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Saturday, August 17, 2019

Child Psychology Services (Part 2) Essay

Explain why it is important to ensure children and young people are protected from harm within the work setting. It is important to ensure children and young people are protected from harm within the setting, as the parents are leaving their children in your care with the expectation that they can trust you and your colleagues to keep their children from harm. It is difficult for parents to leave their children in an education or care setting and then go to work; they need to be confident that their children will be in safe supportive hands with people that will help them develop. Explain policies and procedures that are in place to protect children and young people and adults who work with them. Any professional working with children or young people is responsible for the care and well being of those children. Making sure that a child is safe on or out of a school setting is of paramount importance. Not only does it make a child or young person feel safe in a learning environment but it also gives the child the security to develop and achieve from an early age. As well as having policies to ensure that only suitable people work in their setting, managers need to promote very clear practices and ways of working to protect both the children and adults work with. Everyone in a setting has a responsibility to work hard to promote the welfare of the children in their care. – Working in an open and transparent way – Open-plan rooms, this ensures that no member of staff is totally alone and out of view with a child. Sharing plans and talking about different ways of working also helps to make sure that staff work in the most appropriate ways. – Listening to children and young people – Whenever possible avoid agreeing to keep something a secret. Always tell  a child if you feel you need to share information, especially if you feel a safeguarding issue is involved. It is important that you record and report any concern you have about a child’s welfare; make sure you know who to go in your setting. – Power and positions of trust – If you are involved in the care of children or young people, you are working in a position of trust. You have authority over the children and parents have placed their trust in you to look after them; this brings responsibilities. People who want to occupy position of trust with children and young people and vulnerable adults have to have enhanced CRB checks. – Propriety and behaviour – Children and young people tend to respect and look up to people in position of trust. You must think carefully about your own behaviour and the example you set to children and young people in your care. – Physical contact – Young children need physical contact; in they have fallen over, a cuddle can help them to recover and get back to playing. However, too much physical contact can be easily misunderstood. Make sure you are familiar with what is acceptable. Taking a child to the toilet, changing a nappy or helping a child change out of soiled clothes are all normal everyday tasks; but never do any of these in a room with the door closed or out of sight of other member of staff. Remembering this protects not only the child but yourself as well. – Photographs and video recordings – Photographing or videoing activities in any setting are great ways to let parents see what their children have been doing. Photos and videos are not available to anyone other than parents and carers; always make sure that parents have given permission for photos to be taken. Evaluate ways in which concerns about poor practice can be reported whilst ensuring that whistleblowers and those whose practice or behaviour is being questioned are protected. At some stage whilst working with children you may be faced with the problem of what to do about someone whose practice is unacceptable. You must not ignore poor practice, no matter who it is being carried out by. (It can be very difficult to report someone you work with, or even your manager) How to whistle blow: – think about exactly what is worrying you and why. – approach your supervisor, manager or safeguarding named person. – tell someone about your concerns as soon as you feel you can. – put your concerns in writing, outlining the background and history, giving names, dates and places where you can. – make sure something happens. Whistle blowing does take courage. There is the risk of being bullied or harassed as a result, but anyone who whistle blows has the right to protection from the person they have raised concerns about. If you suffer as a result of a whistle blowing incident the UK Public Interest Disclosure Act 1998 offers legal protection. Explain how practitioners can take steps to protect themselves within their everyday practice in the work setting and on off site visits.   A significant element of a practitioner’s role in protecting themselves would be to read policies and procedures that are put in place to safeguard them and children or young people in their care. In a care setting a professional can protect themselves by: – Avoid being alone in a closed room with a child. – Two members of staff must be present if a child needs to be undressed in the event of an accident. – If a child is collected late by a parent/carer then two staff members must stay until the child is collected. – Always be seen to be working in an open and transparent way where there is either visual access or an open door, especially in one to one situations. – Avoid meetings with children or young people in an isolated or private area of a care setting. It would be unrealistic to recommend that a member of staff should touch children or young people only in emergencies as very few people would agree with that, especially when young children can become so distressed in certain situations and a cuddle or close contact is needed by the child. Physical contact, guides and support are necessary in a range of settings appropriate to the age of the child and the circumstances at that time. Settings should provide a clear guidance about when and how the physical contact should be used in order to protect both staff and children. Effective management of risk should become automatic as you become more experienced. For every activity you plan, you should think about the hazards, the likelihood of the hazard occurring and the control measures. – Risk, the outcome or likely impact of the hazard associated with the activity to be undertaken. – Hazard, something that has the potential to cause harm. – Likelihood, the probability of any harm