Literature Essay Example | Topics and Well Written Essays - 1250 words

Literature - Essay Example Unfortunately this artificially created wall appeared in the result of perverted ideals of the 20th century, when women were subjected to men and lower classes were oppressed by upper classes. The wall can be eliminated only in case of a great desire and common efforts directed on its abolishment. Racial differences â€Å"The Garden Party† is focused on class differences and racial concerns very much. Mansfield uses a broad metaphor, and readers can see the way a world of pianos, uniformed bands and luxury turns into a little space for lower class. When we read an episode about Laura’s walk to a husband of a dad man, we can see that this young woman has strange ideas†¦She thinks about her appearance and weather, but a tragic event of funeral is not too emotional for her. Laura’s are also showed as hypocrites. Laura’s father expresses his regrets concerning death of a man and her mother tries to look sympathetic too (Burgan 21). An outer impression is much important for them than their inner feelings. Thus, Mansfield emphasized the significance of patriarchate that prescribes that a woman should subject to a man. A mother should always depend on her husband. Laura’s brother uses this template of behavior as well and there are different episodes, when men asking women to take care of their appearance. These are the principles of the upper class representatives. People of that class have nothing to do but create their artificial values and principles of behavior. Men play the role of money earners and women should take care about the house, get everything in order and beautiful (Burgan 24). The narrator talks about lower class from a negative perspective, while Laura remains patient and sympathetic. Her ideals are not perverted and she shows a positive attitude to people from the lower class. Laura wonders: why is it impossible to â€Å"have workmen for her friends† (Mansfield 2425). Her mother claims that â€Å"Peop le like that don’t expect sacrifices from us† though Laura does not agree with such a statement (Mansfield 2430). Poor people are treated negatively by her mother for sure and little houses, where poor people live spoil architectural ensemble of their neighborhood and thus they do not have a right to survive, as her mother thinks (Mansfield 2429). A vivid symbolism of the story reflects a variety of attitudes concerning class and racial issues. It is not Laura who criticized lower class, but the author (Daly 34). That is her benefit and a great advantage. It means that this girl managed to preserve her individuality in a cruel world of upper class. Moreover, a writer intentionally moves readers from light to darkness thus showing a parallel nature of two worlds. Cottages of poor people are in a â€Å"deep shade† (Mansfield 2431). There are many barriers and poor people cannot cross them. Class distinction can be found when the author describes representatives of lower and upper classes by comparing them with animals. For example, a uniformed band looks like â€Å"frogs† (Mansfield 2430), a cook â€Å"clucked†¦like an agitated hen† (Mansfield 2428) and the widow deserves nothing more than a selfless comparison with a â€Å"poor creature† (Mansfield 2431). There is an interesting comparison even in relation to the difference of smoke coming from poor and rich houses. Thus, Laura’s chimney releases â€Å"great silvery plumes†

Labor Relations Project Essay Example | Topics and Well Written Essays - 500 words

Labor Relations Project - Essay Example Unions are an essential part of the labor process. Union members are protected by strict laws that guard their legal rights for the salary, benefits and compensations. Another opportunity is to organize collective bargaining. It is the negotiation between an employer and a group of employees, determining the conditions of employment. The collective bargaining ends in a collective agreement or contract, in which the employees are represented as the members of a union or a labor organization. Since the agreement is achieved, its maintenance is observed by federal and state laws, judicial decisions and organizational agency regulation. The major law governing collective bargain is the National Labor Relations Act, originally enacted by Congress in 1935. Employees working under collective bargaining agreements are also covered and protected by the Labor-Management Reporting and Disclosure Act of 1959, even if they are not union members. These acts guarantee legislative support to the emp loyees. In accordance with the NRLA a labor organization is selected to represent a unit of employees in collective bargaining. The employer has no right to interfere with this selection. The employer must bargain with the selected representative of the unit. There are certain employment laws as to the minimum salary, obligatory benefits and compensation to the employees in private sector. These are the Occupational Safety and Health Act of 1970, the Family and Medical Leave Act, Employee Retirement Income Security Act, Employee Retirement Income Security Act, the Fair Labor Standards Act, and some others. Being a member of a union or collective bargain, you are also entitled to all the protection against discharge (Cuomo 2007). Any proposals violating these laws cannot be included into the collective bargain. Moreover, in case the employee does not keep to the contract, the NLRA grants the members of a union or a collective

