Acute Myocardial Infarction and Periodontal Disease

Intense Myocardial Infarction and Periodontal Disease Exploration Findings The investigation inspected the relationship between intense myocardial localized necrosis and periodontal ailments utilizing cross sectional plan. The examination was done utilizing the SPSS/PC Windows adaptation 21.0 programming bundle (IBM, Inc.). The example size taken for the investigation was 80 (Cases=40, Control=40). The bivariate relationship between the considered factors, intense MI and periodontitis (dichotomized) was broke down with the fitting test. An importance level of p≠¤0.05 was viewed as noteworthy and the chances proportions with 95% certainty spans were determined. Further, contingent strategic relapse investigation/cox relapse examination (1:1 coordinated sets) was utilized to survey the autonomous commitment of periodontal infections to the danger of intense myocardial dead tissue and furthermore to discover the connection among AMI and other conceivable logical factors. The hazard factors, for example, tobacco propensity, smoking, dietary propensities, f amily ancestry of diabetes, were constrained into the model. The accompanying area presents the outcomes. Distinct Statistics and Preliminary Analyses Relationship between intense myocardial localized necrosis and study factors. The table beneath presents the relationship between Acute Myocardial Infarction and study factors. The outcomes indicated that chances of result (AMI) were altogether higher in subjects with periodontitis, smoking propensities, hypertension and blended dietary propensities. Out of the all out 80 patients, most of the periodontitis patients (82.5%) were available inside the case gathering (AMI patients) (p=0.026). Essentially, the pervasiveness of smoking (52.5% versus 27.5%, p=0.031) and hypertension (52.5% versus 47.9%, p Table 6: Association between Acute Myocardial Infarction and study factors *p Relationship among periodontitis and study factors. The table underneath presents the relationship among Periodontitis and study factors. The outcomes indicated that chances of result (periodontitis) were essentially higher in subjects with smoking propensities, hypertension and liquor drinking (p Table 7: Association among Periodontitis and study factors Restrictive Logistic Regression Analysis Using Cox Proportional Hazard Model Following the primer analysis’ cox relapse investigations were utilized to evaluate the autonomous commitment of periodontal maladies to the danger of intense myocardial localized necrosis and furthermore to discover the connection between an AMI occasion and conceivable illustrative factors. To control the impacts of numerous expected confounders, multivariate model were additionally fitted by displaying periodontitis as a period differing covariant in a model. Cox corresponding risk investigation permitted the specialist to incorporate the indicator factors (covariates) individually into the ensuing models. This gave evaluated coefficients to each of the covariates and permitted the analyst to survey the effect of numerous covariates in a similar model. We can likewise utilize Cox relapse to look at the impact of persistent covariates, for example, BMI. The accompanying recoding was done to look at the relationship among AMI and periodontitis. Financial status=0 (Reference classification): Lower; 1=Upper Lower; 2=Lower center; 3=Upper center; 4=Upper: Family history=0 (Reference class): No; 1=Yes; Exercise=0 (Reference class): Yes; 1=No ; Hyper tension=0 (Reference classification): No; 1=Yes: Diabetes=0 (Reference class): No; 1=Yes: Dietary habit=0 (Reference class): Vegetarian; 1=Mixed: Smoking habit=0 (Reference class): Non-smoker; 1= Former smoker; 2=Smoker: Smokeless tobacco habit=0 (Reference class): Non-clients; 1= Former client; 2=C urrent client: Alcohol drinking=0 (Reference classification): Non-consumer; 1= Current consumer; 2=Irregular teetotaler: Marital status=0 (Reference class): Unmarried; 1= Married; 2=Divorced. The restrictive strategic relapse evaluates the chances proportion, and an accurate 95% certainty stretch. Table 3, underneath presents the relationship among AMI and Periodontitis utilizing Cox relapse. Table 8: Cox Regression Subordinate variable: Acute Myocardial Infarction Contingent calculated