Tuesday, May 26, 2020

New Questions About English Article Answered and Why You Must Read Every Word of This Report

New Questions About English Article Answered and Why You Must Read Every Word of This Report After that, ask yourself whether the author explains the purpose of their persuasive factors. Consequently, each example demonstrates the suitable use of the important analysis of the literature and evaluates the aim of the author. For example, the writer indicates the reader in different parts of the article by suggesting examples in specific paragraph numbers. He also makes a powerful impact with the use of quotes embedded into the text. The text is organized in the shape of narration. On the flip side, an analysis is the breakdown of the author's arguments which you use to derive the function of the author. Thus, you create an argumentative approach to the viewpoint of the author. For understanding the text it's important to be aware of the value of language in society. Articles are actually just a particular sort of adjective. Sometimes a post modifies a noun that's also modified by an adjective. In most cases, it is the first word of its noun phrase, preceding all other adjectives and modifiers. Again, the indefinite article indicates that she's not referring to a particular apple pie. If you want to learn more about them, take a look at the references section below. For instance, if you're giving or asking for information, you might want to use direct, in place of humorous, language. One of the greatest approaches to acquire excellent rankings for certain key terms or phrases is to incorporate them in t he text in some specific places and a particular number of times. The totally free practice test is a perfect way for those learners to find the appropriate idea of their understanding and expertise. The English Article Game Let's begin by viewing the definite article. The restaurant wasn't very clean. Read my essay writing service reviews and my guide to selecting the ideal service for everything you want to understand about how to select the best writing businesses. The next thing to do is to select literature and sources of the info that you require. These hints, tips and ideas can help you compose a newspaper article for your regional newspaper, a school assignment or merely for fun. The Honest to Goodness Truth on English Article Ensure you are aware of how many articles are wanted, what keywords should be included, what the intention behind the articles is and when the deadline is. Employing a writing service is the best approach to have a well-written essay to use as a guideline to guarantee the essays you write are hitting all the important points and are at the appropriate depth needed for your academic grade. SEO stands for search engine optimization and it's a technique used to attain high rankings in the various search engines. Report Topics Following are distinct varieties of article topics for the students that are categorized in sections so you can easily pick the topic in accordance with your need and requirement. Articles narrate the personal feelings of the author on a specific subject. English Article The information is going to be shared with a number of foreign buyers and sellers. Also a lot women wear out their jeans at the back of the cuff hem so in the event that you let it down you locate a huge hole or gap free of material. Article marketing could pull in more people to look closely at your organization and the company solutions. The goal isn't business first, but it might allow you to promote your merchandise. Choosing English Article Is Simple The decline of a single language and the rise of another isn't new. English reading practice is essential if you would like to enhance your English reading abilities. Quit thinking that you're learning English that will cause you to get nervo us, think that you're speaking English that will make you a lot more confident. Likewise don't neglect to look at the remainder of our other lessons listed on Learn English. Top English Article Secrets The use of what it is that you are writing will influence the tone and the language you should use. Additionally, there are detectors that can be found in places where the faculty enters the school. You take pleasure in the beauty of nature free of charge. Exposing students to a broad range of learning styles will allow them to become more flexible learners. The Chronicles of English Article For them great thoughts and very good character is essential. The reality is that human beings are created of body and soul. Flexibility of function has grown over the previous five centuries as an effect of the loss of inflections. A good example of a weekly language target may be to memorise five idioms that are relevant to the body. The last and the main issue is to learn what's im portant and unimportant on the planet. The most frequent mistake is state. Just ensure that it is something which you require, not just something which you desire in the brief term. The issue is in the simple fact that Aum Shinrikyo was among the few havens for such folks.

Tuesday, May 19, 2020

The Problem Solving A Rehabilitation System For Disability...

Introduction Although Functional Independent Measures and Morse Fall Scale are widely used as tools in healthcare by nurses, many question their validity in accurately predicting falls. Falls are the most common cause of accidently injury in a hospital. There are a higher percentage of fall rates on a rehabilitation unit as compared general hospital units (Gilewski, 2007, p. 234). Thirty percent of falls result in patient injury and four to six percent is seriously injured (Forrest, 2012 p. 186). Even though a Morse Fall Scale score of 45 identifies a high fall risk for patients, FIM is a more comprehensive measure of a CVA rehabilitation patients’ functioning because FIM mobility and problem solving scores had greatest correlation with fall and functional gains of 1 point on total FIM score were related with decreased falls. Literature Review The FIM scoring is a system of measurement for disability based on the International Classification of Impairment, Disabilities and Handicaps. It measures the patient’s disability and indicates how much assistance is required for the individual to carry out activities of daily living. There are 18 items (13 motor tasks and 5 cognitive tasks). The measure looks at self-care, sphincter control, transfers, locomotion, communication and social cognition. Health care providers must be certified in FIM scoring. These scores are taken on admission, throughout the hospitalization and on discharge. The hospital receives payment based on aShow MoreRelatedClinical Case Study and the WHO Disablement Model Essay641 Words   |  3 Pagesused for many years within the medical field to help guide clinical reasoning and the delivery of evidence based practice throughout the continuum of care. Valley Health Rehabilitation Services provides clinicians with opportunities for profession growth and development, as well as opportunities to learn from peers. Specifically, case studies are used within the systems as a useful problem-solving tool that enables clinical reasoning and subsequently guide treatment. FOCUSED CLINICAL QUESTION: TheRead MoreInternational Classification Of Functioning, Disability And Health1285 Words   |  6 PagesIntroduction The International Classification of Functioning, Disability and Health, also know more commonly as ICF was originally proposed by the World Health Organization (WHO) for trial purposes in 1980 and was known as the International Classification of Impairment, Disability and Handicap (ICIDH) (reference). The ICIDH aimed to provide a cohesive and consistent language tool for the classification of the consequences of disease and the implications for the individuals involved (reference). HoweverRead MoreEssay on Intellectual Disability2319 Words   |  10 Pagesbase population of 287,572,700 people, 14,144,300 of them have an intellectual disability. In the state of South Carolina, 5.6% of the population has an intellectual disability. This means from a base population of 4,311,200, an estimated 242,600 are considered to have an intellectual disability. This survey included all ages, races, all genders, and all education levels (â€Å"Disability Statistics†). Intellectual disability is characterized by limitations in intellectual functioning and adaptive behaviorRead MoreSpecial People/Special Needs2110 Words   |  9 PagesUniversity of Phoenix Cultural Diversity BSHS 421 Special People/Special Needs Mental illness is a special need within itself; couple that with being a minority, specifically an African American, and the problem increases. The following paper will display examples and data portraying the difficulty that African Americans face when seeking mental health services, particularly for schizophrenia. Also included will be assessment techniques, intervention strategies and treatment planning. AccordingRead MoreHistory of Social Work18530 Words   |  75 Pagestraditions of welfare systems and the position and role of social work within them. Research into the philosophy and history of social work strengthens this understanding through analyzing the conceptual and genealogical fundamentals of the traditions of social work. This kind of research contributes to the theoretical self-conception of social work which is necessary for the development of social work as a modern professional system, a scientific discipline and a research-based activity. The developmentRead MoreFundamentals of Hrm263904 Words   |  1056 PagesCourier/Kendallville. The cover was printed by Courier/Kendallville. This book is printed on acid free paper. Copyright  © 2010, 2007, 2005, 2002 John Wiley Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permissionRead MoreHuman Resources Management150900 Words   |  604 Pagesresource dimensions are considered. almost 18%. Over 40 work teams meet regularly to discuss work goals, track their performance against established measures, and discuss problems and issues. Employee turnover is also extremely low in most areas. Transitions in HR management are also paying off in the Bank of Montreal, based in Montreal, Quebec. Emphasizing human resources has involved 35,000 employees in organizational success. This recognition meant focusing greater attention on the talents ofRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagespublishing as Prentice Hall. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright, and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permissi on(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions DepartmentRead MoreStrategic Human Resource Management View.Pdf Uploaded Successfully133347 Words   |  534 Pagesii Permission to reprint these has been obtained by Pearson Custom Publishing for this edition only. Further reproduction by any means, electronic or mechanical, including photocopying and recording, or by any information storage or retrieval system, must be arranged with the individual copyright holders noted. This special edition published in cooperation with Pearson Custom Publishing. Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 Please visit our web site at www.pearsoncustomRead MoreLibrary Management204752 Words   |  820 PagesSeries Library and Information Center Management, Sixth Edition Robert D. Stueart and Barbara B. Moran United States Government Information: Policies and Sources Peter Hernon, Harold C. Relyea, Robert E. Dugan, and Joan F. Cheverie Library Information Systems: From Library Automation to Distributed Information Access Solutions Thomas R. Kochtanek and Joseph R. Matthews The Complete Guide to Acquisitions Management Frances C. Wilkinson and Linda K. Lewis Organization of Information, Second Edition Arlene

