Marketing analysis or external scanning Assignment

Marketing analysis or external scanning - Assignment Example The major customer groups within this industry include autistic children and children with behavioral health issues. The size of the target market is pretty big in Jeddah and overall in Saudi Arabia at present. The target market for this business includes children with problem of autism and those having behavioral disorder problems. The critical needs of this target market include friendly environment, continuous peer to peer relationship, and frequent involvement in social activities. These needs are not met usually for autistic children which paves the way for us to open a gym for them where they can exercise all what they need. The expected market share for this business covers a big portion of health industry as there is hardly any renowned gym working in Jeddah for autistic children. As far as the pricing issue is concerned, it will depend on the behavioral condition and learning potential of the children being admitted to the gym. For children who require intensive care and training, the level of pricing will be a bit higher than those who will require less supervision. There will also be discount for siblings and cousins of the first child admitted to the gym. The market share for the gym will be high because there is not well-renowned gym operating at present in Jeddah for autistic children. Our strengths will include interactive facilities, creative and friendly environment, and the only big gym operating in Jeddah. Weaknesses will include lack of funds for the business at the start and lack of experience. As far as the challenges for the idea of a gym for kids with Autism is concerned, some of them include increasing the number of children in order for the business to achieve success and the variety of ways to deal with children with autism and their behaviors. There do not appear any major barrier that can hinder

Capitalist Economy Essay Example for Free

Capitalist Economy Essay The right of private property means that productive factors such as land, factories, machinery, mines etc. are under private ownership. The owners of these factors are free to use them in the manner in which they like. The government may; however, put some restrictions for the benefit of the society in general; Freedom of enterprise: This means that everybody engages in any economic activity he likes. More specifically he is free to set up any firm to produce goods. Freedom of choice for the consumers: This means that people in a capitalist economy are free to spend their income as they desire. This is known as consumer sovereignty. Consumers are sovereign in the sense that producers produce only those goods which consumers are willing to buy. Profit motive: In a capitalist economy, it is the profit motive which forces or induces people to work and produce; Competition: Competition prevails among the sellers to sell their goods and among buyers to obtain goods to satisfy their wants. Advertisement, price cutting, discount etc., are found to be the normal methods of competition in any capitalist economy. Inequalities of incomes: There is generally a wide gap of income between the rich and the poor in the income which mainly arises due to unequal distribution of property in such economies. Merits of capitalist economy: The following are the merits of capitalist economy: 1.To attract the consumer, the producer is in a position to bring out newer and finer varieties of goods; 2.The existence of private property and the driving force of profit motive results in high standard of living; 3.Capitalism works automatically through the price mechanism; 4.The freedom of enterprise results in maximum efficiency in production; 5.All activities under capitalism enjoy the maximum amount of liberty and freedom; 6.Under capitalism freedom of choice brings maximum satisfaction to consumers; 7.Capitalism preserves fundamental rights such as right to freedom and right to private property; 8.It rewards men of initiative and enterprise; Country as a whole benefits through growth of business talents, development of research etc., Demerits of capitalism: The following are the demerits of capitalism: 1.In capitalism the enormous wealth produced is apportioned by a few. This causes rich richer and poor, poorer; 2.Welfare is not protected under capitalism, because here the aim is profit and not the welfare of the people; 3.Economic instability in terms of over production, economic depression, unemployment etc., is very common under capitalism; 4.The producer spends huge amounts of money on advertisement and sale promotion activities like fairs, exhibitions etc., 5.Class conflict arises between employer and employee and they will be paid low wages and this leads to strikes and lock outs; 6.Productive resources are misused under capitalism and they are used for the production on luxuries as they are bound to bring high profits; 7.Capitalism leads to the formation of monopolies and 8.There is no security of employment for the workers and employees under capitalism. Reference: http://classof1.com/homework-help/economics-homework-help/

Poverty And Health Inequalities Health And Social Care Essay