Communication Strategy In Obesity Awareness Health And Social Care Essay

Communication Strategy In Obesity Awareness Health And Social Care Essay Communication is a procedure that is basically concerned with the transmission and acceptance of messages which may either change peoples perception or not (Tones and Green, 2005). This delivery of information and counsel is fundamental to strategies in a well being programme development (Naidoo and Wills, 2009, p.185). This procedure and the result of its accessibility, presents impulsive responses that affect the attitudes and opinions of many people. Therefore, communication strategy means the use of conventional media support to pass across important information to the populace so as to enhance a change in peoples way of life (Naidoo and Wills, 2009, p.185). The communication strategy for this assignment will focus on the issue of obesity among college students in Newtownabbey area of Northern Ireland, how to raise awareness about its risk, and how to combat it through informed knowledge by reducing the havoc it can cause later in life to young adults if proper strategies are not put in place. Rationale In the western world most especially in the UK and the USA an outbreak of diet associated ailment is affecting the general public, which had led to an exceptional increase in the occurrence of obesity and its related ailment, that have led to imperative intervention for its eradication (Department of Health, Chief Medical Officer, 2003). It was also estimated by the (World Health Organisation [WHO], 2002) that roughly 58% of type 2 diabetes, 21% of CVD and 42% of some kind of cancers are ascribed to surplus adiposity in the body. This data was supported by a report written by the National Audit Office (2001) stating that over 9000 premature mortality is recorded each year in England due to obesity related disease, which causes a reduction in life anticipation by about 9 years. The consequences of obesity can have a serious impact on peoples health and wellbeing especially teenagers by affecting them socially, psychologically and physically. This impact of obesity was summarised by (DHSSPS, 2002; Fit-future, 2006) as Socially causing a reduction of life expectancy by roughly nine years. Physically causing a major increase in the risk of Northern Ireland leading destructive ailment like cardiovascular diseases, diabetes and cancer. Psychologically causing a major impact on teenagers self-esteem and emotional well being. Physically predisposing overweight children to becoming obese adults in future. In Northern Ireland it was reported that obesity was said to be causing 450 deaths every year which is equal to more than 4000 years of misplaced life (DHSSPS, 2002). Also it was gathered that this pandemic always lead to a 260 000 wasted productive years, which is equivalent to around  £500 million economic lost (Fit-future, 2006). Background Obesity in children has drastically increased in England from 11% in 1995 to 19% in 2004 among boys of ages between 2-15 years old while the same trend also affected girls of the same age range by a radical increase from 12% in 1995 to 18% in 2004 (Department of health [DH], 2005). Fit-future (2006) also reported that the level of obesity in children in Northern Ireland is increasing every year resulting in about 20% of boys and 25% of girls being overweight or obese in primary one. This has resulted into more than a quarter increment in overweight and obesity in the last 10 years among 12 and 15 years old teenagers residing in Northern Ireland (Watkins and Murray, 2005). This is why this communication strategy intervention needs to be promulgated to ensure that young citizens are fully aware of the consequences of obesity and its predisposing factor. Management and Theoretical Opinions Peoples way of life in relation to their health has been regarded as the origin of several current diseases, which can be controlled by exploring many models in health that recognizes the reasons for behavioural transformation (Naidoo and Wills, 2009). Kobetz et al. (2005) claimed that a well constructed and strategic propagation of a theory based health communication and identifying the relevance of the theory is a major input to achieving a successful communication. In order to have a valuable communication strategy that is well managed to combat the pandemic of obesity in childhood, the health promoter has sourced the help of a model called the Health Belief Model (HBM) (Becker, 1974). Janz and Becker (1984) declared that this model was previously developed to envisage precautionary health behaviours. The model looks at how beliefs impact on behaviour (Abraham and Sheeran, 2005), .i.e. what a person put into practice depends on how defenceless they recognize themselves to be to the ailment, their idea about susceptibility to the ailment (obesity) and its predisposing factor, the anticipated severity of that incidence, the advantage of implementing self-protection, and the barrier to its implementation. Where such health beliefs are understood from health education or perceived symptoms, it can help in stimulating healthy behavioural change (Naidoo and Wills, 2009). This is why a college is chosen to propagate and increase the awareness of obesi ty pandemic among children and to suggest a solution that could be of help to teenagers. Prochaska et al. (1992) also brought the idea of another model that suggests that individuals change their actions at some specific stages in life rather than making a single revolution. This model identifies that an individual move through several ladder to attain a healthy living only if they are aware of the necessity to make corrections. Empowerment as related by (Tones and Tilford, 2001) was pointed out to be the major goal of health message propagation, because it help to develop individual autonomy and ensure they gain more power over their daily lives. It focuses on a bottom-up programme development technique (Laverack, 2005), because it tends to appraise peoples necessities before a strategy that will suit their condition is planned. An empowered and independent individual who recognizes that being obese can results into a lot of life threatening diseases later in life, which could make life miserable would tend to be cautious about the kind of lifestyle they adopt. This empowerment approach is viewed from the micro and macro perspectives, which are the self-empowerment and the community development approach (Naidoo and Wills, 2009). The former shows the extent at which individuals have authorities over their relationship with the society (Berry, 2007), while the latter encourage groups in the community to colle ctively discover their needs. Therefore, an approach that empowers, inform and enhance change in conduct is required for an effective health campaign. In planning a health communication programme whose overall goal is to increase the awareness of obesity, it is very crucial that the establishment work collectively together and coordinate themselves in the same direction. This combined work is evaluated by using the idea of the SWOT analysis which considers the interior and the exterior component of an environment as a very important part of the premeditated planning process (Jackson et al., 2003). This assesses the strengths, weaknesses, opportunities and threats involved in planning the strategy. This assessment includes: Strength: The help of some of the staff of the institution will be requested for volunteering role to reduce the finances of the plan, and to make student have a sense of belonging, since some of their tutors will be involved in impacting the messages. Weaknesses: Problems might arise from encouraging food vendors to change the kind of food they prepare , because they might be reluctant in making changes due to an anticipated reduction in their sales and profit. A conflict problem might also arise when trying to create partnership among the department that would be involved. Funding of the strategy might also create a hindrance. Opportunities: This strategy might help to reduce students thought of choosing to eat food that are life threatening. Threats: This can lead to reduction of students purchasing power on foods that are high in cholesterol, which could affect the shops that need to make profit. All effective organisation routine relies on the triumphant management of the prospects, challenges and the risks presented by the outside atmosphere. A well recognized technique for analysing the general environment is the PEST analysis .i.e. the Political, Economic, Socio-cultural and Technological influences (Harvard Business School Press, 2006). The key issues pertaining to the current strategy are explained below: Political: The existing nation policies will be sourced to ensure the effectiveness of the new strategy by checking whether there are surviving political issues on obesity, and to exercise how this new intervention will add more to the knowledge of the public. Economic: An approximate idea of the student finances will be identified, to assess if they will be able to afford the healthy food, so as to ensure compliance. Socio-cultural: Student belief about the kind of food they eat their environmental and peer group influence on the choice of food they purchase will be examined. Technological: Effort to provide weighing machines for Body Mass Index (BMI) check on campus and in the hall of residence and also provision of healthy food transaction machines. In an organizational system it is of utmost significance that the manager and the leaders in charge of the success of an organization are well equipped with the traditions and personality of the people they work with. An effective leader and manager must ensure that they play a dynamic role, designate people and resources to the right avenue, and promote success all the time (Young and Dulewicz, 2009). A manager duty was summarized by (Stewart, 1999) as someone that makes a decision on how an establishment should be run by laying good examples in practice, cultivating the act of motivating the staff, encouraging good interpersonal interaction and communication, as well as ensuring improvement of staff skills and knowledge through different improvement programmes. It was also stated by Hargie and Dickson (2004, p.8) that managers at all levels must engage in four major activities to ensure the success of an organisation, this includes: planning, organising, leading and evaluating. There are different management theories that can be used in planning this strategy, but the contingency theory is the best (Donaldson, 2001). It was claimed by (Vecchio, 2000) that the technique and systems of running an organization bulge down to the incentive given to the staff and the dedication of the staff to the company. Leadership was also described by (Mullins, 2002) as the value that can be introduced into a profession which is not designated to a particular person but comes as an impulsive reaction. In achieving an effective management technique, maintaining a conflict free team work must be the ultimate duty of a leader as well as a good manager. A management skill that will ensure acknowledging the ideas of all team members must be established to avoid conflict, because a victorious team must have an apparent goal, good interpersonal relationship, excellent communication skills and must be up to the task. This idea was supported by Hargie and Dickson (2004) when they highlighted the four major skills that must be exercised to shun conflict. Martins and Rogers (2004) stated that to properly deal with a team conflict, a manager must adopt the ability to negotiate and bargain, which is very important in tackling a team problem. This help to create a rapport among the team members which will ensure reaching a compromise by finding solution to the conflict. Martin and Rogers (2004) also suggested that for a manager to be in full control, he must be calm, logical in his thoughts and be able to control his emotions. To meet the overall aims of this strategy, Martin and Rodgers (2004) pointed out that it will be important to adopt a coordinated partnership approach. This will involve statutory sectors, particularly health and education, local, voluntary and community sectors such as Health and Social Trust, as well as Healthy Living Centre. Such organisations could be involved in supporting and providing information to increase awareness. Communication Strategy The chosen venue for the proposed communication strategy is the Northern Regional College (NRC) in Newtownabbey area of Northern Ireland, since early years of children and teenagers has been described as a period when they tend to acquire long term behaviours and attitudes (Naidoo and Wills ,2009, p.206).The NRC is an educational and learning institution where skills can be impacted in a secure and compassionate environment ,which made it a perfect place for propagating a health message ( Xiangyang et al., 2003). In view of the fact that teenage years are characterized by peer group influence, the school surroundings provides a chance to communicate with adolescent and provides learning opportunities and a secure environment to perform latest skills (Naidoo and Wills, 2009, P.207). This strategy will focus on young children of both sexes in a college setting of age range 14-16 years old through the adoption of a classroom-based method of delivering lecture that will enlighten the students on the proper dietary habit and the kind of healthy food they can lay their hands on. This educational intervention will comprise of about five lectures, which will be accomplished in a week. Different materials like visual aids, slides and transparency that have been pre-tested in the pilot study will be used by the volunteers and the health promoter involved in propagating the messages. The visual aid will contain important information on diet and health, many food deficiency disorders, and importance of physical activity and the various kinds that will suit the student daily life. Interpersonal interactions, small group discourse and group work, as well as workshops that will comprise of the use of the slides to convey healthy eating messages to increase the awareness of ob esity, that is tips that will assist them to eat well will also be show cased to augment the stuff of the message being delivered (Parrot, 2004). A follow up pamphlet containing all the messages delivered will be provided for the college students to upgrade the information they have heard during the intervention. Posters displayed at every corner of the school will also be involved to ensure students are well informed. Overall Goal The overall aim of this communication strategy is to inform and raise the intensity of consciousness among college students about the risk of obesity. Objective The purpose of this proposed strategy will centre on enlightening student by creating alertness, which will result in healthy way of life from the scrash by catching them in their juvenile years. The objective is adapting the term (SMART), which means the aim must be Specific for the programme, Measurable, Achievable in its totality, and Realistic to the target group as well as Time conscious (Mullins, 2002). The learning objectives are To create awareness about the kind of healthy food that can promotes healthy living among teenagers. To guarantee teenagers disseminate the message received from school to other members of the families for optimum health. To enlighten students about the kind of lifestyle they need to instill to avoid the risk of having the ailment. To establish whether student have a prior knowledge of the ailment and its consequences. To prevent obesity and overweight by promoting attitudes, knowledge and communication skills that makes healthy eating practices realisable. Time Frame The anticipated time for the programme would be within a three months period. Which means the strategic planning should start roughly in May 2010 and execution of the plan should begin in June and end in July 2010. During this period the pilot study that is incorporated into the plan will be undertaken, to provide an opportunity to appraise and monitor the effectiveness of the strategy, so as to make amendment where necessary. Implementation of the Strategy To achieve a success in carrying out this strategy an ethical issue must be considered, since the target group are among the vulnerable groups of the society. This view was declared by (Beauchamp and Childress, 2001) where they highlighted the four famous ethical principles that need to be put in place when organising any health promotion campaign. This include respecting peoples autonomy and confidentiality, being beneficence, causing no destruction to people, and making good justice as at when necessary. Considering all this ethics the message to be delivered must be free of ambiguities, threat free, and must also be from an authentic source to avoid misinformation. Evaluation The appraisal for this strategy must be in line with measuring the goal set down during the planning of the strategy. Since evaluation is done mainly to assess the development and the usefulness of a programme, it is fundamental to gather information during the commencement and closing of an intervention program (Naidoo and Wills 2009, p.296). The type of data considered necessary for this anticipated strategy will involve the use of the two means of gathering information .i.e. the qualitative and the quantitative method of data collection (Parry-Langdon et al., 2003). An impact assessment method of evaluation will be incorporated into the sessions by distributing questionnaires to the college students to fill in furtively before each session and instantly after the session to assess their knowledge about obesity ailment and its risk before and to measure the impact of the strategy on the college students after the intervention. A focus group dialogue will also be held amo ng students and their tutors to establish if the modus operandi used for the programme execution was a good idea. This is needed to prove the quality of the future programme that will be executed (Nutbeam, 1998). Conclusion Obesity is regarded as one of the key health predicament facing both the developed and developing society today, and it is fundamental that society are provided with all the essential information and support required to improve and sustain high-quality health. The role of communication in enabling and empowering the populace to make intelligent decisions about life is vital to changing behaviour, and the approach in which knowledge is assimilated goes a long way in effecting change. The effectiveness of communication depends on the authenticity of peoples daily lives and their present practices, as well as their perception towards existence. To attain prolong success in health promotion; it is very crucial that work is motivated by using the bottom up approach (Naidoo and Wills, 2009), and to ensure all management issues are taken into consideration.

