hence, it is important to keep staff well trained in order to have a thorough understanding towards the service available (Anon., 2009). KFC is a self-service concept fast food restaurant (Anon., 2012). Dislike fine dining restaurant, customer need to help themselves from ordering up to picking up their meal. There is no hostess available as well, customers are free to choose their preferred seats to dine in. Sauces are available at the condiment bar in the dining area for free load. 3.7 Physical Evidence Physical evidence is the experience of using a product or a service. Customer cannot experience before they make a purchase which will make them feel risky, however organization can reduce this uncertainty by providing evidence to customer through testimonial demonstration showing that the organization keeps its promise. (Anon., 2009). The bright and bold graphic designs in KFC that showcase the company’s icons â€Å"11 secret recipe† and â€Å"Finger Linckin Good† communicate a fresh sense of pride towards its starring result of their product. While the warm and contemporary design and spacious seating makes customer feel welcome and cozy (KFC, 2011). 4.0 Marketing Objective The objective for this marketing plan is to increase sales revenue up to 20% by final year 2013. The reason for proposing this objective is to boost company sales revenue for KFC product range in this global economic downturn by the end of 2013 whilst gain a competitive edge in fast food business. 5.0 Marketing Strategy KFC decided to launch veggie burger and veggie warp in coming 15th December 2012. A 100% vegetarian product food product firstly available in KFC. The new products are named â€Å"Vege Bugger† & â€Å"Vege Wrap†, it is a hamburger style and wraps that does not contain any animal products. The patty of the veggie burger and wrap is 100% free from animal product. It is made from vegetables, grains, seed, and textured vegetables proteins, legume, soy, beans, nuts and mushrooms are examples. It will also blend in the KFC signature recipe, the Sander â€Å"Original Recipe† which contain of 11 herbs spices making it healthy and delicious. This concept comes from the changes of consumer behaviors in society these days. It is clear that consumers are much more health conscious today than ever before when come to food consumption. They are more conscious when they buy and seeking out food product, and generally prefer foodstuffs which is health benefited (Ligaya, 2009). In addition, the widespread in vegetarianism is another main factor that builds up this concept. According to Kayne, (2012), vegetarian diet is significantly healthier then diet which include meat and animal product. Studies have found that decrease of meat intake will increase health benefits and longevity might increase as much as 20 percent. Therefore eating green and healthy whilst saving the environment are the concepts for the new product. This 100% vegetarian ingredients product enables to attract new batch of potential customer which KFC has never target before. 5.1 One Year Integrated Marketing Plan The group of customer that KFC has decided to target for is vegetarian and health conscious consumer, as the main selling point of Vege Burger and Vege Wraps stressed on non animal product and healthy food. In the one year marketing plan, KFC marketing team will be using multi-market strategy in promoting the new product. The segment covers adults, children, family and budget customer who is looking for healthy and delicious food. The purpose of using this strategy is to target every possible customer segment as possible to increase and maintain revenue for the company. 5.1.1 Product and Service The new product KFC will be going to introduce is Vege Burger and Vege Wrap. It will be launch in the 15th Dec 2012, targeting health conscious consumer and vegetarian segment. The Vege Burger and Vege Wraps emphasized on 100% veggie made, and 100% free from meat, even the sauce and cheese used are 100% vegetarian. The burger and wrap are hi in fiber and protein and low in cholesterol as meat component has been replace by vegetables and use zero trans fat oil, thus it is the perfect choice for weight conscious customer. The burger and wraps will come in standard size, however customer may customize on the fillings according to their preferences as KFC are using customization strategies for this new product to attract more customer. The morale behind is that people can choose what they wanted for their food, customer will be more satisfied if they can choose what they want, and are not restrained with fixed menu. In order to get more new customer, continuous innovation and improvise will take place from time to time according to preference and taste of customer. 5.1.2 Price KFC come up with different pricing and bundling strategies for the new launch product, the Vege Burger and Vege Wrap, such as lunch treat, combo meal, and family meal. The super worthy meal enable to attract middle and lower class customer to increase overall sales volume. On the other hand, KFC is also using skimming pricing strategy on the new product. As the product is new, company need to adjust the price from time to time base on customer respond and cost of production. The product price will be firstly fixed in the range from RM 8 to RM 15, base on the type and size of meal ordered, however changes will occur whenever necessary. If the charges of the product are too low it might lead to customer perception that the food quality is poor, while charging for the product too high will cause customer to switch their preferences to other competitors. KFC also will take into consideration on the probable reaction from other competitor in their pricing strategy 5.1.3 Place Place is the main distribution channel, it is important so that the product is available to the customer at the right place, at the right time and with adequate quantity. Vege Burger and Vege Wraps will be launch at every single KFC outlet in Malaysia. They will be available throughout Malaysia as the idea is everyone can enjoy good food. However it will be firstly launch at outlet located in big cities before spreading to the rest. Besides than KFC restaurant outlet Vege Burger and Vege Wrap will also be available through online ordering and home delivery service. 5.1.4 Promotion In order to draw customer attention and to persuade customer to purchase the Vege Burger and Vege Wrap, KFC has come up with different promotions strategies and tactics to tackle as many customer as possible. For instance, special discount rate will be offer on the first three months when the Vege Burger and Vege Wrap is launch. Set meals upon ordering during lunch time and dinner time will be given special rate, which include of a standard size Veggie Burger or wrap, a non sugar carbonated drink and a coleslaw salad as side dish. Customer with large order quantity will be given cash voucher which applicable on their next purchase. Besides that, KFC use various promotion channels to effectively communicate the product information, to make people to aware of the new item, feel positive and remember it well. KFC apply broadcast advertising through newspaper, radio and TV program, the best and important marketing medium for promotion. KFC will advertise on the front page on the best selling newspaper to draw reader’s attention, paper such as Kwong Wah daily, The Star and News Strait Times. In addition television and radio advertisement will be broadcast during golden hours. 5.1.5 People KFC understand the importance of its employee and value customer, a happy customer result from the service provided from a happy employee. KFC will punt in extra effort and marketing their employee training and recruitment. 5.1.6 Process Due to the vegetarian sensitivity and particular in the process of food preparation, KFC will practice transparency to confide consumer in the coming launch product. The food manufacturing at KFC is completely transparent, food preparation process are visible to customer across the counter. It enable customer to view and judge the hygienic standard in KFC, besides that is also allow customer to know the ingredients used for food that they consume. This practice creates a solid proof to customer gaining their confident towards KFC. As Vege Burger and Vege Wrap is 100% vegan, ingredients will be prepared separately, using dedicated utensils and equipment. On the other hand, special training will be provided to all employees on method of cooking and preparation giving thorough knowledge to employee towards the new product. Managers are also designated to monitor the process of preparation to ensure standard procedures are follow. 5.1.7 Physical Evidence KFC focuses on the cleanliness and hygienic interior of its outlet especially at the dining area, providing a clean and hygienic dining environment to customer. In the same time, maintain attractive and proper decorum at its joints. Better facilities will be provide at KFC centre, such as internet facilities and dedicated area for children to play while parent can have quality time together. In order to match up with the launch of Vege Burger and Vege Wraps, KFC also launch a new design working uniform for their staff which come in green color imaging of eating green and living healthy. Physical appearance affects not only the impression from outsiders but it also a company brand image. 6.0 Budget KFC is using competitive parity method for company budget. In order to defend against competition, KFC will compare its budget with major competitors like Mc Donald’s and Burger King, spending as much as competitor. Example, if competitor is spending RM 500,000 in their promotion, KFC will also allocate the same or almost equal amount for their brand promotion. This method is easy to implement, it does not occur complicated forecast and appraisal, and most importantly, it enable to prevent competitor from making inroad to the company market share. 7.0 Controlling and Evaluation 7.1 Operation control Operation control focuses on day-to-day operation. To effectively control the operation and reduce risk, it requires standard policies and procedure to ensure a consistence standard of business runs. KFC operational control management will monitor the daily operation of the outlets especially towards the aspect of personnel and technology to avoid any obstacle occurs from affecting stores operation. A systematic system ensured activities carried out accordingly as planned. Corrective action will be taken by management whenever is necessary. 7.2 Strategy Control In the strategy control KFC management will look into the planning and tactics implement to reach the objective that has been targeted. Proper monitoring will be put into practice from carry out up to completion of the strategy such as promotion, advertising activities, and pricing. At the end management will analyse on how effective is the planning from the result. Revision and changes will be made to improve it if necessary. 7.3 Evaluation Lastly, final evaluation will be carry out to review the respond and comment from customer towards KFC. Customer feedback will be majorly focused on comment through questionnaire, customer forum, and feedback form. Besides that KFC will also ask for real-life comments where feedbacks were warranted. Customer will be asked to expand their feedback and how would they like to have the job done or handled. Looking at the service from customer point of view would provide a better understanding on what customer really need. In addition, sending mystery shopper can also help to monitor the quality of customer service and food furnished. Assessment can be carried out by reviewing the service level provided by front-line staff, food standard, and outlet environment. Thus help the management to evaluate the overall performance of an outlet. Feedbacks compiled will be filter by management selecting whichever is useful to the company and problem will be brought to attention according to severity so that appropriate remedial action can be taken. KFC will ensure follow up on every customer to see whether the solution has helped the customer, and will also maintain customer database so that company can send regular questionnaires and receive new opinion and ideas from customer for future improvement. Every feedback from customer is valuable therefore small gift like cash vouchers will be given to thanks customer for giving helpful tips and as a sense of respect to encourage ongoing open communication from customer in future. Appendixes Appendix A: References 1. Behera, M., 2008. The 7Ps of Marketing Mix. [online] Available at: [Accessed 29 November 2012] 2. Kayne, R., 2012. Has it been proven that Vegetarian Diet is Really Healthier? [online] Available at: [Accessed 5 December 2012] 3. KFC (Holdings) Malaysia Bhd., 2011. KFC Malaysia. [online] Available at: [Accessed 29 November 2012] 4. KFC, 2011. Newsroom. [online] Available at: [Accessed 13 December 2012] 5. KFC, 2012. ABOUT US. [online] Available at: [Accessed 29 November 2012] 6. KFC, 2012. Jom KFC. [online] Available at: [Accessed 10 December 2012] 7. KFC, 2012. Colonel’s Menu. [online] Available at: [Accessed 10 December 2012] 8. KFC, 2012. Colonel’s Menu. [online] Available at: [Accessed 11 December 2012] 9. KFC, 2012. KFC Holding (Malaysia) BHD Annual Report. [online] Available at: [Accessed 9 December 2012] 10. KFC, 2012. Colonel’s Menu. [online] Available at: [Accessed 11 December 2012] 11. Ligaya, A., 2009. Consumer more health conscious. [online] Available at: [Accessed 13 December 2012] 12. Management Study Guide, 2008-2012. Marketing Mix-meaning and its Elements. [online] Available at: [Accessed 29 November 2012] 13. Medialine. [online] Available at: [Accessed 10 December 2012] 14. Mohammad, N., A., 2007. KFC outlet with a difference. [online] Available at: [Accessed 9 December 2012] 15. Prads.net, 2012. KFC – Tripureswor. [online] Available at: [Accessed 13 December 2012] 16. Poh Huai Bin, 2010. KFC Zinger Double Down Burger. [online] Available at: [Accessed 13 December] 17. The Chartered Institute of Marketing, 2009. Marketing and the 7Ps. [online] Available at: [Accessed 1 December 2012] 18. Wisnudewobroto, 2011. Kentucky Fried Chicken Marketing Strategy (English). [online] Available at: [Accessed 1 December 2012] 19. WordPress, 2012. Top food and beverage trends to watch in 2013. [online] Available at: < www.stonehearthnewsletters.com/top-food-and-beverage-trends-to-watch-in-2013/nutrition-marketing/> [Accessed 13 December 2012] 20. You! Bumpit! 2008. COMPETITIVE-PARITY METHOD. [online] Available at: [Accessed 10 December 2012

