Communication In Chronic Obstructive Pulmonary Disease Palliative Care Nursing Essay

Correspondence In Chronic Obstructive Pulmonary Disease Palliative Care Nursing Essay Coming up next is an assessment of improved correspondence methods in palliative consideration for patients with constant obstructive aspiratory sickness (COPD) regarding a contextual analysis. COPD is an incapacitating terminal condition that is recognized by a dynamic wind stream hindrance, principally brought about by smoking. It is typically not completely irreversible (NICE, 2010). For a wind stream deterrent to qualify, post bronchiodilation FEV1/FVC is under 0.7 ( FEV: constrained expiratory volume in one second, FVC: constrained imperative limit). The course of COPD is featured just like an ailment portrayed by a long inexplorable sickness, punctuated with extended times of handicapping windedness, decreasing activity resilience, causing intermittent medical clinic affirmations and sudden passing (Buckley, 2008). Finding of COPD isn't altogether subject to seriousness of windedness yet in addition history, physical assessment and furthermore spirometry affirmation of aviation route block (Buckley, 2008; NICE, 2010). Due to the trouble with the forecast of COPD, it presents a test for doctors and medicinal services professionals to give satisfactory consideration to patients (Curtis, 2006; NICE, 2010). Because of the idea of side effects related COPD, (for example, dyspnoea), patients more incredible COPD or related than from it (NICE, 2010) with death rate for men consistently decreased from 1970 while womens has seen a little yet consistent ascent, despite the fact that COPD mortality is on the general ascent. Buckley (2008) revealed that there was a generally higher extent, (72%) of COPD who pass on in clinic care, contrasted and 12% at home and none in hospices. Palliative Care Palliative consideration has a few definitions however has comparative ideas as per Campbell (2009). Decent (2010) rules characterize palliative consideration as dynamic all encompassing consideration of patients with cutting edge dynamic disease. Curtis (2006) characterizes palliative consideration as the objective being to forestall and soothe enduring and bolster the most ideal dependability of life for patients and their families and their families, paying little mind to the condition of ailment or the requirement for different treatments. The general point of palliative consideration is to improve the nature of care through lightening of manifestations and advancing solace over treatment as some treatment include mechanical guides which patients may discover burdening (Curtis, 2006). This has achieved the recommendation for the need of specific focuses (Curtis, 2006) taking into account how little consideration palliative consideration quality has gotten. Curtis (2006) at that point proceeded to report that there was an exceptionally low number of patients who discussed end of life care with their doctors, which can be made much progressively troublesome with loss of enthusiastic control or dread of having small preparing (Wittenberg-Lyles et al., 2008). There is likewise a requirement for patients to show more trust in their carers (Curtis, 2006). The Gold Standards Framework GSF (2006) Prognostic Indicator Guidance (PIG) records the models that would help with making an anticipation for necessity of palliative consideration as: Seriousness of infection, for example, FEV1 being under 30% anticipated Repetitive emergency clinic affirmations Long haul oxygen treatment Brevity of breath with 4/5 evaluation on the Medical Research Council (MRC) Dyspnoea scale Signs and indications of right cardiovascular breakdown Other factor, for example, non obtrusive ventilation (NIV) The GSF (2006) PIG sums up which three stages are critical to figure out which patient needs palliative consideration. They are Recognizing understanding dependent on rules Surveying needs Arranging organization The above advances are reliant on patients fulfilling ceaseless condition measures recorded before. Correspondence Correspondence is the way toward improving contemplations or data between people through various media: spoken or composed and through non-verbal communication signals (Payne et al., 2004). Buckley (2008) states that great correspondence is the way in to the conveyance of compelling strong palliative consideration benefits as it has a relational point of view that is about wellbeing experts and patients connecting inwardly (Wittenberg-Lyles et al., 2008). Conveying terrible news isn't a simple or agreeable accomplishment. The United States EPEC (Education for Physicians on End of life) is a preparation program dependent on SPIKES model (Setting, Perception, Invitation, Knowledge, Empathy, and Strategy/Summary), that has recorded strides to follow that in the conveyance of terrible news, summed up underneath: Getting ready to meet for example area setting Survey what patient thinks about condition Decide measure of data to give quiet Conveyance of news React to any inquiries from quiet as well as family Make follow up arrangement Contextual analysis: Patient profile The subject utilized for the situation study was