Friday, November 29, 2019

Compare the Different Attitudes to War Shown in the Poetry of Tennyson and Owen Essay Example

Compare the Different Attitudes to War Shown in the Poetry of Tennyson and Owen Paper I have studied two poems The Charge of The Light Brigade, by Alfred Lord Tennyson, a poet laureate, and Dulce et Decorum est, which was written by Wilfred Owen, who served as a soldier in world war one. There is a very large difference between the attitude to war in the different poems, The Charge of The Light Brigade was secondary evidence because Tennyson read his information for the poem in an article and was inspired, while Owen, on the other hand, is speaking in first hand evidence as he was a soldier in the famous trench wars, on the front line. Tennyson was inspired by the bravery of the soldiers of the Light Brigade and was intrigued by the article and decided to write a poem to commemorate the sheer glory of the courage. The poem emphorcises the bravery and glory of the men that charged at the Russians during their war. Honour was an important factor in this war, as the time of the war everybody who joined the army only did so, for the glory of the British, to fight for their country was a great achievement for every soldier, although there is a good feel to the poem, it is gloomified by the horrors of battle. We will write a custom essay sample on Compare the Different Attitudes to War Shown in the Poetry of Tennyson and Owen specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Compare the Different Attitudes to War Shown in the Poetry of Tennyson and Owen specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Compare the Different Attitudes to War Shown in the Poetry of Tennyson and Owen specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Owens poem is completely different it is about horror and fear of the men who suffered in the trenches of world war one, it starts off with the suffering of ill soldiers Bent double, like old beggars under sacks, Owen is talking about the poor health state of the soldiers, the men in the poem where going to rest for a night, till on the haunting flares we turned our backs, which symbolises that they hated their horrific experiences and do not want to return. Alfred Lord Tennyson grew up in a very proud time, where he became a Lord, this contributed to his very, proud to be British style, poem that describes and explains a battle that he didnt fight in. Whereas Wilfred Owen was a commoner until he joined the army where he had live experience of the rotten trenches. The almost snobbery of Tennyson compared to the common touch of Owen was remarkable as their attitudes to a horrific war which many people lost their lives. The commoner Owen wrote his poem as a warning to the unsuspecting future soldiers of world war one and the terrible conditions of the trenches. Tennyson writes about the glory of the noble soldiers, who were all very high classed gentlemen. In Ducle et Decorum est it briefly explains the trench life for the men of the first world war, it also explains the struggle of gas masks as a soldier struggles to fit his mask on, then dies, But someone still was yelling out and stumbling and floundering like a man in fire or lime, it explains that this man was dying as onlookers fell helpless. This was as hard an experience for these onlookers as it was for this helpless man, In all of my dreams, before my helpless sight, he plunges at me, choking and drowning. In Charge of the Light Brigade is the light brigade, who are English and are charging at the Russian artillery in classic cavalry style, the poem describes the bravery of the soldiers When can their glory fade? , O the wild charge they made! Tennyson was a poet Laureate and was writing poems because he enjoyed it, whereas Owen wrote his poem to warn unsuspecting soldiers of the danger. Tennysons main aim of his poem was to glorify the victory of the soldiers and he wants to make the war sound glamerous and used this to great affectiveness, Honour the charge they made! , this signals that he wants other people to respect the brave attempts of the soldiers. While Owen wants to tell people of his horrific experiences as a world war one soldier in the trenches , Owens intentions were to explain the diabolical conditions in these trenches Many had lost their boots, but limped on, blood shod. I think that it is obvious that he is making the point that the trenches were wet and sodden, and also how unfortunate the soldiers were. The poems are very different in the way they are formed as Dulce et Decorum est begins at a slow pace, whereas the charge of the light brigade starts at a face pace, Tennyson continues the slow pace until he