Sunday, August 18, 2019
Twelfth Night Essay: Exploration of Love :: Twelfth Night essays
Exploration of Love in Twelfth Night à à à à In the play "Twelfth Night," Shakespeare explores and illustrates the emotion of love with precise detail. According to "Webster's New World Dictionary," love is defined as "a strong affection or liking for someone." Throughout the play Shakespeare examines three different types of love: true love, self love and friendship. à à à à "Twelfth Night" consists of many love triangles, however many of the characters who are tangled up in the web of love are blind to see that their emotions and feelings toward other characters are untrue. They are being deceived by themselves and/or the others around them. There are certain instances in the play where the emotion of love is true, and the two people involved feel very strongly toward one another. Viola's love for Orsino is a great example of true love. Although she is pretending to be a man and is virtually unknown in Illyria, she hopes to win the Duke's heart. In act 1, scene 4, Viola let's out her true feelings for Cesario, "yet a barful strife! Whoe'er I woo, myself would be his wife (1)." That statement becomes true when Viola reveals her true identity. Viola and Orsino had a very good friendship, and making the switch to husband and wife was easy. Viola was caught up in another true love scenario, only this time she was on the receiving end, and t hings didn't work out so smoothly. During her attempts to court Olivia for Orsino, Olivia grew to love Cesario. Viola was now caught in a terrible situation and there was only one way out, but that would jeopardize her chances with Orsino. It's amazing that Olivia could fall for a woman dressed as a man, but because Viola knew what women like to hear, her words won Olivia's heart. The next case of true love is on a less intimate and romantic scale, and more family oriented. Viola and Sebastian's love for one another is a bond felt by all siblings. Through their times of sorrow and mourning for each of their apparent deaths they still loved each other. They believed deep down that maybe someway or by some miracle that each of them was still alive and well. à à à à Many people, even in today's society, love themselves more then anything else. "Twelfth Night" addresses the issue of self love and how it affects peoples lives.
Saturday, August 17, 2019
5 Important School and Statutory Framework Essay
Thousands of Muslims were becoming followers of Guru Hargobind Sahib Ji. Khawaja Raushan was a very respected Muslim Faqir with thousands of people visiting him to pay him respect and get boons. However Khawaja Raushanââ¬â¢s own mind was restless, he was in search of a true Guru. Once a friend told him about Guru Ji, Khawaja Raushan reached Kiratpur and met Guru JI. When he heard Guru Jiââ¬â¢s he was so impressed that he decided to stay at Kiratpur. He became an admirer of Guru Sahib; he started doing Seva of Guru Jiââ¬â¢s horses. One day Guru Ji went out for riding his horse, Khawaja Raushan ran behind Guru Ji in Bairag. See more: Sleep Deprivation Problem Solution Speech Essay He ran more than a mile after Guru Ji, who then dismounted his horse and embraced Khawaja Raushan with great love. Guru Ji then gave Khawaja Raushan Charan Amrit and Naam as well as spiritual Gian and sent him to Doaba to preach Sikhi.Khawaja Raushan was going from one village to another for preaching Sikhi, one day he met Sayyad Jaani Shah who was wandering in search of bliss. Jaani Shah had met many Sadhus and Faqirs but could not get spiritual Gian from anyone. Khawaja Raushan told him he should go to Kiratpur to achieve your aim. Firstly Jaani Shah did not believe him but when Khawaja Raushan told his story he was determined to go. When he reached Kiratpur and sat in front of the door of Guru Jiââ¬â¢s house and cried loudly ââ¬Å"Janni Ko Jaani Milaa Do (Let Jaani meet his dear one )â⬠.