a multi year elderly person in a nursing home who introduced as commonly calm, with long standing interminable obstructive aspiratory infection (COPD). Assent was gotten from him to take an interest in the investigation with the potential advantages disclosed to him. The subject had history of chain smoking and was determined to have heart mumbles in 1986. Long haul smoking makes the harm the lung tissues and rehashed chest contaminations (NICE, 2010) and is a significant supporter of COPD. The subject was recommended bronchodilator salbutamol 2.5mg/2.5ml nebuliser fluid unit portion vial, regulated by cover a couple of ampoules four times each day. It was utilized as and when it was required despite the fact that he didn't as a rule surpass three portions day by day. The subject had brevity of breath with essential living undertakings and reliant on staff. The subject had a few GP visits for COPD related chest diseases over the most recent a year and must be upheld by cushions in a practically upstanding situation to rest to diminish the uneasiness brought about by the dyspnoea. The subject was picked as he fulfilled a large portion of the standards from the GSF (2006) regarding brevity of breath, dependence on the bronchiodilator, a few GP visits for chest contaminations and long history of smoking. The don't revive (DNR) structures were filled in gave to the multidisciplinary group that incorporate the Ambulance administration with the family mindful. Correspondence in Palliative consideration with COPD Diverse correspondence methods were utilized when it came to managing the subject to console him and the family aptitudes for example keeping in touch, low manner of speaking is the way in to the conveyance of successful strong palliative consideration administration (Buckley, 2008). A SPIKES model methodology was utilized with the current contextual investigation. Conversation It is fundamental for medical attendants to build up a helpful relationship with patients as they interface more with the patient, utilizing procedures, for example, sympathy, investing more energy tuning in and being progressively activity (Edwards, et al 2006). Correspondence some of the time can likewise been restricted by working environment strategies or lacking preparing (Edwards, et al 2006), which raises the requirement for legitimate preparing to better these connections (Davidson et al., 2002). The current contextual analysis had the option to defeat the challenges of speaking with the patient and family as they had been there previously offering help, and consequently during the gathering to talk about the finish of life they expressed that they were happy with the advancement as a major aspect of the proceeded with care. The subject didn't appear to be content with the nebulisation treatment from the start and he communicated dread and tensions since it was another treatment, which was not bizarre (Stevens et al., 2009). Curtis (2006) study contends that social insurance for patients with COPD was regularly started proactively dependent on a formerly evolved arrangement for dealing with their ailment. The subject was given a decision on the off chance that he needed an individual from his family to be available and if the time was suitable to which he had no complaint, being sincerely useful and ready to settle on his choices (Lemmens et al. 2008). It was likewise noticed that the subject turned out to be progressively loosened up when the nebulisation treatment was disclosed to him that it would decrease the dyspnoea, rattly chest, side effects that he recognized made his breathing troublesome and different manifestations, for example, wheezing and rest aggravation. It is essential to have a reasonable area where there would be barely any unsettling influences when breaking terrible news (Stevens et al, 2009; Wittenberg-Lyle, 2006). For the situation study, the subjects family was reached so as to mastermind a gathering to examine his analysis, the path forward with respect to his treatment and control of his manifestations and furthermore make them mindful of any progressions that would should be made as far as his consideration. This managed the subject and family to be to be consoled that the patient would be made as agreeable as conceivable to reduce the manifestations of his condition through to end of life and mourning. End Palliative consideration for COPD has not gotten a lot of consideration as of not long ago. Correspondence is a significant viewpoint for exclusive expectations of care especially in end of life care. Medical caretaker to tolerant connections are significantly increasingly significant as they assume a significant job; liaising with the family and multidisciplinary group to make the finish of life as agreeable as could be expected under the circumstances. There is still a lot to be done as far as correspondence preparing for medical caretakers and furthermore getting more doctors included. The job of a multidisciplinary group is profoundly esteemed as it smoothes out the arranging and organization of palliative consideration. The current contextual analysis found that the patient was content with the way that how his consideration was arranged.

