Case Study Concerning The Well-Being Of Mrs. Nancy Jamison

The following document is created to discuss a case study concerning the well-being of Mrs. Nancy Jamison, a 67 rear-old retired woman who is suffering from basilar infiltrates consistent with congestive heart failure. Within this document, the following will be reviewed: Steps in the continuum of care which could have been bypassed in order to expedite care of the patient; observations regarding the care provided for this patient; specialty services in the Philadelphia area that provides care for the following needs: coronary care, trauma care, burn care, complicated obstetrical care, and premature infant care.Upon conclusion, all the previous mentioned will be clearly elucidated. There were a few steps that could have been omitted when Mrs. Jamison arrived to the RediCare located at the local mall. The on-duty care provider there should have checked her insurance and administered her to the appropriate hospital immediately for prompt care. It was very time-consuming to transport he r to other hospitals. Immediately following the medical history and medication list that was provided by the computer system, and the physical assessment was performed, Mrs.Jamison should have been disposition to City Heart Institute cath lab. For prompt attention at arrival, Dr. Miller should contact the cardiologist on call at the City Heart Institute, so that appropriate measures will be applied upon arrival. Other observations regarding the care provided for Mrs. Jamison were the lack of prompt decision making skills, lack of considering the time, lack of administering proper medication for release of pain and various symptoms and lack of researching the insurance information so that Mrs. Jamison is disposition to the correct hospital appropriate for the symptoms she was having.In this case, Mrs. Jamison was provided with the care that she needed. However, the entire process was very time-consuming and much could have been omitted. The entire process took approximately two hours before she received the proper care. It does not take long to have a heart attack or for the problem to worsen. Jana, at RediCare, suggests that Mrs. Jamison is administered to the Marysville Community Hospital, but Mrs. Jamison should have been immediately transported to the City Heart Institute cath lab which would have saved some time.There are several locations in Philadelphia that provide services for various needs: 1. Coronary Care: Hospital of the University of Pennsylvania. The hospital has a special unit for Coronary Care. Located at 3400 Bruce Street in Philadelphia. 2. Trauma Care: Hahnemann University Hospital. Hahnemann University Hospital is a 541-bed academic medical center at Broad & Vine Streets in Philadelphia, Pa. The hospital is a tertiary care institution that specializes in trauma services. 3. Burn Care: Temple University Hospital.The hospital has a Severe Burn Care Unit that specializes specifically on the burn. Located at 3401 North Broad Street 400 Carnell Hall in Philadelphia. 4. Complicated Obstetrical Care: Temple University Hospital. Temple Care University Hospital is a major provider to obstetrical services. Located at 3401 North Broad Street 400 Carnell Hall in Philadelphia. 5. Premature Infant Care: The Children’s Hospital of Philadelphia. The hospital has a Neonatal Intensive Care Unit (NICU) that provides services for complex problems for premature babies who are in need of intensive medical attention.Located on 34th Street and Center Boulevard in Philadelphia. This review was created to discuss a case study concerning the well-being of Mrs. Nancy Jamison, a 67 rear-old retired woman who is suffering from basilar infiltrates consistent with congestive heart failure. Within this document, the following has been reviewed: Steps in the continuum of care which could have been bypassed in order to expedite care of the patient; observations regarding the care provided for this patient; specialty services in the Philadelphia area that provides care for the specific needs.