builds up to a faster climax. Owen continues the fast pace throughout the poem Cannon to the right of them, cannon to the left of them, cannon behind them. This is the fast paced Charge of the Light Brigade. Tennyson uses repetition for emphasis Theirs not to make reply, theirs not to reason why, theirs not to do and die. This does emphasise to the reader the bravery of the men as they didnt question what was asked of them. However Owen uses similes to describe the mens suffering Like old beggars this portrays the exhaustion of the soldiers as they make their way through the trenches. The title of Wilfred Owens poem Dulce et Decorum est is in contrast with the poem, as the old Latin phrase means it is sweet and fitting to die for there country, whereas the poem actually means, people should not die in such a terrible way. Tennyson again uses repetition Cannon to the left of them, cannon to the right of them, cannon in front of them, it emphasises the intensity of the sound. He also uses metaphors to exagerate the horror that the men were facing Valley of death, this is the place where the battle was occuring. Tennyson emphisises the orders given to the soldiers Charge for the gas the men followed all the orders that were said beacause they were extremely brave. Owen uses very descriptive words all the way through his poem from start to finsih Of tired outstripped five-nines that dropped behind, this is very descriptive as it shows how tired the men were and the many bombs that were being dropped. The two poems are so different because Owen faught in the war and is talking in first hand evidence but whereas Tennyson used secondary evidence to write his poem. Tennysons poem The Charge of the Light Brigade starts slow with a march Half a league, half a league onward this means they are marching and prodding along slowly. This is a very slow opening, then Tennyson begins explaining the battle ground and calling it The Valley of Death. The line that reads Rode the six hundred it is repeated through the poem to show that the soldiers stuck together throughout the battle, and followed there orders. Owen however gives the reader the image of a very horrific time for the soldiers and starts off showing ,in first hand evidence, the appauling conditions that the men had to suffer, Tennyson starts off slow then builds uo to a climax which is very thunderous Charge for the Guns, he said; into the valley of death this is the build up to the climax of the poem, this poem becomes extremely fast paced and furocious Cannon to the left of them, cannon to the right of them, cannon in front of them. This is the fastest part of the poem and is repeated at a further point in the poem, when they are retreating after there battle, Cannon to the left of them, cannon to the right of them, cannon behind them this states that the men are coming away from the battle, while leaving it still at a maximum, but having completed their mission which was to charge for the guns. The use of writing tecniques throughout the two poems are very different, the Charge of the Light Brigade has more metaphors throughout the poem, there is a metaphor which describes the valley and how fierce it was there, Into the jaws of Death, Into the mouth of Hell this sentence is also used in repitition again later in the poem, the sentence describes the valley as hell. Wilfred Owens poem though uses more similes. The first sentence of the poem is a simile, Bent double, like old beggars under sacks and then theres Knock-kneed, coughing like hags, these two similes make this poem start off at tremendous pace. Then a similie which describes the man that was dying from mustard gas, And floundring like a man in fire or lime, this describes how much pain and agony the man was going through. Then the last simile in the poem is in the last verse which again describes the man who had died, His hanging face, like a devils sick of sin this shows how the dead man looked, Owen compares him to the devil. The two poems both have a different message for the reader, Tennysons the Charge of the Light Brigade wants people to honour the brave men, Honour the charge they made! Honour the Light Brigade, Noble six hundred! . Wilfred Owen on the other hand leaves a direct message for the oncoming and unsuspecting soldiers, The most important part is the message to the reader in the last verse If in some smothering dreams you too could pace Wilfred Owen tells the readers that he has nightmares about that man, My friend, you would not tell with such high zest Owen also tells the reader that its hard telling kids these storys, these two quotes tell the reader directly how horrific the sights were and that it has stayed in his memory.

