Integral Logistics Management and Operations

Question: Discuss about the Integral Logistics Management and Operations. Answer: Introduction The study illustrates about the concept of service package in details in the perspective of service operations of a small medium enterprise in Australia. However, it can be said that for describing the service operations, a restaurant of Australia is chosen. Spice Temple is the restaurant chosen for the study in order to describe its service package while proposing required changes in its process of service operations. It is seen that operations managers of the companies often face difficulties in the active participation of the customer and other aspects of the services of the restaurant. The service package framework helps the operational managers in establishing the unique features of the service environment offered by the restaurant before they learn to cope up with the emerging challenges they face in the competitive environment. Apart from that, the strategies that are used by the restaurant while utilizing the service package framework is described in detail in the study. Spice Temple is a restaurant that serves modern Chinese cuisines that culinary focuses on the lesser known regions of China. The menus of the restaurant are designed in order to share and enjoy the banquet style in the seductive and intimate surroundings. The restaurant is driven by the philosophy of providing world-class service to the customers while conveying deep respect for the quality of the service and modern Chinese foods in Australia. Spice Temple claims that they are providing unique Chinese cuisines that are rarely seen in different parts of Australia. The restaurant is known for its optimum use of its service operations in its field of operations (Meng et al., 2015). Due to this, the restaurant is known for its excellent service and food quality in its two branches of Melbourne and Sydney in Australia. Regarding the service package of Spice Temple in Australia it can be categorised into five aspects such as supporting facility, facilitating goods, information, explicit services and implicit services. The physical resources of the restaurant in Melbourne and Sydney along with its technology and other physical assets are considered as the supporting facility. The service and the quality foods provided to the customers falls under facilitating goods. Information or operations data that are provided by the customer while enabling customized and efficient services (Schnsleben, 2016). The explicit services of Spice Temple are the benefits that Spice Temple is the intrinsic features or the service that is provided to the customers. On the other hand, the implicit services of the restaurant is defined as the psychological benefits of the restaurant that the customers can feel such as the ambience, sound, lighting, quality of foods, taste, aroma of the foods, parking lot, security of the re staurant, etc. This is the total service package that the operations department of the restaurant maintains in order to provide a good service to the customers while meeting their satisfaction (Lovelock Patterson, 2015). Characteristics of the service operations Restaurant falls under both products based and service based operations. The operational manager of Spice Temple is focused on providing quality foods and service to the customers. The characteristics of the service operations of the restaurant depend on the elements of service package in the restaurant. The service package of Spice Temple is defined as the bundle of implicit and explicit benefits that are performed within the supporting facility by using the facilitated goods of the restaurant. For instance, the customers come to eat in the restaurant (supporting facility), the customer purchase a dish (facilitating goods) from the restaurant (Gaiardelli et al., 2014). The cook of the hotel is cooking for the customer (service). The service concept of Spice Temple is defined as the expectations and perception of the service that comes on the minds of employers, customers, lenders and shareholders. The service operation of the Spice Temple in Australia is characterised as the open tr ansformation process that involves the process of converting input to the desired outputs through the different application of resources. Inputs refer to consumers, outputs refer to satisfied customers, and resources include material, family, information, consumer, labour as well (Alexander, 2013). The service system of the restaurant is referred to as the layout, procedures and equipment that are used by the restaurant while providing service and maintaining a delivery and quality standards. Te revolution in the service industry relates with the shift of service economy in the country with the proliferation in terms of service automation. The improved service operations of a restaurant can improve the psychological boost of the operations manager of the restaurant. The delicacy of