One Day at Work Essay -- Descriptive Writing Examples

One Day at Work Consistently, I followed the regular old daily schedule. Get up, have breakfast, discover my work vest, get dressed, leave. White polo shirt, pants, and shoes. Minimal red PharMor vest. Each and every day. No variety, no possibility for change or imagination. When working some place as ordinary as a market, you nearly ask that something energizing transpires during the day. Yet, never does a clerk plan to experience a hugely crabby client, the way that one summer day showed up for me. I followed my uninteresting daily practice, showing up for deal with time, punching in, and coming back to the front to start my day of work. The store was generally quiet, with the exception of the steady blaring of the registers, the quarreling of older couples, and the murmur of action whirling about the administrator's work area. As it were, there was nothing strange at all at past PharMor. I was utilized to the commotion, to the persnickety remarks from clients, and to our snide administrators. Exactly when I thought I'd heard each conceivable objection, seen each conceivable mishap - it deteriorated. ...

Sadown Analysis Paper Draft 1 Essay Example | Topics and Well Written Essays - 1000 words

Sadown Analysis Paper Draft 1 - Essay Example Not on the grounds that a dark feline passes by it implies that misfortune is going to that individual. Signs should just be a guide on how we would live and not the premise why we are living. This is the dismal part since it is basic that signs are restricting the dynamic of individuals and impacting how they are living. Models are soothsayers for instance the palm perusers who impacts individuals by understanding palms and the lines in a person’s hand to tell their faithful clients the future and their fortunes and hardships. This is the large confusion about signs (73). Schnackenberg wrote in her sonnet the easiest signs that individuals misjudge. There are no unfortunate things in this world. An individual should be sufficiently educated to either have a choice and comprehend what ought to and ought not be done or be bamboozled by common convictions. At the point when the creator composed of the signs it didn't imply that each sign ought to be seen by all or would hold a similar importance for everybody. There are things in the condition that has been seen to be valid consistently. The creator gave a model on the second refrain of the sonnet. These things are wild and are nature’s own method of living. This doesn't have any effect in a person’s karma or life. Despite the fact that the course of nature influences people somehow, it isn't the purpose behind humanity’s triumph or annihilation. These natures’ event can help humanity in telling the climate, season and time. It is useful in certain parts of man’s day by day life however not to control man’s through and through freedom and dynamic (73). Convictions in odd signs are quickly developing in the midst of the tremendous development of the impact of Science and Technology in the adolescent. As a creator, Schnackenberg thinks about the development of devotees toward the finish of the last refrain. Very impossible to miss is that there are such a significant number of things that Science can clarify and legitimize yet mass of individuals from various different backgrounds are as yet having confidence in odd notion. Not

Puerto Rican Writers, Poets, and Essayists

Puerto Rican Writers, Poets, and Essayists As most know, Hurricane Maria hit Puerto Rico on Tuesday, September 20, 2017. It was the worst storm the island has seen in 89 years. Words like catastrophic and apocalyptic work well to describe the aftermath. There was damage to the entire electrical grid, and there are still very limited communications. This is along with flooding, ridiculous amounts of wind and water damage, and agriculture being wiped out. It would be an understatement to say it will take a long while to recover. I’m Puerto Rican. On the island are family members and a lot of people I care about. The island is a place I love. I have not lived there since before third grade, but it doesnt just leave you. It lingers, and in some ways it will always be home. I’m devastated about the state of Puerto Rico, and about the way everything has been handled after this disaster. To counteract my immense sadness, I’m remembering the beautiful aspects that make up Puerto Rico and its people. This has made me realize that I hardly ever see anything about Puerto Rican writers. I mean, I rarely see news about anyone from Puerto Rico unless it’s a tiny group of celebrities. The intellectual and creative culture of the island isn’t something a lot of people get to learn about. But its rich, and there is a deep history of people using their minds and words to spread ideas, and create stories. I want to try and spread some Puerto Rican culture. Plus, I want to try to show that we are more than the fiery personalities or ample curves that are so often highlighted in media depictions. Puerto Ricans are complex people, defined by a complicated history. There is no singular Puerto Rican viewpoint, perspective, or character. Were artists, were farmers, were musicians, were revolutionaries, were storytellers, were survivors, and were a million other things. Puerto Rican Writers One of the best ways to show the life of a culture is through reading its writings. So, I’ve compiled a list of some Puerto Rican writers. This is by no means an official, complete list, but it might help you find an author whose writing you want to check out. Ive tried to include writers of different formats and genres, so hopefully there is someone for everyone. I think it cant hurt to expand your reading horizons, especially when it leads to a better understanding of other cultures. Esmeralda Santiago   Novelist, also known for her memoirs. When I Was Puerto Rican Victor Hernandez Cruz Poet. Part of the Nuyorican Movement. Snaps, The Mountain Sea: Poems Quiara Alegria Hudes Playwright and composer. Elliot, A Soldiers Fugue Enrique Laguerre Novelist, playwright, newspaper columnist, critic. Benevolent Masters Yolanda Arroyo Pizarro Novelist, short story writer, and essayist. Ojos de Luna (Moon Eyes) Miguel Algarin Poet. Co-founder of the Nuyorican Poets Cafe. Times Now/Ya Es Tiempo Manuel Zeno Gandia   Novelist, also a medical doctor. The Pond  (generally acknowledged as the first major Puerto Rican novel) Alejandro Tapia y Rivera Novelist, poet, playwright, essayist. El Heliotropo   Luisa Capetillo Feminist, labor organizer, anarchist, writer.  Interesting fact: known as the first woman in Puerto Rico to wear trousers. She was actually arrested for wearing trousers when she went to Cuba. A Nation of Women: An Early Feminist Speaks Out; Mi Opinion Sobres Las Libertades, Derechos y Deberes de la Mujer Maria Bibiana Benitez First female poet of Puerto Rico. Also a playwright. La Ninfa de Puerto Rico, La Cruz del Morro   Eleanor Parker Sapia   Novelist. A Decent Woman   Judith Ortiz Cofer Poet, novelist, essayist. Silent Dancing: A Partial Remembrance of a Puerto Rican Childhood Rosario Ferre Short story writer, novelist, essayist, critic. Eccentric Neighborhoods,  The House on the Lagoon   Miguel PiÃ'ero Playwright, co-founder of the Nuyorican Poets Cafe. Short Eyes.   Eduardo Lalo Novelist. Simone Erika Lopez Novelist, cartoonist, performance artist. Flaming Iguanas: An Illustrated All-Girl Road Novel Thing Zoe Jimenez Corretjer Poet, short story writer, novelist, academic essayist. Cantigos del Lago Giannina Braschi Poet, novelist, essayist, dramatist. Yo-Yo Boing!   Mayra Santos-Febres Poet, novelist, essayist, literary critic, professor of literature. Sirena Selena   Eugenio Maria de Hostos Novelist, lawyer, sociologist. La Peregrinación de Bayoán Luz Maria Umpierre Poet, literary critic. The Margarita Poems Piri Thomas   Poet, also know for his memoir. Part of the Nuyorican movement. Down These Mean Streets Nicholasa Mohr   Novelist, childrens book author, playwright, short story writer. First Hispanic woman to have her work published by the major publishing houses in modern times. El Bronx Remembered Marta Moreno Vega Memoirist. Founder of the Caribbean Cultural Center African Diaspora Institute. When the Spirits Dance Mambo: Growing Up Nuyorican in El Barrio   Irene Vilar   Memoirist, often writes about generational trauma and reproductive rights. The Ladies Gallery: A Memoir of Family Secrets Jose de Diego Journalist, poet, lawyer. Cantos de Rebeldía Julia de Burgos Poet Song of the Simple Truth: The Complete Poems of Julia de Burgos   RenÉ MarquÉs Short story writer, playwright. The Oxcart/La Carreta   Ricardo AlegrÍa Cultural anthropologist, archaeologist, Puerto Rican scholar. Discovery, Conquest and Colonization of Puerto Rico, 1493â€"1599

