Symptoms And Treatment Of Relapsing Remitting Ms ( Rrms )...

The first type of MS is Relapsing-remitting MS (RRMS) which is the most common disease course. â€Å"Relapsing-remitting multiple sclerosis affects about 85 percent of those first diagnosed with the disease and affects around 60 percent of people living with MS† (Brichford, 2015). In RRMS patients experience a period of clearly defined attacks which is called relapsing. The period following the relapse is called remission where the patient is symptom free. The last type of MS is Progression-relapsing (PRMS). This is the least common type of MS. Just like PPMS this type is also characterized by the gradual worsening of symptoms over the course of time. Patients will also experience relapses and remissions. Unlike RRMS, people with this type of MS do not usually regain complete functioning after a symptom relapse. Risk Factors There are many risk factors that may increase the risk of developing MS. The first factor is age.MS can occur at any age, but this disease mainly affects people between the ages of fifteen and sixty. The second factor is sex. Women are twice as more likely to develop MS than men.The third factor is race. Caucasians are at the highest risk of developing MS. People of the Asian, African, or Native American descent have the lowest risk. â€Å"MS is more common in whites, particularly those with Northern European ancestry. Some groups – people with African, Asian, Hispanic, and Native American ancestry – seem to be at lower risk, although they can still get theShow MoreRelatedMultiple Sclerosis Affects More People Than Most Would Think1098 Words   |  5 PagesSclerosis Multiple Sclerosis affects more people than most would think. MS is an unpredictable disease that attacks the central nervous system but it is a difficult disease to diagnose due to multiple unknown factors. Each diagnosed case of MS is unique depending upon factors given by the patient. Understanding the different courses of Multiple Sclerosis, early diagnosis and the treatments of the disease all play an important role in bringing awareness of MS. Learning about Multiple Sclerosis can bring opportunitiesRead MoreSymptoms And Treatment Of Multiple Sclerosis1605 Words   |  7 PagesMultiple sclerosis (MS) is a very complex disease characterized by many different pathophysiological mechanisms that play a role in how the disease presents itself and its progression (Miller, 2012). Some mechanisms that play a role in MS are demyelination, axonal/neuronal damage, inflammation, gliosis, etc (Miller, 2012). Among 20-40 year olds, MS is the most common neurological disease (Miller, 2012). There are many different causes associated with MS but the two main causes of MS are axonal injuryRead MoreA Short Note On Chronic Disease : Multiple Sclerosis Foundation1987 Words   |  8 PagesTerm Paper Chronic Disease Multiple Sclerosis The Multiple Sclerosis Foundation estimates that more than 400,000 people in the United States and about 2.5 million people around the world have MS. About 200 new cases are diagnosed each week in the United States. Rates of MS are higher farther from the equator. (Higuera) What is Multiple Sclerosis it is a chronic, typically progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord, whose symptoms may include numbnessRead MoreSymptoms And Symptoms Of Multiple Sclerosis967 Words   |  4 PagesNguyen Dr. David Chen KNES 371 1:00 p.m. December 5, 2015 Word Count: Multiple sclerosis (MS) is an autoimmune disorder that causes the immune system to attack myelin sheath causing neurological damage to areas of the brain and causes neurological deterioration. In the brain the myelin sheath is involved with what allows for communication between brain and the body. As the disease progresses the sheath deteriorates the neurons where the myelin sheath is found is damaged, causing a breakRead MoreA Treatment Option For Multiple Sclerosis1499 Words   |  6 PagesAlemtuzumab as a treatment option for multiple sclerosis: A Critical Review Multiple sclerosis (MS) is a chronic disabling disease that affects about 1.1 million people worldwide, majority of who form part of the western population (Wilkinson and Lennox, 2005; Zabriske, 2009). MS mainly results from autoimmunity and is characterized by progressive damage to the central nervous system (CNS) leading to poor motor coordination in the limbs as well as vision abnormalities (Karp, 2013; Adamczyk Adamczyk-SowaRead MoreTypes And Environmental Factors Of Multiple Sclerosis2800 Words   |  12 PagesSclerosis also known by the abbreviations (MS) has been known as a devastating disease in which its name literally means many scars. This chronic disease attacks the central nervous system, meaning it affects the brain and the spinal cord and is known as an autoimmune disease. MS happens when your immune system attacks myelin, which is a fatty material that is wrapped around nerve fibers to protect them. Without this outset shell, the nerves become damaged in which scar tissue may form. This damage canRead MoreAn Autoimmune Disorder Of The Central Nervous System3281 Words   |  14 Pageswas first discovered in 1868 by Jean-Martin Charcot.1,2 He defined it by its â€Å"clinical and pathological characteristics: paralysis and the cardinal symptoms of intention tremor, scanning speech, and nystagmus, later termed Charcot’s triad.†2 In Physical Rehabilitation, O’Sullivan, Schmitz, and Fulk defined multiple sclerosis as â€Å"a chronic disease of the central nervous system characterized by inflammation, selective demyelination, and gliosis of neurons of the brain and spinal cord.†2 This resultsRead MoreSpecial Needs : Multiple Sclerosis1971 Words   |  8 PagesMultiple Sclerosis Introduction Multiple Sclerosis is a lifelong, incurable disease, which affects people in many different ways. It is characterized as a chronic, progressive immune-mediated disease that varies in intensity from mild to severely disabling. Some present with a condition that involves only one or two periods of activity throughout their life. Others suffer major complications in a rapid progression of disease. The word â€Å"multiple† accurately describes this condition, as it is uniqueRead MoreMultiple Sclerosis Is The Most Common Neurological Disorder1495 Words   |  6 PagesAccording to the Multiple Sclerosis Association of America, multiple sclerosis is the most common neurological disorder diagnosed in young adults (Gale). Multiple sclerosis could and can be a dangerous disease, it attacks the central nervous system by breaking down the myelin protective coating around the brain and spinal cord, thus affecting nerve impulses to be slowed down. Multiple sclerosis is also known as dissem inated sclerosis (Gale). â€Å"Multiple† because it affects many areas in the brain andRead MoreAn Overview Of Multiple Sclerosis2234 Words   |  9 PagesAn Overview of Multiple Sclerosis: the Disease, the Challenges, the Symptoms, and the Treatments Meiying Li AN OVERVIEW OF MULTIPLE SCLEROSIS 2 Abstract Multiple Sclerosis (MS) is a chronic inflammatory disease of the central nervous system. The characteristics of MS are demyelination and axonal loss. The etiology of MS is unknown, and there is no cure. Diagnosis to confirm MS has been complicated but is now improved

