Scope of Practice Free Essays

Extent of Practice as indicated by the free word reference is the scope of obligation of patients or caseload and practice rules that decide the limits inside which a doctor, or other expert, rehearses. The fundamental is that these rules tell that specific expert how far they can go with regards to clinical consideration and treatment. As indicated by the law in all expresses, a Medical Assistant must have the administering specialist, or an authorized expert, present, on the floor or in the structure before a MA can give any kind of direct consideration/systems to a patient (2011). We will compose a custom article test on Extent of Practice or then again any comparative theme just for you Request Now Mama is permitted to do whatever they were recruited to do. Specialists and medical attendants customarily don’t realize how to utilize their MAs, they principle duties are part of their expected set of responsibilities when they were recruited. Every office that a MA may work in could have some various systems to do. Your activity as a MA perhaps to direct inoculations for infusions, or to document every single clinical diagram when they are finished, whatever your activity is, it ought to be obviously explained for you. They should likewise plot what a MA can not do, for example, making any free clinical evaluation, triage patients, administer prescription or tests without direct requests, and offering out your very own clinical guidance (2011). The business who generally is the specialist accepts accountability of the MA and they need to decide each MA’s extent of training, by deciding their expertise levels. Most states don’t have laws that explicitly address the obligations and obligations of a Medical Assistant. This doesn’t state that no standards concern them yet since they are an augmentation of the do0)ctor then they are more than liable to keep the laws of the State Medical Board. The most effective method to refer to Scope of Practice, Papers

More than a Change of Heart free essay sample

â€Å"I’m not identified with you!† My twelve-year old independent this notion flawlessly obvious to my dad over the kitchen table. I needed literally nothing to do with his half of my family tree. I would have been embarrassed on the off chance that anybody had discovered that my Uncle Jeff would before long become â€Å"Aunt Joanne†. The news couldn't have come at a more awful time. I was going to enter center school, the greatest change I would make since beginning kindergarten. Presently I needed to make sense of how to deal with this family circumstance also. Couldn’t Jeff have planned this better for the good of I? Was that actually a lot to inquire? He was going to destroy the family with this news, also his marriage with Barbara, my preferred auntie. Throughout the following barely any weeks these furious contemplations took a fantastic view in my brain, bringing about hurried scrawls in my diary about how shocking and rude Jeff was and sudden upheavals at loved ones. We will compose a custom paper test on In excess of a Change of Heart or then again any comparative subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page In the coming months this adolescent displeasure died down and my interest in thesituation developed. Since Jeff and Barbara lived in Boston, I couldn’t watch the little physical changes that my uncle was experiencing. Rather, various changes were tossed at me at the same time. During one visit, his pierced ears and the absence of his trademark facial hair were the primary signs this was a big deal; he was really going to proceed with turning into a lady. Now I began to recognize that I would some time or another approve of this choice. That came sooner than I foreseen. A couple of months in the wake of seeing Jeff with his pierced ears, I met Joanne. She was a similar tallness as Jeff, wearing size 11 women’s shoes and a short brunette wig. Her voice was higher than his, however her grin was likewise more extensive and her embrace more tightly than Jeff’s had ever been. She was really upbeat and agreeable as a lady. That day I amazed myself by turning into the first in my family to start tolerating that the individual who remained before me was a similar individual I had known and cherished a mind-blowing entirety. Nowadays I see my auntie Joanne all the more consistently. I am alright with the lady she is today and the certainty with which she holds herself. She is the principal transgender individual from the sheets of Point Foundation and of Gay and Lesbian Advocates and Defenders, just as a feature writer for â€Å"The Advocate†. Joanne’s receptiveness about her change has helped me to be open to addressing others about transgender individuals and my encounters with them. Of the numerous things her inclusion in the LGBT people group has shown me, the most significant has been to grasp everyone’s contrasts, regardless of whether it be race, religion, sexual personality, or in any event, something as basic as someone’s taste in music. My thankfulness is a lot more prominent now for the novel characteristics that every individual brings to a relationship. Living in my extremely homogenous network, had I not experienced this with Joanne, I would have been badly arranged for cooperations outside of my town with individuals of totally various foundations and encounters. My reality has been exponentially extended, and I’m more willing than any other time in recent memory to meet new individuals and grasp our disparities. I know now that having a transgender auntie will never characterize me, however that my aunt’s change assisted with bringing out positive characteristics in me that all the more precisely characterize my character. I am sincerely more grounded, I go to bat for what I accept is correct, I am faithful to my loved ones, and I am an increasingly persistent, tolerating individual. I am pleased with myself for getting one of Joanne’s greatest fans and supporters. The greater part of all, I am thankful that Joanne and I could set out on our excursion into womanhood together.

How Thinking Like A Scientist Can Make You More Productive

How Thinking Like A Scientist Can Make You More Productive Theres a very particular way of thinking thats prevalent among scientists. Scientists work on studies and experiments. For each one, they determine a hypothesisâ€"a prediction of what will happen during the experiment. But heres where things really differ from the way most of us think: experiments dont fail or succeed. They simply prove or disprove the hypothesis. A scientist hasnt failed in their work if their hypothesis turns out to be incorrect. Rather, all they have to do to succeed in their work is run the experiment and collect data. That data helps them form new hypotheses and run further experiments. Compare that to how you think about your work. If you have a deadline, or a side project youre working on, or a promotion youre aiming for, you probably have a clear definition in your head of success and failure. And youre aiming for success, right? Theres no scientific process when it comes to getting your work submitted by a deadline. You do the work well or not, and turn it in on time, or not. But, though it might seem out of place, bringing this scientific way of thinking in to your work can be surprisingly effective in helping you succeed more. Lets take a look at two particular examples where this is the case. Thinking Like a Scientist to Increase Your Chances of Success Taylor Pearson writes of Buckminster Fuller, an incredibly productive scientist who published more than 30 books, as well as inventing various architectural designs, and even coining new terms such as Spaceship Earth. Pearson tells the story of a low point in Fullers life in 1927, when his familyâ€"including a new babyâ€"was struggling financially after hed lost his job. It was at this point, when Fuller was on the brink of giving up on life entirely, that he realized he had nothing to lose in terms of how he lived in the future. He resolved to live his life with the mindset of a scientistâ€"continually experimenting, tweaking, and experimenting again, to see how he could best contribute to humanity. My objective was humanitys comprehensive success in the universe, he once said. Looking over his achievements, one could say his experiments turned out rather well. Fullers approach was to act as if he were two people: Fuller the scientist, and Fuller the operator. His operator self carried out his experiments, living his life and doing his work based on the parameters set by his scientist self. Fuller called himself Guinea Pig B, with B standing for Bucky, as he was known to his friends. After each experiment, Fuller the scientist examined the data, adjusted for a new hypothesis, and started a new experiment. His experiments generally took the form of designing some new inventionâ€"most of which were failures. But he didnt quit. After all, he was on a lifelong mission to determine what he could contribute to humanity. Each new invention he worked on was another data point in his 50-year experiment. While I wouldnt suggest such an extreme approach for anyone, least of all those with a new baby at home and no job, its worth noting that the scientists approach to thinking turned around a man ready to give up on life and made him a prolific writer, inventor, and designer whos well-remembered today. On a smaller scale, approaching your work as both a scientist and a guinea pig may help you find the key to productivity you cant see otherwise. By running experiments and taking a step back to examine the results after each one, you can continue adjusting your approach until you find what gives you the most productive output possible. To get started, you might try experiments such as these: Use a standing desk for a week Exercise before work to improve your mood and mental clarity Trying working from another room or in a café for one day per week Batch your email processing into one or two periods per day, and keep your inbox shut in-between those Schedule all calls and meetings for one day per week and keep other days free for focused work Dont forget one of the critical parts of the scientific method: gathering data. First, write down your hypothesis: what do you think will happen during the experiment? Then, find a way to measure what happens. It might be keeping a tally of how many tasks you get done in a day, what type of work you get through, or simply using a time tracking app to note how you spent your time overall. As Pearson says, one of the most important parts of designing experiments is to ensure youve clearly outlined the parameters ahead of time. By treating life as an experiment, he says, you can limit downsides and maximize upside by removing your ego. Once you start putting the experiment into effect, says Pearson, your ego is involved. Knowing ahead of time what fits the parameters of your experiment and what doesnt takes away the uncertainty of what to do in the momentâ€"and ensures youll have solid data to work with after the experiment is over. You need to understand that the success of that one experiment doesn’t define your success as a scientist, it’s the aggregate that matters. â€" Taylor Pearson Work smarter, not harder. Thinking Like a Scientist to Overcome the Fear of Starting New Projects Side projects, unlike our day jobs, tend to reveal a lot more about us. Theyre more linked to our identities and our valuesâ€"in short, our egos tend to be more wrapped up in our personal projects. For this reason, theyre also more scary. Its a lot harder to face failure in a passion project than it is in a task assigned to you by someone else. Entrepreneur, designer, and writer Paul Jarvis says fear kept him from starting new projects for a long time, leaving his skills and experience stagnating. I used to let fear of a failed side project keep me from trying new things outside of my normal workload, he says. My day-job was comfortable, so I didn’t want to fail at something new. When Jarvis realized he wasnt pushing himself creatively, he knew side projects were the perfect way to do so. Side projects, he says, give us a chance to push new skills, flex our creative muscles, and give us testing grounds for new and innovative ideas. Jarvis found a way to push through his fear of failure: he started thinking of his personal projects as simply experiments. He took the succeed-or-fail risk out of them, which also took away the fear. Experiments dont failâ€"they simply prove or disprove a hypothesis. For example, despite my day job as a designer I had the hypothesis that I could also write an e-book. I then simply started writing. I didnt focus on the outcome, how the book would be received or what others would think of it. I figured, lets give this a try. These days Jarvis has expanded his projects to include multiple online courses, two podcasts, and publishing four books. Like Fuller, approaching every new project as an experiment has helped Jarvis increase his outputâ€"but more importantly, hes not afraid to try new things anymore. By framing the side projects Ive done as experiments, Ive had both the confidence to pursue them and the ability to judge them less harshly when they didnt work. Jarvis says treating his projects as experiments means he has to act in two modes. Dont create your experiment and judge it at the same time, he says. Creation and judgment are very different thought processes and can interfere with each other, and must be done separately. He also finds it important to focus entirely on the task at hand, and not think about the end result. The purpose of each experiment, after all, is to allow you the confidence and freedom to try things without worrying about success or failure. Remember: these are  experiments. Not full-time business ideas. â€" Paul Jarvis Once each experiment is over, Jarvis either changes the parameters and tries again, or moves on to something new. He warns against repeating the same experiment over and over, hoping for a different result. If you want a different outcome, he says, you have to change your experiment up a littleâ€"refocus for a new audience, try a different medium, or try experimenting with a new idea completely. The projects you apply this approach to will depend on what skills you want to develop, but here are some ideas to get you thinking: Writing a book or online course Cooking an ambitious meal Building an app or website Running a workshop Running a crowdfunding campaign for something youve designed Starting a podcast or blog Whether youre thinking about ambitious passion projects youve been meaning to start or increasing your productive output at work, the scientific mindset can help. When you remove the options of success and failure from your work, its freeingâ€"you can suddenly experiment, or simply enjoy the process without the pressure of succeeding. You dont have to do this in all your work, but give it a go for the next project you work on. Start by defining the parameters of your experiment and writing down a hypothesis. And dont forget to measure the results so you can adjust and retry the experiment when youre done. But dont worry about your experiments failingâ€"after all, Fuller went down in the history books despite almost all of his experiments failing. You certainly wont be alone. Work smarter, not harder.