Friday, May 15, 2020

The Most Problematic Crimes That Are Polluting Italy s...

The most problematic crimes that are polluting Italy’s criminal justice system is corruption, organized crime, drug trafficking, terrorism, and illegal immigration. Corruption creates a fertile ground for organized criminal activities, even terrorism, as criminals are aided in their illegal activities by the complicity of corrupt public officials. If left unchecked, corruption will undermine political, social and economic stability, ultimately threatening the safety and security of society as a whole. Political parties are considered the most corrupted institution in Italy, followed by parliament and legislature and police. According to Transparency International (2015) survey on global corruption, 64% of people feel that their†¦show more content†¦Compared to other countries, Italy is equally corrupted as Brazil, Greece, Bulgaria, and Swaziland (Transparency International, 2015). â€Å"Italy total crime is the 4th highest in Europe and it has one of the highest perc entages of crime victims with 24.5% of its population claiming to be victims. Italians have one of the lowest rates of faith in their police force, with just 54% stating they believe in police efficiency and 65% claiming it’s not safe to walk alone at night† (NationMaster, 2015). The safety concerns for the tourists and locals are at a low because of police corruption and bribery, and that police are not taking some of the crimes that are being reported seriously. In Italy, U.S. citizens are less likely to be a victim of a violent crime, but they will fall victim of pickpocketing, purse snatching, residential and car break-ins in populated Italian tourist destinations (Overseas Security Advisory Council, 2015). Italy’s international police is responsible for protecting the boarder for illegal trafficking and domestic crime. The Interpol National Center Bureau (NCB), which is party of Italy international police Cooperation Service (SCIP), has â€Å"two divisions within SCIP that focus on fighting crime such as organized crime, terrorism, illegal immigration, drugs, missing persons, environmental crime, property crime, and wanted fugitives† (Interpol, 2015). Organized crime has been a major problem in Italy for a number of years. Organized