from the hazard actually happening. – Control measure, any activity or measures put in place to control or minimise identified risks. In the case of educational visits, professionals should always carry out a full risk assessment of that visit, under the Health and Safety at work regulations Act 1999 it requires employers to assess the risks of activities, introduce measures to control these risks and inform employees of these measures. Before a trip can be arranged employers must follow the necessary policies and procedures as follows: – Age, competence, fitness and the standard behaviour of the children and young people. – Any special educational or medical needs of the children. – Adult to children ratio. – The competence and qualifications of the accompanying adults. – Modes of transport and location of visit. – Emergency procedures. – Permission from parents. – Relevant medical or dietary needs of children. Describe the possible signs, symptoms, indicators and behaviours that may cause concern in the context of safeguarding It is important that you are aware of the indications of child abuse. Not every sign means a child is being abused. Sometimes the first signs that you observe are not physical but a change in behaviour. It is important that you record your concerns and monitor any unexplained changes in a child’s behaviour. Sometimes a child may be experiencing more than one type of abuse. Physical abuse Physical abuse is when a child is physically hurt or injured (hitting, kicking, beating with objects, throwing and shaking are all physical abuse, and cause pain, cuts bruising, broken bones and sometimes even death) Signs and symptoms of physical abuse can include: – Unexplained recurrent injuries of burns. – Wearing heavy clothes to cover injuries, even in hot weather. – Refusal to undress. – Bald patches of hair. – Repeated running away from home. – Fear of medical examination. – Aggression towards self and others. – Fear of physical contact, shrinking back if approached or touched. Many signs of physical abuse can be confused with genuine accidental injuries, but they are often not in the places or distributed as you would expect. Sometimes the explanation does not fit the injury, or you may see the outline of a belt buckle or cigarette burn. Suspicion should be aroused if the parents have not sought medical advice soon after the injury occurred. Emotional abuse Emotional abuse occurs when children are not given love, approval or acceptance. They may be constantly criticised, blamed, sworn and shouted at, told that other people are better than they are. Emotional abuse also involves withholding love and affection. It is often linked with neglect Signs and symptoms of emotional abuse can include: – Delayed development. – Sudden speech problems such as stammering. – Low self-esteem. – Fear of any new situations. – Neurotic behaviour. – Extremes of withdrawal or aggression. Neglect Neglect, which can result in failure to thrive, is when parents or others looking after children do not provide them with proper food, warmth, shelter, clothing, care or protection Signs and symptoms of neglect can include: – Constant hunger. – Poor personal hygiene. – Constant tiredness. – Poor state of clothing. – Unusual thinness or lack of normal body weight. – Untreated medical problems. – No social relationships. – Stealing food. – Destructive tendencies. Sexual abuse Sexual abuse is when a child is forced or persuaded into sexual acts or situations by others. Children may be encouraged to look at pornography, be harassed by sexual suggestions or comments, be touched sexually or forced to have sex. Signs and symptoms of sexual abuse can include: – Sexual knowledge of behaviour that is inappropriate to the child’s age. – Medical problems such as chronic itching, pain in the genitals, venereal disease. – Depression, self-mutilation, suicide attempts, running away, overdoses or anorexia. – Personality changes (becoming insecure or clinging). – Regressing to younger behaviour patterns (thumb-sucking, cuddly toys). – Sudden loss of appetite or compulsive eating. – Being isolated or withdrawn. – Inability to concentrate. – Lack of trust or fear of someone they know well, (wanting to be alone with babysitter, child minder). – Starting to wet or soil again, day or night. – Becoming worried about clothing being removed. – Drawing sexually explicit pictures. – Trying to be ‘ultra-good or perfect, overreacting to criticism. Describe the actions to take if a child or young person alleges harm or abuse in line with policies and procedures of own setting. All settings that have contact with children and young people must have clear policies and procedures to follow in all cases of abuse. Staff must have training in these and organisation for dealing with the situation. Disclosure of abuse by a child can occur at any time and it can be a shock to hear details. The way an allegation is received can be very important in the outcome to a child, even many years later. There have been many examples in the past of children not being believed at the time they declared their experience often resulting in serious problems later in life. At my nursery setting if a child was to disclose any information we would get onto the child’s level and ask three questions, we would ask; – What Happened? – Where did it happen? – When did it happen? We would take note of exactly what the child said and take this straight to our safeguarding officer on the premises. Explain the rights that children, young people and their carers have in situations where harm or abuse is suspected or alleged. Children and their parents or carers have important rights even in cases of suspected abuse. Most children feel loyal towards those who care for them even when they have been responsible for the abuse, and have difficulty saying anything against them. In situation where harm or abuse is suspected or alleged, it is important to remember the following guidelines. – Children and young people should receive help so they can express themselves fully, understand what is happening and the decisions that have to be made. – A child or young person has a right not to be subjected to repeated medical examinations or questioning following any allegation of abuse, whether of a physical or sexual nature – Family members normally have the right to know what is being said about them and to contribute to important decisions about their lives and those of their children – Children should be kept fully informed of processes involving them, should be consulted sensitively and decisions about their future should take account of their views.

