Diabetes Mellitus As A Chronic Disorder - 1069 Words

Introduction Diabetes mellitus is a chronic disorder characterized by complete or partial insulin deficiency and/or cellular resistance to the actions of insulin which results in an accumulation of glucose in the blood leading to hyperglycemia. Several classifications of medications can be utilized to manage elevated blood glucose in patients with diabetes mellitus. Many formulations of insulin are available to manage blood glucose levels with variations in onset, peak, and duration. Insulin’s mechanism of action promotes cellular uptake of glucose along with potassium and conversion of glucose into glycogen. Oral antidiabetics have various mechanisms of actions, but ultimately work to increase insulin or alter carbohydrate metabolism in order to manage blood glucose levels in patients with diabetes mellitus type 2. Other medications for supplemental control of glucose levels are amylin mimetics and incretin mimetics, which mimic the effects of naturally occurring peptides and can be used with insulin or oral antidiabetics. Amylin mimetics and incretin mimetics both decrease gastric emptying time and inhibit secretion of glucagon, but only incretin mimetics increase release of insulin. Amylin mimetics are used in patients with type 1 or type 2 diabetes, whereas, incretin mimetics are used only with type 2 diabetes. In contrast to the above medications, hyperglycemic agents are utilized to manage hypoglycemia by increasing the breakdown of glycogen into glucose in order toShow MoreRelatedDiabetes Mellitus As A Chronic Disorder Essay1448 Words   |  6 PagesIntroduction What is Diabetes? Some will know and only a few will ask. Diabetes mellitus is a chronic disorder. It has 3 different kinds, Type 1, Type 2 and Gestational diabetes. â€Å"The cause of diabetes is not known, but genetic, autoimmune, viral, environmental, and socioeconomic factors have all been implicated in the development of the disease† (Sawyer, pg 324). Some signs and symptoms of this disease include excessive thirst and appetite, increased urination, weight loss, fatigue, nausea and evenRead MoreDiabetes Mellitus As A Chronic Metabolic Disorder Essay1622 Words   |  7 Pages Chapter - 23 Diabetes Diabetes Mellitus is a chronic metabolic disorder that prevents the body to utilise glucose completely or partially. It is characterised by raised glucose concentration in the blood and alterations in carbohydrate, protein and fat metabolism. This can be due to failure in the formation of insulin or liberation or action. Since insulin is produced by the p cells of the islets of Langerhans, any receding in the number of functioning cells will decrease the amountRead MoreDiabetes Mellitus : A Serious Chronic Metabolic Disorder Associated With High Blood Sugar2086 Words   |  9 Pages Diabetes Mellitus MED 2056 Michela Leytham 12/7/2014 FT029 Jessica Ferreira Diabetes Mellitus is a serious chronic metabolic disorder associated with high blood sugar that affects the body’s ability to metabolize nutrients and use them as fuel. Normally the body uses carbohydrates and sugars that are eaten and breaks them down into a usable sugar in the body called glucose. Glucose has the ability to fuelRead MoreThe Chronic Illness Of Diabetes Mellitus1164 Words   |  5 PagesIntroduction Chronic illnesses affect many people, young and old; according to CDC data half of all Americans have had a chronic illness in their lifetime. Chronic illness is defined as any disorder that persists over a long period and affects physical, emotional, intellectual, social, spiritual functioning (Mosby’s Medical Dictionary, 2009). If you or anyone you know suffers from chronic illness you know how it can be quite taxing on financial health, peace of mind, emotional health, and familyRead MoreKidney Failure Essay846 Words   |  4 Pageshormone synthesis. Renal Failure The renal failure (kidney failure) is dangerous disorder which can affect the function of the kidneys. Stein (2002) defines the renal failure as a condition in which the kidneys are less able than normal to do their usual function. There are two classes of the kidney failure. The first one is acute renal failure which is abbreviated to (ARF) and the second one is chronic renal failure where can be shortened to (CRF). Gaw et al (2008) identified the differencesRead MoreEssay on Diabetes898 Words   |  4 PagesDiabetes Diabetes is a chronic metabolic disorder that occurs when the body is unable to produce or respond to insulin, a hormone that allows blood glucose to enter the cells of the body and generate the bodys energy (Ebony, 115). Diabetes is a disease that affects approximately 3% of the world population. In American alone, 10.3 million people report having diabetes, while an estimated 10 million more individuals may have undiagnosed diabetes (Morwessel, 540). The gene for diabetes is locatedRead MoreEssay on Chronic Renal Failure830 Words   |  4 Pagesfunctioning. One of these diseases is renal failure (kidney failure), a dangerous disorder. Stein (2002) defines renal failure as a condition in which the kidneys are less able than normal to do their usual function. There are two classes of kidney failure: acute renal failure (ARF) and chronic renal failure (CRF). This essay will focus on CRF and explain its two major causes. Chronic Renal Failure Chronic renal failure is progressive destruction of kidney tissue by disease; if not treatedRead MoreEssay on Diabetes Mellitus1381 Words   |  6 Pages1. Discuss the pathophysiology of Diabetes Mellitus. Diabetes