Monday, March 9, 2020
Policies for elderly care in the UK Essays
Policies for elderly care in the UK Essays Policies for elderly care in the UK Essay Policies for elderly care in the UK Essay Ripening SocietyPeoples are populating longer, particularly across the Western universe. This has produced a corresponding addition in wellness attention costs, because older people have a higher prevalence of degenerative and infective diseases ( Dietetics, 2006 ) . Ageing has been implicated in fleshiness, diabetes, cardiovascular disease, and abnormal psychology ( Hu et al, 2000 ; BNF, 2004 ) . Presently, more than a fifth of the UK population is aged over 65 old ages, and this proportion will increase to around 30 % across Europe by 2030 ( BNF, 2001 ) Old age is characterised by a greater susceptibleness to degenerative, infective, familial, and lifestyle-related unwellnesss. ADepartment of Healthstudy in the early 90s found that over 50 % of the aged have a chronic unwellness, 20 % have problem visual perception, 10 % are unable to walk ( down the route, or up a stairway ) , and 50 % of adult females and a one-fourth of the work forces aged gt ; 85 old ages lacked the ability to cook a repast ( DOH, 1992 ) . These troubles continue to afflict the aged today ( BNF, 2003 ) , haltering their ability to provide for their nutritionary demands.NUTRITIONAL PATTERNSMalnutrition is a turning job amongst the aged ( Smithers et al, 1998 ; BNF, 2001, 2002, 2003 ; Dieteticss, 2006 ) . Nutrition demands go more critical with increasing age. Energy degrees drop off aggressively, doing an exponential decrease in BMR ( radical metabolic rates ) . It is of import for older people to stay active, consume equal measures of fat, fiber, saccharides, vitamins, and other micronutrients ( BNF, 2002, 2004 ) , and avoid intoxicant. However, a recent DEFRA [ 1 ] study of dietetic patterns in grownups ( DEFRA, 2004 ) revealed upseting nutritionary tendencies. Consumption of intoxicant and dietetic fat increased with aged, top outing between the ages of 50 to lt ; 65 ( intoxicant ) , and 65 to lt ; 75 ( fat ) ( see Figure 1 ) . Fruit ingestion peaked between 50 to lt ; 65 old ages, so showed a diminution through age 75. Energy consumption from fat and cholesterin increased with age, while Iron and fibre consumption seemed to stagnate throughout maturity ( see Figure 2 ) .Figure 1Household Outgo on Selected Foods by Age ( DEFRA, 2004, p.61 ) . X Axis represents the Age Groups, while Y Axis represents Pence per Person per Week.Figure 2Energy A ; Nutrient consumption for Selected Foods by Age ( DEFRA, 2004, p.62 ) . The X Axis represents the Age Groups. The Y Axis represents Intake per Person per Day in Grams ( Milligrams for Iron, Calcium, Cholesterol A ; Vitamin C ) . To suit the graph more handily, figures for Vitamin D and Potassium x 10, and Calcium /10 . Figure for Cholesterol foremost converted to Grams, so x 10.FACTORS IN MALNUTRITIONOlder people are more vulnerably to malnutrition for assorted grounds ( BNF, 2004 ; Dieteticss, 2006 ; Furman, 2006 ) . First, medical conditions, such as osteoporosis and bosom disease, may order what should or should non be eaten. Therefore, for illustration while oily/fatty nutrients like oleo spreads, which are a good beginning of Vitamin D, may besides be high in cholesterin and hence inappropriate for person with cardiovascular infirmities. Second hapless teething may halter the ability to masticate. Mobility restraints may forestall shopping for and readying of nutrient. Potential complications caused by drug prescriptions means that ingestion of certain nutrients may non be recommended. Economic adversities can restrict both the measure and quality of nutrient that can be purchased. Even the age-related impairment in the senses ( e.g. odor and gustatory sensation ) can impact nutrient pick i n the aged ( BNF, 2003 ) . Changes in intestine map can impair efficient soaking up of foods by the organic structure ( Dietetics, 2006 ) . Finally, as people age, they are more likely to be entirely and homebound ( e.g. due to illness ) . Suddenly, cooking and shopping at the local supermarket may go hard, and many aged people may happen themselves to a great extent dependent on shop closet nutrient or meals on wheelsââ¬â¢ . Consequently nutrient policies have been developed in the UK specifically to provide for the nutritionary demands of the aged.Existing nutrient policies [ 2 ] in Britain basically amount to supplying the aged with sufficient advice and information to enable them make the right nutrient picks ( FSA, 2005, 2006 ) . TheFood Standards Agencyhas outlined specific nutritionary guidelines for old people ( FSA, 2006 ) . These include eating plentifulness of nutrient rich in amylum and fiber ( e.g. staff of life, rice, cereals ) , iron-rich nutrients ( e.g. ruddy mea t, eggs, lentils, oily fish ) , foods/liquids rich in Vitamin C ( fruit juice, citrous fruit fruit, Piper nigrums, tomatoes ) , nutrients, rich in folic acid ( e.g. brown rice ) , and Ca rich nutrients ( e.g. milk, cheese ) . The FSA besides recommends Vitamin D addendums ( particularly for individuals of Asiatic beginning, who seldom venture out-of-doorss, and eat no meat or fish ) . Consumption of Vitamin A, K, and salt should be moderate. In their Strategic Plan 2005-2010 Puting Consumers First, the FSA ( 2005 ) places considerable accent onpick. Their policy is to advance healthier nutrient picks by supplying better information ( e.g. improved nutrition labelling, allergen labelling ) , modulating nutrient supplements/health claims based on sound grounds, and protecting against nutrient fraud. In add-on to FSA nutrition recommendations ( FSA, 2006 ) , Government sections, such