Friday, January 31, 2020

Culture and Care Value Base Essay Example for Free

Culture and Care Value Base Essay In this assignment I am going to examine and explain my own personal values and principles influence my own work in professional practice. I will compare my principles and values with the Northern Ireland Social Care Council codes of practice and the Care Value Base. The NISCC and the Care Value Base have many similar codes of practice which all health and social care practitioners should adhere by and work with. The values I feel that are relevant within my experience of healthcare and within my current placement are confidentiality, dignity and respect, effective communication, anti-discriminatory practice and culture and beliefs. In researching NISCC codes of practice and the Care Value Base, I have found that their values are also similar to my own values within my care practice. The first value I am going to discuss is confidentiality. According to the Care Value Base maintaining confidentiality of information is an important part of caring. Any information clients give is private and confidential. Individuals need to be aware of what they say to other carers and clients and also who have access to client files. Previously undergoing work experience in the stroke ward I found that all patients’ medical information is on a clipboard on the front of their bed, anyone could read this information, I feel the patient’s confidentiality is  being breached. During my work placement at Ceara School, I observed that each pupil has individual care folders within school; these are kept in a secure filling cabinet and only the members of staff who are looking after a particular pupil is allowed access, I feel this is very good practice to uphold confidentiality. Within my placement I feel my values would be similar to the Care Value base, if a service user informed me of private information I would keep it to myself to build trust and confidence unless the individual or others were at harm. The second value that I feel is most important and relevant to my experience and work placement is effective communication. According to NISCC, one of their codes of practice is to communication in an appropriate, open, accurate and straightforward way. Within my work placement you have to have recognition and respect of the pupil’s opinions and ideas so they gain confidence within you and be more comfortable to talk. You also have to talk respectfully and use a lot of humor and creativity to keep them interested. On a regular basis there are group conversations and also one to one conversations, simple language is used that is easily understood and additionally open questions are applied to develop the conversation. With having previous work experience in Craigavon Area Hospital I have learnt the importance of communication. Many doctors used jargonistic terms, which can be very hard for patients to understand, I consider this to be ineffective communication. I feel my values are comparable to those of the Northern Ireland Social Care Council. I think that my value of communication within my work placement will come across positively. While in placement I make the speaker feel heard and understood, I make sure to create an environment where pupils feel safe to express ideas opinions and feelings. I keep suitable eye contact and show interest in what is being said and sure my posture is open and inviting. The Care Value Base deems that it is important to acknowledge an individuals personal beliefs and identity. The NISCC feel that respective diversity and different cultures and values are very significant and can have extensive affects on a persons care. I went to an integrated secondary school with many cultures and religions. I took part in a multi-cultural day in school, I got to see other communities and cultures and what they believed in, this widened my views and changed my opinions of different religions. While in Craigavon Area Hospital completing work experience I learned that meals and meal times were very important in some religions and culture. Some individuals were vegetarian; I had to be very respectable of their culture and identity. They were supplied with a different menu with different foods that they could choose this promotes the right of choice and independence. Before my work placement commenced I hoped that the employees and pupils had the same value as myself in consideration of different cultures and are open to express their beliefs and identity and be proud of who they are. My next value is extremely important in my care practice and that is upheld by NISCC and the Care Value Base is anti-discriminatory practice. Anti-discriminatory practice is action to prevent discrimination against people on the grounds of race, class, gender and disability. Anti-discriminatory practice promotes equality by introducing anti-discriminatory policies in different situations of work. http://uk.ask.com/question/what-is-the-definition-of-anti-discriminatory-practice The Care Value Base describes one of their values by promoting anti-discriminatory practice and to protect the individual from abuse. There are many pieces of legislation that are in place to protect individuals from discrimination including the Disability Act 1995, Human Rights Act,  Equality Act 2010 and the Children (Northern Ireland) Order 1995. In my work placement I will work in an anti-discriminatory way, I will not discriminate or judge the service users on their gender, race, class or disability. I believe everyone is different and we all have rights set in place to prevent us from being discriminated against. While undertaking work experience in Craigavon Area Hospital, disabled individuals were protected from discriminatory practice, there were lifts and ramps so all wheel chairs could access the building. There were wide and automatic doors so wheel chairs could get through them with no difficulty, although I feel this is very good practice there was also bad practice within the hospital. I consider individuals with different religions and languages were discriminated against. There were no interpreters for different languages therefore the patients didn’t know what had happened or what was about to happen. I feel my values hinder those of the Care Value Base and I imagine my values will come across positively within my work placement. I feel my personal culture and experience has influenced me in many different ways in supporting users of services and others in health and social care settings. My parents have taught me from a young age to say please and thank you and to be respectful to others. I have grown up knowing these simple values and therefore it has influenced me to show dignity and respect to all service users. Although I am of a Catholic background and practice the Catholic faith, I went to an integrated primary school and secondary school with many different religions and cultures. I now have an understanding of other cultures within health and socials care settings and I am able to accept other religions and their beliefs. I believe this have had a positive influence on my personal culture and experience. When I was in primary school, I met my best friend, he was homosexual. My parents were quite weary of this as they didn’t like the way he dressed and  acted. They came to the terms of his sexual orientation and accepted him; because I have had the privilege of meeting him it has allowed me to open my eyes to all sexual ordinations. When working and supporting users of health and social care service I wouldn’t mind what sexual ordination the service user was, I would not discriminate against them. I would promote and uphold my values to protect them from harm. From experience I know many people have been discriminated on because of their gender. Some individuals will not be chosen for a particular job because they are male/female. Service users are also judged on their sexual ordinations, recently in the news according to Poots, Northern Irelands Health Minister he said that all gay men are not allowed to give blood. I feel this sexual ordination is being discriminated against, it is very bad practice and defeats the purpose of legislation created to protect individuals from this happening. I will promote and uphold my values to protect individuals from being discriminated against. http://www.bbc.co.uk/news/uk-northern-ireland-15014823 I think a pedophile and a murder would cause a barrier in the care setting I am working in. I have grown up knowing that they are bad from family, friends and the media. This may affect and hinder my work but as I am now aware of this negative point I need to work on this barrier. I can not make an assumption until I work and understand them, until then, I will try not to judge this group. New developments and changes to personal values can have a major impact on working in the Health and Social Care sector. Firstly a new development of mine is starting a new course; I have met new people and got to know them. Working in different practices can impact work in a care setting, partnership can be developed and new skills can be gained. I have started a new placement in Ceara School, I am very excited to see if it is the right area of health and social care I want to do further studying in. I feel this experience can be very education and rewarding. This experience will help me in my future and will give me a good start. I can now see that it is the first time I have looking at my values thoroughly and reflected on them, I  will challenge my values to become a better professional. I feel guest speakers were a new development of mine, they give me an insight into their organisation, and they also give me information on how I could get work experience. New developments and changes to my personal values can benefit the service user. I could reflect more in action rather than later, use communication more effectively and user my initiative in different situations. To conclude I believe that personal values is very significant in influencing my own work in the health and social care sector. I have found that my values are similar to the values of the Care Value Base and the Northern Ireland Social Care Council. I have found that there is legislation to protect individuals from unconfidentiality and anti-discriminatory practice also to promote dignity and respect, effective communication and culture and beliefs. I have also explored my new developments and what changes I could make to my personal values to create more effective and efficient care.