Mellitus is a chronic condition in which the body has the inability to produce insulin or react normally to insulin. The pathophysiology of diabetes mellitus is extremely complex, as diabetes mellitus is characterized by different types but share common symptoms and complications. Diabetes mellitus is classified in two types: Type 1 and type 2 diabetes. Although the disease is characterized by different etiologiesRead MoreEssay on Diabetes Mellitus1282 Words   |  6 PagesDiabetes mellitus is a collection of common metabolic disorders. The scenario of passing large amount of urine is described by the Greek and Roman physicians as diabetes whereas the term mellitus refers to sweet taste (Barrett, Barman, Boitano, Brooks, 2012). The name of the disease reveals one of the important clinical manifestation, that is, passing sweet-tasted urine, and in the other word, the presence of sugar in the urine. Besides that, Funk (2010) stated that there are three most commonRead MoreDiabetes Mellitus And The Long Term Complications1385 Words   |  6 Pagespaper is to give a general idea of diabetes mellitus, epidemiology, role factors and complications that arise from it, comparing and exhibiting the distinctions between type I type II diabetes, the people who are in jeopardy of developing diabetic renal diseases and hypert ension due to the complications identifying the general pathogenesis of diabetes mellitus the long term complications that may transpire. Epidemiology of Diabetes Mellitus Diabetes Mellitus is one of the very prevalent metabolic

“The Apple Of Your I” Case Analysis. 4.7. Which Of Porter’S

â€Å"The Apple of Your i† Case Analysis 4.7. Which of Porter’s four competitive strategies does apple engage in? Explain. Out of the four competitive strategies according to Porter, Apple engages in a focused differentiation strategy. Apple has been very successful by creating different products and services from competitors that are innovative, high quality, and user-friendly. From their unique product designs, to their state-of-art development of operating systems and software, Apple’s has continuously exceeded the evolving consumer demand in the current market. Furthermore, due to their open and inviting sales floor at their retail locations, genius help desk, and well trained sale peoples, Apple has welcomed more than a billion customer†¦show more content†¦We are all born with the ultimate pointing device—our fingers—and iPhone uses them to create the most revolutionary user interface since the mouse.† (Apple) Last but not least, the third reason why apple has been so successful is brand loyalty. Apple has a cult following not only because of their attractive aesthetic design and packaging with bright colors or hype marketing, but because they are customer focused. Apple does not just sell products, they also sell beliefs which creates loyalty with the consumers despite their pricing. Apple’s investments in its stores and customer support makes the customers experience easier which customer love and very beneficial to Apple. 4-9. Steve Jobs passed away in October 2011. Until his death he had been the heart and soul of Apple’s Innovation. Today, 35,000 Apple employees continue onward in his absense. A huge question for many investors is whether the company can be successful without him. The current stock price would seem to indicate that the market does not. What do you think? What role did Jobs play? How can Apple respond to his loss? Would you be willing to invest in Apple without his leadership? Why or Why not? Apple has shown that they can be very successful after the death of Steve Jobs in October of 2011. They have continued to create unique products, update previous ones, and have shown no signs of slowing down inShow MoreRelatedResearch Proposal on Apple and Blackberry3086 Words   |  13 PagesResearch Proposal Topic – Brand Leadership : The success story of the two mobile Giants Apple and Research in Motion (RIM) and their rivalry. Table of contents No. Topic Page 1. 2. 3. 4. 5. Introduction Research Objective Literature review Research design Bibliography 3. 5. 6. 10. 16. 1. Introduction The history of mobile industry is not long in the past. The first cellular phone was invented by Martin Cooper on April 3, 1973 Martin Cooper with the Motorola Dyna-TAC mobile phone. BeforeRead MoreEssay on Strategic Management Case Study: Starbucks Coffees9412 Words   |  38 Pagescompetitor and SWOT analysis to determine how Starbucks performed in Australian market. The PEST analysis includes trade practices act which deals with wholesaler, supplier and ensures that trading in the marketplace is fair both for your business and your customers. The Australia Competition and Consumer Commission also illustrates the rules and regulation applying on fair trading and it could effectively avoiding other competitors from conducting unethical behavior. The industry analysis provides informationRead MoreApple and Their Strategy Essay15522 Words   |  63 Pages 41-42 The focus of our industry sector evaluation was on the UK’s mobile phone industry. Here we identified that there are eight leading mobile phone brands operating within the UK, these are Apple, HTC, Nokia, LG, RIM, Sony, Motorola and Samsung. The assignment looked at various situations and influences that are present in the industry and are effecting decisions being made by mobile phone brands. To do this we chose to focus on three differentRead MoreStrategy Management18281 Words   |  74 PagesConfirming Pages Strategic Management CONCEPTS CASES FRANK