as theDepartment of Health( DOH ) , and professional organic structures, notably theNational Institute for Clinical Excellence( NICE ) , besides issue specific guidelines for advancing nutrition in the aged in specific clinical and community scenes. These are considered below.Care/Nursing HomesSince a important proportion of the aged population reside in attention places, general ordinances for attention places ââ¬â which include nutritionary criterions ââ¬â have been published byDepartment of Health( DOH, 2001 ) , the Care Standards Inspectorate for Wales ( CSIW, 2004 ) , and the Scots Commission for the Regulation of Care ( SCRC, 2005 ) . Guidelines for Northern Ireland are espoused in theResidential Care Homes Regulations( NI ) 2005 ( Statutory Rules for Northern Ireland, 2005 ) . TheScots Office Department of Health( SODOH, 1997 ) published the Nursing Home Core Standard, which provides nutritionary counsel for nursing/care places. These organic structures all specify compulsory criterions associating to meal times, repast content, and bill of fare pick, consistent with n utrition specifications of the Food Standards Agency ( FSA, 2005, 2006 ) and NICE ( 2006 ) . Hospitals Hospitals in England and Wales are guided by NICE nutritionary guidelines, which although non specific to older patients, are applicable to any grownups who are malnourished or at hazard of malnutrition ( NICE, 2006 ) . TheBritish Dietetic Associationpublished Standards of Care for Older Adults in Hospital every bit early as 1993 ( BDA, 1993 ) , which includes nutritionary counsel. TheScots Nursing Home Core Standards for Nutrition( NHCSN ) provide a practical usher for staff working with aged patients in infirmaries. In 2002The National Nursing, Midwifery and Health Visiting Advisory Committee( NNMHVAC ) ( Scots Executive, 2002 ) set up a working group to see the nutritionary demands of older patients in Scots Hospitals, utilizing the Nursing Core Standards ( SODOH, 1997 ) . Overall, it is a recommended that patientsââ¬â¢ nutritionary demands are adequately addressed through nutritionarytesting, dietetic appraisal ( patients at hazard, dietetic penchants, hapless intake degree ) , dietetic consumption ( e.g. hygiene, meal telling system, menu design etc ) , and staff training/monitoring. Nutritional showing is now compulsory in Scots Hospitals ( Scottish Executive, 2002 ) . In Northern Ireland single Hospital Trusts are responsible for developing and implementing their ain guidelines. Own Home NICE guidelines are besides applicable to the place ( NICE, 2006, p.4 ) . Health attention professionals are required to set about supervising both in the infirmary and community. They are expected to develop patients and carers to recognize alterations in their nutritionary demands, and take appropriate action. Additionally, the FSA has published Ages and Stages ââ¬â Eat Wellââ¬â¢ , a self-help counsel that on what to eat ( nutrients rich in amylum, fiber, Fe etc ) , and vitamin/salt intake ( FSA, 2006 ) . These criterions are applicable across England, Wales, and Scotland [ 3 ] . Homebound In England, Scotland and Wales, it is the Local Governments that provide nutritionary support for homebound aged people, for illustration repast proviso ( e.g. place delivered hot/frozen repasts, aid with shopping ) and appraisal ( placing people at hazard of malnutrition ) . In Northern Ireland it is the Health Boards that provide these services. Other Developments In 2005 the Health Ageing Action Plan was published by theWelsh Assemblyto supply support to older people ( aged 50+ ) on assorted wellness issues, including nutrition ( Welsh Assembly Government, 2005 ) . The papers outlines assorted proposals such as supplying free conveyance to supermarkets, measuring the proviso of a meals-on-wheels strategy, and supplying appropriate preparation for caterers. The Welsh Assembly in concurrence with the FSA besides launched Food and Well-being in 2003, which outlines nutritionary schemes for vulnerable groups including the aged ( FSA/Welsh Assembly Government, 2003 ) .Figure 3Change in nutrient policy for the aged requires justification and a clear set of standards. Tangible conceptual and matter-of-fact restraints may hinder alteration. A theoretical account slackly based on Kurt Lewins ( 1951 )alterationââ¬â¢model.DEVELOPING NEW POLICIESDeveloping new nutritionary constabularies for the aged requires standards that define appropriate criterio ns and ends. The immediate concern is that policy alteration must be evidence-based ( Khan et al, 2003 ) . Second, precise aims must be set, which can be translated into auditable action programs ( e.g. addition in QALY [ 4 ] , or BMI [ 5 ] ) . Goals must be client- or patient-centred, in maintaining with professional ethical, and where possible involve input from multidisciplinary staff and carers. Once new policies are developed they have to be implemented. This entails a procedure of alteration, whereby bing criterions are modified, supplemented, or replaced wholly. Harmonizing to Kurt Lewin ( 1951 ) such alteration is occurs in an environment of restraining and drive forces ( see Figure 3 ) . Furman ( 2006 ) elucidates some of these restraints, including the deficiency of clear definitions about what exactly constitutes malnutrition, inconclusive diagnostic standards, confusion about symptomatology and associated unwellnesss, uncoordinated attention proviso, limited intervention options, and improper prescriptions ( e.g. medicines that interfere with soaking up of foods ) . Extra restraints include organizational inactiveness, increased work loads for attention staff, entrenched behavioral norms, in both patientsââ¬â¢ and attention staff, unequal preparation