Biography of Franklin Delano Roosevelt Essay

The 32nd president of the United States, Franklin Delano Roosevelt, accomplished many things during his three terms in office. Being the only president ever elected to more than two terms, it is easy to suppose that he was a well-rounded president. His leadership, success in getting programs passed, management of economic and domestic policy, foreign policy, and role as Chief Party Leader all contribute to an overall grade of an A for his presidency. First off, as the symbol of the country and the presidency, Franklin Delano Roosevelt gets an A. He showed great character and leadership with his thirty â€Å"fireside chats† on the radio. With these, he was able to soothe the thirty five million people listening. It was successful too, in that, after his first in which he assured the safety of keeping money in a reopened bank, confidence was restored and the banks began to open up. His ability to master the press contributed strongly to his overall public opinion and showed he had good character. Also, in WWII conferences such as Casablanca and Teheran, Roosevelt represented the country well in his efforts with the Allies to stop Nazi Germany. His leadership of the country and his character are the reason that he was the only president ever to be elected to four consecutive terms as the leader of the country. Particularly with the New Deal, FDR was rather successful as a policy and legislative leader. With the nation in the midst of the Great Depression, there was a lot of pressure on the president to take immediate action. Beginning with â€Å"the first hundred days,† Roosevelt shut down the banks and met with Congress. He was able to get 15 major bills approved regarding the economy in attempts to get it back on track. With such turmoil happening in the country, FDR was very efficient in getting bills passed by Congress, which is why he deserves an A. Though the actual success of each program may be questioned, his quick action and role as a policy and legislative leader was executed well. The same is true for when the United States became involved in WWII. This situation again demanded quick action and Roosevelt pulled through by passing various acts such as the Lend Lease Act and Neutrality Acts. Though again these may not have always had the best outcomes, his initiative and f air thinking are what gets him an A for this category. FDR’s most noted domestic policies while in office were those of the New Deal. With a nation pressuring the president for change, Roosevelt developed a plan called the New Deal. The principal acts were done during his first hundred days, as mentioned earlier, in attempts to achieve his goals of relief, recovery, and reform. Regarding the economy, Congressed passed the Glass-Stegall Banking Act which established the FDIC, a very important act after the crises leading up to the Great Depression. By stopping the bank runs, he was able to steer the economy in the right direction, creating a corporation that is still used today. In addition, under his presidency, the Civilian Conservation Corps (CCC) was established, giving jobs to young men while at the same time conserving both human and natural resources. With the young men being able to send the money back to their families, it was a way to decrease unemployment and boost the economy. Another important issue was his repeal of t he Prohibition through the 21st amendment. This gave much needed revenue to the country and provided employment. Despite these successful acts of domestic policy, Roosevelt was not always so brilliant. The Agricultural Adjustment Administration, one of the New Deal agencies, increased unemployment, frustrated farmers, and was eventually deemed unconstitutional by the Supreme Court. His intentions and theories to end overproduction were good, just not executed well. Another of Roosevelt’s reforms is Social Security. This is perhaps one of the most controversial of his policies. Some loved it and some hated it. In fact, the benefits of this administration are still debated over today with people calling into question the longevity of its existence. One problem that Roosevelt seemed to face was his long-running battle with the Supreme Court. Consisting of older aged, ultraconservative men whom Roosevelt had not appointed, the Supreme Court was something the president wanted to change. To fix it, he asked Congress to permit him to add up to 15 justices to the Supreme Court. This attempt to â€Å"pack† the court cost Roosevelt severely in the eyes of the public. It was his away of going around the Constitution in order to be able to keep more of his programs and agencies from the New Deal. In total, despite also several failures, many of FDR’s domestic policies were good. They helped relieve some of the stress set on by the depression. However, that’s all they did – relieve. His policies and the New Deal did not cure the country of the Great Depression, only temporarily masked the problems with only of his agencies still existing after his presidency. For these reasons, I give Roosevelt a B for his domestic policy. In the beginnings of a second world war, Roosevelt had important foreign