Tuesday, August 6, 2019

The article “Verismo” Essay Example for Free

The article â€Å"Verismo† Essay The article â€Å"Verismo† discusses the beginning of movement in Italian literature and opera, as well as provides in-depth overview of Verismo as literature style, musical style and as essential component of Italian theatre. Verismo is defined as movement in Italian literature which caused emergence of new theatrical and operatic genres. Actually, verismo became so-called innovatory drive originated from the French naturalism. The most brilliant representatives of verismo were Giovanni Verga and Luigi Capuana, and the theorist Federico de Roberto. Verismo is said to share some characteristics with naturalism. For example, both styles promote impersonal style of narration and they authors were deeply interested in the lower social strata. In other words, they tended to incorporate a true-to-life approach when illustrating contemporary reality. Furthermore, veristi, the writes of this genre, developed their own character in their literary works. For example, they assessed the relations between science and art from new perspective. It is known that verismo has strongly influenced the development of Italian theatre as the genre introduced regional milieux which combined lower-class idioms and local customs. Verismo enriched theatrical repertoire offering extraordinary blend of romantic style with bourgeoisie comedy. Verismo provided new acting style to illustrate unsophisticated characters on the scene. Verismo has also affected opera. Two famous operas of this style were â€Å"Mala Vita† and â€Å"Pagliacci†. â€Å"Mala Vita† was launched by Umberto Giordano as a brand of operatic verismo. â€Å"Pagliacci† was launched by Leoncavallo and was considered rather complex work. Leoncavallo was both the author of music and libretto. It is argued that in the opera â€Å"the explicit violence of the double murder committed by the white-faced clown is usually seen as the dramatization of an actual incident remembered from the composer’s childhood†. Verismo is also defined as musical style of Giovane Scuola. In music this style was strongly influenced by the works of Massenet and Wagner due to their emotional rhetoric. Verismo in music was very passionate with sentimental languor. The style tended to combine delicacy with explicit violence, in particular, in the vocal lines. Moreover, it tended to change solo piece by ensembles as it ensured better cohesion of sound and vocal. Orchestral motifs were often referred to. Nevertheless, verismo denied bel canto coloratura. It is argued that only in the 19th century opera had reached its dramatic continuity, in which spoken drama was combined with canons of musical one. Puccini was the first to achieve in his opera â€Å"Manon Lescaut† the most satisfactory blend of spoken and sung words. Reflective Commentary It is a matter of fact that verismo strongly influenced not only literature works, but also theatrical and musical world as verismo was something people hadn’t been yet acquainted with. Everything new was practically always valued and appreciated in art world and, therefore, verismo has played important role in development of Italian theatre and opera. However, all the mentioned trends should be viewed in the context of the century to get the whole picture of style development. Nevertheless, the style is rather complex as it combined delicacy and violence, rudeness and kindness, etc. Verismo was creator of new reality, in which sensationalism and triviality came together in â€Å"Iris† and â€Å"Tosca†. It is necessary to add that verismo defined new kind of musical dramaturgy which was so needed after the decline of Romantic melodrama. I see Verismo combined together expressionism, symbolism and exoticism. Verismo tended to create reality through truth as ‘vero’ means ‘truth’ in Italian. The genre couldn’t betray its original meaning. However, in contrast to naturalism, verismo rejected the scientific nature and social usefulness. Frankly saying, I think that some veristi were likely to be pessimists who based their works on the premise of impersonality. Failure to impose personal meaning shows desire to escape from reality they tended to reflect.

