Descriptive Essay Myrtle Beach - 1447 Words

It was a beautiful sunny day and my family and I were driving on the expressway. We were in my Dad’s blue truck with the fifth wheel behind us. We had the windows down in the amazing 80 degree weather. We were around our exit, Myrtle Beach! I was so excited for the trip and couldn’t wait to put my foot in the blue, cold, salt water. After the like 15 hour drive we had just suffered through I was expecting a pretty great trip. We drove down the road and saw all of the familiar places like the Tanger mall, surf shops, Krispy Kreme, and even more of our favorite restaurants. I started to recognize the details that just seemed to tell us we made it to our destination. Like the palm trees, warm weather, beach smell, and of course what we†¦show more content†¦After we finished cleaning up and getting organized we hopped in the car for about fifteen minutes. We were on our way to the store or more specifically our favorite store ever Costco. We went there to get everything we would need for the week. Like food, swimming supplies, and sand castle equipment. When we were in the store we couldn t find this fifth wheel connecter thing for our sewer but we needed it. We ended up going on this big wild goose chase and we still couldn’t find it anywhere. My Dad called Myrtle Beach Travel Park and they ended up having it there. After we had finished shopping we went to a mexican restaurant we usual ly go to. When I get really hungry I like need food that second or I get sick, we call that a â€Å"food panic†. So I was having a food panic and was like really hungry. I really like the restaurant because of the chips. I love the chips at mexican restaurants. For my main meal I got the best cheese quesadilla ever. The quesadilla was so cheesy that the cheese would stretch forever, there was this seasoning on it that made it really spicy. Overall the meal was really tasty. As we were leaving we saw a sign for a frosty on sale for 1 dollar. We went into Wendy’s and waited in line forever, or what seemed like it. When we finally got our frosty’s they were so good. I got chocolate and my sister, Mara got vanilla. I love chocolate anything and everything. The frosty’sShow MoreRelatedMyrtle Beach Descriptive Story Essay1406 Words   |  6 PagesAidan, you wanna know where we are going on vacation?† my dad asked, thinking I was going to jump out of my seat. â€Å"Yeah, where?† I answered anxiously. â€Å"Do you wanna take a guess?† he questioned. â€Å"Uh,†I replied, â€Å"Arizona?† â€Å"Nope.† â€Å"Then where?† â€Å"Myrtle Beach!† Months later, we arrived at the airport at around 11:30am on Sunday, and our flight was supposed to take off at 2pm. But we were told that there was a fifteen minute delay and we weren t too bothered. Fifteen minutes later, they pushed the flight

Monsoon Wedding Essay - 1041 Words

Monsoon wedding†(2007), an award winning movie, directed by mira nair. Features widely known Indian actors, such as Vasundhara Das, Naseeruddin Shah and Vijay Raaz. The film is based on the autobiographical account of Mira Nairs own family.( Manish Gajjar 2002) It is about a stressed father, a bride-to-be with a secret, a smitten events coordinator, and relatives from around the world who create much ado about the preparations for an arranged marriage in India (IMDB). The excellent exploitaation of symbolism, colour and costumes together with the contrast between modern and traditional India has been successfully depicted the Indian values and beliefs. Nonetheless, with the use of representations, and by dealing with the concept of†¦show more content†¦The Marigold flower is one of the significant symbols in â€Å"Monsoon Wedding† and is shown frequently thought out the film. Marigolds are one of the traditional flowers used in garlands and offerings in South Asia. Known in Hindi as gendha, marigolds are widely used in all kinds of rites and rituals. It represents and symbolise marriages, celebrations, romance and more (plantcultures 2008). When marigolds were used to decorate the wedding tent and the garden, this is evidence of their traditional value. Moreover, the scene of PK Dubey eating a marigold after an encounter with Alice indicates love and passion will grow. Therefore, marigolds are used to position audiences to understand the concept of love in the film; hence, it represents the importance meaning and value of marriage in Indian culture and society. Gender and Class These two aspects are also one of the key elements in â€Å"Monsoon Wedding†. The convocation of Varun and his father clearly demonstrate how Nair has reflects the India caste system (Mrdowling2005) within the movie. In the film, Varun, the bride’s brother, desires to become a chef. It is, however, a disappointment to his father, Lalit. The caste system has prevent Varun from fulfilling his dream, simply because becoming a chef will lower his status. In contrast, Nair challenges the dominant caste system by showing the romance between PK Dubey and Alice,Show MoreRelatedMonsoon Wedding : Indian Culture924 Words   |  4 PagesIn the film Monsoon Wedding, Indian culture is illustrated in the practices of the traditional Punjabi wedding. The wedding in the film was arranged as is the norm in Indian culture. Thought the wedding was rushed it was not forced. Aditi wanted to be married having realised the uncertainty of her previous relationship with a married man. Moreover, in the Indian culture, the father of the bride is