for all concerned, and overall, a generalinvoluntarinessamongst the aged to alter long-run life styles and dietetic patterns. Antagonizing these barriers are driving forces, chiefly the demand to better attention proviso for the aged and cut down the prevalence and incidence if malnutrition. Policy execution is improbable to win unless hindrances to better nutritionary wellness are first overcome.RecommendationExisting nutrient policies for turn toing the demands of the aged population seem adequate at aconceptualdegree. Both the NICE, and FSA, offer really exact counsel on specific nutritionary demands, so that many aged people populating on their ain, or being cared for in a hospital/nursing place , may in fact be feeding healthily.The job is non the policies themselves but instead the deficiency ofconsistenceof application, across different attention scenes and parts of the United Kingdom. The consequence is that the quality of nutritionary attention and back up the aged receive may depend to a great extent on where they live. Both Wales and Scotland appear to hold better developed policies for advancing nutrition in the aged. For illustration, in Scotland, theNursing and Midwifery Practice Development Unit( NMPDU, 2002 ) has issued a best practiceââ¬â¢ statement for nutritionary attention of the aged within the Scots NHS, which includes specific action programs for nutritionary appraisal, diet, etc. In Wales, Welsh Assembly and FSA have both produced counsel paperss specifically to advance wellness eating in older grownups ( FSA/Welsh Assembly, 2003 ; Welsh Assembly, 2005 ) . However, there is less lucidity about best practiceââ¬â¢ criterions being applied in England and Northern Ireland, nor do at that place look to be specific NHS, FSA, orHouse of Commonspolicies for England and Northern Ireland. Three outstanding policy issues are considered below ( see Figure 4 ) .While the FSAsStrategic Planfor 2005-2010 lineations specific ends and actions to be taken over the following few old ages to better nutritionary criterions, this papers makes no specific mention to the aged. It is clear that older people have really specific nutritionary demands, non to advert alone restrains that may contradict proper eating ( e.g. limitations imposed by medical or dental damage, such as deficiency of mobility, trouble cookery ) . Therefore, it is indispensable for the FSA to put out age-specific proposals sing nutrient safety, wellness feeding and pick, the cardinal issues highlighted in the current papers. The FSA can besides assist develop strategies specific to England, Scotland, and Northern Ireland, instead similar to theFood and Wellbeingproposals develope d with the Welsh Assembly ( FSA/Welsh Assembly, 2003 ) . Best Practice The Scots NHS best practiceââ¬â¢ criterions published by theNursing and Midwifery Practice Development Unit( NMPDU, 2002 ) should be applicable across the UK. Presently, it isnââ¬â¢t clear whether these criterions are implemented outside Scotland. The execution ofNursing Home Core Standardsin Scotland has been closely monitored with the publication of a study, set up by the NNMHVAC [ 6 ] ( Scottish Executive, 2002 ) . The purpose of this working group was to measure execution of criterions, and place illustrations of best practiceââ¬â¢ . Similar execution and monitoring of nutritionary criterions and best pattern for the aged should use to the NHS in England, Wales, and Northern Ireland. Nutritional Screening Malnutrition in the aged can hold really terrible wellness deductions ( Scots Executive, 2002, p. 3 ) . Therefore, it would look sensible to guarantee that every older grownup above a certain age is undergoes compulsory nutritionary showing on a regular footing. Presently, NICE guidelines recommend testing in clinical ( i.e. infirmary and professional attention ) scenes. However, Ellen ( 2006 ) emphasises the importance of nutritionary appraisal for the aged acrossbothclinical and community ( i.e. place ) locales, reasoning that failure to measure and handle malnutrition in community-dwelling older grownups can take to both physical and functional disablements that result in admittance to acute attention infirmaries, long-run attention installations, or death ( p.23 ) . Old people who are populating at place or homebound may non undergo need particular agreements to be in topographic point ( e.g. regular place showing carried out by a sing nurse ) , to guarantee that those with nutri tionary lacks are identified rapidly. Nutritional showing should be cosmopolitan and applicable to all attention places and NHS Hospital Trusts. Screening processs published by theBritish Dietetic Association( BDA, 1999 ) can be used as a templet for developing guidelines. Other Considerations The DEFRAFamily Foodstudy ( DEFRA, 2004 ) indicated upseting age-related derived functions in nutritionary hazard ( see Figures 1 and 2 ) . For illustration, 50-65 old ages olds seems to describe peculiarly high degrees of outgo on intoxicant ( Figure 1 ) , Calcium and Vitamin C intake both seem to drop off beyond age 75, and dietetic fat ingestion seems to increase exponentially from the 50-65 to the 65-75 age bracket, and beyond ( see Figure 2 ) . Such forms may warrant the development of nutritionary policies tailored for specific mark ( age ) groups even among the aged, but this is non a major consideration.Figure 4Bettering Nutrition for the Aged: Three Avenues for ImprovementDecisionIn decision, bing nutrient policies for the aged are multifaceted and applicable to a assortment of scenes. The adequateness of current policies is remains questionable every bit long as malnutrition amongst older grownups continues to turn. Make new policies need to be