Monday, August 5, 2019

Nursing Crisis Intervention: Stroke

Nursing Crisis Intervention: Stroke Stroke is a global problem of the increasing elderly population. According to the Department of Health (2007a), stroke is the third leading cause of death in the UK, with more than 110,000 individuals falling victim to a stroke each year at a cost to the National Health Services exceeding  £2.8 billion. The Stroke Association (2007) places this number at 130,000 with a mortality rate at 67,000 per year, including indirect costs of  £1.8 billion and costs for informal healthcare following stroke at  £2.4 billion. Incidence of stroke is equally as prevalent elsewhere, such as in the United States where, as the third leading cause of US deaths (Becker Wira 2006; Nolan Naylor 2003) stroke is the leading cause of disability (Becker Wira 2006; Stroke Association as cited by Amber 2003, p. 316; Stroke Association 2007). Becker and Wira (2006) state the incidence of stroke within the United States is 400,000 individuals per year with an anticipated growth to over 1 million yearly st roke victims by 2050. The American Stroke Association (as cited by Amber 2003, p. 316) states â€Å"every 45 seconds, someone in America has a stroke. Every 3.1 minutes, someone dies of one.† Nolan and Naylor (2003) state an average of 35,000 individuals suffer strokes when hospitalized for other unrelated illnesses. Such was the case for Ms. C., who suffered an ischemic stroke while hospitalized for a pacemaker implant. As the unit nurse assigned to care for Ms. C., subtle signs of her stroke were noticed and reported to the Code Gray[1] team for immediate response. The many roles of a unit nurse in the presence of a crisis are vital in providing adequate care to her patient, including the need to maintain a calm demeanour in the face of chaos. A number of rapid physical assessments must be performed including the use of the FAST criteria[2] (Mathiesen et al, 2006), response teams must be alerted and the nurse must keep the patient calm and oriented throughout the flurry of activity that can easily upset an elderly individual. While all emergencies call for rapid response, it is even more critical in the case of stroke when, if the patient is eligible for recombinant tissue plasminogen activator (t-PA)[3] a detailed physical history and examination, a neurological assessment, computed tomography (CT) scan and additional blood work must be performed before irreparable damage from the stroke occurs. With a focus on patient impact and nursing interventions, this paper will present the case study of Ms. C. Case presentation Ms. C., a 78-year-old, ambulatory, Caucasian female was admitted to the hospital for the replacement of a cardiac pacemaker. Ms. C. was widowed 5 years prior to her current hospitalization and lived alone having two married children living in Scotland and Wales. Prior to admission Ms. C. was diagnosed with high blood pressure (HBP), high cholesterol, was diabetic, and was on pharmaceutical medication for all three conditions. In spring 1995, Ms. C. had recurrent bouts of tachycardia alternating with bradycardia. Following an attempt to control the situation through pharmaceutical intervention, her cardiologist recommended she receive a cardiac pacemaker; which was implanted without complication the same year. She reports remaining in good health since that time; although additional medical notes indicate the onset of dementia, as she appears confused at times. Upon admission, vitals were normal, with the exception of her blood pressure (BP) which was 175/95. Her physician ordered Ms. C. be started on Losartan[4]. Subsequent vitals indicated a fluctuation in BP ranging from a low of 170/90 at 1AM to a high of 195/110 at 10AM. As Ms. C. was not responding to medication or fluid balancing recommended by her physician and her BP continued to climb, her cardiologist postponed surgery until her BP was brought under control. At 11:48am, when taking Ms. C.’s vitals, she appeared confused, her speech was slurred, there was slight facial droop and she could not extend her arm for the blood pressure cuff. At 11:50am a Code Gray alert was sounded. Impact on the patient When assessing the impact to the patient when a stroke occurs, the nurse must be aware of the implications on a variety of levels, including biological, psychological and sociological. In the case of Ms. C., there were additional implications for each of these due to the combination of her low-level, yet progressive dementia. Biological changes in an ischemic stroke (confirmed by the CT scan as opposed to hemorrhagic) were the result of a thrombolytic occlusion at the cerebral artery branch point due to atherosclerosis. On the cellular level, neuronal damage occurs when neurons become depolarized and allow for inordinate amounts of calcium to cross the cellular membrane that ultimately leads to a destruction of said cellular membrane and other structures within the neuron (Becker Wira 2006). Becker and Wira (2006) also comment on the neuronal damage caused by free radical, arachidonic acid and nitric acid generation that takes place during the ischemic cascade[5]. Genetic activation also takes place and leads to the production of cytokines in response to and as a cause of inflammation that can â€Å"consume† the ischemic penumbra (Becker Wira 2006). If one can limit the degree of injury to the ischemic penumbra located within the origami, the degree of permanent damage due to the ischemic episode is limited and is the goal of immediate stroke response (Becker Wira 2006). A combination of diagnostic laboratory tests[6] and rapid nursing assessments would be required to assess the level of damage. Although the Code Gray approach is geared towards rapid response to allow for administering t-PA within the three-hour window, Ms. C. was not eligible for t-PA treatment due to her uncontrolled hypertension (Bonnono et al. 2000, p. 300). The psychological impact on Ms. C was the most dramatic as her post-stroke status left her more confused and fearful than one might find in a strike victim due to the comorbid dementia. In addition to being frightened of the unknown and feeling very alone as a widow and without her children present, Ms. C. felt betrayed by her body and didn’t understand what was happening to her or why. Psychologically Ms. C. had to be kept calm and be reminded of what was occurring and why, with such orienting comments as â€Å"You are going to be examined by Dr. X† or â€Å"You are going to have a test done that won’t hurt you. There is no need to be afraid; I’ll be with you to assure you’re safe.