Thursday, October 31, 2019

The Logic behind Islamic Intolerance Essay Example | Topics and Well Written Essays - 500 words

The Logic behind Islamic Intolerance - Essay Example According to me, this is an absurd way of living, for any person who believes in religion and its power. If all religions claim to be the truth, then it is basically one belief against another one and hence rules out the name truth in any religion. I think people should believe what they want and have no reason to interfere with what any other person believes in which in most cases could be different. Quoting Osama Bin Laden by nature is an okay point to bring to justify Islamic logic on intolerance. â€Å"Battle animosity and hatred directed from Muslim to the infidel is the foundation of religion. And we consider this a justice and kindness to them† is a quote made by Osama which somehow works for most Islam’s and is supported by millions of Muslims. That their anger and fight on people who do not believe in Allah is a good way to show justice to them, by perhaps killing them is okay. The quote was simply unnecessary for this article. It stirs anger on now Islam's and also portrays the arrogance with which Islam who believe in the quote has. In conclusion, this article definitely claims the lack of hope in the near future for dialogues between leaders of faith for a good cause which is peace. The author, Raymond sees no hope because of the strong beliefs Islam’s have and the lack of seriousness that Westerners view religion. The ability to reach an agreement if people will stop discussing religion and perhaps see to it that peace is restored and everyone can have the freedom to do as they please.

Tuesday, October 29, 2019

Health and Safety in the Health and Social Care Workplace Essay

Health and Safety in the Health and Social Care Workplace - Essay Example Dilemmas encountered in implementation systems and policies 3.4. Effects of non compliance of legislation 4. Health and Safety policies 4.1. Effects of non compliance of legislation 4.2. Effectiveness of policies that promote a positive health and safety culture 4.3. Evaluation of own contribution 5. Conclusion Health and Safety in the Health and Social Care Workplace 1. Introduction Health and safety of the worker should be guaranteed when they are at work. This paper will talk about how health and safety legislation is implemented at work. It will identify requirements and impacts of policies of health and safety. It will discuss monitoring and review of the health and safety in the hospital workplace. 2. Health and Safety legislation implementation at the work place 2.1. Systems, policies and procedures for communication Neal and Wright (1993, p. 106) note that communication in the work place is virtue in ensuring the goals of the organization are met. This is achieved by using wr itten, verbal and graphic methods of communication. Verbal information is crucial for training, is simple and transfers information fast. Written information is usually in the form of memo, email, posters and reports which are clearly written. Written information is placed on notice board to communicate an important message. Graphics such as drawings, photos and videos are effective massagers of information. The use of safety sign posts is championed by the 1996 Health and Safety regulation. This regulation ensures that signs used are uniform in the entire hospital. The bottom line for such signs is for them to have an effect of illumination and us simple acoustic symbols or hand signals. Visible signs identifying designated rooms and restricted areas are placed in the entire hospital. The names of those in charge of first aid, supervisor on duty and fire assembly point are placed on the notice board for all employees to be aware. Whenever new employees are inducted, they are given information on possible dangers that may arise and how to report the cases. In addition, general safety precaution measures are written and given to employee regularly. This is done after the organization does an assessment risk for the work place. 2.2. Responsibilities in relation to the organization structure The management of the hospital is responsible for ensuring that the working environment is safe in line with the legislation such as RIDOR (Reporting of Incidents Disease and Dangerous Occurrences). According to Hughes and Ferrett (2011, p. 58) the health and safety commission, executive, management and employees have designated duties. The commission comes up with the legislation that the health care institution follows. The facility reports death incidents immediately for the authorities to investigate. The management is mandated with the responsibility of ensuring that the law is followed by the employees by facilitated a good working environment. They take liability insur ance for the organization. They ensure that the facilities are safe for employees and customers. They support practical, safe and healthy work activities. Safety of working equipment and physical premise is also warranted. Moreover, a risk assessment, safety policy and communication of the same are communicated by the management to employees and others using the hospital facilities. A written policy statement on safety is provided. This policy statement assigns diverse