Poverty And Health Inequalities Health And Social Care Essay Sociologists define social class as the grouping of people by occupations. The different positions represent different levels of power, influence and money1, 2. In the UK society was divided into 5 main groups of classes however the Office of National Statistics (ONS) produced a new socio-economic classification in 2001 (Table 1)3, 4. Social Class Up to 2001 From 2002 I 1-4 High Low II IIIN IIIM 5-8 IV V Table 1- Classification of Social class4 The Black Report and the Acheson Report In August 1980 the Department of Health (DOH) published the Black Report, also known as the Working Group on Inequalities in Health. The Report showed the extent to which ill-health and death are unequally distributed among the population of Britain, and suggested that these inequalities have been widening rather than decreasing since the formation of the National Health Service (NHS) in 19485. The Report concluded that these inequalities were not caused due to failings in the NHS, but because of many other social inequalities influencing health: income, education, housing, diet, employment, and conditions of work. In consequence, the Report recommended a wide strategy of social policy measures to reduce inequalities in health; however these recommendations were ignored not implemented 6. In 1998 The Acheson Report, also known as the Independent Inquiry into Inequalities in Health Report was published, this was 18 years after the Black Report, both reports showed similarities in thei r finding. The Acheson report showed a widening gap between different social groups (Figure 1)7. Figure 1-Number of deaths per 1000 by all causes for men aged 20-64 between 1991-19937 The report also noted that, while social determinants (Figure 2) affect peoples health across their lives, the early years are a particularly important stage of life, where poor socio economic circumstances have lasting effects. The Report recommended policies and interventions to reduce inequalities in access to the determinants of good health among parents, particularly mothers and children8, 9. The Main Determinants of Health Figure 2- The Main Determinants of Health10 The Situation in the UK- Income and Poverty The main point that both the Black and Acheson report identified was the association between poverty, social class and health inequalities. This applied to all aspects of health including life expectancy, infant mortality and general level of health8. Poverty isolates people, reducing their ability to engage in social and community life. In a study comparing the poorest and richest fifth of households, poorer children had fewer opportunities for activities and socialising. Poverty is measured by looking at the low-income threshold. This is 60% of the median UK income 4, 11. In 2007/08, 13 ½ million people in the UK (Table 2) were living in households below the low-income threshold, an increase of 1  ½ million compared with the 2004/05 figures. This is around a fifth (22%) of the population. The number of people on low incomes is lower than it was during the early 1990s but is much greater than in the early 1980s11, 12. Country Number of people England 11,500,000 Scotland 900,000 Wales 70,000 Northern Ireland 40,000 Total 13,500,000 Table 2- Distribution of people living below the poverty line in the UK, 13.5 million of the total population of approx 61 million13 Health of the UK Population- Link between Poverty and Health The health of people in the more wealthy areas of the UK is better than those living in the deprived areas. Those people living in poorer communities die younger and experience poorer physical and mental health throughout their life than those living in wealthier communities12, 13. There is a link between life expectancy at birth and social class in the UK. Those from social class I and II have a higher life expectancy at birth than those from social class IV and V .Professional men are expected to live to around 80 years and unskilled manual men to 72.7 years and for women, the figures are 85.1 and 78.1 years (Figure 3)14 Figure 3- Life expectancy of men and women at birth by social class UK, 1992-200515 This can be linked to death by major diseases in the UK, those from social class IV and V have a higher death rate compared to those form social class I and II (Figure 4).14, 15. Figure 4- Major causes of death 2003: Death rate for men aged 25-64 are 50-100% higher among those from manual backgrounds compared to those form non-manual backgrounds4, 12, 13. Infant Mortality in the UK The general association between poverty and health can be seen by looking at different diseases and mortality rates in the UK however one area which shows this association very clearly is child health. This is measured by looking at the rate of infant mortality. Infant mortality rate is the number of deaths of infants per 1000 live births16. There were 9,954 infant deaths overall in the period 2006-08, giving an overall infant mortality rate of 4.8 deaths per 1,000 live births (Table 3). Of those with a valid socio-economic group (8,709), the rate was 4.7 deaths per 1,000. Out of the 8,709 deaths in this category, 43% of these deaths (3,744) were in the Routine and Manual (RM) Social group, giving a rate of 5.4 deaths per 1,000 live births in this group 17, 18. Year Number of Deaths Infant Mortality Rate 2006 3321 5.9 2007 3264 4.7 2008 3369 4.8 Total 9954 Table 3- Infant deaths and mortality: babies born in 2006-200819 Poverty and Infant Mortality Infant death rates among both those from manual backgrounds (social class 1-4) and those from non-manual backgrounds, (social class 5-8) have fallen by around a fifth over the last decade but the gap between them has not reduced.   Infant deaths are still 50% more common among poor children in lower social groups (manual backgrounds) than among those from non-manual backgrounds.   