Thursday, October 31, 2019

Senior Project - Team Video Analysis Report Essay

Senior Project - Team Video Analysis Report - Essay Example 3. Order systems are not integrated which is slowing the process of shipping. As Warren and Jack discuss the current systems, it is clear that the process is extending the wait time to an untenable period of time for both the economic efficiency of the company and in the wait time for the consumer. 4. The system as they process orders is being stalled at the book storage area. 5. The meeting that was used to convince Elizabeth was not successfully presented. Elizabeth’s concerns about finances were only addressed in a cursory way, thus she comes out of the meeting with low confidence about how it will be received by the board. 6. While the new integration process has potential, the project calls for the use of some of the existing employees in the IT department, but there is no discussion as to how their current duties will be handled while they are on the new project. This is likely to incur extra costs on the backend. Week 3 Problem 1 The problem that Debbie has noted in the post-purchase system where customer service is concerned is an example of the problems that the company has with a lack of integrated systems in which the entire process of purchasing has been considered. The specific issues that have emerged with post consumer relations are quite easily fixed for the initial problems by first creating a more consumer friendly directory for contacting the company on the website and then by second making the menus for the telephone system more user friendly and less time consuming. Because of the time spent handling the complaints about the system, the efficiency of post-consumer purchase is hampered. Thus, in making these two simple changes, the most important aspect of the purchase process is saved – that which gives the consumer a good experience and encourages them to repeat their business. Problem 2 The organization is failing to meet expectations where the management of knowledge is concerned. Because the information is given out in dos es to those involved in projects, it is clear that decisions are being made without full exploration of the problems that are likely to arise. Elizabeth seems to be the last to know and isn’t given a full picture of what is required rather than at the head of the enterprise. In the process of deciding how to increase productivity, she is listening to only one idea that has a high price tag without considering alternatives, thus she does not have a wide knowledge of the possible solutions. She needs to insist on options so that she approaches the problem with a wider level of information, which is then shared with all who would be involved. Problem 3 The system is not being run at the efficiency that it could be run, but the proposed project to increase the efficiency is both costly and will consume a great deal of man hours. It is clear that alternatives need to be explored. Alternatives need to be explored by Warren so that he is sure that Jack’s proposal is the best possible solution, both financially and towards the increased efficiency. Problem 4 The focus, just as it is in Jack’s plan, is to increase the efficiency at the book storage area. This area requires people power rather than automation which is decreasing time efficiency. However, Jack’s plan automates this area and will change the labor needs. The costs of the labor in balance with the costs of the new system should be weighed, thus challenging the need to lose employees and whether or not

Tuesday, October 29, 2019

Power and Privilege Homogenous Choice Essay Example | Topics and Well Written Essays - 500 words

Power and Privilege Homogenous Choice - Essay Example I believe that it is possible to respect the differences between individuals and cultures, while retaining the natural comfort level found in individual association. I call this homogenous choice. As an individual, I am aware of the differences between myself and others. Whether those differences are cultural or behavioral, I know that I can face a dilemma as I react to those differences. Although space does not permit me to delineate all of the possibilities, I think that a consolidation of the ideas comes down to one word: Respect. If my responses to the differences in people I meet, and their unique way of perceiving the world, are respectful of their point of view, I can avoid a negative perspective that includes prejudice or racism. Different isn't bad, it is just different. That said, I don't have to embrace all the differences I encounter; or even like them. I can respect my own perspective as a valid point of view, and extend that same significance to the people I meet. The guiding principle for me, as for most other people, is personal comfort. I am naturally more comfortable with certain cultures than others, especially my own. In his article on the subject of diversity, David Brooks points out that people are "finding places where [they] are comfortable and where [they] feel [they] can flourish" (30).

