Quality Improvement Project for Patient Prescription Record

Quality Improvement Project for Patient Prescription Record The aim of this quality improvement project is to ensure that nurses record in the designated box on patients Prescription and administration record (to be referred to as: Kardex) if High Dose Antipsychotics Monitoring is Applicable YES or NO (to be referred as: applicable Y/N) and subsequently if yes, that the High Dose Antipsychotic Therapy monitoring form (to be referred to as: Monitoring form and the Early Warning Signs (EWS) Form have been activated for completion. The purpose of this is to secure patient safety from the side effects of the medication. There is widespread evidence which clearly links antipsychotic medication contributing to physical health problems such as cardiovascular problems, weight gain, endocrine problems, metabolic syndrome and sudden death (Gumber et al, 2010; Churchword et al, 2009; Tyson et al, 1999). Many premature deaths of people with serious mental illness are due to poor medical care that fails to monitor risk factors which may be due to side effects of medication (Cohen Hove, 2001). A council report by the Royal College of Psychiatrists (2006) revealed that past audits of high dose antipsychotic prescribing for in- patients showed poor adherence to monitoring recommendations. All patients on high dose antipsychotic treatment must be monitored. These guidelines attempt to clarify the identification of patients on high dose antipsychotics, factors to be taken into account before such prescribing and the documentation required when antipsychotics are prescribed in high dose; furthermore it is a polic y requirement of Forth Valley that this documentation is completed for these patients (Forth Valley, 2011). The charge nurse highlighted a concern when evaluating the patients Kardex audit, it showed 100% non-compliance for the completion of the Yes/No response for high dose antipsychotics monitoring. Subsequently when the patients are receiving high dose antipsychotics, there was inconsistency of the completion of the Therapy monitoring form and EWS form. A recent audit of patient Kardexes confirmed the charges nurse finding (see Pareto chart, Appendix B). To begin the process of the quality improvement project, a general ward meeting was held and attended by all staff in the ward that was on shift. During the meeting the charge nurse highlighted the recent findings of the Kardex audit. Concerns were raised that many areas on the Kardex were not being completed, and reminded staff nurses that this is not acceptable and needs to be improved. As a nurse it is extremely important to keep accurate documentation, good record keeping is an fundamental part of nursing practice, and is necessary to the delivery of safe and effective care (Nursing and Midwifery Council, (NMC) 2010). As an attempt to focus the quality improvement project more specifically the results of the audit were presented using a Pareto chart (Appendix B). The data confirmed the areas on the Kardex which were not being completed however, high dose antipsychotic monitoring Yes/No was the highest at 100% non-completion, therefore it was agreed that a new strategy would be implemented to improve this. McLaughlin and Kaluzny (2006) state that the defect focused on does not necessarily need to be the greatest frequency to be improved first, but attention should be given to that defect that may have a devastating result, such as an adverse event or even death. However the defect in this instance was the highest and potentially could cause an adverse event. Following the meeting a questionnaire (Appendix C) was devised and completed anonymously by the pharmacists, consultants and staff nurses to identify the root causes of why this area on the Kardex was not completed. A fishbone diagram was used to illustrate the findings (Appendix D). When populating the fishbone diagram with the data, it was clear to see that there were many reasons that each member of the multidisciplinary team had not completed the applicable area on the Kardex. Role confusion was a common theme from each member of the team. Hill-Smith et al (2012) claims that this is not unusual within multi-disciplinary teams and that respectful communication and clear instructions is of high importance in the delivery of high quality clinical care. Therefore based on these findings PDSA one was developed (Appendix G1). This tested whether the nurse attending the MDT meeting completes the Applicable Y/N on the patients’ Kardex following an email reminder and a verbal promp t from charge nurse before attending the meeting. The test confirmed there was a breakdown in communication, the nurse did not receive the email or a verbal reminder from the charge nurse prior to attending the MDT meeting therefore they were not aware of the procedure that had been discussed and as a consequence the applicable area on the form was not completed, this was confirmed by an audit of the Kardex (Appendix H). This informed the decision for PDSA two (Appendix G2). The nurse coordinating the shift should use the visual prompt situated on the shift coordinating sheet to remind the nurse attending the MDT meeting, to update applicable Y/N on the patients Kardex. The small change of a visual reminder on the shift coordinating sheet proved to be success. It reminded the coordinating nurse to verbally prompt the nurse attending the MDT meeting to complete the patient’s Kardex in the applicable area, which was shown by the Kardex audit after the shift; all patientsâ€℠¢ Kardexes were completed and as a consequently the Therapy form and EWS from were also initiated for completion. These findings are consistent with Simpson (2007) research, where teams have clear operating procedures in place, care coordinating is enhanced. The assumption was that the email and verbally prompt from the charge nurse would result in nurses completing the Applicable Y/N on all patients Kardexes, following the MDT meeting by 23rd February 2014 by 100%. Furthermore, if yes the Therapy form and the EWS form activated for completion. Audits were carried out on the dates shown to give a snapshot of the completion of Applicable Y/N on all patients Kardexes in the IPCU ward at that time. Initial findings of the first audit by the charge nurse on 01/02/2014 revealed that Applicable Y/N was completed 0%. The second audit carried out to confirm the previous results on 08/02/2014 which confirmed the charge nurses findings of 0% compliance of Applicable Y/N. PDSA one was carried out on 10/2/2014 the change revealed 0% improvement in the completion of Applicable Y/N. PDSA