Cesaire The Discourse on Colonialism Essay - 1111 Words

In the Discourse on Colonialism, Cesaire illustrates a compelling relationship between colonized states and the proletariat class. He conveys that the proletariat socio-economic class allows for the possible unification of society against the powers of colonialism. Interestingly, the comparison reflects as these elements extend from constructed illusions to unequivocal creeds. By isolating and juxtaposing the two groups, Cesaire is able to elaborate on how he believes that race and class unite to dominate inferior subjects in nations throughout the globe. Throughout the essay, Cesaire provides reasoning for the socially constructed experiences of those dictated by colonial imperialism, particularly Africans, and proletarian conflicts in†¦show more content†¦In such a way, Cesaire believes this assists the application of decivilization into Europe, which in turn illustrates that the Nazism is just a form of colonialism. As a result, Cesaire states â€Å"at the end of capital ism, which is eager to outlive its day, there is Hitler. At the end of formal humanism and philosophic renunciation, there is Hitler† (Cesaire 1955). Cesaire believed that colonialism originates from imperialism, which results from capitalism as a system of complete world order. Thus, racism comes about because of capitalism, not only as fallout to it. The concept of materialism in a historical sense eventually leads to Cesaires conclusion that the proletariat, not the colonized, are necessary to lead the revolution against colonialism as one element of capitalism. He explains that this civilization, â€Å"at a certain point in its history, ï ¬ nds itself obliged, for internal reasons, to extend to a world scale the competition of its antagonistic economies† (Cesaire 1955). In Cesaires mind, capitalism is a direct source of colonialism. This assumption directly implies that the proletariat class cannot not function as a parallel to the colonized nations. It seems as though the proletariat and colonizers do not share relatable experiences of oppression and subjugated persecution. Instead, the colonized civilizations experience their suffering due to inability of the proletariat to form aShow MoreRelatedDiscourse On Colonialism By Aime Cesaire878 Words   |  4 Pages Discourse on Colonialism Aime Cesaire’s Discourse on Colonialism, first published in 1955, reads as a passionate and scathing piece of prose, laying heavy but warranted criticism on Europe, the oppressive classes and those who continue to allow such oppression to continue. While being written around 1955 specifically about colonialism, it bears many explicit and metaphorical statements which can be applied to our situation today both in terms of racial struggles as well as struggles against capitalismRead MoreAnalysis Of Aime Cesaire s Discourse On Colonialism876 Words   |  4 PagesAime Cesaire’s Discourse on Colonialism, first published in 1955, reads as a passionate and scathing piece of prose, laying heavy, but warranted criticism on Europe, the oppressed classes and those who continue to allow such oppression to continue. While being written around 1955 specifically about colonialism, it bears many explicit and metaphorical statements which can be applied to our situation today, both in terms of racial struggles as well as struggles against capitalism and imperialism. WhileRead MoreThe Death Of The Nuremberg Trials ( 1945-46 ) Essay1712 Words   |  7 Pagescolonization. Thus, Aimà © Cà ©saire in Discourse on Colonialism (1950) stages a trial, similar to the Nuremberg trials, to emphasize his claim that colonialism is also a crime against humanity which must be recognized. He uses his authority to speak on the behalf of those who have been oppressed, who have been dehumanized in the process of colonization, to question and define what the relationship and situation of civilization and colonization. The situation is that Cà ©saire sets the foundation of aRead MoreDecolonization : The Wretched Of The Earth1283 Words   |  6 Pages Decolonization, as one of the most significant movements throughout the twentieth century, has always been debated between the colonizers and colonized under certain historical circumstances. M.K Gandhi, Aimà © Cà ©saire, and Frantz Fanon, as the avant-gardes of decolonization movement, addressed their ideologies on the relationship between European colonists and colonial states, and their views on the process of gaining national freedom. Nevertheless, as Fanon defined in the article â€Å"On Violence† fromRead MoreRacism And Social Darwinism And Its Impact On The World958 Words   |  4 PagesAs the reader goes through the discourse, we can notice his personal battle with colonialism and it changed the very foundation of his world. Cesaire was a product of French colonialism and saw the impact that it had on the planet after the Second World War. He saw the full impact of racism and Social Darwinism, so his response is understandable because he experienced the issues that took place. He was born on June 26, 1913, when France controlled Martinique, so he experienced colonial issues. MoreRead More Aime Cesaires A Tempest Clarifies Shakespeares The Tempest1683 Words   |  7 Pagesthe West.  Ã‚   Leopold Senghor, Leon Damas, and Aime Cesaire are the three pioneers of the revolution.   The founder who expresses his ideas more broadly, though, is Cesaire, who uses literary works to express his viewpoint on colonization.   An excellent example of such a tactic is his play, A Tempest, which is a revision of William Shakespeares The Tempest.   Both Shakespeare and Cesaire accentuate the greed of Europeans in their plays.   However, Cesaire is more obvious in his approach to exposing it.  Read MoreColonialism And Its Effects On The Colonization Of Foreign Lands And Decimating The Existence Of The Host Culture1113 Words   |  5 Pages Colonialism is broadly defined and universally acknowledged as the process of occupying and gaining control over foreign lands. This process has been associated with the political expansion of countries as well as the immense oppression of indigenous peoples. The main question that guided the research for this literature review is how were European settlers successful in colonizing indigenous lands? This question is instructive as to which methods western colonizers utilized were most effectiveRead MoreCaribbean Colonization And Power In The Tempest By William Shakespeare1315 Words   |  6 PagesCaliban. At least with the World Banks way of control the people of Jamaica got something out of their oppression. Prospero just used Caliban for the labor, â€Å"Between colonizer and colonized there is room only for forced labor† (Discourse on Colonialism pg. 42). This is Cesaire thoughts on power being link to force labor. This is how Prospero used Caliban as nothing more than a slave. This can also be related to how American corporation used the Jamaican People as nothing more than wage s laves. ThereRead MoreThe Downfall Of Civilization s Heart Of Darkness 965 Words   |  4 PagesDownfall of Civilization Within the early 20th century, Western and European nations have already established civilization and industrialized; however, many of which do not act nor represent civil behavior. Aime Cesaire criticized the barbaric nature of European civilization in â€Å"Discourse of Colonialism.† John Reed unveils the first-hand accounts of Europe and questions its civility in World War I. In â€Å"Heart of Darkness,† Joseph Conrad illustrates a voyage from the view point of Marlow, who questions theRead MoreAdrienne Richs Essay Compulsory Heterosexuality and Lesbian Existence2485 Words   |  10 PagesThese institutions are strongly linked when considered with Cà ©saire’s Discourse on Colonialism, which examines colonialism as â€Å"relations of domination and submission which turn the colonizing man into a classroom monitor, an army sergeant, a prison guard, a slave driver, and the indigenous man into an instrument of production,† (Cà ©saire 42). His primary co ncern with colonization, the method by which a relationship of colonialism is established, is not the physical presence of colonists trespassing

