Congestive Cardiac Failure Case Study

Congestive Cardiac Failure Case Study Mr. Sam Toscana is a 70 year old client admitted to the ward with congestive cardiac failure (CCF). The client states that he has had increasing SOB over the last 3 days and his feet are as swollen as he cannot put his shoes on. The cardiologist saw him this morning and he admitted for management of his CCF. The client states he has had a fluid problem on and off for the last five year. History Age: 70 Allergies: NKA Ht: 165 cm WT: 75 kg Next of kin: Wife Maria Children: 1 daughter Mr. Toscana lives with his wife in the family home; they have lived there for 40 years. His daughters house is near by and she is very helpful and takes him and his wife to appointments. However she has 3 children at school that keep her very busy. They remain very sociable attending the local Italian club. He was diagnosed with CCF 10 years ago. Past History AF, Hypercholesterolemia, CCF, CABGs 10 years ago, ex-smoker, positive coronary artery disease family history. Medical Management The following about medications were told by Mr. Toscana: Lasix is not taken when they go outings organized by the Italian club. Digoxin is taken one in the morning (blue pills). Aspirin is taken in the morning with water. Warfarin is taken in the night and blood test is getting every couple of days. Perindopril is taken one in the morning for his heart. Observations on admission BP 95/50, AF pulse irregular 80, SaO2 93% on room air, Temp 36.9, R Rate 22 bpm, Crackles noted in the right lung base. This essay will explain the pathophysiology of presenting condition of Mr. Toscana. Secondly, this paper will explain what nursing assessment will be performed on Mr. Toscana and justify the framework for assessment chosen. Thirdly, education and psychosocial support will be offered on Mr. Toscana will be described with justifying. In addition, nursing care plan for Mr. Toscana with two short term and two long term goals including nursing interventions, rationales, and evaluations will be provided. Furthermore, diagnostic tests that will assist with the assessment and management of Mr. Toscana will be investigated. Moreover, this essay will perform a risk assessment on the client drawing on the information provided. Lastly, two of the medications Mr. Toscana is taking will be discussed and including action, use (as discuss why this client been prescribed this medication), relevant interaction, three adverse effects, and three nursing points or precautions. Pathophysiology of the presenting condition of Mr. Toscana Heart failure is defined as a condition that results from some abnormality in myocardial function. The abnormality, whatever the cause, results in the inability of the heart to deliver enough oxygenated blood to meet the metabolic needs of the body. When the right and left ventricles fail as pumps, pulmonary and systemic venous hypertension ensue, resulting in the syndrome of congestive heart failure (Fletcher Thomas 2001). Dyspnoea or shortness of breath, orthopnoea and pulmonary crackles are signs and symptoms of pulmonary edema and pleural effusion when left ventricular in the heart failure. There are two major consequences occur when the left ventricle is unable to pump enough blood to meet the bodys demands: signs and symptoms of decreased cardiac output and pulmonary congestion. Increased pressure in the left side of the heart backs up into the pulmonary system, and the lungs become congested with fluid. Fluid leaks through the engorged capillaries and permeates air spaces in lung (Christensen Kockrow 2011). According to Christensen and Kockrow (2011) edema appears in the body as right ventricular failure. Right ventricular failure occurs when the right ventricle in unable to pump effectively against increased pressure in the pulmonary circulation. The right ventricles inability to pump blood forward into the lungs results in peripheral congestion and an inability to accommodate all the venous blood that is normally returned to the right side of the heart. Venous blood in reflected backward into the systemic circulation. Increased venous volume and pressure force fluid out of the vasculature into interstitial tissue or peripheral edema. Nursing assessment with justifying Christensen and Kockrow (2011) state that subjective data to assess Mr. Toscana include complaints of dyspnea, orthopnea or sudden awakening from sleep because shortness of breath (paroxysmal nocturnal dyspnea), and cough. Besides that, fatigue, anxiety, weight gain from fluid retention, and edema may be reported by patient. In addition, any pain such as angina or abdominal and the patients stated ability to perform activity of daily living needs to be documented. Collection of objective date includes noting presence of respiratory distress, the number of pillows required to breath comfortably while attempting to rest (orthopnea), edema (site, degree of pitting), abdominal distension secondary to ascites, weight gain, adventitious breath sounds, abnormal heart sounds such as gallop and murmurs, activity intolerance, and jugular vein distension. Blood flow to the kidneys is diminished, resulting in oliguria. Oxygen deficit in tissues results in cyanosis and general debilitation (Christensen Kockrow 2011). Education and psychosocial support with justifying According to Washburn and Hornberger (2008) heart failure is a complex, chronic illness often requiring major lifestyle modifications for patients and their families. Nurses play a key role in educating and counseling patients and their families about these changes. Education should be provided to patients about symptom and weight management, dietary and exercise recommendations, and medications. Patient should be taught the signs and symptoms of worsening congestive cardiac failure such as increased dyspnea, development or worsening of orthopnea, weight gain, and exercise intolerance or inability to perform the normal activities of daily living without increased fatigue (Fletcher Thomas 2001). The research shows that up to more than fifty percent of hospital admissions are due to noncompliance with both pharmacologic and non-pharmacologic treatment regimes. Non-pharmacologic therapies include a no added salt diet, which constitutes about two three grams of salt per day. Patients should be instructed to avoid foods containing large amounts of sodium, such as highly processed foods, canned foods, and luncheon meats. A nutrition consult is helpful especially if patient is overweight. Some patients may need to have their daily fluid restricted to 1.5-2.0 liters per day. This is a clinical judgment based on signs of congestion, fluid over load and weight gain. Patients should be instructed to weigh themselves daily or every other day and record the data in a log, which should be taken to every visit with the clinician. A weight gain of two to three pounds should trigger a visit to the clinician. All patients with CCF should be encouraged to exercise to improve overall physical conditioning. The established standard for assessment of physical capacity is an exercise test, which provides objective data regarding exercise time, distance, peak workload, and oxygen consumption (Fletcher Thomas 2001). Washburn and Hornberger (2008) state that it is importance for nurses providing education to patients with heart failure to have an understanding of the drugs used in the management of heart failure. So patient should be taught the name of each drug and its purpose, dosage, frequency, and significant side effects. Patients should be advised to bring all prescriptive and non-prescriptive medications to office visits for review and assessment of patients understanding of them. Nursing diagnoses include interventions, rationale, and evaluations for two short term and two long term goals (use the nursing care plan template) In Mr. Toscana situation, excess fluid volume is the first nursing short term diagnosis as edema, dyspnoea on exertion, and weight gain. The expected outcome for Mr. Toscana is fluid balance. Fluid balance can be demonstrated as peripheral pulses palpable, peripheral edema not present, orthostatic hypotension not present, skin hydration, and body weight stable. To achieve this expected outcome, patient should be weighted daily and monitor trends to monitor fluid retention and weight reduction. Serum electrolyte levels and therapeutic effect of diuretic are monitored to assess as a