† With the unknown of any comprehension deficits caused by the stroke it was also important to remind other team members that Ms. C. had problems with confusion and that it was important â€Å"for patients with dementia in particular to understand what is about to happen to them† (Cunningham McWilliam 2006, p. 14). Cunningham and McWilliam (2006, p. 14) suggest that nursing staff must compensate in their communication with dementia patients and that this often requires nurses to re-prioritize their tasks and sense of immediacy in order to offer the patient the greatest level of psychological and/or emotional support. Lipley (2005) states one of the most important nursing tasks is offering support to a stroke patient. The sociological impact relating to Ms. C.’s crisis was limited for the immediate future while hospitalized, although she indicated that she wanted her children contacted and requested they come to the hospital. The biggest sociological change and challenges facing Ms. C. would be following her discharge from the hospital. Depending on the amount of total damage suffered from her stroke and the subsequent progress with therapy to regain lost functionality, it was probable that Ms. C. would relocate to either live with one of her children and/or settle in a home for the aged. This required the nurse to contact a social worker to help Ms. C. with her adjustment. Implications for the organization One of the six strategic goals established by the Department of Health’s National Stroke Strategy (2007b) is to â€Å"accelerate the emergency response to stroke and improve coordination between different agencies and professionals involved including through improved access to CT scanning.† Fortunately, the hospital where Ms. C. suffered her stroke complied with this goal and had a Code Gray team assembled. National Health Services (2007) approximates 90 percent of hospitals in England as prepared to administer specialized stroke services. The number of stroke victims is increasing every year. The nurses must be aware of required interventions. This paper has highlighted the ischemic stroke and patient impacts, as well as those on the organization and nurse. The charts below presents required nursing interventions in response to an inpatient stroke. Reference Amber, R., Watkins, W., 2003. The community impact of Code Gray. Critical Care Nursing Quarterly, 26 (4), pp. 316-322. Becker, J. U. Wira, C., R. 2006. Stroke, Ischemic [Online]. Available from: http://www.medscape.com/emerg/topic558.htm [cited March 16 2007]. Bonnono, C., Criddle, L. M., Lutsep, H., Stevens, P., Kearns, K., Norton, R., 2000. Emergi-paths and stroke teams: An emergency department approach to acute ischemic stroke. Journal of Neuroscience Nursing, 32 (6), pp. 298-305. Cunningham, C. McWilliam, K., 2006. Caring for people with dementia in AE. Emergency Nurse, 14 (6), pp. 12–16. Department of Health, 2007a. Stroke [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Stroke/index.htm [cited March 16, 2007]. Department of Health, 2007b. Developing a national stroke strategy [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Stroke/DH_4132138 [cited March 16, 2007]. Department of Health, 2007c. Good practice examples and case studies: standard five (strokes) [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Olderpeoplesservices/Olderpeoplepromotionproject/DH_4002291[cited March 16, 2007]. Lipley, N., 2005. Different strokes†¦ Emergency Nurse, 13 (5), p. 5. Mathiesen, C., Tavianini, H. D., Palladino, K., 2006. Best practices in stroke rapid response: A case study. Medsurg Nursing, 15 (6), pp. 364-369. Nolan, S., Naylor, G. Burns, M., 2003. Code Gray: An organized approach to inpatient stroke. Critical Care Nursing Quarterly, 26 (4), pp. 296-302. Spilker, J., Kongable, G., Barch, C., Braimah, J., Bratina, P., Daley, S., Donnarumma, R., Rapp, K. Sailor, S., 1997. Using the NIH stroke scale to assess patients. Journal of Neuroscience Nursing, 29 (6), pp. 384-393. Stroke Association, 2007. Facts and figures about stroke [Online]. The Stroke Association. Available from http://www.stroke.org.uk/media_centre/facts_and_figures/index.html [cited March 16, 2007]. Wojner, A. W., Morgenstern, L., Alexandrov., A. V., Rodriguez, D., Persse, D., Grotta, J., 2003. Paramedic and emergency department care of stroke: Baseline data from a citywide performance improvement study. American Journal of Critical Care, 12 (5), pp. 411-417. 1 Footnotes [1] The term generally accepted in the medical community for multidisciplinary stroke response teams. The typical composition of a Code Gray team includes a primary care RN, charge RN from the Stroke/cardio care unit, an ICU RN, ICU resident, a neurologist, CT technologist and an individual responsible for telecommunications (Nolan Naylor 2003, p. 297). The Department of Health (2007c) reports that other Code Gray teams also include occupational therapists, physiotherapists, speech and language therapists, dieticians, pharmacists, a clinical psychologist and social worker. [2] FAST criteria is the acronym also known as the Cincinnati Pre-hospital Stroke Scale, such that F = Facial Droop, A = Arm drift, S = Speech and T = Time (Mathiesen et al. 2006; Lipley 2005). [3] t-PA must be administered within three hours of the first onset of symptoms (Amber 2003). [4] Losartan is an angiotensin receptor blocker. The choice was made to use this type of intervention based on the muscle relaxing nature of the medication rather than incorporating those that lowered BP through a modification of electrical activity within the nervous or cardiac system due to the reliance on her pacemaker and the potential other such forms of medication might have on recurrent tachycardia or bradycardia. [5] Ischemic cascade is the term referring to the chain of events that takes place following an ischemic stroke. [6] Although a variety of diagnostic blood work was already performed on Ms. C, a CBC, chemistry panel and cardiac biomarkers were ordered following the stroke for comparison against pre-stroke values along with coagulation studies (Becker Wira 2006).