responsible for financing the wedding and providing a dowry for the in-laws. Which Lalit, does butRead MoreMonsoon Wedding Analysis1337 Words   |  6 PagesNarrative o The films narrative is constructed around the erection of the wedding tent by PK Dubey. o The romance entanglements of the Punjabi family is played out against this manufactured nuptial event. o traces five intersecting stories, each navigating through different aspects of love of during a traditional Punjabi wedding in Delhi. In essence: o The love between a couple married for 25 years, teenage lust, the bride’s tryst with her lover the night before her arranged marriage toRead MoreMonsoon Wedding Essay633 Words   |  3 PagesOctober 19, 2004 English 102 A Wedding in a Monsoon and a Monsoon of a Wedding Marriage is an institution that has spanned time. In India it is one of their many traditions. It has changed lives for the better and for the worse. I will be looking at two different art forms that display marriage in two different sights. One will be Monsoon Wedding, a Mira Nair film, which portrays marriage, specifically arranged marriage, in a way that looks on the tradition not as a thing of the past but aRead MoreAnalytical Essay On The Monsoon Wedding869 Words   |  4 PagesMaddie Weir Monsoon Wedding Analytical Oral: ‘The Many Facets of Love’ We all have our own opinions on love. Some of us may be hopeless romantics who believe in meeting the ‘one’ and being swept up into a romance that will last forever. Others may think that all of that is rubbish and that love is something that people must work on in order to get right. Either way, love is something that affects all of us. The 2001 film, Monsoon Wedding, follows the lives of a Punjabi family as they prepare forRead MoreMira Nair s Monsoon Wedding1560 Words   |  7 PagesMira Nair I first remember hearing about Mira Nair last year, not in my Introduction to Cinema class but from my half-Indian friend who praised Mira Nair’s Monsoon Wedding. It should be noted that my first film teacher was a white man, older than sixty and not concerned with women directors; out of the sixteen films screened for the semester, two were directed by women and none by women of color. Mira Nair has a unique understanding that she is fighting a long and slow battle for her films to beRead MoreSocial Issues in the Movie Monsoon Wedding1121 Words   |  5 PagesMonsoon Wedding, a Bollywood film directed by Mira Nair and released in 2001, earned just above $30 million at the box office [1]. The film brilliantly depicts romantic entanglements during a traditional Punjabi wedding in Delhi, while delicately handling sensitive issues such as child-abuse, pre-arranged marital infidelity, growing old and striving to be different as an upper middle class Indian boy, or being a flirtat ious, bored but basically settled NRI (non-resident Indian) housewife. The filmRead MoreFilm Analysis: A Monsoon Wedding Essays2057 Words   |  9 Pageseconomic security was through marriage. Today, both men and women admire qualities such as intelligence, desire for children, and great personality, but for women, wealth and status are very important qualities (Crawford, 2012). In the movie, A Monsoon Wedding, the marriage that was about to take place was an arranged marriage. Aditi, a young woman who is still in love with an ex-boyfriend, has agreed to proceed with an arranged marriage, planned by her parents. In the beginning of the movie she statesRead More Nairs Techniques in film Monsoon Wedding Essay examples2120 Words   |  9 PagesNairs Techniques in film Monsoon Wedding Mira Nair directed the 2000 film Monsoon Wedding with the intention of making it a Bollywood film on her own terms. Through watching the film, it becomes evident that this was mixing traditional ideals of Indian Bollywood together with the modern elements of the West, such as those depicted in particular in Hollywood films, the Western equivalent of the Bollywood film industry although on not so large a scale. Nair spentRead MoreThe Punjabi Culture : A Culture That May Not Be Known About Outside Of The Original Culture1668 Words   |  7 PagesAmritapreet Kaur Grewal, who is Punjabi, the focus narrowed towards 7 marriage traditions. The marriage traditions consist of a seven-day long process with a special event on each day. The Punjabi wedding consists of seven components (events) which are Ladies Sangeet, Maiya, Mehndi, Jago, Chuda, the wedding, and the reception. I asked Amritapreet Kaur Grewal informed me that she will be explaining all the events from the wife’s side because the girls have different events from the boys. AmritapreetRead MoreEssay on Comparison of Monsson Wedding to Heat and Dust748 Words   |  3 Pages Despite differing in form, the film â€Å"Monsoon Wedding,† directed by Mira Nair and the novel â€Å"Heat and Dust,† by Ruth Prawler Jhabvala, have many similarities. Both of these texts convey an Indian world and the people in it. â€Å"Monsoon Wedding† is a party arthouse, party Bollywood film which deals with the leadup to the wedding of two young people, Aditi and Hermant. It combines their story with that of Aditi’s father, Lalit, and his family responsibilities, as well as the events occurring in the lives

Financial Value of Money

