Hca Teamwork Assignment Essay

Jennifer Planz As a delegated leader I am asked to solve an issue that is currently affecting the billing department of the facility I work in. The billing department need codes and important that they are not receiving. The doctor needs to be reimbursed for medical care on a patient. The facility I work in needs me to get this done in order to speed up production. This leaves me in charge of picking a team and promoting effective teamwork in order to resolve the current conflict. I will choose the members of my eam by finding individuals who are all trying to achieve the same objective. In this case, it would be the billing specialist, the doctor, myself and a communication specialist to make it go more smoothly. All of us are involved in this conflict on one way or another and need to participate together in order for all parties to be satisfied. I will promote effective teamwork by having the communication specialist involved. Teamwork can also be promoted by establishing ground rules for all team players. Making sure all players knew the nature, importance and cause of the conflict problem. Making sure everyone was aware that conflict is a natural part of life is a way to promote effective teamwork. Also offering social support, workshops, and providing leadership training. Offering social support can help soothe feelings and encourage more social support. It also reduces the risks and causes of caregivers being stressed, burned-out, and feelings of isolation. Offering workshops to employees for building their skills and help them to assume new roles in organization and managing conflict that is involved in with change and teamwork. Leadership training can vary on a range of topics. The ones I like that I would use are managing conflict, handling complaints, hospitality, and writing effective memo and releases. I feel this would be good starting training sessions for soon to be leaders or those already in leadership positions. Communication skills are important because they affect the performance of every employee and not Just leaders. The basic communication skills are both essential and necessary to effectively care for someone. Training and sessions are a great way to enhance or upgrade those skills in order to perfect these skills and become a better professional.

4.2. Describe the Importance of Reassuring Children

4. 2. Describe the importance of reassuring children, young people and adults of the confidentiality of shared information and the limits of this. Confidentiality is the preservation of privileged information, concerning children and their families, which is disclosed in the professional relationship. It is a complicated issue which is based upon the principle of trust. Confidentiality is very important when working in a closely with parents. Some information needs to be shared but only with your superior, i. e. head teacher, as it will be a matter of total confidence. If you suspect a child-protection issue, this should be shared only with your superior and again in strictest confidence, and the parents will need to be aware of this. It will be important from the very beginning of your relationship with parents, there is an understanding and they can tell you something in confidence, you may have to share the information with your superior. It is important never to gossip about parents or their children. -It is important never to discuss one parent with another. -It is important not to make judgements about children or their parents. -Some information needs to be shared with the all the staff, in particular diet, allergy, religious rituals, if the child is being collected by someone other than their main carer, general records on pupils individual teachers’ records of assessment, SEN information on pupils. Under the Data Protection Act 1998, information about pupils needs to be kept in a secure place. Never take any information off site and do not provide opportunities for others to gain access to it. When sharing information with colleagues only discuss points they need to know. If you notice any breaches of confidentiality always report the matter to an appropriate member of staff.

Soap Lab

The goal of this laboratory project was to test which ingredient (fat oil) makes for the best soap using the properties of fats/ oils. Another goal was to test the soap, detergents, and their waste water to decide which is the most effect eve and environmentally friendly. The group was also to determine what was causing t he scum after washing and figure out a solution to stop it. Experimental Design To achieve the above goals, four different types of soaps and two detergents were made with certain ingredients and the desirable properties were taken onto account.The waste water of each soap and detergent was titrated to determine en how the waste water would affect the environment. To make four different types o pop, we used ;o oils, vegetable oil and olive oil, and two fats, shortening an d lard. 10 ml of the oils and log of the fat were obtained in a mill beaker. 15 ml of 6 M sodium hydroxide and about 1 ml of glycerol were added to each ingredient drop by drop then mixed thoroughl y with a glass rod. The solution was then heated with a heating plate to boiling until it became pasty.After the pas tee cooled, 50 ml of saturated sodium chloride solution and ice was mixed into t he solution. The soap was then filtered using suction filtration and washed with t ml portions of cold water. Each filtrate was saved separately. Two methods ere used for making detergents. The first method required 4 ml of laurel alcohol t o be placed in a mill beaker. While stirring, 2 ml of concentrated sulfuric acid w added to the beaker. While to mixture sat for 10 minutes another mill BEA Kerr was filled with ice, log of sodium chloride, and water until the total volume w as 75 ml.Then, in a ml beaker, 5 ml of 6 M sodium hydroxide and 10 ml of watt were mixed. Four to five drops of phenolphthalein to the sodium hydroxide solution. After the 10 minutes, the sodium hydroxide solution was added to t he sulfuric caudally alcohol mixture until the pink color produced by the honorableness faded. The solution was poured into the saltwater bath an stirred until the clumps were broken up. The second detergent was made AC Roding to method II. 5 ml of laurel alcohol was carefully added to 5 ml of concentrate sulfuric acid.In another beaker, 3 drops Of phenolphthalein was added to 10 ml of 6 M Noah. Then, the acidic solution of laurel alcohol was added to the Noah solution with constant stirring until the pink color faded. Both detergents were e filtered using vacuum filtration and saved for the following weeks tests. The following week, solubility, cleaning, and lathering tests were performed o determine which soap and detergent cleaned the best. The wastewater WA s also analyzed from the processes of making the soaps and detergents.In addition, the contaminants and the environmental impact of the wastewater were identified deed. After these tests were conducted, the group had to decide which soap or detergent would be best for the environmental group to use. To test the solubility of each soap and detergent, appeased clumps of each were added to ml of water, acetone, an ethyl acetate. To test the cleaning abilities of each soap and detergent, a wet paper towel was used with samples of each soap and detergent to clean a dirty spot he lab counter. Cleaning abilities were measured by the amount of residue a ND dirt left behind.Lathering of the soap and detergents were tested by adding Pease zed clumps of each to water and determining how many bubbles were produced. The more bubbles that were produced, the better the lathering was. To test the contaminants and environmental impact of the wastewater we used titration. Sing 5 ml filtrate of our vacuumed filtering and 45 ml of H2O the group first tested t pH of each filtrate. If a pH over 7 was found the group slowly added HCI and t drops were counted by a sensor and the initial and final volumes were also re order from the burette. If a pH under 7 was found, then Noah was added to the filter ate.The mos t environmentally friendly wastewater was determined based on the volume of iterant added. A lower volume of iterant was more desirable because it me ant that the wastewater could be more easily neutralized. The final week, the best soap's and detergent's solubility was tested in different types of water. Well water, pond water, and tap water are the waters that were used. Then, the pond water and well water were tested for contaminant s. If the water contained calcium ions, DEED was added to the water to get rid of them he water was acidic, the base Noah was added to neutralize the water.

Civil Engineering Consulting in Project Development Essay

Civil Engineering Consulting in Project Development - Essay Example For any project, the importance of various consultants will differ in different stages. During the inception and feasibility, the importance of Quantity Surveyor is very crucial. He manages all the costs relating to the project. He will be responsible to prepare early stage budgets and detailed cost plans including repair and maintenance and to check whether the project is feasible. He will also be responsible to bring in systems into the projects which will include control systems, allocation of work to the subcontractors and he will also be doing the job of preparing tenders and will involve himself in the negotiation process to make sure that the budgets are not exceeded. His work will be continuing throughout the project with valuing the finished work and arranging for the payments. (www.prospects.ac.uk) The Landscape Architect comes into the project along with the Quantity surveyor. He is the one who creates a useful and attractive outdoor environment. (www.payscale.com)He will be the person who will plan and design the land areas for all the projects. They make topographic surveys. These surveys show the height of the land, the exposure to the wind, height of the land at different points and the traffic etc and make recommendations on the proper use of land. He then produces the detailed drawings so that the project gets its shape. (http://careers.stateuniversity.com) Their work is also involved in the final stages of completion. The Architects along with the Landscape architects stays right from the site selection until the completion of the project. He involves himself in designing new buildings and made plans for the other places around the buildings. He will involve himself with the discussions with other members so that's the necessary designs can be obtained which complies with all the safety requirements. Right from consulting about the designs, preparing the design proposals, he will advise the client on the practicality of the proposed project. He will make detailed drawings based on the budget and time frames specified. Based on these drawings only, the costs of the projects are made. He will be responsible to make site visits and check whether the project's progress is within the specified time scale. Any design problems during defect inspection, which arises during the project will be taken care of by him. (www.prospects.ac.uk) The civil engineer is the main person for any project. These engineers are responsible for many daily activities. The civil engineer will analyze the proposed site location as well as the entire construction job and ensure that the plan fits the location. They write the detailed reports and figure out what needs to be changed and modified and with proper approval, finalize it and check whether the changes are made. He will follow the project right from the initial stages and will ensure that the procedure is being followed based on the safety measurements. The civil engineer is the key contact person for any construction project and he will answer the questions by people involved in the project. They have to follow all the rules and regulations carefully as the project might get stalled at any point it's not complying with the same. So his role is very crucial. (www.exforsys.com)

London Stock Exchange Research Paper Example | Topics and Well Written Essays - 3000 words

