Business Environment in United Kingdom Essay Example | Topics and Well Written Essays - 2750 words

Business Environment in United Kingdom - Essay Example An economic system are the consists of the people, institutions, processes, procedures that must be followed when making economic decisions to help solve the economic problems that face different economies. The different types of economic systems will determine the decisions on what to produce, how to produce, and who to consume the output. Economic Concepts and Problems The major economic problems that face economies include: the scarcity problem, competition, choice, resources, opportunity costs, needs, efficiency and wants. These are the key concepts that are fundamental in the understanding of the economic problems and that influence the kind of economic decisions that must be made for economic stability purposes and for the attainment of the solutions to the economic problems. The first concept is scarcity. This is a major economic problem that states that human needs are unlimited and resources are insufficient to satisfy all the diverse needs. The society is therefore faced wi th the challenges of the allocation of the scarce resources to attain maximum satisfaction of the unlimited needs. The economic system will therefore determine what to be produced and who to consume. It therefore also mean that a trade off must be made while making the economic decisions. Due to scarcity problem, the individuals in an economy will compete for the limited resources in order to survive. Competition is the scramble for the limited resources in order to acquire a fair share. Businesses and individuals both have to compete for the limited and scarce resources in order not to get eliminated in the system. When competition arises, the government agencies may formulate policies that are aimed at ensuring that the allocation of resources and that the competition is fair for all the participants. Competition has always been desired in order to increase efficiency and improve on the quality. The third important concept is opportunity cost. In economics the pursuance of one dec ision will mean a sacrifice to another possible action. Opportunity cost is the cost forgone for selecting the best alternative. Because the resources that are available in each economy is not enough to produce enough goods and services for everybody, some decisions must be made while others will be sacrificed. Economic systems will assist in the determination on what to produce and what to sacrifice. Needs are the requirements for existence or survival. Individuals in an economy will need food, shelter and good infrastructure for them to have a good life. Businesses as well will need resources e.g. raw materials in production or economic conditions that are favourable for operation. In addition, resources are the commodities or assets that are needed for production of goods and services that are demanded by individuals. Resources have the characteristics that they are limited, get depleted and have utility. The allocation of resources in production determines the manner in which th e economy performs and the output that will be attained. Economic systems are instrumental in the allocation of these scarce resources to maximize the satisfaction that will be achieved in the economy. Moreover, the scarcity of resources in production and in the satisfaction of human needs will mean that a choice must be made in relation to what to produce, quantity to produce, when to produce and who to consume. Choice can be defined as the choosing from among alternatives. In economic problems, a choice must be made on what to pursue among the various alternatives that are existing. The economic system influences the choices that are adopted in the

Project Management of F16 Software Code Update (SCU) Research Proposal

Project Management of F16 Software Code Update (SCU) - Research Proposal Example F-16 has many classified information and has several versions and type of weapons for operational flight program. The whole F-16 system hardware is enabled by the Operational Flight Program which is made up of a series of software modules. Each software module of Operational Flight Program codes the functions of a separate weapon system or operational systems. This study is aimed at analyzing the software capabilities of Operational Flight Program of F-16 aircrafts and its upgrades made from time to time. Introduction F-16 aircraft was designed to strengthen the combat capabilities of Air Force of United States. It was developed originally by the General Dynamics and later developed further by Lockheed Corporation which was then became Lockheed Martin. Fighting Falcon is one of the most significant fighters of the latter part of the 20th century. The development of F-16 began with the concept for an experimental lightweight fighter. It then fostered into an aircraft fighter that oper ated in all types of weather and had capabilities of attacking precisely to any enemy target. The manufacturing of F-16 is done at five different production lines. Over 4,000 F-16 aircraft fighters have been built for the Western World and it has become their largest fighter program. The F-16 aircraft is used in war and its design and development is mostly classified. The software technology used in embedded computer system is the most critical, accurate and zero tolerance code. The automation of warfare management is done with the operation flight program of F-16 aircraft. The Operational Flight Program (OFP) is a computer program written for computer hardware fixed inside the F-16 aircraft. The Operational Flight Program needs to be updated and upgraded as and when new needs for improvements of F-16 aircraft are identified and consequently weapons are improved or changed. Methods F-16 Operational Flight Program The F-16 Operational Flight Program is written in the form of modules. Each module executes and performs the functions of the weapon system. The coding of the functions is done such that each function describes the phases of the mission a weapon system performs. The phases which are included in the mission are â€Å"preflight, takeoff/time to cruise, outbound cruise, SAM (surface to air missile) evasion, descent, penetration, bomb delivery, climb, air-to-air combat, inbound cruise, loiter, and approach and landing.† (Charles P. Satterthwate, 1994) â€Å"Function types include communication (external/internal), IFF (identification friend or foe), navigation, guidance, steering, control, target acquisition/identification, stores management, weapon delivery and threat warning.† (Charles P. Satterthwate, 1994) â€Å"The modules of the F-16 Operational Flight Program include executive; control and display; air-to-air; air-to-ground; navigation; communication; heads up display; vertical situation display; gun, missiles; overload warning and v isual identification.† (Charles P. Satterthwate, 1994) â€Å"A module type, such as controls and displays, might contain multiple modules which are prioritized according to the timing requirements of the functional calls of the OFP. The OFP is required to process real time interrupt driven schedules, which are handled by the executive

Highland Tower Collapse and Ramp Construction

Highland Tower Collapse and Ramp Construction Introduction The purpose of this essay is to find out from a field, a building that experienced construction catastrophe, study its short comings and come up with solutions and recommendations of what could be done to ensure the same problem doesn’t happen in the future. The building upon which the research is based in this assignment is called the Highland tower, a building in Selangor Malaysia which collapsed and 48 people died and 12 others were evacuated from the other building. The Highland Towers collapse was an apartment building collapse that occurred on 11 December 1993 in Taman Hillview, Ulu Klang, Selangor, Malaysia. The collapse of Block One of the apartments caused the deaths of 48 people and led to the complete evacuation of the remaining two blocks due to safety concern. It was one of the most tragic building accidents in Malaysian history where residential towers collapsed and killed people. Since then, the government and its subsidiaries sat down in a committee to see a wa y forward for the construction industry especially construction in hilly areas to minimize casualties. The event has been widely publicized, when an American tourist in particular because it is captured in the next ten days and taken to the Tower of photos a dramatic sequence, and crazy rescue operations.       