The three stages of Law Enforcement in Texas (State, Local, and Essay

The three stages of Law Enforcement in Texas (State, Local, and Federal) - Essay Example The Constitution allows that the state can come up with any laws they wish, provided they do not violate the constitution. Federal organization normally works within the jurisdiction, which is within the limits of a given country. Federal law enforcement agency may not enforce the law within the smaller jurisdiction, such as a state, as well as, a country, though they can help other organizations by giving out information to them. As a common rule, federal law enforcement organization have the mandate to act when federal laws are not adhered, the federal asset is involved, or when the federal law gives federal agents own mandate to act in a specific legal area or field. At the same time, it is possible for federal organization to enforce state or local laws. They, therefore, exercise their mandate everywhere in the United States when need arises. The responsibilities of federal agency differ from one country to another. These tasks include the response to policing of airports, fraud against the country, the protection of designated national infrastructure, immigration as well as border control regarding individuals and assets, the investigation of currency counterfeiting, national security and guarding the country’s head of state, as well as, other significant dignitaries.... They do not implement their jurisdiction at divisional level. However, they can exercise this when exceptional arrangements between federal and divisional governing bodies are organized. An example of such a federal organization is the Federal Bureau of Investigation (FBI). Another body is the Federal Protective Service (FPS), which is one of the organizations found in the U.S. Division of Homeland Security. The Division is responsible for law enforcement and the security of about 9,000 federal owned buildings, courthouses and assets. The FPS is deployed for national security events on terrorist attacks, as well as, natural disaster management in the U.S. The U.S. has a well-organized system of law enforcement, and it is reflected in its federal organizations. Federal agencies normally enforce laws that lie within their jurisdictions and areas of duty; therefore, they have limited police tasks. This means certain federal agencies deal with crimes, no matter the place they have occurr ed. For instance, the FBI that has its own primary investigative functions deal with kidnapping cases in the U.S. The agency is the largest of all federal law enforcement organizations (Carter 116). The agency has divided its investigation into several programs, which include domestic and international terrorism, foreign counterintelligence, public corruption, civil right, cyber, organized crime drugs, white-collar crime, applicant matters and violent crimes. A good number of FBI findings are carried out in collaboration with several other law enforcement agencies. The FBI has always believed that working with other agencies is the main tool for effective law enforcement. They usually cooperate and work

Hybrid electric vehicle Essay Example for Free

Hybrid electric vehicle Essay Product: The #1 selling hybrid is the Toyota Prius Hybrid. Toyota is already on its third generation of the Prius. The gas/electric Prius hybrid retains its lock on this category for the fifth straight year. Despite lots of new hybrid models, the Toyota Prius 44 mpg (overall) is still the best in any five-passenger car. The interior is roomy and versatile, and the Prius has proven to be very reliable. Other Hybrid cars include the Honda Insight Hybrid, Toyota Camry Hybrid; SUV’s include the Ford Escape Hybrid and the Chevrolet Equinox Hybrid. Luxury SUV’s included the Cadillac Escalade Hybrid and Lexus RX 400h. Current hybrid cars can get up to 60 miles to the gallon on the highway. In addition to fuel economy, they boast lower emissions and depreciation than gasoline-powered cars. Environmentalists embrace hybrid cars as a solution to todays pollution problems. Despite tough economic times and a shrinking US vehicle market, demand for hybrids continues to outpace the overall market. Price: The 2010 Toyota Hybrid price ranges from $22,800 $28,070. Toyota sold 271 of its $US38, 000 Prius cars in China last year. Overall passenger-car sales in the nation totaled 10. 3 million. Hybrid sales; as a percentage of all new car sales—are likely to remain flat from 2008 levels at about 2. 5 percent. But considering the overall car market is shrinking in 2009, the total number of hybrid sales will drop to about 250,000. The Toyota Prius the third-generation version that debuted in January; will continue to be the biggest seller. Compared to the Prius, the Honda Insight Hybrid price is $19,800 $23,100. And the Toyota Camry hybrid sells for $26,400. Demand for good is elastic: The Toyota Prius Hybrid would be very elastic because we dont have to buy that brand of car we have lots of substitutes such as the Honda Insight Hybrid or Ford Escape Hybrid. Determinants of Demand: 1. Substitutes (814,173 Toyota Prius units registered by December 2009) †¢Conventional cars, public transportation, trains †¢Only 7 percent of Americans take public transportation to work †¢Higher gas prices will help hybrid car sales †¢The 2009 Honda Insight, a compact which emphasizes affordability. The Honda Insight, billed as the cheapest gasoline-electric hybrid on the market, ranked as the top-selling vehicle in Japan for April 2009 2. Overseas Markets: The Prius first went on sale in Japan in 1997, making it the first mass-produced hybrid vehicle. It was subsequently introduced worldwide in 2001. The Prius is sold in more than 40 countries and regions, with its largest markets being those of Japan and North America. In May 2008, global cumulative Prius sales reached the milestone 1 million vehicle mark, and by early 2010, the Prius reached worldwide cumulative sales of 1. 6 million units. As the global top seller market, the U. S. made up more than half the Prius sold worldwide, with 814,173 units registered by December 2009. In Japan, it is reported that Toyota cut the price of Prius from 2. 331 million yen to 2. 05 million yen to compete with Honda Insight. Toyotas goal is to sell about 400,000 units annually around the globe and 180,000 units in the U. S. by 2010. 3. Income: Hybrid drivers have higher income, much higher than the average car buyer. In 2004, J. D. Power reported that hybrid owner incomes are $100,000 a year versus $85,000 a year for the average buyer. In a 2007 survey of 118 Prius drivers by Topline Strategy Group, 71 percent of respondents earned more than $100,000 per year. 4. Demographics: Hybrid drivers are a few years older than the average car buyer—closer to 50 rather than the average age of 40. J. D. Power’s 2007 review of auto industry marketing showed that only 2 percent of hybrid owners are 24 or younger; while 29 percent are between 45 and 54; and 33 percent are 55 and older. The 2007 Scarborough Research pegged the number of age 50+ hybrid drivers at 23 percent. 5. Consumer Preference: demand and gas prices for the most popular hybrid and best-known fuel-efficient compact car, the only U. S. model to exclusively offer every trim as a hybrid: the Toyota Prius. Prius leads the compact car segment in share of segment interest. The compact car segment has grown from 26% of the market in July of 2007 (peak summer gas prices) to over 33% today. 6. Convenience: Efficiency Hybrid cars are electrically operated and are thus able to function well and consistently at any motor speed. This is in contrast to conventional gas-powered engines, which tend to produce less power in low revolutions per minute episodes. Hybrid cars do not need to use transmissions to make their engines run at full capacity even at reduced speeds. Economy One of the advantages of hybrid cars is that the feature called regenerative braking. Since a hybrid car works using both electric power and fuel power, each can function by itself or conjunction, depending on which is stronger at the time of use. This means that both engines complement each other and do not simply bog one when one of them becomes weaker. Convenience Because hybrid cars are part battery powered, they do not create huge holes on the pocket, compares to users of traditional cars who feel the pain of the continuing oil price increases. Determinants of Supply: 1. Resource Prices: In 2008, when oil hit $147 a barrel and the price of gasoline exceeded $4 a gallon, US buyers made a massive shift away from large SUVs to small fuel-efficient cars and hybrids. But US consumers returned to larger vehicles, and driving more miles, when prices dropped. The return of triple-digit oil prices is expected to bring renewed interest in the most fuel-efficient vehicles on the market, such as hybrids and plug-in vehicles expected in late 2010. The percentage of hybrids COMPARED to auto sales is seen in the graph below. 2. Technological Changes: The varieties of hybrid electric designs can be differentiated by the structure of the hybrid vehicle drivetrain, the fuel type, and the mode of operation. In 2007, several automobile manufacturers announced that future vehicles will use aspects of hybrid electric technology to reduce fuel consumption without the use of the hybrid drivetrain. Regenerative braking can be used to recapture energy and stored to power electrical accessories, such as air conditioning. Shutting down the engine at idle can also be used to reduce fuel consumption and reduce emissions without the addition of a hybrid drivetrain. In both cases, some of the advantages of hybrid electric technology are gained while additional cost and weight may be limited to the addition of larger batteries and starter motors. 3. Labor Costs: Most experts agree a replacement hybrid car battery can range anywhere from $1,000 to more than $6,000, depending on the year and model of car, and without including dealership or independent labor costs. While this may seem like a big expense, car makers are set on reducing prices. Basically, car manufacturers want their products to succeed. Failures in performance hinder that success, so most hybrid car batteries are designed to last the lifetime of the automobile. The state of charge, temperature and longevity in each battery are carefully managed by automakers who know full well that any setback could throw a wrench into the growth of the still relatively nascent hybrid market. 4. Producer Expectations: Toyota Motor Corp. will invest in two U. S. plants to keep up with the growing demand for its eco-friendly stalwart. This is a major step for Toyota’s overall goal to reach 1 million hybrid vehicles annually for the global marketplace. It aims to hit this number within the next five to seven years. Honda has also ramped up its green car plans with an affordable small hybrid expected for next year. The carmaker forecasts annual global sales in the 200,000 unit range, with half of those sales coming from the United States. Honda is striving to elevate its total global hybrid output number to 500,000, a significant boost over the 55,000 cars it produced in 2007. If-Then 1. If the price of gasoline increases then the demand of hybrid cars will increase 2. If the Toyota Prius Hybrid remains at #1, then other Hybrid automakers like Honda and Ford will have a decrease in Hybrid sales. 3. If the price of Hybrid cars increases, the demand will decrease. 4. If U. S income increases, Hybrid sales may increase for better fuel efficiency. Elasticity Estimates: 1. As demand increases for hybrid cars, the technology should become more affordable, especially for subsequent model years. While it is unlikely that prices will decrease dramatically, prices probably will not increase either, as the cars will become more efficient to build. This will, in the long run, lead to more affordable hybrid cars. In the end, affordable hybrid vehicles could provide a big boost to the ailing automobile industry. 2. Higher production volumes may lead to lower hybrid vehicle costs and prices. Every little bit of supply will be needed with hybrids becoming hot sellers. In the past automakers had limited supply with the increase of demand, but since there are so many automakers who make hybrids, supply is no longer an issue. It is much easier now to find the Toyota Prius versus in 2007. Supply and Demand Curves Incomes increase The price of gasoline decreases The graph below demonstrates the Hybrid market, car market, petrol market and the oil market. Market Structure: The automobile industry in the United States is an oligopoly because only six firms (General Motors, Ford, Chrysler, Honda, Toyota, and Nissan) account for almost 90% of U. S. Automobile sales. Barriers to Entry: The recent economic crisis has provided an impetus to a massive structural change in the auto industry, setting the stage for growth over the next decade. Given the high barriers to entry and the need for scale economies, the global auto industry landscape is expected to be ruled by global automakers and suppliers based in the six major auto markets – China, India, Japan, Korea, Western Europe and the U. S. Foreign Competition: In the world of hybrid cars, there is Toyota and everybody else when it comes to sales. Toyota sold 195,545 hybrids in the US in 2009, largely led by 139,682 Prius hybrid sales. Still, even without the Prius, Toyota still sold significantly more hybrids than did either Ford or Honda. The Toyota Prius II hybrid has the highest fuel economy of any comparable hybrid model. The Toyota Prius II hybrid gets 51 miles per gallon in the city and 48 miles per gallon on the highway. This far exceeds its competition, the Honda Insight, which gets 40/43 miles per gallon city and highway, and the Honda Civic hybrid, which gets 40/45 city and highway. The MSRP for the Toyota Prius II is $23,150, which is about a little more than $2,000 higher than the Honda Insight but about $1,000 lower than the Honda Civic hybrid. Government: The purchase of hybrid electric cars qualifies for a federal income tax credit up to $3,150 on the purchasers Federal income taxes. The tax credit is to be phased out two calendar quarters after the manufacturer reaches 60,000 new cars sold in the following manner: it will be reduced to 50% ($1700) if delivered in either the third or fourth quarter after the threshold is reached, to 25% ($850) in the fifth and sixth quarters, and 0% thereafter. Hybrid Tax Credit (bill): AB 174/SB 90 would create an income and franchise tax credit of up to $1,000 for the amount of sales and use tax paid on the purchase or lease of a hybrid vehicle that has an EPA rating of at least 40 mpg or an EPA rating that is at least 15 percent greater than the same non-hybrid model. The credit may be claimed for sales and use tax paid during the 2007 to 2011 taxable years. The senate bill would extend the credit to the purchase or lease of flex-fuel vehicles that are E85 capable. Introduced and referred to committee 03/12/07. Failed to pass before the end of the legislative session. Sources: http://online. wsj. com/mdc/public/page/2_3022-autosales. html#autosalesD http://en. wikipedia. org/wiki/Toyota_Prius http://www. hybridcars. com/hybrid-drivers/profile-of-hybrid-drivers. html http://www. hybridcars. com/frontpage http://www. hybrid-car. org/ http://go. ucsusa. org/hybridcenter/incentives. cfm#WI http://en. wikipedia. org/wiki/Hybrid_tax_credit http://en. wikipedia. org/wiki/Hybrid_electric_vehicle.

