Information Giving and Counselling Skills Case Study

Information Giving and Counselling Skills Case Study INTRODUCTION As health professionals, every day we are invited to face patients presenting different problems and which need various solutions or therapies such as medical treatment, information giving, teaching, counseling, etc. I am a trained nurse in dialysis and renal pathologies management and I work in dialysis unit of our hospital. My main role is to receive patients with renal pathology and lead them to the Nephrologist, to plan and to execute prescribed treatment for those who are diagnosed with renal failure. That treatment concerns in general renal replacement therapies like hemodialysis or peritoneal dialysis. For the following work, I have chosen one of our patients because of the following reasons: He is a patient suffering of end stage renal disease and undergoing dialysis treatment since 2 years, he passed the first year under peritoneal dialysis but after developed chronic peritonitis and for this he has been transferred for hemodialysis. He is waiting for renal transplantation but now lacks fund needed for the process Because of peritonitis he has received painkiller drugs for a longtime to relieve pain but he finished by developing addiction to painkillers. Still now he continues to claim for painkillers while there is no valuable reason. He presents signs of anxiety and depression IDENTIFYING THE PROBLEM Identifying clients problem is the key of the success of counseling process. Problem exploration is an important step, because it permits counselor-client initial contacts and to map out the clients problem. For this, all the process has to be well prepared. The preparation concerns the client and the environment in which counseling will be given. Concerning my client preparation, to get his consent, I have before all explained him what is counseling and what its benefits are for people undergoing it. Concerning the environment, all counseling sessions have taken place in our service, in one of our offices that I have chosen because its calm, well illuminated and aerated and where distracting conditions have been eliminated. We used chairs permitting to have various positions but every time it was possible, I arranged them in manner to permit face to face interaction. This arrangement permits us to avoid distractions and to have a full opened interaction. Counseling sessions were arr anged to have place before each hemodialysis session, and I tried to avoid they went over 30 minutes. This has the purpose to permit my client to begin quietly his hemodialysis session. My client MV is a young adult presenting various problems. After a careful analysis, I found that my client has various problems which need to be resolved by himself or through assistance from other people. Here, I found that neededassistance could be categorized as following: Problem necessitating other help than counseling Treatment of End stage renal disease: the management of that condition is accomplished primarily by medication, diet therapy and renal replacement therapy. The initiators of the treatment are Physicians (Fink et al., 2001). Problems which may find solution with counseling Addiction to painkiller drugs: treatment by painkiller began while my client was treated by peritoneal dialysis. He developed chronic peritonitis with intolerable abdominal pain. For the pain he received painkiller each time he claimed it. After stopping peritoneal dialysis and starting hemodialysis, my client continues to ask painkiller although we dont see a real reason for it. We concluded that he has developed dependency to painkillers. Understanding a variety of models and theories of addiction and other problems related to substance use, describing helping strategies for reducing the negative effects of substance use, abuse, and dependency are among competencies of a counselor in addiction (U.S CSAT, 2005). Problem which may find solution in combination of medical assistance and counseling: Anxiety and depression which according to my assessment are due to: Waiting a long time the renal transplantation without hope to find financial assistance for the process. Thinking to be useless for the family Anxiety and fear of the future: before he felt sick, he was going to begin university studies and has been obliged to stop them Brusque stop of painkiller treatment Cucor D. et al, (2007)recognized that depression is one of common mental health problem for people with End-stage renal disease. According to them, depression is one of factors influencing morbidity and mortality rates among those people. Various medications are used to fight anxiety and depression but to be more effective, medication need to be combined with other therapies like behavioral therapies. When associated, both medical and behavioral therapy, patient benefits from better decrease in symptoms and a lesser risk of setback (http://helpguide.org/mental/anxiety_types_symptoms_treatment.htm). The client has developed dependency on painkillers drugs and has been obliged to stop them without any psychological assistance to help him to do gentle withdraw from drug taking. According to my assessment and a long time passed with the client, its for that problem that my client needs to be helped firstly and its about it I have chosen to work with him as also he has wished. It may be a hard task, but this will help the client and will help me to get more experienced because we are lacking experienced counselors. TRANSCRIPT OF PART OF MY COUNSELLING INTERACTION WITH MY CLIENT During