Wednesday, May 6, 2020

Environmental Determinism and Biological Determinism

Environmental Determinism and Biological Determinism can set restrictions on a person’s behavior. Environmental Determinism is the view that the environment can have a great impact on a person’s behavior. Environmental Determinism is known as the name Climatic Determinism or the name Geographical Determinism. Biological Determinism is the view that a person’s genetic material can set limits on a person’s behavior. Environmental Determinism and Biological Determinism are different because they limit a person’s behavior in different ways and are similar because they have similar effects on different societies. First of all, Environmental Determinism effects on behavior based on the environment. A large amount of tropical countries is†¦show more content†¦Racist beliefs related to moral and intellectual characteristics still persist. The belief that one’s race is superior to many other races still exists to this day. This is how Biological Determinism affects based on a person’s genetic material. Third, Environmental Determinism and Biological Determinism are similar because everyone is affected by Environmental Determinism and Biological Determinism. Environments affect the survival and growth of a person. Different environments affect a person’s culture and decision making. Environmental factors have a strong impact on a person. A gene is a â€Å"unit of hereditary information that occupies a fixed position on a Chromosome†(Encyclopedia Britannica). A Chromosome is a â€Å"Threadlike part of the cell that carries hereditary information in the form of Genes†(Encyclopedia Britannica). â€Å"A defining feature of any chromosome is its compactness. For instance, the 46 chromosomes found in human cells have a combined length of 200 nm (1 nm = 10− 9 metre); if the chromosomes were to be unraveled, the genetic material they contain would measure roughly 2 metres (about 6.5 feet) in length (Encyclopedia Britannica).†Human beings rely on genetic mat erial. People pass on genetic traits to offspring. Phenotype is the interaction between Biology and the environment. Environmental Determinism and Biological Determinism are similar in many ways. Biological Determinism and Environmental Determinism has existing conditions thatShow MoreRelatedEssay on Freedom-Determinism debate1689 Words   |  7 PagesFreedom-Determinism Debate The controversy between freewill and determinism has been argued about for years. Freewill is defined as the belief that our behaviour is under our own control and do not act in response to any internal or external factors. Freewill has been found to have four different conditions and to have freewill at least two conditions must be obtained, these are; people have a choice on their actions, have not been coerced by anything or anyone, have full voluntary and deliberateRead MoreDeterminism of Human Behavior Essay1176 Words   |  5 PagesDeterminism of Human Behavior Have you ever wondered why we do the things we do? Why might we get physical when we are angry? Why might we cry when we’re in pain? Why? What motivates us to behave the way we do in the numerous different situations we get ourselves into? Although there are many different answers that people could give us, there are two theories in particular that are highly debated with each other. One argument is that behaviour is determined throughRead MoreFreedom-Determinism Debate1726 Words   |  7 PagesThe controversy between freewill and determinism has been argued about for years. Freewill is defined as the belief that our behaviour is under our own control and do not act in response to any internal or external factors. Freewill has been found to have four different conditions and to have freewill at least two conditions must be obtained, these are; people have a choice on their actions, have not been coerced by anything or anyone, have full voluntary and deliberate control of what they do. OneRead MoreEssay on Determinism and Free will1004 Words   |  5 PagesDeterminism and Free will Suppose that every event or action has a sufficient cause, which brings that event about. Today, in our scientific age, this sounds like a reasonable assumption. After all, can you imagine someone seriously claiming that when it rains, or when a plane crashes, or when a business succeeds, there might be no cause for it? Surely, human behavior is caused. It doesnt just happen for no reason at all. The types of human behavior for which people are held morally accountableRead MoreFree-Will and Determinism: Conflict and Choice Essay example1047 Words   |  5 Pagesfreedom to make your own choices is free will.brbrDeterminism, a philosophical doctrine against freedom, is the theory stating that all events, physical and mental (including moral choices), are completely determined by previously existing causes that preclude free will. This theory denies the element of chance or contingency, as well as the reality of human freedom, holding that the will is not free but is determined by bio logical, environmental, social, or mystical imperatives. Since every eventRead MoreDimensions for a Concept of Humanity1534 Words   |  7 PagesThere are six dimensions in the personality of individuals. The dimensions that will be examined are: determinism versus free choice, conscious versus unconscious determinants of behavior, biological versus social influences on personality, and teleology versus causality. Determinism and free choice deal with whether or not peoples life is predetermined, or their choices determine life. Biological and social influences on personality are a paradox concerning what influences our personality, our geneticsRead MoreEssay Biological Explanations of Criminal Behaviour1357 Words   |  6 Pagesevolutionary process that continues to this day. Crime is still a complex and misunderstood phenomenon with no concrete evidence when it comes to human behavior. Throughout time there have been endless amounts of crime theories, few of which revolve around biological explanations. We have Cesare Lombroso and the Positive School who thought that criminals were genetically different from the rest of the general population, that they were biologically aggressive, had criminal traits and/or born as criminals. ThereRead MorePsycho Pass : The Biological And Psychological Aspects Of Crime1857 Words   |  8 Pages Psycho-Pass is an ongoing Japanese anime series that focuses on the biological and psychological aspects of criminality. Viewers follow Akane Tsunemori, a new Inspector for the Public Safety Bureau s Criminal Investigation Division, as she learns the ropes in futuristic crime fighting. The year 2113 finds the world in a peacefully technological state. Food is abundant, as you only need to push a few buttons on a microwave-like device to make it materialize. Citizens live in apartments with roboticRead MoreDiscussion on the Determination of Self Essay777 Words   |  4 Pagesallow him to control the destinies of mankind. This concept is known as theological determinism. Both St Augustine and Calvin had a clear belief in theological determinism. According to Calvin, God has already decided who is going to go to Heaven and who is going to Hell. God’s power is magnified at the cost of man’s freedom. It seems to me that by accepting this theory of determinism, one must reject the idea of moral responsibility. We must choose whether we believe thatRead MoreBiological Determinism And Crime Of Criminology1595 Words   |  7 PagesBiological Determinism and Criminality Throughout the history of criminology, each theory dominates and gains support than others though different period of time. This essay will first discuss the argument for biological determinism which mainly focuses on phrenology. The idea of Darwinism also links to Lombroso’s idea that a person’s bad behavior can be predicted and should be eliminated will also be discussed. The second part of the essay will emphasis the classical theory and how in contrasts