the food and the ambience of the restaurant are good while attracting more customers towards it (Khanna, 2015). The characteristics of the service operations of Spice Temple lie in the fact that it is specialised in the different cuisines of China that are popular in the lesser regions of the country. The special aspect of the restaurant is that it provides delicacies to the Aussies that are not available in other Chinese restaurants in Melbourne and Sydney. It can be said that the explicit services of Spice Temple are characterised as the benefits that are readily observable and have different sensual benefits that are provided by the operational department of the restaurant to the customers of the company. The menu of Spice Temple and its ambience is the added factor that can improve the service package framework of Spice Temple (Maglio Spohrer, 2013). Relationship and challenges between operational productivity and services There has been always challenging area that organizations face in the expected services, and the actual operational productivity. As a company in the service sector, the productivity of the service is important for the increase in the profitability of the company. The relationship of the operational productivity and the services of the organization are inevitable. The operations of a restaurant include many processes that include technology implementation, innovation and different types of personnel who have a particular responsibility in providing excellent customer service to the customers. It will not only help in building a good rapport with the existing customers but also it will lead to attract new customers through word of mouth (WOM) promotion (Hallikas et al., 2014). It can be said that the managers of Spice Temple in Australia in many cases face difficulties in managing the operations of the restaurant in the two locations. The operational department of the company sometimes faces difficulties in order to meet the demands of the customers in the restaurant. When there is more rush in the restaurant in the evening time, then the manager of the restaurants is not able to provide the world class service to the customers. Therefore it can be said that the company can lose its reputation in the market that will lead to negative impression towards the customers (Wang et al., 2013). Finally, the restaurant will lose the customer. After that, the customers will not do any word of promotion for the restaurant. The service operations also face challenges due to the lack of skill of the officials and executives who are associated with the hotel operations. Lack of skill of the operations executive leads to poor customer service to the customers. The challe nges of the organization would finally relate to the different types of elements of the service package operations (Wiesner et al., 2015). The strategies that Spice Temple used in order to accomplish the organizational goals of the enterprise are manufactured as per the operations of the company. Since it is a restaurant, the organization is dependent both on its products and services. The products are the foods and delicacies of Spice Temple to the Aussies. Aussies are fond of trying delicacies of different parts of the world. It is already mentioned in the description of the organization that the restaurant is specialised in serving delicacies in Chinese cuisines that are popular in China but are very rare (de Blok et al., 2014). It is a competitive advantage to the restaurant in the region. The company have to increase its competitiveness by improving its internal strategies as well as to the external strategies while increasing the profitability of the company. The operational strategy includes the supply change management as well as the management of the employees that includes in the elements of the service packag e operations framework. Apart from that, there are other models such as SERVQUAL which is used in the operations in order to serve the customers in a fast way (Parida et al., 2014). The strategies are to be improved in a way so that it can make use of its resource in its optimum level. Recommendations are provided in order to improve the service operations. Operations of a restaurant are seen to have a number of characteristics that effect the customer satisfaction. In the study, it is seen that the concept of the service package facilities that the restaurant in Australia i.e. Spice Temple has been using to accomplish its organization goals. The organization goal of the restaurant is excellent customer satisfaction. The concept of the different elements of the service package framework facilitates the operation manager of Spice Temple while improving the efficiency of the operation. However, it can be said that the elements of service package will help in improving the performance objective of the different operational process in achieving customer expectations. Ultimately, it will lead to customer satisfaction. The business strategy