policies that were crucial to the United States’ welfare. With an attempt to end the Depression, Roosevelt was initially going to send a delegate to take part in the London Conference. However, upon a second look, he decided that international agreements about the value of the dollar might restrict him in domestic recovery. This begins a trend toward increased nationalism and eventually to the United States’ views on isolationism. Though we are unable to tell what might have come out of the conference, it seems like a poor decision for Roosevelt to leave America totally on its own from other countries. Along with this idea of isolationism, through the Tydings-McDuffie Act, the United States freed the Philippines (after 12 years). This act was more beneficial for the United States than the actual freed country because of less foreign competition for sugar, as well as fewer people competing for jobs. Overall, it did help the U.S.; however, it also kind of abandoned the Philippines with not-so-nice economic terms. In contrast to these inward-looking acts, Roosevelt also created the Good Neighbor Policy with Latin America. He focused on consultation and nonintervention in hopes to unite the Western Hemisphere against any powers on the other side of the world. This was a smart move after withdrawing ties from Europe and Asia. It was a good idea that ended up being very successful for him and Roosevelt ended up with the title of â€Å"traveling salesman for peace.† In such fear of war, Congress passed the Neutrality Acts so as not to be brought into the violence like had been done in WWI. However, Roosevelt later changed these Acts to mean that an arms embargo be established for both Loyalists and rebels. As far as Roosevelt’s foreign policies go, this one was really bad. So scared of war, they basically aided in Franco’s taking over of the republican government of Spain. This in turn led to the strengthening of the European dictators, leading to the second world war. For this reason, Roosevelt’s grade goes down. Then, in 1941, neutrality had its meaning changed again. Really, it was thrown out the window with passing of Lend-Lease Act. The reasoning behind it was very understandable. Arm the other fighting democracies with weapons to defend against Hitler, or allow them to fall and have the U.S. face them alone. Knowing the risk, and after many debates, it was finally approved. It also set up the United States for war production when they did fight. However, the Lend-Lease Act ultimately was what brought them into the war once they had to start using armed Destroyer ships to take them to Britain. Roosevelt’s idea was good, however the consequences were bad. Later in the war, Roosevelt met with Churchill and Stalin for the Teheran Conference. Here, the three agreed upon a plan to attack Germany from the East as well as from the West. This was an incredibly important part of Roosevelt’s foreign policy since it was the beginning of the end for Nazi Germany. The Allies were able to recover France from the Nazis and continue their fight with Germany. Though Roosevelt died a month before V-E Day, his position as Commander in Chief for the past twelve years caused the United States and the Allies to defeat Germany. Though nobody is perfect, Roosevelt was able – through all decisions, good and bad – to stop the Nazis and ultimately save Europe. For these reasons, Roosevelt gets an A as Commander in Chief. Franklin Delano Roosevelt was strong in communicating with the public was well as dictating foreign and domestic policy. For this reason, his party grew during his presidency and so he deserves an A as Chief Party Leader. He started the â€Å"FDR Coalition† for his first term to get votes. Throughout his successes in the beginning, he was able to change many Republicans into Democrats, strengthening the Democratic Party for years to come. In addition, he also aided more Democratic candidates in all areas of government into office. With Roosevelt in office, the party grew both in voters as well as representation in Congress and other branches of government. His role as Chief Party Leader was done well and that is why he gets an A. Franklin Delano Roosevelt came into office at first having to deal with the struggles of the Great Depression. He was then later faced with the challenges of World War II, attempting to protect the United States as well as all Democratic countries from Nazi takeover. Anyone faced with these difficult challenges would have their ups and downs. FDR, on balance, was a good president and gets and overall A for his role as a country symbol, legislative leader, manager of the economy, Global leader, Commander in Chief, and Chief Party Leader. Works Cited Bailey, Thomas Andrew, David M. Kennedy, and Lizabeth Cohen. The American Pageant. Boston: Houghton Mifflin, 1998. Print. Hughes, L. P. â€Å"†FDR AS NATIONAL LEADER†Ã¢â‚¬  Austin Community College – Start Here. Get There. 1999. Web. 06 Apr. 2011. . Mintz, S. â€Å"The First 100 Days.† Digital History. 2007. Web. 01 Apr. 2011. . http://www.digitalhistory.uh.edu/database/article_display.cfm?HHID=468 (80%) http://www.austincc.edu/lpatrick/his2341/fdr.html (shrink 90%, page 4)