response to treatment. In addition, respiratory pattern is monitored for symptoms of respiratory difficulty for early recognition of pulmonary congestion. Moreover, fluid balance is monitored by monitoring renal function and intake and output (Brown et al. 2008). The second short term nursing diagnosis is impaired gas exchange as manifested by increased respiratory rate, dyspnoea on exertion and Mr. Toscana states that he has had increasing shortness of breath over the last three days. The evaluation for this diagnosis expects patient breathe easily, dyspnoea with exertion not present, oxygen saturation and respiration rate are in normal range limit. Nursing interventions include respiratory monitoring, oxygen therapy, and positioning. To monitor respiratory, auscultative breath sound, noting areas of decreased or absent ventilation and presence of adventitious sounds, to assess congestion. Dyspnoea and events that improve worsen it are also monitored to detect events that can influence activities daily living. Oxygen therapy such as administer supplemental oxygen as ordered to maintain oxygen levels and change oxygen delivery device from mask to nasal prongs during meals as tolerated sustain oxygen levels while doing activities daily living (Brown et al. 2008). Besides short term diagnosis, Mr. Toscana may be faced with long term effecting due to congestive cardiac failure. Disturbed sleep pattern and deficient knowledge are considered as Mr. Toscana long term diagnosis. Disturbed sleep pattern related to nocturnal dyspnoes, unable to assume favored sleep position, nocturia and manifested by inability to sleep during the night. There are six interventions for this diagnosis. First, determine patients sleep or activity pattern to establish routine. Secondly, patient is encouraged to establish a bedtime routine to facilitate transition from wakefulness to sleep in order to establish a pattern and decrease number of waking periods. Thirdly, adjust environment to promote sleep. Fourthly, regulate environmental stimuli to maintain normal day-night cycles to help promote sleep cycle. Fifthly, adjust medication administration schedule to support patients sleep cycle. Lastly, monitor patients sleep pattern and number of sleep hours to determine hou rs of sleep. Expected outcomes of those nursing interventions are uninterrupted sleep, increase hours of sleep, feelings of rejuvenation after sleep, and vital sign in expected range (Brown et al. 2008). According to Brown et al. (2008) deficient knowledge related to disease process as Mr. Toscana states that he has had a fluid problem frequently come and gone for the last year. Patient expects to descript of disease process, descript of signs and symptoms of complications, and descript of precautions to prevent complications after been educated. Patients current level knowledge related to heart failure is assessed to demonstrate areas of teaching needed. Describe common signs and symptoms of heart failure so patient will know signs and symptom of worsening heart failure. Patient is instructed on measures to prevent or minimize side effects of treatment for the disease as patient may be able to decrease number of acute episodes of heart failure. Family member or significant others encourage to include in teaching to provide support for the patient. (Would like to see the N Diagnostic tests that will assist with the assessment and management of Mr. Toscana According to Christensen and Kockrow (2011) the most noninvasive diagnostic tool for evaluating a patient with heart failure is an echocardiogram. Echocardiography is done to determine valvular heart disease, presence of pericardial fluid, heart failure as the percentage of end diastolic blood volume ejected during systole, and ejection fraction. Secondly, a chest radiograph reveals pulmonary vascular congestion, pleural effusion, and cardiac enlargement. Thirdly, ECG reveals cardiac dysrhythmias. Moreover, pulmonary artery catheterization is done to assess right and left ventricular function. Exercise stress testing is also done to determine activity tolerance and severity of underlying ischemic cardiovascular disease. In addition, laboratory tests include electrolytes, sodium, calcium, magnesium, and potassium levels will assist with the assessment and management of Mr. Toscana. Blood chemistry will reveal elevated blood urea nitrogen and creatinine resulting from decreased glomerular filtration; liver function values will be mildly elevated. BNP, a neurohormone secreted by the heart in response to expansion of ventricular volume and pressure over load, is useful in monitoring chronic heart failure (Christensen Kockrow 2011). Perform a risk assessment on the client drawing on the information provided (examples of risk assessment tools that would be appropriate) Firstly, since depression was a significant predictor of fatigue in congestive heart failure patients, fatigue patterns should be closely monitored. Congestive heart failure patients mood should be monitored for obvious disturbance, and if necessary, they should be referred to mental health or psychiatric practitioners for further assessment and proper treatment (Tang, Yu Yeh 2010). Secondly, according to Brown et al. (2008) nocturia is one of a risk assessment should be performed on Mr. Toscana. A person with chronic heart failure will have impaired renal perfusion and decreased urinary output during the day. However, when the person lies down at night, fluid movement from interstitial spaces back into the circulatory system is enhance. This cause increased renal blood flow and diuresis. The patient may complain of having to void six or seven times during the night. Thirdly, because the tissue capillary oxygen extraction is increased in a person with chronic heart failure, the skin may appear dusky. It may also be cool to the touch from diaphoresis. Often the lower extremities are shiny any swollen, with diminished or absent hair growth. Chronic swelling may result in pigment changes, causing the skin to appear brown or brawny in areas covering the ankles and lower legs (Brown et al. 2008). Discuss two of the medications Mr. Toscana is taking Lasix or Frusemide is one of high-ceiling (loop) diuretics medication. Action of this group is potent diuretics that inhibit sodium, potassium and chloride re-absorption in the proximal and distal renal convoluted tubules, but mainly in the ascending limb of the loop of Henle, resulting in increased water excretion. Frusemide is effective within one hour by oral, peak one to two hours, and duration on six to eight hours (Tiziani 2006). According to Pharmaceutical Society of Australia (2010) one of indications of Frusemide is oedema associated with heart failure and it is reason why Mr. Toscana has been prescribed this medication. Pharmaceutical Society of Australia (2010) shows that non steroid anti -inflammatory drugs (NSAIDs) reduce renal function and may reduce diuretic effect and increase risk of nephrotoxicity. However, low dose aspirin is unlikely to be a problem. The combination of loop diuretics and ACE inhibitors (Perindopril) may increase the risk of ACE inhibitor-induced renal impairment, so renal function should be monitored closely (Pharmaceutical Society of Australia 2010). The first adverse effect of Lasix is fluid and electrolyte disturbances. Secondly, hypovolaemia and dehydration should be considered. The third adverse effect is postural hypotension (Tiziani 2006). Christensen and Kockrow (2011) argue that when patient is prescribed loop diuretic such as Lasix, it should be administered in the morning to prevent nocturia. The second of nursing interventions is monitoring for electrolyte depletion. Thirdly, sulfa allergy is encouraged to consider. Perindopril (Angiotensin-converting enzyme inhibitors) is indicated for heart failure due to Mr. Toscanas situation. ACE inhibitors block conversion of angiotensin I to angiotensin II and also inhibit the breakdown of bradykinin. They reduce the effects of angiotensin II-induced vasoconstriction, sodium retention and aldosterone release. They also reduce the effect of angiotensin on sympathetic nervous activity and as a growth factor (Pharmaceutical Society of Australia 2010). Common adverse effects of ACE inhibitors are hypotension, cough, hyperkalaemia, headache, dizziness, fatigue, nausea and renal impairment (Pharmaceutical Society of Australia 2010). Following Mr. Toscana case, the first nursing point or caution of Perindopril is nurses need to know that heart failure is usually treated with a diuretic and digoxin in associated with ACE inhibitor. Secondly, patient is advised that a low salt diet may be beneficial in reducing blood pressure. However, potassium containing salt substitutes are not recommended because of the increased risk of hyperkalaemia. Thirdly, for patient with congestive heart failure, blood pressure and renal function should be monitored before starting and regularly during therapy (Tiziani 2006). Congestive Cardiac Failure Case Study Congestive Cardiac Failure Case Study Congestive cardiac failure or congestive heart failure can be defined as the inability of the heart muscles to pump enough blood to all parts of the body, for example brain, liver and kidneys. Heart failure can develop slowly over time as the result of other conditions (such as high blood pressure and coronary artery disease) that weaken the heart. It can also occur suddenly as the result of damage to the heart muscle.