Human Nature in Lord of the Flies Essay -- essays

Human Nature in Lord of the Flies Lord of the Flies, by William Golding, is a captivating narrative in which the reader lives through the trials and tribulations of a society set up and run by a group of marooned British teens. Golding believes that the basic nature of the individual is evil. The group ultimately proves this thesis by their actions. The evils of the individual are shown through the actions of the group’s hunter Jack, the murders of two members of the society, Simon and Piggy, the attempted murder of the group’s leader Ralph, and the ultimate destruction of the island. Jack has a natural longing to be number one, he was not satisfied with being the leader of the hunters, and this ultimately caused many of the conflicts in the novel. Jack as a senior member of the group felt that he had every right to be the leader and in this he caused the downfall of the society. He used the skills he learned as the leader of the hunters to turn the society against Ralph and the members that would not follow him in his quest to be number one. Simon is the...

Unit 20: Promoting Health Education- P1

Unit 20: Promoting Health Education- P1 In this unit I am going to explain three different approaches to promoting Health Education the three approaches I am going to explain are Mass Media, Community development and Two way Communication. The first approach to promoting Heath Education is Mass Media. -Mass media-any written, printed, visual, electronic, auto-visual media developed to reach mass audience and the public. -Audience segmentation-division of a population into a more homogenous groups based on similarities in attitudes, beliefs and knowledge. This allows greater impact of the message. It is used mainly in promoting Health Education to raise public awareness about a particular problem or issue, Stress the ill-effects of unhealthy behavior and the benefits of preventive behavior. Mass Media can be found anywhere and everywhere. Just a few of the many different types of Media are, Television, Radio, billboards, Posters. There have been many different effective National health campaigns such as: Physical activity, diet, smoking, heart disease, sexually transmitted infections and mental health. There are many different ways of approaching promoting health education such as, planned campaigns and advertising. This has the advantage of targeting a wide target audience and may be tailored to meet specific objectives. Unpaid publicity, this may be low cost campaigns that may seem to provide greater credibility to the target audience. Mass media can use many different approaches to promoting health education. Some of the ways you could promote health education is fear, some campaigns use fear to get the message across and for it to have effect such as, smoking and the effects such as cancer. An Example of a mass media campaign used to promote health education is the NHS Anti-smoking campaign that featured a number of media approaches such as very graphic posters and television advertisements such as The ‘I’d do anything’ advertisement. These types of advertisements are designed to motivate smokers to quit and by featuring the children of smokers singing â€Å"I’d do anything† from the musical Oliver with the endline: â€Å"Your kids would do anything for you. Why don’t you stop smoking for them? I think that this type of approach would have a very positive outcome with a number of people giving up smoking, The outcomes from this NHS campaign would be measured by Engagement and response, Daily/weekly call figures, Number of NHS Quit Kits ordered and Web stats – unique visits, time spent on site, number of page views Another mass media approach would involve health educators working to encourage healthy lifestyles and wellbe ing by educating individuals and communities. They create awareness on subjects that can prevent diseases, injuries, and other health problems. Health educators attempt to prevent illnesses by informing individuals and communities about health-related topics, such as proper nutrition, the importance of exercise, how to avoid sexually transmitted diseases, and the habits and behaviours necessary to avoid illness. The advantages of using mass media to promote health education are that you can raise important issues and create awareness about them. Mass media is also a good way to get people thinking about and discussing the issues, it is also a good way of reaching a large audience and a scatter gun approach can be used. On the other hand there are a few disadvantages of using mass media to promote heath education, such as cost effectiveness. Mass media can be very cost effective and have high costs such as advertising. A Scatter gun approach and it may not be as effective as a direct approach. Sometimes you cannot tell who the message is coming from and it is only one way communication. You also can’t see the outcomes or tell if it has been effective for a very long time. Overall I believe that the use of mass media in health promotion is widely used. It can be used locally, regionally and internationally. But the outcomes of some mass media campaigns are yet to be realized and to be proven as successful or unsuccessful. Mass media is one of the main approaches used in health promotion and its lack of success may be due to its oversimplification or segmented view of health and well-being. The second approach to promoting Heath Education is Community development. -The process whereby people who are marginalized or living in poverty work together to identify their needs, create change, exert