Battle of the Bogside Assignment Example | Topics and Well Written Essays - 750 words

Battle of the Bogside - Assignment Example Battle of the Bogside In August 1969, the district of Derry known as the Bogside remained highlighted around the world for 3 days due to the clash between the local residents and the Royal Ulster Constabulary. The conflict aroused when local residents protested against the RUC’s attempt to fissure barricades that they had erected in protection of the area. The RUC had had several clashes with local residents time after time in past 11 months since the Bogside residents had been opposing Northern Ireland Government and its representatives and were aligned behind the Civil rights Movement. The Battle of Bogside was the climax of Ulster’s civil rights movement and set off the dilemmas of Northern Ireland. The annual Apprentice Boys march on August 12, to remember the victory of Protestants in the 1689’s Siege of Derry had to be organized. The march of a huge number of Apprentice Boys along with their followers by way of Derry city center and past the verge of Bogsid e was being viewed quite provoking by city Nationalists. McCann, the Derry activist wrote in his book that the parade was considered as a deliberate insult to the Catholics of Derry (McCann 1993). In order to avoid clash among the locals, the RUC and the demonstrators, plans had been prepared. Moreover, a defense plan was also prepared in case the regular plans failed. Officials made several attempts to prevent potential confrontation. In this regard, the Derry Citizens Defense Association (DCDA); an association that was established in July 1969 to design a defense plan for the Bogside and that included senior republicans, had meetings with senior figures of Apprentice Boys Association to convince them to cancel or at least reroute the march. They refused the request. As the Apprentice Boys started off their march on August 12, the air was filled with tension and threat could be felt throughout the city. When the Apprentice Boys and their followers paraded past Waterloo Place on the verge of Bogside, the RUC men and Nationalist youths faced each other. It was the time when the Troubles broke out. In the beginning, the Bogsiders and the loyalists exchanged taunts followed by stoning. Wardens and Nationalist leaders tried to control the crowd but failed and confrontation escalated (McCann 1993). The mob turned out in the Bogside, stoned the cops and shelled petrol bombs. This was the time when the riots started to intensify. Local youths settled on the roof of Roosevelt Street’s High Flats for bombardment on the RUC with missiles. The RUC had no prior preparations for such battle. They were not equipped with defensive tools. In order to take the control of situation the RUC began using CS gas. This was the first time that such an undiscerning weapon was used in the jurisdiction of United Kingdom. Police from all over the Northern Ireland had been drawn up. On 13 August, Taoiseach Jack Lynch addressed about the Derry event and said that he was worried abou t the injury and sufferings of innocent people and hence he would send the Irish Army at the border which would set up field hospitals for those wounded in the battle (Ranelagh, 1994). The reaction to this pronouncement was mixed. Later that evening, the Unionist rioters attempted to burn down the City Hotel. By 14 August, the riots had turned even more horrific. The B- Specials, an ancillary, typically Protestant police, were assembled in the predominant Unionist area. In the evening the B-Specials mobilized to Waterloo Place, on the city wall and on the verge of Fountain. The RUC troops had started to withdraw as they had completely exhausted after 3 days’

East Asia in the Modern World Essay Example | Topics and Well Written Essays - 250 words - 1

East Asia in the Modern World - Essay Example Moreover, both movements consider the spiritual history in material and selfless sense. In both counts, the material self means an individual’s material body that is ever considered real while on the other hand, the selfless is the spiritual consideration of the material body not being real. Notably, the material self often manifest itself in the violent millenarian movements as the selfless struggles often lead to peace of the inner mind (Ebrey, Walthall, and Palais 333). Apparently, both the Taipings and the Tonghaks are inspired by the â€Å"selfless† notion that has made them evade overt violence; however, the movements often attract some elements that are associated with material self-struggle. Despite series of similarities shared by the Taipings and the Tonghaks, they also have some notable differences. The Taipings and the Tonghaks do not share collective sense in the spiritual world. For several decades, the Taiping founded a dream based on the peace and egalitarianism concepts. These concepts led to corruption, murder, power struggle, and terrible dictatorships (Ebrey, Walthall, and Palais 357). On the other hand, the teachings of the Tonghak advocated for terrestrial salvation; however, it did not teach the realization of the earthly heaven. Regardless of its miniature contributions to the early heaven, it initiated sociopolical reforms that trained and set the minds of people to believe on humanity have God’s nature or humanity is God and humanity is to be achieved through salvation that only comes through an individual’s own

Final persuasive memo prsentation Assignment Example | Topics and Well Written Essays - 750 words