relapse investigation results demonstrated the nearness of a critical relationship among AMI and periodontitis (Beta=1.358, p= .039 In all the stages, for normal exercise the beta worth is negative which implies it is a defensive factor or is conversely related as intense myocardial occasions, anyway this affiliation isn't factually huge to report. Measurable Analysis of Other Clinical Parameters (DMFT, CPI and LOA Scores) Test for typicality. To test the supposition of typicality, the examination utilized the Kolmogorov-Smirnov and Shapiro-Wilks test. From this test, the Sig. (p) esteem was contrasted with the priori alpha (level of hugeness for the measurement) †and an assurance was made as to dismiss (p ÃŽ ±) the invalid theory. The Table 1 beneath shows that where ÃŽ ± = 0.001, given that p Table 9: Test for Normality Test for homogeneity of fluctuation (balance of changes). Further, to test the presumption of homogeneity of change, where the invalid speculation accept no contrast between the two group’s fluctuations (H0: 2 ÏÆ' 1 = 2 ÏÆ' 2), a non-parametric Levene’s test for fairness of differences is the most generally utilized measurement to confirm the equity of differences in the examples (homogeneity of fluctuation) particularly for non-ordinarily conveyed information. Consequently, Kruskal Wallis single direction examination Leven’s test was applied. The Levene’s test utilizes the degree of essentialness set from the earlier for the t test investigation (e.g., ÃŽ ± = .05) to test the presumption of homogeneity of difference. In any case, in SPSS it’s testing to execute Leven’s test for non-typically dispersed information in one stage. Subsequently steps were applied to make three new factors, for example, positioned information, bunch mean positio ns and deviation from mean positions. At last, the distinctions were figured utilizing ANOVA and the p esteem was seen as Table 10: Test Statistics Mann-Whitney U and Wilcoxon W test : looking at medians. As the information is non-homogenous and non-ordinarily disseminated, Mann-Whitney U and Wilcoxon W tests were utilized to look at the middle scores of DMFT, CPI and LOA scores, and furthermore to check the importance of contrasts. Invalid Hypothesis: Median score of DMFT, CPI and LOA is same for both case and control. Elective theory: Median score of DMFT, CPI and LOA varies among case and control. Table 11: Test Statistics DMFT Score CPI Score LOA Score Mann-Whitney U 403.500 340.500 374.500 Wilcoxon W 1223.500 1160.500 1194

Bank of the Philippine Islands

BANK OF THE PHILIPPINE ISLANDS Bank of the Philippine Islands (BPI) is that nation's second-biggest bank, trailing just Metropolitan Bank ; Trust. It is likewise the Philippines' most seasoned bank and one of the most established of every single Asian bank. BPI offers a full scope of business and retail budgetary administrations, including corporate money administrations, resource the board, and financier and other monetary counseling services.BPI's retail organize incorporates in excess of 700 branches all through the Philippines, just as branches in New York, Hong Kong, and Tokyo. The bank likewise works a system of in excess of 1,200 robotized teller machines and in excess of 8,500 retailer-based retail location machines. In 1999, BPI spearheaded web based banking in the Philippines with the dispatch of online bank BPI Direct in 1999.In expansion to its financial items and administrations, BPI has likewise built up a solid non-life coverage activity, primarily under auxiliary BPI/ MS Insurance Corporation. Recorded on the Philippines Stock Exchange, BPI has for some time been lion's share constrained by Philippines aggregate Ayala Corporation. * pioneer in electronic banking, having presented the greater part of the firsts in the business, for example, * mechanized teller machines (ATMs), * a retail location charge framework * stand banking * telephone banking web banking * portable banking * claimed by the Ayala Corporation Business Evolution * post World War II period, BPI developed from a simply business bank to a completely expanded general bank * achieved for the most part through mergers and acquisitions in the eighties when it retained a venture house, a stockbrokerage organization, a renting organization, a reserve funds bank, and a retail account