Major Health Issues Community Health And Social Care Essay

Major Health Issues Community Health And Social Care Essay The Klinefelters Support Group endeavors to afford the community, doctors and nurses with information about Klinefelters syndrome. It offers resource material, information and support about the syndrome to affected persons and families in Western Australia. This paper aims to outline the concept of community in the context of the Klinefelters Support Group and its related characteristics. A community is not just a group of people bounded by geographical boundaries; it also includes people brought together by religion, lifestyles, hobby and interests among other common interests, goals and concerns. The Klinefelter Support Group members have been brought together by common interests. The author used the community health assessment tool (Clarke, 1992) to collect necessary information related to the chosen community in terms of health status and the surrounding environment. Information from Government and related heath websites were used to verify the number of people affected by relate d health problems around Western Australia. The communitys health problems exhibited by the majority of people within the Klinefelter Support Group were prioritized as Klinefelter Syndrome. The community assessment report focuses on the interests, goals and concerns of the members. Concept of Community The community concept has a wide range of definitions. Bartle (2007) argued that the concept does not necessarily denote a physical location; however, it is demarcated by a group of people who share a common interest (par. 6). A community refers to a group of people who share common characteristics like gender, age, race, religion, culture, place, vulnerability and interests (McMurray, 2007, p. 6). A community may be characterized by one or more of the common characteristics. Bartle (2007) argued that the concept of community accrues from having something in common that is a common interest, place and distinction (par. 19). It is full of conflicts, struggles and factions based on differences in religion, access to wealth, class, educational level, language, ownership of capital, gender and many other factors (Bartle, 2007, par. 46). McMurray (2007) also states that each member of a community influences the other members, sharing knowledge and life skills or simply companionship (p.6) . The definition of community will be the following: a group of people, who share commonalities, who interact with one another and who function as one within a related social structure to address common concerns, as it fits well with the Klinefelter group. How the Klinefelters group acts in accordance with the distinctiveness of chosen concept In this case, the chosen respondents under study fulfill the chosen concept of community by having the following related characteristics; it has twelve members who have the Klinefelter Syndrome or whose relative has the Klinefelter Syndrome. Ten of the target groups are male, two are females, their ages range from 14 to 75 years. Through talking to every individual these people mentioned out that they were affected by the Klinefelter Syndrome and that is the reason why they decided to join the group of their interest. The members are persons with the condition, parents of a child, family member of person with the condition and medical professionals. Most of them outlined the reasons why they go and meet at the Shetland Drive premises as a socializing agent, creating friendship, getting some education on how to take good care of their health. They do all these under supervision of the medical professionals. This community resides in places called Henry Brook WA. However, they meet at Shetland Drive center on Fridays and Saturdays for about 5 hours daily, they do that as to create friendship, share about any challenges regarding their health issues they face when they are at their individual places and sharing on their likes, play games and engage in some exercises under the supervision of medical professionals. Relationship between the major health issues of the community under study and the chosen concept of community. With the assistance of Clarks assessment tool, the author was able to gather all the information related to the communitys major health problems. Surprisingly all the twelve people who were interviewed through the questionnaire suffered from Klinefelter Syndrome or their relatives had the syndrome. However, they outlined that is the reason why they meet together to interact and share their problems. And with the help of health professionals they get some education and related therapies as the health professionals continue holding health promotion to try and alleviate or reduce the health problems they are experiencing. Identifying and justifying preference of the tool used for assessment The researcher used Clarkes assessment tool (1992). The tool fulfills its requirements as it guide in collecting useful information related specific study questions. Beck, (2006), pointed out that health assessment tools are used as they have been tested and proven as reliable, systematic and broad (p. 20). This tool has specific questions relating to the target group, physical and social environments, consumption patterns, occupation, leisure pursuits and health services. Methodology Quantitative and Qualitative methods and data collection The researcher used Klinefelter articles and pamphlets, which were at Shetland drive to acquire some qualitative information about the aim of that community. However, data that was more detailed was collected from each individual related to their own health status. Clarkes tool, (1992) was used as an open-ended questionnaire to collect all the subjective information relating to the members. Moreover, the researcher used objective data to add on the data. Quantitative data from Australian Bureau of statistics and Australian government were used to verify the number of people affected by the Klinefelter Syndrome. Verification of Subjective Data Subjective data was verified through use the community members records kept by the health professionals who supervise them. The records verified all the information as correct. Also responds on above confirmed prevalence of issue, which is associated with persons with the syndrome. RESULTS -COMMUNITY ASSESSMENT DATA Human biology Description of the chosen Community using Epidemiological data; According to Bojesen Gravholt (2009, p. 624) Table: 1 Henley Brook Population Profile Total population of Henley Brook 3953 100% Population of 65 and over 6 0.52% In 2009, 0.52 % of the entire population had the Klinefelter Syndrome. The results show that out of every 650 men, one man had the syndrome. Physical Environment Klinefelters Support Group is located in Henley Brook, Western Australia. It is surrounded by residential buildings and situated at 14 Shetland Drive. All the community members live in different places in Western Australia such as Bunbury, Fremantle, Mandurah, Perth and Geraldton. Psychological Environment Psychological environment has been defined as the interrelation between the environments and human behavior ((Issel, 2004, p. 77). Through using Clark, 1992 tool, and the author has found that nearly every member of the understudy community stated that, they suffer from Klinefelter Syndrome. Moreover, members of the community mention that, it is the reason why they choose to join Klinefelters Support Group. They said that the group provides them with appropriate and comfortable place to relax and socialize as a way of avoiding and reducing stresses they face in their day-to-day lives as they share with people who have been affected by the same condition. It was noted through the clients medical records that all of them were under the syndrome medication. The condition was prevalent in people of all ages from young people of 14 years to middle aged people to old people. The male demonstrated breast enlargement, testicular failure and inability to produce sperms. Most of them were depr essed when alone and they argued. The syndrome was a basis of much personal anguish, unceasing morbidity and financial costs. According to Frisch Frisch (2009), in addition to biological determinants, the quality of familial and marital relationships and other social support networks also play important roles in the occurrence and outcome of the syndrome (, p. 4). Social Environment There is a lot of support from the counselors. Infertility counseling is accessible for men coming to terms with barrenness and the way it affect them and their partners. Some of the middle-aged men had lost their spouses since they could not make them. They stated that they feel so lonely and socially isolated when they are in their own homes without the spouses. Those with children who had the condition were scared because their children would go through the same fate. They only tend to socialize and learn new things from each other through meeting at their community center. However, they were all educated and had good jobs before they joined Klinefelters Support Group. They did not have any other problems but viewed the syndrome as a major problem. The members of the community understudy stated that they depend on their salary, benefits, savings as well as some government benefits from Centre link to support their daily needs. Consumption The members of the community stated that they usually try to eat healthy and balanced diet and revealed that they take some medications to boost their hormones. They said that adults and teenager are mostly driven to suicide by the syndrome because they do not know how to cope with the symptoms. Since the group started, none of the community members has committed suicide or given up on life. The community mentioned out that they really like to do some exercises and socialize that are the reasons they belong to Klinefelters Group. The group is fully equipped with medical experts to help the community fulfill their goals. None of the community members complained about any after effects from doing exercises. Occupation Some of the group members are teenagers and are still in schools. Their parents however work and provide for all their needs and thus considered by the group. The middle aged affected by the disease worked whereas some of the members are already retired. Most of them mentioned that they were involved in volunteer work. (Personal contact 25 April 2011) Leisure Pursuits Klinefelters Support Group is close to numerous recreational places and apparently, the community members did mention that they occasionally spend their time relaxing and talking with the other members and health professionals. The health professionals verified that, they do visit certain parks to play games, and engage in some simple exercises as to promote individuals wellbeing, form friendships and enhance their self-perception. Moreover, most of the community members regarded telling stories as their constant leisure activity. (Personal contact 25 April 2011). Health Services The community has easy access to health care services. The members attend different hospitals in their localities. However, the community does have a group of health professionals as been stated earlier, which include the health professionals such as doctors and nurses to help with day-to-day health issues. The community mentioned that they normally fund their health care although they had been soliciting for funds from the ministry of health. Moreover, the community members stated that they get some prescribed medications at a reduced price. The PBS (Pharmaceutical Benefits Scheme) schedule states that the holders of a pensioner card and seniors health card are authorized to receive subsided medications at low price (Australian department of health in aging, 2010). Community perception of health One of the members of the community stated that, he feels much better since he joined Klinefelters Support Group. He mentioned out that, he had been so lonely before with no one to talk to, and share his health problems with before he joined the group (Mr. M. personal contact on 25 April 2011). Moreover, other members of the community stated that, they have improved so much in the level of knowledge about their health conditions and how well to take control. For example, they mentioned out that they now know more about the syndrome that they initially did before they joined the group. They even went on to say that, they have come up with certain strategies to overcome stressful situations and move on. Most of the members in this community showed that they have optimistic minds towards their condition. They told the researcher that they are very keen to understand more about their health problems and the way to manage and deal with syndrome. All the members mentioned that they do enjo y each others company, participating in all therapeutic programs such as hand therapies and games, Garden activity. Most of them mentioned that the activities they carried out in the center assist in enhancing memory skills, improving health and assist them in living a stress free life. (Personal contact on 25 April 2011). Excessively, all the members stated that they feel much better now since they joined the Klinefelters Support Group. They rated their health as individually 6/10, 7/10, 9/10, and 8/10. ANALYSIS OF DATA According to Community data, one of the strength of the community is easy access to the health services in main areas of the city. The community can access the Primary Health care services easily. The community benefits by getting prevention of certain diseases that comes with the syndrome, early diagnosis and treatment of some of those diseases. Moreover, community benefit from various recreational places as it offers them with a conducive place to meet and relax. Thus, it is also strength as the community benefit from this local government belonging as they can access social network. Every feature above is a benefit to the lives of people living Western Australia and the community under study in one way or the other. Of the twelve community members, three mentioned that they were employees of one of the above-mentioned organizations or features. Thus, it is strength to the community as there is provision of jobs within the City. Moreover, there is community networking and it is str ength as the members mentioned that they contact one another in case if one of them is in trouble, or is having coping problems. The members have access to Internet and telephone networks from their homes, which enable them to interact frequently. Application of Social Determinants of health This is the interpretation and analysis the above community assessment data to find out how social determinants influences on communitys health. Immigrants health needs are very complex and wide-ranging, especially given the diversity in background socioeconomic status, ethnicity, geography and culture. Social determinants of health are the conditions in which people are born, grow, live, work, including the health system (Chapman et. al, 2008, p. 68). The social determinants of health are mostly responsible for health inequities and they include the social gradient, housing, education, work, unemployment, social support, health services, food and transport (Chapman et. al, 2008, p. 160) The researcher is going to explain how social determinants are influencing the communitys health. The community understudy mentioned that some of them are in schools; others are employed while some have already retired and now enjoying their superannuation benefits and some center