Wednesday, January 29, 2020
Implementing Immunizations Essay Example for Free
Implementing Immunizations Essay Implementing Immunizations Implementing immunizations into the clinics can be challenging for the facility and the staff. There are several methods that have been implemented to monitor the methods used by the staff to give the immunizations to the patients in the clinics. There have been several obstacles and challenges that the staff and leaders have faced. As with any changes that take place in patient care within an organization methods must be set up to monitor those changes. Changes promote challenges not just to staff leaders but the organization as a whole. Communication with any changes can be challenging for the leadership and staff (Surdu, 2010). Methods to Monitor Change In implementing changes there needs to be methods to monitor those changes. The first method is to monitor the reimbursement value units per visit associated with the immunizations. The need to monitor the increase of visits, the percentage of increase of the reimbursement value units now that the immunizations that are given in in the clinic since they are ordered immunizations ordered directly by the physician and not given on protocol (Surdu, 2010). Another method to monitor the change of implementation is to survey the patients to see how they have responded to immunizations being given directly in the clinic. This can be done in a survey form either via email or sent in the mail so patients can voice their opinion on the changes that have been implemented (Helfrich, Blevins, Smith, 2011). The leaders in the clinic can sit down with the staff to get their opinion and suggestions on how the changes of giving immunizations in the clinic are affecting their time management with patients. This can be very helpful toà leaders in adjusting the change that have been implemented because no change should never be set in stone. The input of the staff can be crucial when monitoring changes that have been implemented to determine whether they are successful or not (Helfrich, Blevins, Smith, 2011). The final method used to monitor that immunizations are properly being implemented in the clinic setting are going to be chart audits by the leadership. This will be used to ensure that the proper immunizations are given to the patients and that patient care is not being compromised (Helfrich, Blevins, Smith, 2011). Of all of the monitoring methods mentioned above the main issue is patient care. The ââ¬Å"Patient Medical Center Home Modelâ⬠consists of modeling the care around the patient. Ensuring that patient care is at the forefront of the facility, monitoring the changes is one way to ensure that this takes place. The quality control standards of the ââ¬Å"Patient Medical Center Home Modelâ⬠consist of upper management performing quality control chart checks on a monthly basis. These chart audits are done to ensure that the standards are being met which are determined by the Department of the Army. This is one of the main differences that a military treatment facility is held to as a standard versus a civilian facility. Therefore this can be seen to some as has bureaucratic red tape in some instances, whereas in others it does have its advantages (Marshall, Doperak, Milner, 2011). Organizational Relationship The relationship between organizations process systems and professional roles on a staff can be essential to the success of an implemented change. The Department of the Army has specific protocols when implementing changes such as implementing immunizations into the clinic setting. Organizational process systems will provide how changes will be implemented in the facility. In the facility changes come from Western region then trickle down from the Command or another words upper management. The changes are then implemented throughout the clinics in the facility. The responsibility falls on the clinic officer in charge to implement the changes throughout each clinic (Marshall, Doperak, Milner, 2011). In a military treatmentà facility changes are implemented differently than in the private sector. In the organization upper management solely consists of military personnel while leadership within the clinic is a mixture of military and civilian personnel. The process of changes is not set in stone but guidelines are set forth from Western region. The actual written standard operating procedure for the facility is implemented and brought to the forefront by upper management. Then upper management delegates the implementation down to the clinic officer in charge for actual rollouts into each clinic (Marshall, Doperak, Milner, 2011). The roles of the leadership in the clinics are essential to the success or unsuccessful implementation of change. The attitude of the leadership carries weight on how well the rest of the staff receives the change. Leaders on the clinic level have to accept changes whether good or bad and expect staff to challenge them. Leaders have