National Philosophy of Education - 2127 Words

Introduction In Malaysia, education is a continuous attempt to maximum individual potentials in order to create a physically, emotionally, spiritually and intellectually person who believes in God and firmly hold on to his/her respective religious teachings. In order to achieve the goal, teachers especially, have to play a vital role in educating the students who will be able to perform their duties as responsible citizens. However, there are several challenges that are faced by the nation in producing a ‘good man’ who is balanced in all aspects. Hence, this paper will discuss three challenges towards making National Philosophy of Education (NPE) a reality in the Malaysian society and approaches that are taken in order to make the†¦show more content†¦Hence, actions should be taken in order to ensure that the NPE aspirations will become a reality. Mental Health Promotion is one of the modus operandi that is taken in order to avoid stress among children in schools that derived from the examination-oriented culture (Bernama, 2008). In this program, activities that could be implemented are promoting health literacy in the school community through talks, exhibitions and quizzes could be held as extra-curricular activities in schools. These activities are opted to instill basic self-confidence in the children so that any failures or disappointments will be seen as opportunities to try again rather than as a lack of ability and taking the road to disaster. b) Poverty among Malaysian Students Poverty comprises children who live in rural areas all around Malaysia. Merriam-Webster Online Search defines poverty as the state of one who lacks a usual or socially acceptable amount of money or material possessions. Siwar, Chamhuri, and Mohd. Yusof Kasim (1997) states that causes of urban poverty are multidimensional. They include structural, institutional and cultural factors. Urban poverty is growing as a result of the unequal distribution of wealth and income (Abdul Rahim, 2002). Findings by JohariShow MoreRelatedMalaysias Education Curriculums Correlation With Malaysias National Philosophy of Education2510 Words   |  11 Pagesinstruction. The most important feature of this reform is that it was based on philosophy of education which was first documented. The National Philosophy of Education (NPE) which was introduced in 1989 acts as a guide for all educational activities in Malaysia. It sets the values and principles of the Malaysian education system from primary to tertiary level. Arts Education Curriculum in Malaysia Primary School In Arts Education for Malaysia primary school, the aim is to produce individual that can haveRead MoreWhat Does Quality Mean? The Context Of Education?988 Words   |  4 Pagesin the context of education? According to Adam (1993), many definitions of quality in education exist, testifying to the complexity and multifaceted nature of the concept. We argue that based on the key finding that will be presented today New Zealand comprehends that the term efficiency, effectiveness, and quality are what it’s providing its citizens. We come before you to demonstrate that the government system of New Zealand does a better job of providing a Quality Education and preparing itsRead MoreDevelopmentally Appropriate Practice1675 Words   |  7 PagesAppropriate Practice (DAP) and Early Childhood Education (ECE). Although ECE has been around since the creation of kindergarten in the 1800’s, the decade of the 1980’s was an important period for ECE. â€Å"By the 1980’s, meta-analysis of the well-designed US projects offered compelling evidence on the positive outcomes of [early childhood education and intervention]† (Woodhead, 2007). Therefore, there was much press ure to improve the state of education, including ECE. â€Å"The decade of the 1980’s saw numerousRead MorePersonal Philosophy of Nursing Essay621 Words   |  3 PagesRunning head: Philosophy of Nursing Philosophy of Nursing Nancho DeChirico University of Phoenix Philosophy of Nursing For as long as I can remember, nursing was a profession that I longed to be a part of because nurses represented the very essence of caring and compassion. After realizing my dream, I found myself working in a Neonatal Intensive Care Unit (NICU) where I developed a personal philosophy and core set of values regarding nursing. â€Å"Philosophies of nursing are statementsRead MoreBasic Education in Lesotho1582 Words   |  7 PagesTHE BASIC EDUCATION OF LESOTHO Education in Lesotho is divided into four main sub-sectors, namely Basic education, Secondary Education, Technical vocational Education and Training and High Education. The practice and policies guiding the Basic education sub-sector, the sub-sector’s philosophy, how relevant to the clientele are the programmes, or the subjects offered and whether Adult Education can influence the policy and practice of Basic Education shall be displayed or examined in the essayRead MoreThe American Outdoor Education Movement934 Words   |  4 Pagesthe American outdoor education movement. Since I know so much about the American movement, I was interested in exploring the outdoor education movements in Europe. I specifically wanted to compare and contrast the differences and similarities between Europe’s movements and the exploits of Gifford Pinchot and John Muir. I focused on understanding these differences in regards to the individuals, unions, and philosophies that drove both movements. The American outdoor education movement was really spawnedRead MoreRole of Student in Development of Our Nation1706 Words   |  7 PagesRole of Student in Development of Our Nation Our national development agenda has its focus on rural development. Most of India dwells in rural areas and therefore the national development agenda rightly seeks justice for those who often live in poverty, in the state of hunger and malnutrition and deprived of clean environment, sanitation and medical facilities. Rural scenarios are generally represented by agriculture, which involves all the land-related activities, such as cropping, forestry, agroforestryRead More My Personal Philosophy of Education Essay690 Words   |  3 PagesMy Personal Philosophy of Education Without education, society as we know it would cease to exist. Formal education is what has made our country and other industrialized nations great. Thus, as a future educator, I anticipate the opportunity to assist in the molding of future generations by imparting essential knowledge. The famous philosopher and educator, John Dewey, once said, Education is the process of living through a continuous reconstruction of experience. It is theRead More Philosophy of Education Essay examples1666 Words   |  7 PagesPhilosophy of Education missing works cited The Education process is one that gradually proceeds throughout life, greatly in early years and really never stops. There will always be something someone has not learned. Knowledge is a powerful tool. One of the most well-known educators in the 20th Century, Christa McAuliffe, before her tragic death said, â€Å"I touch the future, I teach.† As an educator you seek to influence each of your students. A goal, common to many new and oldRead MoreEssay on Vission, Mission and Nursing Philosophy1008 Words   |  5 Pagesï » ¿ Vision, Mission and Nursing Philosophy Mercedes Condom RN University of Phoenix NUR 588 10/13/2014 Every health care organization in the United Stated has a mission statement and a vision. We also can say that the mission and vision guides the organization purpose of service and practice. This is also true for colleges and universities. We also have an understanding that creating a philosophy that supports the values of the organization is essential