Sunday, August 4, 2019

The Evil King in Shakespeares Richard III Essay -- Richard II Richard

The Evil King in Shakespeare's Richard III Richard is an actor, a fully evil actor, who through his mastery of the stage has come to appreciate his skill. Richard Moulton, in his Shakespeare as a Dramatic Thinker, proclaims Richard's wonder at his own command of the stage: "Richard has become an artist in evil: the natural emotions attending crime-whether of passionate longing, or horror and remorse-have given place to artistic appreciation of masterpieces" (40). And Robert Weimann, comparing Richard Gloucester to a character in Shakespeare's King John states: "Both characters exemplify a strenuous need to perform, 'toiling desperately' to play a role, 'to find out,' and, for better or worse, to take up arms against a thorny world" (130). Richard Gloucester begins taking up arms against his world in the opening scene as he finds himself shunned in the manners of friendship and love, being "cheated of feature by dissembling nature" (1.1.19), and he decides to take on the role of scoundrel: "And therefore since I cannot prov e a lover / To entertain these fair well-spoken days, / I am determined to prove a villain / And hate the idle pleasures of these days" (1.1.28-31). The physical deformity that pushes Richard to his evil conniving may be nothing more than a creation by Shakespeare to further point out Richard's wickedness. Peter Kilby, author of "The Princes in the Tower," claims that in reality Richard had no deformity, and that Shakespeare created it because "physical deformities were considered to be outward signs of an evil nature" (11). Not so much, according to Zamir, who states: "Various sources tell us that he was short, that one of his arms was smaller than the other, that his legs, too, were of unequal si... ...66. Moulton, Richard G. Shakespeare as a Dramatic Thinker. New York: MacMillan, 1907. Oestreich-Hart, Donna J. "Therefore, Since I Cannot Prove a Lover." Studies in English Literature 40 (2000): 241-60. Righter, Anne. Shakespeare and the Idea of the Play. Westport, CT: Greenwood Press, 1962. Spotswood, Jerald W. "Maintaining Hierarchy in The Tragedie of King Lear." Studies in English Literature 38 (1998): 265-80. Squire, Sir John. Shakespeare as a Dramatist. London: Cassell and Company, 1935. Stevenson, William B. "A Muse of Fire of a Winter of Discontent?" Journal of Management Education 20 (1996): 39-48. Weimann, Robert. "Mingling Vice and 'Worthiness' in King John." Shakespeare Studies 27 (1999): 109-33. Zamir, Tzachi. "A Case of Unfair Proportions: Philosophy in Literature." New Literary History 29 (1998): 501-20.

