Code of Ethics for Nurses End-of Life Case Study

The Code of Ethics for Nurses in an important set of guidelines that provides nurses with specific rules and regulations for interacting with patients, colleagues, and society in an ethical, honest, respectful, and effective manner. Nurses should strive to adhere to at all times throughout their career. Having a code of ethics provides health care professionals to provided to their patients with ethical, high quality care. Ensign (2004) confirms the importance of having and adhering to a code of ethics as follows: A code of ethics states a profession’s goals, values, and level of commitment to the public and the community which it serves. The development and promulgation of a code of ethics sets a minimum standard of practice to†¦show more content†¦He frequently said to family and friends, â€Å"I miss Alice†. In the months after moving into the Alzheimer’s unit following Alice’s death, Harry became involved more in the unit’s activiti es. Harry lived for 9 months following Alice’s death due to an acute illness. He was cared for by the Hospice staff during his illness and was visited by all of his children in the months prior to his death. *Factual Information: Harry and Alice exhibited declining health and independence as they aged. They moved to an assisted living community and enrolled in Hospice when Alice was diagnosed with breast cancer. Harry suffered from dementia and was hard of hearing. Harry was moved to an Alzheimer’s unit after Alice’s death for further care in his deteriorating state . *Ethical Issues: Caring for an individual who is elderly, suffering from previous health conditions (dementia and hearing loss), and who is mourning the loss of a spouse presents many ethical issues. Nurses involved in Harry’s care must keep in mind the fragile emotional state of their patient and ensure they do not place more strain on him than he is capable of handling. Daily activities such as bathing, eating, and getting dressed may be more of a challenge for a patient such as Harry. He is unmotivated after the loss of Alice and does not wish to interact with others as he normally would. Nurses caring for him must assess the situation carefully to ensure that they doShow MoreRelatedNursing Code Of Ethics, Personal And Societal Values, And The Legal Aspects Of The Nursing1251 Words   |  6 Pagesin the nursing profession, nurses must be prepared to assess and support the diverse needs of the patient and their family. Every nurse, regardless of his or her specialty, encounters ethical chal lenges. However, public health nurses may face unique challenges in their distinct focus on the health of the population in addition to individuals (Haugh Mildon, 2005). In this research paper, I will consider two case studies from the perspective of the nursing code of ethics, personal and societal valuesRead MoreCode Of Ethics And National And International Charters1023 Words   |  5 Pages3. Body paragraph – code of ethics and national and international charters. In addition to the analysis for the case study, there are code of the ethics and laws in place that health professionals such as nurses must apply, when considering what should be done for the patient at the end-of-life. According to Kerridge et al., (2013) the law and ethics are different yet interrelated, the law are compulsory regulations that health practitioners must adhere to. The code of ethics in Australia, is aRead MoreEthical and Legal Issues in Nursing1221 Words   |  5 Pages79-year old woman who presented with a hemorrhagic stroke in a recent case study, brings up thought for ethical debate. Her outlook is poor, with or without surgery, and she has no advanced directive. Her husband and children cannot come to an agreement on whether life support should end or if all resuscitative measures should be attempted. The following paper will discuss how the American Nurse’s Association Code of Nursing Ethics would influence a final decision, how personal and societal valuesRead MoreCode Of Ethics And Conduct1564 Words   |  7 PagesEthics is defined in multiple ways. These are considered as rules or regulations which sense the right or wrong doing related to any individual. Ethics in professional life can be defined as the sense of a person with which is responsible for controlling that routine practice of a particular person with which he ca n distinguish between right and wrong (Resnik, 2011). In professional fields, the importance of ethics can’t be denied. Every profession makes use of certain guidelines on the basis ofRead MoreEssay about Nursing Code of Ethics 1368 Words   |  6 PagesThe nursing code of ethics has a very standard definition. It is the base on how nurses should guide themselves in conduct by making the right decision regarding ethical issues. According to the National Student Nurses Association â€Å"students of nursing have a responsibility to society in learning the academic theory and clinical skills needed to