Saturday, May 23, 2020

Emergency Room Overcrowding And Emergency Rooms - 1172 Words

Approximately half of a million Americans are homeless, living in shelters or on the streets at any one time (Galea Vlahov, 2002). The homeless population utilizes the emergency room to gain access to, primary care, nutritional, pharmaceutical and basic needs with non-medical issues is a contributing factor to emergency room overcrowding. The non-medical can primary care component needs to be moved out of the acute care setting of the emergency room but still readily accessible to the homeless clients. Living without adequate housing can increase a person’s morbidity and mortality which will increase the needs of a patient’s visit to the emergency room (Montgomery, Dichter, Thomasson, Roberts Byrne, 2015). These patients can†¦show more content†¦Homeless experience four times the higher use of the emergency room services than the average person, which can be very taxing on the system (Lin, Bharel, Zhang, O’Connell Clark, 2015). Plan A letter to hospit al administration, to be determined after some research on who may be the most receptive. The program includes highlighting the issue of homelessness, mental health concerns and the consequences of their use of the emergency room services. The creation of homeless services to be able to obtain non-medical essential services without having to claim an illness to receive food, shelter or other basic needs. Allowing the homeless to receive food, warmth or other requirements without tying up vital medical personnel with false complaints to gain access to address their nonmedical needs. The request to present a plan of action with data and research to all parties of interest and who could be of assistance. The hospital and its ancillary facilities would be approached to allow access and provide resources to the homeless community. The presentation would include the fact with copious amounts of numerical data about how we are already providing these services through the emergency room. Th e presentation would present the probability that providing these essential services to the homeless clients that we as a hospital system already serve will relieve the overcrowding andShow MoreRelatedThe Problem Of Emergency Room Overcrowding1021 Words   |  5 Pages Emergency room overcrowding is a major issue throughout not just the United States but in many countries. There have been many strategies on how to combat this issue as patient satisfaction is often being a major variable on hospitals being reimbursed, which interventions are most helpful? One intervention that is gaining more and more popularity is advertising wait times. Through a PICO search with key words of â€Å"ED triage† and â€Å"patient satisfaction† or â€Å"wait times† provided some great originalRead MoreEmergency Room Overcrowding and Wait Times: the Direct Impact on Patient Care3545 Words   |  15 PagesEmergency Room Overcrowding and Wait Times: The Direct Impact on Patient Care Joann Hobbs Spalding University Abstract Background. This study was done to determine if prolonged wait times in the emergency department (ED) effect overall care and treatment of patients. Methods. This project used questionnaires that were distributed to patients at 6 local emergency rooms, electronic data collected from said facilities, as well as interviews from the nursing staff on duty at the time of distributionRead MoreEmergency Rooms And The Health Care1569 Words   |  7 Pagesthe better. The emergency room is the part of a hospital that will provide immediate treatment to the acutely ill or traumatised patient. Thus, emergency rooms are very important aspect of the health care to many people as life-threatening injuries could happen to anyone during their lifetime. In addition to that, emergency departments have to function quickly in order to give the best and fast care to the ill. This paper will be covering the their history of emergency rooms, their positive andRead MoreAlternatives For Overcrowding Emergency Departments1745 Words   |  7 PagesFOR OVERCROWDING EMERGENCY DEPARTMENTS Meeting the Challenge and Filling the Gaps in America’s Healthcare System Executive Summary: Many visits to the Emergency Department are made for non-emergent needs. This causes congestion in the healthcare system and makes it harder for those who truly need emergent medical attention receive the care they need. Aging populations, under or non-insured patients, Medicaid expansions, and Psychiatric/Behavioral Health problems directly impact overcrowding in theRead MoreApplication Of Nursing Theory For Evidence Based Practice Essay1083 Words   |  5 PagesApplication of Nursing Theory to Evidence-Based Practice Emergency department (ED) over-crowding is an ever growing issue. Although the reasons for ED overcrowding are complex and caused by many different types of issues, a potential solution can be the application of the nursing theory, Health Promotion, for parents and caregivers of children with acute gastroenteritis (AGE). The purpose of this paper is to apply the Health Promotion Model (HPM), by Nola Pender, to assist nurses to understandRead MoreEmergency Room Fees For Non Emergent Cases1276 Words   |  6 PagesEmergency Room Fees for Non-Emergent Cases Description of Problem The Emergency Department (ED) is the highest cost environment to receive non-emergent care. The public views the ED as a safety net; more and more people are seeking treatment in the ED for non-urgent problems. This circumstance not only exacerbates overcrowding, it diverts attention from critically ill or injured patients and can diminish the quality of their treatment. Overcrowding in the ED is a problem that leads to delays inRead MoreA Brief Note On The Canadian Association Of Emergency Physicians1289 Words   |  6 Pagesthat are constantly asked when in the Emergency Department (ED). The Canadian Association of Emergency Physicians (CAEP) National emergency Nurses Affiliation (NENA)(2003) defines overcrowding as a situation where â€Å"services exceeds the ability to provide care within a reasonable time, causing doctors and nurses to be unable to provide quality care† (â€Å"ED overcrowding†, para. 2). Maintaining access and flow in the ED is essential to the improvement of overcrowding. I am in agreement with the peopleRead MoreAdvantages And Disadvantages Of Urgent Care Centers1718 Words   |  7 PagesThus the influx of urgent care centers would be complemented by implementing a policy in which emergency room provider’s reimbursement is regulated and the insured’s policy refuses coverage of non-emergency conditions treated in a hospital setting. This approach will offset emergency room visits, reduce the patient’s financial liability, close the gap between primary care physicians and emergency room care, as well as advance cost containment. Although the urgent care business model has its advantagesRead MoreThe Harris Health System : An Provision Of High Quality Healthcare At The Residents Of Harris County972 Words   |  4 Pagesof Harris County. The Harris County emergency department provides emergency health care to patients with or without medical insurance. The Harris health system is currently comprise d of 23 primary care facilities, six same day clinics, four specialty locations, and three hospitals. Of the three hospitals only two have emergency departments. These two hospitals see over 182,099 emergency department patients a year. While caring for such a large number of emergency patients both hospitals combined onlyRead MoreKey Aspects Of The Canadian Health Care System1221 Words   |  5 Pagessector. One of the major issues the health care system is currently facing the over crowded emergency departments and extremely long waiting times. . In this paper I will discuss the issue of overcrowded hospitals as a results of the rising population of the elderly. Many of our hospitals are over crowned, there are long waiting time, and the elderly are not provided with sufficient care. Overcrowding will place an increasing amount of burden on the hospital by delaying testing and diagnosis times