Connecticut Colleges and Universities Pursuing Online and Campus-based Education 2019

Connecticut boasts some of the most educated residents in the nation and has the highest per capita income in the entire country. The Constitution State ranks sixth in the nation for residents over the age of 25 possessing a college degree. Government, manufacturing, and financial activities provide lucrative employment opportunities for graduates of Connecticut colleges and universities. Whether choosing to settle in Bridgeport, New Haven, Hartford, or Stamford, working professionals have access to a wealth of opportunity in Connecticut schools and organizations. Connecticut Universities Offer Training for the States Most Influential Employers The Department of Economic and Community Development lists the top 10 employers for Connecticut college graduates. Some of the most influential Connecticut employers are headquartered within the state, including: Aetna Bayer Connecticut Headquarters. Boehringer Ingelheim Connecticut Headquarters. ESPN Connecticut Offices. GE Connecticut Service Locations. Hartford Financial Services Connecticut Branches. International Paper Company Connecticut Headquarters. Northeast Utilities (NU) Connecticut Services. Pitney Bowes Connecticut Facilities. Pfizer Global Research Development Connecticut Offices. Travelers Connecticut Locations. UBS Connecticut Headquarters. United Technologies Corporation Connecticut Headquarters. .u1de92525a2eecfedbd222ea48eaef4c9 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u1de92525a2eecfedbd222ea48eaef4c9:active, .u1de92525a2eecfedbd222ea48eaef4c9:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u1de92525a2eecfedbd222ea48eaef4c9 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u1de92525a2eecfedbd222ea48eaef4c9 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u1de92525a2eecfedbd222ea48eaef4c9 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .u1de92525a2eecfedbd222ea48eaef4c9:hover .postTitle { text-decoration: underline!important; } READ All About SBA Grants Connecticut Economy Promises Lucrative Careers for Connecticut University Graduates With a median household income of over $10,000 above the national average, Connecticut serves as a prime location for starting and advancing a career. Graduates of Connecticut universities and colleges can take comfort in the following statistics from the U.S. Census Bureau and Department of Labor: The Connecticut median household income for 2004 to 2005 was $56,889. The Connecticut unemployment rate for September 2006 was just 4%. 1,765,300 people are employed in the state of Connecticut. Connecticut Financial Aid Programs Provide Improved Access to Connecticut Colleges and Universities Thanks to Connecticuts Department of Higher Education, Connecticut college students have access to a variety of financial aid programs. Connecticut schools, such as Kaplan University and University of Phoenix, are often eligible to accept assistance from the following programs: Connecticut Capitol Scholarship. Connecticut Independent College Student Grant Program. Connecticut Tuition Set Aside Aid. Connecticut Minority Teacher Incentive Grant. .ue234dcc87375544ecbcb02f4ba729e9d { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .ue234dcc87375544ecbcb02f4ba729e9d:active, .ue234dcc87375544ecbcb02f4ba729e9d:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .ue234dcc87375544ecbcb02f4ba729e9d { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .ue234dcc87375544ecbcb02f4ba729e9d .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .ue234dcc87375544ecbcb02f4ba729e9d .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .ue234dcc87375544ecbcb02f4ba729e9d:hover .postTitle { text-decoration: underline!important; } READ Best Interview Questions to AskWorking professionals interested in starting or advancing a career in Connecticut are encouraged to explore College-Pages.com, the leading education and career resource website. Students will find access to an extensive list of Connecticut colleges and universities as well as informative articles for making education and career decisions in the state of Connecticut. Related ArticlesMissouri Colleges and Universities Pursuing Online and Campus Based Education in Missouri, the Show Me StateVirginia Colleges and Universities Pursuing Online and Campus Based Education in Virginia, the Old Dominion StateArizona Colleges and Universities Pursing Advanced Education in The Grand Canyon StateNorth Dakota Colleges and Universities Pursuing Online and Campus Based Education in North DakotaSouth Carolina Colleges and Universities Pursuing Online and Campus Based Education in South Carolina, the Palmetto StateFinding a Business Administration Career

Vatican Council Ii Free Essays

string(152) " and each of the parts are strengthened by the common sharing of all things and by the common effort to attain fullness in unity,† \(Lumen Gentium p\." Concilium Oecumenicum Vaticanum Secundum (The Vatican Council II) The Second Vatican Council was formally opened by Pope John XXIII on 11 October 1962 and closed under Pope Paul VI on 8 December 1965. Its aim was â€Å"†¦ to throw open the windows of the Catholic Church so that we can see out and the people can see in. † – Pope John XXIII. We will write a custom essay sample on Vatican Council Ii or any similar topic only for you Order Now T The main topics discussed were the Church itself, ecumenism and other religions, relation to the modern world and the liturgy of mass. The Catholic Church recognised the increasing rift between people and their relationship with God and the Church, and created four constitutions which addressed the issue. Dei Verbum (Dogmatic Constitution on Divine Revelation), Lumen Gentium (Dogmatic Constitution on the Church), Gaudium et Spes (Pastoral Constitution on the Church in the Modern World), Sacrosanctum Concilium (Constitution on the Sacred Liturgy). These documents are responses to the external issues and internal issues that impacted the Church, and are further discussed later. The 1960’s was a huge counter-cultural movement which challenged the traditional codes of behaviour linked to sexuality and interpersonal relationships. With the sexual