London Stock Exchange - Research Paper Example This research objective to evaluate and present aim of the Taurus London Stock Exchange Project that is to turn stock trading paperless, with the aim of making transactions smoother and more convenient for London Stock Exchange traders. The Taurus project started in 1986 from the 'big bang', an event at which the London Stock Exchange was turned into a self-regulating operation which was overseen but not fully controlled by the Bank of England. The offshoot of this 'big bang' was that many of the restrictions that were previously placed upon the London Stock Exchange were no longer in place and the Exchange could now enforce rules, regulations and software to improve the service. The United States and Japanese Stock Exchanges were primarily electronic at this time, with the London Stock Exchange taking three to six weeks to complete a transfer and the other international exchanges providing transfers in days. The London Stock Exchange needed to move from this paper-based time-consumi ng style of trading and move onwards into the future, and this was one of the main aims of the Taurus project. Taurus (Transfer and Automated Registration of Uncertified Stock) had the aim of providing a paperless service to the London Stock Exchange and reduce the burden on those in the back office. The project had the aim to move to computerized shareholdings which would reduce both time and cost to the London Stock Exchange. ... The offshoot of this 'big bang' was that many of the restrictions that were previously placed upon the London Stock Exchange were no longer in place and the Exchange could now enforce rules, regulations and software to improve the service. The United States and Japanese Stock Exchanges were primarily electronic at this time, with the London Stock Exchange taking three to six weeks to complete a transfer and the other international exchanges providing transfers in days (Currie, 1994). The London Stock Exchange needed to move from this paper-based time-consuming style of trading and move onwards into the future, and this was one of the main aims of the Taurus project. Taurus (Transfer and Automated Registration of Uncertified Stock) had the aim of providing a paperless service to the London Stock Exchange and reduce the burden on those in the back office (Bergman et al, 2002). The project had the aim to move to computerized shareholdings which would reduce both time and cost to the Lon don Stock Exchange. Taurus was originally planned to be a software database containing a computerized database of all the investors and shareholders plus their stocks and holdings that operated through the London Stock Exchange as a central operator (Keil et al, 2002). The ownership of stocks would be as simple as an entry into this database, something which is represented by the stock markets of today. There were several aims of the project beyond those mentioned above. Firstly, the movement to a paperless system would remove the need for countless jobs and resources and could potentially have saved the London Stock Exchange millions of pounds. This movement was backed by several prominent economists and politicians of the day, as well as by those residing in the City

Factors Affecting Healthcare Systems Management Term Paper

Factors Affecting Healthcare Systems Management - Term Paper Example The present study has identified that the 1929 depression had significant social economic impacts to the society in a healthcare system, which led to the introduction of plans that has persisted to today. The government and private sectors introduced health insurance programs after the 1929 depression with the aim of helping the citizens to obtain affordable healthcare services due to the hard economic times that rendered the citizens the inability to pay for health services. This program serves as a security for health service for the people although the government has taken advantage of high income among the Americans to increase the Medicare tax. Consequently, this has led to the perception of exploitation among patients and the public who pay for the program as most of the tax is not used on the healthcare system, which leaves most of the people wondering on what the government is undertaking to ensure that the crisis once in the U.S in 1929 does not occur again. However, positiv e perception of the health system is increasing among the population of U.S. from the negative view that Americans have had towards the system since the 1929 depression. Cost and coverage is the main factor that most people consider when evaluating the effectiveness of the healthcare system. The people's dissatisfaction on the health care system today in the U.S. indicates that the impact on the 1929 depression to the health sector has devastated the balance between the cost and quality health care services, which has led to about 67% of the citizens dissatisfied by the healthcare system.

Operations Management Principles and Tools Essay

Operations Management Principles and Tools - Essay Example 5). I think our company would benefit from a systematic enhancement to the communication of policy and procedures, similar to the tools implemented by other organizations, which would save time for managers and ensure compliance with corporate directives. As a good model for operations management ("OM") success, I have looked at several companies and decided to use FedEx as an example of one company that has successfully implemented OM tools. "FedEx provides access to a growingglobal marketplace through a network ofsupply chain, transportation, business and related information services" (FedEx, 2006, p. 1), and is very dependent upon efficiently operating its world-wide services. Located in Memphis, Tennessee, the organization is known as the industry leader in fast package delivery for individuals and businesses. Its management and delivery of information data to its various departmental leaders is a key source of profitability, as it enhances efficiency and policy compliance. My sources for researching this information are included in the References section of this report. I selected Robert Lowson's book on Operations Management to provide me with general information, relied on the FedEx website to give me specific company information, as well as the website of Quadralay's WebWorks product information for specific quotes and insight from Joe Lakey, the Senior Technical Writer for FedEx. The primary OM initiative for FedEx that I consider applicable to my company is their electronic provision of operations manuals and policies. As the WebWorks article, using the corporation's slogan, points out, "to 'absolutely, positively' guarantee the on-time delivery of nearly three million packages...managers rely on the business operations manuals located on their corporate intranet (Quadralay, 2006, p. 1). In this OM initiative, FedEx has determined that their Ground Operations Station Managers need instant access to the manuals that govern corporate procedures and operational directives. The benefits already being reaped by FedEx are numerous. They operate within a fiercely competitive environment, and the backbone of their success lies in two areas; the ability to have efficient operational guidelines to prescribe procedures, and the communication of those instructions to line managers. In this case, the Quadralay article points out that "[t]he documentation supports the highly efficient, high-speed operations of FedEx's largest division and North America's largest provider of overnight package delivery services" (2006, p. 1). For FedEx, the key words are "highly efficient" and "high-speed." This is a company whose business depends on speed, and whose competitive advantage hinges on efficiency. Through the successful implementation of the OM information system, the organization reaps the benefit of both. As Mr. Lakey notes, the managers of the company's stations are very busy people, and they "don't have time to spend digging through information to find what they n eed. So anything we can do to save them time and make their job easier is extremely helpful" (Quadralay, 2006, p. 1). Thus, this single OM initiative of providing operational manuals via the company's intranet is seen as a key part of the organization's

The Acute Care Nurse Practitioner,The Certified Nurse Midwife Assignment

The Acute Care Nurse Practitioner,The Certified Nurse Midwife - Assignment Example This phenomenon is driven majorly by a largely ageing nursing population and few numbers of incoming nurses to fill this void. There is a considerable rise in the number of people seeking the cares of these practitioners with healthcare and medical needs, putting considerable strain in the health care system and in the process, necessitating an urgency to curb this shortage. Generally speaking, research upon research has identified four main reasons behind this problem (although there are several minor causes too, that would need to be delved into at hospital and care center levels). These are the ageing practitioner population, declining enrolment, changing work climate (such as lesser pay, increased patient loads, unpalatable work shifts and mandatory overtime, decreased time to provide direct patient care, assignment of non-nursing tasks, poor patient and relatives’ attitudes, skipping meals to attend to work, poor health and safety such as chronic effects of stress and overwork, possible nosocomial infection (such as HIV, Anthrax, Hepatitis, etc.) making nurses feel unsafe at work) and a poor ima ge of nursing in particular (Phillipson, 2009). Some of the solutions that can be used to curb this escalating shortage include conducting recruitment efforts, for example by promoting pursuance of such careers in schools, advertising for vacancies, reducing training period and time it takes for one to become a registered practitioner while not compromising on the quality of training and also by encouraging more men to consider nursing as a career choice. Secondly, there’s need to explore retention efforts by providing opportunities for career advancement, encouraging flexible work schedules, good retirement benefits and by encouraging these practitioners to feel free to be at the forefront in resolving workforce issues and devising solutions for the same. An elaborate emphasis on the

Return on Investment Assignment Example | Topics and Well Written Essays - 750 words

Return on Investment - Assignment Example It is highly essential that trainers are able to estimate the ROI, cost benefit analysis and break even analysis as they need all these to assess the financial viability of training projects. A high ROI project may definitely be worth it but computing the cost benefit analysis side by side would also enable a trainer to estimate how much benefit can be obtained per unit of cost and decide if the project is even worth entering into (Powell, 2008). As for breakeven analysis, trainers need to use this measure to figure out when exactly will they be able to cover the costs they have spent in training and then start making profits as they might need this information for project budgeting and planning needs. Further on if a choice is to be made between mutually exclusive projects, than these measures would aid trainers in deciding what’s the best project to go ahead with. Thirdly and finally, the computation of these measures will aid training endeavors when they alter/re-plan their training projects to achieve the maximum benefit out of it or to cut down on their costs (Young and Aitken,