more influence in the decisions which affect their lives and work to improve the quality of their lives, the communities in which they live, and the society of which they are part. Community development involves changing the relationships between ordinary people and people in positions of power, so that everyone can take part in the issues that affect their lives. It starts from the principle that within any community there is a wealth of knowledge and experience which, if used in creative ways, can be channeled into collective action to achieve the communities' desired goals. Community development is used to promote health education because the problems can be directly targeted and hit. Community development is used to target issues such as environment issues, housing, crime, pollution, support and isolation. By improving these issues you can improve the health issues that have become a consequence, Such as smoking, alcohol, drugs, stress, exercise and crime. See diagram below: A further approach to community development could involve a multiagency approach. The multiagency approach could involve the Government, local authorities, health trusts, the police, schools and other agencies all co-operating to achieve one outcome within a community. You can promote heath education by targeting an individual group such as children, young people, families and the elderly. It would involve the entire agency’s working together effectively, putting children, young people and their families at the centre of decision making in order to meet their needs and improve their lives. An example of using community development to promote health education could involve starting a group meeting in a local community centre and doing sport activities. Or the local council providing free health facilities for the community such as Hall Classes that could vary from aerobic sessions or keep fit sessions that could involve using the wide range of equipment available at all the sports centers throughout the borough. The session aims could be to develop fitness, weight control, balance, and coordination, fun and group interaction. There are many advantages of using community development to promote health education such as working to improve people’s living environment. Providing a joint effort that brings the community together. It can also improve self esteem and make people have a â€Å"can do† attitude and empowers the community. It is also effective because it can be done on an effective small scale. I. e. 1-1 or 1-10 and you can be given the feedback automatically. Another benefit may be that it is not cost effective because you could use resources from the mass media such as: leaflets, posters or videos. On the other hand the disadvantages of using community development to promote health education are having to have a number of people that are committed for it to have an effect, and some people within the community may have a negative attitude and feel as if change is not possible. Others may depend on other people to fix the issues and you may not be able to evaluate the outcomes to see the effectiveness. Another problem may be that the message may not reach everybody within the community or people may hold back on their feelings or opinions. Overall I believe that Community development is an effective way of promoting health education because it can be used within a community to target a specific area or health problem that may need attention, such as poor housing. I believe that by addressing the main problems you can also target the health problems that have become a result of this. The final approach to promoting health education is two-way communication. -Two-way communication uses communication to negotiate with publics, resolve conflict, and promote mutual understanding. Two way communication is used to in promoting health education mainly to discuss health issues that may affect certain individuals. Two way communication involves one person having a thought then sending that message to the person who is concerned. The receiver then processes the message and gives the feedback. This cycle continues until a positive outcome has been achieved. Two way communication works by only addressing it to a certain individual whom it may concern such as a doctor to a patient. Its effectiveness depends on the way it is addressed to the receiver because people with different ages may need to be spoken to differently such as a young child would be spoken to in a different tone of voice or manner compared to an adult. Two way communication is used to promote health and social care in many different ways. It involves basic talking and listening, this can be a very effective simple way of making a positive change. Body language can also contribute to the outcomes of health promotion because if the health promoter shows open, positive body language and shows interest in the feedback they are receiving. This will show a positive attitude and may have a positive effect because the person who it concerns will feel supported. Two way communication could also be used in the form of leaflets, letters or posters detailing some basic information about the health promotion. Two way communication can also be used to promote health education presented as E-communication by using Email, Facebook and Video. An example of using two way communication to promote health education could involve Voluntary Organizations promoting a health message within a school such as an anti-drugs campaign. The Public Health Agency run an anti drugs campaign called ‘Your body, your life, your choice' this campaign was