Missed Nursing Care free essay sample

Patient safety is a concern in the hospital setting. Missed nursing care due to high nurse patient ratios, or staffing issues leads to patient falls. Patient falls tend to be a big issue and expensive matter for hospitals nationwide. This paper will focus on a qualitative research article regarding missed nursing care, staffing, and patient falls. Included will be a summary of the research, methods and research used in the study, significance of the research findings, ethical considerations, and a conclusion. Summary of Research Problem Falls pose problems for many patients, such as death, fractures, functional need, and afraid of reoccurrence. Although, hospitals have set forth evidence based guideline strategies for de creasing the number of falls. Consistency and implementation of the strategies are limited. Data was gathered from 188 medical surgical units in 48 separate hospitals nationwide. Data revealed there was not consistent use of interventions to address specific risks. The findings go hand in hand with nursing care being regularly missed. We will write a custom essay sample on Missed Nursing Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nursing care often gets missed due to staffing issues. Missing any nursing care or not fully completing tasks leads to patient falls (Kalisch, Tschannen Lee, 2012). Methods and Research Used in the Study A qualitative approach was used in the design of this research. The research project was conducted in smaller scale hospitals of 60 beds to larger scaled hospitals with 913 beds. The total number of units was 124, this was broken down to as little as 2 units in the smaller hospitals to as many as 22 units  in the bigger hospitals. Unit inclusion criteria were, an average patient length of stay of 2 days or more and, a patient population greater than 18 years. Exclusion criteria were short stay units and pediatric, womens health, perioperative, and psychiatric units. All patient care units in the hospitals that met the inclusion criteria agreed to participate in the study (Kalisch, Tschannen Lee, 2012). 3432 nurses were included in this study. In addition to nurses 980 nursing assistants were participants of this study. The surveys return rate was 57. 3%, some units was as high as 99.6% and as low as 34. 4%. (Kalisch, Tschannen Lee, 2012). Missed nursing care data was collected from the MISSCARE survey. This survey focuses on identifying the rate of missed care. (Kalisch, Tschannen Lee, 2012). The article states that the National Database of Nursing Quality Indicator standards was used as a guideline to describe Hour Per Patient Day (HPPD). The number of working hours by all nursing staff was to calculate these HPPD values (Kalisch, Tschannen Lee, 2012). Any witnessed or unwitnessed event that leads to a patient found on a floor is used as a definition for patient falls. A ratio of falls per 1000 patient days was used as the calculation of fall rates for this research. (Kalisch, Tschannen Lee, 2012). Significance of Research Findings Statistical analysis showed that there is a high correlation between patient falls and the factors of nurse staffing that were addressed in this study. This shows that nurse staffing is significant in preventing patient falls and safety concerns in the hospital. The findings in data collected reinforce previous findings that greater staffing leads to fewer patient falls in the hospital. There were several correlations between the data collected and patient falls. The correlation and data collected also support that the types of missed care can be predicted at different staffing levels(Kalisch, Tschannen Lee, 2012). Ethical Considerations After institutional review board approval from each of the contributing hospitals, study data was collected from November 2008 to August 2009. During the research process patient privacy remained protected. No ethical issues were listed to being an issue. Conclusion The findings from this research study emphasizes the significance of guaranteeing that required care is accomplished daily, to decrease the number of patient falls. Although, staffing may affect the rates of patient falls, the level of influence is lowered when care is finished entirely. Additional work must be done to help nurses in completing essential tasks such as ambulating patients, assisting patients with toileting, patient assessments, and answering call lights, which may mean more staff members. Techniques for helping staff members complete all portions of nursing care include lists, reminders, and engagement of the patient. Until it is completely understood that the process of nursing care and its relationships to patient outcomes are related, we will not be able to develop positive strategies to stop unfavorable proceedings such as falls. Staffing and nurse to patient ratios should be considered to help aid in nursing care completion.