Marketing Mix Essay Example for Free

Marketing Mix Essay Tyson Foods promotes several different types of food in the food chain industry. They are ranked 96 in the Fortune 500 in America’s largest corporations. Tyson’s produced poultry, beef, and pork, as well as providing the previous to several chain stores to use products. From McDonald nuggets to the Subway sandwich, Tyson is one of the largest poultry processing plants in the country. Tyson also distributes bag in bag products to stores which include Sam’s and Wal-Mart stores around the world. Tyson is best known for the appetizers and hot wings. Tyson has become one of the biggest marketers of value added chicken, beef, pork, as well as distributors to retail grocers, food service distributors, and national fast food and restaurant chains. The company thrives to helping feed the hungry and also donates to the American Red Cross. Other distributions include sending product overseas to Russia and Japan. From the United States to overseas, from grocery stores to restaurants Tyson Foods has become a leader of marketers in the food industry. They have done this by producing the mixture of products that customers enjoy and love to eat. Tyson has a marketing department that strives to be the leading provider in food service for the customers and consumers. The research and development department work hand-in-hand with the marketing department to achieve the leading market position for the products that are being produced today. Tyson brands have specific advertising that will attract the consumer in the market as well as on line through Check Point LLC. Tyson Brand name can been seen on websites such as Facebook, Twitter, and in general just by surfing the internet. Product coupons can be found in newspaper, online, and grocery stores. All advertising is done within the guidelines of the Federal Trade Commissions. Tyson received the Mosaic and Diversity Achievement Award for multicultural advertising. â€Å"Powered By Tyson† television commercials help Tyson achieve the award by reaching out the multicultural groups in today’s competitive environment. The commercials also helped get the word out in a humorous way to give insight and show how Tyson protein adds strength and energy to everyday life. The marketing department specifically concentrates on things that focus towards consumer targets such as fast and easy or even pre-cooked. A major key point is to provide some relief to everyday consumer problems such as less prep time for meals or as easy as popping it into the oven. Marketing paper advertisements are primarily for adults who prepare the meals for their selves or for the family. Television advertisement is done solely without violence, prejudice, sex, and profanity. All marketing advertisement whether printed or aired on television does not disparage any religion, ethnic, or political group. As an ongoing basis, Tyson thrives to identifying the distinctive markets and business opportunities best for the company. Tyson is committed to finding the everyday solution for customers and the consumers through research and by coordinating a mix of activities on both rational and emotional levels. Tyson products are advertised through television commercial, radio stations, and newspapers. The way to attract the consumers to actually buy the product is by distributing coupons and in-store ads. Other ways to distribute coupons is in magazine inserts, on the internet, as well as the official Tyson web-site. When a customer is shopping in a local grocery store that is advertising Tyson products as a buy one get one free campaign, the consumer is more apt to buy the products. A working class family that is always on the go will likely try a Tyson product which is easy to prepare along with being affordable. Products such as Tyson Chicken Breast Tenderloins can be found in the frozen section in many grocery stores. This product is all natural, and is pre-cooked for convenience. It is always better to try a product when it on sale but Tyson Tenderloins is around four to five dollars for an average box of 5 breaded tenderloins. Tyson has a good marketing mix by publishing coupons which boosts sales of products and aid in the introduction of new products. The Tyson marketing team is promoting product several different ways to boosts products such as the Grill Ready or Any’tizers. Along with promoting the products, people can go on-line to the official web-site and get recipes, enter into sweepstakes, or watch video commercials. Tyson will also promote the new products available on the website along with cooking tips of the month and options to ask question and get answers from the experts. Some examples of promotions that Tyson has offered, give people chances to win prizes such as Home Entertainment Systems and maybe even a Ford Explorer. The promotional deals Tyson offers can be seen on the official web-sites, surfing the web, and even on FB and Twitter. Previous promotional deals have reached as far as sponsoring Nascar events and the Olympics to the America’s Junior Miss Pageant. Sponsoring events to promote Tyson products is reaching out to beyond the common household. This type of strategy goes to show consumers how being â€Å"Powered† by Tyson works in the economy and is how the campaign is moving forward to proudly â€Å"Power the World†. The Marketing mix of Tyson has grown over the years to become one of the largest industries in the world. Multiple productions of products include chicken, beef, and pork. From fresh to frozen, refrigerated to meal kits, Tyson has managed reach out to the consumers by advertising on the web, Facebook, and Twitter. Coupons are another way to get the customers to buy Tyson products even if they haven’t tried them yet. Tyson has gone above and beyond to spread the word on being â€Å"Powered by Tyson† by promoting public events as well as â€Å"Feeding the Hungry† when hurricane Sandy hit the east coast. Tyson is a company that supports the customers and the consumers around the world and is committed to the New Year’s resolution of â€Å"Eating Smart†. References Retrieved on January 9, 2013 from http://www.tysonfoods.com/Sustainability/2010/Products/5_5.aspx Retrieved on January 9, 2013 from http://www.tysonfoods.com/Media-Room/News-Releases/2006/09/Tyson-Marketing-Campaign Retrieved on January 11, 2013 from http://www.tyson.com

Grendel As Dynamic Character English Literature Essay

Grendel As Dynamic Character English Literature Essay John Gardners Grendel provides us with an in-depth look at the personality and mindset of a monster known to be an antagonist to mankind. The reader is seeing the world through the eyes of Grendel, giving the reader the feeling of having a very close relationship with him. Through this close relationship that the reader creates with Grendel, it becomes evident that Grendel undergoes a personality change throughout the novel as a dynamic character. Grendels development throughout the novel is highly influenced by his communication with the Shaper, Grendels mother, and the dragon. The first human to have a major influence on Grendel was the Shaper, a blind man who preaches to those around him. The first mention of the Shaper was in chapter one, when Grendel attacked Hrothgars meadhall. During Grendels attack, the flaws of human instinct become apparent. Instead of running away at the sight of a horrid monster, the citizens become frozen in terror like a dear in headlights. The only exception to these humans was the Shaper, who acted quickly and despite his blindness, was able to escape the building and run away from the danger. Grendel had admired the Shaper for being different from the other humans, and reacting properly and quickly, as well as for possessing knowledge Grendel wished he could have himself. Grendels envy for a mind like the Shaper causes him to fill with jealousy, so he subconsciously tries to mirror the ideology of the Shaper despite not being a human. The Shapers songs teach Grendel about the way that the humans live and function. To Grendel , it appears that everyone around loves and respects the Shaper, which is evident when Grendel explains that the people, and even the surrounding hills were hushed when the Shaper spoke. This popularity causes Grendel to wish that he could be like the Shaper even more, so that he can finally lose the feeling of isolation and gain acceptance among the humans. As Grendel analyzes the popularity and appeal of the Shaper, he begins to realize why people have are always running away at his sight. Grendel dives deep into himself to get a sense of the flaws in his own character, and subconsciously decided that he doesnt really need nor care about getting the approval of the humans because he isnt a human and shouldnt have to live by the expectations and standards that they have for themselves. (Gardner, letter) He was born not as a human, but as a monster that would never be able to live like the humans, and instead must follow his own role in society: to terrorize and kill humans. Although it was evident that Grendel cared for his mother, their relationship wasnt always perfect. She was very controlling, and attempts to keep Grendel at her side throughout the novel, but she loved him and was even considered a source of comfort to him (Grendel pg. 17). In chapter two of the novel, Grendel views his mother as a fat and lazy brute who is to unintelligent to able to speak the same language as the humans. As the mother tries to become more protective and sheltering of Grendel, he tries to break away from her more and treats her as truly a monster or animal instead of an equivalent to himself. He realizes that she is exactly what he wants to avoid becoming, so he begins to spend less time with her and instead spend more time with the humans, which starts to make him become more like a human than a monster. Grendel became more independent as he looked less to his mother for advice and began to think for himself, using his own thoughts and observations as a guideline. He starts to develop philosophical thoughts, and begins to question the meaning and purpose of life. At the points in the novel where Grendel is leaving or returning to the cave, his mind becomes restless with thoughts about the humans and what he should. The complexity of Grendels thoughts is synonymous with the complex design of the cave itself. Getting in and out of the cave is no simple process. Grendel describes the process as swimming up through the firesnakes, hot dark whalecocks prowling the luminous green of the mere., and continues by saying that he gulped churning waves and smoke, which implies that the mere is on fire. (Grendel pg. 9) The water is used as a symbol of the subconscious and emotion, which explains the thoughts that start to jump around in Grendels head as he is on his way in or out of his cave. Grendels thinking to himself is key to his development as an independent individual. He feels so dependent near the end of the book that he even ignores the warning of his mother. His mother wants to protect him and warn him of the danger he is getting into, but her warning only comes out as Warovvish. (Grendel pg. 145) Without trying to understand what she was saying, he shrugs her warning off as gibberish and continues with what he originally planned. Instead of relying on the advice and opinions of others, Grendel tries to sort everything out within his own thoughts. This causes him to become less and less dependent on other characters, which in turn allows him to become more of an individual. The final character to have a major influence on Grendels character was the dragon, who makes his first appearance in chapter five of the novel. Prior to meeting the dragon, the only being that Grendel ever met more powerful than himself was his mother. Grendel became so terrified at the site of the monstrous dragon that he could barely even speak. Grendel has never really felt this level of fear, and it makes him realize that there are more fearsome creatures to walk the planet than him. This fear also rationalizes the feeling of the terror the humans exhibit when encountering Grendel, so he now understands their fear of him. The dragon proves to be an incredibly smart philosopher, and when the dragon starts reading his mind, Grendel becomes even more afraid of him. He never felt fear like when he saw the dragon, so he didnt understand why the humans would run away in terror even if he were to do nothing wrong. He tells Grendel that the essence of life is to be found in the frustrat ion of established order, so he should continue terrorizing the humans. (Grendel pg. 67) The dragon proceeds to tell him that being terror to all humans that is actually important to their development. He goes on to explain that humans are constantly trying to destroy anything they consider to be evil, but evil is actually very important to them because without evil, the world would not be balanced. The dragon tries to explain to Grendel that he drives them to poetry, science, religion, all that makes them what they are for as long as they last (Grendel pg. 72).This means that Grendel is actually very important to human society, and without him, mankind would not be advanced as it is today. This confrontation with the dragon allows Grendel to rid himself of the doubts he had about the morality of killing humans, finally providing him with the reason and conformation he desired to continue with his role in society. Grendel has become one of the most important and developed characters throughout the history of literature, despite him being an antagonist. His thoughts often conflict with each other, but by the end of the novel, they become very deep and complex. After his confrontation with dragon, Grendel finally develops an understanding of his role in society, and the importance that he plays. Through the influence of Grendels encounters with the humans and other important characters throughout the book, he was able to undergo a change and become a much more intelligent, sophisticated being. In the beginning of the novel, Grendel was portrayed as being an unintelligent monster, isolated from the humans, having no understanding of his role and importance to society, but by the end of the book, Grendel has developed into a sophisticated being with a greater understanding of the world than the humans even have.

