HEALTH AGENCY Essay -- essays research papers fc

This essay will focus upon a critical incident analysis in the context of multi-agency team work and inter-professional working. The details of the incident will be drawn from the authors recent experience with the Community Housing Support Team, in particular from Care Programme Approach meetings. The names of both clients and staff, as well as details pertaining to their locale have been changed or omitted to comply with the UKCC’s Code of Professional Conduct, Clause 10, (UKCC, 1992). The situation used within this assignment is based upon two clients who co-habit in a first floor maisonette as common law husband and wife. Mr Client has a diagnosis of paranoid schizophrenia which is controlled with xenobiotics and is the main carer for Mrs Client who has a diagnosis of chronic schizophrenia also controlled by xenobiotics that are administered by Mr Client. Mrs Client also has a prolapse of the uterus which causes her to suffer from double incontinence. Arrangements have been made for Mrs Client to have the required operation to repair the problem, however prior to admission Mrs Client becomes very anxious and has twice refused to have the operation. Both clients have a poor dietary intake, poor personal hygiene, high caffeine intake, and a heavy smoking habit. The conditions that the clients are now living in due to the above being ongoing for some time are now less than satisfactory, and to that end the present situation and what should be done about it, has become the primary focus of the various professionals and agencies involved in care of the clients. Each client has their own keyworker representative from the agencies and professionals involved in their care, these are a community psychiatric nurse (CPN), social worker, and a member of the housing support team (HST). Both the clients have home care workers visiting as part of the social work input, and they also share the same general practitioner (GP), and psychiatric consultant. Housing support team input was on a daily basis with both clients and their role was to assist the clients with shopping and encourage the clients to use leisure facilities and local transport. The housing support team although referred to separately within this essay are officially part of the social work team, as this is the source of their funding. The social work keyworkers roles were to visit the clients on a reg... ...989) The Nurse Executive and Interdisciplinary Team Building. Nursing Administration Quarterly. Volume 13, Number 2, Pages 24-30. HUBER.D, (1996), Leadership and Nursing Care Management. W.B. Saunders Company, USA. HUDSON.B, (1987), Collaboration in Social Welfare: A Framework for Analysis. Policy and Politics. Volume 19, Number 4, Page 243-256. JOHNSON.M, (1994), Conflict and Nursing Professionalization. Mosby, St Louis. ÆVRETVEIT.J, MATHIAS.P, & THOMPSON.T, (eds), (1997), Interprofessional Working for Health and Social Care. MacMillan Publishers LTD, Hong Kong. SMITH.R et al, (1993), Working Together for Better Community Care. SAUS Publications, Bristol. UKCC, (1992), Code of Professional Conduct. Clause 10. 3rd Edition. United Kingdom Central Council for Nursing, Midwifery, and Health Visiting, London. WEBB.A, (1991), Co-ordination, A Problem in Public Sector Management. Policy and Politics. Volume 19, Number 4, Page 229-242. BIBLIOGRAPHY. ROPER.N, LOGAN.W, & TIERNEY.A.J, (1986). The Elements of Nursing. Churchill Livingstone, London. LYTTLE.J, (1994) Mental Disorder - Its Care & Treatment. Bailliere Tindall, London. SELIGMAN.M, (1991). Learned Optimism. New York. HEALTH AGENCY Essay -- essays research papers fc This essay will focus upon a critical incident analysis in the context of multi-agency team work and inter-professional working. The details of the incident will be drawn from the authors recent experience with the Community Housing Support Team, in particular from Care Programme Approach meetings. The names of both clients and staff, as well as details pertaining to their locale have been changed or omitted to comply with the UKCC’s Code of Professional Conduct, Clause 10, (UKCC, 1992). The situation used within this assignment is based upon two clients who co-habit in a first floor maisonette as common law husband and wife. Mr Client has a diagnosis of paranoid schizophrenia which is controlled with xenobiotics and is the main carer for Mrs Client who has a diagnosis of chronic schizophrenia also controlled by xenobiotics that are administered by Mr Client. Mrs Client also has a prolapse of the uterus which causes her to suffer from double incontinence. Arrangements have been made for Mrs Client to have the required operation to repair the problem, however prior to admission Mrs Client becomes very anxious and has twice refused to have the operation. Both clients have a poor dietary intake, poor personal hygiene, high caffeine intake, and a heavy smoking habit. The conditions that the clients are now living in due to the above being ongoing for some time are now less than satisfactory, and to that end the present situation and what should be done about it, has become the primary focus of the various professionals and agencies involved in care of the clients. Each client has their own keyworker representative from the agencies and professionals involved in their care, these are a community psychiatric nurse (CPN), social worker, and a member of the housing support team (HST). Both the clients have home care workers visiting as part of the social work input, and they also share the same general practitioner (GP), and psychiatric consultant. Housing support team input was on a daily basis with both clients and their role was to assist the clients with shopping and encourage the clients to use leisure facilities and local transport. The housing support team although referred to separately within this essay are officially part of the social work team, as this is the source of their funding. The social work keyworkers roles were to visit the clients on a reg... ...989) The Nurse Executive and Interdisciplinary Team Building. Nursing Administration Quarterly. Volume 13, Number 2, Pages 24-30. HUBER.D, (1996), Leadership and Nursing Care Management. W.B. Saunders Company, USA. HUDSON.B, (1987), Collaboration in Social Welfare: A Framework for Analysis. Policy and Politics. Volume 19, Number 4, Page 243-256. JOHNSON.M, (1994), Conflict and Nursing Professionalization. Mosby, St Louis. ÆVRETVEIT.J, MATHIAS.P, & THOMPSON.T, (eds), (1997), Interprofessional Working for Health and Social Care. MacMillan Publishers LTD, Hong Kong. SMITH.R et al, (1993), Working Together for Better Community Care. SAUS Publications, Bristol. UKCC, (1992), Code of Professional Conduct. Clause 10. 3rd Edition. United Kingdom Central Council for Nursing, Midwifery, and Health Visiting, London. WEBB.A, (1991), Co-ordination, A Problem in Public Sector Management. Policy and Politics. Volume 19, Number 4, Page 229-242. BIBLIOGRAPHY. ROPER.N, LOGAN.W, & TIERNEY.A.J, (1986). The Elements of Nursing. Churchill Livingstone, London. LYTTLE.J, (1994) Mental Disorder - Its Care & Treatment. Bailliere Tindall, London. SELIGMAN.M, (1991). Learned Optimism. New York.