of the Spice Temple is to provide value for money in terms of food and service through the operational efficiency. Apart from that, it is seen that the restaurant can improve their profit as well as the po pularity in the market while providing excellent customer satisfaction. In terms of implicit service, queue management is an important aspect while managing a long queue that enables the operations to create an effect in the customer satisfaction. Spice Temple can maintain a single queue for the customers in terms of breakfast and dinner. The restaurant manager can maintain a proper communication with the customers if there is a long queue at time of dinner for booking a table and make them sit in the bar or in the waiting area (Gilmour et al., 2013). Lighting and decoration could be improved by adding more spot lighting and prop lighting that will change the mood of the ambience in the restaurant. Flowers can be added in the table at the time of dinner service. Conclusion In terms of explicit services, procedures should be adopted in order to decrease the through put time. It will help in the increase the speed of the service delivery. The decrease in the process of service delivery will eventually simplify many activities in the service operations. The manager of Spice Temple must analyze the process map while finding the ways of improving its efficiency (Lee Lee, 2014). Skill development among the service staffs of the Spice Temple is a vital aspect that can increase the speed of service delivery as well as maintaining the quality of the service provided to the customers. It is to be recommended that the operations manager of Spice Temple must include the service staffs while designing the work of the restaurant. A buddy system should be created in the job trainings for the staff (Rushton, Croucher Baker, 2014). In terms of facilitating goods, a good inventory management will always help the restaurant in achieving its performance objective in the restaurant. A good quality of the inventory ingredients will eventually improve the quality of holding enough inventories and facilitating goods. It is responsible for substantial increase in the flexibility and speed of the service. In the process of supply chain management, Spice Temple can involve into bulk purchasing that will reduce the cost of operations and advantage of dependability in the organization. The restaurant can adopt a synchronization strategy that will help in achieving flawless supply of right products in correct time at right place (Christopher, 2016). References Alexander, K., (2013).Facilities management: theory and practice. Routledge. Christopher, M., (2016).Logistics supply chain management. Pearson UK. de Blok, C., Meijboom, B., Luijkx, K., Schols, J. Schroeder, R., (2014). Interfaces in service modularity: a typology developed in modular health care provision.Journal of operations Management,32(4), pp.175-189. Gaiardelli, P., Resta, B., Martinez, V., Pinto, R. Albores, P., (2014). A classification model for product-service offerings.Journal of cleaner production,66, pp.507-519. Gilmour, P., Borg, G., Duffy, P.A., Johnston, N.D., Limbek, B.E. Shaw, M.R., (2013). Customer service: differentiating by market segment.International Journal of Physical Distribution Logistics Management. Hallikas, J., Immonen, M., Pynnnen, M. Mikkonen, K., (2014). Service purchasing and value creation: Towards systemic purchases.International Journal of Production Economics,147, pp.53-61. Khanna, R.B., (2015).Production and operations management. PHI Learning Pvt. Ltd.. Lee, J. Lee, H., (2014). Developing and validating a citizen-centric typology for smart city services.Government Information Quarterly,31, pp.93-105. Lovelock, C. Patterson, P., (2015).Services marketing. Pearson Australia. Maglio, P.P. Spohrer, J., (2013). A service science perspective on business model innovation.Industrial Marketing Management,42(5), pp.665-670. Meng, Q., Fang, H., Liu, X., Yuan, B. Xu, J., (2015). Consolidating the social health insurance schemes in China: towards an equitable and efficient health system.The Lancet,386(10002), pp.1484-1492. Parida, V., Sjdin, D.R., Wincent, J. Kohtamki, M., (2014). Mastering the transition to product-service provision: Insights into business models, learning activities, and capabilities.Research-Technology Management,57(3), pp.44-52. Rushton, A., Croucher, P. Baker, P., (2014).The handbook of logistics and distribution management: Understanding the supply chain. Kogan Page Publishers. Schnsleben, P., (2016).Integral logistics management: operations and supply chain management within and across companies. CRC Press. Wang, K.C., Ma, A.P., Hsu, M.T., Jao, P.C. Lin, C.W., (2013). Seniors' perceptions of service features on outbound group package tours.Journal of Business Research,66(8), pp.1021-1027. Wiesner, S., Freitag, M., Westphal, I. Thoben, K.D., (2015). Interactions between service and product lifecycle management.Procedia CIRP,30, pp.36-41.