Discuss the Importance of Visual Perception Essays

Discuss the Importance of Visual Perception Essays Discuss the Importance of Visual Perception Essay Discuss the Importance of Visual Perception Essay Simply because something seems or is supposed to be a certain way due to ones societal expectations, does not mean that it always will be. Things are not always the way they appear and it takes much greater knowledge and understanding to accept people for what they are, even if it does not go along with what one learned. Keywords: Gender, male and female, hormones, environment Sexual Development Everyone possesses a gender identity, which most often matches ones anatomic appearance. Ones sexual development can be either male or female or even something In between. Is sexual development truly so Important or does It not play that significant of a role? Maybe this example will help everyone come too better conclusion about this subject. A healthy baby boy was born to very happy parents. However, about eight months into his life, something happened and his genitals were horrifically destroyed. His biggest male appearance at that age, his penis, did not exist anymore. His parents, completely disturbed by the accident, heard about a psychologist who was able to assign sex to children whose genitals were destroyed or not there for another reason. According to Culbertson (2009), If it is not created, then the child will be assigned a grammatical gender (in the Western world, all hillier must be either a boy or a girl), which may or may not match that childs social gender as It evolves over the course of childhood (Para. 14). Very often, when a parent chooses the sex for his or her own child due to the circumstances, It seems to work very well. However, prenatal hormones also Influence these factors In either working or not. Nevertheless, it did not work in this case and this boy began to live an unhappy life as a girl. Time went by and many problems occurred until she saw another psychologist. Her parents finally told her what happened and she began the transformation into a male. It seems like being a male made him happier once again and he even married and became a stepfather. However, this story does not have a successful conclusion, as David Reamer committed suicide at the age of 38 (New York Times, 2004). This tragic story shows that ones sexual development matters. It also explains that there is more than one factor that contributes to ones sexual development. Therefore, the author of this paper will try to provide a better understanding Into how gender identity and sexual development happens. The interaction between hormones and behavior will be explained and what role It plays In finding his or her own gender Intently In sexual development. As usual, It will also use the help of physiology and the environment to provide a better answer Tort ten reader. I nee autumn nope Tanat ten reader wall not only straddles a deeper knowledge about this subject but mostly that he or she will walk away with more understanding for individualism. Determination of Sexual Development Many different factors come into play determining ones final sexual development. It is very important to acknowledge that not everything that appears a certain way also will perform as such. Ones anatomy might indicate being a male or female; however, this does not mean that this is actually how a person views him or herself. Chromosomes play a very important role in developing sexual organs. Sexual chromosomes, such as XX and XX, help determine sexual differentiation. For instance, XX chromosomes will lead to the development of a female while XX chromosomes develop a male. In addition, the sexual X chromosome and non-sexual chromosomes can do more and possess the ability of developing either sexual genitals. This is why the exposure to hormones before and after one is born is so significant. Hormones are responsible for ones biological development. Therefore, it is very interesting to find out that the Y chromosome directs the glands to releases male sex hormones. Furthermore, hormones present during pregnancy will most likely affect the nervous system. It is important to acknowledge that every embryo is bisexual and has the ability to develop into a male or female until the end of the first trimester and the ability of hormones, which will the determine the kind of system, the Mlearn system or Wolfram system, one develops (Carlson, 2007). It is clear that hormones influence sexual development and help one to not only view him or her as male or female but also feel as such. For instance, hormones also influence feminine and masculine characteristics. As stated by Beer (2004), Masculine and androgynous children and adults have higher self-esteem, whereas feminine individuals often think poorly of themselves, perhaps because many of their traits are not highly valued by society'(p. 263). Children and Sexual Development One is not born knowing everything about him or herself. The way one is brought p, the environment, and different beliefs, Just to mention few, all help one come to that conclusion. Children