link benefits. Thos e employed mentioned that they earn good household income ranging from $2000 to $3000 weekly. They mentioned that they could eat good balanced diet but they were lonely and socially isolated which contributed other health issues such as depression, stress and even suicidal thoughts etc. This shows how social gradient has influence on the communities health. The members also stated they own their own accommodation such as houses, thus there is no poverty and there is less spread of communicable diseases within the members. Moreover, education is another social determinant of health found in this community, however, the community holds high educational qualifications, which are represented by the knowledge, and understanding of their own problems and knowing how to overcome them. In addition, the locality has a lot of schools and Universities showing the availability and easy access of education in the community. Many social support networks are available for the community and they re ally support and recommend Klinefelters Support Group, where the members create friendships, socialize and share their problems. Thus, this enables reduction in the levels of life stresses, which causes suicidal thought, depression and stress. Moreover, many health services from hospitals are also available nearby and thus enable the community to get medication and to be attended to and diagnosed early in case of any emergency of health problem. The community is very aware of preventative measures of health for example by making use of particular medications that have to do with the syndrome. Lastly, easy access to transport helps the community to get wherever they need to be on time. For instance, medical centers and it really saves peoples lives and further health complications as the community will be able to reach to related places on time. According to the demography and subjective data, the physical environment of the locality notably their road infrastructures, dwellings, com munity services and facilities are adequate and modern to support its consumers. These infrastructures and accommodation are very much important to keep their social life fit and healthy. Their high socioeconomic status due to employment, high educational level and diverse backgrounds may influence their consumption patterns. They maintain basic living standards but when they have special health care needs, such as specialist treatment services or elective surgery, which are excluded from Medicare or schedule surgery, which most of them can afford. In addition, social exclusion resulting from the condition could prevent the members from participating in education or training and gaining access to health services and other activities, which could be socially and psychologically damaging and harmful to health (Wilkinson Marmont, 2003, p. 16). The transport services, Internet facilities and telecommunication are sufficient according to their needs. Application of primary healthcare principles in the community Primary health care has been explained as the initial care to the problem (McMurray, 2007, p. 41). The main aim of this care is to provide and improve initial health for the community and the whole society at large (McMurray, 2007, p. 41). Primary health care includes principals such as equity, appropriate technology, accessibility, intersectional collaboration, increased emphasis on health support, public contribution, and empowerment (McMurray, 2007). The researcher is going to apply these health care principles to the community understudy. Equity The community understudy does not choose on who should join the group, but it is a program for all the residents of Western Australia who suffer from the Klinefelters condition. It does provide many services to its members, such as exercises, dancing, hand therapy, games and health education on how to cope with life. It provides equal distribution of care to all the members regardless of race, age, language and functional capacity (McMurray, 2007, p. 37). The community provides transportation and free medication. Appropriate technology The main aim of technology is to improve the health status of the community. The community has an intranet database system in which all the health professionals keep information about the patients. In addition, the community members information is all collected and imputed into the communitys computer system. Moreover, all the community members have access to mobile phones and Internet at their homes for communication purposes with their families, community members and their health professionals for any appointments and arrangements. The community has big television and radio to ensure the community is up to date with what is happening in the world and to provide relaxing music to the stressed ones. In addition, the health professionals make use of stethoscopes, and other medical equipments need to check members vital signs if required. McMurray (2007, p. 38) mentioned out that although technological advances have helped health status improves over the years. Issues such as abortion, IVF and organ harvesting have raised serious ethical questions (McMurray, 2007, p. 38). Accessibility McMurray (2007) stresses the importance of equal access of all people to health services in helping eliminate disadvantage (p. 37). Health opportunities should be available to all despite their ethnic, financial and geographical status. The weakness of this community is that members fund their own hospital expenses and the group does not offer much help because of limited resources, members normally fund the group to keep it going. However, the community center is situated at a central point such that its members will be able to access it easily. The community center caters for the health care professionals who ask for very small salaries in order to assist the community cope well with the syndrome. Intersectoral Collaboration This involves the cooperation of different service providers to provide the needs of the community (McMurray, 2007, p. 88). In the community understudy, intersectoral collaboration is established by the availability and cooperation of doctors and nurses from different hospitals and who assist in providing related care to the members. The community has got other staff members DSW (disability worker supporter) who do work in the kitchen to provide meals for the members during their meeting times, clerks, and administration personal. These also work in hand with the all the above-mentioned health professionals to provide the required essential care. Increased emphasis on health promotion This refers to the process of allowing people to acquire more control and boost their healthiness (WHO, as cited in McMurray, 2007, p. 39). McMurray, (2007) also states that health promotion empowers people to take charge and boost their own healthiness and is vital for health professionals (p.39). Health professionals fully involve clients in their health care by continuously educating them on their medical conditions and how well to continue taking good care of them self. In the community center, many various pamphlets and articles cover education on the Klinefelters condition such as hand washing, immunizations, The health professionals under supervision mentioned out that, they do present on a certain health topic and its management each week. Public Participation According to McMurray (2007), public empowerment is the key to public participation (p 44). The community demonstrates good public participation, as the members have been able to recognize that for their health to improve, they are supposed to change their lifestyle patterns and adhere to their day therapies. An example of public participation to this community was, most of members were contributing to some questions asked by the health professionals relating to what actions to take when feeling stressed. Empowerment Empowerment has been described as social action, which includes education of the community to a sense of ownership and how well to take control of their health problems as to ensure better, and improved health (McMurray, 2007, p. 2). Community members are motivated by the education, health promotions, exercises, games they receive from the health professionals to help them develop their health. Affordability The community mentioned out that they fund their health care but they have been soliciting for help from health department care, which would make it easier for them to afford and access the health care they need. Nevertheless, on top of that, the members are asked to pay a certain amount of money every month to Klinefelters Support Group, which they stated that it was quite sensible and affordable. Brief Conclusion of the data importance Excessively, the collected data showed that, the community under study involves twelve people who suffer from the Klinefelters condition. However, the data reveals that the syndrome affects people of all ages and thus the community group has students who suffer from the syndrome, their parents, middle-aged men and health care professionals. The data shows that the syndrome and stress that come with it are the most significant health issue in this community. According to the community members data, the main aim they joined this community is to enhance socialization, exercises, create friendship, sharing ideas and success education from the related health professionals at the community. Health/ Social Issues Health/Nursing Issues The health assessment of the chosen community indicates most of the members in this community have confidence in their health status although they have the same medical condition. The most significant medical condition is the stress and depression that comes with how the sufferers are treated by their spouses. The typical lifestyles of majority of them are good which is different to the same age groups (65% reported to have any form of exercise) that appear in the National Health Survey (Australian Bureau of Statistics, 2007-08). Potential problem of failing to take medications in adults and children was related to the fact that some of the members give up on life before they even take medications. Adults and children delaying their medication related to lack of proper psychological treatment, not enough communication and collaboration between different sectors involved in health service delivery, not enough health education for immigrants. Potential risk of nutritional deficiencies among the community members evidenced by their food and nutrition habits, also prevalence of anemia and Vitamin D deficiency. High level of stress related to concern about the condition, isolation, personal and community safety and traumatic experiences upon discovering that one has a condition and may not get better. Social isolation especially for men related to their lack of ability to have children, lifestyle differences and chosen sedentary lifestyle that may affect their psychological and physical health status in the long term. NURSING PLAN FOR HIGHEST PRIORITY ISSUE According to data analysis and community assessment, the Klinefelters condition is chosen as the highest priority health issue for the community understudy. Men suffering from this condition have a high rate of being associated with affective disorder such as depression. The author determined objectives to find out the modifiable risk factors and the appropriate interventions to prevent community from further complications from life stresses and depression. Nursing Problem: Depression related to feelings of worthlessness, failure of interaction, lack of positive feedback as manifested by withdrawal from social isolation, expression of feelings of loneliness. Expected Outcomes The community member will have desire to live and lists several reasons for wanting to live. The community initiates social interactions with peers and health professionals: Should verbalize satisfaction with social interactions: I really enjoyed our conversation. Individuals will demonstrate effective copying strategies. INTERVENTIONS Liaise the community members with other multidisciplinary teams, support groups, or community based services and programs. For example, if the community needs special social support, liaise with the appropriate social or indigenous community services. The social service will assist the member to learn new coping methods such as psychosocial and problem solving techniques. Empower the community to have enough knowledge about risky behaviors on being socially isolated with no interactions with other people in the community or families. Assist in offering health education about risk factors by means of pamphlets, through local communication networks or counseling. Emphasize public participation by way of group involvement for example psychosocial therapies, outings, activities organized by the community board or local governments. Help the community individual to list their problems from maximum to minimum urgent and assist them to find immediate solutions for most troubling problems, postpone those that can wait, delegate some significant others and knowledge those beyond the individuals control. Hold some health promotion specifically relating to depression and should include health education with such issues as, self-care to those with self-care deficit and ensure that there is use of visual and audio technologies or even pamphlets. Rationales Learning new coping methods from related multidisciplinary team for example social support service can help in problem solving and getting involved in community programs which will help the individuals to manage internal and external stressors successfully (Fortinash Holoday-Worret, 1991, p. 5) This will enable the individuals to demonstrate that feeling of empowerment and to have much knowledge about their goals (McMurray, 2007, p. 304) Group involvement will make the individuals to gain support from others and will learn social skills vicariously and will be able to see that his/her problems and concerns are similar to those of others (Clark, 2009, p. 23) Listing problems in priority helps to reduce their overwhelming effects and breaks them into more manageable increments (Fortinash Holoday-Worret, 1991, p. 5) Health promotions will make it easier for the health professionals in terms of conveying the message to individuals and even they will tend to understand more since there will be use pamphlets, projectors etc. (Clark, 2003, p. 46) Evaluations A feedback will be taken from the community on whether their expected outcomes were met and this can be achieved within a survey from the community. By getting feedback from the community services, programs or multidisciplinary teams whether the community worked with them and remain if they were actually cooperating with them to get expected outcomes or not. Over qualitative data from the personal interviewing with the patients from the community, evaluate the perception of community towards the whole varieties of therapies provided at the day care Centre. By assessing the communities depression level through taking mini mental state examination and compare the results from the ones they had before they joined the day care therapy. Nursing interventions: Nursing intervention Rationale Encourage the group members to take part in social activities. Participation in social activities can provide the opportunities to a person to meet new friends. Moreover, people are more likely to share his or her feelings and receive supports from others with similar problems (Hinchliff, Norman Schober, 1993, p. 53). Encourage expression of feelings and needs