Friday, August 16, 2019

Movie Response: Zora Neale Hurston Essay

The movie entitled ‘Zora Neale Hurston’ refers to the life of a female African American writer who struggled towards finding her worth in American society during the time that segregation and racism continues to be practiced in U. S. culture. Specifically, this movie presents her biography from how she struggled to belong as a woman and how she sought to achieve her passion of writing and anthropology. In particular, the film showcased her life as a student, an anthropologists and a writer for several different newspapers. It is through this that viewers are presented by a character that continues to grow and develop through the years until her death in 1960. Analyzing the film, it can be seen that it presents readers on how Zora Neale Hurston evolved and adapted to American society. Her period was particularly critical because racism and bias against women continue to be practiced within American society during her time. It was also during this period that the issue of race became an important consideration especially among minority groups. Regardless of these realities, Zora Hurston continued to fight over these common boundaries and seek to fulfill her dream of becoming educated and understanding African American culture further. Similarly, the movie also has shown how Zora Neale Hurston sought to provide her readers about African American culture. As much as possible, her literary compositions stayed away from political issues and the clash between the Whites and Negroes. Rather, she sought to provide a better understanding of the rich culture and practices that African American has. This viewpoint remains crucial for she believed that this can serve as a bridge in making Whites understand the complexity of the African American culture. In the end, the film does not only cultivate the value of Zora Neal Hurston’s contribution to African American literature. Rather, she also provides empowerment among women and sought to create opportunities for change in a different perspective. Here, she provides a purpose of co-existence and influencing patterns of increased interaction. It is through this that she sought to identify herself in history and provide her legacy in the field of literature and anthropology.