(university of Maryland medical center 2014) Congestive heart failure affects several organs in our bodies and it includes, heart, kidneys, lungs, brain, liver, skin and spleen. Then organ systems that are affected are, cardiovascular system, respiratory system, nervous system, circulatory system skeletal system, and urinary system A brief overview of the normal functioning of the affected body systems. one of the body systems that is affected with congestive heart failure is the cardiovascular system, this system consists of heart, blood vessels and blood. Its responsible for pumping blood through the body as well as oxygen, nutrient, hormones and cellular waste. It regulates blood pressure through the contraction of the heart pumping and also helps to maintain fluid balance within the body. The main function of respiratory system is to supply blood rich in oxygen to all parts of the body. The respiratory system does this through breathing. When we breathe, we inhale oxygen and exhale carbon dioxide. This exchange of gases usually takes place in the alveoli and the capillaries. The inhaled oxygen passes into the alveoli and then diffuses through the capillaries into the arterial blood. Meanwhile, the waste-rich blood from the veins releases its carbon dioxide into the alveoli. The carbon dioxide follows the same path out of the lungs when you exhale. The circulatory system has its main functions as to pump blood containing oxygen and other nutrients around the body. the system consists of the heart, arteries, capillaries and veins. The heart, the lungs, and the blood vessels work together to form the circle part of the circulatory system, the circulatory system contains of two loops of circulatory, the pulmonary circulation which transports de-oxygenated blood from the right atrium and right ventricle to the lungs to pick up oxygen and nutrients and returns to the left side of the heart. The systemic circulatory which transports blood rich in oxygen from left side of the body and transports it all the body tissues. The circulatory system control the pressure of the blood as it travels through the body and taking away the wastes The urinary system consists of the kidneys, bladder, ureters and urethra. its main function is to filter metabolic wastes, excess ions, and chemicals from the blood to form urine. They also maintain the homeostasis of several important internal conditions by controlling the excretion of substances out of the body.through this it regulates the blood pressure. After the whole process of urine formation is completed the ureters carry urine to the urinary bladder and later discharged in the urethra. The nervous system consists of brain, spinal cord, sensory organs, and all of the nerves that connect these organs with the rest of the body. Together, these organs are responsible for the control of the body and communication among its parts. Neurons transmit information through electrical signals to the brain. chemical help to bridge gap between one neuron and the other. there are several signs and symptoms of heart failure and they are discussed here below: Shortness of breath. This is one of the signs and symptoms of heart failure, this happens due to the back up of blood in the pulmonary veins which leads fluid to leak and build up in the lungs because the heart cant keep up with the supply. Tiredness or fatigue. This happens because the heart cant keep up with the demand of supply of blood to all the body tissues so u feel tired because its being overworked. Edema. There build up of excess fluids in the body parts because the heart cant pump all the blood as a result there is the excess build up of fluids. there is slow cardiac output. Persistent coughing or wheezing due to the build up fluids in the lungs as a result of heart not pumping all the blood out of the lungs. Lack of appetite , nausea this occurs because there is less cardiac out as a result less blood reaches the digestive system which cause problems with the digestion process. Confusion. This is one of the symptoms and the reason behind is because there is less cardiac out the nutrients also is less and not enough for the body tissues, which will lead to less nutrients like sodium which will lead to someone having confusions and impaired thinking. Tachycardia. This is one of the signs and symptoms of heart failure. The increased heart rate is due to the heart pumping harder to meet the demands of supply of blood and nutrients to the rest of the body which is not enough.(American heart association 2014) sudden weight gain from fluid retention. Chest pain if the heart failure is caused by heart attack. Elevated blood pressure due to tachycardia as a result heart trying to pump more blood to other parts of the body. When critically analysing Mr wrights admission form it clearly indicates signs and symptoms of congestive cardiac failure. his circulation is not okay because he suffers from peripheral vascular disease which it can easily contribute to heart failure. secondly considering the loss of appetite which can be attributed to low blood supply to the digestive system. Checking his oxygen saturation levels which are low due to the heart failing to pump lots of blood out of the lungs which can lead to leak of fluids in the lungs. another sign is the confusion. Despite him having dementia but have low cardiac out supply to the rest of the body tissues can lead to confusion which is also a sign of heart failure. Well diabetes might be related to his leg ulcer considering the fact that patients who are diabetic at a certain stage they may have reduced sensation of the skin on there feet. They are nerve endings on the skin usually fails to detect any pain or sensation and as a result it can be a high risk of leg ulcer if the patient has a cut or blister on the feet it can easily develop to leg ulcer which can if its serious it may lead to amputation. for his case it might have played a role. In patients who are diabetic there might be poor circulation of blood to the feet which might be a contributing factor to his leg ulcer and finally the amputation of the left toe. Lasix (furosemide) is a diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine(drug14).if you got excess fluids it helps to reduce them. it treats fluid retention in people with congestive heart failure, kidney problems and liver diseases. He is given the drug in order to get rid of the excess fluids retention. the systems affected by this drug re cardiovascular and urinary system. Conditions that are commonly associated with aging according to Mr wrights relevant medical history. Arthritis the inflammation of the joints, and creates pain and stiffness when moving these joints. Osteoarthritis is the most common in the elderly. when cartilage is damaged or worn out the bone rub on each other causing friction which causes pain when moving the joints. diabetes mostly type 2 which affects the older people though young people Can also develop it. The risk of developing type 2 diabetes increase with age mostly over 55 years of age. Its where the pancreas produces insulin but its not sufficient enough to work effectively. Glaucoma is an eye diseases that results to blindness in the elderly especially over 80 years. Its a group of eye disease in which the optic nerve at the back of the eye is slowly destroyed. Poor blood supply to the vital optic nerve can lead to glaucoma.