developed? Possibly, albeit i t can be argued that bing policies are non needfully flawed ( i.e. inadequate ) . Rather, the job is that execution has been inconsistent across different parts of the UK, and besides different attention scenes. Policy development, executing, and scrutinizing, seem far more advanced in Scots NHS Trusts, compared to England, Wales and Northern Ireland. The 2002 study by the Nursing and Midwifery Visiting Committee cites legion illustrations of good practiceââ¬â¢ in which Nursing Home Core Standards for nutrition were implemented to advance nutrition for older patients ( Scots Executive, 2002 ) . What is required hence isnââ¬â¢t new policies, but instead the constitution ofPractice Development Unit of measurementsacross the UK. These can publish statements of best pattern, and back up execution of nutritionary guidelines, as is the instance in Scotland ( NMPDU, 2002 ) . Guidelines must besides be in topographic point to ease best pattern incommunityscenes ( e.g. at place ) , non merely in professional attention scenes ( e.g. infirmaries ) , with particular support for home-aloneââ¬â¢ or home boundââ¬â¢ people.BDA ( 1993Dietary Standards of Care for the Older Adult in Hospital. London:British Dietetic Association.BDA ( 1999 )Nutritional Screening Toolsââ¬âProfessional Development CommitteeBriefing Paper No. 9. London: British Dietetic Association.BNF ( 2001 )Healthy Ageing in Europe ( HP 9 ). London: British Nutrition Foundation.BNF ( 2002 )Vitamins A and E for the Elderly ( CG 58 ). London: British NutritionFoundation.BNF ( 2003 )Reasonable Food for the Elderly ( CG 66 ). London: British NutritionFoundation.BNF ( 2004 ) Older Adults. London: British Nutrition Foundation.DEFRA ( 2004 )Family Food: A study on the 2002-03 Outgo and Food Survey.London: Department for Environment, Food, and Rural Affairs.DOH ( 1992 )Report on Health and Social Subjects 31ââ¬âThe Nutrition of ElderlyPeoples. Committee of Medical Aspects of Food Policy. London: Depa rtmentof Health.Dieteticss ( 2006 ) Undernutrition in the Elderly [ online ] Energy Active.hypertext transfer protocol: //www.dietetics.co.uk/article-undernutrition-in-the-elderly.asp [ Accessed12 August 2006 ]FSA ( 2005 )Strategic Plan 2005-2010: Puting Consumers First. London: FoodStandards Agency.FSA ( 2006 ) Eat good, be good [ online ] Crown Copyright.hypertext transfer protocol: //www.eatwell.gove.uk/agesandstages/olderpeople/ [ Accessed 12 August 2006 ]FSA/Welsh Assembly Government ( 2003 )Food and Wellbeing: ReductionInequalities through a Nutrition Strategy for Wales. Cardiff: Welsh AssemblyGovernment.Furman, E.F. ( 2006 ) Undernutrition in older grownups across the continuum of attention:nutritionary appraisal, barriers, and intercessions.Journal of GerontologicalNursing. 32, pp.22-27.Hu, F.B. , Rimm, E.B. , Stampfer, M.J. , Ascherio, A. , Spiegelman, D. A ; Willett, W.C.( 2000 ) Prospective survey of major dietetic forms and hazard of coronary bosomdisease in work forces .American Journal of Clinical Nutrition. 72, pp.912-921.Khan, K. , Kunz, R. , Kleijnen, J. A ; Antes, G. ( 2003 )Systematic Reviews to SupportEvidence-based Medicine: How to Review and Apply Findings of HealthcareResearch. Oxford: Royal Society of Medicine Press.Lewin, K. ( 1951 )Field Theory in Social Science. New York: Harper A ; Row.NICE ( 2006 )Nutrition Support for Adults: Oral Nutrition Support, Enteral TubeFeeding and Parenteral Nutrition. London: National Institute of ClinicalExcellence.NMPDU ( 2002 )Nutrition for Physically Frail Older Peoples. Edinburgh: Nursing A ;Midwifery Practice Development Unit.Scots Executive ( 2002 )National Nursing Midwifery A ; Health Visiting AdvisoryCommittee: Promoting Nutrition for Older Adult In-Patients in NHS Hospitalsin Scotland. Edinburgh: Scots Executive.Smithers, G. , Finch, S. , Doyle, W. , Lowe, C. , Bates, C.J. , Prentice, A. A ; Clarke, P.C.( 1998 ) The national diet and nutrition study: people aged 65 old ages and over.Nutrit ion A ; Food Science. 3, pp.133-137.SODOH ( 1997 )Nursing Home Core Standards. NHS MEL 34. Edinburgh: ScotsOffice of the Department of Health.Welsh Assembly Government ( 2005 )Healthy Ageing Action Plan for Wales: AngstromResponse to Health Challenge Wales. Cardiff: Welsh Assembly Government.1
Saturday, February 22, 2020
Current Defense Policies Essay Example | Topics and Well Written Essays - 500 words
Current Defense Policies - Essay Example financial and diplomatic aid in Pakistan asserting that most of the Pakistani leaders were unaware that the terrorist was taking refuge in their country (Forest 2011). In addition, he also alleged that the end of Al-Qaedaââ¬â¢s reign of terror is inevitable since majority of the Muslim world has forsaken them, as well as their cause, and with Bin Laden gone, finances might die down to nothing (Forest 2011). Analysis Forest (2011) asserted that the withdrawal of U.S troops, and funding in Pakistan was uncalled for since they were ignorant of Bin Ladenââ¬â¢s occupation in their country. The alliance between the Al-Qaeda and the Taliban is no secret. According to Omar bin Laden (Maclean 2010); the success of Al-Qaeda lies in their alliance with the Taliban. Although there is no concrete proof to establish the ties between the Inter-Services Intelligence Directorate (ISI) and the two Islamic militia, ISIs history of working with drug dealers and Islamic extremist, their involvement in delivering Taliban to power in Afghanistan in the 1990s, as well as their association with the perpetrators of the 2008 Mumbai attacks, cannot be put to rest (Inter-services Intelligence, 2011). The Central Intelligence Agency and the ISI has successfully worked together to seize many Al-Qaeda operatives in Pakistan.