Tuesday, May 12, 2020

Research Abstract on Infant Mortality Rate - 4397 Words

KYAMBOGO UNIVERSITY FACULTY OF ARTS AND SOCIAL SCIENCES DEPARTMENT OF ECONOMICS AND STATISTICS COURSE UNIT: EC223 MONEY AND BANKING DATE OF SUBMISSION: NAME: KALULE RICHARD REG NO: 10/U/66/BEK/GV SIGNATURE Money can be defined as any thing that is generally acceptable as a medium of exchange. It can also be defined as a third commodity that is introduced between two other commodities to facilitate exchange. Money can therefore be looked at as an instrument that helps in fulfillment of contracts, discharge of debts and as a standard of deferred payment. Due to the obligation of people to accept money in the discharge of debts, money is often referred to as legal tender. The demand for money can be defined as the†¦show more content†¦Therefore the equation of exchange becomes Md = PT Where Md is the demand for money in the economy This transactions demand for money is in turn determined by the level of full employment income this is because the classical economists believe in Say’s law that â€Å"supply creates its own demand assuming a full level of employment of income in the economy† thus the demand for money in fisher’s approach is a constant proportion of the level of transactions which in turn bears a constant proportion in the level of national income. Further, the demand for money is linked to the volume of trade going on in the economy at a given time. Criticisms of the classical theory Its underlying assumption is that people only hold money to buy goods and services. People also hold money to for other reasons, such as to earn interest, and to provide against the unforeseen circumstances like sickness. It is therefore not possible to say that V will remain constant when M is changed. The most important thing about money in the quantity theory of money is that money is transferable but it does not expeditiously explain why people demand or hold money. The theory also fails to explain what makes up money. It does not clarify whether to include items like time deposits, or savings deposits that are not immediately available to pay debts as money without first converting them into cash.Show MoreRelatedJapanese Healthcare System1357 Words   |  6 PagesJAPANESE HEALTHCARE SYSTEM Japanese Healthcare System Makeba A. Smith Rasmussen College Author Note This research is being submitted on June 11, 2011 for Laura Sheneman’s H200/HSA2117 Section 03 US Healthcare Systems course. Japanese Healthcare System Japanese people enjoy longer, healthier lives at low costs. They have well balanced diets and low infant mortality rates. Unlike the United States, Japan has universal healthcare coverage consisting of three categories of insurance. ThoseRead MoreEducation And Its Impact On Social Change1154 Words   |  5 Abstract Significance of education in the development process has been well recognized by the educational planners, economists and development planners the world over. Based on empirical evidences of connection between education and socio-economic development, this paper posits that education is instrumental in the socio-economic development. Specifically, this paper examines the impact of educational progress on fertility rate, population growth rate, child/infant mortality rate, life expectancyRead MorePrevalence Exclusive Breastfeeding Practice And Its Associated Factor Among Mothers Essay1367 Words   |  6 Pages Abstract Background: Exclusive breast feeding means babies are given only breast milk and nothing else-no other milk, food, drink, even no water for the first six months of life . It prevents 13% of childhood mortality; i.e, at least 1.2 million children worldwide would be saved every year. The objective of this study was to assess the prevalence exclusive breastfeeding practice and its associated factor among mothers who have infants less than six months of age in Motta town, East GojjamRead MoreNursing Leadership For Sustainable Community Health And Development Essay1104 Words   |  5 Pages Page 1 TABLE OF CONTENTS Abbreviation................................................................................................................................3 Abstract........................................................................................................................................4 Introduction................................................................................................Read MoreIs Breastfeeding A Growing Child?1334 Words   |  6 PagesAbstract The importance of nutrition of a newborn or a growing infant draw many strong opinions from friends and family, overall the decision should be left up the mother. Breast milk is the ideal method to feed a growing child, which provides the necessary nutrients as vitamins, proteins, fats, as well as antibodies that helps the baby fight off bacteria and viruses. There are benefits that come from breastfeeding that would a child won’t receive from formula mixtures besides been more soluble forRead MoreBonding : Maternal Infant Attachment And The Maternal Role Attainment Theory1707 Words   |  7 PagesA concept is an abstract group of thoughts that integrates unrelated phenomena, and is the primary building block of a theory. Concepts are necessary components of a phenomenon, which are used to comprehend and be synthesized into a theory or paradigm. (McEwen, M. Wills, E.M.) According to McEwen Wills concept exploration, concept clarification, and concept analysis are three s trategies described by Meleis in 2012. These are used in nursing theory, research and practice to develop conceptualRead MoreParental Influence On Children s Cognitive Development1260 Words   |  6 PagesAbstract: The following literature review contains different articles that support how relevant is parental influence on their children’s cognitive development. Since a child is born, parents play such an important role in their children’s cognitive development, that failing at doing the proper steps of assuring a correct development in their children affects their children’s academic success in life. Parents could make their children’s future goals achievable or almost impossible, and trace theRead MoreBaby Friendly Hospital Initiative Is Started By The World Health Organization1631 Words   |  7 Pages Abstract Baby Friendly Hospital Initiative was started by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) in 1991 in order to increase breastfeeding rates worldwide. This program established over 26 years ago was developed for recognizing birthing facilities for their top level of infant feeding practices as well as mother- child bonding style focus. The success of initiative can be contributed to the UNICEF/WHO Ten Steps to Successful Breastfeeding guidelines. TheseRead MoreRelationship Between Malnutrition And Growth Retardation Among Children Attending Ajao Health Centre Essay1991 Words   |  8 PagesRELATIONSHIP BETWEEN MALNUTRITION AND GROWTH RETARDATION AMONG CHILDREN ATTENDING AJAO HEALTH CENTRE OSHODI LAGOS STATE. ABSTRACT The study emplored the relationship between malnutrition and growth retardation among children attending ajo estate health centre. Malnutrition is a state of health that occurs when the body is improperly nourished.malnutrition can be very harmful when it occurs during the period of rapid growth ,such as pregnancy ,infancy and childhood.Some people from this health centreRead MoreThe Patient Protection And Affordable Care Act Essay1418 Words   |  6 PagesRunning Head: UNDERSERVED Underserved Communities: PPACA Tashia Lee Health/Public Policy (HLTH225-1604A-01) Abstract The Patient Protection and Affordable Care Act was designed to expand insurance coverage for all of those that are uninsured. Also the Act was put into place to reduce the cost of health care. The morbidity and mortality rates in the United States have decreased since the Act was in place in 2010. The Act is also helping the goals of Healthy People 2020 that was