The Competitive Advantage of Nations
WHAT IS THE DIAMOND MODEL? DESCRIPTION The Diamond Model of Michael Porter for the competitive advantage of Nations offers a model that can help understand the comparative position of a nation in global competition. The model can also be used for major geographic regions. TRADITIONAL COUNTRY ADVANTAGES Traditionally, economic theory mentions the following factors for comparative advantage for regions or countries: 1. Land 2. Location 3. Natural resources (minerals, energy) 4. Labor, and 5. Local population size. Because these 5 factors can hardly be influenced, this fits in a rather passive (inherited) view regarding national economic opportunity. CLUSTERS Porter says that sustained industrial growth has hardly ever been built on above mentioned basic inherited factors. Abundance of such factors may actually undermine competitive advantage! He introduces a concept called ââ¬Å"clustersâ⬠or groups of interconnected firms, suppliers, related industries, and institutions, that arise in certain locations. These clusters are geographic concentrations of interconnected companies, specialized suppliers, service providers, and associated institutions in a particular field. They grow on locations where enough resources and competences amass and reach a critical threshold, giving it a key position in a given economic branch of activity, with a decisive sustainable competitive advantage over others places, or even a world supremacy in that field. Porter says clusters can influence competition in three ways: â⬠¢They can increase the productivity of the companies in the cluster. They can drive innovation in the field. â⬠¢They can stimulate new businesses in the field. Some well-known examples of Clusters are USA/Silicon Valley (computers), Netherlands/Rotterdam (logistics), India/Bangalore (software outsourcing), USA/Hollywood (movies), France/Paris (fashion). According to Porter, as a rule competitive advantage of nations is the outcome of 4 interlinked advanced factors and activities in and between companies in these clusters. These can be influenced in a pro-active way by government. INTERLINKED ADVANCED FACTORS FOR COMPETITIVE ADVANTAGE 1. The Strategy, Structure and Rivalry of Firms. The world is dominated by dynamic conditions. Direct competition impels firms to work for increases in productivity and innovation. 2. Demand Conditions. If the customers in an economy are very demanding, the pressure facing firms to constantly improve their competitiveness via innovative products, through high quality, etc, will be greater. 3. Related Supporting Industries. Spatial proximity of upstream or downstream industries facilitates the exchange of information and promotes a continuous exchange of ideas and innovations. 4. Factor Conditions. Contrary to conventional wisdom, Porter argues that the ââ¬Å"keyâ⬠factors of production (or specialized factors) are created, not inherited. Specialized factors of production are skilled labor, capital and infrastructure. ââ¬Å"Non-keyâ⬠factors or general use factors, such as unskilled labor and raw materials, can be obtained by any company and, hence, do not generate sustained competitive advantage. However, specialized factors involve heavy, sustained investment. They are more difficult to duplicate. This creates a competitive advantage, because if other firms cannot easily duplicate these factors, they are valuable. THE ROLE OF GOVERNMENT IN THE DIAMOND MODEL OF PORTER The role of government in the Diamond Model of Porter is to act as a catalyst and challenger; it is to encourage ââ¬â or even push ââ¬â companies to raise their aspirations and move to higher levels of competitive performance. They must encourage companies to raise their performance, to stimulate early demand for advanced products, to focus on specialized factor creation and to stimulate local rivalry by limiting direct cooperation and enforcing anti-trust regulations. THE COMPETITIVE ADVANTAGE OF NATIONS Porter introduced this model in his book: ââ¬Å"The Competitive Advantage of Nationsâ⬠, after having done research in ten leading trading nations. The book was the first theory of competitiveness based on the causes of the productivity with which companies compete. Instead of traditional comparative advantages such as natural resources and pools of labor. This book should be considered obligatory reading for government economic strategists. It is also highly recommended for corporate strategists that are interested in the macro-economic environment of corporations.