counseling sessions, the counselor uses various techniques to interact with his client. Communication and interaction management skills are used during counseling interaction and their use depends on how the session is going. Here below is a short transcript of one session I had with my client. Myself: you come just to present me problems which are stressing your life, could you tell me now about the intensity of each problem? Here I have used questioning skills to help my client to express himself and explore issues concerning his problems. Client: As I told you in the last session, I have been suffering from chronic renal failure there are now more than 3 years. As you see it, I am young and I was about to begin my university studies when I felt ill. At the beginning, I was confident even though my doctor had told me that I will need long term treatment. Now when I think about my future, I feel hopeless. My studies stopped, I lost a lot of money with medical treatment, and I dont have money for renal transplantation, and for my unluckiness although he knows that I am suffering the doctor has stopped my injections of painkiller. Myself: I understand you feel overburden by all those problems; according to you which problem is mostly troubling your life? What are your main concerns? Client: actually its my continuous unrelieved pain. Myself: Can you briefly speak about that pain? Here, focusing skills to bring my client to give a clear definition of the problem for which he needs our help. Client: as you know it, I have started treatment with peritoneal dialysis. After 5 months of treatment I developed peritoneal infection which was causing me serious pain. Other patients who had the same problem in the past advised me to ask to my doctor to prescribe me Pethidine which relieves pain and permits to sleep. Here, active listening skills helped me to show to my client that I am attentive to what he is telling me. Myself: how did you appreciate the treatment with Pethidine? Here also I used questioning skills to get full information which can help me to analyze the relationship between my clients problems and his medical history. Client: at the start it was wonderful to not feel pain and I was again able to close my eyes and sleep. Myself: and after? Client: after, it became impossible for me to sleep without my injection and one injection a day was not sufficient for me. For this, all the day I was harassing my nurse to provide me Pethidine. Myself: You told me that when you begin treatment with Pethidine everything was ok, no pain and you were able to sleep. So, how did you take it when the Nephrologist decided to stop Pethidine injection for you? Here I used summarizing skills to help my client to stay fixed on our subject; pain. I asked him that question as a challenge to see if he will continue to tell me that he still needs Pethidine injection. Client: it has been a bad moment for me and up to now I dont understand him because I am still feeling pain. Myself: how do you feel when you are at your home? His family members have told me that he is quite at home and claims to feel pain only when he arrives in medical facilities. I wanted to get deep information about his pain. Client: Not very bad. I feel exaggerated pain when I come for treatment. THEORETICAL UNDERPINNINGS In this work, I have been using the client-centered approach. That approach of counseling has been conceptualized by Carl Rogers (1946). The fundamental belief turns around the idea that each individual innately strives towards self actualization, in the other words to be the best that he can. Essentially the person or child centered approach extends the central conditions of empathy, no conditional positive regard and congruence to the client, facilitating, in a reflective and non directive way the clients exploration and harmonizing of his emotional and personal issues that have been arisen from his lifes experiences. The target is, to help the client to give up the personal image which he has built around his individual experiencing (Mearns D. Thorne B, 2000 p5). This approach considers a client as an active agent, able to take responsibility for his own condition. Palmer reinforces this when he notes clients are encouraged to explore their most intimately held opinions and values, in order to discover for themselves, what it is that really matters to them, what it is worth living for or what would be worth dying for (Palmer, 1996:p31). The respect of client is essential in this approach. According to Corey (1977) the strength of this approach come from its capacity to focus on preferences and pathways headed for personal growth. Emphasis is on freedom, responsibility and the persons ability to redesign his life through attentive choice. The counselor-client relationship is also essential to good practice of client-centered approach. To participate effectively in counseling, Freshwater (2003) claims that nurses necessitate to recognize the client as an equal, though as clients often view nurses as experts it can make this relationship difficult to obtain. Through this work I have been using the theories of motivational interviewing counseling, in which the main objective of the counselor is to identify and work with the clients motivation to change. Motivational interviewing builds on Carl Rogers optimistic theories about peoples capabilities for exercising free choice and changing through a process of self-actualization (Alcohol answers, 21.8.2009). The therapeutic relationship counselor-client is a reciprocal partnership. The counselors role in motivational