Wednesday, May 6, 2020

The Man to send Rain Clouds Free Essays

â€Å"The Man to Send Rain Clouds† Leslie Mormon Silks wrote â€Å"The Man to Send Rain Clouds† in 1969. The story details the death of an old Indian named Teflon. During one point of the story Leon prepares Topsoil’s body for burial. We will write a custom essay sample on The Man to send Rain Clouds or any similar topic only for you Order Now Leon proceeds to paint Topsoil’s face yellow. In the Native American Culture the color yellow stands for mourning or death. Teflon may be dead, but Silks presents him as a transitional character going through the three stage process. Silks uses the three stage process to demonstrate the importance of vying a full life and leaving a lasting impression upon the world. The first stage of the process is Separation. Separation is the character moving away into the unfamiliar. Teflon is literally, physically separated from his tribe. In the beginning of the story Teflon is found dead in the sheep pasture under a tree. Teflon was an old shepherd who tended the sheep alone at night. Silks presents Teflon as a lonely, neglected, poor man. â€Å"They found him under a big cottonwood tree. His Levi Jacket and pants were faded light blue so that he had been easy to find. The big cottonwood tree stood apart from a small grove of winter bare cotton woods which grew in the wide, sandy arroyo. He had been dead for a day or more, and the sheep had wandered and scattered up and down the arroyo. † Silks illustrates the tree as being isolated from the other trees because it parallels Topsoil’s separation from the others. â€Å"The people stood close to each other with little clouds of steam puffing from their faces. † The next stage of the process is transition. Transition is the character going through trials and tribulations that stimulates personal growth ND knowledge. Topsoil’s burial process is his Journey of change. Teflon went from being a weathered lively old man to being a fragile decomposing corpse. Topsoil’s fragility and age is illustrated when the young people dress him in his burial clothes. â€Å"He looked small and shriveled, and after they dressed him in the new shirt and pants he seemed more shrunken. † â€Å"They laid the bundle in the back of the pickup and covered it with a heavy tarp before they started back to the pueblo’ The other characters do not even look at Teflon as a human anymore. Topsoil’s death transitioned other characters as well. But there he was, facing into a cold dry wind and squinting at the last sunlight; ready to bury a red wool blanket while the faces of his parishioners were in the shadow with the last warmth of the sun on their backs. † Throughout the story the priest transitioned from religious to spiritual. Teflon taught the Father Paul the importance of having a spiritual life. Teflon transition was physical and spiritu al. The last stage of the process is reintegration. Reintegration is the character turning to the place where he started or a better place than where he started. Teflon returned to the earth from which he came from. â€Å"They lowered the bundle into the ground, and they didn’t bother to untie the stiff pieces of new rope that were tied around the ends of the blanket. † In the King James Version of the bible it is stated in Genesis chapter thirteen verse nine, â€Å"By the sweat of your brow you will eat your food until you return to the ground, since from it you were taken; for dust you are and to dust you will return. † Teflon is returning from what he was made from. I believe that Silks wrote this story to show her readers that she believes life is short. I know life is short. I have seen many people die in my twenty years of life. After I read this short story I went to visit my mom’s grave. It seems that after you die no one remembers you. I wandered through the older part of the cemetery fixing headstones. So many were turned over, broken and abandoned. I wondered where the decease’s loved one was. The optimism in me wants to believe that I will leave a lasting impression on the world around me. In reality I will probably die and be ergot as soon as my casket hit the bottom of my grave Just like Teflon. I think that Silks is trying to inspire her readers to live fully because one day it will all be over. I want to leave this world a better place. Also another question is, â€Å"Can someone give a greater gift from the beyond then from life itself? † I’m sure the rain did come and replenish the crops so that the Indians had plenty of food and agriculture to sell. Teflon gave a greater gift to his tribe then what he would have been able to give them during life. Teflon also gave Father Paul the gift of Spiritual learning. After watching the burial Father Paul realized that religion isn’t the only thing in life. Father Paul expanded his view on death and life after death because of Teflon. Teflon gave everyone a greater gift then what was expected. â€Å"The Man to Send Rain Clouds† shows readers how life after death really is. At one point or another everyone ponders how the world is going to react in response their death. I think everyone should read this story because it really changes ones perspective about death after life. â€Å"The Man to Send Rain Clouds† will motivate and fresh you outlook on life. After reading this a reader will respond to life in a more conscientious way. This story could improve the quality of our world if it was well- known. â€Å"The Man to Send Rain Clouds† is an inspiring tale of death. How to cite The Man to send Rain Clouds, Papers

Saturday, May 2, 2020

Understand Diversity, Equality and Inclusion in own are of responsibility free essay sample

There are many barriers to diversity and inclusion. The biggest ones are generally prejudice, culture and upbringing and religious beliefs. Prejudice is â€Å"a preconceived opinion that is not based on reason or personal experience† those creating barriers to recognizing equality of rights for all. Cultural barriers can prevent, for example, consideration of spiritual, relational or dietary needs that do not conform with traditional expectations. Religious belief, where different religious beliefs are not taken into account and minorities are marginalized and not acknowledged. Other significant barriers could be structural, institutional and personal: Structural, where circumstances create or result in barriers People make the assumption about younger adult and consider all young people as a whole category rather than treating them as an individual. This type of stereotyping happens when people lack knowledge about equality and inclusion. The effects of barriers to employees are also high as they are excluded from their human right. We will write a custom essay sample on Understand Diversity, Equality and Inclusion in own are of responsibility or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Employer can easily discriminate those in terms of race, gender, sexual orientation and culture.1.3 Analyze the impact of legislation and policy initiatives on the promotion of equality, diversity and inclusion in own area of responsibilityMy work place is committed to the promotion of equality, diversity and inclusion in policy and practice. It is committed in equal opportunity and also follows a common standard in respect of Race Relation (amendment) act 2000 in getting contract from council contractors. It also observes the code of practice of Commission for Racial Equality (CRE) in employment. Organization promote equality with respect to age, gender, race, disability religion , sexual orientation and establish a national common standard which is compliant to The Race Relation Act 1976 , as amended by The Race Relations (amended )act 2000. Under this law, organization carries out its function, it has due regard for the necessity to eliminate any unlawful discriminating and promote equal opportunity and harmonious race relation, it also follows the race relation code of practice for the elimination.