Question: Describe about the Value of Money and Time Value of Money? Answer: Value of Money The money is more valuable today than future. The concept is that a certain amount of money available today is more valuable than the same amount in the future due to earning of certain interest. If a certain amount of money is deposited in bank or invested, it adds some interest. So, any amount of money is more valuable than the future received (Brigham Houston 2004). Such as, it is assumed that the rate of interest is 13%. If $100 is invested now will worth $130 in one year. Reversely, $100 received after one year, is only worth $88.49 today, assuming same interest rate. So, the importance of time value of money is crucial in financial management. It is used to appraise various available investment alternatives and to solve problems in various financial decision making process such as loans, mortgages, lease, savings, annuities, and project investment. Loan Covenant Loan covenant is a provision or condition in a loan agreement where certain activities will or will not be carried out by the borrower or lender. It states certain stipulations or limits which are put in place by lenders to protect themselves from borrowers. If the borrower does not act in accordance with the covenants, the loan can be declared in default. Penalties can be charged or lender has the right to demand full payment (Crane 1983). Limitations often depend on the extent of the company. The limitations for a low risk company will be minimal and on the other hand, limitations will be greater for a high risk company. Distinguish between positive negative covenants Covenants are usually of two types; protective and restrictive. Positive or Protective covenant is concern about taking certain actions the issuer such as maintaining adequate level of working capital, possessing adequate insurance both life and property, and providing the bank with month-end or quarter-end financial statements (Johnson 1971). On the other hand, Negative or Restrictive covenant states the restriction that the debtor must perform according to the loan agreement such as limitation on dividend distributions, covering of standard cash flow and restriction on extra borrowings. Both the Positive and Negative covenant are used to protect the interests of both parties (lender and borrower). Initial Public Offering (IPO) Initial public Offering (IPO) is the primary market where shares or securities of a company are directly sold to the investor. IPOs are used by companies to raise the expansion capital. Also new company, who has never issued equity to the public and go for raising the capital directly issuing to the investors, can be known as IPO (Milburn 1988). Advantages of IPO Huge Capital: IPO is an extremely good way for a company to acquire huge amount of capital. In IPO, shares are issued to the general public which helps in acquiring a huge amount of fund. Public Awareness: In supplement to the capital gain, the public awareness of the company will also increase for going to public directly. Credibility of the company may also increase with its vendors, customers, and creditors. Increased Liquidity: It increases the liquidity of company shares. In IPO, investors are allowed to buy shares directly. The risk concerned with holding the securities reduces because there is option freedom to sell. As a result, share value increases. Employee Retention: It is difficult to attract and retain quality employee. Employees can be attracted and retained by offering them the shares of the company (Paramasivan Subramanian 2009). Disadvantages of IPO Lack of Control: Only management decisions cannot end the lack of control. Openly going to investors can make company risky for future takeover. It should also retain a sufficient percentage of outstanding shares. Time consuming and Expensive: IPO process is both time consuming and expensive. Employees can distract from daily operations. It includes very high expenses like that of underwriting fees, appointment of lead manager and participant of investment banker, etc. Regulation: Company also bound to follow the rules and regulations which are regulated by the Security Exchange Commission (SEC). Disclosure: It is difficult to disclosure of information for investors time to time maintaining secrecy over internal strategies. Limitations of the Dividend Discount Model of share valuation DDM is the method of evaluating stock price by using future dividends discounted back to present value. The value calculated through DDM if greater than the current market price of the securities, the stock is called undervalued. Though the DDM is useful for stock valuation, it has also some limitation. The main problem is that the value cannot be calculated unless the company pays dividends. In present market, the maximum companies do not pay regular dividend. They mainly focus on growth and invest their profit back into the company. So, DDM is worthless for those companies (Patnaik 2009). Lot assumptions are required for the application of DDM formula. The assumptions such as company will continue to pay same dividend or it will continue paying dividends at all. If the assumptions do not predicted properly, the DDM becomes worthless. Security K has more total risk because it has greater standard deviation (30%) than security C (20%). Security C has more systematic risk because its beta value (1.25) larger than the beta value of security K i.e. 0.95. Also the security C should have the higher expected return because its beta larger than the security K. Payback Period Method Payback period is calculated to find out the span of time need to recover the