Final persuasive memo prsentation - Assignment Example This is water that members of the aforementioned community needs for purposes of drinking, domestic use, and industrial use primarily. A recent test conducted on water sources from major water bodies such as beaches, rivers and residential areas in the area revealed a disturbing pattern. This is whereby water pollution scored up to 35.71% on the pollution index. (MDEP, 2012). The following is a pictorial representation of pollution statistics in the area. Figure 1: Pollution Statistics in Boston Area As is clear from the graph, noise pollution is the highest in the region, followed closely by the pollution of water. The memo explains that some of the waste products discovered in the tested water included chemical effluent, plastics and sewage water. The chemical effluent was highly concentrated with some of the waste product that is typically from breweries. Proposed CSR program This is where Boston Beers CSR comes in. Boston Beers needs to participate in ensuring clean and safe wate r for use in the community. This is because of a number of reasons. First, the water tested was high in effluent from breweries, characterized by nitrogen, carbohydrates and cleaning reagents (Natural Resources Defense Council, n.d.). These destroy plant and animal life in rivers and bring about many ailments. Secondly, Boston Beers ranks poorly on the scales rating measures taken to reduce on water pollution. Finally, the company needs water to stay in operation. This is impossible with rampant pollution. Implementation of the Program In order to ensure that water in the community is safe for use, the company should embark on treating waste water from production. One of the ways in which the company can protect the community is by treating water on-site for recycled use, as opposed to letting it flow into the primary water sources in the community. This project is considered to be of low cost to the company. First, various authorities on the subject have analyzed the treatment plan . It is not capital-intensive like other alternative treatment plans are. For example, the cost of equipment for this method is up to 50% less than that used in the CIP treatment (Fillaudeau ,Blanpainavet and Daufin, 2006). (CIP stands for Clean-In-Place. It is a method that focuses on cleaning the interior surfaces of brewery equipment, for example the filters and pipework. Using this method, water containing acid and caustic soda from the brewing process is flushed out and the enzymes broken down using a chemical process before being released into water bodies. The proposed treatment plan is, first, better and cheaper given that it entails recycling of water while CIP does not. Secondly, CIP treatment is more expensive (Hanovia, n.d.). In addition to this, a report produced by the National Resources Defense Council indicated that breweries using this system incurred minimal costs. Lastly, wastewater costs Boston Beers at least $200,000 annually. This can be reduced significantly b y treating water. Benefits to the Company The project holds endless potential for Boston Beers. First, the program reduces costs incurred due to pollution of water by way of taxation, because authorities tax the brewery based on units of pollution. Secondly, methane, which is by-product of the treatment, can be used to power generators used in production in the breweries, which could drastically lower the cost of powering the plant. Thirdly,

Annual Report for Firm F Assignment Example | Topics and Well Written Essays - 750 words

Annual Report for Firm F - Assignment Example There are a lot unmet vehicle needs in the market and Firm F aims at filling this market gaps in accordance to its available resources. Pricing strategy The company did not have a specific product strategy. However, customer based pricing and competition based pricing have been used for the past 5 years. Using the customer based pricing; Firm F has had the flexibility of charging different prices to its different customers which either fell or rose depending on the size of the customer’s wallet. The customer target for Firm F includes people of different sizes of wallet though they have a common need. Therefore, exceptionally high sticker price was tagged on each car after which information about a prospective buyer was collected to gauge how the buyer is price sensitive. If the prospective buyer as found to be price sensitive, a negation on the price was done otherwise, the car was sold at the price given on the sticker. High price for cars leads to high demand and high sales for these target groups. The vehicle industry is highly competitive and so Firm F had to use competition based pricing as its pricing strategy. In this strategy, the firm checked out on the competitor’s prices and then set the price of its cars about the same level or lower with the main of attracting more customers hence increased sales. The idea behind the use of this strategy is that when the price of the cars is set close to the price of the rivals, the firm does not risk losing its market share to its competitors. In future, the firm plans to use customer based pricing strategy as it is more profitable than the competition based strategy. Products strategy The firm did not have any specific product strategy. However, when the company started in the first period, it preferred to work on the up grading of its existing cars after which it launched another car named Falier in the second period. The firm has also three new cars during the last 2 to three periods and in betwe en the periods, the firm was busy trying to do minor and significant upgrades on its cars. Upgrading of the cars was a product strategy used by the company to improve the features of its cars in comparison with those of its competitors, and this mainly to avoid losing its market share to its rivals. In the beginning, Firm F had some cars like Fantasy, Fish and Fast which existed and later produced other cars like Flop, Farce, Fizzle and Falier. This product strategy was also aimed at meeting the tailored needs of its potential customers. The firm plans to continue producing new products in future to enhance its performance. The organization’s outlook and plan for the next 5 years Given its current customer segment, Firm F has a potential for growth. For example, it has a large customer base when it comes to enterprises. Enterprises have different needs when it comes to the variety of cars needs for its business operation. This is an opportunity for Firm F to design new produc ts which will suit the changing needs of its customers. Firm F has a capacity of increasing its production to meet the increasing needs of its products. When it comes to pricing, the competition based pricing may be a business threat. This is because other competitors may be using the same strategy hence reducing the price of their products below the new price set by the firm. At the end of the day, the firm may end up making losses. The fact that

Gender and Family Essay Example | Topics and Well Written Essays - 500 words

Gender and Family - Essay Example Mead witnessed an equality of the sexes where men and women both shared household, childcare and family support responsibilities equally. The Arapesh tribe was a notable example of shared parental responsibility. The Arapesh children grew up similarly inclined toward sharing parental responsibility. In general there was a desire to pander to the needs and shortcomings of the weak and the young. Arapesh parents, both male and female alike, exhibited the traditional willingness to both play the role of ‘responsive and cooperative parents.’(Lindsey 2004 p 21) Mead’s observed that parental roles and duties could not be distinguished by a gender divide. With reference to Mead’s experience, Lindsey writes that ‘what may societies would define as maternal behavior extended to both men and women.’ (Lindsey 2004 p 21) The Mundugumar tribe was entirely different in their approach to parenthood. They adapted a mere tolerance mode in respect of the children. Neither parent was affectionate or warm toward the children and did not hesitate to dispense severe punishment. Again, behavior could be defined by gender. (Lindsey 2004 p 21) Mead witnessed a complete role reversal along gender lines while living among the Tchumubuli tribe of New Guinea. ‘This tribe consisted of practical, efficient and unadorned women and passive, vain and decorated men.’ (Lindsey 2004 p 21) The women played the role of bread winner by ‘weaving, fishing and trading.’ (Lindsey 2004 p 21) Moreover, men ‘remained close to the village and practiced dancing and art.’ (Lindsey 2004 p 21) It was the man’s job to win the woman’s affections. It was the tribal experience that led Mead to adhere to the theory that maternal instinct was myth rather than fact. Lindsey concedes that there is some merit to Mead’s observations she also accepts

Marketing Essay Example | Topics and Well Written Essays - 500 words - 3

Marketing - Essay Example Disney, being an international corporation, has the advantage of global exposure and its strength therefore is its vast experience. This experience is the key to success against small competitors who do not have the experience to match Disney in business. There are related opportunities too when it comes to Disney due to its long-standing relationship with a myriad of companies across the globe. Disney is therefore able to capitalize on new contracts, tenders and jobs without having to put in as much effort as any other competitor might put in. The bottom line here is that Disney has several strengths that have developed with time and have become a source of competitive advantage. The opportunities are the result of global strategic partnerships that the company has had over the past decades so that Disney has better opportunities than its competitors – always. The political issues are that how stable is the political government with the business and whether the government pol icy will either cause any changes in the tax payment. The environmental functions are regarding the surroundings and other things which compete in the business in the surroundings. The atmosphere is also covered in these issues.