organization * Since the late 1990s †fulfilled three bank mergers * 1996 †converged with City Trust Banking Corporation 2000 * culminated the greatest merger then in the financial business when it converged with the previous Far East Bank ; Trust Company (FEBTC) * formalized its obtaining of three significant insurance agencies in the life, non-life and reinsurance fields * 2005 †gained and converged with Prudential Bank MERGERS April 2007 †Bank of the Philippine Islands (Europe) Plc * October 2008 †BPI, Ayala Corporation and Globe Telecom consented to a Memorandum of Arrangement to shape the country’s first versatile microfinance bank * 2009 †went into a key bancassurance association with The Philippine American Life Insurance Company (Philamlife) to shape BPI-Philam Life Assurance Corp Principal Subsidiaries * BPI Family Savings Bank, Inc. * BPI Capital Corporation * BPI Leasing Corporation * BPI Direct Savings Bank * BPI International Finance Limited, Hong Kong BPI Express Remittance Corporation * Bank of the Philippine Island (Europe) Plc, * Ayala Plans, Inc. * BPI/MS1 Insurance Corporation Reasons Of merger * Jaime Augusto Zobel de Ayala, BPIâ €™s Chairman, said the buy would advance â€Å"enhance† the tasks of BPI with expanded or augmented system. * New motivator bundle by BSP regarding mergers and acquisitions * BPI has been keeping watch for some great acquisitions so as to reinforce its situation as a rising local money related powerhouse. The merger supposedly offers a decent vital fit to BPI in infiltrating the alluring client section of Prudential made generally out of center market business people. * With the merger, BPI will cement its situation as the country’s second biggest manage an account with consolidated resources totaling P456. 09 billion. * BPI hopes to pick up at any rate 200,000 new records with the obtaining. BPI and FAR EAST BANK TRUST COMPANY MERGER The larger part investors of the Bank of Philippine Islands (BPI) and Far East Bank and Trust Co. FEBTC) affirmed the merger of the two banks, making the consolidated element the tenth biggest monetary organization in the area with ov er $3. 5 billion in capital. The merger shot BPI/FEBTC as the nation's biggest bank, representing 14 percent of the whole financial industry's all out assets with combinedâ assets of P372. 4 billion. The blended organization will likewise have the biggest branch system of 680. BPI president Xavier Loinaz, in a meeting, said they expect the mix of the two banks to be solidified before the finish of March this year. We believe that by end of March this year, they (merger process) would be falling into place,† Loinaz stated, when gotten some information about the merger timetable. FEBTC president Octavio Espiritu guaranteed FEBTC representatives that they will work out approaches to sift out outstanding issues with respect to the merger especially the conceivable enormous relocation of FEBTC staff. While they are concluding the combination, both Loinaz and Espiritu said the exhibition of their separate banks in 1999 was generally â€Å"flat†. â€Å"We haven't seen any de velopment for the year, basically a similar level as last year.Loans are level for 1999,† Loinaz stated, including that BPI's bottomline was additionally â€Å"flat†. Something very similar with FEBTC, Espiritu said the bank's pay was down because of advances provisioning adding up to about P2 billion for the year. This year, Loinaz said they are as yet trusting that the economy will pivot. â€Å"Last year was very baffling. We demonstrated a slight drop in (bottomline) the past year,† he included. Loinaz said they don't expect â€Å"too much† from the primary year of merger of BPI and FEBTC.But, he educated the investor that for 2000, the ace forma anticipated profit per share for the consolidated bank would be 5. 37 percent, 6. 31 percent in 2001 and 6. 79 percent in 2001. In light of BPI's end cost on Oct. 20, 1999, the day that the merger understanding was marked and declared, the trade proportion spoke to a suggested estimation of P82. 50 for each FEB TC share or a suggested premium of 18 percent to FEBTC's end cost on that day. As indicated by Loinaz, they anticipate working with DBS Bank which currently claims around 20 percent of the blended bank. DBS Bank is the second biggest bank in the district.