In the lower social groups infant mortality is 20% higher than the average 4.8 per 1,000 (Figure 5)20, 21, 22.http://www.poverty.org.uk/21/a.png Figure 5- Annual number of deaths per 1000 live births between 1997-2007, it also shows the social class of the infants4, 15. When looking at different regions of the UK; it is clear that there is a significant difference in infant death rates. The rate of infant deaths in the West Midlands is one-and-a-half times more than that in the South East (Figure 6)23, 24, 25.http://www.poverty.org.uk/21/b.png Figure 6- Graph showing how the number of infant deaths per 1000 live births varies by region (West midlands, Yorkshire and the Humber, North West, Northern Ireland, East Midlands, North East, London, Scotland, Wales, South West, East, South East) 4,24. Infant death by region also has an association with poverty. The region with the highest proportion of households below the average income is the North East and West Midlands and it is the West midlands which has the highest infant death rate. The regions with the lowest portion of households below the average income, is the East and South East and it is the South East with the lowest number of infant deaths (Figure 7) 26, 27, 28. Figure 7- Graph showing low-income households by region (North East, West midlands, Wales, North West, Yorkshire and the Humber, East Midlands, Scotland, South West, Northern Ireland, East, South East)4, 15, 27 There are many conditions that cause infant death. The leading causes of infant death include congenital abnormalities, Sudden Infant Death Syndrome (SIDS), problems related to complications of pregnancy, and infant respiratory distress syndrome (Table 4)19, 29. Cause of Death Number of Deaths Congenital anomalies 920 Antepartum infections 59 Immaturity related conditions 1550 Asphyxia, anoxia or trauma (intrapartum) 205 External conditions 47 Infant respiratory distress syndrome 122 Other specific conditions 26 Sudden infant deaths 158 Other conditions 282 All causes 3369 Table 4- Infant deaths by cause of death: babies born in 200811, 15, 19 Other Risk Factors Increasing Infant Mortality There are other risk factors which increase the rate of infant deaths. These factors are associated with income and poverty. The main three factors are low birth weight, smoking during pregnancy and ethnicity27. Low birth weight Babies birth weights are key indicators of the outcome of pregnancy, even though there can be considerable differences between the health and well-being of babies born at the same stage of pregnancy. Babies born with a low birth weight are at greatest risk of having immediate and long-term health problems. The smallest babies are the most likely to die in the first weeks and months of life. Babies born to parents from manual backgrounds (Social class 5-8) tend to be more likely to have low birth weight than those born to parents form non-manual social backgrounds (Social class 1-4) these differences continue throughout the decade (Figure 8)31. Figure 8- Graph shows the proportion of babies born each year who are classed as having low birth weight (less than 2.5 kilograms, 5  ½ lbs), between 1996-2006. It also shows the social class of the infants4. Smoking during pregnancy Smoking in pregnancy causes devastating outcomes; these are increased risk of miscarriage, still birth and death. If parents continue to smoke after pregnancy, there is an increased rate of sudden infant death syndrome32. In the UK in 2006, 33% of mothers from social class 5-8 (manual) smoked throughout pregnancy compared with only 22% of mothers from social class 1-4 (non manual) (Figure 9) 33. Figure 9- Smoking prevelance overall and by social class. England 1998-2006 34 Exposure to passive smoking during pregnancy is associated with still birth, death and increase risk of lower respiratory tract infection in infants. One study found that in households where both parents smoke, young children have a 72 per cent increased risk of respiratory illnesses35. In 2006, 21% of non smoking pregnant women were exposed to the smoke of someone else usually a partner, throughout their pregnancy. Also 40% of mothers aged under 20 smoked throughout pregnancy compared with 13% of mothers aged 35 and over 33, 34. Ethnicity There are large differences in the infant mortality rates of ethnic groups in the UK, for babies born in 2005. Asian and Black ethnic groups accounted for over 11% of live births and 17% of infant deaths. Babies in the Pakistani and Caribbean groups had particularly high infant mortality rates, 9.6 and 9.8 deaths per 1,000 live births this was double the rate in the White British group of 4.5 deaths per 1,000 live births (Table 5)36 Ethnic Group Number of deaths Infant mortality rate Bangladeshi (Asian/Asian British) 34 4.2 Indian (Asian/Asian British) 93 5.8 Pakistani (Asian/Asian British) 231 9.6 African (Black/Black British) 118 6.0 Caribbean (Black/Black British) 73 9.8 White British 1859 4.5 White other 142 4.3 All other ethnic groups 271 5.4 Not stated 357 5.1 Total Number of deaths 3,200 Table 5- Infant deaths and infant mortality rates by ethnic group of babies born in 2005 11, 27, 30, Mortality in the Pakistani group was high throughout the first year of life whilst mortality in the Caribbean group was especially high in the first month of life. Half of all infant deaths in the Pakistani group were due to congenital anomalies, compared with only a quarter of deaths in the White British group. There is a general trend between income of ethnic groups and infant mortality rates. Those groups that have a high infant mortality rate such as the Pakistani and African groups tend to live in low income households compared to white groups (Figure 10)25,30,. http://www.poverty.org.uk/06/b.png Figure 10-Graph showing how the proportion of people living in low-income households varies by different ethnic groups4, 15, 30, Conclusion- Policies in place to address the issues It can be seen that health inequalities are present in the UK and