US Soldiers During and After the Vietnam War Essay Example for Free

US Soldiers During and After the Vietnam War Essay The Vietnam War, also known as the Second Indochina war, was the battle between the South Vietnam Government supported by the United States of America against the National Liberation Front (NLF) and the North Vietnamese (Atwood Brigham, 2005). The US had to come to the scene when they felt that there was a need to prevent the â€Å"domino theory† (Atwood Brigham, 2005). With the advice of the US policymakers, they sent their US troops to Vietnam in 1965 to start the prevention of the spread of Communism in Vietnam (Atwood Brigham, 2005). They had this belief, as in congruence with their â€Å"domino theory† that if Communism enters Vietnam, it would most likely spread throughout Southeast Asia (Atwood % Brigham, 2005). As reinforcement to the Southern Vietnamese Government, the US soldiers had to make sure that this non-Communist government does not disintegrate. With this, the US soldiers had several difficulties during and after the war. First, a lot of people, Cambodians, Lao, Vietnamese, and American Soldiers died during the war. The numbers show that during the war, there were 3. 2 million Vietnamese, 1. 5 million to 2 million Lao and Cambodians, and 58,000 Americans (Atwood Brigham, 2005). It is sad to note that some of these died fighting for their principles while some died without them knowing it. Those who died with the latter group were mostly the civilians who were just caught with the war. As can be seen from the statistics shown above, the highest number of deaths came from the Vietnamese. This is a sad part for the US soldiers who had to watch civilians die amidst the war and never got the chance to see it come to an end. Apparently, there were alleged war crimes committed in the duration of the war by the American soldiers. However, it could still be noted that at the very least, some soldiers never wanted to be there and watch people die. Among the thousands of soldiers sent there, there would be a considerable, yet unsure, amount of soldiers who never wanted people to die when they were not supposed to do so. In addition to this, it is very hard for the soldiers to see the souls of their fellow soldiers fall one by one from their team. They had to move on with the battle they have started and just hope that it would soon come to an end. In addition to deaths of US soldiers in the battlefield, there were also deaths that were caused by other factors (Atwood Brigham, 2005). A table below shows the statistical breakdown for the deaths that occurred during the war in the side of the American soldiers. This table also includes the statistics of the incidence of nonfatal wounds that the American soldiers had. During this kind of war, where they had to fight against the Viet Congs, they constantly had to look out for each and everyone else’s safety, sometimes just their own. Nobody would know when there would be an attack or if someone shoots out during their sleep. The fear they had to go through had effects on the emotional and mental health of the soldiers. The presence of the dead bodies around them also had affected their hopes and diminished it to a certain extent as they had to trudge down dead bodies, wondering if they would have the same faith or see this war to an end. Second, some of the US soldiers inflicted several illnesses, one of them is malaria. More specifically, one of the diseases is cerebral malaria which some of them carried on even after the end of the war. A Vietnam War veteran who has inflicted such disease is Jim Manuel (Lloyd, n. d. ). The effects of such disease has affected their brain and even resulted in, as in the case of Jim Manuel, deterioration in his level of IQ (Lloyd, n. d. ). Fourth, there were Prisoners of War (POWs) who had suffered greatly in the war, many of whom never had the chance to step back into their motherland, America (O’Neill Corsi, 2004, p. 118). Fortunately, there were several of them who had the chance to go back to America and tell the tales of their captivity in Vietnam. They served as the shield of the Viet Congs against an intensive defense strategy of the Americans with the North Vietnamese group. Third, after the long efforts and lives lost during the war, the American soldiers have failed from preventing the Communism in Vietnam. They withdrew their troops as US, South Vietnam, North Vietnam, and the Provisional Revolutionary Government (PRG) signed into the Treaty of Paris in January 27, 1972 (Atwood Brigham, 2005). The conditions set forth in the agreement were the release of all American prisoners of war from North Vietnam; the withdrawal of all U. S. forces from South Vietnam; the end of all foreign military operations in Laos and Cambodia; a cease-fire between North and South Vietnam; the formation of a National Council of Reconciliation to help South Vietnam form a new government; and continued U. S. military and economic aid to South Vietnam, [and a] $3. 25 billion in reparations for the postwar reconstruction of North Vietnam. (Atwood Brigham, 2005). After their withdrawal, the US soldiers still had to deal with another battle as they got back into their own country. During and on to the end of the war, there were campaigns rising for the war crimes and atrocities engaged into by the soldiers (Vistica, 2003, p. 233). This created a very negative impact even for those who had been fighting as anti-Vietnam War protests suddenly sprang up in America putting questions of doubt in the morality of the US military involvement in the Vietnam War (Atwood Brigham, 2005). Every strategic defense acted upon and carried out by the US soldiers has contributed to the intensity of the sentiments against the US soldiers by even the American protesters (Atwood Brigham, 2005). Another impact on the soldiers is the trauma they felt because of the war. Most, if not nearly all, of them showed different degrees of Post-Traumatic Stress Disorder (Atwood Brigham, 2005). This mental disorder had symptoms of anxiety and depression (Atwood Brigham, 2005). What is more, over 20,000 of the Vietnam Veterans committed suicide and the incidents of veteran imprisonment rose (Atwood Brigham, 2005). Those who continued to live on still had the memory of their lost brother as they remember them during the hardest years of their lives (Atwood Brigham, 2005). There are surely a lot of ifs and buts questions going into their mind as soon as they got home. Sometimes, one could just wonder how they cope up after a situation similar to throwing oneself into a pool of sharks. The situations that the US soldiers went through during and after the Vietnam War contributed to making a double battle for them. They had to fight for a lot of reasons and against a lot of factors. While seeking for their main purpose as directed by their homeland, they had to fight for their own personal reasons and for their own life. The Vietnam War was never a simple war and will never be. The battle alone in mind has proved that these Vietnam Veterans are worth the salute and honor.Despite everything, the mere fact that they kept on going has made everything hard for them and for everyone else, too. References Brigham, Robert K. , and Atwood, Paul. Vietnam War. Microsoft ® Encarta ® 2006 [CD]. Redmond, WA: Microsoft Corporation, 2005. Lloyd, S. (n. d. ). U. S. Vietnam war soldiers and malaria. Retrieved January 12, 2008, from http://www. historynet. com/wars_conflicts/vietnam_war/3038271. html. O’Neill, J. E. Corsi, J. R. (2004). Unfit for command. USA: Regnery Publishing, Inc. Vistica, G. (2003). The education of Lieutenant Kerrey. New York: Thomas Dunne Books.