acknowledged that young people had to make up their own minds about drug use. The campaign works to provide young people with accurate information on the dangers of drugs, and to influence the attitudes of young people so that they are prepared and taught not to experiment with drugs. The target audiences for this campaign are 10-13 year olds and 14-17 year olds and parents. There are many advantages of using two way communication to promote health education. An advantage of using two way communication is that it can be used on a very cheap, small scale basis such as a 1-1 or a 1-10, you can also be given direct feedback. Sensitive issues can also be discussed between two people. I also think that it is an advantage that the target audience can be chosen to meet the specific health promotion needs, such as aiming an anti-cannabis campaign at 16-19 year olds. On the other hand I think that the disadvantages would be that it may not have the same effectiveness as the mass media approach because it is only being used on a small scale. I also feel that it is very limited at what health promotions can be used for what audience. Another disadvantage is that I feel that it would be hard to stress the delayed gratifications to the audience and I think that people would rather choose the instant gratifications. Overall I think that using two way communication to promote health education is a good idea because it can be used on a small scale and private, sensitive issues can be discussed. I also think that it is a good effective way of promoting health education because the issues can be targeted and hit where it will make the biggest impact such as in schools. On the other hand I think that this way of promoting health education may not be as effective as the mass media approach because the mass media approach can reach a wider audience. Health Promoters Health promoters work to promote a positive attitude about keeping healthy, living a healthy lifestyle, preventing illness, and preventing any existing illness from becoming worse. Health promotion covers many different health issues such as diet, obesity, smoking, exercise, alcohol, preventing heart disease, cervical screening, breast screening, sun and health ect. Health promoters can be found both local and nationally an example of a local health promotion is Refresh Free leisure, Anyone who lives, works, is in full time education or whose GP practice is in Blackburn with Darwen qualifies for free leisure. This campaign depends on the use of mass media, two way communication and community development. An example of a national health campaign is the NHS Anti smoking campaign, this is a national campaign because it was used across the country and across Ireland and Scotland. This campaign mostly depended on the use of mass media but also used two way communication and community development to create a more effective outcome. An example of a international Health promoter is, The World Health Organization (WHO) this health promoter is the coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, and monitoring and assessing health trends.

Storey’s Three Comopnent Model

Moving on to the second part of the question looking at Storey’s , â€Å"Three Component Model† and how useful it is in identifying the key characteristics of successful growth businesses. Most of the small businesses do not grow beyond their classification as a micro firm, very few of the small firms rise to become a medium-size enterprise, and even fewer rise to become large companies in the future. Storey (1994) has identified three key components in the analysis of the growth of the small firms, they are influenced by the characteristics of the entrepreneur, the characteristics of the organization; and the types of strategy associated. Various different characteristics of each component can lead to a different type of growth within the SME. The characteristics of the entrepreneur are widely accepted as the vital ingredient that influences growth. For example, the personal goals of an entrepreneur are likely to influence why a business was started in the first place, as well as the strength of the firm’s growth orientation once it was established. Storey’s places less emphasis on personality per se and more on the personal characteristics which influence access to resources. These include * Motivation: This is likely to be the most indispensable and essential action or a commitment by the entrepreneur which makes a considerable difference in the growth of the enterprise. * Previous management experience: Earlier knowhow of organizing people and processes is important in maintaining growth. * Demographics of the entrepreneur: This is essentially with regard to the personality traits of the entrepreneur viz. Age and Education. These two traits can influence the growth of the firm, Entrepreneurs with higher educational qualifications are more likely to find high-tech and knowledge-based firms which in turn can be linked with higher growth rate of the firm. * Team management over individual management: Access to a wide range of resources, skills, experiences, advice and other resources is important to growth. A group of entrepreneurs are more liable to have the attributes wanted than just one person. Alongside these characteristics are more personal ones. Owners have a need to be independent and want to be their own managers. They believe that they can control and change the environment within which they work, to their benefit. They are often high achievers and are looking for recognition of their success. † (Burns, 2001). The characteristics of