ZARA It for Fast Fashion and GAP Research Paper

ZARA It for Fast Fashion and GAP - Research Paper Example Zara Success in Introducing a Disruptive Business Model within the Apparel Manufacturing and Retail Industry Zara has successfully introduced a disruptive business model within the apparel manufacturing and retail industry by its IT leverage in the fashion industry. Its investment into the IT field significantly gives a boosts to its business activities by allowing it to develop its capabilities. Secondly, the application of POS also poses a challenge for Zara business within the industry because it is not availing more time for their management to accurately perform their administration functions. Core Competencies of Zara Zara has various core competencies makes it to compete favorably in the market with other companies producing similar products like them. Their key competencies lie with the resources that are found within the company and which are useful in achieving production within the company. Design g and manufacturing have been the key focus for Zara; therefore, they have a tight a control over their production process. In addition, the numerous partnerships they conduct within their market niche are located near their headquarters and this helps in maintaining a design for their products. Time is also a key competency for Zara because they ensure that their products are produced in a timely manner and are transported by the various intermediaries involved to reach the customer in a timely manner, therefore, serving their needs by availing the products at specific places within the provided time. Zara is also blessed with the capability of producing numerous products at a time; therefore, their products always satisfy the existing demand in the market. Lastly, Zara is always advanced with the changing trends in the fashion industry, therefore, are always on the front to satisfy the different needs of their clients. This builds customer loyalty amongst their client leading to an increase in sales for the products being produced. Characteristics of Zara ’s Target Consumers Groups, Who They Are and Their Behavior Attitudes Zara’s target customer group consist of young of mostly young adults who are price conscious and highly value fashion trends existing in the market. The percentage of their customer group is constituted by women who form more than half of the total customers who visit the shops. Secondly, men who form of a quarter of thee customers with a small fraction of children being customers of the products produced by the company (Hill & Jones, 2010). Unique Consumer Behavior Which Zara Has Been Able To Build In Its Primary Customer Base Zara has been able to build unique customer behaviors by the products and services through their products which they have designed to be fashionable and affordable. Most, customers of Zara prefer products which are trendy while at the same time trendy in appearance. The company has guaranteed this by deciding to cut edge fashion at affordable prices enable their customers to c omfortably purchase their products. Secondly, Zara satisfy their customer behavior of diversity by offering large choice of styles by their products. Being that there are different occasions, Zara’s customers have developed the need to have different clothe types and fashions. By offering large choice of styles of products produced, Zara competently satisfy the existing need in the market through their products and other services. Lastly, Zara’s customers always prefer their products availed at strategic points and Zara has satisfied this gap by

3DCS & 3DMS part A Coursework Example | Topics and Well Written Essays - 1000 words

3DCS & 3DMS part A - Coursework Example development as it seeks to infuse aspirations, develop interpersonal and other required skills and make the employees equipped of the necessary skill set which makes them adept to handle their job responsibilities and grow in their career and life. As stated earlier, relationship between mentor and mentee is more on personal lines than formal based. This is so because it is not dependent on any specific task or outcome and as such, involves many outcomes and learning processes. Some of the key aspects in the mentor and mentee relationship are: Mentor mentee relationship is free from implied or open authority as enjoyed by coaches. This is so because coaches are deputed for some specific outcomes and its achievement is crucial to their training purpose. However, mentoring is a relationship free of power and based on mutual trust and respect as both the mentor and the mentee tend to gain from each other. While a coach can insist on the compliance, a mentee has full rights to decide upon the relationship tenure, intensity and focus. In a nutshell, self-selection is the initiator in the mentor mentee relationship where mentee picks up the mentor as contrasted to coaching where coach selects the trainee. The relation being an open and trusted one, objectivity substitutes subjectivity in the outlook of both the parties. When both of them learn from each other, it is essential that no single entity tries to impose one’s opinion or belief onto the other and provide complete freedom to think and act. A mentor is supposed to advise more than mere telling or commanding. In this light, it is imperative that the mentor is aware and knowledgeable of the best interests of the mentee. This is advantageous to allow the mentee think on exact lines as whatever will be advised by him will be taken seriously by the mentee. Thus, only such advises should be put forth which are sure to be accepted and relevant to the interest and situation for the mentee. Mentoring started off as