Clinical updates about pneumonia patients - Free Essay Example

Sample details Pages: 6 Words: 1831 Downloads: 7 Date added: 2019/10/10 Did you like this example? Patient assignment: Briefly state your patient assignment: Pneumonia, 48, alcohol withdrawal, denied smoking and drug abuse Clearly indicate which ONE of your patients from above you will be discussing: Don’t waste time! Our writers will create an original "Clinical updates about pneumonia patients" essay for you Create order a) What is their admission diagnosis – briefly describe what brought patient to hospital and demonstrate your understanding of the diagnosis. Admitted to medicine / Surgical with Pneumonia. â€Å"Pneumonia is an infection of the lungs in one or both lungs. It can be caused by bacteria, viruses, or fungi. Bacterial pneumonia is the most common type in adults. Pneumonia causes inflammation in the air sacs inyours lungs, which are called alveoli. The alveoli filled with fluid or pus, making it difficult to breath† Pneumonia is not contagious but it is the germs called bacteria or viruses causes pneumonia. Pneumonia starts when you breathe the germs into yours lungs. You may get the disease after having a cold or the flu, that is hard for you to fight the infection so it easier to get pneumonia. For person with bacterial pneumonia will stop being contagious within 2 days of taking antibiotics. Complications such as bacteria in the bloodstream (bacteremia), difficulty breathing, fluid accumulation around the lungs (pleural effusion), and lung abscess are among the symptoms. Spread –depending on infections agents, usually, the organism spread from the person by contact with an infected persons mouth or when droplets become airborne from coughing and sneezing. Pneumonia affects the lung when germs that cause pneumonia reach your lungs air sacs (alveoli) become inflamed and fill up with fluid. This causes the symptoms of pneumonia such as cough, fever, chills; trouble breathing when you have pneumonia, oxygen may have trouble reaching your blood. Pneumonia is an infection of the lungs. The lungs are made up of small sacs called alveoli, which fill with air when a healthy person breathes. When an individual has pneumonia, the alveoli are filled with pus and fluid, which makes breathing painful and limits oxygen intake. Many different germs can cause pneumonia, including bacteria, viruses, and fungi. b) What is current medical condition–Client presented of fever 38.5C once , dry cough , crackles adventitious sounds , shortness of breath, right chest pain ,X-RAY and CT SCAN done during admission , chest tube was inserted to right chest with local anesthesia   5 days ago   , scanty clear yellow fluid drained off connected to extension tube and water sealed drained system. Puncture site intact, no oozing, dressing with stat lock, gauze, prima pore. Client is in in contact /droplet precautions dueto gram positive bacteremia that invade his lungs that caused infections.   With IV fluids ongoing of   9 NS   with the rate of 125ml/hr on his   left   metacarpal dry and intact iv site c) Co-morbidities/past medical history – indicate knowledge of significant ones listed and implications for care. Client had a history of mild ETOH. d) Social history – where does patient come from (home, nursing home etc), and who is their support system? Client was at home when he   passed out. e) Cultural humility-how did you integrate the cultural practices of your patient? What other spiritual care did you provide? Client was polite and cooperative when I obtaining some information. Client taught not to say sorry, unless I did heavy mistakes. f) Priority nursing assessments- indicate your priority systems assessed –indicate findings and provide rationale for whether abnormal or normal. Crackles are discontinuous, explosive, popping sounds that originate within the airways.   They are heard when an obstructed airway suddenly opens and the pressures on either side of the obstruction suddenly equilibrates resulting in transient, distinct vibrations in the airway wall (Freifeld et al. 2011).   The dynamic airway obstruction can be caused by either accumulation of secretions within the airway lumen or by airway collapse caused by pressure from inflammation or edema in surrounding pulmonary tissue.   Crackles can be heard during inspiration when intrathoracic negative pressure results in opening of the airways or on expiration when thoracic positive pressure forces collapsed or blocked airways open.   Crackles are heard more commonly during inspiration than expiration (Dodek, et al.2004).   They are significant as they imply either accumulation of fluid secretions or exudate within airways or inflammation and edema in the pulmonary tissue. Priority nursing assessment: Breathing: W,G admitted to medicine with 1) Ineffective airway clearance related to excessive secretion secondary to infection. ncpnanda.com/priority-nursing-diagnosis-and-interventions-for-pneumoniacharacterized by mixed sputum of patients complaining of cough, productive cough such as sputum or dry cough secretions hard to get out, sputum scanty,colour   clear, thin consistency, Additional breath sounds (eg crackles during inspiration when intrathoracic negative pressure results in opening of the airways or expiration when thoracic positive pressure forces collapsed or blocked airways abnormal, heard most commonly on during inspiration than expiration, adventitious sounds rales and crackles). Rationale: Retained secretions can obstruct airways, leading to an impaired gas exchange (Mandell et al.2003). Though client denied that he is smoking, I want to include in the interventions of ineffective clearance todiscourage smoking that increase accumulation of mucusproduction and improve ciliary function as smoking is a contributing factor. 2)Acute pain related to inflammation of the lung parenchyma characterized by a patient complaining of chest pain, looks grimacing, checks vital signs: increased pulse (tachycardia) Rationale:   chest pain are usually present in some degree in pneumonia, can also arise complications such as pericarditis and endocarditis, changes in heart rate or BP indicates that the patient is experiencing pain, analgesics reduce the pain. Retained secretions can obstruct airways , leading to an impaired gas exchange that cause pain during inspiratory and expiratory breathing.allnurses.com †º Nursing Student †º Nursing Student Assistance 3) Ineffective breathing pattern related to excessive secretion secondary to infection. Characterized by the patient complained of difficulty breathing, looked tight, checks vital signs: respiration increases, afebrile 38.5C (Freifeld et al. 2011). Physical examination: the use of accessory muscles, bronchial breath sounds. Rationale: Inadequate primary defenses (decreased ciliary action, stasis of respiratory secretions).Inadequate secondary defenses (presence of existing infection, immunosuppression), chronic disease, malnutrition. 4) 6) Hyperthermia related to inflammation of the lung parenchyma. Characterized by the body heat, seemed to shiver, and checks vital signs: temperature increases 38.5C, increase PR. Rationale: showed an acute infectious disease process. Cardiovascular: Client has an elevated blood pressure 155/89, PR- 105/min Rationale: Bacterial pneumonia in adults carries an elevated risk for adverse cardiac events (such as heart failure, arrhythmias, and heart attacks) that contribute substantially to mortality (Mandell et al.2003). A study now demonstrates that Streptococcus pneumoniae, the bacterium responsible for most cases of bacterial pneumonia, can invade the heart and cause the death of heart muscle. g) Interventions required – Chest tube to drain off the fluids from the right chest, dressings on the puncture sites and I.V sites to prevent infection,   PPE contact/droplet   precautions to prevent spread of infection,IV antibiotics Azithromycin and Ceftriaxone   dressings, h) Lab Values –relate significant lab values to current diagnosis/medical condition and provide rationale as well as any significant concerns. a) Hgb- 95g/L LOW b) PT-17.0 ( 12.0-14.6)-HIGH c) INR-1.4 (0.9-1.1) H i) Diagnostics – incorporate knowledge of significant diagnostic findings to current diagnosis/medical condition. Pneumonia – conducted a physical exam, chest  x-ray, chest CT, chest ultrasound, and needle biopsy of the lung to help diagnose the condition. List all scheduled medications for this patient and relate to patients current condition or to a past medical history condition. Communication: a) Indicate any unique or special communication techniques for this patient. b) Describe patient teaching performed and patient/family response. c) Indicate any collaborated communication with health care team (daily rounds, physician etc) d) Describe your therapeutic relationship with this patient/family. e) What are the barriers to discharge and what is your role to ensure discharge process is By providing assurance and reorienting patient to a person , place and time. Through regular checks concerning pain and comfort level Through explicit explanation of procedures before they are done to enable patient take part in care. How did you integrate ethical practice into your care? I obtained informed consent for all assessments and interventions prior to doing them. I explained I was going to do a health assessment and that it would take 15 minutes. I also informed the pt afterwards of the findings. Caritas Processes: Which Caritas process did you integrate into your care? Focused on the Caritas Process #5 â€Å"Being present to, and supportive of, the expression of positive negative feelings. Provide an example of how you demonstrated ‘safe’ patient care? What unsafe situations did you observe and how did you restore a safe environment for the patient? Notified the co-assign when SaO2 was 95%, noticed the room was filled with furniture, unable to get crash cart to bedsidemoved unnecessary furniture to another room. Self-Reflection:  Ã‚   Reflect on your nursing practice progression. Progress of competencies and learning plan goals Met entry to practice competencies # 1, 4, 10, 11, 14, 15, 22, 31, 67, 99 Need to become faster with medication administration: will review common meds the night before clinical, flag my drug book, use my worksheet more appropriately. Describe how you have incorporated theory into your nursing practice (Knowing through Inquiry) What did you do well?   What is an area for improvement and how will you implement Strategies for this? I was able to conduct thorough research on any issue that I felt was important. I also found out that inquiring and consulting on technical issues. This enabled me assess my patients and give them the best care. When I was carryout out a test, I was able to see the progress of the patient (Mandell et al.2003). Another important thing in pneumonia is the coding guidelines. Although there exists different inclinations by clinicians on how to make a diagnosis on pneumonia, positive chest x-ray is the most preferred in regards to auditors like; Recovery Audit Contractors, Inspector General’s office coupled with other different auditors. More importantly, coders should be on the look out of the same in records and also they are required to ensure presence of a sign of fluids for the patient undergoing x-ray before the commencement of chest x-ray (Freifeld et al. 2011). Fluids therefore play an important role during the chest x-ray. Additionally, those responsible for coding should check documents for different signs and symptoms, which may include heart rate, respiratory rate and others. Emphasis should also be laid on the importance of filing records of diagnosis of pneumonia by clinicians especially anytime there is a session with the presiding physician. In conclusion, considerably, for pneumonia patients there should be prompt, suitable and wide-spectrum therapy in more satisfactory dosages to improve usefulness. On the other hand, empiric therapy includes antibiotics from a different category than which the patient is accustomed to in recent treatments. Therefore the beginning of this kind of therapy should given out intravenously and also it can be changed to oral therapy for patients who have responded well to it. Patients with initial-onset disease known to have no risks for multidrug-resilient pathogens are put under different empiric therapy drugs options. Multi-drug resistant pathogens may cause risk factors for pneumonia, denoted by antibiotic therapy which occurs the previous 90 days, hospitalization and also high occurrence of antibiotic resistance present in the community.