Sunday, October 27, 2019

Risk Assessment Case Study

Risk Assessment Case Study C is a 14 year old boy who has a diagnosis of autistic spectrum disorder and learning disability. C is a very active young boy. His mother is a P.E teacher and has him involved in many outdoor activities. C loves being outdoors and doing practical hands on things such as cooking and outdoor activities. Although C is involved in various activities, these are all organised by his family. Mrs F feels that C constantly seeks reassurance when doing tasks etc. She would like to develop his dependence by involving him in activities which are not organised by the family. Furthermore Mrs F felt concerned that if anything were ever to happen to her or her husband, she would like to know that C has some experience within a different type of home care setting. I completed a UNOCINI assessment on C and a carers assessment on Mrs F. From that I felt that C would benefit from some time spent apart from the family. After completing the carers assessment with Mrs F, I determined that although the mai n reason for the parents was to develop Cs independence now that he is 14, I felt they would also benefit from these few hours of respite. The need for respite was not initially an issue however when I got Mrs F to think about her caring role and the level of caring responsibilities and how this impacted on her socially and emotionally, she acknowledged that yes, these few hours would act as respite for her as she care for C full-time when she comes home from work on weekdays and at the weekends. This option would help to develop his independence and get him more socially integrated in activities not organised by the family. I also identified two other services called Enable and Charis. The family were informed of these services and given the appropriate information. I left this information with the family so that they could make an informed decision. Mr and Mrs F agreed that they would definitely want to consider the option of the respite unit for C to attend for a few hours every week initially, with the view that they may want to increase this at a later date. The purpose of this piece of work is to carry out a risk assessment prior to C commencing the rest bite unit. This will need to consider any risks there are with C, how C may behave, what the triggers etc are and how the staff at O can best deal with these risks. Because there are significant behavioural problems with C, the risks are mainly centred around outdoor safety as he has a significant fear of dogs, his dislike of loud noises and consideration of his speech difficulties which will most likely result in communication difficulties. These factors all present risks to C and this meeting is an opportunity for Cs parents, a staff member from the unit, Cs teacher and I to come together, identify the risks, discuss how they are a risk to C and identify the best ways the staff can manage these risks. Legislation that will guide my practice As a student social worker I have a duty to practice in a professional and legal manner and it is important that I am aware of the legislation related to disability, which provides the mandate for the intervention. The Health and Personal Social Services (NI) Order (1972) sets out the role of social workers in Article 4 as having a duty to promote the well being of all the public. The Chronically Sick Disabled Persons Act 1978 legally obliges Personal Social Services to disseminate information, assess need, collect and maintain confidential information and provide Social Welfare Services to meet the needs of any person defined as chronically sick and/or disabled. Under this piece of legislation disabled people have the right to live in the community and be provided with appropriate support services. Under section one, authorities have a duty to inform themselves of the number and needs of handicapped persons in their areas and a duty to publicise available services. Section 2 lists various services which should be provided to meet the needs of disabled people including; social work support to families, adaptations to the home and including special equipment, holiday arrangements and meals (OliverSapey, 2006). An opportunity for C to develop his independence has been identified as a need for C. I have enquired into the services available and signposted the fam ily to these services. It is now their decision as to whether they want to avail of them or not. The Children (NI) Order 1995 is the main piece of legislation associated with the Childrens Disability Unit. This piece of legislation sets out the powers and duties of the Trust in relation to Children in Need and others. The Trust sets out clear assessment procedures for children in need which take account of any special needs. The order outlines that children with a disability will, in many cases, require continuing services throughout their lives therefore the assessment process needs to take account of any special needs and to take a longer perspective than for other children in need. A holistic assessment is needed to determine what is best needed for that child, taking into account the child and familys strengths, weaknesses and capacities. I have assessed the needs of C and his parents and from that I feel that I strongly feel this service will be of benefit to both C and his parents. Article 17 (c) defines a child in need as a child with a disability; C has a diagnosis of autism and learning disability and therefore is considered a child in need due to this disability. Also I am aware that in accordance with this legislation (Article 17 a b) I have a responsibility to ensure C achieves or maintains a reasonable standard of development or health through the provision of services. I will bear in mind Article 18 which sets out the trusts duty to support children in need. I had a duty to support C by carrying out an assessment of need which will allowed me to determine what type of support C required. Support may be provided in terms of providing services, signposting, referral to other agencies or the worker may provide emotional support, 1 to 1 work, advice, a listening ear etc. In this instance I have provided the appropriate support through signposting the family to two other services for C and I am in the process of providing them with a respite service. Within my work with children I am conscious that the welfare of the child is paramount and that this supersedes all else (Article 3 (1). To ensure I achieve this I have knowledge of and will make reference to The Welfare Checklist Article 3 (3) (Children NI Order 1995) The Disabled Persons Act (NI) 1989 also gives the mandate for the intervention. It gives individuals more control over their lives by providing them with the right to; representation, consultation, assessment, information this I consider to be my role. Carers also have the right to request an assessment and the ability to care is taken into consideration during the assessment process and when decisions are made. The legislation ensures that disabled people have equal opportunities in terms of services amongst other things. I have already completed a carers assessment with Mrs F which indicated that this service would also be of benefit for her as Cs carer. United Nations Convention on the Rights of the Child (1991) set out for the first time, the rights of the child. Article 2 states, Whereby appropriate measures should be taken to ensure that the child is protected against all forms of discrimination or punishment on the basis of the status, activities, expressed opinions, or beliefs of the child, parents, legal guardians or family member and under article 6 whereby all children