Thursday, August 15, 2019

Assignment Unit 5

Unit 1 Assignment E1: The main three different types of settings which are provided with care and education for all children in my area are, firstly the statutory area would be†¦. , because it is funded by the government, so they didn’t want to play for their children to go to a private school. Secondly the voluntary sector in my area are mainly activities like sports/ football teams and playschools and afterschool clubs where you donate money but none of the staff get paid any money because they volunteered to help run and work for it.Finally, there can be very few private schools in my area because people disagree to pay for their child’s education instead of it being funded by the government and so there aren’t many private schools in my area but one near my area †¦.. is the main private school which a lot of people know around by my area. E2: The way in which the types of setting from E1 has aims to support children and their families are; Statutory settings can help families is they can’t afford much so this way the government is funding for them so their children can still go to school with no big price to get the child’s education complete for their stages.On the other hand private settings are the opposite where the families pay for their children to get their education, and they are not funded by the government, the children are paid to go to private schools so they can get a better education. And voluntary settings are helping by getting everyone involved and by raising money for schools or other charities. E3: The main legislations in our country that supports the rights of children are the Human Rights Act and the UN Convention on the Rights Of The Child.The Human Rights Act helps to protect all of us and children and gives us our own right within ourselves so we can have our own opinions and to avoid discrimination. Whereas the UN Convention on the Rights Of The Child supports the rights of children by s tating what each child has the right to do in life, also by getting the whole world involved to show that everyone has a right to, for example, ‘You have the right to give your opinion, and for adults to listen and take it seriously. http://www. unicef. org. /crc/index. 30229. html E4:The recognised principles and values that underpin working with children on the Early Years Foundation Stage the CACHE statement of value and the foundation phase framework are; A Unique Child, Positive relationships, Enabling Environment, and Learning and development. The principles for ‘A Unique Child’ are all about being a competent learner from birth who can be resilient, capable, confident and self-assured. Positive relationships describe that every child can learn to be strong and independent from a base of loving and secure relationships with parents and a key person.Enabling environment describes how the environment can play a key role in supporting and extending childrenâ₠¬â„¢s development and learning. Learning and development describes that children develop and learn in different ways and at different rates, all areas of learning and development and equally important and inter-connected. The values that underpin working with children are most importantly putting the children first by ensuring the child’s welfare and safety to keep them safe from any harm as possible, showing compassion and sensitivity so this way they may respect you and treat you fairly.Respecting the child as an individual, meaning to treat them each the way they would want to be treated and respect each of the children’s different needs upholding the child’s rights and dignity, enabling the child to achieve their full learning potential. Also never use physical punishment, this is because as an early years practitioner the only way to punish the child civilly is to get down to their height and make eye contact and tell them off gently when you a TA as an ear ly years practitioner.Another big one is to respect the parent, or those in a parenting role, as the primary carer and educator of the child this way you can earn their trust. Honour the confidentiality of information relating to the child and their family, unless its disclosure is required by law or is in the best interest of the child. http://www. EYFS. co. uk Uphold CACHE’s equality and diversity statement. And finally respect the customs, values and beliefs of the child and their family and also respect the contribution of staff in the childcare and education field and other professions with whom they may be involved.E5: Diversity means to be unique and to be your own person and this shows the importance of valuing and respects all children in the setting in the setting of the early year’s practitioner. The reason why Early Years practitioners should listen to children’s views and values their opinions because we need to listen to their needs because they kn ow more about their needs and views, this way we can respect their needs more, this is linked to child centred approach. Also it all counts with the main 3 C’s, Communication, Confidence, and Choice. E6:Three professional skills that will support your work with children are being a good listener so that you can join in with the group discussions and also it’s important to become a good listener because when in a working placement you will need to listen to the rules and regulations in a team so that you can follow your orders and follow the correct rules also you need to listen about what each of the child’s needs are so this way you can support the child. For example if a child has a certain allergy or has diabetes, then you need to understand what they need each day.Another professional skill you may need to support your work with children can be to have good communication towards the children and especially your team, this is important because you need to com municate well with your team members and also because you need to communicate well with your team members because you need to communicate well with the children also because for example if a child in your class can’t speak English then you need to communicate easily and slowly and make eye contact to them so that they can easily understand what you are saying and also this could develop their English more.Also communication towards your supervisor and manager is highly important because if you suddenly notice a child is acting strangely or different then you need to have good communication skills to be able to report this to the supervisor or manager. Finally another professional skill you could need that will support your work with children can be confidence. You need the confidence to actually work in a team and co-operating well in a team and to be able to ask questions to learn more about what you have to learn about being a early years practitioner and to learn to report things.If you don’t have confidence then the children will see it in your body language and facial expressions and take advantage of you and make it harder if they see you don’t have the confidence and the team/supervisor/ or manager will do the same. So you need confidence to stay strong when working in the placement, also if you have confidence then the children will respect you and they will see that you can be confident when working and communicating with them to they can still be confident with you. E7:Study skills can support your learning during your training because there are so many study skills which different people prefer to help them to revise or learn. Firstly some or most people do note taking, for example they do short simple sentences to help them to remember they key points in the topic. But when doing this make sure you understand what you have written down. Highlighting is the most common study skill which people use to revise or remember things. T hey do this to show what the main points they need to know from the topic is.Also using different inks or colours of high lighters can make the page stand out more so when you’re coming to revising that topic it will stand out to you and catch your eye so this way you can only notice and pay attention to these main points. Listening to calm or gentle music is not a common one but some people like it because it makes them feel all relaxed, but I think a lot of people prefer revising or studying in a room which