Responsibilities of the construction team

Responsibilities of the construction team Clearly Describe The Roles And Responsibilities Of The Construction Team On Site For Health And Safety And How They Are Made Responsible? Employer The Employers roles and responsibilities on a health and safety aspect side are vast and detailed and are required by law in order to comply with government regulations and legislation. One of the main duties of the employer is to ensure a safe environment for all employees; this includes providing safe systems of work, safe handling, storage, training and supervision. They are also obligated to provide a health and safety policy made accessible to everyone that works within the office or officers and any visitors coming in and out of the premises. Another key role the employer has to include in his tasks, such as consulting on safety measures with his/ her employees as well as hold regard for regulations brought up by the safety committees. Another key fact to consider is whether there are relevant and up to date health and safety policy in place. Employee Although the employer has a bundle of responsibility especially when it comes to safety and welfare, the employees must also take some aspects into account. Under the HASAWA it states employees must act with due care for themselves as well as cooperating with the employer through such methods as a talk box. This is where everyone stops work for a short period of time and talk about safety aspects of the job they are working on. It is also good practice not to recklessly interfere or misuse anything; this includes equipment and bodily harm. Client Its the clients responsibility to demonstrate an acceptable standard of health and safety. This will include appointing a planning supervisor, providing health and safety information and appointing a main contractor. Although these are the main duties often taken by the client before work starts there are a few others that sometimes clients forget or dont realise they have responsibility to do them this includes, a health and safety plan for the construction phase of the works and they must keep and store the health and safety file on completion of the building. Contractor Under the contractors duties regarding health and safety are as follows; he or she must ensure the cooperation of all contractors on site, ensure the rules set out within the health and safety plan are passed and correct and most importantly prepare the health and safety file. Other duties you may see the contactor doing is making sure everyone on site has permission to be there and ensuring constant contact with the health and safety executive on any matters regarding the subject. Another main issue is ensuring the health and safety policy passes inspection enabling work to commence. Subcontractor Subcontractors do not have as such direct contact with health and safety issues however they have to abide by law and be provided with relevant safety information and equipment such as safety glasses, gloves etc. They must also complete an initial site induction before they are allowed on site alone. Local Authority From the Local governments aspect they have general duties such as highways and road safety to take into account anything basically from communal building such as council buildings such as post offices cathedrals castle for example. However if none of these occur and its a private building such as a factory or private home then they have limited powers but they do have the right to visit the site on the grounds of noise, nuisance or environmental issues, if any complaints are made by local residents or the workforce it self. Health And Safety Executive He or she is there as an â€Å"overseer† there to provide three simple things, these are: Advice- help with matters regarding health and safety, how to improve methods in place and in cooperate new methods to the construction. Inspect- check safety certificates, methods in place, the risk of injury etc. Enforce- if things arent up to scratch, depending on the seriousness of the particular site then report them or take drastic action which may stop work completely until things are approved. CDM Co-Ordinator CDM Co-ordinators have similar roles to the contractor however they consider health and safety issues from the design side of things. There duties include contacting the HSE of the proposed project, they must ensure cooperation between designers ensuring they comply with their duties. There duties include making the client aware, risks within the design concept and ensure adequate information on the risks, cooperate with the planning supervisor and any third party designers. They are also obliged to produce a pre tender health and safety plan is prepared and also check a health and safety plan is prepared. These obligations are good practice and achieved with regular meeting with all those involved. Identify three of the main legal issues with the current HSAWA and any other legislation requirements for employers and employees that need to be implemented in the construction workplace and describe their legal duties? Health and safety within an active construction team and workforce has had significant legalisation since the HASAWA 1974. The three main pieces that I am going to concentrate on are listed below: Work At Height Regulations 2005 This legalisation was brought into place in a government effort to reduce injuries and fatalities from falling at a height in the workplace. This legalisation includes a height to be anything from standing on a chair to building sky scrappers. The guidelines state â€Å"you must avoid working at a height where an alternative method can be used. Where this can not be avoided adequate safety precautions must be put into place such as using guard rails, barriers, handrails, toe boards, scaffolding and elevated platforms. This has a knock on effect to the employers and states a few basic concepts and principles to be completed by them these are, to check competency of each individual asked to work at a height. To achieve this suitable training, instruction and supervision must be provided. The legalisation also sets out guidelines to achieve these goals as details are giving for working platforms, access and aggress, risk assessments and requirements for PPE and collective means of prot ection. The Regulations require Departments ensuring: Working at any height is properly organized Those involved in working at height are trusted Ensure the risks from working at any height are properly assessed and appropriate work equipment and health and safety measures are selected and used. Ensure the equipment for working at a height is properly inspected and looked after. There is a hierarchy for the management and selecting equipment for working at a height: Avoid working at a height wherever possible Use of work equipment or other measures to prevent falls where working at height cannot be avoided Where the risk of a fall cannot be eliminated, use work equipment or other measures to minimize the distance and consequences of a fall should one occur. These Regulations have a number of schedules, which highlight detailed requirements for existing places of work and means of access for working at a height. For example fall prevention (e.g. guardrails and working platforms), for falls from heights (e.g. nets, airbags etc.), for personal fall protection (e.g. work restraints, fall arrest and rope access) and for ladders. Construction Regulations 1996 The Construction Regulations 1996 legalisation focuses directly at the construction industry in particular the reduction of accidents within the industry is aimed at protecting the health, safety and welfare of everyone who carries out construction work. They also protect other people who may be affected by construction work. To do this it centres on the employer and the workforce in helping to reduce these accidents. The employer under these obligations ensures that the construction workplaces are safe and practical to use, whats more it puts into place measures to prevent workers from falling, this can included in the forms of toe boards, netting and barriers. The basics must also be considered such as suitable welfare facilities, lighting, fresh air and heating to the work place. On the other hand the work force must abide by the rules and regulations set into place. These consist of reporting any defects of equipment or design to be reported to the supervisor and that every emplo yee has to co-operate regarding health and safety issues such as working in a bakery all staff must wash there hands before they are allowed to touch food and must ware hair nets for hygiene reasons. Under these Regulations employers have duties to carry out their own work in a safe and appropriate way. Anyone doing construction work has a duty to cooperate with others on matters of health and safety and report any defects to those in control. One of the general duties is to ensure a safe place of work and safe means of access to and from the place of work, this Regulation sets out a general requirement which applies to all construction work. It applies equally to places of work in the ground and at ground level aswell as at height. Under the Regulation it requires the following: Falls This section has been repealed and is now covered under The Work at Height Regulations 2005. But however basically outlines correct safety procedures and equipment to use to reduce the risk of falling, some of these methods are discussed later on in the assignment. Falling Objects This section has been repealed and is now covered under The Work at Height Regulations 2005. However this is basically like falling from a height as in the safety precautions and measurements discussed are the same exempt hats and steel cap boots are used to protect vital organs and limbs. However these are later discussed in more detail futherforth in the assignment. Stability Of Structures In order to prevent collapses during the construction phase it is necessary, at the planning stage, to take into account any foreseeable hazards. Excavations Any excavation which has the potential to collapse without support should be suitably equipped. Underground cables should be highlighted before work commences and action taken to prevent injury. Prevention Of Drowning Measures should be in place to prevent persons from falling into water or other hazardous liquids. In the event of an incident protective equipment and life saving equipment should be available for immediate use and regularly maintained. Also Transport by water should be controlled by a reliable person. Ideally those employees who can swim should be allowed to work over water or liquid. Plant And Equipment All plant and equipment should be maintained in a reasonable condition so that it remains safe and without risks to health. Certain equipment eg, cranes/hoists, is subject to statutory inspection. Training Ensure that persons who carry out work activities have received adequate training so that they carry out their work in a safe manner with minimum risks. Inspection Excavations, cofferdams or caissons must have the place of work inspected before work commences and at regular intervals by a competent person, who must be satisfied that the work can be done safely. Health And Safety At Work Act The Health and Safety at Work Act 1974 also referred to as HASAW or HSW is the primary piece of legislation covering occupational health and safety in the United Kingdom. The Health and Safety Executive is responsible for enforcing the Act and a number of other Acts and Statutory Instruments relevant to the working environment. The HSE has many divisions that cover the industries from nuclear power, agriculture, railways