Panera Bread Company: Still Rising Fortunes? Essay

Panera Bread is a famous café that has happened from the converging of extraordinary organizations and individuals. Be that as it may, the start was really with Au Bon Pain which was begun in Boston’s Feneuil Hall as a show bread kitchen. Louis Kane was struck by this store’s development potential and bought the business in 1978. Somewhere in the range of 1978 and 1981 the organization opened 13 stores, yet therefore shut 10 of these stores, in the Boston region and had significant obligation. Ronald Shaich, an ongoing alumni from Harvard, opened the Cookie Jar in 1980 and become a close acquaintence with Louis Kane. In 1981, the companions combined the Au Bon Pain and the Cookie Jar to shape one business known as Au Bon Pain Co. Inc. The co-CEO’s had the option to bring down obligation, grow the business, and unified offices for mixture creation. In 1985, the organization added new made sandwiches to their creation when they saw client conduct of buying a roll cut down the middle and utilizing cold slices brought from home to make sandwiches. This took into account another approach to arrive at clients with quick help, at the same time remaining nutritious. Panera opened in three business fragments: organization claimed bread shop cafã © activities, establishment tasks, and new mixture tasks. The key activities of Panera’s development was centered around developing store benefit, expanding exchange and gross benefit per exchange, utilize its capital shrewdly, and set up drivers for idea separation and upper hand. During the downturn, while different organizations were bringing down evaluating and nature of merchandise, Panera was doing the inverse. The organization rather focused on client who could stand to spend a normal of $8.50 on lunch. So during 2009, the organization raised costs twice, on bagels and soups, which empowered the organization to give more to less. This demeanor likewise permitted the organization to keep up workers and consumer loyalty. By keeping work predictable with deals and proceeding to put resources into its representatives as an approach to all the more likely serve its clients. In 2009, Panera had d eals of almost $2.8 billion and was positioned as the biggest quick easygoing chain. Panera gained from its rivals, none of those contenders presently couldn't seem to make sense of the equation for Panera’s achievement. Panera has kept on adding new and energizing items to its menu and endeavor to meet the desires for its clients, and this incorporated the new breakfast sandwiches presented in 2008. The menu was updated and its menu sheets with the desire for attracting the client eye to the most elevated edge things. These new menus additionally incorporated the calorie data for things in 2010, wellâ before some other organization did as such. The organization has had the option to envision and respond to changes in food and flexibly costs, included fuel, proteins, dairy, wheat, fish, and cream cheddar in exertion to drive net benefit per exchange. Assets: When managing assets there a not many that leap out, for example, Panera’s scholarly capital, its budgetary position, and the administrators. Every one of these assets empower the organization to develop and offer support to clients while keeping up their present norms. Panera has had the option to see their organization keep on producing benefits, keep representatives working, and develop the organization. Since the organization is so acceptable to their representatives and franchisees, these workers are anxious to look after quality, which thusly prompts increasingly faithful clients. Panera understood that the key fixing was the sort of individuals behind the counter who gives the client assistance. Since the organization is looking after quality, which incorporates newness and nourishment this permits the clients to pick this easygoing inexpensive food area for a greatly improved dinner. Since the organization is doing great monetarily, they can keep growing, which prompts more employments and potential for the regions encompassing the store. This thusly empowers the organization to keep up their budgetary position and keep on putting resources into new pursuits. Capacities: Panera offers an incredible incentive on their items. This sound alternative offers various assortments which empower clients to get anything from soup to baked goods. Since patterns are continually changing, Panera works admirably in changing their menu to keep with client requests. This regularly changing menu has contributions to fulfill changing client inclinations, improve its items, and keep up client intrigue. By keeping up the client enthusiasm for its menu things Panera must keep on doing research and grow new products. As Panera doesn’t have a test kitchen, these things are rather tried these things out legitimately in the cafã ©s. The innovative work group have twice yearly withdraws that permit these colleagues to â€Å"out do† each other with their manifestations. Panera has likewise had the option to arrange the land areas so that be really favors the organization. This is additionally evident with the requesting food items and different merchandise. The greater part of these organizations will offer limits on merchandise because of the name acknowledgment andâ stability of the organization when others are falling flat. Center Competencies: When investigating center abilities Panera has demonstrated and created huge numbers of these. The objective in the first place was to sell great food with a mid-value