the enterprise also have an influence on its growth prospects: Ownership and Legal form: A limited company is more likely to grow than a sole trader or partner ship. Limited companies offer greater goodwill thereby attracting more customers and resources that it needs to accelerate its growth. It is also possible that as the companies develop they acquire a limited liability status so that the legal form is a result of growth. Firms Age: Younger firms tend to grow more and faster than the existing old firms, which reflects the need of the younger firm to attain a significant level of ‘critical mass’ to survive in the marketplace. Firms Size: Small firms find it very hard to grow to level of the bigger firms, as they lack the resources, skills and competitive edge. One of the main reasons being the entrepreneurs with a micro-firm do not wish to grow because of the reasons stated above. â€Å"Management devolution is essential for growth as it becomes impossible for the entrepreneur to manage on their own. Those firms that recruit experienced managers from larger firms are likely to be more successful. † (Storey, 1994). Storey’s review of area where management strategy may influence the growth of small firms includes: Introduction of new products: Companies cannot rely on a smaller product or service range for growth. They continuous innovation in the form of new products and services is a key to growth. This also includes modification of the existing products. Sharing of Equity: Willingness to share equity with external individuals or organizations was identified in small firms that actually achieved high rates of growth. Market position: Adopting defined niche markets is a key ingredient for the growth of the company

Wgu Nut1

Introduction to the Electronic Medical Record (EMR) Introduction to the Electronic Medical Record (EMR) Gary L Williams Western Governors University Introduction to the Electronic Medical Record (EMR) The new millennium has produced many changes in the world as we know it. Our national security which seemed to be impermeable has revealed its vulnerability to being breached. Remember September 11, 2001 when the hi-jacking of planes lead to the destruction of the Twin Towers in New York City, and severe damage the Pentagon in Washington DC.Now our Healthcare System has now moved into the information highway. How you may ask, through the introduction of the EMR. So will the EMR be safe and secure? Let us investigate. So just what is the EMR? There are many formal definitions but the one that stands out and will be used today is from the Healthcare Information and Management Systems Society (HIMSS). It states: The Electronic Health Record (EHR) is a longitudinal electronic record of pati ent health information generated by one or more encounters in any care delivery setting.Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter – as well as supporting other care-related activities directly or indirectly via interface – including evidence-based decision support, quality management, and outcomes reporting. (HIMSS) Within this definition there is a multitude of system components.Think of it like the multiple Introduction to the Electronic Medical Record (EMR) dividers that were found in the paper medical record. For instance, you may see headers like, medication record, order entry, nursing assessments, the plan of care, education, radiology, cardiology, etc. Under the medication tab la ys the eMAR, medication history, and reconciliation. Each band with the click of the mouse will open a new file within this record. The design is formatted to follow a systematic flow with check boxes, drop down lists, or free text space to document the patient findings, activities, and assessments.The EMR will have many benefits for the entire healthcare team and the patient. By development and design with the assistance of key personnel, the EMR should flow and make documentation easier. By having a standardized flow and options to document the standards of care, documenting should become easier and provide more consistency. Take for example a urine description. You may see for color description amber, yellow, red, clear, or tea. Then cloudy, turbid, clots, or mucous followed by malodorous, sweet, or pungent. This will provide a means of potential measurement for Evidence-Based Medicine (EBM).How many patients with UTI receiving Bactrim DS have amber mucous pungent urine on a GU u nit? Can you see the pattern? The EMR will assist in critical thinking as well. Your physical assessment for instance may be by body system or a complete head to toe assessment. These screens will assist the nurse in reminders of required documentation. The nurse may receive a task list for a certain procedure or required documentation of a high risk factor, such as fall precautions, to alert the bedside nurse or technician that the document is due or past due.Introduction to the Electronic Medical Record (EMR) The EMR will provide real time data and reports from various disciplines within the healthcare facility. For instance, a Vancomycin trough was ordered at 0700 and its 0900 and the IV medication is due. By selecting the laboratory tab your result will be there in front of you before the dose is administered. The same can be expected of radiology imagining results, EKG, stress test reports, a bedside capillary glucose test done by the technician. No more searching through multi ple computer systems or piles of lab results to find the data you need.The information is there and readily available. Healthcare providers have the penmanship of a deranged mad scientist. How