Thursday, January 23, 2020

How does H.G Wells create suspense in The Cone? Essay -- English Liter

How does H.G Wells create suspense in The Cone? There are numerous techniques that an author can use to create interest and suspense when writing a gothic story. Examples of these are short sentences, pathetic fallacy, and emotive language. However Wells then goes on to combine this with a romantic element, and incorporates a crime of passion into the story. So not only does Wells use the gothic genre and its techniques to create tension, but also that of the romantic genre. This story is written in the third person, which works superbly as it gives an overview of the opinions of all the characters and their thoughts. For instance Wells writes, ‘She had an impulse to warn him in an undertone, but she could not frame a word. â€Å"Don’t go!† and â€Å"Beware of him!† struggled in her mind, and the moment passed.’ This technique allows us to connect with more than one of the characters and understand the different points of view, and feelings emerging from them. In a way it prevents the reader from becoming overly bias, because they can see situations from more than one persons perspective. The story starts with a description, using long sentences and scores of adjectives, ‘The night was hot and overcast, the sky red, rimmed with the lingering sunset of midsummer†¦Ã¢â‚¬â„¢ This sets the scene in a serene way that leads the reader into a false sense of security, a beautiful night with two lovers talking in lowered voices. However on reading the story retrospectively the opening paragraph could be viewed differently. The sky could be interpreted as angry, or brooding. It could be ominously setting the scene for things to come, it already informs us that the story is set a night, could this be the first gothic element to... ...e word cone is mentioned over twenty times and is featured in the title. Therefore I think that Wells really wants us to take notice of this and start speculating on how this affects the end of the story, of course, once read we discover that the cone is actually the piece of machinery that kills Raut, and finishes the story. At the very end of the story Horrocks’ conscience comes back to him and he says, ‘Oh god! What have I done?’ This shows that he is not a cold-hearted murderer and it shows the reader that perhaps normally he would have been a nice man, but under the circumstances was pushed to do something he wouldn’t have normally done. In conclusion it appears that Wells uses many gothic styles throughout the story to increase tension. He uses description, long sentences, passion, and betrayal. This creates a very gothic and interesting story.