revolution brought the normalisation of pre-marital sex, the contraception and the pill, homosexuality and later; the legalisation of abortion. There was a rapid evolution of a youth subculture which encouraged experimentation and change, and religious values were disregarded and replaced with hedonistic attitudes. This impacted the Church because the one of the fundamental teachings of the Church is that sexual intercourse is only to express married love and for the procreation of children. The Church opposed abortion and contraception as it goes against their teachings and this caused an uproar from the feminists. Their argument was that they should have â€Å"free choice because it’s my body†. The Church until this time was also a male dominant body, and women began to fight for the right to become a priest and for female altar servers. The advancement of technology also impacted the Church as prior to TV and travelling technology, society had a narrow view of the world, and mainly stuck to their own local community. The Church had played a huge role in their life because of this. But when TV became more popular, people began to spend more time watching TV and learning about things more relevant to their lives, and it became another â€Å"voice† they listened to. With the rise of technology, the â€Å"voice† of the Church became less significant. These were the major social changes which impacted the Church and some changes were made to counter the issues. During this time the Church was also facing internal issues as well as being confronted with social changes. Mass attendance was falling due to a lot of social changes. This included the sexual revolution, the role of women in society and decreased respect for the church as an authority figure. â€Å"The sexual revolution was a development in the modern world which saw the significant loss of power by the values of a morality rooted in the Christian tradition and the rise of permissive societies of attitudes that were accepting of greater sexual freedom and experimentation that spread all over the world. † (Extract from Wikipedia). Falling mass attendance may also have been due to people not being able to understand the mass, as it was in Latin or maybe feeling that the Church was too hierarchal in the way that the laity weren’t allowed to contribute during mass. Another issue was that religious numbers were also falling as many of the religious and priests had left Europe on missions. There was also tension between Protestant Churches and the Catholic Church, as the Church’s main goal was to convert as many people to Catholicism as possible. The role and structure of the Church was also under speculation as many thought the Church needed an â€Å"update† to society, and others believed that the old traditions should not be changed at all, and this caused some conflict within the Church. In order to deal with these internal and external issues, the Vatican Council II created four documents which responded to these matters. The first dogmatic constitution was Dei Verbum which was about Divine Revelation. Divine Revelation can be defined as God’s activity in making himself and his purposes known to mankind through Christ, the prophets and the apostles. Pre Vatican II, the Church taught that only priests could read and interpret scripture. But Council stated â€Å"Easy access to Sacred Scripture should be provided for all the Christian faithful. But since the word of God should be accessible at all times, the Church by her authority and with maternal concern sees to it that suitable and correct translations are made into different languages, especially from the original texts of the sacred ooks. †(Dei Verbum p. 22). This basically meant that anyone could read the bible, but the magisterium alone has been trusted with guiding and teaching the meaning of the scripture with the help of the Holy Spirit. The aim of this change was so that â€Å"Through the reading and study of the sacred books â€Å"the word of God may spread rapidly and be glorified† (Thessalonians. 3 :1) and the treasure of revelation, entrusted to the Church, may more and more fill the hearts of men. This change was adopted because the bible was written for everyone and therefore everyone has the chance to learn all about God’s Revelation and his gifts to all people. The second dogmatic constitution is Lumen Gentium which redefined the structure and role of the Church. The church recognises Christ as the head of the body, and as the image of the invisible God, and that all members must be formed in his likeness until Christ is formed in them. It also became more focused on diversity and pluralism, rather than being a private circle of religious. It said that â€Å"In virtue of this catholicity each part contributes its own gifts to other parts and to the whole Church, so that the whole and each of the parts are strengthened by the common sharing of all things and by the common effort to attain fullness in unity,† (Lumen Gentium p. You read "Vatican Council Ii" in category "Papers" 13), explaining that the Church is not just about bishops, priests and the pope, but also all the faithful. Priests were described as â€Å"its support and mouthpiece, called to the service of the People of God,† (Willis, M. Lumen Gentium Summary, p. 3), which clarified their vocation as not just preaching the word of God, but also being there to guide and support the community. A dogmatic constitution on the Church was also formed about sacred liturgy. This document revealed the changes made to mass. One of the external issues during the 60’s was falling mass attendance. The youth were rebelling and trying new things and their attitude towards the Church had changed. Before Sacrosanctum Concilium, there were several differences between the traditional mass, and the mass we know today. God who â€Å"wills that all men be saved and come to the knowledge of the truth† (Timothy 2:4). Probably the biggest change was that the language of the mass changed from Latin to vernacular. This meant that the laity could now completely understand what was going on at mass. To promote participation, the people were encourages to take part by means of readings, responses, hymns and giving out communion. The communion rail was withdrawn, and the priest now has his back to the tabernacle to face the people. The document also allowed altar girls. These changes were made so that the Church was more appealing to people, so that they felt more welcome and interested in the Church again. The last dogmatic constitution made was Gaudium et Spes. This document deals with the relevance of the Church and its place it society. It also talks about interaction with other faiths. The Council expresses a desire to engage