cost of investment. According to that the decision is taken whether to undertake the project or not. Longer the payback period is not suitable for investment. It is usually expressed in years and calculated as follows: Payback period = Cost of Project / Annual Cash Inflows The project is accepted when then it is smaller or same to desire period expected by the company. In case of comparison of two o more alternatives projects, the project which has smaller payback period is accepted. It is useful for cash poor firms because it shows the period for quick inflow of cash and it is very simple to calculate. The liquidity position can enhance shortly with smaller payback period and it can make the funds available soon for investing in another project (Peterson Drake Fabozzi 2009). Drawbacks of Payback period are as follows: Payback period method does not consider time value of money. But some companies modified this method by adjusting the time value of money to get to get the discounted Payback period. According to Payback period method, the project with smaller payback period is suitable for investment. But the company can earn extra profit after the payback period. So, it does not measure profitability. Conflict between IRR and NPV In case of independent project or a single conventional project both IRR and NPV provide same indicator about whether to accept or reject the project. But the conflict arises for mutually exclusive project. It can be observed that one project higher NPV while the other has a higher IRR. The conflict appears because the size is different for different projects and also the cash flows are not same for all projects (Sandel 2012). When facing such situation, the higher NPV project should be accepted because NPV is an absolute measure because it gives exact monetary value. The projects are ranked through higher monetary value despite the actual investment needed. But IRR is a relative measure because it does not give monetary value rather it finds out the rate of return. The projects are ranked according to the higher investment return despite the total value added. So, NPV results superior to the IRR results. Concept of depreciation tax shield in the context of a capital budgeting Depreciation is a non cash expenses. It does not affect cash flow directly. It is not treated as expenses account, company keeps it in cash. But the income tax has a significant effect on the cash flow of the company. Depreciation is tax deductible expense that reduces income tax of the company by reducing taxable income. The actual amount of tax that is reduced by depreciation is called as depreciation tax shield. If the depreciation amount goes higher, the lower will be taxable income and as a result the lower amount tax has to pay by the company. Therefore, depreciation indirectly affects the cash flow by reducing the amount of taxes paid (Scott Moore 1984). Modigilani and Miller Proposition I with as well as without taxes Modigliani and Miller is a theorem on capital structure, stating that the market value of company is derived through its earning capacity and risk associated with its underlying assets. According to that value the company selected the way to finance the investment and distribution of profits. This is an irrelevance proposition to the capital structure assuming no taxes and no bankruptcy costs. A firm can choose any financing method for sourcing the finance by choosing debt or equity or the various combinations of these two. This theorem suggests whether the company bears high risk for financing equity and debt or bears a low risk with lower debt financing which has no bearing on the value of a firm. If it is assumed that there is no tax, the capital structure does not influence the valuation of a firm. Explicitly it can be said that leveraging the company does not increase the market value of the company. So, it can be also said that the equity and debt shareholders in the company have the same priority (i.e. earnings are divided equally amongst them) (Shwayder 1968). Debt Capital as mitigating factor of Agency Cost Agency cost of debt arises to an increase in cost of debt when the different interests are paid to shareholders and debt-holders and gap or dissimilarities of information is generated between principal and agent. The management directly deals with the operation of the business. So, they should have more information about business prospects comparing to shareholders and debt-holders. The information asymmetry and the agency cost have the direct relationship. The greater the gap or dissimilarities in information, the agency cost will increase. The management can distribute the profits to shareholders many ways without providing anything to debt-holders. In such situation, debt-holders can take various actions to refuse management from doing so. They may hike the interest rate to keep themselves from losses and also may apply negative covenants. The management gives priority to dividends. Cash dividends may be paid to the shareholders, providing very less amount to debt-holders. To overcome this situation, interest must be paid before dividends (Van Horne 1980). Indirect Costs of Financial Distress Indirect costs of the financial distress are costs such as lost business as a result of bankruptcy or liquidation. This is usually occurs because potential customers do not wish to take the risk of using a company that may not be able to deliver its goods or services. As