are not born with the knowledge of what his or her anatomy and gender identity is; they learn it at a certain age. To be even more exact and according to Rather, Envied, Fischer-Rather (2008) Most children first become aware of their anatomic sex by about the age of 18 months. By 36 months, most children have acquired a firm sense of gender identity (p. 167). Therefore, ones social learning and cognitive development also affect gender identity and sexual development. Children are influenced first by their parents and then by other authorities, peers and even the media. Another very important theory that should be considered in how one comes to their gender identity is the gender schema theory. This theory knows the strong influence ones cognitive development and the environment play together. This happens by setting either masculine or feminine categories with which one can identify more. So for instance, boys play only with specific toys and girls do the same. Either gender is criticized by not following these rules or these rules are even pre-set by others. Parents buy gender specific toys and stores even categorize their sections by age and gender. These examples show how much other factors help one choose his and her gender identity and therefore influence ones sexual development (Beer, 2004, p. 63). Still, even though ones appearance normally goes along Walt ones preference, tenure are times when tins does not happen. Maybe this is one of the reasons why it takes so many to open up and let everyone know how he or she truly feels. This may also be one of the reasons why so many never say anything and hurt themselves or even end their lives. This is why it is especially important for parents and other authorities roles to avoid stereotyping and allow the possibility of acceptance even if it does not go alone with ones thinking and the social agreement. Furthermore, this can be explained by examining the behavior of intellectuals. Intellectuals gonads differ from their sexual appearance yet they are brought up by how they look. However, many express difficulty indemnifying with being either male or female. This provides the clear evidence of the interplay of biological factors and the environment contributing to ones sexual development (Rather, Envied, Fischer-Rather, 2008). However, indemnifying with either one seems to be important. Quoted by Gross: Both males and females reported that gendered expectations at home involved educational success. For females, gendered expectations at school involved being interested in fashion and boys. For males, gendered expectations at school involved being interested in girls and participating in non-academic activities like sport (Gross, 2009). Biological Psychology Biological psychology plays an important role and considers different factors when explaining what and how sexual differentiation and sexual development is determine. It acknowledges that a persons brain influences ones behavior; this behavior resembles male or female characteristics and will be categorized as such. However, biological psychology also knows that it is not so simple explaining a human and there are many other important aspects in ones life, which cause certain things to occur. Therefore, not only the brain but also, hormones, heredity, the environment, cultural upbringing, and ones choices will determine either a rotational or a non-traditional role with which one can better identify. Determination of Greater Influence As everyone differs from each other, so too differ each individuals influence. For instance, someone could have been exposed to prenatal hormones that normally would determine how one turns out to be, but then they were prone to the influences of his or her environment and turned out completely opposite. Therefore, saying which has the greater contribution is a difficult decision to make. There is evidence for both such as, being raised as a male and resembling one should surely let one now that is how they should feel. That does not happen all the time. If the answer would be so clear, then one should be able to know what causes female homosexuals to have higher levels of testosterone, as human biology or a certain lifestyle can increase the level. This is why it is, most likely, the interplay of both that contribute to this occurrence, leading to uncertainty of the main cause. Conclusion Ones looks do not indicate how one feels and certain important factors contribute to ones sexual differentiation, gender identity, and sexual development. Surely, it taters to try to find the correct answers because they may provide more understanding to human nature. So maybe one day, much clearer resolutions can be provided. However, in the mean time, one should always keep in mind that every Uninominal trees to De Nils or near Test Ana to De acknowledge Is want, In ten end, counts and makes a truly good person. One way of doing so is by making it illegal to discriminate in employment, public accommodation, credit, housing and education based on a persons sexual orientation or gender identity'( Journal of Property Management, 2007).