Should the 22nd Admendment be Repealed Essay -- essays research papers

In the political world today there are so many different opinions about several different topics. The topics that I will address to you will be, should the 22nd Amendment be repealed and also should the foreign born be allowed to run for president. In both topics you may have your pros and cons, but I am strongly against the both of them because I feel that the Constitution should not be taken advantage of. Government should not be allowed to manipulate the Constitution to suit his or her needs. While making adjustments to the Constitution to allow different things to take place for convenience doesn’t leave any form respect of the Constitution. There should be a line drawn to keep this from happening for years to come on these issues and others as well. Some will like for the 22nd amendment to repealed to keep who they like in office, but my feeling towards this is give other the opportunity to make our world a better place. There are more than enough qualified people to mak e a difference for our country no need to stick to one person who eventually will get tired of it anyway. In addition, with the foreign born, this issue came to play all over Schwarzenegger getting backed up by Congress and other governors in California to try to make necessary changes to the Constitution (CNN News, 2004). According to the US Term Limits, the 22nd amendment states, No person shall be elected to the office of the President more than twice, and no person who has held the office of Preside...

Overconsumption

Overconsumption in the United States is a prominent characteristic of our culture. We need to constantly consume or else we are not technically living. We consume our necessities: air, food, and water, and our possessions: cars, houses, appliances, electronics, and etc. The list of necessities and possessions in our American culture can go on forever, but this regular consumption manipulates us to desire more, want more, pollute more, and even waste more. Did you know, according to smallbusinesstips. wordpress. com and how stuffworks. om, America spends over $14 billion on denim jeans annually? Or that Americans go through $1. 5 million Krispy Kreme Donuts in one day? How about knowing that the average electricity bill for a business is $15,849? Here in America, every consumer seems to be caught up in this action of over-consuming. Of course, many people start to over consume because they need to be constantly updated on the latest trends in fashion, they need to be consuming the lar ger amount of food for a cheaper amount of money, and they need to constantly utilize resources to run a successful business. Today’s society tells us that more is better; we see it in the world of fashion, food, and business. However, when it comes to the health of our bodies and our wallets, having more is no better than having less. In the fashion industry, new trends and captivating styles catch one’s attention in an instant. Brand name clothing or accessories costing over hundreds to even thousands of dollars have become the token of the fashion market. But is it truly worth it to spend all of that money on one article of clothing or one piece of jewelry? According to the peer reviewed journal, â€Å"A Cross-Cultural Analysis Of Consumers’ Conspicuous Consumption of Branded Fashion Accessories† by Nizar Souiden, Bouthaina,M’Saad, and Frank Pons, the authors report that possession of branded fashion clothing and accessories are what motivate consumers to buy more and more branded items. They also include that purchasing these branded fashion items, will increase one’s social status, appearance, and self-esteem. This shows how consumers in the fashion scene can easily lead to over consuming in these overpriced items, because one will waste money and even purchase more to make one think he or she is higher than another person. This leads to why consumers are so eager to stay up to date, and purchase new clothes within weeks of their last purchase, but what happens to all the clothes, styles, or trends that get overlooked so easily? This notion is considered to be â€Å"fast fashion†. As clothes nowadays are being produced in a larger mass, the quality for the clothes ends up becoming cheaper than others. For example, from the article, â€Å"In Trendy World Of Fast Fashion, Styles Aren’t Made To Last† by Jim Zarolli, the author informs his readers that the issue of fast fashion causes a massive waste of the necessities of fuel and water. And although people contribute their old and worn out clothing to organizations for the needy, consignment boutiques, and thrift shops, the quality of fast fashion has been made so poorly that the clothes wind up on the racks not being purchased. Instead all these excess clothing tend to get recycled or even thrown out altogether, which can definitely hurt the environment. Which is why our society has turned a blind eye to the waste and excessiveness of the â€Å"fast fashion† industry and have accepted the impression that having more clothes to choose from as empowerment to their fashion sense. As we see the overconsumption of fashion being unhealthy our wallets and the environment, the overconsumption of food may not be healthy to our society’s bodies. America is a country that loves to eat, with numerous consumers who tend to overeat most of the time; we see the number of obese people rise. The main reason for all of this is the huge portion size that society has to offer. When one goes into a fast food restaurant, and orders a certain combo, usually the person taking the order offers to increase the portion size for a small amount of money. This usually lures in the consumer to think that it is a better deal because they will be getting more food a great price. But in reality, people who are paying for large portions are basically adding to the obesity problem, as well as consuming a large amount of food that is not even healthy to begin with, and unfortunately, this is quite true. According to the article, â€Å"The Contribution of Expanding Portion Sizes to the US Obesity Epidemic† by Lisa Young and Marion Nestle, both authors give a scientific representation about how Americans tend to eat larger food portions, which obviously contribute to the escalating number of overweight and obese people in the US. Also, the authors include that, through the study in which they weighed different foods from different restaurants, they showed their readers that no matter where one goes, America will over portion the food amount for a meal. Whether it would be a fast-food restaurant, or a dine-in restaurant, every meal was over-portioned for one to consume. This is a problem with today’s society: many people become delusional in a sense that getting the better deal is only way to go, especially with food. America has left its consumers with only getting the larger portion size, because many manufacturers only offer the larger size. In addition, no one wants to pay for a healthy meal, because it is more expensive. But even if one tends to eat healthy, they are still trapped by portion sizes. For example, in â€Å"Food Decision Making†, Andrea Morales speaks upon how today’s society. eople are caught up in consuming too much food even if the is considered to be healthy. In the article, Morales asserts that America gets attracted to the thought of eating healthy foods, that they are more prone to consume more, because in their mind, it is â€Å"healthy†. Sadly, they are only racking up more and more calories. When one is supposed to eat healthy, one is supposed to mainly watch portion size. But with the psychological mindset that America has, eating a larger portion of healthy foods, makes America believe that they are changing their diet, but in reality they are added more to their consumption. Unfortunately this is what has become of today’s society, but how come when it comes to business, we see them consume so much energy, appliances and utilities like it’s nothing? Businesses consume many different things on a whole different level. They probably go through hundreds of thousands of pieces of paper in a day and waste millions of dollars on all the energy that is over consumed, and the worst part about it, is that they probably have the notion of recycling at the bottom of their things to do with the company. Businesses tend to look at how much they’re making compared to how much they are losing. They believe that as long as they are continually going over money wise, it is okay to maybe splurge on the utilities and necessities that they need to go on with their business. But all of this overconsumption affects the environment and little do they know that it affects their wallets as well. For example, based on the article, â€Å"The Ethics of Consumption Activities: A Future Paradigm? † by Rogene Buccholz, Buccholz reports that the continuous growth of overconsumption in America today, will lead to a scarce amount of resources for the near future. Buccholz also explains that if the industrialized working force continues to consume at this rate, the standard of surviving in America, as a business, would be slim to none. This shows how businesses need to realize that if they decide to recycle or maybe at least