suits them and makes them feel relaxed and safe.Like for example, I enjoy being in a quiet room because I don’t like getting distracted. Also they like to be equipped so surrounded by sticky notes with information on and books and the internet to collect data or other information, The main one is to take your time, because if you rush then you’ll make yourself panic which will put you off the subject and make you less concentrated. You need to use your time wisely and not put yourself under pressure. D1:Some reasons why the practitioner should develop and maintain appropriate relationships with parents and other professionals because one reason should include meeting each of the children’s needs because they need to know what each child is aiming for when in school or nurseries, the way to meet their needs could be, for example, the practitioner can meet the child’s needs by involving each child and being inclusive with them and they can support each child with their rights by giving them the right education.Other rights to look for are health and shelter, food and water. You need to have good co-operation towards helping your team and involving the children. Trust issues, parents need to trust the one that is supervising their child; otherwise they won’t think of anything positive of you. Warm, trusting relationships with knowledgeable adults support children’s learning more effectively than any amount of resources.The reasons why good relationships are important when coping with transitions is because firstly children will feel more relaxed towards you. Having good communication otherwise the children will suffer. Having bad communication can mean a lot of repetition, meaning important information is lost or easily forgotten. Children can learn to be strong and independent from a base of loving and secure relationships with parents or a key person.A key person has special responsibilities for working with a small number of children, giving them the reassurance to feel safe and cared for and building relationships with their parents. Also parents and practitioners need to know the needs and care for the child because one day they could be acting differently and become different in their body language or actions for example they could become violent, so to solve this you need to know what goes on at home and how you see their parents act with them, just so you can provide them with mo re care. D2:The characteristics of working in a team with other agencies professional colleagues are, for example to have a good and effective communication using this to show you can listen and follow orders towards helping team because that way it shows good skills and that they can always come to you for help or guidance. Need to have inclusive practice to include everyone. Have effective consistency. To be more efficient and to have belonging also finally is to be your own person. This shows all of the characteristics and benefits of working in a multi-agency team. C:Firstly, the early year’s practitioner should listen to their needs because they know more about their needs and views, this way we can respect their needs more. But always put their needs first before anything. They will also gain a sense of belonging in the setting and realise they are being valued and respected. As a result children may reflect the practitioner’s attitude towards them in the behavio ur towards others. Showing children that they are valued and listening to their views allows them to respect themselves and be more confident, not just in their work but their daily routines too.They will be increasingly open minded and out spoken, therefore making it easier for practitioners to understand a child’s needs and successful providing them. Children should be allowed to have their say and be included in decision making when planning so practitioners can ensure that children have equal opportunities, feeling involved and successful in their learning and play. They should be given activities that suit their interests and strengths. Therefore children would feel a greater sense of achievement when they recognise that their opinions were the source of their success.B: It is important that practitioners understand the limits and boundaries of their role when working with children because you need to understand the policies and procedures, like you may get a policy to h ave acceptable behaviour or the health and safety policy and procedure to give the practitioner and idea of how to act and the know they learn at the placement the easier they can learn about the childcare surroundings and how to act in that surrounding. Also if you some how find it rather difficult to read then you need to tell your tutor or your supervisor.There are four main areas that are important when thinking about the role you need to take as a practitioner and the boundaries: health and safety, managing children's behaviour, child protection and confidentiality. Health and safety is important role and boundary when being a Level 3 early years practitioner because its yours and who evers in charge of a child, it is their responsibility to keep that child safe, so the parents need your trust to take care of that child, for example once all children are in the placement settings you need to make sure that all the doors/gates anywhere they can get out of needs to be shut.Also i f a fire alarm goes off then you need to do a head count or register to make sure that you still have all students in the class all together. Also if you see something in the setting room you are placed in that is not safe or is risky around the child, or when you spot that a child has had an accident then you need to report it to a trained supervisor. Managing children's behaviour means that you need to make sure that you are certain about the settings policy about managing a hild's behaviour problems and where or who you should report it too. You need to be aware of you own actions and take responsibility of you own actions when working with younger children. There can be a big situation when you are playing with a child nicely then getting them too excited which can be encouraging them to become overly distracted when it comes to doing an activity with the class.You don't only need to notice your actions but also how the supervisor or someone who is particularly experienced and s ee how they manage a childs behaviour, you could learn from their method if they have their own method to calm a child down or to settle a child when he/she needs to crack on with an activity. Children could start to feel secure if they have someone managing their behaviour. Child protection is important role and boundary when being a Level 3 early years practitioner because you need to be aware of how to keep children safe and away from abuse.Every single setting will have a child protection policy. Also when you turn up to every setting you will need to be shown and learn how to sign in, also will need to wear a badge to prove who you are to everyone and also will probably find out which situations you will be working in with children. It's very normal that the practitioner should never be alone with a child just to follow the child protection policy, and it is also for your protection too.It is very likely that the practitioners will learn that young children will hug and touch t hem when they need them, but its very unlikely for this to happen with older children, because they are more developed whilst the young children and still developing and growing older, you will learn and see how the other staff react and use a big amount of physical contact with a child. Some practitioners may find that some of the children may tell some information that can concern you, you will need to know at your placement who you need to tell about what you have been told and how to deal with it.Finally, confidentiality is a important role and boundary when doing Level 3 early years practitioner because some information that you are given at a setting will be very confidential that must not be shared with friends or anyone outside of the college. Some examples of information that you need to keep confidential may include the child's family personal life information. If you are not sure whether informtaion in the setting is confidential then you need to ask your supervisor.