to be strong and accept the change themselves and to support upper management. There are problems dealing with changes when issues arise between created civilian and military personnel. These issues are not easily dealt with and when changes are ensuing within a facility this causes undue stress within the organization. This is one reason that leadership needs to bring forth and implement changes within an organization as all one team because staff is well suited at picking up any rift within the management team (Marshall, Doperak, Milner, 2011). Communication Techniques Communication techniques are one of the mainstays in addressing any issues when implementing changes in any organizational plan. There are several ways in an organizational plan change that communication can take place such as talking directly to leadership on the front lines who deal with the change or all the way up the chain dealing with upper management. Without communication problems with the changes that have been implemented will not be resolved and the changes will not be successful (Marshak. Grant, 2011). One communication technique that can be used is that leadership can address staff that seems to have issues with the changes that have been implemented. They can speak to staff on an individual basis using a closed-door setting to try to alleviate any issues that are affecting any of the employees work.à Employees may feel more comfortable speaking with a member of the leadership team on a one-on-one basis to voice their concerns with the change. Sometimes most of the issues dealing with an employee that have issues with changes that have been implemented, the staff member has questions or does not understand why the change has been made. This issue is best addressed in a one on one sit down conversation with the employee in a closed-door situation (Marshak. Grant, 2011). Another communication technique used to address any implementation issues with the changes can be providing specific emails to a particular person. By addressing issues to one particular person within the organization instead of problems associated with the change can be addressed centrally and immediately if necessary. If issues cannot be handled by this one person than the contact person can go to their resources and take care of the issue or issues at hand. Emails are the preferred method of communication unlike phone calls at a military treatment facility. Phone calls should only be used for emergencies, where there is an immediate response that is needed. In other words the majority of the issues dealing with the implementation of the changes that occur can be dealt with through emails. These issues are not needed to be dealt with in an immediate time frame and can be dealt with and a normal work week depending on the issue that have arisen (Marshak. Grant, 2011). Without proper communication, the need to communicate and how the communication is to take place the change implementation may well as not have ever taken place. Communication for a successful organization does need to take place in several forms; this is in the hands of a successful management and leadership (Borkowski, 2005). Conclusion In implementing changes there needs to be several methods to monitor how those changes are affecting the organization on the clinic level and as the organization as a whole. Many times staff along with the patients; both whom are giving input on the change in which the organization is trying to improve care on how the changes are taking place. The organization must beà willing to change its process in its systems whether or how management runs a certain part of their business develops a new process or because of a change implementation downsizes a facility. In order for the change to be successfully implemented communication is essential for this to take place. There are many techniques that organizations can use to accomplish this task. The communication technique will depend on the change implemented and the structure of the organization. Staff leaders whether at the clinic level or upper management are still the main key whether the organizational plan that has been set forth if the changes that have been implemented will be successful. Reference Borkowski, N. (2005). Organizational behavior in health care. Sudbury, MA: Jones and Bartlett Publishers. Retrieved from The University of Phoenix eBook Collection database Helfrich, C., Blevins, D., Smith, J. (2011, July). Predicting Implementation From Organizational Readiness for Change: A Study Protocol. Implementation Science , 6(76). Marshak., R., Grant, D. (2011, Sep). Creating Change by Changing the Conversation. OD Practitioner, 43(3), 2 7. Marshall, R., Doperak, M., Milner, M. (2011, Nov). Patient-Centered Medical Home: An Emerging Primary Care Model and the Military Health System. Military Medicine, 176(11), 1253 1259. Surdu, G. (2010, Winter). Organizational Change- Different A. Romanian Economic and Business Review, 5(4), 48-54.