Business Paper Writing - an Overview

Business Paper Writing - an Overview Term paper is quite a huge job. Your paper is going to be handled by professional writers. A term paper is the consequence of a superior deal of research, so the moment you're prepared to begin writing, it can be hard to comprehend where to start. Our custom made paper writing service is genuinely among the best ever! It is always recommended for student to have some on-line small business paper help by using their company paper writing. Our entrepreneurial papers are complete by writers that have a thorough insight in the specialty of both business science and English linguistics. The Harvard style of writing is a distinctive means of presenting academic papers as it is fairly professional and simple to use. As part of your advertising regimen, you may rely on working closely with a different business in a sort of partnership. What's more, you can order one-page small small business plan so you'll have a great outline based on which you will be able to structure the full work. The business operator should write the business program, and adhere to the plan that has written. Moreover, writing about the franchise purchasing process might also be profitable. Some individuals become lost in the company and can't continue. Every business they desire to acquire profit in the industry enterpris e. Every business people wish to acquire profit in the enterprise. Consequently, taxi businesses have rarely innovated. The limousine or black vehicle business is not the same story, and here Uber is much more likely to be on a disruptive path. What Everybody Dislikes About Business Paper Writing and Why It is advised to work in groups with the aim of gathering materials and academic brainstorming. There are a lot of free paper-writing services on Earth. There are a great deal of paper templates to choose from, but a whole lot of the time your instructor will require a specific format for the whole class to follow. Keep on reading to discover ideas for a few of the most common global small business research topic tips that you can use and make your very own, distinctive and productive research paper. You ought to be adequately informed on your topic and make certain you know the ideal place to track down relevant sources for the specific same. You must learn how deep to pick the research so as to come out with workable info. There are doze ns of interesting small small business topics for research paper writing. Based on the type of business you're starting and the sort of plan you're writing, you may not need to go into too much detail here. A term paper is the effect of a fantastic deal of research, so when you're ready to begin writing, it can be difficult to comprehend where to begin. To compose an ideal topic the thing which matters is the option of the proper topic, because it is a significant factor. It's common that there ought to be a great deal of distinct varieties of business topics are readily available. What Business Paper Writing Is - and What it Is Not The opportunity portion of your organization program is the point at which the real meat of your plan lives. As a company grows, you might call for several kinds of wisdom and knowledge. Pick the goal and objective, which you would like to achieve through the industry plan. A business program can make based on the population demand and target the perception of the folks. Business Paper Writing Secrets Instead, just include a succinct statement indicating how much you need to raise to acquire your business off the ground. You have to find out more about the problem you want to solve and the solution you're providing as well. A business program ought to be in the shape of short term and long term. When you're making the company plan doesn't use the complicated and hard wording, use short and effortless sentence about the industry plan. Management or and business thesis alike have a lot of time. It never sleeps, but that doesn't mean you shouldn't. Writing a business plan calls for a complete bunch of time. It's important to do the ideal Business program and keep on with the effective strategy. The Battle Over Business Paper Writing and How to Win It Thus the paper business card needs nice and precise writing which will in return attract a great deal of customers to the ideal booth and consequently your profit i s ensured. You also find various kind of information of the promotion companies. It is possible to also go through sample business writing assignments, but the best approach to learn about quality services is to make a buy. You could also go through sample business writing assignments, but the very best way to learn about quality services is to produce a purchase. The Ugly Secret of Business Paper Writing Business writing is a type of specialist communication. Each time you choose to purchase business papers, you finish an order form on the website so that our business specialists will know that you will need some skilled help with business writing. A business program is a tool for make a decision for a planning what ought to do later on. There's a one-page small business program. Ideas, Formulas and Shortcuts for Business Paper Writing An excellent business paper ought to have an introduction, which will be followed by means of a human body and a concluding paragraph. Ke ep in mind the golden rule of resume writing your resume is a marketing document and, being such, should market all the fantastic things you may bring to an expected job. Business description is in the form of the brief kind of statement. It is in the form of the short type of statement. As the writing content isn't the one thing that matters even the way it's presented may also ensure it is noticeable and appreciable. Websites that focus on writing will allow for the client to pick the writer they're working with. Our writers always create unique content that is absolutely free from all grammatical error. Moreover, professional on-line writers have the resources for checking for plagiarism.

How to Give Me a Topic For a Paper on Biology

How to Give Me a Topic For a Paper on BiologyIf you really want to give a paper on biology that has a huge impact on the world, you have to be prepared with a question that is essential to your subject. It doesn't matter if you've been studying the subject for years or if you just decided to get into the paper giving business. You need to make sure that the paper will be successful and that your topic is one that will hold the attention of your audience.The first thing you should do is look at your own personality and the general interests of your audience. There are certain subjects in biology that attract more attention than others. If you are trying to determine which topics will get the most attention, you should know that people who like animals often pay more attention to this kind of science than people who don't. On the other hand, people who prefer plants are less likely to give their full attention to the subject.Here's a real example that you can use as a guide. Let's say that you are working on an essay about cells and how they work. You have to ask yourself what kind of topic that is going to grab the attention of your readers. If you are dealing with cells and how they work, you could write an essay that looks at the issue of reproductive reproduction.What are reproductive reproduction? In order to understand it, you have to look at how the organism reproduces. It might be interesting to learn that many of the organisms that live in the real world reproduce sexually. When a cell divides to form two new cells, these two cells are actually joining forces so that they can create offspring.The main question that you should focus on when writing the essay is how the organs in the body go about this process. This is an important question that might be covered in the science section of the paper. However, if you were to cover this in the introduction of the paper, you would probably not have as much success because it is not the subject that your readers are interested in.However, if you were to cover the topic in the body of the paper, you might find that the topic is too general to provide the insight that your audience needs. In addition, you might also find that many of your students may skip over the research sections of the paper. For example, in a biology class, students usually skip over the theory sections, as the students may be already comfortable with the way the topic is explained in the book. When you write an essay on biology that covers the topic of reproduction, however, you should have a theory that is presented and a discussion of why this theory makes sense.When you decide on the topic, you should consider the type of questions that you will be posing. For example, if you were to write an essay on the circulatory system of the human body, you would need to discuss the heart. You might even have to consult your physiology text for more information. Knowing this information ahead of time will help you prepare the essay better and it will also help you decide on the best answer to the question that you want to present.When writing an essay on biology, there are a number of things that you should remember. One of them is that you should make sure that your topic is an important one. It may not be something that you have thought about, but it is something that your audience will need to read. Finally, it is important to have a theory that answers the question that you have set forth.