Monday, November 25, 2019

Tobacco Essays - Smoking, Passive Smoking, Sidestream Smoke

Tobacco Essays - Smoking, Passive Smoking, Sidestream Smoke Tobacco ENVIRONMENTAL TOBACCO SMOKE Tobacco smoking has long been recognized as a major cause of death and disease, responsible for an estimated 434,000 deaths per year in the United States. After the Environmental Protection Agency and the Surgeon General stated that cigarettes cause lung cancer there was a tremendous movement to make cigarettes illegal. Now the debate is on environmental tobacco smoke also known as secondhand smoke, passive smoking, and sidestream smoke. The worry is that when non-smokers are exposed to secondhand smoke they face the same health hazards as smokers. Tobacco smoke contains more than forty known carcinogens. Sidestream smoke carries these carcinogens into the air (Sussman 12). According to scientific studies tobacco smoke contains four thousand chemicals, and at least sixty are known to cause cancer. Carbon monoxide is the main gas in cigarette smoke. This gas competes with oxygen for binding sites on red blood cells, and results in depleting the body of oxygen (Q&A). Researchers studied 1,906 women of which 653 developed lung cancer. Women married to smokers were thirty percent more likely to develop lung cancer than those married to non-smokers (LeMaistre 1). According to the Environmental Protection Agency a thirty percent risk is only a small relative risk. The Environmental Protection Agency released its report stating that environmental tobacco smoke is a human lung carcinogen, responsible for approximately three thousand lung cancer deaths annually in American non-smokers. Environmental tobacco smoke has been classified as a Group A carcinogen, the highest ranking under the EPA's carcinogen assessment guidelines.

Thursday, November 21, 2019

Project Management in Healthcare Essay Example | Topics and Well Written Essays - 750 words

Project Management in Healthcare - Essay Example How can you use Microsoft Excel to assist in project risk management? What other software can help project teams make better risk management decisions?   Microsoft Excel is the perfect software solution for analyzing project risks and financial threats. It offers manifold functionalities to businesses and organizations to devise real-time risk management decisions. It objectively and mathematically computes all financial data and statistics for future analysis. Moreover reliable and detailed matrices, plans and models can be chalked out for sharing and observation. With Microsoft Excel future cash flows can be obtained in present and projected figures can be calculated. Other tools like Aon’s eSolutions can be used to manage project risk management.  Summarize different tools and techniques project managers can use to help them manage project teams. What can they do to manage virtual teams?   Following techniques can be utilized by project managers for managing project t eams.Observation and conversation: Observation and conversation are the best tools to maintain work related relationship and gauge the behavior of project team members. It helps to expedite the progress towards fulfilling team objectives and also resolve interpersonal issues.  Project Performance Appraisals: The critical nature of the project, quality of performance and organizational policy define the level of project performance appraisals. Project team members are continuously managed, evaluated and supervised by their team leads.

Wednesday, November 20, 2019

Writing to Share Experiences Essay Example | Topics and Well Written Essays - 500 words

Writing to Share Experiences - Essay Example This was not exactly a bad thing, as I could grow up without the expectations that some of my older siblings had placed upon their shoulders. Anyone who did not know my family may suspect that I was spoiled when I was a child, but I do not see it this way. In my view, I was lucky enough to be given special attention that perhaps my siblings did not receive. As I grew to be an adult, I was allowed to develop into someone who was able to choose a path in life for himself. The journey that I have taken may not have always been smooth, but I have become a better person because of it. After I got married, I was fortunate enough to be the proud father of two gorgeous daughters. They meant the world to me. I would perhaps spoil them in the fashion that I was when I was a young child. After some time, I grew apart from my wife and we decided to get divorced. Looking back on it now, I can see it was the best thing for me at the time. I may not have realized it then, but I needed to move on wi th my life. I could no longer just go through the motions and pretend to have found fulfillment in life when it was simply not true. It was only in doing this that I was able to be free to explore the possibilities that life had in store for me. The greatest and most challenging experience of my life occurred when I had the privilege of being sent to the United States of America to study.

Monday, November 18, 2019

Organisational Behaviour AEGON Assignment Example | Topics and Well Written Essays - 1500 words

Organisational Behaviour AEGON - Assignment Example This was carried out through a launch of new products in the UK that were innovative and they captured the different financial status of the customers. Every customer, therefore, had a product they could associate with and which they could afford. The brand promotion was also carried out through changing the name of their other companies to include the name AEGON in them such as was the case for AEGON Scottish Equitable. The brand promotion also involved endorsing a British female athlete as a way to create a closer association with the same people it was trying to promote their products to. Internal forces for change The most important internal forces of change that AEGON undertook were to develop its workforce. They developed the skills of its workers to match the needs of the customers. This way, the employees were well equipped to handle the customers’ needs as well as the new products that were developed. The organization in the other successful nations such as in the US is renowned for its employees that are experts, innovative and have good communication skills. This was what the organization wanted its UK-based employees to be renowned for as another way to attract more customers hence increasing their skills. AEGON could not expect to make any changes externally without having to change their culture which was making them fail to get established in the UK in the first place. Culture change involved the employees and managers changing their attitude, behavior, values as well as belief.