level. Panera has since surpassed the objective and client desires in the easygoing inexpensive food classification. The organization keeps on keeping up these desires by having new batter appropriation focuses in provincial zones. This gives the item rapidly and takes into account quicker use which saves the item fresher for clients. While Panera endeavors to keep up these measures, the organization likewise connects with the encompassing network by parting with left over bread to destitute safe houses and gathers gifts for different causes. Panera additionally puts stock in giving pastry kitchen cafã © administrators the opportunity to take an interest in the accomplishment of the area, which empower the organization to draw in and keep up experienced and exceptionally qualified work force. Discoveries of Fact: Diversifying a Key to Success: Diversifying is a key part in the development that Panera has encountered. Since a franchisee is buying the utilization of the Panera name, this implies they are likewise buying the plan of action and trademark for their area. This permits the organization to develop rapidly and the franchisee contributes the assets and abilities important to actualize the Panera ideas and systems. The establishment program started in 1996, and as of December 2009 there are 795 establishment worked bread kitchen cafã ©s open all through the US and Canada. There are likewise responsibilities to open another 240 extra areas. Panera sells areas by means of the Area Development Agreements (ADAs) and the franchisee must have the option to meet monetary prerequisites set out by Panera. The vital decision point of view, which suggests that not exclusively does the organization adjust to evolving situations, yet they likewise have the chance and capacity to reshape their own condition, implies that Panera c an draw clients who can bear to spend somewhat more. By opening establishments the nation over, the organization is going after an utilitarian system by accomplishing corporate and specialty unit objects. By executing the methodology that each franchisee must open a set measure of areas inside their improvement zone can permit the organization to extend and arrive at a greaterâ amount of clients. In 2009, 57.6% of the company’s bread shop cafã ©s were claimed by establishments contained 48 establishment gatherings. Panera doesn't encourage the development or improvement of the region where an area will be manufactured. Diversifying is an incredible path for Panera to enter new markets with almost no expense to the organization. This can be seen with how Panera moved into the Canadian market. Panera went into an acknowledge office for a Canadian franchisee and in March 2010, Panera had repurchased the areas so as to be all the more straightforwardly engaged with the new Canadian market. By executing ways for franchisees to proceed to extend and produce more deals Panera would have the option to bring down a portion of the gauges set to turn into a franchisee and this would tak e into consideration more open doors for development both inside and outside of the US and Canada. Quality and Concept Different from Competitors: Confronting rivalry from various sources in its exchange region implies that Panera brings to the table something one of a kind. This implies Panera offers something else, for example, new prepared craftsman breads, new sandwiches, soups, and servings of mixed greens without agonizing over whether it was nutritious. The extraordinary feasting experience to clients, joined with nutritious food and quick assistance keep clients returning. The inviting climate, which incorporates open to seating, warm tones, and helpful areas can offer clients a superior alternative to have the option to hang out and potentially go through more cash. Panera handles this obstruction by offering claim to fame food, easygoing eating, and brisk assistance cafã ©s. Be that as it may, serious variables incorporate area, condition, client assistance, cost, and nature of items. This implies Panera vies for the best areas, hourly representatives, and clients. The corporate culture inside Panera has consistently been an assortment of convictions, desires, and qualities learned and shared by the organization representatives. This outcomes in workers endeavoring to be as well as can be expected be when offering quality assistance and items. There are contenders who have started to test the idea of â€Å"upscale† feasting, may likewise test the wellbeing and health or manageability part that could be incorporated. By having the option to keep up their center convictions, for example, no synthetic compounds or additives, the organization can take clients back to easier occasions and give great, quality food. Since Panera is capable toâ dedicate themselves to their idea the organization has delighted in brand reliability, positive name acknowledgment, and altruism. Since Panera worked on three business sections, for example,

THEATRE CH Essay