Research proposal Essay Example | Topics and Well Written Essays - 250 words - 2

Research proposal - Essay Example In this research proposal, therefore, attentive oral hygiene is a significant part of VAP prevention approach; though there is a difference in the real practice for particular application technique, products utilized, and timing prevent development of VAP. The participants will be ICU adults receiving mechanical ventilation who are in need of regular oral care hygiene. The problem is that there are no definite recommendations in the guidelines about a specific solution to be utilized and the frequency of oral care. A research in an ICU suggest that performing oral care thrice a day with routine tooth brushing minimized the rate of pathogenic bacteria colonization in the oral cavity that resulted in a remarkable reduction in the prevalence of VAP (Ebbing, 2010). In recent studies, use of 2% chlorhexidine solution as the oral care hygiene technique in ventilated patients indicated a lower rate in oropharyngeal colonization with gram-negative bacilli and therefore, a reduction in the de velopment of VAP (Ebbing, 2010). The research topic is ‘what is the most efficient intervention to reduce ventilator associated pneumonia in adult ICU patients; use of antiseptic agent (chlorhexidine) or performing oral care (using toothbrushes or toothpaste)?’ The tooth brushing technique will involve the use of a soft toothbrush to clean the patient’s teeth to reduce plaque. Also, the patient’s gums and tongue will be brushed to stimulate the tissues (Urden, 2014). The use of antiseptic agent chlorhexidine will be performed after a duration of 6 hours, which is a recommendation for patients undergoing mechanical ventilation. In such a case, the patient’s teeth should be cleaned before using chlorhexidine to minimize staining. However, chlorhexidine can be made less active by toothpaste if used within a period of thirty minutes to two hours. Where the two methods may be

A meeting with the security auditor of your firm Essay

A meeting with the security auditor of your firm - Essay Example It is every customers concern to visit and work with an e commerce website that guarantees privacy and confidentiality of the data they feed to the websites (Ghosh 2001). Several site security aspects are of great importance in the safeguarding of customers confidential information. Notably, privacy or confidentiality is the most major concern of every online business transaction. In consideration of the emerging limitations, flaws and risks being posed by current state of internet technologies, a great mistrust and confusion is ranging from the customers engaging in e-commerce. This e-commerce website values this key concern to foster the trust of our customers to our business platform. In view of this the website is designed to safeguard the information given by the consumers of our services and goods away from unauthorized parties. Several measures have been taken to ensure the above endeavor is met. A minimum of six character password has provided with an encryption mode to protect against hacking. Though the transactions are carried out in a public key infrastructure, only the authorized recipient has a private key to access the encrypted data. More over high secrecy will be exercised to secure the private keys from being manipulated by unauthorized persons (Ghosh 2001). Authentication of a customer’s data is another significant aspect which has been considered to secure our online customers. We note the extensive threats being posed to e-commerce through SQL Injection and the Cross-site scripting. These are the major applications being used by cyber crime enthusiasts to enhance vulnerability of e-commerce sites. Objectively, Secure Socket Layer certificate has been installed in the website to ensure the security of all financial information entered by the clients. It is a common issue that the clients will need to use their debit cards, credit cards, pay pal and other payments methods which leaves traces of their vital and personal

Questions Essay Example | Topics and Well Written Essays - 750 words - 3

Questions - Essay Example Policies of the Company were framed from the head office which did not allow for the tailoring of policies to suit the needs of the local regional markets. The framing of decisions from the head office also made the operations of the Company more bureaucratic and customers were less efficiently served. Hence, this decision making framework was not appropriate to serve the complexities of the international environment. The Company has recently recognized this and has reorganized its structure by establishing a regional structure to bring decision making closer to its clients. The decision making structure has been reorganized to give greater decision making power to regional heads. This allows greater client focus and to achieve global product excellence. It allows managers to be receptive to the needs of the regional economies and helps to make the organization leaner and more efficient. The Company has taken steps to reduce the complexity of its business operations and reorganized its internal structure to adapt to its external environment. 2. Hickson et al (1971) have proposed the strategic contingencies theory of intra organizational power. This theory suggests that the extent of power of sub units will be determined by the extent of power they have over contingencies. Every organization is riddled with uncertainties about future events due to the lack of available information. The ability of the subunits to cope effectively with these uncertainties and reduce their impact for other sub units will determine the extent of intra organizational power that they have. When a subunit’s work is linked more pervasively to others in the organization, and when the sub unit is able to respond immediately and affect the activities of others in the organization, it is likely to enjoy a greater power than the other sub-units. In my organization which is a banking conglomerate,

Governance Research and Analysis Paper Example | Topics and Well Written Essays - 3750 words