Blog Archive Columbia Business Schools Financial Studies Program and Increasingly Flexible Curriculum

Blog Archive Columbia Business School’s Financial Studies Program and Increasingly Flexible Curriculum Already well known as a finance powerhouse, Columbia Business School (CBS) stepped up its finance game in 2010 with the establishment of the  Program for Financial Studies. This umbrella initiative connects faculty who approach financial studies from a variety of disciplines with students, alumni, and external organizations. The program’s main goals are to support research, to enhance the CBS finance curriculum and related resources, and to create opportunities for the exchange of ideas between CBS students and faculty and members of the external finance community. Finance enthusiasts will enjoy the program’s case studies, including “The Norwegian Government Pension Fund: The Divestiture of Wal-Mart Stores Inc.,” written by Professor Andrew Ang, and “Don’t Be Evil: Google’s 2004 Dutch Auction Initial Public Offering,” written by the program’s founding director, Professor Laurie Simon Hodrick. The structure of CBS’s curriculum has also evolved in recent years. The school’s first-year curriculum was at one time very rigidâ€"all first-year students took all their core courses with their cluster unless they were able to pass an exemption exam. Students complained, however, that this rigid core curriculum system meant that they could take only one elective course their first year, which could put them at a disadvantage when competing for summer internships. For example, previously, a CBS student who accepted a summer internship at a bank may have taken only one finance elective by the end of his/her first year, but that student’s counterparts on the internship from other schools may have taken two or threeâ€"thus potentially putting the CBS student at a disadvantage with regard to being considered for a full-time job at the end of the internship. So, after an intense process of research and evaluation, CBS launched a more flexible core curriculum in 2008. Five years later in 2013, CBS implemented further changes to its core curriculum, including an increased emphasis on cross-disciplinary thinking, in addition to even more flexibility. The revamped core courses also make greater use of online teaching tools in an attempt to “free up more classroom time for deeper dives and discussions,” as a 2013  PoetsQuants  article explains. In the second semester of the first year, students can pick three full-term electives and three half-term electives, replacing the school’s previous “flex-core” configuration and allowing students to better prepare for summer internships. In addition, students may take exemption exams in areas in which they are already proficient, thereby opting to replace core courses with electives. This revised curriculum was developed in response to student feedback that a full term was not needed to cover the “core” elements in certain courses, and the change has given students significantly more flexibility in the first year. CBS has thereby attempted to find a middle ground where students learn what the school considers fundamentals while having the latitude to specialize, and anecdotally, students have responded favorably. For a thorough exploration of what CBS and other top U.S. business schools have to offer, please check out the  mbaMission Insider’s Guides. Share ThisTweet Columbia University (Columbia Business School) Blog Archive Columbia Business School’s Financial Studies Program and Increasingly Flexible Curriculum Already well known as a finance powerhouse, Columbia Business School (CBS) stepped up its finance game in 2010 with the establishment of the  Program for Financial Studies. This umbrella initiative connects faculty who approach financial studies from a variety of disciplines with students, alumni, and external organizations. The program’s main goals are to support research, to enhance the CBS finance curriculum and related resources, and to create opportunities for the exchange of ideas between CBS students and faculty and members of the external finance community. The program’s case studies include “The Norwegian Government Pension Fund: The Divestiture of Wal-Mart Stores Inc.,” written by Professor Andrew Ang, and “Don’t Be Evil: Google’s 2004 Dutch Auction Initial Public Offering,” written by the program’s founding director, Professor Laurie Simon Hodrick. The structure of CBS’s core curriculum has also evolved in recent years. The school’s first-year curriculum was at one time very rigidâ€"all first-year students took all core courses with their cluster unless they were able to pass an exemption exam. Students complained, however, that this inflexible system meant they could take only one elective course their first year, which could put them at a disadvantage when competing for summer internships. For example, previously, a CBS student who accepted a summer internship at a bank may have completed only one finance elective