in conversation with the entire human family so that the Church can cooperate in solving contemporary problems. It addresses this Constitution to Catholics, to all Christians, and to the whole of humanity. The Council sets out to establish a working relationship with the world, claiming â€Å"Christ, to be sure, gave His Church no proper mission in the political, economic or social order. The purpose which He set before her is a religious one. But out of this religious mission itself come a function, a light and an energy which can serve to structure and consolidate the human community according to the divine law. † (Gaudium et Spes p. 11). The Church is desired to assist the whole of humanity to overcome all strife and conflict between nations, and this sense of unity comes from one of its fundamental beliefs that the Church is one with the Holy Spirit. One way this was shown Pope John XXIII invited other Christians outside of the Catholic Church to send observers to the Council. Acceptances came from both the Protestant denominations and Eastern Orthodox churches. The goal of conforming people to Catholicism was no more, instead the Church now preaches Ecumenism. While helping the world and receiving many benefits from it, the Church has a single intention: that God’s kingdom may come, and that the salvation of the whole human race may come to pass. â€Å"The Council wished to ponder the many problems and possibilities of the modern world â€Å"in the light of the gospel and of human experience†. Michael Paul Gallagher SJ, Reaching out to the world: Gaudium et Spes). In its final form, Gaudium et Spes encourages a â€Å"new humanism† marked by a greater sense of our responsibility for history. God, so to speak, gives the world into our hands. We are dramatically free and called, with the help of grace, to transform this planet through loving service. These responses strengthened the mission of the Church for a contemporary society. The Church acknowledged that there was growing secularism in society, and that growing numbers of people are abandoning religion in practice. Church does not only communicate divine life to men but in some way casts the reflected light of that life over the entire earth, most of all by its healing and elevating impact on the dignity of the person, by the way in which it strengthens the seams of human society and imbues the everyday activity of men with a deeper meaning and importance†, (Gaudium et Spes, p. 40) summarises the mission of the Church in contemporary society; to bring salvation. It was Pope John XXIII who realised that the Church had â€Å"†¦ o throw open the windows of the Catholic Church so that we can see out and the people can see in,† (Pope John XXIII), so that they can understand and come to terms with the always changing society, to reform itself to the needs of the people. Through the four dogmatic constitutions of the Second Vatican Council, the Ch urch was able to renew their relationship with the world, renovate new ways to communicate with the whole of humanity, and achieve its goal of making Church more engaging and relevant to a contemporary society. The Second Vatican Council was the most significant event for the Catholic Church in the 20th century. It had four aims; to impart an ever increasing vigour to the Christian life of the faithful, to adapt more closely to the need of our age those institutions which are subject to change, to foster whatever can promote union among all who believe in Christ and to strengthen whatever can help to call all mankind into the Church’s fold. The four dogmatic constituents; Sacrosanctum Concilium, Gaudium et Spes, Dei Verbum and Lumen Gentium, addressed internal and external issues that impacted the Church, and endeavoured to answer them. Such issues included the sexual revolution of the 60’s, the feminist movement, the reformation of the protestant church, and falling mass attendance. The responses strived to improve these circumstances and help to bring people closer to God. The allowance of female altar servers, the changes to liturgy in order to make it more engaging to people and the preaching of ecumenism helped restore elationships between the Church and the faithful, and the Church and other religions. There are still unresolved issues and debates involving the Church, such as contraception and abortion and the request for female priests, and if the Church was to call another Council, these would be the issues discussed. Overall, the Second Vatican Council was successful in making a difference and re-establ ishing its role in the world today. REFERENCES Pope Paul VI; Dogmatic Constitution on Divine Revelation – Dei Verbum. (n. d. ). Retrieved April  13, 2013, from http://www. vatican. va/archive/hist_councils/ii_vatican_council/documents/vat-ii_const_19651118_dei-verbum_en. html Gaudium et spes | Catholic Social Services Australia. (n. d. ). Retrieved April  15, 2013, from http://catholicsocialservices. org. au/Catholic_Social_Teaching/Gaudium_et_spes Pastoral Constitution on the Church in the Modern Word-Gaudium et Spes. (n. d. ). Retrieved April  12, 2013, from http://www. vatican. va/archive/hist_councils/ii_vatican_council/documents/vat-ii_cons_19651207_gaudium-et-spes_en. html Sexual revolution in 1960s United States – Wikipedia, the free encyclopaedia. (n. d. ). Retrieved  April  13 2013, from http://en. wikipedia. org/wiki/Sexual_revolution_in_1960s_United_States Dale A. Robbins; From the book, â€Å"What People Ask About The Church, What is the mission of the church? (n. d. ). Retrieved  April  13 2013 from http://www. victorious. org/churchbook/chur04. htm Michael Paul Gallagher S; Reaching out to the world: Gaudium et spes | Catholicireland. net. (n. d. ). Retrieved  April  12 2013 from, http://www. catholicireland. net/reaching-out-to-the-world-gaudium-et-spes/ How to cite Vatican Council Ii, Papers

Service Design And Management Handbook †Myassignmenthelp.Com