interviewing is directive, with a goal of eliciting self-motivational statements and behavioral change from the client in addition to creating discrepancy to enhance motivation for positive change (Miler and Rollnick, 1991). As healthcare providers, we are often asked to act as change agent for our patients, students, and colleagues. When we play that role we try to help people make necessary behavior changes by instructing them in the whys and hows of making them. We may have been trained to believe that if we simply teach our patients what they need to do to change and do it effectively enough; they will change (Ellen R. Glovsky, and Gary R., 2007). In our daily work, tendency is to think that our clients need only medical assistance, but when we try to analyze the situation, we may find that we are wrongful. All clients needs are not answered by medicines or other medical and nursing interventions. Most of the time, we ignore the socio-psychological aspect of the problem. This is remarkable with chronic renal diseases like end stage renal failure, diabetic nephropathy, cancer, etc. Sensky (1993), in his work, showed how renal failure impacts on persons life. The impact doesnt only concern the physical condition but the whole person. With renal failure, various alterations come in the life; the patient has to learn new skills and strategies which can help him to cope with his condition. The patient has to attempt to adapt to his chronic illness and the necessity to deal with dependence on dialysis machine or other elses kidney to continue to live. In their works, (Levenson, 1991; Kimmel, 1993, and Finkelstein, 2002) recognize that anxiety and depression are the most common psychological problems in dialyzed patients. The same idea can be found in the work of Chilcot and his colleagues. They found 20% to 30% of End stage renal disease patients with signs of depression at various levels (Chilcot, Al., 2008). The other problem found in patients undergoing long term dialysis is a possible addiction on pharmaceutical drugs like painkillers (Manjula, Bennett, Chertow, 2003). Addiction is defined as a state characterized by impaired controlover the use of chemical substance and/or behavior. This lead the addict to seeking and abuse of drugs, a need to continue to take drugs to which some one has become habituated following a repetitive utilization because it produces some special effects like euphoria and other types of mental status alteration. Clinical manifestations occurbeside physical, psychosocial and spiritual dimensions (College of Physicians and Surgeons of Saskatchewan, 2008). Addicted substances are like alcohol, stimulant substances like cocaine, heroine, marijuana, and medicines like tranquilizers and painkillers.Others may habitually mix prescribed drugs with alcohol to numb the mind from staying on disappointments or personal conflicts. Many people persist in taking medications to feel better physical or psychologically even when no ailments are present; and some insist that they cant function without them. Statistics indicate that, the number of visits in emergency room for prescription and illegal drugs overdoses are the same and that individual abusing medical drug like codeine can be just as addicted as the one who abuses of illegal drug like cocaine. While prescribe medicines is absolutely legal, ethical and moral laws prohibits the use of medicines for purposes other than the original aim. Addicted people need therapists specialized in chemical dependence counseling and who can help them to recover from the addiction by reviewing past medical hi story and patterns of substances abuse. Most of the time counselors discover that long term abuse has produced undesirable psychological and physical effects. The case presented above concern a patient addicted to Pethidine, a painkiller of opioids pharmacological family. Addiction to opiates like morphine can occur after chronic pain suffer is given dosages to control acute discomfort, and continues its use long after pain has collapsed (ChristiaNet, 2009). Many people with long-lasting pain receive treatment by opioids. But, there are evidence throwbacks and side effects that may follow this treatment. Developing tolerance to drugs is one major risk, sometimes at short time. The second major risk is the development of addiction. Addicted people to painkillers becomeso fixated on getting more of them that the obsession prevail over the medical target of relieving pain (Media Planet, 2009). COUNSELING IN ADDICTION The focus of individual drug counseling is on the symptoms of substances addiction. It also relates areas of weakened function and the structure and content of the clients ongoing rehabilitation program. The first target of counseling in addiction is to support the addict to achieve and maintain abstinence from addictive substances or behavior. The second target is to aidthe addict to recover from damages which have caused by addiction in his life (Delinda E. Georges W., 1999). The addicts counselor works firstly by helping the client to be aware of the reality of a problem and the connected unfounded thinking. In the next steps, client is stimulated to achieve and uphold abstinence from addicted substance or behavior. This can help to develop needed psychosocial abilitiesand spiritual growth to remain in recovery process (Delinda E. Georges W.). ADDICT INDIVIDUALIZE COUNSELING PROCESS Counseling as a helping process consists of 3 main phases. Each phase has its distinct aims although the same skills may be used in those 3 phases. Those three main