Equality in Education Essay -- School Learning Teaching Essays

Equality in Education Many believe that the greatest source for a nations strength is to provide equal education for all of its students. However, are we as educators short-changing our female students? I believe the answer to this question is an undeniable, Yes! There are different ways and methods to change this problem in our society; hence we must first examine the source of the corruption. The greatest resources for any country are the educated people that it produces. According to the census taken in the year 2001 in the United States, half of our countrys population is made of women. These strong souled beings have the power and cognitive ability to compete equally and fairly with their male counterparts in any area of education. When I say education, it does not mean the field of education only, I mean all the years of attending basic schooling from kindergarten till twelfth grade and including all subject areas. However, girls do not have an identical educational experience as boys in school. For instance, I remember in fourth grade my teacher only chose boys to be team leaders in sport activities. At that time, we girls didnt think much it, because the atmosphere was such that the boys were the ones who always got to move materials or carry the art or sporting equipment, and that is what we were used to. But one day, I remember it as if it was yesterday. Sara my c lassmate said to the teacher, Im just as strong as Michael. I can even kick the ball farther than him, but you only choose the boys to be special helpers. How come? My teacher did not understand the significance of this question and casually answered, boys are meant to do some tasks and girls others. Sara did not like the response that she was given... ...s can make the large difference in their life and the life of others. The other alternative to provide a safe and empowering environment for girls is to provide same-sex classes in institutions where the curriculum has been updated for better reflection of society. But do we really have to separate our girls in order for them to be treated fairly and equally as boys? No! When our government stated, All men are created equally, they meant, humans, Homo-sapiens, not only the males. Therefore our girls, our ladies should be give the same tools and opportunities to pursue happiness as our boys, our gentlemen. Works Cited Mckee, Alice. How Schools Shortchange Girls. Women and Education. 1992. 92-115. Rich, Adrienne. What Does a Woman Need to Know? Presence of Others. 3rd Edition. Andrea A. Lunsford and John Ruszkiewicz. Boston: Bedford, 2000. 65-71. (*305-A)

Foreshadowing, Mood, Mythical Parallels, and Narrative Elements in Drac

Foreshadowing, Mood, Mythical Parallels, and Narrative Elements in Dracula      Ã‚  Ã‚  Ã‚  In the novel Dracula, by Bram Stoker, there is much evidence of foreshadowing and parallels to other myths.   Dracula was not the first story featuring a vampire myth, nor was it the last.   Some would even argue that it was not the best.   However, it was the most original, using foreshadowing and mood to create horrific imagery, mythical parallels to draw upon a source of superstition, and original narrative elements that make this story unique.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Anyone who has ever seen one of the several adaptations of Dracula as a movie will know that it was intended to be a horror story.   Stoker goes to great lengths in order to create an atmosphere of terror and villainy, while hinting at exciting things to come.   Straight from the beginning of the book, foreshadowing is utilized to hint at horrifying future events.   As Jonathan Harker was about to depart for Castle Dracula, an old lady accosted him and said, "It is the eve of St. George's Day.   Do you not know that to-night when the clock strikes midnight, all the evil things in the world will have full sway?"   (Stoker, 4).   However Harker leaves anyway, despite the warning.   Thus the reader is fully aware that something awful is going to happen to him.   This quote makes one's mind think of possible future events, thus creating imagery.   Every writer aspires to create good imagery, and Bram Stoker is particularly go od at doing so.      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Another example of foreshadowing unfolds when Harker is being transported to Castle Dracula by the mysterious and tenebrous driver.   "Then, as we flew along, the driver leaned forward, and on each side the passengers, craning over the edg... ...are depicted in many instances in order to draw upon a source of superstition for added affirmation.   Finally, original narrative elements are conceived in order to bring together a central theme of unity, which stresses the teamwork by which the protagonists defeated the vampires.   Bram Stoker applies these elements to create an enriching, compelling plot in the novel Dracula.       Works Cited Birge, Barbara.   "Bram Stoker's DRACULA:   The Quest for Female Potency in Transgressive Relationships."   Psychological Perspectives.   1994.   22-36. Gutjahr, Paul.   "Stoker's Dracula-Criticism and Interpretation."   Explicator.   Fall 1993.   36-40. Holland, Tom.   "A Sure Fang."   New Statesman.   Feb. 19, 2001.   40-42. Keats, P.   "Stoker's Dracula."   Explicator.   Fall 1991.   26-29. Stoker, Bram.   Dracula.   Tom Doherty Associates:   New York, 1988.   

Stress In The Workplace :: Workplace Health and Safety

1. In today’s fast paced Air Force, it is very common to hear someone in an office saying "I’m so stressed out". With the big drawdown of personnel in all the armed forces, the Air Force was no exception. We were forced to do more with less. So for this one reason, it is likely that you will find stress is prevalent in the workplace. Because different people respond differently to the same type of stress, some people seem to cope better than others (1:4). When dealing with computers, the trick is finding a healthy balance between positive, motivating stress and stress overload, which can affect the body in different ways. Understanding stress an help you change that feeling into a positive challenge. Therefore, stress with computers can become a thing of the past. 2. You will find computers in just about every office, regardless of the type of business it is. In today’s world, computers have become the way to do business, communicate with the world, or just having one for personal recreation. Office work in general is full of potential stress, from not enough light and noisey offices, to deadlines and demanding bosses. Additional sources of stress come directly from using the computer: monotonous keyboarding, hours of staring at the screen, and lack of physical movement (2:85). For these reasons, we need to bear in mind that stress management should be a combination of reducing the stress, relaxing, and rethinking our expectations and self-demands, i.e., breaking the everyday routine, planning ahead, making wise use of breaks or lunches, eating right, and exercising every day to keep healthy (2:86) 3. Stress is an instantaneous physical reaction to a danger or demand: "muscles tighten, blood pressure rises, the heart speeds up, and extra adrinaline rushes through your system" (3:2). No matter what you occupation, everyone feels stress at one time or another. Stress is a fact of life (3:2). That is why control stress is to your advantage, versus it controlling you. Learning to control stress is to your benefit so that you feel, 1) calm, instead of nervous, 2) in control, instead of hassled, 3) alive, instead of burned out, 4) at peace, instead of angry, 5) refreshed/renewed, instead of frazzled (3:3). Physical and Psychological affects of stress may be prominent if stress exists in your life. Some ways for you to reduce stress include but are not limited to: exercise, deep breathing, hobbies (3:11-12). Personal stress relievers are getting enough sleep, talk worries and anger, and not substituting alcohol, tobacco and other drugs for relief of stress

Eli Lilly and Company: Innovation in Diabetes Care Essay

Eli Lilly and Company has success in produce and sells insulin in the United States in 1923 and in 1995 Eli Lilly has dominated the world insulin market with another company. But Eli Lilly has miss some of its’ opportunity in diabetes care when it trying to sell its’ product to the world. What went wrong with Eli Lilly during that time? Here are few points. First of all, Lilly has trying hard to improve their product. But as the case mentions when Lilly’s â€Å"Match† product come out, it become a rival commodities to Lilly’s own old product. When it comes to product life cycle, it true that company needs to put out new product before the old product become less revenue but in this situation for Eli Lilly is different. Because of the market rate it hold in US diabetes care market is around 80% and the new product will definitely hurt the revenue the old product produce. So Eli Lilly actually decided not to put it on to the market. It was not a clever idea of choosing to thinking of its’ revenue instead of customer need. And when it comes to asking the customer what they need. Eli Lilly asked the wrong customer. Instead of asking the people who are actually using diabetes care product, Eli Lilly went into doctor. What the doctor wants is totally opposite from what the patient need, the doctor want the customer come to them regularly because that’s the way that doctor earn money from. But patient or customers want to be able to control it by themselves. When Eli Lilly targeted wrong customer it eventually hurt its’ revenue. Nova is considering the main competitor for Eli Lilly. But both two companies put up similar product into market. They try to put out the newest product in order to attract more customers and gain more profit from it. But does the customer really need those newest products. It becomes the question between should the product be consumers-demand trajectory or technology-performance trajectory. In this case, the answer would probably consumers-demand trajectory. Even though two companies put out good product but the customer used to the product they already have. And the customer are sensitive to the price since those products are using only few times and need to be change all the time. Even though there are some parts that Eli Lilly fail on it but it try hard to understand what their customer really need. Eli Lilly found out that customer would willing to use their new product if they did some change to it such as more easy for customers to using new product or using other technology instead of need to inject. And more important is that Eli Lilly found out that most of their customers don’t have enough of information about diabetes care. So Eli Lilly set up an Controlled Diabetes Services program (CDS) which educating people and building a community of patients the value of their insulin therapy. I think Eli Lilly made a good decision about setting up CDS which can indirectly understand what their customers need and allow more people have more opportunity to get to know their product and use their product. Focusing on know their customer and educating their customer will let more and more people know their new product and form a habit of using their new product. If CDS successfully then Eli Lilly new product such as Match and Insulin pens will have less problem when it sales on the market. Instead of keep on compete with similar product on the market, Eli Lilly should look for new opportunities. Eli Lilly should ask their customers what their value for the product, how they use it to find out the need for customer. Also Eli Lilly need to protect their current market. In pharmaceutical industry, once you lost a customer, it will be harder to get that customer back. When customers change to other medicine, it will take customer time to get used to the new medicine and once customer used to the new medicine. They will gain royal to it because of changing cost and troubles it might occur. Even Eli Lilly have miss some opportunities in diabetes care market but its’ trying to using the resources and new product to regain their advantage to the diabetes care market for example the CDS program will definitely gain revenue, new customer and open new market for it. But beside CDS program, it would have to put up more products. And I do think that compare to technology-performance trajectory, Eli Lilly should go with consumers-demand trajectory. Since of the technology-performance trajectory competitive is strong and it could not earn more profit from it. By changing to consumers-demand trajectory will give it more choose and opportunities.