Saturday, August 3, 2019

Israels Land, Culture, History, and Religion Essay examples -- Cultura

The record of human habitation in Israel is at least 100,000 years, old. Evidence of the domestication of plants and animals can be dated to about 10,000 BC. The State of Israel, an independent nation in southwest Asia, is located between the eastern shores of the Mediterranean Sea and the Gulf of an arm of the Red Sea. "Israel is considered the Holy Land for Christians, Jews, and Muslims {1}". Which includes religious representation of most of the world's entire population. To reflect on all the different aspects of the cultural and historical geography of Israel would certainly be out of the scope of this tiny paper so, general information will then be discussed below. ITS LAND Israel is a small country (a small country as related to overall territory/mass). It is long and narrow and stretches just under 450 kms from North to South and on average is 60 kms from East to West. The majority of Israel's west is surrounded by the Mediterranean Sea. The Mediterranean Coast consists of a narrow plain (The Sharon Plain) which is home to most of Israel's people. The Sharon Plain is where Israel's largest urban city, Tel Aviv, is located. Israel's Eastern border is dominated by the Jordan River Valley which drops down to the Dead Sea which is the lowest depression on Earth at 400 meters below sea level. Israel's southern region is managed by the rough and mountainous Negev Desert. At Israel's Southern apex Israel's port of Eilat dominates several kilometers of sparkling Red Sea coast. The primary region of the country is hilly, and at one of the highest points is the national capital, Jerusalem {3}. The northern quarter of Israel is dominated by the hilly and fertile Galilee region. Israel's largest body of fresh wate... ...re. Israel truly is the center of all historical and cultural geography to me now. "Oh, Israel, I will never forget you. (Isaiah 44:21)" Works Cited: 1. About Israel. "Israel tourism guide." 1996. http://www.algonet.se/%7Elj/ (April 10, 1997) 2. Focus Multimedia. "Your Key To Be Seen!" Israel. 1997. http://www.focusmm.com.au/israel/is_giamn.htm. (April 10, 1997) 3. Gold Stag Commun. "Odyssey." ISRAEL. 1996 http://www.emerald-empire.com/geography/israel/page00.htm (April 10, 1997) 4. Israeli Foreign Affairs. "Israel Ministry of Foreign Affairs." 1996. http://www.israel-mfa.gov.il (April 10, 1997) 5. Kachar, Menachem. "Israel Visit." 1996. http://www.israelvisit.co.il (April 10, 1997) UT @austin. "JPEG Image." Israeli Maps. 1997. http://www.lib.utexas.edu/Libs/PCL/Map_collection/middle_east_and_asia/Israel GIF (April 10, 1997)