Question: Discuss About The Service Design And Management Handbook? Answer: Introduction In any service industry organization, it is very important to manage the service quality and service delivery effectively. It is a significant aspect in todays competitive business landscape. The quality of service totally depends on how the customers experience the services, offered by service provider. This report includes the service management process with its different aspects. It justifies and analyzes all the information, which is given in the customer service handbook of MedBed Hotels, that is going to start its business in December, 2017. It includes the service concept of MedBed Hotels. It justifies all the strategies, which are used by the organization in managing the service encounter and employee service behaviors. Furthermore, it includes the methods for managing the processes and environments in the service organization. The organization is creating a customer service handbook for its Guest Experience team and well-being team, so that employees can understand the conce pt of service delivery and service management. At the end, it consists of potential services failures and recovery plan to overcome the issues. The report will help in understanding the theoretical concepts behind the aspects of customer service handbook of MedBed Hotels. The service concept For a service organization, it is essential to create a service concept, which meets the needs and expectations of potential customers. Creating a service concept is the first part of developing a service model for a service organization, like; a hotel. For setting a service concept, the organization first focuses on product element, i.e. hospitality for guests. A service concept should be new and innovative, so it can attract the maximum customer base in this competitive business environment. It includes all the tangible and intangible components of services, which creates value for the customers (Akaka Vargo, 2015). A service concept consists of both core and customer services as well. Core services are the services, which an organization offers to the customers, i.e. reasons for being of hotel, i.e. hospitality services in case of MedBed Hotels. Moreover, customer service includes all the interactions, which the team has with the customers and guests in conducting the business. In the given scenario, the service concept of MedBed includes both the core and supplementary services. With its new and innovative concept, MedBed Hotels is offering five-star hotel services and nursing services to the patients, who are taking short-stay accommodation at hotel rooms. It is providing very comfortable, creative and customer-centric environment, where the guest can have ongoing care, without depending on the hospital. For Guest Experience and Well-Being team, it is important to understand the service concept at hotels. It is very important for offering the services effectively. In order to understand the service concept, there are so many things, which the employees need to know for providing a successful service encounter. First, the employees need to understand the core and supplementary services of the hotel. After knowing about the services, the employees need to understand the type of customers at their service organization (Alghamdi, 2016). There may be two types of customers, i.e. internal customers and external customers. External customers are the people, who are served by the employees within the organization by its core services, whereas external customers come to the organization for some products and services. In the given scenario, the internal customers are the guests and visitors, who are coming at MedBed for hospitality services and external customers, are the patients, who are admitting here after taking discharged from Royal Sydney Private Hospital (Amin Zahora Nasharuddin, 2013). The organization makes several efforts to give make the employees understand about its service concept. The organization can conduct the training and development process for the outside and fresher employees. At luxury hotels, through training, the staff will be able to learn about the service concept and standards. These training methods should be created, which offer the staff with the great opportunity to learn and understand. It can assist the employees in understand the service concept effectively (Bisk, 2017). Strategies for managing service quality and satisfaction Quality of service is the heart of a service organization, especially, for a hotel organization. Service quality is the core of service management in hospitality industry (Vijayadurai, 2008). This quality is concerned with the customer satisfaction and customer satisfaction is related with the revisit intention of customers. If a positive image of service is created to the guests and customers, it will assist the organization in creating competitive advantage for hospitality organization (Bitner, Wang, 2014). There are some dimensions, which the customers use to evaluate the quality of services. SERVQUAL Model is a significant theory of service management that can be implemented for evaluating the service quality at hotels (Tsai, 2014). Generally, the customers focus on these five dimensions for analyzing the quality of hospitality services, which are given stated below; Reliability Reliability dimension of service quality refers to how an organization is performing and fulfilling the committed and promised service. It includes the accuracy and quality within set quality standards and requirements between customers and organization (Bowen, 2016). It is an important aspect as the first impression as the customers want to know whether their services are reliable and fulfill all the standards and requirements with complete satisfaction MedBed Hotels can focus on offering services in promised way and time, as the guests may use this aspect to evaluate the service quality at MedBed (You, 2014). Responsiveness Responsiveness of service quality includes the desire and willingness of an organization to assist the customers in offering them with the fast, better and quality service (Chaston, 2014). At MedBed, Guest Experience and Well-Being Team should understand that they have to offer the services in a way so that guests and patients may feel valued in their stay at hotel. Assurance The assurance is also an important dimension of service quality. It refers to the employees of the organization. It includes different aspects, like; whether the employees are enough skilled and or they are able to gain the confidence and trust of customers. At MedBed, the employees should try to deliver the services effectively, so that they can gain the trust and confidence of guests (Chang, Chen Lan, 2013). If the guests and patients will not be comfortable with the staff and their services, then it will affect their revisiting intention towards MedBed. Tangibles Tangibility service quality dimension includes the appearance of physical facilities and surroundings, equipment and other personnel and their way of effective communication. It also creates a first impression on the customers (Dhar, 2015). MedBed is already focusing on this aspect of service quality. The rooms at hotel are luxurious and spacious, which may attract the people to visit the hotels again and again. The rooms in hospital will give a natural and elegant feeling to the patients. Other tangibles are; like; cold ambience at hospital, fresh and health centric food for patients (Wirtz Lovelock, 2016). Empathy