You Can Always Find the Number 99 in an Essay

You Can Always Find the Number 99 in an EssayIf you have ever seen a number that starts with a small '99' it is important to understand the significance of that number. The number 99 refers to what is known as the oldest mathematical concept in the world - the sequence of natural numbers. This is the sequence of divisors and when the number is divided by a certain digit the value assigned to that digit is the numerical value of the original number. There are actually two digits of a number that does not change the value, and they are the ones that tell the sequence in which the digit in question is to be treated.So, when you see the number 99 you are actually using the natural numbers as the decimal values of the original number. Remember if you are using the number 99 as the decimal value of an original number, it means that you are using the exact same sequence as the original number. In other words, you are using exactly the same sequence as the original number.Now if you are citi ng a number 99 as the decimal value of the original number then you have found the source of that number. This number represents the exact same sequence as the original number. It is one of the most famous and the most ancient of all sequence of natural numbers. When the number 99 appears in your essay, it means that you are using the exact same sequence as the original number.If you are quoting a number, if you are quoting the number 99 in an essay, you are actually quoting the number that represents the exact same sequence as the original number. This number is 99 and its decimal value is the sequence of the original number.The number 99 has a long and strange history, and it is a story that even the oldest scholars have struggled to understand. Some of the only things that they can agree on is that the sequence of natural numbers that starts with the number 99 is very important to us.There are a number of ways that the writer can properly cite the number 99, and in a number of th ose ways, the writer is citing the exact same sequence as the original number. The number 99 is important, but the sequence of natural numbers that start with it are a little bit more important than the number itself.If you find yourself citing the number 99 in your essay, you are going to find yourself citing exactly the same sequence as the original number. This is the result of someone figuring out a way to explain something in an essay that is actually very simple to do. The numbers are not so complicated and the sequence of natural numbers that start with 99 is quite simple.

Writing Space Exploration Essay Samples

Writing Space Exploration Essay SamplesWhen it comes to writing an essay on the topic of space exploration, there are many different kinds of English language samples that can be used. There are entire books and hundreds of guides dedicated to the subject, as well as a good number of other resources that can be used. The bottom line is that whatever resource you decide to use, you should always stick with an appropriate title for your paper that will make it easier for a reader to find it and start reading it.The way in which you format your essay samples depends on a number of different factors. The titles of your essay samples are entirely up to you. You should not feel obligated to come up with something that fits a specific style guide, since they don't really exist. However, since you do have the time to do it the proper way, you may choose to write something that works for you personally.First, you should think about what your overall theme is when it comes to space exploration . Your research will play a large role in this, and if you don't know your material very well, you will be forced to put it into words, rather than just describing it. This means that you should probably have something like, 'What has been discovered in the past 20 years about our world's most profound scientific discoveries?' or 'Is there a way to go beyond Earth and the Moon?'Then, you should think about how you would tell the rest of your story from these excerpts. If you have some research to back it up, then you will have a much better chance of getting it right. If you have nothing to back it up, you are going to need to write a different essay, one that reflects your personal experience in space exploration. Space exploration has been around for many years, so if you want to add more depth to your paper, then you are going to have to bring this into your own experiences and knowledge.As a writer, you should always plan on having a central thesis that runs through your story. This is something that is not so important when it comes to an essay, but it is extremely important for the kind of story you want to tell. If you do not already have a plot, then you are going to have to create one before you get started. A plot is a basic way of telling the story, and there are many different types of plots, from highly developed and detailed to very simple and just descriptive.After you have decided on the style of writing you want to do, you should think about what sort of piece you want to do on space exploration. Are you talking about the history of space exploration, or are you talking about the future? This is something that should be brought up early on, because your audience will be able to tell from your paper whether you are trying to persuade them to support your point of view or if you want to generate interest. So, if you are talking about the future, then you need to talk about science and technology, and if you are talking about the past, then you n eed to talk about history and politics.If you are trying to be informative and get people interested in your topic, then you need to show them what the future holds for space exploration, the dangers it poses to the future, and what the advantages of space exploration are. If you are just trying to sell people on your point of view, then you can talk about space and other topics without getting too specific. This will help you convey the right message to your audience.