Hiroshima and Nagasaki the untold story Essay -- essays papers

Hiroshima and Nagasaki the untold story On August 6th 1945, the first Atomic Bomb, â€Å"Little Boy,† was dropped on Hiroshima, and three days later on August 9th 1945, the second atomic bomb, â€Å"Fat Man,† was dropped on Nagasaki, Japan’s industrial capital. The decision to use the Atomic Bomb against Japan was a poor one considering the damage, the devastation, and the amount of people left dead, injured, or suffering the loss of a family member or a friend, all for the sake of quickly ending the ongoing War. When the Japanese had realized that they were the only ones left in the war, Germany their ally, was already beaten out of the war and all efforts were now concentrated at them, the Japanese began suing for a peaceful end to the war. Apart from the fact that Japan had been suing for a peaceful end to the war, there were a number of alternative routes of action that the Americans had at their fingertips, and could have taken advantage of at a moment’s notice, which could have possibly sa ved a lot of lives, both American and Japanese. After analyzing the amount of damage and the amount of lives lost as a result of the dropping of the Atomic Bomb, it becomes evident that dropping the bomb was not worth a quick end to the war. Much of why Japanese surrender took so long to come through reverts back to the Samurai Tradition in Japan. First, the Emperor didn’t not intervene in political affairs as he was considered to be above such petty human politics, and second, the Japanese code of honor which puts death before dishonor. The Americans had intercepted messages from the Foreign Minister Togo, to Ambassador Sato expressing the desires of the Emperor for a peaceful end to the war,â€Å"[h]is Majesty the Emperor, mindful of the fact that the present war daily brings greaterevil and sacrifice upon the peoples of all belligerent powers, desires from his heart thatit may be quickly terminated† (Alperovitz 23). The desire of the Emperor for an end to the war never came true until both atomic bombs had been dropped on two of Japan’s key industrial cities, as the Emperor never formally expressed this desire. In the samurai tradition, the Emperor is held at a God-like status and therefore, is considered above politics, so therefore he never intervenes, and was never expected to intervene in political issues, his role was to sanction decisions made by the Cabinet, wh... ...Eye Witness Account: Atomic Bomb Mission over Nagasaki." Federation of American Scientists. 9 Jan. 2000. . . . Lifton, Robert Jay & Mitchell, Greg. Hiroshima in America: Fifty Years of Denial. New York: G.P. Putnam’s Sons New York, 1995. Long, Doug. " Hiroshima: Was it Necessary?" . 30 Aug. 2000. . . Maag, Carl and Rohrer, Steve. "Project Trinity." EnviroLink. 9 Jan. 2000. . . . Stimson, Henry. "Henry Stimson’s Diary and Papers." . 30 Jan. 2000. . . . Takaki, Ronald. Hiroshima: Why America Dropped the Atomic Bomb. Canada: Little, Brown and Company, 1995. The Manhattan Engineer District. "The Atomic Bombings Of Hiroshima and Nagasaki." Federation of American Scientists. 9 Jan. 2000. . . . The Manhattan Engineer District. "The Manhattan Project (and Before)." Federation of American Scientists. 9 Jan. 2000. . . . Trujillo, Gary S. "Hiroshima Witness." Federation of American Scientists. 9 Jan. 2000. . . . Truman, Harry. "Hiroshima: Harry Truman’s Diary and Papers." 30 Jan. 2000. . . . Truman, Harry. "Statement by the President of the United States." Federation of American Scientists. 9 Jan. 2000. . . .

Of mice and men help Essay

   Men’s view of women The working men’s view of women is like to buy women like they buy a drink so even women did not have proper rights just like Crooks, men would not think of having a proper relationship with women although Curley did have a wife he also used to go out with the other men into town and so there is a possibility that he may have spent a night in a whore house with other women. In the novel Steinbeck did not give Curley’s wife a real name as all the workers referred to her as a ‘whore’, ‘slut’ or simply ‘Curley’s wife’. This shows and adds to how women were treated and seen as in society by men for the reason that they are more dominant. How they spend their time The men have their free time on a Saturday night into the town, the men can go to ‘whore houses’, have a horseshoe tournament and gamble money. They would spend some money on drinks and play card games, solitaire and read magazines. They would allow Crooks to play with them and join in so that he was not completely considered an outcast but they still made fun of him so Crooks spends most of his free time reading ‘books’ as this is the only way he is not discriminated and so he dreams of a being seen as an equal to everyone else, he knows his civil rights and he also remembers childhood when he played with the white children who came up to his family’s chicken ranch plus longs for a similar relationship with white people again. Most of the other workers dream about a life that they don’t have for example George and Lennie, they dream of owning a ‘little patch of land’. Prejudice In the novel ‘of mice and men’ prejudice plays a big part and it is shared among some of the characters like Candy, Crooks and Lennie and they were also considered as outcasts these all have some kind of disability also their positions were low in the ranch. Candy was considered an outcast in position to his job because of his hand cut of by a machine so he can not work therefore he is considered an outcast, in addition he is old so he different from other hands. Crooks is disabled because he was ‘kicked’ in the back by a horse and as a result became a cripple on top this he was black so he was racially abused as well, he was mostly abused by the boss because he seems to take it out on him. This was because the boss knew that he could not do anything for example he ‘gave the stable buck hell’ because George and Lennie were late arriving to the ranch so he took his anger out on Crooks and so Crooks could not fight for his rights. Lennie is retarded and his mind is the age of a young child, as children like to stoke soft things Lennie likes to ‘stroke’ mice because they are soft and he likes to pet them. Lennie has no physical disability so he can go out and work with the rest of the workers and to the advantage of his strong body he can ‘buck barley’ very fast in addition he can follow instructions very well. Loneliness Loneliness affects many of the characters, and Steinbeck seems to show that it is a natural and inevitable result of the life they are forced to follow. Steinbeck shows that the workers are caught in a trap of loneliness and they never seem to say in one place to form a permanent relationship or even think of one. Even if they did have one then it would be likely that the relationship would not stay together or even have problems by the demands of the workers life. Candy is lonely because of his old age and the only company he has is his old dog and this reminds him of the days when he was young and whole. Candy has no relatives and once his dog is shot he is totally alone and he tries to get into George and Lennie’s dream of having a piece land. George is also caught in the trap of loneliness when he is forced to shoot his companion in the back of the head, like Candy and his dog George had Lennie (who is described as an animal) he is left lonely as well at the end of the novel. Another lonely character is Curleys Wife, she is newly married and in a new strange place. Curley forbade her to talk to anyone through his jealousy and so she countered it by approaching workers to ask were Curley is in door ways therefore the men regarded her as a ‘slut’ and that became her name other than Curley’s wife. Steinbeck never gave Curleys Wife a name. Finally loneliness leads to her death as she tries to overcome Curley’s instructions by letting Lennie feel her hair; consequently Curley is now left alone because he chose a wife which was totally inappropriate for his life that he leads in an attempt to overcome his loneliness. This is because all the workers despise him for his cowardice. Crooks is another who is isolated because he is different, he tries to cope with this by keeping a distance from the other workers and reading books as these are his only companions. Dreams In the novel Dreams is something that some characters use to combat with loneliness of their existence. The most obvious dream in the novel is George and Lennie’s dream farm, this dream is only shared by the two at first but then later spreads to Candy and Crooks. The American dream is what people used to think that in America there is a piece of land for everyone because of its vast lands, this gave people a sense of Independence and this is what made them go on and continue to tackle the harsh realities of life most people were likely to never achieve their dreams. This is revealed in the poem by Crooks ‘seems live ever guy got land in is head’. The reason why Lennie asks George to recite the descriptions of the farm is because it is an antidote to overcome his disappointment and loneliness. Curley’s wife is another who has dreams and they were to become a movie star and the life of luxury and fame, this comes to nothing when Lennie kills her. Conclusion In conclusion the title to this book tells you the about the novel in a few words. The title of this book is taken from an Irish poem by Alfred Burns; â€Å"The best laid plans of mice and men always go wrong†. Steinbeck has portrayed this in a correct way as the story deals with so many dreams from the characters point of view and so none of these were destined to come true anyway. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE John Steinbeck section.