Building professionals with the case of several important influence in Malaysia, which will be the focus of this paper, but also lead to tort law in Malaysia interesting development and clarification. Case study Highland Towers consists of three 12-storey buildings in a steep hill, was later extensively on the terraces in the early 1980s in western base built in stages between 1974 to 1982. Each block is named: Block1 (built in 1977, the most southern) Block2 (built in 1979, north-west block 1, slightly elevated than the other two, the closer to the top of the hill) Block3 (built in 1981, the Northwest block 1, block West 2). Parking behind the mountain rain collapsed building in the swimming pool located on both sides and the rear between Northwest Northeast parking lot after the landslide caused by the failure of the retaining wall behind the building failed, for 10 days. The tower is home to the affluent middle-class families ; considerable proportion of residents are expatriates . Highland Tower was once notorious early 1980s and 1990s for wealthy people to hide their mistress popular place . The water tower is behind a small stream known as the East Creek . Eastern Creek flows into the tower site tower before construction. Later, build a pipeline system to divert flow to bypass the tower in 1991, a new housing development project, called Wu Antarabangsa Development Project , located in the tower Peak behind the start . As a result, the mountain has been cleared of trees and other vegetation and land cover, soil erosion exposed land, which will lead to land slides from the construction site of the w ater diverted into the river to divert the flow of the same East piping systems. eventually, the pipeline system to become over- pressurized water, sand and silt from the Eastern Creek and the construction site. pipe burst at different locations in the mountains, the soil had to absorb excess moisture . December 1993 monsoon rains further worsening the situation . (Block One of the Highland Towers collapsed) Role and responsibilities The Architect (I) there is no defense of this contact is a limited one, at least you must ensure that other aspects of the work of others is competent to complete. Defensive architect, he only retained the design and supervision of three apartment buildings, and denied that his range extends to the drainage, earthworks and retaining walls. It was dismissed by that court. The court held that the architect must take into account the building on which is built in the vicinity of the land, and the land itself, the safety assessment of the building, it must be evaluated. [In addition, the court held that as a matter of fact, the architect concerned about the neighborhood and the building itself, when he submitted the layout plan, the authorities because it includes high tower behind the slope terraces and drainage. Therefore, he must ensure that the work carried out although others in a competent and workmanlike manner] (Ii) there is no difference between the standard care of unqualified doctors Although the architect in reality just a building draftsman, measure their behavior on the court has the ability to architect a standard that if a person is unqualified, but showed himself to have a skill, he will be judged by the standard a competent and qualified staff. (C) there is no excuse to say that compulsory employer does not comply with regulations Finally, the Court seems to have flatly rejected the architects excuse that he can not do anything to stop his boss (employers and engineers in obtaining certificates of fitness in three apartment buildings do not fulfill the conditions stipulated by the local authorities in collusion background, instead of terraces and retaining walls to ensure proper design, provide and sufficient to withstand, even though he knew it would affect the building, he was in charge) slope instability the Court has made clear that, when the law is broken, the architect must report to the authorities after the architect must ensure that the law, even in the risk of being discharged. Engineer Defense engineer, he only retained the design and supervision of three apartment buildings, Highland Towers compound structures within two retaining walls, and submit plans, drainage, and two and denied his range extends to the drainage, earthworks. It was dismissed by that court. The court found that engineers must take into account the building on which is built in the vicinity of the land, and the land itself, the time to assess the safety of buildings, must be evaluated. He should ensure the stability of the slope behind Highland Towers. His duties not by a mere belief that they are built on terraced slopes and retaining walls were discharged by an engineer or other consultant. He should ask the professional is qualified, whether he was doing what impact the safety of cascading tower. [Neglect other aspects of engineers a serious violation of the authorities to take care of his responsibilities to a notification issued by the buyer, and only 10 percent is based on the approved drainage construction] In summary locations near building professionals need to be considered, as well as the safety assessment of the site itself, especially taking into account the adjacent hillside. Building professionals to participate in a limited range can not hide behind, these are the things that they themselves and their employers, but they may be subject to the duties owed to the scope of their service is not limited to this. Building professionals required to ensure that others do the work to engage them in the design may affect / supervisory structure is competent, workmanlike manner to carry out the work. If you think the general building professionals have expertise in a specific area of à ¢Ã¢â€š ¬Ã¢â‚¬ ¹Ãƒ ¢Ã¢â€š ¬Ã¢â‚¬ ¹eligibility when they are unqualified, their behavior will be a measure of this expertise qualified doctor. After building professionals must ensure that law and, if necessary to report to the authorities if their clients break the law, even in danger by their client to be discharged. Case application on law of tort Negligence The Highland Towers decision becomes another Malaysian High Court decision which diverges from the approach of the English Courts and adopts the approach taken by other Commonwealth jurisdictions in allowing the recovery of â€Å"pure economic loss†, especially where sufficient proximity can be demonstrated between the negligent act and the loss. Pure economic loss is the loss related to the product itself which is defective by reason of negligence, as opposed to the loss or damage caused to the property of the Plaintiff by this defective product. Nuisance In this cause of action, a Defendant is liable if the Plaintiff can show the Defendant is responsible for a condition or activity which interferes with use or enjoyment of his land, and that condition or activity is not a reasonable user by the Defendant. The Highland Towers decision, requiring the plaintiff must establish an additional requirement that is the type of damage whether the defendant could reasonably foreseeable, the principles adopted from English case law on the extension of the disturbance is limited in Malaysia, Cambridge Water Company leather Co. Ltd. v. Eastern European countries. Cause of structural failure The water tower is behind a small stream known as the East Creek . Eastern Creek flows into the tower site tower before construction, so the establishment of the pipeline system is to divert the flow to bypass the tower. In 1991, a new housing development project, called Bukit Antarabangsa Development Project, located in the tower under construction behind the top of the hill . The mountain is cleared of trees and other vegetation and land cover, land exposed soil erosion is a major factor causing landslides. Construction site of the new water diverted into the existing pipeline systems used to transfer the East river flows. This heavy-duty piping and water, sand and silt from the river and east into the pipeline construction site . Pipes burst, several places in the mountains, and the surrounding soil to absorb excess moisture . December 1993 monsoon rains further deterioration of the situation . The water content in the soil becomes super saturated, so that the soil has become viscous, actually become the degree of clay. October 1992 by the hillside is saturated with water, the water is flowing down the slopes and considered retaining walls . Shortly thereafter, landslides, destroying the construction of a retaining wall. Landslide mud that contains an estimated one hundred thousand square meters a mass equivalent to 200 Boeing 747 aircraft. Rammed earth base to first, gradually pushing it forward. After a month of this constant pressure, foundations snapped and November 1993, the residents began to see cracks forming and expanding the highlands surrounding the tower, on the road warning of collapse. Unfortunately, no further investigation before a collapse December 11, 1993. Safety authorities and Investigation procedures. These were the findings of the investigation that came from the accident. Also indicating who was to blame for the occurrence of the accident. Within the first 24 hours, only two women and an infant were pulled out of the rubble. Indonesian maid Umi Rashidah Khoruman, 22, and her 18-month old daughter Nur Hamidah Najib, survived the ordeal, but the second woman, Japanese national Shizue Nakajima, 50, succumbed to her injuries. Final report from the investigations showed that It was the fault of the property owners not to drain the land that caused the silt to build and thus the massive land slide that led to the collapse of the structure that claimed 48 lives. Liabilities. The following are the court s findings of liability : The first defendant was negligent in assuming responsibility not to engage a qualified architect, building terraces insufficient, inadequate, could reasonably be expected to have caused the collapse of the retaining walls and drains eastward diversion from its natural course and failed to ensure that the slope is adequate water pipe culverts, and hate not maintained drains and retaining walls . The second defendant ( the architect ) is assumed liability for negligence does not ensure adequate drainage and retaining walls built in the adjacent highlands tower site, which he foresaw or should have foreseen that the building would endanger the hillside, he is responsible for, not specified with the authorities on drainage, and the first defendant and the third defendant ( engineers ) collude to get fitness certificate does not fulfill the conditions by the fourth defendant ( local authorities ) are required, in doing so does not comply with his duties, the architect and no investigation retaining walls, even though he knew they would affect the terraced hillsides and construction of buildings, he was responsible for, and hate, because he is an unreasonable land users . The third defendant ( engineer ) is behind the negligence of responsibility without considering the hillside or slope of the tower, there is no basis for the design and construction to accommodate lateral load or alternatively landslide has ensured that the adjacent slope stability, without implementation of the approved drainage plan, and the first and second defendants colluded