Compare and Contrast of the Cask of Amontillado and the...

Compare and Contrast of â€Å"The Cask of Amontillado† and â€Å"The Black Cat† Today I’ll be comparing the Narration of â€Å"The Cask of Amontillado† and â€Å"The Black Cat† by Edgar Allen Poe. Edgar Allen Poe is the author of many great pieces of literature, using his narrators to explain situations that are going on in their life. The narrators of The Cask of Amontillado and The Black Cat both lead characters love for man’s inhumanity to man and animals through horrific murders. In The Cask of Amontillado, Montresor is the narrator. He begins by describing very cryptically how he was wronged, The thousands of injuries of Fortunato he has borne as he best could; but when he ventures upon insult, Montresor vows revenge (Poe 528). As the story†¦show more content†¦All this saneness is achieved through a series of household events. In their consequences, these events terrifies, tortures, and destroys the Narrator (Poe 522). The Narrator is married and has pets. They have birds, gold-fish, a fine dog, rabbits, a small monkey, and a cat (Poe 522). The cats name is Pluto, however in contrast to Montresors friend, Pluto, the cat, is the Narrators friend. In The Black Cat the Narrator is an alcoholic unlike in The Cask of Amontillado the enemy is the alcoholic. After several evenings of heavy intoxication, violence against his wife and the other pets, he finally turns on Pluto, his friend. In a slight comparison of the two stories, Fortunato and the cat become the ‘enemy’ over time. He seizes the cat; when in his fright at the narrators violence, the cat inflicts a slight wound upon the narrators hand with his teeth (Poe 523). This is where the narrator allows the alcohol do the thinking for him. He reaches into his pocket and pulls out a pen-knife, opens it, grasps the poor beast by the throat, and deliberately cut one of its eyes from the socket (Poe 523). Next he goes to sleep and wakes up drinking again. After the cat heals, he decides to hang Pluto. Why? Because screw cats I guess! He slips a noose about Plutos neck and hangs it to the limb of a tree (Poe 523). He did it because he, like Montresor, feels no pain in torturing his enemy. I’d like to say alcohol hasShow MoreRelatedNathaniel Hawthorne s The Mind1900 Wor ds   |  8 Pageswritings the mystical and the melancholy aspects of America s Puritan thought. In their words, â€Å"they examine the conflict between good and evil, the psychological effects of guilt and sin, and even madness and derangement in the human mind. (Compare and Contrast) However, people can never be 100 percent alike so it is in their approach to these aspects that they differ from each other. The areas in where these to differ focus more on the themes and the point of views within their stories. NathanielRead MoreHow Poets of the Eighteenth Century Handled Love2802 Words   |  12 Pageshour. Frost may be commenting on childhood and how it is, in a way, like a flower – fresh, delicate, innocent, yet ephemeral? Frost uses the word â€Å"subside† to describe the leaves as if the leaves have given in to some form of external pressure. He compares this occurrence in to Eve’s failure to resist temptation at the Garden of Eden. Perhaps Frost inten ds for us to realize that it is an eventual certainty that we will also subside as the leaves do each season by yielding to the temptations which surroundRead MoreANALIZ TEXT INTERPRETATION AND ANALYSIS28843 Words   |  116 Pageselsewhere, most frequently to character or idea. Understanding a plot on a schematic level becomes even more difficult when dealing with works, usually novels, that have more than one plot. Many novels contain one or more subplots that reinforce by contrast or parallel the main plot. Some novels even contain a double plot, as in Thackeray’s â€Å"Vanity Fair†, where we are asked to follow the careers of both the selfish adventuress Becky Sharp and the innocent, good-hearted Amelia Sedley. As Amelia’s fortunes

Minoan and Mycenean Cultures Free Essays

In comparing the cultures of the Minoans and the Myceneans, it is best to identify first where they live. The Minoans are inhabitants of the islands off the Aegean Sea such as Crete and Santorini. Perhaps the greatest treasure they have ever made was the palace of Knossos which they covered with frescoes which are wet but surprisingly detailed. We will write a custom essay sample on Minoan and Mycenean Cultures or any similar topic only for you Order Now The frescoes depict the way of life of the Minoans which was mainly dependent and influenced by the sea. The paintings consists mainly of sea creatures such as dolphins, sea birds, fishermen with sizeable catches and women wearing beautiful dresses and pearl necklaces which were probably harvested from the sea. The Myceneans on the other hand lived Tiryns, a mountain-guarded city. They prefer war to arts since they are a nation of warriors. They built high hallways to defend their city from possible attacks of other people. Their way of life is shown in the different drawings, embroideries and decorations on vases, gold cups, daggers and other weapons. The Myceneans were a powerful people who liked to fight but traded with other people for materials that are not indigenous to their locality. They traded with the Egyptians for gold and like the latter; they created death masks of their dead rulers. The Minoans and the Myceneans, while differing in a lot of aspects, were alike in the sense that their cities are heavily defended. One is surrounded by the seas while the other by mountains. This fondness for fortifications must have been brought about by experiences and incidents of attacks coming from barbarians and pirates who might want to take the treasures and gold of these people. Both cultures, too, have high regard for their kings and rulers. How to cite Minoan and Mycenean Cultures, Papers