well as, it occurs when banks hike the interest rates. Because the cost of capital will be higher. Like other indirect costs, the indirect costs of financial distress are not easy to calculate with certainty. Financial distress can create negative effect on cash flow and balance sheets of companies by losing customers, key employees, business opportunities and favorable credit terms (Woodhall Stuttard 1999). Dividend policy of a firm is irrelevant in terms of its impact on the share value When a company makes profit, they must go for a decision what to do with that profit. Company may retain the profits or could pay a portion to the shareholders. Once it is finalized, they may establish a permanent dividend policy. There are various theories through which the relationship between a companys dividend policy and share value can be explained such as Traditional model, Walter model, Gordon model and MM model. The market price of share increases when the company declares to pay dividends from its profits. But at the same time the reserves for reinvestment decreases. Hence, company can issue new shares for the expansion of its capital. So, total number of shares increases. As a result, market price per share will lead to fall. Time Value of Money Money value is associated with time. The value of money changes with changing of time. Money received now is more valuable than the future because money received now has opportunity to invest and raise a certain interest more than that in the future. Rate of interest is the factor which raises the earnings on an investment. The applications of time value of money are in several areas such as Capital Budgeting, Bond Valuation, Stock Valuation, loans, mortgages, leases, savings and annuities. It can be divided into two groups: Future Value and Present Value. When the value of cash or an asset in future date is equivalent to current value, is called Future Value. The calculation of FV is different for simple annual interest a compounded interest annually (Woodhall Stuttard 1999). Present Value is the todays value of expected cash flows which will generate. The expected cash flows are converted in current value through discounting with a specified discount rate. The greater the discount rate, lower the present value of the expected cash inflows. In case of commercial banks, various formula of time value of formulas is used daily. There are so many problems which are solved by using the formula of present value of annuity such as determining of monthly payment amount, determining of amount of mortgage required to pay by borrowers. It is used by insurance companies. Structured settlement is the example of it. Such as, if a certain amount of money is payable in 10 installments i.e. $3000 over the next 10 years. If the current value of settlement is calculated it will be lower than $3000. So, it can earn benefits if the person pays a lump sum amount at present. The schedules of loan payment can be prepared through time value of money. The formula of present value of annuity is used to schedule the payment structure of loan. The formula of future of annuity is used to calculate the end value of the loan which needs to pay by the borrower at the end of loan. For long term investment it is very important such as appraising the available investment opportunities of long-term by discounting expected cash flows, calculating the value of assets which will acquire under deferred payment agreements, measuring impairment of assets (Woodhall Stuttard 1999). In case of sinking fund, it is used to determine the amount need to deposit on a continue basis for accumulating the maturity amount of a debt which comes due at future date. Various accounting items of a business are determined through time value of money such calculation of receivables, payables, liabilities, and accruals, etc. It is also applied to measure the value of future cash flows from oil and gas reserves for disclosure in supplementary information. It is not only useful to decision making to the companies but it is also useful to decision making for personal decision such as purchasing of property (Land, house, etc.) amount to be saved for the education of child and savings planning related to retirement. There are three factors which have impact on the time value of money. Consumption preferences for all people are not same. The present preference for consumption is well then it results better consumption for future. Inflation rate of a country may vary time to time which can create a far difference between current cash flow and the same cash flow of future. Future cash flows are expected to generate. But, in reality it may not match with the actual due to various reasons. Risk-return Relationship Risk is inherent with the return of security. For high return, investors should bear high risk. Investors attract with high return to invest the money. As a result, flow of capital for future increases. Low levels of uncertainty are associated with potential returns. There are two types of volatility which are involved in return of investment. First type of volatility depend on the company related factors such as running of projects are not happening according to the plan, participant of competitors both from inside and outside of the state, changing of various management procedure time to time generally related with financial aspect. On the other hand, the other risk is called as market risk or systematic risk. The