Safe Distances :: Personal Narrative Religion Papers

Safe Distances Evolution at its most basic is the process by which a species puts barriers between itself and extinction. Anytime a species finds a way to increase its individual organisms' ability to reproduce, it has put a little extra distance between the species and total annihilation. For example: the peacock's elaborate tail, which ensures his success in propagating his genes, also makes him an easy catch for predators. One might imagine that the peacock could simply have invested in a foreign sports car to attract the opposite sex. I was 15 the first time I made my own blood run. I was sitting in the crowded closet, feeling that iron-in-my-stomach sensation that had been with me more and more since my grandmother had died, since my father had started screaming so much, since my feelings for school had gone from run of the mill adolescent angst to extreme boredom, frustration, outrage over the absurdity of it all. I would sit some nights like a toddler in the darkness of my closet, morosely rehashing my grievances against life, lost in a forest of sweaters and skirts. I would brood, and think and will myself not to cry until the effort became too great and I'd give in and wring my hands and rain tears on my sneakers and sandals and sensible dress shoes in silence until the iron had dissolved enough that I could stand straight again. The Hebrew's relationship with God starts out as extremely simple and extremely personal. God chooses his favorites with frightening randomness, picking otherwise unremarkable second sons to succeed their morally ambiguous, but also chosen, fathers. God's actions in Genesis are often inexplicably random, even petty. God forbids his first human creation to eat a certain apple, and then puts a whole tree full of the forbidden fruit right in front of them. When they finally give in and taste test what they shouldn't have, Adam and Eve are banished from paradise and consigned to death. God's actions here seem cruel and unfair, or at the very least, unfathomable to human minds. We can't help but feel a little outrage and confusion over the events of Genesis. Why wasn't Lot's wife allowed to look back (19:26)? Why did God just up and slay Er (38:7)? How could Cain be allowed to live after killing his brother (4:15), when God was willing to kill all the children on earth with one gigantic flood in order to cleanse the earth of sin (6:13)?