Saturday, November 16, 2019

Managing Quality in Health Care

Managing Quality in Health Care Total quality management: a way of managing people and business processes to ensure complete customer satisfaction at every stage internally and externally (Department of Trade and Industry, DTI 2010). Although different quality experts emphasize different experts of this methodology, its major components can be summarised as follows: processes, people, management systems and performance measurement. According to Ross and Perry (1999), in addition to creating delighted customers through empowered employees, total quality management processes also lead to higher revenue and lower cost. In our Nursing home, every department is involved in implementing quality management to offer the best quality of service; we always work as a team and ensure we have offered the best quality of care that our residents need. Continuous quality improvement: is a system that seeks to improve the provision of services with an emphasis on future results (Marshall, 2003). In our nursing home, the manager ensures that every service provider receives training, implements what they have learnt and they are supervised if there is need for retraining again we are retrained this ensures that we receive updated information to offer the best quality of service. Quality standards: The Care Quality Commission for England has produced a guidance to help providers of health and adult social care to comply with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 and the Care Quality Commission (Registration) Regulations 2009 (CQC, 2010b). This guide contains the regulations and the outcomes that the CQC expects people using a service will experience if the provider complies. This forms the basis for the quality standards in care homes. There are 16 core ones range from respecting people receiving the services to safety and suitability of premises and staffing levels just to mention a few. In my care setting, we get an annual inspection from UKAF over and above inspections from CQC and have been given a star rating of three. All activities this year are geared towards a rating of four. Quality cycles: According to QCC (2010b) quality cycles represent periods within which care homes should be reviewed to determine compliance in its service provision. This may be annually. However private organisations like the United Kingdom Accreditation service also offers a quality cycle inspection called the Residential and Domiciliary care Benchmarking (RDB). The RDB annual quality cycle supports strategic planning by providing comparative feedback on a homes care provision and enables the identification of performance gaps and cost/benefit assessments to be made (UKAF, 2010). In this model we have four major aspects to be looked into namely: planning, doing, checking and acting. Quality and principles of care Legislation -these are laws and rules set by the government on how the provision of care should be for example protection of vulnerable adults. In our nursing home, every service provider should be ready to protect all residents from any form of abuse we attend mandatory trainings such as safeguarding vulnerable adults according to regulations by the CQC (2010b). Safety- in our nursing home we always do risk assessment on every service user and put measures in place like using bed rails to prevent falls by doing this we have protected residents from accidents and this ensures quality service to our residents. Independence-service users should be made in control of their lives by allowing them to do some of the things like arranging their wardrobes, making and tidying their rooms by themselves because some of the residents are very active and would like to do what they used to do before and we always encourage them to do while we supervise them and this makes them happy hence promoting the quality of service as they are satisfied. Rights- service users should continue to enjoy the same rights when in nursing homes like they used to when they were living independently. Every service user supported in nursing homes has the right to say NO, right to have a relationship and the right to have a say in their care plan. Service providers always tend to balance service users rights against their responsibilities whether both are at risk or not. 1.4) External agencies: These are bodies that regulate quality of care including: The Care Quality Commission an independent regulator for health and social care in England (CQC 2010a; 2010b). They regulate care provided by NHS, local authority, private company and voluntary organisations. Their aim is to make sure better care is provided for everyone. In our nursing home Care Quality Commission makes a minimum of three inspections annually (two announced and one unannounced) on such things as how we provide care in terms of cleanliness of the home and to service users.. It has a wide range of enforcement powers to take action on behalf of service users if services are unacceptably low. The CQC makes sure that the voices of service users are heard by asking people to share their experiences of care services. It makes sure that users views are at the heart of its reports and reviews. The CQC takes action if providers do not meet essential quality standards, or if there is reason to think that peoples basic rights or safety are at risk (CQC, 2010) through a wide range of enforcement powers, such as fines and public warnings, and can be flexible about how and when to use them. It can apply specific conditions in response to serious risks. For example, it can demand that a hospital ward or service is closed until the provider meets safety requirements or is suspended. The National Institute for Health and Clinical Excellence (NICE)- this is an independent organisation responsible for providing national guidance on promoting good health preventing and treating ill health (NICE, 2010). In our Nursing home, residents who have anxiety, panic attacks request for sedatives in order for them to sleep they are usually reassured and instead a government practitioner is consulted to review and advice them accordingly. Service providers take NICE guidelines trainings on different medical conditions for example diabetic foot (identification and care of the foot). 