Empathy dimension of service quality refers to the care and individual attention, which is given to the customers. Through this dimension, the customers evaluate how a service organization care the customers and gives them personal attention (Dabholkar, 2015). It is very essential to make them feel more special and valued. If the guests feel more valued, it increases the revisiting intention of guests to hotel. At MedBed, the employees should understand that there guests are patients, who need extra care and attention, so they should make efforts to pay attention on each and every patient. Strategies for managing service encounters Human resources and their behavior play an important role for managing the service encounter in any service organization. In a service organization, it is very important to examine the attitudes and behaviors of the employees, who offer the front stage and back stage services to the customers (Fitzsimmons, Fitzsimmons Bordoloi, 2006). In the hospitality industry, it is important to have some specific behaviors to serve the customers. according to a theory of customer service management, there are some specific employee behaviors, like; being cheerful and polite to customers and making the customers feel more valued and special. Potential Customer Behaviors There are some potential service behaviors, which can be possessed by the Guest Experience and Well-Being team at MedBed. Friendliness and Courteous When it is about to serve the customers directly, the employees need to be more friendly and courteous with the customers (Gunarathne, 2014). The employees, who perform their duties effectively to become friendly and courteous to their managers, colleagues and customers, assist in developing a good working environment in the organization. This type of behavior is very essential for the employees in hospitality industry. The Well-being and Guest Experience team at MedBed should enhance this behavior in serving the guests and patients at their hotel. Commitment To get success in the hospitality industry, the Guest-Experience and Well-Being team need to be committed to ensure the satisfaction of customers (Gummesson, 2014). The staff should do everything to satisfy the need and expectations of customers. At MedBed, the employees and nurses need to perform the tasks and activities to make the patients happy and enhance their revisiting intention. Effective Communication In delivering the services effectively, the employees should have effective communication and interaction with the customers. In hospitality business, excellent communication skills are required to fulfill the expectations and demands of customers, so that they can communicate with customers in oral and writing (Ho Voon, Abdullah, Lee Kueh, 2014). Customer-Centric In order to satisfy the customers, it is very necessary to become customer-focused, so that employees can understand the needs and expectations of their potential customers. The employees should reflect the service behavior that focuses on the needs of customers. For example, at MedBed, the staff will focus on the needs of each and every patient (Hollensen, 2015). If the employees do so, then guests may feel more valued and special. Three Strategies to manage service behaviors There are some strategies, which can be used by a service organization to manage the employee service behaviors and service encounters in this competitive business environment (Iden and Eikebrokk, 2013). These strategies can be used to influence the behavior of staff and team in the organization. These strategies are analyzed and justified below; Discipline Discipline is a major component that can be used for enhancing the service behavior of employees. In an organization, taking disciplinary actions can discourage the unethical and unwanted behavior of employees. For example, if the employee is regularly late at office, then the organization should take some disciplinary action to avoid being late again. At MedBed, the top management can also use this strategy to improve the service behavior of employees. They should be disciplined with their guests also. Positive Reinforcement Positive-reinforcement is a popular strategy or approach that works under a theory that giving reward to the workers for showing desired attitudes will inspire the employees to regularly doing that. In turn, it will enhance the long term growth and success of the organization. These rewards may be in the form of bonuses and appreciation for their tasks and responsibilities (Jaakkola, Helkkula Aarikka-Stenroos, 2015). At MedBed, the top management should adopt this strategy to motivate the hotel staff to perform the services in an effective manner. Rewarding the employees will be beneficial for providing quality services to the guests in the hotel (Trusson, Doherty Hislop, 2014). Development of other methods There are some other active methods, which can be developed by the service industry organizations. These methods can work as an effective strategy to monitor the customer satisfaction. It can assist the employees in dealing with the unexpected conditions in the guest experience and in driving the loyalty among customers. MedBed hotel is also including some methods in its customer service handbook, which will be implemented to enhance the service behavior and service encounter (Jos Tar, Heras-Saizarbitoria Pereira, 2013). Managing service processes and environments Blueprint of service is a technique that is generally used for designing the innovation and service. A service organization can show its service process by using a blue print diagram that reflects the service delivery process from the perspective of customers (Kim, Vogt Knutson, 2015). Each and every organization uses a blue print and service scape diagram for the service organization. The customer service handbook includes the blueprint and service scape diagram for the MedBed organization. The service organization should implement effective strategies to measure the service quality and customer satisfaction. For measuring the customer satisfaction and service quality, the companies can use different strategies, like; benchmarking, customer complaint policy, customer research etc. MedBed can adopt customers complaint policy to analyze the service quality (Kindstrm Kowalkowski, 2014). Managing service failure and recovery In a service organization, failures are very common in order to deal with the customers. Even with the best service industry organizations, these types of failures can occur. These failures can occur, when the services are not provided in the way as they promised or committed. The outcome of these situations may be incorrect or it may influence the revisiting intention of customers