Theater CH Essay Theater CH Essay Theater is a type of workmanship that places on-screen characters before a gathering of individuals in a demonstration of commitment and disclosure about existence Showy exhibitions have occurred for a great many years and in every world culture with hardly any exemptions. The incredible social orders of Europe, China and India previously supported performance center as a methods for assembling residents to celebrate metro achievements, caution of individual blunders, or derision society’s fools. Thus, antiquated civic establishments in the East and West made sensational workmanship and stage conventions enduring hundreds of years. Quickness and nearness have separate dramatic workmanship from different types of craftsmanship. On-screen characters present themselves to their crowd in a story including strongly close to home parts of human conduct. Theater has been characterized as a method of seeing people in real life, seeing what they do and why, and the aftereffects of their activities. It very well may be said that performance center is a quick method of encountering being human. Thornton Wilder’s, The Match Maker is a case of how theater connects with on-screen characters in an extremely human tale about genuine romance. In his play it shows the course of genuine affection neglecting to run easily on the grounds that their older folks didn't support however passed them by and saw each other at any rate. Theaters living quality-it’s promptness, aliveness, spaces and observers. Theater is not quite the same as T.V, films, and so on is the live connection of the physical nearness crowd and on-screen characters. The Lion King, The Wicked, and The Addams Family are for the most part instances of redirection from genuine occasions like common distress and unfurling wars. A dramatic occasion is limited to a fixed number of seats in a solitary structure. In New York or London playhouses seat roughly 700-2,000 individuals daily. As opposed to the intelligence of advanced media, theater connects with us in a functioning and motor physical development of conduct and importance. Theater can't be duplicated in another medium, when the exhibition closes it is gone until the end of time. What’s special and debilitating is that performance center is being lost to people in the future. Theatre’s living quality on the two sides of the â€Å"footlights† separates it from its mainstream broad communications contenders. Theater matches life-speaking to our humanness in an impersonation of human facts and real factors. Theater is â€Å"alive† as on-screen characters recount to a story in quick fellowship with its crowd. Film and theater are similarly persuading in their narrating powers, however their methods of introduction are unfathomably unique. 6 ESSENTIAL PARALLELS: On-screen characters - Humanity Reenactment - Reality Practice - Discovery Act of spontaneity - Spontaneity Stage - World Crowds - Society Consistently in theater there is doubleness. The entertainers are people speaking to the playwright’s innovative articulation of our mankind and the human condition; the stage is a stage that persuades us it’s a different universe. Theatre’s doubleness-craftsmanship reflecting life, and life reflecting workmanship is another extraordinary nature of this mind boggling craftsmanship. Doubleness mirrors a feeling of life lived in front of an audience during a dramatic encounter. The crowd encounters the entertainer both as on-screen character the living nearness of another being-and anecdotal character. The Elizabethan thought of the phase as a mirror, related for what it's worth to the demonstration of seeing, can help comprehend the elements of theater and its feel. As reflected in the mirror, our mankind has shape, shading, structure, demeanor and feeling; it is even equipped for development inside the restrictions of the mirror’s outline. It is both a phase world and a fantasy of a genuine world. Theater is life’s twofold, it is a chosen reflection sorted out into stories and fictions about occasions and individuals to reveal to us something about our mankind. Theater makes dream, as we watch, that we are imparting an encounter to others just because. In theater we both trust in what's going on before us (â€Å"suspend our disbelief,† as the writer Coleridge said) and doubt in the stage-world before us. The word

Statement of purpose Essay Example | Topics and Well Written Essays - 500 words - 11

Mission statement - Essay Example This will include onto my skill as an individual from the general public in light of the fact that the family is the fundamental unit of the general public. Clinically, my quest for this program is intended to propel my insight into wellbeing evaluation. Earlier examinations and temporary positions have underscored to me the need to have the most elevated level of skill in inspecting a patient’s clinical issue so as to single out the most reasonable mediation that tends to that issue. Moreover, I look to propel my insight into inquire about strategies in nursing since I figure that as an enlisted nurture, I have an obligation to create information, share it with different medical caretakers and add to the general development and advancement of the calling of nursing (Codina 266). I look to seek after this program with an enthusiasm of enlarging the aptitudes of recognizing and using best practices in my work as a submitted enlisted nurture. The other intrigue I have in seeking after in this program is to gain information on overseeing intense and interminable diseases. I built up this enthusiasm in the wake of seeing how problematic the impacts of such ailments are to the family. A sizeable part of rare family assets goes to the consideration of incessantly sick relatives. Other than this financial effect, guardians of the constantly who need solid protections can create melancholy. My undertaking is to utilize the information I will get from this course to devise reasonable and available intercessions that can help address the monetary, social and mental cost that intense and interminable ailments have on the two patients and their families (Codina 262). It would satisfy me to see families living joyfully without being put somewhere around the affliction of one of the individuals. My worth and high regard for the nuclear family is something that legitimize my qualification for the Family Nurse Practitioner program. The clinical hours I have taken care of in the past instructive levels and in my temporary jobs have