T. ROTHAERMEL Georgia Institute of Technology rot12737_fm_i-xlvi.indd iii 17/11/11 7:37 PM Confirming Pages STRATEGIC MANAGEMENT: CONCEPTS AND CASES Published by McGraw-Hill/Irwin, a business unit of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY, 10020. Copyright  © 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Printed in the United States of America. No part of this publicationRead MoreCompetition in Global Semiconductor Industry a Case Study Analysis on Chinese Threats to Samsung Electronics Superiority14405 Words   |  58 Pagescompetitive business environment, business leader must rely on strategies which provide economical advantage. To find out what strategy is most reliable, managers must identify present situation of their own business and look on competitors tactics which are judged according to their performance. Then, they will be able to identify if anything is going wrong within the firm and take necessary steps to solve it. This case study analysis focuses on finding best strategies for Samsung Electronics to overcomeRead MoreDi gital vs Print21238 Words   |  85 Pagesacademic sources. Mechanisms through which media industries can accommodate digital transition are discussed and ideas for firms looking to create analogous business communities are advanced in this thesis. MBA  Thesis  2010  Ã¢â‚¬â€œÃ‚  Author:  Imtiaz  Lakhani      Page 2 of 76 Acknowledgements   I would like to express my sincere gratitude to BTH that gave us the opportunity to share our ideas with students from so many different backgrounds representing cultural diversity. I am thankful to all the BTH thesisRead MoreNike Report13324 Words   |  54 PagesA brief overview of Nike and its competitor’s company profiles, brand portfolios, and current developments will provide an understanding that leads to an analysis of the external environment. This analysis further discusses the geographic distribution, general environment, industry environment using Porter’s Analysis, Nike’s competitor analysis, its dominant economic characteristics, driving forces, and key success factors. This report will then discuss the internal environment of Nike’s major competitorRead MoreCustomer Satisfaction - Mobile Phones22930 Words   |  92 Pagesand the revenue of mobiles which exceeded  £15.4 billion in 2008. With the rapid growth of the market and due to the high competition amongst the mobile networks in the UK, customer satisfaction is required to be considered by those companies in order to retain their customers satisfied and to increase their market shares. Therefore, the focus of this study is to measure customer satisfaction towards mobile phone service operators in the UK. The research approach which is adopted in this project isRead MoreCase Study148348 Words   |  594 Pages978-0-273-73552-6 (web) All rights reserved. Permission is hereby given for the material in this publication to be reproduced for OHP transparencies and student handouts, without express permission of the Publishers, for educational purposes only. In all other cases, no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without either the prior written permission of the Publishers orRead MoreTeaching Notes Robert Grant - Strate gy 4th Edition51665 Words   |  207 Pagesedition of Cases in Contemporary Strategy Analysis has been developed to accompany the fourth edition of the textbook Contemporary Strategy Analysis. A key feature of the Casebook is its close integration with the concepts and techniques outlined in the textbook. All the cases, except one, have been specially written to link with a speciï ¬ c chapter of the textbook. (In some instances, the cases apply principles and techniques from more than one chapter.) The main characteristics of the cases are: †¢ Most

Genderism free essay sample

What is Gender and how is it used in society? Gender in the sociology book means, the behaviors and attitudes that a group considers proper for its males and females; Masculinity or femininity. My definition of gender is a clarification of whether a person is a male or female, because almost everywhere you go or everything you do the question of a person’s gender pops up. I know it might sound crazy but it’s true. When a person is filling out a form of any kind what is one of the questions asked, what’s your gender (Male/Female)? Or when a woman just finds out she’s pregnant, about three months later people are asking her, what’s your babies gender (Boy/Girl)? It’s also used in different languages. For example in the Spanish culture to indicate that their talking to a male some words often end with an â€Å"O†(chic(o)-Boy, hij(o)-son, abuel(o)-Grandfather); to indicate that their speaking to a female some words often end with an â€Å"A†( chic(a)-girl, hij(a)-Daughter, abuel(a)-grandmother). Confusion of Gender What is Confusion of gender? Well in my words it is a person who was born a male/female, but still knowingly projects themselves as the opposite sex by ones thoughts or appearance of â€Å"him† self or† her† self. Here are a few examples: a boy wearing a dress with a Guess purse and a nice pair of hills, a girl wearing POLO baggy pants XX larger POLO shirt with a low cut, or Girls going out with girls and boys going out with boy. Now the real question is why people want to change their gender out of all things. I feel that God made you a Male or Female for a reason and that if he wanted you to be able to change it he would’ve given us that power to change it. Like Symposium Plato said â€Å"Beauty is in the eye of the beholder. † Being homosexuality