factors related with market risk include budgetary process, GDP, foreign reserves, and interest rates of a state. Stock markets are influenced by the above factors. The rate of fluctuation influences the stock prices to push up or down. Movement of some stocks goes gently with the market. Some move on direct proportions on the markets same side and some move in opposite proportion (Woodhall Stuttard 1999). Therefore, it is very important to measure market sensitivity with the help of beta coefficient. Previously, financial experts usually engaged to estimate the beta coefficient. But now, risk return relationships are emerging to investigate the financial market. Maximum of numbers of investors can bear higher risk for getting higher return. In other words, it can be said that avoiding the risk means sacrificing of some return from the investment. In this context, it is assumed that investors can choose risky asset also to gain higher return accepting the risk associated with it. So, the systematic risk can be reduced by choosing of effective portfolio. Standard deviation of securities decreases by choosing more and more securities. But the appropriate securities should be chosen in the portfolio. As a result, the volatility of market tallies with the volatility of portfolio. Therefore, the risk associated with the investment cannot be reduced totally. (Woodhall Stuttard 1999). References: Brigham, E. and Houston, J., (2004) Fundamentals of financial management. Thomson/South-Western, Mason, Ohio. Crane, D., (1983) Financial management. Wiley, New York. Johnson, R., (1971) Financial management. Allyn and Bacon, Boston. Milburn, J., (1988) Incorporating the time value of money within financial accounting. Canadian Institute of Chartered Accountants, Toronto. Paramasivan, C. and Subramanian, T., (2009) Financial management. New Age International (P) Ltd., Publishers, New Delhi. Patnaik, P., (2009) The value of money. Columbia University Press, New York. Peterson Drake, P. and Fabozzi, F., (2009) Foundations and applications of the time value of money. John Wiley Sons, Hoboken, N.J. Sandel, M., (2012) What money can't buy. Farrar, Straus and Giroux, New York. Scott, D. and Moore, W., (1984) Fundamentals of the time value of money. Praeger, New York. Shwayder, K., (1968) Accounting for the time value of money. Van Horne, J., (1980) Financial management and policy. Prentice-Hall, Englewood Cliffs, N.J. Woodhall, G. and Stuttard, A., (1999) Financial management. Macmillan, Houndmills, Basingstoke, Hampshire.

End of Life Care in Acute Setting

Question: Discuss about the End of Life Care in Acute Setting. Answer: Introduction: Human lives start with the aid of health care setting and end with it as well. In the last stages of life the elderly generally spend the more of their time in the hospital care facility than they spent in their own homes. By the law of nature the old age comes ridden with medical complexities and the older population depend completely upon the health care service provided by state or nation (Curtis et al., 2012). Studies suggest that most of the old-age population that spent the most of their time in the health care facility, the end to their existence mostly comes in the acute health care setting. This essay attempts to describe different aspects of the end of life care services in the acute health care services taking the example of Australian health care. There was a time in the long lost past where the ageing population died in the confines of their houses without any clinical intervention to relieve the pain and provide any means of comfort. Health care has come a long way since then, with the new age technological advancements, hospitals now provide pone of a class end of life care to the ageing terminally ill population in the palliative care units (Hui et al., 2014). Taking the example of Australian citizens, 52 % of the ageing individuals die in the acute care settings. One might raise a question as to what is the need for the aged members of the society to spent the last years or months or days in the formal hospital settings rather than in the comfort of their homes surrounded by the loved ones, making the most of each passing moment. However, the advanced palliative care provided to the elderly in the very last stages of their lives can minimize if not eradicate the pain and suffering and decrease the grief of death that loom s over the patient as well as the family (Jones et al., 2012). There are a lot of dimensions to the end of life program, a lot of frameworks and legislations coming together to provide the optimal care to the patients that are very last of their days or months in the hospital setting. The program of recognising and responding to clinical deterioration policy has constructed the very basics of the end of life care program. The national consensus statement of the Australian government about the essential elements for safe and high-quality end of life care in the year of 2015 has clarified the part of physicians, nursing professionals and health care professionals in the end of life care setting with the common goal of delivering the best of care to the ageing members of the society (Katz Johnson, 2013). The consensus statement serves as a guide for the horde of health care professional about the specific requirements of the ageing and terminally ill patients complete with all the safety procedures to comply with. However, with all the