Health Is Wealth - Free Essay Example

Sample details Pages: 2 Words: 660 Downloads: 2 Date added: 2017/09/15 Category Advertising Essay Did you like this example? Health is Wealth Hazel Six weeks ago, my eternal friend—Doggy suffered from palsy that made her back legs lose the moving ability. The tragedy shocked my family. In my #2 speech, a lot of Toastmasters have known that my mother usually shouts at us, but always whispers in Doggie’s ears. In fact, not only Mother, but also other family members favor Doggy. Therefore, we have been blue and sad from that time. The Doggy event makes me understand the importance of health and induces me to talk about today’s subject. Health includes physiological and psychological parts. In my opinion, there are three key points to keep physiological health—food, exercise and safe environment. It goes without saying that we have learned a lot of knowledge about food and exercise. From childhood, we have been taught the correct way to eat, drink and exercise. I would not repeat the common sense, but I’d like to emphasize that Rome was not built in one day. So, the healthy body is set up with the permanence of balanced food and proper exercise. On the other hand, safe environment is essential, but usually being neglected. Don’t waste time! Our writers will create an original "Health Is Wealth" essay for you Create order We should avoid expose ourselves to the high-risk environment as far as possible. On the contrary, it’s healthy to get in touch with the nature. Even for work, we should take some protection to get rid of occupational disease. After all, life is our own and we have the responsibility to look after it. Next, I’ll discuss psychological health. With time goes by, the development of medical treatment decrease a lot of body disease, but it can not control more and more mind problems. Suicide heads the list of ten causes of death these years. Violence between people is filled with the society. We earn more money but lose more harmony than before. Distorted concept of value makes people cut down EQ and AQ. As a result, psychological problem is more urgent than physiological one. As far as I’m concerned, the way to promote mental quality is to make intimate friends, cultivate proper entertainment and join positive clubs. Good friends might share your emotion and give you sincere advices when you are helpless. Proper entertainment may give you release from stress. Positive clubs, like Toastmasters, will make you be skilled in communication and have an active philosophy. A man with money and power can do many things, but a man without health can do nothing. My father has been carrying out the regimen for a long time. He usually eats natural foods instead of processed foods. Every morning, when some chickens are still sleeping, he always firmly wakes up to climb the mountain. No matter it’s very hot or severe cold, before or after retirement, he is constant all the time. Sometimes, I think Father is like a Puritan and his living way is hard for me. However, to choose what is good and stick to it is just what I should learn. Furthermore, it’s more valuable that Father has an elegant accomplishment. Even faced with others’ provoking, he still keeps his temper. Therefore, in addition to Mayor Ma, Father is my second idol in this world. To sum up, life with poor health is terrible; life with good health is wonderful. It’ll be never too late to think highly of your health. After all, you have the right and responsibility to decide the direction of your future. Return the topic to my Doggy and you guess what happened to her now. Four weeks ago, Doggy stood up again. How amazing she is! Even the dog-doctor thought it’s a miracle for her to recover from such serious illness. Fellow Toastmasters, we might not have so strong vitality like Doggy, but we understand the way to keep our health. From now on, let’s take care of our health and keep in mind—health is actual wealth in our life.

Johnson Johnson Case Free Essays

The corporate strategy that Johnson Johnson pursue is to encourage autonomy in each division and cultivate entrepreneurial culture throughout the organization. It has heavily relied on acquisitions to grow over the years to expand the company into a board range of businesses in the healthcare industry. As Johnson Johnson has grew into a complex enterprise, granted near-total autonomy has fostered each division to develop and expand its best-seller products and to be responsible for their promised achievement. We will write a custom essay sample on Johnson Johnson Case or any similar topic only for you Order Now This independence attributes most to the company’s success. It also provides the firm with the ability to respond quickly to emerging opportunities. Each division has the freedom to develop its own strategy, and to work with its own resources. However, this decentralization brings up the company’s overhead costs. Merger and acquisition has also brought up quality control problems that some of its products have been recalled. Johnson Johnson has evolved to have top-notch products and strong skills in all three basic divisions: drugs, devices, and diagnostics, that few companies can compete for. To increase collaboration between these divisions will attract new business opportunities, and the firm will benefit from his convergence by allowing different units work together. Weldon has pushed all of its units to work together to deal with different health problems and to work on new opportunities. As a leader, Weldon understands the importance of entrepreneurial spirit in the company. So he takes steps and cautions to foster collaboration among disparate operations. He set up groups that draw people from different division to work together on specific health problems, and each of the groups will be reported every six months on potential strategies and projects. He is also pushing for more internal growth that to accelerate top-and bottom-line growth. Weldon encourage employees to share database across the various business units to further improve innovation. To create a sustainable competitive advantage, Johnson Johnson has to have valuable resources. By acquiring different segment of healthcare industry, they have the ability to develop new products that requires different segments of healthcare industry. Encouraging synergy will improve its efficiency and effectiveness in solving difficult health problem and neutralize threats, because few companies have such large resources as Johnson Johnson does. Since few firms could actually be able to attain the idea of synergy, the resource that Johnson Johnson has is rare. Besides that, Johnson Johnson has to make sure their resource is difficult to imitate and difficult to substitute. Apparently, for competitors who own as large resources as Johnson Johnson does will be able to perform same synergy; however, if Johnson Johnson come up with some unique idea and products on curing one of the difficult health problems and get patent on it, it will be then difficult for competitors to imitate. In order to be hard to substitute, Johnson Johnson has to make sure their products have distinctive effectiveness that it would be hard to achieve without their products. From balance sheet, Johnson Johnson’s liquidity, as measured by current assets compared to current liabilities, increased over the year. We might be tempted to conclude that its balance sheet has grown â€Å"stronger† currently. But its net income per sale has dropped dramatically. This might be caused by a string of product recalls and consumers are lost confidence in their products after recalls. Quality issues have risen since converging of two divisions, which directly affect Johnson Johnson’s reputation. Investors are starting to question Johnson Johnson’s management. Its financial picture looks even worsen now. Synergy to fix the manufacturing problems that had caused the recalls are taking longer than expected, and some brands might not return to shelves until 2013. Current situation that Johnson Johnson though may not put the company in a struggle condition, Consumers are losing faith in its products. Also, recent legal losses for Johnson Johnson related to its antipsychotic drugs and the announcement to remove out some ingredients that have been proved harmful to personal health have made its overall picture worsen. From its 2nd quarter 2012 conference calls, they mentioned that their current main goal is to restore reliable supply and to regain trust from consumers. Consumers have lost some degree of confidence in Johnson Johnson because of the recalls. But they have also mentioned in the conference calls that its pharmaceutical team achieved success in new products launching and their Synthes acquisition successfully closed in the 2nd quarter. Although they are still dealing with the negative impact of the How to cite Johnson Johnson Case, Essay examples