Sunday, October 27, 2019

Pressure Ulcer on Sacrum

Pressure Ulcer on Sacrum The purpose of this assignment is to identify a patient, under the care of the district nursing team, with a Grade 1 pressure ulcer, to their sacral area. To begin with, it will give a brief overview of the patient and their clinical history. Throughout the assignment the patient will be referred to as Mrs A, in order to protect the patients identity and maintain confidentiality, in accordance with the guidelines set out by the Nursing and Midwifery Council (NMC 2008). A brief description of a Grade 1 pressure ulcer will be given, along with a description of the steps taken in assessing the wound, using The Waterlow Scale (1985). This assignment will discuss the literature review that was carried out, along with other methods of research used, to gather vital information on wound care , such as the different classifications of wounds and the different risk assessment tools available. This assignment, will include brief overviews, of some the other commonly used pressure ulcer risk as sessment tools, that are put to use by practitioners and how they compare to the Waterlow Scale. This assignment will also seek to highlight the importance of using a combination of clinical judgement, by carefully monitoring the patients physical and psychological conditions, alongside the at risk score calculated from the Waterlow Scale, in order to deliver holistic care to the patient. Mrs A is a 84 year old lady who has been referred to the district nurses by her General Practitioner, as he has concerns regarding her pressure areas . Following a recent fall she lost her confidence and is now house bound. She now spends more time in her chair as she has become nervous when mobilising around the house and in her garden. She has a history of high blood pressure and occasional angina for which she currently takes Nicorandil 30mg b.d. as prescribed by her General Practitioner , Nicorandil has been recognised as an aetiological aspect of non healing ulcers and wounds (Watson, 2002), this has to be taken into consideration during the assessment and throughout the management of her wound. Mrs A has no history of previous falls or problems with her balance. She has always been a confident and independent lady, with no current issues surrounding continence or diet. She has always enjoyed a large network of friends who visit her regularly. It is recommended by National Inst itute for Health and Clinical Excellence (NICE) that patients should receive an Initial assessment (within the first 6 hours of inpatient care) and ongoing risk assessments and so referrals of this nature are seen on the day, if it is received if not within 24 hrs. In order to establish Mrs As current risk of developing a pressure area, an assessment must take place. An initial holistic assessment, looking at all contributing factors such as mobility, continence and nutrition will provide a baseline that will identify her level of risk as well as identifying any existing pressure damage. A pressure ulcer is defined as, a localised injury to the skin and / or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. A number of contributing, or confounding factors, are also associated with pressure ulcers. According to the European Pressure Ulcer Advisory Panel (EPUAP 2009), the significance of these factors, is yet to be elucidated. Mrs A is more vulnerable to pressure damage, as her skin has become more fragile and thinner with age (NICE 2005). There are risk factors associated to the integrity of the patients skin and also to the patients general health. Skin that is already damaged, has a higher incidence of developing a pressure ulcer, than that of healthy skin. Skin that becomes too dry, or is more moist due to possible incontinence, is also at higher risk of developing a pressure ulcer than healthy skin. An elderly persons skin is at increased risk, because it is more fragile and thinner than the skin of a younger person. Boore et al (1987) identified the following principles in caring for the skin to prevent pressure damage, skin should be kept clean and dry and not left to remain wet. The skin should also not be left to dry out to prevent any accidental damage . Due to Mrs A spending more time sitting in her chair, she has become at a higher risk of developing a pressure sore, as she is less mobile. The reason being It becomes difficult for the blood to circulate causing a lack of oxygen and nutrients to the tissue cells. Furthermore, the lymphatic system also begins to suffer and becomes unable, to properly remove waste products. If the pressure continues to increase and is not relieved by equipment or movement. The cells can begin to die, leaving an area of dead tissue resulting in pressure damage. Nelson et al (2009) states, pressure ulcers can cause patients functional limitations, emotional distress, and pain for persons affected. The development of pressure ulcers, in various healthcare settings, is often seen as a reflection of the quality of care which is being provided (Nakrem 2009). Pressure ulcer prevention is very important in everyday clinical practise, as pressure ulcer treatment is expensive and factors such as legal issues have become more important. EPAUP (2009) have recommended strategies, which include frequent repositioning the use of special support surfaces, o r providing nutritional support to be included in the prevention. In order to gather evidence based research, to support my assignment. I undertook a literature review of the Waterlow Scale and Classifications of Grade 1 pressure sores. The databases used were the Culmulative Index to Nursing and Allied Health Literature (CINAHL) and OpenAthens. I used a variety of search terms including pressure sores, Grade 1 classification, Waterlow Scale, and How pressure sore risk assessment tools compare. Throughout the literature review the information was gathered from sources using a date range between the years of 2000 2011, although some references were found from sources of information that are from a much later date. This method of research ensured a plethora of articles and guidelines were collated and analysed. The trust guidelines in wound care were used, to show how we implement theory into practise in the community, using the wound care formulary. There was a vast amount of information available, as pressure area care is such a broad subject. The search criteria had to be narrowed down, in some cases to ensure the information gathered was relevant and not beyond the scope of the assignment. The evidence used throughout this assignment, is based on guidelines and recommendations given by NICE (2001), EPUAP (2001) and articles sourced from The Journal of Community Nursing (JCN). This was the most accurate information and guidance on pressure ulcer classifications and assessment although, some articles may not have been the most recent. The assessment tool