to get fitness certificate does not fulfill the conditions stipulated by the fourth defendant and a nuisance, because he is irrational use of land. The fourth defendant ( local authorities ) Although the negligence of its construction-related jobs. That is about the building plan approval process to ensure the implementation of the approved construction of drainage systems, and in the Certificate of Fitness problem remains because S95 Street, Drainage and Building Act (2 ) immunity. The fourth defendant, but a maintenance function Eastern stream late in fulfilling its construction can not be spared for its negligence . It also attracted a nuisance liability . The fifth defendant ( Arab Malaysian financial BHD) is liable for the negligence of failure to maintain drains their land, and in the land after the collapse of the measures taken to restore stability . Seventh defendant (Metrolux property ) and its project manager, the eighth defendant, who is the responsibility of negligence and nuisance, to prevent water from flowing into the downhill ( into their website ), but to guide the stream of water into the East, when they knew or ought to have known, this will increase the amount of water injected into the mud and, in particular, have their own extensive land clearing, go east into the stream, it will be deposited, which will in turn ( to prove ) cause or contribute to drainage fault system and a collapse. The ninth and tenth defendant ( basically the state government ), found no liability due to a technical problem on the prosecution of a particular political party. The sixth defendant ( who carried out the work site clean- Arab abortion buyer of land in Malaysia ) found no evidence of responsibility . Remedies About remedies the first this is find a qualified contractors and qualified Designer and construction engineer. In this case causes of building collapse the main reason is to find designer contractor caused by the irrational. So we summary have five points: (i) Nearby locations building professionals need to be considered, as well as the safety assessment of the site itself, especially taking into account the adjacent hillside. (Ii) building professionals to participate in a limited range can not hide behind, these are things that they themselves and their employers, but they may be subject to the duties owed to the scope of their service is not limited to this. (Iii) building professionals required to ensure that others do the work may be engaged to supervise their influence in the design / construction is competent, will carry out their work, a workmanlike manner. (Iv) if the building professionals think they have expertise in specific areas when they are unqualified, their behavior will be a measure of this general qualifications expertise qualified doctor. (V) construction professionals must ensure that the law after a report to the authorities if necessary, if their clients break the law, even in danger by their client to be discharged. The second thing to do is to ensure that the experience and expertise to this project. Next to it is to ensure that all materials and components to be installed and used in order to test its functionality and satisfactory compliance with the required standards. For example; specific laboratory tests should be taken before using compressive strength, stability and durability. Finally, before any part of the project is complete, responsible for the approval before its next regulatory bodies should be. The project is a model for all the items necessary tests, carried out before the actual implementation. Engineers can also use the cause of the weather and other aspects of the model. The third thing is because this situation has occurred for many years, although the court has not yet made the decision, but still want to remind contractors, who together oversee project quality, and how to resolve some of the risk around. Do not let the tragedy happen again. Percentage Frequency of Causes of Building Collapse(Malaysia 1960-2010) So in this table we can see Causes of Building Collapse most reason is Inexperience contractor. Now we need clean know find an experienced contractor is very important, faulty design and due to surrounding building development also account for a large proportion. Recommendations From the above analysis and discussion presented, you can infer that the main reason for the buildings structural failures, design errors and poor workmanship, which may also be applicable to other countries in the world . Also from the results of this study,it is believed that there are three types of claims, can produce any buildings collapsed, that contract claims, tort claims and incidents of both contract and tort claims ; This means that a party can be made in this both his / her request. Therefore, the following recommendations for who had suffered losses in the square building collapse Events so that their requirements: (i) The Government shall endeavor to assist in the investigation of any incidence of building collapse, to allow victims to know the responsible party, and from whom to make a claim . (ii) The Government should assist owners or who have suffered the loss of a building collapse in the event a third party to prosecute their cases in court as they do their other requirements, if they can not, because The expensive nature of the proceedings. (iii) The Government should enact laws that will improve the effectiveness and standards for the construction of buildings. (iv) In addition, the government should monitor, manage and enforce the law, its effectiveness. (v) Every building owner should ensure that qualified professionals and experienced contractors are engaged in carrying out their construction process . (vi) Every professional body should monitor their members and also be ready to penalize any erring member who ISS found liable in building collapse incident. Conclusion Ramp construction led to landslides like we definitely hear a lot of news, and landslides claimed more and more of life events, why is everywhere and felling of trees for the construction of the activities. Otherwise, this tragedy 21 years ago can be avoided! I hope the Government will seriously look at this issue! REFERENCES http://malaysiafactbook.com/Highland_Towers_collapse http://www.nst.com.my/nation/general/i-saw-highland-towers-block-crash-to-

Graduating and Becoming a Nurse Essay -- Nursing Basic Competence Medi

Graduating and Becoming a Nurse The field of nursing is both a science and an art. New nurses graduate with, at least, acceptable basic competence. They are expected to have the ability to effectively communicate and make decisions in a complex environment with multiple demands on their practical comprehension. However, they usually lack the experience to apply this learned theory. This limited knowledge results in anxiety and difficulty in transitioning from the role of student to leader. How these students can best learn these skills is a topic that has come under considerable debate. We know that most become overwhelmed with multiple tasks and not able to prioritize with critical thinking in a fast pace acute hospital. This begs the questions: How do we make that transition phase easier for them and the staff around them? How do we get the doing and thinking to intertwine together? The article, Coaching for competence, gives one example of how to foster critical thinking skills in novice nurses as well as establ ish a culture that would help its entire staff to grow and excel together. Model concept and implementation The nursing leadership of a 37-bed acute medical unit at the Mayo Clinic in Rochester, MN faced a challenge when they had significant numbers of new nurses hired during the year for a busy acute care general medical unit. The original policy for new nurses involved a six to eight week orientation with a preceptor who assisted new hires to assume complete care for an increasing number of patients. Once the new hire was handling a full patient case load independently, a â€Å"resource nurse† with her own full patient assignment remained available for direction and guidance for the next four weeks. While this orientation process was considered extensive, an extended learning period was needed due to the number of new hires. For this reason, the leadership team began to devise a plan to blend the acts of thinking with doing. This plan needed to encourage and stimulate the new nurses to develop â€Å"self-directed, self-correcting, and innovative strategies in dealing with challen ges†. They were to develop competency and critical thinking in the novice nurses to a higher level of professional thinking. Thus, a coaching concept model was developed by the nurse manager, clinical nurse specialist, and nursing education specialist Preparing to initi... ...ng job satisfaction are significantly enhanced where critical thinking skills are fostered and promoted. In today’s environment of nursing staff shortages, budget constraints and a higher patient acuity, this is no small task to accomplish. However, it is still our primary responsibility in our profession to take the actions necessary to enhance our practice. Rather than being discouraged over the reality of our situation, we should become more creative in our solutions. This creativity was expressed in development of the coaching model. Finally; we found that nursing units that promote critical thinking, professionalism and cohesion will result in higher staff retention rate References Grealish, L. (2000) The skills of coach are an essential in clinical learning. Journal of Nursing Education, 39(5), 231-233. Nelson, J., Apenhorst, D., Carter, L., Mahlum, E., & Schneider, J., (2004) Coaching for Competence. Medsurg Nursing, 13(1), 32-35. Publication Manual of the American Psychological Association. (5th ed.). (2003). Washington DC: American Psychological Association. Wright, A. (2002) Precepting in 2002. The Journal of Continuing Education in Nursing, 33(3), 138-141.