phases are: Exploration, assessment and planning phase In this phase, the main objectives are to apprehend the client as a whole person, to plan counselors interventions, and to arrange an agreement between counselor and client. Rehabilitation counseling and goal achievement phase Counselors objectives in this phase are the initiation and implementation of his treatment plan in collaboration with his client. Termination and evaluation phase In the closing phase, objectives are to conclude treatment process and deliberate its outcome with the client, and to arrange agreement on upcoming actions. Rehabilitation and relapse prevention In addiction counseling, the objectives of the all process are to rehabilitate the client from the addicted substance or behavior and to prevent the relapse. Rehabilitation Rehabilitation may be defined as the process consisting in recovering the capacities that have been reduced due to injuries or illness. The recovery is sustained only when there is no relapse or return back to addicted substance or behavior. Here, the goal of counseling is to lead the client to a full reintegration into his community as dynamic and valued person. Each time its possible, detoxification comes first, and after can be started the laying of the basis of rehabilitation process. Abstinence from addicted substance or behavior is not enough in itself. The addict has to see the profits of staying abstinent; otherwise he can relapse at short or long term (United Nations International Drug Control Program, 2003). Individual addiction counseling doesnt only focus on stopping or reducing addicted substance or behavior. It will also address the other related domains of impaired functioning and those are such as social relations, illicit activities, employment status, etc. When additional helps are needed, the counselor is advised to refer the client (U.S National institute of Health, 2009). Relapse Above, I have mentioned that counseling process has to help client to maintain abstinence after the recovery period, otherwise the client can relapse and return back in addiction. What is a relapse? There is a relapse when, a client in recovering period or in post recovery, returns to the addicted substance/behavior or becomes addicted to a new substance. Prevention of relapse in counseling process Preventing relapse is a very important element of recovery. When the client becomes able to establish some constancy in abstinence, he could begin to develop skills to put off future relapse to addicted substance/behavior. To prevent relapse, the addict has to be taught how to identify in advance, when he is headed near a relapse and to modify course of events. Through counseling process, by education, the addict can identify indicators of coming up relapse. Those indicators are like negatives changes in clients behavior, feelings and attitudes. Once the client became conscious of the environment of relapse process, his next mission is to build up the skills to intervene and change any occurring negative behavior or feelings (Delinda E. Georges E.) SELF-EVALUATION I am not a professional or trained counselor. I am only a student in nursing studies who is trying to apply learnt counseling skills. I have chosen to work with my client about his addiction. I know its a very complicated subject for a beginner in counseling, more experience is needed. Difficult to handle that subject has stimulated and encouraged me to do further reading and researches concerning addiction; what is it, its causes, its management by a combination of counseling and other ways of help like pharmacotherapy. During my counseling process, in my clients needs assessment; I was more influenced by medical side of my clients problems. The social situation of the patient has not been full analyzed and I think that this can a bit weaken the problem exploring process. The second difficult is to know borderline between intervention domains of a professional counselor and a health professional who applies counseling skills to help a client. We may think that its easy but in practi ce its very complicated. You ask yourself: Does the clients problem need a professional counselor or a skilled health professional can help? This can lead us to be fluctuating in our practice. I suggest here to insist on this point during elaboration of Professional practice and counseling skills module. My strength now reside in fact that I can now lead counseling process without apprehension, methodically and without asking about the beginning or next stages. To help my client, I didnt consider medical data as enough to conclude that my client is addict. I have spoken with my client but it was necessary to know what his family thinks about him. For this, I had discussion with some members of his family about my clients problems and needs. From the family I received information reinforcing the medical diagnosis of addiction. I consider this as a positive point, because we have to check the all environment of client to get real and full information which can help us during counseling process. Not long time after the beginning of my counseling sessions, my client begins to withdraw progressively from his constant obsession to receive Pethidine injection and stop to advise other patients to ask that drug. He was suffering from end stage renal disease; a chronic condition so we had many counseling sessions to prevent relapse. We didnt continue to work together; he died before the termination of our counseling process; but all this process has been helpful for him and full of experience for me.