Friday, August 16, 2019
Advantages and Disadvantages of Television Essay
In today modern world television is the most popular and recognized from of media and most homes in the western and developed worlds own one. That small (in some cases rather large) box sitting in your lounge is your connection to the outside world. It is an indispensable item and many of us cannot imagine life without it. As with everything there are advantages and disadvantages with the television. The main advantage is televisions ability to bring you news as it happens. A second advantage is the fact we are using more than one sense when viewing. The final advantage in this essay is the vast amount of information and documentaries available for viewing. However the first disadvantage is the amount of time spent watching television is often considered a waste of time. The second disadvantage is the fact that families may be in the same room but with the television on may not even acknowledge each other. The final disadvantage illustrated in this essay is that young children are of ten being exposed to sex scenes and scenes of violence. Read more: Television advantages and disadvantages essay Firstly, for many of us the television is our first or only source of news and current events. Most channels have news updates up to four times a day and current affairs programmes which take a deeper look at the news that has affected the world that day or week. Theses programmes are often family friendly and are sometimes the only form of media available or easy to understand for children or non-speakers of English. These news shows keep people up to date on the outside world it is possible to know everything that happened in a day without even going outside. However these news shows can try and monopolize peopleââ¬â¢s opinions and be a bias to one political party or one side of a war. Secondly, what many of us do not realise is that we use at least two senses to enjoy television. We use our eyes to watch the television screen and the visual on the screen. We also use our ears or hearing to listen to the dialogue and noises on the screen. Compared to other forms of media which usually involve only one sense e.g. the radio only requires the hearing sense and a book only requires sight. Even though the television lets us see and hear things it can cause eyesight problems and many people turn there televisions up which can cause hearing problems. The final advantage is the vast amount of educational programming available for viewing particularly on channels like the discovery channel and national geographic which can educate and stimulate people and wet every audience memberââ¬â¢s appetite. It is also the fastest way to improve your knowledge and help you learn something completely new. Where else can you learn about Marylyn Monroe and Winston Churchill in the same afternoon? Many people who cannot afford university or night courses or simply just want a basic knowledge of one particular subject or event. Use documentaries to quench their thirst for learning. The first disadvantage is that many people do not realise how much time they spend watching television if you spend one hour a day watching television. That is 365 hours a year and 3607 hours in ten years. You can only imagine what you could do with that time, it is possible to learn a language or do a university course. Many value their television shows over exercise or physical activity which can lead to obesity and ââ¬Ëcouch potatoââ¬â¢. Many people also feel the desire to watch a favourite television show every day or every week and neglect social commitments and therefore becoming anti-social. A second disadvantage is that many people neglect their families so they can watch television. A family may be in the same room but would not say a word to each other or acknowledge each other. Many families now also eat dinner in front of the television which means normal dinner table conversation is lost. Most large families also have multiple televisions so that each member can watch the programme they would like to watch this means that some families may spend less than an hour in each others company before going to bed. A final disadvantage of watching television is the violence and sex scenes that young children are often exposed too. Many of us find shows with crime or violence entertaining but these are not suitable for children of young ages. These scenes are practically common on crime dramas. Children may not intentionally be being exposed but by simply being in or near the same room as an older child or adult watching the programme. With children being exposed to these scenes it can corrupt there innocent minds leading them in some extreme cases become violent to other children. It can