Sunday, March 22, 2020

Recovery Model in Mental Health Services free essay sample

What are the implications of a recovery model for mental health services and for service users/survivors? In discussing the implications of a recovery model on service users/survivors and mental health services, it is essential to define recovery. In illustrating the controversial nature of this concept it is pragmatic to discuss service users and workers in mental health because implications of the recovery model affect both, but in different ways. It is important to realize there is a division in the focus of each group; service users generally want independence from services while health care roviders focus on methods and models (Bonney Stickley, 2008). In working together both groups can improve the provision of recovery services. Traditionally, rehabilitation is provided within hospitals and is medically based and determined by professionals (Unit 21, pg 67). Alternatively, recovery defined in service user literature is the powerful idea that people can return to a full life following experiences of mental distress (Unit 21, pg 59; Mental Health Foundation, 2009). We will write a custom essay sample on Recovery Model in Mental Health Services or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Anthony (1993, cited in Unit 21, pg 62) notes that recovery enables people to nderstand their problems and allows them to cope with setbacks. This implies hope and being believed in by others so is a social model. Jan Wallcraft notes most mental health literature neglects the idea of recovery (Audio 4). Additionally, John Hopton (Audio 4) believes it is important recovery is defined by the person experiencing distress rather than professionals. The role of professionals within recovery based services is an issue necessitating redefinition of roles (Unit 21, pg 67). Although the recovery model outlined is positive, the concept is not without etractors. Recovery implies getting over illness, but it doesnt necessarily imply illness; rather it entails a process in line with recuperating from physical exercise. Nonetheless, according to the illness viewpoint, mental distress is seemingly restricted to a medical model and an implied medical cure medication. This predominant model accounts for the inadequate help for those wanting to reduce or stop taking medication. Additionally, much mental health policy and practice encourages people to continue taking drugs (Unit 21 , pg 70). Furthermore, some believe the medical model doesnt anticipate recovery. Coleman (cited in Unit 21, pg 61) believes this is because ofa lack of recognition that individuals can return to the life they had prior to illness. Accordingly, the focus is on compliance, risk avoidance and dependency with a resulting negative impact on service users. Lindow (Reading 32) believes the illness framework promotes pessimism and that its paternalism loses sight of service users as self-determining adults. In this context, incorporation of recovery implies a change in approach. For xample, to foster independence, staff could reduce interventions, doing only what is essential (Bonney Stickley, 2008). This would be challenging as workers need to protect an individuals right to independence while recognizing that the public also needs protection sometimes. One implication of the recovery model is that it could lead to the neglection of those believed less likely to recover and feelings of failure in people who dont recover (Unit 21, pg 76). John Hopton (Audio 4) notes this may increase mental distress. These are potential risks; additionally Frese et al. 2001, cited in Unit 21, pg. 67) argue that those with severe mental distress are unlikely to benefit from recovery as they dont have capacity to understand they are ill. Frese et al. say those who can understand recovery may benefit from responsibility. Those not so well want better treatments and some control. Although service users should have input, Frese et al. note enthusiasm for recovery should not consequently deny treatment to those who need it. Their implication is that not all can benefit from recovery. However, Paul Beresford (Audio 4) notes it should be a question of what an ndividual can contribute regardless of the severity of their mental distress, someone who has been in hospital many times over a long period can still contribute something. This more inclusive definition is in keeping with the holistic framework while recognizing the complexity of recovery for those experiencing mental distress. Bonney and Stickley (2008) note the theme of power is often raised by service users. If, as predicted by the DOH in 2003, services are to become increasingly individual focused, the system needs to place power with service users. There is increasing mounts of service user literature that places an emphasis on individuals defining their own Journey of recovery (Unit 21, pg 66) rather than having it imposed on them by workers. Peter Beresford (Audio 4) notes that currently there are inequalities in mental health services with limited service user power but considerable professional power. Bonney and Stickley mention Martyn (2002, cited in Bonney and Stickley 2008) who proposes professionals should be present by service user invitation only. A less radical aim is that of a gradual transfer of responsibility in power from services to ndividuals during recovery. It is important such involvement confers genuine power to individuals, rather than being tokenistic Oacobson 2004, cited in Bonney and stickley 2008). It should be noted service users do not necessarily associate