New Management Style and Policies

Question: Discuss about the Report for New Management Style and Policies. Answer: Executive summary This paper seeks to analyze the importance of adopting a new management style and policies by Nike after finding itself in a reputational crisis after the sweatshop scandal. For a large corporation such as Nike any scandal will definitely affect the perception and trust that the consumers of its products have. We will use qualitative analysis in this paper and also analyse the various initiatives that Nike has come up with to restore stakeholders confidence and use qualitative analysis in our methodology. Introduction NIKE, Inc., is a design company based Oregon, Nike is among the leading companies involved in design, manufacture, distribution and marketing of shoes , equipment and apparel for sporting and physical activities all over the world. Nike has subsidiaries such as Cole Haan, which is involved in manufacturing and distribution of luxury items such as handbags, shoes and coats another subsidiary is Converse Inc., which also is involved in the design of accessories and distribution of athletic footwear, apparel and accessories(Aras Crowther, 2009). There is also a subsidiary called Hurley International LLC, which designs apparel and accessories for action sports and youth lifestyle and Umbro Ltd., which is a leading football brand company based in the UK. This paper focuses on the the management style and unethical issues that Nike has been involved in and why. Research methodology The paper covers ethical and unethical practices that Nike Inc. has been involved in. Data collection will be from past literature about Nike as well as the graphs and financial results of Nike in previous years. The research uses qualitative analysis of data concerning Nike Inc. the data will be obtained from journals, Nikes financial statements to analyze Nikes policies as well as the measures that they have put in place for improving CSR in the regions that Nike operates in. as a result, data collection will not take a long time since all Nikes information can be easily accessed in various mediums such as the internet Ethical and enethical practices by Nike In 1992, Nike had developed a code of conduct and a year before the report, had signed its adherence to the Global Compact which was launched by the UN Secretary General, Kofi Annan. Following this agreement Nike agreed to respect principles such as freedom of association and protection of human rights. By joining this initiative, Nike acquired a commitment to both consumers and with international organizations(Carbasho, 2010). So when reports were issued that Nike had engaged in unethical issues there was a serious reputational crisis. This was the labor practices in Bangladesh known as the Sweartshop scandal. This showed not only the social impact of a multinational company in the countries where it stands, but also the high cost that may involve not closely monitor all activity of Nike operated. Consumers reacted and Nike had to get going to keep the credibility of your brand. As a textile leader Bright business career in the industry began in the seventies when its founder, Phil Knight, director devised a revolutionary new model of sneakers that caused a sensation among athletes. Soon, the firm managed to gain a foothold in the textile sector reaching sufficient capacity to expand its product offerings. The market share of Nike has grown steadily to achieve the level it enjoys today. Today, Nike is at the top of the sports equipment industry with approximately 37% market share. It is also the most production jobs have moved outside North America. According Setem, a federation specializing in issues of cooperation and development NGOs, this American company makes 99% of its production in the Third World. For many companies such as Nike, Developing nations are attractive for factories due to the fact that they offer labor that is cheap in an environment that has free social legislation. Big companies preffer to work with local factories in order to develop a certain product, the main reason behind this is so that they can leave everything relating to emplo yees, , salaries, and working conditions in the hands of native producers(Simpson Taylor, 2013). The inadequate transparency that describe this production method has caused Nikeand other large multinationals, be closely watched by the critical eye human rights organizations that are integrated into the anti-globalization movement. Nike social responsibility Consequently, Niketried to address the problem by arranging various activities improve social work and dignity in the countries the factories were set up. Nike also decided to launch a communication campaign whose goal was to get people and moreso consumers end up associating and relating the brand to values of justice, dignity and equality. Nikeformulated a new code of conduct which outlined their business principles which endorsed its serious improvement purposes: (DeWinter-Schmitt, 2007). Moreso, the code would ensure continuity of its commitment to social values and also required that all its working partners adhere to thes e code., Nike is mainly committed to: 1. Respecting employees rights , this includes the right to free association and collective bargaining. 2. Ensure minimal negative impact on the environment in general. 3. Guaranteeing a safe and healthy workplace to the workers. 4. Prioritize on the health and welfare of all workers. Suppliers and transparency Nike also gave a very significant when publishing the list with the names and locations of its 700 suppliers and subcontractors plants worldwide step.This activity had never done before in the history of the textile sector and has come to be a milestone that unions and labor rights associations consider decisive. Nike said in a statement that any damage caused by competition following the publication of this list would not harm the potential benefits that the brand could acquire(Business as usual? The mobilization of the anti-sweatshop movement and the social construction of corporate identity, 2008). The report coincided with the publication of the second CSR report. role management function and how it is impacted by politics and the social environment; Effective management aims at ensuring that the company achieves its set objectives. Management function is affected by politics and social environment, for example in the case of Nike, the company was forced to adopt a new style in which it would manufacture its products while ensuring that they adhere to safeguarding the workers interests including provision of a good working environment. The politics of how multinationals violate human rights in developing countries played a key role in ensuring that the management observes this aspect without negatively impacting on the bottom line(Ferrell, Fraedrich, Ferrell, 2010). Politics are behind the managements decision to change on the ways they were doing production. Also, Nikes management has promoted its plan of using soccer as a movement to enhance social change. This is inline with the managements focus on the social environment . For example, An example of a program the company partners with is Grassroots football . This is a community program that directly addresses an extreme social need through awareness especially in deveoping countries. The report notes that during the supplier audits supervised by inspectors of the FLA, four areas of breach of code of conduct were detected: freedom of association, wages, working hours and harassment in their factories. However, improvements were seen in the areas of child and environmental work(Simpson Taylor, 2013). Looking ahead, Nike confirmed in the document their commitment to advance in three different direction.It is increasingly common to find a responsible CSR within the structure of Nike or see codes of conduct drafted and enforceable also extensible to suppliers(Morsing Beckmann, 2006). Companies are becoming interested in training their employees on human rights as well as working on improving their systems testing and evaluation work in subcontracting factories. It is clear that these large multinational companies remain leaders in their respective areas despite having chosen a committed CSR policy.Already it is seen that the fact of adopting labor principles in line with the new social demands is not at odds with the pursuit of profit.Turning pointIn October 2000 a reporter for the BBC, Paul Kenyon, traveled to Cambodia to investigate working conditions in factories. Subsequently, a report with the Nike Gap No sweat name issued in which the harsh working conditions in subcontracted factories are kept awake by these companies(Morsing Beckmann, 2006). Children under fifteen years working in endless shifts and sexual abuse by officials of the factory were some of the practices that the BBC brought to light. The impact of the scandal made both Nikeand Gap closed down factories in Cambodia. As a result, the country lost 10 million dollars in contracts and hundreds of natives were fired from their job. Nikes Management Most of the texts have served as a basis for designing this course, they use different terms: policy, strategy and tactics. In general the term "politics" and its different meanings, set standards for the management of Nike and its behavior in the market, and sometimes cover a period of ten years(Ferrell, Fraedrich, Ferrell, 2010). Covering the objectives of Nike as well as methods for their behavior. Nike is a strong company when it comes to sustainable and innovative business (Sustainable Business and Innovation, ). This approach was integrated consistently with Nikes business strategies of , this was aimed at generating greater income for Nike and a more sustainable business model to cater for the communities, consumers, factory workers e.t.c. Politics and social environment determine how the management formulates their policies; this is because the policies should not go outside the policies of the government(Visser, 2011). The management style ensures that Sustainability and innovation is key to innovation and growth of the products as well as revenues of Nikeaccording to Mark Parker, CEO of NIKE, Inc. politics and social environment made Nike change how they were going to operate going forward in terms of Making the business sustainable and beneficial to customers, and have a low impact on environment, the factories workers will enjoy a good environment in production and employees growth and shareholders value who will be rewarded from the management style. The management report announces progress Nikeregarding the five-year objectives that were established in 2007. Nike has made considerable progress in many aspects, for example the execution of training in efficient management which is also known as (Lean Management) in factories that have been contracted, use of environmentally preferred products and reduction of waste and toxics and increasing in all high performance considered Design of materials.The management has also moved towards removing th e most challenging aspects of progress regarding the purpose of Nike, for example, the how to deal with overtime in contract involving the workers. Nike and management has the objectives in some to reduce the complexities which is a change in strategy in how to manage Nike(Micheletti, Fllesdal, Stolle, 2004). Efficient Management (Lean Management) and human resource management. One of the management strategies is to train factory workers with an aim of creating and implementing efficient manufacturing in Nike hence there is need to have a good human resource management programme.. efficient management decision-making principles are critical as they bring the worker closer through skills, understanding quality and teamwork understanding. References Aras, G. Crowther, D. (2009). Global perspectives on corporate governance and CSR. Farnham: Gower. Business as usual? The mobilization of the anti-sweatshop movement and the social construction of corporate identity. (2008). Carbasho, T. (2010). Nike. Santa Barbara, Calif.: Greenwood. CSR handbook. (2001). [Washington, D.C.]. DeWinter-Schmitt, R. (2007). Business as usual?. Ferrell, O., Fraedrich, J., Ferrell, L. (2010). Business ethics. Mason, OH: South-Western Cengage Learning. Green, S. Nike. Micheletti, M., Fllesdal, A., Stolle, D. (2004). Politics, products, and markets. New Brunswick, N.J.: Transaction Publishers. Morsing, M. Beckmann, S. (2006). Strategic CSR communication. Copenhagen: DJF Publishing. Reviews, C. (2013). Studyguide for business ethics 2009 update. [Place of publication not identified]: Cram101 Incorporated. Simpson, J. Taylor, J. (2013). Corporate governance, ethics, and CSR. London: Kogan Page. Sutherland, A. (2012). Nike. London: Wayland. Visser, W. (2011). The age of responsibility. Chichester, West Sussex: John Wiley Sons.