often do you have multiple nurses trying to determine what Dr. Hyde just wrote? What if you guess wrong? Now you place that call to Dr. Hyde for clarification when you have a multitude of things to be doing. With Computerized Provider Order Entry (CPOE), no longer will guessing what was written be an issue. Standard order sets will be available with the opportunity to be individualized or modified from a pre-determined list of ommon orders for routine admission or for specific disease processes like the Acute Myocardial Infarction. Included may be diet, activity, vital signs, IV fluids, labs, EKG, PCXR, or consults. As touched upon earlier with the urine sample report, there is a myriad of potential data that can be extrapolated to form reports for research and to assist with the EBM. What is the average number of days for patients on the ventilator for June, 2011? How many patients in the rehabilitation unit have pressure ulcers? Maybe a nurse says to the unit manager that it seems like a large number of the patients on the unit have C- Difficile?A report can be run to show Introduction to the Electronic Medical Record (EMR) trends of the patients with this condition. Maybe it’s a hand washing issue or cross contamination from multi-use bathroom facilities. There are many opportunities that would at best have been difficult to track from the old paper medical record. Identity theft is rampant in this world of technology. How will the EMR be secured? How can the nurse access the EMR? Today home computers are almost essential. The same virus and malware that affect your home computer can infect the EMR if security is lacking.The Information Technology team will provide the overall security for the system by continuous upgrades to software like antivirus and firewal l protection. Each team member will be issued a unique log-in and password to access the EMR. This must be kept strictly confidential for the nurse’s protection. This secure log-in is like a finger print of the assigned user. When the EMR is accessed, there is a time stamp of what records were accessed, for what length of time, and by whom. A secure trail of entry into the EMR can be traced. What is the Personal Health Record (PHR) and how does it differ from the EMR?The PHR is essentially the same document that you would produce in the Physician’s Office. The PHR can be completed online either through a Physician’s Office or through an outside resource. Things that would be included in the PHR might be your name, address, telephone number, date of birth, and possibly the social security number. This record could also contain your Physicians name and phone number, the list of your current medications and dosages, a list of current and Introduction to the Electro nic Medical Record (EMR) past medical conditions, and passed surgical history.This type of a record is usually maintained by the patient themselves. The PHR will differ from the Electronic Medical Record in that the Electronic Medical Record is property of the Health Care facility and not the consumer. The personal health record becomes more vulnerable to breaches in security since it is maintained by the consumer. For example, I might give my sign on and password to my family or friend to input data for me. This obviously breaches ones security. This allows access to these individuals to alter ones personal health record at will.The website that maintains the personal health record may not be as secure as that of the Health Care facility. The Electronic Medical record is usually maintained by the healthcare facility, outpatient clinic, or Physician’s Office. These healthcare facilities must maintain high security to protect the information within that medical record. In 1996 , Congress passed a law entitled The Health Insurance Portability & Accountability Act (HIPAA). This law was designed: -To improve portability and continuity of health insurance coverage in the group and individual markets. To combat waste, fraud, and abuse in health insurance and health care delivery. -To reduce costs and the administrative burdens of health care by improving efficiency and effectiveness of the health care system by standardizing the interchange of Introduction to the Electronic Medical Record (EMR) electronic data for specified administrative and financial transactions. -To ensure protecting the privacy of Americans’ personal health records by protecting the security and confidentiality of health care information. (James) The security and confidentiality are paramount. Fines are levied as a result of a breech to the HPPA law.There must be alerts to vulnerabilities, safeguards to help protect the EMR and the Information Technology team must be able to identi fy possible threats. Using an EMR (electronic medical record) has no absolute right and wrongs in either computer equipment or software for HIPAA compliance. Usually there are four areas to examine: -Physical Security – can your computers with patient data be stolen? -User Security – can anybody log on to the patient database? -System Security – what happens on a hard drive crash? -Network Security – can unauthorized persons outside your facility access patient data? Milne, 2006) Security is never easy to maintain; it requires continuous safeguarding. As a team we are all responsible to assist in the security of the EMR. Always log on and off when you are no longer Introduction to the Electronic Medical Record (EMR) using the bedside computer. Always check before charting that it is indeed you that is longed into the system and that only one patient record at a time is open for use. The