progressive technologies and advanced health care services, there are a number of factors that drag down the successful operations in the end of life care setting. Health care is a people focussed field and undoubtedly there are going to be challenging external factors that will inevitably dag down the progress. Almost all regions of Australia has a different end of life care unit, be it New south Whales, Queensland, Northern territory or Victoria, the variables affecting the standards of palliative care are the same (McCourt, Power Glackin, 2013). The variable that demands prior recognition when discussing about palliative care is pain management and that too as the earliest. The terminally ill patients are mostly suffering with acute pain and trauma and mostly the health care professionals do not know which way to go with their complex and multiple medical complexities. There are poor skills at display that could refer the needy patients to palliative unit and diagnose the cause of pain and offer immediate relief, even if the patient is not dying (Murray et al., 2012). The most of the issue with pain management failures for the terminally ill or patients in acute care unit is the lack of skilled decision making force, the lack of judgment in the incompetent staff can lead to a loss of life even if that was meant to be lost soon anyway. The next most influential variable in the acute end o life care setting will be keeping up with demands of the patients and their families. The fear and denial in the patients or their family members is mostly the most challenging hurdle for the health professionals to overcome. Mostly the professionals hesitate to face the family of the patient to deliver information about the tragic turn the health of their beloved has taken (Teno et al., 2013). And even if they do deliver the message the emotional attachment of the family members restricts them from coming to terms with the reality. the denial of the patients themselves often interfere with the care delivery as well. Another vital point in this scenario is the unrealistic and impractical demands that the patients and their families make that critically restrict the flow of care services. This conundrum can only be solved if there is effort from both sides, meeting each other halfway. The health care professionals need to overcome their apprehension of breaching the topic of impending death with the family members and the patients and family members need to embrace the reality so that the care is not withheld for their emotional outbursts (Thomas et al., 2013). This issue undoubtedly is a major concern to the health care professional working in the palliative care unit. However, the root cause behind this issue lies in the lack of knowledge in the public about palliative care. In most cases the family of terminally ill patients are terrified of the impending death of their loved one and palliative care seems like uncharted territory for them about which they have no clear idea (Virdun et al., 2015). This lack of knowledge and terror and grief on the impending death of their own fuels their denial and unrealistic demands. Sometimes the health care professionals suffer from blame game as well, where they find the death or failure of the treatment top be due to their incompetency, they need to overcome this apprehension to communicate with the patient and their families better, explain the benefits of end of life care so that they are not terrified o this concept. Another restriction to efficient and optimal care to the terminally ill is the sparse effort given to differentiate the patients. Often the health care professionals cannot recognize who is dying and why they are dying, is it due to an accident or an organ failure, a terminal disease, and without ample effort to recognize this differentiation it is impossible to deliver required care (Watts, 2012). Moreover, the palliative care units are majorly focussed around the terminal illnesses like cancer and lack the framework and infrastructure to deal with other trajectory of decline. Above mentioned issues are just the surface of the iceberg in metaphorical sense, there are a lot more complex issues that are associated with the inadequacies in end of life care setting. However, newer and better policies and programs are being designed like the national palliative care program to improve this sector of health care and it can be hoped as the future comes so will come strategise to target these key areas that will change the face of end of life care. References: Curtis, J. R., Engelberg, R. A., Bensink, M. E., Ramsey, S. D. (2012). End-of-life care in the intensive care unit: can we simultaneously increase quality and reduce costs?.American journal of respiratory and critical care medicine,186(7), 587-592. Hui, D., Kim, S. H., Roquemore, J., Dev, R., Chisholm, G., Bruera, E. (2014). Impact of timing and setting of palliative care referral on quality of end?of?life care in cancer patients.Cancer,120(11), 1743-1749. Jones, D. A., Bagshaw, S. M., Barrett, J., Bellomo, R., Bhatia, G., Bucknall, T. K., ... Hillman, K. M. (2012). The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study.Critical care medicine,40(1), 98-103. Katz, R. S., Johnson, T. G. (Eds.). (2013).When professionals weep: Emotional and countertransference responses in end-of-life care. Routledge. McCourt, R., Power, J. J., Glackin, M. (2013). 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