Regional Metropolis: Constantinople and Tenochtitlan Essay

Constantinople and Tenochtitlan were two great cities in their time. They both had many dominant physical features. They also had many cultural influences and their major function for each city was different. The two cities had important landmarks and their locations still exist. The cities both had religious affiliations and other important aspects. Constantinople and Tenochtitlan help to show you what cities were like between 1160-1520. Any two cities could have been chosen to show what it was like back then. These two show the global nature of this occurrence by contrasting the two. One is located in the Mediterranean and the other is in Mesoamerica so they are basically worlds apart. They also experience two different kinds of life. These two were also chosen to be compared because many of the Europeans went to these places and made their own accountable comparisons on what they had thought. Each city had its own dominant physical characteristics. Constantinople had St. Sophia and the hippodrome. It also had well-to-do houses and markets. Constantinople was in the center for trading on the Silk Road. It also had a great defense system because the city was surrounded by water. The city had the Old Horn Port on one of its edges. Tenochtitlan was built up in the marshes. The city also had special roads to connect it to the mainland. Each city had its way of living with their physical features. Constantinople and Tenochtitlan each had its own set of cultural influences. Constantinople was mostly Roman and Greek. They mainly spoke Greek there. They were also Christian Orthodox. Tenochtitlan was built by the inspiration of two older cities. The immigrants and visitors that came had to stay in their own neighborhoods. They also traded with the north and south. Constantinople and Tenochtitlan were influenced by their cultures. The major function for each city was different from each other. Constantinople was used as a political place. It was also very religious. Constantinople was also a major trade center. Tenochtitlan was mainly a religious center. It had different ritual sacrifices that went on. It also had a lot of religious ceremonies that went on. They both had different  functions. The cities had many important landmarks and their locations still exist. Constantinople had St. Sophia as well as the Mese Road or â€Å"Midway†. The Golden Gate was also located there. Other places located here are the Golden Horn and the Hippodrome. Tenochtitlan had the Pyramid of the Sun. They also had the Market. Old Horn Port is still around today. Tenochtitlan stood where present day Mexico City is. Each city had its own set of important places and each are still around in some way. Each city had its own religious affiliations. Constantinople was centered around the Orthodox Church. Tenochtitlan had many things that were religious. They had sacrifices in their city. They also had many Gods and were polytheistic. Tenochtitlan also had many priests and a chief to look up to. Constantinople and Tenochtitlan had their own way of believing in their religions. Constantinople and Tenochtitlan also had some other important characteristics. Constantinople was extremely wealthy. They also had inhabitant Greeks that were not made for war. The language of Tenochtitlan was Nahuatl. They also had a population of two hundred thousand. Their city was built by the Aztecs. The two cities had many important characteristics. Most Europeans had their part in thee decline of both of these cities. Many places say that their religions had an affect on their violence. They both had an obsession for gold and other wealthy material. They each had a big population for their time. Many believed that because of their great and different urban development went well with the fact that they had a modern economic development. Both were built in imitation of older cities and more well-known centers. They both were known more as imperial capitals, but now they are often referred to as cities. Constantinople was older, but its became more famous as a Roman capital later in history. Tenochtitlan was a younger city and quickly grew from a small place into the largest city of the Americas as their expansion of power grew over all of Mesoamerica. Constantinople and Tenochtitlan helped to demonstrate how cities developed and what their lives were like back then when they were developing cities. They both had their own set of physical characteristics. They also had their own share of cultural influences and what their major function for their city was. Constantinople and Tenochtitlan had important landmarks within each of their city limits and the site for their locations are still around in some form. They also had their own religious beliefs and ways of life. They also had some other important aspects to their cities to distinct themselves from other cities. Constantinople and Tenochtitlan were classified as a city, but do you think they could have become more than that? Bibliography Wiesner, Wheeler, Doeringer, Curtis. Discovering The Global Past. Houghton Mifflin Company; New York: 2007. Pages 268-300. Source 4, Illustrated Map of Constantinople, 13th Century Source 5, Interior Saint Sophia Source 10, Spanish Illustrated Map of Tenochtitlan

4222-305 Understand Positive Risk Taking for Individuals with Disabilities (Ld 305)