have the right to life and to the greatest possible opportunities to develop fully. It is hoped that through C spending some time away from his family, it will develop his independence. Under article 3, whereby in all actions the best interests of the child shall be a primary consideration. In assessing the risks associated with C, we will be able to identify what the risks are, what the level of risk is, are there any triggers, what primary preventative strategies can be used to avoid these behaviors and reactions occurring, what secondary measures should be introduced if the behaviors become apparent, what reactive strategies should be required, specify any unmanaged risks and determine what should be the response following a behavioral incident. The Human Rights Act 1998 brought the European Convention of Human Rights into domestic law. Human rights are universal legal guarantees protecting individuals and groups against actions and omissions that affect their freedom and human dignity (SHSSB, 2004: 42). Every child has rights under the United Nation Convention on the Rights of the child 1989. Every child has a right to survival, developmental, protection and participation rights. Article 23 of the UNCRC states that a disabled child should enjoy a full and decent life, in conditions which ensure dignity, promote self reliance and facilitate the childs active participation in the community. I am mindful that the Data Protection Act (1998) must be adhered to at all times in order to ensure that information is accessed only by people who have a right to access it. This ensures that service user confidentiality is respected and that relevant and accurate information is stored. This legislation safeguards personal data i.e. personal information that is stored on computer and on relevant manual filing systems under eight principles. Policies and Procedures It is imperative that as an student of the trust I have knowledge of the Trust Policies and Procedures and how they inform my practice. It is important that I inform Mrs F about the complaints procedure and provide a leaflet advising individuals of how to make a complaint and express their views about the Trust services. It is important for the Trust to have feedback from service users as this enables the Trust to change and improve standards of services were appropriate. Furthermore it is important service users are aware of the confidentiality policy. I will explain to Mrs F that the information discussed within the meeting will be kept confidential. Theoretical Considerations Risk became a dominant preoccupation within Western society towards the end of the 20th century, to the point where we are now said to live in a risk society, with an emphasis on uncertainty, individualization and culpability (Beck, 1992). Social workers frequently have to deal with risk. Obvious examples would be when there are concerns about the safety of children. The process of assessing risk highlights the complexity of the social work role. The fact that decisions have to be made seems to require an element of control in peoples lives and this can cause conflict for some workers. The question often arises about the obvious power imbalance between the worker and the service user and issues can surface around care versus control. Burke and Cigno (2000) pose the question as to what degree of vulnerability in children reaches the degree of threshold for intervention, and what should be done to minimize the risks to children. These are difficult issues to reconcile. All parties concerned should be aware that allowing children to take a certain amount of risk is recognition of human beings to fulfill their potential. Denial of risk-taking greatly reduces steps towards independence and decreases quality of life. Trying to balance between parental and organisational protectiveness and acceptance of the childs need to take risks can be a difficult undertaking. There is also the problem of communicating effectively with children their wishes and needs. In the case of children and young people with learning difficulties, professionals are likely to have to learn additional ways of ascertaining the childs wishes and assessing his or her situation. All forms of risk need to be acknowledged in any assessment or evaluation (Trevithick, 2003: 115). A risk assessment is only valid for the situation which it has been carried out in and needs to be an ongoing process as the child develops. It is important to recognize that the situations of children and families are not static they are fluid and changing. Each individual risk has a lifespan and needs to be constantly monitored and reviewed. However, it is important not to give the concept of risk more weight than is needed by becoming too focused on controlling risks. Questions should be asked about whether or not the level of risk is acceptable, sometimes risk is inevitable and to try and control everything a person can or cannot do can be a breach of a persons basic human rights. The Bamfords Review of Mental Health and Learning Disability Equal Lives Group argued how service users want the chance to make their own choices in life and to be supported by the professionals around the m, not simply told what they can and cannot do. Hope and Sparks (2000) suggest that a risk assessment can only identify the problem of harm, assess the impact of it on key individuals, and pose intervention strategies which may diminish the risk or reduce harm. They do not believe that assessments can prevent risk completely. This is something which I would be inclined to agree with. Beckett and Maynard propose that control may be used to protect service users, staff and other members of the community and that by controlling the extent of potential risks that we are ensuring that the best possible care can be delivered. They feel that control used appropriately is not the opposite of care, but on the contrary is an expression of care. We should not fall into the simplistic idea that the use of statutory powers is necessarily oppressive or that working in other ways is necessarily anti-oppressive. There has been a concurrent growing mistrust of professionals in social work and an increased reliance by the profession on complex systems of assessment, monitoring and quality control (Stalker, 2003). Parton (1998) proposes that the blaming society is now more concerned with risk avoidance and defensive practice than with professional expertise and welfare development. However, risk is a normal and often beneficial part of everyday life. While it enables learning and understanding, in the case of potentially destructive consequences it may need to be monitored and restricted. The Southern Health and Social Care Trust (2008), define risk as the chance, great or small, that damage or an adverse outcome of some kind will occur as a result of a particular hazard. It is the threat that an event or some action will adversely affect the Trusts ability to successfully execute its strategies and achieve its objectives. It is a process of continual improvement which requires the identification, assessment, analysis, evaluation, treatment, monitoring and communication of risk. The Southern Trust Risk Management Strategy recognizes the need to reduce and eliminate or reduce all identifiable risk to the lowest practicable level. The trust is committed to achieving this through a holistic approach based on the principle that risk management is everybodys responsibility. There are two important models to consider when assessing risk, that of Brearley and that of Greg Kelly. Brearleys analysis of risk talks about predisposing hazards, which are factors that cannot be changed or are