Monday, January 27, 2020
Quality Control
Quality Control DEFFINITION: Quality control is defined as the set of procedures intended to ensure that performed service or manufactured product sticks to a set of quality criteria or meets the requirements of the client. Quality control of a project is to determine the quality required for the products of the particular project. à à à à à à à à Quality targets should meet all the basic requirements defined by the authorities of the project. Project management body of knowledge(PMBOK) approaches: Standards organisations for quality management system: ISO 9000 series ISO 9001:2008 rules Six sigma Ishikawa Crosby ISO 9001:2008 rules:- It is a set of procedures that cover all key processes in the business. Checking outputs for defects and correction where necessary Regularly checking quality system for effectiveness. Roles and responsibilities of quality manager: Roles of quality manager: You must be act as an objective observer even when you are looking at the subjective issues. When you ask questions you have to take a step backwards from answers. So that all you looking for data-whether numbers, reports and it may be observations. This combined data will lead you to what you need to know. Quality is not a finger pointing exercise for you or your employees. It is an honesty and open method to get the solutions at the objective observation. First of all look quality within your area before taking on to the world. Responsibilities of quality manager: Assist the preparation of the Quality Plan for each projectà ¢Ã¢â ¬Ã ¢ Assign different roles to product managers and related stakeholders in the development of test procedures or whatever is needed to complete the preparation of Quality Control procedures.à ¢Ã¢â ¬Ã ¢ Make sure that the stakeholders requirements from all products and services are well documented and prepared against the final products or services.à ¢Ã¢â ¬Ã ¢ Install some updates to the Quality Plan to check problems at handà ¢Ã¢â ¬Ã ¢ Provide feedback to the project manager on a regular basis or on demandà ¢Ã¢â ¬Ã ¢ Conduct some additional audits or Quality Control reviews by demand of the project manager.à ¢Ã¢â ¬Ã ¢ Assist various stakeholders in the process of improving production processes, QC processes or any other aspects of the ICT resources that need improvement.à ¢Ã¢â ¬Ã ¢ Relation between process group and quality management process: Quality management has three kinds of processes Quality planning process Quality assurance process Quality control process 1. Quality planning: It serves which quality standards are relevant to the project and how to satisfy those standards .applying those quality standards in to project design is a key part of quality planning. quality plan should not be very long or expensive to produce them. It serves as plan and communication tool in the project. Inputs to quality planning: Scope statement which describes the vision of project. Organisational project assets which gives the lessons learned from the previous project Database which contains policies and procedures. Tools and techniques used in quality plan: Common sense is main tool when you decide the quality. Cost of quality is one of them. Quality objectives: It is a Systematic reflection and evaluation during different phases. Sets quality goals in the available time plan. Observing the priority areas which are necessary in the project. identifies strengths and potentials for improvement. Gives the measurements for the development of project. Outputs to quality management: There should be a list which describes tools and techniques used. A clean view which explains how do we measure quality. List of names who will review the quality. Check list gives feed back from all the viewers. Check list of qualityà à à à à à à à Attachments Quality control management Document identification: scope plan Resource plan Schedule Budget Benchmarks Verification Testing Time estimate criteria Cost estimate criteria Technical procedures Technical policies Communications ISO standards PMI standards Customer satisfaction criteria 2. Quality assurance: It is the application of systematic, planned approach to make sure that the project will employ all processes to meet requirements of the project. Quality assurance activities performed by quality manager: Skilled staff: should have knowledge, skills, experience required to keep the project on track. Peer Reviews: peer reviewers discuss about the quality issues found and actions that have to be followed in order to correct the quality issues. Use of templates: provides guidance to the project team members. Checklists: gives quality requirements are fulfilled or not. Gives feed back from all the viewers. 3. Quality control process: It contains monitoring results to see whether they comply with the relevant quality standards. It finds ways to deletes the unsatisfactory results from the project. Control ensures that whatever is delivered to the customer meets the expectations of the projects. Quality control includes the measuring, checking, and auditing of the tasks of the project. Targets of quality management: They should be: Accepted by all the existed participants, Measurable by quantitative parameters, Realistic, should be on track with the available resources Specific, qualitative statements.