two was implemented on 21/2/2014 the change was successful, the results of the audit revealed that Applicable Y/N was completed on all patients Kardexes by 100% this in turn activated the completion of the Therapy form and EWS Form. Comparison of questions, predictions, and analysis of data: Engaging with the quality improvement (QI) project has required me to learn and apply new skills in practice. The process of plan, do, study, act (PDSA) cycles were a new technical skill which I had to not only learn myself, but teach fellow staff nurses on the ward, as this was also, a new process to them. I learnt that PDSA cycles provisionally test an idea by testing a change and assessing its impact. After implementing the first cycle, I learnt that it does not always get the results expected when making changes to your process; it taught me that it was better, and more effective to trial a small change to see if it made a difference, before implementing the change permanently. This also gave staff the opportunity to be involved and offer suggestions and see if the proposed changes would work. I also learnt that communication is an essential and fundamental process during the course of the QI. According to Adams (1999), to persuade others to make an improvement or change, the negotiator must be influential. The Charge nurse in this instance was the influential position to lead change. Unfortunately they were not able to fulfil their obligation in PDSA one, but they carried out the ward meeting and used this as a platform to discuss the Kardex audits with the staff which informed them of the need to make an improvement in practice. Once the need for the new process was established and its principles by the email from the charge nurse, informing the reasoning for a change in practice, this was used as a base for PDSA two. I learnt that it is just as important to define the risk of not making a change (Plummer, 2000) and in this circumstance, changing practice would not only enhance quality of care to patients, but it would promote the involvement between staff nurses and the MDT, building trust and confidence to make the change, whereas the risk of not making the change, could potentially cause an adverse event A final learning point I would like to include was how staff nurses initially were resistant to change. In my opinion from observing, the nurses were quite defensive as though they were being blamed for not doing their job correctly. The questionnaire used was an effective communication tool and successful resource for managing this resistance. It give staff the opportunity to anonymously feedback their reasons for not completing the applicable area on the Kardex, it also let them express their opinion without being condemned. Also, I feel that during this time, they were able to adjust and prepare for the change which minimised resistance (Bernhard and Walsh, 1995). I felt it was essential to take note of all their views as individuals and as team members, which provided further explanation of their reasoning for non-completion. Accountability was a consistent reason used by nurses for their reason for non-completion, as they felt it was a doctor or the pharmacist role and they did not want to be accountable for making the decision. When it was clarified that it was a team decision, by email from the charge nurse, the nursing staff felt supported. Mitchell (2001) states that accountability in nursing is a complex issue and acknowledged the importance of team support in the identification of roles and responsibilities. Frequent ideas and conversations with staff were held over the ten days, in advance of the change in PDSA two which I feel made the improvement successful and run smoother as nursing staff were aware of the new change. I have learnt that within nursing it is important to continually improve the way we work. Working at every level developing the knowledge, technical skills, including leadership, are vital for long-term improvement. Continually learning may be important not only to ensure that we have the skills needed to improve the quality of healthcare, but also to enhance the motivation to do so. Discuss the project’s significance on the local system and any findings that may be generalizable to other systems: Relocation to a new site change what been good practice and now a gap had appeared in the process of monitoring patient. The outcome of this project was a success. It was predicted that by 23rd February 2014 applicable Y/N would be completed by 100%. By establishing the success of the visual prompt in PDSA two on the co-ordinating sheet, was a very small but effective change. As a consequence, at the following staff meeting it was decided that the visual prompt would be a permanent fixture on the coordinating sheet, as it was a sustainable reminder to future shift coordinators, thus improving the initiation of therapy monitoring and EWS forms, and overall patient safety outcomes. Discuss the factors that promoted the success of the project and that were barriers to success. What did you learn from doing this project? What are your reflections on the role of the team? The factors which promoted success in the project were support and leadership from the charge nurse at the beginning of my placement. They helped identify areas in the ward which they felt needed improvement. Furthermore, as a student who had never been in a mental health ward, I felt overwhelmed with the task and this support and guidance helped me through the project. The use of the tools were a great way to involve staff on the ward to feel part of the project and broke down the barriers of pointing blame and focussed their attention in a systematic way, and explored the potential causes of the non-completions. I was amazed as how such a small change help facilitate and test change in a manageable way. I now understand that Quality improvement as a way of approaching change in healthcare that focuses on self-reflection, assessing needs and gaps, and considering how to improve in a multifaceted manner. I feel I have gained an enormous understanding in about quality improvement in that it aims to create an ethos of continuous reflection and a commitment to ongoing improvement. It provides nurses to gain an the skills and knowledge needed to assess the performance of healthcare and individual and population needs, to understand the gaps between current activities and best practice and to have the tools and confidence to develop activities to reduce these gaps Thus, the scan did not focus only on narrowly defined quality improvement models such as ‘plan, do, study, act’ (PDSA) cycles.