difficult to change before decisions are to be taken. He talks about situational hazards, which are factors specific to the situation that can be changed. Brearley also takes into account the strengths of the situation as factors that decrease the possibility of a poor or loss outcome. This is a positive step which may encourage families if their strengths are acknowledged. The Childrens (NI) Order 1995, promotes the welfare of the child and risk assessment and risk management are now a central part of the social work role and should acknowledged accordingly. Greg Kellys model is designed for use when there are serious concerns for the welfare of the child. It is designed to help clarify the issues in relation to the protection of children, to address key questions in decision making in situations where risk is present, what is the problem and how serious is it? The development of a non-technical language (strengths and weaknesses) has made the model useful in sharing and discussing issues with parents. What is very useful about this model is that it categorises risk. Thus to agree on the degree of risk is to agree on the harm that is more likely (high risk) or less likely (low risk) to occur in the absence of preventative measures. It inevitably involves a degree of predicting future events. Almost by definition taking decisions in situations of risk means taking them not in ideal circumstances and with less knowledge than we feel we need. Despite the dangers, however, childrens circumstances sometimes require that we take decisions base d on our best estimate of the risk of harm to them in a particular situation and at a particular time. The risk assessment pro-forma used at O respite unit is based on Greg Kellys model in that it categorises risk as high, low or medium. High Risk would be recent and regular occurrence of behaviour, for example in the past 3 months. Medium risk would be recent and only occasional occurrence in the past 3 months. Low risk would be seen as having happened in the past but would only have occurred very minimally in the past 3 months. The assessment here is not just the potential of risk of harm to the children, but also the individual measures staff can take to prevent the likelihood of the risk actualizing and any steps that management may need to take. Person centred planning is rooted in the belief that people with disabilities are entitled to the same rights, opportunities and choices as other members of the community. Person centred planning has been around for about twenty-five years and its principles are about sharing power with service users and community inclusion. This way of thinking insists that people with disabilities have the same quality of life and position in society which is equal to people without disabilities. It challenges the idea of grouping people together on the basis that they are perceived as needing the same level of assistance. Person centred planning asks how the client wants to live their life and ways that they think could make this possible and if they require any support with this. Person centred planning has five key features:- The person is at the centre, family members and friends are partners in planning, the plan reflects what is important to the person, their capacities and what support they require, the plan helps build the persons place in the community to welcome them. It is not just about services and reflects what is possible, not just what is available. The plan results in ongoing listening, learning, and further action. Putting the plan into action helps the person to achieve what they want out of life. Person centred planning is about the social worker facilitating the service user to take control of his or her own lives and move forward as much as is possible. Coulshed and Orme (2006) illustrate how it focuses on the individual as unique and special in their own situation. It is important for the social worker to develop a good relationship with the service users for this approach to be successful. It encourages the development of an equal, non-authoritarian relationship where both service user and social worker work together to establish a significant and meaningful relationship.  (Trevithick, 2006: 271) It is important in person-centred planning to work out what is important to the client but also what is important for the client, which can sometimes be difficult. This can even be simple things such as pen pictures which illustrate the things which are of most important to our clients. This can include information such as favourite foods, colours, clothes, possessions, people, activities or place. It is important to remember these principles when I am completing the risk assessment and ensuring that it is a personalised account of this child. Previous knowledge My knowledge of risk assessment is initially very limited. Although I have completed various UNOCINI assessments, and within that you are thinking about risk and identifying potential risks for that child or family if certain support networks or services etc are not put in place, this is not as extensive as this specific risk assessment I am to undertake with C. I read around the topic of risk assessment and took into account the different models, especially the Southern Trusts Risk Management Strategy. I also considered number 4 of NISCC objectives which was to manage risk to individuals, families, carers, groups, and communities, self and other colleagues. This increased my sense of purpose and direction in which the risk assessment was to take. I have good knowledge around C and the family as I had completed the initial assessment. I have previously met with Cs teacher which gave me an insight into Cs daily routine at school and explained the best way to communicate with C. Further to this I read a completed risk assessment which used the same pro-forma to gain a better understanding of how the information gathered should flow. It is important to have an understanding of what autism is and how it can impact on a person and their family as C has autism. Having shadowed the autism support worker few home visits to see children who have autism, I already had an insight into the importance of the schedule and routine for children who have autism. I had also previously increased my knowledge base by talking to the autism support worker within the team about the disorder and its effects. My first degree in Psychology also looked at autism and its effects on development so I have refreshed my memory and read my notes again. Tuning into my own feelings as a worker I feel a little nervous as I will be facilitating this meeting. I feel nervous about the fact that there will be other professionals such as Cs teacher and the social worker and manager from the respite unit. Furthermore, Mrs F is also a teacher. Considering Mrs Fs profession, she may have standards and I hope I am able to effectively facilitate the meeting in a professional manner which meets her standards. In saying this, I have met with Mrs F on a few occasions and I feel very comfortable with her. I want to be able to facilitate this meeting as effectively as possible in ensuring everyone gets an opportunity to contribute, all opinions are considered, all risks are identified and a plan is set in place which will effectively manage these risks. I feel slightly more confident in that I have met with the social work manager and Cs teacher before and feel I have built up a good rapport with Mrs F. Tuning Cs feelings C is unable to contribute to the meeting due to his learning disability. Tuning into parents feelings This is a new experience for Mrs F as she is Cs main carer and the only time they are ever