Tuesday, January 21, 2020
The Power Struggles in Jury of Her Peers and Mama Come Home Essay
The Power Struggles in Jury of Her Peers and Mama Come Home The issue of dominance and subordinance is addressed in the short stories ââ¬Å"A Jury of her Peersâ⬠by Susan Glaspell and ââ¬Å"Mama Come Homeâ⬠by James Tiptree, Jr. In the stories the subordinates are harmed by the dominants, but the subordinates overcome the suppression to triumph in the end. The groups with the power control the laws and the positions of the weaker group. To begin with, ââ¬Å"A Jury of her Peersâ⬠is about the way women in 1917 were treated by men. The main women characters are Minnie Wright, Mrs. Peters, and Mrs. Hale. The women in the story are confined to their homes; rarely getting to go to town or visit with their friends. The women did not have many things with color and beauty. The men looked down on the women as inferior. The women in the story are the subordinates and the men are the dominants, because the men oppress the women and control them. ââ¬Å"Mama Come Homeâ⬠is a science fiction story about the way women treat men in the future. Giant alien women, called Capellans, come to Earth and abuse the smaller Earthmen. The women have no respect for the men. The men are helpless because the women are so large and powerful. The women in this story are the dominants and the men in the story are the subordinates, because the women control the men and everything the men do. The subordinates in the story ââ¬Å"A Jury of her Peersâ⬠are emotionally abused by their husbands. The men treat the women like they are incapable of doing the same tasks as the men. An example is when the men are looking for clues to find a motive for the murder of Minnie Wrightââ¬â¢s husband. They assign the women the task of finding Minnie Wright, who was being retaine... ... women determine what happened, Mrs. Peters becomes more compassionate and starts to feel Minnieââ¬â¢s pain. At the end of the story, Mrs. Peters helps Mrs. Hale hide the evidence that could convict Minnie. Tillie, one of the main characters in ââ¬Å"Mama Come Home,â⬠changes during the course of the story. Tillie is a human that looks like a Capellan, a giant alien woman. Tillie is friends with the Capellans until she sees the way the Capellans treat her male friend. Tillie becomes upset and decides to help the humans scare off the Capellans. Without Tillieââ¬â¢s help, the humanââ¬â¢s plan would not have worked. In summary, the stories show how dominants can hurt subordinates and how subordinates can find ways to overcome the power of the dominant group. The characters learn that the dominants hurt people, and they must help out their friends by doing the right thing.
Sunday, January 19, 2020
Drugs: A Major Problem In Canadian Society :: essays research papers fc
Drugs: A Major Problem In Canadian Society A major problem that exists within Canadian society is the abuse of mind- altering substances. Such narcotics cause not only health problems, but also violent and potentially criminal acts. A mind-altering narcotic can be defined as both the legal and illegal type. The four main categories of drugs are: narcotics, CNS depressants, CNS stimulants, and hallucinogens. Most of these drugs are highly addictive and are usually obtained by prescription or are considered a banned substance and must be purchased illegally. Users of many of the "harder" drugs being abused today also face the possibility of an eventual overdose. An overdose is the ingestion of a lethal or mind- damaging amount of drugs. Once an full addiction of these drugs occur, the user faces withdrawal symptoms when a discontinuation of a drug transpires. This is due to a reduction of the natural pain-killers that exist in the body of non- drug users. These symptoms include chills, sweating, cramps, headaches, diarrhea and excessive vomiting. The treatment of drug addicts includes an extensive program of detoxification. Medical drugs, such as Naloxone, are sometimes given to patients to aid in overcoming these addictions. These drugs occupy opiate receptors in the brain to block all effects of the damaging drugs, however the Naloxone is not an addictive drug, as the others are. The downfall to the medical drugs being used to help addiction are that there effects are very short-term and cannot cure the patient, but does assist in attaining the goal of substituting a more controllable, less lethal drug as opposed to the original narcotic . The key to preventing substance abuse in Canada is to educate the public, preferably at a young age, never to experiment with potentially life-threating drugs. This education can be attained within the pre-secondary schools. In 1988 prime minister Brian Mulroney announced proposed Canada's Drug Strategy. Laws were enacted, which prohibited the sale of