also lead to more permanent problems such as violence or evil thoughts well into adulthood. Fortunately this can be easily avoided or reversed by not allowing young children to view these programmes by placing them in a different room from the television or sending them to bed. In conclusion television is perhaps the worldââ¬â¢s greatest invention though it is possible it will one day be replaced by something resembling a computer it is still indispensable devise that takes up our time to exercise or our family time it can also have scenes that corrupt young minds. As Winston Churchill once said ââ¬Ëthe best things are either immoral or bad for youââ¬â¢ television is best in moderation. So next time youââ¬â¢re bored donââ¬â¢t turn on the television go out and play some sport. in todays modern world. Television however has advantages and disadvantages as illustrated in this essay. It can be an educational, multi-sensory communication
Thursday, August 15, 2019
American History X and Racism
American History X is a film with racism as its overarching theme. Specifically, the subject of the film focuses not on the phenomenon of racism as we know it, slavery and the Malcolm X period, but on its current trends namely the neo-Nazist, white supremacist movement of the 90ââ¬â¢s. This paper is determined to present the overt connections between American History X and Racism, after which the discussion will present some pertinent scenes in the movie. These scenes are analyzed from a racial discrimination standpoint. Lastly, a personal reflection on the movie concludes the argumentations.The filmââ¬â¢s treatment is like a stereoââ¬âgoing back and forth from the present and the flashbacks. In the same way, the major scenes will be presented here in a non-linear fashion. One of the most important scenes in this film is when the film explains why Derek is mad with minorities. The underlying reason for this hatred is when Derekââ¬â¢s dad is shot by a Black drug dealer. H aving felt this injustice and being helpless in expressing his anger, Derek was approached by Cameron. This scene is important in presenting racism as not existing in a vacuum.There are always reasons behind actions, that even the most bizarre or illogical of behaviors can be explained by specific past experiences. Racism is rooted in intolerance and hatred towards others. Hatred is a sowed seed and here we begin to understand that a racist perpetrator has his own reasons why he is behaving in such a way. The abuses of the Nazism in Germanyââ¬âkilling Jews, concentration camps, widespread hunting of people with Jewish descentââ¬âwill not take place without an idea, or a good reason, that the majority of people would buy into. People would be foolish to just wake up one day and decide to decimate 6 million people.Ideas are powerful, because ideas turn into acceptance and acceptance turns into actions, actions become behavior and behavior changes into a cultural norm in the lo ng run. Ideas, moreover, are only powerful because people buy into them. This is why the scene at the grocery store with Koreans is important. The scene portrays the power of ideas and its ability to change people. Moreover, the speech of Derek at the store presents surprising parallelisms with the ideas that people bought into during the Nazi movement. In Derekââ¬â¢s speech, he said that Koreans are stealing the opportunities that are supposed to be for Americans.The illegal immigrants that work in America creates the joblessness of the Whites. In the same way, the Nazis of Germany argued that the Jewish refugees from a devastated nation came to Germany carrying nothing but they thrived thereââ¬âowning businesses, banks, etcââ¬âand became powerful while a bulk of the German population are poor and unemployed. The grocery store scene shows just how potent a dangerous idea is. People want to follow a passionate leader. Racism became accepted because people tolerate the act and follow the dangerous norm. Similarly, people with strong moral convictions are also heard. The scene of Dr.Sweeney and Danny is significant because it shows how racism can be challenged, not through hostility, but with reason. Dialogue fosters understanding, or at least, it presents a different way of looking at things. Sweeneyââ¬â¢s assignment makes Danny think outside the boxââ¬âoutside his personal stereotypes and values on racism. Sweeney challenges his ideas and in a way, becomes a counter-force to Dannyââ¬â¢s predisposition towards racism. The anti-racism movement is laden with Sweeney types of people such as Luther King Jr. who took the non-violent path of reasoning in pointing to the evils of racism itself.Sweeney is the personification of the challenge against the neo-Nazist trend. His moral courage and