Pros and Cons of Birth Control Essay examples -- Contraceptives, Birth

Having babies is a wonderful thing embraced by many women; however, having an unplanned one is not so nice. It is good to have an option of avoiding that, contraceptive methods can hold the pregnancy till the time is right. Thanks to John Rock, who was the first man to ever invent the birth control pill, we have the option of waiting until we are ready. Even though this sounds like a wonderful idea, there are major health risks to receiving any form of contraceptive. Even though your Gynecologist does not mention it, no birth control is truly safe. The first form of birth control came in the form a pill and was approved by the FDA in 1960(qtd in Gladwell ) The pill was said to be the safest form of birth control because it was safe and said to be a natural form of birth control. John Rock was a well know man around the community. Loretta McLaughlin writes, "It was his name and his reputation that gave ultimate validity to the claims that the pill would protect women against unwanted pregnancy.†(qdt in Gladwell) Even back then, with all the research that they set out to do the pill was still know to cause cancer in young women, not only cancer but the miscarrying of children shortly after taking the pill. The most popular form of birth control is the pill. The reason for this is that it is said to be very effective against pregnancy if used correctly, it makes menstrual periods more regular and lighter, they decrease menstrual cramps and acne, makes you less likely to get ovarian and uterine cancer, pelvic inflammatory disease, ovarian cysts, and anemia, and last but not least, it doesn’t interrupt love making. Those are the good things about the pill. There are also a list of negative things: the pill doesn’t protect against S... ... Methods." Youngwomenhealth.org. 03 June 2010. Web. 03 June 2010. . "7 Common Birth Control Side Effects - Birth Control and Your Health - Health.com." Health.com: Health News, Wellness, and Medical Information. 16 Apr. 2008. Web. 08 June 2010. . "Birth-Control Secrets Your Gyno Hasn't Told You - Cosmopolitan.com." The Online Women's Magazine for Fashion, Sex Advice, Dating Tips, and Celebrity News - Cosmopolitan. 04 June 2010. Web. 08 June 2010. . ANNALS OF MEDICINE." Gladwell Dot Com - Malcolm Gladwell, Blink, Tipping Point and New Yorker Articles. 10 Mar. 2000. Web. 08 June 2010. . Keel,Eustacia. â€Å"Birth Control†Questionnaire.Fresno. Heald College,2010

Can You Write My Dissertation for Me

Can you Write My Dissertation for Me Absolutely, but let us share some ideas that will help you get started. Writing a dissertation is a daunting challenge. Many talented and knowledgeable students lack the deftness to write a dissertation. This has more to do with the actual task of writing. Academic expertise, research and time constraints are common issues but committed students will overcome these hurdles. Dissertations get rejected for a myriad of reasons. One of the most common reasons is the quality of writing. A dissertation has to be heavy on facts. There is little room for opinions and absolutely no scope for opinions without substantiating evidence. Since a dissertation is more technical in nature, most students are overwhelmed with the facts of the case and hence tend to lose sight of the quality of writing. This is the primary reason why you should hire an expert to write your dissertation for you.Can you Write My Dissertation for Me?Jumpstart the ProcessOne of the first advantages of hiring an expert to write my dissertation for me is jumpstarting the whole process. Many stude nts, including doctoral and postdoctoral fellows, have enough information at their disposal. There is no dearth of research, albeit there can be some incoherence in the vision. The gamut of information is often overwhelming. The ambit of purpose, problem, research questions, methodology or methods and eventual conclusion or inference can be enormous and it can unsettle even the smartest student pursuing a specific degree in a chosen discipline. These develop as the initial roadblocks. Many students simply don’t manage to get around to starting the process of writing their dissertation. All such scenarios that fuel procrastination can be easily dealt with by hiring an expert writer. The writer is getting paid for writing my dissertation for me. The writer does not have to deal with the various distractions that I as a student would have. Also, the writer is already familiar with the various methods that can be used to compile available information for a chosen topic and write the dissertation according to the provided instructions.Fast Turnaround TimeMany students take weeks to write their dissertation. Some students take months. Hiring an expert to write my dissertation for me will reduce this turnaround time to days. Most experts will be able to deliver the dissertation within a week. Some may be able to do it in two days. Of course the actual turnaround time will depend on the nature and scope of the dissertation, also the expertise of the writer and the type of instructions provided. Regardless of