(glaucoma2014) Factors that may impact his safety whilst in hospital and when he returns home. Checking through his admission history and assessment increased level of confusion can be one of the factors that can impact his safety. He fails to remember because the low blood supply and low oxygen levels in the body which fail to supply enough to the brain and as a result this will lead to increased levels of confusion. He may not remember why he is in hospital, he may forget to take his medications as prescribed the correct dose at the right time and this is likely to occur when he is at home. Mr. Wright is receiving meals on wheels while he is at home, because of his loss of appetite as a result of congestive heart failure he may not take his meals and he can be at a risk of being malnutrition, which will eventually lead to a high falls risk because he will not have the strength and energy to walk. From the assessment it seemed he cared for his dog and as a result of being hospitalised he his anxious about the dog which can lay an impact on his safety. He is not settled at all and it may increase risk of more complicated health problems considering he has congestive heart failure. he worries a lot about the dog wondering who is going to care for it yet he is not well. While he is at home because of the level of consciousness which at time deteriorate he might just forget to walk with the walking stick at all times and combine with the nutritional problems he might be of high falls risk. Because he got glaucoma this might also play a role considering his safety back at home which can have a huge impact on hi mobility. Other health professionals that can be involved in Mr Wrights can and what services they can provide Dietician because he is diabetic and has lost appetite, the dietician would assess and provide the best solution to help improve his appetite. Physiotherapist would also be involved in Mr wrights care to assesses the mobility levels and recommend the best way of care he needs as fur as mobility is concerned. he would check if he is a high or low falls risk and provide the best tool to aid mobility. Optometrist would also be involved in his care, he would assess the level of glaucoma and check if its worsening or getting better and the likely impacts it can have on his levels of mobility. From the medical history he has dysphagia the speech pathologist will be involved to assess his level of swallowing if the problem is worsening or it has improved and make necessary recommendations so that when he goes home the meals on wheels can supply him with the recommended type of food that he can tolerate. An occupational therapist would also be involved in his care he or she will come in handy to assess the hazard at home and all the id tools that he requires in order to reduce any risk of injuries occurring at home. For example He may assess and recommend commode at night to avoid the walking to the toilet at night in order to reduce the risk of falling. A social worker will also be involved in his care considering he is at home alone with his dog, he might need home visits where the social worker will check how he is coping in the community and assess if he is socially isolated or he gets involved in the society, if family and friends visit him at all. The nursing documentation expected to be used in the care of MR. Wright are as followed. Admission form and passed medical history form. medications chart nursing care plan. progress notes allied health chart, ECG charts, observation charts fluid balance chart and bowel chart. References University of Maryland Medical Center 2014 viewed 18th sept 2013 http://umm.edu/health/medical/reports/articles/heart-failure#ixzz3CXXtD2EZ Virtual medical center 2014 last reviewed 7th may 2010 respiratory system http://www.myvmc.com/anatomy/respiratory-system/ Cardiovascular system the inner body last viewed 2013 http://www.innerbody.com/image/cardov.html Urinary system the inner body last viewed 2013, http://www.innerbody.com/image/urinov.html#full-description Nervous system the inner body last viewed 2013 http://www.innerbody.com/image/nervov.html#full-description American heart association (2014) warning-Signs-for-Heart-Failure last reviewed 20/8/2012 http://www.heart.org. Australia, Diabetes. (2014, January 6). Diabetes and Your Feet. Retrieved from Australia Diabetes: https://www.diabetesaustralia.com.au/Living-with-Diabetes/MindBody/DiabetesYour-Feet/ Drugs.com. (2014). Retrieved from Lasix: http://www.drugs.com/lasix.html Australian institute of health and well being (2013)osteoarthritis http://www.aihw.gov.au/osteoarthritis/ Gabrielle K, Kate S and Jodie H (2013)theory and practice Tabbners nursing care 6th edition. Glaucoma Australia (2014)Retrieved from Glaucoma http://www.glaucoma.org.au/what.html. The human heart circulatory system:(2014)retrieved from Franklin institute: http://learn.fi.edu/learn/heart/systems/circulation.html

David Emil Durkheim and the Social Causes of Suicide Essay -- Suicide

David Emil Durkheim is a renowned sociologist and also France’s first professor of sociology. Born on 15th, April in France, he successfully advocated for sociology to be recognized as an academic discipline. He did his first recognizable work titled ‘The division of labor in society’ in 1893 and then started the first European department sociology in a university in his homeland of France. David Durkheim's main concern was to try and understand how communities could maintain their integrity and coherence in the modern era where common religions and ethnic backgrounds were stumbling blocks. He went ahead and developed many other sociology theories and arguments until his death in 1917. Some of his famous published work includes social stratification, sociology of knowledge, deviance and religion. But one of the most outstanding and fascinating of his work is suicide which was published in 1897 (Calhoun, 2002). How Durkheim was able to show the social causes of suicide. Durkheim compares the suicide rates among different categories of people both in individual levels and in the community at large. He treats suicide as a social fact explaining its occurrence by the use of social facts like; lack of group attachment and lack of behavior regulation. In personal perspective he argued that suicide is a personal act that involves personal psychology and purely individual thoughts. His explanations on suicide were partly hindered by unavailability of very precise or complete statistical data. He went ahead and described suicide as caused by factors like climate, race, mental illness, hereditary and imitation (Sociology 250, 1999). Durkheim was able to show the social cause of suicide by observing and studying on varying socia... ...ciologytwynham/suicide-presentation-927179 Durkheim Emile. Emile Durkheim on suicide. Retrieved from: http://www2.uvawise.edu/pww8y/Soc/-Theorists/Durkheim/Suicide.html Eskenazi Karin, (2009). Largest ever study of suicide in the military. Retrieved from: http://www.medicalnewstoday.com/releases/157916.php Evans, (2011). Suicide causes and motivations. Retrieved from: http://www.crimescenecleanup.com/Suicide_Causes_and_Motivations.html Hassan Riaz, (1996). Social factors in suicide in Australia. Retrieved from: http://www.aic.gov.au/documents/4/9/0/%7B490EDFD9-212E-414F-B4E5-F3DA8A6D0413%7Dti52.pdf Kushner Howard I & Sterk Claire E, (2005). The limit of social capital. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449331/ Sociology 250, (1999). Social facts and suicide. Retrieved from: http://uregina.ca/~gingrich/o26f99.htm

The Truth Without All The Facts