Assassination Essay Example | Topics and Well Written Essays - 250 words

Assassination - Essay Example Other incidents include unauthorized airplanes passing over the White House and in given situation, an aircraft crashing into the house. Plans to utilize planes seem most application for the assassins since the ground is somehow well guarded and the only place they can reach the presidents is using the planes to strike the White House. Other characteristics of assassinsare the use of threats, comprising armed assaults and bombings, dreaded kidnaping and captive-taking, assassination plots, alongside direct, strikes on the presidents (Jost & Sidanius 78). On the other hand, some assassins sometimes form organized groups that take part of some regions in opposition to the president’s leadership or just greed for power. Such incidences occur regular accompanied by kidnapping of children while on vacation like the incident of President Cleveland. Another example is the September 11, 2001 where the attackers used different planes to strike different buildings (Jost & Sidanius 123). The three categories of motivations for Non-Presidential assassinations depend on some objectives but not all of them possess the past US model. The categories are based on assassinations as a way through which politicalelite replaces the existing government without influencing systemic or usualchange. The second category is those with reasons to harm the legality of controlling the elite and influencing the system or ideological amendments and lastly categorized based on propaganda of encouraging ideology (Jost & Sidanius

Bargaining and Negotiation Essay Example | Topics and Well Written Essays - 1750 words

Bargaining and Negotiation - Essay Example There is also the perception that conflict resolution is a costly, complicated and thankless undertaking. In the process of upholding bargaining and negotiation as the best methods of resolving this type of organizational conflict, the paper also discussed related human resource management strategies commonly intended to create a complement of committed and motivated employees. These include: equal opportunity in promotion and advancement; fostering cooperation and camaraderie in the workplace; attending to employees' physical, emotional and psychological well-being; and hiring people who not only possess the necessary skills but the willingness and capability to work in a team. The research found that conflict resolution is possible without professional counselors such as occupational psychologists, whose services not many organizations can afford. Managers and supervisors can perform this function just as well with some training on non-directive counseling or "listening with unders tanding (Skaperdas, 1998)." This works because the manager serves as catch basin by which the discontented employee can vent his feelings and thus relieve his frustrations to move to a problem-solving frame of mind. It was also learned that the appropriate HRM strategies mentioned above are good preventive measures. Research Conflict is part of organizational life, which becomes even more pronounced in highly politicized and hierarchical organizations. One view of organizational structure looks at it as the outcome of a political contest for control within the organization, which at the same time provides the participants with further advantages in the political struggles because of their structural positions (Johnson, 1976). Once people of different capabilities and estimation of their self-worth come together, they invariably form a political organization. According to organizational theory, each individual and group in an organization is expected to play a specific role, like organs in the human body, and that all institutions, laws and traditions in a society are designed to support those in power or groups perceived as superior to others. Consequently, conflict arises when any of that individual or group breaks out of its specific role and aspire for a higher position or a greater share of the organ ization's resources (Bacal, online). Conflict within an organization is thought of as unpleasant, counterproductive and time-consuming, but it need not be destructive if the energy expended on it is directed towards problem-solving and organizational improvement. Instead of viewing it as a destructive force, it is seen as a factor to stimulate members in increasing their knowledge, skills and contribution to organizational innovation and productivity. Rather than try to eliminate conflict or suppress its symptoms, the best way is to manage the conflict so that it enhances instead of

Capitalism Essay Example | Topics and Well Written Essays - 250 words - 2

Capitalism - Essay Example The fourteen century crisis leads to emergence of modern capitalism. Land ownership and agricultural production gave rise to conflicts. The arrangements of manorial hinder the development of capitalism. This was when lords force serfs to produce which hinder them from getting interests through technological innovations. The serfs could only produce what was enough for their families. Expansion of power and wealth by lords led to conspicuous consumption. The crisis in the century was through bad weather, productivity in agriculture and limitations on technology. There was division of classes due to rise of relationships which were contractual between serfs and lords. Feudalism laid foundations necessary for mechanistic development. Exploration also facilitates the development of capitalism. The rise of competition led to