Work in a Business Environment free essay sample

Describe what is meant by diversity and why it should be valued. Diversity means different individuals valuing each other regardless of intellect, age, disability race or religion. Diversity should be respected and valued because everyone is different and can offer an alternative perspective. Everyone should be treated equally because everyone has something to offer and everyone has a strong factor/skill that they can contribute to the company. They enrich a society because they allow people to experience different thinking processes, to see that there is more than one way of approaching issues or living ones life. Diversity brings other points of view and perspectives to different situations. Mixing with different people can help us to overcome fears and prejudices having people from diverse backgrounds in the work place will bring different talents, skills and knowledge. Diversity can also help you value your own life and work and appreciate others difficulties. 1. 2 Describe how to treat other people in a way that is sensitive to their needs. I can be sensitive to people’s needs and respect their abilities, background, values customs and beliefs and by considering the opinions, circumstances and feelings of my colleagues and customers without it making a difference because of their race, religion, position, circumstances, status or appearance. By trying to always listen to people and be open to other points of view and by treating everyone in the same way and not judging others religions and customs. By being polite, tolerant and patient with others and don’t use language or behaviours that could be offensive to others. By treating everyone with respect you are more likely to earn respect in return. 1. 3 Describe how to treat other people in a way that respects their abilities, backgrounds, values, customs and beliefs. You can respect other people’s abilities, backgrounds, values, customs, race and beliefs by being respectful. By treating everyone with consideration and courtesy you will show willing to learn about your colleague’s beliefs and religions, their disabilities, what they value and where they’re from and also how best their skills can benefit the workplace. It can help when dealing with customers who have different beliefs or abilities to know as much as you can about individual differences. You also have a moral duty to your colleagues. By allowing others to bully or treat people with disrespect you yourself are guilty of it. Try to always listen to people and be open to other points of view and by treating everyone in the same way and not judging others religions and customs. 1. 4 Describe ways in which it is possible to learn from others at work. Everyone has something different to offer during the workplace. Regardless of beliefs, religions, abilities, race and disabilities, everyone has a talent or skill that can be utilised. A customer or colleague may require information regarding a particular religion or custom. The customer/colleague may be able to speak several languages or be adept at maths or spread sheets. By respecting your diverse colleagues and customers you will learn about their particular talents. By giving respect you earn it in return and will therefore have a safe environment for people to work and a friendly workplace for a professionally run company. 2. Describe the purpose and benefits of maintaining security and confidentiality at work. It is important to maintain security and confidentiality at work because we have a legal obligation to maintain the personal information that is given to us from customers. We have an obligation to our employer and colleagues to maintain the highest standards of security awareness. If I am casual about security and information it could cost my employer quite a lot of money as they could face prosecution for breach of security and I could face disciplinary action. 2. 2 Describe requirements for security and confidentiality in an organisation. Confidentiality and information security are the key aspects for an organisation. So an organisation must make sure that it preserves these along with integrity. Any information even if it is a little one, if lost can lead to the non-existence of the organisation. The requirements for security and confidentiality are: †¢All information has to be original and true, and should be free from any errors. †¢An organisation has to be ready at all times to give access to the systems that store, process and deliver information to the right people at the right time. All companies have and should have their own policies and procedures regarding security and confidentiality. All employees must abide by these policies and procedures. The Data Protection Act, Human Rights Act and Consumer Rights Acts cover these areas. 2. 3 Describe the legal requirements for security and confidentiality, as required The legal requirement in relation to security and confidentiality are described by in the Data Protection Act 1998 and says that anyone who records information about individuals is classed as a data processor under the Act and is required by law to process the data fairly and lawfully. The Act prevents the unauthorised use of data and so protects the privacy of individuals. The Act also says never to disclose information that my organisation holds about individuals. The Act also allows individuals the right to know what information is held about them. The Data Protection Act applies to any information held about individual. Every organisation should be careful of how they handle and respect data that passes through their hands. Data information flowing in and out of the company can be any of the materials below †¢ E-mails †¢ Letters and post †¢ Paper files †¢ Course documentation †¢ Verbal †¢ Memory sticks discs †¢ Computer files †¢ Refuse and disposal The following may be considered sensitive material in that it carries personal details of an individual: †¢ Curriculum Vitae of trainers all staff †¢ Financial information of customers and trainers and staff †¢ Health status information †¢ Verbal discussions regarding others/organisations on the phone, in public places, in training venues, with inappropriate others †¢ Naming of service users during training The following are the legal requirements and best practice: †¢ Data Protection Act 1998 (designed to safeguard the collection, holding and use of personal data. ) †¢ Human Rights Act 1998 †¢ Common Law of Confidentiality For confidential handling of material †¢ Temporary office staff: share only what is essential and alert them to the company guidance †¢ Think before taking the information out of the office i. e. via memory stick or paper. †¢ If information has to be released ensure that it is only as much as is required for the purpose required and that the recipient is aware of their responsibilities with regard to the information  being received †¢ Ensure safe disposal of data material e. g. shredding of paper documents before disposal †¢ Inform senior staff if you have any concerns regarding security or confidentiality For security within an organisation †¢Access Rights to Data: Limited to admin support and directors only. Only directors or other authorised staff can transport data. †¢Ne twork Protection: make sure you have all computers have fire walls and antivirus protection. Data carrying devices: Make sure that USB memory stick and external hard drive are all encrypted. 2. Describe the procedures for dealing with concerns about security and confidentiality in an organisation When gaining employment in an organisation, it is the company’s duty to inform us of what the procedures are for security and confidentiality. When working for an organisation or a business or any work environment, it is very important to follow safety, security and legal procedures. Every organisation has its own confidential information and care has to be taken to protect these documents from the public, else it will lead to disastrous effects. The property has to be secured with locks that can be opened by only authorised personnel. In our organisation, we have secure locks that can be opened only by the employees of the organisation using their swipe card. The rooms of managers are secured with number locks. All confidential information and files are secured in cabinets that are only accessible by the employees. If I am having any concerns they must be raised to my line manager and my line manager will talk with one of the managers about it and try to fix the problem as soon as possible. 3. 1 Explain the purpose of keeping waste to a minimum. It is important to maintain waste to the minimum and improve efficiency in a business environment because it means being aware of our impact on our environment and ensuring that anything we do will help to reduce wastage and pollution and the need for landfill space for burial of waste. If we keep the amount of waste produced to the minimum our organisation can save money though using less energy, resources, the cost of recycling used resources and paying for a landfill space. Recycling Facts †¢ The UK produces millions of tonnes of waste every year. Whilst there have been many advances in recycling in recent years, there is still a great deal of waste which could be recycled that ends up in landfill sites causing harm to the environment. †¢ Recycling is an excellent way of saving energy and conserving the environment. †¢1 recycled tin can would save enough energy to power a television for 3 hours. †¢1 recycled glass bottle would save enough energy to power a computer for 25 minutes. †¢Up to 60% of the rubbish that ends up in the dustbin could be recycled. †¢The largest lake in the Britain could be filled with rubbish from the UK in 8 months. †¢On average, 16% of the money you spend on a product pays for the packaging, which ultimately ends up as rubbish. Why Recycle? †¢Recycling saves Energy †¢Using recycled materials in the manufacturing process uses considerably less energy than that required for producing new products from raw materials – even when comparing all associated costs including transport etc. †¢Plus there are extra energy savings because more energy is required to extract, refine, transport and process raw materials ready for industry compared with providing industry-ready materials. †¢Recycling helps protect the environment †¢Recycling reduces the need for extracting (mining, quarrying and logging), refining and processing raw materials all of which create substantial air and water pollution. †¢As recycling saves energy it also reduces greenhouse gas emissions, which helps to tackle climate change. Current UK recycling is estimated to save more than 18 million tonnes of C02 a year – the equivalent to taking 5 million cars off the road. †¢Recycling reduces landfill †¢When we recycle, recyclable materials are reprocessed into new products, and as a result the amount of rubbish sent to landfill sites reduces. There are over 1,500 landfill sites in the UK, and in 2001, these sites produced a quarter of the UK’s emissions of methane, a powerful greenhouse gas †¢Recycling saves Resources †¢When we recycle, used materials are converted into new products, reducing the need to consume natural resources. If used materials are not recycled, new products are made by extracting fresh, raw material from the Earth, through mining and forestry. †¢Recycling helps conserve important raw materials and protects natural habitats for the future. 3. 2 Describe the main types of waste that may occur in a business environment. The main causes of waste in a business environment are: †¢Leaving lights on when the rooms are not being used and the same with air conditioner and not switching off office equipment. †¢Re stocking stationary when there is no need †¢Printing documents when we don’t need them †¢Paper waste †¢Wasting ink and toner †¢Food, packaging and bottle waste Waste Management 2012-2013 During 2012-13 the college produced a total of 606 tonnes of waste of which 524 tonnes were recycled with only 82 tonnes sent to a landfill site, this equates to a recycle rate of 86%. This substantially exceeds the Welsh Governments target of 70% recycle rate to be achieved by the sector by 2025. Examples of the recycling conducted include, food waste (collected, processed and converted into good quality compost), all paper /cardboard (recycled and converted back into paper for the packaging industry), all metal (segregated, recycled and processed and sent for use for use in the automotive industry), all wood (segregated sent for processing and re-sold as bedding in the equine industry). Waste type by type Tonnes General Waste 355. 97 Mixed Recyclable Waste 12. †¢Switching off heaters. †¢Don’t print if it is not necessary. †¢Use recycled materials. †¢Try to recycle as much as possible. †¢Take good care of the equipment we use so it can last longer. †¢Proofreading documents before printing. †¢Asking colleagues to proofread any documents. †¢Use reusable tubs and water bottles †¢Recycle. 3. 4 Identify ways of using technology to reduce waste I can improve my own working methods and make use of technology to increase efficiency and reduce waste in a business environment by: †¢Proof-read documents on screen to avoid printing. †¢Scan documents and store electronically. †¢Setting up the printer to print on both sides of the paper. †¢Issuing documents electronically and ask other colleagues not to print if it is not necessary. 3. 5 Outline the purpose and benefits of recycling Recycling is important to help fight climate change and to reduce the amount of waste sent to landfill sites. Organisations save money by recycling because landfill sites are expensive. There is a charge for commercial waste collection so companies can save money by reducing the quantity of waste. Businesses have a legal duty to have appropriate arrangement for the disposal of the waste they generate. Paper, ink, toner and electricity can cost a company thousands of pounds a year from poor waste management. 3. 6 Describe organisational procedures for recycling materials My organisation’s procedures for recycling materials are: †¢Dispose of different materials in designated bins: plastics, paper etc. †¢Sending photocopy and printer machines cartridges for recycling. †¢Making sure equipment is dispose in a safe and controlled way. At Coleg Gwent we use the recycling company Amber. Recycling with Amber At Amber we offer: †¢High recycling rates / Compliance with the waste Hierarchy †¢Diverse range of waste processed for recycling †¢Legislative compliance with pre-treatment regulations †¢On-going diversion from landfill heading towards zero waste to landfill †¢Materials Reclamation Facility waste sorting and recycling stream segregation at a single site †¢Services for hazardous wastes. The diverse range of wastes processed at our recycling centre makes us unique in the waste industry for Wales. Our recycling centre handles construction and demolition wastes, retail and trade wastes, commercial and industrial, educational and civic wastes, and so Amber Services can deal with every waste that Coleg Gwent produces, from paper and cardboard products through to construction and plastering wastes. What can be Recycled with Amber Services? The wastes we direct away from the typical landfill stream consist of: †¢Wood / Timber / Sawdust †¢All metals †¢Cardboard / Paper / Packaging / Newsprint †¢Glass Cullet / Glass plate †¢Brick / Stone / Inert Waste / Aggregate for secondary use †¢Plastics / UPVC / PVC †¢Sheeting and Shrink Wrap †¢Cable and Wiring †¢Plasterboard †¢Food waste †¢Green waste †¢Fabric and Clothing †¢Furniture †¢Windows / Doors †¢Plate Glass †¢UPVC window frames †¢Hazardous and Non hazardous 4. 1 Describe the benefits of procedures for the recycling and disposal of hazardous materials The purpose of recycling is to achieve the benefits of resource conservation, solid waste reduction, environmental protection, energy conservation and social and economic development. The careful disposal of hazardous materials is every individuals responsibility to prevent health and life threatening issues to man and animals. Waste can also be used beneficially by suitably qualified organisations. 4. 2 Describe organisational procedures for the recycling and disposal of hazardous materials. Every month we have a company that comes in to collect papers and other materials that need recycling. Any hazardous materials are collected in a safe place and disposed of with the help of companies that are experts in hazardous material disposal. Recycling with Amber At Amber we offer: †¢High recycling rates / Compliance with the waste Hierarchy †¢Diverse range of waste processed for recycling †¢Legislative compliance with pre-treatment regulations †¢On-going diversion from landfill heading towards zero waste to landfill †¢Materials Reclamation Facility waste sorting and recycling stream segregation at a single site †¢Services for hazardous wastes. The diverse range of wastes processed at our recycling centre makes us unique in the waste industry for Wales. Our recycling centre handles construction and demolition wastes, retail and trade wastes, commercial and industrial, educational and civic wastes, and so Amber Services can deal with every waste that Coleg Gwent produces, from paper and cardboard products through to construction and plastering wastes. What can be Recycled with Amber Services? The wastes we direct away from the typical landfill stream consist of: †¢Wood / Timber / Sawdust †¢All metals †¢Cardboard / Paper / Packaging / Newsprint †¢Glass Cullet / Glass plate †¢Brick / Stone / Inert Waste / Aggregate for secondary use †¢Plastics / UPVC / PVC †¢Sheeting and Shrink Wrap †¢Cable and Wiring †¢Plasterboard †¢Food waste †¢Green waste †¢Fabric and Clothing †¢Furniture †¢Windows / Doors †¢Plate Glass †¢UPVC window frames †¢Hazardous and Non hazardous 5. 1 Outline the purpose of improving efficiency and minimising waste Good environmental practices can reduce companys costs by reducing the use of raw materials, energy, water and packaging. †¢Waste can be reduced with very less effort. For example, switching off machines and equipment at night will reduce energy consumption. †¢Another point is investing in good quality machines that reduce your energy consumption. Look for machines with an energy star label. You could save money by spending more in the first place to buy more energy-efficient machinery and equipment rather than buying cheaper ones and spending money later on energy, spares and servicing. †¢When you have a good organisation with quality you will see employees working with enthusiasm, and this will cut down costs for recruitment as employees will not want to leave quality organisations. 5. 2 Describe ways of improving own working methods and use of technology to achieve efficiency and reduce waste. The possibilities for increased efficiency can be achieved by eliminating redundant tasks, enhancing intra- and inter-office communication, and obtaining immediate access to the information you need to perform your job. Technology can improve services by offering better communication through a variety of media, better record keeping, and shorter response times. Other factors include the savings in costs and labour, the increased visibility for the institution, and the improvement of service to the students and university offices that rely on your offices data to perform their functions.