George Orwell Essays (536 words) - Essays By George Orwell

George Orwell George Orwell also known as Eric Arthur Blair lived from 1903 - 1950. He was a British writer who wrote documentaries, essays, and articles. He was born in Motihari, India. Orwell was educated at Eton College in England. From an early age Orwell said, Perhaps the age five or six, I knew that when I grew up I should be a writer. After Orwell did not win a university scholarship at Eton College he joined the Indian Imperial Police. He served with the Indian Imperial police in Burma from 1922 - 1927. At the age of twenty- four, he started to teach himself how to write. After his time as a police officer in Burma he returned to England for a couple of years he went on living in London and then Paris among the poor. Out of George Orwells experiences he wrote about conditions in his life and ordeals that occurred that no one had ever done before. Orwell experienced many difficulties in his field. First as a police officer in Burma he saw how brutally the people where being treated by the other police officers. He also wrote about his resignations that he had about domination of people over each other. When Orwell returned from Burma he returned as a poor very sick writer trying to find his way. He lived in poverty for several years, before he made his way to London. He would later write a book about his homeless conditions entitled Down and Out in Paris and London. In December of 1936, Orwell decided to enlist in the POAM, the Socialist military party in Spain, during the Spanish Civil War. Orwell fought for socialism in Spain, but was wounded in the neck and forced to return to England in 1938. After he returned from the war he would wrote about the conditions he encountered in the battlefield. Like all his reasons for writing the main purpose Orwell went to Spain was as he said, Was to kill fascists. Later that year Orwell became ill with Tuberculosis. The disease would later be his downfall in health and in his writing. He made many contributions throughout his life to humanity; however, his biggest was what he wrote about in his books. That I believe is his biggest contribution to society. Orwell was telling people about the conditions that he encountered such as: what the coal miners where going through. Which he wrote about in The Road To Wagon Pier. In this book he wrote about the evil conditions, foul housing , bad pay, and unemployment that the coal miners had to deal with. By doing this he rose awareness about the situation so they could be helped. George Orwell was the kind of writer who had to be in the center of activity. He wrote about the things people didnt want to acknowledge were going on or about political subjects he did not agree with in society. He went wherever he needed to raise awareness about a cause. On January 21st 1950, while working on a series of articles Orwell died of complications from Tuberculosis. After his death he would be remembered most for his influential books and his passion for writing. English Essays