provide nursing care† (2003). In the clinical setting nurses have a lot of responsibilities while caring for an ill patient, they have the obligation to practiceRead MoreShould Abortion Be Legalized Active Euthanasia? Essay1649 Words   |  7 Pagesmonths or less of life expectancy. Patients must then give two verbal requests to their physician no fewer than two weeks apar t from one another. Then a patient must give a written order to the physician requesting euthanasia. After all of these steps have been completed, a patient may then receive euthanasia by receiving a lethal dose of medication. Because life and death hang in the balance, the right to die movement can provoke a variety of very strong emotions. As is the case with any topic, thereRead MoreTo Disclose or to Not Disclose: Nursing and the Ethics of Nondisclosure in the Dying Patient1305 Words   |  6 PagesTo Disclose or To Not Disclose: Nursing and the Ethics of Nondisclosure in the Dying Patient Kally L. Price Samuel Merritt University Abstract In nursing, the practice of nondisclosure is an ethical issue that calls into question the founding principles of trust, integrity, and autonomy in the nurse-patient relationship. Although the decision of nondisclosure to the terminal patient is the physicians, the nurse must follow and support this decision. The right of the patient to have controlRead MoreLegal an Ethical Issues in Nursing Essay872 Words   |  4 PagesInstructor Name: Dolores Martinez Nurses are facing many legal or ethical dilemmas in their career. Nurses should combine knowledge of ethical and legal aspects of health care and professional values into nursing practice. It is very essential to know what kind of dilemmas nurses may face during their profession and how they have been dealt with in the past. First, it is very essential for the nurses to know the difference between law and ethics. Ethics observes the values and actions ofRead MoreEthical Issues in Nursing1054 Words   |  5 Pages School: CCN THE ETHICAL ISSUES IN NURSING Ethics can be defined as a moral decision of what it is, and what it ought to be. Ethical issues in nursing have been dramatic and political due to different ideologies and rising technology in healthcare. The American Association of Nursing has provided guiding principles where nurses base their decisions. These principles include; â€Å"Autonomy, nonmaleficence, Beneficence,, Justice, VeracityRead MoreBlood Transfusion Case Study1539 Words   |  7 Pagestransfusion or not is a crucial issue which creates a moral and legal dilemma for the health system; sometimes dealing with such situation takes extra time and energy. Nevertheless, doctors and nurses are obliged to provide the specific preferences and management treatment. Case study According to a case report from the Hastings Center (Orr, 2007), Joy is a thirteen-year-old from a family with a strong Jehovah’s Witness tradition admitted to the hospital because of fever and knee pain and pediatrician

Essay Favorite Instrument - 1474 Words

The Saxophone is my favorite instrument. Despite being made entirely of brass, the saxophone is considered a woodwind because it utilizes a reed to create its sound. It looks smooth and sexy, yet the sound is rich and strong. Although it is more commonly found in jazz, military and marching bands than in orchestras, it is occasionally found in some classical music. 1. History and Manufacturers: A. http://library.thinkquest.org. This website was wonderfully rich in information. On this website, it is revealed that the original saxophone was invented by a man named Adolphe Sax. He began construction in 1840 on an instrument that he wanted to carry a sound range fitting between the clarinet and the trumpet. The saxophone†¦show more content†¦Elfman is a self-taught musician, and uses a variety of instruments that he, himself plays within the scores. Did he write any parts for the saxophone? Why yes he did! He wrote the musical theme for The Simpsons, which is primarily saxophone. A second example is some of the music from Nightmare before Christmas. B. www.kennedy-center.org. This website talks about Andrew Lloyd Webber. Some say he is arguably the most successful composer of our time. He is known for the oddness of his sources of inspiration. He has gotten ideas from the Bible, from the texts of the catholic mass, from British and French gothic stories, from old Hollywood and even from football! His works include Cats, Jesus Christ Superstar, Joseph and the Amazing Technicolor Dreamcoat, Evita, The Phantom of the Opera, Love Never Dies and many more. Considered to be a musical genius, Webber’s achievements include entry into the American Songwriters’ Hall of Fame, three Grammy Awards, seven Tony Awards, the Richard Rodgers Award for Excellence in Musical Theater, an Oscar, a Golden Globe and several other lesser known awards. Did Webber write for any saxophone parts in his music? He did, in fact, use saxophone. Evita used saxophone parts. So