therefore the Government has put in place many programmes and policies to tackle this problem. Tackling Health Inequalities-A Programme for Action The Tacking Health Inequalities: A Programme for Action was launched in July 2003 by the Secretary of State for Health, its aim is to meet the governments targets to reduce the health gap on infant mortality and life expectancy by 2010. The Programme has a clear strategy to work on the following four delivery themes: Supporting families, mothers and children Engaging Communities and Individuals Preventing Illness and providing effective treatment and care Addressing the underlying determinants of health37 National Service Framework for Children, Young People and Maternity Services The National Service Framework for Children, Young People and Maternity Services (Childrens National Service Framework) is a 10 year programme aiming to improve childrens health, social care and promote high quality health care for women and their families. The standards set by this framework require services to: Promote healthy lifestyles. Tackle health inequalities Ensure that pregnant women receive high quality care throughout their pregnancy38 Infant Mortality National Support Team The Infant Mortality National Support Team (IMNST) was launched in autumn 2008. It supports the 43 areas with the highest infant mortality rate in the routine and manual group. The IMNST has 4 main aims (Figure.11)39. Figure 11- The aims of The Infant Mortality National Support Team39. Tackling health inequalities is a top priority for the Government and the main focus is on narrowing the health gap between disadvantaged groups, communities and the rest of the country and on improving health overall. The policies, programmes and strategies in place are helping to reduce the health gap however there is a long way to go before there is significant change in health inequalities. This can be seen by looking at one of the Health Inequalities Public Service Agreement (PSA) targets (Box 1) and the progression of this target40. PSA Target on Infant Mortality By 2010 to reduce by at least 10% the gap in mortality between routine and manual groups and the population as a whole. Box 1- PSA target on reducing mortality in the UK by 10% by 201040. There is a decrease of infant mortality amongst the routine and manual groups however to narrow the gap by at least 10% by 2010 is still a challenge (Table 6)41. Year Percentage Gap 2004-2006 17% 2003-2005 18% 2002-2004 19% Table 6- Percentage gap in mortality between routine and manual groups and the population as a whole41. This shows that the Government needs to do more to reduce health inequalities by concentrating on wider social determinants of health. WORD COUNT-1650

Reflection on Principles in Nursing

Reflection on Principles in Nursing This essay will discuss and reflect on two principles of nursing practice and relate these to practice experience. The principles of nursing practice tell us what all people can expect from nursing practice, whether they are colleagues, patients, or the families or carers of patients. Nursing is provided by nursing staff, including ward managers (in hospitals) or team members (in the community), specialist nurses, community nurses, health visitors, health care assistants or student nurses. To put it simply, the Principles of Nursing Practice describe what everyone can expect from nursing. Due to many financial challenges facing the UK which is putting all health care and social care sectors under great financial pressure which indirectly is leading to staff shortage and nurses are working tirelessly under undue pressure to deliver the best care for patients. It is therefore a necessity for all nursing staff to be supported wherever possible. The Principles of Nursing Practice allow that purpose to be achieved and make clear exactly what quality nursing care looks like and provide a framework for supporting the evaluation of care through the development of useful measures. There are 8 principles labelled A to H. This essay will focus on Principle D which is where Nurses and nursing staff provide and promote care that puts people at the centre, involves patients, service users, their families and their carers in decisions and helps them make informed choices about their treatment and care and Principle E is where nurses and staff are at the heart of the communication process: they assess ,record and report to treatment and care, handle information sensitively and confidentially, deal with complaints effectively, and are conscientious in reporting the things they are concerned about(RCN ,2010). Consent was obtained from service users and confidentiality maintained regarding patients name and trust details as per NMC, 2008 Principle D will now be discussed. The Nature of healthcare provision is such that decisions made and the treatment and care provided, or withheld may alter the duration and quality of lives of the individuals who experience it (Brooker and Waugh, 2007). RCN (2010) definition of person- centred approach: Understand the individual, their aims and expectations in life Develop a frame of reference to understand their context (family, community, social and cultural dimensions in their attitudes, values and beliefs) Understand their concepts of health and issues My placement at the community hospital was working in partnership in a collaborative way with patients, healthcare professionals, families and other multidisciplinary team members in the delivery of a person centred care. Goodman and Clemow (2008) defined interprofessional working as that of professionals collaborating to work together more effectively to improve the quality of patient care. The original