used throughout my area of work, is the Waterlow Scale. The Waterlow Scale was developed by Judy Waterlow in 1985, while working as a clinical nurse teacher. It was originally designed for use by her student and is used to measure a patients risk of developing a pressure sore. It can also be used as a guide, for the ordering of effective pressure relieving equipment. All National Health Service (NHS) trusts have their own pressure ulcer prevention policy, or guidelines and practitioners are expected to use the risk assessment tool, specified in their trusts policy. NICE (2003), guidance states, that all trusts should have a pressure ulcer policy, which should include a pressure ulcer risk assessment tool. However, it reminds practitioners that the use of risk assessment tools, should be thought of as an aid to the clinical judgement of the practitioner. The use of the Waterlow tool enables, the nurse to assess each patient according to their individual risk of dev eloping pressure sores (Pancorbo-Hidalgo et al 2006). The scale illustrates a risk assessment scoring system and on the reverse side, provides information and guidance on wound assessment, dressings and preventative aids. There is information regarding pressure relieving equipment surrounding, the three levels of risk highlighted on the scale, and also provides guidance, concerning the nursing care given to patients. Although the Waterlow score is used in the community setting, when calculating the risk assessment score, it is vital that the nurse is aware of the difference in environment the tool was originally developed for. The tool uses a combination of core and external risk factors that contribute to the development of pressure ulcers. These are used to determine the risk level for an individual patient. The fundamental factors include disease, medication, malnourishment, age, dehydration / fluid status, lack of mobility, incontinence, skin condition and weight. The external factors, which refer to external influences which can cause skin distortion, include pressure, shearing forces, friction, and moisture. There is also a special risk section of the tool, which can be used if the patient is on certain medication or recently had surgery. This contributes to a holistic assessment of a patient and enables the practitioner to provide the most effective care and appropriate pressure relieving equipment. The score is calculated, by counting the scores given in each category, which apply to your patients current condition. Once these have been added up, you will have your at risk score. This will then ind icate the steps that need to be taken, in order to provide the appropriate level of care to the patient. Identification of a patients risk of developing a pressure sore is often considered the most important stage in pressure sore prevention (Davis 1994). During the assessment a skin inspection takes place of the most vulnerable areas of risk, typically these are heels, sacrum and parts of the body, where sheer or friction could take place. Elbows, shoulders, back of head and toes are also considered to be more vulnerable areas (NICE 2001). When using the Waterlow tool to assess Mrs As pressure risk, I found she had a score of 9. According to the Waterlow scoring system she is not considered as being at risk as her score is less than 10. As I had identified in my assessment, she had a score of 2, for her skin condition due to Grade 1 pressure ulcer to her sacrum. I felt it necessary, to highlight her as being at risk. A grade 1 pressure ulcer on her sacral area, maybe due to her recent loss of confidence and reduced mobility which has left Mrs A spending more time in her chair. Pressure ulcers are assessed and graded, according to the degree of damage to the tissue. The National Pressure Ulcer Advisory Panel (NPUAP), classifies pressure ulcers based on the depth of the wound. There are four classifications (Category/Stage I through IV) of pressure damage. In addition to these, two other categories have been defined, unstageable pressure ulcers and deep tissue injury (EPUAP, 2009) Grade 1 pressure damage is defined, as a non-blanchable erythema of intact skin. Indicators can be, discolouration of the skin, warmth, oedema, induration or hardness, particularly in people with darker pigmentation (EPUAP, 2003). It is believed by some practitioners, that blanching erythema indicates Grade 1 pressure damage (Hitch 1995) although others suggest that, Grade 1 pressure damage is present, when there is non-blanching erythema (Maklebust and Margolis, 1995; Yarkony et al, 1990). The majority of practitioners, agree that temperature and colour play an important role, in identifying grade 1 pressure ulcers (EPUAP, 1999) and erythema, is a factor in alm ost all classifications (Lyder, 1991). The pressure damage usually occurs, over boney prominences (Barton and Barton 1981). The skin in a Grade 1 pressure ulcer, is not broken, but it requires protection and monitoring. At this stage, it will not be known how deep the pressure damage is, regular monitoring and assessment is essential. The pressure ulcer may fade, but if the damage is deeper than the superficial layers of the skin, this wound could eventually develop into a much deeper pressure ulcer over, the following days or weeks. A Grade 1 pressure ulcer, is classed as a wound and so I have commenced a wound care plan and also a pressure area care plan. I will also ensure, Mrs A has regular pressure area checks in order to prevent the area breaking down. The pressure area checks will take place weekly until the pressure relieving equipment arrives, this will then be reduced to 3 monthly checks. Dressings can be applied to a Grade 1 pressure ulcer. They should be simple and offer some level of protection. Also, to prevent any further skin damage a film dressing is often used, or a hydrocolloid to protect the wound area (EPAUP, 2009) . These dressings will assist in reducing further friction, or shearing, if these factors are involved. It is considered the best way to treat a wound, is to prevent it from ever occurring. Removing the existing external pressure, reducing any moisture, which can occur if the patient is incontinent and employing pressure relief devices, may contribute to wound healing. Along with adequate nutrition, hydration and addressing any underlying medical conditions. The advice given to practitioners, on the reverse of the Waterlow tool is to provide a 100mm foam cushion, if a patients risk score is above 10. As Mrs A has an at risk score of 9, with a Grade 1 pressure sore evident, I feel it appropriate to provide the pressure relieving mattress and cushion to prevent any further pressure damage developing. All individuals, assessed as being vulnerable to pressure ulcers should, as a minimum provision, be placed on a high specification foam mattress with pressure relieving properties (NICE, 2001). As I am providing a cushion and a