did the Phantom of the Opera. Also, the Starlight Express had saxophone in it. 4. Repertoire: There are so very many famous pieces of music written with the saxophone in mind. TheShow MoreRelatedResearch Your Favorite Instrument on the Web3547 Words   |  15 PagesAssignment 3: Research Your Favorite Instrument On The Web A. Task The purpose of this assignment is to develop critical thinking in your approach to researching your instrument of choice on the web. You may choose from any of the instruments mentioned in the course. For this assignment you are asked to SUMMARIZE or CRITIQUE the various features of each of the ten web sites NOT to simply copy and paste information directly from each site into your submission. Please dont just list a lot ofRead MoreConcert Report1222 Words   |  5 Pagesit would take away my attention from the performers. 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I am writing about Native American musical instruments because musicRead MoreNative American Instruments Essay879 Words   |  4 Pagesnatives getting together and playing there instruments. They play them on holidays and birthdays, also they play whenever they want entertainment. It’s a tradition for them. There instruments are not metal like ours so it doesn t sound like ours either. There instruments have a whole different tune and sound. Native americans love to play there instruments. Its one of their favorite things to do. I am writing about Native american musical instruments because music is a big part of there s andRead MoreA Hardingfele Fiddle719 Words   |  3 PagesHardingfele The hardingfele also know as a hardanger fiddle is a unique and historic instrument traditionally from Norway. This instrument with its rich history is quite possibly a gem in the string family that is normally overlooked. Even though many people have never heard of a hardingfele it is commonly considered the national instrument of Norway! In this paper I hope to show you a brief history of the hardingfele and then a look at how the hardingfele is still used today. The hardingfele cameRead MoreElizabethan Era of Music Culture Essay789 Words   |  4 PagesThe music was played very often as a normal routine. People considered it a must to know how to play an instrument, sing, or be involved somehow with music in this age of time. Instruments in the 1600’s were able to make any type of music; the amazing part was no matter how many instruments you used it would always sound pure and the same. Another unique thing about the music and culture in the 1600’s is that it was also healthy for the body. During the Elizabethan Era the people would gather togetherRead MoreThe West African Music Culture873 Words   |  4 PagesIn this course we have learned about all of the different cultures and their musical traditions. My favorite so far has had to be the west African music culture. They have a variety of different music, instruments, and dances to contribute to the reasons I liked this music culture so much. So, I have taken it upon mys elf to further my research on this particular musical group. I will compare and contrast a variety of different videos from the west African music culture and I will analyze how theyRead MoreDevelopments Of Recording Technology During The 20th Century995 Words   |  4 Pagespopularity in the 1900’s (CITE). Buying record discs and a phonograph, more commonly known as a record player, allowed people to play their favorite pieces and tunes as much as they like at home. This appealed to many music lovers around the world. Two more key inventions to push the spread and development of new music was the Television and electronic instruments. In 1927, the TV was first demonstrated in California by a young inventor named Philo Taylor Farnsworth (Stephens). Broadcasts could beRead MoreBiography Of Johannes Brahms : Allegro Giocoso From Symphony No.4 Essay1549 Words   |  7 Pagesupbeat. About a minute and half in there was a very noticeable solo by the violins which was a bit softer in terms of the texture. The melody seemed to be very upbeat and cheerful. Lasting the form of the movement was very well structured and the instruments backed each other up smoothly. Subjective Reaction: Overall I actually enjoyed the piece more than I thought I would. It had a nice tempo that allowed listeners to be engaged and even when the volume dropped the violins played a softer textureRead MoreAntonio Stradivari s Influence On Future Generations Of Musicians And Instrument Makers1716 Words   |  7 Pagesoften referred to as the greatest violin and stringed instrument maker to ever live. Much of this credit is given to Stradivari because people simply know his name. 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Why is education important in order to achieve the MDGs Free Essays