these variations, a proficient writer with relevant expertise will be able to write my dissertation for me much faster than me.Deftness in Writing and Domain ExpertiseWhen anyone hires a dissertation writer, the focus is twofold. One, the professional should be a deft writer. Two, the writer must have domain expertise. This twofold focus or criteria helps all students to get the best of both the worlds. Every dissertation has to be of an impeccable standard and it can only be so when it combines excellent writing and subject matter expertise. There are many students who are rather good with words but lack technical acumen. There are many technical wizards who are found wanting when it comes to the written word. Professional dissertation writing service assures both. You can actually look for specific domain expertise or even subcategories while hiring an expert.Editing is Included in the ServiceUnless mentioned otherwise and explicitly so , your dissertation would not only be written but also edited. This is crucial. Most dissertations will be unacceptable in their first draft. Some dissertations require several rounds of reviewing and revising. Editing is absolutely unavoidable. No student has ever written a perfect dissertation in their first attempt. Chances are high that a professional writer would do a much better job than a student who has no prior experience in writing dissertations but one or a few rounds of review is often imperative. Fortunately, such rounds of editing are included in the service. There is no additional fee you need to pay for editing, revisions or even normal reviews of spelling, grammar and factual accuracy.Enhanced Objectivity while Reviewing a DissertationHiring someone write my dissertation for me allows me to distance myself from the written piece and I can put on my hat as a subject matter expert to contemplate if I am convinced with what has been presented. When anyone writes a piec e, there is some degree of objectivity that is compromised. Even the finest analytical mind can be a little generous or lenient during self assessments. This augurs well for you when you hire a writer as you can be more pragmatic and objective with your assessment and take advantage of the included editing service.Free Plagiarism CheckA dissertation should not be plagiarized. This is a rule that applies to every discipline all around the world and regardless of the degree one is pursuing. Many people consciously plagiarize. Some students are unaware of the fact that their ideas or thoughts may not be original or unique and that their written dissertation may have stark similarities with other dissertations. This becomes obvious to the examiners and they immediately reject the dissertation. Plagiarism is a serious offense in academia. As a student, you may or may not have any means at your disposal to ensure that your dissertation is not plagiarized. Professional dissertation writing services include a plagiarism check for free. Even if it is chargeable, it is included in the total fee. You would get to use plagiarism checking tools that you wouldn’t have access to otherwise. There aren’t many options at your disposal to ensure that your dissertation is original. The best you can do is be genuine with your thoughts and write the dissertation without consciously or subconsciously reflecting what you may have read somewhere.Better Odds of Getting ApprovedProfessional dissertation writing services improve the odds in your favor. Since a dissertation can get rejected immediately on grounds of plagiarism, poor writing, incoherence, lack of alignment, poor citation, use of excessive quotes and little originality, dearth of factual information or inaccuracies, a professional writer with domain expertise will easily improve the chances of your dissertation getting approved by taking care of all these potential problems. A professional writer with relevant domain expertise would have the precious experience of having written dissertations of the kind you need. The writer would know exactly what it takes to pen the perfect dissertation and is also astutely aware of the grounds on the bases of which one can be rejected. Professional writers have a consciously proactive approach to avoid the errors that students may not be aware of. There are writers who have penned hundreds of dissertations and hence they know precisely what is sought by examiners. They are also aware of the kinds of dissertations that are already accepted and perhaps published so their own assessment becomes a preliminary plagiarism checker.Write My Dissertation for MeStudents who excel in academics and have a natural penchant for writing can always write their own dissertations. They may do an excellent job. Despite the odds in their favor, such students too will benefit by hiring a professional writer. Their dissertations may be tra nsformed from good to better or from acceptable to excellent. A dissertation has to satiate the purpose and it must also impress. Most examiners are looking to get dazzled by the pupils. A dissertation that does not stand out or shine in some way will definitely fail to impress.