The main problem with A Doomsday Reader: Prophets, Predictors, and Hucksters of Salvation, edited by Ted Daniels, is that this work is intended as a guidebook or compendium of sorts for a reader concerned with prophecy and Christian salvation. However, Daniels consigns his work to the inferior status of the lofty dissertation, or more accurately, an extensive annotated bibliography for a term paper, of this contentious subject by his choice of style and configuration.This main hindrance, which appears to actually have been purposeful, comes from the format for which Daniels chooses to present information to his reader and openly excludes any contradictory statements to further support or refute his assembled facts.To begin with, Daniels constructs Doomsday as a three-parter, with Part One highlighting the religious and political philosophies behind secular enlightenment, Part Two illustrating the evil lurking within those political and religious realms, and Part Three relating the tr agic results, all well-known and controversial events, and how chaos originated by the all-consuming, apocalyptic movement known as the Revelation.In the Introduction, Daniels spends a few discerning pages explaining his definition, literally and figuratively, for the critical terms a reader might come across when researching Christian prophecy and Revelation. Then, after a short explanation of his theory â€Å"that apocalypticism†¦is inherently political and that [a reader] might come to understand it better by taking that aspect of it fully into account† (Daniels 15), the book begins with his collection of essays and carefully constructed footnotes on his topics.However, Daniels’ theory is more or less left behind as the reader becomes disoriented by the essays and assembled information. His thesis, which he shrewdly never states in its entirety has a fundamental problem that he attempts to ignore by presenting his information as pure fact, with nothing to dispu te, deny, or, for that matter, confirm. And, because he offers no further insight into his claim, it can only be accepted as is, as fact, and while his chapters do provide a focus on his theory, they do nothing to prove anything other than to illustrate that he is more than adept in compiling facts to suit his purpose.For example, in Part One, Daniels highlights two main examples of leaders, Karl Marx and Adolf Hitler, who politically enforced their ideals for secular millenarianism, or, as Daniels has chosen to refer to it, the apocalyptic movement. Daniels uses Marxism to show how â€Å"like earlier apocalyptic ideologies†¦the interaction of opposing forces—in this case, labor and capital—drives events in the world† (56).It is a deceitful method of relating the truth, because apocalyptic ideologies, which he defines in his Introduction as â€Å"a struggle between the forces of good and evil† (4) focus on spirituality and redemption, not jobs and mo ney, but he is clever not to mention this again because Marxism would then have nothing to do with his point at this moment. Now, the facts cannot be denied that Hitler was indeed a bad man, but in truth, his position was one of purification, of ridding the world of the tainted race, the â€Å"ape-men† (65) and was not about religious enlightenment.Daniels gets around this fact by offering that â€Å"Hitler’s program combined two related elements common to many apocalyptic movements: revenge and purity† (70). With that said, a reader can be led to believe, because of Daniels’ previous definition for apocalypse as basically anything or any movement that has the potential to destroy the world, that Hitler could be very much an averted anti-Christ. With no other testimony or evidence contrary to this, a reader is forced to accept Daniels’ claim as fact.Now, the biggest problem with his thesis comes from his claim that the apocalyptic nature inherent i n all people is caused or, more succinctly, manufactured, by politics. By saying this, Daniels is expunging the reality and responsibility from people who knowingly commit suicide thinking that their salvation is at hand if they choose to follow the best salesman. To follow, dumbly and blindly without question because someone believes glory comes with a sacrifice like suicide (which is ironically the greatest of all sins, according to Christian religion) is not something that can be placed in the broad category of political maneuvering.It can be orchestrated by a political mastermind, yes; but that political mastermind is also very nearly as blind and dumb as the herd of sheep they lead to slaughter because they too believe, without question, that their own redemption or whatever freedom they are seeking comes from controlling the lives of others, and how well they manage at the task. While this can be defined as apocalyptic nature, because it is utterly destructive, it is not inher ently political—it is inherently human.But to say that the apocalypse and the movement that will one day revolutionize the world is inherently human is perhaps too extreme for a book of this sort to delve into. Daniels is most certainly aware of the controversial nature of his subject and understands, too, how people read and react to this subject when taken as a whole. If he focused on the problem and the ultimate destruction of the world as originating from being human, a large segment of his audience would close the book in disgust because they are, instinctively, because of the nature of the topic, seeking answers.And, with an efficiency to be admired, Daniels is cleverly able to grant those answers—even if it means skipping a measure of the truth. But, with any decent argument or frankly, any decent production of information, the fact and the fiction of the accumulated information need to be presented side by side so that the fact, if it truly is fact, will stand on its own because, by its nature, fact has more power and authority than any fabrication ever will. With this method, information can be highlighted and validated at the same time.While this may work in the Encyclopedia Britannica, Daniels, is not an authorized authority on the subject and therefore requires room in his work, or at the very least, acknowledgement, for such interpretation. Otherwise, the reader is being led into the exact trap that Daniels expresses is responsible for sending cults off to commit suicide for a holy comet in Part Three. In this way, Daniels actually forbids a reader to consider their options, and instead, ironically commits the very same sin that he compiled Doomsday Reader to argue about: herding the people with cunningly used portions of fact.And, with his choice of format, Daniels also neatly removes himself from any sort of literary or spiritual criticism because he assigns himself as the editor of this work, and does not hold the mantle of the au thor. Moreover, as is his way, every chapter ends with a â€Å"Notes† section in which all sources and facts gleaned from weblogs, news, and the Bible are posted in the standard APA citation style. While this is not unusual in a reference book of this sort, it becomes a bit disconcerting when every chapter ends with two pages of sources to review.At that point, a reader is left to wonder how much, if any, of the information came from Daniels. Or, more importantly, why he chose the facts he did to illustrate whatever version of the truth he hopes to prove. But with a topic this controversial and completely emotional and sacred for a great deal of the religious community, fact needs to be presented with disconcerting arguments as well, or at least offer in his extensive Works Cited, since he took the time to make it happen, authors or websites that offer some form of skepticism.In this manner, Daniels is able to present all of the related information on this subject without eve r being forced to declare his position or specify an exact opinion. But, more importantly, Daniels never offers any information to refute his truths either, so for that reason alone, Daniels is removing himself and his information from interpretation because the method he uses presents everything as fact. His sources, as they are quoted, are to be accepted and believed as fact, no questions asked, no tokens granted.Overall, while Daniels attempted to compile a compendium of information for the reader interested in prophecy or the Revelation, his theories and ideas are hardly presented at all, unless a reader gives the same weight to the slightly audacious Introduction, which offers his brief, indeterminate premise for creating and organizing his work. And, by choosing so specific a format for assembling his work, his information can be taken no other way, especially because every chapter, and very nearly every paragraph, ends with a footnote, and not an opinion.It is his chosen form at that lends to an attitude of distrust from a reader because Daniels cannot be taken fully and with complete authority on such a controversial theme. If anything, Doomsday Reader serves more as a tidy and eloquent annotated bibliography for a term paper than as the foremost guidebook for understanding prophecy and the terms required by the Bible for Christian salvation. Works Cited. Daniels, Ted, Ed. A Doomsday Reader: Prophets, Predictors, and Hucksters of Salvation. New York: New York UP, 1999.