Technology Offers Services Related To Health-Myasignmenthelp.Com

Question: Discuss About The Technology Offers Services Related To Health? Answer: Introducation Telehealth technologies are one of the rising models that offer better possible support. The technology offers services related to health through telecommunication (Lindberg et al., 2013). This system involves with simple services such as two clinicians or health professionals discussing about a health case over telephone about serious complicated case such as performing a robotic surgery sitting at different regions of the globe. This innovation within the technological and communicating systems have supported the patients in receiving the best medical consultation staying back at their homes only (Kvedar, Coye Everett, 2014). Therefore, the systems through which all the medical advices along with their solutions are received through phone or the internet are gaining popularity with growing technology. Singapore is introducing new systems with the progression of technology, communication based services and medical need (Van Velsen et al., 2015). Thus various studies have been condu cted in Singapore with desire to visualize if the population in this country are benefitted by utilising telehealth. Any individual having a phone or with internet connection can avail the facility in case of any urgency. Telehealth system is of much importance to those patients who are chronically ill and usually requires multiple visits to the clinics due to monitor their health. These services are available in Singapore from a couple of years as the country is facing a increased growth in population, chronic disease explosion and increased population of the aging people (Tabish Syed, 2015). Delivering these healthcare services will facilitate the old aged people in receiving nursing at home without any reason to travel far to visit the clinician. Apart from getting relief from travelling, it also minimises the travelling costs and also reduce the time that is taken by the clinicians to assess the patients (De San Miguel, Smith Lewin 2013). Thus, there lies a significant compari son between the telehealth systems and methods conducted traditionally, as a single clinician can assess many patients within a single day (Gratch et al., 2013). Pros and cons of telehealth in Singapore The telehealth impacts the quality and management of the medical services in a very impressive and positive way in Singapore (Gabbrielli, 2013). Therefore this technique is spreading increasingly throughout the entire world along with Singapore itself as the patients and clinicians are quite happy with the outcome measures. In Singapore, the Ministry of Health is in charge of building the required steps in implementation of the telehealth services. They are also trying to establish this system to as many areas and regions as possible in order to make this system accessible to large extent of people (Bhowmik et al., 2013). The positive impacts of telehealth on the health quality of the patients helps in bringing the nursing care within the home and thus the patient can enhance the access to healthcare successfully. Thus this system increases and improves the productivity of the healthcare system in Singapore (Kalpa, 2012). Telehealth also contributes in offering integrated and continuous care in order to meet the effectiveness of the healthcare needs. This system is increasing the productivity of the therapist or consultation by improving the nursing professionals as they can offer treatment and care to large patient groups (Haseltine, (2013). It also optimises the resources in order to overcome the constraints of the manpower within the healthcare community. Implementing the telehealth in every corner of the Singapore has delivered quality healthcare services to a large extent of ageing population (Tabish Syed, 2015). It has also enabled and assisted the old aged people who cannot mobilise to age in their home environment. Apart from this, it has also minimised the patients need along with their caregivers from travelling and waiting long for getting appointments in the clinics and hospitals. Based on this system, a setup was established named NEHR (National Electronic Health Record), which functions as a system of data exchange by storing the consolidated clinical records about each and every individual in Singapore (Sinha et al., 2012). Through this data exchange system, the clinicians and medical professionals can avail the patients medical history thereby helping them in making decisions and saving time required for duplicating medical tests. Thus by sharing the information an updated and complete patient record is available to the healthcare staffs throughout numerous institutions of healthcare. This helps to ensure the continuation of care, enhancing the accurate measurements of the clinical decisions and finally provide effective outcomes of care (Meier et al., 2013). On the other hand, apart from positive impact of telehealth services, some negative impacts were also noted. The clients were not sure about whether they would like the change as a lot of them were not acquainted with computers or internet. Even the staffs of the technology were undecided if the technology would bring positive experience in the clients as it would be difficult at some points to monitor the situation in home through video conferencing and would improve the medications management (Munir et al., 2017). In the upcoming few years, Singapore is estimated to face two major key challenges within the healthcare system. One of them is the rapid ageing of the population and the other is the crunchy manpower (Huang et al., 2015). There will be an increased life expectancy by tripling the elder citizens number to 900,000 by 2030. Along with the increased life expectancy, the small working base with be about as less as 2.1 working citizens aged 65 and above it (Thomas et al., 2015). Thus, to address the challenges faced, Singapore is implementing the smart technology use in order to transform the healthcare system. According to Jacqueline Poh, the managing director of the Infocomm Development Authority (IDA), they were lacking required hospital beds for taking care of the overall aging population in Singapore and thus there lies a need for aging in their own place and care should be provided in the community (Sterner, 2013).Based on these needs, the technology can be helpful in providing pers onalised care during the patients visits to the clinics. Thus the technology can play a key role for operating with excellence thereby optimising the resources of the healthcare system. At recent time, the government of the Singapore has announced a national plan costing 3 billion dollar with an aim of helping the old aged senior citizens to age well (Ngan, 2017). Different types of active aging centres will be established within the new developments of public housing within which the smart technology with telehealth system can be effectively used for the palliative care of the intermediate and long term care of the old aged people through care hubs that are centre based and through rehabilitation services. Along with this, a national innovative challenge will be formed costing approximately 200 million dollars for catalysing the aging researches and encouraging the research community in developing innovative ideas (Tabish Syed, 2015). Implementing telehealth in palliative care in intermediate and long term treatment in Singapore: Clinical record of Singapore has reported that almost 48% cases of disease burden is associated with chronic illness such as high cholesterol, stroke, diabetes and hypertension which is estimated to rise to 600,000 by the beginning of 2030 (MacPherson, 2012). Thus, due to shortage of medical requirements in the hospitals, Singapore had planned to include telehealth services by helping the residents in availing the palliative care in intermediate and long term treatment from home and thus will be able to monitor their conditions of health and access medical attention whenever required. The managing director of the IDA had also said that they along with their healthcare partners are planning to set up a program of Smart Health-Assit to discover the ICT utilities in delivering care to the patients based on their comfort from home or community sectors. Thus to start the program first thing to be noted was the way of managing the chronic diseases by the use of wearable devices and sensor equipment placed within the public housings (Billings et al., 2013). After placing, the processed data from the devices would be delivered to the care providers and healthcare sectors for further processing. The model of the Smart Health-Assist program is a section of paradigm shifted from episodic, followed by healthcare reactivity to pre-emptiness and preventive healthcare. The sensors for monitoring health would be embedded in the patients home environment and the information recorded would be transferred to the health professionals with proper accuracy and regularity. Any information related to decline in patients health could be detected promptly with an early possible treatment followed by and preventive intervention by the healthcare professionals (Baig Gholamhosseini, 2013). This early detection could help the patients in reducing their visits in the clinics, emergency departments of the hospitals along with inpatient admissions. Personal Management of health Apart from this, the healthcare sectors also planned to shift their goal towards the management of personal health in Singapore (Dhawan et al., 2015). This would help the citizens in managing their self health by accessing their own personal records of health and other essential information. All these