Pancreas Transplant: A Cure for Diabetes?” :: Endocrine System

The article, â€Å"Pancreas Transplant: A Cure for Diabetes?† written by Eli A. Friedman, M.D., explores the possibility of a cure for type 1 diabetes and the implications involving this experimental procedure. The article discusses current procedures and treatments that are commonly used to control type 1 diabetes and highlights provisional treatments that evolved into pancreatic transplant surgery. The editorial explains that diabetes mellitus is the leading cause of irreversible renal failure, known more commonly as End Stage Renal Disease (ESRD). Diabetes mellitus can cause nerve, vascular and other problems that can result in limb amputation and blindness. There are two types of diabetes: long-duration, non-insulin dependent (type 2) and insulin-dependent (type 1). Type 1 seems to attract the most attention from Physicians and the media. Many of those that suffer from type 1 are children and young adults. Dr. Friedman underlines some of the most common existing treatments for type 1 diabetes. Insulin is used to correct the imbalances in blood sugar and patients are required to reduce the amount of dietary protein they consume. This type of treatment focuses on slowing the possibility of developing kidney disease and retinopathy. For many diabetics, the time will come when their damaged kidneys are no longer sufficiently cleaning the blood and they must begin dialysis. When a diabetic reaches the ESRD stage, the likely option is kidney transplant. Dr. Friedman adds that a kidney transplant will not solve the problem and the disease will eventually progress without a pancreas transplant. The article stipulates that diabetes involves the pancreas as well as the kidney. The pancreas produces insulin, the hormone that regulates glucose. When the pancreas malfunctions, diabetes can result. The idea behind kidney/pancreas transplant is to replace the kidneys damaged by diabetes and to eliminate abnormal insulin production by providing a new healthy pancreas.

Friday, August 2, 2019

A Critical Response Essay on Walt Whitman’s A Noiseless Patient Spider

Walt Whitman’s poem is obviously comparing the web spun by the spider and the soul of one’s self. The use of words pertaining to space is in abundance in the whole poem and this is both the case when the persona was describing the noiseless and patient spider (â€Å"explore the vacant, vast surrounding†, line 3) and when describing his own soul (â€Å"Surrounded, surrounded, in measureless oceans of space†, line 7).The most fascinating aspect of the poem is that Whitman uses a free-verse style and yet a rhythm is formed with the tempo and a beat of how a spider would have been doing and feeling while spinning the silver web and trying to latch it to open spaces around it or how the soul of the persona itself is trying to seek â€Å"spheres† and â€Å"to connect them† (line 8) to the open space present around the soul.When a reader imagines the imagery presented in the poem, it is not the spider or the soul which is visualized. Instead, the re ader sees the imagery of a spider being noiseless and patient with spaces around it and the soul being noiseless and patient as well. Thus, the spider and the soul are both the same with their need to cling to something outside the space and to venture forth outside that space.Moreover, there is a sense of purpose and existence of both the soul and the spider since they both have to latch on to something. The spider has to in fact, launch â€Å"filament, filament, filament, out of itself† (line 4) and the soul has to fling its â€Å"gossamer thread† (line 10) until it â€Å"catch somewhere† (line 10).Therefore, the spider and the soul is one and the same. The link or the parallelism of both the spider and the soul is their place in space. Other than that, the spider and the soul would be enormously different from each other.  