Iceland The Country That Become A Hedge Fund Finance Essay - Free Essay Example

Sample details Pages: 11 Words: 3367 Downloads: 3 Date added: 2017/06/26 Category Finance Essay Type Argumentative essay Did you like this example? The report of Iceland: The Country That Become a Hedge Fund is written by Peter Gumbel, a Europe editor of Fortune Magazine. This report is basically explained the development of Iceland going bankruptcy. The financial crisis of Iceland is happened at the end of year 2008 until now. This crisis comprises the collapse of all of the countrys main commercial banks which are Glitnir, Landsbanki, and Kaupthing due to their difficulties in refinancing their short-term debt and a run on deposit in the United Kingdom. In late September 2008, there was news about Glitnir bank would be taken over, followed by Lansbanki and Kaupthing was passed to receivers appointed by Financial Supervisory Authority (FME) as well. The assets of the three banks taken under control of the FME totaled 14.437 trillion kronur at the end of second quarter 2008. Icelands external debt was 9.553 trillion kronur, equaled to 50 billion pounds, more than 80% of which was detained by the banking sector. Don’t waste time! Our writers will create an original "Iceland The Country That Become A Hedge Fund Finance Essay" essay for you Create order This financial crisis has had serious outcomes to the Icelandic economy. The national currency, Kronur had fallen stridently in value, foreign currency transactions were nearly suspended for weeks. Besides, the market capitalization of the Iceland stock exchange has plunged by more than 90%. Due to the crisis, Iceland is currently suffering a severe economic recession; the nations gross domestic product (GDP) reduced by 5.5% in real terms in the first months of 2009. Although, the full cost of the crisis cannot yet be revealed, it already exceeds 75% of the countrys 2007 GDP. Background of the Central Bank Chairman of Iceland, David Oddsson David Oddsson was born on 17 January 1948 at Reykjavik, Iceland. He is an Icelandic politician and the longest-serving Prime Minister of Iceland. He was holding office from 1991 to 2004. He also was a Foreign Minister from 2004 to 2005. In the past, he was Mayor of Reykjavk from 1982 to 1991, and he leaded the board of governors of the Central Bank of Iceland from 2005 to 2009. The collapse of Icelands banking system led to verbal demands for his resignation both by members of the Icelandic public and by Icelandic Prime Minister Johanna Siguroardottir. This resulted in him being replaced as head of the Central Bank in 2009. In September 2009 he was hired as the editor of Morgunbladid, one of Icelands largest newspapers. Background of Glitnir Bank Before 1930, Glitnir was first named as Islandsbanki. Islandsbanki was founded at1904, to provide financing service mainly for the fisheries sector and the countrys emerging industries. It functioned until 1930, when its activities were taken over by Utvegsbanki, the Fisheries Bank of Iceland. 60 years later, three smaller banks, Idnadarbanki slands (the Industrial Bank of Iceland), Verzlunarbanki Islands (the Iceland Bank of Commerce) and Alpydubankinn (the Union Bank) were combined with Utvegsbanki to form a new Islandsbanki, which later became Glitnir. Now the name Islandsbanki will be adopted once more to replace Glitnir after the collapse of the financial system. The decision to restore the name Islandsbanki was prompted in part by proposals made by a huge number of the banks customers in recent months. Islandsbanki is a valuable and well-known brand. The name has a long tradition behind it and shows the banks new strategy emphasizing principally its home environment and serving Icelandic companies and families. Background of Kaupthing Bank Kaupthing Bank was an international Icelandic bank, headquartered in Reykjavk, Iceland. It was structured by the merger of Kaupthing and Bunadarbanki Islands in 2003 and is the largest bank in Iceland. Kaupthing Bank formerly operated in thirteen countries; including all the Nordic countries, the Netherlands, Belgium, Luxembourg, Switzerland, the United Kingdom and the United States. It is the seventh largest bank in the Nordic countries in terms of market capitalization. On 9 October 2008, the Icelandic Financial Supervisory Authority took control of the bank after a major banking and financial crisis in Iceland. So far, it has not been declared bankrupt, although it has obtained a moratorium on payments from the District Court of Reykjavik and has been suspended from trading in the Iceland Stock Exchange. On November 20, 2009, New Kaupthing, the name given to the spin-off of the banks Icelandic based operations, changed its name to Arion Banki. Non-Icelandic assets are still held within the bank which continues to be called Kaupthing, as of August, 2010. Background of Landsbanki Bank Landsbanki is normally known as Landsbankinn in Iceland. It was international Icelandic bank. On October 7, 2008, the Icelandic Financial Supervisory Authority took control of Landsbanki. Since its establishment in 1885 (commenced operations in 1886) Landsbanki has been influential in the economic development of business and industry in Iceland. Landsbanki was the central bank of Iceland from 1927 until 1961. At the time, this interest was principally directed towards note issuance rather than monetary policy. It was later replaced in this capability by the Central Bank of Iceland at the behest of the Althing. Landsbanki currently has 40 branches and sub-branches all over Iceland, plus a wide-ranging network of international correspondent banks. Landsbanki and its subsidiaries have offices operating in 15 different countries, including the major financial centre of Europe, and North American representation in New York, Winnipeg and Halifax. 2.0 Discussion Part The Main Causes The main causes of the crises of Iceland started in 2001 when the banks deregulated the Iceland. Meanwhile, this makes easier for the banks to upload debts while foreign companies were accumulated or making profit. However, the crises has unable to refinance their debts. The three major banks hold foreign debt excess ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬50 billion, compared with Icelands gross domestic product which is ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬8.5 billion. In early March 2008 for deposit insurance in Landsbanki and Kaupthing was higher (6-8 ½% of the sum deposited) comparing to European banks. For the domestic market, the Iceland banks financed their expansion with loans on the interbank lending market and about 60% depositing outside Iceland, (which also becoming external debt). Meanwhile, the central bank reduced the percentage of assets of the bank required to deposit. One the other side, Households took on a large amount of debt equivalent to 213% of disposable income, which leads to inflation. However, This inflation was increased the practice of the Central Bank of Iceland by issuing liquidity loans to banks on the basis of newly-issued, which were uncovered bonds, by printing money on demand. In response of raising the prices to 14% within twelve month to September 2008, compared with the mission of 2.5%, therefore, the central bank of Iceland held high interest rates 15.5%. For example in compared with 5.5% in United Kingdom