consume less when it comes to energy, utilities, or appliances they can definitely make a difference to the Earth and also the money they deal with. But while overconsumption to a business is probably second nature, they go through so many things a day that using less amount of energy or paper does not even matter to them, but in society it definitely matters to our environment. For example, from an article by Robert Hill, named â€Å"A Deeper Shade of Green†, Hill exemplifies to his readers about how there may be an economic expansion that may assist the environment, particularly in the income of businesses. Hill discusses the future of green jobs in America, which are jobs that recycle, conserve, and reuse many appliances that businesses tend to utilize. This environmental development will emphasize the amount of money saved for businesses, and most importantly improve the environment’s condition. The future of these green jobs will change the waste of all the appliances and utilities that businesses go through. Instead this will enhance businesses to become more productive and efficient, rather be wasteful and over consume. Today’s society is filled with the constant notion of wanting and needing. But we are so caught up in the side of wanting than actually needing. Briefly, in an article by Isabella Kopton, Bruno Preilowski, and Peter Kenning, these authors speak about how America tends to over consume due to the high amount of impulsive buying. Whether it is fashion, food, or business, impulsive buying is what makes our society believe that what we want is what we need, but in reality we don’t need everything. That is just the set of mind that America has, buy and consume more. But obviously if one does not control his or her buying behavior, it will continually lead to overconsumption at an impulsive rate. Which is why America should rather stick to our necessities, and be grateful, because if we continue to need what we want, we will just be consumers who are caught in the myth of overconsumption.

Introduction of Shipping Containers Essay

Until the 1960s, shipping had not changed much in decades. Handling cargo was a labor-intensive activity, and transportation costs and times—whether by land or by sea—were huge obstacles to trade, often making transcontinental, let alone global, and trade economically unfeasible. However something happened that changed that. That was the invention of the shipping container. The birth of the shipping container dates back to April 26, 1956 when a crane lifted fifty-eight aluminum truck bodies aboard an a ship called the Ideal-X docked in Newark, New Jersey. Five days later, the ship sailed in Houston, where fifty- eight trucks waited to take on the metal boxes and take them to their destinations. This heralded the beginning of a new era. Decades have passed since that fateful day which changed the world. Today we live in a globalized world so it is very difficult for us to even imagine the extent to which the container changed the world. In 1956, China was not the world’s workshop. It was not common to find Japanese electronics and cars in the middle of Dhaka. Western apparel brands didn’t have their products manufactured in Bangladesh either. Before the advent of the container, transporting goods was expensive. So expensive that it did not pay to ship many things halfway across the country, much less halfway around the world. The introduction of the container had an enormous impact upon the world’s economy. The masses of poorly paid workers who once made their livings loading and unloading ships ended up losing their jobs. Cities that had been centers of maritime commerce for ages, such as New York and Liverpool, saw their harbors decline due to them being unsuited to the container trade. Merchant sailors, who had sailed out to see the world, had their traditional days-long shore leave in exotic harbors replaced by a few hours ashore at a remote parking lot for containers, their vessel ready to weigh anchor the instant the high-speed cranes finished putting huge metal boxes off and on the ship. But even as it helped destroy the old economy, the container helped build a new one. Harbors such as Busan and Seattle moved into the front ranks of the world’s ports, and massive new ports were built in places like Felixstowe, in England, and Tanjung Pelepas, in Malaysia. Small towns, far away from the cities, could take advantage of their cheap land and low wages to attracted factories freed from the need to be near a port to enjoy cheap transportation. Extensive industrial complexes where thousands of workers manufactured products from start to finish gave way to smaller, more specialized plants that shipped components and half-finished goods to one another in ever lengthening supply chains. Poor countries, desperate for economic development, could realistically dream of becoming suppliers to wealthy countries far away. Huge industrial complexes were built in places Los Angeles and Hong Kong, only because the cost of bringing raw materials in and sending finished goods dropped extensively. The container made shipping cheap, and by doing so changed the economic geography of the world. It was now easier than ever before to transport goods all over the world. Goods could now be manufactured anywhere and sold anywhere. Thanks to the container the world had become a smaller place. This new economic geography allowed firms whose ambitions had been purely domestic to become international companies, allowing them to export their products and selling them abroad almost as effortlessly as selling them nearby. Those who had no desire to go international learned that they had no choice. Whether they liked it or not, they were competing globally because the global market was coming to them. High shipping costs no longer offered protection to high-cost producers whose biggest advantage was being geographically close to their customers. Even with customs duties and time delays, factories in Malaysia could deliver blouses to Macy’s in Herald Square more cheaply than could blouse manufacturers in the nearby lofts of New York’s garment district. The world was full of small manufacturers selling locally in 1956 but by the end of the twentieth century, purely local markets for goods of any sort were extremely rare. The container as useful as it was to facilitating economic growth was not warmly received by the workers. The workers, as consumers gained plenty due to the container. They enjoyed infinitely more choices thanks to the global trade stimulated by the consumer. The increased trade brought about an increased level of competition which held prices down. Consumers all over the world enjoyed higher living standards due to the ready availability of inexpensive imported consumer goods. However as wage earners the workers weren’t too receptive of containers. In the years after World War II, wartime devastation created vast demand while low levels of international trade kept competitive forces under control. In this exceptional environment, workers and trade unions in North America, Western Europe, and Japan were able to egotiate nearly continuous improvements in wages and benefits, while government programs provided ever stronger safety nets. The workweek grew shorter, disability pay was made more generous, and retirement at sixty or sixty-two became the norm. The container helped bring an end to that unprecedented advance. Low shipping costs helped make capital even more mobile, increasing the bargaining power of employers against their far less mobile workers. In this highly integrated world economy, the pay of workers in Dhaka sets limits on wages in New York. For manufacturers it became more preferable to manufacture abroad in underdeveloped countries as pay and work place standards are low in underdeveloped countries. How much the container matters to the world economy is impossible to quantify. In the ideal world, we would like to know how much it cost to send one thousand men’s shirts from Dhaka to Toronto in 1955, and to track how that cost changed as containerization came into use. Such data do not exist, but it seems clear that the container brought sweeping reductions in the cost of moving freight. From a ship carrying a few dozen containers that would not fit on any other vessel, container shipping matured into a highly automated, highly standardized industry on a global scale. An enormous containership can be loaded with a minute fraction of the labor and time required to handle a small conventional ship half a century ago. A few crew members can manage the entire vessel. A trucker can deposit a trailer at a customer’s loading dock, hook up another trailer, and drive on immediately, rather than watching his expensive rig stand idle while the contents are removed. All of those changes are consequences of the container revolution. Transportation has become so efficient that for many purposes, freight costs do not much effect economic decisions. Containerization has without a doubt changed the world. It has caused time-space compression that has greatly impacted economic geography. Places far away could now transfer all kinds of goods between them due to shipping containers. In simple words it has made the world a smaller place.