The Millennium Development Goals ( MDGs ) are eight international development ends that were established after the 2000 Millennium Summit in which United Nations Member States and International Organisations consented to accomplish by the twelvemonth 2015 ( United Nations Millennium Development Goals, 2010 ) . The MDGs set clip edge marks in bettering societal and economic conditions in the universe ‘s hapless states, which advancement towards cut downing income poorness, hungriness, disease, deficiency of equal shelter and exclusion, while advancing gender equality, wellness, instruction and environmental sustainability. They besides embody basic human rights so that each individual on the planet has the right to wellness, instruction, shelter and security ( Ki-Moon, 2010 ) . We will write a custom essay sample on Why is education important in order to achieve the MDGs or any similar topic only for you Order Now Three major countries of Humanity are focused in the MDGs: First, reenforcing human capital by bettering substructure, and increasing societal, economic and political rights, specifically concentrating on increasing the basic criterions of life ( United Nations, 2006 ) ; Second, bettering substructure through increasing entree to safe imbibing H2O, energy and modern information communications engineering, magnifying farm end products through sustainable patterns, bettering transit substructure, and continuing the environment ; and eventually the societal, economic and political rights, including authorising adult females, cut downing force, increasing political voice, guaranting equal entree to public services, and increasing security of belongings rights. The ends are intended to increase an person ‘s human capablenesss and progress the agencies to a productive life ( United Nations, 2006 ) . As persons moving together we have the power to take action and influence the procedure of making the MDGs by 2015 ( End Poverty Millennium Campaign, 2010 ) . Education is of import in accomplishing these ends. A basic instruction of a good quality is necessary for developing an apprehension of the universe and the possibilities it provides, and for being able to work efficaciously within it. Without the cognition and assorted accomplishments developed through schooling and basic instruction plans, the chances for persons and the ability to move independently are greatly reduced ( UNESCO, 2010 ) . Escalating the motion towards instruction MDGs will take straight to an acceleration of many of the other MDGs ( 2010 MDG SUMMIT, 2010 ) . In this essay I will explicate why instruction is of import in order to accomplish each of the eight millenary development ends. The first end of the millenary development ends is to eliminate utmost poorness and hungriness. Poverty forces kids out of school displacing their instruction driving them into the low paid work force because parents can non afford to educate them. Haines A ; Cassels ( 2004 ) explain that one twelvemonth of schooling can increase a individual ‘s net incomes by 10 % with each extra twelvemonth of schooling raising the mean one-year GDP by 0.37 % . Accessible instruction can assist feed an faultless rhythm of enhanced growing and an elevated decrease in poorness, helping the hapless and profiting society as a whole. Education provides people with the accomplishments and cognition they require in order to increase income and develop employment chances. By educating the hapless, adult females and vulnerable groups it opens doors to occupations and recognition and has the potency for economic growing. With rigorous Torahs on compulsory instruction the millenary development end to eliminate utmost poorness and hungriness should be accomplishable in the hereafter. The 2nd MDG is to accomplish cosmopolitan primary instruction. Every kid regardless of where they live deserve the right to an instruction. The Development Education online Depository ( 2010 ) province that cosmopolitan primary instruction involves come ining school at an appropriate age, come oning through the system and finishing a full rhythm of primary instruction. By eliminating primary school fees 1000000s of kids worldwide have the opportunity to derive literacy and numeracy accomplishments increasing the per centum of educated people in the universe, increases the chances for employment and a stable hereafter for many kids which in manus will assist in accomplishing the MDG of accomplishing cosmopolitan primary instruction. The 3rd MDG focuses on advancing gender equality and authorising adult females. Attaran ( 2005 ) province that there are 759 million people in the universe that can non read or compose, and of those people two-thirds are female. Females face many barriers to education in several states around the universe, runing from negative attitudes to the load of family work and distance to school. In order to right the balance instruction needs to be made a precedence, particular attempts such as using female instructors, back uping hapless households and doing the instruction system girl-friendly could assist in advancing gender equality and in authorising adult females. Severine