2.1) Quality Standards Benchmarks: According to Philip B. Crosby (1999) benchmarks are indicators of best practice including access to care environment and the culture of a home. The Benchmarks is one of the most comprehensive sets of social and environmental criteria and business performance indicators available (Daniels et al 2000). Our nursing home is accessible publically, to wheel chairs, a spacious car park and a section for activities for residents and relatives. We also have a signing in visitors book stating whom they are visiting. Code of practice for social care workers and employers for social care workers This document is developed by General Social Council and it contains agreed codes of practice for social care workers and employers of social care workers describing the standards of conduct and practice within which they should work ( GSCC, 2002). Employers use this set of code of practice to make decisions about the conduct of staff and support social care workers to meet their code of practice. Service users and members of the public use the codes to help them understand the behaviour of social workers (how they should behave towards them) and also how employers should support social care workers to do their job well. It is the responsibility of social care workers to make sure that their conduct does not fall below the standards set in the code of practice and no action or omission harms service users (NCSC, 2010). Social care workers must protect the interests of service users, maintain confidence, respect rights, promote independence, be accountable for the quality of their wor k and take responsibility for maintaining and improving their knowledge and skills. The general social council expect social care workers to meet the codes and may take actions (deregistering) if registered workers fail. 2.2) Different approaches to implementing quality Communication is a means of passing information from one person to another. In our nursing home we have different ways of communication like when doing care plans we always document what we have done for a resident so that whoever takes over knows what to do next to ensure continuity of care. Also when handing over is done during change of shifts information about residents is shared and everyone is aware of any changes in care plans in accordance to CQC guidelines (CQC, 2010). We also have staff meetings where certain information is passed on and in cases where staffs have a problem it is addressed and solutions are given out. For effective communication systems there should be a language that everyone understands. Policies and procedures These are guidelines set on how to do things often informed through regulations as outlined in various government documents (GSCC, 2002; NICE, 2010; CQC, 2010a. 2010b). In our Nursing home we have different policies and procedures for example in cases of accidents to residents we are required to fill a resident incident report and pass it on to the supervisor families, friends and relatives are informed about the accident then precautions are put into place walking frames, to avoid future occurrences of similar accidents. Infection control policy helps to prevent spread of infections within our nursing home. We always use personal protective equipment when offering personal care to residents, handling of any infectious wastes. We also use the proper technique for hand washing. There are also hand gels in each residents room, in public toilets and at the entrance of the building for sanitation purposes and all wastes like clinical and kitchen wastes are usually put in the bins ready for collection. In cases of disease outbreaks like diarrhoea and vomiting residents are isolated and managed separately and proper hand washing techniques are used to prevent further spread of the infection. Whistle blowing policy is designed to deal with issues that do not directly affect the employee and their employment but are a cause for concern in relation to the harm that may be done to other employees, residents or the wider community. Any employee who is concerned about their personal situation should raise their concern with their line supervisor or manager. This policy is for reporting issues like elderly abuse, misuse of drugs, faulty machinery that may cause accidents, illegal dumping of waste. The policy protects not only employees but the wide community. Confidentiality- all residents or service users information is private and confidential. It is not a proper practice to discuss residents information in public like their conditions and behaviours by doing that is breaching the policy and legal action should be taken. In nursing homes all information is kept safely and only accessible to relevant persons. This promotes quality of service 2.3) Quality systems ISO 9001 involves a set of procedures that cover all key processes in the business, monitoring processes to ensure they are effective, keeping adequate records and facilitating continual improvement. They have certain requirements like internal regulations, claims and procedures for residents, suggestion box and contract with uses. It also covers the importance of understanding and meeting customer requirements, communication, resource requirements, training and products, Leadership, Involvement of people, Process approach, and System approach to management and Continual improvement (Tricker and Sherring- Lucas, 2001). In our nursing home for the provision of all these elements and reporting them on day to day basis for example there is a clear procedure for residents complains. Carers, residents and relatives are informed and logged in a special complaints book and complains are followed up. When all this are put into practice, there is employee and customer satisfaction, resulting from better defined and implemented business processes. As a result of this we have motivated staffs, who understands their roles and how their work affects quality, improved product and service quality, happier customers, and improved management and operational processes, resulting in less waste (both time and materials) Business excellence is a widely used framework that helps companies to review their performance and practices in a number of areas and identify targets and actions for improvement based on principles of