drug paraphernalia and increased the power of police to seize the assets of arrested drug offenders. The Strategy allocated the sum of $210 million in its first five years (and an additional $270 million in 1992) mainly to the prevention, education and treatment of drug use, while 30 per cent of this money was intended for the traditional area of law enforcement. The goal of education within the school system should be to support those students who are non-users with recognition and social activities that will encourage them to remain non-users and to facilitate a belief and value system that incorporates concern for fellow students and residents of the community. Drug education should emphasise the negative aspects of drugs to give the
Monday, January 13, 2020
House on Mango
Have you ever been disappointed by high expectations? Although fulfilling said expectations might not be possible at the time, it is not reason to forfeit or throw in the towel; rather with enough effort these goals may be realized. The expectations set by Esperanza in Sandra Cisnerosââ¬â¢s ââ¬Å"The House on Mango Streetâ⬠inevitably leads to disappointment; however fulfilling these dreams is still a possibility despite of its non-actuality. Esperanza lives out unfulfilling life disappointed by the uninspiring house she lives in, a worthless music box, and the dream of eating in the canteen.Esperanza had hoped for more, even believed in more than what she received; a shabby, broken-down house on Mango Street. The description of the house Esperanzaââ¬â¢s parents provide does not go with the reality of the situation leading Esperanza to hope for something that cannot be. Esperanza is disappointed by the lack of stairs, the absence of a yard, the actuality that the house is not the picture perfect house as seen on TV. Although Esperanza is not happy with the house she lives in, she still hopes for a better future despite knowing that her goals will not be met for a very long period of time.Esperanza faces these unsatisfied dreams with hope still in her heart using the old decrepit house as inspiration to better her future. Additionally, Esperanza faces further disappointment when she visits the junk store and finds something of interest to her. Nenny, Esperanzaââ¬â¢s little sister, spots a record player but is unaware of its nature. She discovers that it is a music box and Esperanzaââ¬â¢s hopes immediately soar; she longs for a pretty box with flowers painted on the exterior, and a ballerina inside.This beautiful thought fades away as she discovers that the box is instead just a dusty record player with a brass record that has holes in it, which when played, sounds like a cacophony of moths. The hope she had been given was crushed. The canteen i s her dream of eating lunch is not fulfilled, so once again her heart is overwhelmed by disappointment. Esperanza believes the kids who eat there are special and important. Esperanza expended much effort to convincing her mother to grant her permission to eat at the canteen fully believing the experience would be every bit as extravagant as she imagined.These beliefs are completely dismantled by the harassment Esperanza receives from a nun; Esperanza ends up eating her then cold food in solitude. Her dream of eating in the canteen portrays yet another instance in which Esperanza is brought down due to the predispositions she has no control over; these wretched experiences do not ultimately limit Esperanzaââ¬â¢s ability to succeed in the future. The addition of this photo is crucial to displaying how disappointment is an unavoidable factor of life.In viewing the above image, an image irrelevant to the subject, one who reads this paper, may be disappointed; however this disappointm ent does not limit the capacity of the reader to read the following text. Failure to have the specific criteria that one longs for may be uncontrollable much like an alien invasion in the Jurassic period, and such is life; the key is to keep moving forward and keep fighting on even in the face of Armageddon. The scientist running experiments in a lab often comes upon errors in procedure, wrong answers to questions asked. A boxer throws many, many blows at his opponent, and the boxer misses most of those blows.Esperanza longs so much for a life she cannot lead because of her upbringing, but this does not stop her from hoping. These trails all lead to disappointment and failure. Esperanza doddles on the harsh realities of her life at the time, disappointed with the situation presented to her; although the disappointment she holds for her life is based on factors she has no control of it forms no real barrier in terms of what is possible. Disappointment is an inevitable factor of livin g and it must therefore be felt but never looked on as being told what can and cannot be done.