recovery with being symptom free. Rather, it involves coping with distress and living well. Rachel Perkins (Unit 21, pg 65), a clinical psychologist with a manic depression diagnosis, notes the recovery model shifts focus away from services on to the individual recovery Journey. One area embracing this is self-help. An example is the Wellness Recovery Action Plan (WRAP; Unit 21, pg 65) developed by service user Mary Ellen Copeland. It encourages awareness, self-care improvement and strategies for dealing with mental distress to promote wellness. Another way service users can promote recovery is by utilizing support from others who have experienced similar distress e. g. via organizations like the Hearing Voices e or This torms part ot the way in which Grierson (2003, cited in Unit 21, pg 65 sees recovery progressing. Firstly, an individual needs to identify their experience, which can be assisted by peer support. The next stage includes understanding xperiences, also aided by peer support. The final stage of acceptance and living involves reclamation of a service users life. This indicates that recovery doesnt need to have an end point, it is an ongoing process. It can be seen as the development of insight and is a holistic approach (Unit 21, pg 66) where many different areas can affect an individuals mental health. The implication is that individuals need to be central in defining their own recovery. For workers, a focus on peer support implies services need to be user led, based on service users experiences and driven by these. Accordingly, best practice would be that workers enable peer support (Unit 21, pg 69). However, another method is that service users set up services themselves. Anam Cara is a voluntary sector, user-run crisis house in Birmingham (Unit 21, pg 73) which embodies this approach. The aim is to give an alternative to hospital admission with a focus on recovery. People can refer themselves or be referred via local services. Service users report that this has had a large impact on their recovery due to the acceptance provided. This approach implies that professionals are not as central as in traditional services. However, an alternative is to equip workers with skills necessary to extend the availability of recovery based services within mainstream mental health care. Mary OHagan in a resource for training in New Zealand (Unit 21 , pg 73-74) noted that to do this workers need to provide relevant information i. e. on community services, and to provide information while accommodating diverse views on distress, treatment and recovery. This is very much in line with a holistic approach. It has been argued that the social stigma faced by those who have, or have had, ental health problems is often more problematic than mental distress itself (May cited in Unit 21, pg 64; Bonney Stickley, 2008). For example, the World Psychiatric Association found misconceptions about schizophrenia included those with diagnoses dont recover and are dangerous (Unit 21, pg 61). However, Warner (cited in Unit 21, pg 61) illustrated that actually 20-25% recover completely and another 20% can recover productive lives even if not symptom free. Also relevant is a report which says the overrepresentation of individuals with schizophrenia in violent crime s usually attributable to substance abuse rather than mental health problems (Medical News Today, 2009). Warner showed that those in the developing world were twice as likely to recover. This could be due to greater social acceptance and support from society. One implication is that mental health services need to take into account social support where possible. The potential loss of benefits and support from services once an individual is deemed recovered (Unit 21, pg 71) may prevent recovery. Resulting financial worries and lack of resources can impact on every part of an individuals life. Many service users are on benefits, however the system isnt flexible enough to incorporate those with variable capacity for work to move in and out of employment (Unit 21, pg 71). Also, Disability Living Allowance tocuses on long-term physical impairment rather than periods of mental distress. Housing is also an issue as it is central in providing hope for the future. Browne et al. (2008) note most service users want to live in their own accommodation. Others may require access to supported living. Thus different options need to be available. Browne et al. note that in Australia the current iscussion on graded levels of housing support could be a good way of gradually moving towards independence. Implied within the areas of finance, employment and housing is the recognition that recovery is not always a straightforward path. Williams (2004) notes that a major disincentive to recovery is that once out of crisis, services are often withdrawn. This feels like abandonment when help is still needed. Due to this, many may find it easier to retain a service user identity rather than negotiating an inflexible system. To address this requires systematic change, provision of employment and benefit dvisors and continued support where needed. Workers also need to recognize the juncture in recovery after crisis, but before a full return to independence. Although it seems recovery is not widely incorporated into current mental health services, initial steps have been taken. The Department of Health (DOH) published The Journey to Recovery in 2001 (cited in Unit 21, pg 62) and mentioned an increasing focus on recovery. However, standards such as the National Service Framework have not yet been revised to include recovery or ways of measuring success.