Report On Philippine History

In 1839, Apolinario de la Cruz went to Manila to pursue priestly vocation under the Dominican order. He was not accepted on the gro8und that he was an Indio for the reason of all religious orders was closed to indios. In June 1840, Apolinario, known as Hermano Pule returned to Lucban, Tayabas Province, and founded the Confradia de San Jose, a nationalist fellowship which fostered the praise of Christian virtues. On November 1, 1841, LT. Col. Joaquin Huet, launched a massive assault on Alitao, killing hundreds of defenseless old men and women and children.Hermano Pule was captured the following evening at Barrio Ibanga and was executed on November 4, 1841. 24. MUSLIM WARS (1578-1898) The Spaniards made attempts to subdue the inhabitants of Mindanao by deploying its military forces in the South. The Muslims on the other hand, valiantly resisted and repulsed the colonizers. They retaliated by raiding territories under Spanish rule with varying degrees of intensity. The war between the M uslim Filipinos and the Spaniards lasted for more than 300 years.The Muslim wars were brought about by the Spanish invasion of Mindanao and Sulu, preservation of Islam, and the love of adventure arising from the spoils of wars. In 1597, the Spanish colonizers tried to seize Jolo and force the sultanate into submission. The Governor ordered the pacification of the place and payment of tribute by inhabitants to the colonial government. 25. THE RISE OF FILIPINO NATIONALISM Nationalism was said to have rooted from a strong feeling among populace that they belong to the same race.Such sentiment has not yet existed in the Philippines prior to the 19th century. Although the cultural traits of the early Filipinos had striking similarities, their linguistic differences as well as the local autonomy of each political unit in the archipelago barely yielded to the development of this national sentiment. The absence of adequate means of transportation and communication made the situation even mo re dismal. The following have been regarded in history as factors that gave rise to Filipino Nationalism: 1. Spread of liberalism.When Spain exposed the Philippines to international commerce in the late 18th and 19th century, liberal ideas from Europe filtered in. the thoughts of political philosophers were made known through books and periodicals brought into the country by men from foreign ports. 2. Sentiment against the principales. There was a mounting dissatisfaction against the principales accommodated as intermediaries of the Spanish government from the inception of its colonial rule. 3. Racial prejudice. The Spaniards commonly regarded the Filipino natives as belonging to the inferior race and haughtily called them as indios.The preconceived notion of the Spanish colonizers that the natives could not rise beyond their limited intelligence instigated the enlightened Filipinos to struggle for equality. 4. Cultural changes. The educational reforms of 1863 dramatically improved the standards of education in the primary level. With the implementation of a new education system, qualified Filipinos were able to pursue higher education. 5. Secularization controversy. The mandatory provision of the council of Trent affirmed that secular priests be appointed to administer the parishes in the colony.Due to lack of secular priests, pope pius V issued in 1567, upon the request of King Philip II, the Exponi Nobis, which allowed the regular clergy to serve as parish priests without diocesan authorization and be exempted from bishops’ authority. 6. Cavite mutiny of 1872. In 1868, a revolution led by the liberals in Spain deposed Queen Isabella II and gave rise to the provisional republic of spain. With the victory of the Spanish revolution, many colonial officials with democratic iseals were sent to Manila, which included Governor General Carlos Maria de la Torre in 1869.La Solidaridad (solidarity) A purely Filipino organization Established in Barcelona on Dece mber 31,1888 Galiciano Apacible was the president and Graciano Lopez Jaena as vice-president. To make known of the objectives of their propaganda, Lopez Jaena founded a fortnightly newspaper, it was entitled la solidaridad. It was printed in Barcelona from February 15- October 31, 1889 then in Madrid, from November 15,1889 until its last issue on November 15, 1895. 