EMR can be a valuable tool for Quality Improvement (QI). Through the design phase, a number of measurable data can be built into the EMR for report generation.If the team wanted to look at the number of times vital signs were not documented as dictated per Policy & Procedure. This data can be built into the system and reports run daily, weekly, or monthly. The same thing can be built to monitor for overdue or omitted medications. This can be further expanded to identify which team member is involved and to check for trends. Data may also be collected to support EBM. For example, tracking the effectiveness of two different antibiotic treatment regimens of a selected disease process may be used to support a change in the disease treatment (e. . antibiotic A showed improvement in five days where as antibiotic B showed improvement in ten days. ) Here again the possibilities seem endless. Think of the time savings for all the key people that would be required to look through endless paper medical records for this type of data collection in the paper medic al record. So how does the EMR come to fruition? It takes a large team of various specialties and specialists to develop the EMR. It starts with the Healthcare system researching and then purchasing the best system to fit the company’s needs and requirements.Once purchased, the owner of the software will deploy a team of specialists that will assist the Healthcare systems team to design and develop the contents and flow of the EMR. The team includes senior management which will assist in the purchase and be the governing authority of the proposed Introduction to the Electronic Medical Record (EMR) work flow before implementation. There are many subdivided teams. Nursing will have Subject Material Experts (SME) that will be the voice to assist in the flow, wordage, and design of the nursing components of the EMR. The SME’s will be from every department of nursing.From this group will be the Super User. The Super User will act as the cheerleader for the project developme nt and will be the main source for assisting with the Go Live of the EMR. The Information Technology (IT) will be a multi-tiered group ranging from System Support Analyst or the front line of communication, the Computer Programmers and System Analyst or the builders and troubleshooters, to the Project Managers or the supervisors of the IT team. Nursing will also have the Clinical Informatics Application Analyst who will be the voice between nursing and the technical side of issues, concerns, and development.The End User which is the front lines of nursing and everyone that will be using the system for documentation. And last but not least will be the Educators that will teach the system to the entire team. This is a rather large of individuals working as the voice of the EMR development and implementation. In conclusion, change will be rough at times but change is necessary for progression. Be positive and listen to the teams and the tips that are offered. Assist each other as suppo rt with the continued learning and development of the EMR. The Technology age is here and we should all reap the benefits of this endeavor.Remember how Florence Nightingale was the frontier to nursing as we know it. Well each of you deserves a pat on the back as you are the pioneers that have lead nursing into the technology phase of the Electronic Medical Record. You too are a part of nursing history. References HIMSS. (n. d. ) EHR Electronic Health Record. Retrieved from http://www. himss. org/asp/topics_ehr. asp James, R. (n. d. ) What is HIPPA? Retrieved from http://www. dhmh. state. md. us/hipaa/whatishipaa. html Milne, M. (2006, March 6). HIPAA in a â€Å"Nutshell† – Guidelines for EMR and Paper Medical Records Compliance.Retrieved from http://ezinearticles. com/? HIPAA-in-a-Nutshell—Guidelines-for-EMR-and-Paper- Medical-Records-Compliance&id=156737 Ten open ended questions. 1. When the EMR is first implemented on your unit, how can you assure the patient that you are competent in your profession? You will explain that you are a seasoned nurse and an expert in the nursing field. Today our facility is introducing the new EMR which will benefit you in the future. This will take a little more time for me to learn and I do not want you to feel like you are being ignored. I may have to ask you a lot of questions as I go through each section.Please feel free to ask me any questions or concerns that you may have. Our goal is your comfort and safety though the high quality of care. 2. On the day of Go-Live, how can your unit best assist you in providing support as you learn this new technology? My unit manager should over staff initially as we learn the new system. I can foresee the nurse being so buried in the computer that the delivery of care might be too slow initially. Having the extra staff will decrease the patient load and allow extra hands to assist with the delivery of care. 3. As you learn the new system there will be some anticip ated frustration.How can you divert this frustration so that your patient doesn’t sense that something is wrong? We will need to have the Super-User and Analyst available to assist us as problems or concerns occur. It is imperative that the bed side nurse remain positive an up beat as we learn. I suggest maybe huddles through out the day away from the bed side to discuss our concerns. We don’t want the patient to feel uncomfortable. 