I think is an â€Å"escape goat† from a person’s masculine or feminine responsibilities. I also think it’s a synonym of these following words: Insecure, Confusion and Low self-esteem. I say this because the stories I hear of why or how so people become homosexual has something to do with those words. As an example my used to be friend but now acquaintance Vivian became a lesbian because she was tired of boys treating her bad and she said that the only people that made her feel better was woman so she developed a thing for females and before I know it I see a state on Facebook saying that Vivian is now interested in girls. All I could say is a man or a woman can only do what people allow them to do. Meaning that if person allow themselves to be lied to, cheated on, or beat on and etc. it their fought for allowing it not their looks fault, nor their kids fault and absolutely not their genders fault. Save your self from hell and stay your biological gender. Gender difference between a Lady and a Woman Women today are taking more important roles in their careers. Some women lead large companies, own their own businesses, and are very involved in their community. But there are also those women who are just laid back but I don’t consider them women, I consider them Girls, because they take on their responsibilities in life, and forget about their women hood. Girls tend to live their lives like there is no tomorrow. They attend events, and other places, not caring about the thoughts of others or their appearances. For instant they sometime always tend to disrespect themselves when it comes to appearance. They wear tight, short, revealing outfits that project low self-esteem. In contrast a woman is always concerned about their appearance; showing only what is appropriate for a male see outside doors. They take life very seriously. They see the world as a challenge that they have to go through every day whether they’re at work or at home with the family their ready to take on the challenges in life. Ladies are seen as women, but don’t act as women. Women act as themselves not someone else. Ladies put on faces for different people and do not show their true feelings. When ladies are compared to each other, ladies are seen as petty and insecure while the woman are seen as being easy going, free-spirited and strong. A Woman can admit that she made a mistake and correct it, but a lady has too much pride to admit that she made a mistake. Ladies have the right idea about having a career, but they do not have the right idea about life. Life is meant to be lived. Women like to take chances in life because if they never try, how do they ever expect to succeed. Gender Comparisons / Contractions between a male or Female There are many obvious differences that may sometimes overshadow some similarities. Some of the more common traits that are most familiar to us with males is their independence and sometimes exaggerated aggressiveness. Males also tend to be more focused on tasks and connections when with large groups. One of the positive key advantages of a male is their firmness and igh self-esteem. The women on the other hand are more talkative and tender minded, qualities, which enable them to be all of the characteristics listed: more interdependent, less aggressive, more sharing, more giving, more concerned, more likely to smile, more sensitive, and more skilled at expressing their emotions non-verbally. For example a mother of 4 year old twins was surprised that her fraternal but biologically identical twins were so different. She says â€Å"she (daughter) doesn’t like to be dirty, but yet my son is quite different. (Money and Ehrhardt 1972) When gender differences are viewed in a sexual aspect, the men are still the stereotypical â€Å"pigs†. Through relationships males are more likely to be involved for one thing, SEX. The females, being much more sensitive and all, want love and compassion in a relationship, and maybe sex, or making love as we call it on the side. In other words men want lust and women want love. Through research, science has found that men and women not only differ emotionally and physically. They also contrast educationally because of the way they process information, but whether or not this is due to the way that they are socialized or the way that they were raised is yet to be proven leaving them clueless. Although popular belief may have that the females are the more mentally advanced, or smarter, studies show that both males and females have the same academic abilities and IQ average. Males are much better with mental rotation though. We women are everything a man is not and that’s why man can’t live with us or without us no matter what the circumstances are. Gender in sports Gender in sports has been an issue ever since sports were invented. In the early years sports were played by the men, and the women were to sit on the sidelines and watch. Things have begun to change in the last century. Women are being allowed to participate now, and womens teams, events, organizations and leagues are popping up all over the place. This includes professional leagues such as the WNBA, and the LPGA. Women in sports have become a big business. Women have been participating in professional sports for a long time. They even participated in professional baseball. During World War II while the men were overseas fighting the war against the Nazis, the women entertained the people and played baseball. The Womens All-American Baseball League was the bright idea of a rich candy bar maker named Walter Harvey. Recently a major issue for women in sports is female coaches and their salaries. The salaries of the male coaches in athletics have continuously been on the rise. The median salary for NCAA Division I Football coaches in 1996 was $268,000. Female participation in College athletics are also on the rise. In 1996, 123,832 women competed in the NCAA. 199,556 men competed in the same year. Yet the majority of funding goes into the mens athletic programs. And on top of that the female coaches make $. 