Chem Sba 1

Name: Derell Ruan Form: 4B1 SBA: Chemistry Aim: To determine which gas, Ammonia or hydrogen chloride defuses faster. Hypothesis: Ammonia will defuse faster than hydrogen chloride. Materials Equipment: Chemicals: * 2 retort clamp and stand Ammonia * 1 ? m glass tube * 2 250cm3 beakers * Cotton Wool * Stop clock * Meter rule * Tweezers * 2 Rubber bum Method: The equipment was collected. * The glass tube was placed between the two clamps ensuring that it was leveled. * A small amount of hydrochloric acid was poured into the beaker. * The cotton wool was placed at one end of the glass tube using tweezers. Seal it off with a rubber bum. * Repeating steps 3-5 simultaneously. * The stop clock was started, keeping record of time taken to the white cloud to form. * The meter rule was used to measure the distance of the white cloud from each end of the tube. ResultsChemical| Distance| Time ( in sec)| Rate of Diffusion| Molecular weight | Ammonia| 90| 285| 0. 315| 17. 03| Hydrochloric acid| 60 | 285| 0. 210| 36. 46| Interpretation of results: The purpose of the glass tube is to eliminate air currents and to let the gas molecules will move on their own. The gas molecules follow a path through the tube as they collide with the air molecules in the tube. Ammonia will diffuses faster because it has a faster rate of diffusion and it is almost twice a light as Hydrochloric acid.A cloud like figure should show up when the gases collide. Conclusion: The reaction which is taking place is: ammonia + hydrogen chloride > ammonium chloride NH3Â  (g) + HCl (g) > NH4Cl (s) The exact time taken for the cloud to form depended on the dimensions of the tube, and the amount of the solutions which are put on the cotton wool. The cloud formed nearer to the hydrochloric acid end of the tube because ammonia diffuses faster than hydrochloric acid.This is because hydrogen chloride has almost twice the molecular weight of ammonia, and the rate of diffusion is inversely proportional to the square r oot of the molecular mass of the gas. The hypothesis was correct and is proven by the results of the experiment and what was interpreted was also proven by the results of the experiment. Limitations: The experiment could not have been conducted several times enabling the results to be more accurate, because of the high risk that it could have done to the human body.