mattress, it is not felt necessary to apply a dressing at this point. However, the area will need regular monitoring, as at this stage it is unknown how deep the pressure damage is. If proactive care is given in the prevention and treatment of pressure ulcers, with the use of risk assessments and providing pressure relieving resources, the pressure area may resolve. Pressure ulcers can be costly for the NHS, debilitating and painful for the patient. With basic and effective nursing care offered to the patients, this can often be the key to success. Bliss (2000) suggests that the majority of Grade I ulcers heal, or resolve without breaking down if pressure relief is put into place immediately. However, experiences in a clinical settings supports observations, that non-blanching erythema can often result in irreversible damage (James, 1998; Dailey, 1992). McGough (1999) during a literature search, highlighted 40 pressure ulcer risk assessment tools, but not all have be considered suitable, or reliable for all clinical environments. As there are many different patient groups this often results in a wide spectrum of different patient needs. The three most commonly used tools in the United Kingdom (U.K.) are, The Norton scale, The Braden Scale and The Waterlow Scale. The first pressure ulcer risk assessment tool was the Norton scale. It was devised by Doreen Norton in 1962. The tool was used for estimating a patients risk for developing pressure ulcers by giving the patient a rating from 1 to 4 on five different factors. A patients with a score of 14 or more, was identified as being at high risk. Initially, this tool was aimed at elderly patients and there is little evidence from research gathered over the years, to support its use outside of an elderly care setting. Due to increased research over the years, concerning the identification and risk of developing pressure ulcers, a modified version of the Norton scale was created in 1987. The Braden Scale was created in the mid 1980s, in America and based on a conceptual schema of aetiological factors. Tissue tolerance and pressure where identified, as being significant factors in pressure ulcer development. However, the validity of the Braden Scale is not considered to be high in all clinical areas (Capobianco and McDonald, 1996). However, EPAUP (2003) state The Braden Risk Assessment Scale is considered by many, to be the most valid and reliable scoring system for a wide age range of patients. The Waterlow Scale, first devised in 1987, identifies more risk factors than the Braden and the Norton Scale. However, even though it is used widely across the U.K., it has still be criticised for its ability to over predict risk and ultimately result in the misuse of resources (Edwards 1995; McGough, 1999). Although there are various tools, which have been developed to identify a patients individual risk, of developing pressure sores. The majority of scales have been developed, based on ad hoc opinions, of the importance of possible risk factors, according to the Effective Healthcare Bulletins (EHCB, 1995). The predictive validity of these tools, has also been challenged (Franks et al, 2003; Nixon and Mc Gough, 2001) suggesting they may over predict the risk, incurring expensive cost implications, as preventative equipment is put in place, when it may not always be necessary. Or they may under predict risk, so that someone assessed as not being at high risk develops a pressure ulcer. Although The Waterlow scoring system, now includes more objective measurements such as Body Mass Index (BMI) and weight loss after a recent update. It is still unknown, due to no published information, whether the inter-rater reliability of the tool, has been improved by these changes. It has been acknowled ged, that this is a fundamental flaw of these tools and due to this clinical judgement, must always support the decisions made by the results, of the risk assessment. This is clearly recognised by NICE, as they advise their use as an aide-mà ©moire (2001). The aim of Pressure ulcer risk assessment tools, is to measure and quantify pressure ulcer risk. To determine the quality of these measurements the evaluation of validity and reliability would usually take place. The validity and reliability limitations, of pressure ulcer risk tools are widely acknowledged. To overcome these problems, the solution that is recommended is to combine the scores of pressure ulcer risk tools, with clinical judgment (EPAUP 2009). This recommendation, which is often seen in the literature, unfortunately is inconsistent as Papanikolaou et al (2007) states: If pressure ulcer risk assessment tools have such limitations, what contribution can they make to our confidence in clinical judgment, other than prom pting us about the items, which should be considered when making such judgments?. Investigations of the validity and reliability, of pressure ulcer risk tools are important, in evaluating the quality, but they are not sufficient to judge their clinical value. In the research of pressure ulcer tools, there have been few attempts made to compare, the different pressure ulcer risk assessment strategies. Referring to literature until 2003, Pancorbo Hidalgo et al (2006) identified three studies, investigating the Norton scale compared to clinical judgment and the impact on pressure ulcer incidence. From these studies, it was concluded that there was no evidence, that the risk of pressure ulcer incidence was reduced by the use of the risk assessment tools. The Cochrane review (2008), set out to determine, whether the use of pressure ulcer risk assessment , in all health care settings , reduced the incidence of pressure ulcers. As no studies met the criteria, the authors have been unable to answer the review question. At present there is only weak evidence to support the validity, of pressure ulcer risk assessment scale tools and obtained scores contain varying amounts of measurement error. To improve our clinical practise, it is suggested that although tools such as the Waterlow Scale are used to distinguish a patients pressure ulcer risk, other investigations and tests, may need to be carried out to ensure a effective assessment is taking place. Practitioners may consider, various blood tests and more in depth history taking, including previous pressure damage and medications. Patients lifestyle and diet should also be taken into consideration and where appropriate, a nutritional assessment should be done if recent weight loss, or reduced appetite is evident. Nutritional assessment and screening tools are being used more readily and appear to be becoming more relevant in managing patients who are at risk of or have a pressure ulcer. The assessment tools should be reliable and valid, and as discussed previously with other risk assessment tools they should not replace clinical judgement. However, the use of nutritional assessment tools can help to bring the nutritional