John Coltrane

To the public he is known Just as another Jazz musician but for those with a more in depth music appreciation he remains one of the most significant saxophonists in jazz history. John â€Å"Trans† Chlorate's impact on the music world was quite considerable. By revolutionize music with his own techniques Chlorate changed jazz music forever. Chlorate was a American Jazz saxophonist, composer, bandleader, and iconic figure of the twentieth century. As a Jazz singer and Jazz enthusiast myself, Chlorate's techniques and music is not on impacting but created an emotional connection between Jazz and me.Author Lewis Porter says Chlorate was â€Å"one of the great musical artists of the twentieth century' (Porter 1) in his book â€Å"John Chlorate: His life and music†. I chose to read about Chlorate because of his great influence on me involving my newfound love for Jazz. His life and achievements amazed me Just as much as the first time I heard his melodies come out of his ten or saxophone. His use of modes in Jazz later helped pioneer new beginnings in free Jazz and influence a plethora of future generation musicians. Lewis Porter, a professional Jazz scholar and performer, meticulously researchedChlorate's life and wrote about his success despite having a very demanding lifestyle. Dedicating his life to music at a very young age by playing the clarinet and then eventually moving on to play in a Ana band in Hawaii for a year after discovering the Be saxophone was all difficulties he faced early on in his life. The tasks themselves weren't difficult but experiencing them all at the age of twelve soon after his aunt, grandparents, and father passed away within a few months of the same year these tasks became almost impossible. After his fathers death Chlorate's performance in school changed drastically. Rather than being a top student, he became an indifferent student, earning many Co's† (Porter 18). Although his determination for schoolwork declined it seems that after his father's death music was Chlorate's safety net. â€Å"He began playing music around this time and it may be true that perhaps music was too much on his mind. But more to the point, his obsession with music was a way of dealing with the tragedies in his life† (Porter, 18). Another obstacle Chlorate was forced to deal with was segregation. Although violence was not something commonly mound in Chlorate's town â€Å"there were constant reminders of second-class status† (Porter 19).Schools, restaurants, fountains, and more were segregated. â€Å"If the white schools got new books one year, the blacks might have got them a few years later. They got used books from the white schools† (Porter 19). Due to the hardships of segregation, Chlorate, his mother, and sister desperately tried to better their lives. After his fathers death John Chlorate's family soon went from middle class to poor. Chlorate's cousin, who lived with Chlorate for many years , recalled, â€Å"after his father eased, things changed. Our mothers had to go to work, and my aunt and my mother worked together at a country club.John used to shine shoes there. No one really knew how we lived, but we had to rent our bedrooms and we all slept downstairs. My mother, John, and I all slept in the dining room. We had cots. And John was sick there, he had some sort of- not asthma, but we had to sit up with him at night. This went on for a long time† (Porter 20). During Chlorate's senior year of high school his mother decided to move to Philadelphia to obtain a greater income. Sure enough Chlorate radiated from High Point High School along with the superlative â€Å"Most Musical†.After graduation he bought an apartment with his mother in Philadelphia. Along with the apartment Chlorate's mother bought a piano. â€Å"Johns mother had a piano-a tall upright that housed a working player piano unit. John began to work toward becoming a professional Jazz music ian† (Porter 24). Many say that John Chlorate was destined to be a musician. He was surrounded by music as a child. Before his father's early death, Chlorate's father had a love for music. His father played several instruments and his interests later influenced him. Not only was his father passionate about music but so was his mother. Chlorate's mother was musical-she sang and also played piano' (Porter 25) John Chlorate's cousin said â€Å"we had a big radio in the living room that stayed on all the time. We listened to everything†¦ We listened to Frank Sinatra, everybody, you name it. He and I would turn the radio up loud so that we could hear it in the kitchen† (Porter 26). Chlorate's first instrumental training was with a community band where he bean on an alto horn. At that time Chlorate said, â€Å"l hadn't decided yet to become a repressions musician. I learned a little bit haphazardly, without any system, Jus enough to play a song or two.This was my first contact-so to speak- with music† (Porter 28). Around the fall of 1940 is when Chlorate fist became interested in the saxophone. Chlorate chose the sax because of his admiration for tenor saxophonist Lester Young. Soon Chlorate mastered the tenor saxophone. â€Å"There was a room in his house he would use Just to practice. He played everyday, all day long. And then he would stop to get ready to go to work that night. Music was really his life† (Porter 254). Not only was Chlorate a hard working musician, he was in a thriving city for the arts at the time, Philadelphia. Philadelphia nurtured a thriving Jazz community in the sass's† (Porter 35). Lucky for Chlorate, right by his apartment was the Woodbine Club, â€Å"where local musicians would Jam on the weekends† (Porter, 36). As of 1945, right after graduating high school at the age of sixteen, Chlorate started to pick up on professional gigs and performances in Philadelphia. He soon became close friends with a pianist and guitarist and formed a trio that performed in cocktail ears around the city. Soon after his trio formed Chlorate Joined the ‘musicians union'.Unfortunately, with World War II raging Chlorate was forced to put his music career in Philadelphia on hold once he was drafted into the Navy. Once discharged Chlorate bean to develop a new approach to music based off of multiple musicians he had encountered over the years. â€Å"Chlorate had been under the spell of Johnny Hodges, the celebrated loyalist from Duke Elongation's band. Chlorate had a special penchant for romantic ballads that perhaps even dated back to his late father's taste† (Porter 1). Chlorate was outgoing and put himself out into the music scene at a young age. He was not, as one might have thought, a great talent who took a long time to get recognized. He was, rather, someone who did not begin with obvious exceptional talent, and that makes his case all the more interesting-one can become one of the great musicians of all time and not start off as some kind of prodigy' (Porter 44). John Chlorate came across many obstacles throughout his childhood and music career. Lewis Porter shared Chlorate's story wonderfully, showing that the struggle he faced were not strong enough to stop him from doing what he loved to do, play music. Chlorate wanted his music to be a force for good, and I think it has been. One doesn't have to be religious to find Chlorate's expression of spirituality profoundly moving and important† (Porter 300). Even though Chlorate's death was over fifty years ago, through his music he remains alive. Chlorate will be forever one of the best because of his accomplishments in the study of Jazz music.

A Visit To A Small Planet essays

A Visit To A Small Planet essays In A Visit To A Small Planet, many human faults are indirectly scrutinized and ridiculed, adding hints of satire to the interesting comedy. One of the faults being derided, is the fact that although our race does not enjoy nor promote violence and war, it still occurs and we still do things to provoke it. The ridiculing in the story is very clear-cut and ironic, thanks to Kretons unusual character. His thoughts and views on our generation make the authors point all too obvious. He needed Kretons outsider views to bring out the satire in the story and reinforce his opinion, which is strangely in truth. When he tried to convince the other characters in the play of his thoughts on humans enjoying and thrilling in violence, they deny it just as much as they deny hating each other. But no matter how they object, he points out again and again of the malice and hostility we hold for others, once more emphasizing the storys irony. Another element of mockery represented, is that although we believe in protecting ourselves from dangerous circumstances and hostile people, we in fact are more hostile than needed. In the episode of Kretons arrival, the General and his troops are cautious and rancorous towards him, even when Kreton showed no sign of intention to cause harm. Overall, our race tends to put impressions on others and ourselves that dont always agree with what we feel: our actions contradict with our morals, and thats what causes many problems in our society. ...