Young Adulthood

OT121: Lifespan Development and Occupation II University of the Philippines Manila | College of Allied Medical Professions Department of Occupational Therapy | Block 21 – Occupational Therapy SS 2012 – 2013 Young Adulthood Ms. Faith Deanne Mari B. Caube 16 January 2013 YOUNG ADULTHOOD ? ?Age Range: 20 – 40 years old Difference of development o Changes due more to personal, social, cultural events rather than chronological or biological changes o Hallmark of maturity – adapt and change in accordance to new conditions o More gradual changes –> does not fit neatly into a stage development theory o The primary meaning of adult is social (Rice, 1995). ? Changes are attributed to social factors and relationships o Marked by culturally defined milestones, and by roles and relationships that are part of cycles of family and career (Craig, 1996) ? The relationships that you will build during this stage are relatively permanent. The Age Clock ? Used to define or judge behaviors, expectations, and pressures of adulthood ? Motherhood ? Physically- dependent jobs ? They may consider themselves old because they are no longer fit to do previous easy tasks. Definitions of Age o Biological age – life expectancy o Psychological age – adaptation to environmental demands o Social age – in comparison to cultural norms Maturity o Needs a certain social and biological factors o More dependent on psychological factors ? Physical and social independence and autonomy ? Independent decision making ? Stability ? Wisdom ? Reliability ?Integrity ? Compassion o Maturity is the psychological ability to work and to love (Freud). PHYSICAL CHANGES ? Physical status o Peak of vitality, health, strength, energy, and endurance ? 25 years old is the prime in terms of strength. All motor systems are at peak during this age. ? Dispatch the young to do battle. OT 121: Lifespan Development and Occupation II Young Adulthood ? ? ? Peak of sensorimoto r skills ? 25 – 30: peak of physical conditioning, strength, motor skills, organ functioning ? 20 -40: peak of visual acuity ? 20 -45: peak of taste, smell, temperature, and pain sensation ?Gradual hearing loss (more apparent after 25; particularly with high pitched sounds) o Most physical decline occurs after 30s (10% loss until 60s) Fitness and health o Generally healthy age period o Health patterns established in young adulthood are generally resistant to change ? Adolescence is a storming period of change but when one enters young adulthood, it is expected that one? s biological systems are already stabilized. Common Illnesses due to occupational hazards o Chronic back pain – by overworking selves and the effect of stress o Respiratory illnesses o Premenstrual syndrome o Sexually transmitted diseases ?Highest among young adults and adolescence ? Due to poverty, drug use and risky sexual activity o HIV – 40 million people infected worldwide, 95% from developi ng world ? Males – lead cause of death ? Females – 4th cause of death Common Causes of Death o 3 causes that account for 72% in the early 20s and 51% among 25 – 34 year olds ? Accidents ? Homicide ? Suicide o AIDS – single leading cause of death in males aged 25-44 o YA has the lowest death rate among adult groups However, in the entire adult lifespan, young adults have the lowest death rate. oMORBIDITY o Defined as the occurrence of illness o Symptoms often appear in YA ? Genetically-determined diseases (diabetes, sickle cell anemia) (hypertension, ulcers, ? Stress-linked depression) Page 1 BLANCO | MARIANO | QUEMADO | VILLON ? Factors Linked to Health Status o Genetic factors ? However, if purely genetics, it should be seen early (right after birth) ? Multi-factorial diseases (genetics and environmental) ? Diabetes ? Atherosclerosis (narrowing of vessels due to fat planks) ? Obesity ? Cancer health conditions ? Mental predisposed to come out during YA s uch as schizophrenia o Health threatening behaviors ?Nutrition and cholesterol ? You are what you eat ? Carotenoid-rich diet – lesser chance of heart disease ? Plant-based diet – reduction of cancer risk ? High-fat diet ? Colon and prostate cancer ? Increased cardiovascular risks ? Obesity ? Measured using body mass index 2 ? BMI: Kg/m If BMI >25, overweight If BMI>30, obese ? World-wide epidemic (WHO, 2001) ? Why? – Fast food culture – Labor saving technology – Genetic tendency: leptin response insufficiency – Leptin tells the brain that one is already full – Some clinically obese may not respond to leptin anymore ?May lead to emotional problems and other diseases ? Physical activity ? Sedentary lifestyle is one of world's 10 leading causes of death and disability ? Smoking ? Leading preventable cause of death in US ? Smoking and cancer ? Alcohol ? College is prime time and place for drinking (Papalia, et al. , 2004) cause poor acade mic ? Can performance ? Can increase other risks for other diseases ? Alcohol in moderation can decrease the risk of heart diseases in the long run (i. e. red wine). ? Drug use ? Peak at 18 to 20 years old ?Decreases as adults increase in maturity, settle down and take responsibility o Marijuana and cocaine use can lead to memory loss, attention deficits, cognitive deficits, and in some cases death Indirect influences on health status ? Socioeconomic status ? Income ? Education ? Higher socio-economic status and education generally lead to less exposure to health hazards ? Gender ? Relationship ? Social ties ? Emotional support ? Marriage ? Strong social environment leads to less risks in psychological illnesses. ? ? ?Healthy Habits o Sleeping regularly for 7-8 hours each night o Eating regular meals o Not snacking o Eating and exercising moderately o Not smoking o Drinking in moderation Preventive Measures o Regular screening test o Self examination o Proper body mechanics o Ergono mics SOCIAL AND EMOTIONAL CHANGES ? Theories on Social and Emotional Issues of Young Adults o Normative-stage model Erikson: personality changes ? Erik throughout life ? Development follows basic sequence of age-related social and emotional changes ? Normative events – happens to all people of certain age ?Changes are attributed to age/biology alone o Timing of events model ? Development depends on the occurrence of certain events ? Events that happens off-time (losing a job, unplanned pregnancy) ? Events that do not occur (singlehood, inability to have a child) ? If on time – smooth development ? If not – stress would occur ? Factors affecting response on events ? Anticipation and preparation ? Cognitive understanding ? Health ? Personality ? Life history ? Support systems ? Personality, support system and understanding play a big role on how one deals with unexpected events o Erik Erikson's Stages th ?Intimacy versus Isolation: 6 stage Page 2 BLANCO | MARIANO | QUEMADO | VILLON OT 121: Lifespan Development and Occupation II Young Adulthood o o Deep personal commitments to others ? If one does not reach intimacy, one may become selfabsorbed. ? Isolation for self-reflection ? Sacrifice and compromise are needed in a relationship ? YA with strong sense of self are: ? Ready to fuse their identity with another ? â€Å"True Genitality† – mutual orgasm in a loving heterosexual relationship ? Resolution of this stage = LOVE ? The perils of not fulfilling the natural procreative urge. The notion that singles are dysfunctional. George Vaillant's Adaptation Theory ? Persons change and develop through their lives ? Persons? lives are influenced by quality of relationships with others and not by isolated traumatic events ? The level of mental health influences adaptation to life situations ? Typical pattern ? Men in 20s – dominated by parents ? Men in 20s and 30s – age of establishment; autonomy, marriage, children, deepen ed friendship ? Men in 23-35s- age of consolidation; doing what needs to be done ? Men in 40s – age of transition, questioning commitments, soulsearching or midlife crisis ?Four Adaptive Mechanisms ? Mature – humor, helping others, being altruistic psyschosomatic ? Immature symptoms (i. e. no physical reason but feels pain) ? Psychotic – distorting or denying reality ? Neurotic – developing irrational fears (i. e. developing anxiety) Daniel Levinson? s Life Structure Theory ? Evolving life structure ? Underlying pattern or design of a person at a given time ? Phases with tasks and accomplishments ? Has transitional phases for reflection in between ? 17-33: Entry Phase of YA ? Build first provisional life structure and emotional ? Financial independence ?Dream of future achievement ? Age 30 Transition ? Reevaluate entry life structure ? 