customer service stakeholder value and process management ( British Quality Foundation, BQF 2010). Managers develop the mission, vision and values and are role models of a culture of Excellence. Studies in Taiwan have shown that in care homes where this model is applied, managers are personally involved in ensuring the organisations management system is developed, implemented and continuously improved are involved with customers, partners and representatives of society and also motivate, support and recognise the organisations people (Cheng B, Chang, C and Sheng L. 2005). In our nursing home we use a balanced score card to keep track of activities by staff and measure consequences arising based on the British Quality Foundation model ( BQF, 2010).Service users families and relatives m easure in a scale of 1-5 where one is poor and five is excellent. We work hard in poorly rated areas to improve the quality of service. At the same time managers set a number of targets on key areas of each staff members roles which are then assessed on monthly review and awards are given to the best. This motivates other team members to work hard and best to attain the best and by doing so they provide best quality and we excel. 2.4) Trainings this refers to a learning process that involves the acquisition of knowledge, sharpening of skills and concepts (Stevens, 2004. In our nursing there are mandatory trainings offered to service providers before commencing to work like basic food hygiene, manual handling Healthy and safety is ensuring that the environment where we are working is safe for service users, other staff and others in general by our actions and omissions. It is a responsibility to all staff to ensure that the environment is safe to work on. For safety purposes in our nursing home we do not use equipment unless it has been checked and serviced. Also default equipments are labelled DO NOT USE to prevent and avoid accidents. We also have controlled cupboards where substances that are hazardous to health are stored and locked away. When there is a defect on the environment like chipped floors, loose hanging electricity wires we report to the maintenance coordinator and they are rectified immediately to avoid accidents. Again when housekeeping team are doing cleaning they always display cleaning boards and everybody is aware that cleaning is on progress or the floor is wet and they avoid using it until it is dry by doing this they minimise chances of accidents like falls 2.5) According to Marshall (2003) and Stevens (2004), external and internal barriers to delivering quality are any obstacle which prevents a given policy instrument being implemented or limits the way in which it can be implemented. They include: Resources: lack of adequate resources hinders quality of service for example inadequate or shortage of staff affects the quality of services offered and this leads to unsatisfaction of service users as they get services that are not adequate and for service providers because they are overworked. In nursing homes when there are staffs shortages they arrange cover shifts earlier by either bank staff or some agencies registered with the home. Financial barriers include budget restrictions like food supplies and other supplies like incontinent products limits the overall expenditure and this leads to inadequate provision of quality services to residents Personal Appearance: Hygiene and grooming, eating habits and attire can vary from country to country and culture to culture. For example, some people may wear attire such as a headdress as part of their custom and beliefs. To remain true to their beliefs, some workers may want to continue to wear this dress at their workplace. Employers may view this as inappropriate or unsafe. It is particularly problematic in workplaces where workers wear uniforms. Religion: In many cultures, religion dominates life in a way that is often difficult for employers to understand. For example, workers from some cultures may want to pray while at work times in accordance with their values and beliefs. There may also be religious holidays on which people of certain religions are forbidden to work. These differences need to be respected, where possible, and not ignored and they affect the quality of service. Language barriers often go hand-in hand with cultural differences, posing additional problems and misunderstandings in the workplace. When people cannot communicate properly they are frustrated when communicating with supervisors, co-workers and residents this can be dangerous because people may end up performing poorly in their work thus affecting quality of service offered. Legal and institutional barriers -these include lack of legal powers to implement a particular instrument and responsibilities which are split between agencies limiting the ability of an institution. Like the law states that students should work for twenty hours only which creates shortages at work affecting quality of services. 3.1) According to Business Dictionary.com (2010), policies are principles, rules and guidelines formulated or adopted by an organization to reach its long term goals. They are designed to influence and determine all major decisions, actions and activities take place within the boundaries set by them and procedures are specific methods employed to express policies in action in day to day operations of the organization. For example, in nursing homes the National Care Standards Commission for England, NCSC (2010) has outlined requirements that these homes must meet which in effect guide their policies and principles. These policies include, but not limited to: manual handling procedures, Risk assessment and Infection control. Manual handling These are techniques used to handle or move service users like hoisting, using belts and sliding sheets to move residents these are safe procedures for both residents and service providers as they minimise accidents to both cases and this promotes quality of service (CQC, 2010). On the other hand, they have disadvantages like time consuming when doing procedures like hoisting which requires two or three persons and also residents may not like the experiences of hoisting and thirdly it needs trainings to be carried out. Risk assessments According to healthy and safety at work act (1974) the Management of Health and Safety at Work Regulation (1999) states that it is the responsibilities of managers to do risk assessment to employers and employees. to reduce and prevent risks to them in future and they are included in their care plan so that quality of care can be improved for example residents with risks of falling have walking frames, falling mats and bed rails put in place to avoid falls but again things like bed rails have caused accidents in that residents are trapped and some sustain fractures which affect quality of service 3.2) factors that influence the achievement of quality of personal care Quality is a difficult concept to capture directly. However, resident or organisational outcomes are often used as a proxy for quality (Marshall, 2003). There is considerable debate about the relationship between quality of care and quality of life as joint, but not necessarily competing, measures of quality. A study for the Joseph Rowntree Foundation indicates that residents perceptions of nursing staff are a good indicator of quality of care (JRF, 2008).The importance of measures of social care and of homeliness epitomise the divide between health and social care provision in care homes. Factors influencing residents satisfaction with care are discussed below: Team working Heath care workers working in teams has been recognised as an improving the quality of care (Stevens, 2004; Borill et al 1999). According to Stevens, the intention is for carers to share tasks and learn from each other and possibly improve based on their experiences. This can be illustrated by the quotation below: The best and most cost-effective outcomes for patients and clients are achieved when professionals work together, learn together, engage in clinical audit of outcomes together, and generate innovation to ensure progress in practice and service. (Borill et al 1999 p.6). Stevens has for example reported from a number of surveys from UK nursing homes to suggest that there is a reduction in carer burden and significant reduction in stress when staff work in teams resulting in better coping and satisfaction. Both these studies (Stevens, 2004; Borill et al 1999) found that service users surveyed showed more satisfaction when carers and health workers worked in teams Healthy and safety at work The responsibilities of care home proprietors are subject to a range of health and safety legislation among them the Health and Safety at Work etc. Act 1974, the Management of Health and Safety at Work Regulations 1999 which require employers to assess the risks to employees and other who may be affected by their undertaking, (residents) and the control of Substances Hazardous to Health Regulations ( Care Quality Commission, 2010). These regulations have led to dramatic improvements in the safety of residents and people working in care homes according to the care quality commission. For instance, guidelines requiring minimalist manual handling has significantly reduced the numbers of health workers staying off work due to illness which has a positive effect on the level of personal care of residents ( CQC, 2010a). However, a report for the Joseph Rawtree Foundation (JRF, 2008) showed that the percentage of medication errors and adverse events in nursing homes have increased despite regular inspections by the CQC. Stevens (2004) has also reported survey results from 27 residential homes with dementia patients where 19% cases of medication errors were reported. In my care setting, clear improvements can be seen from less harm to residents when using the hoist but not many service users like to use the hoist. Some risk assessments in care homes have made it very difficult to take residents outdoors or even for activities outside the home for fear of not meeting the Health and safety requirements and this ends up reducing the quality of care. 3.3 The following recommendation can improve the quality of care in Nursing homes Training /education This means acquiring knowledge and skills or new information on how to do things according to the recommended regulations and standards ( Stevens 2004). This is a very important aspect in nursing homes all trainings as it provides ongoing trainings to update service providers and equip them with relevant and current information that enables them to provide the best quality of care that will be satisfactory to service users. In our nursing home trainings are offered and need to be implemented then supervision is done and in cases where need for retraining arises, arrangements are done and they are offered for the benefits of service users, service providers and the community at large as it reduces or minimises preventable accidents and this promotes the quality of service Review This means going through the set of targets or planned activities to see the progress whether it is improving or getting worse. This alerts and actions or precautions are put in place to make the situation improve for better quality of service ( Stevens, 2004). For example in our nursing home there are always monthly reviews of care plans of service users this includes individual or family interviews to determine whether residents are improving or need some improved care plans like in moving and handling procedures (use of hoist or belts) and then action is taken accordingly. Also for staff there is quarterly staff meetings or when need arises and previous discussed or current issues are raised and a way forward on how to carry on is agreed. There are always individual supervisions done by allocated persons and each employee identifies areas that need improvement and good performing areas by doing this there is improvement of quality of service Conclusion It has been shown that in order to improve services to users in the social care sector, it is important to follow principles, guidelines and procedures set by government, industry bodies or even individual homes. There is also need for planning, doing and checking and then reviewing to assess shortcomings in order to design improvement regimes. Similarly, it has been shown that although there is legislation and care industry standards, it will require long term commitments in developing methods, instruments and communication procedures involving all stakeholders at care or residential home level.