Healthcare Law and Information Technology Essay Example

Healthcare Law and Information Technology Essay Example Healthcare Law and Information Technology Paper Healthcare Law and Information Technology Paper Tom Keefe, senior director of state government relations for the Healthcare Information and Management Systems Society said that legislation in Massachusetts â€Å"will have a direct effect on mandating nationwide use of EHRs healthcare today is an industry characterized by revolutionary technological advances† (Rhea, S. 2008). Technological advances have been utilized by the healthcare industry for years in one way or another. One of the most widely recognized technological advancement in healthcare is the Electronic Health Record (EHR). Simply put, HER’s are â€Å"digital versions of patients’ paper charts† (â€Å"Learn EHR Basics,† n. d. ). Some of the information that can be contained in an EHR can include a patient’s medical history (including diagnoses, any test results, and medications), information from health clinics, pharmacies, emergency facilities and laboratories. The benefits of EHRs are to â€Å"Improve quality and convenience of patient care, increase patient participation in their care, improve accuracy of diagnoses and health outcomes, improve care coordination, and increase practice efficiencies and cost savings† (â€Å"Benefits of Electronic Health Records [EHRs],† n. d. ). Healthcare professionals and hospitals who utilize EHRs, whether that is through implementation or upgrades, are eligible to receive incentives from the Centers for Medicare and Medicaid Services (CMS) (â€Å"EHR Incentives Certification,† n. d. ). This incentive is possible due to the American Recovery and Reinvestment Act of 2009. In order to be eligible for any incentives, healthcare professionals and hospitals must meet the definition of meaningful use. Meaningful use is defined as â€Å"using certified electronic health record (EHR) technology† (â€Å"EHR Incentives Certification,† n. d. ) in order to â€Å"improve quality, safety, efficiency, and reduce health disparities, engage patients and family, improve care coordination and population and public health, and maintain privacy and security of patient health information† (â€Å"EHR Incentives Certification,† n.  d. ). In other words, utilizing meaningful use would hopefully result in improved medical outcomes as a result of patients being more involved in their care and course of treatment and information being available to healthcare professionals where and when it is necessary. Healthcare professionals and healthcare organizations must also meet the National Patient Safety Goals (NPSG). In 2003 the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) developed six NPSGs with a seventh added in 2004. NPSGs were created with the hopes of delivering safe patient care (Harris Schmitt, 2004, pp.88). The seven NPSGs are â€Å"improve the accuracy of patient identification, improve the effectiveness of communication among caregivers, improve the safety of using high-alert medications, eliminate wrong-site, wrong-patient, wrong-procedure surgery, improve the safety of infusion pumps, improve the effectiveness of clinical alarm systems, and reduce the risk of healthcare-acquired infections† (Harris Schmitt, 2004, pp. 89). Ultimately, the seven NPSG’s, if implemented and followed, would result in safe, consistent patient care. In order to make sure that the NPSGs are followed correctly, they should become a part of initial training upon employment in the healthcare industry. Also, there should be a refresher training each year where healthcare professionals get together and review the NPSGs as well as try to find new ways to track the data and achieve each of the goals. In order to ensure a healthcare organization is meeting the requirements of both meaningful use and NPSGs, the organization needs to collect patient data and analyze the collected data in order to break negative patterns. One process that can be utilized to collect patient data is an Electronic Medical Record (EMR). One of the biggest benefits an EMR provides to healthcare professionals is the ability to track, identify, monitor and improve a specific practice or healthcare organization (â€Å"What is an Electronic Medical Record (EMR),† n. d. ). An EMR could track patient data over time, identify when a patient needs a screening or preventative visit, monitor where patients stand in regards to vaccines, and to ultimately improve the quality of care in a given practice (â€Å"What is an Electronic Medical Record (EMR),† n.d. ). Implementing the use of EMRs into a healthcare practice would get the ball rolling where technology in the healthcare field is concerned. Starting off small is a good way to allow the healthcare professionals, as well as the patients, to form the necessary trust in further technological advancements. If an EMR is already in place in a medical practice, mobile healthcare is another process that healthcare professionals can use to collect and analyze data. Mobile healthcare is also a great tool for healthcare professionals who have a variety of patients over a large geographical area or who are always on the move between their practice and hospitals. Also known as m-health, mobile healthcare is the application of mobile information technologies in the field of healthcare (Siau Shen, 2006, pp. 90). Siau and Shen state that â€Å"mobile technologies can be applied to healthcare in various ways such as voice communication, messaging, notification, asset tracking, and remote access† (Siau Shen, 2006, pp.90). Mobile technologies can reduce administrative costs, improve the response of healthcare professionals, as well as motivate healthcare consumers to become more involved in their treatment course (Siau Shen, 2006, pp. 90). Current technologies in existence make m-health possible. Three examples of these current technologies are Wireless Application Protocol (WAP), Global Positioning System (GPS), and Global System for Mobile Communication (GSM). Mobile technologies allow flexibility between healthcare providers and healthcare consumers. Patients and doctors, as well as administration professionals, benefit from mobile technologies. In the future, mobile technologies in healthcare organizations could save lives. Mobile technologies, including EMRs and EHRs, allow providers to collect patient data (including past patient history, demographic information, family history, allergies, test results, and lab results for example), track inventory, exchange data and communicate. Healthcare professionals can access a patient’s data and communicate with other healthcare organizations, pharmacies, healthcare professionals, and even the patient themselves. With the advancement of this technology, patient centered healthcare takes on a whole new meaning. The patients can have access to their files, be able to communicate with their healthcare professionals directly, and have access to online information about their diagnoses, medications, and course of treatment. As is always the case, the privacy and security of confidential information are a major concern and that concern heightens when thinking of mobile technologies. Without privacy and security, users of m-health would not be able to form the trust that is necessary when using mobile technologies. HIPPA Privacy and Security Rules â€Å"have detailed requirements regarding both privacy and security†¦the HIPPA Privacy Rules covers protected health information in any medium†¦the HIPPA Security Rules covers electronic protected health information† (â€Å"Privacy and Security,† n. d. ). Studies regarding privacy and security have been, and will continue to be, conducted. Plans regarding privacy and security have been created and implemented in order to help ensure the privacy and security of confidential information. With the topic of privacy and security met, we can now return to the National Patient Safety Goals and how they should be implemented, applied to the practice of healthcare, and tracked by healthcare professionals. National Patient Safety Goals should be utilized and met in every type of healthcare organization setting. Some examples of such a setting are hospitals, clinics, schools and universities, nursing homes, and mental health facilities. Every healthcare consumer deserves the very best care possible. The Joint Commission on Accreditation of Healthcare Organizations recognized that, and as mentioned earlier, created the seven National Patient Safety Goals. Take the mental health facility in the form of a group home for example. Many of the consumers’ needs are met daily by direct care professionals. There is an in-house nursing department that takes care of medical needs that arise during the course of the day. The nursing department also handles scheduling many doctors’ appointments for the consumers’, helping to ensure their health. Aforementioned, there are seven National Patient Safety Goals, however, only a few will be focused on for the sake of tracking and analyzing data in certain types of care that would benefit a consumer in a group home setting. In terms of long term care, the National Patient Safety Goals that are focused on are making sure residents are correctly identified, make sure medications are used safely, preventing infection, preventing residents from falls, and preventing bed sores (The Joint Commission Accreditation, 2013). In order to ensure that medications are safely used, a group home could put together a medical administration record (MAR) in which each resident residing in the group home would have their own sheets with each medication they take listed. On these sheets, staff is responsible for initialing each medication they provide to a resident. In order to meet state requirements, the staff also initial and sign the back of the medication sheets and at the end of each month, the MAR is sent to the nursing department to be reviewed before being returned to the group home to be filed. In addition to the MARs, another way to track when medications are not used safely is through incident reports, which are entered into a system that is run by the state. Both of these methods are great ways to make sure each resident is getting the correct medication at the right time on the right date and by the correct route. In a home care setting, the National Patient Safety Goals that are strived to be met are identifying patients correctly, safely using medicines, preventing infections, preventing falls, and identifying patient safety risks (The Joint Commission Accreditation, 2013). In order to help protect residents from falls, it is important to know each resident and what they are capable of, especially when it comes to ambulating. For example, if a resident who lives in a group home has an unsteady gait, they should be monitored when on or around stairs. They should also not be left alone for too long. Ways to track this are by creating and implementing behavior plans as well as social and environmental plans. Their behavior throughout the day should be watched and documented. Any incidents of falls or injuries should be written on an incident report and reported to the proper people/organizations, given the category of the incident. In a behavioral health care setting, the National Patient Safety Goals that are focused on are correctly identifying residents, safely using medications, preventing infection, and identifying client safety risks (The Joint Commission Accreditation, 2013). Identifying clients correctly is one of the most important and widely used National Patient Safety Goal. It is something that you see happening in every healthcare organization that directly deals with patients. Normally, healthcare providers use two different forms of information to make sure they are working with the right consumer. Some examples of ways consumers can be identified are by name, birth date, patient number, primary care doctor, etc. As a healthcare professional, it is important that they make sure they are working with the right patients, so that there are no mistakes during the course of treatment. While this is not the easiest data to analyze or track, there are a few different ways it can be done. For example, if a resident goes to see their primary care physician, their picture could be taken at the office as a way of identifying the right resident. Facilities could also create and utilize a cover sheet with all the residents pertinent information including, but not limited to, their name, address, social security number, health insurance information, emergency contact, and diagnoses. It is imperative that as much data as possible be tracked. The more data that is collected and tracked, the better the analysis will be. When working with residents in the mental health field, many families are not involved and it is the job of the direct care professionals to advocate for the health and well-being of the residents they work with. Tracking this data can be done in the forms of behavior plans, behavior logs, social and environmental plans, incident reports, family history as well as past medical history and medications, both past and current, just to name a few. In order to ensure that all data is tracked properly, it is important to have a common template that is used agency wide. This will cut down on confusion. In the future, it is my hope that group homes will incorporate some sort of technology in order to better track and analyzing data on residents. If there was a common technology used agency wide, it would cut down on how much paper is used as well as constantly repeating information on many different forms. Also, it would be a great way for anyone involved with the care of a resident to quickly have access to the information they need. If this technology was linked up with the primary care physicians that serve this population, there would not be a need to carry around big files for each resident and there would be better communication between residents, staff and physicians, which would make for a more productive and higher quality visit and course of treatment.

25 Unforgettable James Joyce Quotes

25 Unforgettable James Joyce Quotes James Joyce was one of the most famous and controversial writers of the 20th century. His epic novel,  Ulysses  (published in 1922),  is widely considered one of the greatest books in Western literature. However, it  was criticized and banned in many places upon its release. His other key works include  Finnegans Wake (1939), A Portrait of the Artist as a Young Man (1916),  and the short story collection  Dubliners (1914). ï » ¿Joyce’s works are often known for using a stream of consciousness  literary technique, through which Joyce gave readers insight into his characters’ thought processes. Below are some famous quotes from James Joyce. Fast Facts: James Joyce James Joyce was born in Dublin in 1882 and died in Zurich in 1941.Joyce spoke numerous languages and studied at University College Dublin.Joyce was married to Nora Barnacle.Although most of Joyce’s works are set in Ireland, he spent very little time there as an adult.Joyce’s famous novel Ulysses was considered controversial when it was first released and was even banned in many places.Joyce’s works are considered an example of modernist literature, and they use the â€Å"stream of consciousness† technique. James Joyce Quotes About Writing, Art, and Poetry He tried to weigh his soul to see if it was a poets soul. (Dubliners) Shakespeare is the happy hunting ground of all minds that have lost their balance. (Ulysses) The artist, like the God of the creation, remains within or behind or beyond or above his handiwork, invisible, refined out of existence, indifferent, paring his fingernails. (A  Portrait of the Artist as a Young Man) Welcome, O life! I go to encounter for the millionth time the reality of experience and to forge in the smithy of my soul the uncreated conscience of my race. (A  Portrait of the Artist as a Young Man) Writing in English is the most ingenious torture ever devised for sins committed in previous lives. The English reading public explains the reason why. (letter to Fanny Guillermet, 1918) Poetry, even when apparently most fantastic, is always a revolt against artifice, a revolt, in a sense, against actuality. It speaks of what seems fantastic and unreal to those who have lost the simple intuitions which are the test of reality; and, as it is often found at war with its age, so it makes no account of history, which is fabled by the daughters of memory. (Selected letters of James Joyce) He wanted to cry quietly but not for himself: for the words, so beautiful and sad, like music. (A Portrait of the Artist as a Young Man) The supreme question about a work of art is out of how deep a life does it spring. (Ulysses) The object of the artist is the creation of the beautiful. What the beautiful is is another question.  (A Portrait of the Artist as a Young Man) To discover the mode of life or of art whereby my spirit could express itself in unfettered freedom. (A Portrait of the Artist as a Young Man) [A writer is] a priest of eternal imagination, transmuting the daily bread of experience into the radiant body of everliving life. (Selected letters of James Joyce) James Joyce Quotes About Love I had never spoken to her, except for a few casual words, and yet her name was like a summons to all my foolish blood. (Dubliners) I asked him with my eyes to ask again yes and then he asked me would I yes to say yes my mountain flower and first I put my arms around him yes and drew him down to me so he could feel my breasts all perfume yes and his heart was going like mad and yes I said yes I will Yes. (Ulysses) His heart danced upon her movements like a cork upon a tide. He heard what her eyes said to him from beneath their cowl and knew that in some dim past, whether in life or revery, he had heard their tale before. (A Portrait of the Artist as a Young Man) Love loves to love love. (Ulysses) Why is it that words like these seem dull and cold? Is it because there is no word tender enough to be your name? (The Dead) Her lips touched his brain as they touched his lips, as though they were a vehicle of some vague speech and between them he felt an unknown and timid preasure, darker than the swoon of sin, softer than sound or odor. (A Portrait of the Artist as a Young Man) I did not know whether I would ever speak to her or not or, if I spoke to her, how I could tell her of my confused adoration. But my body was like a harp and her words and gestures were like fingers running upon the wires. (Dubliners) James Joyce Quotes About Fame and Glory Better pass boldly into that other world, in the full glory of some passion, than fade and wither dismally with age. (Dubliners) A man of genius makes no mistakes. His errors are volitional and are the portals of discovery. (Ulysses) James Joyce Quotes About Being Irish When the Irishman is found outside of Ireland in another environment, he very often becomes a respected man. The economic and intellectual conditions that prevail in his own country do not permit the development of individuality. No one who has any self-respect stays in Ireland but flees afar as though from a country that has undergone the visitation of an angered Jove. (James Joyce, lecture:  Ireland, Island of Saints and Sages) No God for Ireland! he cried. We have had too much God in Ireland. Away with God! (A Portrait of the Artist as a Young Man) This race and this country and this life produced me, he said. I shall express myself as I am. (A Portrait of the Artist as a Young Man) The soul ... has a slow and dark birth, more mysterious than the birth of the body. When the soul of a man is born in this country there are nets flung at it to hold it back from flight. You talk to me of nationality, language, religion. I shall try to fly by those nets. (A Portrait of the Artist as a Young Man) When I die, Dublin will be written on my heart. (Selected letters of James Joyce)