The Future of Jakarta

Jakarta faces a number of problems as it develops. They include traffic congestion, flooding, waste disposal and ensuring a supply of clean water to Jakarta’s inhabitants. How serious are these problems? Will you want to live in Jakarta in 2025? Jakarta, the capital city of Indonesia has suffered many problems for decades. Recent years have seen increasing concern about some problems in Jakarta. The major problems are traffic congestion, flooding, waste disposal and ensuring a supply of clean water to Jakarta’s inhabitants. These problems are interconnected.Jakarta is the best destination for Indonesians to get a better life, but this can result in traffic jams because of the overpopulation. It appears that the people of Jakarta have a bad attitude towards garbage disposal, and this contributes to the problem of flooding. Even though Jakarta has many problems, some people choose to live here and some have no other choices. As Jakarta develops, the problems are also gett ing bigger. They have to be eliminated as soon as possible to create a better future for Jakarta. Jakarta is the capital and largest city in Indonesia.Located on the northwest coast of Java, it is the most populous city in Indonesia and in Southeast Asia. The official metropolitan area, known as Jabodetabek (Jakarta, Bogor, Depok, Tangerang and Bekasi), is the second largest in the world. By this definition, I understand that Jakarta is the focus of Indonesia. Jakarta is a center of economic, cultural, education and political that can enable Jakarta to develop. We also know that Jakarta has one of the largest populations in the world. This is one of the factors of the ever-increasing major problems. This essay has been divided into three parts.The first part deals with the overpopulation in Jakarta. The second part looks at the traffic jam and flooding that are the major problems of Jakarta. The third part of this essay considers the positive things that are developing in Jakarta as a metropolitan city. Finally, I will conclude my ideas. These help us to the purpose of this essay which is deciding to live in Jakarta in 2050 or not. According to Jakarta Post (Jakarta’s growing numbers, 2010), Jakarta’s population is increasing at an alarming level. According to the recent national census, the capital city is inhabited by nearly 9.6 million people.The city’s population is 4 percent of the country’s total population of 237. 6 million people. With the new figures, we can see that the city’s population has grown 4. 4 percent over the last 10 years, up from 8. 3 million in 2000. Jakarta is a busy, overcrowded city with traffic chaos every day and slums in many areas. Currently, less than 10 percent of the city is dedicated to open spaces. We can easily guess that urbanization is the biggest factor of population growth in Jakarta because Jakarta attracts people with its advantages.For example, Young farmers prefer to leave their hom etowns to work in the city due to a lack of government incentives in the agricultural sector, while people with higher education prefer to work in Jakarta because Jakarta has the best education and job opportunities than other provinces. The problem can be solved by reducing disparities between Jakarta and other provinces. One of the major problems in Jakarta is traffic jams. Nowadays the traffic jams become worse it is difficult to go anywhere without delay. Since the modern era, everybody needs transportation to live and we cannot separate transportation and traffic.As Balie (2009) points out, statistic show total vehicles in Jakarta now are about 4,9 million, of which 2,8 million have two wheels and 2,1 million have four wheels. We almost see traffic chaos every time especially at works and school time which is at 7 am and 6 pm. There are some factors that cause traffic jams. The first one is too much private transportation such as cars and motorcycles. We can get motorcycle easi ly with only 1 million rupiah in Jakarta. People think that using public transportation may lose their privacy and uncomfortable. The second one is the bad conditions of public transportation.Jakarta has some public transportation such as buses, trains, the busway system, taxis and others, but in general it is not in a good condition so people do not want to use it. There is no definite schedule for Transjakarta or trains and both are very crowded. There are many accidents with trains or buses in Jakarta so it is unsafe too. That is why people choose private transportation. Finally, there is frequent violation of traffic regulations. People tend to break the rules because they just think about themselves, and they do not think about others.For example, if students are late for school, they will break the rules or regulations by riding fast even though it is in traffic. On the other hand, the police can be bribed easily so people will repeat their mistakes again and again. Flooding i s also a major problem in Jakarta. This occurs in Jakarta repeatedly every rainy season. Jakarta was built below sea-level. The land is below the water, creating a city that is very familiar with the problems of flooding. The government still cannot resolve that problem until now. There are some other factors that cause floods in Jakarta.The first one is a lack of awareness of