convictions made people think and listen. Another important scene in the film is the presentation of Derek and his change of heart. This took place in prison, where racism is also a strong force that binds and separates inmates. In prison, Derek is still resolved in his racist convictions and he bonded with fellow racists, until he was befriended by a Black guy. His previous stereotypes regarding Blacks was challenged by the good-natured behavior of the black guy.It is essentially a realization that people of different colors are still people sharing a common humanity. When fellow racist inmates raped Derek for befriending a Black guy, he came to understand that goodness and evil are not just seen by the color of the skin. There is blackness of the heart even in the whitest of white, and a whiteness of the soul in the pitch black-colored person. Every act of kindness and every act of violence has its ripple effects beyond what a person can control. This is seen in the scenes following Derekââ¬â¢s return. Derekââ¬â¢s little brother Danny had taken where he left off.Now Danny took the same convictions as Derek by being adamantly into lerant of minorities. The small anti-Black movement that Derek started became a great massive force, and now that he had a deeper realization of the evil of racism, he sees that he is responsible for this. Undoing things are more difficult that doing them, especially when we do things mindlessly such as when we resort to hatred and violence. It is easy to sow seeds of violence because it spreads like wildfire, but sowing peace is like planting a seed that needs to be nurtured. Danny also had his turning point. His brother made him realize that racism is a useless thing.Blaming others for the death of oneââ¬â¢s father does not solve the problem, it just makes it worse. He understood that violence will only be met with violence. The symbolic image of the brothersââ¬â¢ turning point is the cleaning up of their Nazi-decorated rooms. Writing the American History X paper also supports Dannyââ¬â¢s non-violence approach towards the hostilities of the world. He writes ââ¬Å"analyze and interpretâ⬠on the computer. Racism is phenomenal because not many people analyze and interpret before acting on something. In many cases, irrational and false interpretations create chaos.When there is no room for analysis, there is no opportunity for people to try and understand each other before rendering biased interpretations and actions. Racism presents to us that it is a very strong force, one that is rooted in hostility and intolerance. American History X depicts that degree of hostility and intolerance in the different cascading scenes of the past. When our small monsters of hostility become gigantic titans of racism, we are confronted by something intimidating. Derekââ¬â¢s solution is to run, leave the giant. Running from the problem of racism does not solve the fundamental personal and social issues.While running seems tempting, the reality of racism is still with us and it will never go away unless it is collectively confronted in modern-day America and ever ywhere else. Running is a temporary solution to a long-term problem. Derek runs with Danny, but eventually the giant catches on themââ¬âDanny is shot by the same guy he had a violent (although subtle) argument with the day before. What does the death of Danny imply? It tells us that violence, in all its forms and degrees, is foolishness, it is never a means to an endââ¬âthereby rendering racism not as a virtue, but as a moral evil.Racism is only one form of violence, just as making another human being bite the pavement is another. Unknowingly, many of us do not realize that violence exists both within us and also in our world. Violence does not just mean killing people, it also exists in intolerance over other peopleââ¬â¢s beliefs and skin color, it is harsh language spoken, it is a thought unspoken. Racism is not only seen but feltâ⬠¦ while America boasts of equality and human rights; racism is still seen and felt in its other subtle forms of violence. The path of no n-violence is a beautiful but difficult journey that we must all decide to take.I now end with the echoing words of Abraham Lincoln quoted during Dannyââ¬â¢s death scene, his final words in the American History X paperâ⬠¦ ââ¬Å"â⬠We must not be enemies. Though passion may have strained, it must not break our bonds of affection. The mystic chords of memory, stretching from every battlefield and patriot grave, to every living heart and hearth-stone, all over this broad land, will yet swell the chorus of the Union when again touched, as surely they will be, by the better angels of our nature. â⬠Works Cited American History X. Dir. Tony Kaye. Perf. Edward Norton. New Line Cinema. 1998.