apart is when C is away at school. She may be feeling anxious about considering the risks there are with C. She is placing a lot of trust in the staff at O in order to be aware of these risks and manage them. However this is an opportunity for Mrs F to inform the staff on how to best, most effectively manage the risks associates with C. In turn this meeting may consequently lessen Mrs Fs anxieties in knowing that we have identifies the relevant risks and we are fully aware of how to most appropriately manage these risks. This will hopefully provide reassurance for Mrs F in knowing that the relevant safeguards will be put in place prior to C commencing the unit. Skills It is important that I am able to analyze the information from the O assessment in order to determine if there are any risks, what they are, how they are currently managed and how they could be best managed by staff members. I have already analyzed what the risks are. I have determined that Cs communication is a risk as there is a risk he may become distressed if the staff at O do not understand him. I thus felt inviting Cs teacher to the meeting was important. I felt this could also act as an information sharing meeting whereby the people that C spends most time with such as his mother and teacher would be able to give input on how best to communicate with C. Cs teacher previously informed me that use of the PECS and super symbols would be essential to apply in order to effectively communicate with C, until such times as the staff familiarise themselves with C. The ability to analyze involves breaking a situation or issue down into its component parts so that the inter-connections a nd patterns can be uncovered (Thompson, 2005). I need to be able to analyze the information gathered to determine what the risks are, to determine the level of risk and determine what safe guards need to be put in place in order to try and reduce these risks. Communication has been defined as, the verbal and non verbal exchange of information, including all the ways in which knowledge is transmitted and received (Barker, 2003: 83). I will be facilitating this meeting and thus I need to communicate in a clear and concise fashion in explaining the purpose of the meeting, what I hope to cover, why and what I hope to achieve. I will explain the relevance of inviting Miss V, Cs teacher and explain how I hope she will be able to contribute to the meeting. This will reassure Miss V of her role, purpose and prepare her for what she may want to say with regard to how the staff can best communicate with C. I will similarly explain the relevance of why Cs parents are there also, in that they know C best as his parents and carers and their input and advice will be most valuable with regards to identifying any additional risks I may have missed, and how to manage these and give any input they wish throughout the meeting. This is also an opportunity fo r Cs parents to ask any additional questions, be reassured that we are aware of the risks involved with their son, the appropriate safeguards will be put in place to try and minimize the risks and what plan they have in place if something does happen to C. Negotiation skills are vital as a result of this Risk Assessment. I have invited the relevant persons to this meeting so important information can be shared with regard to how certain risks can be most effectively managed. Miss V, Cs teacher has a good insight into effective communication exchange techniques which will allow the staff and C to effectively communicate with each other and understand what C is communicating. This is vital in order to prevent C from feeling frustrated if noone understood what he was saying or what he wanted etc. I will be looking upon Mr and Mrs F are experts in their own family lives. Noone will know C better than themselves and thus their input is vital in indentifying any additional risks, how they can best be managed. Before we end the discussion, in order for the risk assessment to be effective I feel it is necessary that everyone negotiates on how the risks can most effectively be managed. Trevithick (2005) proposes that listening provides a creative opportunity to demonstrate our commitment and care. The essence of good listening is learning about how to reach the emotions and thoughts of others; it requires active involvement and engagement with the client. I am confident in my ability to convey that I am valuing Mrs Fs contribution as she is the expert her family life with C and Mrs Vs contribution as Cs teacher. Values I am committed to anti-oppressive practice and Thompsons PCS model of discrimination helps me to be mindful of this. Thompson analyses discrimination in terms of three levels: the personal, which highlights the feelings and attitudes at an individual level; the cultural which refers the social norms, and the structural level which is the way that oppression and discrimination can be institutionalised in society. Biesteck value principles are principles of the social worker-service user relationship which are deemed to be effective forms of practice. The principles are:- individualization, purposeful expression of feelings, controlled emotional involvement, acceptance, non-judgemental attitude, service user self-determination and confidentiality. I think these value principles have a lot to offer professionals. I think in terms of this risk assessment I will be aware of the importance of individualisation. This is a specific piece of work which directly impact on the care and support that C will receive while he is at O for respite. It is vital that the work is an accurate representation of C and his individual needs. Biestecks value principles are a useful checklist to ensure that we are practicing in an anti-oppressive manner. One of the core values that I believe to be relevant in all of my work is respect for the person I am working with. Valuing Ms F and treating her with dignity is fundamental to a good working relationship. This should be a part of my everyday practice, part of empowerment, participation and choice (Payne, 1998). Thompson acknowledged the importance of respecting persons and not treating them in a way that you would object to if other people treated you like that (Thompson, 2000). In order to build trust and a positive working relationship with Ms F, Rogers (1961) core conditions of empathy, congruence and unconditional positive regard are vital. I need to be able to convey to Mrs F that I understand their situation and their feelings. In order to do this I need to be open and honest and convey warmth and a non-judgmental attitude to Mrs F. If my work is to be effective it needs to be based on partnership. I hope to convey to Mrs F that she will always will be the expert on herself and C and their family situation. Within a social work context, it is the service users who should define their own needs and dictate wherever possible how their needs should be met (Parker Bradley 2003). Useful pointers in developing a relationship based on partnership include: do not do most of the talking, do not put words into peoples mouths, help everyone feel comfortable, particularly Mrs F. Empowerment involves seeking to maximise the power of clients and to give them as much control as possible over their circumstances. It is the opposite of creating dependency and subjecting clients to agency power (Thompson 1993:80). I will be reminding Mrs F of the importance of her contribution in identifying any risks and advising on how she best manages those risks at present as no one knows C better than herself. Hopefully this reassurance will empower Mrs F to contribute as much as possible to the sharing of information.