facilities would be made feasible through applications from web and mobile which would effectively allow promoting of health activities and well being. The Minister for Health, Gan Kim Young, said that with this context that there was an increased desire by the population in managing their own health through a number of avenues (Haseltine, 2013). This willingness opened an opportunity to IT based health industry in considering the utility of behavioural sciences, social marketing and outreaching the public by involving the ownership of the people in their health outcomes. Thus, with an increase in healthy population, the chronic disease incidence would be minimised and finally reduce th e requirement of the healthcare systems (Patel et al., 2012). Smart Hospitals Telehealth service could also play role within the hospitals of Singapore. Telehealth based infocomm system could ease the shortfalls of manpower and enable the effective utility of resources (Liew, 2015). The managing director of the IDA said that, Singapore could exert a potential role in optimising the resources of healthcare as they had warranted optimisation. They had a huge crowd of patients in their public hospitals, thus the healthcare resources should be optimised via automation. Based on this fact, he allocated the name of Ng Teng Fong Hospital as an example. This hospital used guided vehicles in order to deliver food products and linen thereby reducing the required manpower (Yen, 2012). Hospitals had transformed into automated robotic pharmacies with automated machines for dispensing and devices to scan the overall workflow such as picking the medication, packaging, labelling them, assembling and verifying. All these advancement had proved to be a huge benefit in making th e medication safer with greater accuracy and also saving the capital resources of human (Maksimovi? Vujovi?, 2017). The resources of the healthcare could also be set free with the advent of the technology through wireless monitoring. The wearable patient devices for monitoring such as a mobile device has the potential to monitor the blood pressure, body temperature, oxygen saturation level, pulse rate and other related vital signs (Appelboom et al., 2014). The measurements recorded are transferred to the nurses station via Wifi facilitating close monitoring of an increased number of patients at any time thereby minimising the vulnerability of expensive emergency events. A recent study conducted in the Singapore hospitals revealed numerous critical events of deteriorating patients which enabled the caregivers in implementing interventions within a proper time (Chan et al., 2012). Health Data Exchange Systems Telehealth supported exchange systems of health data, the NEHR (National Electronic Health Record) was established in 2011 that functions in storing the medical records of every individual in Singapore (Zhang Xu, 2012). Through this system the doctors could easily avail the patients medical history with an objective to support the patient in their decision making. Gan, the Minster for Health delivered that with the system of information sharing, the health care members could avail an updated and clear record of the patient health thereby assuring the continuous care by enhancing the accurate decisions and provide better health outcomes (Richesson et al., 2013). Immediately after the implementation, the NEHR effectively had rolled out over 796 institutes throughout the healthcare organisation and also allocated access to 18571 users to medical records (). Moreover, IDA is looking ahead to build a federated system of data exchange for improving the healthcare data of Singapore through analytics (Rudin, Tang Bates, 2014). According to Poh, the term smart nation corresponds to data and thus it is essential that all the data captured from the body, home, environment and hospitals are included to a good cause through an important federated model (Kobetski Axelsson, 2012). He also said that policies are being instrumented to form federated grids and systems of data along with a data exchange for healthcare to offer the various sectors in monitoring the patients with a three-sixty degree visualisation and thus will be able to record data for researching clinically in order to provide increased healthcare solutions in the near future. Smart Health TeleRehab It is a telehealth model that was piloted by the Integrated health Information Systems (IHiS) and T-Rehab, which was implemented from the May 2017. This teleRehab will help the patents to recover from severe conditions such as stroke, limb amputations, deconditioning and fractures (Hondori, Khademi Lopes, 2012). With this facility the patients can restrict to confront the physical barriers and relief their caregivers by not accompanying them to the rehabilitation centre as well as their therapists from visiting their home (Franklin Cheville, 2015). Thus, in this way the new development of the technology through telehealth will positively affect the growth of the palliative care in intermediate and long term care in the health system of Singapore. Aim of the project: A project proposal from a palliative care leader to seek approval from the Board of Directors in the implementation of telehealth technology for palliative care in a new nursing home. Background: Decline in birth rates along with longer-surviving population had caused an age-shift in Singapore. It is expected that the median aged population will reach to 47 by 2030 (Swee-Hock, 2012). According to the World Health Statistics, in Singapore the life expectancy is considered to be the highest throughout the World with an average of 83 years in 201. The population in Singapore aging 65 years or above are expected to be five in one by 2030. Thus as the population ages, the patients in need of palliative care will increase respectively (Thomas et al., 2015). The major goal of palliative care is to provide relief to the patients suffering from prolonged illness and also ensures the best possible quality life of the patients (Fayers Machin, 2013). Thus it is essential to frame the healthcare system in nursing homes in order to deliver effective care to the patients in their home environment thereby restricting the frequent admission in the hospitals and thereby reduce the treatment costs. Based on this prospect, to bring the health care services closer to them, implementing telehealth technology in the nursing home can help the seniors in managing their chronic conditions keeping the acute settings behind in Singapore (Carretero et al., 2013). Telehealth is the technology that uses digital information and communications to provide medical care, public health services and health education by linking multiple users from different locations (Lupton, 2014). This uses clinical information that is exchanged from one to another site through electronic communications in order to improve the health status of the clinic. The technology involves applications and services by two-way video use, smart phones, wireless gadgets and email (Majedi, Naeem Anpalagan, 2016). Thus implementing telehealth services in the nursing home will remove the professional, geographic and economic barriers in delivering care by connecting the healthcare professionals, caregivers an d patients through a virtual network. The services delivered by telehealth technology are cost effective, appropriate and appropriate (Free et al., 2013). Strategic plan: Implementing the telehealth technology will benefit the patients as well as the nursing home too. Speaking about the patients, they will experience immediate benefits of this technology by accessing the healthcare team and thereby will participate in achieving their goals of healthcare (Davidson et al., 2013). Some of the benefits are enlisted here: Improved access: Will improve the service access to the patients and the family within real-time and will also expand the reach to the service providers. It will increase the ability of practitioners in accessing the specialized health services from other location (Mohr et al., 2013). Apart from improving the service access it will also ease the shortfalls of manpower in the nursing home. Cost efficiency: Telehealth technology will reduce the care cost and thereby will increase the efficiency by providing quality management of chronic illness along with on time access to service providers (Clifford Clifton, 2012). This program will also significantly minimize the travel time. Improved quality: Interventions on time in the home of patients will improve the clinical outcomes and will increase the satisfaction of the patient as because of real-time connection (Thomas et al., 2014). The following connections can be recommended in the nursing home. Wed-based applications: Patients will be able to download the applications that are web-based in communication purpose and monitor their health status virtually. For an example, a patient portal can be created to report the blood pressure, glucose levels or weight (de la Torre Dez et al., 2016). Patient monitoring in remote areas: The patient can use mobile phones or similar applications in their community or home to monitor their health. Through this they can interact with the health care facility about their health status (Kvedar, Coye Everett, 2014). Example: Recorded health status can be transferred through the web-based application to the primary care giver. Store and forward: The technology will facilitate to capture video or image and store them to be accessed by the health care provider to provide virtual healthcare (Schwamm, 2014). Example: Take and store a photo of the injured area and will be accessed and reviewed by the medical team and treatment will be recommended. There were certain challenges related