framework for Person centred Nursing developed by McCormack and McCance (2010) comprised of 4 constructs: Prerequisites: which focus on the attribute of nurse and include being professional, competent and committed to the job Care environment: which focuses on the context in which cares is delivered and include organizational systems that are supportive and effective staff relationships Person-centred process: which focuses on delivery of care through a range of activities and include sharing decision and providing physical needs? Outcomes: The central components of the framework are the results of effective personal-centred nursing and it includes satisfaction with care, involvement with care, feeling of well-being and creating a therapeutic environment. At my placement I was personally involved with a patient who had leg ulcer. This patient was unable to move out of bed hence bed bound. I was involved in her personal care, serving, and performing aseptic wound dressing. At the point where the expected discharge date was due, it was then necessary to hold a family meeting with the patient, her daughter and her partner who has a learning disability as well as with the multidisciplinary team (MDT) members involved in her care. The MDT members were social services, occupational therapist, physiotherapist and I as the student nurse with my mentor. The essence of the meeting was to determine the discharge location for the patient. The social services carried out MCA on the patient’s partner who had a learning disability to check if he could cope with the responsibility of supporting his partner after discharge. The partner’s capability to handle finances was also assessed. The physiotherapist assessed the ability of the pati ent to weight bear and what kind of equipment could be used for different transfers a home. The occupational therapist had already assessed the property of the patient and felt it needs to be adjusted to suit the needs of her current immobility status. However, setting up with necessary equipment would take some time and patient would need to be in a temporary accommodation till the house is resolved. Patient was also given the choice of moving to a nursing home where she could have a better quality of life in terms of care but paient refused and insisted on going to her own home even though she had been advised of the limitations of care that would be received as she had to manage by herself most times and partner is not allowed to carry out any manual lifting. My mentor and I‘s role at the meeting was to give an overview of the personal care requirements and other emotional, clinical and physiological needs. Throughout the meting the patient was involved in the decision proc ess to ensure that all her needs were met and tailored to her specific requirements. She was satisfied with the final decision and was finally discharged and happy to go back to her newly tailored home with her partner. It is believed that many nurses experience ‘person centred moments’ that is, particular times in practice when everything seemed to come together and the outcome felt satisfying and rewarding. We all have memories of those moments and stories to tell of their significance to us as nurses- be it a significant event with a patient, an expression of thanks from a family member that made the everydayness of practice seem all worthwhile. Such person centred moments may have trigged the question,’ why can’t it be like this all the time’? Whilst acknowledging that we do not work in a state of utopia and that everyday practice is challenging, often stressful, sometimes chaotic and largely unpredictable.it is important to consider how these person-centred moments can be transformed into ‘person centred cultures of practice where satisfaction, involvement and feeling of well-being are common place. To do this requires a commitment to the on-going develop ment of practice, the attention to rigorous process, the continuous evaluation of person-centred effectiveness and the celebration of successes (McCormack and McCance ,2010) Principle E will now be discussed. This is the fifth principle of nursing practice and it hinges on subjects of communication, the safety of patients, confidentiality, complaints management and conscientious reporting of concerns. Communication is a part of activities that humans engage in and it is recognised by everyone but only few people can define it satisfactorily (Fiske 2011:1)Human communication is defined as the process of establishing meaning via interactions that are symbolic(Adler and Rodman,2009) Communication emphasises on the process by which information is exchanged between two people or more(Bach Grant, 2011)The important aim for a nursing staff or any health care practitioner is to ensure that patients are engaged in effective communication (DOH, 2010) Any healthcare practitioner working in any healthcare setting must be able to utilise different types of communication skills in a variety of relationships. Considering the culturally diverse population that we have to deal with as health care professionals it is imperative for communication to be effective and appropriate to the needs of the services users (Koutoukidis, Stainton and Hughso, 2013) Cross cultural communication poses a lot of problem in the healthcare setting and language barrier is a major issue. I had an instant at my placement where a Chinese lady had problem communicating her needs to us and we had to get her husband in to interpret and he himself was not that fluent but we had to use culturally appropriate methods to obtain and pass on information to deliver person-centred care to the patient. Just recently at placement a group of nursing