and customer base of the service organization. In the hospitality industry, these service failures may bring negative experiences to the guests. There may be different types of services failures, which a hotel organization may face in offering the services to guests. The hotels develop a service recovery process to eliminate the situation of service failure (Khodakarami Chan, 2014). The customers, who have negative experiences, but finally they are satisfied with the service recovery efforts, they become more loyal to the organization. According to Bitner, there may be three types of service failures, whi ch a service organization may confront, i.e. Service System Failure In a hospitality organization, the service failure may be related to the failure in the service system. This type of failure is connected to the core services of the organization, like; hotel and nursing services to guests and patients. Deficiency in services causes the failure in service systems and processes (Lusch Vargo, 2014). The examples of these failures are like; issue of room cleanliness, employees unfriendliness with the guests, out of stock conditions, slow services etc. The management at MedBed may face this kind of service failure. Failure in Explicit and Implicit Customer Requests This type of service failure happens when the hotel staff is not able to fulfill the services according to needs and expectations of guests, for instance; lost reservations, dirty rooms, wrong delivery of foods and services (Malthouse, et al, 2013). Unsolicited and Unprompted employee actions There may be the service failure, which is caused by the unsolicited and unprompted actions of employees. It includes the service behaviors of employees, which is not acceptable by the guests and organization. These behaviors may be like; wrong and poor attitude, rudeness, incorrect billing of services, additional charges etc. In order to provide nursing and hospitality services, MedBed may face this type of service failure in the workplace environment (Lovelock Patterson, 2015s). From all the service failures, first failure is very important because the customers confronting this type of service failure can switch to other competitors. So, the managers should focus on creating recovery processes and strategies to avoid the service failure; Anticipating the needs of guests The meaning of anticipating the needs refers to understanding the needs and demands of customers. In the first step, the organization needs to understand, what their potential customers want and expect from them (Mok, Sparks Kadampully, 2013). By following this step, the manager and employees will have the clear idea about the needs of guests at hotels. It is the key point for successful service encounter. In the first step, MedBed will focus on anticipating the needs of potential guests and patients (Wong, 2014). Acknowledging their feelings There is a need of service recovery when the customers did not receive expected and needed services from organization. It is significant that staff at hotel acknowledges the issues and feelings of guests (Mattsson Sderlund, 2017). They should understand what they actually want. They need to understand the problems behind this failure. Owning and apologizing the responsibility After acknowledging the feelings of customers, the team should accept their mistakes and responsibilities behind the service failure (Osborne, Radnor Nasi, 2013). Apologizing to the team can decrease the anger among guests. At MedBed, Guest Experience Team and Well-Being should apologize to the patients and guests, so that they can recover the deficiency in the services (Tynan, McKechnie Hartley, 2014). Providing them alternatives In the deficit of any particular thing, the organization can provide alternatives to their guests. Providing other alternatives is an effective method to recover the service failure. It can help to satisfy the dis-satisfied customers. At MedBed, the management should use these methods. They should not show that they did not have the things, but they should look for other options (Peppers s Rogers, 2016). Creating amends To do things right is an important step in successful service delivery. It can be possible through a sincere apology. The staff can send a follow-up letter and any small gift. For recovering the service, the organizations can use service recovery logs and service recovery kits to deal with conditions of service failure (Raghubalan Raghubalan, 2015). Managing external and internal customer relationships Customer Relationship Management (CRM) is a significant approach for managing the relationship between organization and customers. It includes processes and tools, which are being marketed to the service organizations as an effective way of providing effective customer services to customers (Rust Huang, 2014). Organizations implement different strategies to manage its internal and external customers. Successful customer relationship requires effective management of its internal and external communication with customers and employees. Strategy to Manage Internal Relationships Managing internal relationships includes all the processes and system management of internal environment of workplace. The quality of services can be managed by managing the relationships with the customers, when they are receiving your services. For managing the internal relationships, the organization should transform its corporate culture that can assist in maintaining the relations with guests and visitors. The services organizations should place some effective and advanced technology and cultural collaboration (Sengupta, Balaji Krishnan, 2015). It can enhance the employees relationships with the guests. Strategy to Manage External Relationships In hospitality industry, management of external relationships is needed to increase the revisiting intention of customers. The organization can develop a strategy that can assist in retaining the customers. For a hotel organization, it will be good to use the technology and internet innovation to manage the regular customers. Using these innovations, the organizations can approach the customers worldwide (Srensen, Sundbo Mattsson, 2013). The hotels can retain their regular customers, so that they use their service repetitively. In todays world, most of the population in the country is actively engaged in using internet and social networking sites, so it may maintain the relationships with the external customers. Other methods may be like; loyalty and rewards programs and sending them birthday and anniversary wishes; these methods can help the organization in attracting maximum customer base (Tronvoll, 2008). Conclusions Thus, from the analysis, it can be concluded that for