Saturday, January 11, 2020
Do Males and females Have Different Abilities When Estimating Size? Essay
The hypothesis is male can estimating size more exactly than female when they see the things far away from them. The result of the test supports the hypothesis. The problems that I faced are: people cannot stand at their place all the time during the test, the height of each people is different, and people cannot stay with the object with the same line. These problems caused my data error in the beginning of the experiment. This experiment is going to talk about ââ¬Å"Do the people estimating size of the things different caused by the gender? â⬠And the background of this science report is in the ancient time the man and the woman divided their work. The man often do things like hunting, the women do the work like planting. And why there is such a phenomenon? So, hunting exercised the vision of the male so they can shoot or hit animal accurately but planting do not help of the women vision. (SteadyHealth. com Discussion boards licensed and powered by SteadyHealth. com v4. 8. 0 Development supported by Rights Reserved à © 2004 ââ¬â 2012) the hypothesis is male can estimating size more exactly than female when they see the things far away from them. Remain the distances, and the size of the object, 20 adults in the same age and the same vision as invariant tests and half of the people we tested are females. The material is a 90 cm3 size of cube. We make 1 person see and describe the size of the cube they saw when the distance between man and cube is 15 meters one by one. Then, keep the subject at the same place, move the cube let the distance to 12 meters and 8 meters.
Sunday, January 5, 2020
Gangs of New York Essay - 697 Words
Gangs of New York: A Cultural Shift Jeremiah Harrity SOCI220 American Popular Culture Dr. Nancy Wack April 13, 2013 Gangs of New York: A Cultural Shift In the movie ââ¬Å"Gangs of New Yorkâ⬠, we see a city changed and reshaped through cultural influence of feuding individuals with different ideas. The movie is about a young man, Amsterdam Vance, who seeks to avenge his father, who was brutally murder in a gang dispute, against his adversary Bill the Butcher. On the surface the movie seems simple enough but in the back ground we see a cultural shift as immigrants come into America. Also we see political influences and material possession such as clothing and other belongings set people apart and define the social status of theâ⬠¦show more contentâ⬠¦Finally, we see political figures that used their power of persuasion to get votes. They were commoners of a higher caliber that use both sides of the spectrum to further their cause. All this came at a time of great turmoil, as the civil war is still going on and many great changes have come to America. Not only is there a mass influx due to the Irish trying to better themselves but also President Lincoln has freed the slaves and black people can no longer be considered property. Not only were they no longer servants but they were also allowed to serve in the military. The link between military service and full citizenship and inclusion is one that has had powerful resonance in our own time. The end of ââ¬Å"Donââ¬â¢t ask, Donââ¬â¢t Tellâ⬠and the full participation of gays and lesbians in our armed forces represent, as Lincoln described the Emancipation Proclamation itself, a profound ââ¬Å"act of justice,â⬠a carrying forward in our time of the ideals that he and his words inspired. (Walsh, 2013) In conclusion, we take a basic movie about revenge and pull back to reveal a great historical piece about change in America. We see how immigration affects culture by introducing new a group into an environment and how people adapt to change in varying ways. Also we see how material possessions have a hug e impact on the different social classes. The saying ââ¬Å"to the victors go the spoilsâ⬠holds true in all eras. Finally, we see how politics and popular culture playShow MoreRelatedEssay on Gangs of New York1544 Words à |à 7 PagesAmsterdamââ¬â¢s story takes place in Five Points District of New York, a filthy and dangerous part of the city before it was deleted form history. As a young boy Vallan witnessed his fatherââ¬â¢s murder at the hand of William Cutting or Bill the Butcher (Day-Lewis) during one of their many gang wars. As Amsterdamââ¬â¢s story progresses along side The Butcher they become inseparable, but Amsterdam had ulterior motive. 