4222-305 Understand positive risk taking for individuals with disabilities (LD 305) 1. Understand that individuals with disabilities have the same right as everyone else to take risks 1. 2 Explain why, traditionally, people with disabilities have been discouraged or prevented from taking risks. In Social Care there is an accountability for the welfare of the individual, whether they are being cared for or enabled to be independent. The enabler has responsibility for the individual, and the Company that provides the service to the client has responsibility towards both the enabler and the individual.They are answerable to families, CQC, the local council, social care workers and the police. An individual, who has the mental capacity to know and understand what they are doing and the consequences, is bound by British Law. Risks are not just about accidents that may happen; they are also about behaviour and social awareness. When a person is not acting in a socially acceptable manner, m embers of the public may complain or at least interfere. They may get hurt, or their belongings damaged. There is a tension between the concept of â€Å"duty of care† and â€Å"empowerment and inclusion†.It is not legal under British Law to put vulnerable people into a place of risk. However, it is not legal to imprison them either. There has been, and still is confusion and tension between the concepts of safeguarding, responsibility, duty of care, inclusion, empowerment, and enablement. In past generations, there was less inclusion for people with learning disabilities, and if a person is not included in everyday life, then they are not included in the risks taken in everyday life. Thinking about my own life – I cook: I cut my finger with a knife by accident. I iron: I catch myself and endure a shallow burn.I cross the road: I take safety precautions, but a random car may speed up, or a motorbike turn without signalling. These are risks I take several times da ily. Why is a person with learning difficulties exempt? They are not exempt, but there is the understanding that their concept of risk could be quite different to mine. Because they have learning difficulties, they may not learn that the knives cut, the iron is hot, and vehicles kill. Therefore they are at greater risk if allowed to cut with sharp knives, iron with hot irons and cross roads alone, than I would be.Do we experience an over-bureaucratisation of care in the Western part of the world? Is there a blame culture, arising from an increasingly litigious society? One mistake and a company is sued. The temptation is to do nothing that incurs risk; with no risks taken there is no chance of an accident. There is no chance of investigation, court proceedings, compensation, increased insurance charges and negative reputation adhering to the company. Companies who deliver Social Care are accountable. They need to follow British Law.Risk assessments should be put in place for activit ies that incur reasonable risk, and these need to be followed. The individual with learning difficulties should be supported so that risks are minimal, documented, prepared for and no unnecessary risks take place through negligence. Andy Alaszewski et al (1999) Empowerment and Protection: a conclusion from this study was that organisations and agencies need to develop risk policies that embrace both protection and empowerment issues if individuals with a learning disability are to enjoy full lives in the community.Another aspect of risk in the community is the right of people who do not have diagnosed learning difficulties to live their life with minimum disruption. I have taken a person with learning disabilities to a cafe where he put his hand in a person’s salad, and tried to sit on their knee. Thankfully the salad had been left by the customer, but they did not want anyone sitting on their knee. I had put risk assessments in place, and thought it a positive place to enter the community, but I had no forewarning that the cafe was far more full than usual, and that there would be no room to sit down immediately.Here we have an example of risk that was assessed, taken, and culminated uncomfortably. The customer left the premises quickly. Do I take the individual again another time? Or should we abandon all attempts to visit the cafe? It would be easier with two enablers, so one could find out information when the individual arrived at the premises, whilst the other enabler supported the individual. But there is no funding for 2-1 care. This leaves a situation where risk will always be present, but the skills of the enablers will hopefully grow as they learn ways of promoting positive behaviour in the community. . 3 Describe the links between risk taking and responsibility, empowerment and social inclusion. Anybody who takes a full role in society takes risks: crossing the road, using a bus, driving a car, and talking to people they do not know. Risk ma y be physical (injury and accident), emotional (humiliation, sense of failure), or mental (stress). A person who is excluded from a group is disempowered. Inclusion is a strong and forceful need. Many people consider being part of a tribe, gang, clique or social group a necessary part of their life. Exclusion is disempowering.We are aware of bullying in schools, and the words still resound in my ears, â€Å"You can’t be part of our gang! † With inclusion and empowerment comes the responsibility and consequences of taking part in society in a socially acceptable way. This is laid out in British Law. A â€Å"gang† may not adhere to British Law, and so there are consequences including extra risk taking leading to injury, death and imprisonment. â€Å"The governing principle behind good approaches to risk is that people have the right to live their lives to the full as long as that does not stop others from doing the same. (Independence, choice and risk: a guide to best practice in supported decision making. Department of Health, May 2007) Duty of care requires everyone to â€Å"take reasonable care to avoid acts or omissions which you can reasonably foresee would be likely to injure your neighbour. † (Donoghue (or M’Alister) v. Stevenson case, Lord Atkin 26th May 1932). The duty of care requires a person, with or without learning difficulties to consider the consequences of their acts and omissions and to ensure that these do not give rise to a foreseeable risk of injury to another person.The expectation is that a person is expected to act reasonably, not guarantee the safety of others at all times. Risk assessments should be put in place for those individuals who maybe cannot foresee the result of their acts, and would not understand the consequences. The duty of care rests with the social care providers. For a person with learning disabilities, they need social inclusion but are disempowered if they take part in social activi ties and yet do not behave in a socially responsible way. Therefore risk assessments are needed. I do a quick mental risk assessment when I cross the road.A person with learning disabilities may need that risk assessment doing on their behalf, due to lack of traffic awareness. The risk assessment may also identify their need to be fully supported as they cross the road. Once the risk assessment is in place, and adhered to by enablers, the individual can be taken into the community, guided across the road safely and positive consequences experienced. An example of social inclusion and empowerment can be seen in a Cake Bake sale where a group of individuals with learning disabilities baked for the Cake Bake sale, and advertised it around the village.It was held at the Church Hall and announced in the church service. Prior to the Cake Bake sale, two individuals had been regular members of the congregation and supported by enablers to take part in the service. The Cake Bake Sale was wel l attended by many members of the congregation, who also supported by bringing cakes and helping to wash up and put crockery away. There was a huge positive input from the local community. There were many risks involved – from cooking with hot ovens, to walking up the church hall and crossing busy roads to get there.There were risks that the Cake Bake sale may not attract local community members because it was known to be run by people with disabilities. There were also risks in the handling of money and safekeeping of money. But these risks were assessed, catered for, the individuals supported properly and the Cake Bake sale was a resounding success. It raised money for a compost heap and tools for a garden project. 2. 1 Explain the process of developing a positive person centred approach to risk assessment. UBU’s policy is that a risk assessment should be completed when a person is involved in undertaking an opportunity that may put him or her at risk.It does not sto p the person taking part in that activity, but it does show that the risk element has been carefully calculated, evaluating the probability of the risk against the severity of the risk. It is to be discussed with all the parties involved and so becomes a multi-disciplinary approach. The risk is shown to be reasonable and will enhance the individual’s quality of life, but at the same time, all precautions are being considered and put into action. Being a person-centred approach to risk assessment, the person (not the activity, and not the staff or the premises) is at the heart of the risk assessment.The person’s behaviour and (if applicable) condition are taken into consideration. It is considered if the risk will induce emotional harm. High risk areas may be highlighted. A risk is assessed, recorded and monitored to ensure consistency, good communication, and on-going assessment and review take place of any decision taken. This demonstrates that thorough discussions ha ve taken place. Risks are discussed at the three monthly quality review, and six monthly service evaluation. They will be taken into account at any other discussions held to assess a person’s well being and progress.People learn through being given or seeking out opportunities. This may involve different amounts of risk. The first time somebody does something may be more risky than the time they do the same activity six months later. Knowing the person and understanding them is crucial, and this is where risk assessment becomes positive. By knowing the person, their behaviour, medical condition, emotional welfare, habits, enjoyment, strengths as well as weaknesses, the risk assessment can be tailored to their individual needs. Sometimes expert advice from an external professional may also be needed to ensure the best risk assessment is created. . 2 Explain how to apply the principles and methods of a person centred approach to each of the different stages of the process of ri sk assessment. The first step in creating a risk assessment is to create a person centred Care Plan. This is called â€Å"Getting to Know Me† and is ideally created with the individual, keeping it as person-centred as possible. It documents practical information such as the name, address, date of birth, GP details, but also documents likes, dislikes, fears and other personal information. There are two small boxes for each relevant section that are ticked if necessary.One is for Support Plans where extra support is needed. The other is for Risk Assessment, where a formal risk is pin pointed. The Getting to Know Me is kept on Sharepoint, the confidential electronic (computer based) system of UBU. By ticking the box, a risk assessment document is created for the individual and is filled in by the individual and person doing the assessment. The person doing the assessment will have received training to enable them to do this correctly. They will be a Deputy Manager or Team Leader , or higher manager. At the centre of Getting to Know Me, the support plans and the risk assessment lies the individual.The documents allow for individuality, whilst presenting a consistent approach throughout UBU. A risk assessment is headed with the following sections: * Subject * Issue * What has happened in the past? * What could happen in the future and is there anything that could make it worse or make it more likely to happen? * Who would be at risk and how would they be affected? * What is already happening to reduce or remove this risk? Have any other management plans been used or been effective previously? (if not why not) * Based on all the information that has already been considered how likely is it that something will happen? A number is given scaled 1 – 5) * What makes you think this? * Based on all the information that has already been considered if something did happen then how serious could it be? (A number is given scaled 1 – 5) * What makes you thin k this? * A risk value is then produced by the document * What is the risk from this issue? * Are there any benefits to my quality of life from this issue? * What needs to be done to remove this risk or make it less serious * Is there anything else that needs to be done to reduce this risk? * How, when and by whom will this be monitored? * My comments about this assessment (I agree with this assessment, I disagree with this assessment because? ) (The individual is asked to fill this part in). * Where I disagree with any part of this assessment (The individual is asked to fill this part in). * The reason my enabling team feel that this should be included in my plans is†¦ * Does this present a specific risk to my enabling team? There is then room for planning a review. As it can be seen, the individual is part of the risk assessment process and consulted on their agreement or disagreement with it. 2. 3 Explain how a service focussed approach to risk assessment would differ from a person centred approach.Rather than focussing on the individual, their objectives, dreams and their life, the risk assessment is based on statistics. Instead of giving room for the individual and their team to comment on the risks, the assessment and the prevention of undue risk being undertaken leading to danger, tick boxes are provided which do not allow for comment. The focus is on what can go wrong, not what can go right. The person is seen as a problem to be managed instead of a person to be enabled, and an individual who can fulfil ambitions and offer a contribution to society.At worst the person becomes an â€Å"object† for assessment. 2. 