creation of the new model. It led to winning and losing. Feudalism which led to mechanistic led to ownership of corporation and private sectors. Decisions of private sectors, prices of different commodities, goods production and distribution characterize investments, which led to free markets (Heilbroner et al, 2011). Roman Empire introduces merchant capitalisms which were advanced. This proceeds to development of Islamic capitalism. Industrial capitalism, revolutions and division of labor are some of the factors that led to creation of new model. There are many similarities between Newton and Adam Smith. For example, Adam Smith identified didactical mode which he termed as Newtonian method. Smith helped in discovering general laws of economics while Newton discovered natural laws of motion. John Millar declared Smith as Newton’s political economy. Both contributed to the project of social cohesion and balance. According to Newton, simplicity pleases nature but focuses on economy which was embarrass by Smith. Ricardo and Malthus are pessimistic about the future of capitalism. Malthus from his theory fail to anticipate production

Looking At Different Aspects Of Foster Care Social Work Essay

Looking At Different Aspects Of Foster Care Social Work Essay A kinship care arrangement is an agreement that is commonly made between the parent of the child, the local authority and a close relative such as a grandparent or aunt on a short or long term basis, the kinship carer must be approved by Warwickshire Fostering Panel. Where the child is accommodated by the local authority that is often subject to an Interim Care Order the kinship agreement is reviewed under the Child in Need procedure s (Warwickshire County Council 2009). There is a six week timescale to complete the kinship assessment. The fostering team has the responsibility for completing this within the timescale set out in line with the Fostering Regulations 2002. A Viability Assessment which is Schedule 3 of the fostering regulation 2002 requires that there is a detailed report complete with references be submitted to the Fostering Panel for approval (Warwickshire Fostering Services 2002). As part of this assessment I had to complete a two part Health Safety Checklist Part One during initial visit and Part Two during the actual assessment, which is updated annually as part of the Foster Carer review. I was required to complete the initial 6 week Kinship Assessment on Arthur and Joan to be submitted to Warwickshire Fostering Panel approval, followed by submission to a Finding of Fact meeting in court. Jane is a 6 year old dual heritage female who lived close to Nuneaton centre with mother, Ruth 28 white female unemployed recovering heroin addict and her current partner Jason 35 year old unemployed white male with offending history for violence. The local authority have been involved with Ruth and her child since 2008 the police contacting social services to advise them that Ruths partner had been arrested for having indecent images of children on his computer and serious abuse of babies. Ruth was advised of this but did not appear to recognise the risk he presented to Jane. The courts ordered that Ruth should only have supervised contact due to this. Warwickshire Council convened a child protection conference which concluded that Jane be made subject of a child protection plan. Whilst the investigation into the neglect was ongoing, Jane stayed with her maternal grandfather Arthur and Joan his partner. Arthur is 58 year old football coach and Joan is a 62 year old retired book keeper and they live in a 3 bedroom house close to Ruth. A kinship referral was received by the Fostering Team to complete a viability assess Arthur and Joans ability to meet Janes needs as temporary carers. Jane is still subject of a child protection plan, as well as Looked After Child procedures and is subject of an Interim Care Order made in December 2009. The responsibility for completing the kinship assessment was given to the fostering team that I am on placement with and I was then asked to complete the assessment under supervision. This is the type of assessment that is completed when a child is looked after and placed on a statutory order. Jane is currently experiencing problems at school with bullying because of her skin colour and is in a minority. Jane is being teased because her hair is not the same as other children. I feel that Jane has not recognized that her mother is white and her father black. Arthur has stated that although she is not white she is his granddaughter and he doubts whether Jane even recognises her skin colour as significant. It is important for the Fostering Social Worker to have access to all case files relating to the child when completing the viability assessment so that the assessment demonstrates the level of commitment the grandfather and his partner have and have had to the child (BAAF, 2009). Farmer and Moyers (2005) suggest: Kinship care occupies an uneasy position on the boundary between the public and private spheres of caring and this leads to a situation where some kin carers struggle to care for needy children with low levels of support and financial help. Janes maternal grandfather has shown incredible commitment including being willing to give up his fulltime job to be able to meet Janes needs. This is causing tension in the relationship between Arthur and Joan as this will significantly reduce their income. She has also expressed concerns at not always being able to cope with the high demands of Jane and how this has brought her relationship