Thursday, February 6, 2020
Operational Management Report Essay Example | Topics and Well Written Essays - 2750 words
Operational Management Report - Essay Example In the fashion world customers needs have changed and they are looking to get new styles and fashions in the market at frequent rates. The supply chain management in the fast fashion business deals with the movement of goods from the suppliers where the raw material is originated to the end customer who consumes the particular end product. In this fashion world there is a he competition among the companies for coming up with new styles and also in quick time. Thus agility in the whole operation process is a very important factor which helps the company to respond quickly to the changing demand of the customers. In 1975, Inditex a Spanish group which was been owned by Amancio Ortega established Zara as a fashion label and value chain store. In the last two decades Zara has grown in huge numbers and its profit has gone up by three times and has become the third largest fashion retail store in world. The other brands which Inditex has are Uterque, Oysho, Zara Home, Bershka, Pull and Bear, Zara kinds, Stradivarius and Massimo Dutti. Zara has around 300 designers in its headquarters in Spain where approximately 40,000 designs are made from where only 10,000 designs are selected for production. By Dec 2010, Inditex had approximately 5000 stores worldwide becoming the worldwide leader in fast fashion chain network. Zara has a strategy of maintaining a policy of generating a huge variety of products every year. Zara being n the fashion business and being the worldwide leader in 5this business the overall operations process including the supply chain management, design process, production process and procurement is very efficient and also agile. Each of the process included in the overall operations management process is been discussed below one after the other. Zara has a huge number of faculties and a huge infrastructure. The company reaches to its target market and the customers by
Tuesday, January 28, 2020
Personal Discovery Essay Overview Essay Example for Free
ï » ¿Personal Discovery Essay Overview Essay This essay is intended to guide the student from identifying a problem or situation, taking some action in regard to the situation, and writing about the experience while supporting/developing their evaluation/analysis with two primary sources. A General Overview: First, you will be given a professionally-generated article that addresses a particular topic. This semester, the topic will involve health risks. Second, you must decide upon an activity after reading the article. For instance, since the article you will be given is on health risks, you will will need to identify two activities you can perform that will effect the consequences of your chosen health risk. Third, you will write a first draft of an essay of about 750 words (three pages) in which you discuss the activities and what motivated you to choose those activities, followed by your reactions and responses (such as ââ¬Å"What did I learn?â⬠And ââ¬Å"Why could it be valuable to me?â⬠) Fourth, find an article in the Three Rivers Rutland Library data base which provides additional information or that either refutes or corroborates what your rough draft says. Ideally, this one will help you determine the best practices for avoiding or managing the health risks. Incorporate information in the form of direct quotation and paraphrasing according to MLA style into the final draft. Finally, prepare a final draft of the paper in which you analyze the experience and the article, then synthesize all of the information into a cohesive essay. This essay will be the final assignment of the semester, so it is important to do your very best work. The final essay shuold be of 750 1,000 words, not including the correct MLA-style Works Cited page. Short Writing Assignment #7 Instructions: Read and study the information from the following web page: http://www.myhealthnewsdaily.com/839-top-10-leading-causes-of-death.html Download the Article Close Reading template (located in the Assignments: Unit 5 folder) Complete the template through a close reading of the article. Minimum Requirements: Completed Article Close Reading document for Top 10 Leading Causes of Death by Rachael Rettner. Since you have used this template before, take into account any suggestions or comments I provided you with to make sure you make the fullest use of the template possible. DOWNLOAD TEMPLATE Attached Files: Article Close Reading Document.docx (15.785 KB) Short Writing Assignment #8 Instructions: Choose two activities which you can do over a period of a few consecutive days which may prevent your death or the health-related consequences for you from the chosen malady. Make sure you think about the activities you choose to give before you decide. They should be planned, not spontaneous events. Once you perform your activities, notice the immediate effects and think about their long-term value. How did you feel when performing your activities? Were your activities difficult? How did you feel after the experience? Sit down and write about the experience while it is still fresh in your mind. Minimum Requirements: Compose a 200 300 word reflection on your activities. Make sure you clearly identify your chosen health malady and the activities you performed in the context of your reflection. Personal Discovery Essay First Draft Instructions: Using the following outline, compose a rough draft of your Personal Discover Essay. . INTRODUCTION:Mention the article and author. Give the briefest summary of the main points that relate to your paper. As you agree or disagree with the