Thursday, March 5, 2020

The Prince of Demons Lies Among Us Professor Ramos Blog

The Prince of Demons Lies Among Us History repeats itself. For centuries horrifying atrocities have occurred repeatedly. In the aftermath we ask ourselves why? How? We absolve ourselves and our responsibility in these atrocities by offering prayers, but do we ever take action to end the destruction? The answer is no or else it wouldn’t happen again. During the holocaust innocent families were ripped apart; adults and children were tortured and killed because of their religious belief. For decades, African Americans in the south were raped, tortured, or lynched because of the color of their skin. Today, crowds of unarmed civilians are gunned down by a single man wielding a gun, sometimes there’s a motive, sometimes there’s not. In any case, it’s tragic, senseless and destructive. So how do we explain this? Maybe we call it racism, hate crimes, or mental illness. Maybe we invent a demon who causes all these things and we blame it on the demon. That’s where the Demogorgon comes into play. The Demogorgon is a demon, it is the worst of the worst, the Prince of Demons. This demon is responsible for all the destruction, murder, chaos, rage and evil in the world. In the game Dungeons and Dragons, the Demogorgon is described as â€Å"a rampaging monster, said to be â€Å"the embodiment of chaos, madness, and destruction.† Can you imagine a single being causing a massive amount of pain in one sitting? I chose this monster because I believe it is a fictional representation of something, we see every day but can’t face. Like the Demogorgon, Mass shooters can cause a severe amount of pain and destruction on a small-time frame. With the time it takes to blow out a candle a mass shooter could have already sprayed down a group of unarmed civilians with and automatic rifle. â€Å"The shooting, which is being called the worst of its kind in modern U.S. history, occurred at an outdoor concert close to the Mandalay Bay Resort, the New York Times reports. The suspected gunman – Stephen Craig Paddock, 64, of Mesquite. Nev., fired for 10 to 15 minutes on concert goers from a room at the resort using what were thought to be fully automatic weapons, according to NBC News†(Axelrod). The Demogorgon is strong, fast and an unarmed human does not stand a chance against this demon. The mass shooter himself is not particularly a strong or fast being but equipped with a weapon made for mass destruction and a lack of conscience he creates destruction, madness, and chaos swiftly. In reference to the shooting in Las Vegas on October 1 2017 it was said that â€Å"It was a deadlier day than American soldiers have ever suffered in Iraq or Afghanistan, and the worst mass shooting in modern US history.† The shooter causes destruction by killing and wounding civilians. The shooter destroys families by ripping their loved ones away from their family. Along with one person’s death dies their future, their hopes, their dreams. What they could have become and what they could have provided their family and the world also dies. The Demogorgon does not care about the death toll and neither does a mass shooter. The mass shooter causes madness and chaos from the sound of gun shots. The Demogorgon is silent and stealth, it’s hard to detect his presence before an attack but once he lets loose a guttural screech, you are made aware of his presence and proximity to yourself. A mass shooter could go unnoticed in a crowd of people but once the sound of gun shots rings out, people start screaming and running. Unfortunately, it’s not always clear where the shots are coming from so people run in all directions. Sometimes people trip and fall and get trampled by a stampede of scared and panicked people. Jeffrey Jerome Cohen is the writer of Monster Culture (Seven These) where he breaks down the different aspects of monsters and helps explain what purpose they serve. The first monster theory that applies to the Demogorgon is Thesis II: the monster always escapes. â€Å"We see the damage that the monster wreaks, the material remains, but the monster itself turns immaterial and vanishes to reappear someplace else†. The Demogorgon lives in another dimension referred to as the upside down in the Netflix show Stranger Things. This dimension is similar to one that humans live in with the only difference being death and dark magic exist there (Stranger Things, season one, episode 8). The Demogorgon is able to open a portal into the human dimension where it kills without prejudice and then goes back through the portal to its own world. A mass shooter could be anyone with an arsenal of firearms. A mass shooter lives among us, they have