staff were recruited from Spain to come and work in the UK and trained by my hospital, language barrier was such a big issue as they could not easily express themselves and this posed a problem when they were trying to communicate with patients as well. Fortunately, we were very understanding and so were the patients. The national point of reference for communication makes it mandatory that communication needs be analysed and appropriate methods are used to help patients to communicate effectively. Staffs are also expected to communicate effectively with one another to make sure there is continuity of healthcare for everyone (DOH, 2010a) The formal aspect of communication involves the documentation, sharing of information during handover, managing complaints and reporting of incidents and concerns. These are the main thrust of Principle E and this becomes important when anything goes wrong The National Patient Safety Agency (2007) raised concerns about nurses in terms of unclear documentation and lack of confidence in their reporting. I have seen instances at placement where fluid and food charts are not updated and makes it difficult to assess the actual health status of the patient. The most common one that is easily missed out is the stool chart or Bristol stool chart and most patients based on the record are given laxatives to address the issue of constipation when in actual fact they were alright. In some instances, the patients have had to speak for themselves and verbally give an account of their flow which is sometimes contrary to what is documented but for dementia patients, it is unlikely to get any confirmation or information from them hence they can only be treated on what is documented. Excellent record keeping is an important aspect of nursing that is relevant to the delivery of effective safe and effective care and it should not be seen as optional or a form of duty that should be fitted in when time permits. It is a compulsory responsibility (NMC, 2010). Instead of writing notes at the end of a shift and to ensure accurate records were documented, nurses were encouraged to abide by the principle of ‘Do it and Document it’ (Tucker et al2009). Personally on placement, I have found this Do it and Document it helpful as the day goes so quickly with a lot of responsibilities throughout the day and there is the tendency to forget essential information and task done if one needs to wait till the end of the day to document. I have made it a principle to document immediately as I finish a task or a short series of task and not leave it to pile up. At all times I have my jotter with me to document whatever I do at every point of the way and this has proved to be workable and successful. The use of Vitalpac just introduced at my placement where information of patients in terms of ,personal identification details,routine observat ions and risk assessment data can be recorded in real time,stored immediately and automatically transferred to the hospital server where it can be accessed by relevant professionals in real time has proven to be successful ,cost effective and time saving. It is important that everyone working as part of a team in the delivery of care for a patient must appreciate the contribution made by each person so that appropriate skills are applied. For any teamwork to be the effective, one of the major tools is unambiguous communication which usually takes place via records than face to face. During placement, whilst working within a multidisciplinary team, it was important to us to make sure that information received from other professional are treated as confidential and only used for the purposes they were given and the patients also understood that some of their information may be accessed by other relevant professional members of the team engaged the in the delivery of person-centred-care. (Chapman and Burnard, 2003) In 2009, a safety alert report admonishing all healthcare settings to encourage an atmosphere of openness and accountability in reporting safety incidents and having a disposition of apologising and giving an count of what happened was published by NPSA. This theme was also iterated by parliamentary and health Service Ombudsman’s (2010) report on how complaints are handled in NHS in England. The act of apologising and giving full account of what went wrong helps to create distress relief and reassures those complaining that mistakes will not reoccur. I happened to have being informed by a patient’s husband that he was not satisfied that his dementia wife’s bed was lowered to the ground as he felt that could have increased her confusion. Even though the night staff lowered the bed in order to prevent the patient from climbing out of the bed overnight as she made few attempts, the patient’s risk had to be reassessed and later admitted that the patient Ã¢â‚¬Ë œs bed could have been raised back up. We tried to explain to the husband the basis of actions taken, apologised and adjusted the bed back up. He also noticed that her food chart was not updated at breakfast on her chart; this was immediately updated as patient was not alert enough to eat. As soon as I noticed this series of complaints I took it upon myself to pay extra attention to this patient while on my early shift and this paid off in the end as I supported the husband in encouraging the wife to eat, assisted with personal care and undertook her hourly observations to restore her blood sugar level as it was very low. I informed the nurse in charge of the patients decline in health status and intervention was initiated and her blood level was regularised. The husband left for home that day happier than he came in and was very thankful for my assistance.