status of the patient to the attention of the practitioner, they should then consider nutrition when assessing the patients vulnerability to pressure ulcer development. The nutritional status of the patient should be updated and re-assessed at regular intervals following a assessment plan which is individual to the patient and includes an evaluation date. The condition of the individual will then allow the practitioner to decide how frequent the assessments will occur. The EPUAP (2003) recommends that as a minimum, assessment of nutritional status should include regu lar weighing of patients, skin assessment, documentation of food and fluid intake. As Mrs A currently has a balanced diet, it is not felt necessary to undertake, a nutritional assessment at this point. Her weight can be updated on each review visit, to assess any weight loss during each visit. If there is any deterioration in her condition, an assessment can be done when required. Continence should also be taken into consideration and where necessary a continence assessment should take place. Incontinence and pressure ulcers are common and often occur together. Patients who are incontinent are generally more likely to have difficulties with their mobility and elderly, both of which have a strong association with the development of pressure ulcers (Lyder, 2003).   The education of staff, surrounding pressure ulcer management and prevention, is also very important. NICE (2001) suggest, that all health care professionals, should receive relevant training and education, in pressure ulcer risk assessment and prevention. The information, skills and knowledge, gained from these training sessions, should then be cascaded down, to other members of the team. The training and education sessions, which are provided by the trust, are expected to cover a number of topics. These should include, risk factors for pressure ulcer development, skin assessment, and the selection of pressure equipment. Staff are also updated on policies, guidelines and the latest patient educational information (NICE 2001). Education of the patient, carers and family, is essential in order to achieve optimum pressure area care. Mrs A is encouraged to mobilise regularly, in order to relieve the pressure as a Grade 1 pressure sore has been identified, she is at a significant risk of developing a more severe ulcer. Interventions to prevent deterioration, are crucial at this point. It is thought, that this could prevent the pressure sore from developing into a Grade 2 or worse. NICE (2001) have suggested, that individuals vulnerable to or at elevated risk of developing pressure ulcers, who are able and willing, should be informed and educated about the risk assessment and resulting prevention strategies. NICE have devised a booklet for patients and relatives, called Pressure Ulcers Prevention and Treatment (NICE Clinical Guidance 29), which gives information and guidance on the treatment of pressure ulcers. It encourages patients to check their skin and change their position regularly. As a part of good practise, this booklet is given to Mrs A at the time of assessment, in order for her to develop some understanding of her pressure sore. This booklet is also given to the care givers or relatives so they can also gain understanding, regarding the care and prevention, of her pressure ulcer. An essential part of nursing documentation, is care planning. It demonstrates the care, that the individual patient requires and can be used to include patients and carers or relatives in the patients care. Involvement of the patient and their relative, or carer is advisable, as this could be invaluable, to the nurse planning the patients care. The National Health Service Modernisation Agency (NHSMA 2005) states clearly that person centred care is vital and that care planning involves negotiation, discussion and shared decision making, between the nurse and the patient. There were a number of improvements that I feel could have been made to the holistic care of Mrs A. I feel that one of the fundamental factors that needed to be considered, were the social needs of the patient. As I feel they are a large contributing factor, towards why the patient may have developed her pressure sore. The patient was previously known to be a very sociable lady, who gradually lost her confidence, resulting in her not leaving the house. There are various schemes and services available, which are provided by the local council or volunteer services, to enable the elderly or people unable to get around. For example, an option which could of been suggested to Mrs A are services such as Ring and Ride, or Werneth Communicare. Using these services or being involved in these types of schemes, may have empowered Mrs A to leave the house on a more regular basis. This would enable her to build up the confidence, she lost following her fall. This would have also led to positive i mpact on the patients psychological care, as Mrs A would have been able to overcome her fears of leaving the house, enabling her to see friends and gain communications lost. As previously mentioned in this assignment, although Mrs A had a score of 9, which is not considered an at risk score. I still felt it necessary to act on this score, even though the wound was a not considered to be critical. If it is felt the patient is at a higher risk than that shown on the assessment tool, the practitioner should use their clinical judgement, to make crucial care decisions. It should also be considered, by the practitioner that risk assessment tools such as The Waterlow scale, may not have been developed, for their area of practise. Throughout the duration of Mrs As wound healing process, a holistic assessment of her pressure areas and general health assessment were carried and all relevant factors, were taken into consideration. The assessment tool used to assess her pressure areas, is the most common tool used currently in practise and the tool recommended by the Trust. To conclude, there is evidence prove that pressure ulcer risk assessment tools are useful, when used as a guide for the procurement of equipment. However, they cannot be relied upon solely to provide holistic care to a patient. It has been highlighted, that to ensure a holistic assessment of patients, it is necessary to complete a variety of assessments, to create a complete picture. Although The Waterlow scale covers a number of factors that need to be considered, throughout the assessment, it has become evident that the at risk score, can often be over or under scored depending on the practitioner. Clinical judgement has proved to be, a very important aspect of pressure ulcer prevention and treatment. The education of the patient, carer and relatives has also been highlighted, as an important aspect of care. Empowering the patient with information regarding their illness, may decrease the healing time and help prevent has further issues.