Inclusion Essays (1297 words) - Segregation, Special Education

Inclusion Inclusion Topic: Inclusion in general education General purpose: To inform Specific purpose: To inform the audience of the aspects of inclusion of disabled students it general education classrooms Thesis: Inclusion is the process by which children and youth with disabilities participate in the same general education classrooms that they would attend if they did not have a disability (usf.edu) Introduction: I. Attention-getting device: According to Deborah Smith of Vanderbilt University, inclusion is a movement that seeks to create schools and other social institutions based on meeting the needs of all learners as well as respecting and learning from each other's differences. The inclusion movement has focused on individuals with disabilities, but it is designed to alter the philosophy for educating all students. Inclusion will inevitably effect each of us in some way, either as a student or as a parent to either a student with a disability or without a disability. You or your children will at some point be learning side by side with a disabled student as long as inclusion is found to be the best learning environment for all students with and without disabilities (Smith 29). II. Thesis: Inclusion is the process by which children and youth with disabilities participate in the same general education classrooms that they would attend if they did not have a disability (usf.edu). III. Preview: Today I am going to discuss how inclusion in general education is defined, then I will introduce some of the problems that inclusion has attempted to rectify in education, and finally I will address the areas in which inclusion affects the community. [Transition: First I will discuss inclusion in general education is defined along with some of the philosophy inclusion encompassed.] Body: I. According to Bob Friedman, the director of the University of South Florida's Department of Child and Family Studies, inclusion in general education involves including every student regardless of disability in a general classroom environment (Freidman). A. Inclusion means a climate of acceptance is created, no one is rejected or locked out (Horton). 1. The disabled students are accepted not only by the teachers but also by their peers in the classroom. 2. The disabled students are included in all extracurricular activities as well as classroom activities. B. According to Kelly Horton, the former director of Special Education in Sullivan County, inclusion focuses on everyone's abilities and possibilities, and disregards any disabilities or limitations (Horton). 1. Each person's skills are acknowledged. 2. It is pointed out that no one has to be good at everything. [Transition: Now that I have given you a working definition and some philosophy behind inclusion in the classroom, let's move on to some of the problems inclusion is looking to resolve.] II. Inclusion is characterized by an attitude of problem solving. A. The implementation of an inclusive classroom looks to solve some of the financial problems currently facing our education system. 1. The Department of Education included in its 20th Annual Report to Congress that the current emphasis on inclusion reflects a concern about the increasing costs of special education services in a time of budget austerity (Department of Education). a. Including the disabled students in the general education classroom with their peers would cut these costs. b. Inclusion would also help reduce the need for maintaining a parallel educational structure to meet the needs of the disabled students. 2. The data used by the Department of Education suggests that the per pupil special education expenditures have grown at about twice the rate of general education expenditures. B. Another problem that inclusion addresses is the fact that many of the youth with disabilities do not leave school with the necessary knowledge and social skills to fulfill adult roles (Department of Education). 1. According to the Department of Education, less than 25% of the youth with disabilities currently enroll in post-secondary education (Department of Education). 2. Inclusion allows disabled students more interactions with their non-disabled peers, thus instilling in them many of the social skills needed in the adult world. C. Inclusion also engages a concern about the rapid and steady rise in the number of students identified as eligible for special education. 1. This increase in students served in special education programs encourages more inclusive environments by taxing the capacity of special education settings (Department of Education,). 2. The percentage of students ages 6 through 17 receiving special education services

3 Cases of Suspensive Hyphenation That Are Missing a Hyphen

3 Cases of Suspensive Hyphenation That Are Missing a Hyphen 3 Cases of Suspensive Hyphenation That Are Missing a Hyphen 3 Cases of Suspensive Hyphenation That Are Missing a Hyphen By Mark Nichol When an adjective can be shared between two nouns to form a pair of parallel phrasal adjectives modifying another noun, the first instance of the simple adjective can be elided so that it is implied. However, writers often neglect to provide, in the form of a hyphen, a signpost identifying the elision. Here are three sentences featuring that flaw, followed by a discussion about, and a revision of, each. 1. The film covers the scene’s considerable sprawl, from the sketchy clubs and apartment dwellings to the bands and the drug and booze-fueled chaos that followed them. This statement refers to drug chaos and booze-fueled chaos. Obviously, the writer means â€Å"drug-fueled and booze-fueled chaos† but knows the rule described in the introduction to this post; in this case, fueled has correctly been omitted from drug-fueled, the first of two phrasal adjectives. However, the first element of the first phrasal adjective must be followed by a hyphen to signal that the elision is taking place: â€Å"The film covers the scene’s considerable sprawl, from the sketchy clubs and apartment dwellings to the bands and the drug- and booze-fueled chaos that followed them.† 2. This strategy breaks the training material up into several 2-3 minute videos. As constructed, this nonsensical sentence refers to something called minute videos; it refers, in quick succession, to several of them and 2–3 of them. The problem is that the writer knows that a hyphen should link a range of numbers (actually, a dash should, but many publications use a simple hyphen, so the point is acceptable) but errs in applying that rule in this case. This statement is complicated by the need for a phrasal adjective to modify â€Å"videos† with a reference to length, and â€Å"2-3-minute videos† is obviously not correct. The solution is to replace the symbol indicating a number range with to and refer to â€Å"2-minute to 3-minute videos,† though the first instance of minute can be deleted and implied: â€Å"This strategy breaks the training material up into several 2- to 3-minute videos.† 3. Why can’t humans hear infra and ultrasound? Here, the suspensive omission is part of a closed compound. This strategy is technically valid (the proper form is â€Å"Why can’t humans hear infra- and ultrasound?†) but in practice often awkward. In this case, forgo the elision: â€Å"Why can’t humans hear infrasound and ultrasound?† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Punctuation category, check our popular posts, or choose a related post below:Writing Prompts 101Capitalization Rules for the Names of Games10 Tips About How to Write a Caption

Criminal Justice Assignment Example | Topics and Well Written Essays - 250 words - 4

Criminal Justice - Assignment Example Eventually, the court sent Gault to six years in detention, prompting his parents to apply for a habeas corpus. Unfortunately, their application was declined by the Superior Court of Arizona and subsequently by the Arizona Supreme Court (Gold 112).   The rationale: the Court upheld the Due Process Clause of the 14th Amendment, noting that it is the basis of fair trial. Justice Black noted that without due process, the much needed distillation and assessment of vital facts from trivial issues would not suffice, hence the lower courts created room for an injustice (Stansby 1204). The case underscored the need to observe Due Process provisions by all parties in the criminal justice system irrespective of the magnitude of the case; that a child or an adult should be afforded the same treatment. Juvenile gangs would be handled best by enforcing severer punishment for gang-related crimes (Ross 425). Creating more juvenile correction and probation facilities would modify and keep juveniles from engaging in recidivism. Improving access to schools and creating awareness on the demerits of juvenile gangs would keep children out of the criminal justice system. I believe the decision made in this case corrected the misconception that unlike the adult criminal justice, juvenile justice should be informal. The ruling also discounted probation and long periods of incarceration as the basis of juvenile

Demographic transition model Essay Example | Topics and Well Written Essays - 750 words

Demographic transition model - Essay Example This paper focuses on demographic transition model and global food production and distribution for a growing human population to meet global food security goals. According to Wilson (2007, p. 33), the demographic transition model "Is a generalized model that describes how birth rates and death rates of human populations change over time". Starr, Evers and Starr (2014) conversely posits that demographic factors fluctuate such that developed nations are exemplified by low birth rates, low numbers of infant deaths, as well as a high life expectancy. These demographic factors are inverse in developing countries. In this regard, the demographic transition model, as spelt out by Wilson (2007), was developed by demographers from surveillance and scrutiny of researched and tested variations of birth and death rates of a number of countries over a span of two hundred years. As underscored by Wilson (2007), demographic transition model consist of four stages. The initial stage is referred to as high stationary stage and is characterized by elevated birth and death rates. At this stage, Wilson (2007) asserts that the population is generally low. High death rate at this stage is as a result of ill health, food shortage or deprivation, and warfare. Wilson (2007) further notes that birth rate at this initial stage is fairly even and therefore an increase or decrease of population is delineate by varying death rate. The second stage as outlined by Wilson (2007) is referred to as early expanding stage. This stage is characterized by an increase in population as a result of receding death rate coupled by a fairly elevated birth rate. The receding death rate in the second stage is contributed by improved food security and improved public health. Late expanding stage is the third step of the model. As elucidated by Wilson (2007), this phase is characterized by a n even and low death rate together with a decreased birth