Ethical Issues Surrounding Genetic Screening and Genetic Engineering Es

Ethical Issues Surrounding Genetic Screening and Genetic Engineering In today’s modern age science is moving at a rapid pace; one of those scientific fields that has taken the largest leaps is that of genetics. When genetics first comes to mind, many of us think of it as a type of science fiction, or a mystical dream. Yet genetics is here, it is real, and has numerous ethical implications. One of the particular areas of interest is prenatal genetics. In this field, many new and outstanding innovations have been made. A mother and father can now check for a large array of disorders that could occur in their child; sexual preference has now been shifted from the hands of a higher being to that of someone with a Ph.D.; and in the near future, a couple will possibly be able to choose the physical features of their child, such as hair color, eye color, etc. Scientifically speaking, all of these new options that parents have is amazing. Not only can they have a healthy baby, but one that is going to be stronger, and better looking. Yet, ethically speaking, many people would dislike the â€Å"playing† of God. And when it becomes possible to create a perfect child, what will prevent us in society from doing so? The field of genetics in prenatal situations has become very advanced over the past few years, yet many of these advancements have given arise to unethical appl ications. In 1990, the first great stride of genetics took place. This was called the Human Genome Project, a large-scale operation that was designed to understand the human genome (genetic structure). Since its commencement, there have been many leaps and bounds that have taken place. For certain genetic issues that we once knew nothing about, we no... ...r the ADA: A Case For Protection From Employment Discrimination.† The Georgetown Law Journal 89.4 Apr. (2001): 973-99. Kluger, Jeffrey. â€Å"Who owns our genes?†Time 163.1 Jan. (1999): 51 Parens, Erik., Adrienne Asch. â€Å"The Disability Rights Critique of Prenatal Genetic testing: reflections and recommendations.† The Hastings Center Report 29.5 Sept./Oct. (1999): S1-S22 Pearson, John. â€Å"Regulation In the Face of Technological Advance: Who Makes These Cells Anyway?† Notre Dame Journal of Law, Ethics, & Public Policy 13.1 (1999): 1-8. Reiss, Michael. â€Å"What Sort of People Do We Want? The Ethics of Changing People Through Genetic Engineering.† Notre Dame Journal of Law, Ethics, & Public Policy 13.1 (1999): 63-92. White, Mary. â€Å"Making Responsible Decisions: An Interpretive Ethic for Genetic Decisionmaking.† The Hastings Center Report 29.1 Jan./Feb. (1999): 14-21.