Friday, October 25, 2019

Jason :: essays research papers

There is a place I like to go to get away from everyone and everything. My room a place that is mine alone and if my door is closed, then those outside have to knock to be granted access. My room makes me feel comfortable because it contains all my things and with these things around me, I feel safe. Three dressers line the wall opposite my bed. Two have shelf units above them, with a full mirror hung on the wall of the middle one. Next to the left most one, there is a desk, usually cluttered, and a bookshelf on top that houses many well-read books. There is a pink plastic dollhouse to the right of the doorway, next to my closet; once an everyday plaything, it now sits alone gathering dust in the corner. My closet is full of clothing, but also contains many pairs and sizes of shoes, old dolls shelved high above the floor, and a few games (most are either downstairs or in my window seat).   Ã‚  Ã‚  Ã‚  Ã‚  My bed is against the wall to the bathroom. The bathroom that my sister and I share is between my bed and the closet. My bed is very comfortable and cushiony. It helps put me to sleep at night because of the security I feel with it. A real â€Å"security† object, I suppose, would be the stuffed animal I received when I was born, a stuffed monkey called ‘Curious George’. When I was little, I used to think that if I did not lay my feet flat on top of the bed, wolves would come and bite them off because they could see them, so I usually had â€Å"George† protect me. Other stuffed animals in my room give me comfort still, even though I do not play with them as I once did, they provide many happy childhood memories.   Ã‚  Ã‚  Ã‚  Ã‚  A caricature of me, that was drawn when I lived in California, is another thing I like to laugh at because it does not really look like the person I am today. Next to that is a picture I drew of my two old dogs, who passed away when we lived in Switzerland. It shows them sitting on clouds with halos, looking down on us, smiling, as they always did. That picture is a real source of comfort to me because sometimes it feels as if they are watching over me.