Friday, October 25, 2019

Critical Analysis of Where Are You Going, Where Have You Been? Essay

What The World Has Done... In "Where Are You Going, Where Have You Been?" the author, Joyce Carol Oates, essentially asserts that the nuances of one's personality are not generated from within, but rather shaped by external circumstances. This is an argument whose justification is abundantly clear in the inner conflict of Connie, the protagonist of the book. The source of that struggle is her unstable relationship with her family, which ultimately results in her identity conflict. As one who always been deprived of father-figure, she feels the need to acquire attention from boys in order to fill that void. The realism and characterization with which Oates makes this point in the story have garnered much praise. Connie is presented as the quintessential teenage girl. Like any other female adolescent, she is preoccupied with make up, boys and music. Great characterization is seen in Arnold Friend - described by Oates as one who appears at first glace as "a boy with shaggy, black hair, in a convertible jalopy painted gold"(427) - who employs manipulative conversational tactics to gain psychological control of Connie. Later, he even changes his apparel in order to draw Connie to himself, an act which makes him reminiscent of an enticing devil. Connie is a girl whose perception of the world has been shaped by her family and "culture," causing her life to be literally split into two. At home, she acts as if she were an Zabakolas 2 innocent child that is unconcerned with the dynamics of the opposite sex. But once she ventures into the "real world" she screams for male attention. In her domestic life, she has virtually nobody and nothing upon which to depend (a fact that she e... ..., shows what happens to the psyche of the individual who is shown no love in the larger environment or in the "safety" of her own home. Connie was influenced by many damaging sources that prohibit her from achieving a proper self-identity. As a result of being neglected by her father, denigrated by her mother, compared to her sister and her desire to be loved by her family and others, she developed an identity problem that ultimately led her to the devil. It is not until the very end, through her acquaintance with Arnold Friend, that she is able to achieve some sort of happiness. Even then, her happiness is a tragedy as the devil wheels her in. Works Cited Oates, Joyce Carol. "Where Are You Going, Where Have You Been?" Literature and the Writing Process. Eds. E. MacMahan et al. 7th Edition. Upper Saddle River(NJ):Pearson Prentice Hall, 2005.