Analysing the history of human relations movement

Analysing the history of human relations movement This assignment will analyse the human relations movement from when and how it was formed to its importance in management structure today. It will include relevant information about classical and scientific management providing an example of an organisation today. It will conclude with whether classical and scientific management has been eradicated by the human relations movement. To begin with the human relations movement focuses on the environment and conditions in which employees are expected to work; the attitude and behaviour within the workplace; the social relations between employees and managers and how satisfied the employee is in the workplace. All these factors can be motivators for employees to improve their job performance. The human relations movement according to Mullins (2002, p903) can be defined as A management approach based on the consideration of and attention to the social factors at work and the behaviour of employees within an organisation and the satisfaction of individuals needs through groups at work. Elton Mayo was the founder of the human relations movement which occurred during the 1920s and 1930s. The idea for the human relations movement came from conducting a series of experiments which became known famously as the Hawthorne studies, this was created as a result of these experiments and their findings. As a Harvard professor, Elton Mayo was employed by the Hawthorne plant of the American Western Electric Company in Chicago because of the low productivity of workers which took place between 1927 and 1932. There were four stages to the Hawthorne experiments; the illumination experiments, the relay assembly test room, the interviewing programme and the bank wiring observation room. During the illumination experiment stage lighting was used as a factor to analyse the productivity of the staff. The employees were arranged into two groups one of which was a control group and the other an experimental group. The control group had the same amount of lighting throughout whereas the experimental group had lighting constantly changing. In both groups productivity increased even when lighting conditions became poor. As the results were inconclusive other experiments were arranged on factors other than the changes in working conditions. The relay assembly test room was the next stage in which s ix women workers were assessed. Here they changed working hours, lunch times and rests. Their observer was also using a friendly approach, listening to the employees and their complaints. The production increased again and this is when Mayo recognised that it was the fact that they were given attention and noticed by management that the productivity increased. A crucial part in the Hawthorne experiments was the interviewing programme which assessed how the workers felt towards their supervisors. They used a non-directive approach and interviewers would listen in a friendly non-judgemental manner. This found out more about the employees feelings and attitudes with more specific information about the management, supervision, company, working relations and even the workers lives and views. These results showed that relationships with people have an effect on the workers attitudes which in turn affects the productivity. The bank wiring observation room was another experiment that took p lace, where fourteen men were chosen to work in an observation room with working conditions that changed slightly over six months or more. The group began to form their own organisation and rules with their own informal social relations. Mayos conclusion was that the changes had been made in consultation with the employees, and that this factor had been the determining influence on productivity, together with the fact that the employees had a good working relationship with their supervisors. (Sutherland Canwell, 2004, p202-203) An example of an organisation that uses the human relations movement today is Google. They avoid bureaucracy with their employees and allow them to use their own initiative. The managers work with the employees to create ideas which they find relevant and work on projects which they think are of importance. They employ people who want to succeed and therefore will work to the best of their ability to make Google a success allowing them the choice to make their own changes in order to feel more motivated. The employees look forward to the social aspects of the job and sharing ideas, they also get the benefit of good quality food and services such as massages. The human relations movement conflicted with Frederick Winslow Taylors scientific management theory since Mayo believed that there must be other ways to motivate workers other than strict working procedures, financial incentives and scientifically timed tasks. There was a breakthrough in scientific management in 1911within the peak of the industrial revolution when Taylor published The Principles of scientific management which described the four principles of Taylors theory. These were that jobs should be broken down into different parts; workers should be trained and scientifically selected; management should co-operate with employees to make sure the method is reinforced and there should be equal division of work between both managers and employees. The principle object of management should be to secure the maximum prosperity for the employer (the development of every branch of the business to its highest state of excellence), coupled with the maximum prosperity for each employee (Taylor, as quoted in Boddy Paton, 1998, p48) The main reason for scientific management was to introduce a sense of control and order within the working environment. Productivity took longer because parts were being produced individually. This also meant that unskilled workers had the ability to do jobs when trained correctly by managers. Taylor believed that employees were lazy and the only way to motivate them was through financial incentives. This theory was followed by three more theorists; Frank and Lilian Gilbreth along with Henry Gantt. This is still alive today and is used as a management structure in some industries. An example of where scientific management is used today is in call centres. The employees are regularly checked up on by their supervisors in order to motivate them to give a good standard of service. They record and listen to their employees conversations in order to keep them under control. The employees are also given a basic wage and commission on every sale they make; they get bonuses for meeting daily or weekly targets. Classical management is another earlier theory that was developed by Henri Fayol who was known as the father of modern management. Fayol, (as quoted in G.A. Cole, 1996, P12) defined management as to forecast and plan, to organise, to command, to coordinate and to control. His theory consisted of 14 principles which were division of work so that employees knew their duties, authority and responsibility to give clear and reasonable instructions; discipline to show authority and be firm with employees when necessary; unity of command so that employees know their job; unity of direction so companies have an understandable strategy; subordination so that the employees put their job responsibilities first; remuneration so that employees get paid a fair wage; centralisation so that the organisation has a main control area; scalar chain meaning employees know their job positions; order so that the company is organised; equity to provide equal opportunities; stability of personnel to provide employees with job security; initiative so that employees dont constantly need to be told what to do by management and espirit de corps where employees work as a team to show company spirit. An example of where classical management is used today is Costco, a wholesale warehouse chain selling merchandise at lower prices for purchase by businesses. The CEO Jim Sinegal works on the retail floor with the employees, running the business and paying employees 50 percent more than competitors; contributing even more for health benefits. The businesses earnings grow at a faster pace than its top competitors showing that classical management is still effective. Even though the human relations movement is the management structure most common in todays industries it has not eradicated classical and scientific management as there are some world famous companies which use them today and have become successful in doing so.