Tracer Pain and Staff Member Essay

Tracer Pain and Staff Member Essay Tracer: Pain and Staff Member Essay Surgical Patient Surgical Patient Tracer Worksheet Nightingale Community Hospital – in Year 2 of Audit Cycle MR#__453355______________________ Admission/Service Start Date:___________ Language/Culture:_English_____________ Tracer Surveyor(s): Sequence of Care/Services 1._Surgical Date Admitting/Presenting Dx/Condition: Nursing Unit__________ 2. _Radiology_______________________ 3. _OR_____________________________ 4. _PACU__________________________ Admitted with post-op wound infection Went to surgery for drainage Long term antibiotics Supportive spouse Plan home health at discharge Current Location _Surgical Nsg Unit ___ Questions / Actions Ask the staff member to give you a report on the patient like he/she may give to an oncoming shift. Notes/Deficiencies Identified Tracer Tips Does the staff member know the course of care? Show me the patient’s admission assessment (or initial nursing assessment). When is the assessment done? By whom? Can an LPN do an admission assessment? History and physical not done within 24 hours of admission ( 72 hours) Review admission history Ask nurse about any gaps or blank areas Should be completed by end of shift when pt admitted Ask about med reconciliation process How is care plan generated? Describe the medication reconciliation process. Primary nurse able to verbalize med reconciliation process. Review of chart had evidence of med reconciliation on admission and after surgery Where is your functional assessment? OR What precipitates PT, OT, or SLP referral? Function assessment triggered based on admission assessment but no documentation found Nutritional assessment documented Home med list is obtained and verified at time of admission Med recon done when patient transfers location (OR to floor, floor to floor, ICU to floor, etc) Med Recon is done at discharge- any discrepancies and nurse can hold up discharge Have staff show f/u if a referral was triggered. Where is your nutritional assessment? Have staff show dietitian’s f/u if a referral was triggered. What would precipitate a social work referral? Nurse verbalized indications for social work referral Have staff show social worker’s f/u if a referral was triggered Does this patient have advance directives? Where is it documented? Is a copy of the document in the medical record? Nurse said patient has an advance directive but did not bring it with her. Family was reminded a copy was needed but failed to bring in. If patient does not have Advance Directive, was information provided? What are the patient’s allergies? No allergies Note allergies on all documents where they are documented (ie, H&P, ED, MAR) and whether all sources agree. Does this patient have any cultural/ spiritual needs? Priority Focus Areas (PFA) Addressed: ïÆ' ¾ Assessment & Care/Services ïÆ' ¾Communication Credentialed/Privileged Practitioners Equipment Use ïÆ' ¾ Infection Control Information Mgmt ïÆ' ¾ Medication Mgmt Organization Structure Orientation & Training ïÆ' ¾ Rights & Ethics Physical Environment ïÆ' ¾ Quality Improvement ïÆ' ¾ Patient Safety Staffing Coach staff to avoid responses with â€Å"usually†, â€Å"sometimes,† and other descriptions that could indicate that the practice is not consistent. Questions / Actions Is this patient at risk for skin breakdown problems? Where is it documented? What breakdown prevention measures are taken? Notes/Deficiencies Identified Is this patient at risk for falls? Where is it documented? How is the risk for falls communicated shift to shift? Dept to dept? What precautions have been implemented for this patient? Yes. Documented in the nursing admission assessment. Fall risk is included in handoff form. Precautions: slip proof socks, night light Does this patient have a plan of care? How are care plans updated or changed? How do all disciplines come together for a plan of care? Initial nursing plan of care documented but not updated since surgery. Interdisciplinary Rounds (IDR) or Caring Rounds Are IDR documented? Are

Critical Journal Senior Picture Day Essays

Critical Journal Senior Picture Day Essays Critical Journal Senior Picture Day Essay Critical Journal Senior Picture Day Essay Essay Topic: Senior We have all been self-conscious about something that we cannot change about ourselves at least once in our lives. It is an instinct to want other people to see you as the best you can be without considering if it is the real you or not. This concept was emphasized by the fiction writer Michelle Serros in her short story â€Å"Senior Picture Day†. Serros published this short story in her second book How to Be a Chicana Role Model in 2000, which is a funny tale of a Chicana writer who is trying to find a way to embrace two very different cultures without losing touch with who she is. She tends to target young adults especially high school students who face insecurities and feel that their appearance categorizes them in the eyes of the public. Also, she intended to write this short story in order to highlight the idea that sometimes our perspectives of perfect are not always that. Serros used a narrator as one of her main characters, but did not mention his/her name which brings up many questions of who was this narrator. Did she characterize herself as a narrator or someone that she knew of?In addition, the title of her story â€Å"Senior Picture Day† is somehow indirect to her main theme of the story, as the narrator brings back her old memories when she was in seventh grade. Moreover, Serros used many literacy elements like characterization and description especially to one unique character which was Terri, the narrator’s best friend in seventh grade. Why would she use these elements on this particular character, was she trying to illustrate her main idea through these elements. Early in the seventh grade the narrator made a friend by the name of Terri, whom she considered her as a best friend.The narrator admired Terri’s life as Terri introduced her to many explicit things, which included the CB radio. They played with it, looking for older boys, and they came up with cute nicknames for themselves, but that is when the narrator

Awareness of the Importance of the Qualities Necessary for the Nurse - Personal Statement

Awareness of the Importance of the Qualities Necessary for the Nurse - Patience, Social Responsibility, Compassion, the Ability Not to Harm the Patient Personal ment Choosing a future procession is a crucial task. When making such an important choice, one should not take into account the fantasies from our childhood. Children like to dream to become a respected surgeon or a famous actress, but when they are grown up, such desires seem just fantasies and the time comes to make a serious choice. Making this choice it is essential to evaluate our abilities and personal qualities to determine if they match the profession we like. I always liked the profession of a physician, but I also understood that such a profession demands much responsibility and very special qualities. Thus, I evaluated the features of my character and my abilities before making such a crucial choice and made a conclusion that I have all the necessary features and abilities. Everything depends on how you treat people. I like people and always try to help those in need. The profession of a nurse allows to realize a desire to help and assist people who appear in diff icult situation. My aim is not to earn a big money, but to be as useful for the society as it is possible. This is the reason why I chose a profession of a nurse. The important quality the nursing profession demands is patience. My friends and parents consider me to be very patient and careful. A nurse should not be absentminded and I always tried to eliminate the minor signs of this drawback from my character. I also like to acquire knowledge in the process of practice as theoretical knowledge should be accompanied by practical. The profession of nursing allows to work in laboratory where it is possible to test your knowledge. I am ready to be responsible and account for my deeds. I understand well that a primary obligation of a nurse is to help and the most important principle is â€Å"do not harm†. If a nurse causes any harm to patient, it is considered to be a crime. If a nurse refuses to help a person in need, it is also a serious crime. I understand the seriousness of the profession I chose and know that if I become a nurse, I will hold a legal responsibility for everything I will do and I am ready for that. All kinds of education are good and useful. Choosing profession we should not make emphasis on the degree, but on the profession itself. Good care does not depend on the degree, it depends on the personal qualities of nurses, their desire and readiness to help. Still, I value education very high. I think a nurse should be educated to provide a high-quality help that is why I decided to receive a degree in nursing. I think that nurses should continue to develop their knowledge in order to benefit patients, because their state is a top priority. Good education is necessary for the nursing profession, that is why I aim at receiving a degree and continue the study in order to make my help as valuable as possible.