Wednesday, August 14, 2019

Professional Development Assignment Essay

The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. List one advantage and one disadvantage for each. The structure of the U.S heath care system is certainly a topic greatly debated. Whether it is discussing the cost of health care, poor outcomes, shortages in health care workers, underutilization of other health care workers, the lack of access to care, or growing demand by consumers for health care that offers choice, quality, convenience, affordability and personalized care. It is not a secret that the United States spends more money than any other nation on health care, but only ranks 34th in the world in life expectancy and has higher mortality rates in infants than any other nation that is developed. Our health workforce was described as dysfunctional in public and private health workforce policy and infrastructure putting the health of Americans at risk. Could it be the lack of integrated education and teamwork from those that are involved in the care of our patients? Health care professionals are educated in differing schools of thought. If there were overlapping curricula and raining requirements integrating their training there would be both advantages and disadvantages involved. Physicians, nurses, and other health care professionals ultimately work together with the common goal of serving an individual patient. Yet few have developed the essential team skills to  help them work productively with their colleagues, analyzing outcomes and processes of care to improve continuously, by using each person’s skills to the fullest. To realize these benefits, we need to infuse the value of teamwork into the medical education culture through specific curriculum changes. An advantage to overlapping and integrating training would not only be to benefit, but students from diverse disciplines, such as physician assistant, nursing, and medical students, could take some classes together. Eventually, this type of broad restructuring would be cost-effective. As a purposefully designed additional benefit, students would learn to know and respect those in other disciplines, fostering teamwork. As students advance, they need to be offered more opportunities to learn and work side-by-side in realistic, interdisciplinary settings. A disadvantage or problem to this topic is the financing of the integrated medical education. Good teaching, whether it is conducted in the classroom, clinic, or hospital, requires time. Innovative approaches to teaching, progressive skills instruction, multitier assessment, and support of the development of professionalism all require teachers who have the time to observe, instruct, coach, and assess their students and who also have time for self-reflection and their own professional development. Although the educational mission is expensive, many medical schools already possess the funds to support teaching properly, if they choose to use the funds for this purpose (Cooke, Irby, Sullivan, Ludmerer, 2006). An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated? Access to healthcare in the United States is affected dramatically by where a physician is located. The current misdistribution of physicians, which exists in rural and inner city areas, is of great concern. Out of the 300,000 primary care physicians nationwide, only 11 percent practice in rural areas, making the total number of practicing physicians per person much lower in rural areas compared to urban areas (General Accounting Office, 2003). There are two main measures of medical underservice in the  U.S., health professional shortage areas and medically underserved areas and some special need populations. Both measures require communities to apply for designation. These designations allow the government to target resources to those determined to be most in need (Colwill and Cultice, 2003). There are two principal conditions leading to physician shortages in rural communities according to Wright and colleagues. They are â€Å"demand-deficient†, meaning they have insufficient populations and resources to support a physician practice, they are â€Å"ambiance-challenged,† meaning they are isolated, lack quality services and amenities, and/or are in geographically unattractive settings, or a combination of the two sets of conditions. Inner-city physician shortages are a more recently recognized issue. They are affected by the same conditions, though the specifics are different (Wright, Andrilla, and Hart 2001). Living in rural Iowa this is an issue and a problem I have seen and experienced far too many times. One example I can think of would be my grandmother was in her seventies and was as spry as she had been in her fifties. She was in charge of anything and everything she could be in charge of. She spent her life working as an administrator in a popular com pany and was very prominent in her small community. She was popular with her peers and kind to everyone her path crossed. When she turned 72 she began having headaches. She went to her local small farm town community doctor. He prescribed her â€Å"prescription-strength† ibuprofen and told her to slow down. She took his advice and slowed down to the best of her ability. The headaches continued and she returned to ole â€Å"doc Jamison† as she would say. When he told her it was stress, she believed him and tried to â€Å"de-clutter and de-stress† her life. When that didn’t work she talked herself out of returning because she was