Wednesday, January 15, 2020

Staphylococcus Aureus

Foodborne Illness Short Answer Questions Staphylococcus †¢What is the infectious agent (pathogen) that causes this infectious disease? The pathogen that causes Staphylococcus is called Staphylococcus aureus. Staphylococcus aureus is also called Staph and is abbreviated to S. aureus or Staph aureus in medical literature. S. aureus is a bacterium that causes various infections. Staph is a commonly found on the skin and also in mucus membranes (mostly the nose and throat) of up to 25% of healthy people and animals. Depending on the type of strain S. ureus, can cause minor skin infections such as pimples, boils, carbuncles, and abscesses or life-threatening diseases such as pneumonia, meningitis, endocarditis and toxic shock syndrome. (Microbiology, 2005) Some strains produce an enterotoxin that causes staphylococcus aureus gastroenteritis, also known as food poisoning. The most harmful species of S. aureus is Methicillin-resistant Staphylococcus aureus (MRSA); this bacterium has de veloped antibiotic resistance. (Microbiology, 2005) Each year, approximately half a million people are admitted to a hospital in the U. S. ue to a staphylococcal infection. †¢How is this infectious agent transmitted through food or water? S. aureus is not necessarily transmitted through food or water but primarily through direct person-to-person contact. It is also possible to transmit through indirect contact (i. e. contaminated environmental surfaces). Staph infections are common hospital-acquired infections due to the possibility of health care providers being carriers of this, usually harmless, bacteria. A carrier of S. aureus can easily contaminate their own hands by contact with their nose in the course of routine activities. Skin to skin contact is the most significant mode of transmitting the pathogen and hand washing can significantly reduce transmission. Staph infections can spread through contact with pus from an infected wound, contact with objects such as towels, sheets, or clothing. (Wiki, 2012) S. aureus can remain living for long periods of time on linen, clothing and dust. †¢What is an example of a real life outbreak of this foodborne illness in the United States? I found this example of a real life outbreak, although it is not in the US, I found it astonishing that the outbreak ended with proper hygiene. In January 2008, a cluster of neonates with bullous impetigo in a hospital of northern Thailand was investigated. Medical records and working timetables of healthcare workers (HCWs) were reviewed. During an environmental study, bacteriological samples from HCWs and equipments were taken. The study resulted in 16 confirmed cases and 14 probable cases. The attack rate was 42%. Most cases had skin blisters (28 cases) followed by pustules (five cases) and exfoliation (three cases). The location of the lesion was the trunk (17 cases), neck (14 cases) or armpits (nine cases). Nineteen cases had symptoms onset after discharge from hospital. Median age at onset was 4 days. The strain isolated from an infected newborn shared the same phage type as the contaminated equipment. Insufficient hand hygiene was an observed risk behavior of HCWs and visitors. Exposure to a nasal carrier of Staphylococcus aureus and ward sharing with a symptomatic case increased the risk of acquiring the infection. The outbreak ended abruptly after implementation of hand hygiene practices and equipment cleaning. (Eurosurveillance, 2008) What are the clinical symptoms, duration of the disease, and treatment if any? The clinical symptoms of a skin staph infection are boils and puss-filled accesses. These areas of the infection are commonly red, swollen and painful. Drainage of the infections is common practice. When S aureus enters the blood stream it can spread to organs and cause serious infections, this is known as bacteremia or sepsis. Patients with underlying lung disease may deve lop staphylococcus pneumonia which causes an abscess formation in the ungs. Infection of the heart valves, also called endocarditis, can lead to heart failure. Staphylococcal food poisoning causes nausea, vomiting, diarrhea and dehydration. (MedicineNet, n. d. ) Minor skin infections may be treated with an antibiotic ointment or oral antibiotics. Serious and life-threatening illness may be treated with intravenous antibiotics depending on the particular staphylococcal strain. Some strains, such as MRSA, are resistant to many antibiotics. †¢What steps can be taken to prevent further outbreaks? Include individual as well as environmental precautions and methods. There is not a vaccine available against Staphylococcus aureus since bacteria are so widespread. But there are common hygiene practices that can reduce the risk of developing staph infections. Thoroughly washing hands is the best defense against germs. If you have a cut or wound, keep it clean and covered with sterile bandages until they heal completely. Avoid sharing personal items such as towels, sheets, razors and clothing. Women that use tampons can reduce their risk by changing tampons frequently. Hospitals can reduce transmission of staphylococcal aureus and MRSA by ensuring proper hygiene is a priority with all healthcare workers. They can also disinfect surfaces that are handled by healthcare workers, patients and visitors daily. A study was done to test the growth rate of staphylococci on stainless steel and brass. The results of this study showed the growth of the bacteria to be lower on the brass covered hardware. This could be a change hospitals can make to help reduce the spread of staphylococcus. Noyce, Michels, & Keevil, 2006, p. 290) Reference: Microbiology. (2005, May 25). What Is Staphylococcus Aureus? Bionewsonline. com Retrieved January 21, 2012, from http://www. bionewsonline. com/i/what_is_staphylococcus_aureus. htm Wikipedia. (2012, January 17). Staphylococcus Aureus. Wikipedia. org Retrieved January 21, 2012, form http://en. wikipedia. org/wiki/Staphylococcus_aureus Eurosurveillance. (January 2008). An outbreak of hospital-acquired Staphylococcus aureus skin infection among newborns, Nan Province, Thailand, January 2008. EuroSurveillance. org. Retrieved January 21, 2012, from http://www. eurosurveillance. org/ViewArticle. aspx? ArticleId=19372 MedicineNet. (n. d. ). Staph Infection. MedicineNet. com. Retrieved on January 21, 2012 from http://www. medicinenet. com/staph_infection/article. htm#symptoms J. O. Noyce, H. Michels, & C. W. Keevil. (2006). Potential use of copper surfaces to reduce survival of epidemic Methicillin-resistant Staphylococcus aureus in the healthcare environment. [Electronic Version]. Journal of Hospital Infection, 63, 289-297