Wednesday, August 14, 2019
Nursing Ethical Values and Definitions Essay
This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario ââ¬Å"Call Me Joeâ⬠provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is developed is through evidence based practice. Evidence based practice informs modern practice by using reliable, valid and relevant research and clinical experts to inform and improve nursing practice and patient care, enabling care that improves and makes a positive difference (Malloch & Porter-Oââ¬â¢Grady 2010). It is through evidence based practice that pre-registration nurses are informed and trained and how professional development is maintained (Adams 2009). Nurses must use evidence to improve the standards of care to achieve higher standards in the nursing profession; evidence based practice improves the quality of nursing care guiding practice to ensure best practice is attained and is supported by literature and evidence (Brooker & Nicol 2003). It is evidence based practice that healthcare practitioners often draw upon to support clinically based reflections. Reflection is a process which enables healthcare professionals to improve practice through continuous monitoring (Daly et el 2010). Throughout the pre-registration nursing programme, the importance of reflection in practice is taught and is developed throughout, extending into post-registration to become a vital part of a nursing career and portfolio development. Reflection involves breaking down individual processes, considering what was successful, how practice can be enhanced and how this can be achieved; this also includes situations involving patient interaction and communication, enabling a greater understanding and an increase in self-awareness (Lundy & Janes 2009). By evaluating and reflecting, the practitioner is self-educating, improving clinical practice as well as their personal approach to nursing care that they provide; the main outcome of reflection in nursing is to improve and encourage best practice (Bulman & Schutz 2004). The Driscoll and Tehââ¬â¢s (2001) reflective model is made up of three parts, What, Now What and So What, and this model is appropriate to reflect upon the care that Joe is receiving as it enables the scenario to be deconstructed and analysed in detail to recognise and understand: What is wrong? So what are the implications? Now what can be done to resolve the situation? Using the model as an aid, the implications of unsatisfactory care and poor practice in the scenario can be explored and exploited to recognise that although there is a code of conduct produced by the NMC (2010b) that governs nurses, in some instances the care that is delivered fails to meet the expectations of the NMC, the patient and other professionals. WHAT?à From the scenario provided by the NMC (2010a) it is apparent that Joe lives in residential care, he is no longer able to care for himself so the decision for him to reside in the home was made; he is not unhappy about it, and feels lucky to live in there. Joe is a very proud man and until recent years was very able and self-caring. Since moving into the care home; Joe has begun to notice things about his environment, his carers and himself. Initially when Joe moved into the care home, he was mobile with a frame, as time has passed in the home Joe is no longer mobile and unable to get to toilet, reduced mobility can effect personal hygiene and toileting, but also social interactions and daily living (Brooker & Nicol 2003). Joe seems to accept his loss of mobility as part of the normal aging process; however from the scenario it is apparent that Joe now has a catheter, from which the bag does not get emptied regularly as Joe explains that it ââ¬Å"pullsâ⬠. Joe does not complain and states ââ¬Å"itââ¬â¢s just the way things areâ⬠; Joe has not recognised that he is suffering at the lack of competency of the care provider and that his needs are not being tended to and he is being neglected (Department of Health 2000). Joe then reminisces about his life before the care home; it becomes apparent that since moving into the home, Joeââ¬â¢s life has changed drastically; the things he used to enjoy prior to his admission are no longer considered or even talked about. He explains that when he first moved he filled in a form on which he stated his meal preferences; nevertheless this has not been acknowledged and each day Joe has porridge to eat and ââ¬Å"lukewarm teaâ⬠to drink. This is not the only preference of Joeââ¬â¢s that is being overlooked. Joe explains that although his name is Joseph, he prefers to be called Joe; however it appears that the care providers do not recognise this and do not accommodate Joeââ¬â¢s choice, despite him requesting that they call him Joe on numerous occasions. Joe is being disrespected and his choices are not being honoured or considered; nurses should consider each patient as an individual and empathetically deliver the appropriate care (Lipe & Beasley 2004). Joe also remembers how he used to dress in his youth and through his life before entering the home. He implies he was a smart dresser and a well-kept man; even combing his hair. From Joeââ¬â¢s expression whilst sat, unshaven wearing his pyjamas which he implies are unclean and unchanged, it is clear that he does