to construction. The HSE has a wide role to play in controlling health and safety in construction. Its responsibilities are: To advise To inspect To enforce The Health and Safety Executive has powers to inspect any construction site notifies it under the notification rules associated with the F10. The F10 is the official form that is completed by the contractor and sent to the HSE to advice. Much of the law regarding safety in the work place can be found in the Health Safety at Work Act 1974. Under this act employers have to take steps to ensure the health, safety and welfare of their employees at work. As well as this legal responsibility, the employer also has to take reasonable steps as far as they are able to ensure the health and safety of their employees is not put at risk. So an employer might be found liable for his actions or failure to act even if these are not written in law. An employer should assess the level of risk as against the cost of eliminating that risk in deciding whether they have taken reasonable steps as far as they are able. The employers responsibility to the employee might include a duty to provide safe plant and machinery and safe premises, a safe system of work and competent trained and supervised staff. Certain groups of employees may require more care and supervision than others, for example disabled workers, pregnant workers, illiterate workers etc. The employer has two options to get any concerns across to his/ hers employees this is either via consulting them directly or through an elected representative on health and safety matters. If there is a recognised union with an appointed safety representative they must consult with them and allow them time off for training in health and safety issues. Usually the employers responsibility is only to his or her own employees and premises; however, the responsibility can be extended in some circumstances. For example where employees from different firms are employed on one job, the main contractor will then be responsible for co-ordinating the work in a safe manner and must inform all employees of possible hazards. Explain in more depth the responsibilities of management and how they should always interact with their employers to ensure their Health and Safety policy is implemented and what measures can be put in place to ensure awareness and safe working practices for all employees is constantly monitored? Management has a key role and responsibility to play when it comes to HS (health and safety) and in order to relay this effectively to the workplace, regular meetings with the employer, the workforce and key members of management in the construction phase, this being the main contractor, employer and the planning supervisor. One of the main duties of the employer is to consult and cooperate with employees on safety measures, this meaning any safety aspect of the workplace should for good practice be discussed with the employees who use the machinery. Such as a brick layer will discuss safety measures and responsibilities with the employer for example using appropriate footway, steel cap boots and gloves to protect his hands. The employer under the health and safety act should provide these free of charge and have a booklet giving new employees what you must ware to comply with regulations of the government. Another important duty to conclude in this assignment is to ensure all employees have the relevant training and supervision to complete their job safely with the equipment their using. An example of this hedge trimmer for example needs training in strumming and if the hedge row is on highway hell need adequate safety on highways certificate or he wont be able to work on highway land. Therefore the employer will have to set up necessary training and procedures into practice to reduce the risk of injury. More often than not a health and safety advisor will visit various sites to ensure the right safety precautions are in place and the safety policy implemented is accurate and efficient. The contractors main role in health and safety as we know is to ensure cooperation on matters with health and safety and ensure the rules are approved by the relevant worker most usually that of the health and safety executive, however sometimes it can be the employers themselves. This will involve meetings both formal and informal with the site supervisor and health and safety inspector on matters of procedures to be taken up on site and training required for each of the employees on basic safety and more specific safety aspects with handling machinery etc. Another responsibility the main contractor has bestowed on him is preparing the health and safety file and notifying the HS Executive about the works and that the F10 is displayed in a prominent position for the whole of the workforce to see from the client to the builder. Under the contractor he is responsible for the majority of the workforce out on site this including bricklayers, builders, roofers, sub contractors etc. However subcontractors also have sum liability on there shoulders although they are not directly in charge of any of the workforce except their own little teams they do have to contribute to the health and safety which is provide method statements and risk assessments to the employer and client to ensure it is accurately stored and made a record of any problems, risks or potential hazards. A method statement details how company is going to undertake the work, what it will use and what precautions it will take. HSE- Health safety executive- Employers are compelled by the government to provide a reviewed health and safety policy. Management are responsible for ensuring a safe work environment for all its employees. Therefore practices, methods and theories must be used to ensure they do this effectively and efficiently. In every working site a from like the one shown below should be displayed somewhere where everyone can see it. The health and safety executive is not directly responsible for anyone but is used to enforce the regulations in health and safety already emplaced. Planning supervisor as we know has many responsibilities upon him, one of the most important ensuring designers comply with their duties. To ensure this occurs constant Co-operation is needed with the planning supervisor and designer and other higher member of the hierarchy such as the client and main contractor. This is essential to ensure the minimal chance of risks and hazards occurring. CDM Co-ordinators have similar roles to the contractor however they consider health and safety issues from the design side of things. There duties include contacting the HSE of the proposed project, they must ensure cooperation between designers ensuring they comply with their duties. There duties include making the client aware, risks within the design concept and ensure adequate information on the risks, cooperate with the planning supervisor and any third party designers. They are also obliged to produce a pre tender health and safety plan is prepared and also check a health and safety plan is prepared. These obligations are good practice and achieved with regular meeting with all those involved. Merit Two Question Health and safety is dispensed evenly throughout the hierarchy, however some roles take more responsibilities than others. For example the client which is at the top of the hierarchy has relatively minimal duties to carry out than say the HS Executive which has a more power due to his post as he or she specialises solely on the HS aspect of the work. Therefore the hierarchy of management and Responsibility in health and safety will be slightly different, to that of general management hierarchy. The most responsible job in Heath and safety would be the HS Executive as they have bestowed vast reliability to enforce and oversee the construction of the F10. As well as ensuring all of the workforces are up to date in training and health and safety certificates are clearly on view and in good working order as well as encouraging safer practice throughout the duration of the works. To achieve this constant communication must be maintained by all those involved including the client and designers. Joint at the top of the chain of command will be the employer who has to constantly as we know keep on top of all safety aspects of the workplace, via the use of safety audits, hazard checks, seminar and training. Below is a list composed by an employer of a company in whales prioritising there health and safety measurements. One of the most important things to complete in regard to health and safety is to ensure all government legalisation is followed and completed such as fire exits labelled health and safety policy clearly shown to all employees in the workplace. This is at the top of the hierarchy when it comes to health and safety. The government legalisation also ensures adequate training to staff and a safe working environment, which after all is one of the most important priorities in any working environment, as we know the employers deal with meeting these basic requirements. The next step down the ladder would be completing paper work such as the F10 and safety records including a health and safety plan and file, the responsibility of this changes depending on the type of work, but for a live building site this lies between the employer and the client to sort out between them selves. As well as this other measures are also taken out by planning supervisors which do the designs and calculate any risks or hazards that may occur throughout the building stage and pass these onto the client and health and safety exc. As well as all these regular tool box talks and safety comities will take place as risks and concerns need to be identified by all aspect of the team regardless of post. This is good practice and encourages workers to come together as a team making a more effective workforce. On the bottom of our ladder of responsibility we can find hazard checklists which will be carried out by the employees themselves identifying any dangers or risks of using a particular equipment of area of work that the main safety files have not picked up on. Alternatively employees could inform management directly by approaching them or bringing up matters of concern at tool box talks, or safety meetings. CDM regulations arguably the most important guidelines to health and safety set by the government to reduce accidents. Under these regulations it involves specific detail of several key players in designing and building a structure. In charge of this duty is the CDM co-ordinator and as said above is in charge of ensuring the key players abide by the rules and legislation. The most important of these roles is: The Client: Who should be satisfied that only competent people are appointed as Planning supervisor and principal contractor. It is under the CDM that this is carried out and supported by the client; this will involve talks between the CDM co-ordinator as well as the rest of the team such as the contractors and supervisors to ensure the correct ones a chosen for the job in hand. Working together as a team: Clients, planning supervisors, designers, principal contractors, employees and the self-employed all have their part to play in achieving health, safety and welfare standards on construction. To ensure this is followed the CDM co-ordinator is constantly checking and following up making sure protocol and legislation is complete if this is not the case the site can be closed until redeemed safe and the company could face massive fines. Bibliography http://www.compactlaw.co.uk/free_legal_articles/health_and_safety.html http://www.aviva.co.uk/risksolutions/pdf/hardfacts/safety/5019-theconstruction-healthsafetywelfareregs1996.pdf