A ; Shahani ( 2009 ) claim that there is a strong correlativity between educating females and an addition in adult females ‘s net incomes, improved kid and household wellness and nutrition, an addition in school registration, protection against HIV infection, higher maternal and child life anticipation, reduced birthrate rates and delayed matrimony. Equal schooling for both male childs and misss is the foundation for development in accomplishing the MDG of advancing gender equality and authorising adult females. The 4th MDG purposes to cut down child mortality. Supplying instruction to girls provides a great opportunity of endurance to her kids in the hereafter. Severine A ; Shahani ( 2009 ) claim that a female parent with secondary or higher instruction more than halves the hazard of kid mortality compared to a female parent with small or no instruction. As mentioned above there is a strong connexion between educating females and higher maternal and child life anticipation every bit good as betterments in kid and household wellness and nutrition, they are besides more likely to immunise their kids. Educating adult females, with at least primary instruction, the MDG of cut downing child mortality is more likely to be achieved. The 5th end purposes to better maternal wellness. Maternal instruction is one of the strongest counterpoisons to childbearing-related hazards ( United Nations, 2010 ) . By educating females it enables them to do improved wellness associated determinations, fewer female parents would decease and the MDG of bettering maternal wellness would hold a greater opportunity of being achieved. The 6th MDG intends to battle HIV/AIDS, malaria and other diseases. Education is the key to battling HIV/AIDS, malaria and many other diseases. Education establishments take a cardinal function in the bar of HIV and other catching diseases as they can make out to a big figure of people, promoting positive attitudes and behaviors supplying them with the cognition and accomplishments to cut down their opportunity of undertaking HIV. School wellness plans are besides ideal in supplying consciousness and hygiene patterns to assist contend malaria and other diseases. Haines A ; Cassels ( 2004 ) province that adult females with an instruction higher than primary degree are five times more likely than literate adult females to be cognizant of and cognize about HIV/AIDS. Education offers an of import step of protection against HIV and other diseases. The MDG for cosmopolitan primary instruction is estimated to forestall 700, 000 new HIV infections each twelvemonth ( MDG Monitor, 2007 ) . It is claimed that instruction reduces the exposure of misss, and each twelvemonth of schooling offers greater protective benefits. Education is the best vaccinum against HIV and Aids and other diseases it is besides the most cost effectual manner to accomplish the MDG of battling HIV/AIDS, malaria and other diseases. The 7th MDG is directed at guaranting environmental sustainability. Education for sustainable development ( ESD ) can assist us to populate sustainably. ESD is defined by UNESCO as the purposes to assist people to develop the attitudes, accomplishments and cognition to do informed determinations for the benefit of themselves and others, now and in the hereafter, and to move upon these determinations. By supplying instruction for environmental sustainability it besides educates pupils on cardinal issues including poorness decrease, sustainable supports, planetary heating and clime alteration, gender equality, corporate societal duty and the protection of autochthonal civilizations ( TeachMDGs, 2010 ) ESD will let persons to do determinations that meet the demands of the present without compromising those of future coevalss. Education is indispensable for guaranting environmental sustainability. The 8th and concluding millenary development end is directed at developing planetary partnerships for development. Developing states financially can non supply cosmopolitan primary instruction for free to their people. Therefore a planetary partnership is needed to make full the fiscal spread for instruction so that globally the education-related development ends can be achieved. And if underdeveloped states make instruction a precedence they can so in bend hike their economic system, which can assist to accomplish all of the millenary development ends. Teaching and larning in schools should take to heighten accomplishments, cognition and behavior related to the millenary development ends. Schools should be after their course of study so that content covered increases the impact that instruction has on the MDGs. Such as, in order to battle child mortality and to change female authorization, course of study on cleanliness, sanitation, and steps to minimise contagious diseases. In the instance of environmental sustainability the school should include plans such as the demand to conserve H2O and trees. To better the nutritionary position