to implementing telehealth technology (Taylor et al., 2015). Lack in availability of telehealth supporting staff and medical staff providing the service. Facing difficulties in using and organising the telehealth technology in terms of correctly connecting the equipment, integrating the medical information systems, and other peripheral devices supporting the telehealth interactions. Lack of grant funds that are limited, accessing the technical equipments and the staff can be expensive. Lack in availing proper guidelines, standard procedures and training workshops to use the telehealth technology and their services. Conclusion: Apart from all the key challenges, this technology involves many positive impact and outcomes. With the increased need of palliative care in the growing aged population in Singapore, implementing the tehehealth technology in the new nursing home will not only benefit the organisation by easing the manpower shortage but will also help the patients with chronic illness with an effective treatment at home thereby reducing frequent admission to the hospitals and minimising travel time and costs. References Appelboom, G., Camacho, E., Abraham, M. E., Bruce, S. S., Dumont, E. L., Zacharia, B. E., ... Connolly, E. S. (2014). Smart wearable body sensors for patient self-assessment and monitoring.Archives of Public Health,72(1), 28. Baig, M. M., Gholamhosseini, H. (2013). Smart health monitoring systems: an overview of design and modeling.Journal of medical systems,37(2), 9898. Bhowmik, D., Duraivel, S., Singh, R. K., Kumar, K. S. (2013). Telemedicine-an innovating healthcare system in India.The Pharma Innovation,2(4). Billings, J., Carretero, S., Kagialaris, G., Mastroyiannakis, T., Merilinen-Porras, S. (2013). The Role of Information Technology in Long-Term Care for Older People. InLong-Term Care in Europe(pp. 252-277). Palgrave Macmillan UK. Carretero, S., Stewart, J., Centeno, C., Barbabella, F., Schmidt, A., Lamontagne-Godwin, F., Lamura, G. (2012). Can technology-based services support long-term care challenges in home care.Analysis of evidence from social innovation good practices across the EU CARICT Project Summary Report. Chan, M., Estve, D., Fourniols, J. Y., Escriba, C., Campo, E. (2012). Smart wearable systems: Current status and future challenges.Artificial intelligence in medicine,56(3), 137-156. Clifford, G. D., Clifton, D. (2012). Wireless technology in disease management and medicine.Annual review of medicine,63, 479-492. Davidson, E., Simpson, C. R., Demiris, G., Sheikh, A., McKinstry, B. (2013). Integrating telehealth care-generated data with the family practice electronic medical record: qualitative exploration of the views of primary care staff.Interactive journal of medical research,2(2). de la Torre Dez, I., Garcia-Zapirain, B., Mndez-Zorrilla, A., Lpez-Coronado, M. (2016). Monitoring and follow-up of chronic heart failure: a literature review of eHealth applications and systems.Journal of medical systems,40(7), 1-9. De San Miguel, K., Smith, J., Lewin, G. (2013). Telehealth remote monitoring for community-dwelling older adults with chronic obstructive pulmonary disease.Telemedicine and e-Health,19(9), 652-657. Dhawan, A. P., Heetderks, W. J., Pavel, M., Acharya, S., Akay, M., Mairal, A., ... Gerber, M. (2015). Current and future challenges in point-of-care technologies: A paradigm-shift in affordable global healthcare with personalized and preventive medicine.IEEE journal of translational engineering in health and medicine,3, 1-10. Fayers, P. M., Machin, D. (2013).Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley Sons. Franklin, D. J., Cheville, A. L. (2015). Medical rehabilitation and the palliative care patient.Oxford Textbook of Palliative Medicine, 236. Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P., ... Haines, A. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.PLoS medicine,10(1), e1001363. Gabbrielli, F. (2013). Telemedicine RD Influencing Incoming Strategies and Organization Models. InTelehealth Networks for Hospital Services: New Methodologies(pp. 250-264). IGI Global. Gratch, J., Morency, L. P., Scherer, S., Stratou, G., Boberg, J., Koenig, S., ... Rizzo, A. A. (2013). User-state sensing for virtual health agents and telehealth applications. InMMVR(pp. 151-157). Haseltine, W. A. (2013).Affordable excellence: the Singapore healthcare story. Brookings Institution Press. Hondori, H. M., Khademi, M., Lopes, C. V. (2012, November). Monitoring intake gestures using sensor fusion (microsoft kinect and inertial sensors) for smart home tele-rehab setting. In2012 1st Annual IEEE Healthcare Innovation Conference. Huang, T., Lan, L., Fang, X., An, P., Min, J., Wang, F. (2015). Promises and challenges of big data computing in health sciences.Big Data Research,2(1), 2-11. Kalpa, S. (2012). Health IT in Indian healthcare system: A new initiative.Research Journal of Recent Sciences ISSN,2277, 2502. Kobetski, A., Axelsson, J. (2012). Federated robust embedded systems: Concepts and challenges. Kvedar, J., Coye, M. J., Everett, W. (2014). Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth.Health Affairs,33(2), 194-199. Liew, S. N. (2015).Digital health in Singapore: building an ecosystem conducive for innovation-driven enterprises(Doctoral dissertation, Massachusetts Institute of Technology). Lindberg, B., Nilsson, C., Zotterman, D., Sderberg, S., Skr, L. (2013). Using information and communication technology in home care for communication between patients, family members, and healthcare professionals: a systematic review.International journal of telemedicine and applications,2013. Lupton, D. (2014). Critical perspectives on digital health technologies.Sociology Compass,8(12), 1344-1359. MacPherson, K. L. (2012). 3 Health transitions.Health Transitions and the Double Disease Burden in Asia and the Pacific: Histories of Responses to Non-Communicable and Communicable Diseases, 47. Majedi, N., Naeem, M., Anpalagan, A. (2016). Telecommunication integration in e?healthcare: technologies, applications and challenges.Transactions on Emerging Telecommunications Technologies,27(6), 775-789. Maksimovi?, M., Vujovi?, V. (2017). Internet of Things based e-health systems: ideas, expectations and concerns. InHandbook of Large-Scale Distributed Computing in Smart Healthcare(pp. 241-280). Springer, Cham. Meier, C. A., Fitzgerald, M. C., Smith, J. M. (2013). eHealth: extending, enhancing, and evolving health care.Annual review of biomedical engineering,15, 359-382. Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., Klinkman, M. (2013). Behavioral intervention technologies: evidence review and recommendations for future research in mental health.General hospital psychiatry,35(4), 332-338. Munir, M. W., Shahid, N., Omair, S. M., Munir, G., Haque, M. U. (2017). Comparative investigation of remote tracking devices for aging care.International Journal of Information Technology, 1-6. Ngan, R. M. H. (2017). Global Ageing, Social Development, and the Well-Being of the Worlds Elders. InFuture Directions in Social Development(pp. 165-186). Palgrave Macmillan US. Patel, S., Park, H., Bonato, P., Chan, L., Rodgers, M. (2012). A review of wearable sensors and systems with application in rehabilitation.Journal of neuroengineering and rehabilitation,9(1), 21. Richesson, R. L., Hammond, W. E., Nahm, M., Wixted, D., Simon, G. E., Robinson, J. G., ... Laws, R. L. (2013). Electronic health records based phenotyping in next-generation clinical trials: a perspective from the NIH Health Care Systems Collaboratory.Journal of the American Medical Informatics Association,20(e2), e226-e231. Rudin, R. S., Tang, P. C., Bates, D. W. (2014). Health information technology policy. InBiomedical Informatics(pp. 781-795). Springer London. Schwamm, L. H. (2014). Telehealth: seven strategies to successfully implement disruptive technology and transform health care.Health Affairs,33(2), 200-206. Sinha, P. K., Sunder, G., Bendale, P., Mantri, M., Dande, A. (2012).Electronic health record: standards, coding systems, frameworks, and infrastructures. John Wiley Sons. Sterner, M. (2013).Relocating into long-term care from hospital: a comparison of two systems(Doctoral dissertation, McGill University Libraries). Swee-Hock, S. (2012).The population of Singapore. Institute of Southeast Asian Studies. Tabish, S. A., Syed, N. (2015). Future of healthcare delivery: Strategies that will reshape the healthcare industry landscape.International Journal of Science and Research,4, 727-758. Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B., Hawley, M. S. (2015). Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption.Journal of advanced nursing,71(2), 326-337. Thomas, C. L., Man, M. S., OCathain, A., Hollinghurst, S., Large, S., Edwards, L., ... Salisbury, C. (2014). Effectiveness and cost-effectiveness of a telehealth intervention to support the management of long-term conditions: study protocol for two linked randomized controlled trials.Trials,15(1), 36. Thomas, J. S., Ee, O. S., Seng, C. K., Peng, L. H. (2015). A Brief History of Public Health in Singapore.'Singapore''s Health Care System': What 50 Years Have Achieved, 33. Van Velsen, L., Illario, M., Jansen-Kosterink, S., Crola, C., Di Somma, C., Colao, A., Vollenbroek-Hutten, M. (2015). A community-based, technology-supported health service for detecting and preventing frailty among older adults: a participatory design development process.Journal of aging research,2015. Yen, T. S. (2012).The practice of integrated design: The case study of Khoo Teck Puat Hospital, Singapore(Doctoral dissertation, Masters Dissertation, Nottingham University). Zhang, X. M., Xu, C. (2012). A multimedia telemedicine system in internet of things.Proceedings of the Computer Science Information Technology,42, 180-187.