Prevention of Chronic Obstructive Pulmonary disease (COPD)

Prevention of Chronic Obstructive Pulmonary disease (COPD) Title: Discuss the nurse led intervention in relation to secondary prevention for COPD Chronic Obstructive Pulmonary disease (COPD) is a growing health concern today all over the world. The World health Organization predicts that by 2020 COPD will rise from it’s current ranking of 12th most prevalent disease worldwide to 5th and from 6th most common cause of death to 3rd.(Murry 1997) Another study by WHO(2002) states that COPD is the third largest cause of respiratory death and account for 20% of respiratory mortality. According to research conducted in UK, around 900000 patients are suffering from COPD in England and Wales currently (NICE 2004). Numbers of patients affected by COPD are increasing in UK and it has taken over the place of heart diseases as one of the major killer diseases leading to 30000 deaths per year. (Gibson 2003). Reason for dramatic increase in COPD includes reduced mortality from other diseases like heart diseases in industrialization countries and infectious diseases in developing countries with marked increase in cigarettes smoking and environmental pollution all over world. COPD is a chronic progressive disorder characterized airway obstruction with little or no reversibility. COPD affects bronchi, bronchioles and lung parenchyma with predominance on distal airways. It involves two clinical condition- chronic bronchitis and emphysema. Most patients with COPD have both pathological condition but relative extent of emphysema and chronic bronchitis is variable in individual patient. Chronic Bronchitis and Emphysema Chronic bronchitis is defined as a cough productive of sputum on most days for 3 months for successive 2 years. Cough is due to hyper secretion of mucus not necessarily accompanied by air flow obstruction. Chronic bronchitis is characterized by enlargement and multiplication of mucus glands, resulting increased airway mucus production. Evidence suggests that apart from quantity, quality in the form of composition of mucus is also altered becoming more viscous. Mucus is one of the important component in pathophysiology of COPD. Increased secretion of mucus is the result of goblet cell hypertrophy on exposure to various noxious stimuli. This mucus affects pulmonary function in various ways. Increased secretion for prolong period leads to decrease in FEV1 which is promotional to degree of hyper secretion .Excess mucus causes airway obstruction by accumulation in peripheral airways and increased airway resistance. Additionally, there is thickening of airway wall and infiltration with lymphocytes, neutrophils and macrophages leading to fibrosis. In contract to asthma, infiltration of lymphocytes and neutrophils are found in greater number in airway lumen. In the event of exaggeration of COPD, Eosiniphils are also observed in airway lumen. Inflammatory process in COPD is powered by interaction of proteolytic enzymes and several chemokines, as sputum of patients with COPD shows increased amount of Leucotriene B4, interleukin- 8 and tumor necrosis factor. Emphysema is defined as enlargement of airspaces distal to terminal bronchioles with destruction of alveolar wall resulting loss of elasticity of lung and closure of small airways. Elastic recoil of alveolar attachment helps to maintain the patency of airway lumen especially during expiration. With destruction of connective tissue matrix of alveolar walls by proteolytic enzymes called proteases, released by inflammatory cells in the alveolar wall causing destruction of elastin, affects structural integrity of alveolar wall. Pathological changes in emphysema are related to proteolytic activity of these enzymes. In peripheral airways of patients with COPD, there is airflow limitation due to loss of alveolar attachments, inflammatory obstruction of airways and luminal obstruction with mucus. The airway narrowing in COPD is the end result of combination of structured inflammatory narrowing, loss of elastic recoil and loss of alveolar attachments. One of the important effects of risk factors of COPD is abnormality in ciliary function. Airway wall is lined by cilia which act as a force to propel mucus or foreign body towards trachea for coughing it out. Mucociliary function is affected by thick and tenacious mucus. It also increases the risk of infection due to accumulation in airway causing recurrent infection in lungs and further lung damage. Mucus plugging and pulmonary infection contributes to V/Q mismatch and hypoxia eventually. Acute hypoxia caused dyspnoea affecting other systems of the body. Chronic hypoxia leads to pulmonary hypertension and right sided failure. Other pathophysiological consequences of COPD include abnormalities in pulmonary function, the mechanism of gas exchange. Risk factors for COPD There are several factors responsible for development of COPD called risk factors. Smoking cigarettes, both active and passive, is considered the major causative factor in development of COPD. More than 80% of COPD patients are or were smokers (Gibson 2003). Air pollution, industrial smoke and chemicals used in industry are responsible for development of COPD. Exposure to industrial dust is a causative factor in diseases like asbestoses, mesothelioma and black lung disease. Infection especially in early childhood and frequent exposure to allergens leading to changes in airway are contributing factors in development of COPD. People with Alfa -1 antitrypsin deficiency are more likely to develop COPD due to genetic defect in production of enzyme alfa-1 antitrypsin. It is believed that patients having periodontal diseases are more likely to develop COPD as the bacteria casing periodontal diseases travel to lung and cause infection and inflammation. Babies with low birth weigh have shown increase incidence of COPD and poor nutrition during fetal development leading to small dysfunctional lung is considered the responsible factor for development of COPD. COPD in more common in men, over sixty years of age. At this age it is at its highest level of development, which started in young age. Out of all the risk factors discussed smoking cigarettes is most important factor in causing COPD. Effects of smoking cigarettes on human body are due to nicotine present in a cigarette. Nicotine molecule was produced over 60 million years ago by tobacco plant to overcome insect herbivores. Tobacco introduced in Europe in 1492 when Christopher Columbus sailed to America and its cultivation then spread to many parts of world (Corti 1931). Today tobacco is widely prevalent in society in the form of cigarette smoking. Typical cigarette contain 9 mg of nicotine of which 1 mg is absorbed by smoker. Burning tobacco produce a complex mixture of compounds divided in gas and particulate phase components. In gas phase component, carbon monoxide (4%) forms the significant amount in concentration in addition to nitrogen, oxygen and carbon dioxide. The particulate phase component is consisting of aerosol of tar. Tar is the sticky, brown, residual substance left after removal of nicotine and moisture. Both gas and particulate phase are responsible for COPD Delivery of smoke compound is variable according to type of tobacco used in cigarette, addition of filter and the vigor with which an individual smokes cigarette. Smoking affects lung at the level of bronchi, bronchiole and lung parenchyma. Tobacco smoke affects structure and function of bronchial mucous gland. Number and size of mucus secreting glands increase due to smoking leading to more production and deposition of mucus in airway. Tobacco smoke also produces structural changes in airway cilia. These changes are related to dose and duration of smoke exposure. It also affects the function of cilia with abnormal clearance of secretion. Additionally, it also cases narrowing of small airways with inflammation and fibrosis. Apart from this, smoking has some short term effects like increase in carboxyhaemoglobin, decreased appetite and emotional dependence on nicotine. COPD is treated with elimination of risk factors, bronchodilators such as beta-agonists and anti-cholinergic, corticosteroids, low concentration of oxygen and mucus thinner like guaifenesic. The cost of COPD is enormous as economic burden on health care system, society, patients and their family is significant. An audit of 1400 patients admitted in a hospital revealed that 34% patients readmitted and 14% had died within 3months. (Roberts 2002) It is imperative to act upon risk factors responsible for COPD. Smoking is major risk factor for development of COPD and it is never too late to stop smoking and benefits starts immediately. (Price 2004).Usually smoking starts in teen age and continues for long time, but those who have never smoked remain non-smoker for many years. Study indicated decline in number of male smokers in UK from 70% in 1950 to 28% in 1998 (Macfadyen 2001).More positively, men are giving up smoking in increasing number. These changes in behavior of people in society towards smoking are the result of implementation of health promotion strategies in communities. Health promotion is the science and art of helping people changing life style to move towards the state of optimum health. Optimum health is defined as a balance of physical, emotional, social, spiritual and intellectual health (Irwin 2005) Health promotion is directing the plan to foster communities’ abilities to take effective actions at local level. It covers the methods to map and mobilize local resources, to activate citizens, government for management of positive changes, and transform institutions into health promoting environment. It involves the actions to improve ability of health care system for primary and secondary prevention and assist citizens in taking control and improve their own health by behavior and lifestyle changes. Life style changes can be facilitated with combination of enhanced awareness and creating environment that support good health practice. Health promotion is that element of public health that focus on social conditions for maintenance and development of better health for productive society. Evaluation of health education programmes reveled that change in knowledge did not result in action and improved health. Knowledge alone is not sufficient but people need the confidence that they can change their lives. Hubley (2002) explained that health empowerment has two components self efficacy and health literacy. Self efficacy implies feeling of power and control and confidence of taking action. Health literacy is related to ability to communicate health related issues. .Health literacy is achieved only by means of health education leading to understanding of health issues and application of it in decision making. Many traditional health education methods rather disempower person by creating more dependency on health professionals. Important element in health promotion is to provide cognitive input through educational process which will not undermine community confidence. Health education using participatory learning methods creates a way forward for heath literacy and self efficacy. Nurses in health care set up facilitate these components of health promotion by helping smoking cessation in society and directing health care for secondary prevention of COPD. Nurses as health care professionals act by providing information and support to smokers either by telephone contact or nurse led clinic to obtain objective of reducing smoking in communities. There are clear objectives for nurses in smoking cessation programmes of advocating positive social and environment changes for health promotion and organizing supporting activities that leads to secondary prevention of health related morbidity and mortality. It is important for nurses to educate the people to influence the positive behavior changes in health related issues. Apart from providing information, it is important for nurses to use the information to bring change by communicating and convincing smokers and organizing individual action. Government says that smokers are four times more likely to quit smoking using NRT with local NHS stop smoking programme than if they only rely on their will power. (DH 2004) Smoking is seen in three phases: initiation, maintenance and cessation. Initiation occurs in early teens and begins with experimentation with cigarettes. There is evidence that adolescent of more rebelling or risk