with Arthur to breaking point at times. When childs behaviour is causing a disruption, kinship carers (as opposed to foster carers) tend to be more willing to persevere with the difficulties faced by the child (Broad and Skinner, 2005, Colton et al, 2008: 38). It is important that when examining Kinship Care that the outcome for the child is measurable, this could be in terms of regular contact with the birth parent with less supervision. Legislation has a propensity towards securing long term placements, children who were placed with their grandparents were the least likely to experience disruption when compared with other family or friends (Hunt et al, 2008). Some placements continued with little monitoring or supervision from the social worker. In other instances social workers had allowed professional standards to fall well below what would have been acceptable to another child. This can cause the child rights to be compromised as they will not receive a service that they are entitled to (Farmer Moyers, 2005). An assessment involves assembling full and accurate facts about a service users circumstances and it is essential during the assessment process that person being assessed is fully engaged with the assessment and as the assessor I am in continuous consultation with my supervisor. The information collected must be recorded in a systematic way to give a clear and accurate understanding of needs and a possible plan of action (Smale Tuson, 1993). The viability assessment must pay close attention to the circumstances around the reason why the kinship arrangement is needed. Arthur and Joan realise that if they do not take on the role of carers then Jane is likely to be placed with unrelated foster carers. The assessment includes the family to look at creating a kinship arrangement that will at best be acceptable to the child, the local authority should consider the childs extended family as an alternative to the mainstream fostering system when completing the assessment. The Childrens Act 1989 directs that where the child is looked after by the local authority the child should be placed with a relative, friend or significant other (www.childrenscommissioner.gov.uk accessed 16/01/2011) if this is a viable option. The Adoption and Children Act 2002 directs that relatives must be considered in care proceedings and in line with Public Law Outline which emphasizes the importance of robust judicial case management. The Children and Young Persons Act 2008 has led to developments that promote the childs welfare and are likely to increase the use of placements with family members. Over a 15 year period from 1989 to 2005 there has been a gradual increase in the numbers of children in care that are fostered with family and significant others, from 6 per cent to 12 per cent of looked after children in England (Department of Health, 2006; DfES, 2004). If a child is looked after by the Local Authority and is placed with a family member or significant other for a p eriod exceeding 6 weeks then the carer should be approved as a foster carer by the Local Authorities Fostering Panel (Warwickshire Council 2009). The Local Authority must have a clearly defined role in enabling the parent of the child to have some input in the care arrangements of their child in accordance with section 20 of the Childrens Act 1989. Where the local authority places children in kinship care arrangements they also must assess the kinship carer(s) in line with existing legislation that applies to unrelated foster carers therefore have responsibilities to ensure that the kinship carers receive financial support in line with boarding out regulations (Warren-Adamson, 2009). The Munby judgement in 2002 set a precedent that local authorities must treat kinship carers in the same way as non related foster carers. This means that Warwickshire County Council must assess Arthur and Joan as kinship carers even though they may well already be looking after the child at the point the assessment starts. The difficulties I experienced as the Fostering Social Worker completing the assessment was mainly around the support, training and payment of Kinship Carers. The research also found that Kinship Carers are unlikely to challenge parents legally for the kinship of the child because it can have a negative impact on the parents relationship with the Kinship Carers. One of the implications highlighted by the research document was that Kinship Carers are unlikely to go for Special Guardianship Orders due to the reduced payments and support. The Joseph Rowntree Foundation (JRF) research found that kinship carers may resent the intrusion the assessment process will entail into their lives by statutory services and feel they are being monitored and placed under surveillance (JRF, 2002). The Joseph Rowntree Foundation (JRF) found that unsatisfactory placements with family and friend lasted significantly longer than with unrelated carers (Farmer Moyers, 2008). Local Authorities are required under the Childrens Act 1989 to operate a policy of less intrusive intervention when intervening with families. Argent (2009) draws attention to the assumption that social workers from non ethnic backgrounds tend to assume that families from Black Minority and Ethnic groups would rather manage the kinship without outside help or they do not understand the process. Argent highlights that some minority groups have a strong sense of kinship without any legal or statutory intervention. There are four types of kinship care these are determined by the legal status of the child that