Governance and Analysis - Research Paper Example The overall increase in the cost can be attributed to the steady rise in the tuition fees, reduction in the buying capacity of the allowance aids sanctioned for the students, shrinking financial plans for higher education of the states, augmenting liability loads for the students and increasing requirements for institutional responsibilities (Meek, Teichler & Kearney, 2009). It is in this context that the augmenting tuition expenses are turning out to be a grave concern, especially for the families with comparatively lesser earning which makes it impossible for them to meet up to the increasing costs. However, in some instances the considerable boosts in the monetary helps provided by the institutions as well as the governments have assisted in alleviating the price rises for few students. This problem needs immediate attention as it might involve grave effects by restricting the right of entry for would-be college scholars focusing on the students with little earnings (Meek, Teichle r & Kearney, 2009). It is worth mentioning in this context that University of Central Florida is one of the well-renowned American Universities that aim to render its students with quality education. Hereby, the main objective of the paper will be to identify the governance policies as well as programs of the University of Central Florida and hence recognize how the governance of this university can assist in resolving the issues faced by it. The impact created by the external environment on the governance procedures and policy measures will also be identified in the discussion further. Governance Policies and Strategies in University of Central Florida The administration, the faculty as well as the staffs of the University of Central Florida (UCF) work in a collaborate manner so that it can offer its staffs with high quality programs, courses, teaching facilities as well as other developmental services to the community. The university’s governance procedures tend to clarify the duties as well as responsibilities of numerous parties such as the administration division, the staffs and the faculties. It is to be mentioned that the Nominating and Governance Committee is employed by the University Of Central Florida Board Of Trustees with the objective to suggest potential candidates suitable for designation as Trustee Emeritus and Honorary Doctor for deliberation by the full board. It further aims at persuading the members of the corporate governance â€Å"best practices† and thus makes suggestions to the Board and its committee members. The governance procedure further creates and suggests the Board with the number as well as structure of the committees. The chairperson of the board is responsible to elect and appoint the members of the committee. The committee is responsible to assess its performance on a continuous basis. The committee also intends to analyze the committee charter yearly and thus contemplate any needed changes with the board in o rder to ensure if the panel has approved or re-approved the charter or not (Board of Trustees, 2012). Furthermore, the university also intends to render the facilities of cost sharing in the context of higher education which means a transfer in the burden related to higher education costs from being borne by the governments i.e. taxpayers to being shared exclusively by parent and students. A shift in the burden of