Thursday, October 24, 2019

Assignment memo

For your convenience, each question is given followed by the appropriate answer and an explanation of the correct response. Work your way systematically through these, comparing It with your own answer. Even If you chose the correct alternative, you may find that the explanations we give are useful. Try to understand the explanations. Many of the Items measure Insight, not Just factual knowledge. You will not pass this course if you try and memories the questions and answers! Question 1 The goal of quantitative research in psychology is best described as aiming to – 1 . Polo appropriate statistical tests which can be used to determine the relationships among psychological variables that occur at a level greater than chance 2. Develop theories that helps us to explain human experience and behavior 3. Formulate clear hypotheses based on insights about human experience and behavior 4. Convert theoretical constructs into measurable variables through personalization Answer: Option 2 gives the correct answer. The goal of research Is to develop theories which can explain aspects of human behavior and experience.Options 3 and 4 refer to stages In the process of doing initiative research but these are not the goals of the research. The goal of the research Is also not to develop statistical tests, as Implied In option 1 . These tests are developed by statisticians and are used by researchers in social and other scientific research, but developing the tests is not part of the goal of the research. PECCARY/201 5 Question 2 A psychologist believes that personality factors such as ability to get along with other people in a team are likely to have on influence their success in a team sport.To investigate this, she draws a sample of participants in competitive sport, comprising f soccer players, hockey players and cricketers from various sports clubs. After evaluating their performance on an appropriate psychometric test, she delves players from the three categories o f sports Into two groups: those who have good social skills and those who tend avoid social contact. She then uses evaluation forms, based on interviews with different sports experts, to assess the actual sports performance of the members of the sample.The dependent variable in the study is – – – – – and the independent variable is – – – – 1. Measured sports performance; social skills 2. Type of sports; social skills . Social skills; measured sports performance 4. Social skills; type of sports Answer: Option 1 is correct. The researcher wants to determine whether sports performance (a measurement of how well a specific sports participant performs) depends on social skills. This Implies that the construct ‘social skills' Is the Independent variable which Is varied to see how it affects the dependent variable, the measurement of sports performance. The population from which the sample was drawn (the types of sports p articipants that were involved), but in the context of this scenario this variable is not being investigated here. It would be possible to compare the three groups but this would not answer the research question. Question 3 Consider the following statement: â€Å"That phase of sleep during which brain rhythms resemble those of an alert person is called paradoxical sleep or rapid eye movement (ERM) sleep. † This statement is a – – – 1. Conclusion based on empirical research 2. Operational definition 3. Search hypothesis 4. Inference based on observation Answer: Option 2 is correct. The statement gives a definition of ERM sleep in terms of the measurement of brain waves (which can be done with an EGG machine). Since it is simply a statement about what the expression ‘paradoxical sleep or rapid eye movement (ERM) sleep' means, it is not a conclusion, hypothesis or inference, as suggested by the other options. 6 Questions 4 to 6 are based on the followi ng research scenario. A psychologist wants to study how aspects of motivation can influence people's productivity in their work.She reads an article which claims that an important aspect of motivation is locus of control, which distinguishes people who are driven by their own personal ambition from those who act by conforming to a social group. To test this idea, draws a sample of 100 workers from a number of companies in the information technology sector. She divides the workers into two groups, those with an internal locus of control and those with an external locus of control, based on an appropriate psychometric test. She then uses Job evaluation forms to assess the actual work performance of the workers in the two groups.Question 4 Which of the following gives the best expression of the hypothesis that the researcher wishes to test? 1 . Motivation affects the productivity of workers. 2. Internal locus of control is related to high productivity. . The Job performance of workers is influenced by locus of control. 4. Motivation of workers is influenced by locus of control. Answer: Option 3 is correct. Option 3 is the clearest expression of an appropriate research hypothesis. Option 1 is too vague: ‘motivation' is probably too complex to be captured in a single construct.Option 2 is too specific: it is not clear from the information given in the scenario whether internal or external locus of control can be expected to lead to higher productivity. ‘Locus of control' is regarded as an aspect of motivation (according to the scenario), not as a separate construct (or variable) that can be compared to it, so option 4 is also wrong. Question 5 Given that research is an investigation of a relationship between (two or more) constructs, which of the following constructs have to be compared to do this (b) motivation (c) locus of control (d) Job evaluation forms (e) people who work in the information technology sector 1. A) and (c) 2. (a), (b) and (e) 3. (a) , (c) and (e) 4. (c) and (d) Answer: The correct alternative is option 1 . ‘Locus of control' is the specific aspect of ‘motivation' that is being studied, which excludes option 2. In this particular context, ‘people who work in the information technology sector' is part of the definition of the population that the researcher chooses to study, not a construct that is being compared to another, so option 3 is incorrect. Option 4 is incorrect because ‘Job evaluation forms' are the instruments used to measure the construct ‘Job performance', and not a construct as such. Question 6 The dependent variable in the study is – – – – – and the independent variable is – 1 . Job performance; locus of control 2. Locus of control; motivation 3. Job performance; productivity . Locus of control; Job performance The dependent variable is the one that is predicted or explained, and the independent variable is manipulated to see h ow it affects the dependent variable. In this study the researcher tries to predict Job performance with the aid of locus of control. In other words, the researcher is trying to see if Job performance depends, to a significant degree, on locus of control.Option 2 is wrong because locus of control is the aspect of motivation that is being studied. In a similar way, Job performance is equivalent to productivity, which excludes option 3. Question 7 In scientific research, the word theory refers to a(n) – – – – – 1. Reasonable guess or creative insight which seems to explain a phenomenon 2. Method to make the constructs which are involved in a phenomenon visible through a process of personalization 3. Investigation or procedure which is performed to determine the relationships among variables 4. Explanation of why the observations that were made are as they are, or are related in the way that they are related Answer: Option 4 is correct. As explained o n page 4 in the Guide for PECCARY, a theory is a framework for facts: it s the explanation of why the facts (I. E. Observations, measurements) are as they are, or are related in the way in which they are related, based on empirical investigations. Option 1 is a description off hypothesis, but this is often how the word theory is option 3 is a description of a process such as an experiment by which a theory can be evaluated but not to a theory as such.Question 8 Consider the following statement: â€Å"The experience of strong emotion is accompanied by physiological reactions such as an increase in heart rate†. This statement can be viewed as a research hypothesis because it – a) makes a prediction that can be tested by observation (b) describes a possible relationship between variables 1. (a) but not (b) 2. Both (a) and (b) 3. (b) but not (a) 4. Neither (a) nor (b) 8 A psychological hypothesis formulates a testable empirical claim, that is, a prediction which can in pri nciple be observed, and this usually involves postulating a relationship between two or more variables.Question 9 A psychologist uses a psychometric test to study the intelligence of school children. Intelligence is the – – – – – variable and the psychometric test represents the – variable in this study. 1. Independent; dependent manifest; operational 3. Dependent; independent 4. Latent; manifest A hidden or underlying (latent) aspect of a construct has to be made visible (manifest) to be observed. ‘Intelligence' is a latent variable because it cannot be observed directly. The results of the psychometric test can however be observed directly and can therefore be regarded as the manifest variable.Note that the test result is the measurement by which intelligence is made visible, so these are manifestations of the same construct (or variable), only in one form it is observable (manifest) and the other form it is hidden (latent). Dependen t' and ‘independent' refer to relationships between two different variables, so options 1 and 3 are both incorrect. The psychometric test is the operation by which the variable ‘intelligence' is measured (or ‘personalities'), but you would not refer to the test or test result as an ‘operational variable', so option 2 is also not correct.Question 10 An industrial psychologist wants to investigate the levels of assertiveness among different categories of workers in a large company. He draws a sample of 200 workers and then divides them into managers, clerical workers, technical workers and manual errors with the intention of getting each participant to do a test to determine their level of assertiveness. The division of workers into these four groups represents a measurement on a – level. 1. Nominal 3. Interval 4. Asia When numbers are used to allocate people or objects to categories or groups with no implication of ‘intensity or ‘ordering re lated to the size of the number, it is referred to as a nominal level or nominal scale of measurement. Note that while one may presume that ‘managers' have a higher rank than the rest and perhaps ‘manual workers' can be said to have a low rank, there is no obvious way to decide whether lyrical workers have a lesser ‘rank than technical workers or the other way round, as it would depend on the specific types of work that they do.A senior clerk can outrank a Junior technician, and vice versa. (Nominal and other scales are explained in Appendix B of the Guide). PECCARY/201 9 Question 11 If a pupil will be chosen to go on a field trip from a class of 13 girls and 17 boys, what is the probability that Joanne (one of the 13 girls) will be chosen, given that a girl will be selected? 1. 1/13 2. 14/30 3. 1/30 4. 1/17 You have to use the basic formula for probability: We know that there are 13 possible outcomes (any one of the 13 girls can be selected) and we also know that there is only one favorable' event Anyone being selected).