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The first drawings on wallRead MoreYouth in Crime Essay876 Words à |à 4 PagesMelanie Requena December 3, 2012 Essay # 5 Stereotyping happens all the time, more than people seem to believe it does. Appearance, location, and race all deal with how people as well as police authority characterize individuals without truly knowing how that person is. Race is one of the biggest factors when it comes to criminalization because of what people see on the media and from what they are told. It usually is the younger generation that are viewed as criminals not only becauseRead MoreGraffiti And Its Effects On The World War I1504 Words à |à 7 PagesComm 1016 Essay We see graffiti everywhere even though it is illegal. Its on trains, buses, buildings you name it there has most likely been graffiti on it. Letââ¬â¢s start with what the definition of graffiti is, ââ¬Å"writing or drawings scribbled, scratched, or sprayed illicitly on a wall or other surface in a public placeâ⬠(Bing.com). Graffiti can be traced back as far as world war 2 the most famous tag of that time being, ââ¬Å"Kilroy was hereâ⬠along with an illustration the artist or ââ¬Ëwriterââ¬â¢ they areRead MorePrecognitive Police, By Henrick Karoliszyn761 Words à |à 4 Pagesbelieve that the this method will be the solution to many of the nations crimes. But with many different ways of precognitive policing, whos to say what is best, or maybe all methods should be used together. Karoliszynââ¬â¢s idea to start off this essay discussed an awful occurrence the reader could sympathize with, ââ¬Å"When a troubled young man named Adam Lanza stormed into Sandy Hook Elementary School and slaughtered 20 first-graders and six teachers in a small Connecticut suburb in December of 2012
Friday, January 3, 2020
Afterward vs. Afterword How to Choose the Right Word
The words afterward and afterword are homophones (or near homophones): They sound alike but are spelled differently and have different meanings. In fact, the two words have little in common, although another pair of related terms, afterward and afterwards, mean exactly the same thing. How to Use Afterward The adverb afterward or afterwards is interchangeable with the words after and later. Afterward means at a subsequent or later time and usually relates to events that occur relatively close together. Typically, afterward is used to refer to events that occur one right after the other. For example, Jane went to church and then attended the coffee hour held afterward. It is sometimes used to refer to events that are widely separated in time as well. For example, Mary was born in 1910 and had her three children long afterward. How to Use Afterword The noun afterword is another word for epilogue, the concluding section of a text. The afterword is typically written by the author of a book, play, or other significant work and at one point in the past, was referred to as the authors notes. The afterword may offer the author an opportunity to reflect on the work or acknowledge others whose support was important in the writing of the work. Often, an afterword is added to later printings of a book that has been updated or about which critics have been particularly positive or negative. Its an opportunity for the author to respond to criticism or add insights. Examples Because they have such different meanings, its important to differentiate correctly between afterward and afterword. In the sentence We enjoyed a large dinner and afterward had coffee and a gooey dessert, the term afterward is used to place events in chronological order: First, we ate dinner, and then later we ate dessert.In the sentence Its not the election itself but what happens afterwards that concerns me, the term afterwards refers to timing: First the election will occur and then, sometime later, we will have to cope with the results.In the sentence In a thoughtful afterword, the author described her writing process and acknowledged the difficulty she encountered with such a difficult topic, the word afterword refers to a short essay that might otherwise be described as author notes. How to Remember the Difference The easiest way to distinguish between afterward and afterword is to remember that afterword includes the word word. Thus an afterword is a final word from the author. Usage Note Theres no difference in meaning between afterward and afterwards. In American English, afterward is more common, whereas in British Englishà and Canadian English, afterwards is more common. Louise and Jane had dinner and went to the theater afterward.They had a wonderful time at the party but could hardly remember it afterward.The fans were impressed by the performers first song but were less delighted by the songs she sang afterwards. Sources ââ¬Å"Afterward vs. Afterword.â⬠à Grammarist.ââ¬Å"Afterward vs. Afterword.â⬠à The Write Practice, 17 July 2012.
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