Thursday, August 1, 2019

Career Development Plan Essay

The recent merger of InterClean and EnviroTech (ICET) has opened many opportunities for employee promotions. In an effort to stimulate our employees, focus on their strength and talents, and teach them new skills that will assist in our overall success, management has decided to revamp the way training’s been done in the past by implementing a new training performance format. Our new training module will focus on sanitation standards, communication, customer service and satisfaction and networking. The program will consist of 9 steps that will key in on industry knowledge. The training format will consist of new training evaluation and mentoring needs, focus on objectives of training and mentoring, reviewing performance standards, analyze delivery methods, examine contents for training and mentoring, address time frames and evaluation methods, feedback, and lastly explore alternative avenues for further development. Once this program is implemented, we believe our employees will develop an expertise in their respective areas that will have a positive impact in ICET’s organizational competitiveness, performance and productivity. The new training and mentoring needs The new training format will impact the way ICET does business. The focus of the new three week training will be to teach our sales associates about sanitation standards, communication, customer service and satisfaction and networking. Each step in the new training format will help us attain overall success that will benefit the employee and our company as well. However, training alone will not offer one on one simulation. Therefore, we are implementing a mentoring program that will give employees accessibility to learn and work with mentors that have specific knowledge about interested areas for a period of six month to ensure well rounded working knowledge from key experts. Objectives of the training and mentoring program The objective of training will be vital to attain future success. Therefore, the first objective will be to learn about the sanitation standards and regulations so that we will be well informed as we cross over into health care service solutions. The second objective we will focus on is communication. The key concentrations will be listening, and planning to attain effective decision making. The third objective will be customer service and satisfaction as related to personal attention and quality service and lastly the fourth objective will be on the importance of networking to build relationships with key industry contacts. With regards to the mentoring program our focus will be to combine all the aforementioned above that will blend with our new mentoring program. This will allow employees to focus on their specific career development goals they would like to accomplish within the organization by working aside once a week for six month period with a mentor that is an expert in the chosen area. Performance standards The performance standards will be rated based on job role expectations. The indicators for example in sales will be based on revenue generated. This will be measured by how many sales deals were closed and the type of products. Market integration or expansion also be measured. Here the ability to find new perspective customer or even cross over into other types of health care businesses such as nursing homes or medical rehabs will be taken into evaluated and lastly customer retention based on quality customer service and feedback will also be considered. We feel all expectations will be reasonable and attainable once training is completed. Delivery methods Delivery methods are vital when training is being implemented. The focus is to keep the trainee interested and integrated during training. Therefore, we will focus on three training methods; experimental, integrative and reinforcement. For sanitation standards we will train with fact sheets, videos and or pamphlet and booklets. This will fall under the reinforcement methods. For the communication objectives, we will use skits because it will teach the trainee real life simulations which can be critiqued to help improve and fine tweak any area that need improvement. This delivery method will fall under the experimental method. As for the customer service objective, we will use dialogue. This will allow the trainee to participate and improve their delivery when meeting a customer and or closing the deal. This style will fall under the integrative methods and lastly we will use networking via conventions and or conferences so the trainee can interact with other business professionals. As for the mentoring program we will offer face to face interaction once weekly with expert mentors by area. Content for training and mentoring To achieve the best outcomes for ICET, we believe the content of the training program should be closely correlated tot to our business strategy and organizational goals. Therefore we will evaluate the skill and ability of employees that best match the open positions. This will be done by evaluating experience, worker, and occupational requirements. For example, experience will evaluated based on former training, experience, certifications or licenses. Worker requirements will be based on basic skills, cross functional skills, knowledge and education and lastly occupational requirement will be measure by general work activities, work and organizational content (Cascio 2005). Time frame Setting realistic time frames for employees to be trained properly is an important part of a successful training and mentoring program. Forming new habits or learning new methodologies take times which is why we have decided that employees will receive three week training so they feel fully acclimated and comfortable when they are out on the field. As for the mentoring program, we have decided to make it a three month program because we feel in order to appreciate and truly learn hands on the employee should be exposed to the daily routines of the mentor. Once the employee gets a good grasp of each section during the allotted training time, we believe they will be motivated and continue to develop their skills via applied experience they attain while working. Evaluation methods A good evaluation will most often use multiple methods because a well rounded objective decision can be archived. Therefore, we have decided that we will evaluate employees by these three standards; group interviews so we may see how the candidate behaves and reacts to intimidating settings, person to person simulations to see how the employee performs when selling a product and lastly via personality questionnaire to see if the employee characteristic match up with the extroverted personality we are looking for. Feedback Constructive feedback can make all the difference if you want to keep employees motivated. Therefore, it is our commitment to make sure that all feedback is constructive and address all the good quality the employee posses as well as the areas of improvement that will develop them further. Hence, we will sit with employees and perform verbal feedback that is clear and precise so that there is no room for misunderstanding. We want the make sure the employee is encouraged and understands that we are committed and interested in their career development and well being. We would also like to get feedback regarding the training program and any areas of weakness that can be improved. We will build an anonymous questionnaire so that the employee can be candid and honest without feeling as if there are attached strings. Alternate avenues for those who need further development Lastly, we would like to provide alternate avenues for employees who would like press further. Therefore, we will provide access to continuing education course twice a year. We will also have updated listing of conferences and training that will go beyond on internal training so that employees will be aware of the latest trends, approaches, and opportunities in their specific field. We believe this will help the employee morale as they will have access to any continuing education as needed. In conclusion, we believe our new training module will teach and provide the employees with all the necessary tools to become and maintain success.. Our focus on sanitation standards, communication, customer service and satisfaction and networking will set our employees apart from the rest because they will be well rounded and well informed. Once this program is completed, the employees will develop an expertise in their respective areas that will have a positive impact in ICET’s organizational competitiveness, performance and productivity. Reference http://www.indiana.edu/~uhrs/training/performance_management/define.htm