4. Your patient asks you why it is important to have the computer charting. Briefly tell me what you might say and why? The EMR is being implemented throughout the area as well as world wide.As you record develops, we will only need to verify some of your past medical history, allergies, medications, etc. These types of data will flow from one visit to another making you care easier as the data is readily available. No more waiting for old charts to arrive and thumbing through page after page of data to look for pertinent information. 5. Ho w do you perceive future benefits of an interoperable EMR? It will be possible in the future as the EMR progresses, that your hospital record, physician office record, out patient records, and pharmacy to communicate with each other.By doing so, some potential errors may be thwarted. For instance, maybe you are not able to recall all of your home medications and your consulting physician decides you need a new blood pressure medication. If the records could speak to each other then this physician would be able to see that you were already prescribed an antihypertensive medication or the pharmacy might catch the possible error. 6. Futuristically, let’s say you take a dream vacation to a foreign country. While on your visit you become ill and collapse unconsciously.How can the interoperable EMR potentially be a benefit in this case? If the system develops into a world wide communication link, then with limited data perhaps the hospital in the foreign country would be able to ac cess and utilize my EMR to provide answers in how to deliver the best possible care for me. So if I went in with a suspected ruptured appendix, by accessing my EMR surgical history it would be noted that I have had an appendectomy ten years prior so the focus could be directed at another possible cause. 7.Your patient states to you that she hates the computer and that it is the devils advocate. She is tearful and appears anxious. How might you handle this as you are in the middle of documenting in the EMR? You should stop what you are doing and maybe sit beside the patient and gently hold her hand and ask what seems to be troubling her? She might say she feels the nurses spend more time touching the computer and no time touching her, as you just did, and that we come across as cold and not caring. We need to realize that patient interaction is still paramount to the overall delivery of care.Take time to interact with the patient. Then step back and document; perhaps explaining what you are documenting and why it is important to her care. 8. What do you anticipate will be your plan of action when the computer system is down? What will be your back up plan? If the computer is down for a set amount of time, as determined by the hospitals administration, then the paper chart will be utilized. If the downtime is for an extended period of time, then this data would be scanned into the EMR as soon as possible after the computer system is back on line.If the duration was short, say an hour or so, then this data should be manually documented back into the EMR with the assessment time documented. 9. How do you anticipate computer physician order entry being a benefit? For one legibility! No more trying to decode what you think may have been written. It will be clear and concise. Also the physician may be able to look at documentation form somewhere other than the patients unit and decide orders need to be given. He can simply do computer order entry and a task will appe ar for new orders.If the order is anything other than routine, a call should be placed to alert the nurse of the priority. 10. What do see as a benefit to Quality Improvement by the institution of the EMR on a unit basis? We will be able to track data at a faster and higher accuracy a opposed to thumbing through paper record after record searching for data collection. The data collected can be as concise as to a particular nurse or a specific health issue. The data collected helps to support EBM change.

Land Securities Property Group Essay Example | Topics and Well Written Essays - 2000 words

Land Securities Property Group - Essay Example Investors often went for choosing commercial properties in place of bonds as investments because it offered very good return. Soon after 2007, this lucrative area of investment really became a nightmare zone for investors. The real estate industry faced setbacks due to globalisation, change in the economic scenario, recession, and sub-prime mortgage crisis. The property prices fell up to 50 percent. The commercial property industry revived by 2009 but the revival was not constant. There no stability in this industry anymore. The profits and losses in the real estate industry have become unpredictable. Moreover, the risk involved in investing in commercial property also pulled back the investors from such investments (Pickup & Derbyshire, 2010, p. 259-263). The economic downturn affected all the countries round the world. The intensity may be different but the dropping sales figures and decreasing revenue has been the scenario for most of the countries. The shops remained empty and th is further affected the property owners dealing in commercial property business. Many banks and companies declared themselves insolvent and filed for bankruptcy. In the backdrop of such economic scenario, we will analyse the position of the Commercial real-estate industry. Land Securities Group is one of the major players in the commercial property Industry in United Kingdom. Though the balance sheet of the company is showing positive results, but the market is not. The company is big and the capital base of the company is strong. The retail industry is facing huge losses And Retail giants such as Game, HMV or other super markets are have empty shops. In the study