of the pupils the school can present meal plans to guarantee the pupils have atleast one nutritionary repast each twenty-four hours. Schools can besides advance gender equality by the different functions that school leaders take. Positive behavior aimed at accomplishing the MDGs can be learned and reinforced throughout instruction. By presenting grownup instruction and literacy plans for both work forces and adult females can supply chances for employment, bettering labour productiveness and presenting plans such as H2O and sanitation. The impact of grownup instruction for adult females can ensue in lower kid mortality rates and higher degrees of maternal wellness. With the completion of secondary instruction adult females are more likely to seek out prenatal attention and better medical intervention, are more likely to direct their kids to school, and have greater economic chances that will relieve poorness and hungriness. All in all grownup instruction in occupational and life accomplishments will positively impact the millenary development ends. 2010 should non be the beginning of the ‘new and unsure ‘ journey towards the millenary development ends, instead it should be the ‘refueling ‘ point on this ocean trip that has been traveling on for the past 10 old ages. The following five old ages complete the journey in accomplishing the MDGs by 2015. With the execution of the millenary development ends in school course of studies globally the program to make the finish should be accomplishable. Resources Attaran, A. ( 2005 ) . An Immeasurable Crisis? A Criticism of the Millenium Development Goals and Why they can non be Measured. PLoS Medicine 2 ( 10 ) 318. Development Education on-line Depository. ( 2010 ) . Making Global Connections through Education. Retrieved from hypertext transfer protocol: //www.developmenteducation.info// Haines, A. A ; Cassels, A. ( 2004 ) . Can the Millennium Development Goals Be Attained? British Medical Journal, 329 ( 7462 ) 394-397. MDG Monitor. ( 2007 ) . Quick Facts. Retrieved from hypertext transfer protocol: //www.mdgmonitor.org/country_progress.cfm? c=BEN A ; cadmium Moon, K. ( 2010 ) . Millennium Goals. Retrieved from hypertext transfer protocol: //www.un.org/millenniumgoals/bkgd.shtml Severine, D. , A ; Shahani, L. ( 2009 ) . An Introduction to the Human Development and Capability Approach: Freedom and Agency. Sterling, VA: Earthscan. TeachMDGs. ( 2010 ) . The Millennium Development Goals. Retrieved from hypertext transfer protocol: //teachmdgs.net/// United Nations. ( 2006 ) . The Millenium Development Goals Report: United Nations Development Program. Retrieved from www.undp.org/publications/MDGReport2006.pdf United Nations Millennium Development Goals. ( 2010 ) . Acme on the Millenium Development Goals. Retrieved from hypertext transfer protocol: //www.un.org/milleniumgoals/ How to cite Why is education important in order to achieve the MDGs, Essay examples

Instructional Communication free essay sample

Instructional Communication Instructional Communication can be best explained as the transfer of information in a teaching environment. There are a lot of aspects that is associated with Instructional Communication. The contexts that are most relevant to my career are teacher to teacher communication, teacher to student communication, comprehension of information, and technology used in the setting. These four aspects make up my career as a public affairs instructor for the Department of Defense. Instructional communication is very important to the field of communication. Instructional communication is implemented everyday all around the world. It is implemented in schools and in job settings. This type of communication is how we relate information to new people on the job or students in a classroom. In order to determine the depth of comprehension we have to analyze formal and summative assessments of the students. During the course that I instruct, we also use technology to convey information as well as have the students to use technology to complete projects that are due during the course. Instructional communication has several different contexts located within it. I feel that the most important context would be teacher to student communication. It is extremely important as a teacher or an instructor to be able to convey the information to your audience and them be able to comprehend what you are talking about. It is also very important that students ask questions or talk about the material that is being covered to show understanding. According to Karaduz, (Karaduz, 2010) An important part of instructional services involves giving messages to students about how they should learn and become involved in the learning process, giving hose stimuli for reinforcement, identifying the gaps in their learning, and amending these gaps. An effective instructional process thus requires strong communication skills along every step. It is through language that a healthy communication is