Integrated and Collaborative Working Essay

What is integrated and collaborative working and why is it so important in childhood practice? The numerous well-publicised child protection cases such as Baby P and Daniel Pelka have emphasized just what can happen when services fail to work collaboratively and this shows why integrated working and collaborative practice is vital and imperative. The outcomes of fatal accident enquiries, like the cases of the children mentioned, continually conclude that a lack of communication between agencies with regards to sharing of relevant information and concerns regarding vulnerable children are one factor which requires to be addressed. The idea behind multi-agency working is that children and families who may require additional assistance are supported effectively and efficiently, therefore minimising or even preventing any difficulties from arising. Children develop in different ways and achieve developmental stages at different rates therefore a diversity of skills and support from a ran ge of different professionals is required in order to successfully meet these needs. On 10th December 2008, the Scottish Government launched The Early Years Framework to highlight the importance of working in professional partnership to give children the best possible start in life. The Scottish Executive’s concern for social inclusion and desire to promote ‘joined up’ policies, an increased demand on services from service users and not to mention the focus on child-centeredness are just a few justifications for such a focus on and drive towards collaborative practice. The benefits of integrated working are enormous as all professionals implement a holistic approach, and working in partnership creates better quality services. Integrated working ensures early identification of any difficulties by efficient sharing of relevant information, thus ensuring that appropriate intervention can be delivered timely. Families also develop closer relationships with a variety of agencies throughout the stages of assessment/intervention resulting in better support and engagement of families, and subsequently the needs of the child are more likely to be met. Another benefit is that the more collaborative working that is carried out between agencies, the more knowledge is transferred between professionals allowing for a more well-informed and proficient team around the child. This could also potentially reduce the need for more specialised services. By working in a collaborative way it also allows for critical reflection allowing all agencies to participate in decision-making while refining their  knowledge. With that being said, we are faced with a number of barriers that can often make integrated working less than simple. These can include poor communication both within and between agencies, and to some degree a lack of uncertainties in roles and responsibilities, inconsistencies regarding legisla tion, confidentiality and the sharing of information. Funding streams are often a barrier to collaborative working. One which I can relate to in my workplace is little to no access to IT equipment and/or compatible systems which would facilitate sharing of information. Some research has been carried out in relation to personality traits within teams and Belbin’s team roles theory shows the importance of recognising the strengths and weaknesses of individuals utilizing the strengths of each person in order to create a productive and efficient team, a clearly beneficial factor in collaborative working. While utilizing the strengths, it is important to manage the weaknesses suggesting that an unbalanced team could just as likely become a barrier. The importance of collaborative working can be seen in the example of a Speech and Language Therapist (SLT). This professional works in close partnership with children and their families, not to mention other professionals. Their job is to assess children with speech, language and communica tion difficulties or those with difficulties eating, drinking or swallowing. Communication is an important part of child development which affects every other area of progression. SLT are an invaluable link between education and health as they are skilled at identifying potential underlying difficulties/disorders. There are many factors an SLT has to consider including the impact these difficulties have on the child’s life and the urgency of such a referral. Integrated working is crucial as professionals gain a full family history, thorough assessment of every aspect of the child’s life, and pull this together into a formulation about the child’s difficulties and how they are being maintained. If such a comprehensive assessment was not available then an SLT could potentially arrive at an inaccurate formulation of a child’s difficulties due to incomplete information which other agencies may hold. The significance of effective integrated working is clear in this case, as the barriers previously discussed can make the job of Speech and Language Therapists very difficult as an inaccurate formulation may result in serious implications for a child’s intervention. An Educational Psychologist is another professional  that heavily relies on effective integrated working. The purpose of these professionals is to work with children and young people who are having difficulties with achieving their learning potential. Gone are the days where the only rationale for such issues was innate condition of the child which required treating. Instead psychologists are considering the need for adjustments in certain external influences such as environment, curriculum and peers as well as internal factors like child resilience as possible solutions to such difficulties. This does not undermine the possibility of organic causes such as autism etc. Their role is vital in supporting children, families, and educators whereby children are not achieving their maximum level of educational attainment for whatever reason (be it social, emotional, familial, or academically) and educational psychologists must work with many different agencies in order to gain a full and clear assessment of all potential factors and causes. Urie Bronfenbrenner’s ecological theory explains how lives are affected by people and events around us, further evidence that psychologists have good reason to believe that certain difficulties children face are in fact to do with these external influences. Bronfenbrenner’s theory is based on five levels of social interaction and its effects. The first level, Microsystem is based on the most direct interactions. Family, peers, school, work or the area in which an individual lives. Mesosystem follows and includes the relationships between microsystems. Next is Exosystem which involves the connections with a social environment in which the individual doesn’t have direct interaction. Macrosystem is the influence of culture, religion, traditions and media. These differ and conflict in different countries. The fifth level Chronosystem consists of the significant events that occur in an individual’s life, such as getting married or divorced etc. Bronfenbrenner believed that the influence of environmental factors was paramount in shaping the development of children from childhood to adulthood. The Scottish Executive published ‘It’s everyone’s job to make sure I’m alright’ (2002). The focus of this child protection review was an audit of the practice of police, medical, nursing, social work, children’s reporter, and education staff concluding that everyone has a duty and role in safeguarding and ensuring the welfare of children. The audit was based on a sample of 188 cases which covered the range of possible concerns about children from early  identification of vulnerability to substantiated abuse or neglect (both of which are significantly detrimental to childhood development). Neglect and abuse can be deemed as the environmental influences suggested by Bronfenbrenner that manipulate a child’s progression. In many cases the audit found that children were not receiving the services they required and many could not access services such as health care if their parents/carers did not cooperate. This highlights the importance of integrated and collaborative practice and the need for sharing of information across agencies regarding concerns with vulnerable children. Good practice included the provision of help to parents and children as and when was needed, timely responses, early thought and preparation, and accurately assessing the source of the risk. In order to properly assess a childs risk, a multiagency approach is required in order to gain a comprehensive assessment of the child’s needs. Every professional involved in providing a service to children has a duty to ensure their safety and promote psychological wellbeing. In order to do so profe ssionals must share information when there are concerns about a child’s presentation in order to gain a comprehensive assessment of a child’s needs. Every Child Matters is a UK Government initiative for England and Wales launched in 2003, partly in response to the death of Victoria Climbie. It is one of the most important policy initiatives and development programmes in relation to children and children’s services. It has been the title of 3 Government papers, which lead to the Children Act 2004. The main aims of Every Child Matters are for every child, whatever their background or circumstances, to have the support they need to: stay safe, healthy, enjoy and achieve, economic wellbeing, and positive contribution. Each of these themes have a detailed framework attached whose outcomes require multiagency partnerships working together to achieve. Every Child Matters advocates that it is essential that all professionals working with children are aware of the contribution that could be made by their own and each other’s service and plan and deliver their work accordingly (Baker R 2009). Every Child Matters has been infl uential throughout the UK-Getting it Right for Every Child is the equivalent approach in Scotland. The Scottish Government recently published Getting It Right for Every Child  (GIRFEC), which was designed to create a consistent, child-centred approach within and across the agencies who are involved with children and young people. Getting it right for every child is being threaded through all existing policy, practice, strategy and legislation affecting children, young people and their families. GIRFEC uses the Wellbeing Wheel (Appendix 1) or the SHANARRI indicators as they’re often referred to, in order to create a consistent way for professionals in multi-agencies to assess a child’s development and general wellbeing. SHANARRI is an acronym for the eight indicators (Safe, Healthy, Achieving, Nurtured, Active, Respected, Responsible, Included) used to make the evaluation of a child’s welfare in order to help them develop their full potential. It is important that everyone is assessing the same aspects of a child’s wellbeing using their own unique professional training and skills by using these indicators as guidance. This allows all agencies involved to have the same shared understanding of a child’s needs and the support they require. The Scottish Government values the purpose of collaborative working and in order to do so effectively, there must be certain legislation inaugurated. The Children (Scotland) Act 1995 is a child-centred piece of legislation that outlines the provisions offered to children and families and the duties of the local authorities to children’s wellbeing regarding support, safeguarding and intervention. The act emphasizes the importance of the child’s welfare and gives the child the right to have their views considered, when key decisions are being made about their life, incorporating UN Convention on the Rights of the Child. It is law that all agencies must adhere to th is act when working with children and families requiring additional needs, ensuing successful multi-agency working. The Regulation of Care (Scotland) Act 2001 was established to create regulations to which all social care services must adhere to in order to improve and maintain a high quality of care, otherwise they are no longer permitted to provide a service. With Care Inspectorate, the regulatory body ensuring that all care services are following the National Care Standards set by the Scottish Government, it’s easy to see how encouraging everyone to offer the same high quality of care can support collaborative working by sharing knowledge, skills and practice. â€Å"A well-qualified, professional workforce is the most important factor in delivering the quality of services that will give children the best possible  start in life.† (QAA Scotland) The Benchmark Statements for Childhood Practice outlines the expectations from SSSC and ensures that lead practitioners in childcare settings are qualified to high standard and competent in working collaboratively with parents, families a nd other agencies. As previously discussed, when agencies do not work collaboratively there can be devasting impacts which in extreme cases can contribute to fatality which is highlighted by the Victoria Climbie Inquiry Report, 2002-3. Victoria Climbie died in the intensive care unit of St Mary’s Hospital Paddington in February 2000, aged 8 years old. Her death was caused by multiple injuries arising from months of ill-treatment and abuse by her great-aunt and her partner. Victoria’s death led to a public enquiry and produced major changes in child protection policies. One of the recommendations from the fatal accident enquiry was that society should be aiming to ensure that there are systems in place which detect what is happening at an early stage so as to be able to intervene successfully to protect the child. This tragically did not happen for Victoria. She was failed comprehensively by all the services she was known to and who should have ultimately protected her. Despite repeated contacts with different services, no proper assessment was ever undertaken, and no more was known about Victoria when she died than was known about her the day after she arrived in the country. The very fact that her case was closed by Haringey Social Services the day she died points to the scale of failure. So too does the fact that the authorities charged with her care almost without exception failed to talk to Victoria directly, instead addressing their concerns to those responsible ultimately for her death. Peter Connelly (also known as the case of baby P) was a 17month old baby who died in London after suffering over 50 injuries in an 8month time period, during which time he was repeatedly seen by Haringey Children’s Services and NHS health professionals. The case caused shock and concern partly because of the magnitude of Peter’s injuries, and partly because Peter had lived in the borough of Haringey, under the same child care authorities that had already failed 10 years earlier in the case of Victoria Climbe which had, as previously stated, led to a public enquiry resulting in measures being put in place in an effort to prevent similar cases happening. The child protection services of Haringey and other agencies were widely criticised. Following the conviction, 3 enquiries and a nationwide review of social service care were launched. Over the course of months, Peter was admitted to hospital with a range of injuries including bruising, scratches and swelling to the head. The serious case review concluded that there were instances of mishandling by officials, missed and delayed meetings, miscommunication among officials, and a failure to follow through with decisions related to the child’s safety. Parental involvement is high on the Scottish Government’s expectations and working within a community nursery run by a committee of parents requires a great deal of collaborative working in order for the nursery to run efficiently and effectively. Finding a balance of what parents want, what children need, while embracing the Curriculum for Excellence requires a great deal of expedient communication. It requires successful sharing of knowledge and skills between experienced parents and qualified practitioners. The most productive committee would ideally be influenced by Belbin’s team role theory, however finding volunteers to be on such a committee can be difficult. Working collaboratively with agencies such a Visual Screening and Oral Health can have tremendous benefits to children’s wellbeing, is essential in promoting a healthy lifestyle and can offer preventative interventions. Working with other agencies such as Speech and Language Therapists and Educational Psychologists requires a great deal of integrated and collaborative working also and with the introduction of standardised referral forms has helped to establish consistency in information gathering which is a step towards more collaborative working, however working in such a small nursery, communications with these agencies can be infrequent and having such little experience dealing with these agencies, st aff can sometimes lack confidence and knowledge how to fill out paperwork and follow procedures. A suggestion would be to offer more in-house training regarding these procedures to ensure that when issues do arise staff feel competent in dealing with these situations. The importance of transitions for children going to school seems to be high on the local authorities’ agenda. There are many initiatives that would be highly beneficial to children but trying to obtain the involvement of other nurseries can sometimes be difficult. Poor communication and incapability to participate can be an obstacle often hard to overcome due to  other establishments’ finances, staffing issues and in some cases the unwillingness to take part. Attending liaison meetings with other nurseries to share knowledge, ideas and information is a great source of collaborative practice, but again this requires the willingness to be involved. One of the biggest barriers in collaborative working is poor communication. It is everyone’s role to ensure that as much information is shared with all agencies involved, the importance of this cannot be stressed enough. How little knowledge some professionals have regarding the roles of others can also be a hindrance. In order to improve collaborative working an increased awareness of the roles and responsibilities of other agencies is imperative. Reference List A Guide to GIRFEC, Scottish Government, 2013 Baker R, 2009, Making Sense of Every Child Matters – Multi-professional Practice Guidance, Policy Press Early Years Framework, Scottish government, Edinburgh, 2008 Every Child Matters, Sept 2003. www.everychildmatters.gov.uk House of Commons Health Committee: The Victoria Climbie Inquiry Report, 2002-3 It’s everyone’s job to make sure I’m alright, Report of the child protection audit and review. Scottish Government, 2002 The Case of Child A. Haringey council, 2008, 11-12 The Quality Assurance Agency for Higher Education, The Standard for Childhood Practice, 2007, Linney Direct, Mansfield The Structure of Belbin’s Team Roles. Fisher et al, 1998, Journal of Occupational and Organisational psychology, 71, 283-288