the analysis of the company Land Securities Group, is done keeping in mind the objectives behind the analysis: To study the competitive advantages and Strategies of Land Securities To analyse the complete external and internal environmental condition of the company. To see the status of its competitors To make projections regarding the future prospects of the commercial property Industry. Company Profile Land Securities Group is one of the largest commercial property companies in United Kingdom. It came into existence in the year 1944. Their main area of business is to develop shopping centres, retail shops and warehouses, offices and other commercial buildings. They are into maintenance, development, repairing of the property in both public and private sectors. Land Securities group is also into development of the urban community. For this purpose it has planned a multi-billion development program. Land Securities has a total of ? 4.9 billion of retail portfolio value. It owns more than 24 shopping centres and 19 retail parks. About ? 20.6 million sq. ft. of retail accommodation is developed by land securities group. The company is listed in London stock exchange. It has an operating income of ? 1244.1 million in 2011. Land Securities group also provides employment to more than 700 people. The compa ny has received several awards. It has received the Landlord of the year award, BCSC Gold Awards for retail Town Scheme and also National Property Company of the year award in 2011 (Landsecurities, 2012). Environmental Analysis PEST ANALYSIS PEST Analysis is mainly done to study the external environment for the company. Land Securities group is a company mainly situated in UK, which is going through its longest

Major Paper Essay Example | Topics and Well Written Essays - 500 words

Major Paper - Essay Example It all began with a group of girls who were exhibiting strange behavior. When doctors were unable to explain their behavior, the people of Salem began to panic and quickly assumed their behavior to be indicative of the devil’s presence. This small town’s hysteria resulted in the deaths of dozens of individuals. Sadly, many formal accounts of history have not even kept thorough record of all those who died, having been sentenced by the courts of the times to mostly, cruel and unusual forms of execution. This is but one recount of important, historical events which can teach us today; how not to repeat our mistakes. American literature which I have covered in my recent literature class, proved to be much more exciting and engrossing than I could have ever imagined! I recently read Edgar Allen Poe’s The Cask of Amontillado which is a gothic, fictional classic! Incidentally, the short work by Poe is not lengthy at all, it was actually a quick read and therefore got strait to the point. Poe’s works are classic examples of an authro who depicts a strong sense of duality throughout his works. There is always the normal or the protagonist if you will, in Poe’s work; foiled against the dark side represented usually by either the same character or a very similar character. Poe is genious at illustrating the good and evil lingering in everyone. Similarly, I found the reading of Rip Van Winkle by Washington Irving to be nothing short of brilliant! The fairytale styling of the work is entirely fictional but at the end, one can derive the ‘take home message’ that our past does come back to haunt us. This is exactly why Early American history was so educational for me, as I realized that even today, the facts of the past help to inform us as to what can occur when costly mistakes and misjudgments are made.

Art History Essay Example | Topics and Well Written Essays - 1000 words - 4

Art History - Essay Example The Plan of St. Gall shows an entire monastery compound, which includes things like churches, houses, a brewery, kitchens, stables, and an infirmary. While this plan was never actually built, much can be learned from it because it was probably a typical plan during this time period. The plan was actually made by combining five different parchments that were sewn together. This includes room for this like an orchard and a road. The buildings are marked with red, while everything else is marked in brown. There are over forty buildings that are present in this plan and although the buildings were never built, they are an excellent guide to how people lived during this time period. The plan itself is actually quite interesting, as things like the scriptorium and library are located on the inner concourse of the plan, while lodging and a hostel are located on the outer half. Also, the Abbott’s house in located near the scriptorium, which could symbolically mean that he is closer to God than the other monks. Many of the buildings that are present would be for economic reasons, as the monks had animals and places to grow fruit and vegetables located at these places. The plan was meant to depict a place that was entirely self-sufficient, meaning that the monks would not have to leave this monastery for any reason. This means that every aspect of life had to be explored in order to come up with a plan that would accomplish this goal, which is what makes this plan so important historically. The largest buildings that were present at this monastery were the buildings of worship and study, with these building also being located in the middle of the plan. The schools, houses, and stables were also quite large, but they were located on the outside of the plan. The entrance also led right up to the largest buildings. These large buildings were mostly meant for guests,