American History Research Paper (Tobacco) Example | Topics and Well Written Essays - 750 words

American History (Tobacco) - Research Paper Example obacco growing would be embraced by so many people in Virginia that it became one of the most important cash crop and export from Virginia, and eventually becoming a dominant force in the economical and social structure in the region (Davies, 2015). Robert Adams, Captain of the Elizabeth transported Rolfe’s tobacco samples to England on 20th of July 1613.Even though Rolfe’s initial tobacco was regarded by the British to be of â€Å"excellent quality† all the same, it was not as good as the Spanish one. However, Rolfe was of the opinion that its quality would improve after some more expense and try all in the curing, it would definitely be comparable to the best product West Indies could offer. Rolfe was proved right when 20,000 pounds of tobacco from Virginia were shipped in 1617 to England with that quantity doubling in 1618 (Wertenbaker, 2009). It is these tobacco experiments performed successfully by Rolfe that inspired others to start planting tobacco in the vacant land in Jamestown as well as settlements alongside River James. General planting initially started at West as well as Shirley hundreds; moving eastwards to Point Comfort alongside a one hundred and forty mile stretch of River James. In spite of the 1622 Indian uprising that led to the killing of around 350 colonists together with the destruction of numerous plantations, the crop of the settlers produced sixty thousand pounds. The British afterwards in the 1620s took control over of cleared Indian plantations and spread tobacco growing even more by making use of the headright system, whereby farmers paid to ferry people across the Atlantic for 50 acres of land. By 1629, cultivation of the Accomac peninsula started in earnest when a sum of two thousand acres of tobacco was cultivated there (Wertenbaker, 2009). At around the same period, the uneconomical practice of cultivating 3 to 4 tobacco crops within the same field started to exhaust the soil nutrients around and within Jamestown. In 1632, a

Organisations competition business environment Essay

Organisations competition business environment - Essay Example This is not a war but the language of business is filled with win-lose terms. An organisation wins a game, beats the other sales. This is a daily practice and we go through everyday with these types of competitive activities. A unique characteristic of global competition is that it is a closed text. This competition adopts a signification of the underlying model that justifies contemporary strategies of businesses. However, critics of competition have always argued that competition should be avoided because of its negative effects on the performance of organisations. They are of the view that that competition can result in nervousness with high anxiety levels, lesser productivity, de-motivation by those who believe they have no chance of winning, extrinsic motivation, contingent self-esteem that goes up and down depending on how one's performance compares with that of others, bad relationships, aggression toward others in an attempt to win at all costs, and fraud. "The outcomes of co mpetition are seen as so destructive by some individuals that they have proposed eliminating it altogether, especially from the workplace" (Maehr & Midgley 399-427). But the success stories of different organisations tell us that competitive experiences have always been perceived to be healthy for businesses. The macroeconomic theory of global trade recognizes competition as a driving force. Boehm develops a framework for five forces driving competition among human service organisations: (1) rivalry among existing organisations; (2) the presence of substitute services in the market; (3) the bargaining power of suppliers; (4) the bargaining power of consumers; (5) the threat of entrance by new organisations (Boehm 61-78). In the international trade nations cannot have competitive advantage in all goods and services, but they have to compete with others even in fields of their excellence. According to the story of global version of competition, the signals that organisations receive have a restricted interpretation. Firms are caught in an algorithm that demands top interests of stockholder. In result, firms adopt a strategy of raising productivity and reducing the cost. A nexus is depicted between signals, incentives and rational behaviour. Signals acquire the form of relative prices. Profits provide the inducement to perform on signals. To behave rationally is to reply with an action to them. Since 1980 the pace in the global competitiveness is very fast and firms around the globe have been experiencing different types of competitions. By summarising the story of global version of competition, it can be said that at present the speed of change is extraordinary. In the whole situation information technology, globalisation of world finances and markets' deregulation have played a great role and provided a new shape to the competitions of organizations. The situation has provided a great benefit to developing countries. Several firms of developed nations are experiencing a shock of supply from their counterparts in the developing world. As the transfer of capital and technology from developed world is no more a problem, developing countries are competing with the firms developed nations. Low wages is also a strong tool in the hand of developing countries to give tough competition to the firms of industrially advanced countries. And this is also a

Academic Paper Essay Example | Topics and Well Written Essays - 3000 words

Academic Paper - Essay Example It can be seen in factors such as business performance, integrity levels, fairness and involvement of the local community. Even after ensuring that all these are in place, a company is always at the mercy of the public and any kind of deviation results in a drop in corporate credibility. Toyota Motors Corporation has over the years built a world class corporate reputation by putting emphasis in quality, design excellence, customer focus as well as constant improvement in its manufacturing and operation processes. This has brought many benefits including customer loyalty and increased market share. The 2009 recall however strained this brand by bringing in quality concerns in the vehicles. This treatise will rely on impact of persuasive information in the forming of opinions to demonstrate that Toyota Motors Corporation’s corporate reputation was compromised by the recall. This is done by looking at buyers’ opinion on several media platforms such as newspapers, newswires, forums, auto blogs and online

Forever 21 & Bebe stores Essay Example | Topics and Well Written Essays - 500 words

Forever 21 & Bebe stores - Essay Example (Hoovers.com) ". . .the best companies create value for their customers in five interlocking ways . . . solutions to their needs, respect, and connect . . . on an emotional level . . . set prices fairly [not necessarily cheaply] . . . easy for people to find what they need, pay for it quickly, and then move on . . . sounds exceedingly simple . . . surprisingly difficult." (Harvard Business Press, 1). Bebe's definitely creates value for their customers in all 5 areas. When I visited the store, a black and white, polka-dot handbag ($130.00) caught my eye. The price was more than I wanted to pay, but definitely worth it (genuine leather). I interviewed a loyal customer who said she started shopping at Bebe's in West Palm Beach. She said that the prices "were reasonable." Her 7 items ranged from $59.00 to $100.00 each. (Rosebud) The store image is sleek, sophisticated, clean, and urbane. The manager definitely has achieved the goal of making the internal and external image draw traffic. There was signage throughout the store. No stockouts. The environment was clean and organized. The employees, who were attentive and knowledgeable, wore attire that reflected the store's image. Although I thought the target market was for twenty-one year olds, one of the employees correct my preconceived ideas by telling me that "my mom shops here and she is over 50." (Braswell).

The application of sustainability Essay Example | Topics and Well Written Essays - 3000 words

The application of sustainability - Essay Example Hence, CABE, the government’s advisor on architecture, urban design and public space, considers investment in sustainable development as a national insurance policy, which makes cities better places to live in, creating new jobs and reducing fuel scarcity and traffic congestion. Seven issues have been highlighted by CABE to focus on while working towards sustainability. They are: reducing energy usage, optimising power supply to buildings, making streets fit for people, rethinking waste, planning for shortage/excess of water, moderating heat, and creating green spaces. The most important step towards achieving sustainability is reducing the inefficient use of finite resources. Reduction targets should be fixed, progress reviewed, effects updated regularly and published. The leaders should be able to think long-term and make long-term decisions and long-term goals. Energy and waste should be planned and managed together. There should be greater control of land and assets with i ncreased investment in energy security, flood protection and water supply. Investments should be made in urban forestry, and buildings should be assessed for sustainable designs. Valuation and asset management should be reviewed, shifting focus to long-term returns ensuring more protection from boom and bust cycles (CABE 2009, p.9). Fragmentation of land ownership could lead to sub-standard maintenance of land and the structures on it. Cities should create an energy strategy, involving the utility companies, tracing the current and future needs and planning for the future, prioritising low-carbon, sustainable energy sources. Efforts should be made to reduce energy consumption to power buildings. Renewable energy technologies should be used along with behavioural changes to ensure energy security. The transportation system, including the roads, should be planned is such a way that there is minimum need for travel. Streets should be maintained in an improved

Academic Paper Essay Example | Topics and Well Written Essays - 3000 words

Academic Paper - Essay Example It can be seen in factors such as business performance, integrity levels, fairness and involvement of the local community. Even after ensuring that all these are in place, a company is always at the mercy of the public and any kind of deviation results in a drop in corporate credibility. Toyota Motors Corporation has over the years built a world class corporate reputation by putting emphasis in quality, design excellence, customer focus as well as constant improvement in its manufacturing and operation processes. This has brought many benefits including customer loyalty and increased market share. The 2009 recall however strained this brand by bringing in quality concerns in the vehicles. This treatise will rely on impact of persuasive information in the forming of opinions to demonstrate that Toyota Motors Corporation’s corporate reputation was compromised by the recall. This is done by looking at buyers’ opinion on several media platforms such as newspapers, newswires, forums, auto blogs and online

The application of sustainability Essay Example | Topics and Well Written Essays - 3000 words

The application of sustainability - Essay Example Hence, CABE, the government’s advisor on architecture, urban design and public space, considers investment in sustainable development as a national insurance policy, which makes cities better places to live in, creating new jobs and reducing fuel scarcity and traffic congestion. Seven issues have been highlighted by CABE to focus on while working towards sustainability. They are: reducing energy usage, optimising power supply to buildings, making streets fit for people, rethinking waste, planning for shortage/excess of water, moderating heat, and creating green spaces. The most important step towards achieving sustainability is reducing the inefficient use of finite resources. Reduction targets should be fixed, progress reviewed, effects updated regularly and published. The leaders should be able to think long-term and make long-term decisions and long-term goals. Energy and waste should be planned and managed together. There should be greater control of land and assets with i ncreased investment in energy security, flood protection and water supply. Investments should be made in urban forestry, and buildings should be assessed for sustainable designs. Valuation and asset management should be reviewed, shifting focus to long-term returns ensuring more protection from boom and bust cycles (CABE 2009, p.9). Fragmentation of land ownership could lead to sub-standard maintenance of land and the structures on it. Cities should create an energy strategy, involving the utility companies, tracing the current and future needs and planning for the future, prioritising low-carbon, sustainable energy sources. Efforts should be made to reduce energy consumption to power buildings. Renewable energy technologies should be used along with behavioural changes to ensure energy security. The transportation system, including the roads, should be planned is such a way that there is minimum need for travel. Streets should be maintained in an improved