managing the services at service organization, it is vital to implement effective strategies. It will assist the organization in satisfying the customers by their services. MedBed will be opening its hotel in December 2017 with the new and innovative ideas. If, it will use these effective strategies, then definitely it will have a successful service encounter. It is hereby recommended that MedBed should provide effective training to its employees about their services. It should focus on recruitment and selection process, so that employees can effectively work within the organization. References Akaka, M. A., Vargo, S. L. (2015). Extending the context of service: from encounters to ecosystems.Journal of Services Marketing,29(6/7), 453-462. Alghamdi, A. A. (2016). The Impact of the Service Quality as a Mediating Variable on the Relationship between Internal Marketing Policies and Internal Customer Satisfaction: An Empirical Study at Taif University.Journal of Marketing Management,4(1), 104-124. Amin, M., Zahora Nasharuddin, S. (2013). Hospital service quality and its effects on patient satisfaction and behavioural intention.Clinical Governance: An International Journal,18(3), 238-254. Bisk, (2017). Strategies for Managing Employee Behavior. Retrieved from https://www.notredameonline.com/resources/leadership-and-management/strategies-for-managing-employee-behavior/#.WaVNkbIjHIX. Bitner, M. J., Wang, H. S. (2014). 11. Service encounters in service marketing research.Handbook of service marketing research,221. Bowen, D. E. (2016). The changing role of employees in service theory and practice: An interdisciplinary view.Human Resource Management Review,26(1), 4-13. Chaston, I. (2014).Small business marketing. Palgrave Macmillan. Chang, C.S., Chen, S.Y. and Lan, Y.T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters.BMC health services research. Dhar, R. L. (2015). Service quality and the training of employees: The mediating role of organizational commitment.Tourism Management,46, 419-430. Dabholkar, P. A. (2015). How to improve perceived service quality by increasing customer participation. InProceedings of the 1990 academy of marketing science (AMS) annual conference(pp. 483-487). Springer, Cham. Fitzsimmons, J. A., Fitzsimmons, M. J., Bordoloi, S. (2006).Service management: Operations, strategy, and information technology. New York: McGraw-Hill. Gunarathne, U. (2014). Relationship between Service Quality and Customer Satisfaction in Sri Lankan Hotel Industry. International Journal of Scientific and Research Publications, Volume 4, Issue 11. Gummesson, E. (2014). Productivity, quality and relationship marketing in service operations: A revisit in a new service paradigm.International Journal of Contemporary Hospitality Management,26(5), 656-662. Ho Voon, B., Abdullah, F., Lee, N., Kueh, K. (2014). Developing a HospiSE scale for hospital service excellence.International Journal of Quality Reliability Management,31(3), 261-280. Hollensen, S. (2015).Marketing management: A relationship approach. Pearson Education. Iden, J. and Eikebrokk, T.R. (2013). Implementing IT Service Management: A systematic literature review.International Journal of Information Management,33(3), pp.512-523. Jaakkola, E., Helkkula, A., Aarikka-Stenroos, L. (2015). Service experience co-creation: conceptualization, implications, and future research directions.Journal of Service Management,26(2), 182-205. Jos Tar, J., Heras-Saizarbitoria, I., Pereira, J. (2013). Internalization of quality management in service organizations.Managing Service Quality,23(6), 456-473. Kim, M., Vogt, C. A., Knutson, B. J. (2015). Relationships among customer satisfaction, delight, and loyalty in the hospitality industry.Journal of Hospitality Tourism Research,39(2), 170-197. Kindstrm, D., Kowalkowski, C. (2014). Service innovation in business-?to-?business firms.Journal of Business Industrial Marketing,29(2). Khodakarami, F., Chan, Y. E. (2014). Exploring the role of customer relationship management (CRM) systems in customer knowledge creation.Information Management,51(1), 27-42. Lusch, R. F., Vargo, S. L. (2014).The service-dominant logic of marketing: Dialog, debate, and directions. Routledge. Lovelock, C., Patterson, P. (2015).Services marketing. Pearson Australia. Malthouse, E. C., Haenlein, M., Skiera, B., Wege, E., Zhang, M. (2013). Managing customer relationships in the social media era: introducing the social CRM house.Journal of Interactive Marketing,27(4), 270-280. Mok, C., Sparks, B., Kadampully, J. (2013).Service quality management in hospitality, tourism, and leisure. Routledge. Mattsson, J., Sderlund, M. (2017). Thinking about the service encounter enhances encounter-related word-of-mouth. InQuality in Services. Osborne, S. P., Radnor, Z., Nasi, G. (2013). A new theory for public service management? Toward a (public) service-dominant approach.The American Review of Public Administration,43(2), 135-158. Peppers, D., Rogers, M. (2016).Managing Customer Experience and Relationships: A Strategic Framework. John Wiley Sons. Raghubalan, G. Raghubalan, S, (2015). Hotel Housekeeping:Operations and Management, Oxford University Press. Rust, R. T., Huang, M. H. (Eds.). (2014).Handbook of service marketing research. Edward Elgar Publishing. Sengupta, A. S., Balaji, M. S., Krishnan, B. C. (2015). How customers cope with service failure? A study of brand reputation and customer satisfaction.Journal of Business Research,68(3), 665-674. Srensen, F., Sundbo, J., Mattsson, J. (2013). Organisational conditions for service encounter-based innovation.Research Policy,42(8), 1446-1456. Tronvoll, B. (2008). Customer Complaint Behavior in Service. Karlstads University. Trusson, C. R., Doherty, N. F., Hislop, D. (2014). Knowledge sharing using IT service management tools: conflicting discourses and incompatible practices.Information Systems Journal,24(4), 347-371. Tynan, C., McKechnie, S., Hartley, S. (2014). Interpreting value in the customer service experience using customer-dominant logic.Journal of Marketing Management,30(9-10), 1058-1081. Tsai, Y. (2014). Learning organizations, internal marketing, and organizational commitment in hospitals.BMC health services research,14(1), 152. Vijayadurai, J. (2008). Service Quality, Customer Satisfaction and Behavioural Intention in Hotel Industry. Journal of Marketing Communication. Wirtz, J., Lovelock, C. (2016). Service Marketing Communications. InSERVICES MARKETING: People Technology Strategy(pp. 236-287). Wong, I. A. (2013). Exploring customer equity and the role of service experience in the casino service encounter.International Journal of Hospitality Management,32, 91-101. You, F. (2014). Design and Realization of Hotel Management System, Computer Modelling New Technologies.