63 to every dollar that the male coaches make. Another issue of women in sports is the health risk to the women who compete. Donna Shalala, Secretary of the Department of Health and Human Services , and the Womens Basketball Coaches Association released a report at the 1997 Womens Final Four on the benefits of physical education on the long-term health of women. The key recommendations and conclusions of the report include involvement in sport and physical activity at an early age reduces the likelihood of developing a number of harmful health conditions. Specific mechanisms that enhance girls opportunities to be physically active facilitate both health-related fitness and the acquisition of fundamental motor skills for a lifetime of activity. Involvement in cooperative and competitive activities can improve a girls sense of competence and control. Working an playing with individuals of both sexes allow learning in small, relaxed groups where they know each other. Involvement promotes psychological well-being, improving mental health in ways beyond traditional methods. This article shows us that the physical activities involved with playing sports do not hurt the female players, but in fact it helps their overall health and conditioning. * Gender Facts * Networking * †¢Women use 20,000 words a day while men only use 7,000 * Global Issues †¢Females in developing countries on average carry 20 litres of water per day over 6 km * †¢Globally women account for the majority of people aged over 60 and over 80 * †¢Of 1. 2 billion people living in poverty worldwide, 70% are women * †¢80% of the worlds 27 million refugees are women * †¢Women own around only 1% of the worlds land * †¢5 people are added to the worlds population every 2 seconds * †¢Women are 2/3 of the 1 billion+ illiterate adults wh o have no access to basic education * Innovation * †¢Globally women comprise 42% internet users (Italy 37%

Service Delivery System Essay Example

Service Delivery System Paper The Lewis Partnership is in my opinion a very well organised company. Through their description in the first edition of their Occasions Magazine the reader gets in a world of dreams hopping to be there and to have the possibility to see it with the own eyes. The description is fantastic and you become the wish to be there and to know personally such a loving place. The employees describe the organisation as excellence as a culture, a work ethic and a way of life and a unique and very special place. The two most important managers Chris Lewis and Mark Lewis illustrate their both hotels as the first choice for all occasions. They want the costumer to be the King and they want to spoil the clients so that they spend an unforgettable time in the hotel. By offering luxury and elegance, by giving only the best service and by realizing the wishes of the costumers they show that they have a very well designed Customer Benefit Package. The clients appreciate very much the services offered by the hotels. This is shown with the example of the couple who chose the Moat House Hotel to celebrate their wedding. The couple was very pleased by the flexibility of the hotel manager. They were even allowed to change pictures and to put some own ones to adorn the rooms. The fact that this couple chose this hotel again for their first anniversary and for the naming ceremony of their first child shows that they were very satisfied with the service offered by the hotel. In the magazine they also express the careful choose of their providers of foods, flowers and coffee. The Lewis Partnership remarks also the high quality of their restaurants and point out the 2 AA Rosette standards. The winning of some awards is also a sign for the good quality delivered in the hotels. (Occasions Magazine / First Edition) We will write a custom essay sample on Service Delivery System specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Service Delivery System specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Service Delivery System specifically for you FOR ONLY $16.38 $13.9/page Hire Writer 2. What is a Service Concept and why is it important to such a company?  The service concept of a company is the sum of the facilities and the deals that a company offers to their costumers. These depend on the point of view of the company by which the organisation wants the costumers, their employees and the stakeholders to perceive it. The point of view of the company depends on the initial vision that the creator of the company had when he or she started with the business. In the case of the Lewis Partnership they started with the idea of transforming the manor house into a pub and a small restaurant. After the vision they created the mission, a very difficult task because it is not easy to design and to change the mission once it is created. Later on when they took over the Swan Hotel they applied the same mission to this second business changing only some specific hotel own details. The mission is the way of doing things and the way that they wanted to be perceived