Influence of Technology in Visual Art Essay Example for Free

Influence of Technology in Visual Art Essay How does technology influence visual art? And how does photography influence the development of painting? This essay considers the impact of technology on the visual art and how this technology accelerated the development of the art and how people respond, adapt and incorporate modern technology into their own work. The impact of technology in visual arts has been in photography. Willian Melin stated that, â€Å"the dominant forces during the past century has been modern technology and has affected virtually every aspect of modern life social, political, economic and cultural† (Melin p. 3). Photography has influenced many painters and has admitted its impact on their work. Their art was greatly affected by this new medium. The effect of this technology was not only to alter the world of painting and the role of the painter but also to use it as a new method or tool to develop their work. Some Artists uses photographs as the basis of their painting or as a reference or guidelines. One of the photograph’s first benefits to the painter was its possible use as a sketch. The photograph could capture exactly a face, a pose, a scene and even actions of different motion. The earliest work by photographers Eadward Muybridge and Etienne-Jules Marey influenced among many painters such as Edgar Degas, Giacomo Balla and Marcel Duchamp. â€Å"When in the late 1870’s, Muybridge’s snapshots of the animal locomotion, specially the studies of horse’s different gaits, came to be known in France and the United States† (de Duve p. 114). Eadweard Muybridge was known for his early use of multiple cameras to study motion. Muybridges photographic motion study shows by separating motion into a series of stills. Each subject shows us series of motion as parts in the subject. These cameras capture the image, introducing a single moment from all possible movements of the subject in motion. Taken as a whole, he presents us with an idea of the motion; when projected rapidly on a screen in proper sequence creating rapid consecutive intervals of number of images following one after the other, the motion becomes clear. â€Å"With this demonstration at a meeting of the San Francisco Art Association on May 4, 1880, moving pictures were born† (Newhall p. 336). Muybridges motion studies are considered to be a vital step in the development of photography to motion pictures as we know them today.

Symbolism in The Glass Menagerie

Symbolism in The Glass Menagerie The Glass Menagerie, by Tennessee Williams is a short play that uses a large variety of symbolization throughout to describe the emotional, physical and social state of each of its characters. Laura is a very fragile young woman that lives in a lower class, shabby apartment with her older brother Tom, and her eccentric mother Amanda. Laura feels as though she is an outcast in contrast to the rest of the world. Among the many recurrent themes of this play the fragility is shown in a little unicorn that safely exists within a glass menagerie. There are other less prominent symbols such as the colors of a rainbow, blue roses, and the exit, and entrance to the apartment. Lauras glass menagerie is an important symbol. Laura does not want to be involved with the world outside this â€Å"dark, grim† apartment that she lives in with her mother, a â€Å"proud, vivacious woman, Amanda,† and her brother â€Å"Tom, an aspiring poet, and shoe warehouseman.† (ebscohost.com). She prefers the comfort of her â€Å"transparent glass animals† (478). Laura would rather spend time with her tiny glass horses and unicorn figurine, listening to her old records. She would prefer to do this all day rather than having any contact with other people. One of the clearest symbolic uses of the glass figurines happens at a point in the story when Laura and Jim are left by themselves. Laura makes the statement â€Å"You should always take good care of your glass.† (510) Again, we see the symbolism of the glass unicorn and the fragility of Laura. Laura is very shy and innocent, very much like the glass figurines she cleans throughout the day. All though it is very fragile, much like Laura herself, the glass shines and glistens, magnifying many colors of the rainbow in the light. The glass unicorn is obviously the most symbolic of Laura! Reading between the lines as Jim and Laura are talking, it is easy to see that the unicorn represents Lauras unusually different, delicate, and uncomfortablenss in the normal world. Jim makes the statement. â€Å"Poor little fellow, he must feel sort of lonesome†. It is obvious that Laura has felt lonesome most of her life, and Laura replies â€Å"the unicorn sits on a shelf with some normal horses that do not have any horns, and they all seem to get along nicely together.† (p512) During Jim and Lauras short romantic encounter, for a moment, Laura is feeling more confidence. Its as if she is beginning to feel a little normal like her horses. When Jim accidently knocks the glass unicorn to the floor, and breaks the horn off. â€Å"The unicorn has lost its horn. It doesnt really matter. It may be a blessing in disguise.† Laura states, and â€Å"I will just imagine that it has had some kind of operation.† And â€Å"with the horn removed he may feel less freakish! Now he might feel more like he is one of the horses, the ones without any horns†. (p513) For a moment Laura is happy and uplifted. She begins to smile and feel the tension of uniqueness lifting from her. Jim sees this and starts dancing around with her, and eventually kisses her. All of this gives us the slight impression that Laura may finally be escaping the illusive world in which she has lived for most of her life. Laura is for a moment, starting to feel more accepted, especially from Jim. For a moment she is feeling less conscious about her physical disabilities. She starts to open up just a little bit. Its not long after all of this that Jim tells Laura of his engagement to another woman. Laura is broken. She is broken inside, and no longer feels the same uniqueness that she once felt with the glass unicorn. She looks at Jim, and tells him to take the unicorn. Its as if she has let go of something inside. Past dream like memories of a love that she once had for Jim, have now been lost in the reality of Jims words. Laura has spent many years polishing, and taking care of her glass menagerie, and keeping her unicorn safe from the outside world. But, now it has been exposed, and in turn it has been broken, just as Laura has been broken. The dream of maybe, some day having love from a man, and being normal has now been replaced with a broken heart, and a withdrawn sadness. As the introverted and shy Laura is lost even further in to herself. We begin to see a glimpse of the symbolisms in the use of the rainbow and its colors. But it is less obvious than that of the glass unicorn. The rainbow signifies that there may be some hope in the future. Tom gives Laura a glimpse of hope, â€Å"Laura is overwhelmed with emotions when Tom pulls out the rainbow-colored scarf and tells the story of how a magician changed a bowl of little fish into canaries. Towards the end of the play, Tom reflects on Laura as he gazes at some broken colored glass, and imagines his shattered sister Laura and her broken spirit†.(ebscohost.com). Tom wishes in the symbolic sense that he could blow out the candles of his sisters despair. He also reflects on how Laura would spend hours polishing her glass animals, keeping them safe from the rest of the world. There is sad irony in Tennessee Williams play when you think about the symbolism of the rainbow. Although rainbows seem to be positive, bright, and hopeful signs that a new day is coming soon, there is usually much pain that must be endured before that time, if it ever comes. There is quite an array of symbolism that helps to form the character of Laura. Tennessee Williams uses the color of blue in Jims nickname for Laura. Like the rose, Laura is fragile, and like the color blue, she is shy, innocent, and very sad. Works Cited Fambrough, Preston. Williams The Glass Menagerie. Explicator 63.2 (Winter 2005): 100-102. Academic Search Complete. EBSCO. Northwestern State U, Watson Lib, Leesville, LA. 17 Mar. 2008 < http://search.ebscohost.com>. Reese, Jennifer. The Glass Menagerie. Entertainment Weekly (28 Apr. 2006): 143-143. Academic Search Complete. EBSCO. Northwestern State U, Watson Lib., Leesville, LA. 17 Mar. 2008 . Williams, Tennessee. â€Å"The Glass Menagerie† Literature for Composition: Writing Arguments about Essays, Fiction, Poetry, and Drama ed. by Sylvia Barnet, William Burto and William E. Cain†¦8th Ed New York. 2007: 499-519.

The Concept of Mentorship Essay -- Health Care, Nursing

In the following assignment the author will critically explore, discuss, reflect upon and evaluate mentorship within clinical nursing placements. With particular reference to learning disabilities and respite care, the author will look at the needs and benefits of mentorship, as well as the problems and constraints, especially being in such a specialised service. The author will explore the area of orientation, looking at why it is such an important aspect of the whole placement area. Once these aspects have been explored, the author will go on to discuss the placement, the problems that have been encountered throughout and the ways in which these can be addressed effectively, to ensure that they are reduced and expelled as much as possible. Any names and places used throughout the assignment have been changed to ensure anonymity and maintain confidentiality at all times, adhering to data protection. The concept of mentorship was originally introduced in the 1970s in America. It was fully embraced and bought over to the UK as a formal support system in the late 1980s (Learning Disability Practice, 2006, 9, 3, 16-18). At that time, nursing was predominately carried out by females. It was these females that identified the lack of, and need of a formal support system within the profession. The role of mentorship has been explored by many authors and theorists since the introduction of it into the nursing profession. In 1982, Zwolski stated that 'mentorship is seen as a broader, longer term relationship, aimed at guiding the student towards an established place in the profession'. This was later backed up by Armitage and Burnard in 1991, arguing that 'a deeper understanding of the role and functions associated with a ... ...iable. (www.NursingTimes.net 2008) Under the NMC guidelines, standards to support learning and assessment (2006), all nurses must mentor at least 2 students every 3 years. However not all nurses have acquired the knowledge, skills and attributes required to be an effective mentor. (NMC 2006). The Royal College of Nursing (RCN) discovered that the main reason for a student to have an inadequate placement is the lack of access to mentors, due to sickness, annual leave or other reasons. This consequently leads to a lack of consistency when setting goals, reviewing progress and assessing learning objectives at the final interview (RCN). Other reasons include short staffing – leading to overstretched staff not having time for students, being left to learn for themselves, thus meaning students aren't given the opportunities to learn and expand upon their experiences.