Night Terrors

An article by Ph. D John Cline has help me to come to believe otherwise. There was a situation In which a woman woke up to her sleeping husband's fists. Indeed the husband was sleep but far away from peace. The husband was experiencing a night terror. A night terror is far worse than a bad dream, a night terror is when someone wakes up screaming and in some cases they act out their dream.In this case the husband acted out his dream; however, his actions occurred unknowingly. His wife screamed his name for him to stop, this of hich woke him up. These events didn't stop there so the husband decided to seek professional help. upon being appointed to a sleep specialist he learned about Rapid Eye Movement Sleep Behavior Disorder. He quickly learned that he was suffering from a very rare disorder. About 0. 38 percent of the general population and about . 50 percent face this disorder.This disorder is also known as RBD his class of which is known as parasomnias. Parasomnias are unwanted phy sical events dealing with sleep. RBD happens to blend with Rapid eye movement. In the sense of this disorder the person's body is paralyzed and intense and colorful dreams occur. This sleep disorder is most common to men over the age of fifty years of age; however, Its possible for anyone to have this disorder but theyre not as Ilkely. Many sleep dfferent disorders associate with each other such as this one and sleep apnea in relation to rapid eye movement.R8N happens to also be associate to Parkinson's disease. There are Whitehead 2 many sleep disorders that can effect our sleep. This of which happens to be important because sleep Is Important to use as humans. Sleep can determine how health one can be mentally and physically. The Importance of sleep speaks for itself n fact, we do spend one-third of our life sleeping. I chose this article because everyone sleeps but, who says that we have to be at peace while doing it? I couldnt possible picture life without sleep.Honestly, I thin k life would be entirely too long and tiring without it. I also wanted to know more about this disorder for future references. Psychologically this article covers REM which happens to be the movement of the eye as someone dreams. In addition, I believe that our society would be pleased to know this disorder Is not a common one. This article was great in terms of knowledge of the disorder. I would have maybe even njoyed reading this article on my free and not Just for class purposes.In reading this article Ive learned that I am at a greater risk in having this disorder than the general population. To sum things up, never take your recommended six-eight hours for granted, because you never know when things could start to go bump in the night for you. Night Terrors By tiequeisha Jones me to come to believe otherwise. There was a situation in which a woman woke up to Upon being appointed to a sleep specialist he learned about Rapid Eye Movement however, its possible for anyone to have t his disorder but theyre not as likely.Many sleep different disorders associate with each other such as this one and sleep apnea in relation to rapid eye movement. RBN happens to also be associate to Parkinson's important because sleep is important to use as humans. Sleep can determine how health one can be mentally and physically. The importance of sleep speaks for itself peace while doing it? I couldn't possible picture life without sleep. Honestly, I think that our society would be pleased to know this disorder is not a common one. This this article IVe learned that I am at a greater risk in having this disorder than the

The Future of Nursing Essay - 1053 Words

The Future of Nursing Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future. Committee of the Robert Wood Johnson Foundation Several years ago in 2008 the RWJF and the†¦show more content†¦The second guideline outlines the need for nurses with higher degrees and competencies. This pursuit of higher education must be seamless. The third suggestion stresses the need to be equal partners in designing the future of healthcare. Nurses must be part of the solution to health care reform. Fourthly, there is a need for accurate numbers of health care workers available. With this data accurate projections can be made. These facts must be provided on a state level as well as regional (Institute of Medicine, 2010). For the nursing workforce, the IOM Future of Nursing report is of great importance. The American Nurses Association (ANA) is an advocate of the IOM’s report. The report is consistent with ANA’s recommendations and goals and highlights the importance to nursing to continually advance the profession. Furthermore, the ANA agrees with the emphasis and significance placed on the need for nurses to be owners of leadership roles within the health care setting (American Nurses Association, n.d.). The report is relevant for all people and never loses sight of the patient as the center of care and most importantly is based on evidence (Robert Wood Johnson Foundation, n.d.b). The Campaign for Action was derived with the intent to continue the efforts and to further the advancement of the objectives of theShow MoreRelatedThe Future of Nursing966 Words   |  4 PagesThe Future of Nursing In 2010 the Robert Wood Johnson Foundation (RWJK), a subsidiary of the Institute of Medicine (IOM), issued a report on nursing called, The Future of Nursing: Leading Change, Advancing Health, (http://www.iom.edu/Reports/2010/The-Future-of-Nursig-Leadership-Change-Advancing-Health.aspx). According to the IOM official website, (http://www.iom.edu/), â€Å"†¦the IOM provides independent, objective, evidence-based advice to policy makers, health professional, the private sectorRead MoreThe Future of Nursing999 Words   |  4 PagesFUTURE OF NURSING * SUTHA FERNANDO – DATE: 12-23-2012 GRAND CANYAN UNIVERSITY ABSTRACT The Institute of Medicine has thoroughly analyzed the Future of Nursing and submitted report. The Institute of Medicine (IOM) is a nonprofit organization that works independently, provides unbiased and authoritative advice to general public as well as government. In this essay we would discuss about the significance of report and recommendations of IOM. In 2010 the IOM has advised the GovernmentRead MoreThe Future of Nursing940 Words   |  4 Pagesï » ¿ The Future of Nursing Grand Canyon University Professional Dynamics NRS-430V The Future of Nursing Looking back over 150 years ago, the nursing profession has changed drastically. Even just the uniform of nurses changed from the white dresses with panty hose and a white cap to scrubs with pants. Here are a few other examples of change in the profession: â€Å"there was a time in the past when only physicians took blood pressures, performed phlebotomy and administered blood; andRead MoreThe Future of Nursing1402 Words   |  6 Pagesï » ¿Future of Nursing Introduction ONE: Discuss the work of the Committee of the Robert Wood Johnson Foundation (RWJF)†¦that led to the IOM report, Future of Nursing: Leading Change, Advancing Health†¦ The committee was led by former Department of Health and Human Services Secretary Donna Shalala, and was asked to create basically a blueprint for how the nursing profession can transform itself into a more potent and relevant force, Harvey V. Fineberg wrote (on page ix). The nursing committee wasRead MoreFuture of Nursing1315 Words   |  6 PagesThe Future of Nursing July 14, 2013 The Future of Nursing According to the Institute of Medicine (IOM), the nursing profession is the largest population in the nation s health care workforce with over three million members. Because of this, nurses have a fundamental role in the transformation of the nation s rapidly changing health care environment. To achieve this role, the IOM addressed several key recommendations to serve as a guide to the direction of the future of nursing (InstituteRead MoreThe Future of Nursing1170 Words   |  5 PagesThe Future of Nursing Carrie Curell Grand Canyon University: NRS-430-0191 Professional Dynamics 02/23/2013 The Future of Nursing The Institute of Medicine (IOM) has researched how nursing as we know it will and is changing. They have written a report called â€Å"The Future of Nursing: Leading Change, Advancing Health† that outlines the impact of these changes on education, nursing practice, and nurses as leaders and made recommendations on the necessary changes. Regarding the impact of educationRead MoreFuture of Nursing1378 Words   |  6 Pages2010 IOM report on the future of nursing 1. Running Head: PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS Professional development of nursing professionals: 2010 IOM report on the future of nursing Awudu BraimahRead MoreFuture of Nursing1041 Words   |  5 PagesThe Vision for Nursing is a Bright Nur/391 Sharon Berry Facilitator Arlene Leyba December 1, 2014 United ICN, the nurses of all nations speak with one voice. We speak as advocates for all those we serve, and for all the unserved, insisting that prevention, care and cure be the right of every human being. We are in the vanguard of health care progress, shaping health policy around the world through our expertise, the strength of our numbers, the alignment of our efforts, and ourRead MoreThe Future of Nursing834 Words   |  4 Pagesï » ¿Running head: The Future Nursing The Future Nursing The Future of Nursing The Affordable Care Act of 2010 (ACA) will have a great effect on nursing. According to this article nursing will have to change it role in the ACA and the three main categories that need to be changed and redeveloped is transforming practice, education and leadership. â€Å"The ACA outlines some new health care arrangements, and with these structures will come new opportunities for new rolesRead MoreThe Future of Nursing1181 Words   |  5 PagesThe Future of Nursing Grand Canyon University NRS-440V 3.24.13 Introduction This paper will discuss various aspect of the future of health care focusing on the future of how nursing will play an ever-important role in the reformation of health care. Presentation regarding, the Robert Wood Johnson Foundation Initiative on the future of nursing, at the Institute of Medicine report entitled, â€Å"Future of Nursing: Leading Change, Advancing Health,† will help set the stage for this paper. Discussion