people in Jakarta to obey rules. People in Jakarta appear selfish and they do not care about others. They often litter everywhere and never think about the damage they cause. For example, they throw garbage in the river or irrigation. It makes the river full of garbage and when it is rainy, it will overflow. In addition, people do not care about their environment in Jakarta. Second reason is natural factors. Heavy rain can cause flooding in Jakarta. Moreover, almost every area in Jakarta is under water and there is no area for water absorption.Flooding gives many disadvantages such as diseases and destroyed ne ighborhoods. Many children and adults are affected by malaria and other diseases, which are quite dangerous to their safety. Usually the diseases occur in the slums of Jakarta neighborhood where people do not heed the rules. In contrast, Jakarta is a metropolitan city that offers many advantages. Jakarta Governor Fauzi Bowo (as cited in Smith, 2009) said that Jakarta is not only as Indonesia capital city, but also center of economic, culture, and education.At this moment, Jakarta is growing strongly but its population is at the buffer zones. We can see that Jakarta is a good place for trading and manufacturing. There are lots of foreign companies in Jakarta. Jakarta is the most luxurious and busiest city in Indonesia. The other advantages are entertainment. Jakarta has modern office towers, luxury shopping malls, night clubs, restaurants and cafes, theme parks and many more. It is really comfortable and enjoyable to live in Jakarta. For example, Plaza Indonesia mall offers a theater , luxury cafes and stores that attracts many people to go there.Beside the disadvantages, Jakarta can be a comfortable place to live. It can be concluded that Jakarta as an overpopulated city has some advantages and disadvantages. Jakarta is a beautiful city and it is a good place to live if we know how to live properly there. Besides that, the problems occur every day in Jakarta because it is a busy city. We face traffic chaos every day and flooding every rainy season. The problems are still unsolved by the government and the citizens. They still put their effort to find the best solutions for Jakarta.In the future, I personally do not want to live in Jakarta if the problems are unsolved. I think Jakarta already has good entertainment and lifestyle but the traffic is too chaotic and the flooding is too dangerous. It is unsafe to live here for a long time with the pollution, diseases, crime, and much more. In 2025 if the government still does not have solutions, Jakarta will be more overpopulated and the traffic will be everywhere. So I would prefer to live in another city that is more comfortable and safe where traffic jams and flooding are not big problems. The Future Of Jakarta Jakarta, the capital city of Indonesia has suffered many problems for decades. Recent years have seen increasing concern about some problems in Jakarta. The major problems are traffic congestion, flooding, waste disposal and ensuring a supply of clean water to Jakarta’s inhabitants. These problems are interconnected. Jakarta is the best destination for Indonesians to get a better life, but this can result in traffic jams because of the overpopulation. It appears that the people of Jakarta have a bad attitude towards garbage disposal, and this contributes to the problem of flooding.Even though Jakarta has many problems, some people choose to live here and some have no other choices. As Jakarta develops, the problems are also getting bigger. They have to be eliminated as soon as possible to create a better future for Jakarta. Jakarta is the capital and largest city in Indonesia. Located on the northwest coast of Java, it is the most populous city in Indonesia and in Southeast As ia. The official metropolitan area, known as Jabodetabek (Jakarta, Bogor, Depok, Tangerang and Bekasi), is the second largest in the world. By this definition, I understand that Jakarta is the focus of Indonesia.Jakarta is a center of economic, cultural, education and political that can enable Jakarta to develop. We also know that Jakarta has one of the largest populations in the world. This is one of the factors of the ever-increasing major problems. This essay has been divided into three parts. The first part deals with the overpopulation in Jakarta. The second part looks at the traffic jam and flooding that are the major problems of Jakarta. The third part of this essay considers the positive things that are developing in Jakarta as a metropolitan city.Finally, I will conclude my ideas. These help us to the purpose of this essay which is deciding to live in Jakarta in 2050 or not. According to Jakarta Post (Jakarta’s growing numbers, 2010), Jakarta’s population is i ncreasing at an alarming level. According to the recent national census, the capital city is inhabited by nearly 9. 6 million people. The city’s population is 4 percent of the country’s total population of 237. 6 million people. With the new figures, we can see that the city’s population has grown 4. 4 percent over the last 10 years, up from 8. 