ideas, a thesis should develop. PERSONAL:Why did you choose to do these particular malady and activities? Were they the most convenient, the most inconvenient, or did they involve activities that had been on your mind, for example? How did you feel when you anticipated the activities, before you actually performed them? ENVIRONMENT:Identify your activities. What exactly did you have to do? Give some detail about this so the reader can imagine how much (or how little) was done. REACTION:What was yourà reaction? How did you feel, both physically and mentally, after performing your activity? Did this surprise you? Have you had other experiences where youââ¬â¢ve changed your actions, or added activities, based on your health decisions? If so, how did this reaction compare to that experience? INTERPRETATION:Consider this experience in light of Rettners article. How do you think her numbers would change if everyone took these activities seriously? Do you think there is a significant chance others will follow your lead? Will you continue to perform these activities in the future? Do you think others are likely to do so? Why or why not? CONCLUSION:Tie the essay together, reiterating your thesis, perhaps mentioning Rettners article one more time. Make a statement about health activities, predict what would happen if more of us were required to try to improve our health, or discuss how we would be affected if we expected more healthy living activities of ourselves. Try for a fresh and original ending to this essay. Minimum Requirements: Write the first draft of an essay of about 750 words in which you discuss what you did and what motivated you. Part of the essay should discuss the article and your feelings about it, while it should also include your reactions and responses Personal Discover Essay Instructions: Find an article in Three Riversââ¬â¢ Rutland Library database that provides additional information or that either refutes or corroborates what you said in your first draft. The article may discuss public service, student character, or any other aspect of your essay. Incorporate the information from your new article into the final draft of the Personal Discovery Essay. The final draft should demonstrate your ability to analyze the experience and what was read and then synthesize the information into a cohesive essay. Minimum Requirements: A final draft of the Personal Discovery Essay which syntheses of the genesis article, first hand information gathered in real time, and a supporting document located in the database into a single essay of 750-1000 words. In addition the the essay, you should include a correct MLA-style Works Citedà page containing citations for the Rettner article, as well as the database article. Apply the scientific and healthcare professionalsââ¬â¢ advice and expertise to craft an essay of Personal Discovery which uses both your day-to-day altered habits and the science that backs them up in an essay which incorporates the best practices of our three major essays this semester
Monday, January 20, 2020
Essay --
This paper takes a case analysis approach to considering the ethical and legal implications of the ââ¬Å"rightâ⬠to health care in contemporary America. The case scenario assumes that the government has enacted a new national health care policy. All citizens are guaranteed an annual income of $20,000 and the right to purchase (at an annual cost of $1,500) a comprehensive health insurance policy covering all routine medical and hospital costs. People who fail to purchase this insurance plan must pay cash for all health services. If non-insured individuals do not have the money to pay for services, the hospital and/or physician will deny treatment. This ââ¬Å"comprehensiveâ⬠insurance package is not without certain important limitations and exclusions. Notably, no coverage is provided for illness or disability arising directly from the individualââ¬â¢s own unhealthy behaviors (e.g., smoking, overeating, drinking, etc.). This paper examines the legal and ethical implications of this health care system (for individual patients, hospital administrators, health care providers, and the society at large) by looking at the situation facing two hypothetical patients. The first patient, ââ¬Å"Mr. Pufferâ⬠purchased the $1,500 plan but finds that costs related to the treatment of his lung cancer are not covered (because Mr. Puffer is a long-time smoker). The second patient, ââ¬Å"Mr. Spenderâ⬠has failed to purchase the insurance plan and is now being denied admission and treatment for his acute appendicitis since he has neither insurance coverage nor the cash to pay for the treatment. Both Mr. Puffer and Mr. Spender contend that the hospital has violated their right to health care. Health Care as a ââ¬Å"Moral Dutyâ⬠versus a ââ¬Å"Moral Rightâ⬠The two patientsââ¬â¢ claim... ...only solution to the dilemmas posed in this case is to completely re-design the health care system. It must have as its starting point a system of distributing health care benefits based on moral values, not marketplace values. A good beginning would be adherence to the moral principle that health care is (as both Mr. Puffer and Mr. Spender asserted) a basic right not a privilege based on income level or ââ¬Å"good behavior.â⬠If health care is indeed a right and not a privilege, an ethical system should provide for universal access to health care. Having established these basic guiding principles, the system designers would then have to grapple with the logistics of rationing existing health care resources (as necessarily limited by technology, funding, etc.) in a manner which takes into account principles of distributive justice and the underlying values of the society.