27. THE KATIPUNAN Some of the men of la liga Filipina found out that peaceful agitation for reforms was not enough.So they opted for the country’s freedom more than anything else. Andres Bonifacio was one of them. This faction pledged to continue supporting the propaganda movement in Spain. One of the night of July 7, 1892, Bonifacio and his friends met secretly at deodato arellano’s house. They decided to form a secret revolutionary society, modeled in part on Masonic order called kataastaasang kagalang-galangang katipunan ng mga anak ng bayan otherwise known as K. K. K or katipunan, decided to national ind ependence through armed revolution. Report On Philippine History In 1839, Apolinario de la Cruz went to Manila to pursue priestly vocation under the Dominican order. He was not accepted on the gro8und that he was an Indio for the reason of all religious orders was closed to indios. In June 1840, Apolinario, known as Hermano Pule returned to Lucban, Tayabas Province, and founded the Confradia de San Jose, a nationalist fellowship which fostered the praise of Christian virtues.On November 1, 1841, LT.Col.Joaquin Huet, launched a massive assault on Alitao, killing hundreds of defenseless old men and women and children. Hermano Pule was captured the following evening at Barrio Ibanga and was executed on November 4, 1841. 24. MUSLIM WARS (1578-1898)The Spaniards made attempts to subdue the inhabitants of Mindanao by deploying its military forces in the South. The Muslims on the other hand, valiantly resisted and repulsed the colonizers. They retaliated by raiding territories under Spanish rule with varying degrees of intensity. The war between the Musl im Filipinos and the Spaniards lasted for more than 300 years.The Muslim wars were brought about by the Spanish invasion of Mindanao and Sulu, preservation of Islam, and the love of adventure arising from the spoils of wars. In 1597, the Spanish colonizers tried to seize Jolo and force the sultanate into submission. The Governor ordered the pacification of the place and payment of tribute by inhabitants to the colonial government.THE RISE OF FILIPINO NATIONALISMNationalism was said to have rooted from a strong feeling among populace that they belong to the same race. Such sentiment has not yet existed in the Philippines prior to the 19th century. Although the cultural traits of the early Filipinos had striking similarities, their linguistic differences as well as the local autonomy of each political unit in the archipelago barely yielded to the development of this national sentiment. The absence of adequate means of transportation and communication made the situation even  more di smal. The following have been regarded in history as factors that gave rise to Filipino Nationalism: 1. Spread of liberalism.When Spain exposed the Philippines to international commerce in the late 18th and 19th century, liberal ideas from Europe filtered in. the thoughts of political philosophers were made known through books and periodicals brought into the country by men from foreign ports. 2. Sentiment against the principales. There was a mounting dissatisfaction against the principales accommodated as intermediaries of the Spanish government from the inception of its colonial rule. 3. Racial prejudice. The Spaniards commonly regarded the Filipino natives as belonging to the inferior race and haughtily called them as indios.The preconceived notion of the Spanish colonizers that the natives could not rise beyond their limited intelligence instigated the enlightened Filipinos to struggle for equality. 4. Cultural changes. The educational reforms of 1863 dramatically improved the s tandards of education in the primary level. With the implementation of a new education system, qualified Filipinos were able to pursue higher education. 5. Secularization controversy. The mandatory provision of the council of Trent affirmed that secular priests be appointed to administer the parishes in the colony.Due to lack of secular priests, pope pius V issued in 1567, upon the request of King Philip II, the Exponi Nobis, which allowed the regular clergy to serve as parish priests without diocesan authorization and be exempted from bishops’ authority. 