5 Part-Time Jobs That Pay Well

5 Part-Time Jobs That Pay Well What kind of job allows you to work less and yet earn more? While the question may sound like a riddle, it’s actually a reality when it comes to several high-paying part-time jobs. Let’s count down five of the most sought after part-time positions, along with how to score one. 1. Management AnalystAccording to figures from the Bureau of Labor Statistics, management analysts require only a bachelor’s degree, less than five years of experience, no specific on-the-job training and yet make an average of $37.79 per hour. Even better? Because most accountants work on a contractual basis, they can set their own hours.Also called management consultants, these professionals evaluate an organization’s efficiency and propose strategies to trim costs and increase revenues. While it’s not required, a Certified Management Consultant (CMC) can boost your appeal to potential employers. Additionally, prior work experience in a number of different fields - from hum an resources to information technology - can help you gain an inside edge.Not only is the pay high, but the demand is, as well: between now and 2022, the accounting profession is expected to grow by a significant 20 percent.2. Fitness InstructorFrom yoga to Zumba, fitness instructors lead individuals of all ages and skill levels as well as groups in any number of different fitness classes.While on paper the pay may not in itself be extraordinary - an average of $15.25 per hour - working as a fitness instructor requires no education beyond the high school diploma or its equivalent, although many fitness instructors do choose to pursue an associate’s or bachelor’s degree in a health or fitness related field, such as physical education, kinesiology, or exercise science.With a projected growth rate of 13 percent between now and 2022, job security for fitness instructors is promising. Not to mention the flexibility to work early morning and evening hours depending on you r individual scheduling needs.3. Graphic DesignerGraphic designers communicate ideas through visual concepts and help with layout and production design for a variety of print materials. In 2012, nearly 25 percent of graphic designers were self-employed which not only lets them have key input as to how many hours they work but also when and where they work them.A bachelor’s degree in graphic design or a related field is typically expected for a career in this field, along with an aptitude for the creative arts. The average haul of a graphic designer in 2015? $21.22 per hour.4. AccountantWhile most accountants work full-time, many accounting specialists are finding part-time jobs to be particularly appealing. In fact, a recent survey of chief financial officers revealed that 72 percent of CFOs use temporary staffing solutions to help reach their accounting goals.Most accountants have a minimum of a bachelor’s degree in accounting or a related field; becoming a Certified Public Accountant (CPA) further improves job prospects. Not only do part-time accountants earn a competitive compensation of an average of $30.55 per hour, but some even receive employee benefits.The ability to work part-time also allows unparalleled flexibility that is particularly appealing to everyone from students to people nearing retirement.5. Computer ProgrammerComputer programmers create software programs by writing code for an average hourly pay of $35.71 per hour. Most computer programmers have at least a bachelor’s degree, although an associate’s degree may suffice. However, because the field changes so rapidly, programmers are expected to keep up with its evolution through continuing education and professional development course.One benefit enjoyed by computer programmers? The ability to telecommute from anywhere in the world.Whether you’re simply in need of extra cash, looking for a change of pace, or require the flexibility of part-time work, these gigs offer high returns for workers in these fields. Looking for an inside edge on getting the part-time job of your dreams? Sign up for a job match alert.