by their environment. They decided to develop a place where people can enjoy holidays, a business travel or a simple dinner. They worked hardly over years and this way they build up on this idea. Step by step they expanded. They transformed the pub into a small restaurant. They worked very hard and they had big difficulties due to the lack of experience. But the business worked always better and later on due to the increasing demand of the costumers they decided to transform the restaurant into a hotel. After an extensive research they started the project. Due to the importance of having qualified personnel they employed an experienced team of professionals. The costumers were so satisfied with the service that the Manor house has been repeatedly named the most popular civil wedding venue. The well going Moat House Hotel and the opening of the Swan Hotel were the result of taking exceptional care of the costumers; they adapted the needs of the costumers and innovated their business on an ongoing basis. Another very important task is to be a good leader. The bottom line for all leadership efforts is customer satisfaction. Continued patronage ensures companys success. The supervisors have some contact with customers because they are working leaders, but there are the employees of the service team who handle the bulk of the customer contacts. That is why the importance of satisfied employees is so important to provide good service to the costumers. Desired behaviours only will take place when each leader and their respective managers and supervisors start modelling these behaviours to those they manage. When employees see their leaders actually leading by example, they feel good about their work and are more motivated to satisfy their guests. Guests and customers in general feel good when they deal with companies who seem to treat their people well. (www.hotelexecutive.com). In the case of the Lewis Partnership managers and the rest of the staff have a very good relationship. The employees have the possibility to be rewarded by themselves with the AboveBeyond awards. Management and rest of employees work together they built a strong team and the work atmosphere is very good. It is also important to point out that the services sector has grown steadily in the last 20 years. People not only want to be in a nice hotel and to pass there some days for holidays or business. They want to get more for their money. The competence is always harder and only satisfied clients choose the same hotel twice. The surroundings and the installations of a hotel are very important but you will not reach a second visit of a client if you do not offer a very good service. The Swan Hotel has a three stars category and the Moat House a four Starts category and this is also an important reason to deliver a good service to customers. Of course hotels with fewer stars should also give a good service but when a person books a table or a room in a four stars hotel he has a higher service expectation. (www.moathouse.co.uk) (www.theswanstafford.co.uk)  3. What features of a service delivery system appear to make this company successful in delivering quality service to their customers? A service delivery system is a mix of capabilities provided through resources. A good service delivery system depends on the coordination and effectiveness of all the characteristics around the service provided. In the case of a hotel the management has to answer many key questions and take many decisions to create a Costumer benefit package. They have to answer questions like: what wants the costumer, what are his needs, which are his preferences. The management needs to design procedures and to teach the staff on them to reach a high satisfaction by the costumers. A very helpful way for employees to follow the procedures is creating standard operating procedures, where each procedure is fixed step by step. It is also very important to measure the results to evaluate their effectiveness and to make improvements with the feedback of the environment. What is a Costumer benefit package? It is a combination of tangibles and intangibles that comprise a service. (Class Notes March 2004) For example: Why is a Costumer Benefit Package so important? Because of the upward trend in the business service sector over the past 20 years and also because competitive edge starts with a solid Costumer Benefit Package. It is vital to develop the CBP because it is a very useful tool for service providers to clarify what they do and do not offer through their services also because it helps to define service providers responsibilities to customers. In todays service oriented economy, it is important that companies develop a strong CBP to stay competitive. The management should keep in mind that there are many factors to take into consideration while designing an appropriate CBP for their company. (www.freequality.org) According to the GAP model, the personal needs of the costumer are the most important for the hotels. Especially GAP 5, which is; expected service contra perceived service is a force for the Lewis hotels. This is where they have the chance to impress the customers, and according to themselves, they certainly do. From the first step they take into one of the two hotels, they are meet by a staff member and taken care of. The whole stay is also carefully planed where the customer gets the opportunity to choose exactly what he or she wants in his or her room. You can say that the service and quality is reliable (The Lewis Partnership Magazine).