So Long, So Long, Front Foot Leads the Back One

So Long, So Long, Front Foot Leads the Back One When we last left off, I had narrowly dodged Hurricane Ike to fly down to the Rio Grande Valley. The saga continues McAllen, Texas September 12, 2008 September 17, 2008 I spent a nice weekend in McAllen, eating some great food and hanging out in the Valley. I had cabrito for the first time, which was fantastic. I actually met up with Louann, one of my friends from Michigan, who is down there doing a Teach for America placement at one of the local high schools. Shes starting her second year, and is already teaching AP English classes. We had a great time catching up. My hotel was right next to a Tony Romas (great ribs!) and Logans Roadhouse (tasty bread). Tony Romas had a special where you could get a 3-course dinner appetizer, ribs entree, and dessert for like $15. Mmmmm. Aside from the cabrito, I didnt really get a chance to have some authentic Mexican food (which I know many would yell at me for not doing), but when Im traveling, sometimes Im just so tired that anything more than a 2-minute drive is simply too far. Anyways, after visiting a few schools, we hosted a central meeting on Wednesday, 9/17 at a place called the Echo Hotel. There was a decent-sized crowd of about 120 students, parents, and others at the meeting. There were even a few people who drove all the way down from Laredo (about 3 hours away) to attend. I got to meet 3 really cool ECs, one of whom actually teaches math at the same school that Louann teaches English! What a small world. After the meeting ended around 10pm, some of us went to Chilis (one of the few places in the area that was still open after 10). Laredo, Texas September 18, 2008 6am. The crack of dawn. I sleepily roll out of bed, eyes drooping like Droopy the Dogs cheeks. My legs feel like cement blocks. I slump into the shower, allowing the hot water to wake me up and wash the previous day off me. Feeling refreshed, I get ready, pack everything up, and check out of the hotel. 7am. After gassing up, I start my 3-hour drive up US-83, snaking along the US-Mexico border. One thing that I noticed throughout my time in South Texas (and especially on this drive) is that people generally do not like to exceed the speed limit. In fact, they like to drive 5 miles under the speed limit. I dont know if its a culture thing or if the police are extremely strict or what, but it was VERY different from Michigan or Mass. 10am. I arrive in Laredo, check in to my hotel, and head out to my meetings for the day. I get excited that this hotel actually has FOOD NETWORK (another post on my love for TV to come), but unfortunately Ill only be here for one day. 11:30am. Ive been using a GPS unit this entire time to help me get from place to place, which has (for the most part) been extremely helpful. Its like my new best friend. I even contemplated giving it a name. But in Texas, Ive run into two main problems: 1) The highways here have service roads that run parallel to them. This poses a problem when the unit cant accurately detect whether Im actually on the highway, or the service road next to it. Particularly when Im in the right lane on the highway, and it suddenly tells me to turn left off of the overpass. 2) In fast-growing cities like Laredo, the maps on the unit were severely out of date/inaccurate. In one instance, I was on the highway, and the exit I was supposed to take no longer existed. So I figured, get off at the next exit, and either turn around and go back the other way on the highway, or find my way to my destination. So I take the next exit, and all the while problem #1 is plaguing me because Im in a spaghetti-type junction, so it starts going crazy trying to figure out which road Im actually on. At this point, I actually start yelling at the thing because the voice wont stop screaming directions at me: recalculatingrecalculatingdrive 0.3 miles, then turn ridrive 200 feet, then turnrecalculatingwhen possible, make a u-turnrecalculatingrecalculating I continue on the ramp Im on (as theres basically no other choice), and finally see a sign: BRIDGE TO MEXICO. Oops. Omgomgomg what do I do. I start to pass all the signs about border policies, firearms, etc. and am furiously looking for an exit to turn around. As I approach the tollbooths, I see out of the corner of my eye this tiny sign pointing to a dirt road that says Back to U.S. I merge over 6 lanes, get on the path, and finally make my way back towards my destination. Once I get to my destination (according to my GPS), Im basically in the middle of a field. Literally. There are no buildings around. I drive until I find a church, and manage to get directions from a friendly pastor in the parking lot. I also had a scary encounter where the GPS unit almost guided me the wrong way on a four-lane, one-way highway off-ramp. After that, I made sure to download the latest map update and updated my unit. Due up next: my trip takes me to San Antonio, Austin, Seattle, and New York City. For the solution to the last posts title, you can go here. Personally, I was referring to the Chantal Kreviazuk cover, but there are plenty of great versions of that song. Can you guess where this posts title comes from? (No Googling answers!)