4 Identify the consequences for the individual of a service focussed approach to risk assessment. Individuals being supported in social care environments may seem to have less power and status than those who enable them, support and care for them. If they want to take a risk, the question that is most pertinent might be that of, â₠¬Å"How does the risk affect the more powerful people who enable, support, care and manage the place where they are (live). If there is a risk involved that may affect the perceived â€Å"powerful† people, then it is more likely that the individual will be prevented from taking the risk. Sometimes the risk that is feared is more imagined than real. Unpredictable actions from individual can have an impact on the reputation of the service provided by the company. This has happened at Mayfield Court, where a complex individual was taken out into the community where he caused some disruption. An member of the community complained to head office about the treatment of the individual as he was â€Å"saved† from rushing into a road with oncoming traffic.They did not like the way the enabler dealt with the situation. The enable was acting within the boundaries of the Care Plan, Support Plan and Risk Assessments for that individual, but the member of the community was not used t o the complex and unsocial behaviour of the individual. Should he then not be allowed to go walking and bike riding around reasonably safe areas of the locality? As a result companies providing support and care risk assess everything quite intrusively and obsessively focus on every aspect of the lives, behaviours and potential behaviours of the people they support. Proceduralisation† is increased, defensive practices become the norm, and there is a culture of blame avoidance. The parties involved have very different interests from each other. Conflict can result. Cooperation, agreement and action is needed so that individuals do lead the lives they dream of. 3. Understand the legal and policy framework underpinning an individual with disabilities’ right to make decisions and take risks. The Human Rights Act 1998 states: * the right to life * freedom from torture and degrading treatment * freedom from  slavery and forced labour the right to liberty * the right to a fai r trial * the right not to be punished for something that wasn't a crime when you did it * the right to respect for private and family life * freedom of thought, conscience and religion, and freedom to express your beliefs * freedom of expression * freedom of assembly and association * the right to marry and to start a family * the right not to be discriminated against in respect of these rights and freedoms * the right to peaceful enjoyment of your property * the right to an education * the right to participate in free elections the right not to be subjected to the death penalty Many of these rights incur risk. Liberty means no imprisonment against the will. But taking part in freedom does incur risk. We all have the freedom to express our beliefs. Some people may express harsh or discriminatory beliefs. They will have to balance their responsibility to other people, their right to express their beliefs and the consequences that come of their expression. This is harder sometimes fo r a person with learning difficulties. Hence the risk assessments that may need to be in place. Everyone has the right to assembly and association.This leaves vulnerable people open to potential abuse (we all are – property theft, verbal abuse to name two). They also need to be aware that other people have rights and there may be consequences to their actions that are not comfortable or pleasant. If a person with learning difficulties hits a member of public they may end up being arrested, or hit back. These are just some examples of Human Rights, the risks associated and the necessity to make risk assessments for vulnerable people to safeguard them as they do enjoy their full Human Rights as set out in British Law. The Mental Capacity Act 2005, Code of Practice states: 1.Every adult has the right to make their own decisions if they have the capacity to do so. You must assume that a person has capacity unless it can be established otherwise. 2. Individuals should receive supp ort to help them make their own decisions and all possible steps should be taken to try to help him or her to reach a decision themselves. 3. Individuals have the right to make decisions that others might think are unwise. Making an unwise decision does not mean that a person lacks capacity. 4. A person’s capacity must not be judged simply on the basis of their age, appearance, condition or an aspect of their behaviour. 5.It is important to take all possible steps to try to help people make a decision for themselves. 6. Any act or decision should be the least restrictive in relation to its purpose. The Mental Capacity act promotes independence for people and also allows for the making of mistakes and learning through making mistakes. Without experiences people do not develop and learn. However, it also suggests that people are given the support needed, so that they do not come to harm whilst doing so. Risk assessments should not unreasonably restrict a person. They should saf eguard them, but should be relevant to the real risk, not feared and imagined risks.NHS and Community Care Act 1990 sets out how the NHS should assess and provide for patients based on their needs, requirements and circumstances. Each individual has different needs, requirements and circumstances and therefore the provision for each individual should be different. The Act introduced an internal market into the supply of health care, making the State an â€Å"enabler† of health and social care provision, not a provider. The duty for assessing people for social care and support rests on the local authorities, so people who need community care, get the services they are entitled to.People giving care follow a set of rules called â€Å"The Care Value Base. † The care value base is a set of rules and guidelines that every care practitioner has to follow in order to provide services to their clients. The seven principles are: 1. Promoting anti-discriminatory practice 2. Main taining confidentiality of information 3. Promoting and supporting individuals’ right to dignity, independence, choice and safety 4. Acknowledging people's personal beliefs and identities 5. Protecting individuals from abuse 6. Providing effective communication and relationships 7. Providing individualised careWhen all these principles are in balance individuals should receive the support needed to live full and interesting lives, make their own choices and decisions to the extent of their mental capacity and yet be protected from abuse if vulnerable. They have a right to safety, and this is why risk assessments are put in place. Equality Act 2010 requires equal treatment in access to employment as well as private and public services, regardless of the characteristics of age, disability, gender reassignment, marriage and civil partnership, race, religion or belief, sex, and sexual orientation.This ensures that people with learning disabilities should be able to make choices a nd decisions freely about seeking jobs and accessing all aspects of life. There should be no restrictions. Support should be given appropriately after assessment with support plans and risk assessments to ensure this can take place. General Social Care Council Code of Practice A social care worker must protect the rights and promote the interests of the service users and strive to maintain trust and confidence. The independence of the service users should be promoted, whilst protecting them as far as possible from danger or harm.This is where risk assessments and the adherence to such plays its part. A social care worker must respect the rights of the service user whilst seeking to ensure that their behaviour does not harm themselves or other people. There are consequences to actions, and responsibility lies both with the individual (if they have the mental capacity) and the social care worker. Public trust and confidence from the public with regards to social care services must be upheld. Members of the public should be able to see people with learning difficulties out in the community, but in a safe and sensible way.A social care worker is accountable for the quality of their work. They have the responsibility for maintaining and improving their knowledge and skills. The managers and deputies have the overall responsibility for Care Plans, Support Plans and Risk Assessments, but the enablers also have the responsibility to read them, understand them and put them into practice. Also, when they are reviewed and change, to re-read them and understand the new documents. Valuing People, White Paper 2001 covers four key principles: civil rights, independence, choice and inclusion.It takes a life-long approach starting with an integrated approach to services for disabled children and their families, then, providing new opportunities for a full and purposeful adult life. The proposals should result in improvements in education, social services, health, employment, h ousing and support for people with learning disabilities and their families and carers. Valuing People underpins the individual’s right to make their own decisions, act independently and be included into society. A person with learning disabilities has the same civil rights as everyone else.They also share the same responsibilities, actions have the same consequences, and British Law applies. Whilst British Law strives to promote independence for people with disabilities, it does not protect them from the consequences of risk taking. This is where a balance is needed between duty of care (for both the individual and others), consequences of actions, learning from successes and mistakes, and ensuring an overall wellbeing for all concerned through risk assessment. 4. 1 Analyse why individuals with disabilities may be at risk of different forms of abuse, exploitation and harm in different areas of their lives.An individual who is in supported living is often a more vulnerable pe rson. The term vulnerable person refers to anyone over 18 who is or may be in need of community care services by reason of mental or other disability, age, illness, may be unable to take care of him or her, or is unable to protect him or her against significant harm or exploitation. Who Decides, Lord Chancellor’s Office 1997 Such people may be elderly, physically or mentally frail, suffer from a mental illness including dementia, have a physical or sensory disability, have learning disabilities, or have a severe illness.Abuse is a violation of an individual’s human rights by any other person or persons. It may consist of a single or a repeated act. It is the maltreatment, physical, emotional or financial, of a vulnerable adult. It may comprise threatening behaviour, neglect, sexual abuse, or the misappropriation of finances or material assets. Abuse can be physical, sexual, psychological, financial or material, neglect and acts of omission, and discriminatory abuse. At Mayfield Court different individuals have different risk assessments in place to safeguard them in situations where perceived abuse could take place.One individual has been risk assessed that he should never be allowed to go to the pub alone, and must always have support. Incidents have happened when clients of pubs use threatening behaviour towards him. Another individual has a risk assessment that he cannot go alone into the community because he stares at children, especially young boys. Parents perceive him to be a risk to their children, although there are no grounds for this. He would like to play with the children, as he never could do so as a child due to his medical condition. So he looks longingly at them, and becomes a perceived risk in the community.As a result he could be abused by those who take action to protect their children (quite understandably). Another individual has no competent money and financial awareness. He has been risk assessed so that he must be support ed in the community with regards to shopping. He would spend all his money on goods that were not necessary, often repeat purchases of a single item (one diary is good, several of the same diary is better! ) and would waste his money. This would lead to a situation where bills cannot be paid and the quality of his life would be compromised, so his risk assessments are in place to ensure it does not happen.Whilst this would be his choice, he could easily be abused financially by shopkeepers, or members of the public who take advantage of his good nature and vulnerability. It would also be abusive to pretend to provide support for him, whilst not safeguarding him to manage his money in a reasonable and sensible way. Stopping him buying items that he actually enjoys, would also be abuse. On supporting one individual with severe Down’s Syndrome through the streets of York, a school trip of children aged approximately 10 years old went by. Several of the children pointed their fin gers and shouted out, â€Å"Look at that little man! This could be construed as abuse (although they are children, and probably more interested than abusive). But highlighting a person’s differences negatively is discrimination and bullying. When managers consider the Care Plans for individuals, they need to consider such risks, and write risk assessments to safeguard individuals as they go about their normal, everyday life in community situations, because unfortunately there are risks in life by simply being out in the community for everybody and anybody. 4. 