Thursday, October 24, 2019

Professional Roles And Values Essay

Nursing is governed by state boards of nursing, specific to the state that the nurse is practicing in. These boards seek to define the scopes of practice particular to a specific set of people, such registered nurses, practical nurses, home health aides, etc. The New Jersey State Board of Nursing dictates things like applications, accreditation, fees, and continuing education requirements. It is regulatory in nature. (NJ Board of Nursing, n.d.) As a labor and delivery nurse, the professional organization that enhances my practice is AWHONN (Association of Women’s Health, Obstetric, and Neonatal nurses). As opposed to the board of nursing which provides direction to general nursing practices and procedures, AWHONN is specific to my field. It provides current research, education opportunities, and clinical resources. (Awhonn.org, n.d.) An important aspect in delivering nursing care is the nursing code of ethics. The American Nurses Association (ANA) oversees this code of ethics. There are many ethical implications in nursing care in every specialty. In obstetrics, one of my biggest ethical dilemmas is the subject of abortion. Should a healthcare provider have the right to refuse to take part in any medical procedure? The nursing code of ethics allows health care providers to apply conscientious objection to this situation. Conscientious objection is allowed in situations where the â€Å"action would violate some deploy held moral or ethical value about right and wrong (Odell, Abhyankar, Malcom, &Rua, 2014). Another example of how the code of ethics influences my practice is the protection of the rights of privacy and confidentiality. I am sometimes given information from patients during the admission process that other family members, even the father of the baby, may not know. Things such as previous abortions, sexually transmitted diseases, and number of sexual partners are pertinent in my treatment of the patient, but are often not things that they would like shared with the rest of the family (Code of Ethics for Nurses, 2015). I believe one of the most important traits a nurse can possess is that of patient advocacy. People are usually at their most vulnerable when they are sick and may not be able to adequately advocate for themselves. Another important traits I would bring to an interdisciplinary team of healthcare providers is respect, respect for the patient and their choices, respect for my colleagues, but especially when I disagree with decisions made by either. Collaboration is also an important trait as a patient’s care is usually multi-disciplinary. Finally, responsibility and accountability are essential traits when part of a team. Team members need to be able to trust the people they are working with. Inevitably, mistakes are made and the true test of a professional is when they are able to own up and take responsibility for their wrongs. Code of Ethics for Nurses, 2015). There is an element in most nursing theories that influences my practice. Dorothea E. Orem’s self-care theory most resonates with my care of the maternity patient. It encompasses physical, interpersonal, psychological, and social aspects. Since most of the labor patients I take care of are considered â€Å"well† patients with insignificant medical issues, most of my time is spent teaching and observing – making sure my patient is able to care for her child once she leaves the hospital. This includes determining not only the physical needs, but also social and psychological well being of mother and father or extended family members involved in the care of the infant. Another influential figure in women’s health care was Margaret Sanger. She founded an organization called the American Birth Control League, presently known as Planned Parenthood. Sanger was a pioneer in the movement to improve women’s health through birth control and family planning. A controversial move at the time, she distributed pamphlets discussing birth control, menstruation, and sexuality. She was also instrumental in the founding of the first birth control clinic in the United States. Family planning and birth control continue to be extremely important women’s health initiatives (Wikipedia, 2015). On a daily basis, I strive to create a safe, respectful environment for all  of my patients. Beneficence is defined as â€Å"the doing of active goodness, kindness, or charity, including all actions intended to benefit others†(beneficence, n.d.) while nonmaleficence is defined as â€Å"the ethical principle of doing no harm†(nonmaleficence, n.d.). An example that exemplifies both of these traits is in a recent patient who presented to the hospital for induction of labor. After doing a thorough history of prior pregnancies, I determined the patient had a previous cesarean section. This information didn’t automatically exclude her from induction but it would dictate what induction method we would use. After further research and a request of records from another institution, it was determined that patient actually had a vertical uterine incision, which is not only a contraindication for induction but also a contraindication for vaginally delivery. At the very least, we avoided an emergency cesarean section, which had the potential to impact both the mother and infant’s life. As a maternity nurse, beneficence is a part of my daily routine, but following through on incomplete, undocumented information was an ethical decision I made to make sure the patient received proper care. References American Nurses Association, (2015). Association of Women’s Health, Obstetrics, and Neonatal Nurses. (n.d.) Retrieved February 2, 2015, from https://www.awhonn.org/awhonn/content.do?name=10_AboutUs/10_AboutUs_landing.htm Beneficence. (n.d.) Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. (2003). Retrieved February 17 2015 from http://medical-dictionary.thefreedictionary.com/beneficence Code of Ethics for Nurses. (2015). Retrieved January 28, 2015, from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html Margaret Sanger. (2015, February 2). In Wikipedia, The Free Encyclopedia. Retrieved 05:22, February 17, 2015, from http://en.wikipedia.org/w/index.php?title=Margaret_Sanger&oldid=645358719 New Jersey Board of Nursing Laws. (n.d.). Retrieved February 1, 2015, from http://www.njconsumeraffairs.gov/nursing/nur_rules.htm nonmaleficence. (n.d.) Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. (2003). Retrieved February 17 2015 from http://medical-dictionary.thefreedictionary.com/nonmaleficence Odell, J., Abhyankar, R., Malcom, A., & Rua, A. (2014). Conscientious objection in health professions: A reader’s guide to the ethical and social issues. Retrieved February 1, 2015, from https://scholarworks.iupui.edu/bitstream/handle/1805/3845/conscientious-objection-short- overview-20140201.pdf