3 million in 2000.Jakarta is a busy, overcrowded city with traffic chaos every day and slums in many areas. Currently, less than 10 percent of the city is dedicated to open spaces. We can easily guess that urbanization is the biggest factor of population growth in Jakarta because Jakarta attracts people with its advantages. For example, Young farmers prefer to leave their hometowns to work in the city due to a lack of government incentives in the agricultural sector, while people with higher education prefer to work in Jakarta because Jakarta has the best education and job opportunities than other provinces.The problem ca n be solved by reducing disparities between Jakarta and other provinces. One of the major problems in Jakarta is traffic jams. Nowadays the traffic jams become worse it is difficult to go anywhere without delay. Since the modern era, everybody needs transportation to live and we cannot separate transportation and traffic. As Balie (2009) points out, statistic show total vehicles in Jakarta now are about 4,9 million, of which 2,8 million have two wheels and 2,1 million have four wheels. We almost see traffic chaos every time especially at works and school time which is at 7 am and 6 pm.There are some factors that cause traffic jams. The first one is too much private transportation such as cars and motorcycles. We can get motorcycle easily with only 1 million rupiah in Jakarta. People think that using public transportation may lose their privacy and uncomfortable. The second one is the bad conditions of public transportation. Jakarta has some public transportation such as buses, train s, the busway system, taxis and others, but in general it is not in a good condition so people do not want to use it. There is no definite schedule for Transjakarta or trains and both are very crowded.There are many accidents with trains or buses in Jakarta so it is unsafe too. That is why people choose private transportation. Finally, there is frequent violation of traffic regulations. People tend to break the rules because they just think about themselves, and they do not think about others. For example, if students are late for school, they will break the rules or regulations by riding fast even though it is in traffic. On the other hand, the police can be bribed easily so people will repeat their mistakes again and again. Flooding is also a major problem in Jakarta. This occurs in Jakarta repeatedly every rainy season.Jakarta was built below sea-level. The land is below the water, creating a city that is very familiar with the problems of flooding. The government still cannot re solve that problem until now. There are some other factors that cause floods in Jakarta. The first one is a lack of awareness of people in Jakarta to obey rules. People in Jakarta appear selfish and they do not care about others. They often litter everywhere and never think about the damage they cause. For example, they throw garbage in the river or irrigation. It makes the river full of garbage and when it is rainy, it will overflow.In addition, people do not care about their environment in Jakarta. Second reason is natural factors. Heavy rain can cause flooding in Jakarta. Moreover, almost every area in Jakarta is under water and there is no area for water absorption. Flooding gives many disadvantages such as diseases and destroyed neighborhoods. Many children and adults are affected by malaria and other diseases, which are quite dangerous to their safety. Usually the diseases occur in the slums of Jakarta neighborhood where people do not heed the rules. In contrast, Jakarta is a metropolitan city that offers many advantages.Jakarta Governor Fauzi Bowo (as cited in Smith, 2009) said that Jakarta is not only as Indonesia capital city, but also center of economic, culture, and education. At this moment, Jakarta is growing strongly but its population is at the buffer zones. We can see that Jakarta is a good place for trading and manufacturing. There are lots of foreign companies in Jakarta. Jakarta is the most luxurious and busiest city in Indonesia. The other advantages are entertainment. Jakarta has modern office towers, luxury shopping malls, night clubs, restaurants and cafes, theme parks and many more. It is really comfortable and enjoyable to live in Jakarta.For example, Plaza Indonesia mall offers a theater, luxury cafes and stores that attracts many people to go there. Beside the disadvantages, Jakarta can be a comfortable place to live. It can be concluded that Jakarta as an overpopulated city has some advantages and disadvantages. Jakarta is a beautif ul city and it is a good place to live if we know how to live properly there. Besides that, the problems occur every day in Jakarta because it is a busy city. We face traffic chaos every day and flooding every rainy season. The problems are still unsolved by the government and the citizens.They still put their effort to find the best solutions for Jakarta. In the future, I personally do not want to live in Jakarta if the problems are unsolved. I think Jakarta already has good entertainment and lifestyle but the traffic is too chaotic and the flooding is too dangerous. It is unsafe to live here for a long time with the pollution, diseases, crime, and much more. In 2025 if the government still does not have solutions, Jakarta will be more overpopulated and the traffic will be everywhere. So I would prefer to live in another city that is more comfortable and safe where traffic jams and flooding are not big problems.