Speech-language pathology Personal Statement Example | Topics and Well Written Essays - 750 words

Speech-language pathology - Personal Statement Example I realized that he was not paying attention to what I was telling him and had mixed feelings of shock and surprise to his response. I kept wondering about it only to learn later that the child was suffering from autism and his response is termed as echolalia, a typical characteristic found in autistic kids. Autistic children who exhibit this characteristic communicate by simply repeating songs or words which they have heard during a previous activity or everyday life. Such children are unable to engage in the right form of communication and in most cases would not understand what they are saying. This experience provided the impetus for my interest in communication disorders and more specifically with autistic children. It was in that moment of silence that I realized the importance of effective communication especially with children with special needs. In order to widen my knowledge, skills and experience in communication I am applying for the Master’s program in speech-langu age pathology at the University of Utah and I believe that this course will help me pursue my long-term goal. I strongly believe that communication is a vital requirement that drives the existence of mankind. Over the years I have collected considerable resources, self-contained units on communication disorders and my current experience as a speech-language pathology aide has enabled me to understand human communications in greater detail. My first bachelor’s degree is not related to communications and the GPA is a reflection of the lack of interest for that course. It was only later that I developed a keen interest for communications and hence I pursued a second bachelor’s degree and graduated from the Utah State University in Communication Disorders in August 2012 with a GPA of 3.8. I believe that this GPA is reflective of the passion and determination I have for communications and speech-language pathology in particular. This course helped me gain a clear focus and a vision for

Enforceability of international and local mediation outcome Assignment

Enforceability of international and local mediation outcome - Assignment Example A normal mediation session takes three hours to complete and is attended by both the parties. Mediation is fair, efficient and does not require lengthy litigation and investigation. II. ROLE OF THE MEDIATOR The role of the mediator differs in four different phases of mediation.1 He generally is a contract facilitator. The different roles of the mediator are mentioned below; A. The pre-mediation phase This is considered as the most important part of the mediation process. In this phase, the mediator can create a strong base for mediation process. He has to see if the case is suitable for mediation or not. Some cases cannot be resolved through mediation like criminal matters2 thus he has to see whether the mediation should proceed or not. The mediator also has to check the flexibility of both the parties as the end result of the mediation will be ‘a contract’3 and thus it has to be assessed whether both the sides have the capacity to enter into a contract or not. The last thing that has to be checked is the representation of both the parties, the mediator has to check that the representatives are representing according to the law and their authority over the party has to be checked, so that it should be in the mediator’s knowledge that what kind of agreement the representatives can sign. B. ... e mediator engages both the parties in a detailed discussion in which both of them try to understand each other’s point of view and perspective; the third duty, which is being performed by the mediator in this session, is to influence the parties to settle the dispute, to make them reach an agreement and to resolve the dispute; and the last task, that a mediator performs during this session, is to engage both the parties in a thorough discussion regarding the issues which they have agreed upon. During this session the parties discuss past and present agendas, whereas, discussing future issues is optional, even though, the discussion of the future issues is essential for this session as it enables the parties to understand each other’s interests and goals. After this session the mediator and both the parties will be aware of each other’s point of views, goals and interests. Each party will now be able to frame a proposal that will satisfy its interests. In additio n to that, it will also be able to put forward an offer that will be acceptable by the other party. The mediator will now help the parties to check the accessibility and practicability of their offers. C. The separate session ( the private session) In this stage the mediator tries to detect and put forth the issues that the parties did not discuss in the last session, to enable the parties to reach realistic options that satisfy the needs and interests of both the parties and to guide the parties to negotiate on these options in the upcoming session. The role played by mediator in this phase includes the following; firstly, the mediator has to ensure both the parties that the private session is strictly confidential and therefore they can discuss the issues and agendas which they did not discuss in the

Race and Race Theory Essay Example | Topics and Well Written Essays - 750 words

Race and Race Theory - Essay Example It is also difficult to determine what characteristics of human beings need to be considered for racial discrimination. The concept of categorizing human beings according to their blood and kinship is a newer theory. Towards the end of the Middle Age, this concept took concrete form when anti-Jewish feelings were evolved as a manner to express resentment towards the religious beliefs of the Jewish community. These kinds of antagonism towards Jewish blood and kinship paved the reasons for hatred towards a community instead of an individual. Baptism among the Jews caused threat to the Christian community as the former could not prove their purity of blood to the Inquisition. The concept of racism had its roots in the Mediterranean slave trade during the Middle Ages when the Western world equated the blacks with slavery. In the modern time the concept of distinguishing human beings based on social, physical and intellectual features has proved to be unsound. This notion has generated fo r ages and is more specifically a social and historical process. Race cannot be confined to the physical or biological traits cultivated by an individual. The genetic inheritance of human beings that contribute towards those traits does not form the concept of â€Å"race†. ... There is a continuous inclination to regard race as an essence that is concrete and objective. There is also a contrasting view of the non-racist society that race is merely an illusion created purely by some ideologists. It was with the growth of political economy in the global arena and the advent of seaborne empire that race began to take a concrete shape. During economic crisis it is often the ethnic minorities who endure discriminations in the labour market. They even have limited access to proper education and health care facilities and this happens even during economic well-being although to a lesser extent. Although racial prejudices exist all over the world, the racial discrimination of human beings was originated by the Europeans. The era of European imperialism suggested that only those people belonging to the highest social rankings must govern the earth and it is they who should get access to all kinds of facilities for their development. It is however not correct to sta te that the European’s attainment of imperialism gave rise to race, but on the contrary it can be stated that race has created sociopolitical discriminations and has shaped the international economy: â€Å"this is not to say that the European attainment of imperial and world-encompassing power gave rise to race. Indeed it is just as easy to argue the opposite: that the modern concept of race gave rise to, or at least facilitated the creation of, an integrated sociopolitical world, a modem authoritarian state, the structures of an international economy, and the emergence over time of a global culture† (Winant, 172). What I find interesting about the article is that it discusses about the theoretical elements of race with the advent of the twenty first

Issues Surrounding the Japanese Attack on Pearl Harbor Research Paper

Issues Surrounding the Japanese Attack on Pearl Harbor - Research Paper Example This paper explores the issues surrounding the Japanese attack on Pearl Harbor. Japan’s attack on Pearl Harbor was to deprive America of its naval strength so that Japan could easily expand into China and the Dutch East Indies. The nature of attack When the interests of a country are threatened, its government and military forces can go to any lengths to take measures to neutralize those threats. Same happened with Japan whose expansion in China was threatened by the placement of the oil embargo upon her by America. The US Military essentially served as a threat for Japan’s interests, and so Japan acted to neutralize them. History provides evidence that America herself has acted in similar ways to expand. For example, the Mexican people and the indigenous people of America were eradicated from the land so that the Americans could achieve their manifest destiny. Although the assassination of the American servicemen in the Pearl Harbor attack is tragic, yet the Pearl Harb or attack by Japan seems justified from an impartial standpoint. Lack of war declaration One argument that is consistently raised against Japan on the Pearl Harbor attack is that the attack was undeclared. Japan made a sneak attack rather than declaring a war formally simply because she wanted to win. It was not a kind of war in which Japan wanted to show its power or uplift its ego that she would feel the need to challenge America upfront. Instead, all Japan wanted was to oust a country that was intruding into her plans of expansion, and Japan would choose any way to achieve that because accomplishment of her plans mattered the most. Saying that the attack was illegal does not make sense because law and war are two terms that do not go with each other. Anticipation of war Japan’s attack on Pearl Harbor was meant directed at the neutralization of the US Pacific Fleet, so that Japan’s advancement into the Dutch East Indies and Malaya that would provide Japan with access to a range of natural resources including rubber and oil could be ensured. Both America and Japan were aware of the possibility of war because of the growing tensions between the two countries since 1920s, though the invasion of Manchuria by Japan in 1931 marked the beginning of the most complicated terms between America and Japan. â€Å"The U.S. did not want to take military action in China, but it attempted to influence the foreign powers to take a strong stand against Japan† (Perkins, 1997, p. 111). During the 1930s, Japan’s continued expansion into China led to the commencement of war between Japan and China in 1937. The attack Nanking Massacre caused by Japan and her attack on the USS Panay increased the fear of Japanese expansion in the West and sharply turned the people of the West against Japan. As a result of the growing pressure from the people, the UK, France, and America resolved to provide China with loan assistance for the supply contracts related to war . In 1940, Japan tried to control the supplies that reached China by invading French Indochina (Gin, 2004, p. 651), but the shipment of machine tools, airplanes, aviation gasoline, and parts were halted by America. Japan understandably thought of it as an unfriendly act by America. However, to dilute the perceived unfriendliness by Japan, America continued to export oil to Japan. This was done, in part, because stopping oil export was perceived as an extreme step in Washington and was enough to provoke Japan. The ideological affinity between Britain and America was unquestionable in 1939, but large swathes of the American media and public were