established, student interest is aroused, and ways of comprehending, practicing and retaining information are clarified. Karaduz said a lot in these few sentences. He talked about how important communication is between student and teachers. What good do teachers do when the students cannot understand the teachers message? Teacher and student communication is so important in any instructional setting. The next most important part of instructional communication is teacher to teacher communication. It is handy to have colleagues that you can ask que stions or get advice about certain criteria. I have worked as a public affairs person for the last seven years. Of that seven years 2 h of them has been in a combat area. In this intense atmosphere I have learned pretty much everything that I teach my students at the Defense Information School. A lot of times other instructors come to me for nformation on what should happen in a certain situation in a combat area. I think that teacher to teacher communication is extremely valuable and you should take a advantage of it. According to Lance (Lance, 2010), when administrators value collaboration between teacher-librarians and classroom teachers and when teacher- students are more likely to master ICT standards and more likely to earn advanced scores on state reading and language arts tests. This study linked collaboration between faculty and students scores. Lance showed that when faculty collaborated n instructional information and objectives the students scores went up on formal assessments. Another context of instructional communication is comprehension assessment. As an instructor I have to assess the students learning to see if they have learned the specific objectives to move on to the next part of the course. If students do not meet those objectives then they fail and are recycled to another program. I use different kinds of assessments to check the depth of their knowledge of the material. The students have written assignments, formal assessments, and a Field Training Exercise (FTX). The students also have time to redo any work that they have failed in order to receive a better grade. I provide feedback within two days of the after the due date of the assignment. I provide feedback and remedial for any student that is deemed in need or feels that they need the extra help. Since we try to communicate very well with the students our fail rate is between 2 to 4% each course. Technology is the last item that is very important to instructional communication. Based on the immersive interface that underlies virtual worlds such s Second Life and World of Warcraft, virtual environments allow the enactment of complex situations with tacit clues, simulation of scientific instruments, virtual experimentation, simulated collaboration in a team, and adaptive responses to students choice†all captured and recorded in data streams (Clarke-Midura, 2010), according to Jody Clarke-Midura and Chris Dede. In this century technology has advanced so much. We have social media sites, PowerPoint presentations, email, and other was to communicate in and out of the classroom. I learned that when you do not have proper communication things tend to follow apart. From my experience students that do not voice their opinion about information that they do not understand shows in their assessments. I also try to recognize any students that do not understand the information that I am giving out. Sometimes it is difficult to pay attention to all 48 students at one time. I stress to my students that they must speak up and ask questions before an exam is given to them. Most students do this and that is why our retention rate is so low. We try to incorporate technology into our lessons. Some students learn differently so it is for their benefit that we try to make ur lessons very diverse. The school and our office has a Facebook page which allows the students to ask instructors as well as new and past students any questions about assignments and content. The school offers morning and afternoon remedial teaching when students are deemed in need of attention. The school has recognized that technology is easy to use and all the students have access to the technology. Instructional communication is an ongoing process. It does not matter how good you are at it can always be improved on. Proper communication is what holds a company together. Without communication everything is going to be chaos. I recommend all companies, schools, and businesses to have employees and students attend a communications workshop. Instructional communication is how we got to where we are now! Clarke-Midura, J. a. (2010). Assessment, Technology, and Change. Journal of Research on Technology in Education Volume 42 Number 3 , 309-328. Karaduz, A. (2010). Linguistic acts teachers use in the classroom: Verbal stimuli. Education vol. 130 NO. 4 , 696-704. Lance, K. C. (2010). Collaboration WorksWhen It Happens! . Teacher Librarian, Vol. 37 Issue 5 , 30-36.