7 Topics You Should Never Talk About At Work

7 Topics You Should Never Talk About At Work It’s great to feel like you have friendly colleagues and even better when they become your friends outside work, but there are a few danger areas to avoid during your 9-5 interactions. 1. [Insert any  political topic here]I am a big offender with this one. I used to have long angry debates with one of my cube neighbors about everything from social welfare programs to LGBT rights. Not only was it unprofessional, it was also distracting for everyone who I now realize could hear us bickering all day. I didn’t change his mind, he didn’t do anything besides offend me with his opinions, and our whole office probably found us annoying. Plus that irritation spilled over into our professional interactions, too.2. â€Å"I’m soooooooooo tired.†I know it’s just small talk, but griping about your exhaustion level, unless you need some legitimate accommodation in your workload, is tedious (and probably self evident if you’re yawning and downing a vat of coffee at your desk every day).3. Office gossip (particularly boss-related)Some experts feel like office confidences build stronger bonds between team members; others see it as divisive and counterproductive since venting rarely actually leads to positive change or resolution of a tense situation.If something bad is coming, you’ve just spent extra time dreading it. If it comes to nothing, you’ve just wasted the time of everyone you spent swapping conspiracy theories with!4. â€Å"You always ______.† and â€Å"You never ______.†Bad for relationships and bad for the workplace, blanket accusations like this rarely have positive results. Try â€Å"I† statements instead- †When you [fail to deliver a report  on time] I [feel frustrated and fall behind on my deadlines].†5. That’s not my job, that’s not in my contract.I have mixed feelings on this one because agreeing to anything asked of you doesn’t usually lend i tself to strong boundary setting. That said, be a team player when you can, since you’ll probably need some help yourself before long.6. â€Å"Well, actually†¦Ã¢â‚¬ I thought only irritating internet commenters employed this one but apparently it’s spread into the outside world. There are more direct ways to voicing your opinion or a differing perspective than this grating correctional phrase. Just leave it out!7. Personal comments on weight, clothing, race, marital status, sexual orientation, etc.Many of these were probably covered in your company orientation, but one that often gets overlooked in many places I’ve worked is weight or eating habits. At my last job I had a well-meaning coworker who could not stop herself from commenting on what I was eating or not eating, characterizing a pizza lunch as â€Å"Oooh, good to you day† or â€Å"You’re so bad!† when I reached for a sweet snack afterwards. She also commented on my weight- bu t only when she thought I’d lost some. Again, she thought she was being sociable, but it made me really uncomfortable and made her somebody I was hesitant to work with in the future.I hate to say it, but sticking to only discussing your job while you’re at work may be the safest way to go.  7 Things You Should NEVER Say to Co-Workers  Read More at Payscale

Management Essay Example | Topics and Well Written Essays - 500 words - 6

Management - Essay Example The most significant problems that are affecting the plant include, material cost and a bad co-ordination between Research & Development people and Production engineers. Repeated design changing is making the overall cost higher. Had been designs coming from R & D section go directly for production without any more rectification, cost would have lowered. There is a dispute between R & D and Production peoples. One is blaming the other, which forces me to incorporate one special investigation team to govern actually where the conflict is. One design after coming to Production section does not reserves the right to be changed without proper notification to me. According to the notice sent by Employee & Community Relation Manager, we need to hire women and people of color very soon and make sure a higher percentage will be recruited into Production section which requires more effective manpower. Nothing is born perfect. We have to give the color of perfection. Question is not how effective we are, rather question is how much more we have to be. There must be a good relation among the people in the department as well as within various departments. After getting sure that design is complete and may rule over the market then only materials should be purchased. Otherwise it’s immaterial to periodically purchase and change the model structure. To set up good relationship, weekly meetings will be organized where all the in- charges of various sections may come with their ambiguities and questions if any. Other than this, picnic party, cultural activities will help the employees to intermingle. As Baker and Baker is interested for our model 80, so production engineers must do their work to make the product available as soon as possible. After that only other models and multi channel digital system will be carried out. As we are hiring people, later on works can be split up.

Small Successful European Economies Essay Example | Topics and Well Written Essays - 1000 words

Small Successful European Economies - Essay Example since the comparison is calculated as a difference of the unadjusted weighted averages, the exchange rate can either be positive or negative. A nominal exchange rate greater than 1 signifies that the currency of the home country is worth more than the foreign currency against which it is being compared. Any value below 1 would be the opposite. Such a calculation enables consumers to determine the relative price they pay for an imported good and helps them determine whether their spending is worth more or less for the imported goods in comparison to the local currency. The Danish economy, which was agrarian in nature until the 1970s and had been facing problems with restrictions by the EEC members, could not afford to take advantage of a high growth period during the 60s. since then, the contribution of the services sector including segments such as construction and shipping has grown much more in comparison to the contribution from agriculture. Even manufacturing took a backseat with a large part of the workforce being employed in the services sector as manufacturing, which was dependent on international exports faced stiff competition. As such, this decade started to witness a marked increase in the number of companies that could thrive internally and the relevance of companies that were dependent on doing business with external entities began to diminish. This was also the time when Denmark joined the European exchange rate cooperation and the higher rate of inflation that was a result of the severe stress put on the Danish economy resulted in a negative nominal exchange rate. The marked spike in public spending combined with a squeeze on international exports also contributed to the low nominal exchange rate in comparison to the later years. The real effective exchange rate is a weighted range of an economy’s currency in comparison to the collective index of major traded currencies after adjustments for the effects of inflation. These