Wednesday, October 23, 2019

Project Manager Essay

The main communication method they use is the telephone. This is because it is handy and convenient to use, and it is also fast. They use telephone for various reasons such as to arrange an appointment, to confirm orders, to book activities etc. The alternative method instead of using the telephone could be e-mail and letter, this way they can keep the letter for hard copy and evidence to confirm that they did arrange the appointment if there are any complications. The Fax machine is quite useful because it is fast and the letter can be kept for hard copy so there will be no need to type up any information. A meeting saves quite a lot of time and they get feedback from people immediately. Some information may be confidential so a certain method may need to be used such as face to face or letter, this way no confidential information is being leaked. There are different types of communication used because they need to know which type of communication to use for each purpose for example if it’s confidential they can either use telephone or letter so that no confidential information is being released out. And also if letter or email is being used, this can be kept for future reference and hard evidence for any purpose. Although there are some disadvantages of using the alternative methods, this is due to the confidentiality of information handling. Some information needs to remain or private in a company so a certain method has to be used. How information is collected, processed and stored All administrative staff play a key role in: Collecting information: whether it arrives in the mail, electronically, by telephone or is passed on by word of mouth. Processing information: inputting it, merging it with other information, sorting it, reorganising it, reproducing it or updating current records. Storing information: in filing systems and on computer. The main aspect of a storage system is so you can find things quickly and the items stored are kept in good condition. Information is processed when it is changed or converted in some way. It may be improved or may be prepared for a particular use such as notes from meetings, messages from telephones, sales figures that need to be input into a spreadsheet etc. These roles are important to the Business because it depends how well information has been organised and stored so that it can easily be accessed when it is needed. Every day, Businesses receive a vast amount of paperwork that is generated by organisations such as forms, fax messages, telephone messages, letters, memos reports and many more. So the administrative staff is responsible for the storage, processing and collecting these information in order to keep the constant flow of the Business going. Post arrives at the reception and then is sorted and stored separately by name in a little locker by the reception assistant, each locker is provided with a key so the administration assistant or the manager has to collect their post from their locker. After all the post is bought back to the department to be opened and read, they also have to do certain things such as processing and storing the type of information. For example: When they receive an invoice for the art and crafts equipment, the amount is processed onto spreadsheet on the computer by the administration assistant. This is because they need to record how much money is spent using the company’s money. Then the assistant writes a number on top of the invoice to help keep all the invoices in order which is then kept in a box file then stacked on the shelf. When the cheque is made out, the same number as the invoice is also written on the top of the cheque so they know they match. Records of the young people who join the community are kept on a CD Rom. Their details are also kept in a lever arch file and are updated if any changes have been made. The lever arch file is then stacked on the shelf along with some other files. When an application form is received, it is read by the manager and details of that person are noted down and then the form is filed in a vertical filing cabinet. If the manager approves one or two forms, he then photocopies them and then the original copy is filed and the other is sent to the director. All other information such as catalogues and booklets from the suppliers of office organisations are stored in a tall cardboard box file and is kept on the shelf. Decision making Decisions are made every day within businesses. The Board of Directors makes the major decisions at GAZ and the Project Manager makes the simple decisions such as what equipment to buy.

Tuesday, October 22, 2019

buy custom Technological Solutions for Companies essay

buy custom Technological Solutions for Companies essay The following is a list of recommended technological solutions that address the needs of a company. One, network designing and consulting where it involves designing the network so that a company can be more profitable and productive. Two, on-site retainer service, ensures that every month the network is fixed and updated or troubleshot. It ensures good maintenance. Remote retainer is the other solution. This is where the network and computers used in a company are serviced on a monthly basis by ensuring that the network is well maintained thus increasing productivity by reducing network problems and down time. Four, remote management service enables the provision of technology and tools that are required for administering and monitoring the network from a location that is remote. With this, a company can receive daily administrations and automated monitoring and hence there will be higher productivity. Five, network mapping ensures that the systems in a company have the best software and hardware installed. This is done through upgrading, technological advances and software licenses. Six, remote backup solutions for companies that use high speed internet connection. This ensures that in the event that there is a tape or software drive failure, the information of a company will still be protected. Seven, security consulting whereby group permissions, firewalls, password security and access policies are protected. Seven is the mobile information service. This allows the employees of a company to work from a client site or from home that the internet can be accessed. Through this meetings and conferences can be successfully held through wireless means. Spam solution is the final technological solution that companies require. Through this, email messages can be monitored for offensive content or for viruses. An anti-virus solution and email content checking is recommended to ensure sec urity of the network and mail server. Spam solution and security consulting can be easily implemented at Plainview because they are cheap, yet very vital because they ensure that the company has its privacy. A closed system is not available to the public. One can become a member of collective that is already in existence or create his own which should act in accordance with businesses practices that are common. Buy custom Technological Solutions for Companies essay