30 onwards : Culminating Phase ? Settles down ? Set goals that are time bound ? ? ? Anchors life Transition ? Period of p reparation to enter the adult world ? Disequilibrium comes due to many choices an adult has to make ? Periods of stability and instability ? Response depends on self-definition ? Awareness of strengths and weaknesses ? Purpose ? From adolescent to adult ? Taking responsibility for one's self ? Making own decisions ? Redefining relationships with parents negotiation of ? Complete autonomy ?Independence ? Emotional Independence free from parental dependence, one can make decisions on their own ? Attitudinal Independence hold own beliefs, depends on strength of personality ? Functional Independence support self ? Conflictual Independence guiltless feeling about separation with parents ? From student to worker ? Works defines daily schedule, social contacts and opportunities for personal development ? During YA, work defines who you are. relationship ? Reciprocal between substantive complexity of work to a person's flexibility in coping with cognitive demands ?From living with parents t o living alone (culture bound) ? Moving from family of origin to family of procreation ? Taking over day to day problems and financial support ? Relationships ? Seek emotional and physical intimacy ? Erikson: crucial task of adulthood ? Important to do Self-disclosure – revealing important information about oneself to another ? Skills needed: ? Self-awareness ? Empathy ? Ability to communicate emotions ? Sexual decision-making ? Conflict resolution ? Ability to sustain commitments OT 121: Lifespan Development and Occupation II Young Adulthood Page 3 BLANCO | MARIANO | QUEMADO | VILLON The nature of intimacy ? May not include sexual contact ? Invokes a sense of belonging, emotional connection ? The need to form strong, stable, close caring relationship is a powerful motivator of human behavior (Papalia, et al. , 2004) ? The strongest emotions are invoked by intimate relationships. (Both good and bad: you bring out the best [and worst] in me) ? Need responsiveness to each other 's needs, mutual acceptance, and respect ? Sternberg's Triangular Theory of Love ? INTIMACY, PASSION, COMMITMENT – these 3 elements need to be present to form a real consummate relationship ?When you a love someone, you have to keep a PIC ? INTIMACY – Emotional element – Self disclosure –> connection, warmth and trust ? PASSION – Motivational element – Inner drive ? physiological arousal into desire. Cannot be controlled as it is a response of sensory physiological functions ? COMMITMENT – Cognitive element – Decision to love and to stay with the beloved  ¦ Patterns of Loving TYPE I P C Nonlove (interpersonal relationships) Liking  ¦ Infatuation („love at first  ¦ sight†) Empty Love (long term  ¦ relationship that lost intimacy and passion/arranged marriages)Romantic Love  ¦  ¦ Companionate Love (long  ¦  ¦ term, committed friendship in marriage with diminished physical attraction) Fatuous Love (whir lwind  ¦  ¦ courtship) Consumate Love  ¦  ¦  ¦ ? ? ? ? ? ? ? Dating Practices of Filipino YA o Can start as early as 12 years of age (Medina, 1991) o Non-traditional practices: ? Speed dating ? Females paying for own share ? Open relationships ? Internet/other virtual context Gay relationship o Seeking love, companionship and sexual fulfillment through a relationship with a person of same sex Lesbians are more likely to have stable monoganous relationships than gay men. Gay and lesbian partners living together tend to be committed as married couples o Issues with custody, adoption, taxation, insurance and societal acceptance still exist Filipinos and Gay Relationship o Christian values and social norms view it as a â€Å"sin† (unnatural or immoral) to engage in a gay relationship o Greater scorn in low-middle classes o May never have complete â€Å"coming out† due to pressure from society and family Marriage o ‘best way† to ensure orderly raising a children o Provides intimacy, commitment, friendship, affection sexual fulfillment, companionship, emotional growth, and new sources of identity and self-esteem Adjusting to Becoming a Spouse or Partner o Making joint decisions o Pooling of income o Living together ? Tests the relationships as the little that may annoy the partner are revealed. o Adjusting to each other's families o Taking on roles as husband and wife o Meeting each other's expectations Role of Extended Family among Married Filipino YAs o Serve as support systems o Older relatives as advisers o Younger relatives as companions (if couples are not yet going to have children) Divorce and Separation o In the Philippines, annulment -> legal separation, but one is not allowed to get married in the church again. It takes a long time before annulment is granted. Cohabitation before marriage, having divorced parents, bearing a child before marriage, having no child or having stepchildren are predictive whether a couple wil l end up separated or not o Reasons for divorce ? Incompatibility ? Lack of emotional support ? lack of career support ? Spousal abuse ? Mismatch of expectations o Effects of Divorce ? Income (no support, source of stress) ? Problems with identity and loneliness ? Anger and hostility ? Depression, alcoholism, sleep disorders, breakdown of immune system ? For the father, divorce can mean fewer rights to children, decline of income (support), less emotional support, negative impact on career o Divorce and Children ? Effects of divorce depend on ? Age ? Sex ? Nature of relationship with custodial parent Page 4 BLANCO | MARIANO | QUEMADO | VILLON oOT 121: Lifespan Development and Occupation II Young Adulthood ? ? ? ? Divorce in the Philippines ? Divorce is not acknowledged in the Philippines ? Cultural and religious influences affect acceptance of the practice ? Legal separation and annulment legal (Family Code of the Philippines, Executive Order 209) but costly and frowned upon ? House bill 1799, â€Å"An Act Introducing Divorce in the Philippines† filed July 27, 2010 The single life o Social pressure to marry o More freedom to take risks in life and make choices o Haven? t found the „right one? o Advantages ? Decisions about self o Disadvantages ? Loneliness and solitude ? Social risks ? Economic risks – no work, no money ?Physical risks – depression, breakdown of immune system Cohabitation o Unmarried couple in a sexual relationship in a consensual or informal union (living together) o Substitute for marriage/trial marriage o Partners may miss out on economic, psychological, and health benefits of marriage which has ? Long term commitment and security ? Greater sharing of resources ? Stronger community connection o Advantages ? Getting to know each other ? Understanding intimate relationships ? Clarifying what you want earlier o Disadvantages ? Social stigma ? Over involvement (isolation from friends) ? Sexual risks ? Perceived loss o f identity ? Over dependence ? Discomfort on ambiguity of situation ? Distance from friends o Cohabitation in Philippines ? 2. million Filipinos cohabiting (NSO, 2000), 18% of which between 20-24 years old ? 35% agree that live in arrangements are acceptable for couples intending to marry, 20% for couples do not ? 36% decide to cohabit because of economic reasons, 23% because of pregnancy, 15% as a â€Å"dry run,† 13% too young to marry, 3% not allowed to be married by parents, 2% lacking necessary documents Expression of sexuality o Decision to lead lifestyle o To marry and have a child o Engage in premarital sex o Showing who you are and how you relate to others in a manner of dress, roles fulfilled and preference for partner Sex, Homosexuality and Bisexuality in Philippines o Cultural and religious values still a major influence o ? ? ? ?Increasing tolerance compared to previous years, though limited to certain groups o â€Å"Private† practices in order to avoid dis crimination from society o Continued use of derogatory terms Parenthood o Change from traditional family in western industrial families o Trend to have less children and bear them later in life ? Increased maturity and commitment ? Decreased economic advantage of having large family ? Overpopulation and hunger in developing countries o Becoming parents ? Changes in identity and inner life ? Shifts in roles and relationships within marriage ? Changing roles and relationships outside of family (female and work) ? New parenting roles and relationships ? Shifting in previous mindset that fathers are breadwinners and mothers the primary