Employment contract Essay Example for Free

Employment contract Essay To raise a grievance at work the first step would be to talk to your line manager, explain the situation and see if the problem can be solved informally. If, however, the grievance cannot be resolved informally then the issue can be raised formally using the following procedure: Stage 1 Employees may request in writing a formal meeting with the line manager to state the grievance. Where the issue involves the line manager, this request should be made to the manager’s manager (area manager). Grievances should be made as soon as possible and in any event within 3 months of the issue complained about taking place. A hearing will be arranged, normally within 10 working days, for the employee to discuss the issue with the manager. A decision will be made once the matter has been fully investigated and the manager will communicate their response in writing within 5 working days. This should include details of the employee’s right to appeal. Stage 2 If the employee is dissatisfied with the decision then they have received in stage 1 then they can take their grievance further and request in writing a formal meeting under stage 2 of the grievance procedure. This will be conducted by a manager other than the manager that carried out the stage 1 meeting. The employee will receive the decision of this hearing in writing within 5 working days. Stage 3 If the employee is still dissatisfied with the decision then they may appeal in writing to the Chief Executive of the Trust within 10 working days of receipt of the stage 2 decision. A further meeting will take place and the decision will be confirmed in writing within 5 working days of the hearing. The decision at stage 3 of the procedure is final, in so far as the Trusts internal procedures are concerned. Bv 1. Data Protection All confidential information should be kept secure by employees in order to protect customers and their families. Confidential information (e.g. customer support plans, support notes and medication administration forms) must not be left in a place where non-authorised individuals may view it. Data should not be passed on to anyone without the consent of the customer or their next of kin. 2. Grievance Any grievances should be reported to the line manager to try to resolve the issue informally. If, however, it is not resolved at this level then there is a grievance procedure in place which enables employees to pursue the matter formally. 3. Conflict Management If employees have a problem with another member of staff and it cannot be resolved between themselves then they should contact their line manager for assistance with resolving the issue. If the conflict involves the line manager or if the employee feels that they are not receiving adequate support then they should report to the area manager. 4. Anti-discriminatory Practice All employees are expected to act with dignity and respect towards each person’s individual beliefs and identity. Customers, accessing Oaklea care and support services, should not be treated less favourably based on their; age, sex, disability, race, religion or belief, sexual orientation, marital status or pregnancy/maternity or gender. 5. Health Safety All employees have personal responsibility in ensuring their own and others health, safety, and welfare at work. We are required to read and apply organisational policies and procedures regarding health and safety, undertake necessary training, wear personal protective equipment (PPE) provided, use safety equipment and safety devices where required and report any hazardous conditions to the line manager or Health and Safety Officer. 6. Confidentiality All information concerning customers and/or their families must be treated  with the upmost respect and all employees have an obligation to protect this information. Confidential information must not be disclosed to a third party either formally or informally (gossip). The sharing of information may be necessary for continuation of good care and support of customers (e.g. between other employees or professions). If employees are asked to disclose information about a customer and are concerned that doing so may breach confidentiality then clarification should be sought via the line manager. 7. Whistle blowing If employees need to raise concern about a risk, malpractice or wrongdoing that affects others such as customers, other staff members, the company or the public then the company’s whistleblowing procedure should be followed. The first stage of this procedure would be to raise concerns with the employee’s line manager either in writing or through a meeting. If the issue involves the line manager or if the employee has already raised their [emailprotected] ?U: concerns with the line manager and feel that they have not been adequately addressed then the second stage of the procedure should be followed. At this stage, issues may be raised either in writing or through a meeting with a Director. If stage 2 has been undertaken and the employees concerns are unresolved or if they feel that the matter is so serious that it should be investigated by the Chief Executive immediately then concerns should be raised either in writing or via a meeting. Any employee raising concerns under the whistleblowing procedure has the right to remain anonymous. Bvi As a Community Home Carer, my role is to provide individualized care and support to people with social care needs so that they may continue to live in their homes and in the community. A care plan is in place for each customer that explains their specific needs and what care they require from us. My duties/responsibilities may include: Assisting customers with washing, bathing, personal hygiene, dressing, toileting, continence and catheter care. Meal and drink preparation and help with feeding where necessary. Helping customers to comply with their prescribed medication and fill out Medication Administration Records (MAR). Supporting customers  with cleaning, laundry, shopping and other household duties as required. Helping customers with mobility skills, transferring them safely where required (e.g. from bed to chair) and helping them to use aids and personal equipment. Providing end of life care. Documenting the care given at each visit in the Daily Support Notes (DSN). Liaising with other carers and health care professionals to ensure continuity of care. By carrying out these duties to a high standard and conforming to all policies, procedures and guidelines, customers will receive a quality service that will help them to maintain as much independence as possible in a safe environment within their own homes. The safeguarding carried out by carers is essential in protecting the health, wellbeing and human rights of vulnerable adults, and ensures that they live free from harm, abuse and neglect. It is our duty to report any safeguarding concerns to the appropriate person(s) so that action may be taken to protect the wellbeing of service users. Bvii a) Following best practice within my work role helps to safeguard vulnerable adults living in the community and ensures that they receive a quality service that promotes health and wellbeing. It is important that I stay within my job role, follow policies and procedures, keep up to date with changes in policies and legislation and keep up to date with training to develop my skills in the workplace. It is also important to work as part of a team, passing on skills where necessary (e.g. to new staff members) and gaining feedback from colleagues. Good communication skills are essential between team members and other professions involved in the care of the service user as this enables continuity of care. b) Failing to carry out the requirements of my role by not following policies, procedures and legislation and not complying with regulatory bodies endangers the health and wellbeing of service users and may put other team members at risk. Not following manual handling procedures, for example, would put me and the service user at risk of injury and not wearing personal protective equipment  when necessary may put me and others at risk of infection. Poor practice may also result in complaints from service users, disciplinary action and in severe cases it may lead to me losing my job, being prosecuted and/or prevented from working in the health and social care setting. Bviii As a Community Home Carer I must follow best practice within my work role and work to the company policies and procedures that mirror laws and legislation. There are also external factors which influence the standards that I must adhere to in my work such as the Care Quality Commission (CQC) essential standards, Skills for Care’s Common Induction Standards (CIS) which are the standards people working in health social care need to meet before they can safely work unsupervised (e.g. manual handling, first aid, health and safety training), the Health and Care Professions Council (HCPC) codes of practice and ADASS’ ‘Safeguarding Adults: A National Framework of Standards for good practice and outcomes in adult protection work’, which sets out a framework of best practice standards. Government initiatives also have an influence on the roles of carers such as ‘Our Care, Our Health Our Say’ which sets out policy goals to make health and social care ser vices that are designed around the patient rather than the needs of the patient being forced to fit around the service already provided. ‘Putting People First’ also aims for a personalised approach to the delivery of adult social care. Bix a) Two different representative bodies which influence my area of work are the care quality commission and the health and care professions council. b) The role of the care quality commission (CQC) is to regulate, inspect and review all adult health and social care services in the public, private and voluntary sectors in England and make sure that they are meeting national standards. These services include hospitals, care homes, GPs, dentists and services in the home (e.g. home carers). The Health and Care Professions Council (HCPC) are a regulatory body set up to protect the public by keeping a register of health and care professionals that meet their standards for training, professional skills, behaviour and health. If professionals fail  to meet these standards then they may be removed from the register and prevented from practicing. The HCPC replaced the General Social Care Council (GSCC) which was abolished in 2012.