American History (Political Parties) Essay Example | Topics and Well Written Essays - 750 words

American History (Political Parties) - Essay Example It is also important to realize that the party leadership originally consisted of the former anti-slavery members of the Whig Party and the Democratic Party and they argued that free men on free soil was a superior system to slavery, in view of moral and economic aspects of the system. When the Free Soil Party evolved in the 1840s, it functioned as a third party which developed out of the split between pro- and anti-slavery movements. "National politics was controlled primarily by two parties, Democratic and Whig. Within both parties there were supporters and opponents of slavery, and the issue became more heated as the U.S. added territory. Proponents of slavery wanted to extend it into the newly acquired territories, while opponents wanted the territories to remain free. The issue grew especially heated among members of the state Democratic Party in New York." (Free-Soil Party) This is the platform upon which the Free-Soil Party was established in August 1848 at a meeting of anti-s lavery members of the Whig Party and the Liberty Party. The most important slogan of the Free Soil Party was "free soil, free speech, free labor, and free men" and it rigorously opposed the extension of slavery into the western territories. The Free Soil Party, though a short-lived political party, illustrates the Second Party System in the U.S. ... The historians and political scientists refer to the Second Party System to name the political party system which was in existence in the United States from about 1828 to 1854. The First Two-Party System in the U.S. politics incorporated the Federalists and the Republicans during 1780s - 1801. During the period 1836 - 1850, the Second Two-Party System was in place incorporating the Democrats, led by Andrew Jackson, and the Whigs, under the leadership of Henry Clay. The minor parties during this period included the Anti-Masonic Party, the abolitionist Liberty Party, and the anti-slavery Free Soil Party in 1848 and 1852. There have been several pertinent reasons for the death of the Second Party System and one of the major reasons is the Kansas-Nebraska Act and new political parties. "The Kansas-Nebraska Act fatally weakened America's second two-party system, splitting both parties along regional lines. Northern Whigs found themselves at odds with southern members of the party; souther n Whigs abandoned the party altogether to join the Democrats, who were more clearly supporting slavery. Many Northern Democrats were increasingly sympathetic to parties like the Free Soilers. At the same time, several new political parties emerged, all of which spoke mostly regional issues. By 1856, there were no longer any national political parties." (Schultz, 224) Therefore, there are various pertinent reasons behind the Death of the Second Two Party System and new political parties arose in place of this system included the Anti-Masonic Party, the abolitionist Liberty Party, and the anti-slavery Free Soil Party. It is important to realize that America's Second Two-Party System was destroyed mainly due to the

Nursing as a Profession Research Paper Example | Topics and Well Written Essays - 1250 words - 2

Nursing as a Profession - Research Paper Example Nowadays, there are several professions which an individual can select according to his skill and knowledge. According to Michael Plaut, PhD, the assistant Dean for Student Affairs Associate Professor of Psychiatry University of Maryland School of Medicine, a professional is person, with a specialized body of knowledge, set of skills, who beholds certain group mission or identity and maintains a set of standards of behavior and practice (Plaut, n.d.). From this, it transpires that a nurse, whose job involves all these factors and more, is a professional. Thus, it can be argued that nursing is a profession and not merely job or work. A profession is characterized by its traits. Some traits are common to all professionals. The main thing, which is required, is the diligence in one’s own duty. A person, to be called a true professional, needs to conscientiously be aware of her duties as a professional and follow the ethical principles that guide such a profession. He or she should also be highly competent and well-versed with the requirements of the profession and possess the relevant skill sets. Besides, he or she should also be able to understand the feelings of others and have effective communication skills. A professional should be confident in the work and have the quality of integrity. Moreover, a positive attitude along with the willingness to serve the public, are the qualities that are distinct traits of a professional. If one examines the job of a nurse, it can be seen that a nurse needs to possess all these traits, especially in terms of serving others. The American Nurses Association considers t hat â€Å"the depth and breadth of the nursing profession is meeting different health care needs of the population† (Considering Nursing, 2004). Thus, nursing can, unequivocally, be construed as a profession and not a mere job or call. To explain it further, the term nursing needs to

American History (Political Parties) Essay Example | Topics and Well Written Essays - 750 words

American History (Political Parties) - Essay Example It is also important to realize that the party leadership originally consisted of the former anti-slavery members of the Whig Party and the Democratic Party and they argued that free men on free soil was a superior system to slavery, in view of moral and economic aspects of the system. When the Free Soil Party evolved in the 1840s, it functioned as a third party which developed out of the split between pro- and anti-slavery movements. "National politics was controlled primarily by two parties, Democratic and Whig. Within both parties there were supporters and opponents of slavery, and the issue became more heated as the U.S. added territory. Proponents of slavery wanted to extend it into the newly acquired territories, while opponents wanted the territories to remain free. The issue grew especially heated among members of the state Democratic Party in New York." (Free-Soil Party) This is the platform upon which the Free-Soil Party was established in August 1848 at a meeting of anti-s lavery members of the Whig Party and the Liberty Party. The most important slogan of the Free Soil Party was "free soil, free speech, free labor, and free men" and it rigorously opposed the extension of slavery into the western territories. The Free Soil Party, though a short-lived political party, illustrates the Second Party System in the U.S. ... The historians and political scientists refer to the Second Party System to name the political party system which was in existence in the United States from about 1828 to 1854. The First Two-Party System in the U.S. politics incorporated the Federalists and the Republicans during 1780s - 1801. During the period 1836 - 1850, the Second Two-Party System was in place incorporating the Democrats, led by Andrew Jackson, and the Whigs, under the leadership of Henry Clay. The minor parties during this period included the Anti-Masonic Party, the abolitionist Liberty Party, and the anti-slavery Free Soil Party in 1848 and 1852. There have been several pertinent reasons for the death of the Second Party System and one of the major reasons is the Kansas-Nebraska Act and new political parties. "The Kansas-Nebraska Act fatally weakened America's second two-party system, splitting both parties along regional lines. Northern Whigs found themselves at odds with southern members of the party; souther n Whigs abandoned the party altogether to join the Democrats, who were more clearly supporting slavery. Many Northern Democrats were increasingly sympathetic to parties like the Free Soilers. At the same time, several new political parties emerged, all of which spoke mostly regional issues. By 1856, there were no longer any national political parties." (Schultz, 224) Therefore, there are various pertinent reasons behind the Death of the Second Two Party System and new political parties arose in place of this system included the Anti-Masonic Party, the abolitionist Liberty Party, and the anti-slavery Free Soil Party. It is important to realize that America's Second Two-Party System was destroyed mainly due to the

Go Green And Save the Earth Essay Example for Free

Go Green And Save the Earth Essay Top of Form Global warming is happening and its getting worse everyday. If we dont take this problem upon ourselves, and take drastic action to help save our environment, Earths most precious gifts could be lost forever. Do you want to help? Here are some useful ways to help reduce your own carbon footprint on the Earth! RECYCLE Recycling is more than just tossing a few things in your bin here and there. You need to do more to make a positive impact. One way to reduce waste is to buy products with minimal packaging. Economy size things are great, since they are usually much bigger and you arent buying so many smaller packages. Also you can try to buy reusable products. For example, when cleaning your kitchen you can use a wash cloth that can be laundered afterwards, rather than using half a roll of paper towels. Remember to recycle paper, plastic, newspaper, glass and aluminum cans. If you recycle half of your household waste each year, you will save 2,400 pounds of carbon dioxide annually. LIGHT BULBS Changing out your light bulbs with the energy efficient bulbs not only is great for the earthits great on your bills as well! They actually give off more light than the old ones, and also last much longer! ADJUST YOUR THERMOSTAT This is a trick that will save the planet and your wallet at the same time. Make your home more energy efficient by adding insulation and weather stripping. Also, set your thermostat two degrees higher in the summer and two degrees lower in the winter.Just throw on a sweater, or cuddle with your spouse! This will also allow you to pay less for heating and air conditioning while saving about 2,000 pounds of carbon emissions each year. CARPOOL Join a carpool or take the bus. You can help the environment and save money on gas. If your work isnt too far away, try walking or biking to work. Maybe you can add a few years to your life by getting some exercise too! BUY GREEN PRODUCTS Look for products that say Earth Friendly, Greenlist, Plant Based Ingredients, or All Naturaleven Organic. Buying these products are healthy for you as well. All those extra chemicals are making us sick, and polluting our earth. REUSE PLASTIC BAGS If you cant buy the reusable cloth bags and avoid using the stores bags all togetheryou can at least reuse them at home. Please just dont throw them away. Those things are turning up everywhere! They are killing millions of marine animals in our oceans. These animals are confused by them, and when they are eaten, they die! So please, at least recycle them if your not going to use them for something else! As a concerned citizen, you should do your part to lessen the effects of global warming. Please take global warming seriously.Lets save the planet, and go GREEN!