Free Essays on Humans Are Sscared

Humans are scared of what they don’t understand, and so in a way to try and understand the world around them, humans made up gods. Gods are a simple way of answering any question, and humans all throughout history have made up gods and/or supreme beings such as the Greeks did. The ancient Greeks developed a religion and beliefs about the world that we now call Greek Mythology. Mythology is a body of myths for a particular culture, and the study and interpretations of such myths. Myths though can be defined as a narrative that through many retellings has become an accepted tradition in a society. By this mythology may include all traditional tales, such as creation of the world and about the gods that rule the world. One such god was Persephone the queen of the under world, married to Hades the god of the under world. Persephone is the daughter of Demeter (god of agriculture) and Zeus (the king God). She is a very beautiful young girl with pale white skin and blond hair. She is so beautiful that many of the gods wished to have her as their wife. She does not smile much though and is very sorrowful when she is in the underworld with her husband, but she is very happy and joyful when she is on earth with her loving mother Demeter. As I mentioned earlier, mythology is all about myth or stories about the gods. One story that involves Persephone is the story about how she became queen of the underworld. Demeter loved Persephone so dearly that she always had her at her side, and whenever Demeter visited the earth Persephone would follow. She would go about the fields dancing and wherever her light feet touched the ground flowers would emerge. Hades, though, soon noticed her and fell in love with her immediately. He knew though that Demeter would never allow it because she would not be able to bare to part with her dear daughter. Hades though found another way to get her as her wife. He planned to abduct her one-day when she was about d... Free Essays on Humans Are Sscared Free Essays on Humans Are Sscared Humans are scared of what they don’t understand, and so in a way to try and understand the world around them, humans made up gods. Gods are a simple way of answering any question, and humans all throughout history have made up gods and/or supreme beings such as the Greeks did. The ancient Greeks developed a religion and beliefs about the world that we now call Greek Mythology. Mythology is a body of myths for a particular culture, and the study and interpretations of such myths. Myths though can be defined as a narrative that through many retellings has become an accepted tradition in a society. By this mythology may include all traditional tales, such as creation of the world and about the gods that rule the world. One such god was Persephone the queen of the under world, married to Hades the god of the under world. Persephone is the daughter of Demeter (god of agriculture) and Zeus (the king God). She is a very beautiful young girl with pale white skin and blond hair. She is so beautiful that many of the gods wished to have her as their wife. She does not smile much though and is very sorrowful when she is in the underworld with her husband, but she is very happy and joyful when she is on earth with her loving mother Demeter. As I mentioned earlier, mythology is all about myth or stories about the gods. One story that involves Persephone is the story about how she became queen of the underworld. Demeter loved Persephone so dearly that she always had her at her side, and whenever Demeter visited the earth Persephone would follow. She would go about the fields dancing and wherever her light feet touched the ground flowers would emerge. Hades, though, soon noticed her and fell in love with her immediately. He knew though that Demeter would never allow it because she would not be able to bare to part with her dear daughter. Hades though found another way to get her as her wife. He planned to abduct her one-day when she was about d...

Memory Essay Example | Topics and Well Written Essays - 500 words

Memory - Essay Example Furthermore, in all types of memory, including those associated with immune responses, an individual's capacity decreases with age (2, 3). While certain amount of scientific literature is available in the public databases with regard to the influence of external stimuli on memory, little or no information is available on decrease of memory performance in response to an external stimulus. In this context, we hypothesized that the memory of an individual is affected by external stimuli to such an extent that there's a significant decrease in individual memory performance. For the present, memory performance is defined as the ability of an individual to recall the objects which that particular individual was allowed to view for one minute. With an aim to test the hypothesis, two groups, of five people each, were included in the present study. The first group was the experimental group while the later served as controls. Both the groups were asked to memorize, and recall from their memory, twelve easily recognizable objects placed in a tray after viewing them for one minute. However, when individuals from the experimental group were viewing the objects, loud rock music was played next to them.

Summary and Impact Essay Example | Topics and Well Written Essays - 250 words

Summary and Impact - Essay Example tudy shows that brain activity visibly increases in the process of nondirective meditation; however, it remains almost the same during concentrative meditation. Researchers explain these results by the fact that nondirective meditation allows more space for different thoughts and feelings in it which concentrative meditation is restricting them. Only 3 researchers involved in this study practice meditation to cope with daily stress. Stress follows people everywhere and they need to cope with it somehow. Since this article proves that meditation works, I can try to practice it in my daily life to come down during critical moments. I find this article useful because I often suffer from own inability to deal with stressful events effectively. As a result, I experience problems with falling asleep or feel nervous during the day. Out of two types of meditation described in the article, I would like to practice concentrative meditation first because it seems to be more understandable for me. Perhaps, meditation or simple concentration on breathing will improve my coping