Domestic Violence Treatment Plan Essays

Domestic Violence Treatment Plan Essays Domestic Violence Treatment Plan Essay Domestic Violence Treatment Plan Essay The patient/family will understand the impact and influences those cultural and spiritual traditions, practices, and beliefs have on health and wellness. 1. Discuss the potential role of cultural/spiritual traditions, practices and beliefs in achieving and maintaining health and wellness. Refer to clergy services, traditional healers, or other culturally appropriate resources. 2. Explain that traditional medicines/treatments should be reviewed with the healthcare provider to determine if there are positive or detrimental interactions with prescribed treatment. Explain that the medical treatment plan must be followed as prescribed to be effective. DISEASE PROCESS/CONDITION The patient/family will understand that domestic violence is a chronic and preventable condition involving a specific pattern of behaviors, beliefs, attitudes, and feelings. 1. Explain that domestic violence can become a chronic condition and has its roots in low-self worth, fears of abandonment or being alone, and can be seeded in early childhood or adolescence. Examples can be: real or imagined abandonment by caretakers, witnessing violence within the family, being a victim of abuse or neglect, having a emotionally-unavailable parent (alcoholic or depressed). 2. Explain co-dependency as it relates to domestic violence. Discuss the patient’s and family members’ attitudes toward their dependency. 3. Discuss the patient/family member’s abusive/violent/controlling behavior and/or pattern of victimization. 4. Discuss the role of alcohol and substance abuse as it relates to domestic violence. 5. Explain that the natural course of domestic violence is one of escalation and that without intervention it will not resolve. FOLLOW-UP The patient/family will understand the importance of follow-up and will make a plan to keep follow-up appointments. 1. Discuss the importance of follow-up care. 2. Discuss the procedure for obtaining follow-up appointments. 3. Emphasize that appointments should be kept. 4. Discuss the plan of action for situations that are dangerous or life threatening. INFORMATION AND REFERRAL The patient/family will receive information and referral for alternative or additional services as needed or desired. . Provide the patient/family with alternative or additional sources for care and services. 2. Provide the patient/family with assistance in securing alternative or additional resources as needed. LITERATURE The patient/family will receive literature about domestic violence. 1. Provide the patient/family with literature on domestic violence. 2. Discuss the conten t of the literature. PREVENTION The patient/family will understand risk factors and behaviors that predispose to domestic violence and develop a plan to avoid relationships and situations which may result in domestic violence. . Explain predisposing risk factors for domestic violence, including a pathological need for control, alcohol and/or substance abuse, history of child abuse and/or domestic violence in the family of origin, etc. 2. Explain that environmental stressors, physiologic changes, and illnesses may precipitate violent behavior in persons who are predisposed to violent behaviors. 3. Discuss the progression of domestic violence from verbal/emotional abuse such as shouting and name-calling to physical violence such as shoving to injury and death. Explain that the natural course of domestic violence is one of escalation and that without intervention it will not resolve. 4. Discuss how to identify â€Å"red flag† behaviors in current or potential partners: a. Excessive jealousies and accusations of cheating a. b. Monitoring time and excessive questioning b. Alienation from friends and family c. Verbal abuse (criticizing, name calling) d. Rummaging through personal belongings e. Other excessive controlling behaviors 5. Develop a plan of care to avoid violent relationships. PSY PSYCHOTHERAPY The patient will understand the goals and process of psychotherapy. 1. Review the reason for the initial referral for therapy as part of the care plan. 2. Explain that therapy may include individual, group, psycho-educational /therapeutic, talking circles, or other modalities. 3. Emphasize the importance of keeping all appointments and that full participation and follow-up are critical to treatment success. 4. Emphasize the importance of openness and honesty with the therapist. 5. Discuss issues of safety, confidentiality, and responsibility. . Explain to the patient that the therapist and the patient will establish goals and duration of therapy together. SAFETY The patient, family members, and other victims will understand the pattern of domestic violence will make a plan to end the violence, will develop a plan to ensure safety of everyone in the environment of violence, and will implement that plan as needed. 1. Be sure family members and other victims are aware of shelters and ot her support options available in their area. Make referrals as appropriate. 2. Review co-dependency. . Assist to develop a plan of action that will insure safety of all people in the environment of violence. STRESS MANAGEMENT The patient will understand the role of stress management in domestic violence. 1. Explain that uncontrolled stress often exacerbates domestic violence. 2. Discuss that stress may exacerbate adverse health behaviors such as increased tobacco, alcohol or other substance use, all of which can increase the risk of domestic violence. 3. Emphasize the importance of seeking professional help as needed to reduce stress. 4. Discuss various stress management strategies which may help maintain a healthy lifestyle. Examples may include: a. Becoming aware of your own reactions to stress b. Recognizing and accepting your limits c. Talking with people you trust about your worries or problems d. Setting realistic goals e. Getting enough sleep f. Maintaining a reasonable diet g. Exercising regularly h. Taking vacations i. Practicing meditation, self-hypnosis, and positive imagery j. Practicing physical relaxation methods such as deep breathing or progressive uscular relaxation k. Participating in spiritual or cultural activities 5. Provide referrals as appropriate. TREATMENT The patient/family will understand the co-morbidity of domestic violence with other conditions and the potential long-term interventions which may include psychotherapy, medication, and support groups. 1. Review the nature of domestic violence as a treatable condition. 2. Explain that both the patient and the family need to acknowledge and take responsibility for their respective contributions to the family dysfunction. . Review the treatment options available, including individual and group therapy as well as the potential risk or contraindications of other options, such as family or couples counseling. 3. Discuss the importance of individual or group psychotherapy in: a. addressing co-dependency b. changing negative cognitions/low self esteem c. healing precipitating childhood and adulthood factors of past abuse, neglect, and abandonment d. treating associated conditions, such as depression and posttraumatic stress disorder