embarrassed. He ran no test, he asked few questions, he was a poor communicator, and he lacked resources or challenging cases to compare patients to. My grandmother died shortly after seeing him of a brain tumor. Another example was my father-in-law suffering a heart attack. He went to the ER in his small community with chest pain. When I arrived he was in the ICU on a nitro and morphine drip. I said, wait why is he still here. He was in pain, on a morphine drip, EKG changes, and receiving nitro. It didn’t make sense to me. The doctor said, â€Å"the cardiologist comes on  Wednesday†. WHAT? Yes. Small town Iowa was going to hold onto my father-in-law until the cardiologist came two days later. These are only a couple of the thousands of examples of poor care, limited recourses, and limited providers in rural communities. The health care delivery system now places increased emphasis on maintaining wellness and on promoting disease avoidance through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training? In 1991 the Pew Charitable Trusts published a report that outlined what was expected to drive future health care. They concluded that a health-oriented approach that stresses disease prevention would characterize future health care systems. They emphasized, â€Å"that health concerns will be addressed at the community level and that medical schools will require that learning in a community environment will be a part of physician training. Physicians will need to be well versed in social and environmental health determinants. Focusing on preventative care and treatment techniques that use technology to the patient’s advantage is the challenge facing the new physician† (Inwald and Winters, 1995). Medical education does not always go hand in hand with health promotion and disease prevention. The United States ranks poorly to other industrialized countries on most important health indicators. Chronic disease in particular is affecting the nation’s health. Chronic illness, such as diabetes, cancer, and heart disease, and their underlying cause such as obesity and tobacco use, affect more than 130 million Americans (Wu and Green, 2000). Health promotion is not a priority in the United States. â€Å"Although practicing preventive medicine is a cost saving mechanism, nationwide we spend most health care dollars treating preventable diseases† (Inwald and Winters, 1995). In order to improve our nation’s health and spend our nation’s resources most effectively we must put greater emphasis on efforts to keep people healthy as opposed to only treating them once they become ill. Prevention  is one of the best ways to help Americans live longer, healthier lives and increase our nation’s productivity. Preventing disease requires more than providing people with information to make healthy choices. While knowledge is critical, communities must reinforce and support health, for example, by making healthy choices easy and affordable. Health care providers should implement policies and systems to support the delivery of high-impact clinical preventive services and enhance linkages between clinical and community prevention efforts. For example, a health care system can adopt a decision support system that prompts clinicians to deliver appropriate clinical preventive services to patients. Medical students are overwhelmed with the amount of information and classes they have to take. There is so much for them to learn with all of the rotations they have to take. It is important to remember that these students have so many disease processes and pharmacology to learn that disease prevention and health promotion is sometimes not in their realm of thinking. This is why it is important for us to be sure they understand the importance of this topic and for physicians to adhere to the guidelines they are given. The successful integration of disease prevention and health promotion principles into medical student education does not depend on new curriculum, curriculum coordination and integration, or the use of new educational technology. Ultimately, the academic health sciences centers and schools of medicine must reconnect with the health needs of people, forming alliances with community groups and programs that focus on prevention. This reconnection demands a shift in core institutional values—from the paradigm of healing to the paradigm of health. References: Colwill, J., Cultice, J, (2003). The Future Supply of Family Physicians: Implications for Rural America. Health Affairs, 22:190-198. Cooke M., Irby D., Sullivan W., Ludmerer K. (2006). American medical education 100 years after the Flexner report. New England Journal of Medicine. 355(13):1339-1344. General Accounting Office (1999). Physician Shortage Areas: Medicare Incentive Payments Not an Effective Approach to Improve Access. Report to Congressional Requesters. Greiner A., Knebel E. (2003). Health Professions Education: A Bridge to Quality Washington, DC: National Academies Press. Inwald, S., Winters, F. (1995). Emphasizing a preventive medicine orientation during primary care/family practice residency training. Journal of American Osteopathic Association. 95:268. Wright, G., Andrilla, C., Hart, L (2001). How Many Physicians Can A Rural Community Support? A Practice Income Potential Model for Washington State. WWAMI Rural Health Research Center, University of Washington School of Medicine. Seattle, WA. Wu S, Green A. (2000). Projection of Chronic Illness Prevalence and Cost Inflation. RAND Corporation.