by the end of his/her first year, but that student’s counterparts on the internship from other schools may have taken two or threeâ€"thus potentially putting the CBS student at a disadvantage with regard to being considered for a full-time job at the end of the internship. So, after an intense process of research and evaluation, CBS launched a more flexible core curriculum in 2008. Five years later, in 2013, CBS implemented further changes to its core curriculum, including an increased emphasis on cross-disciplinary thinking, in addition to even more flexibility. The revamped core courses also make greater use of online teaching tools in an attempt to “free up more classroom time for deeper dives and discussions,” as a 2013  PoetsQuants  article explains. In the second semester of the first year, students can pick three full-term electives and three half-term electives, replacing the school’s previous “flex-core” configuration and allowing students to better prepare for summer internships. In addition, students may take exemption exams in areas in which they are already proficient, thereby accessing the option to replace core courses with electives. This revised curriculum was developed in response to student feedback that a full term was not needed to cover the “core” elements in certain courses, and the change has given students significantly mo re flexibility in the first year. CBS has thereby attempted to find a middle ground where students learn what the school considers fundamentals while having the latitude to specialize, and anecdotally, students have responded favorably. For a thorough exploration of what CBS and 16 other top U.S. business schools have to offer, please check out the free  mbaMission Insider’s Guides. Share ThisTweet Columbia University (Columbia Business School) Blog Archive Columbia Business School’s Financial Studies Program and Increasingly Flexible Curriculum Already well known as a finance powerhouse, Columbia Business School (CBS) stepped up its finance game in 2010 with the establishment of the  Program for Financial Studies. This umbrella initiative connects faculty who approach financial studies from a variety of disciplines with students, alumni, and external organizations. The program’s main goals are to support research, to enhance the CBS finance curriculum and related resources, and to create opportunities for the exchange of ideas between CBS students and faculty and members of the external finance community. The program’s case studies include “The Norwegian Government Pension Fund: The Divestiture of Wal-Mart Stores Inc.” and ” The structure of CBS’s core curriculum has also evolvedâ€"the school’s first year was at one time very rigid, and all first-year students took all core courses with their cluster unless they were able to pass an exemption exam. Students complained, however, that this inflexible system meant they could take only one elective course their first year, which could put them at a disadvantage when competing for summer internships. For example, previously, a CBS student who accepted a summer internship at a bank may have completed only one finance elective by the end of their first year, but that student’s counterparts on the internship from other schools may have taken two or threeâ€"thus potentially putting the CBS student at a disadvantage with regard to being considered for a full-time job at the end of the internship. So, after an intense process of research and evaluation, CBS launched a more flexible core curriculum in 2008. Five years later, in 2013, CBS implemented further changes to its core curriculum, including an increased emphasis on cross-disciplinary thinking, in addition to even more flexibility. The revamped core courses also make greater use of online teaching tools in an attempt to “free up more classroom time for deeper dives and discussions,” as a 2013  PoetsQuants article explains. In the second term of the first year, students can pick three full-term electives and three half-term electives, replacing the school’s previous “flex-core” configuration and allowing students to better prepare for summer internships. In addition, students may take exemption exams in areas in which they are already proficient, thereby accessing the option to replace core courses with electives. This revised curriculum was developed in response to student feedback that a full term was not needed to cover the “core” elements in certain courses, and the change has given students significantly more fl exibility in the first year. CBS has thereby attempted to find a middle ground where students learn what the school considers fundamentals while having the latitude to specialize, and anecdotally, students have responded favorably. For a thorough exploration of what CBS and 16 other top U.S. business schools have to offer, please check out our free  mbaMission Insider’s Guides. Share ThisTweet Columbia University (Columbia Business School) Blog Archive Columbia Business School’s Financial Studies Program and