Tuesday, January 7, 2020

Early Modern Philosophy From Aquinas to Kant

The early modern  period was one of the most innovative moments in Western philosophy, during which new theories of mind and matter, of the divine, and of civic society — among others — were proposed. Although its boundaries are not easily settled, the period approximately spanned from the late 1400s to the end of the 18th century. Among its protagonists, figures such as Descartes, Locke, Hume, and Kant published books that would shape our modern understanding of philosophy. Defining the Beginning and End of the Period The roots of early modern philosophy can be traced back as far as the 1200s — to the most mature moment of the scholastic tradition. The philosophies of authors such as Aquinas (1225-1274), Ockham (1288-1348) and Buridan (1300-1358) accorded full trust to human rational faculties: if God gave us the faculty of reasoning then we shall trust that through such faculty we can achieve a full understanding of worldly and divine matters. Arguably, however, the most innovative philosophical impulse came during the 1400s with the rise of humanistic and Renaissance movements. Thanks to the intensification of relations with non-European societies, their preexisting knowledge of Greek philosophy and the generosity of magnates who were supporting their research, humanists rediscovered central texts of the Ancient Greek period — new waves of Platonism, Aristotelianism, Stoicism, Skepticism, and Epicureanism ensued, whose influence would greatly impact key figures of early modernity. Descartes and Modernity Descartes is often regarded as the first philosopher of modernity. Not only was he a first-rate scientist at the forefront of new theories of mathematics and matter, but he also held radically novel views of the relationship between mind and body as well as Gods omnipotence. His philosophy, however, did not develop in isolation. It was instead a reaction to centuries of scholastic philosophy that provided a rebuttal to anti-scholastic ideas of some of his contemporaries. Among them, for instance, we find Michel de Montaigne (1533-1592), a statesman and author, whose Essais established a new genre in modern Europe, which allegedly prompted Descartess fascination with skeptical doubting. Elsewhere in Europe, Post-Cartesian philosophy occupied a central chapter of early modern philosophy. Along with France, Holland and Germany became central places for philosophical production and their most distinguished representatives rose to great fame. Among them, Spinoza (1632-1677) and Leibniz (1646-1716) occupied key roles, both expressing systems that could be read as attempts to fix the main bugs of Cartesianism. British Empiricism The scientific revolution — which Descartes represented in France — also had a major influence on British philosophy. During the 1500s, a new empiricist  tradition developed in Britain. The movement includes several major figures of the early modern period including Francis Bacon (1561-1626) John Locke (1632-1704), Adam Smith (1723-1790) and David Hume (1711-1776). British empiricism is arguably also at the roots of so-called analytic philosophy — a contemporary philosophical tradition centering on analyzing or dissecting philosophical problems rather than addressing them all at once. While a unique and uncontroversial definition of analytic philosophy can hardly be provided, it can be efficaciously characterized by its inclusion of the works of the great British Empiricists of the era. Enlightenment and Kant In the 1700s, European philosophy was pervaded by a novel philosophical movement: the Enlightenment. Known also as The Age of Reason because of the optimism in the capacity of humans to improve their existential conditions by means of science alone, the Enlightenment can be seen as the culmination of certain ideas advanced by Medieval philosophers: God gave reason to humans as one of our most precious instruments and since God is good, reason — which is Gods work — is in its essence good; through reason alone, then, humans can achieve good. What a mouth full! But that enlightenment led to a great awakening in the societies of man — expressed through art, innovation, technological advances and an expansion of philosophy. In fact, at the very ending of early modern philosophy,  Immanuel Kants work (1724-1804) laid the foundations for modern philosophy itself.