taking, out going nature are more likely to take up cigarettes. Individuals of more neurotic personality are also more prone to take up cigarettes. Some degree of genetic predisposing has also been observed, which not particularly specific to nicotine but also for alcohol and caffeine. High status individuals in media also have great influence in initiation of smoking. Maintenance of smoking is promoted by direct and indirect effect of nicotine releasing central dopamine, noradrenalin and opiate peptides. It helps in coping with stress and also improves performance due to its tranquillizing effect, in a variety of tasks but it eventually leads to dependence, addiction and withdrawal symptoms. On initial contact with patient, nurse establishes that the person is a smoker and obtains informed consent from person. Nurse gives a questionnaire to patient to know smoking history of patient in the form of numbers of cigarettes smoked in a day by a person. It also includes disclosure of information about duration and pattern of smoking. Nurses then assess the willingness of the person to stop smoking. By asking smoker to rate the importance of quitting on a scale one to ten, with one number having least importance. Smokers are also asked to rate their confidence in their ability to quit. This gives an idea to nurse about the readiness of a smoker for quitting. Nurse also assess level of breathlessness in patient with COPD, which is graded as follows (Gibson 2003). Not troubled by breathlessness on strenuous exercise. Breathlessness when walking uphill Walks slower than counterpart on the level because of breathlessness Stops to take a breath after 100m or a few min on the level Too breathless leave the home or breathless on dressing. After initial assessment, nurse counsel patient to educate and prepare him/ her to take action to quit smoking. Nurse explains the benefits of smoking cessations with emphasis on the explanation that a person starts getting benefits immediately after stopping and set a quit day with explanation of problem they may come across. In clinic, most patients say they would like to give up and also tried to stay away from cigarette (Percival 2004).A study indicates that long term success of smoking cessation depends on several factors like low daily cigarettes and delayed first cigarette of day; low consumption of alcohol or caffeine, high socioeconomic class; non smoking spouse and less neurotic or depressive personality. Some evidence also suggests that women find it difficult to give up. It is important for the nurses to now the degree of self confidence from the outset that the goal will be achieved and absence of stressful episodes during the therapy as contributing factors for long term abstinence from smoking. Study suggests that, persons usually give up smoking after five to six trial and error sequences. (Gibson 2003) The duration of therapy is usually six weeks. Nurses lead session either in a group or one to one and manage for regular follow up. After initial contact, nurses remain in contact with person by telephone or in clinic at 2 days, one week, three weeks and three months interval. Patients are given booklet about COPD and disadvantages of smoking. Booklet also contains the benefit s of quitting smoking. It also explains the patient about how to quit smoking, how to cope with withdrawal symptoms like need to smoke, depression, irritability, insomnia, difficulty in concentration, restlessness and increased appetite Patients with strong withdrawal urge are explained about NRT. At the end of six weeks patients have consultation with nurses. Those who continued smoking or relapsed are offered additional support. Anti smoking public health campaign helps smokers by drawing attention more frequently and pushing them to take action. It also helps nurse in facilitating their advice. Self reported motivation of smokers, wish to avoid further health problem and in some cases actual ill health are important factors in giving up smoking. For example, a pregnant lady is inclined to give up smoking to avoid harm to her baby. Smokers receiving advice from hospital physician specially after admission for myocardial infarction had quit rate of 50%, compared to success rate for advice by physician in general practice of around 5% in unselected patients.(Pety 2000 ) Concern of passive smoking and many times social pressure by family and friends also contributes in moving forward for help in smoking cessation clinic. Rising price of cigarettes and ban or restriction of smoking in public places also tend to discourage smokers. Socioeconomic model suggest that for every one percentage rise in cigarette price leads to 0.5 % drop in consumption (NICE 2004).Smoking advertisements and perceived status of smoking from them are significant factors in encouraging people to become smoker. Nurse encourages person in finding alternate source of enjoyment and different coping strategies in the event of stress leads to successful outcome on long term. Nurse also takes help of specialist in search for other ways of mastering concentration during sustained task. Nurse also asks spouse to quit smoking to create the environment for behavior change. Many smokers have poor central control system for arousal reward and punishment, and then alternative strategies may involve physical sports, mental relaxation, assertiveness techniques and different scheduling for work activities. Nurses help smokers understanding and reducing the image smoking as’ something exciting and sophisticated’. Most smokers give up with the help of their own efforts but those who cannot manage themselves nurses propose specific methods with the social support. For those , who will not give up in immediate future some damage limitation can be achieved by production of safe cigarettes; transfer to pipe or cigar or chewing tobacco; other formulation of tobacco like nicotine gum, nasal spray, transdermal patch inhalable aerosol- called nicotine replacement therapy (NRT). Before starting medication nurse rules out contraindication for medication like severe cardiovascular diseases, recent MI, severe cardiac arrhythmia, recent CVA, transient ischemic attack, pregnancy and breast feeding. Variety of other drugs apart from medications used for NRT are also used in practice which counteract unpleasant aspects of nicotine withdrawal, includes amphetamine, benzodiazepines, ACTH, vasopressin, clonidine, fluoxetine, bupropion and naloxone. Mecamylamine (nicotinic antagonist) is another important medicat ion used in smoking cessation. Nicotine replacement therapy in the form of nicotine gum or patch is better than smoking and decrease health risk. NRT and bupropion are prescribed to those who have set a date as a target to stop smoking. Transfer to pipe decrease the risk of lung damage, but can not protect upper oesophageal tract. With nicotine nasal spray, absorption from mucosa is much faster than gum and the blood level achieved are comparable with cigarette smoking. Nicotine aerosol has irritant sensation in nose but it is still the attractive option in switching from cigarettes. Nicotine patches application on skin promotes slow absorption of nicotine from the skin .It is devoid of sufficient sensory stimulation involved in smoking. It has limitation in alleviating withdrawal symptoms during smoking cessation therapy. Practically more useful are nicotine gum, transdermal nicotine patch, nasal spray and antidepressant bupropion. They are equally effective and safe, doubling quitting rate. Study indicates less than 5% drop out rate due to adverse effects if these drugs, but combination is superior in effects compared to single drug (Gibson 2003).Combining medication with counseling by nurse boost the quit rate. Nurse explains side effects of NRT like headache, nausea, dizziness, palpitation, dyspepsia, hiccups, insomnia, myalgia, anxiety, and irritability to patients before starting it. For many novice ex-smokers major difficulties emerge after initial euphoria of successfully having overcome the first week of withdrawal symptoms. The more complex task then begins to manage and overcome withdrawal symptoms for longer term for successful outcome. NRT forms the mainstay of management of withdrawal symptoms. There are differences in response from various types of NRT .In case of heavy smokers( more than 20 cigarettes a day) 4mg nicotine gum is more effective than 2mg. In medium to heavy smokers standard patch of 21 mg is more effective than lower dose patch. Treatment with NRT is continued for 10 to12 weeks with gradual withdrawal. If person is unsuccessful in quitting after 3 months, the treatment is again reviewed. (West 2000) Addition to anti-smoking measures, nurse should check effectiveness of inhaled drug, it’s technique and if they are symptomatic despite short acting bronchodilators. Nurse also takes care of nutrition and vaccination in COPD case. Nurse led clinic for smoking cessation is a part of pulmonary rehabilitation program which involves exercise and education over 6to 8 weeks to anyone who feels that COPD is affecting quality of his or her life. It is closely related to health promotion by creating an environment and providing education for improving personal and community health. Educating people to change behavior and empowering them to take actions leading to smoking cessation are essential elements of smoking cessation clinics. References Corti C., (1931). A history of smoking. London: George G. Harrap Department of health, Office of National statistics, (1997). General household survey. London: HMSO Gibson g., Duncan G., costabel U., Sterk P., Corrin B.,( 2003). Respiratory medicine, 3rd edi, vol. 1 p 645. London: Elsevier Hubley J (2002). Health empowerment, health literacy and health promotion putting it all together. http://www.hubley.co.uk/1hlthempow.htm (Accessed on May 14, 2005) Irwin J (2005). Health promotion theory in practice: an analysis of Co-Active Coaching. International Journal of Evidence Based Coaching and Mentoring ,vol-3, no-1.http://www.brookes.ac.uk/schools/education/ijebcm/vol3-1-a-morrowirwin.html! (Accessed on May 14, 2005) Macfadyen L., Hastings G., Mackintosh A., ( 2001). Cross sectional study of young people-awareness and involvement with tobacco markets. BMJ. 322, pp 512-517. Murry C., Lopez A., (1997). Alternative projections of morbidity and disability by cause, 1990-2020: Global burden of diseases study. Lancet: 349. 1498-1504 NICE guidelines (2004). Management, treatment and cure of COPD. British journal of nursing ,vol.13, no18, pp1100-1103 NICE; (2004). Guidelines to improve patients with COPD. London : NICE Percival J. (2004).Make use of all resources to quit smoking. http://www.professionalnurse.net/nav?page=pronurse.articleresource=1454302fixture_article=1454302category=RESPIRATORY_CARE. (Accessed on May 14 , 2005) Pety R., Darby S., Deo H., (2000). Smoking, smoking cessation and lung concern in UK since 1956.Combination of national statistics with two cases control studies. BMJ, 321, pp 323-324 Price D., Foster J., Scullion J., Freeman D., (2004). Asthma and COPD. London: Elsevier Roberts M., Lowe D., Bucknell C., (2002). Clinical audit indicator of outcome following admission to hospital with acute exacerbation of COPD. Thorax, 57, pp 137-141 West R., McNeill a., Raw a., (2000) .Smoking cessation guidelines for health professionals: an update. Thorax, 55, pp 987-999 WHO, (2002), reducing risks, promoting healthy life. Geneva : WHO Legally Binding Undertaking I, Paulatsya Joshi, undertake that in line with my contractual obligations this work is completely original, and has not been copied from any website or any other source, either in whole or in part. By submitting this work I understand that if my work is found to be plagiarised that I will not only forfeit my fee but also be subject to legal proceedings in order to recover damages for loss of profit and damage to business reputation. Moreover, I understand that I may be subject to legal proceedings from any third parties, such as the end clients and copyright holders of the original work who may have had their rights infringed or suffered loss as a result of my actions. I also understand that in addition I will be liable to a  £100/$200 administration charge and that I may be liable for legal costs. I understand that this e-mail and the work I am submitting may be used as evidence against me if I breach this undertaking. Please take this to constitute my electronic signature Paulatsya Joshi