and 4% in Eurozone, has encouraged overseas countries which are the investors to hold deposits in Icelandic Kronur, leading to monetary inflation. Meanwhile, the Icelandic money supply (M3) increased 56.5% in the twelve months to September 2008, compared to 5.0% GDP growth. This situation was very bad in the economic because the investors was overestimating the exactly value of the currency in Krona. This resulted to become difficult to roll over their loans in the interbank market, on the other hand, the creditors also was insisted on repayment while no other banks were willing to make fresh loans, whereby in such situation arises the bank have to ask a loan from the central bank as the lender of the last resort. However, the Icelandic government and central bank of Island could not guarantee the repayment of the banks debt which results to collapse of the banks. Meanwhile, the reserves of the central bank of Iceland has stood up 374.8 billion Kronur at the end of September 2008, compared with the 350.3 billion Kronur of short term international debt in the Icelandic banking sector, while 6.5 billion(1,250 billion Kronur) of retail deposits in the UK. The Main Effects Financial crisis of Iceland has mainly effected into the The currency of the country Banks of the country Stock market 1. The currency of Iceland The Icelandic Krone had resulted to declined more than 35% a gains euro from January to September 2008. While the inflation of consumer price was running at 14% and the interest rate was increasing to 15.5% this result shows us that the currency dealing with high inflation. Meanwhile, lets to take one example of the trading of Icelandic Krone, on Wednesday the Icelandic was trading 340 into euro , this is because when the FMEs decided to takeover Icelandic banks , which has resulted to loss all Krone trade (clearing houses ) However, on 15 October the central bank of Iceland launched a temporary system of the daily auction currency, which can be determined the value of Krona by checking the supply and demand of this auction. Moreover the first auction was sold ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬25 million for the rate 150 Kronur against euro. Flowed by the last auction which was held on 3 December, therefore the Krona climber 153 against euro, up to 22% increased for the last currency auction rate. (This graph shows declining of the Icelandic krna against the euro) 2. Banks of Iceland The crises has mainly effected to collapse the major commercial banks . this will be the largest suffered by any country in the history. Moreover. The Glitnir is one of the international Icelandic bank, which has being effected the financial crises. On 29 September, The Icelandic financial supervisory authority (FME) has announced that the Glitnir will be nationalized with the purchase of 75% stake of ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬600 million. This is because the government is not willing to hold ownership of the bank for a long period ,however, within weeks the bank has turned out of debt US s750 million due to mature on 15 October. Flowed by on 6 October, when a number of credit facilities owned by the private interbank facilities to Icelandic banks were suddenly shut down. The prime minister Gier Haarde was mention that there will be a package of a new regulatory measures will be passed to the Althing (is the national parliament of Iceland). Meanwhile, the parliament cooperating with the opposition parties and the power FME which they attend to take over the banks without nationalizing them, was guaranteed in separate measure, retail deposit in Iceland branches. After they make that decision On 9 October FME placed the Kaupthing bank into receivership flowed by the resignation of the entire board of directors. The Kaupthing bank mention that it was a technical default on its loan agreement this is because when UK subsidiary had been placed into administration. 3. Stock Market The financial crises has mainly effected the stock market whereby many shares collapse. Lets to take one example, on 6-13 October FME was cancelled OMX Nordic include six financial companies on the Iceland exchange , this is because there was unusual market condition, the shares was falling 30% since the beginning of the month. When it was reopened the main index, the OMZ Iceland 15, at 678.4 which has corresponds to a plunge about 77% compared with 3,004.6 before the maturity. Moreover, On 9 December, the two financial service companies which are Straummber-Buroaras and Eixsts ,there accound was 12.04% of the OMX Iceland 15. This shows the value of shares of the two companies are dropped sharply. Meanwhile the index was close at 394.88, down by 40.17% on the day. On the other hand, SPRON and Kaupthing was remain suspended at the price of ISK 1.90 and ISK 694.00 respectively. During Iceland financial crises there were four credit rating agencies which controls sovereign debts are lowered their rating and turned their future rating change negatively. However, the government was healthy balance whereby the sovereign debt was 29%, and a budget surplus 5.5% of GDP, while the debt is now 90% of GDP with a budget deficit. Furthermore, the value of foreign currency bonds remains in $600 million in 2009 and foreign currency debt was $215 million. After in such economic bubble, the government tried to get assistance in many countries include Moscow, Russian, Denmark and Norway and many other countries, but fortunately they got respond from Norway, Sweden, Findland to loan ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬2.1 billion and another $2.5bn of loans and currency swaps. flowed by Denmark, Germany, Netherland and united Kingdom loan of $ 6.3 bn . (The value of the OMX Iceland 15 from January 1998 to October 2008) The effect of the crises Within Iceland The financial crises in Iceland has severely effected in the Iceland business and citizens in the country. For example , the replacement of the old bank Laandsbanki to the Landsbanki losses 300 employees , this is because of radical restriction of the organization to minimize international operations of the bank. Similar jobs loses happened in Kaupthing and Glitnir, the job losses are estimated with the 2,136 registered for un employed while only 495 had got vacancies at the end of August 2008 There were many other company effected in this situation include the privates Sterling Airlines company declared bankruptcy on 29 October 2008. While the national airline Iceland air has also noticed significant losses for flights. However, for other business such as importers it was very hard hit, this is because the government restricted the foreign currency even the essential product such as food, medicine and oil. However the ÃÆ' ¢Ãƒ ¢Ã¢â€š ¬Ã… ¡Ãƒâ€šÃ‚ ¬400 million loan from Norway and central bank of Denmark was insufficient to pay for months imports. This results that the Icelands GDP shrink by as much as 10% , putting Iceland some measures in an economic depression. And the inflation was expecting to climb as higher as 75% by the end of this year. Moreover, In November 2008 the financial crises was deteriorating by resulting to tripled the unemployment with over 7,000 registered in the jobseekers, compared to 2136 at the end of the August 2008. Meanwhile, as 80% of household debt is indexed while another 13% denominated