jobs, families and hobbies. They seem like one of us until the day comes that they pack up their guns head to a crowded event and shoot down every man, woman, or child. Then the shooter kills himself or is killed by someone else in hopes of preventing further damage. On October 1, 2017 at the route 91 harvest music festival in Las Vegas Stephen Paddock gunned down a crowd of concertgoers, 58 people were killed and 515 were wounded by gunfire. Before police could apprehend Paddock, he killed himself. He didn’t have to answer to anyone for his crime, he didn’t have to face the aftermath of what he caused, he escaped. As the Demogorgon reappears through its portal, a mass shooter isn’t one single person but a title that can be obtained by anyone who guns down a group of unarmed civilians. So just because one mass shooter kills himself another one will pop up in his place to kill again. Thesis V: the monster polices the borders of the possible applies to the Demogorgon. â€Å"Curiosity is more often punished than rewarded† (Cohen 12). This proves to be true for the faction of the government seeking to extend the boundaries of the human mind. In season one of Stranger Things, a little girl with telekinetic and telepathic powers is used to make contact with the Demogorgon, by doing this she creates a bridge between its dimension and ours. This makes it possible for the Demogorgon to wreak havoc on the human dimension. In an article in the New York Times, author Camilla Schick explained that Stephen Paddock was able to gun down so many people in such a short period of time not only because he had 14 AR-15 rifles, 8 AR-10 rifles, a bolt-action rifle, and a revolver but also his AR-15 rifles were equipped with bump stocks with 100 round magazines. Bump stocks modify semi-automatic weapons so that they can shoot rapidly without pause. All these weapons and accessories were purchased lawfully in broad daylight. Why do citizens living in a civilized society need automatic rifles? And why do they need bump stocks that make an already dangerous weapon more dangerous and faster? The government made automatic rifles legal, they made bump stocks legal and in doing so they made these atrocities possible. What is the government trying to explore by providing clear and easy access to weapons of mass destruction? It is our American born right to bear arms but at what body count does this access and exploration of weaponry end? After Paddocks rampage in Las Vegas the bump stock was banned in December 2018 with the regulation in effect as of March 2019. That did not put an end to mass shootings. The Demogorgon is a demon, out of all the demons it is the evilest. It is one creature and causes a severe amount of pain and death with no remorse. I believe the Demogorgon is meant to represent mass shooters. A mass shooter is a single person who severely wounds or kills a crowd of strangers with no remorse. They gun down people so effortlessly it’s almost like its instinct for them. We created these monsters by giving them access to guns and telling them it’s their natural born right. We continue to strengthen mass shooters by legalizing more types of guns and more types of accessories that enhance already enhanced weapons. The Demogorgon is scary but it is a creation of our imaginations, we can give it weaknesses, find an â€Å"Achilles heel† and then it’s not so scary because we stand a chance of fighting back. Whenever I would misbehave, my mom would tell me â€Å"I brought you into this world and I can take you out†; The American government has brought to life the possibility of mass shootings and we all stand dumbfounded and heart broken when another mass shooting happens. We forget that government is for the people and the American government can end that possibility of mass shootings. â€Å"Article Demogorgon: Prince of Demons.† Demogorgon: Prince of Demons | Dungeons Dragons, Axelrod, Jason. â€Å"Las Vegas Officials Respond to Shooting, Others across Country Voice Support.† American City County Exclusive Insight, Oct. 2017, p. 2. EBSCOhost, Cohen, Jeffrey Jerome. Monster Theory: Reading Culture. Chapter one Monster Culture (Seven Theses). Univ of Minnesota Press.1996. Schick, Camilla; Horn, Dave; Cirillo, Chris (October 2, 2017). Las Vegas Shooting Live Updates: Multiple Weapons Found in Las Vegas Gunmans Hotel Room. The New York Times. ISSN 0362-4331. Archived from the original on October 2, 2017. Retrieved October 2, 2017. Stranger Things: Season One. Written by Ross Duffer, Matt Duffer, Justin Doble, Jessie Nickson-Lopez, Paul Ditcher, Kate Trefty, Netflix, 2016. ZORNICK, GEORGE. â€Å"WMDs in Las Vegas. (Cover Story).† Nation, vol. 305, no. 10, Oct. 2017, p. 3. EBSCOhost,