6. Cavite mutiny of 1872. In 1868, a revolution led by the liberals in Spain deposed Queen Isabella II and gave rise to the provisional republic of spain. With the victory of the Spanish revolution, many colonial officials with democratic iseals were sent to Manila, which included Governor General Carlos Maria de la Torre in 1869.La Solidaridad (solidarity) A purely Filipino organization Established in Barcelona on December 31,1888Galiciano Apacible was the president and Graciano Lopez Jaena as vice-president. To make known of the objectives of their propaganda, Lopez Jaena founded a fortnightly newspaper, it was entitled la solidaridad. It was printed in Barcelona from February 15- October 31, 1889 then in Madrid, from November 15,1889 until its last issue on November 15, 1895.THE  KATIPUNANSome of the men of la liga Filipina found out that peaceful agitation for reforms was not enough. So they opted for the country’s freedom more than anything else. Andres Bonifacio was one of them. This faction pledged to continue supporting the propaganda movement in Spain.One of the night of July 7, 1892, Bonifacio and his friends met secretly at deodato arellano’s house. They decided to form a secret revolutionary society, modeled in part on Masonic order called kataastaasang kagalang-galangang katipunan ng mga anak ng bayan otherwise known as K.K.K or katipunan, decided to national independence t hrough armed revolution.

George W. Bush s President Of Texas - 1685 Words

Born in July 6, 1946, George W. Bush, America’s 43rd president, served in the White House office from 2001 to 2009. Before coming into the White House, he was the oldest son of former 41st U.S. President George H. W. Bush, who was also a two-term Republican governor of the state of Texas. George W. Bush was a graduate of Yale University and Harvard Business majoring in business administration. George W. Bush worked in the Texas oil industry and he was also an owner of the Texas Rangers baseball team before becoming the governor of Texas. In the year of 2000 he barely won the Electoral College vote in one of the closest and most controversial elections in American History. He won the presidency after narrowly defeating his Democratic opponent Al Gore. George W. Bush’s presidency in office was basically shaped by the September 11, 2001 terrorist attacks against the United States of America. 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Management Accounting And Its Effect On Business...

Over the course of the last 20 years, the world has become significantly more closely connected. There are a number of events which that have lead to these circumstances including; technological advances, deregulation and globalisation. This rapid changing environment creates a new set of challenges for Management Accounting and more importantly, the role of accountants in the future. Fundamental changes have been made to competitive rules as a result of the business environment (in which entities operate) becoming more fast changing, unstable, and uncertain. These changes have subsequently created changes in the policies created by organisations around the world. As the business environment changes, accounting must evolve to adapt to any changes that occur in the environment and technology. Therefore, accounting is continuously developing effective communication methods of business information to efficiently keep up with the rapid changing business environment. In simple terms, Management Accounting is the branch of accounting that is responsible for meeting the needs of business management in terms of both financial and non-financial information. Management Accounting can be defined as the implementation of accounting methods to present information that is intended to assist all positions of management in decision making, planning and controlling the activities of an organisation. In order to help people within the organization make better choices, Management AccountingShow MoreRelatedThe Impact of Contingencies on Management Accounting System Development.1725 Words   |  7 PagesTheory on Management Accounting SYSTEM 1 3.0 THE IMPACT OF CONTINGENCIES ON MANAGEMENT ACCOUNTING SYSTEM DEVELOPMENT 2 ( i ) Environment 2 ( ii ) Strategies and mission 3 ( iii ) Technology 4 ( iv ) Firm interdependence 4 ( v ) Business unit, firm, and industry variables 5 ( vi ) Knowledge and observables factors 5 ( vii ) Culture 6 4.0 Summary and Conclusions 6 5.0 REFERENCE BOOKs 7 1.0 INTRODUCTION The management of a company needs to develop cost and management accountingRead MoreAccountant Role In Business Essay1742 Words   |  7 Pages11/11/2017 Marta Silva â€Å"Are Management Accountants Important Strategic Partners in Corporate America’s Management teams? Despite the great stride in efforts made by the financial industry in the last twenty years, many still view management accountants as they were in the 1980s; the ‘scorekeeper’, the ‘corporate cop’, sitting in their cubicles running numbers from dusk to dawn. However, in the modern era accountants have started taking on new roles in corporations, becoming strategic