Acute Exacerbation Of A Diabetic Foot Ulcer Nursing Essay

Acute Exacerbation Of A Diabetic Foot Ulcer Nursing Essay This paper will critically analyse the care of a patient with an acute exacerbation of a long term condition. It will address the importance of carrying out a holistic assessment and will seek to justify the care plan put in place to manage the patients condition. Confidentiality has been maintained in accordance with the Nursing and Midwifery guidelines (NMC 2008). Tom is a 72 year old gentleman who was diagnosed with type 2 diabetes 15 years ago. He was started on medication to manage his diabetes 7 years ago but due to his worsening blood glucose control he has since been converted to insulin one year ago. Tom had been independent with the management of his diabetes with support from his local GP surgery. Recently he developed an ulcer on his right foot with resultant wound infection which made him unable to attend his surgery. Due to the wound infection he had been finding it difficult to keep his blood sugar levels within acceptable limits so he was referred to my caseload for diabetes and wound management. Managing long term conditions has become a priority in healthcare particularly due to the increasing prevalence of diseases such as diabetes which requires a heavy use of resources (DoH 2007a, Singh Armstrong 2005). There is a need to encourage patients to be as active as possible in their care which will help reduce the need for hospital admission through empowering patients and promoting self care. There is evidence that patients who understand their condition through support from healthcare professionals and are allowed to contribute fully in their care will result in less incidence of acute exacerbation (DoH 2006). However there has been difficulty in providing the on-going support and care co-ordination in the community that could prevent crisis events from occurring in the first place. This has lead to a key focus on the ways that this can be achieved in practice through such services as community matrons, rapid response and 24 hour district nursing services (DoH 2007b). Relating this specifically to diabetes; the implementation of expert patient programmes and DESMOND (Diabetes education and self management for ongoing and newly diagnosed) have sought to reduce the incidence of acute exacerbations and diabetes related complications through patient education and empowerment (NHS Choices 2011a, DoH 2001a). The government have placed the care required for those with long term conditions into three main groups; case management, disease management and self care (DoH 2007b). In this case, Tom required disease management of his diabetes and self care interventions. Acute exacerbation can be defined as a medical crisis of a chronic illness (Strauss et al 1984). More recently it has been described as an acute presentation of an existing major illness (The Kings Fund 2010). In this situation Toms existing illness was diabetes and the acute presentation was the development of a diabetic foot ulcer that had become infected and affected his blood sugar control. Recent statistics show that the number of people with diabetes has risen from 1.4 million to 2.9 million since 1996 and it is expected to rise significantly over the next 15 years (Diabetes UK 2011). The research also shows that diabetic foot problems account for more hospital stays than all other diabetic related problems put together and affect between 4-10% of diabetics (NHS Diabetes 2012, DoH 2001). Preventing foot problems in diabetics has been a priority in the UK over the past 10 years which has been highlighted in government publications such as NICE guidance and the National Service Framework for Diabetes (NICE 2008, NICE 2004, DoH 2001a). Despite these publications a survey carried out in 2007 found that 23% of diabetics did not receive a foot check which has contributed to the introduction of the Putting Feet First Framework emphasising the need for appropriate assessment and management of diabetic feet (Diabetes UK 2011b). Mason et al (1999) indicate that patients who are at high risk of foot complications must be identified. The National Service Framework for Diabetes supports this view and indicates that patients must have annual foot checks and access to specialist foot care clinics with timely referrals (DoH 2001b). In my area of practice we have an integrated care pathway in place for diabetic foot wounds that aims to provide the patient with optimal care. An integrated care pathway involves a multidisciplinary approach for a specific condition that aims to ensure a seamless approach to care and helps healthcare professionals make clinical decisions (Middleton, Barnett Reeves 2001). As soon as Tom was under my caseload, I referred him straight away to the local diabetic foot clinic as the NICE guidance for foot care states that patients with an ulcer should be referred within 24 hours (NICE 2004). It was important that Tom received specialist input quickly as he currently had a localised infection which placed him at risk of systemic infection and amputation if the infection was not resolved (Edmonds Foster 2006). The foot clinic consisted of a team of podiatrists, Clinical Nurse Specialists in Diabetes, a Dietician and a Diabetologist. When Tom came back from his first appointment, he had already started on the integrated care pathway which we used as our primary documentation between services. This benefited Toms care as it improved the continuity and quality of the documentation (Roberts Middleton 2000, Renholm, Leion-Kilpi Suominen 2002). Also, due to having diabetes nurse specialists at the clinic this meant that his medication regime could be reviewed a s well as receiving specialist foot care. The aim was to reduce his blood sugar levels as the hyperglycaemia was preventing his ulcer from healing and there is a general consensus that improving glycaemic control improves wound healing and prevents the risk of acute complications (Mcintoish 2007, Meyer 1996). Through Tom seeing the multidisciplinary team in one environment and by utilising the ICP, this prevented his care from becoming fragmented. Also due to having access to specialist clinicians in the field of diabetic foot management this enabled him to receive expert advice and care. This was evident in the management of his wound infection where judicious prescribing of antibiotics took place by specialist clinicians (Timmons et al 2009). This was vital in preventing any further deterioration in Toms health and managing the acute exacerbation. Tom visited the foot clinic once a week and a wound care plan was constructed until a review needed to be carried out. This is where the importance of a holistic assessment took place taking into consideration the social, physical and psychological factors that impacted on the situation (Higgleton et al 1999). The research also indicates that the quality of holistic assessment is enhanced by ensuring the patient participates at all times (RCN 2004). By allowing Tom to contribute to the assessment process it enabled the care provided to become personalised and reflected his needs and not what we assumed them to be. Firstly it was vital that we carried out a physical wound assessment on each visit to Tom using the assessment tool in the integrated care pathway. It was important that we used the same assessment tool with an effective understanding of its use as studies have shown that nurses fail to assess wounds effectively (Dowsett 2009, Mcintosh Ousey 2008). Through using the integrated pathway it meant that all nursing staff were using the same assessment tools which ensured effective continuity of care. Nixon et al (2006) found that those who had a diabetic foot ulcer were 5.1 times more likely to have been wearing poorly fitting shoes and this was evident in Toms assessment with the Podiatrist. In the integrated pathway it was documented that he had a high degree of peripheral neuropathy after an assessment was carried out and his shoes were ill fitting. The presence of neuropathy had contributed to the formation of the ulcer as Tom was not able to feel the damaging pressure on his foot caused by inappropriate footwear. This situation needed intervention so he had full assessment of his feet and given choices on available footwear that took into account his preferences. Holistic assessment was a key factor in ensuring concordance as the footwear that the Podiatrist wanted him to wear may not have been agreeable to Tom and he may have refrained from wearing them continuously as directed. This would have lead to a further deterioration in the ulcer condition but through effective par tnership working they were able to come to a joint decision that was acceptable to Tom and the Podiatrist. This ensured that the assessment took into account his physical, social and psychological needs. Preventing deterioration in the foot ulcer had started with the assessment of his feet and footwear but it required more intervention in the form of patient education. Valk et al (2005) found that providing patients with information and education positively influences their behaviour to take responsibility for their foot health. This meant ensuring that Tom carried out things such as regular skin care and nail care and empowered him to take ownership of his care (DoH 2001).The only difficulty with checking his feet daily was that he was unable to bend down to apply any moisturising cream to his feet which was dealt with by assessing his social support network. He did not have any close relatives but he made the decision to obtain a private carer to help him with this twice a week. Toms current active foot ulcer and increased education from the multi-disciplinary team on the high risk of amputation had enabled him to make an informed decision to prevent further deterioration. Central to promoting the healing of diabetic foot ulcers is ensuring adequate nutrition (Thompson Furhrman 2005) but often the quality of nutritional assessments carried out in practice are poor (Johnstone 2006, Cartwright 2002). NICE guidance clearly states that diabetics with foot problems should receive specialist dietary advice (NICE 2008). In the foot clinic Tom was able to be seen by a dietician who was able to carry out a comprehensive assessment and plan of care that would help improve his dietary lifestyle with the aim to improve his blood sugar control. A significant factor in the nutritional assessment was that it was ongoing whereby he would see the dietician every other week to determine his progress. Tom had been managing his diabetes independently prior to his foot ulceration and it was vital that he carried on doing so where possible. Promoting self care was not simply providing Tom with relevant information and education about his condition; it was also about increasing his confidence (DoH 2009). Due to the uncontrolled blood sugars he had to be started on new insulin and he felt that he needed some support and supervision. A survey found that only 38% of diabetics received any psychological support during their care (DoH 2008) so it was at this point that we needed to provide him with the psychological and social support to sustain his self care. Together we were able to form a care plan that would be reviewed on a weekly basis. The district nursing team would visit him when his insulin was due to provide support and ensure he was injecting correctly. The support given to Tom needed to be tailored to his requirements by ensuring that information was given in the correct format (Mcintosh 2008). Those patients who have lived with diabetes for many years often have some form of reduced eyesight secondary to diabetic retinopathy or maculopathy (NHS choices 2011b). In Toms care he had reduced eyesight but he was still able to read with prescription glasses. This assessment showed that he would benefit from written leaflets but this needed to be followed up with verbal consultations. I gave him the necessary leaflets on diabetic foot care but ensured that we enabled him to ask questions if he felt this was necessary when we visited him at home. The primary aim was to meet his needs effectively and create optimal self care through education and empowerment. This assignment has critically examined the management of an acute exacerbation of diabetes with the assistance of a specialist foot clinic. Through timely referral processes, multidisciplinary input and the use of an integrated pathway it allowed the exacerbation to be controlled and managed in the community without the need for hospital care. This is particularly pertinent when the research describes the prevalence of diabetes and the intensive resources it frequently requires from secondary care to manage the acute complications of this condition. This episode of care has shown the positive effects of a specialist diabetic foot clinic which emphasises the need standardised care and access to this service across the UK. It has demonstrated how joined up care in the community helps to ensure a seamless approach to patient care in relation to a long term condition. This paper has also identified the importance of holistic assessment in the management of diabetic foot ulceration which ensures patients needs are fully addressed and assists them in achieving optimal self care. There needs to be an emphasis on educating and empowering patients but this must be provided in the correct format taking into account the patients requirements and literacy needs at all times.