2 Explain how to support individuals to recognise and manage potential risk in different areas of their lives.The enabler is in a key position to support an individual to recognise potential risk in everyday living situations. Once the risk has been recognised the enabler can work with the individual, and possibly Deputy Managers and Team Leaders to manage the risk. It depends on the type of risk presented. Deputy Manag ers and Team Leaders at UBU write the risk assessments that are recorded in risk assessment documents on the Computer System Sharepoint. These may have been flagged up by enablers or keyworkers, but training is needed before the senior staff formally write them.The risk can be recognised by the individual, or by staff supporting them. Risk assessments are often written for an individual from their Care Plan (Getting to Know Me). The individual may be introduced to the perceived risks after the risk assessment has been created. It depends on their own awareness level. One individual thought she knew all about money and could not understand why she could not countersign her own finance records. She has been assessed as having no concept of the value of money, or any recognition of coins and notes.She does know money exists, it is in her purse, and it can be exchanged for goods, but the value is not understood. She has had a risk assessment put in place to state this, and Deputy Manage rs and Enabler Plus staff members sign and countersign the finance records. She has gently been taught to understand that although she loves to sign her name, and she wants to take on independence in this area of her life, it is too risky, and she has had to come to terms with the recognition of money usage and a potential area of abuse that has to be covered by risk assessments that must be adhered to by staff.Talking to individuals and explaining in ways they can understand is a way to help them recognise areas of risk. An individual wanted to use the Spa pool at a hotel near to his home. But he was nervous of the water and use of the pool, due to a perceived bad experience years previously. I took him to the spa pool where he could view the pool area and where he could created his own risk assessment of the facilities and activity. He talked me through his perceived risks, and I wrote them down.Sometimes I pointed out a risk to him, and he decided how to deal with the risk safely . Together we created a detailed risk assessment, that I typed up and put in his folder so all staff could see it. I also gave a copy to the Team Leader so she could type it up onto Sharepoint. (Ref. Swimming Risk Assessment Reflective Statement 205/305/306) I use a â€Å"Stop and Check† method of risk recognition, using open questioning techniques before doing an activity. I ask, â€Å"What shall we do? † â€Å"How shall we do this safely? † This gives the individual chance to come up with the answers.The recall of past experience ingrains the knowledge, it gives them practice in thinking through a situation and safety awareness, and empowerment because they were not told, and they came up with the answer themselves. Some individuals learn through habitual practice and learn by rote. Verbal communication is not a primary method of communication for these individuals. When crossing a road I always enable them to STOP and CHECK before crossing – whether or not there is traffic coming. We ALWAYS walk on the pavement. We ALWAYS use the â€Å"little green man† at the crossings.This way, they learn the habit of safely. I plan with a person in advance, and as we plan activities, we think about and discuss safety, accidents, the best way of doing something, and what the consequences might be if we did not do something. Going to a garden centre on Sunday becomes a risky business if an enabler does not have a bus timetable that is up to date, and shows the Sunday bus service. The consequence could be no transport home, and no money to pay for a taxi. I explain why to those who can understand the concept. An individual wants to iron, and seems very capable.He has cerebral palsy. I have explained to him that because of his mobility issues, and because an iron is hot and unwieldy, it is better that he lets me iron, whilst he puts away. I make sure he feels praised by his putting away skills, rather than undermined because I have not let him try ironing. At Pastimes (a day care centre) individuals have had access to Advocacy Meetings, where they learn about their rights, responsibilities and the consequences of their actions. Education (formal) be it at a college, evening or day class may supply teaching about risky situations.There are many ways to help an individual recognise the risks in their lives, and manage them. But tactfulness, support, and inclusion in the risk management activity is a way of enabling the individual to learn what risks are pertinent to themselves and how to circumvent difficult situations, accidents and injury, humiliation and stress. 4. 3 Explain the importance of balancing the choices of the individual with their own and others’ health and safety. When an individual makes choices, they take responsibility for their actions, and need to think ahead about the potential consequences.Thinking ahead does not always come naturally to everyone, including those who are not assessed as hav ing learning difficulties. An individual wanted to go upstairs at Mayfield Court, to visit a friend who lived on the upper floor. She has been assessed as being at high risk of falling down the stairs. She has had it written into a formal risk assessment that she should not go up stairs. The reasons given are that she may fall and hurt herself badly, she may fall and land on top of somebody else, and she may damage property.She may not be able to get down the stairs. This may lead to a hospital visit, and the unnecessary usage of NHS ambulance and paramedic time. When in hospital, she may use more than her allotted support hours and then have to do without support another day, or pay for the extra support hours. Alternatively, she may have to go to hospital unaccompanied. UBU are accountable for her safety to her parents. The individual does not have the right to chose activities or make decisions that put another person into danger. The worst case scenario is manslaughter.The perso n can be supported to lead a full life, but not one which puts others into unnecessary danger, or may lead to someone’s injury or death. UBU do not have the right to allow the individual to freely do whatever they want without any regard to their own and other’s safety. However, if an individual has the full capacity to make decisions and understand the decisions s/he is making, and chooses to do the activity knowing that they are putting themselves at risk, then there is nothing a UBU enabler can do to stop them.They can encourage them not to, point out the risks, point out the consequences and make very detailed records, but the enabler cannot lock the person up and refuse to allow them out. Thus it was that the individual, who was not allowed to access the upstairs floor, went up anyway, knowing full well she should not do this, having been asked not to, and having had the consequences fully explained to her. She did get up and down the stairs without accident but s he did also put herself into an area of potential risk.She did not have an enabler’s support at that point in the evening and made the decisions by herself. 4. 4 Describe how own values, belief systems and experiences may affect working practice when supporting individuals to take risks. I believe in freedom of choice, as long as it does not affect other people adversely, and as long as it is not obviously going to put the individual in a situation of danger or difficulty. I am a great believer in try it and see, and have a go. I have a very person-centred approach to life and try to include individuals in decisions and choices made.I support individuals to action and complete activities they have chosen to do. But I do adhere to risk assessments that are formally in place, and created risk assessments either formally (e. g. for a holiday proposal) or mentally as a situation of perceived risk arises (e. g. crossing the road/entering a cafe that seems quite full). I do not tak e unnecessary risks. I do think and plan ahead in great detail. This includes physical, mental and emotional risk assessment, as well as secondary concepts such as â€Å"getting tired† which may not seem to be a risk as such, but could lead to other dangers.A tired person, who has been walking more than normal, is more likely to suddenly refuse to go anywhere else, and they and their enabler may end up stuck in town, or far away from bus stops, without the ability to return home. My experiences have been mixed as I have learnt my job. The risk assessment completed for the swimming activity at the Spa pool was a very positive activity. This lead to the individual using the pool facilities and overcoming his nervousness of water. The risk assessments completed before tenants holidays proved detailed and more than adequate to keep the individuals safe.However, there are always ad hoc experiences that one cannot plan for, and risk assessments must be done at the time of the risk being presented. I supported an individual to go to a supermarket and use the bus as transport. As it was the first time she had ever been, and she was new to Mayfield Court, the Deputy Manager went with me (we risk assessed that it was safer to have two of us supporting her, as she can present volatile behaviour). We took enough money for a taxi home if necessary. We went there, shopped successfully and had a fun time as well.We got on the bus home, and as we approached our stop, the individual rang the bell. The bus driver shot straight past the bus stop and we were a long way down the road before he could stop at the next bus stop. We disembarked but the individual lost heart and decided she would not move. We risk assessed at that point that getting a taxi the seemingly (to us) short way home was better than forcing her to try to walk, or creating a great fuss about walking, as we thought it necessary to complete the trip positively. Fortunately a taxi pulled up at a nearby shop , and we asked the driver to take us back to the individual’s home.The risk of the bus over-shooting and missing the bus stop was not foreseeable, but because we had to make quick decisions with regards to the physical, mental and emotional welfare of the individual, and we risk assessed the situation immediately, the decision we did make turned out very positively. On an individual’s holiday the individual asked for the freedom of the hotel, to go round, talk to people she had met, and have a drink with them. I risk assessed the situation as safe as long as I stayed within view, although minding my own business. I could be called on if necessary.The hotel staff’s job was not to look after and support the individual’s on holiday, but the hotel was for people with disablement, and part of their job description is to liaise with enablers and carers, and communicate any needs to them. Therefore I decided that it was a reasonable situation for the individualà ¢â‚¬â„¢s development and although risk (of falling over, having a seizure, annoying staff or guests) was involved, because I was somewhere near and could be sought easily, the risk was minimal. I adhere very strictly to one individuals risk assessment with regards to road safety.He has no traffic sense and would walk in front of a vehicle. I ensure I position myself between him and the traffic. Another individual has no traffic sense, but has been taught to walk on pavements. He does this and only needs strict supervision when nearing road crossings. However, I still do remain mindful and vigilant when out in the community with him. One individual for the most part enjoys going into cafes, but if they are crowded or have the wrong sort of music on, he can display socially unacceptable behaviour. I plan a cafe trip, take the necessary equipment (his bowl, mat, wipes, cutlery, plastic beaker) with us.But when we arrive I make a judgement as to whether to proceed with the cafe activity dependent on his mood presentation, the circumstances within the cafe, and any other factors that need accommodating. The whole purpose of the cafe experience is for the individual to enjoy it, and the risk assessment highlights whether he is likely to enjoy the situation or not. If not, there is no point in doing it. Part of my risk assessment practice is to â€Å"tune into† the individual’s mood and analyse whether he is in the right mind-set to cope with a particular set of circumstances at that particular time.What is a positive experience on one day may be quite disruptive and negative the next day. 4. 5 Explain the importance of recording all discussions and decisions made. When I make decisions on behalf of an individual, especially ones that may have far reaching consequences, I need to evidence why I made them, and in what circumstances. I therefore record my support in a Daily Log, and if there are any incidents, these are recorded in a specific record for v iolent incidents or other incidents.The Daily Log is mostly used, and here we record what the individual chose to do, what they did, how they did it, what happened, and what the outcome was. When decisions are made, I evidence why that decision was made. The enabler is responsible for the welfare and the safety of the person they are supporting and this includes the physical, mental and emotional welfare and safety. UBU is also accountable, and hence have a full set of Policies and Procedures, Care Plans, Support Documents and Risk Assessments in place for each person.The nature of the job as an enabler is to support individuals so that accidents and injury, abuse and harmful decisions are not made. Risks are taken, but the Daily Log can show that the risk was reasonable, and assessment had taken place. The risk assessments can be referred to. The enabler is responsible for adhering to risk assessments, support plans and care plans. If the individual chooses and forces a decision to discount the risk assessment, or ignore it, it must be documented that reasonable persuasion took place. In some cases it can also be documented in the communication book and the individual can sign it.Two tenants decided to share support for the evening so they could go together to a pub for a drink. This meant that one tenant would have to forgo support, in the event of the other, more vulnerable tenant’s safety or health being compromised. I wrote out a contract in both their communication books which stated that they both understood what they were doing, what they were doing, what the consequences would be. They signed their own and each others’ books, and it was also fully recorded in the daily logs. They went out and had a good time.An individual whose risk assessment states he must be supported in the community at all times due to his lack of regard for traffic (after being run over by a car), ignored his risk assessment at a time when he was not supported, and went on a bus to a pub about 2 miles away. He then met another tenant who was there with his supporting enabler. He completed his journey in safety, but had put himself at considerable risk to do the journey. This was explained to him, but his attitude was that he wanted to socialise and have a drink, and he should not have to stay in all evening just because he did not have support.This is a difficult situation, but the individual did present the capacity to understand his decision, to know it went against his risk assessment, and that it may have had severe consequences. He did not show remorse. Some individuals have the mental capacity to choose to disregard their risk assessments knowing the consequences, and others have not. They cannot decide to disregard the risk assessments that have been put in place for their own welfare. They will act on what they think at the present moment. This capacity should also be risk assessed by professionals.A social care manager may have to be brought in to review and put support plans in place if a person repeatedly brought undue risk to them self or to others. A person who has the capacity to make a decision with understanding is accountable to British Law and the consequences of breaking it. UBU and I, as Enabler Plus, must evidence and record that all reasonable steps have been taken, policies and procedures followed, advice sought and followed, and authorities notified in accordance with UBU’s policies and procedures. Susanna Fox 4. 7. 12