Sunday, January 12, 2020
Listening Is a Desirable Skill in Organizational Settings Essay
Listening is a desirable skill in an organizational settings; good listening can improve worker productivity and satisfaction. The challenge facing the workplace of today is how we will do business going forward. Far removed are the face to face staff meeting and on site work functions of the 70ââ¬â¢s, 80ââ¬â¢s, and early 90ââ¬â¢s. In todayââ¬â¢s workplace staff meetings are held virtually with offsite employees, conference calls, and video conferencing. Although much research in listening has taken place over the last few years, little of that research addresses workplace listening directly and much is based on false assumptions: that listening is a unitary concept. Listening is a cognitive function rather than a behavioral skill, and that listening is a linear act. In the past years many businesses /organizational have taken a closer look at listening and its competency that apply directly to the workplace. And have come up with a strong argument for listening to be the most important skill of effective communicators. This paper explains the process of listening, the significance of this form of communication, and it domination of effective workplace communication. Listening is one of the most important skills you can have. How well you listen has a major impact on your job effectiveness, and on the quality of your relationships with others. The purpose of communication is achieved only when the receiver receives the message sent by the sender fully and clearly. Developing good listening skills is a key step toward collaborating with colleagues. Good communication, therefore, calls for active listening skills. These skills will help you clarify and understand the messages that are being sent to you. To be a successful collaborating professional, you must understand the intent of those with whom you interact. It has been proved by many researchers that the success of a business essentially depends on the promotion of good listening skills at all the levels in the organization. {{3 Rane,D.B. 2011;}} The ability to understand and give response effectively to verbal communication is known as listening. The effectiveness in listening doesnââ¬â¢t necessarily depends on the interrelationships between the sender and the receiver of the message, but more is found to be a vital skill more particularly for the managers in business organizations while obtaining need-based information to perform their jobs successfully. The quality of relationships with others and job effectiveness largely depend on the listening ability of the individual concerned. Lack of listening ability at all the levels in any organizations lead to work-related problems. Thus listening, among others, is one of the most essential skills one should have. This reveals that improvement in workplace productivity is quite possibly developing active listening and better communication at all the levels. {{6 Johnson, Lawrence J. 2004; 3 Rane, D.B. 2011 ;}} Listening emphasizes two effective behaviors: accuracy, that is, confirming the message sent; and support, that is, affirming the relationship between the speaker and the listener: This model serves as an effective basis for improving workplace listening, both through formal training programs and through individual workersââ¬â¢ own efforts. References Abbasi, M. H., Siddiqi, A., & Azim, R. u. A. (2011). Role of effective communications for enhancing leadership and entrepreneurial skills in university students. International Journal of Business & Social Science, 2(10), 242-250. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=64758501&site=eds-live&scope=site Goby, V. P., & Lewis, J. H. (2000). The key role of listening in business: A study of the singapore insurance industry. Business Communication Quarterly, 63(2), 41-51. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=3184193&site=eds-live&scope=site Johnson, L. J., & Pugach, M. C. (2004). Listening skills to facilitate effective communication. Counseling & Human Development, 36(6), 1-8. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ehh&AN=20481483&site=eds-live&scope=site Mercer County, C. C. (1992). The art of active listening http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=eric&AN=ED351594&site=eds-live&scope=site Rane, D. B. (2011). Good listening skills make efficient business sense. IUP Journal of Soft Skills, , 43-51. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?dire
Saturday, January 4, 2020
The Story Of An Hour By Kate Chopin - 973 Words
Have you ever read a story about a woman who is ecstatic to hear of her husbandââ¬â¢s death? The Story of an Hour is a short story in which Kate Chopin, the author, presents an often unheard of view of marriage. An analysis of ââ¬Å"The Story of an Hourâ⬠faces us with one unanswered question. Why was Ms. Millard overfilled with joy after hearing the passing of her husbandââ¬â¢s death? The answer is quite simple. She was overcome with joy due to the fact that she was trapped and finally had the opportunity to taste freedom. I believe the question, ââ¬Å"Death caused by love or joy?â⬠has been overlooked and has not been analyzed in complete depth. Many readers assume that Mrs. Millard passed away upon hearing the arrival of her husband because sheâ⬠¦show more contentâ⬠¦The window provides an articulate view into the distance of her own future, which was impeded by captivity and orders of her husband. In this scene Mrs. Millardââ¬â¢s ââ¬Å"storm of griefà ¢â¬ has evolved into this newfound sense of life and freedom. As her thoughts of freedom slowly crept in, her attitude and mindset started to change. ââ¬Å"She said it over and over under the breath: free, free, free! Chopin suggests that Mrs. Millard is free from captivity through her husbands. As we know, this story takes place in the late 1800ââ¬â¢s. Not many women were given their freedom and democracy. Susan M. Cruea mentions in her article, ââ¬Å"Changing Ideals of Womanhood During the Nineteenth-Century Woman Movementâ⬠, that women were often emotional and physical frailty and women prepared themselves for marriage by keeping herself chaste for her future husband learning the skills necessary to manage a household and rear children. Mrs. Millard wept profusely after hearing of her husbandââ¬â¢s