Wednesday, October 23, 2019

Customer Outreach Representative

As assigned as a bilingual representative, handle Spanish line calls and related activities. Essential Functions Actively participate in the retention and attainment of servicing account vole me through the consistent delivery' of excellent internal and external customer service. 2. Communicate with student loan borrowers/ endorsers using the Borrower Services call model, department policies and procedures, and online tools. Identify the reason(s) t he borrower is having or may have difficulty maintaining their student loan account in good standing g.Present solutions hat are suited to the borrower's situation, with an emphasis on long term sol suctions. 3. Effectively counsel borrowers/ endorsers. Share critical information regarding their rights and responsibilities, the benefits of maintaining their account in good standing, an d the consequences of default. 4. Verify and obtain new demographic information during contacts with borrow errs and others. 5. Secure the information and documentation necessary to qualify borrowers of r payment plans, deferments, and forbearance's. 6. Keep up to date with department policies and procedures. 7.Assist in the investigation of difficult and problem accounts. Follow and/ or take the appropriate action to resolve the concern. 8. Initiate feedback to Borrower Services Supervisor(s) with ideas to improve pro ceases. 9. Document communication and borrower commitments. 10. Contribute to a positive work environment. 11. Perform additional tasks related to the resolution and maintenance of deadline .NET student loan accounts. Borrower Borrower Seer vicesCustomer Outreach Representative. Doc (09/06/2013) Physical Demands of Position High frequency talking, hearing, near vision, keyboard entry and sitting.Environmental/Working Conditions of Position Inside office or work from home environment Equipment Used Various computer, printing, and telecommunications equipment such as telex hone, headset, computer, copiers, and printers al ong with other workstation tools.