Henry James Washington Square :: Henry JamesWashington Square

Henry James'Washington Square Henry James' Washington Square is more than a simple novel with simple characters connected by a simple plot. There are more complex issues brought forth within the text besides a daughter heartbroken over her father's control and the departure of her money grubbing suitor. Yet only the simplistic issues and characterizations are brought forth in the critical article written by Elizabeth Hardwick. Within the pages of "On Washington Square," published in English 3230, Hardwick offers her readers the entire plot, including the ending of James' novel, without shedding new light on the text. She offers little interpretation of the material and only provides readers with the obvious. Hardwick explains the novel in such detail; one could almost use it as a Cliff Notes edition to the book. She uses what is said about Townsend to demonstrate that he wants nothing more than Catherine's money, yet she does not look close enough to realize that he is more complex than the information that the narrator provides ("On Washington Square" 26). The biggest fault in "On Washington Square" is that Hardwick does not recognize that the narrator of Washington Square provides the reader with only the information he wants to, leaving out details that could slant the story. There are several times in the novel when the narrator waffles on his accuracy using phrases like, "It might very well be†¦" in regards to describing Catherine's emotions (James 36). The narrator also leaves out information, which the reader assumes is unimportant, but cannot be sure, for the narrator has already shone that he does not guarantee to know the emotions of the characters, let alone the importance of their actions. For example, during a conversation between Morris and Catherine the narrator cuts off the conversation and states, "This is all that need be recorded of their conversation" (66). These statements and several like them show the narrator to be unreliable, yet Hardwick explains the novel through the narrator's eyes, portraying the inform ation as accurate.

honorable mexicans :: essays research papers

Introduction There are many people that have impacted on the country Mexico. Some of the famous people were presidents, musicians, astronauts and writers. They have showed Mexico many important things and helped to improve their technology. Here is the information on some of these famous people. Pedro Infante: Pedro was the greatest Mexican idol, and he was born in the beautiful port of Mazatlan, Sinaloa, on November 18, 1917. When people in Mexico hear his name they remember his beautiful songs and films. He became one of the best singers and actors in Mexico. He worked as a barber and a carpenter before he joined the group "La Rabia". He got nominated seven times for the award "Ariel". In 1959 something very unexpected happened, the plane that he traveled smashed into land and he died. He was buried on April 18, 1959 in the presence of a hundred and ten thousand people in Mexico city. He wrote over three hundred songs and took part in over sixty one films. Over forty years ago hi life ended but he is still remembered in hearts everywhere. Rodolfo Neri: Rodolfo was the first Mexican astronaut to go into outer space for NASA. He spent seven days in outer space aboard a space shuttle called Atlantis, carrying out multiple experiments and placing in orbit the Mexican satellite Morelos 2. This showed the world that mexico that Mexico could be a leader in technology. It also showed that this country would be able to send people into outer space and that Mexico could teach people who are interested to be astronauts. Everisto Quintanilla Rojas: Everisto invented the color T.V. It first started in 1934 and that was when the first experiments were done. When he was 17 years old he went to a school that taught science and when he graduated he used that knowledge and started to invent the color t.v. He also created the first two Mexican satelites that were called Morelos i & ii. This man made a difference for Mexico because not only did he give Mexico color t.v's but they also got to speak to people in 23 other other countries outside of North America. honorable mexicans :: essays research papers Introduction There are many people that have impacted on the country Mexico. Some of the famous people were presidents, musicians, astronauts and writers. They have showed Mexico many important things and helped to improve their technology. Here is the information on some of these famous people. Pedro Infante: Pedro was the greatest Mexican idol, and he was born in the beautiful port of Mazatlan, Sinaloa, on November 18, 1917. When people in Mexico hear his name they remember his beautiful songs and films. He became one of the best singers and actors in Mexico. He worked as a barber and a carpenter before he joined the group "La Rabia". He got nominated seven times for the award "Ariel". In 1959 something very unexpected happened, the plane that he traveled smashed into land and he died. He was buried on April 18, 1959 in the presence of a hundred and ten thousand people in Mexico city. He wrote over three hundred songs and took part in over sixty one films. Over forty years ago hi life ended but he is still remembered in hearts everywhere. Rodolfo Neri: Rodolfo was the first Mexican astronaut to go into outer space for NASA. He spent seven days in outer space aboard a space shuttle called Atlantis, carrying out multiple experiments and placing in orbit the Mexican satellite Morelos 2. This showed the world that mexico that Mexico could be a leader in technology. It also showed that this country would be able to send people into outer space and that Mexico could teach people who are interested to be astronauts. Everisto Quintanilla Rojas: Everisto invented the color T.V. It first started in 1934 and that was when the first experiments were done. When he was 17 years old he went to a school that taught science and when he graduated he used that knowledge and started to invent the color t.v. He also created the first two Mexican satelites that were called Morelos i & ii. This man made a difference for Mexico because not only did he give Mexico color t.v's but they also got to speak to people in 23 other other countries outside of North America.