Chronic Obstructive Pulmonary Disease (COPD) Causes

Chronic Obstructive Pulmonary Disease (COPD) Causes Herla Dorvil Chronic Obstructive Pulmonary Disease (COPD) is one of many public health issues America faces. It is among the leading causes of death in the United States. It is affects more Americans just as any other disease. People with COPD are impacted where it can affect daily living. Due to the destruction of the alveoli in lungs, more individuals are requiring hospitalization frequently. Many people are diagnosed with COPD each year. COPD is a group of chronic pulmonary diseases such as chronic bronchitis and emphysema that impair air flow to the lungs causing difficulty in breathing. According to (Chen et al., 2013), the World Health Organization has reported approximately 5/100 deaths worldwide due to COPD. Although COPD is a huge issue in public health, still many are unaware of the risk factors, target population it affects and the impact this creates in someones life. There are many ways that people can develop COPD. COPD occurs mostly in current or former smokers. Cigarette smoking and long-term exposures irritates and damage the lungs. â€Å"Cigarette smoke causes progressive destruction of the lung tissue, resulting in irreversible narrowing and scarring of the airways and loss of the alveolar interface where gas exchange takes place.† (Barnes et al., 2011, p. 612) Environmental factors such as air pollution, dust particles, and chemicals are also detrimental to one getting COPD. People who work around chemicals for a long time are at risk to damaging their lungs. The chemicals that are inhaled from the work environment and air pollution causes serious affects to the lungs. Breathing in secondhand smoke also poses a risk because they are around it all the time. People are most likely to develop COPD after being around family members who smoke or have a history of smoking. Another factor is the heredity of alpha one antitrypsin deficiency . An absence of alpha one antitrypsin increases your risk for lung disease. The lungs are protected by this protein and it is produced in the liver. It protects the body from unwanted effects from other proteins that cause harm to different organs of the body (Cox, 2011). Some patients that have asthma are usually categorized under chronic obstructive pulmonary diseases. It affects the lungs by narrowing the airways and making it hard for one to breathe and usually have to take maintenance drugs if necessary. Common symptoms that are seen with COPD are chronic cough, increase in sputum production, chest tightness, wheezing, and shortness of breath. People with COPD usually have exacerbations, which is when their condition becomes worst over time. COPD is more common in older age groups and is said to be prevalent in women. People who get COPD are usually 18 years and older. Sometimes individuals are unaware that they have COPD until later in life after it progresses and they start developing symptoms. Studies say that women are twice as likely as men to get COPD. Although COPD affects all ages and mostly older age, the prevalence is high among adults less than 65 years old (Barnes et al., 2011). Due to under diagnosis the amount of people who have COPD may be higher. Many people don’t go to get regular check-ups and don’t have the money to do so, therefore they go a long time without noticing symptoms and end up finding out when it exacerbates. COPD is a chronic progressive disease that affects the pulmonary system creating a huge burden on ones life depending on the severity. Some patients with COPD experience weight loss skeletal muscle dysfunction and it makes it difficult to perform daily living activities as well as physical activities. The disease can cause one to experience shortness of breath with any type of movement. Kulich, Molen, Polkey, Rabinovich, Troosters, Vogiatzis (2013) emphasizes that the lack of physical activity contributes to the progression of the disease and creating poor outcomes. It is marked as reasons for mortality in hospitalized stations for many individuals. When physical activity is increased, it produces better outcomes for the patient. As the disease progresses individuals are frequently hospitalized, thus creating increased debt and healthcare expenditures. According to Chen et al. (2013), the average amount of medical expenses for a COPD patient is estimated at $27,656 per year, which i s four times higher than the average cost for patients without the disease. The individual has to constantly buy medication and it also creates problems at home where it interferes with their economic stability. It causes one to become unstable and unable to pay their bills and incompetent to take care of their selves which then leads them into depression. â€Å"In individuals with COPD, depression is significantly associated with decreased functional status; impair quality of life and disease progression and mortality.† (Das, Negi, Pandey , Raval, Sarkar, 2014 p.403) Due to the clinical depression, patients may not be in compliance with their management programs such as taking their medications, attending smoking cessation programs and pulmonary rehabilitation. By not taking these measures it leads to poor clinical outcomes and patients tend to relapse. COPD Individuals with depression cause higher financial problems for themselves. Das et al (2014) also showed that the occ upational status of a person showed an association with the presence of depression which develop into mood disorders. Not only is there an economic burden and depression, it also triggers other illnesses that will generate further complications (Chen et al., 2013). Some people later get peripheral artery disease, stroke and lung cancer. The impact of COPD can causes people to completely stop working because of the severity and the complications it produces. An understanding of the chronic disease complexity can help improve the quality of life for those individuals living with chronic obstructive pulmonary disease. Recognizing the impact of COPD may help the population to better identify, to get proper treatment and to reduce severity and exacerbations. The population of young, older men and women has to be educated and be made aware of the risk factors and importance of preventing the disease progress for a better and an improvement in life expectancy. References Chen, P., Livneh, H., Lu, M., Sung, F., Tsai, T. (2013). Increase risk and related factors of depression  among patients with COPD: A population-based cohort study. BMC Public Health, 13. doi: 10.11.1186/1471-2458-13-976 Coz, L.A. (2011). A casual model of obstruction pulmonary disease risk. Risk Analysis, 31(1), 38-62. doi:  10.1111/j.1539-6924.2010.01487 Barnes, N., Buist, S., Fishwick, J., Fletcher, M., Hutton, J., Jones, P., Walsh, J. (2011). COPD uncovered:  an international survey on the impact of chronic obstructive pulmonary disease on a working population. BMC Public Health, 11(1). doi: 612.62410.1186/1471-2458-11-612 Das, P., Negi, H., Pandey, K., Raval, A., Sakar, M. (2014). Presence of depression and its risk factors in  patients with chronic obstruction pulmonary disease. The Indian Journal of Medical Research, 139(3), 402-408. Retrieved from http.www.ebcohost.com Kulich, K., Molen, T., Polkey, M., Rabinovich, R., Troosters, T., Vogiatzis, I. (2013). Improving physical  activity in COPD: Towards a new paradigm. Respiratory Research, 14(1),115. doi:10.1186/1465-9921-14-115

Persuasive speech Essay

`Americans should be considered equal and allowed the opportunity to marry a person of the same sex if they desire`.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   For years, marriage has been defined as the union of a man and woman. In fact, in the United States, the Defense of Marriage Act has been passed by the Congress. This has prohibited and denied same-sex marriages. According to democracynow.org, this issue on same-sex marriages has continued to bring out divided and different opinions from people, though some states have stepped towards allowing legal rights to gay marriages. According to law.richmond.edu, same sex marriage has become a major constitutional issue.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In all these debates, my stand is that we should allow this kind of marriage. I believe that every person, whatever his or her gender is, should be treated with equality.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Mary Bonauto, the Civil Rights Project Director of Gay & Lesbian Advocates & Defenders, said that civil rights movements make an effort â€Å"to create a world without privileged places from which individuals or groups of people are excluded solely because of personal characteristics.† They have struggled for women, African Americans and now lesbians and gays in America. Are we to overlook and disregard those struggles? If they have fought for equality for women and for African Americans and we have learned to accept it, why can we not give way to equality in terms of marriage? Gays and lesbian couples want to get married simply because they love each other deeply. Bonauto said that these people view marriage as the ultimate means of expressing their love for each other, just like other people do. Many of these couples would want to marry if only they were allowed to do so, according to bc.edu.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   According to law-library.rutgers.edu, Mary Becker, Professor of Law at DePaul University College of Law found the real good in marriage, it being â€Å"an intimate human connection that transcends gender and procreation†. Professor Becker suggests that the government should support a model that advances â€Å"human happiness and well-being† in its regulation of marriage.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There had been a lot of arguments on this, though. I quote from a press release from white house.gov, â€Å"America is a free society, which limits the role of government in the lives of our citizens. This commitment of freedom, however, does not require the redefinition of one of our most basic social institutions. Our government should respect every person, and protect the institution of marriage. There is no contradiction between these responsibilities. We should also conduct this difficult debate in a manner worthy of our country, without bitterness or anger.†   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Also, the site cwfa.org cites things that gay marriages can result to, such as weakening of the family and the encouragement of people to remain homosexual.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Well, what I have to say is I think that every person has a choice to become what he wants to be. He can choose what to make of that right. What steps can we do to solve this issue? For starters, if we are to respect every person in the real sense, we are not to let discrimination hurt anyone. And I know that each of us can handle this debate without bitterness. I hope we could all open our eyes and see beyond ourselves, to see where other people come from and what they believe in and to respect what they uphold. If we say that we are a free society then let’s show it. Let us give gay couples the freedom to marry if they want to.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   At some point in our lives, we may have experienced discrimination in various ways. And we know that doesn’t feel good. You see, we all have rights. And we need to treat all people, including gays and lesbians equally and with respect, just like how we want to be treated. Same-sex marriage is not a bad thing. Gay marriages just prove that marriage, love and commitment pass beyond gender. Think of this. What if you were in their shoes, not having the chance to marry the person you love because of gender biases? How would you feel? Live and let live. Sources: Becker, M., â€Å"Family Law in the Secular State and Restrictions on Same-Sex Marriage: Two Are Better Than One,† University of Illinois Law Review, 2001:1-56, Retrieved November 21, 2006 from http://law-library.rutgers.edu/SSM.html#pro Bonauto, M. L., â€Å"Civil Marriage as a Locus of Civil Rights Struggles,† Human Rights, 30(3):3-7 ( 2003) (American Bar Association, Section of Individual Rights and Responsibilities) Retrieved November 21, 2006, from http://www.abanet.org/ Henkle,G. (2004). Same Sex Marriage In The News. Retrieved November 21,2006, from http://law.richmond.edu/ Knight, R. (2003). ‘Gay Marriage’ Is Not Only Wrong; It’s Socially Destructive. Retrieved November 21, 2006, from http://www.cwfa.org/ Wriggins,J. MARRIAGE LAW AND FAMILY LAW: AUTONOMY, INTERDEPENDENCE, AND COUPLES OF THE SAME GENDER, Retrieved November 21, 2006, from http://www.bc.edu/ Gay Marriage in Native America (2005). Retrieved November 21,2006, from http://www.democracynow.org/ President Calls for Constitutional Amendment Protecting Marriage (2004). Retrieved November 21, 2006, from http://www.whitehouse.gov/

Staff Development Teaching for Preventing Falls in the Elderly Long Term Care Facilities