not feel that way anymore, he has accepted his life as it is now. He is unable to dress himself; he spends his time in his pyjamas and explains how the staff are always busy with the other residents. Joe has low self-esteem after losing his mobility and his independence, dignity and self-worth. Social role valorisation is where somebody is perceived by their role in society, a person may be deemed of value or devalue dependant on their role in society and this influences the way in which others behave towards them (Wolfensberger 2000). In social role valorisation Joe is considered to be of a lesser value, as he is elderly and can no longer care for himself, he has a low social status; this is reflected with in the scenario (NMC 2010a), Joes behaviour reflects that of little self-worth or respect, mirroring the way in which he has been treated. Through a lack of communication, it is clear that Joe feels lonely, he does not verbally communicate this but it is apparent that he feels this way: his facial expressions suggest he is unhappy, he frequently loses eye contact and sighs; frowning a lot. He is slumped in chair, his body language suggesting he lacks confidence and self-esteem. Communication is a means for a practitioner to build security and trust with a patient, begin to establish a therapeutic relationship in which important information is shared (Lloyd et al 2009), however the communication process has been ignored, Joe is uncertain of any boundaries devised, and does not want to appear as a nuisance and as a result of this he does not ask for things, voice his opinion or disclose his discomfort. Joeââ¬â¢s individual needs are not considered as he has minimal support in the home from staff and independence is not encouraged. Through the lack of assistance and promotion Joe has minimal mobility and is no longer able to maintain his lifestyle in a manner he deems appropriate. Nonetheless Joe is accepting of his new life; and is oblivious to the bad practice he is subjected to and the neglect he is incurring as a result. SO WHAT Ethics in nursing are centred on individual worth, respect for patients and autonomy. Individual morals impact upon ethics in nursing, considering what is right, wrong, good or bad. Morals are personal, so each individual has their own interpretation of what it right, wrong or acceptable (Rumbold 1999). The care that Joe is receiving is unacceptable, it is clear that the practitioners who provide the care either failed to consider the principles of ethics in nursing, or are influenced by ruthless morals. In nursing practice, what the nurse must and ought to do are defined by morals; the duties of a nurse involve moral and legal dimensions (Young et el 2009). Joe lacks independence, and the practitioners offer little support or opportunity to encourage and enable independence: promoting independence is an essential part of nursing practice (Alexander et el 2006); it enables the patient to feel of use and can build self-esteem, encouraging a patient to be actively involved in a task and enabling them to carry it out or assist the practitioner enables both physical and physiological independence to be achieved (Acello 2005). As a result of a lack of stimulation and social interaction, Joe has low self-esteem and little self-worth. All patients are individual and will have individual care needs. Care needs are patient specific, when providing care respect for the patientââ¬â¢s dignity should be anticipated, providing the patient information can help to relieve anxiety or confusion and honouring patients preferences can assist in delivering comfortable care (Gerdin et el 1997). Joeââ¬â¢s care is not specific to him, the care he is receiving is generalised, it is essential that the care provided is on an individual base: personalised to each patientââ¬â¢s specific needs (Kneedler & Dodge 1994). As a result of reduced mobility, Joe has a catheter in situ. Due to poor catheter care Joe is left in discomfort and at a higher risk of infection, all catheter bags should be emptied regularly to maintain infection control (Royal College of Nursing 2008). Joe is not considered as an individual person and his needs are not being tended to: nursing philosophy advocates patient centred care whereby the nurse establishes a rofessional relationship with the patient, treating them with dignity and respect, involving and empowering the patient allowing them to convey their needs and preferences, actively engaging the patient within their care and the decisions surrounding their care (Falvo 2011). Joe is not actively involved in his own care, he is tolerant of the care as he is lacking in dignity (NMC 2010a). It is apparent that within the home that there are issues of neglect and that Joe is the victim of neglect and possible abuse. The Department of Health (2000) describes abuse as ââ¬Å"a violation of an individualââ¬â¢s human and civil rights by any other person or personsâ⬠. Joeââ¬â¢s individual needs are being neglected, he is suffering institutional abuse meaning that the care he is receiving is of a poor standard, and the practitioners lack in positive response to his complex needs, in the home there are rigid routines where individual needs are left unconsidered, and the practitioners with in the