Tuesday, May 5, 2020

Funeral Plan free essay sample

Among StaffTop down, directive style of management; Employee feels fortunateEto be employeedInteractive, bottom up style of management; Employee is seen as an internal customer of management Measurement of Quality of Service DeliveredFamilies served tell us we did a good job, high level of service quality assumedCustomer-centered goals are created and continually measured In short, todays funeral home managers must actively promote excellence in customer service if they are to keep in step with contemporary management philosophies.Those funeral homes that fall back on the status quo will find themselves falling behind in market share. †¢Lack of a Service Strategy Developing a service strategy involves defining your potential customers, determining what their expectations are, and creating a match between your customers expectations and your ability to deliver service. Operating a funeral home without a defined service strategy may have worked twenty-five years ago, but it wont w ork in todays competitive environment. We will write a custom essay sample on Funeral Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Without such a strategy, you dont know who your customers are and how much they value different aspects of the products and services you provide. Without a service strategy the funeral home is often not managed in a way to assure quality service, while a well-defined service strategy helps create high quality service standards. Funeral homes that have a clear, focused service strategy will be better prepared to be successful today, tomorrow, and well into the future. †¢The Importance of Employee Training Has Been Overlooked Without ongoing training, owners, managers, and employees will not provide top-notch customer service. Everyone benefits from being exposed to new skills, attitudes, concepts and ideas.While mortuary colleges have made strides in teaching customer service skills, the bulk of the educational experience is still on embalming and preparation. Employers should not assume that the new graduate is qualified to fulfill the customer service obligations of the position. My experience suggests that many funeral homes place little, if any emphasis, on ongoing staff training. The potential result can be a downward service spiral. One unhappy, untrained employee can result in an unhappy customer. The more the customer is unhappy the more the staff is unhappy and so the cycle reinforces itself. One negative nteraction between a staff member and the family being served can cause headaches; that small incident can overshadow all of the good things that had been done before. This fact alone underlines the importance of ongoing customer service training for every funeral home employee, from the funeral director to the part-time assistant. †¢The Evolution of the Large Corporate Structure Many think that the growing trend toward the large corporate structure will create a financially stronger funeral service industry. However, those participating in this natural change must guard against diminished levels of customer service. As an organization grows, it tends to drift away from the needs of the front line customer. Sometimes it is tempting for the corporate executive to increase prices to enhance cash flow while downplaying the need for an ongoing focus on customer service excellence. As the corporate hierarchy grows and policy makers become more distant from customers, the risk is that people in the system may forget who the customers are. Though this is certainly not true of all corporations in this industry, I have observed that it has happened to some of the players in corporate funeral service.The challenge for funeral service corporations is to keep their ears to the ground and listen to what the customer, on the local level, is telling them. Bottom-up management techniques facilitate this process. Excellence in Customer Service: A Challenge Owners, managers, and front-line employees must realize that customer service excellence is a strategic process. Lip-service, slogans on stationary and advertisements wont suffice in todays world. Families served and those you hope to serve must be at the center of all your management decisions, changed attitudes and customer-friendly behaviors.Moreover, funeral homes across North America must realize that this service crisis affects all of them. Funeral homes in small communities sometimes think that customer service problems only apply to large funeral homes in large cities. This is not true. If it hasnt already, the service crisis will soon reach the smallest of funeral homes. Without the necessary training–from the top level executive to the front line part-time employee–positive strides toward excellence in customer service are unlikely to occur. I challenge you to lead your funeral home staff in the direction of total commitment of quality service.