death. Although, the Millard family did not have any children, Mrs. Cruea beautifully correlates how women were emotional weak and how they were trapped by taking care of the family and did not have an opportunity to explore there own interests. This is one of the reasons why Mrs. Millard said, ââ¬Å"free, free, freeâ⬠because she knew she finally had the opportunity of her own independence and sovereignty. Li Chongyue and Wang Lihua on this idea of how Mrs. Millard had the opportunity to taste freedom andShow MoreRelatedThe Story Of An Hour By Kate Chopin1241 Words à |à 5 Pagesââ¬Å"The Story of an Hourâ⬠by Kate Chopin is a wonderful short story bursting with many peculiar twists and turns. Written in 1894, the author tells a tale of a woman who learns of her husbandââ¬â¢s death, but comes to find pleasure in it. Many of the elements Kate Chopin writes about in this story symbolize something more than just the surface meaning. Through this short story, told in less than one thousand one hundred words, Kate Chopin illustrates a deeper meaning of Mrs. Mallardââ¬â¢s marriage with herRead MoreThe Story Of An Hour By Kate Chopin855 Words à |à 4 PagesThe Story of an Hour In the ââ¬Å"Story of an Hourâ⬠by Kate Chopin, is about pleasure of freedom and the oppression of marriage. Just like in Kate Chopinââ¬â¢s story, inside most marriages, even the ones that seem to be the happiest, one can be oppressed. Even though, one might seem to be happy deep inside they miss the pleasure of freedom and living life to the fullest. Just like, in this story Mrs. Mallard feels trapped and when she hears about her husbandââ¬â¢s death she first feels distraught, but ultimatelyRead MoreThe Story Of An Hour By Kate Chopin1457 Words à |à 6 PagesEmotions and Death Everyone who reads a story will interpret things slightly different than the person who reads it before or after him or her. This idea plays out with most every story, book, song, and movie. These interpretations create conflict and allow people to discuss different ideas and opinions. Without this conflict of thought there is no one devoting time to debate the true meaning of a text. Kate Chopinââ¬â¢s ââ¬Å"The Story of an Hourâ⬠tells about a woman who is informed of her husbands deathRead MoreThe Story Of An Hour By Kate Chopin987 Words à |à 4 PagesIn Kate Chopinââ¬â¢s short story, ââ¬Å"The Story of an Hourâ⬠readerââ¬â¢s see a potentially long story put into a few pages filled with rising action, climax and even death. In the beginning of the story, character Louise Mallard, who has a heart condition, is told of the death of her husband by her sister and one of her husbandââ¬â¢s friends. Afterwards Mrs. Mallard is filled with emptiness and then joy of freedom. This joy of freedom is actually what consequently leads to her death in the end when she discoversRead MoreThe Story Of An Hour By Kate Chopin1061 Words à |à 5 PagesThroughout the short story, ââ¬Å"The Story of an Hourâ⬠, readers are introduced to characters whose lives change drastically in the course of this writing. Through Kate Chopinââ¬â¢s story we can identify many different themes and examples of symbolism in her writing. Chopinââ¬â¢s choice of themes in this writing are no surprise due to the time frame of which this story was written. Chopin often wrote stories with of womenââ¬â¢s rights, and is noted as one of Americaââ¬â¢s first open feminists. As this story of an ill, helplessRead MoreThe Story Of An Hour By Kate Chopin972 Words à |à 4 Pagesââ¬Å"The Story of an Hourâ⬠by Kate Chopin expresses Ms. Mallardââ¬â¢s feelings towards her husbandââ¬â¢s death in an appalling train accident. Due to her bad heart, her sister Josep hine had to be the bearer of bad news and approach his death gently to her. According to the quote, ââ¬Å" But now there was a dull stare in her eyes, whose gaze was fixed away off yonder on one of those patches of blue sky. It was not a glance of reflection, but rather indicated a suspension of intelligent thoughtâ⬠, it lets us know thatRead MoreThe Story Of An Hour By Kate Chopin998 Words à |à 4 Pagesââ¬Å"The story of an hourâ⬠by Kate Chopin was a story that was ironical yet profoundly deep. As a student I have been asked to read ââ¬Å"a story of an hourâ⬠many times, and every time Iââ¬â¢m surprised by how I enjoy it. People can read thousands of stories in their life times and only a handful will every stand out to them, stories that can draw out an emotion or spark a thought are the ones that will standout more. For me and ââ¬Å"a story of an hourâ⬠the thought of freedom is what draws me the most as a teenageRead MoreThe Story Of An Hour By Kat e Chopin1542 Words à |à 7 PagesIn the short story, ââ¬Å"Story of an Hourâ⬠, Kate Chopin writes about a woman with heart trouble, Mrs. Mallard, who, in finding out about the death of her husband, Mr. Mallard, experiences some initial feelings of sadness which quickly transition into the exhilarating discovery of the idea of a newfound freedom lying in front of her. When it is later revealed that her husband is not actually dead, she realizes she will not get to taste that freedom. The devastation kills her. What Mrs. Mallard goes throughRead MoreThe Story of an Hour by Kate Chopin596 Words à |à 2 PagesIn ââ¬Å"The Story of an Hour,â⬠Kate Chopin focuses on the idea of freedom throughout the story. Mrs. Mallard is a lonely wife who suffers from heart trouble. She is told by her sister Josephine and her husbandââ¬â¢s friend Richards that her husband has passed away in a train accident. She locks herself in a room expecting to be devastated, but instead feels freedom. Later, she exits her room and her husband walks through the door, causing her to die of a heart attack. Chopin uses this story to demonstrateRead MoreThe Story Of An Hour By Kate Chopin886 Words à |à 4 Pages In Kate Chopin ââ¬Å"The Story of an Hourâ⬠, the reader is presented with the theme of prohibited independence. In Kate Chopin ââ¬Å"The Stormâ⬠, the scenery in this story builds the perfect atmosphere for an adulterous affair. The importance of these stories is to understand the era they occurred. Kate Chopin wrote stories with exceptional openness about sexual desires. In ââ¬Å"The Stormâ⬠, a short story written by Kate Chopin in a time when women were expected to act a certain way and sexual cravings was considered
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