Tuesday, August 13, 2019

See Order Instructions Please Essay Example | Topics and Well Written Essays - 250 words

See Order Instructions Please - Essay Example After researching on the potential institutions that would help in realizing my career ambitions, I settled on the Sterling College, a Kansas-based Christian college. The ideology and philosophy propagated by this institution is in tandem with my aspirations of upholding Christian values in all aspects of life. For my case, I intend to uphold the Kingdom values by pursuing a career in the field of medicine, with specialization in pediatric cancer cases. Therefore, I plan to study biology, pre-medicine and a minor in music on my way to the realization of these ambitions. With my good GPA grade of 3.8 thus far, I am considering study in any field of biology like marine ecology and zoology as the second option. Apart from concentrating on academics associated with this scholarship, I anticipate an exciting extracurricular life, especially on games and music. This is in line with my previous life where I have been involved in playing volleyball for 4 years, singing for six years in which four was spent on Honor Choir and two as a Sound master. I also consider the contribution to the community as pivotal in the life of a Christian like me. This is evident in my previous involvement, in community service where I participated for two years in Sing station, a community singing group, three years in Loaves and Fishes, a group that delivers food to shut-ins and four years in Church Youth Group. I learned about the availability of this scholarship with great excitement.

THERE NO SPECIFIC TOPIC, BUT SHOULD RELEVANT TO CORPORATE Research Paper - 1

THERE NO SPECIFIC TOPIC, BUT SHOULD RELEVANT TO CORPORATE COMMUNICATION OR COMMUNICATION SCIENCE - Research Paper Example Besides, there has been a shift from the traditional communication channels to the use of internet services leading to an incredible impact. Certainly, information technology has transformed corporate operation in many ways; communication has been the greatest area of corporate evolution. Initially, corporate bodies used written communication as the sole communication tool either internally or external. Over the last two decades, the advent of social media and organizational internet use has posed significant reforms in the marketing, product promotion, and internal communication1. The creation business technology department in many organizations is an example of structural adjustment that has been introduced by adoption of internet connection. In addition, it has led to the creation of an exclusive online business leading to the emergence of e-commerce, a concept that has been integrated into modern businesses. Notably, majority of the companies including Star buck, Caterpillar Inc., Deere and many others have created an automated platform where consumers can make orders and receive deliveries within the shortest time possible2. Communication experts see the advent of the internet in communication as a recipe or business growth since it discourages the long and traditional communication channels. Effective communication involves receiving sending of information and receiving feedback; the internet platform provides an excellent medium that allows a direct link with the business operations. Today, a consumer can make orders or inquiries from the comfort of their rooms and receive feedback almost immediately. However, corporate communication through internet has created business platforms that do not allow personal interaction. It has introduced use of personal computers, cash register systems, server storage, and point-of-sale technological avenues. Following increasing competition in the business operations, some of the businesses have

Monday, August 12, 2019

Evolution Of Knowlendge Management Within A Law Enforcement Agency Assignment

Evolution Of Knowlendge Management Within A Law Enforcement Agency - Assignment Example The police have been able to use the inter agency communication which has enabled the traffic police to share information with the registration and FBI departments to keep law and order upon the roads. The traffic police will share the information with the vehicle registration department to affirm that the vehicles are registered and that they are in good conditions. If the vehicle has some registration issues the FBI will have to investigate the issue. This ensures that the law and order is obeyed by the motorists. The inter agency communication is greatly enhanced in the patrols and it helps to bring order. The federal rules of criminal procedure forbid the disclosure of matters occurring before a grand jury. This is because of the privacy act of the suspect and the investigation. The violation of the rule may be punished as disrespect of court. â€Å"This is because any violation of the rule can endanger an investigation to the extent that civil litigation may become impossible. The privacy act also provides that any agency which maintains a system of records containing information of a personal nature which is retrieved by name, social security number, or some other identifying number, symbol, or identifying particular, must ensure that administration of the file complies with requirements in the privacy act.† (Anonymous, 2012) The information will only be used by the government agencies and it should not be shared to other individuals. â€Å"Normally, the investigatory files are exempted from these requirements by reason of the provision of the act which exempts investigatory material compiled for law enforcement purposes. In addition, departmental regulations can deny disclosure to anyone, including the individual subject of the record, of information compiled in reasonable anticipation of a civil action or proceeding. At times, another government agency may request documents from EBSA. If there