plannersRead MoreManagement Control System1357 Words   |  6 PagesIntroduction Management control system (MCS), as a vital part of an organization, which purpose allows organizations to ensure that their activities achieve the objects they desire. The process of designing and improving MCSs requires addressing three basic questions. What is desired? What is likely to occur? And What is the effect of contextual factors ?Then managers must address each of these questions. What controls should be used? In recent years, contingency-based research has maintainedRead MoreEthical Issues Of The Managerial Accounting Profession1186 Words   |  5 Pagesits complexity in today s business world it may generates sort of excesses that can negatively affect the business environment as well as the social life. Therefore, it becomes necessary to stress on the ethics and morals that should be prevalent in the business community. The term ethics in the business environment expresses the expected attitude of the individuals in organizations that carry out certain activities and services. Clearly, today’s business environment has obvious ethical issuesRead MoreManagement Accounting : The Father Of Accounting1415 Words   |  6 PagesIntroduction Accounting has be defined in various ways however almost every definition will describe it as a process that identifies, measures, analysis, and report data. Management accounting has not been the same since business started; it has come a long way from early member of civilisation using stone tablets for bookkeeping. Management accounting is used to aid managers make business decisions based on predicted figures and comparisons with actual figures. To follow is a detailed evaluationRead MoreThe Effect Of Professional Ethics788 Words   |  4 PagesThe Effect of Professional Ethics in U.S. Accounting Businesses, investors, creditors rely on accounting ethics. The accounting profession requires honesty, consistency with industry standards, and compliance with laws and regulations. The ethics increase the responsibility and integrity of accounting professionals, and public trust. Ethical requirements influence the management behavior and decision-making. The financial scandal of Enron and Arthur Anderson demonstrates the failure of fundamentalRead MoreAccounting Systems Essay examples1635 Words   |  7 Pagesï » ¿Accounting information – Coursework Some academics believe that there is a direct relationship between accounting information systems and organisations. It is thought there is a two-way system whereby organisations shape their accounting information systems but are also shaped by them. This report will look at the highlighted relationship and in the context of the information literacy and management skills that are needed by an accountancy graduate in the 21st Century. The report will also coverRead MoreAssumptions on Accounting Information Systems1575 Words   |  6 PagesAssumptions on Accounting Information Systems: Accounting Information Systems have emerged as very famous components of modern businesses mainly because they offer beneficial and timely information to management in addition to being cost-effective. Generally, these systems are helpful in book account payables, cash transactions, receivables, and every other accounting function in an orderly manner. The need for an effective accounting information system in an organization is attributed to the hugeRead MoreThe Role Of Management Accounting And Management1461 Words   |  6 PagesThe development of management accounting and management accountants in much of society have been changed. In this paper, we will discuss the hybridisation and change in nature and role of management accounting and management accountants. The Evolution of Management Accounting From 1981 onwards, the Management Accounting Practices Committee outlines the definition of management accounting to ‘the process of identification, measurement, accumulation, analysis, preparation, interpretation, and communicationRead MoreEffects Of Cash Management1482 Words   |  6 PagesHe utilized hypothesis with Working Capital Management, Investment decisions and financing decisions as independent variables were used to measure financial performance in place of the dependent variable. The researchers were used self-administered questionnaire with quantities, and sample size of 100. The study presented that measured individually; there is a positive relationship between working capital management; investment decisions; financial decisions and financial performance. Also, the study