Penn Square Bank & Down Corning Bankruptcy Essay

According to Norm Bowie, â€Å"sometimes being moral enhances the bottom line rather than reduces it† (Hartman, 2005, p108). Unfortunately, in the instances of Penn Square Bank and the Dow Corning bankruptcy, that may not have been the case. The following will examine the particulars of these situations and discuss the ethical issues present for each. Penn Square Bank Penn Square Bank was a small bank that played a large role in the Oklahoma banking crisis of the early 1980s. In an effort to maximize on the profits of the booming oil industry, the upper management of Penn Square Bank cut corners in several areas of its new lending division. Documentation to support million-dollar loans became lax. Collateral valuation and revenue recognition was severely over estimated without verification of the documentation to support such claims. Loan contracts were with casual deals and unspecific terms. Credit was extended based upon unverified personal letters paid for by the client. These documentation errors led to loans not properly secured (Caskey, 1985). In addition, Penn Square was more and more money, which facilitated errors in revenue recognition as the bank accepted over estimated valuation claims without requiring loan or interest payments. Thus, on paper the bank looked successful without ever possessing the funds to support its lending endeavors. Finally, credit was extended without true verification of asset valuation or proper documentation, and re-extended when the client could not produce the payments necessary to support the lofty loans (Caskey, 1985). Each of Penn Square Bank’s actions represents a form of financial statement fraud, which led to its downfall in 1982. According to Fraud Examination, there are three ways to deter financial statement fraud: (1) reduce the pressure to commit the fraud, (2) reduce the opportunity to commit the fraud, and (3) reduce the rationalization of the fraud (Wells, 2005). However, in this instance, most if not all of the fraud committed can be attributed to demanding goals set by Penn State Bank owner, Bill Jennings. As explained by Hartman, the â€Å"driving force† of â€Å"profit maximization† created a business environment to facilitate fraud (2005). Because profit was the sole motivator, documentation was inadequate, collateral valuation and revenue recognition was overstated, and credit extension was unverified and inferior. Instead,  Penn Square Bank should have considered the following measures: †¢An oversight or review board should be been established to oversee verification of credit or collateral valuation and determine the risk associated with each loan. †¢Documentation requirements should have been heavily enforced and maintained by the review board. †¢Contract and loan deals should have been regulated to the office with strict documentation requirements. †¢Disclosures should have been made regarding the lack of loan and interest payments. †¢Asset valuation and revenue recognition should have been accurately portrayed to investors, clients, and potential buyers. †¢Upper management should have established company ethical standards and enforced these standards with strict consequences for violation without exception. Unfortunately, all the measures to deter fraud that should have been considered were undermined by the owner’s overwhelming demand for success. Thus, Jennings’ need to maximize profits and increase sales created the pressure, opportunity, and rationalization to commit each action of fraud. Dow Corning Bankruptcy Dow Corning Corporation is the big name in silicone and silicone-based material production. But in 1995, the company filed for Chapter 11 bankruptcy to protect itself from lawsuits regarding their silicone-based breast implants. Some advocated that the action was an effort to â€Å"avoid compensating women for their injuries† (Book review, 1996, p7). However, according to Hartman, Chapter 11 bankruptcy is intended to protect companies from creditors while it undergoes restructuring in an effort to stave off liquidation. By doing so, the company continues business, pays taxes, and provide jobs but is allowed time to reorganize to triumph over its economic hardship (Hartman, 2005). The ethical challenge is to use Chapter 11 as it is intended – as a restructuring tool to avoid losing everything – rather than file for Chapter 11 as a way of cheating its creditors out of owed money. Hartman suggests that what is ethical in regard to bankruptcy is to go beyond what the laws require and uphold the debt agreements made with creditors (Hartman, 2005). Dow Corning seemed to have that same perspective. Nine years later the company emerged from bankruptcy after settling the lawsuits for a payout of $3.3 billion over the next 15 years (Arndt, 2004). During the time under Chapter 11, the company reorganized  itself to refocus silicone production to develop fabrics, materials, and pharmaceutical products (Arndt, 2004). These sales and expanding markets will help Dow Corning to pay its debts to the 300,000 women named in the settlement (Sissell, 2004). Thus, Dow Corning is Chapter 11 bankruptcy free but still upholding its ethical obligation to the wronged party and its creditors. Although Dow Corning’s actions following the Chapter 11 emergence was ethically sound, its actions leading to the filing was anything but. Problems with Dow Corning’s silicone breast implants began as early as 1984 when they lost a lawsuit claiming the implant caused medical illness such as autoimmune disease. During the investigation for this lawsuit, lawyers found evidence showing Dow Corning executives were aware of complaints from doctors, concerns about the lack of long-term testing, and cases of the implant bursting during surgery. In addition, the study that supposedly proved the effectiveness and safety of the product revealed detrimental long-term effects on the animals under experimentation (Book review, 1996). However, throughout all the breast implant concerns, Down Corning continued to advocate the safety of their product going as far as to hire high profile and extremely expensive teams of legal and public relations specialists. In addition, allegations were present of executives attempting to destroy damning internal documents suggesting upper management was trying to cover up its liability in the claims. The 1984 lawsuit found Dow Corning guilty of fraud and deceit stating the company provided inferior and incomplete information by understating the risks to make an informed decision (Book review, 1996). More important, it revealed the unethical behavior of the executives and company as a whole.

Homeostasis Research Paper Example | Topics and Well Written Essays - 750 words

Homeostasis - Research Paper Example This paper will discuss four ways human physiology responds to athletic training from the perspective of musculoskeletal system, body composition, thermoregulatory system and cardiovascular system and explain physiological mechanisms. Exercise programs promote muscle development, which takes place in conjunction with body fat reduction resulting from the difference between the intake and output of energy. In the initial stages of weight reduction, the body fat available for the body to use as fuel is often counteracted as denser muscle tissues are gained. The adenosine triphosphate chemical (ATP) facilitates muscle contraction and after several repetitions, ATP levels are depleted. Glycogen is initially burnt to replenish the level and the longer exercise takes, the more fat is burnt, like in short and high-intensity exercises (Curtin & Woledge 583). If the exercises are longer, the muscles release more lactic acid, which could eventually lead to muscle fatigue and cramping. However, flexibility and stretching exercises create greater motion range in joints subjected to the associated stresses. The result is that when the joints gain the ability to move with more dynamism, there is a notable increase in stability , power and speed in the motions of the related structure. This greatly reduces chances of injury or being overstressed. Body composition accounts for the most visible physiological change in response to athletic training. The human body is constructed from skeletal bone, organs, lean muscle mass and body fat. Although training does not alter their dimensions, specialized exercise reduces body fat percentage while increasing the mass of lean muscle. Processed triglycerides are stored in the form of body fat in the adipose tissues for indefinite periods. When exercise is combined with the right diet, it will result in