caregivers ? Having a baby can affect marital satisfaction ?Less satisfaction when pregnancy is planned involvement means ? Increased increased satisfaction ? Low self-rating as parents decreased satisfaction o Stages of Parenting ? Image-making Stage (conception to birth) – creating images of self as parents ? Nurturing Stage (birth to 2 years) ) attachment of baby, balancing needs of child with emotional commitment and time spent with significant others ? Authority Stage (2 to 5 years) – examining type of parent one has become and will be ? Interpretative Stage (6 to 11 years) – reexamining and testing long-held theories ? Interdependence Stage (12 to 18 years) – re-asserting self as authority, competing and comparing self with children ?Departure Stage (leaving home) – taking stock of performance as a parent Having Children o marriage? s ultimate fulfillment (Papalia & Olds, 1995) o children give companionship, love and happiness o provide emotional and financial support in later years o psychological value for success to parents o give meaning to life Remaining Childless o Financial burden of raising a child o Fears if becoming less attractive or changing relationship with spouse o Enjoying freedom to travel and make decisions o Concentrating on careers or causes o Worries on being a parent Sin gle parenthood o Exhausting, continual struggle Page 5 BLANCO | MARIANO | QUEMADO | VILLON o OT 121: Lifespan Development and Occupation II Young Adulthood o o o o oOnly one of the two parents is present, may include spouses of OFWs Less financially secure than when with a partner Difficulty coping with demands and making decisions Balancing work and raising a child Extended families provide invaluable support ? ? Adult Friendships o Single young adults have more friends than of middle-aged and older adults o YA seek friendships for social stimulation and new info; later on in life will value friendships that are long-lasting and equitable o Socio-emotional selectivity theory ? Greater emphasis on fulfilling own emotional needs ? â€Å"Limited time left to live† o Center on work, parenting activities, and sharing of confidence and advice o Varying quality of friendships ? Intimate and supportive ? Frequent conlfict ? Common interests ? Lifelong or fleeting COGNITIVE CHANGES o Piaget's Cognitive Stage ? Formal operational thinking ? Introspection ?Abstract thinking ? Logical thinking ? Hypothetical thinking o Information Pocessing Skills ? Vocabulary: declines after 59; related more to educational level rather than age ? Sentence comprehension: deteriorates at 60 but may be attributed to hearing acuity ? Prose comprehension: young better than old ? Better at understanding short prose passages ? Better at remembering short prose passages ? Indication of capacity of working memory Memory ? ? Primary (short term/working memory) ? Secondary) ? Episodic (events, how things happened) ? Semantic (facts) (left when amnesia strikes in) ? Procedural (how-to) Creativity ? ? Break from procedural thinking ?Problem solving that produces novel solutions ? Increase steeply from 20s to late 30s to early 40s before gradually declining ? Historians/scholars: peak in the 60s and decline after ? Scientists: peak in 40s, decline in 70s ? Artists: peak in 30s to 40s and decli ne steeply after ? Differences within fields: poets before novelists, mathematicians before scientists o Trends in cognitive capacities ? Information processing at its peak OT 121: Lifespan Development and Occupation II Young Adulthood o o Better education suggests better chance of further increasing IQ in adulthood ? Type of course/interest/expertise can affect which skills are honed ? Skills frequently used are maintained ?Judgment and reasoning continue to develop throughout life Beyond Formal Operation Thought Draws on intuition and emotion and logic Experience and nuanced thinking Capacity to deal with uncertainty, inconsistency, contradiction, and compromise Born of experience and years of dealing with different situations Postformal thought Problem Finding Stage ? Raising questions from problems ? Involves dialectical thinking (accepting contradictions, exposure to both sides of problem) and wisdom (pragmatic knowledge acquired through time) ? Seeing shades of gray ? Transcen d a single logical system ? Reconcile conflicting ideas Post Formal Thought ? ? Shifting gears – â€Å"this might work on paper but not in real life† ? Multiple causality, multiple solutions – â€Å"let? s try it your way; if it doesn? t work, let? s try it my way† ? Compromise, there are more than 1 solution most of the time ? Pragmatism – â€Å"if you want the most practical solution, do this; the fastest, do that† ?Awareness of paradox – â€Å"doing this will give him what he wants, but it will only make him unhappy in the end† ? Know the consequences of the actions and the eventual implications that may be opposite to what was expected would happen Schaie's Stages of Adult Cognitive Development Achieving stage (late teens to early 20s-30s) ? ? Knowledge for independence and competence ? Using what one knows to pursue goals (career, family) Responsible stage (late 30s to early 60s) ? ? Using what one knows to solve practical problems associated with responsibilities to others (family members, employees) ? For long-range goals Sternberg's Triarchich Theory of Intelligence o Componential (analytic) ? How efficiently one processes information ?Knowledge on how to solve problems, monitor solutions, evaluate results o Experiential (insightful/creative) ? How people approach novel or familiar tasks ? Knowledge on how to compare new information with old and integrate this information in the palanner o Contextual /Practical ? How people deal with the environment Page 6 BLANCO | MARIANO | QUEMADO | VILLON ? ? ? Knowledge on how to look at a situation and decide how to look to move forward/get over with it. Involves tacit knowledge (inside information) Self-management Management of task Management of others Studies imply that componential intelligence grow until midlife. ? MORAL CHANGES Kohlberg's Stages of Moral Development ? o Postconventional Morality ?Stage 5: Morality of Contract, Individual Rights, and Dem ocratically Accepted Law ? Stage 6: Morality of Individual Principles of Conscience ? â€Å"What is right is what gives justice and is right for all individuals† Morality in YA ? o Cognitive awareness if principles comes in adolescence but commitment happens in adulthood o Growth influenced by: ? Encountering conflicting values away from home ? Being responsible for others Moral reasoning ? Stage 5 ? o Social contract where rules must be obtained through democratic consensus for will or majority and maximizing social welfare o Understanding of underlying purpose of law o Calls for change in a law that compromises basic rights Stage 6 ? Defines right and wrong on basis of selfgenerated principles that are broad and universal in application o Moral musical chairs as it depends on every situation, every context o Discovers through reflection Stage 7 ? o â€Å"Why be moral? † o Post-Kohlberg theorists o Equated to concept of self-transcendence o Achievement of cosmic persp ective (i. e. nirvana) Sample Situation: There was a woman who had very bad cancer, and there was no treatment known to medicine that would save her. Her doctor, Dr. Jefferson knew that she only had 6 months to live. She was in terrible pain, but she was so weak that a good dose of pain killer like ether or morphine would make her die sooner. She was delirious and almost crazy with pain, and in her calm periods, she would ask Dr. Jefferson to give her ether to kill her.She said she couldn? t stand the pain and she was going to die in a few months anyway. Although he knows mercy killing is against the law, the doctor thinks about granting her request. ? Stage 5: Yes, give her the drug o Although most of our laws have a sound basis in moral principle, laws against mercy killing do not. The doctor? s act is morally justified because it relieves the suffering of OT 121: Lifespan Development and Occupation II Young Adulthood ? ? the woman without harming other people. Yet he still must b e held legally accountable because society would be damaged if everyone simply ignored laws they do not agree with. Stage 5: No don? give her the drug o The laws against mercy killing protect citizens from harm at the hands of unscrupulous doctors and selfish relatives and should be upheld because they serve a positive function for society. If laws were to be changed through the democratic