Increasingly Flexible Curriculum Already well known as a finance powerhouse, Columbia Business School (CBS) stepped up its finance game in 2010 with the establishment of the  Program for Financial Studies. This umbrella initiative connects faculty who approach financial studies from a variety of disciplines with students, alumni, and external organizations. The program’s main goals are to support research, to enhance the CBS finance curriculum and related resources, and to create opportunities for the exchange of ideas between CBS students and faculty and members of the external finance community. The program’s case studies include “The Norwegian Government Pension Fund: The Divestiture of Wal-Mart Stores Inc.,” written by Professor Andrew Ang, and “Don’t Be Evil: Google’s 2004 Dutch Auction Initial Public Offering,” written by the program’s founding director, Professor Laurie Simon Hodrick. The structure of CBS’s core curriculum has also evolvedâ€"the school’s first-year was at one time very rigid, and all first-year students took all core courses with their cluster unless they were able to pass an exemption exam. Students complained, however, that this inflexible system meant they could take only one elective course their first year, which could put them at a disadvantage when competing for summer internships. For example, previously, a CBS student who accepted a summer internship at a bank may have completed only one finance elective by the end of his/her first year, but that student’s counterparts on the internship from other schools may have taken two or threeâ€"thus potentially putting the CBS student at a disadvantage with regard to being considered for a full-time job at the end of the internship. So, after an intense process of research and evaluation, CBS launched a more flexible core curriculum in 2008. Five years later, in 2013, CBS implemented further changes to its core curriculum, including an increased emphasis on cross-disciplinary thinking, in addition to even more flexibility. The revamped core courses also make greater use of online teaching tools in an attempt to “free up more classroom time for deeper dives and discussions,” as a 2013  PoetsQuants  article explains. In the second semester of the first year, students can pick three full-term electives and three half-term electives, replacing the school’s previous “flex-core” configuration and allowing students to better prepare for summer internships. In addition, students may take exemption exams in areas in which they are already proficient, thereby accessing the option to replace core courses with electives. This revised curriculum was developed in response to student feedback that a full term was not needed to cover the “core” elements in certain courses, and the change has given students significantly mo re flexibility in the first year. CBS has thereby attempted to find a middle ground where students learn what the school considers fundamentals while having the latitude to specialize, and anecdotally, students have responded favorably. For a thorough exploration of what CBS and 16 other top U.S. business schools have to offer, please check out our free  mbaMission Insider’s Guides. Share ThisTweet Columbia University (Columbia Business School)

Essay on Georges Decision to Kill Lennie - 536 Words

George does not make a wise decision in Of Mice and Men by John Steinbeck. George chooses to kill Lennie because of Lennie’s uncontrollable killing. Lennie does not mean to kill anyone but he is unaware of his strength. George thinks he is doing the right thing by killing Lennie, but really he is making a huge mistake. He believes that he is doing this for the sake of others but his decision if immoral. George was wrong for doing this, he does this for his benefit, and he is guilty. George killing Lennie is very immoral because Lennie does not know any better. Lennie is not killing people and animals on purpose he just underestimates his strength and does not realize that he is doing wrong. Lennie is innocent and does not deserve†¦show more content†¦George promises Lennie many things once they get their own farm, â€Å"’O.K. Someday- we’re gonna get the jack together†¦ ‘Specially if you remember as good as that.’†(15-16) . So George killing Lennie was for his own benefit and it was a very immoral thing to do. George is guilty of murder because he kills Lennie. He has no solid reason to kill Lennie. Even though Lennie does many things wrong he does not know any better, â€Å"Lennie’s big fingers fell to stroking her hair†¦ Lennie had broken her neck† (88-89). George is an evil, immoral, sadistic person who needs to realize that not everything in life is going to be easy and that he needs to learn to cope with difficulty in life. George is nowhere near innocent because he kills his best friend and does not do it for a good reason. Even though Lennie is killing people and animals that is not a good enough reason to kill someone. In Of Mice and Men by John Steinbeck George kills his best friend Lennie. George’s reasoning for this is that Lennie is killing too many people and has become a burden. Lennie does not realize that he is doing wrong by accidentally killing anima ls and people. 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The Airline Industry And Tourism Industry - 1176 Words