In the United States, unintentional falls are the most common cause of nonfatal injuries for people older than 65 years. Up to 32 percent of community individuals over the age of 65 fall each year. Females fall more frequently than man in this age group, especially due to the fact that most female elderlies have bone weakness such as osteoporosis, which makes the fall to cause fatal injuries sometimes. Fall related injuries are the most common cause of accidental death in those over the age of 65. Approximately 40 fall related deaths per 100,000 people per year.Thus, fall are a growing public health problem that need to be addressed. Patient would not only suffer from such fall but the facility goes through hardships as well to deal with the patient. Fall related death rate in elderly group has been increasing in USA. Recently, falling has been occurring a lot in the long-term facilities. Falling has the highest rate of incident in the long-term facility because most of the patients are elderly. Falls can cause serious injuries and accidental death. In order to prevent falls in the elderly is very important.There are several different approaches to deal with predispose factors for elderly type of injury. I am going to reviews the major risk fators of falls and how to prevention for elderly populations living in long term care facilities. The effective falls intervention programs should take a multifaceted approach.Assess the staff for ability of learning and understandingI explained the background of important fall precaution to our licensed nurses and CNAs, the ones who gives care to the patients with ADL most closely. The Staff members, Licensed Nurses, and CNAs have different nationalities with different language. Licensed Nurses are 70% LVN and 30% RN. The experience in the healthcare facility for most of them is at least 3month. Because 90% of staff can fully understand in English, it is not necessary for the educational materials to be in other languages than English. The learners already are familiar with this topic because they already have had experiences in long-term facilities.How to educate and when is the best time for as much as possible participated in service. In order to prevent further falls, fall precaution presentations will be held during the weekdays in the conference room. Staffs can come in 30 minutes before or after the shift change, and spend an hour on this topic. First, I will show some fall cases through video, so I can induce the staff’s interest in this subject through visualization. Even though the staffs are well aware of the fall incidents, it is not easy to keep an eye on every patient 24/7, which can be frustrating and tiring to the staffs. However, I can explain how much this is important and tell them to try to understand and do the best. I will be identifying what risk factors or what kind of patient has high risks of falling using a current published brochure and video.What is the cost effect of a fall?Fall related injuries among elderly are associated with economic costs, which is much greater than the cost to implement a fall prevention program. In the long-term care facilities, even with an interdisciplinary team with physicians, nurses, social worker, physical therapy and administrators, fall prevention is still difficult because there is no way of knowing when one of the patients is going to fall. That is why it is crucial to educate staffs and patients to help reduce these barriers over time. Fall-related injuries account up to 15 percent of re-hospitalizations in the first month after the discharge from hospital. Falls carry staggering economic costs. Annual acute-care costs related to falls are estimated at $1.08 billion and long-term care costs at $4.9 billion.According to the Centers for Disease Control and Prevention, medical costs related to falls totaled more than $19 billion in 2007–$179 million for fatal falls and $19 billion for nonfatal fall-rela ted injuries. By 2020, the annual direct and indirect cost of fall injuries is expected to reach $54.9 billion. While falls have a tremendous impact on the patients, they also directly affect a healthcare organization’s cost per case and length of stay. Injuries from falls lead to a 61% increase in patient-care costs. Nearly every nurse can recall an incident in which a patient fell or nearly fell. As patients continue to age and present with increasing vulnerability and comorbidities, their potential  for harm increases.Predisposing factorsMulti-factorial Medications: Lots of medications such as benzodiazepine, tricyclic antidepressant, selective serotonin uptake inhibitors, and trazadone should be identified as high risk for fall. Most elderly long term care residents are reffered to as â€Å"polypharmacy† which is high risk for fall. Education (reorientation): fall prevention programs should be reoriented as much as possible call to increase safety awareness and r educes the fear of falling. Environment: frequently check environment that is very important. Web areas, clutter, poor lighting, and other environmental factors can reduce the risk of falling in nursing home.How to prevent fall1. After completed fall assessment upon admission, initiate fall precaution as soon as possible. Before appropriate technology and equipment can be chosen to help prevent falls, the patient’s fall risk, functional readiness, and mobility must be assessed. Most of patients consider for high risk for fall. Post-fall assessment is important because a lot of incidents are related to fracture, which is a serious matter. Fall prevention interventions should be assigned that are appropriate for individual based on the result of fall risk assessment2. Educate patients about predisposing and precipitating factors. This supports them to understand and enable them to do multi-disciplinary approaching. It should be built on initial risk screening results and involv e not just nurses but an interdisciplinary team of physicians, pharmacists, and physical and occupational therapists.3. Educate about basic knowledge of medication to CNA who is closely giving care than others.Essential implementation of safety caring in long term care facility1. Transfers: Patients rise from a sitting position to a partial stand to keep the center of gravity relatively low. Transfer the patient to the stronger side with the wheelchair at approximately 45-degree angle from the bed. If patients are unable to bear weight through the lower extremities due to weakness, place one end of the transfer board under the patient between the  buttocks and back of the thigh, then place the other end in the seat. Have the patient push up with the arms while slightly lifting the buttocks and slowly moving toward the wheelchair.2. Get belts: during transfer, obtain a standing position, turn and sit onto another surface or stand and walk to a new location, then turn and sit onto a new surface. The belt is better choice than the alternative placing one arm under the patient’s arm for the lift and holding onto the patient’s clothing or gown, which can injure the arm or shoulder, but care individual need to basic training from PT/OT personal.3. Bed and toileting safety: height- adjustable beds, safety rails, and raised toilet seats can reduce fall. To promote safety when the patients stands or for transfers, raise the bed. Otherwise, a weak patient who tries to stand could fall. Transfers onto and off a toilet, fix raised toilet seats and safety rails on either side of the toilet are needed. Patients can hold onto these to steady themselves when transitioning from a standing to a sitting position, and to push off from while standing after toileting. If the patient is unable to safely ambulate with assistance to the bathroom, provide a bedside commode.4. Mobility devices: mobility devices such as canes, walkers, and wheelchair mobility should be ma de sure that it has been evaluated and deemed approporiate and in a good working order. If it isn’t proper working contact a physical therapist for further evaluation. All mobility devices should be adjusted to the patient’s height and other characteristics as appropriate.5. Walkers: Nurse can walk next to the patient as the patient ambulates. Walker with seat must lock the brakes when ready to sit or transfer and complete the activity. Patients who become dizzy from nauseas or orthostatic can easily turn and sit on the seat without falling. This arrangement is much safer than having another staff member trail behind with a wheelchair and lower the patient to the wheelchair seat if patient becomes fatigued or dizzy or loses balance.6. Wheelchairs: individualized wheelchair prescriptions must be customized to each patient because the standard wheelchair does not work for all patients. For example, a dementia patient with memory deficits cannot be expected to remember to lock the wheelchair.What to do for caring for high risk fall patient1. Visual check every 2hours or more often 2. Keep bed in low position all the time 3. Lock wheels, call light, water pitcher, urinal in easy to reach. 4. Provide well lit path 5. Check shoes ; check well fitting, floppy shoes or loose clothing 6. Keep room clutter free, floor dry ad not slippery 7. Check bed, wheelchair alarm, or bedside mattress as ordered 8. Promptly answer for need help with call bell systemEvaluationVerify the education and providing data is effective or not. Throughout this education program, it is important to find a way to help nursing staff deal with issue of patient fall. Staff members recognize how vital it is to be aware of the possibility of fall during care. This program provides gaining more confidence to staff in their abilities to work with care. Even though falls can’t be prevented 100%, applications of fall prevention educations will create a safer, healthier, and happier place for both patients and staffs.

The Lottery Examples Of Literary Terms, And A Journal Entry

A. 1) The tone, mood or atmosphere in the story begins with that of happiness and euphoria, by setting us up with a wonderful day that most everyone would enjoy. (Quote: â€Å"The morning of June 27th was clear and sunny, with the fresh warmth of a full-summer day†¦Ã¢â‚¬ [pg147] ) However, later on in the story, it takes a different tone, and by the very end the tone is that of panic, disdain and fear. (Quote: â€Å"‘It isn’t fair, it isn’t right,’ Mrs. Hutchinson screamed, and then they were upon her.† [pg 155] ) 2) The conflict in this story is person versus environment (society) And to a lesser extent, person versus person. (Quotes: â€Å"I tell you it wasn’t fair, you didn’t give him time enough to chose. Everybody saw that.† [pg154] â€Å"‘Be a good sport,†¦show more content†¦Summers. ‘You didn’t give him enough time to take any paper he wanted, I saw you, it wasn’t fair.’† [pg 153]† 5) The situational irony in the story is that in the beginning a fun filled happy day with a fun contest is expected and what actually occurs is something barbaric and murderous. (Quotes: â€Å"They stood together away from the pile of stones in the corner and their jokes were quiet†¦Ã¢â‚¬ [pg148] â€Å"Tessie Hutchinson was in the middle of a clear spot by now, and she held her hands out desperately as the villagers moved in on her, ‘It isn’t fair,’ she said. A stone hit her on the side of the head†¦Ã¢â‚¬ [pg 155] ) 6) The lottery itself is symbolic of the paradox of the human psyche between compassion on one hand and the thirst for violence on the other. An example of this is when the children are enjoying a break from school, playing and being children, and suddenly they are being joined by adults stoning a mother to death. It appears that this tradition has blinded these people, making them unable to think of a reason why this possibly should not be happening. (Quotes: â€Å"Bobbie Martin had already stuffed his pockets full of stones and the other boys soon followed his example selecting the smoothest and roundest stones.† [pg147] â€Å"The pile of stones the boys had made earlier was ready. Tessie Hutchinson was in the center of a cleared space by now, she held her hands up desperately as the villagers moved in on her, ‘It isn’t fair,’ she said. 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