in foreign currencies, which resulted to become costly for the debt repayment. Outside Iceland The financial crises was not only based on Iceland country but also there was more than 100 outsides business effected. For example UK in the local authorities, specially Kent Country bank invested Icelandic banks more than 840 million cash . This is because they were working and getting advice under the government, whereby giving direction to invest their money across international banks and many other national banks regarding of spreading the risk.The most investment was paid in police service and fire authorities and even the audit commission. The investors was hoping that one third of their money will get back rapidly, corresponding to the UK subsidiaries of the liquid asset. And other assets liquidation include loans and offices thinking that it will take longer time However in Novermber 2008 the cost of the deposit insurance in UK authoraties was not very clear, but there was some depositors paid include UK treasury 600 million, followed by the transferring the deposit to FSCS (Financial services compensation scheme) 3 billion into the Heritable Bank and Kaupthing Singer friendlander to ING direct. Conclusion A financial crisis has happened in Iceland which caused an economical recession in one of the smallest nations in Western Europe. A failure in three of the biggest banks in the country Glitnir , Landsbanki, and Kaupthing lead to economical crisis. The banking sector of the country was nationalized and integrated into a single functioning unit bank which was called Islandbank. The government decision had taken when the foreign debts in Icelandic banks reached more than 5 billion pounds. Although one of the banks had 40 branches in many different countries in the world, all of them are controlled by Financial Supervisory Authority. The nationalizing of the three banks was decided after the three banks could not refinance the profits of the accumulated foreign debts which were exceeded 50 billion pounds and the deposit insurance was extremely high. The central bank reduced the minimum reserves requirement, and also it held high interest rates as well as increased the money supply to the market which lead to a high percentage of inflation, and the real value of the krona was overestimated, that caused for international creditors to distrust the three Icelandic banks. then the central bank could not repay the banks because its reserve was less than international debt which was 350.3 billion. The impact of the crisis has caused many different problems not only inside Iceland but its extended to beyond the countrys borders. The major internal impact was increasing in unemployment rate, which was result of integrating the three banks together and minimizing their international operations. The other internal sector affected was imports, because the government restricted the dealings with foreign currencies which were an essential part for trading the important products and items. Recommendation The crisis was too heavy to hit a small country such as Iceland, the crisis impact will be long term, and the recovery process will take long time. We think the recovery cannot be done without the government, so the first important action was to suspend the international operations that dealt with Icelandic banks, although it caused inflation, it took part in minimizing the crisis impact. In order to solve the inflation problem the central bank should decrease the interest rate and that will encourage the households and companies to deposit more money. Strengthening the liquidity is another important factor and this can be done by recapitalizing the banks, by attracting as much depositors to provide funds and capitals. Iceland can use the national resources to attract investors and especially in the fishing industry, and attracting many tourists for visiting the country. Also adapting the korona as the only currency inside Iceland, and use it for international trading such as pricing the exports of Iceland with korona, and that will stabilize the value of korona. The government must have access to adequate amount of liquid assets to meet any conceivable redemption demand from depositors or to recapitalize banks that are insolvent as well as illiquid. The national banks have to denominate the liability such as deposits in to the national currency. The central bank has a potentially unlimited supply of domestic currency liquidity through its ability to issue legal tender at will. They also must take a daring steps against increasing of the inflation, so the easily can offset the open market operations, and selling the securities whether they are public securities or private. If the securities are private, the government loses the principal and interest it would otherwise have received. So if the securities sold are government debts, then the government will repay the principal and interest to the private sector. The taxes are very important and the government to overcome inflation problem and they should increase the taxes in order to minimize the spending, so the tax payers in Iceland must realize the importance of paying the taxes which can help in preventing inflation. Its obvious that central bank of Iceland must borrow an extra foreign exchange. The best method for the central bank is to attempt to establish foreign currency credit lines, and also establishing overdraft facilities which was conducted in the three Nordic banks. The swap is a common dealings and arrangements conducted by the central banks in all around the world. In December 2007 the Fed and SNB agreed to swap $4 million swap facility, and also a $20 billion swap facility between Fed and the ECB, so if we see Iceland did not took an advantage for swaps , because few foreign central banks would naturally wish to take a significant long position in the Icelandic krna. However, the problem of the global contagion fallout from an Icelandic bank failure is likely to be quite Persuasive and the ECB, the Bank of England and the Fed may be willing counterparties. However the government of Iceland faced some difficulties in borrowing money from foreign countries, and that is due to the credit rating of Iceland after the crisis. So we will conclude our recommendation by emphasizing on four major points, the first one is that financial supervision must be more effective if it was consolidated inside central bank of Iceland, so its good reason to have prudential supervision in central bank. Secondly the central bank of Iceland should change scale that it uses for its inflation target to minimize the influence of housing price fluctuation, so that means CB should target on inflation measures that are mostly comprised of prices that are sticky, and so exclude asset prices such as housing. Thirdly Icelands commercial banks should be encouraged and should also see that it is in their best interest to show more information about their activities. That will increase the confidence among the individuals and customers and bad rumors will be eliminated. Finally the government should implement a formal fiscal policy rule in order to dampen the Icelandic business cycle to support monetary policy better. Finally the government must utilize the fiscal policy to reduce the cycle of Icelandic business to effectively support the policy of monetary.