is being accommodated Fostered with a family or friend; Residence Order; Living with family and friends and a Special guardianship order. The viability assessment I undertook was to assess whether Arthur and Joan were suitable to go on to the next stage of the assessment, the Special Guardianship Order. Special Guardianship Orders were introduced in the Adoption and Children Act 2002 to encourage flexibility with regards to the length of the placement. This order recognizes that long term fostering or adoption might not be an option and that this type of order gives parental responsibility until the child is 18. At present there is not a legal requirement for Warwickshire Council to explore Kinship but the legal framework implies that it is a preferred option to private fostering. A family group conference is called with a view to exploring the potential of a family member becoming a kinsh ip carer (Hunt et al, 2008). The aim of the Viability Assessment is to make certain that Janes needs remain central to the assessment (Hunt et al, 2008). Milner and OByrne (2002) suggest that assessments can be divided into a number of stages: Preparation: I gathered information from case notes and other reports that have previously been written, in consultation with the Janes social worker we agreed on who to interview with regards to people that are a part of the extended family or wider support network and would be in contact with Jane. Preparing for the interview I ensured that I had the essential questions and an explanation of the interview purpose along with timescales for the viability process. Collecting data: I checked on sources of written information for factual accuracy. Weighing the data: I identified gaps, consulted colleagues and began to identify any key facts or themes. Analysing the data: I considered relevant research evidence and theory. Using the data: I analysed the data and formed an opinion as to whether Janes needs would be met by Arthur and Joan. The outcome of the above process was to make a recommendation to the court. Along with the viability assessment was the health and safety of the property that the child will be living in also had to be assessed. . I had to think about how the separate pieces of information interlink and about their impact on the grandfather. It has been suggested it is important to avoid subjectivity and not to dismiss information that does not fit with preconceived assumptions: Taking information for granted and not checking. Getting stuck with one perspective, and failing to recognise alternative explanations. Stereotyping situations and solutions to them. Making assumptions about age, culture, disability or any aspect of a service users life. The way its done here approach fitting service users into the routine response of the agency instead of focusing on the client. Using the assessment process to ration resources or disguising their absence, in other words, assessment becomes resource-led rather than needs-led (Milner and OByrne, 2002). Smale and Tuson (1993) propose three models of assessment: à ¢Ã¢â€š ¬Ã‚ ¢ The questioning model: where the worker is seen as expert and follows a set format of questions à ¢Ã¢â€š ¬Ã‚ ¢ The procedural model: in which the worker gathers information in order to see if agency criteria are met à ¢Ã¢â€š ¬Ã‚ ¢ The exchange model: in which the service user is seen as expert in his or her own situation and the worker helps to provide resources and seeks to maximise potential. In conclusion, I realise that people change and as a social worker I need to be aware that new information may emerge that causes situations change, so I have to consider the impact it has on the assessment. Although the assessment is often viewed as a separate stage to the intervention, it is also a continuous process and there is a need to constantly re-assess throughout the intervention (Milner and OByrne, 2002). I used a Task Centered Model for completing the Viability Assessment as it was a short term (6 weeks) problem solving approach with a clear beginning, middle and end, and has a specific timeframe to complete the assessesment and submit it to the court. I adopted a Solution Focused approach in my intervention as it worked with Arthur and Joan to help them to look at their strengths and to find their own solutions to challenges they may face. A Solution Focused approach enables people to see better futures, it can be used to focus on the positives whilst also accepting that their strengths which are Arthur and Joans commitment to meeting Janes needs for as long as she needs them and fact that this can be used as a platform for future long term planning. In practice I found it difficult to choose a single model as I realized I would be using all three in this case. Firstly, the Viability Assessment for kinship involved me in the role of expert with a set format of questions, and secondly, I was conscious of the criteria for kinship to enable me to ask appropriate supplementary questions but lastly, I feel that the exchange model reflects the values of anti-oppressive practice in that Arthur is placed in a position of control and so that the process meets his expectations as well as mine as the assessing social worker. However, as social workers operating within a statutory setting we must recognize that there are pressures to conform to questioning or procedural models. To work in an anti-oppressive manner is to incorporate necessary questioning, schedules and scales into an assessment that respects Arthurs expertise in caring for Jane (Smale and Tuson, 1993).