The airline industry is one of the most popular and innovated industries in tourism. The development of the airline industry has grown tremendously with technology and transformed the use of travel to an international basis. The sector of airlines in the tourism industry in modern times has grown in identifying its environmental, social, economic impacts and companies initiatives in undertaking responsible management. The popularity of the airline industry first started after World War II. The size, scope and importance of the transportation sector began to heavily rely on the airline industry for tourism and travel. Once the demands for air travel was introduced, the demands for supplies and the availability to advance the comfort of passengers innovated the industry to expand. (Copeland, D. G., McKenney, J. L. 1988) The airline industry has not only influenced the tourism industry but the standards of travel as a whole. 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What Works for the Officer Case Study Example

Essays on What Works for the Officer Case Study The paper "What Works for the Officer" is a wonderful example of a case study on the law. The contract created by the Police Commissioner when he offers a $100,000 reward is a unilateral contract. Unlike a bilateral contract, a unilateral contract does not encompass a two-party agreement (Linn 81). The commissioner drafts the contract and presents it already containing the applicable terms and conditions. In this respect, whoever provides the information that leads to the solution of the murder case is not involved in the making of the contract. Mary does not need to testify in order to get the reward money. According to the Police Commissioner, what is needed is the information that can lead to the arrest and conviction of the offender. Once the arrest is made and the crime against the perpetrator confirmed, then Mary should get the reward money. The only important factor is ensuring that the police have the person they are looking for.Bob can actually claim a portion of the reward money if not all. This is because no exceptions were made by the commissioner detailing police officers who were not eligible for the reward. However, if Mary can prove foul play by Bob, then the issue can be argued against Bob getting part of or all the reward money. Essentially, he played a critical role in the apprehension of the crime perpetrator.The relevant rule, in this case, is informed by judicial decision(s). In this respect, policy consideration relevant to a case stands by the principles, statutes, or precedents that the judicial syst em observes relative to the matter at hand (Linn 109). personally, I agree with the policy. This is because the law should be allowed to take its course.

Bereavement Care and Spiritual Care Samples †MyAssignmenthelp.com

Question: Discuss about the Bereavement Care and Spiritual Care. Answer: Spiritual Care Spiritual care for patients like Sophie and other patients can be achieved by doing things that she loved doing while she was in good health. It can be greatly achieved by increasing the family interactions between the sick while in hospital and her family. Family members can be involved in care planning, decision making and future care (OConnor, Lee, Aranda, 2012). It can be achieved by doing the following but not limited to: Organize on how music that the sick enjoy listening is played in her room Also if possible arrange how the family pet can be brought to her room Gentle massage on Sophie and any other patient It is also helpful to allow her family members to her room Bereavement response Bereavement is a grief reaction to a loss. Bereavement support can be achieved by bringing back nice memories the bereaved enjoyed with dead. It would be very helpful for Tim and the family to have bereavement support such as; Having individual and family counseling sessions Enjoying reminiscing fond memories of the deceased through either a family album or DVD recordings (OConnor, Lee, Aranda, 2012). Holding memorial service in honor of the dead Care for self Caring and assisting can be stressful for the nurse or caretakers to the sick. It would help a lot to have people who are close to help you have inner peace (Granados Gmez, 2009). I would be having a few light hearted moments with those that are close to me. It would also be wise to be visiting my local pastor for advise and spiritual nourishment (OConnor, Lee, Aranda, 2012). References Granados Gmez, G. (2009). The nurse-patient relationship as a caring relationship.Nursing science quarterly,22(2), 126-127. OConnor, M., Lee, S., Aranda, S (2012). Palliative care nursing: Guide to practice (3rd ed). Melbourne: Asumed Publications.