process, that might be another thing. But right now the doctor can do the most good for society by adhering to them. Stage 6: Yes, give her the drug o We must consider the effects of this act on everyone concerned – the doctor, the dying woman, other terminally ill people and all people everywhere. Basic moral principle dictates that all moral people have a right to dignity and self-determination as long as others are not harmed by their decisions. Assuming no one else will be hurt, she has a right to live or die as she chooses.The doctor may be doing right if he respects her integrity as a person and saves her, her family, and all of society from needless suffering. Stage 6: No, don? t give her the drug o If we truly adhere to the principle that human life should be valued above all else and all lives should be valued equally, it is morally wrong to â€Å"play God† and decide that some lives are worth living and others are not. Before long, we would have a world in which life has no value. CAREER CHANGES Selection of career path ? o Depends on: ? Interests, abilities, and personality ? Responsibilities ? Educational level ? Gender ? Social class ? Proximity to workplace ? Luck ? Parental attitudes o Continues from an adolescent's search for vocal identity, influenced by increasing realism ?YA gives you a perspective of what you can achieve, the only question is how to achieve it o Taking on increasing responsibilities o Entering college/getting specialized education o Getting work experience Entering the workforce ? o Reality shock ? Expectations clashing with reality ? Source of frustration and anger o Growth of competence and autonomy ? Positive role of mentors ? Independence and surpassing mentors o Growth of loyalty and commitment ? Maintaining excitement and commitment essential to mature satisfaction Page 7 BLANCO | MARIANO | QUEMADO | VILLON ? ? ? ? ? Identifying with occupation, employer, industry Gender-Based Adjustment o Males ? Roles they want to play ? Use of their abilities and training ?Authority ? Pay raises ? Job transfers o Female ? Use of their abilities, expectation, training ? Feeling of being in a dead end job because more opportunities for promotion are given to males ? Being stereotyped Factors that Affect career decisions o Work options/types o Changes in work skill demands (technology) o Flexibility of working time (home responsibilities) o Preparation for a specific job o Sexual stereotypes o Labeling of occupations o Security (permanent vs seasonal jobs) o Career goals o Personal values and expectations Job Sat isfaction o Intrinsic factors ? Work challenge (bored or challenged? ) ? Interest ? Work competence ? AchievementIntrinsic factors are the concern of ? YA. o Extrinsic factors ? Salary ? Status/position ? Comfort of environment ? Work hours ? Supervision and employment practices ? Attitudes and support of colleagues ? Opportunities for advancement -; concern form late YA and MA Other issues o Stress from work o Personal needs o Stimulation from work o Security o Actual work conditions Occupational Hazards o Depends on type of work o Stress ? Excessive work demands -; subjective ? Little to no control of work method/areas o Danger of dissatisfaction which leads to low motivation, trouble-making behaviors and hostility ? Which may lead to unemployment ? ? ? Degree of marital satisfaction ? Materialism ? Physical competitiveness ? o Mid30s to 40s (â€Å"midlife†) ? Affected by prominent physiologic changes ? Restricted activities Common Leisure Activities o Outdoor recreation o Parties/social activities o Sports and hobbies o Watching television o Arts and culture o Travel Factors that affect choice of leisure o Work o Finances o Health and mobility o Family and friends o Time o Community o Exercise Benefits of Leisure to YA o Dealing with stress o Providing social outlet o Maintaining health and wellness o Self-development -; not be confined with work LEISURE CHANGES o 20s ? ? ? ? o 30s ? ?New interests New acquaintances Strong physical component Intensive social mixing Affected by the decline of: Social life FILIPINO CUSTOMS, BELIEFS, and EXPECTATIONS o Use of â€Å"tabo†/ dipper o Filipino value system/pamantayan ? Halaga (evaluative): right or wrong ? Diwa (spiritual): sacred or profane, strong or weak ? Asal (expressive): good or bad o Ideal behavior for Filipinos would revolve around ? Industriousness ? Perseverance ? Patience ? Self-control o Kinship ? Child is central in linking people together Status as parent when child is born to ? them S tatus as grandparent when their ? children bear offspring ? Results in deep emotional attachment to parents, particularly mothers ?Marriage brings together two sets of kin and is sacred, special relationship ? Adoption as means of helping less fortunate relatives, and fulfillment of moral responsibility of married couples o Good reputation ? Emphasis on puri (personal honor or chastity) ? Clash of traditional values with Western values and practices ? Premarital and extramarital sex ? Emphasis on taking care of family's name o Ideal spouses ? Husband Good provider ? Good-natured ? Not cruel ? Hard and dedicated worker ? Page 8 BLANCO | MARIANO | QUEMADO | VILLON OT 121: Lifespan Development and Occupation II Young Adulthood o Not a drunkard Wife Good housekeeper ? Not quarrelsome ? Frugal and efficient manager ? Not lazy ? Sexually faithful ?Courtship in the Philippines ? Traditions include the following: Visiting the female at her home ? Having a chaperon at all times ? Serenading ? Serving in the house of the female ? ? ? o ? More freedom in current times Marriage Customs and Beliefs ? Siblings must not get married within the same year as it brings misfortune and difficulties ? Necessary to postpone wedding after a death in the family ? Ceremonies in nuptial mass Wedding paraphernalia which ? falls/touches the floor is bad luck Significance of lighting candle, veil, ? and cord OT 121: Lifespan Development and Occupation II Young Adulthood Page 9 BLANCO | MARIANO | QUEMADO | VILLON

Patient Billing Essay

Patient billing System is very important. These are collections of information’s about a patient’s health history. Doctors and the others personnel of the hospital like nurses write is medical records so that they can used the information’s again when the patient’s come back to the hospital. It is job of patient’s registry records works to make sure that the information is intact and available anytime when the patient returns to the hospital. Many hospitals in India still manage the patient data manually. Hospitals will be able to save money and time if they have a good software program for  managing patient’s data. The idea is to develop web based patient billing software that can be used to keep track of the patients registering in a hospital or clinic. Doctors and the rooms available in a hospital can be managed using this system. Also, this system should support accessing the previous visit histories of any patient, search for patients by name etc. * A patient can be categorized as â€Å"In patient† or â€Å"Out Patient†. If patient type is â€Å"In Patient†, a bed will be assigned to the patient. * A doctor will be assigned to each patient before the patient meets the doctor. Only one doctor can be assigned to a patient at a given time. * A patient can visit the hospital any number of times Administrator will have complete control of the system. She/he can Add/Edit/Delete patients, Add/Edit/Delete Doctors, Add/Edit/Delete Beds, Search for patients, Assign patients to doctors. Doctor can access a patient’s record and update his observations about the patient in that particular visit. ABOUT BILLING: Hospital bill for inpatient will include a room charge, which covers room, meals, nursing care, housekeeping, maintenance, medical records and admitting services. Bill will also include itemized charges for specific ancillary services such as laboratory, medications, X-rays and use of the operating room, surgical day care, recovery room, physical therapy and other services. Hospital bill for outpatient will include consultation charges and also include itemized charges. Bill will not include visits by physician and fees for radiology (interpretation of X-rays), anesthesiology, emergency medicine, surgery, and other professional services and consultations provided by physicians. These will be billed separately by the physician. EXISTING SYSTEM: The existing system of the patient billing is completely manual. The secretary or the receptionist will write patient information into a medical  