Wednesday, November 13, 2019

Queen Elizabeth and Annabella in Tis Pity Shes a Whore by John Ford Es

Queen Elizabeth and Annabella in "Tis Pity She's a Whore" by John Ford Annabella, the female protagonist in John Ford’s play, ‘Tis Pity She’s a Whore, ultimately dies after trying to meet the conflicting demands that her brother and father place on her. While her brother, Giovanni, commands her to be his clandestine lover, her father, Florio, expects her to marry a socially appropriate man and bear a child. These demands closely resemble the real-life demands that Queen Elizabeth I’s subjects placed on her because they simultaneously wanted her to fulfill their erotic desires, marry a politically appropriate man, and produce an heir to the throne. Ford’s play â€Å"was first published in 1633,† thirty years after the death of Queen Elizabeth I, but â€Å"nostalgia†¦ in the late 1620’s and 1630’s†¦ [drove] people†¦to measure a worsening political situation against inevitably heightened memories or impressions of what life had been like under the great queen† (Morris vii; B arton 724). While it’s not clear whether this nostalgia for the reign of Elizabeth drove Ford when he wrote his play, there are clear parallels between the demands that were placed on the factual Elizabeth and on the fictional Annabella; moreover, there are striking parallels between the responses to the two women’s deaths. Both women were expected to forever remain objects of male erotic desire, and the characteristics of Elizabeth that evoked erotic desire in her subjects parallel the characteristics of Annabella that elicit erotic desire in Giovanni. Just as â€Å"courtiers paid homage to Elizabeth as an ever-youthful yet unapproachable object of desire[,]† Giovanni confesses to Annabella, â€Å"[T]he view / Of thy immortal beauty hath untuned / All harmony both... ...bbory, Achsah. â€Å"’Oh, Let Mee Not Serve So’: The Politics of Love in Donne's Elegies.† ELH 57.4 (1990): 811-833. King, John N. â€Å"Queen Elizabeth I: Representations of the Virgin Queen.† Renaissance Quarterly 43.1 (1990): 30-74. Morris, Brian. Introduction. ‘Tis Pity She’s a Whore. By John Ford. Ed. Brian Morris. London: Black, 1992. vii-xxvii. Mullaney, Steven. â€Å"Mourning and Misogyny: Hamlet, The Revenger's Tragedy, and the Final Progress of Elizabeth I, 1600-1607.† Shakespeare Quarterly 45.2 (1994): 139-162. â€Å"Promiscuous, a.2a.† Oxford English Dictionary. 1989 Second ed. OED Online. Oxford University Press. 8 May 2005 . Rose, Mary Beth. â€Å"The Gendering of Authority in the Public Speeches of Elizabeth I.† Publications of the Modern Language Association of America 115.5 (2000): 1077-1082.