This year’s flu season has been brutal particularly on the elderly and frail population. The past month the unit has been at capacity every day with many admissions and discharges (capacity is 20). In addition, one of the day nurses has been out on maternity leave. Several days the staff just had to work short as the manager could not cover all the staffing needs. This month’s EOM (end of month) report has many variances. The month you are reporting for is September which has 30 days. Review the report below and answer the following questions.
Give a possible explanation for each variance. You can do this in a table format or excel format. CFO’s (chief financial officers) do not like responses that are wordy or full of ‘fluff’. So answer each variance in a professional, business manner.
Recalculate each variance based on per patient day (as the unit was above expected ADC) and list which areas exceeded the budget on a per patient day scenario.
The variances that are not explained or neutralized on the per patient day calculation above, what are some possible reasons for the variance?
Could the nurse manager predict the variances prior to the EOM report? Where there any steps that could have been taken to mitigate the negative budget impact? What can be done to lessen the possibility that this will occur in the next budget
Variance Analysis deals with an analysis of deviations in the budgeted and actual financial performance of a company. The causes of the difference between the actual outcome and the budgeted numbers are analyzed to showcase the areas of improvement for the company. At times, it is also a sign of unrealistic budgets, and therefore, in such cases, budgets can be revised. In other words, variance analysis is a process of identifying causes of variation in the income and expenses of the current year from the budgeted values. It helps to understand why fluctuations happen and what can / should be done to reduce the adverse variance. This eventually helps in better budgeting activity.
The Chemistry of Love
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Chemical_basis_of_loveLove has been alluded to as a heavenly inclination insofar as composed writing has existed. Writers, logicians, specialists, and different delegates of imaginative callings looked for its sources, reasons, and plans. Nonetheless, in the 21st century, individuals have gotten down to earth enough to accept that affection may have more grounded, natural causes. Innovative advancement has permitted researchers to look into this issue and give legitimate contentions for the hypothesis that cases love is a lot (not absolutely however) about “straightforward” science.
As indicated by Dr. Helen Fisher, an anthropologist at Rutgers University, love as an all encompassing framework can be isolated into three essential subsystems, each with its own practical assignments and jobs: sex drive, sentimental love, and connection. Sex drive is important to make an individual beginning searching for accomplices; sentimental love seems to enable an individual to hold center around one explicit accomplice; connection is urgent for building an enduring and dependable connection with a chose accomplice (Chemistry.com).
Every one of these subsystems need a main thrust to work and effect a person’s conduct. Despite the fact that a caring relationship is a great deal about brain science, it is as yet powered by hormones; this is the reason utilizing the articulation “love science” is completely supported. For the sex drive subsystem, testosterone and estrogen are vital; the sentimental love stage, or fascination, is “driven” generally by dopamine and serotonin; connection is continued by such hormones as oxytocin and vasopressin (BBC Science).
Testosterone and estrogen are separately male and female sex hormones that are answerable for sex-related physiological responses, desire, and the inspiration to search for an accomplice. Testosterone and estrogen cause sex drive to be available; notwithstanding, authorities concede that sex can give a begin to sentiment, as it builds the deluge of dopamine to the cerebrum (Chemistry.com). Dopamine and serotonin are hormones that cause rapture and positive temperament; similar hormones are additionally emitted in the wake of consuming certain medications, so this is the reason one can be “high” from the sentiment of affection, act incautiously, and “stall out” on the individual they experienced passionate feelings for. In its turn, connection—as the most durable period of an affection relationship—is driven by similar hormones that are capable, specifically, for mother-and-youngster bonds (oxytocin); this hormone is likewise accepted to be discharged when the two accomplices get close. In this way, a genuine relationship is progressively about consideration and delicacy, than sentiment and tempestuous emotions.
The well known articulation “love science” ought to be seen truly. Alongside characteristic mental procedures, love is additionally, to a huge degree, subject to the hormones emitted by our bodies during different phases of a relationship’s improvement. Sex drive, which makes us search for new accomplices (in the event that we don’t have one as of now), is managed by the hormones of testosterone and estrogen. During snapshots of closeness, the cerebrum is influenced by dopamine and serotonin—the hormones that are answerable for all the manifestations of sentimental love, for example, happiness, fixation on the object of adoration, lack of caution, etc. As a relationship creates, it gets strengthened by the hormones oxytocin and vasopressin; oxytocin, specifically, is a similar hormone that is answerable for the framing of mother-and-youngster bonds. In this way, in spite of the cases that adoration is simply a grave and superb inclination, it additionally has a great deal to do about science and science.
References
Dutton, Judy. “Love, Explained.” Chemistry.com. N.p., n.d. Web. 10 Feb. 2014. http://www.chemistry.com/datingadvice/LoveExplained.
“The Science of Love.” BBC News. BBC, n.d. Web. 10 Feb. 2014. <http://www.bbc.co.uk/science/hottopics/love/>.
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