Did strategy drive war or did war drive strategy in early modern and Essay

Did strategy drive war or did war drive strategy in early modern and modern France - Essay Example ue Protestants in France while helping Protestant organizations abroad— so as well did strategy turned out to be restrained.iii The bloodbath of the Thirty Years’ War gave way to wars fought for ‘reason’, to enlarge the ruler’s interests and through him the entire stateiv: hence the birth of strategy in early modern and modern France. While scholars analyzed old Roman literatures to unearth the element that made the legion indestructible mechanisms of strategy, so too did strategy practitioners revisit the Classical period where in the premise of foreign policy influenced the waging of war.v For some time, the growth of the newly centralized government and the creation of gunpowder seemed to destroy the formidability of fortifications: medieval defenses failed to endure the thrashing of late 15th- or early 16th-century weaponry.vi However, the creation of thoroughly devised geometric buttresses brought back a great deal of the balance. A well-defended kingdom was yet again a strong barrier to attacks, one that would entail a considerable amount of time and energy to weaken. The building of series of fortified towns along an empire’s border was the major peacetime ideas of strategists.vii Strategy started to look more like science than ability, method rather than art. Practitioners, like Sebastien Le Prestre de Vauban, a 17th-century French engineer, and baron de Jomini, an 18th-century French military historian and general, pioneered in making war a business of principles, guidelines, and laws.viii Expectedly, these developments overlapped with the construction of military academies and an ever more reforming and scientific inclination--- officers took lessons in military engineering and artillerists took lessons in trigonometry.ix Literature on military strategy mushroomed. Jacques Antoine Hippolyte’s Essai general de tactique, was one of the most insightful works that organized military philosophy, even though Guibert had inclinations of bigger

International and comparative criminal justice Essay

International and comparative criminal justice - Essay Example This is the way things should be. It is unacceptable for the police to contaminate evidence or obtain it through duress. However, its actual exclusion should rest at the discretion of a judge. This is the correct law and is followed in many common law jurisdictions, while it is less prevalent in civil law jurisdictions. In the course of this essay the rationale for this rule will be examined as will a number of cases and statutes relating to it. It is first important to discuss context. Crime has been an unfortunate aspect of human existence from the beginning of time. Each civilization and country has had to determine a method for dealing with it within their own moral vision. Different approaches to dealing with crime come from different values systems. Everyone is different and believes in different things. For people that believe a criminal is a product of his environment and is not personally responsible for committing of crime, it is likely that resources will be used on rehabi litation and treatment. Imprisonment will play a less important role. But for those who believe individuals are responsible for the things that they do and that if they intend to commit crimes they should be punished, the emphasis is likely to be on punishing or detaining the criminal. These different values play a role in determining how evidence is excluded. These two ways of dealing with crime can be broken up into two models. One will be likely to exclude contaminated evidence in order to preserve the human rights of the criminal, the second model would be much less likely to exclude evidence1. The first is the famous due process model present in most developed countries. The main idea of this model is that an individual should not be deprived of their human rights, even if it is clear that he or she has committed a terrible crime. To put someone in prison is to take away the criminal’s right to liberty. That is a very serious thing. The process must be scrutinized to ens ure that everything is done by the book. At its heart the due process model is the idea that the system would rather see ten guilty people go free than one innocent person in prison. The result of this model is many hours of painstaking work checking evidence and a long time-line of the court case moving slowly through the system. Because, historically, the legal system railroaded individuals by planting false evidence and by abusing human rights, we must be very careful when examining evidence. Permitting contaminated evidence into the legal system would encourage law enforcement officers to commit illicit acts. The due process model would strongly argue to exclude evidence obtained in the course of an abuse of human rights. The second way of looking at criminal justice regarding evidence is the crime control model. This model puts a high value on locking up guilty people. Its aim is to protect society and it tries to do this by detaining as many people as it can as quickly as it c an. Typically, in this model more money is spent on policing and deterring and prosecuting criminals as quickly as possible so that the police and prosecutors can start again quickly on the next group of criminals. If it happens that an innocent person is