form. The clinician takes the medical history of the patient, writes diagnosis and treatment on the form. The Clinician sometimes can refer the patient to the laboratory for medical test before diagnosis depending on the situation of the patient. All the patient form are collected and kept in the filling cabinet for follow up check and future use Disadvantages of Existing system: * The existing system needs to save patients information in the form of excel sheets. * The manual system gives us very less security for saving data. * Some data may be lost due to mismanagement. * Searching of particular room vacancy information is very critical where it takes lot of time. * This system is not having the facility of tracking transfers of patients from the general ward to the ICU and vice versa. * Cannot Upload and Download the latest updates. * No use of Web Services and Remoting. * The existing system is Less user friendly Proposed system: The modern computerized system is developed with the aim to overcome the drawbacks of existing system. The proposed system has got many advantages. It will improve the keeping of medical records of the patient, can handle data efficiently, more accurate in filling and retrieving of records. Since the necessary data is available in one place and the computer is able to manipulate it like sorting, stratifying, then the reports are easy to make unlike using the manual system. The Proposed system directly maps on database and its focuses in adding, searching, modifying, printing and saving of the medical history/ diagnosis of the patient. †¢ This system can provide the information about the patient based on the ward number whether the patient is either in the general ward or the ICU immediately. †¢ By using this system we can prepare all bills pending to be paid by a patient before the patient’s discharge which is computerized. Advantages of proposed system: * User friendliness is provided in the application with various controls. * The system makes much easier and flexible. * Readily upload the latest updates. * There is no risk of data mismanagement at any level. * It provides high level of security with different level of authentication. * We can keep a track of all beds occupied / free in both the ward and the ICU by using this system. * We can keep track of all transfers of patients from the general ward to the ICU and vice versa. * This system is providing the facility of viewing all information about patients details, their admit time and the amount to be paid based on the treatment given and the ward selected. * We can register all the patient details like the amount to be paid / any balance remaining, the ward number, the bed number, the registration number, case number etc. as soon as a new patient is joined in the hospital MODULES: 1. Search module 2. Appointment module 3. Bill generation module 4. Payment module 5. Security & authentication module 6. Reports module 1. Search module: This module facilitates the receptionist for searching about the patient’s past history, availability of Doctors & their timings, Doctors details & also about the doctor’s movement from one branch to another branch. This module keep a track of all beds occupied /free in both the ward and the ICU. Keep a track of all transfers of patients from the general ward to the ICU and vice versa. We can also view the patient details like the ward number, the bed number, the registration number, case number etc. It also help the patient for searching the branches details of the hospital, timings of the hospital, availability of the Doctors & their timings, availability of the appointments etc. 2. Appointment module: This module is dealing with assigning a doctor to each patient before the patient meets the doctor based on their availability. Only one doctor can be assigned to a patient at a given time 3. Bill generation module: This module is dealing with generation of the bills for inpatient which contains the details of all patients, their admit time and the amount to be paid based on the treatment given and the ward selected. We can also view the patient details like amount to be paid / any balance remaining etc. This module also deals with the generation of the bills for outpatient which contains consultation fees. The bill may include itemized charges for specific ancillary services such as laboratory, medications, X-rays and use of the operating room, surgical day care, recovery room, physical therapy and other services. separate bill will be generated for radiology (interpretation of X-rays), anesthesiology, emergency medicine, surgery, and other professional services etc. 4. Payment module: This module is dealing with the payment of bill through the credit card or cash. 5.Security and Authentication: * Login as Receptionist or administrator * Change password * Forgot Password 6. Reports: In this Module, Different actors can generate the different types of Reports according to their access. FEASIBILITY STUDY: Preliminary investigation examine project feasibility, the likelihood the system will be useful to the organization. The main objective of the feasibility study is to test the technical, operational and economical feasibility for adding new modules and debugging old running system. All system is feasible if they are unlimited resources and infinite time. These are aspects in the feasibility study portion of the preliminary investigation. 1. Technical feasibility 2. Operational feasibility 3. Economical feasibility Technical Feasibility: The technical issue usually raised during the feasibility stage of the investigation includes the following: * Does the necessary technology exist to do what is suggested? * Do the proposed equipments have the technical capacity to hold the data required to use the new system? * Will the proposed system provide adequate response to inquiries, regardless of the number or location of users? * Can the system be upgraded if developed? * Are there technical guarantees of accuracy, reliability, ease of access and data security? Permission to the users would be granted based on the roles specified. Therefore, it provides the technical guarantee of accuracy, reliability and security. The software and hardware requirements for the development of this project are not many and are available as free as open source. The work for the project is done with the current equipment and existing software technology. Necessary bandwidth exists for providing a fast feedback to the users irrespective of the number of users using the system. OPERATIONAL FEASIBILITY: Proposed projects are beneficial only if they can be turned out into information system. That will meet the organization’s operating requirements. Operational feasibility aspects of the project are to be taken as an important part of the project implementation. some of the important issues raised are to test the operational feasibility of a project includes the following: * Is there sufficient support for the management from the users? * Will the system be used and work properly if it is being developed and implemented? * Will there be any resistance from the user that will undermine the possible application benefits? This system is targeted to be in accordance with the above mentioned issues. Beforehand, the management issues and user requirements have been taken into consideration. So, there is no question of resistance from the users that can undermine the possible application benefits. The well planned design would ensure the optimal utilization of the computer resources and would help in the improvement of performance status. ECONOMICAL FEASIBILITY: A system can be developed technically and that will be used if installed must still be a good Investment for the organization. In the economical feasibility, the development cost in creating the system is evaluated against the ultimate benefit derived from the new systems. Financial benefits must equal or exceed the costs. The system is economically feasible. It does not require any addition hardware or software. Since the interface for this system is developed using the existing resources and technologies, there is nominal expenditure and economical feasibility for certain. SOFTWARE REQUIREMENTS: Operating system:Windows XP Browser:Internet Explorer 5.5 User Interface:HTML, CSS Client side scripting:JavaScript Programming Language:Java Web Applications:JDBC, JSP Database:Oracle10g Connection:TCP/IP Protocol:HTTP,SMTP,POP3 HARDWARE REQUIREMENTS: Processor:Pentium IV Hard Disk:Minimum 40GB RAM:512MB or more