Search for my Tongue Essay Example for Free

Search for my Tongue Essay Sujata Bhatt tells us about the difficulties that she has speaking with a new tongue when her old tongue starts to rot away in her mouth with her new tongue pushing it out of the way and trying to take over. Your mother tongue would rot, rot and die in your mouth until you had to spit it out. This means the author has stucked between two languages and the new language (English) is making her lose mother tongue (Gujarati). Having two tongues this poet feels that she is totally confused and makes her to forget her mother tongue while she speaks English. She also tried to think and dream both languages at the same time but she couldnt. She has dreamt in Gujarati and transliterated into English. At the end of the poem her feelings changes a bit because she describes over the night her confidence grows back even stronger than before, but while she dreams it grows back, stump of a shoot grows longer, grows moist, grows strong veins, it tries the other tongue in knots. This means she highlights the difficulties being part of two cultures. The dominant culture is always the mother tongue (her Gujarati culture is always the influences of the American lifestyle). The shape of the poem has divided into three parts:  ? First part of the poem explains her conflict with loosing her  mother tongue and learning a new foreign tongue.  ? Second part of the poem is written in Gujarati (mother tongue) and explains her fear of loosing her identity.  ? Third part of the poem is translated in to English and focuses on her determination to retain her Gujarati culture. The poet includes the Gujarati as an indication of the strong link between language and culture. This shows us that she tries to use the both languages at the same time in her dreams. The central part of the poem is looks different because it has written in Gujarati and transliterated into English. I think the poet included this Gujerati script and its phonetic prescutation underneath as an indication of the strong link between language and culture and possible to you to realise how difficult it would be in a foreign country and speaking in a foreign language.  Fundamentally, one image links this whole poem is that a flower. She compares her mother tongue to a flower that grows (a symbol of beauty and life), like a flower grows the foreign language also grows but her mother tongue is stronger eventually. This is called Extended Metaphor. I think the poet used this extended metaphor in order to compare the differences and influences of two languages. The list below describes some of the ways in which her mother tongue is compared to a plant. The poet uses both negative and positive images in describing her mother tongue. Sujata Bahatt thinks that foreign tongue has most powerful effect than Gujarati but Gujarati culture overcomes the influences of the American style and still makes the mother tongue strong.  In conclusion, I believe that I have learnt a lot about the culture and traditions of an immigrant. The writer feels that she has confused in between two languages. She feels her mother tongue is being lost in her mouth and foreign tongue is becoming more frequently used, this is making her uncomfortable. At the end of the poem, I feel that she gives us an inside view of what it must feel like to be in a foreign country and speaking in a foreign language.