establishment lack knowledge (Department of Health 2000). NOW WHATà Joe is a vulnerable adult; he is unable to take care of himself and is unable to protect himself against significant harm or exploitation (Department of Health 2000) and safeguards are necessary. Safeguarding consists of protecting and supporting vulnerable people and adults; the successful prevention of adult abuse and neglect depends on the service providers identifying and approaching the factors which contribute to the issues and result in neglect and abuse occurring, and tackling and dealing with these situations appropriately (The Association of Directors of Social Services 2005). Therefore to begin to tackle the issues raised in the scenario by the NMC (2010a) immediate positive action must be taken to assess the risks and increase the safety for the service users (The Association of Directors of Social Services 2005). Best practice as outlined by the NMC (2007) emphasises the importance of anti-discriminatory practice in promoting parity in patient care acknowledging the difference and the beliefs people have. Implementing this in the home would enable Joe to be treated as an individual and his needs and preferences accommodated. It is suggested that promoting independence in the elderly improves quality of life, and emotional wellbeing (Fisk 1986); if Joeââ¬â¢s independence was supported and encouraged he would become happier stable and able to continue with some level of independence and control over his life. Dignity is a human right protected by international law, all individuals are entitled to the right to life, free from torture and degrading treatment (Human Rights Act 1998) therefore Joeââ¬â¢s human rights, dignity and safety have been compromised. On entering the care home to protect Joeââ¬â¢s dignity, a care plan should have been put into place. A care plan outlines the care an individual needs; it identifies the actions the nurse must implement as per the nursing assessment (Carpetnito-Moyet 2009). Documentation should be clear and up to date (Department of Health 2010). Also a risk assessment should have been carried out to ensure Joeââ¬â¢s safety; recognising his mobility needs and if he is at risks of falls, reviewed and amended as necessary. Joe also needs a catheter care plan to monitor the progress of his catheter to ensure that is maintained correctly, changed regularly and to ensure that Joe is aware of personal hygiene and cleaning his catheter (Royal College of Nursing 2008). Joeââ¬â¢s food and fluid intake should also have been recorded to monitor his input, output and his weight, ensuring he was maintaining a healthy balance (Brooker & Nicol 2003). Having investigated, researched and reflected upon the scenario using the available material, the above should be the minimum requirement; Joe should be treated with respect, honouring his choice whilst maintaining dignity and encouraging independence for a better quality of life; whilst supporting him in establishing friendships and outside interests.
Tuesday, August 13, 2019
A reflective portfolio where you identify your learning requirements Essay
A reflective portfolio where you identify your learning requirements and discuss how you addressed those needs - Essay Example curriculum: reflexive practice is critical to establishing a proper corporate strategy and aligning people, tools and measurement instruments to guarantee business success. I first learned that corporate strategy development must consider the external market, internal stakeholders and the conditions of the marketplace in order to be successful. Hence, there is a need to harmonize resources and people effectively in order to maintain a competent competitive position in the market and ensure operational efficiency. This means being able to develop a team environment in which workers are motivated, considering quality of outputs, determining an effective marketing strategy and further maximising efficiency of operations. I was highly intrigued to understand the inter-dependency of marketing to the achievement of strategic goals. According to theory, companies that are the first-to-market with a new innovation actually become the pioneers that define the product category and maintain strong advantages (Agarwal and Gort 2001). First-to-market innovators become a model through which consumers judge late entrants into a marketplace and are often viewed more favourably by the consumer market (Kalyanaram and Gurumurthy 2008). For a business that desires to be a first-to-market innovator as a competitive tool, it is critical that a company maintains a well-developed marketing strategy, part of brand management. According to marketing theory, building a strong brand provides economic and competitive benefits for a business, provides less vulnerability to the marketing activities of competition, and provides more extensive word-of-mouth from consumer markets (Gounaris and Stathakopoulos 2004). One example of how a first-to-market innovator managed to gain consumer preference is the Sony Corporation with the release of the pioneering Sony Walkman in the early 1980s which revolutionized mobile consumer recreation. By having an effective promotional strategy, this company
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