A Look into Ernest Hemingways Childhood Essay examples -- Biography B

A Look into Ernest Hemingway's Childhood Ernest Miller Hemingway was born on the morning of July 21, 1899. He was born in the house of his grandfather, Ernest Hall, on his mother's side. Both of his grandfathers influenced the character of Ernest Hemingway as it developed. Ernest Hall, at the time of little Ernest's birth, was widowed and living in Oak Park, Illinois, a suburb about ten miles from Chicago. Hall was a veteran of the Civil War, in which he fought valiantly before he was shot in the leg, but, out of respect and hatred of killing, did not allow anyone to speak of it in his presence. He later tried to commit suicide with a gun he kept under his pillow but was thwarted by Ernest's father who had removed the bullets. According to Jeffrey Meyers, "Ernest, who was six at the time, thought it was a cruel thing for his father to have done." Ernest's other grandfather was Anson Hemingway, who had also fought in the War, and also lived in Oak Park, where Ernest's parents met. The very nature of Ernest Hemingway can be cleanly divided into the often conflicting influences of his mother and father. Grace Hall Hemingway lived a charmed life and almost achieved success as an opera star, being a fairly gifted vocalist, but quit both because she was proposed to and because the lights of stage bothered her eyes (she had sensitive eyes due to a several month period of blindness set on by scarlet fever). Clarence Edmond Hemingway was a collector of coins, stamps, preserved snakes, and Native-American arrowheads, as well as an avid outdoorsman. He also went to college at Oberlin and became a practicing physician. However, his real passion and a good deal of talent lay in hunting, fishing, and outdoor cooking, and liv... ...e offers a brief and to-the-point biography of Ernest Hemingway. It has a list of his published pieces in chronological order, and highlights his life effectively while offering the author's personal commentaries on a number of more pertinent incidents. Meyers, Jeffrey. Hemingway: A Biography. New York: Harper & Row, 1985. Jeffrey Meyers writes an full biography of Hemingway. The text includes a number of stories to compliment the factual information. The Hemingway Resource Center. "Ernest Hemingway Biography > Childhood." 1993- 2003. <http://www.lostgeneration.com/childhood.htm>. This was the best online resource I found. It offers a good biography as well as giving a comprehensive bibliography (the above books included). It also harbors photos, and other interesting material from Hemingway's life including links to his works. A Look into Ernest Hemingway's Childhood Essay examples -- Biography B A Look into Ernest Hemingway's Childhood Ernest Miller Hemingway was born on the morning of July 21, 1899. He was born in the house of his grandfather, Ernest Hall, on his mother's side. Both of his grandfathers influenced the character of Ernest Hemingway as it developed. Ernest Hall, at the time of little Ernest's birth, was widowed and living in Oak Park, Illinois, a suburb about ten miles from Chicago. Hall was a veteran of the Civil War, in which he fought valiantly before he was shot in the leg, but, out of respect and hatred of killing, did not allow anyone to speak of it in his presence. He later tried to commit suicide with a gun he kept under his pillow but was thwarted by Ernest's father who had removed the bullets. According to Jeffrey Meyers, "Ernest, who was six at the time, thought it was a cruel thing for his father to have done." Ernest's other grandfather was Anson Hemingway, who had also fought in the War, and also lived in Oak Park, where Ernest's parents met. The very nature of Ernest Hemingway can be cleanly divided into the often conflicting influences of his mother and father. Grace Hall Hemingway lived a charmed life and almost achieved success as an opera star, being a fairly gifted vocalist, but quit both because she was proposed to and because the lights of stage bothered her eyes (she had sensitive eyes due to a several month period of blindness set on by scarlet fever). Clarence Edmond Hemingway was a collector of coins, stamps, preserved snakes, and Native-American arrowheads, as well as an avid outdoorsman. He also went to college at Oberlin and became a practicing physician. However, his real passion and a good deal of talent lay in hunting, fishing, and outdoor cooking, and liv... ...e offers a brief and to-the-point biography of Ernest Hemingway. It has a list of his published pieces in chronological order, and highlights his life effectively while offering the author's personal commentaries on a number of more pertinent incidents. Meyers, Jeffrey. Hemingway: A Biography. New York: Harper & Row, 1985. Jeffrey Meyers writes an full biography of Hemingway. The text includes a number of stories to compliment the factual information. The Hemingway Resource Center. "Ernest Hemingway Biography > Childhood." 1993- 2003. <http://www.lostgeneration.com/childhood.htm>. This was the best online resource I found. It offers a good biography as well as giving a comprehensive bibliography (the above books included). It also harbors photos, and other interesting material from Hemingway's life including links to his works.