Tuesday, February 18, 2020

Management Styles of Ursula Burns Essay Example | Topics and Well Written Essays - 1750 words

Management Styles of Ursula Burns - Essay Example The world continues to grow and flourish because of management and its leaders. This report will involve a study of management and its history in brief; further, an attempt will be made to understand management in contemporary times using an example of a current thriving business. A brief study on Xerox Corporation and its evolution under the able leadership of its CEO Ursula Burns will help in understanding the challenges in modern businesses. In this process, management qualities of Ms Burns that helped Xerox will be highlighted. 2. Management: Management may be defined as the process of designing and maintaining an environment in which individuals, working together in groups, efficiently accomplish selected aims (Koontz, H & Koontz, H.W, p.5). These individuals and groups accomplish their aims through a systematic approach that forms the main functions of management, such as planning, organizing, staffing, leading and controlling (p.6). Managers own the responsibility of performin g and/or supervising these functions, and hence need specific skills and knowledge related to these functions. 2.1 History of management: The concept of management has existed since centuries back, but it has received much attention only during last century. One important historical development related to the study of management can be traced back to the writings of Walter Puckey’s writings named ‘What is This Management?†(Witzel, p.4). Studies related to this concept were begun at the Harvard Business School by the then dean, Edwin Gay, during 1908 (p.5). The main areas of focus in management study at that time included the terms manager, factor, administrator and executive, with each term having specific meaning based on the functions performed by these individuals. However, the concept of managers is the most cited one in management texts, owing to their functions (pls see appendix 1). 2.2 Current management concerns and challenges: Trends in management have be en constantly changing because of technological advancements, changes in attitudes of customers and clients, changes in employee expectations, changes in market, globalization etc. Hence, the most prominent challenge in management field relates to ‘change.’ Managers are under constant pressure from superiors and external entities to bring about improvement in their performance outcomes in every manner. This subsequently challenges skills and knowledge. In most of the cases, managers also own leadership responsibilities besides managerial functions, which necessitate constant interaction, coaching, guidance, supervision and motivation of their team members. Constantly changing circumstances put greater pressure on managers to meet their employees’ expectations in terms of skill upgradation, mentoring, motivation, conflict resolution, etc. Managers should also deliver constant improvement in order to sustain their organization’s good performance, or have to compete against better performance from rivals in the field in order to sustain the organization’s position in the market. 3. Who is Ursula Burns? Ursula Burns, the CEO and Chairman of Xerox Corp, USA, is one of the most powerful women in the world as per Fortune magazine’s list. Her success at Xerox stands as an example of efficient and effective management overcoming all hardships and leading the company to success. A brief study on Burns life and career would help in understanding the underlying reasons for her achievement. 3.1